Fruits · Heart health
Pomegranate Seeds: Are They Good for You? Benefits & How to Open
Can you eat pomegranate seeds, and are they good for you? What the arils do for your blood pressure, arteries and gut, their nutrition, how to open a pomegranate and get the seeds out, how many to eat and recipes to use them in.

Why this score?
Weighting: Evidence 30% · Antioxidant & Anti-Inflammatory 25% · Clinical Effectiveness 25% · Nutrient Density 20% (8.0×0.30 + 9.0×0.25 + 7.8×0.25 + 6.5×0.20 = 2.40 + 2.25 + 1.95 + 1.30 = 7.90, shown as 7.9). How we score
Interaction check: Moderate. The human interaction studies tested the juice or an extract rather than the seeds. Interactions are rated separately and don't change the score.
Blood pressure medication, such as lisinopril: pomegranate may add to its effect,311 so check your readings at home when you start eating the seeds every day, and share them with the doctor who manages your prescription.
Blood thinners, such as warfarin: in one documented case, a woman's INR, the blood test that tracks warfarin, fell below her target range after she stopped drinking pomegranate juice two to three times a week.49 Keep your intake steady from week to week, and ask your doctor to check your INR after any big change.
Statins, such as rosuvastatin: in studies of healthy volunteers, the juice didn't meaningfully change how the body cleared simvastatin or two other test drugs,505152 but one case of serious muscle breakdown was reported in a man on rosuvastatin who began drinking the juice,53 so call your doctor about any unexplained muscle pain or weakness.
Heal Your Cells: The Mitochondrial Longevity Protocol
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The Mitochondrial Longevity Protocol — the complete root-cause framework for recharging your mitochondria, clearing damaged cells and slowing the nine hallmarks of aging, from the new book by Dr.
- A self-check
- The four-phase plan
- A 7-day meal plan
Free with your Dr. Axe account
View the protocol →Pomegranate seeds are the arils of the pomegranate, ruby juice sacs wrapped around a small seed you can eat, and they're one of the simplest fruits I recommend for your blood pressure, your arteries and healthy aging.12
- What they do: they help lower blood pressure, about 5 points systolic in pooled juice trials, and they feed your gut bacteria, which turn their ellagic acid into urolithin A, a compound that supports the renewal of your cells' mitochondria345
- Why eat the whole seed: a cup of arils brings 7 grams of fiber, against 0.2 grams in a cup of bottled juice67
- How much: about ½ to 1 cup of arils a day2
- How to use them: straight from the bowl, or over goat milk yogurt, kefir and salads; open the fruit in a bowl of water to get the seeds out fast2
Yes, you can eat pomegranate seeds, crunchy center and all: the ruby "seeds" are arils, juice sacs wrapped around a small edible seed, and eating them whole gives you the fruit's fiber along with its polyphenols.16 They're good for you too, and pomegranate is one of the fruits I recommend most for healthy blood pressure, strong arteries and healthy aging, at about ½ to 1 cup of arils a day.2
Most of what those little seeds do for you starts in two places. The first is the lining of your arteries, where pomegranate's polyphenols help the vessel wall relax. The second is your gut, where your bacteria turn the fruit's ellagic acid into urolithin A, a compound that helps your cells recycle their worn-out mitochondria, the tiny power plants inside them.849 That's why the whole aril works at the root cause, supporting how freely your arteries relax and how well your gut helps your cells renew themselves.
When it comes to foods that slow cellular aging and boost resilience, few shine brighter than berries and pomegranates.Dr. Josh Axe, DC, DNM, CNSFrom Heal Your Cells (2026), p. 133
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Pomegranate is on this free protocol's eat-freely list from the very first phase, and it comes back later for what it does for your mitochondria. Inside:
- Phase 1, Clear: the foods to eat freely from day one, with berries, pomegranate and citrus on the list
- Phase 3, Renew: the step that supports mitophagy, the recycling of worn-out mitochondria, with urolithin A or pomegranate
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Open the free protocol →Did you know?
A single pomegranate can hold anywhere from about 200 to 1,400 seeds, and their crunchy centers, once dried, make up about a fifth of the fruit's weight.1
The words "pomegranate" and "pomegranates" appear 33 times in the King James Bible, and golden bells alternated with pomegranates around the hem of the high priest's robe: "A golden bell and a pomegranate, a golden bell and a pomegranate, upon the hem of the robe round about" (Exodus 28:34).10
The oil inside each crunchy seed is mostly punicic acid, which makes up 74% to 85% of its fatty acids.1
What are pomegranate seeds, and can you eat them?
Pomegranate seeds are the arils, the jewel-red juice sacs packed inside a pomegranate, each wrapped around a small white seed, and you can eat the whole thing. The juice sac brings the sweet-tart flavor and most of the color, and the crunchy seed brings fiber, its own ellagic acid and a little oil.16
Cut a pomegranate open and the inside looks like a box of rubies. Under the thick, leathery rind, cream-colored membranes divide the fruit into chambers, and each chamber is packed with glossy red arils, every one a thin sac of tart-sweet juice around a small seed.1 When people say "pomegranate seeds," they mean the whole aril, juice and seed together, and that's the part you eat. Pomegranate seeds can be eaten raw or pressed into juice,15 and eating them raw is how you keep everything the fruit has to offer.
The white membranes are edible too, though they taste bitter, so most people pick them away along with the rind. The crunchy center is worth chewing rather than spitting out, because it carries fiber along with ellagic acid, one of the leading plant compounds in the seed itself.1 Ellagic acid is the same compound your gut bacteria turn into urolithin A, so when you crunch through the seed, you feed that process with the seed's own ellagic acid as well as the polyphenols in the juice sac around it.4
Pomegranates in Scripture and traditional medicine
Pomegranates were on the table long before modern nutrition science. When Moses described the Promised Land to Israel, he named seven foods: "A land of wheat, and barley, and vines, and fig trees, and pomegranates; a land of oil olive, and honey" (Deuteronomy 8:8).10 When the men he sent to scout Canaan came back from the brook of Eshcol, carrying a single cluster of grapes on a staff between two of them, the verse adds that "they brought of the pomegranates, and of the figs" (Numbers 13:23).10 Jordan Rubin and I note in The Biblio Diet that in the Bible, this fruit symbolized royalty, fertility and abundance.15 For more of the healing foods of Scripture, see the Bible foods that heal.
Healing traditions far beyond Israel prized the same fruit. In Ayurveda, the pomegranate is considered "a pharmacy unto itself," used as a "blood tonic" and for diarrhea and ulcers.16 Tibetan medicine calls the seeds Saizhu and describes them as sweet, sour and warming, and its classic text Si Bu Yi Dian calls them "the king of warm medicine," used to strengthen the stomach and stir the appetite.1 Traditional Chinese medicine uses the seeds to tone the stomach and regulate qi, for a cold or sour stomach, bloating and enteritis in children.1 Another traditional text, the Bai-Di-Yi-Yao-Shu, describes the peel, seeds and flowers as sour and astringent and uses them for diarrhea and dysentery and to help wounds heal.1 Across those very different traditions, most of the uses center on the stomach and gut, and that's right where the modern research says pomegranate starts its work, with your gut bacteria turning its ellagic acid into urolithin A.4
Are pomegranate seeds good for you?
Yes. Pomegranate seeds are good for your blood pressure, your arteries and your gut, and a cup gives you 7 grams of fiber. In a 2023 analysis of 14 trials of the fruit's juice with 573 people, systolic blood pressure fell 5.02 points, and your gut bacteria turn the fruit's ellagic acid into urolithin A, which supports the recycling of worn-out mitochondria.6349
Pomegranate seeds are good for your heart and blood vessels first, and for your gut and cells right behind. In my practice, I recommend pomegranate most often for patients working on blood pressure, artery and heart health, and healthy aging, because it covers four bases at once: powerful polyphenols, fiber, vascular support, and cellular signaling.2 Eating the seeds gives you all four, and the fiber is the part juice leaves behind.
Every meal either relaxes your arteries or tightens them, and pomegranate belongs on the relaxing side. My High Blood Pressure Protocol ranks it No. 9 among its blood-pressure foods, as a polyphenol-rich fruit that supports nitric oxide and healthy arteries and a natural partner to beets and berries.8 That puts the seeds on the short list of foods that lower blood pressure you can enjoy every day.
The same few compounds are at work in your arteries, your gut and your cells, and because the fiber matters as much as the polyphenols, I put the whole seeds first and the juice second.2
How pomegranate seeds work in your body
Think of each aril as a small package with two compartments. The juice sac carries the color and the polyphenols, and the crunchy seed carries fiber, more ellagic acid and its own oil.16 Your body puts that package to work in two places, your arteries and your gut.
In your arteries, the lining makes nitric oxide, a gas that tells the muscle in the vessel wall to relax so blood flows through a wider channel, and pomegranate is one of the polyphenol-rich foods that support nitric oxide and healthy arteries.8 It also works on the system that tightens your blood vessels. Your body uses angiotensin-converting enzyme, or ACE, to make a hormone that squeezes the arteries, which works against the relaxing effect of nitric oxide. It's the same enzyme that ACE inhibitors, one of the most common classes of blood pressure medication, are designed to block. In a two-week study of people with high blood pressure, with no comparison group, 50 milliliters of juice a day, a little under 2 ounces, lowered ACE activity in their blood by 36% and systolic pressure by 5%.17
The second place is your gut, and this is where the whole seed earns its keep. I think of the gut as the place where pomegranate's real cellular work begins: the fruit's ellagitannins, especially punicalagins, break down into ellagic acid, and if you have the right microbial partners, those microbes turn that ellagic acid into urolithins.18 The path from your plate to your cells runs through four steps:
The juice sac brings the fruit's polyphenols, and the crunchy seed brings fiber and more ellagic acid.16
Bacteria in your gut turn ellagitannins, and the ellagic acid they release, into urolithins, which your body absorbs far better than the compounds they came from.4
Only about 40% of people convert ellagic acid into urolithin A well at first, which is what a study of 100 healthy adults found after a glass of pomegranate juice. Before the juice, only 12% had urolithin A in their blood.2119 But if you keep eating pomegranates and get more probiotics, from a supplement or from goat milk yogurt, kefir or coconut kefir, your body gets better at making it over time.21 In a placebo-controlled trial in which each of 49 overweight adults tried two doses of a pomegranate extract and a placebo, 3 of the 6 people who made no urolithins at the start began making them.20 To help your gut along, eat more pomegranates, berries, walnuts and extra virgin olive oil, and get probiotic supplements and probiotic foods.22
Pomegranate is on the eat-freely list from the first phase of the Mitochondrial Longevity Protocol, and the protocol's renewal phase names urolithin A or pomegranate for supporting mitophagy.9 I also count it among my top 15 longevity foods, alongside berries, beets, olives and bone broth.18 It's a good example of food as medicine, working through a process your body already runs every day.
The crunchy seed also carries its own oil, which makes up 12% to 20% of the seed's weight, and most of that oil is punicic acid.1 In a placebo-controlled trial of 51 adults with high blood fats, capsules of the seed's oil, 400 milligrams twice a day for four weeks, improved the ratio of total cholesterol to HDL compared with placebo, and triglycerides came down in the seed-oil group.23 You get a little of that same oil every time you chew through the seeds.
Pomegranate seeds nutrition facts
Half a cup of pomegranate seeds (87 grams) has 72 calories, 3.5 grams of fiber and 11.9 grams of natural sugar, and a full cup has 144 calories and 7 grams of fiber. A cup also covers about a quarter of your daily vitamin K, a fifth of your vitamin C and nearly a third of your copper.6
Calculated from USDA FoodData Central record 169134 (pomegranates, raw), where ½ cup of arils weighs 87 grams; the 1-cup column doubles that measure. % Daily Value uses current FDA reference values.6
| Nutrient | ½ cup (87 g) | 1 cup (174 g) | % DV per cup |
|---|---|---|---|
| Calories | 72 | 144 | n/a |
| Carbohydrate | 16.3 g | 32.5 g | 12% |
| Fiber | 3.5 g | 7.0 g | 25% |
| Total sugars | 11.9 g | 23.8 g | n/a |
| Protein | 1.5 g | 2.9 g | 6% |
| Fat | 1.0 g | 2.0 g | 3% |
| Potassium | 205 mg | 411 mg | 9% |
| Vitamin C | 8.9 mg | 17.7 mg | 20% |
| Vitamin K | 14.3 µg | 28.5 µg | 24% |
| Folate | 33 µg DFE | 66 µg DFE | 17% |
| Copper | 0.14 mg | 0.275 mg | 31% |
| Manganese | 0.10 mg | 0.21 mg | 9% |
| Magnesium | 10.4 mg | 20.9 mg | 5% |
For a sweet fruit, that's a lot of nutrition per calorie. A cup of seeds gives you a quarter of the fiber you need in a day, along with useful amounts of vitamin K, vitamin C, folate and copper and a little potassium, for just 144 calories.6 The nutrition label can't show the polyphenols, though, and those are what most of the research on this page is about.
That same cup carries 23.8 grams of natural sugar,6 and in the whole fruit that sugar comes packed with fiber and water, which makes it a very different food from the same sugar poured into a glass. About ½ to 1 cup a day lets you enjoy that sweetness along with its fiber.2
What 1 cup of pomegranate seeds covers
Pomegranate seeds benefits, ranked by evidence
Pomegranate seeds help your body in seven ways, ranked here by the strength of the human research behind each: lower blood pressure, healthier arteries and heart, calmer inflammation, easier joints, friendlier gut bacteria, memory support and steadier blood sugar. The human trials on this page tested the fruit's juice, an extract or the seed's oil rather than the arils themselves, so each card names the form that was tested; the seeds carry the same family of polyphenols, plus the fiber the juice leaves behind.141
Lowers blood pressure
Strong evidenceHuman studyMeta-analyses · 14 and 8 juice trials; review of 22 trials, all formsIf your blood pressure runs high, pomegranate is one of the easiest foods to add. In a 2023 analysis that pooled 14 trials of pomegranate juice with 573 people, systolic blood pressure fell 5.02 points, and a 2017 analysis of 8 placebo-controlled juice trials found systolic pressure 4.96 points lower and diastolic 2.01 points lower.311 In a review of 22 trials of juice, extracts and other forms, the pooled drop was 7.87 points systolic and 3.23 diastolic.24
Smaller studies show what that looks like day to day. In 13 men with high blood pressure, a single 150-milliliter glass of juice (about 5 ounces) lowered systolic pressure 7% and diastolic pressure 6% within hours, in a study with no comparison group.25 In a two-week trial of 21 people with high blood pressure, the same amount every day lowered both numbers compared with water.26 An extract did something similar: in a placebo-controlled trial of 55 adults, eight weeks of pomegranate extract capsules lowered diastolic pressure 2.79 points, while the systolic change was too small to rule out chance.27
Results have differed between reviews, and a 2017 Oxford review that weighed 8 trials one at a time, without pooling them, rated the evidence weak.28 The most useful test is your own, so eat the seeds every day for a few weeks and check your numbers at home.
Study takeaway: In pooled trials of pomegranate juice, systolic blood pressure fell about 5 points.
Pomegranate juice lowered systolic blood pressure in pooled trials
Healthier arteries and heart
Moderate evidenceHuman studyStudy of 19 with narrowed neck arteries · placebo-controlled trial of 45 · trial of 289Pomegranate helps keep your artery walls healthy and helps blood reach your heart when it's working hard. One study followed 19 people with narrowed carotid arteries, the main arteries in your neck. In the 10 who drank 50 milliliters of juice a day, the artery wall thinned by up to 30% over a year, while it thickened 9% in the 9 who didn't drink it. The juice drinkers' total antioxidant status rose 130%, their LDL cholesterol became 59% less prone to oxidation, and their systolic pressure fell 12%.13 A 2009 trial gave 289 adults at moderate heart risk either 240 milliliters of juice a day or a control drink for up to 18 months. The group as a whole showed no difference in artery-wall thickening, and in an exploratory look, the juice slowed the thickening in the people with the most oxidative stress and the least healthy blood fats.29
Blood flow to the heart improved too. In a 3-month trial of 45 people with coronary heart disease, neither the people nor the researchers knew who got what. In those drinking 240 milliliters (about 8 ounces) of juice a day, stress-induced ischemia, a measure of reduced blood flow to the heart under stress, eased by 0.8 points, while it rose 1.2 points in the group on a matched placebo drink.30
Study takeaway: In people with coronary heart disease, 3 months of daily pomegranate juice eased reduced blood flow to the heart under stress, while it worsened on placebo.
Calmer inflammation
Moderate evidenceHuman studyMeta-analyses · 11 juice trials, 696 people; review of 33 trials, all formsPomegranate helps calm inflammation, and you can see it in CRP, the blood marker that climbs when inflammation does. Across 11 trials of the juice with 696 people, CRP came in 2.55 mg/L lower than in the control groups.12 A 2023 review of 33 trials of juice, extracts and other forms pointed the same way, with pooled CRP 0.50 mg/L lower and two other inflammation markers, IL-6 and TNF-alpha, lower as well.31
Getting a lot of berries, pomegranates and tart cherries in your diet is amazing for reducing inflammation,32 and the seeds fit right in with the other anti-inflammatory foods on your plate. A small bowl a day keeps those polyphenols coming in steadily.
Study takeaway: Across 11 trials of pomegranate juice, CRP came in 2.55 mg/L lower than in the control groups.
Less stiff, less painful joints
Emerging evidenceHuman studyPlacebo-controlled trial of 55 · trial of 38 · 2026 review of 7 studiesIf your joints ache or feel stiff in the morning, pomegranate deserves a place in your day. In a placebo-controlled trial of 55 people with rheumatoid arthritis, two 250-milligram capsules of pomegranate extract a day for 8 weeks eased disease activity, with fewer swollen and tender joints, less pain and less morning stiffness than placebo, though CRP didn't differ between the groups.33 In a six-week trial of 38 people with knee osteoarthritis, the overall knee-arthritis score, stiffness and physical function improved in the juice group, and compared with the control group, an enzyme that breaks down cartilage fell and an antioxidant enzyme rose.34
A 2026 review of 7 studies in rheumatic diseases, 5 of them clinical trials, found improvement in both conditions with no serious side effects, though its authors rated the certainty low to very low.35 In mice with an induced form of arthritis, a pomegranate extract delayed the disease and lessened joint damage.36 A bowl of seeds at breakfast fits naturally with the other natural treatments for arthritis that help you move more easily.
Study takeaway: In people with rheumatoid arthritis, 8 weeks of pomegranate extract eased disease activity, pain and morning stiffness compared with placebo.
Feeds friendly gut bacteria
Emerging evidenceHuman studyPlacebo-controlled trials · 49 and 68 overweight adultsPomegranate feeds the bacteria that help keep your gut lining strong. In the same extract trial of 49 overweight adults, the higher of the two doses raised Faecalibacterium and Butyricicoccus, two beneficial groups of gut bacteria, and lowered LPS-binding protein, a blood marker of bacterial toxins reaching the bloodstream.37
Fiber and polyphenols work better together. In a 3-week placebo-controlled trial of 68 overweight adults, 200 milliliters of juice a day shifted their gut bacteria, and adding inulin, a prebiotic fiber, shifted them further and raised the gut's output of short-chain fatty acids.38 When you eat the whole seeds, you bring your own fiber along with the polyphenols.
One of the things I've worked on with patients is having them eat certain foods like pomegranates, which are high in ellagic acid.39 Your gut bacteria turn that ellagic acid into urolithin A, and walnuts and berries are among the other ellagic acid foods that feed the same process.4
Study takeaway: In overweight adults, pomegranate extract raised beneficial gut bacteria and lowered a blood marker of bacterial toxins.
Memory support
Emerging evidenceHuman studyPlacebo-controlled trials · 32 and 261 adults; pilot in heart surgeryPomegranate supports memory as you age, and it's been tested in people who had started to notice changes. In a four-week placebo-controlled pilot of 32 older adults with mild memory complaints, 28 of whom finished, only the group drinking 8 ounces of juice a day improved on a verbal memory test.40 In a year-long placebo-controlled trial of 261 adults aged 50 to 75, funded in part by a juice company, the ability to learn visual information held steady in the 98 juice drinkers who finished while it declined in the 102 on placebo, though the other memory measures didn't differ.41
In a placebo-controlled pilot study of 10 people having heart surgery, the 5 who took 2 grams of pomegranate extract a day, from a week before surgery to six weeks after, held on to their memory, while the placebo group's memory retention fell.42 And in mice bred to develop Alzheimer's-like changes, juice in their drinking water cut amyloid buildup in the brain's memory center by about half and helped them learn a maze faster.43 A daily handful of seeds fits right in with the other habits that improve memory.
Study takeaway: In older adults with mild memory complaints, 4 weeks of daily pomegranate juice improved verbal memory, while placebo didn't.
Steadier blood sugar
Emerging evidenceHuman studyMeta-analysis · review of 32 trials, all forms · trial of 28, each tried bothPomegranate seeds are a sweet food you can enjoy while you keep your blood sugar steady. In a review of 32 trials of juice, extracts and other forms, pomegranate lowered fasting blood sugar 2.22 mg/dL and HbA1c, your three-month blood sugar average, 0.22 percentage points.44 In 28 overweight adults who each tried the juice and a placebo drink for four weeks, fasting insulin fell from 9.36 to 7.53 mIU/L during the juice period.45 A 2025 review of 15 trials of pomegranate in its different forms found no overall change in insulin resistance, though insulin improved in people with type 2 diabetes, PCOS and fatty liver disease.46
The whole seeds give you an edge here, because half a cup brings 3.5 grams of fiber along with its natural sugar.6
Study takeaway: In a review of 32 trials of pomegranate in its different forms, fasting blood sugar came down 2.22 mg/dL.
Three blood tests that show how your body handles inflammation and sugar
Together, these markers show how your body is handling inflammation and blood sugar overall, which no single food can show you on its own.
- hs-CRP: A sensitive test for CRP, the inflammation marker that came down in the pooled juice trials. The optimal range is under 1.0 mg/L, and lower is better.
- HbA1c: Your average blood sugar over about three months. The optimal range is 4.8% to 5.3%.
- Fasting insulin: How hard your body works to keep blood sugar steady. The optimal range is 2 to 8 µIU/mL.
See the cellular bloodwork panel
Have results? Analyze them free →Pomegranate seeds vs. pomegranate juice
Eat the seeds first. A cup of arils has 7 grams of fiber, while a cup of bottled pomegranate juice has 0.2 grams, and fiber is the part of the fruit your gut bacteria feed on.67 Juice still has a place, in a small glass of 100% unsweetened juice.2
My guideline for fruit is to choose the ones that are high in nutrition, high in fiber and lower in sugar,15 and by that standard the whole seeds come out ahead. When pomegranate is pressed into juice, it keeps most of the fruit's potassium gram for gram, but it leaves nearly all of the fiber behind, so a 249-gram cup of bottled juice gives you about 31 grams of sugar with almost no fiber at all.7 Our pomegranate juice guide covers the juice trials in more detail.
The juice does carry more of one compound than the seeds, because commercial juice pressed from the whole fruit picks up punicalagin from the rind, 1,500 to 1,900 milligrams per liter in lab tests, while juice pressed from the arils alone carried only traces.14 The seeds bring fiber and the ellagic acid in the seed itself, which your gut bacteria convert the same way.14
I don't do fruit juice unless I'm in the middle of a workout.32 If you enjoy pomegranate juice, keep it to a small glass of 100% unsweetened juice, about 4 ounces and no more than 8, and eat the seeds the rest of the time.2
Eat the seeds and you keep the fiber
How to open a pomegranate and get the seeds out
Score the rind around the middle, pull the fruit apart, then hold each half seed-side down over a bowl and tap the back with a wooden spoon until the seeds fall out. Or work in a bowl of water: the seeds sink and the white pith floats, so they separate almost on their own.2
Getting the seeds out takes a few minutes the first time and gets quicker with practice. You'll need a sharp knife, a large bowl and a wooden spoon.
Roll it. Press the whole pomegranate gently against the counter and roll it to loosen the seeds inside.
Score it. Cut a shallow line through the rind around the middle, without slicing into the seeds, and pull the fruit apart into two halves.
Tap it. Hold one half seed-side down over the bowl, squeeze it gently and tap the rind with the back of the wooden spoon until the seeds rain out.
Repeat. Do the same with the other half.
Pick out the stragglers. Lift any seeds still caught in the white pith with your fingers or a spoon, and set the pith and rind aside.
Eat or store. Enjoy the seeds right away, or refrigerate or freeze them as described below.
If the spray of red juice puts you off, use water instead. My mother-in-law has this trick where she does it in water, and it's so much faster for her to get the pomegranate seeds out.47 Halve the fruit, hold each half under the water in a large bowl and tap the rind with a spoon or loosen the seeds with your fingers. The seeds sink and the bitter pith floats off, so you can skim the pith and pour the seeds into a strainer.2 And sometimes we just buy them already plucked,47 since cups of ready-to-eat arils are easy to find while the fruit is in season.
How to choose and store pomegranates
Choose a pomegranate that feels heavy for its size, with firm, taut skin, because the weight tells you the seeds inside are juicy.2 Pomegranates come into season in the fall and are at their best from about October into January, so the holiday months are the easiest time to keep a few on your counter, along with the other winter fruits.2
- Whole fruit: keeps up to two months in the refrigerator, or several weeks on the counter.2
- Seeds: keep about five days in a covered container in the refrigerator.2
- Frozen seeds: spread them on a tray in a single layer, freeze them, then move them to a container, where they keep for up to a year; they're a little softer once thawed, which doesn't matter in a smoothie or sauce.2
How to eat pomegranate seeds
Eat them whole, crunchy center and all, about ½ to 1 cup a day. Spoon them straight from the bowl, or scatter them over goat milk yogurt or kefir, salads, roasted vegetables and smoothies.2
About ½ to 1 cup of arils a day is the amount I suggest, and it doesn't have to come all at once.2 Chew the seeds rather than swallowing them whole, so you get the fiber and ellagic acid in the crunchy center.1 On my show, I've described a biblical longevity day that includes a little pomegranate in the afternoon as a snack, and that's one of the easiest ways to start.21
One of the best combos you could ever have is kefir or yogurt with pomegranates,21 because you're feeding your gut probiotic bacteria and ellagic acid in the same bowl. Plain goat milk yogurt or kefir, sheep's milk yogurt and coconut kefir all work well.
Pomegranate seeds recipes
Pomegranate seeds taste great on their own, and they brighten almost anything you add them to, sweet or savory. Here are two simple recipes to start with, then more ways to cook with them. Where a recipe needs a sweetener, use raw honey, a teaspoon at most, since the seeds bring plenty of sweetness of their own.
Ingredients
- 5 ounces fresh arugula
- ½ cup pomegranate seeds
- ½ cup walnuts, toasted
- ¼ cup crumbled goat cheese or sheep's milk feta
- 3 tablespoons extra virgin olive oil
- 1 tablespoon fresh lemon juice
- 1 teaspoon raw honey
- Sea salt and black pepper, to taste
Instructions
- Whisk the olive oil, lemon juice, honey, salt and pepper into a dressing.
- Toss the arugula with just enough dressing to coat it lightly.
- Top with the pomegranate seeds, toasted walnuts and crumbled cheese.
- Drizzle with the rest of the dressing and serve right away.
Walnuts carry ellagitannins too, so this salad stacks two foods that feed the same urolithin pathway in your gut.
Ingredients
- 3 tablespoons chia seeds
- 1 cup unsweetened coconut milk or goat milk
- ¼ cup plain goat milk yogurt, sheep's milk yogurt or coconut kefir
- 1 teaspoon vanilla extract
- 1 teaspoon raw honey (optional)
- ½ cup pomegranate seeds
Instructions
- Whisk the chia seeds, milk, yogurt or kefir, vanilla and honey together in a jar.
- Refrigerate for at least 4 hours or overnight, stirring once after 10 minutes so it sets evenly.
- Top with the pomegranate seeds just before serving.
Make it the night before and it's ready when you are; add the seeds just before you eat so they stay crisp.
More ways to cook with pomegranate seeds:
Beet and pomegranate salad with goat cheese. Toss roasted beets with pomegranate seeds, crumbled goat cheese, toasted walnuts, olive oil and a squeeze of orange.
Spiced chia pudding. For a warmer, spiced version of the pudding above, try the spiced chia seed pudding with pomegranate seeds on our list of chia seed recipes.
Pomegranate berry smoothie. Blend ½ cup of seeds with a cup of frozen berries, a handful of spinach and a cup of goat milk kefir or coconut kefir.
Pomegranate salsa. Stir the seeds into diced cucumber, red onion, cilantro, a little jalapeño and lime juice, and spoon it over fish or serve it with sliced vegetables.
Wild-caught salmon with pomegranate and herbs. Roast a salmon fillet, then finish it with pomegranate seeds, chopped parsley and mint, and a squeeze of lemon.
Anardana. Dried pomegranate seeds, called anardana, can be ground into a tart powder and sprinkled over vegetables, lentils or roasted chicken for flavor and color.
Homemade juice. Pulse the seeds in a blender for a few seconds, strain the juice through cheesecloth and enjoy a small glass, about 4 ounces.
Ask Dr. Axe AI. Answers are grounded in this library, with sources shown.
Pomegranate seeds side effects and drug interactions
Pomegranate seeds are a safe everyday food for most people. According to the National Center for Complementary and Integrative Health (NCCIH), some people get digestive symptoms and allergic reactions have been reported, and if you take blood pressure medication, warfarin or a statin, the steps below apply.48
Large amounts at once: Blockages from seeds are rare, and in one hospital's 10-year review of 30 seed blockages in the rectum, one came from pomegranate seeds, and single cases describe a small-bowel blockage in a 61-year-old man who ate a large amount and a rectal ulcer from a pomegranate-seed mass.545556 Chew the seeds well, spread them through the day and drink plenty of water.
Peach or pomegranate allergy: Allergic reactions have been reported,48 including anaphylaxis in a person whose immune system reacted to pomegranate as if it were peach.57 If peaches make your mouth itch or your lips swell, ask your allergist before you try pomegranate, and call 911 for any trouble breathing or throat swelling.
The rind, root and stem: Eat the seeds, not the rind. NCCIH says the root, stem and peel may not be safe in large amounts.48
Pregnancy and breastfeeding: NCCIH says pomegranate juice may be safe during pregnancy and breastfeeding, though little is known about other forms, so stick to the fruit and pasteurized juice, since FDA warns that untreated juice can cause serious illness in pregnancy.4858
Blood pressure medication, warfarin or a statin: Follow the interaction steps above.
The bottom line
Are pomegranate seeds good for you?
Yes. Pomegranate seeds are one of the simplest foods you can add for your heart, your arteries and your gut. The fruit's polyphenols lowered blood pressure in pooled trials, helped blood reach the heart under stress, eased inflammation and joint pain, and give your gut bacteria the raw material for urolithin A, which supports the renewal of your mitochondria. Moses named pomegranates among the foods of the Promised Land, and people have treasured them ever since. Your body was designed to heal, and a small bowl of these seeds each day is one of the easiest ways to support it.
Eat the whole seeds, crunchy center and all, about ½ to 1 cup a day, on yogurt or kefir, in salads or straight from the bowl, and keep juice to a small glass. Their season runs from about October into January, so when they're in the store, open one in a bowl of water and make a daily handful of seeds part of the way you eat.
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Open the free protocol →Pomegranate seeds: frequently asked questions
Can you eat pomegranate seeds whole?
Should you chew or swallow pomegranate seeds?
What are pomegranate seeds called?
Arils. Each aril is a juice sac wrapped around a small seed, and "pomegranate seeds" is the everyday name for the whole aril.1
How many calories are in pomegranate seeds?
Half a cup (87 grams) has 72 calories, and a full cup has 144, with 3.5 and 7 grams of fiber.6
How much fiber is in pomegranate seeds?
How many pomegranate seeds should you eat a day?
Do pomegranate seeds raise blood sugar?
A serving brings natural sugar like any fruit, but over time the research points the other way: in a 2024 review of 32 trials of juice, extracts and other forms, fasting blood sugar fell 2.22 mg/dL and HbA1c 0.22 percentage points.44 Half a cup of seeds has 11.9 grams of natural sugar along with 3.5 grams of fiber.6
Are pomegranate seeds better than pomegranate juice?
Do pomegranate seeds lower blood pressure?
They can help. In a 2023 analysis of 14 trials of pomegranate juice with 573 people, systolic blood pressure fell 5.02 points,3 and the seeds bring the fruit's polyphenols along with their fiber.
What does research say about pomegranate and cancer?
Lab and early human research is encouraging, but pomegranate isn't a proven cancer treatment. In lab dishes, punicic acid from the seed's oil slowed the growth of breast cancer cells by 92% and 96% in two cell lines.59 In a trial of men with rising PSA after prostate cancer treatment, with no comparison group, 8 ounces of juice a day lengthened the average time it took PSA to double from 15 to 54 months.60 In a later placebo-controlled trial of 183 men, most of whom took a pomegranate extract, PSA doubling time lengthened in every group, placebo included, so the groups didn't differ; in an exploratory look at men with one gene variant (MnSOD AA), it lengthened on the extract from 13.6 to 25.6 months.61 Pomegranate seeds can be part of a whole-food diet alongside the care you're receiving.
Are pomegranate seeds good for men's health?
They may, by supporting the healthy blood flow that men's health depends on. In rabbits with poor blood flow to the penis, pomegranate juice improved blood flow and erections.62 In a trial in which 53 men with mild to moderate erectile dysfunction each tried the juice and a placebo for four weeks, more men improved on the juice, though the difference fell just short of statistical significance; one author worked with a juice company.63 The fruit has also stood for fertility since Bible times.15
What does the Bible say about pomegranates?
Scripture names pomegranates among the seven foods of the Promised Land: "A land of wheat, and barley, and vines, and fig trees, and pomegranates; a land of oil olive, and honey" (Deuteronomy 8:8).10 The words "pomegranate" and "pomegranates" appear 33 times in the King James Version, including on the hem of the high priest's robe (Exodus 28:34).10
Freshness & update log
November 9, 2026 — Rewritten under Dr. Axe's byline and given a Dr. Axe Score of 7.9 with the math shown. Kept and rebuilt every section of the old page: what pomegranate seeds are, the nutrition facts (now from USDA FoodData Central at ½-cup and 1-cup servings, with folate in micrograms and current Daily Values), the benefits, the six-step guide to opening a pomegranate with the choosing and storing tips, the recipe ideas and the side effects and drug interactions. The benefits are now ranked by evidence, led by two analyses of juice-only blood pressure trials, and each names the form that was tested; the joint card now leads with human trials in rheumatoid arthritis and knee osteoarthritis; the carotid artery study now reads as artery-wall thickness that fell by up to 30% in 10 people, against 9 who didn't drink the juice; the memory card adds a year-long trial; the cancer and men's health research moved into the FAQ with every result. Added Dr. Axe's daily amount of ½ to 1 cup of arils, his clinic lines and his mother-in-law's water method for getting the seeds out, the Scripture and the Ayurvedic, Tibetan and Chinese uses of the fruit, a diagram of how gut bacteria turn the seeds' ellagic acid into urolithin A, three charts, a seeds-versus-juice comparison, two full recipes and one safety section. Removed the salivary testosterone figure (the cited study measured cortisol, not testosterone), the seed count of over 600 (a fruit holds about 200 to 1,400), the "no standard dose" line and the lines on white seeds, "Chinese apples" and surgery timing, which had no source. The old "battle bacterial infections" card is now "Feeds friendly gut bacteria," built on the human gut trials, with the traditional diarrhea and dysentery uses kept; the grenadine line and the "seeded apple" name origin were cut because no source was found.
References
- Wang J, Sun M, Yu J, Wang J, Cui Q. Pomegranate seeds: a comprehensive review of traditional uses, chemical composition, and pharmacological properties. Front Pharmacol. 2024;15:1401826. doi:10.3389/fphar.2024.1401826. PMID:39055489
- Axe J. Pomegranate: Benefits, Nutrition, Uses & Side Effects. DrAxe.com. 2026 (daily amount, choosing, opening, storing and season).
- Ghaemi F, Emadzadeh M, Atkin SL, Jamialahmadi T, Zengin G, Sahebkar A. Impact of pomegranate juice on blood pressure: A systematic review and meta-analysis. Phytother Res. 2023;37(10):4429-4441. doi:10.1002/ptr.7952. PMID:37461211
- Tomás-Barberán FA, González-Sarrías A, García-Villalba R, Núñez-Sánchez MA, Selma MV, García-Conesa MT, et al. Urolithins, the rescue of "old" metabolites to understand a "new" concept: Metabotypes as a nexus among phenolic metabolism, microbiota dysbiosis, and host health status. Mol Nutr Food Res. 2017;61(1). doi:10.1002/mnfr.201500901. PMID:27158799
- Andreux PA, Blanco-Bose W, Ryu D, Burdet F, Ibberson M, Aebischer P, et al. The mitophagy activator urolithin A is safe and induces a molecular signature of improved mitochondrial and cellular health in humans. Nat Metab. 2019;1(6):595-603. doi:10.1038/s42255-019-0073-4. PMID:32694802
- U.S. Department of Agriculture, Agricultural Research Service. Pomegranates, raw. FoodData Central, SR Legacy, FDC ID 169134 (½ cup arils = 87 g; one 4-inch fruit = 282 g).
- U.S. Department of Agriculture, Agricultural Research Service. Pomegranate juice, bottled. FoodData Central, SR Legacy, FDC ID 167787 (1 cup = 249 g).
- Axe J. The High Blood Pressure Protocol. DrAxe.com. 2026. p. 15, "Blood-pressure foods · ranked" (#9 Pomegranate).
- Axe J, Cole W. Heal Your Cells: The Mitochondrial Longevity Protocol. DrAxe.com. 2026. p. 16, Phase 1 "Clear" eat-freely list ("Berries, pomegranate, citrus"); Phase 3 "Renew" (urolithin A or pomegranate for mitophagy).
- The Holy Bible, King James Version. Project Gutenberg eBook #10. Deuteronomy 8:8, Numbers 13:23 and Exodus 28:34 quoted from this text; the count of "pomegranate" (10) and "pomegranates" (23) is from the same text.
- Sahebkar A, Ferri C, Giorgini P, Bo S, Nachtigal P, Grassi D. Effects of pomegranate juice on blood pressure: A systematic review and meta-analysis of randomized controlled trials. Pharmacol Res. 2017;115:149-161. doi:10.1016/j.phrs.2016.11.018. PMID:27888156
- Jazinaki MS, Rashidmayvan M, Pahlavani N. The effect of pomegranate juice supplementation on C-reactive protein levels: GRADE-assessed systematic review and dose-response updated meta-analysis of data from randomized controlled trials. Phytother Res. 2024;38(6):2818-2831. doi:10.1002/ptr.8188. PMID:38553998
- Aviram M, Rosenblat M, Gaitini D, Nitecki S, Hoffman A, Dornfeld L, et al. Pomegranate juice consumption for 3 years by patients with carotid artery stenosis reduces common carotid intima-media thickness, blood pressure and LDL oxidation. Clin Nutr. 2004;23(3):423-33. doi:10.1016/j.clnu.2003.10.002. PMID:15158307
- Gil MI, Tomás-Barberán FA, Hess-Pierce B, Holcroft DM, Kader AA. Antioxidant activity of pomegranate juice and its relationship with phenolic composition and processing. J Agric Food Chem. 2000;48(10):4581-9. doi:10.1021/jf000404a. PMID:11052704
- Rubin J, Axe J. The Biblio Diet. Apiary (Hachette Book Group); 2025. Fruit chapter (pomegranates entry).
- Jurenka JS. Therapeutic applications of pomegranate (Punica granatum L.): a review. Altern Med Rev. 2008;13(2):128-44. PMID:18590349
- Aviram M, Dornfeld L. Pomegranate juice consumption inhibits serum angiotensin converting enzyme activity and reduces systolic blood pressure. Atherosclerosis. 2001;158(1):195-8. doi:10.1016/s0021-9150(01)00412-9. PMID:11500191
- Axe J, Cole W. Heal Your Cells. Avery; 2026. ISBN 9798217181353 (berries and pomegranates, p. 133; pomegranates and urolithin A, the following page; pomegranate in the "Top 15 Longevity Foods" list).
- Singh A, D'Amico D, Andreux PA, Dunngalvin G, Kern T, Blanco-Bose W, et al. Direct supplementation with Urolithin A overcomes limitations of dietary exposure and gut microbiome variability in healthy adults to achieve consistent levels across the population. Eur J Clin Nutr. 2022;76(2):297-308. doi:10.1038/s41430-021-00950-1. PMID:34117375
- González-Sarrías A, García-Villalba R, Romo-Vaquero M, Alasalvar C, Örem A, Zafrilla P, et al. Clustering according to urolithin metabotype explains the interindividual variability in the improvement of cardiovascular risk biomarkers in overweight-obese individuals consuming pomegranate: A randomized clinical trial. Mol Nutr Food Res. 2017;61(5). doi:10.1002/mnfr.201600830. PMID:27879044
- Axe J. 10 Biblical Superfoods That Can Add Years to Your Life. The Dr. Josh Axe Show, Episode 393. 2026. Lines cited at 11:32, 11:59 and 34:51. YouTube: https://www.youtube.com/watch?v=9AnNi1umufc&t=692s
- Axe J. Your Mitochondria Are Starving (Here's How to Fix Your Energy). The Dr. Josh Axe Show. 2026. Line cited at 34:13. YouTube: https://www.youtube.com/watch?v=w84bL79hsio&t=2053s
- Mirmiran P, Fazeli MR, Asghari G, Shafiee A, Azizi F. Effect of pomegranate seed oil on hyperlipidaemic subjects: a double-blind placebo-controlled clinical trial. Br J Nutr. 2010;104(3):402-6. doi:10.1017/S0007114510000504. PMID:20334708
- Bahari H, Omidian K, Goudarzi K, Rafiei H, Asbaghi O, Hosseini Kolbadi KS, et al. The effects of pomegranate consumption on blood pressure in adults: A systematic review and meta-analysis. Phytother Res. 2024;38(5):2234-2248. doi:10.1002/ptr.8170. PMID:38410857
- Asgary S, Keshvari M, Sahebkar A, Hashemi M, Rafieian-Kopaei M. Clinical investigation of the acute effects of pomegranate juice on blood pressure and endothelial function in hypertensive individuals. ARYA Atheroscler. 2013;9(6):326-31. PMID:24575134
- Asgary S, Sahebkar A, Afshani MR, Keshvari M, Haghjooyjavanmard S, Rafieian-Kopaei M. Clinical evaluation of blood pressure lowering, endothelial function improving, hypolipidemic and anti-inflammatory effects of pomegranate juice in hypertensive subjects. Phytother Res. 2014;28(2):193-9. doi:10.1002/ptr.4977. PMID:23519910
- Stockton A, Farhat G, McDougall GJ, Al-Dujaili EAS. Effect of pomegranate extract on blood pressure and anthropometry in adults: a double-blind placebo-controlled randomised clinical trial. J Nutr Sci. 2017;6:e39. doi:10.1017/jns.2017.36. PMID:29152243
- Gbinigie OA, Onakpoya IJ, Spencer EA. Evidence for the effectiveness of pomegranate supplementation for blood pressure management is weak: A systematic review of randomized clinical trials. Nutr Res. 2017;46:38-48. doi:10.1016/j.nutres.2017.07.007. PMID:29173650
- Davidson MH, Maki KC, Dicklin MR, Feinstein SB, Witchger M, Bell M, et al. Effects of consumption of pomegranate juice on carotid intima-media thickness in men and women at moderate risk for coronary heart disease. Am J Cardiol. 2009;104(7):936-42. doi:10.1016/j.amjcard.2009.05.037. PMID:19766760
- Sumner MD, Elliott-Eller M, Weidner G, Daubenmier JJ, Chew MH, Marlin R, et al. Effects of pomegranate juice consumption on myocardial perfusion in patients with coronary heart disease. Am J Cardiol. 2005;96(6):810-4. doi:10.1016/j.amjcard.2005.05.026. PMID:16169367
- Bahari H, Rafiei H, Goudarzi K, Omidian K, Asbaghi O, Kolbadi KSH, et al. The effects of pomegranate consumption on inflammatory and oxidative stress biomarkers in adults: a systematic review and meta-analysis. Inflammopharmacology. 2023;31(5):2283-2301. doi:10.1007/s10787-023-01294-x. PMID:37507609
- Axe J. 7 Foods That Quiet Inflammation Better Than Supplements. The Dr. Josh Axe Show. 2026. Lines cited at 14:39 and 15:06. YouTube: https://www.youtube.com/watch?v=JFeUM50IzBI&t=879s
- Ghavipour M, Sotoudeh G, Tavakoli E, Mowla K, Hasanzadeh J, Mazloom Z. Pomegranate extract alleviates disease activity and some blood biomarkers of inflammation and oxidative stress in Rheumatoid Arthritis patients. Eur J Clin Nutr. 2017;71(1):92-96. doi:10.1038/ejcn.2016.151. PMID:27577177
- Ghoochani N, Karandish M, Mowla K, Haghighizadeh MH, Jalali MT. The effect of pomegranate juice on clinical signs, matrix metalloproteinases and antioxidant status in patients with knee osteoarthritis. J Sci Food Agric. 2016;96(13):4377-81. doi:10.1002/jsfa.7647. PMID:26804926
- de Carvalho JF, Hautz E. Pomegranate (Punica granatum) as an adjunctive therapy in rheumatic diseases: A systematic review. Clin Nutr ESPEN. 2026;72:102809. doi:10.1016/j.clnesp.2025.11.017. PMID:41265522
- Shukla M, Gupta K, Rasheed Z, Khan KA, Haqqi TM. Consumption of hydrolyzable tannins-rich pomegranate extract suppresses inflammation and joint damage in rheumatoid arthritis. Nutrition. 2008;24(7-8):733-43. doi:10.1016/j.nut.2008.03.013. PMID:18490140
- González-Sarrías A, Romo-Vaquero M, García-Villalba R, Cortés-Martín A, Selma MV, Espín JC. The Endotoxemia Marker Lipopolysaccharide-Binding Protein is Reduced in Overweight-Obese Subjects Consuming Pomegranate Extract by Modulating the Gut Microbiota: A Randomized Clinical Trial. Mol Nutr Food Res. 2018;62(11):e1800160. doi:10.1002/mnfr.201800160. PMID:29665619
- Hou C, Shi H, Xiao J, Song X, Luo Z, Ma X, et al. Pomegranate Juice Supplemented with Inulin Modulates Gut Microbiota and Promotes the Production of Microbiota-Associated Metabolites in Overweight/Obese Individuals: A Randomized, Double-Blind, Placebo-Controlled Trial. J Agric Food Chem. 2024;72(26):14663-14677. doi:10.1021/acs.jafc.4c00849. PMID:38887904
- Axe J. Harvard Doctor reveals #1 Cause of Aging You've Never Heard Of | Dr. Andrew Salzman. The Dr. Josh Axe Show. 2026. Line cited at 22:42. YouTube: https://www.youtube.com/watch?v=G9kpVKhYa9E&t=1362s
- Bookheimer SY, Renner BA, Ekstrom A, Li Z, Henning SM, Brown JA, et al. Pomegranate juice augments memory and FMRI activity in middle-aged and older adults with mild memory complaints. Evid Based Complement Alternat Med. 2013;2013:946298. doi:10.1155/2013/946298. PMID:23970941
- Siddarth P, Li Z, Miller KJ, Ercoli LM, Merril DA, Henning SM, et al. Randomized placebo-controlled study of the memory effects of pomegranate juice in middle-aged and older adults. Am J Clin Nutr. 2020;111(1):170-177. doi:10.1093/ajcn/nqz241. PMID:31711104
- Ropacki SA, Patel SM, Hartman RE. Pomegranate Supplementation Protects against Memory Dysfunction after Heart Surgery: A Pilot Study. Evid Based Complement Alternat Med. 2013;2013:932401. doi:10.1155/2013/932401. PMID:24159353
- Hartman RE, Shah A, Fagan AM, Schwetye KE, Parsadanian M, Schulman RN, et al. Pomegranate juice decreases amyloid load and improves behavior in a mouse model of Alzheimer's disease. Neurobiol Dis. 2006;24(3):506-15. doi:10.1016/j.nbd.2006.08.006. PMID:17010630
- Bahari H, Ashtary-Larky D, Goudarzi K, Mirmohammadali SN, Asbaghi O, Hosseini Kolbadi KS, et al. The effects of pomegranate consumption on glycemic indices in adults: A systematic review and meta-analysis. Diabetes Metab Syndr. 2024;18(1):102940. doi:10.1016/j.dsx.2024.102940. PMID:38194826
- Tsang C, Smail NF, Almoosawi S, Davidson I, Al-Dujaili EA. Intake of polyphenol-rich pomegranate pure juice influences urinary glucocorticoids, blood pressure and homeostasis model assessment of insulin resistance in human volunteers. J Nutr Sci. 2012;1:e9. doi:10.1017/jns.2012.10. PMID:25191556
- Yin S, Zhu F, Zhou Q, Chen M, Wang X, Chen Q. Lack of Efficacy of Pomegranate Supplementation on Insulin Resistance and Sensitivity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Phytother Res. 2025;39(1):77-89. doi:10.1002/ptr.8362. PMID:39499092
- Axe J, Rubin J. The GREATEST Health Discovery Has Been Hiding in Plain Sight for 2000 YEARS. The Dr. Josh Axe Show. 2025. Lines cited at 25:56. YouTube: https://www.youtube.com/watch?v=lYGTiXbHkLY&t=1556s
- National Center for Complementary and Integrative Health. Pomegranate. National Institutes of Health.
- Komperda KE. Potential interaction between pomegranate juice and warfarin. Pharmacotherapy. 2009;29(8):1002-6. doi:10.1592/phco.29.8.1002. PMID:19637955
- Park SJ, Yeo CW, Shim EJ, Kim H, Liu KH, Shin JG, et al. Pomegranate juice does not affect the disposition of simvastatin in healthy subjects. Eur J Drug Metab Pharmacokinet. 2016;41(4):339-44. doi:10.1007/s13318-015-0263-8. PMID:25720525
- Misaka S, Nakamura R, Uchida S, Takeuchi K, Takahashi N, Inui N, et al. Effect of 2 weeks' consumption of pomegranate juice on the pharmacokinetics of a single dose of midazolam: an open-label, randomized, single-center, 2-period crossover study in healthy Japanese volunteers. Clin Ther. 2011;33(2):246-52. doi:10.1016/j.clinthera.2011.02.012. PMID:21497708
- Hanley MJ, Masse G, Harmatz JS, Court MH, Greenblatt DJ. Pomegranate juice and pomegranate extract do not impair oral clearance of flurbiprofen in human volunteers: divergence from in vitro results. Clin Pharmacol Ther. 2012;92(5):651-7. doi:10.1038/clpt.2012.170. PMID:23047652
- Sorokin AV, Duncan B, Panetta R, Thompson PD. Rhabdomyolysis associated with pomegranate juice consumption. Am J Cardiol. 2006;98(5):705-6. doi:10.1016/j.amjcard.2006.03.057. PMID:16923466
- Eitan A, Bickel A, Katz IM. Fecal impaction in adults: report of 30 cases of seed bezoars in the rectum. Dis Colon Rectum. 2006;49(11):1768-71. doi:10.1007/s10350-006-0713-0. PMID:17036204
- Akrami M, Sasani MR. Dietary Habits Affect Quality of Life: Bowel Obstruction Caused by Phytobezoar. Iran J Public Health. 2016;45(8):1080-1082. PMID:27928535
- Martínez-Pascual C, Martínez-Caselles A, Antón-Ródenas G, Navarro-Noguera E, Sánchez-Torres A, García-Pérez B, et al. Rectal ulcer secondary to a fecal impaction due to pomegranate seed bezoar. Rev Esp Enferm Dig. 2012;104(5):266-7. doi:10.4321/s1130-01082012000500008. PMID:22662780
- Almeida EM, Bartolomé B, Faria EG, Sousa NG, Luís AS. Pomegranate anaphylaxis due to cross-reactivity with Peach LTP (Pru p 3). Allergol Immunopathol (Madr). 2015;43(1):104-6. doi:10.1016/j.aller.2013.07.013. PMID:24275183
- U.S. Food and Drug Administration. What You Need to Know About Juice Safety.
- Grossmann ME, Mizuno NK, Schuster T, Cleary MP. Punicic acid is an omega-5 fatty acid capable of inhibiting breast cancer proliferation. Int J Oncol. 2010;36(2):421-6. PMID:20043077
- Pantuck AJ, Leppert JT, Zomorodian N, Aronson W, Hong J, Barnard RJ, et al. Phase II study of pomegranate juice for men with rising prostate-specific antigen following surgery or radiation for prostate cancer. Clin Cancer Res. 2006;12(13):4018-26. doi:10.1158/1078-0432.CCR-05-2290. PMID:16818701
- Pantuck AJ, Pettaway CA, Dreicer R, Corman J, Katz A, Ho A, et al. A randomized, double-blind, placebo-controlled study of the effects of pomegranate extract on rising PSA levels in men following primary therapy for prostate cancer. Prostate Cancer Prostatic Dis. 2015;18(3):242-8. doi:10.1038/pcan.2015.32. PMID:26169045
- Azadzoi KM, Schulman RN, Aviram M, Siroky MB. Oxidative stress in arteriogenic erectile dysfunction: prophylactic role of antioxidants. J Urol. 2005;174(1):386-93. doi:10.1097/01.ju.0000161209.39959.67. PMID:15947695
- Forest CP, Padma-Nathan H, Liker HR. Efficacy and safety of pomegranate juice on improvement of erectile dysfunction in male patients with mild to moderate erectile dysfunction: a randomized, placebo-controlled, double-blind, crossover study. Int J Impot Res. 2007;19(6):564-7. doi:10.1038/sj.ijir.3901570. PMID:17568759
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