Black seed oil is an inexpensive botanical that modestly improves cholesterol, blood sugar, blood pressure, and inflammation, with the largest gains in people whose starting values are already elevated. It is generally well tolerated, with mild digestive effects most common; combining it with blood-sugar or blood-pressure medication can lower those values too far. Promising but not yet definitive. (Full Review)
| Marker | Target | Why |
|---|---|---|
| LDL cholesterol | < 100 mg/dL (lower if high CV risk) | Primary lipid target |
| Total cholesterol / triglycerides | TG < 100 mg/dL | Tracks lipid response |
| HDL cholesterol | > 50 mg/dL (women), > 40 mg/dL (men) | Context for lipid ratio |
| Fasting glucose | 75–90 mg/dL | Glycemic response |
| HbA1c | < 5.4% | 3-month glucose average |
| hs-CRP | < 1.0 mg/L | Inflammation marker |
| Blood pressure | < 120/80 mmHg | Cardiovascular response |
| ALT / AST | < 25 U/L (women), < 30 U/L (men) | Safety at higher doses |
Cadence: Baseline, then ~8–12 weeks after starting, then every 6–12 months; those on interacting medications check glucose and blood pressure at 1–2 and 4 weeks during initiation