CHAMGAP
VERIFIEDPassed the Codex final verification and publication gate. Evidence-verification cutoff: 2026-09-08. AI was used for research and drafting; the existence of all 1 cited sources was verified at the original page, followed by blind grading, adversarial audit, and build validation. Methodology v1.0.
Verdict No. 3063 · Search date 2026-09-08 · Methodology v1.0

Garlic-powder tablets 800 mg/day,
does it really help with Improvement of ultrasound steatosis grade in adults with NAFLD?

30-Second Summary
C
Evidence Grade C · 54 · Safety caution
Only 15-week ultrasound steatosis grade is judged; enzymes, weight, and fibrosis are separate.
Caution. Review gastrointestinal and bleeding risks, and do not replace liver-disease or lifestyle treatment.
What the
research shows
Grade C with 54 points. In a trial with 110 randomized and 98 completing, ultrasound steatosis grade improved in 24/47 versus 8/51. The paper's value labeled a ‘relative risk’ of 5.6 corresponds to odds based on the event counts; the ITT risk ratio was 3.0 (95% CI 1.5-6.1; P=.001). Ultrasound grade is not MRI-PDFF or histology, and this is one short trial.
What the
ads claim
This cannot be recast as fibrosis reversal, cirrhosis prevention, or MRI liver-fat reduction.
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Useful facts when choosing a product

  • This verdict applies only to the displayed formulation, route, dose, duration, population, endpoint, and comparator.
  • Raw garlic, powder, garlic oil, stabilized-allicin products, aged garlic extract, black garlic, fermented garlic, and isolated S-allylcysteine are not interchangeable.
  • Caution. Review gastrointestinal and bleeding risks, and do not replace liver-disease or lifestyle treatment.
ID

Chamgap Semantic Classification Code

Permanent code issued

S.garlic-powder.oral.ultrasound-steatosis-grade.improve.placebo

Supplements and nutraceuticals > Garlic powder > Oral > Ultrasound steatosis grade > Improvement claim > Placebo

Bound to ultrasound grade after 800 mg/day for 15 weeks; MRI-PDFF, histology, and liver enzymes are separate. The code identifies the intervention and claim; it never contains the evidence grade, score, or safety result.

Download semantic index (JSON) · Codebook v1

Exact Claim Classification

These independent facets prevent evidence from different forms, routes, populations, effects, and comparators from being mixed.

Intervention classS · Supplement or nutraceutical
Canonical ingredient or interventionGarlic powder
Source or part usedPowdered Allium sativum L. cloves
Formulation or processingTwo 400-mg garlic-powder tablets; alliin specification unverified
RouteOral
Dose800 mg/day
Duration15 weeks
PopulationAdults with ultrasound-diagnosed NAFLD
Effect or conditionImproved imaging steatosis grade
Primary endpointProportion with at least one-grade ultrasound steatosis improvement at week 15
ComparatorMatching placebo
Duplicate-detection keyGarlic powder|Two 400-mg garlic-powder tablets; alliin specification unverified|Oral|Adults with ultrasound-diagnosed NAFLD|Improved imaging steatosis grade|15 weeks
Gap Measurement · Verdict 3063 · C 54
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

The 110 randomized, 98 completers, completer events, ITT risk ratio, and the paper's mislabeled effect measure were separated; fermented and black-garlic liver-enzyme verdicts were excluded.

02

Why this is classified as C (54)

I2 and E+ are two strengths, but S, R1, and the under-200 B1 cap yield C/54.

Counterpoint. A separate 1,600-mg 12-week trial also reported an imaging signal, but the dose and protocol differed and were not counted as product-matched confirmation.

Rejudgment record. Independent Codex cross-check — One formulation, route, population, claim, principal endpoint, and comparator

Scoring profile behind this grade
EndpointSSurrogate marker - laboratory or imaging measures
ReplicationR1Single confirmatory trial
IndependenceI2Decisive evidence is publicly or non-profit funded
Effect sizeE+Meets the clinically important threshold
PrecisionCXNo pooled confidence interval could be confirmed

The scoring table and the verdict agree (C).

Cross-check — AI research and Codex final gate

AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Therapeutic Effects of Garlic on Hepatic Steatosis in Nonalcoholic Fatty Liver Disease Patients: A Randomized Clinical TrialThe cited design, allocation, masking, endpoint hierarchy, and analysis limitations were independently checked.98Funding, product support, employee authorship, and declared conflicts were assessed separately.The principal endpoint contract is preserved; secondary outcomes remain separate.Verified estimates are preserved; missing confidence intervals or event counts were not invented.Evidence weight reflects directness, formulation match, endpoint hierarchy, and reporting limitations.
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Receipt — 1 References

All 1 cited sources were verified for existence at the original page (as of 2026-09-08).

Soleimani D et al. Diabetes Metab Syndr Obes. 2020. PMID: 32753923.
checked
Research and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Verification cutoff: 2026-09-08 · Corrections: none

Cite this verdict

Garlic Powder for Ultrasound NAFLD—Steatosis Improved in 24/47 Versus 8/51 at 15 Weeks Evidence Grade C card
[Chamgap] Garlic Powder for Ultrasound NAFLD—Steatosis Improved in 24/47 Versus 8/51 at 15 Weeks — Evidence Grade C·54. 1 cited sources checked. Source: https://chamgap.com/en/verdicts/liver/garlic-powder-nafld-ultrasound-steatosis-improvement/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.