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Botanical illustration of Flaxseed
CulinarySourced entry

Flaxseed

Linum usitatissimum

Small seeds rich in fiber and the omega-3 fat ALA, eaten whole, ground or as oil. Research suggests flaxseed may lower blood pressure and cholesterol slightly.

Flaxseed may interact with some medicines. If you take any medicine, read Interactions with medicines below and talk to your doctor or pharmacist before using it.

What is Flaxseed?

Plant family
Linaceae, the flax family
Parts used
The seeds, eaten whole or ground, or pressed to make flaxseed (linseed) oil
Genus
Linum
Species
usitatissimum

Also called

Flax, Linseed

Traditionally used for

  • Food
  • Constipation
  • Blood pressure
  • Cholesterol

Traditionally described as

  • Gentle laxative
  • May lower cholesterol slightly

Health topics

Where Flaxseed appears in symptom search, and why. Being listed doesn't mean it's a proven treatment.

  • High Blood Pressure

    A review of trials found flaxseed lowered blood pressure slightly, especially whole seeds eaten for 12 weeks or more.

  • High Cholesterol

    Whole flaxseed and lignan supplements lowered total and LDL cholesterol slightly; flaxseed oil didn't.

Traditions that use it

  • Mediterranean Folk Medicine

    Used as a laxative in ancient Greece, and to make linen in ancient Egypt.

  • European Folk Medicine

    Recognized by the European Medicines Agency for constipation and, based on long-standing use, for mild stomach and gut discomfort.

Natural compounds

Safety

Interactions with medicines

  • In theory, flaxseed could interact with blood thinners and anti-platelet medicines. Talk to your health care provider before using it.[1]

Who should avoid it

  • Don't use linseed if you have trouble swallowing or throat problems, a blocked or narrowed gut, a paralyzed or abnormally widened bowel, or a disease of the esophagus (food pipe). For constipation, don't use it if you've had a sudden change in bowel habits lasting more than 2 weeks, unexplained bleeding from the bottom, or constipation that laxatives haven't relieved. It's for adults and teens over 12 only.[2]

Side effects

  • Higher doses can cause bloating, fullness and diarrhea.[1]

  • Bloating is a common side effect (1 to 10 in 100 people). Very rarely, allergic reactions, sometimes severe, have been reported.[2]

Pregnancy

  • The evidence on flaxseed's safety during pregnancy isn't conclusive, and little is known about its safety while breastfeeding.[1]

Toxicity testing

  • Don't eat raw or unripe flaxseeds; they may contain potentially toxic compounds.[1]

What does the research say?

Traditional use

These are traditional uses, not proven treatments.

  • Flaxseed has a long history of use: to make linen in ancient Egypt, in stews in Ethiopia and as a laxative in ancient Greece. North American settlers used it in poultices (a paste put on the skin) and in paint oil. Today it's promoted for the heart, brain and immune system.[1]

  • Based on long-standing use, the European Medicines Agency recognizes linseed for relieving mild stomach and gut discomfort.[2]

Research in people

  • Based on clinical studies, the European Medicines Agency concluded that linseed can treat long-term (habitual) constipation or soften stools. Linseed swells with water in the gut to form a jelly-like substance that softens the stool and helps it pass.[2]

    Technical detail: "well-established use"; the jelly-like substance is mucilage.

  • One trial suggests flaxseed fiber (mucilage) powder mixed with water might help overweight adults lose weight, but lignan extracts and oil supplements didn't help. Flaxseed oil might improve blood sugar measures in pregnant people with gestational diabetes. It's unclear whether flaxseed helps type 2 diabetes.[1]

  • A 2015 review of 14 trials found flaxseed lowered blood pressure slightly: by about 1.8 mm Hg (systolic, the top number) and 1.6 mm Hg (diastolic, the bottom number). The effect on diastolic pressure may be larger with whole flaxseed eaten for 12 weeks or more.[3]

    Technical detail: 11 studies (14 trials); SBP −1.77 mm Hg (95% CI −3.45 to −0.09); DBP −1.58 mm Hg (95% CI −2.64 to −0.52); whole seed DBP −1.93 mm Hg; ≥12 weeks DBP −2.17 mm Hg.

  • A 2009 review of 28 studies found flaxseed lowered total and LDL ("bad") cholesterol slightly. Whole flaxseed and lignan supplements worked, but flaxseed oil didn't. The effect was clearer in women (especially after menopause) and in people who started with high cholesterol. It didn't change HDL ("good") cholesterol or triglycerides.[4]

    Technical detail: overall total cholesterol −0.10 mmol/L and LDL −0.08 mmol/L; whole flaxseed −0.21 and −0.16 mmol/L; lignans −0.28 and −0.16 mmol/L.

In short

Don't eat raw or unripe seeds; not for people with swallowing problems or a blocked gut.

Sources

  1. [1] Flaxseed and Flaxseed Oil: Usefulness and Safety — National Center for Complementary and Integrative Health (NIH)Government health agency
  2. [2] Linseed: Herbal medicine summary for the public (EMA/492394/2015) — European Medicines Agency, Committee on Herbal Medicinal Products (HMPC)Government health agency
  3. [3] Flaxseed consumption may reduce blood pressure: a systematic review and meta-analysis of controlled trials — The Journal of Nutrition · DOI: 10.3945/jn.114.205302Review or clinical trial
  4. [4] Meta-analysis of the effects of flaxseed interventions on blood lipids — The American Journal of Clinical Nutrition · DOI: 10.3945/ajcn.2009.27469Review or clinical trial

This information is educational and traditional in nature, and is not a substitute for professional medical advice.