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Aloe Vera (Inner Leaf Gel) for Ulcerative Colitis (UC)

D

Single RCT showed aloe vera gel improved UC symptoms vs placebo. Very limited evidence; not replicated.

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D

The Bottom Line

Single RCT showed aloe vera gel improved UC symptoms vs placebo. Very limited evidence; not replicated.

Key Study Findings

Review
Emerging Natural Therapies for the Treatment of Inflammatory Bowel Disease.
Dose: None vs: None Outcome: None Effect: None None

Population: Review of natural therapies for IBD

In Vitro 1.0 weeks
Therapeutic Effects of Aloe saponaria against Ulcerative Colitis Induced by Dextran Sulfate Sodium.
Dose: 272 µg/ vs: vehicle Outcome: Ulcerative colitis severity Effect: None None

Population: Mice (DSS-induced colitis model)

Controlled Clinical Trial n=36 2 weeks
Aloe vera gel attenuates acetic acid-induced ulcerative colitis in adult male Wistar rats.
Dose: 20, 40, or 60 mg/kg b.wt. vs: Dexamethasone 1 mg/kg and normal saline Outcome: Clinical activity index, histological alterations, DNA, NO Effect: None None

Population: Adult male Wistar rats with acetic acid-induced UC

Review
Complementary medicines used in ulcerative colitis and unintended interactions with cytochrome P450-dependent drug-metabolizing enzymes.
Dose: None vs: None Outcome: None Effect: None None

Population: Ulcerative colitis patients using CAM

Other
Aloin A prevents ulcerative colitis in mice by enhancing the intestinal barrier function via suppressing …
Dose: None vs: None Outcome: None Effect: None None

Population: None

Controlled Clinical Trial
Anti-Inflammatory, Antioxidant, and Healing-Promoting Effects of Aloe vera Extract in the Experimental Colitis in Rats.
Dose: None vs: Control without aloe vera Outcome: Anti-inflammatory, antioxidant, wound healing Effect: None None

Population: Animal/cell wound healing models

Key Statistics

1

Studies

44

Participants

Positive

D

Grade

Referenced Papers

Current pharmaceutical biotechnology 2025 1 citations
Annals of gastroenterology 2015 135 citations
Alimentary pharmacology & … 2013 128 citations
Saudi journal of … 2012 138 citations
Health news (Waltham, … 2004 1 citations
The European journal … 1998 62 citations

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Commonly Used Dosages

general:
100-200 mL aloe vera inner leaf gel/juice per day, or 300-500 mg capsule
ibssupport:
100 mL twice daily for 1-3 months
constipation:
100-300 mg aloe latex (short-term only, maximum 1-2 weeks)

Upper limit: No established UL for inner leaf gel; aloe latex (anthraquinones) should be limited to 1-2 weeks

Dosages Studied in Research

Dosage Duration Effect N
None -- Mixed --
272 µg/ 1.0 weeks Positive --
20, 40, or 60 mg/kg b.wt. 2 weeks Positive 36
None -- Mixed --
None -- Mixed --
None -- Positive --
None -- Positive --
2 g 3 weeks Positive --

Best taken: Before meals; aloe latex should only be used short-term for constipation

Safety & Side Effects

Reported Side Effects

  • Diarrhea and abdominal cramps (especially with aloe latex/whole leaf products)
  • Electrolyte imbalance (hypokalemia) with chronic laxative use
  • Potential hepatotoxicity with long-term whole leaf consumption (rare)
  • Allergic skin reactions in sensitive individuals

Known Interactions

  • Digoxin (hypokalemia from laxative use may increase digoxin toxicity)
  • Diuretics (additive potassium loss with aloe latex)
  • Diabetes medications (aloe may lower blood sugar; monitor glucose)
  • Stimulant laxatives (additive laxative effect; avoid combining)
  • Anticoagulants (theoretical interaction due to platelet effects)

Tolerable upper intake: No established UL for inner leaf gel; aloe latex (anthraquinones) should be limited to 1-2 weeks

Always consult your healthcare provider before starting any supplement.

Frequently Asked Questions

Does Aloe Vera (Inner Leaf Gel) help with Ulcerative Colitis (UC)?
Based on 1 studies with 44 participants, there is preliminary evidence that needs more research that Aloe Vera (Inner Leaf Gel) may support Ulcerative Colitis (UC) management. Our evidence grade is D (Very Early Research).
How much Aloe Vera (Inner Leaf Gel) should I take for Ulcerative Colitis (UC)?
Studies have used various dosages. A commonly studied range is 100-200 mL aloe vera inner leaf gel/juice per day, or 300-500 mg capsule. Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Aloe Vera (Inner Leaf Gel)?
Reported side effects may include Diarrhea and abdominal cramps (especially with aloe latex/whole leaf products), Electrolyte imbalance (hypokalemia) with chronic laxative use, Potential hepatotoxicity with long-term whole leaf consumption (rare), Allergic skin reactions in sensitive individuals. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Aloe Vera (Inner Leaf Gel) and Ulcerative Colitis (UC)?
We rate the evidence as Grade D (Very Early Research). This rating is based on 1 peer-reviewed studies with 44 total participants. The overall direction of effect is positive.

Related Evidence

FDA Disclaimer: These statements have not been evaluated by the Food and Drug Administration. The products and information on this website are not intended to diagnose, treat, cure, or prevent any disease. The evidence grades presented are based on our analysis of published peer-reviewed research and do not constitute medical advice. Always consult your healthcare provider before starting any supplement regimen.