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What happens when you start taking resveratrol?: Effects, benefits, and potential side effects

5 min read

Over the last few decades, resveratrol, a polyphenol found in red grapes and Japanese knotweed, has been at the forefront of longevity research, primarily due to its antioxidant and anti-inflammatory properties. When considering supplementation, understanding exactly what happens when you start taking resveratrol is key to managing expectations and ensuring safe use.

Quick Summary

Taking resveratrol can provide antioxidant and anti-inflammatory support, potentially benefiting heart and brain health over time. Initial effects may vary based on individual factors and absorption, with higher amounts increasing the risk of digestive upset and other interactions.

Key Points

  • Gradual Effects, Not Immediate: The benefits of resveratrol, such as improved heart or brain function, typically become noticeable after weeks or months of consistent supplementation, not immediately.

  • Higher Amounts Increase Side Effect Risk: Taking higher quantities of resveratrol significantly increases the likelihood of gastrointestinal issues like nausea, diarrhea, and stomach pain.

  • Take With Food for Better Absorption: Resveratrol is fat-soluble, so consuming it with a meal containing healthy fats can boost its bioavailability and overall effectiveness.

  • Blood Thinner Interaction is Key: Resveratrol can slow blood clotting. Individuals on anticoagulant medications (e.g., aspirin, warfarin) must exercise caution due to an increased risk of bleeding.

  • Not for Hormone-Sensitive Conditions: Because it has estrogen-like effects, individuals with conditions like breast cancer or endometriosis should avoid resveratrol.

  • Amount Matters for Effects: At lower to moderate quantities, resveratrol acts as an antioxidant, while at very high quantities, it can become a pro-oxidant, potentially causing cellular damage.

In This Article

Understanding Resveratrol: From Grapes to Supplements

Resveratrol is a natural compound produced by certain plants, most notably red grapes, blueberries, and peanuts, as a defense against disease and stress. While the amount of resveratrol obtained from food sources is relatively small, supplements offer a concentrated form, often derived from Japanese knotweed (Polygonum cuspidatum), to maximize potential benefits. The supplement most commonly contains the more bioactive trans-resveratrol isoform, which is considered more therapeutically potent than the cis-resveratrol form.

However, a major challenge with resveratrol is its notoriously low bioavailability, meaning the body does not absorb it well. Taking supplements with a meal containing healthy fats can significantly improve absorption, as can choosing micronized or liposomal formulations.

The Initial Effects of Resveratrol Supplementation

When first incorporating resveratrol into your diet, the experience can vary depending on individual metabolism and the form of the supplement. Unlike a stimulant, the effects are not immediate and are often subtle at first. Most initial responses are related to tolerability rather than noticeable health changes, which take more time to develop.

How Long Until You See Benefits?

Beneficial effects from resveratrol typically take time, with some studies showing changes appearing after a few weeks to several months of consistent use. For example, improvements in inflammatory markers or blood pressure have been noted after a few weeks to several months. Consistent daily intake is generally required to observe meaningful changes related to cellular health and oxidative stress.

Potential Initial Side Effects

When taken as a supplement, resveratrol is generally well-tolerated, and many people experience no side effects at all. However, the risk of side effects increases significantly with higher amounts. These potential initial side effects are mainly gastrointestinal and may include:

  • Nausea
  • Diarrhea
  • Abdominal cramping
  • Gas or flatulence

If you experience digestive discomfort, it may be a sign that the amount being taken is too high. Adjusting the intake amount or ensuring you take the supplement with a meal can often mitigate these issues.

Long-Term Benefits of Consistent Resveratrol Intake

With consistent use of appropriate amounts, resveratrol's antioxidant and anti-inflammatory properties can contribute to several long-term health benefits, many of which have been studied in both animal and human trials.

Cardioprotective and Circulatory Health

Resveratrol's cardiovascular benefits are among its most well-documented effects. By reducing inflammation and oxidative stress, it helps protect against blood vessel damage and may lower blood pressure. Some studies suggest it can also improve blood fat profiles and inhibit platelet aggregation, which reduces the risk of blood clots.

Brain Function and Neuroprotection

For brain health, resveratrol's ability to cross the blood-brain barrier is crucial. It protects brain and nerve cells from oxidative damage and inflammation, which are factors in age-related cognitive decline and neurodegenerative diseases like Alzheimer's and Parkinson's. Research in this area is ongoing, but initial findings are promising.

Metabolic and Anti-Aging Pathways

Resveratrol is known for activating sirtuins, proteins that play a role in cellular health, DNA repair, and longevity. This activation is thought to mimic some of the effects of calorie restriction, a process linked to extended lifespan in various organisms. It also supports metabolic function by improving insulin sensitivity and helping to regulate blood sugar levels.

Joint and Anti-inflammatory Effects

Its potent anti-inflammatory action may help manage joint pain and discomfort, particularly in individuals with osteoarthritis. Resveratrol can inhibit inflammatory pathways, and some clinical trials have reported improved pain scores and function in patients.

Navigating the Risks and Interactions

While the upside is compelling, it is critical to be aware of the potential risks, especially concerning interactions with existing medical conditions and medications.

Who Should Be Cautious with Resveratrol?

  • Individuals with bleeding disorders: Because resveratrol can act as a blood thinner, it can increase the risk of bleeding.
  • Individuals with hormone-sensitive conditions: It exhibits estrogen-like effects, so those with conditions like breast cancer, ovarian cancer, or endometriosis should avoid it.
  • Pregnant or breastfeeding women: As a precaution, it is generally advised to avoid resveratrol supplements.
  • Pre- and post-surgery patients: Due to its blood-thinning properties, resveratrol should be discontinued at least two weeks before scheduled surgery.

Medication Interactions to Be Aware Of

Resveratrol can interact with certain medications, altering their effectiveness. It is imperative to consult a healthcare provider before starting supplementation if you are on any of the following:

  • Blood thinners: Such as warfarin, aspirin, or heparin, to avoid increased bleeding risk.
  • Antihypertensive drugs: Since resveratrol may help lower blood pressure, it may interact with blood pressure medications.
  • Certain liver-metabolized medications: Resveratrol can inhibit cytochrome P450 enzymes, affecting how the liver processes certain drugs.

The Importance of Quality

Since resveratrol is not regulated like a medication, consistency in quality can vary. Studies have used various amounts, with higher quantities typically linked to adverse effects.

When choosing a supplement, look for reputable brands that provide third-party testing for purity and transparency in their ingredient list. This ensures you get a high-quality product without unnecessary fillers.

Resveratrol vs. Other Antioxidant Supplements

Resveratrol is not the only antioxidant supplement available. Here's how it compares to two other popular options, Quercetin and Astaxanthin.

Feature Resveratrol Quercetin Astaxanthin
Source Grapes, Japanese knotweed Onions, apples, berries Algae (Haematococcus pluvialis)
Bioavailability Low; improved with fat or special formulations Low; improved with vitamin C or bromelain High, especially with fat or as an algal extract
Stability Less stable, sensitive to heat Good stability Very stable and potent
Primary Strengths Cardioprotection, longevity pathways (sirtuins) Anti-inflammatory, vascular health, often combined with resveratrol Potent antioxidant, skin health, works in aqueous and fatty tissues
Cost Varies, generally accessible Accessible More expensive per milligram

Conclusion

For those asking what happens when you start taking resveratrol, the answer is a combination of potential long-term benefits and short-term considerations. While consistent use may offer improvements in cardiovascular, brain, and metabolic health due to its antioxidant and anti-inflammatory properties, these effects are gradual. New users should be mindful of potential gastrointestinal side effects, especially when taking higher quantities, and be vigilant about drug interactions and contraindications. Always choose a high-quality supplement from a reputable brand and consult with a healthcare professional before starting, particularly if you have pre-existing conditions or take other medications.

Note: This information is for educational purposes only and is not a substitute for professional medical advice. For more detailed information on specific health conditions, you can consult reliable sources like the National Institutes of Health (NIH).

Frequently Asked Questions

No, while red wine contains some resveratrol, the amount is too small to achieve the therapeutic levels used in studies. To get the equivalent of a supplement, you would need to consume an unhealthy amount of wine.

The time it takes to see benefits can vary. Some may notice effects on markers like inflammation within weeks, while others might take several months to experience more significant changes related to anti-aging or chronic conditions.

The most common side effects, especially when taking higher quantities, are gastrointestinal issues such as nausea, diarrhea, and abdominal cramping.

No, you should not take resveratrol if you are on blood-thinning medications like warfarin or aspirin without consulting your doctor. Resveratrol can increase the risk of bleeding by further slowing blood clotting.

Yes, resveratrol can interact with medications metabolized by certain liver enzymes (cytochrome P450), potentially affecting their effectiveness or toxicity. You should discuss all supplements with your doctor.

Resveratrol is generally considered safe for long-term use at recommended amounts. However, higher quantities may carry long-term risks, and safety data for very high quantities over extended periods are limited.

Resveratrol is fat-soluble, so taking it with a meal containing healthy fats can improve its absorption and effectiveness. Some prefer taking it in the morning, while others may choose nighttime.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.