Benefits
Body Composition Support (Adjunct)
LeanGard® is marketed for body composition alongside a reduced-calorie diet and exercise. Sabinsa announced a 12-week placebo-controlled trial of the blend in 2008 and reported favorable weight results, but no peer-reviewed report of it is indexed in PubMed, so its data cannot be checked. Evidence comes only from studies of the separate components.
Forskolin (ForsLean®) Component
The Coleus forskohlii component supplies forskolin, which raises cyclic AMP in cells. Tested alone at 250 mg of a 10% extract twice daily, it lowered body fat and fat mass compared with placebo in one 12-week trial in 30 men, with lean mass only a trend, while trials in women and in dieting adults found no weight difference from placebo.
Garcinia HCA/Garcinol Component
The GarCitrin® component supplies hydroxycitric acid (HCA) and garcinol. A meta-analysis of nine pooled HCA trials found about 0.9 kg more weight loss than placebo, a small effect of uncertain clinical relevance, and a 12-week trial in 135 adults found no significant difference in weight or fat loss from placebo.
Enhanced Absorption (BioPerine®)
BioPerine® black pepper extract is added to improve absorption of the other ingredients rather than to drive weight loss. In laboratory studies piperine inhibits the drug transporter P-glycoprotein and the enzyme CYP3A4, which help clear many compounds from the gut and liver; no study has measured this within LeanGard®.
Mechanism of action
cAMP Signaling (Forskolin)
Forskolin activates adenylate cyclase and raises cyclic AMP in cells, and in isolated rat fat cells higher concentrations increased lipolysis, the breakdown of stored fat. This is the rationale for the ForsLean® component; human trials of forskolin alone showed lower body fat in one small trial and no weight change in two others.
ATP-Citrate Lyase Inhibition (HCA)
Hydroxycitric acid competitively inhibits ATP-citrate lyase, an enzyme that may play a key role in making new fat. This is the proposed basis for Garcinia's weight-management positioning, but a 12-week randomized trial of HCA found no extra weight or fat loss compared with placebo.
Piperine Bioavailability Enhancement
Piperine inhibits P-glycoprotein and CYP3A4 in laboratory models. Both help limit how much of some compounds passes from the gut into the blood, so piperine could raise the absorption and blood levels of co-administered compounds.
Clinical trials
Systematic review and meta-analysis of randomized trials of Garcinia extract (HCA), relevant to the GarCitrin® component of the blend: 12 trials included, 9 pooled. (Onakpoya et al. 2011, J Obes)
Pooled across HCA randomized trials.
HCA produced about 0.88 kg more weight loss than placebo, a small effect of uncertain clinical relevance; digestive side effects were twice as common on HCA in one included trial. The review covers HCA alone, not the LeanGard® blend.