Benefits
Post-meal blood sugar after an evening Mankai drink
In 40 adults with type 2 diabetes, 200 mL of fresh Mankai after dinner for 2 weeks lowered the post-meal glucose peak by about 19 percent and the glucose area by about 20 percent versus water on continuous monitors; about two thirds responded. In 20 adults with abdominal obesity, a Mankai shake replacing dinner gave a lower peak than a matched yogurt shake.
Essential amino acids absorbed from a Mankai meal
In 36 men, a single test meal of Mankai with 30 g of protein raised blood histidine, phenylalanine, threonine, lysine and tryptophan about as much as soft cheese or peas over 3 hours. Branched-chain amino acids rose too, but less than after cheese. This was one meal; muscle and body composition were not studied.
Vitamin B12 content of the plant
Testing by maker and university scientists found active B12 forms (hydroxo, adenosyl, methyl and cyano cobalamin) and no inactive pseudo B12, at about 2.8 micrograms per 100 g dry weight. Batches in the EU dossier ranged from 4.4 to below 0.4 micrograms per 100 g. After a single Mankai meal, blood B12 rose more than after cheese or peas.
Serum B12, iron and folate during a green Mediterranean diet
In an 18 month trial, a low-meat green Mediterranean diet with a daily Mankai shake, green tea and walnuts raised serum B12 by 15.4 percent versus 5.2 to 9.9 percent on other diets, and serum folate rose more than on both. At 6 months hemoglobin rose slightly more than in the other groups, and serum iron more than with exercise alone. Mankai was one of several diet changes, so these results cannot be credited to it alone.
Liver and visceral fat in a diet pattern that included Mankai
In the same trial of 294 adults with abdominal obesity or high blood lipids, the green Mediterranean diet about doubled the loss of liver fat and visceral fat seen on a Mediterranean diet with similar weight loss. That diet also added green tea and cut red meat, so Mankai's share is unknown; no trial of Mankai alone has measured these.
Mechanism of action
A later, flatter glucose rise
In both glucose trials the peak after Mankai came later and the rise was shallower than after water or a yogurt shake matched for carbohydrate, protein and calories. The trials did not test why, so the cause, whether fiber, the plant's protein or something else, has not been established.
B12 made by bacteria living inside the plant
Plants neither make nor need B12. A genetic study of the bacteria inside Mankai found a minority carrying near-complete B12-type production pathways and many others salvaging precursors, suggesting the vitamin comes from a cooperating bacterial community. EFSA notes that micronutrient levels depend on cultivation conditions.
Polyphenols
About 200 phenolic compounds were detected in Mankai, and in the diet trial several blood and urine polyphenol metabolites the authors related to Mankai rose more on the green Mediterranean diet. Whether these compounds cause any health effect in people has not been shown.
Clinical trials
Randomized crossover trial at two Israeli sites; 200 mL of raw fresh Mankai plus 100 mL water (40 kcal, about 10 g dry matter) or 300 mL water after dinner for 2 weeks each, 4 day washout, no other diet or drug changes; continuous glucose monitoring; grants listed from the German Research Foundation and Israeli ministries; the paper's conflict statement is paywalled, and co-author I. Shai discloses advising Hinoman's nutrition committee in other Mankai papers (Tsaban et al. 2024, Diabetes Obes Metab)
45 adults with type 2 diabetes (HbA1c 6.5 to 8.5 percent) enrolled; 40 completed with full monitoring data (69 percent men, average age 64).
Compared with water, Mankai lowered the post-meal glucose peak by 19.3 percent (24.3 versus 30.1 mg/dL, P < .001), delayed the peak by 20 percent and lowered the net glucose area by 20.1 percent (P = .03); only about two thirds of participants responded. The triglyceride to HDL ratio fell versus water (P = .05). The water comparator had no calories, and each period lasted 2 weeks.
Randomized controlled crossover trial; a Wolffia globosa Mankai green shake or a yogurt shake matched for carbohydrate, protein and calories replaced dinner on 6 test days, with flash glucose monitoring over 2 weeks; participants came from the green Mediterranean arm of DIRECT PLUS; grants listed include the California Walnut Commission and German and Israeli agencies (Zelicha et al. 2019, Diabetes Care)
20 adults with abdominal obesity, average age 51, average fasting glucose about 111 mg/dL.
After the Mankai shake the glucose rise was lower (13.4 versus 19.3 mg/dL, P = 0.044), peaked later and returned to baseline sooner, and the glucose area up to 180 minutes was lower (P = 0.037). Next-morning fasting glucose was slightly lower (83.2 versus 86.6 mg/dL, P = 0.041) and satiety slightly higher; sleep duration did not differ. Each comparison was a single replaced meal.
Randomized controlled trial of single test meals matched for 30 g protein (soft cheese, cooked green peas or cooked Mankai) after a 3 day stable diet and 12 hour fast, with blood drawn over 3 hours; registered NCT03020225, whose posted results list no adverse events; grants from the Israel Ministry of Health and the German Research Foundation (Kaplan et al. 2019, Clin Nutr)
36 men aged over 30 (the registry also required a large waist or abnormal blood fats), randomized to three groups.
Blood histidine, phenylalanine, threonine, lysine and tryptophan rose after Mankai (p < 0.05 versus baseline) by amounts similar to cheese and peas. Branched-chain amino acids rose, but more after cheese (p < 0.05 between groups). Blood vitamin B12 rose more after Mankai than after cheese (p = 0.007) or peas (p = 0.047).
18 month randomized trial (NCT03020186) of healthy dietary guidelines, a Mediterranean diet with 28 g walnuts a day, or a green Mediterranean diet that also added 3 to 4 cups of green tea and a shake of 100 g frozen Mankai cubes (about 20 g dry) a day while cutting red meat, all with physical activity; Hinoman, Wissotzky Tea and the California Walnut Commission supplied foods, the walnut commission funded part of the work, Hinoman is listed among funders of the iron analysis, and the senior author advises Hinoman's nutrition committee; results summarized from several papers of this one trial (Yaskolka Meir et al. 2021, Gut)
294 adults with abdominal obesity or high blood lipids (88 percent men, average age 51, BMI 31).
Weight loss at 6 months was similar on the two Mediterranean diets (6.2 versus 5.4 kg), while waist and C-reactive protein fell more on the green version; LDL cholesterol, diastolic pressure and insulin resistance fell more only versus healthy dietary guidelines. Over 18 months, liver fat fell 38.9 versus 19.6 percent and visceral fat 14.1 versus 6.0 percent. Serum B12 rose 15.4 versus 9.9 percent and serum folate rose more; at 6 months hemoglobin rose slightly more, and serum iron rose more than with exercise alone. Mankai was one of several changes, so its own effect is unknown.