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Supplements

boswellia improves inflammatory bowel disease

In plain terms: Does boswellia help IBD (ulcerative colitis or Crohn's)?

Leans against Supplements 🔬 Includes disconfirming

Part of: 🧪 boswellia

RefutedContestedStrong support
consensus score -0.25

Not proven. Small early studies hinted at benefit in ulcerative colitis, but a well-run trial found it no better than placebo for Crohn's. Not established.

📅 Last reviewed: 2026-07-15

Evidence ladder

How far up the ladder this claim has climbed. A high consensus on a low rung means "consistent so far," not "proven in people."

Top evidence so far: Human trials (RCT / n-of-1)

MechanismIn-vitroAnimalObservationalRCTMeta-analysis

How the studies fall

2 support 1 contradict 0 tested null 4 mixed · 7 sources, 3 independent groups

What the evidence shows

Promising in theory, unproven in practice. Small early trials suggested benefit in ulcerative colitis, but a well-conducted RCT found boswellia no better than placebo for maintaining Crohn's remission, and systematic reviews call the controlled evidence limited. Not established for IBD.

The evidence (7)

SourceGradeStanceQualityFinding
Ng
2013 · Aliment Pharmacol Ther
meta-analysis mixed low Systematic review: some positive early IBD signals but controlled data are limited and inconsistent.
Parian
2016 · Curr Pharm Des
observational mixed low Review of supplement therapies for IBD: boswellia evidence preliminary, not established.
Laudadio I et al
2024 · study_type: in-vitro
in-vitro supports moderate Human colorectal adenocarcinoma cells (HT29), intestinal epithelial cells (HIEC6), and colon fibroblasts (CCD-18Co) pretreated with Boswellia serrata (BS) extract, alone or combined with Scutellaria baicalensis, showed significantly decreas
Xu F et al
2025 · study_type: animal
animal mixed low In an AOM/DSS-induced colitis-associated colorectal cancer mouse model, AKBA (a boswellic acid) reduced proliferation of colitis-driven CRC cells, lowered inflammatory cytokines (TNF-a, IFN-g, IL-12p70, IL-1b) in spleen/serum versus control
Triantafyllidi
2015 · Ann Gastroenterol
observational mixed low Review: small trials suggested boswellia benefit in ulcerative colitis.
Kiela
2005 · Am J Physiol Gastrointest Liver Physiol
animal supports low Mouse colitis models: boswellia reduced inflammation via leukotriene inhibition.
Holtmeier
2011 · Inflamm Bowel Dis
RCT contradicts moderate Randomized placebo-controlled trial: boswellia was NOT superior to placebo for maintaining remission in Crohn's disease.

Disagree, or know a study we missed?

We grade by evidence, not opinions. The way to weigh in is to point us to a study we haven't cited (check the evidence table above first), or to flag a problem with one we have. Every submission is reviewed; if it holds up, the grade updates and shows in Science Changes Its Mind.

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Educational only, not medical advice. Grades and scores reflect published evidence weighted by study design and quality; see the methodology.