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Agar close-up
Agar powder beside dried red seaweed.

Seaweed & Algae · Seaweed extract

Agar (Agar-Agar)

Gelidium and Gracilaria red seaweeds (extract) · also called Agar-agar, kanten, E 406, vegetable gelatin

Agar is a gelling extract of red seaweed, used to set jellies and desserts in place of animal gelatin. The human research is thin: one 12-week trial of an agar jelly found a little more weight loss than diet alone. EFSA saw no safety concern at the additive uses it reviewed. The main caution is a few case reports of bowel or stomach blockage after strong agar solutions or an agar dessert in a person with gastric bypass.

General information, not medical advice. Last substantive update · Not medically reviewed. A named clinician has not signed off on this page. How this page is made

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About Agar (Agar-Agar)

Agar is a gelling extract of red seaweed, used in cooking to set jellies and desserts and in processed foods as the additive E 406. It is a food ingredient, not a proven remedy: the only human trial was small, and the main safety concern is rare gut blockage with strong agar solutions or after stomach surgery.

What it is

Agar comes from red seaweeds, mainly of the Gelidium and Gracilaria groups. EFSA, the European Union's food safety agency, describes it as a mix of sugar chains made mostly of galactose, with a small share carrying sulfate. It is sold as a powder, flakes or bars and dissolved by heating, and it is also called agar-agar or kanten.

The US rule for agar-agar (21 CFR 184.1115) describes it as a dried, water-loving gel-forming carbohydrate from red algae, and sets a maximum amount for each food category. EFSA says agar is unlikely to be absorbed unchanged and is slightly fermented by gut bacteria.

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What is in it

USDA lists two different agar items, so check which one you mean. Dried agar has 306 kcal, 80.88 g carbohydrate, 625 mg calcium and 21.4 mg iron per 100 g. Raw agar has 26 kcal, 54 mg calcium and 1.86 mg iron per 100 g, and USDA's household portion is 2 tablespoons, about 10 g, which gives only a few calories and about 5 mg of calcium.

Because agar is used in tiny amounts, it is not a practical source of minerals. These USDA numbers come from a summary we held and were not re-checked against the USDA database this time, because its service refused requests.

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What the research shows

We found one human trial of agar for health. In 76 Japanese adults with obesity and impaired glucose tolerance or type 2 diabetes, half added an agar jelly before the evening meal to a Japanese diet for 12 weeks. They lost 2.8 kg versus 1.3 kg, and their total cholesterol fell 7.6 mg/dl while the comparison group's rose 2.4 mg/dl. Weight, fasting glucose and blood pressure fell in both groups.

The abstract does not say whether anyone was blinded or who paid for the trial, and we found no repeat of it.

Older pharmacy books call agar a mild laxative, but we found no trial for constipation. A lab model of the gut shows agar is partly fermented to short-chain fatty acids, with no health effect shown in people.

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Food versus extracts and diet products

The trial used a seasoned agar jelly, a food. We found no trial of agar capsules, tablets or powders for weight or any other use. Agar is a refined extract, so results for whole seaweeds such as kombu or nori do not apply to it, and its results do not apply to them. Carrageenan and alginate are different gelling extracts.

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At a glance

Traditional uses history, not proof

  • Kanten is a long-standing Japanese food, and the kanten diet plan is popular in Japan
  • Older pharmacy texts describe agar as a mild laxative; these are historical statements, not trials

Studied for research

  • Weight, blood sugar and total cholesterol, low certainty (one trial)
  • Constipation and bowel regularity, insufficient evidence
  • Gut bacteria and fatty acids, very low certainty (lab model only)
  • Minerals and vitamins as nutrients, insufficient evidence as a practical source

Main compounds

  • Agar polysaccharide (galactan with repeating agarobiose units)
  • Agarose (gelling fraction)
  • Agaropectin (sulfated, non-gelling fraction)

Common forms

  • Agar powder, flakes and bars dissolved in hot liquid to set a gel (kanten)
  • Agar as the food additive E 406 in processed foods
  • Capsules and diet products are different products and are not covered; no trial of them was found

Research links: 2005 trial: agar (kanten) diet in obese adults with glucose problems · 2008 case report: small bowel bezoars from concentrated agar · 2016 EFSA re-evaluation of agar (E 406) · Research Library · Genes & Biomarkers Library

What it is and its history

Accepted scientific name
Agar (E 406): a gelling extract of red seaweeds, mainly Gelidium and Gracilaria
Naming authority
Not a single species. EFSA, quoting EU Regulation 231/2012, says agar is extracted from strains of marine algae of the families Gelidiaceae and Gracilariaceae and relevant red algae of the class Rhodophyceae. The US regulation describes it as extracted from one of a number of related species of red algae (class Rhodophyceae).
Common names
Agar (English); Agar-agar (English); Kanten (Japanese); E 406 (English); Vegetable gelatin (English)
Family or group
Gelidiaceae and Gracilariaceae, the red seaweed families named by EFSA. Agar itself is a refined seaweed extract, not a whole seaweed.
Classification
Not stated by the sources read > Red algae (Rhodophyta) > Rhodophyceae (as written in the regulation) > Not stated > Gelidiaceae and Gracilariaceae (per EFSA) > Gelidium, Gracilaria > Several. EFSA lists 12 species of main commercial value, among them Gelidium amansii, Gelidium corneum, Gelidium pacificum, Gelidium cartilagineum and Gracilaria confervoides, and says 32 species are reported in commercial production worldwide.
Habitat
Marine red algae (EFSA: agarophytes).
What it looks like
As sold, EFSA's specification describes agar as odourless or slightly scented, light yellowish orange to colourless in strips or bundles, or white to pale yellow when powdered; tough when damp and brittle when dry.
Cultivation
Not researched for this page beyond EFSA's list of source species.
Harvest and processing
EFSA describes extraction by heating the seaweed in water, with or without alkali treatment (2% to 5% sodium hydroxide at 85 to 90 degrees C for an hour is described), then recovering the agar from the gelled extract by freezing and thawing. Yield and gel strength vary with extraction method and harvest season.
Look-alikes and adulterants
Name: Carrageenan; Difference: Another gelling extract of red seaweed, but from different species and with different chemistry; its safety record is debated, while agar's is not in the sources read. See the carrageenan page.; Name: Gelatin; Difference: Gelatin comes from animal collagen; agar comes from seaweed. Agar is used as a vegetarian substitute in cooking.; Name: Alginate; Difference: A gelling extract of brown seaweed, a different substance.
Sustainability and conservation
Not researched.

Photographs

Agar close-up
Agar powder beside dried red seaweed.

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
Japan: kanten as food and as a modern diet planEFSA says agar, also known as kanten, is popular for dieting in the form of the 'kanten plan' in Japan, and that it can be used in homemade foods. How old kanten is was not found in a source read.EFSA 2016 full text; verified
Medical reference texts, 1950s to 1960sEFSA cites the British Pharmaceutical Codex (1954) and the US Pharmacopeia XVI (1960), and later German textbooks, as describing agar as a mild laxative because it swells in fluid. These are historical statements, not trials.EFSA 2016 full text; verified as quoted, the books themselves were not read
Regulatory history (EFSA's account)JECFA considered agar in 1974 and concluded a not limited acceptable daily intake. The EU Scientific Committee for Food gave a not specified intake in 1989. EFSA re-evaluated it in 2016 as E 406.EFSA 2016 full text; verified
Origin story and other early historyClaims about when and where agar was first made were not found in a source read. NOT verified.NOT verified (no source read)

Traditional use shows how it was used. It does not show that it works or is safe today.

What is inside, and how it may work

What it contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Agar polysaccharide (agarobiose repeating units)galactan, sulfated polysaccharideRed seaweed cell wall (extracted)
EFSA: galactose units with a regular alternation of L- and D- forms, linked alpha-1,3 and beta-1,4. On about every tenth D-galactopyranose unit one hydroxyl group is esterified with sulfuric acid, neutralised by calcium, magnesium, potassium or sodium.
Gives gelling and thickening in foods. Largely not absorbed; slightly fermented by gut bacteria (EFSA). 6Regulation
Agarose and agaropectinagar fractions
EFSA: older work splits agar into agarose, a neutral gelling fraction (over 100,000 Da, sulfate usually below 0.15%) and agaropectin, a sulfated non-gelling fraction (about 14,000 Da, sulfate 5% to 8%). Newer work suggests agar is a complex mixture, depending on the seaweed and the manufacturing method.
Structure only; no health effect assigned to either fraction in the sources read. 6Regulation

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Swelling and bulk in the gutNot applicableEFSA describes agar as swelling in the stomach and bowel, adding bulk, which is thought to give a feeling of fullness and stimulate bowel movement. This is the stated idea in reference texts, not a measured result in the trial we read. The same swelling is the stated reason blockage is a concern in a few case reports. 6Proposed
Fermentation by gut bacteriaNot applicableIn a laboratory model of the human gut, agar was partly fermented in the large intestine, giving short-chain fatty acids. EFSA considered these normal fibre end-products and saw no concern. Lab model only. 6 1Lab

Absorption, metabolism and elimination

Absorption
Unlikely to be absorbed unchanged (EFSA).
Metabolism
Slightly fermented by gut bacteria in a lab model, giving short-chain fatty acids. The rate of breakdown in people's gut is unknown (EFSA).
Elimination
Not found in the sources read.
Bioavailability
Not established in people.

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Isolated compounds versus whole extracts

Agar is a refined extract, not whole seaweed. Results for whole seaweeds such as kombu, nori or wakame do not apply to it, and agar results do not apply to them. The one human trial used a seasoned agar jelly, not capsules or whole seaweed. The earlier page also mentioned a brown seaweed blood sugar review; that was a different food and is not used here.

Nutritional composition

Agar is a gelling carbohydrate used in small amounts, not a nutrient source. USDA lists two different agar items. Per 100 g, dried agar (item 170090) has 306 kcal, 80.88 g carbohydrate, 7.7 g fibre, 6.21 g protein, 625 mg calcium, 21.4 mg iron and 770 mg magnesium. Raw agar (item 169280) has 26 kcal, 6.75 g carbohydrate, 54 mg calcium and 1.86 mg iron per 100 g, and USDA's household portion is 2 tablespoons, about 10 g, which comes to about 2.6 kcal and under 6 mg of calcium. These USDA numbers were carried over from the earlier agar page and were not re-opened this session because the USDA service refused requests. Dried and raw values must not be mixed, and values vary with species and processing. EFSA's 'no numerical limit needed' is a regulator's safety conclusion, and the 4.5 g a day in the human trial is a study detail. Neither is advice on how much to eat.

4benefits and uses looked at
9studies and sources checked
Low certaintybest evidence rating found
3lab markers tracked in trials

1 low certainty1 very low certainty2 not enough evidence

What was looked at

The 4 benefits and uses checked for Agar (Agar-Agar), each with how strong the evidence is. Tap one to open it.

Lab markers tracked in the studies

Body weight and BMITotal cholesterolHbA1c and fasting glucose

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Body weight, blood sugar and cholesterol (one trial of an agar jelly diet)

Low certainty

One 12-week trial in 76 Japanese adults with obesity and impaired glucose tolerance or type 2 diabetes gave half of them an agar jelly before the evening meal as well as their usual Japanese diet. Weight, BMI and total cholesterol fell more in the agar group. Everyone, including the comparison group, lost some weight and had lower fasting glucose. It is one small trial, so this is a hint, not proof.

2 studiesA jelly made with agar, seasoned with condiments, eaten before the ev…

Studies, doses and limits

What the trials found

One randomised controlled trial: 76 patients, a 4-week run-in, then 12 weeks of the usual Japanese diet with or without agar jelly. EFSA reports the agar group received a 180 g jelly with 4.5 g of agar each day, 15 minutes before the evening meal, and that 38 people in the agar group completed the 12 weeks.

Results

After 12 weeks, mean weight change was -2.8 kg in the agar group versus -1.3 kg in the comparison group (p = 0.008). BMI change was -1.1 versus -0.5 kg/m2 (p = 0.009). Total cholesterol changed by -7.6 mg/dl versus +2.4 mg/dl (p = 0.036). In both groups, weight, BMI, fasting glucose, insulin resistance (HOMA-IR) and blood pressure fell significantly from the start. HbA1c, visceral fat, subcutaneous fat, total body fat, the insulin response to a glucose drink and total cholesterol fell significantly within the agar group; the abstract does not give a between-group test for HbA1c, so we cannot say agar beat the usual diet for HbA1c.

Effect sizes as reported

Between groups: weight -2.8 +/- 2.7 vs -1.3 +/- 2.3 kg (p = 0.008); BMI -1.1 +/- 1.1 vs -0.5 +/- 0.9 kg/m2 (p = 0.009); total cholesterol -7.6 +/- 27.5 vs +2.4 +/- 23.4 mg/dl (p = 0.036).

Why this rating

Low: one randomised trial of 76 people over 12 weeks, in Japanese adults only, with no second trial found. The abstract does not say whether anyone was blinded, and the comparison group also improved.

Form and dose studied

A jelly made with agar, seasoned with condiments, eaten before the evening meal (as EFSA describes the trial). This is a study design, not advice on how much to eat.

Who was studied

Japanese adults with obesity and impaired glucose tolerance or type 2 diabetes.

Limits

One trial. 12 weeks. The comparison group also lost weight. Blinding and funding are not stated in the abstract. Not tested in people without obesity or diabetes, or outside Japan.

Why researchers looked

Agar swells in fluid and is thought to make people feel fuller. In Japan agar (kanten) is used in a popular diet plan, and EFSA describes it as used in slimming products.

Traditional use

Kanten is a long-standing Japanese food. The kanten diet plan is a modern diet use, and EFSA notes it as popular in Japan.

Proposed mechanism Proposed mechanism regulatory summary

Agar is thought to swell in the stomach and add bulk, which may give a feeling of fullness and lead to eating less. The authors of the trial linked the weight loss to keeping calorie intake lower. This is the proposed explanation, not a measured one in the abstract.

A proposed mechanism does not show that the effect happens in people.

The authors and EFSA report no noticeable side effects in the 38 agar-group completers. See the Safety tab for bowel blockage case reports with concentrated agar.

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Constipation and bowel regularity

Not enough evidence

Older pharmacy books describe agar as a mild laxative because it swells in fluid. We did not find a modern trial that tested it for constipation, so there is no good evidence either way.

1 studiesNot applicable. No amount advice is given here.

Studies, doses and limits

What the trials found

No randomised trial of agar for constipation was found in our searches. EFSA lists only the textbook descriptions, and notes that a few combination medicines containing small amounts of agar exist, where it acts mainly as an emulsion stabiliser.

Results

Not tested in a trial we could find.

Why this rating

Insufficient: textbook description only, no trial found.

Limits

Old reference texts are not evidence of benefit. EFSA lists intestinal narrowing (stenosis) as a contraindication for the medicinal use.

Why researchers looked

Agar adds bulk when it swells. Older pharmacopoeias and textbooks list it as a mild laxative.

Traditional use

EFSA cites older British and US pharmacopoeias (1954 to 1960) and German textbooks that describe agar as a mild laxative. These are historical statements, not trials.

Proposed mechanism Textbook and regulatory summary

EFSA describes the idea that agar increases the bulk of what is in the bowel, which stimulates the bowel muscles and helps movement. This is the stated explanation from reference texts, not a result measured in a trial we read.

A proposed mechanism does not show that the effect happens in people.

If you have a narrowed bowel or past bowel surgery, ask a clinician first. See the Safety tab.

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Gut bacteria and short-chain fatty acids (lab evidence only)

Very low certainty

A laboratory model of the human gut found that gut bacteria partly break agar down. EFSA says this would give short-chain fatty acids, which are normal products of fibre fermentation, and it raised no concern. No health benefit has been shown in people.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of gut bacteria or fatty acids with agar was found.

Results

Lab model and reviews only. EFSA concludes agar is unlikely to be absorbed unchanged and is slightly fermented.

Effect sizes as reported

No numbers in the sources read.

Why this rating

Very low: a laboratory model and review statements, with no people measured.

Limits

The 2025 review says the way different seaweed polysaccharides are digested depends on species, place and processing, and calls for a standard digestion model. Its abstract was read; the full text was not.

Why researchers looked

Researchers asked what happens to agar after it is eaten, since it is largely not absorbed.

Proposed mechanism In vitro and review

EFSA reports an in vitro human model in which agar was partly fermented in the large intestine by gut bacteria, producing short-chain fatty acids. A 2025 review of agar, carrageenan and alginate says these polysaccharides are mostly only partly absorbed in the upper gut, and are fermented into metabolites with varying effects.

A proposed mechanism does not show that the effect happens in people.

None specific.

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Minerals and vitamins (nutrient content)

Not enough evidence

Dried agar looks rich in minerals per 100 g in USDA tables, but agar is used in very small amounts, so a normal serving adds almost nothing. It is a gelling carbohydrate, not a nutrient source.

3 studiesDried agar and raw agar are different USDA items and must not be mixe…

Studies, doses and limits

What the trials found

No study of people getting minerals from agar was found.

Results

See the nutrition note: USDA lists dried agar per 100 g as 306 kcal, 80.88 g carbohydrate, 625 mg calcium, 21.4 mg iron and 770 mg magnesium, while the raw agar entry (about 10 g in a USDA household portion of 2 tablespoons) gives 54 mg calcium and 1.86 mg iron per 100 g. These USDA values were taken from the earlier summary and were not re-opened for this page.

Why this rating

Insufficient as a practical source: the values are per 100 g of a food used in tiny amounts, and absorption from agar was not studied in people. The USDA numbers themselves were not re-checked this session.

Form and dose studied

Dried agar and raw agar are different USDA items and must not be mixed up.

Limits

Values vary with species, harvest and processing. In rats, agar in the diet reduced absorption of several minerals (see the Safety tab), so table values may overstate what the body takes up.

Why researchers looked

Food tables list large per-100 g mineral values for dried agar.

Proposed mechanism Food composition table

Not applicable. This is a composition fact, not a trial.

A proposed mechanism does not show that the effect happens in people.

None specific.

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Connections to the rest of health

How Agar (Agar-Agar) connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

A. Wellness goals

Connected toKind of connectionEvidence statusContextStudies
Weight Management Low certainty Body weight, blood sugar and cholesterol (one trial of an agar jelly diet): One 12-week trial in 76 Japanese adults with obesity and impaired glucose tolerance or type 2 diabetes gave half of them an agar jelly before the evening meal as well as their usual Japanese diet. Weight, BMI and total cholesterol fell more in the agar group. Everyone, including the comparison group, lost some weight and had lower fasting glucose. It is one small trial, so this is a hint, not proof. 4 6
Blood Sugar Balance Low certainty Body weight, blood sugar and cholesterol (one trial of an agar jelly diet): One 12-week trial in 76 Japanese adults with obesity and impaired glucose tolerance or type 2 diabetes gave half of them an agar jelly before the evening meal as well as their usual Japanese diet. Weight, BMI and total cholesterol fell more in the agar group. Everyone, including the comparison group, lost some weight and had lower fasting glucose. It is one small trial, so this is a hint, not proof. 4 6
Cholesterol Balance Low certainty Body weight, blood sugar and cholesterol (one trial of an agar jelly diet): One 12-week trial in 76 Japanese adults with obesity and impaired glucose tolerance or type 2 diabetes gave half of them an agar jelly before the evening meal as well as their usual Japanese diet. Weight, BMI and total cholesterol fell more in the agar group. Everyone, including the comparison group, lost some weight and had lower fasting glucose. It is one small trial, so this is a hint, not proof. 4 6
Digestive Support Not enough evidence Constipation and bowel regularity: Older pharmacy books describe agar as a mild laxative because it swells in fluid. We did not find a modern trial that tested it for constipation, so there is no good evidence either way. 6
Gut Health Not enough evidence Constipation and bowel regularity: Older pharmacy books describe agar as a mild laxative because it swells in fluid. We did not find a modern trial that tested it for constipation, so there is no good evidence either way. 6
Gut Health Very low certainty Gut bacteria and short-chain fatty acids (lab evidence only): A laboratory model of the human gut found that gut bacteria partly break agar down. EFSA says this would give short-chain fatty acids, which are normal products of fibre fermentation, and it raised no concern. No health benefit has been shown in people. 6 1
Preventive Wellness Not enough evidence Minerals and vitamins (nutrient content): Dried agar looks rich in minerals per 100 g in USDA tables, but agar is used in very small amounts, so a normal serving adds almost nothing. It is a gelling carbohydrate, not a nutrient source. 9 8 6

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Digestive system Adverse effect or risk Case reports Agar swells in fluid and is not absorbed; blockage reported in a few cases.
Preparation or compound: Concentrated agar
6 5
Endocrine System Biological association Low certainty Studied for: Body weight, blood sugar and cholesterol (one trial of an agar jelly diet) 4 6
Digestive System Biological association Not enough evidence Studied for: Constipation and bowel regularity Studied for: Gut bacteria and short-chain fatty acids (lab evidence only) 6 1 9 8

C. Body parts and organs

Connected toKind of connectionEvidence statusContextStudies
Stomach Adverse effect or risk Case report A stomach pouch bezoar after gastric bypass.
Preparation or compound: Agar-based dessert
3 6

E. Health conditions

Connected toKind of connectionEvidence statusContextStudies
Bowel obstruction Adverse effect or risk Case reports Two published bezoar case reports and two more cited by EFSA; frequency unknown. Bezoars after concentrated agar solutions and after an agar dessert following gastric bypass; frequency unknown.
Preparation or compound: Concentrated agar solution; agar dessert after gastric bypass
5 3 6
Type 2 diabetes Preliminary One small trial of an agar jelly diet saw more weight loss and a larger cholesterol fall than diet alone; fasting glucose fell in both groups.
Preparation or compound: Agar jelly
4

I. Biomarkers

Connected toKind of connectionEvidence statusContextStudies
Body weight and BMI Biological association Low certainty Measured in trials: lower, by more than the usual diet alone. A lab change is not the same as a health benefit. 4
Total cholesterol Biological association Low certainty Measured in trials: lower with agar, slightly higher without. A lab change is not the same as a health benefit. 4
HbA1c and fasting glucose Biological association Low certainty Measured in trials: lower in both groups; HbA1c lower within the agar group. A lab change is not the same as a health benefit. 4

K. Biological pathways

Connected toKind of connectionEvidence statusContextStudies
Type 2 diabetes and obesity Preliminary mechanism Human One small randomised trial of an agar jelly diet saw more weight loss and a fall in total cholesterol than diet alone. 4
Bowel obstruction (bezoar) Preliminary mechanism Human Case reports with concentrated agar solutions and with an agar dessert after gastric bypass. 5 3 6

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Agar polysaccharide (agarobiose repeating units) Biological association Regulation Gives gelling and thickening in foods. Largely not absorbed; slightly fermented by gut bacteria (EFSA).
Preparation or compound: Red seaweed cell wall (extracted)
6
Agarose and agaropectin Biological association Regulation Structure only; no health effect assigned to either fraction in the sources read. 6

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 26, 2026).

Evidence at a glance: what the research found for 4 outcomes

1Low certainty
1Very low certainty
2Not enough evidence

Each outcome below is one thing researchers measured. Certainty is how far the evidence can be trusted, not how well it works. The full studies are on the next tab.

The evidence

The research centre for Agar (Agar-Agar). Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We started from an existing agar summary, read the full EFSA 2016 re-evaluation of agar through Europe PMC and the US regulation text, and re-read PubMed abstracts for the trial, a case report and two reviews or reports. One case report has no abstract and is described through EFSA. Items we could not verify are flagged in the research gaps.

Study library: every study we checked 9
StudyDesignPeopleProduct, dose, lengthResult
Cotas 2025
Seaweed Polysaccharides: A Rational Approach for Food Safety Studies.
Mar Drugs · PMID 41295380 · DOI
Narrative review
n/a
Review of agar, carrageenan and alginate and how they are digested and judged for safety Seaweed polysaccharides (agar, carrageenan, alginate)
The authors say the safety of these compounds is generally accepted but gaps remain. They note the compounds are structurally varied, mostly only partly absorbed in the upper gut, and fermented into metabolites with varying effects. They call for a standard digestion model and say the safety of carrageenan remains debated.
No numbers in the abstract (Not applicable)
Methods, limits and funding

Outcomes: Food safety, digestion, fermentation

Limitations: A review; only the abstract was read. Funding is not stated in the abstract.

Funding and conflicts: Funding is not stated in the abstract.

Read: abstract

European Food Safety Authority (EFSA) 2023
Dietary exposure to heavy metals and iodine intake via consumption of seaweeds and halophytes in the European population.
EFSA J · PMID 36742462 · DOI
Regulatory exposure assessment
n/a
European consumers of seaweeds and halophytes (697 eating occasions, 468 subjects, 19 countries) Seaweeds and seaweed-based foods (agar not singled out in the abstract)
Seaweeds are important sources of total arsenic, mostly organic. Cadmium exposure in adult consumers was within earlier whole-diet estimates; inorganic arsenic and lead were 10% to 30% of earlier whole-diet exposure. Mean iodine intakes above 20 micrograms per kg of body weight a day were found among consumers of kombu and laver.
No agar-specific figure (Not applicable)
Methods, limits and funding

Outcomes: Dietary exposure to arsenic, cadmium, lead, mercury, and iodine intake

Limitations: Abstract read. Covers seaweeds in general, not agar.

Funding and conflicts: An EU agency report; no industry funding is stated in the abstract.

Read: abstract

Gero 2015
An unusual cause of solid food intolerance and gastric pouch dilation 5 years after Roux-en-Y gastric bypass: agar-agar bezoar.
Surg Obes Relat Dis · PMID 26077699 · DOI
Case report
1
A 64-year-old woman, 5 years after Roux-en-Y gastric bypass (as described by EFSA)
An agar-based dessert (as described by EFSA)
Agar (red seaweed extract) Symptoms over 72 hours
EFSA reports nausea, vomiting and trouble swallowing for 72 hours after an agar dessert; an agar bezoar was found 2 weeks later and removed.
One case (Not applicable)
Methods, limits and funding

Outcomes: Solid food intolerance and stomach pouch enlargement

Limitations: PubMed shows no abstract. Details come from the EFSA opinion, not from the paper. A single case in a person with altered anatomy.

Funding and conflicts: Not available.

Read: title-only

Maeda 2005
Effects of agar (kanten) diet on obese patients with impaired glucose tolerance and type 2 diabetes.
Diabetes Obes Metab · PMID 15642074 · DOI
Randomised controlled trial
76
76 obese Japanese patients with impaired glucose tolerance or type 2 diabetes
Agar jelly (kanten) added to a conventional traditional Japanese diet
Agar (extract of red seaweed), eaten as a seasoned jelly 180 g jelly containing 4.5 g agar daily, 15 minutes before the evening meal (as described by EFSA, not in the abstract) 12 weeks after a 4-week run-in · vs Conventional diet alone
Both groups had lower weight, BMI, fasting glucose, HOMA-IR and blood pressure. Weight change was -2.8 +/- 2.7 kg with agar versus -1.3 +/- 2.3 kg without (p = 0.008); BMI -1.1 +/- 1.1 versus -0.5 +/- 0.9 kg/m2 (p = 0.009); total cholesterol -7.6 +/- 27.5 versus +2.4 +/- 23.4 mg/dl (p = 0.036). HbA1c, visceral and subcutaneous fat, total body fat and insulin area under the curve fell significantly in the agar group.
Weight 1.5 kg greater loss, BMI 0.6 kg/m2 greater fall, total cholesterol about 10 mg/dl greater fall with agar (differences of the means) (Not given in the abstract)
Methods, limits and funding

Outcomes: Body weight, BMI, glycaemic control, blood pressure, insulin resistance, body fat, fat distribution, lipids

Limitations: One trial. Blinding and funding are not stated in the abstract. The comparison group also improved. Only Japanese adults with obesity and impaired glucose tolerance or type 2 diabetes.

Funding and conflicts: Funding is not stated in the abstract.

Read: abstract

Osada 2008
Obstructing small bowel bezoars due to an agar diet: diagnosis using double balloon enteroscopy.
Intern Med · PMID 18379147 · DOI
Case report
1
A 70-year-old Japanese woman with abdominal pain, nausea and vomiting
Highly concentrated agar dissolved in boiling water
Agar (red seaweed extract) A large amount (not quantified in the abstract) Two days before she came to hospital
Hard white bezoars were clogged in the jejunum, found by balloon enteroscopy; at surgery many were impacted in the distal jejunum and were removed. The authors considered they formed from the highly concentrated, dissolvable agar.
One case (Not applicable)
Methods, limits and funding

Outcomes: Small bowel obstruction

Limitations: A single case report. EFSA adds she had type 2 diabetes and took dietary agar sometimes. Funding is not stated in the abstract.

Funding and conflicts: Funding is not stated in the abstract.

Read: abstract

s-efsa-2016
EFSA ANS Panel (2016). Re-evaluation of agar (E 406) as a food additive. EFSA Journal 14(12):4645
· Source
Regulatory opinion
n/a

Methods, limits and funding

Read: full-text

s-fda-21cfr184-1115
US FDA (eCFR) 21 CFR 184.1115 Agar-agar
· Source
Regulation
n/a

Methods, limits and funding

Read: full-text

s-usda-fdc-169280
USDA FoodData Central: Seaweed, agar, raw (SR Legacy, FDC 169280)
· Source
Food composition database
n/a

Methods, limits and funding

Read: summary-only

s-usda-fdc-170090
USDA FoodData Central: Seaweed, agar, dried (SR Legacy, FDC 170090)
· Source
Food composition database
n/a

Methods, limits and funding

Read: summary-only

What we do not know yet

  • Only one human trial of agar for health (weight, blood sugar, cholesterol) was found, with no repeat, and none for constipation.
  • How common bowel blockage from agar is was not found; only case reports exist, and no source on swallowing dry agar was read.
  • No agar-specific iodine or metal figure, and no official pregnancy, breastfeeding or child statement, was found.
  • The USDA numbers for dried and raw agar come from a summary we held and were not re-checked against the USDA database, because its service refused requests.
  • Liver safety, medicine interactions beyond EFSA's text, and agar capsules or diet products were not researched.

How new research is added

New studies are found by a saved PubMed search and placed in a review queue before the page changes.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Metabolic 1

●

Total cholesterol

Lower with agar, slightly higher without in trials

The total amount of cholesterol in the blood.

Low certainty
Results and what it means

Why it was measured

Lipids were one of the outcomes the trial tracked.

Statistical vs. clinical meaning

The spread of individual results is much larger than the average change, and the p value is close to the usual cut-off.

Safety implication

None reported.

StudyResultPeopleProduct
4Total cholesterol -7.6 +/- 27.5 mg/dl with agar versus +2.4 +/- 23.4 mg/dl without (p = 0.036)76 adults with obesity and impaired glucose tolerance or type 2 diabetesAgar jelly plus a traditional Japanese diet versus the diet alone, 12 weeks

4

Other 2

●

Body weight and BMI

Lower, by more than the usual diet alone in trials

Body weight in kilograms, and body mass index (weight relative to height).

Low certainty
Results and what it means

Why it was measured

To see whether an agar jelly diet changed body size in adults with obesity.

Statistical vs. clinical meaning

A modest extra loss of about 1.5 kg over the comparison group in one small trial.

Safety implication

None reported in the trial.

StudyResultPeopleProduct
4Weight -2.8 +/- 2.7 kg with agar versus -1.3 +/- 2.3 kg without (p = 0.008); BMI -1.1 +/- 1.1 versus -0.5 +/- 0.9 kg/m2 (p = 0.009)76 adults with obesity and impaired glucose tolerance or type 2 diabetesAgar jelly plus a traditional Japanese diet versus the diet alone, 12 weeks

4

●

HbA1c and fasting glucose

Lower in both groups; HbA1c lower within the agar group in trials

HbA1c is the average blood sugar over about three months. Fasting glucose is blood sugar after not eating overnight.

Low certainty
Results and what it means

Why it was measured

The trial enrolled people with impaired glucose tolerance or type 2 diabetes.

Statistical vs. clinical meaning

Because fasting glucose fell in both groups, the fall cannot be put down to agar.

Safety implication

People who take diabetes medicine should talk to their prescriber before changing their diet.

StudyResultPeopleProduct
4Fasting glucose fell significantly in both groups. HbA1c fell significantly in the agar group; the abstract does not give a test of agar versus the usual diet for HbA1c.76 adults with obesity and impaired glucose tolerance or type 2 diabetesAgar jelly plus a traditional Japanese diet versus the diet alone, 12 weeks

4

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 4
  • Bowel or stomach blockage has been reported with strong agar solutions and with an agar dessert after gastric bypass. Two published case reports describe lumps of agar (bezoars) blocking the gut. A 70-year-old woman with type 2 diabetes ate a large amount of highly concentrated agar dissolved in boiling water and had bezoars stuck in her small bowel, which needed surgery. A 64-year-old woman with a gastric bypass had nausea, vomiting and trouble swallowing after an agar-based dessert, and a bezoar was found in her stomach pouch. EFSA also lists two further cases after drinking agar solutions. EFSA judged these cases not relevant to the additive use of agar for the general population, because agar was taken in large amounts for dieting or by a patient with gastric bypass. Case reports cannot tell us how common this is. Case report 5 3 6
  • EFSA saw no safety concern for the general population at the uses it reviewed. EFSA's 2016 re-evaluation of agar as a food additive (E 406) found no concern about genetic damage and no cancer effect in mice or rats at the highest doses tested. It said no numerical acceptable daily intake was needed. This applies to the reported additive uses in 7 of 70 food categories, not to every way of eating agar. In one human study (Maeda 2005), people tolerated 4.5 g of agar a day for 12 weeks without noticeable side effects. Authoritative guidance 6 4
  • Agar is not absorbed and swells in fluid. EFSA says agar is unlikely to be absorbed unchanged and is slightly fermented by gut bacteria. Its older medical use as a mild laxative relies on that swelling. People with a narrowed bowel (intestinal stenosis) are listed as a group who should not use it as a medicine. Authoritative guidance 6
  • Metals in the seaweed source. EFSA recommended that the EU limits for lead, mercury, cadmium and arsenic in agar be revised so that agar is not a significant source of these metals, in particular for infants and children. Manufacturers gave EFSA no data on metal levels. The current EU limits are arsenic 3, cadmium 1, lead 5 and mercury 1 mg per kg. Authoritative guidance 6
Side effects 3
EffectHow oftenSeverity and recoveryEvidence
Bowel or stomach blockage (bezoar): abdominal pain, nausea, vomiting, trouble swallowing
These were concentrated agar in boiling water and an agar dessert in a person with gastric bypass. We did not find a report about dry agar swallowed by itself.
Two case reports in the papers we read, and two more mentioned by EFSA. A rate is not known.Serious: surgery was needed in the small bowel case; the stomach pouch bezoar was found and removed 2 weeks after symptoms began.
Both cases were treated by removing the lumps.
Case report 5 3 6
Side effects in the one human trial
A small trial cannot rule out uncommon effects.
None noticed by the authors among the 38 agar-group completers over 12 weeks (as reported by EFSA).Not applicable.
Not applicable.
Randomised trial small 4 6
Less absorption of minerals (calcium, iron, zinc, copper, chromium, cobalt) in young rats
In that study the extra mineral loss was not reflected in the animals' total body mineral content after 21 weeks. Whether this matters for people is unknown.
One rat study cited by EFSA at 10% agar in the diet; not tested in people in the sources we read.Animal finding only.
Not described.
Animal research 6
Liver

No liver injury from agar was found in the sources read. A liver-safety source such as LiverTox was not searched for agar.

How often. No frequency was found.

Monitoring. No agency monitoring advice was found.

This is a safety connection. It is not evidence that Agar (Agar-Agar) supports liver health.

Medicines and supplements 2
WithWhy it mattersImportanceEvidenceWhat to do
Minerals (calcium, iron, zinc, copper)
supplement
In young rats, agar in the diet reduced absorption of several minerals.Unknown in people. No human study was read.Animal research Very low certainty 6A pharmacist or doctor can advise on timing if you take mineral supplements.
Prescription and over-the-counter medicines taken by mouth, including diabetes medicines
prescription
No source read describes a medicine interaction with agar.None found Not enough evidence 4A pharmacist can check your own medicines, especially if you take diabetes medicine and plan to eat agar often.
Who should check first 6
SituationAdviceEvidence
A narrowed bowel (intestinal stenosis) or a past bowel blockageAsk a clinician before using agar as more than an ordinary cooking ingredient. EFSA lists intestinal stenosis as a contraindication for medicinal use.Authoritative guidance 6
Gastric bypass or other stomach or bowel surgery, or trouble swallowingAsk your surgeon or dietitian first. One of the case reports was a stomach pouch blocked by an agar dessert after gastric bypass.Case report 3 6
Large amounts of concentrated agar for dietingThe small bowel blockage case followed a large amount of highly concentrated agar in boiling water. Ask a clinician before using agar as a diet aid.Case report 5 6
Pregnancy and breastfeedingNo official pregnancy or breastfeeding statement about agar was read. EFSA reports that prenatal studies in rats and hamsters saw no harm to mother or young at the highest doses tested, and also says no reproductive toxicity data were available. Ask your midwife or doctor about your own diet.Animal research 6
Babies and young childrenNo child-specific limit for agar was read. EFSA estimated a high toddler intake of up to 26 mg per kg of body weight a day from the reported additive uses and saw no concern; it stressed that metal limits matter most for infants and children. The medicinal combination products EFSA reviewed are not intended for children. Ask a paediatrician.Authoritative guidance 6
AllergyThe human data EFSA lists under hypersensitivity are the bezoar case reports and one trial; no allergy reports are listed, and we found none in PubMed. Agar is from seaweed, not fish or shellfish. For trouble breathing or swelling of the face or throat after any food, call 911 or your local emergency number.None found 6
Overdose, product quality and regulators

Summary. Agar had low toxicity in animal studies reviewed by EFSA. The safety questions that remain are blockage in people with gut problems or when taken in large concentrated amounts, and metal impurities.

Animal. EFSA: acute toxicity in mice, rats and rabbits is low. No adverse effects up to 10,000 mg per kg of body weight a day in mice and 4,500 in rats (highest doses tested) in two short National Toxicology Program studies from 1982. No cancer effect at up to 4,500 mg per kg in mice and 2,500 in rats. No harm to mothers or young in prenatal studies in rats and hamsters up to 1,140 and 650 mg per kg.

Human doses studied. One human study of an agar jelly with 4.5 g of agar daily for 12 weeks, and older textbook laxative doses described by EFSA. These are study details and historical statements, not advice.

High dose or long term signals. No chronic toxicity study meeting standard guidelines was found by EFSA. The case reports of bezoars involve large amounts of concentrated agar.

Overdose response. Not found beyond the blockage case reports.

Genotoxicity. EFSA: no concern for genetic damage, though the set of studies was limited.

Agar is a seaweed extract, so quality depends on the source seaweed and on processing. EFSA asked for better data on metals.

Toxic metals in agar. EFSA says EU limits allow arsenic up to 3, cadmium 1, lead 5 and mercury 1 mg per kg of agar, that this could noticeably add to intakes already close to health-based limits, and that no metal data were supplied by manufacturers. It recommended tightening the limits, particularly for infants and children. 6

Seaweeds in general: arsenic, cadmium, lead, iodine. A 2023 EFSA report on seaweeds and halophytes (not agar specifically) found seaweeds are important sources of total arsenic, mostly the organic form, that cadmium exposure from seaweed was within earlier whole-diet estimates, and that mean iodine intakes above 20 micrograms per kg of body weight a day were found among people who ate kombu or laver. It did not give an agar-specific figure. 2

Formaldehyde and mould toxins. EFSA asked for information on possible formaldehyde use, which it did not receive, and noted that gums can be a base for microbial contamination in storage (it cited mycotoxins in gums). 6

BodyActionDate
EFSA (European Union) (European Union)2016 re-evaluation of agar (E 406) as a food additive: no safety concern for the general population at the reported uses; no numerical acceptable daily intake needed. Recommended revising the limits for lead, mercury, cadmium and arsenic in the specification and asked for information on formaldehyde and on usage data. source2016-12-21
US FDA (21 CFR 184.1115) (United States)Agar-agar is listed in 21 CFR 184.1115 as a dried, hydrophilic, colloidal polysaccharide from red algae (class Rhodophyceae), with maximum usage levels by food category (for example 0.8% in baked goods, 2.0% in confections and frostings, 0.25% in all other categories). source2026-10-01
SCF and JECFA (as reported by EFSA) (European Union and international)The EU Scientific Committee for Food (1989) gave agar a not specified acceptable daily intake. JECFA (1974) considered very few data (two animal studies, one human study) and concluded a not limited intake. source1989 and 1974
When to get medical help
  • Strong or lasting belly pain, repeated vomiting, a swollen belly or being unable to pass wind or stool after eating agar, especially with a bowel narrowing or past surgery: possible blockage. Get urgent medical care.
  • Trouble swallowing, food sticking, or vomiting soon after meals in someone with a gastric bypass: contact your surgical team.
  • Trouble breathing, wheezing, swelling of the lips, face, tongue or throat, widespread hives or collapse after any food: call 911 or your local emergency number.

Stop using the product and contact a clinician or emergency service. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

What is agar?

Agar, also called agar-agar or kanten, is a gelling extract of red seaweeds such as Gelidium and Gracilaria. It is used to set jellies and desserts and as the food additive E 406.

6 7

Is agar the same as gelatin?

No. Gelatin comes from animal collagen. Agar comes from seaweed and is used as a vegetarian substitute in cooking.

6

Is agar safe to eat?

EFSA's 2016 review saw no safety concern for the general population at the reported additive uses and needed no numerical limit. It covers 7 of the 70 food categories where agar is allowed. Rare blockage has been reported with strong solutions or after stomach surgery.

6

Does agar help with weight loss or blood sugar?

Possibly a little, but the evidence is low. One 12-week trial in 76 Japanese adults with obesity and glucose problems found 2.8 kg weight loss with an agar jelly versus 1.3 kg with diet alone, but fasting glucose fell in both groups. We found no repeat of it.

4

Does agar lower cholesterol?

In the same trial total cholesterol fell 7.6 mg/dl with agar and rose 2.4 mg/dl without (p = 0.036). It is one small trial, so treat it as a hint.

4

Does agar help with constipation?

Older pharmacy texts call it a mild laxative because it swells in fluid, but we found no trial of agar for constipation, so the evidence is insufficient.

6

Can agar block the bowel?

There are case reports. One woman needed surgery for bezoars in her small bowel after eating a large amount of highly concentrated agar in boiling water, and another had a stomach bezoar after an agar dessert following gastric bypass. EFSA judged them not relevant to ordinary additive use. If you have a narrowed bowel or past surgery, ask a clinician first.

5 3 6

Does agar contain iodine or heavy metals?

We found no agar-specific iodine figure. EFSA recommended tighter EU limits for lead, mercury, cadmium and arsenic in agar, especially for infants and children, and said it received no metal data from manufacturers. If you have thyroid disease, ask your clinician about seaweed products in general.

6 2

Is agar a good source of calcium or iron?

USDA tables show large per-100 g values for dried agar, but agar is used in very small amounts, so a normal serving adds almost nothing. Those USDA numbers were not re-checked this time.

9 8

Is agar safe in pregnancy or for children?

We found no official pregnancy or child-specific statement about agar. EFSA estimated high toddler intakes of up to 26 mg per kg of body weight a day from reported additive uses and saw no concern, and noted animal studies showed no harm to young. Ask your midwife, doctor or paediatrician.

6

Does agar interact with medicines?

No source we read describes a medicine interaction. In young rats agar reduced mineral absorption. A pharmacist can check your own medicines, especially if you take diabetes medicine.

6 4

Is agar different from carrageenan?

Yes. Both are gelling extracts of red seaweed, but they come from different seaweeds and are different substances. Agar's safety record in the sources we read is not debated the way carrageenan's is.

6 1

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Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against the sources listed.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-26
Last substantive update
2026-10-26
How we research
We started from an existing agar summary, read the full EFSA 2016 re-evaluation of agar through Europe PMC and the US regulation text, and re-read PubMed abstracts for the trial, a case report and two reviews or reports. One case report has no abstract and is described through EFSA. Items we could not verify are flagged in the research gaps.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
No product is promoted on this page. No affiliate links are shown. Funding for the agar trial is not stated in its abstract.
Sources 9

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

  1. Cotas J, Lourenco M, Figueirinha A, et al.. Seaweed Polysaccharides: A Rational Approach for Food Safety Studies.. Mar Drugs. 2025. PMID 41295380. DOI 10.3390/md23110412. (abstract)
  2. European Food Safety Authority (EFSA). Dietary exposure to heavy metals and iodine intake via consumption of seaweeds and halophytes in the European population.. EFSA J. 2023. PMID 36742462. DOI 10.2903/j.efsa.2023.7798. (abstract)
  3. Gero D, Chosidow D, Marmuse JP. An unusual cause of solid food intolerance and gastric pouch dilation 5 years after Roux-en-Y gastric bypass: agar-agar bezoar.. Surg Obes Relat Dis. 2015. PMID 26077699. DOI 10.1016/j.soard.2015.05.010. (title-only)
  4. Maeda H, Yamamoto R, Hirao K, Tochikubo O. Effects of agar (kanten) diet on obese patients with impaired glucose tolerance and type 2 diabetes.. Diabetes Obes Metab. 2005. PMID 15642074. DOI 10.1111/j.1463-1326.2004.00370.x. (abstract)
  5. Osada T, Shibuya T, Kodani T, Beppu K, et al.. Obstructing small bowel bezoars due to an agar diet: diagnosis using double balloon enteroscopy.. Intern Med. 2008. PMID 18379147. DOI 10.2169/internalmedicine.47.0520. (abstract)
  6. . EFSA ANS Panel (2016). Re-evaluation of agar (E 406) as a food additive. EFSA Journal 14(12):4645. . . (full-text)
  7. . US FDA (eCFR) 21 CFR 184.1115 Agar-agar. . . (full-text)
  8. . USDA FoodData Central: Seaweed, agar, raw (SR Legacy, FDC 169280). . . (summary-only)
  9. . USDA FoodData Central: Seaweed, agar, dried (SR Legacy, FDC 170090). . . (summary-only)

Where to buy

Check the label first. Whatever you buy, look for these:

  • The iodine amount: seaweed can be very high in iodine, which matters for thyroid conditions
  • Heavy metal testing information from the maker
  • Origin and harvest area
  • Organic or tested labeling

Talk to a pharmacist or doctor before you start any supplement, especially if you take medicines. See the Safety tab for interactions.

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Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.