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Nutrition briefing

Polyphenols

Polyphenols are bioactive compounds made by plants. They are found in fruits, vegetables, tea, coffee, chocolate, whole grains, nuts, seeds, and spices, and they act as antioxidants, calm inflammation, and feed the bacteria in your lower gut.

What are polyphenols?

Polyphenols are plant phytochemicals: bioactive compounds produced by plants. More than 8,000 different polyphenols have been identified, and they are grouped by their structure into four main families.

Flavonoids

The largest group. Includes anthocyanins (the red and purple pigments in berries), flavanols such as EGCG in green tea, flavonols such as quercetin, plus flavanones, flavones, and isoflavones.

Phenolic acids

Includes ellagic acid (berries, pomegranate, walnuts) and a wide range of others found across fruits, vegetables, grains, and coffee.

Lignans

Concentrated in flaxseed and whole grains.

Stilbenes

The group that includes resveratrol, found in grapes, red wine, and some berries.

There is currently no official daily target for polyphenol intake. A diet rich in polyphenols, such as the Mediterranean diet, is considered beneficial for supporting a resilient gut microbiome and general health.

How polyphenols work

Polyphenols influence your health through several overlapping actions.

Antioxidant

The antioxidant action of polyphenols has been studied in humans by measuring total antioxidant capacity, superoxide dismutase, and malondialdehyde.

Anti-inflammatory

Polyphenols are thought to suppress inflammation, in part by blocking the NF-kB inflammatory pathway.

Antimicrobial

Laboratory studies suggest polyphenols can inhibit the growth of a wide range of pathogens and pathobionts.

Prebiotic

An estimated 90 to 95 per cent of dietary polyphenols reach the lower gut, so a large proportion interacts directly with the gut microbiota.

Are polyphenols prebiotics?

In 2017, the International Scientific Association for Probiotics and Prebiotics decided that polyphenols should be considered prebiotics. Because 90 to 95 per cent of polyphenols reach the lower gut, their limited absorption into the bloodstream may actually correlate with greater prebiotic effects, since more of the compound is left for your gut bacteria to use.

Polyphenol-rich foods

The simplest way to lift your intake is to eat a wide spread of plant foods across these groups. The dominant polyphenol type is noted for each item.

Food group Examples and serve Dominant polyphenols
Berries and dark fruit Blueberry, blackberry, blackcurrant, redcurrant, red raspberry, strawberry, sweet cherry, black elderberry, plum, pomegranate arils (1 cup, or 1/3 cup pomegranate) Anthocyanins, flavanols, flavonols, ellagic and other phenolic acids
Other fruit Apple, apricot, black and green grapes, nectarine, peach, pear, plum, prune, quince, grapefruit, orange, Kakadu plum (1 cup) Flavanols, flavonols, flavanones, phenolic acids; grapes also carry resveratrol
Vegetables and legumes Globe artichoke, asparagus, broccoli, capers, celery leaves, green and red chicory, kale, onion, parsley, shallot, spinach (1/2 cup); soy products (1/2 cup) Flavonols (quercetin), flavones, phenolic acids; soy carries isoflavones
Olives and olive oil Black and green olives (1/2 cup), extra virgin olive oil (1 tbsp) Flavones, phenolic acids, and other polyphenols
Nuts and seeds Almonds and hazelnuts, chestnut, pecan, walnut (30g), flaxseed meal (30g) Flavanols, phenolic acids, lignans (flaxseed)
Whole grains Whole grain oat, rye, wheat (1/2 cup) Phenolic acids, lignans, flavones
Cocoa Cocoa powder, dark chocolate (30g) Flavanols, flavonols
Tea and coffee Black tea, green tea, filter coffee (1 cup) Flavanols (green tea is rich in EGCG), phenolic acids
Red wine Red wine (150mL) Anthocyanins, flavanols, resveratrol, phenolic acids
Dried seasonings Cloves, rosemary, sage, thyme, turmeric Phenolic acids and other polyphenols

Supplement dosage guide

When food alone is not enough, specific polyphenols can be used in concentrated form to target intestinal or systemic inflammation. These are clinical doses to be used under supervision, not general recommendations. Always read the safety notes in the columns and the safety section below.

Polyphenol Health effect studied Dosage Duration
Aloe vera May reduce intestinal inflammation 2 x 100mL/day (aloe gel) 4 weeks
Aloe vera May reduce IBS symptoms 500mg/day (freeze-dried gel) 4 weeks
Bilberry May reduce intestinal inflammation 160g/day bilberry preparation (equal to about 95g dry weight, 600g fresh fruit, roughly 840mg/day anthocyanins) 6 weeks
Curcumin May reduce intestinal inflammation 2 x 50mg/day (bio-enhanced), 2 x 1.5g/day, or 1g/day 6 weeks to 6 months
Curcumin May reduce CRP Up to 700mg/day, not dose-dependent (most studies around 500mg) Greatest effect at about 13 weeks
Curcumin May reduce IL-6 Not dose-dependent Not duration-dependent
Curcumin May reduce self-reported gut complaints 500mg/day 4 weeks
EGCG (green tea) May reduce intestinal inflammation May require more than 300mg/day (more research needed) 28 to 56 weeks
EGCG (green tea) May reduce fasting blood glucose May require more than 300mg/day More than 12 weeks
EGCG (green tea) May reduce total and LDL cholesterol About 200mg/day EGCG 3 months
Ellagic acid May reduce LDL cholesterol, triglycerides, fasting glucose 180mg/day or more 8 weeks or more
Ellagic acid May reduce CRP and TNF-a 180 to 200mg/day (up to 2 x 450mg/day for CRP) 8 weeks to 60 days
Isoflavones May improve menopausal hot flushes (frequency and severity) 30 to 135mg/day; supplements giving more than 18.8mg genistein were more than twice as effective 6 weeks to 12 months
Isoflavones (dietary soy) May improve menopausal symptoms About 115.9g/day soy intake, or 86g cooked soybeans 12 weeks
Resveratrol May reduce plasma TMA and TMAO 2 x 300mg 28 days to 8 weeks
Resveratrol May reduce CRP and TNF-a Not dose-dependent Not duration-dependent
Resveratrol May reduce blood pressure 300mg/day, or 600 to 1000mg/day At least 2 to 3 months
Resveratrol May reduce LDL and total cholesterol 500mg/day or more (LDL); not dose-dependent (total) 12 weeks or more

CRP: C-reactive protein. IL-6: interleukin 6. TNF-a: tumour necrosis factor alpha. LDL: low-density lipoprotein cholesterol. TMA: trimethylamine. TMAO: trimethylamine N-oxide.

Nutrient and drug interactions

Concentrated polyphenols are not inert. They can change how your body handles minerals, other nutrients, and a number of common medications. This is why supplement-level doses belong in a supervised plan.

Food and nutrients

Iron

Polyphenols bind iron and can reduce its absorption. 300mg of EGCG has been shown to significantly reduce iron uptake.

Folic acid

300mg of green tea extract may reduce the absorption of folic acid from a supplement.

Dietary fat

A high-fat breakfast delays and lowers resveratrol absorption. Dietary fat increases quercetin absorption.

Medications

This is not an exhaustive list. Some entries below come from animal or laboratory studies and still need confirmation in people. Tell your practitioner about every medication and supplement you take.

Polyphenol Medication Effect on drug exposure
Curcumin Sulfasalazine Increased
Curcumin Talinolol Decreased
Curcumin Caffeine, theophylline, clozapine, acetaminophen (not yet assessed) Increased
Resveratrol Warfarin Increased
Resveratrol Losartan, buspirone, dextromethorphan Increased
Resveratrol Caffeine Decreased
Isoflavones Theophylline Increased
Isoflavones Midazolam Decreased
Ellagic acid Metoprolol, diltiazem Increased
Green tea Simvastatin, tacrolimus, sildenafil, buspirone Increased
Green tea Rosuvastatin, nadolol, digoxin Decreased
Quercetin Cyclosporine, pravastatin, fexofenadine, paracetamol Increased
Quercetin Talinolol, midazolam Decreased

Safety considerations

Polyphenol-rich whole foods are safe and beneficial for almost everyone. The cautions below apply to concentrated supplements at the doses listed in the dosage guide, not to a plant-rich diet.

Polyphenol Maximum dose What to know
Resveratrol 150 to 450mg/day Generally well tolerated. Gut symptoms, especially diarrhoea, are common, more so above about 2.5g/day. The EFSA panel suggests 150mg/day. Use caution with warfarin, as it may increase anticoagulant effects.
Ellagic acid 2 x 500mg/day Limited number of studies. 2 x 500mg/day has been used safely for 12 weeks with no adverse effects.
Curcumin No established safe dose A 2023 TGA report found no established safe dose and introduced new label requirements for curcumin products. Liver injury is idiosyncratic, so it cannot be predicted by dose.
Aloe vera No established safe dose Avoid products containing hydroxyanthracene derivatives (whole leaf extract or aloe latex), as there is evidence of genotoxicity. Use only the gel.
EGCG (green tea) 300mg/day Mild to moderate gut symptoms seen at 400 to 4000mg/day. Liver injury can occur with the supplement form but does not appear to occur from drinking green tea. Highest incidence is from the Polyphenon E supplement.
Isoflavones No adverse effects at 300mg/day for 2 years, or 120mg/day for 3 years In 2015 the EFSA found soy isoflavones do not adversely affect the breast, thyroid, or uterus of postmenopausal women. More research is needed on isoflavone effects on the thyroid in cases of iodine deficiency.

EFSA: European Food Safety Authority. TGA: Therapeutic Goods Administration.

Putting it into practice

A sensible, food-first path to getting more from polyphenols.

1 Build a Mediterranean-style plate. Make brightly coloured, polyphenol-rich plant foods the base of most meals, drawing widely from the food groups above.
2 Review symptoms and history. If there are signs of intestinal or systemic inflammation, work through dietary habits, health conditions, and medication use with your practitioner first.
3 Use targeted supplements only when needed. Concentrated polyphenols are a second-line, supervised tool for specific goals, chosen with the dose, drug, and safety notes above in mind.
4 Monitor and adjust. Track how you respond and tolerate any intervention, then change the dose or approach if needed.
5 Reassess over time. Re-evaluate after 3 to 6 months to understand whether the intervention is working.

Frequently asked questions

What are polyphenols and what foods contain them?

Polyphenols are plant compounds, with over 8,000 identified, found in foods like berries, other fruit, vegetables, olives and olive oil, nuts and seeds, whole grains, cocoa, tea, coffee, red wine and spices. They have antioxidant, anti-inflammatory, antimicrobial and prebiotic actions. Notably, around 90 to 95% of dietary polyphenols reach the lower gut, where they interact directly with the gut microbiota, which is why they were classified as prebiotics in 2017.

How are polyphenols good for the gut?

Because around 90 to 95% of dietary polyphenols reach the lower gut largely intact, they interact directly with the gut microbiota, feeding beneficial bacteria much like a prebiotic, which is why the International Scientific Association for Probiotics and Prebiotics classified them as prebiotics in 2017. Alongside this they have antioxidant and anti-inflammatory effects, including suppressing the inflammatory NF-kB pathway, so a polyphenol-rich, plant-based diet supports both the microbiome and lower inflammation.

Are polyphenol supplements safe?

Polyphenol-rich whole foods are safe and beneficial for almost everyone, and there is no official daily intake target, with a Mediterranean-style diet considered a good model. The cautions apply mainly to concentrated supplements rather than to a plant-rich diet. Some supplemental polyphenols, including curcumin, resveratrol, EGCG, quercetin and ellagic acid, can interact with medications such as warfarin, statins and antihistamines, so concentrated supplements are best used with professional guidance.

Reviewed by Rohan Smith, BHSc Nutritional Medicine · Elemental Health & Nutrition, Adelaide. Last reviewed 13 June 2026.

Important: This summary is general information, not personalised medical advice, diagnosis, or a treatment protocol. Speak with a qualified practitioner about your individual situation. Book a consultation →