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Ingredients/Herb/Cissus Quadrangularis

Cissus Quadrangularis.

May offer some relief for joint discomfort and bone health, but results can vary. Aims to support joint comfort and bone repair.

StudiedResearch depth500mgDaily amount713Studies read

Reviewed March 2026

CQHerb
Cissus QuadrangularisIngredientMD
Category
Herb

Also filed under
Joint health supportBone health support

What Cissus Quadrangularis is, and what it does.

Does it work
Suits people building a joint and bone routine on top of calcium, vitamin D, protein and training, and anyone who wants a plant-based option there. The human research is still small.
How much to take
Most products offer 500mg to 1000mg per day, often split into two doses. Take it with food to avoid stomach upset.
Time to feel it
Weeks. The human trials that measured joint comfort ran eight to twelve weeks, and whatever change there is builds slowly across that window.
The first dose
Absolutely nothing. This needs weeks, maybe months, to build up and show any potential effect.
With regular use
If it's going to work for you, you might feel a slight decrease in joint aches after a month or two. Benefits are modest at best.
How well tolerated
Generally well-tolerated. Can cause mild gas or stomach upset. The main warning is for people on blood thinners - check with your doctor.
How it feels
Quiet. People describe less background ache in a knee or a shoulder across weeks, rather than anything that arrives with a capsule.
The overlooked benefit
Extracts get standardised on ketosteroids because that's the fraction the assay can actually count. A ratio-only label tells you about bark in, not about marker out.

500mg a day is where Cissus Quadrangularis works.

How much to take a dayLimited data
Up to 500mgA supporting role. Common in blends where this is one active among several.
500mg
Daily maintenanceThe everyday amount, and where most daily supplements sit. This is the one you take month after month.
1,200mgClinical territory. Trials run high on purpose, for a set number of weeks, against one measured outcome. Impressive to hit, and not what a daily product is for.
Above 1,800mgPast what the research covers. More capsules rather than more effect.
MORE EFFECT ↑0600mg1,200mg plateauDAILY DOSE →
The shaded band is where the dosing trials landed.

Source: Lipids Health Dis. 2007;6:4. Cissus quadrangularis for weight management.

The proof, claim by claim.

These words describe the research, not the molecule's worth. Research strength is how much work stands behind one claim, and it is never a product score.

Studied.

While some studies suggest potential benefits, the overall evidence base is limited by small sample sizes, methodological issues, and a lack of large-scale, well-controlled trials. More rigorous research is needed to confirm its efficacy.

  • joint comfort in active adultsRandomised trial
  • bone structure and mineral depositionAnimal study
  • body composition alongside dietRandomised trial
  • antioxidant activity in laboratory assaysIn vitro study
  • traditional use for joint and bone supportNarrative review
PubMedCochraneClinicalTrials.govNIH ODSSUPP.AI713 studies readLabs test. IngredientMD verifies.PubMedCochraneClinicalTrials.govNIH ODSSUPP.AI713 studies readLabs test. IngredientMD verifies.

Questions people ask about Cissus Quadrangularis.

Will this help me lose weight?
Some older, questionable studies suggested this, but the evidence is very weak. Don't buy it for weight loss.
How long until I notice anything?
Be patient. It can take 4 to 8 weeks of consistent daily use to see if it does anything for you.
Can I take it with glucosamine or turmeric?
Yes, it's often stacked with other joint supplements. No known negative interactions.
Are there any side effects I should worry about?
Mostly minor stuff like gas, headache, or an upset stomach. The biggest concern is a potential interaction with blood thinners.
Is it a steroid?
No. It contains plant compounds called 'ketosteroids', but they don't act like anabolic steroids in your body. It's just a chemical name.
Pairs well with26 on file

Why these belong in the same formula. Each row says what the basis is, from settled biochemistry through to a trial that measured the pair.

Cissus Quadrangularis + Calciummineral substrate for bone matrix

Cissus ketosterones and stilbenes act on osteoblast differentiation and collagen laying, and calcium is the mineral deposited into that new matrix. Stimulating matrix formation without supplying the mineral leaves the process short of substrate.

Cissus Quadrangularis + Vitamin D3calcium absorption cofactor

Calcitriol drives calbindin and TRPV6 expression in the intestine, which is how dietary calcium reaches the circulation for bone mineralisation. It is the upstream step for any bone-matrix formula built on cissus.

Osteocalcin made by osteoblasts binds calcium only after vitamin K dependent gamma-carboxylation of its glutamate residues. Cissus raises osteoblast activity, so the carboxylation cofactor determines whether that output binds mineral.

Cissus Quadrangularis + Magnesiumhydroxyapatite crystal and enzyme cofactor

Magnesium sits in the hydroxyapatite lattice, influences crystal size, and is a cofactor for alkaline phosphatase and for converting vitamin D to its active form. Bone matrix built under cissus stimulation needs it structurally and enzymatically.

Roughly nine tenths of bone organic matrix is type I collagen, and cissus raises osteoblastic collagen output. Peptide fragments supply the glycine and proline rich substrate and also signal fibroblasts directly.

Cissus Quadrangularis + Boronmineral and steroid handling

Boron slows urinary calcium and magnesium loss and influences the half-life of circulating steroid hormones that act on bone turnover. That sits alongside the ketosterone activity attributed to cissus.

Silicon is concentrated at bone mineralisation fronts and supports prolyl hydroxylase activity and collagen cross-linking. It strengthens the same organic scaffold that cissus stimulates osteoblasts to lay down.

Glucosamine feeds glycosaminoglycan and proteoglycan synthesis in cartilage and tendon, the soft connective tissue alongside the bone matrix cissus acts on. The two supply different halves of the tissue.

Chondroitin chains hold water in the cartilage matrix and slow aggrecan breakdown, complementing the collagen-side support attributed to cissus. The two cover different halves of connective tissue composition.

Boswellic acids inhibit 5-lipoxygenase and reduce leukotriene formation while cissus constituents act mainly on COX and cytokine signalling. The two cover both arms of the eicosanoid cascade.

MSM supplies sulfur used in the sulfated glycosaminoglycans and disulfide cross-links of connective tissue. It is the sulfur donor side of the matrix cissus stimulates.

Strontium substitutes for calcium in the hydroxyapatite lattice and shifts the balance between osteoblast and osteoclast activity. It competes with calcium for uptake, so the two are taken apart.

Cissus Quadrangularis + Vitamin CEstablished biochemistry: ascorbate is the cofactor for collagen prolyl and lysyl hydroxylases

Collagen strands need hydroxyproline and hydroxylysine residues to form a stable triple helix, and both hydroxylation steps require ascorbate as a cofactor. Any ingredient positioned around connective tissue support depends on adequate vitamin C for that step to run. The pairing is cofactor logic, not a combination trial.

Cissus Quadrangularis + L-lysineEstablished biochemistry: lysine residues are cross-link sites in collagen

Lysine supplies the residues that lysyl oxidase converts into the covalent cross-links holding collagen fibrils together. Without that substrate the matrix that connective tissue support depends on cannot mature. The relationship is textbook rather than measured for this pairing.

Cissus Quadrangularis + L-prolineEstablished biochemistry: proline is roughly a fifth of collagen's residues

Proline and its hydroxylated form dominate the collagen sequence, so amino acid supply sets a ceiling on matrix synthesis. Pairing a connective tissue botanical with the amino acid substrate is a supply argument. No combination study grounds it.

Cissus Quadrangularis + ManganeseEstablished biochemistry: manganese is a cofactor for glycosyltransferases in proteoglycan assembly

Proteoglycan synthesis in cartilage and bone matrix runs through manganese-dependent glycosyltransferases. The mineral is needed in trace amounts and is often present in joint and bone formulas for this reason. This is settled cofactor biochemistry rather than a cissus-specific finding.

Cissus Quadrangularis + CopperEstablished biochemistry: lysyl oxidase is a copper-dependent enzyme

Lysyl oxidase forms the cross-links that give collagen and elastin their tensile strength, and it carries a copper atom at its active site. Adequate copper status is therefore upstream of connective tissue maturation. Note that high supplemental zinc competes with copper absorption, so a bone formula usually balances the two.

Cissus Quadrangularis + ZincEstablished biochemistry: zinc-dependent enzymes in bone matrix turnover

Alkaline phosphatase, a zinc metalloenzyme, is a standard marker of osteoblast activity, and zinc participates broadly in matrix protein synthesis. Bone-support formulas commonly carry it alongside a botanical. Zinc at higher doses competes with copper for uptake, which is why the pair is usually dosed together.

Cissus Quadrangularis + Turmeric-curcuminFormulation convention in joint comfort blends, with overlapping mechanistic targets

Both are used in products aimed at joint comfort and mobility, and both are described in preclinical work as acting on inflammatory signalling rather than on structure alone. The overlap is mechanistic and drawn from separate literatures. No trial of the two together grounds an additive effect.

Cissus Quadrangularis + BromelainFormulation convention in joint comfort blends

Bromelain is a proteolytic enzyme complex used in blends aimed at post-exercise comfort, alongside botanicals like cissus. The pairing rests on how products are built rather than on a study of the combination. Read it as formulation convention.

Cissus Quadrangularis + Hyaluronic acidEstablished biochemistry: hyaluronan is the backbone of the cartilage proteoglycan aggregate

Aggrecan monomers assemble on a hyaluronan chain to form the aggregate that holds water in cartilage matrix. A botanical positioned around joint comfort and a matrix component address different parts of the same tissue. The connection is structural biochemistry, not a combination trial.

Cissus Quadrangularis + SiliconEstablished connective tissue chemistry: silicon in collagen and glycosaminoglycan cross-linking

Orthosilicic acid has been associated with collagen type I formation and with bone matrix quality markers in nutritional work. It is a common companion mineral in bone and connective tissue formulas. The association is with markers, not with clinical endpoints.

Cissus Quadrangularis + Green tea extractCombination convention in body composition formulas

Cissus appears in body composition blends alongside catechin-containing extracts, and a human study of cissus reported increases in UCP1 messenger RNA, a browning marker in adipose tissue. Green tea catechins are described in separate literature as acting on thermogenic signalling. The two lines are parallel, and no trial tested them together.

Cissus Quadrangularis + CaffeineCombination convention in body composition formulas

Caffeine raises catecholamine-driven lipolysis and appears in the same category of blends as cissus. The rationale is that both touch adrenergic and thermogenic signalling from different angles. This is a formulation pattern, and the additive claim is untested for the pair.

Cissus Quadrangularis + Black pepper extract (BioPerine)Established pharmacology: piperine inhibits intestinal and hepatic phase II metabolism

Piperine slows glucuronidation and sulfation of many plant phenolics, raising their circulating concentrations. It is added to botanical extracts on that basis rather than for an effect of its own. The same mechanism can raise levels of unrelated compounds a person is taking, which is worth knowing.

Cissus Quadrangularis + Whey protein isolateEstablished physiology: amino acid supply for matrix and lean tissue

Bone is roughly a third organic matrix, most of it type I collagen, so protein intake is a structural input and not just a muscle one. Cissus appears in recovery and body composition products where protein is the base. The pairing is nutritional supply logic.

Who should be cautious

Talk to a doctor before taking Cissus Quadrangularis if any of these apply to you: May cause mild gastrointestinal upset in some individuals, Consult a healthcare professional if you are taking other medications, especially blood thinners, Not recommended for pregnant or breastfeeding women due to lack of safety data. These are flags to check first, not effects Cissus Quadrangularis is known to cause.

Not medical advice. Show the label to your pharmacist.

What Cissus Quadrangularis actually does.

Established

The stem is a succulent water-storing tissue rich in calcium oxalate crystals, which is why raw powder differs in mineral profile from a solvent extract.

Established

Bone matrix formation requires osteoblast collagen synthesis followed by mineral deposition, so any ingredient positioned around bone structure depends on adequate calcium, vitamin D, vitamin K and protein being present.

Strong

Cissus stem tissue carries ketosteroids, phytosterols and triterpenoids, and extracts are standardised on the ketosteroid fraction because it is the marker the assay can quantify.

Strong

The phenolic and flavonoid fraction of the plant is redox-active in laboratory assays, which describes chemistry in a tube and not an effect in a person.

Grown, 6 steps on record

Where Cissus Quadrangularis comes from.

The squared stems of the vine are dried and ground, then washed with water or alcohol to pull out the active fraction, concentrated, checked against a lab assay and dried back into a powder.

Made from a plant. What ends up in the capsule tracks the harvest, so batch testing and a stated marker matter more here than with a made molecule.

Starts as
Cultivated or wild-collected cissus stems and leaves

A succulent climbing vine of South Asia and Africa, harvested for its squared, jointed stems.

Converted by
Drying and milling

Aerial parts are dried to reduce moisture, then milled to a powder that is either used directly or fed to extraction.

Extracted by
Aqueous or hydroalcoholic extraction

Solvent pulls the ketosteroid and phenolic fractions out of the milled plant material.

Purified by
Filtration and solvent removal

Plant solids are filtered off and solvent is evaporated under reduced pressure to a concentrate.

Standardised to
Assay to a marker percentage

The concentrate is assayed for the ketosteroid fraction and blended with carrier to the declared percentage.

Ends up as
Spray-dried powder

Dried onto a carrier such as maltodextrin and milled for capsule or tablet filling.

Extraction solvent, plant part ratio and country of cultivation are often absent from the label.

Getting Cissus Quadrangularis from food.

The whole-food sources on file. A supplement closes the gap, it does not replace dinner.

Pirandai chutney or pickle

A gram-for-gram figure (how much of each you would eat to match a dose) will appear here once it is sourced and reviewed. This page will not print a number it cannot cite.

The forms it comes in.

Cissus quadrangularis stem and leaf powderWhole dried plant material milled without solvent extraction, so the full matrix including fibre and oxalate is retained.Fits Traditional preparations and products that specify a whole-herb dose rather than an extract ratio.Trade-off Active constituent content varies with growing conditions and harvest, so the same gram weight is not the same chemistry batch to batch.
Cissus extract standardised to ketosteroidsSolvent extract concentrated and assayed to a declared percentage of the ketosteroid marker fraction.Fits Products that need a reproducible constituent dose from batch to batch, which is what most published dosing follows.Trade-off Standardising on one marker fraction says nothing about the constituents left out of the assay, and the marker is not necessarily the whole of the activity.
Concentrated cissus extract, ratio-declaredAqueous or hydroalcoholic extract described by the weight of starting herb per unit of finished extract, with no constituent assay.Fits Formulas that want concentration without paying for a marker assay.Trade-off A ratio describes process, not content, so two 10:1 extracts can differ in constituent profile.
What the strongest studies found

The essence, in one line each.

  1. Pooling the available human studies, Cissus quadrangularis shifted bone-related biomarkers in a direction consistent with normal bone turnover, based on a small number of trials; these are markers rather than measured bone outcomes.Meta-analysis. Na Takuathung et al., 2025 (BMC complementary medicine and therapies). PMID 40707943
  2. In adults carrying excess body weight, a Cissus quadrangularis formulation was associated with greater reductions in body weight and waist size than placebo.Randomised trial. Oben et al., 2006 (Lipids in health and disease). PMID 16948861
  3. A multi-herb formulation containing Cissus quadrangularis was linked with greater loss of body weight and waist circumference than placebo in adults with excess body weight, so the effect cannot be attributed to Cissus alone.Randomised trial. Sengupta et al., 2012 (Lipids in health and disease). PMID 22995673
  4. A combination of Dichrostachys glomerata and Cissus quadrangularis extracts raised GLP-1 secretion and lowered DPP-4 activity compared with placebo in the adults studied; both are blood markers, not measured outcomes, and the combination was tested as a whole.Randomised trial. Youovop et al., 2025 (Medicina (Kaunas, Lithuania)). PMID 41597327
  5. Reported higher UCP1 messenger RNA expression, a marker of white adipocyte browning, alongside reductions in central body fat measures in the supplemented group.Randomised trial. Chatree et al., 2021 (Scientific Reports). PMID 33479386
  6. A defined combination of cissus and boswellia extract was compared with control on joint comfort and mobility measures.Randomised trial. Mungara et al., 2026 (Journal of Integrative and Complementary Medicine). PMID 41896193
  7. Reviews the preclinical and clinical literature on cissus and bone mineral handling, and describes the human evidence base as limited.Narrative review. Manocchio et al., 2026 (Orthopedic Research and Reviews). PMID 42180261
  8. Selenium nanoparticles synthesised using a cissus extract were associated with differences in performance and antioxidant markers in a livestock feeding study.Animal study. Chilala et al., 2025 (Frontiers in Veterinary Science). PMID 41743379
  9. Selenium nanoparticles prepared with Zambian medicinal herb extracts, cissus among them, showed antioxidant and antimicrobial activity in laboratory assays.In vitro study. Chilala et al., 2025 (PLoS One). PMID 40540454
  10. A review of medicinal plants studied for excess body weight that names cissus among the species with reported human data and summarises the proposed mechanisms.Narrative review. Aziz et al., 2023 (Heliyon). PMID 36816319

These are the studies our verdict leans on, chosen from the 81 we read for Cissus Quadrangularis. The full linked list is below.

Primary evidence

The studies, linked.

3 sources behind our Cissus Quadrangularis verdict: peer-reviewed studies and registered clinical trials. Every one links straight to PubMed, the journal, or ClinicalTrials.gov. Read them yourself.

  1. ClinicalTrials.gov
  2. ClinicalTrials.gov
  3. ClinicalTrials.gov

Evidence surfaced via Semantic Scholar (Allen Institute for AI) and ClinicalTrials.gov. Ranked by study type and citation weight, not cherry-picked.

FDA Disclaimer: These statements have not been evaluated by the Food and Drug Administration. This information is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult your healthcare provider before starting any supplement regimen.