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Carob

Early evidence for: High cholesterol; Spitting up in babies (as gum-thickened formula); Short-term diarrhoea under medical care.

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What is Carob? Carob is the dried pod of the carob tree, Ceratonia siliqua. The pods are roasted and ground into a sweet brown powder used in place of cocoa. In Italy the tree is called carrubo. The tree grows all around the Mediterranean. Its pods are sweet on their own and contain no caffeine. The hard seeds give a food thickener called carob bean gum, or locust bean gum. People use carob in two very different ways. It is a plain food, like flour or syrup. It is also sold as a fibre supplement and added to some infant formulas. The short verdict: carob is well tolerated, but the human evidence is thin. Two small trials hint at a drop in cholesterol. Traditional use is not proof that it works, and long use is not proof that it is safe. How does Carob work? Most of carob's suggested effects are put down to its fibre and its tannins. Carob pod is close to a third insoluble fibre. In test tube and animal work, this fibre binds bile acids in the gut. That may be one reason carob pulp lowered cholesterol in two small human trials. Carob also holds condensed tannins (plant compounds with a dry, bitter taste). In laboratory tests, tannins bind water and slow some gut bacteria. Whether that firms up stools in people is not well established. Carob bean gum comes from the seed, not the pulp. It swells and thickens liquid. This action is physical, not chemical. That thickening is why the gum is added to anti-reflux infant formula. Thicker milk is harder for a baby to bring back up. It does not change the underlying reflux. Carob powder is often sold as a mood or energy helper because it looks like cocoa. There is no good human evidence behind that idea. Carob lacks the caffeine and theobromine that drive cocoa's effects. What forms does Carob come in? Carob is sold both as an everyday food and as a supplement. Food forms: Roasted carob powder or flour, used like cocoa in baking and hot drinks. Carob chips and bars, often with added sugar and fat. Carob syrup, a thick dark sweetener common in Mediterranean countries. Carob pod tea, made from chopped roasted pods. Supplement and added forms: Carob fibre powder or capsules, made from the pulp and sold for cholesterol or gut health. Carob bean gum, shown as locust bean gum or E410 in ice cream, sauces and soft cheese. Anti-reflux infant formula thickened with carob bean gum, sold in pharmacies across Europe. Baking powder and fibre powder are not the same product. Baking carob is mostly sugar. Fibre carob has much of the sugar stripped out. Where it comes from: Carob has been grown around the Mediterranean for thousands of years. Greek, Roman and Arab writers all described it. The Italian name is carrubo. Carob seeds were once prized for being even in weight. Traders used them on their scales for gold and gems. The word carat traces back to that habit. In European folk practice, carob pod powder was given to children with loose stools. Carob syrup was taken for sore throats and coughs. The pods also fed goats, pigs and horses through dry years. The tree earned the name St John's bread from an old story about John the Baptist eating the pods. In the twentieth century carob became popular in health food shops as a caffeine-free stand-in for chocolate.

Helps

What does Carob help with? High cholesterol: This is carob's best-studied use, and the evidence is still small. Two small trials gave adults carob pulp fibre each day. Both saw a fall in total and LDL cholesterol (the 'bad' type) over 4 to 8 weeks . Both trials were short and had fewer than 100 people each. That is a promising hint, not proof. Carob is not a replacement for prescribed cholesterol medicine. Spitting up and reflux in babies: Carob bean gum is added to some anti-reflux infant formulas sold in Europe. Trials of thickened feeds show babies bring up milk less often. The milk is simply harder to push back up. The underlying reflux is not treated. This is a product a doctor or health visitor should pick, not a home mixture. Short-term diarrhoea in infants and children: European folk practice used carob pod powder to firm up loose stools in children. Some small, older studies tested tannin-rich carob pod powder in infants with acute diarrhoea. Results suggested shorter episodes, but the studies were small and dated. Diarrhoea in a baby can cause dangerous fluid loss. This use belongs with a doctor, not with home treatment. Low fibre intake and sluggish bowels: Carob pod is a genuine source of insoluble fibre, which adds bulk to stool. This is a food fact, not a tested treatment for constipation. No good trials have tested carob fibre against standard options like psyllium. Too much too fast tends to cause gas and bloating. A caffeine-free swap for chocolate: This one is simply true and needs no trial. Carob has no caffeine and no theobromine. It suits people who react badly to chocolate or who avoid stimulants in the evening. It is not low in sugar. Many carob bars carry as much sugar and fat as the chocolate they replace. Sore throat and cough: Carob syrup was a common folk soother for a raw throat in Mediterranean homes. We found no controlled human trials of carob for cough or sore throat. Any comfort is likely the same as from any thick, sweet syrup. A cough that lasts more than three weeks needs a doctor, not a syrup.

Quick Facts

  • What it is: Carob is the sweet dried pod of the Mediterranean carob tree, used as a cocoa swap, a fibre source and a food thickener.
  • Main uses: High cholesterol, Spitting up in babies (as gum-thickened formula), Short-term diarrhoea under medical care, Caffeine-free chocolate swap
  • Active ingredients: Insoluble fibre, Condensed tannins, Sucrose and other sugars, Galactomannan gum (locust bean gum), Pinitol
  • Forms: Roasted powder or flour, Chips and bars, Syrup, Pod tea, Fibre powder or capsules, Carob bean gum (E410)
  • Time to effect: Days for stool changes; 4 to 8 weeks for any cholesterol change, if it happens at all.
  • Side effects: Usually just gas and bloating; allergy is rare, and gum thickeners need care in babies.
  • Pregnancy & breastfeeding: Not studied in pregnancy; avoid unless your clinician advises otherwise.

Educational information, not medical advice — ask your doctor or midwife.

What is Carob?

Carob is the dried pod of the carob tree, Ceratonia siliqua. The pods are roasted and ground into a sweet brown powder used in place of cocoa. In Italy the tree is called carrubo.

The tree grows all around the Mediterranean. Its pods are sweet on their own and contain no caffeine. The hard seeds give a food thickener called carob bean gum, or locust bean gum.

People use carob in two very different ways. It is a plain food, like flour or syrup. It is also sold as a fibre supplement and added to some infant formulas.

The short verdict: carob is well tolerated, but the human evidence is thin. Two small trials hint at a drop in cholesterol. Traditional use is not proof that it works, and long use is not proof that it is safe.

How does Carob work?

Most of carob's suggested effects are put down to its fibre and its tannins.

Carob pod is close to a third insoluble fibre. In test tube and animal work, this fibre binds bile acids in the gut. That may be one reason carob pulp lowered cholesterol in two small human trials.

Carob also holds condensed tannins (plant compounds with a dry, bitter taste). In laboratory tests, tannins bind water and slow some gut bacteria. Whether that firms up stools in people is not well established.

Carob bean gum comes from the seed, not the pulp. It swells and thickens liquid. This action is physical, not chemical.

That thickening is why the gum is added to anti-reflux infant formula. Thicker milk is harder for a baby to bring back up. It does not change the underlying reflux.

Carob powder is often sold as a mood or energy helper because it looks like cocoa. There is no good human evidence behind that idea. Carob lacks the caffeine and theobromine that drive cocoa's effects.

What forms does Carob come in?

Carob is sold both as an everyday food and as a supplement.

Food forms:

Roasted carob powder or flour, used like cocoa in baking and hot drinks.

Carob chips and bars, often with added sugar and fat.

Carob syrup, a thick dark sweetener common in Mediterranean countries.

Carob pod tea, made from chopped roasted pods.

Supplement and added forms:

Carob fibre powder or capsules, made from the pulp and sold for cholesterol or gut health.

Carob bean gum, shown as locust bean gum or E410 in ice cream, sauces and soft cheese.

Anti-reflux infant formula thickened with carob bean gum, sold in pharmacies across Europe.

Baking powder and fibre powder are not the same product. Baking carob is mostly sugar. Fibre carob has much of the sugar stripped out.

Where it comes from:

Carob has been grown around the Mediterranean for thousands of years. Greek, Roman and Arab writers all described it. The Italian name is carrubo.

Carob seeds were once prized for being even in weight. Traders used them on their scales for gold and gems. The word carat traces back to that habit.

In European folk practice, carob pod powder was given to children with loose stools. Carob syrup was taken for sore throats and coughs. The pods also fed goats, pigs and horses through dry years.

The tree earned the name St John's bread from an old story about John the Baptist eating the pods. In the twentieth century carob became popular in health food shops as a caffeine-free stand-in for chocolate.

Who should avoid Carob?

  • Never give carob bean gum thickener to a premature baby, or to any baby in the first weeks of life, unless a doctor has prescribed that product.
  • Do not treat diarrhoea in a baby or young child with carob powder on your own; see a doctor first.
  • Do not use carob if you have ever reacted to carob, locust bean gum, or related legumes such as peanut, soy or lupin.
  • Never swallow carob gum or fibre powder dry; always stir it into plenty of liquid.
  • Do not take carob fibre if you have a narrowed or blocked bowel (a stricture or obstruction).
  • Do not use carob in place of a prescribed cholesterol medicine.
  • Avoid concentrated carob extracts and fibre capsules if you are pregnant or breastfeeding, as they have not been tested; normal food amounts are fine.
  • Do not take carob fibre if you have trouble swallowing, unless your doctor or speech therapist agrees.

When should you see a doctor?

Stop carob and get urgent help if you have swelling of the lips, face or throat, hives, or trouble breathing. These can be signs of a serious allergic reaction.

Get urgent help for a baby given thickened feeds who has a swollen belly, blood in the stool, repeated vomiting or who stops feeding.

See a doctor within a day or two if diarrhoea in a child lasts more than two days, or if there are signs of dehydration. Dry nappies, a dry mouth and a floppy, sleepy baby all count.

Book a routine appointment if your cholesterol is not improving, or if bloating and belly pain carry on after you stop the fibre.

Is Carob legal where you live?

In the EU, the UK and the US, carob is an ordinary food. Locust bean gum is an approved additive (E410 in Europe) and is treated as generally safe in the US.

Carob fibre capsules and powders are sold as food supplements or dietary supplements. They are not approved medicines, so no health claim on the pack has been tested as a drug claim.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

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