Mastic gum's triterpenic acids work through: (1) H. pylori inhibition — masticadienonic acid inhibits H. pylori urease (the enzyme bacteria use to survive gastric acid) and disrupts bacterial adhesion to gastric epithelium; (2) cytoprotective — increases mucus secretion and prostaglandin E2 in gastric mucosa, protecting against acid damage; (3) anti-inflammatory — inhibits NF-κB and reduces inflammatory cytokines in gastric tissue; (4) lipid modulation — triterpenic acids inhibit cholesterol absorption and hepatic cholesterol synthesis (mechanism similar to plant sterols). The H. pylori mechanism is notable: mastic gum doesn't kill H. pylori like antibiotics; it disrupts its survival mechanisms (urease, adhesion), which may explain the 30% clearance rate.
No critical interactions identified.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated:
Not medical advice. Based on published clinical research and systematic reviews.