You can eat
- Pomegranate arils as a dessert or snack.
- Pomegranate with plain yoghurt and oats.
- Arils over a salad of leafy greens, pulses and nuts.
- Pomegranate with orange in a fruit bowl.
- Arils over roasted vegetables or a rice dish.
- Juice occasionally if you enjoy it, without using it as a regular substitute for fruit.
What to avoid
- Buying pomegranate extracts to lower blood pressure or cholesterol.
- Drinking juice every day thinking it is equivalent to whole fruit.
- Adding sugar to the arils before tasting them.
- Using the peel or membranes as a home remedy.
- Replacing medication with a food.
- Starting to drink pomegranate juice regularly if you take warfarin without discussing it first.
Changes that help
Regular juice
Instead of a daily glass of juice, have a bowl of arils to keep the fruit’s fibre.
Elaborate dessert
Instead of adding sugar to pomegranate, mix it with plain yoghurt, as its tartness already provides contrast.
Same old salad
Instead of using the same dressing every time, add arils just before serving for texture and flavour.
Habits that help
- Choose a pomegranate that feels heavy for its size, with firm skin and no soft spots.
- Open it over a bowl to catch the juice and avoid stains.
- Store the separated arils in a sealed container in the fridge.
In autumn, pomegranate appears in the market with a skin that hides the edible part [6]. In consultations, we hear two recurring questions: is it worth the effort to open one, and do its compounds justify drinking juice for health reasons? The arils are an easy way to add fruit and texture; the evidence on possible clinical effects needs to be considered separately.
What does a serving of pomegranate provide?
We use 100 g of edible portion as a basis for comparison, not as a prescribed serving [1]. This is the weight of the arils, without the peel or membranes. BEDCA states that the edible portion makes up 56% of the fruit’s weight [1]; the actual weight varies from fruit to fruit.
| Component | Per 100 g of edible portion [1] | Equivalent amount |
|---|---|---|
| Fibre | 3.5 g [1] | 3,500 mg [1] |
| Vitamin C | 20 mg [1] | 20,000 µg [1]; not expressed in IU |
| Potassium | 247 mg [1] | 247,000 µg [1] |
| Polyphenols | Present [6] | No comparable figure in this record; IU are not a unit for polyphenols |
The upper daily limits for vitamin C include food and supplements: ages 1–3, 400 mg (400,000 µg) [5]; ages 4–8, 650 mg (650,000 µg) [5]. For ages 9–13, the limit is 1,200 mg (1,200,000 µg) [5]; for ages 14–18, 1,800 mg (1,800,000 µg) [5]. From age 19 onwards, the limit is 2,000 mg (2,000,000 µg) [5]. No limit has been established for infants under one year [5]. These are safety limits, not intake targets; vitamin C has no equivalent in IU.
Polyphenols include anthocyanins, which contribute to colour, and tannins, which give astringency [6]. Their amounts vary between fruits and preparations. The BEDCA record used for the table does not allow a clinical effect to be calculated from the amount of arils eaten [1].
What does the evidence say about blood pressure, cholesterol and inflammation?
For blood pressure, a review of trials found average reductions when different pomegranate preparations were analysed together [2]. Results varied widely between studies. The authors call for better-quality trials before clinical efficacy can be attributed to pomegranate. This is a research signal, not a plan for treating hypertension.
For cholesterol, another review found a small increase in HDL, but no significant changes in total cholesterol, LDL or triglycerides [3]. The trials used juices, extracts and other preparations. We therefore cannot apply the result to a bowl of arils or suggest changing a statin.
For inflammation, an analysis of trials involving juice found a decrease in C-reactive protein, a blood marker [4]. The authors also call for more studies. An improvement in a marker does not prove that eating pomegranate prevents or treats a disease.
If you are looking to make changes for blood pressure, our diet guide for hypertension is a useful reference. It covers the overall eating plan alongside medical follow-up. Pomegranate can be part of that plan without taking the place of treatment.
Pomegranate juice or whole fruit?
For regular use, choose the whole arils. When you juice them, you leave some of the fibre behind. Drinking a glass also takes less time than removing the arils and chewing the fruit, so it is easy to have more without realising.
If you fancy juice occasionally, serve it as a drink with a meal. The clinical evidence cited above mainly studies juices or extracts; that does not make juice a necessary purchase. To compare it with another fruit, see our orange guide.
How to choose, open and store a pomegranate
Choose a heavy, firm fruit with no soft spots or mould. The skin colour varies by variety and is not enough to judge its sweetness. In Spain, the harvest season is concentrated in autumn [6].

- Wash and dry the skin before cutting the fruit.
- Trim the crown without pressing the knife in too deeply.
- Score the skin along the white divisions and pull the pomegranate into sections with your hands.
- Remove the arils over a bowl and take away the white membranes.
If juice splashes, open the sections inside a large bowl. The membrane is bitter, so removing it improves the flavour. Store the whole fruit in a cool place and the removed arils in the fridge. Eat the arils within a few days; discard them if they smell unpleasant or mould appears.
Ways to enjoy it without juicing
The arils add tartness, colour and texture. They go well with oats or walnuts on plain yoghurt. In a chickpea salad with leafy greens and olive oil, they balance the flavours. They also work well as a topping for vegetable soup or rice with vegetables.
For a simple dessert, combine pomegranate with orange segments. Seasonal fruit changes throughout the year; you can check the seasonal fruit and vegetable guide for reference. If you pair it with dark chocolate, enjoy it for the flavour without attributing therapeutic properties to the combination.
What questions come up in consultations?
In consultations, we find that preparation time is more of a barrier than the taste. Opening one fruit and storing the arils makes it easier to add them to several dishes. No special recipe is needed.
Another idea people raise is that “redder” means “more antioxidant”. Colour cannot tell you how many polyphenols are in your serving. A common question is whether you need to drink the juice to benefit from them. Trials do not support that conclusion for any particular person.
Who should be careful with the juice?
If you take warfarin and want to start drinking pomegranate juice regularly, discuss it with your pharmacist or doctor [7]. A case report described a possible interaction but did not establish causation [7]. Another study in volunteers found no relevant change in the metabolism of a test medicine, but it did not study warfarin directly [8]. We do not extend this uncertainty to all medicines or claim that eating a few arils affects treatment.
Pomegranate provides potassium [1]. If you have kidney disease, your nephrologist or dietitian will tell you how much protein, potassium, phosphorus and other minerals are suitable for you based on your stage of kidney disease. Adjust the amount of pomegranate to fit that plan. Do not change medication for blood pressure or cholesterol because you have read about a laboratory result.
Pomegranate is easier to enjoy when opening it is no longer a barrier. Its arils add variety to meals and provide measurable nutrients; its possible clinical effects are still being studied.
A fruit can enrich your meal without replacing a medicine.
If you need to adapt your diet to your blood pressure, cholesterol or medication, the metabolic health nutrition team can assess this with you, in Barcelona or online.
Your first step this week
One pomegranate, ready to eat
Open one over a bowl and store the arils in the fridge so you can add them to a dish this week.
When to see a doctor
The limit. Pomegranate can be part of a varied diet. It does not replace tests or treatment for high blood pressure or cholesterol.
- Eat the arils as fruit; one serving does not treat hypertension.
- If you choose juice, remember that it contains less of the fruit’s fibre.
- If you take warfarin and want to drink pomegranate juice regularly, discuss it with your pharmacist or doctor.
- If you have kidney disease, adjust the amount of pomegranate to the plan recommended by your nephrologist or dietitian.
- If you take a statin, follow your doctor’s instructions: eating pomegranate does not replace treatment or justify changing it on your own.
What to do. If you need to adapt your diet because of kidney disease, consult your nephrologist or dietitian. If you take warfarin and want to drink juice regularly, ask your pharmacist or doctor. If you take a statin, follow the prescribed plan and do not change it on your own.
In summary. The possible clinical effects of pomegranate are still being studied. Enjoy it as a fruit within a varied diet.

Every case is different
General guidance can only take you so far. The next step is to look at your situation in a consultation.
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Sources
- BEDCA Consortium and Spanish Agency for Food Safety and Nutrition. No date for the record (accessed: 2026). Pomegranate, record 2226. Spanish Food Composition Database. https://www.bedca.net/bdpub/
- Bahari H, Omidian K, Goudarzi K, Rafiei H, Asbaghi O, Hosseini Kolbadi KS, Naderian M, Hosseini A. 2024. The effects of pomegranate consumption on blood pressure in adults: A systematic review and meta-analysis. Phytotherapy Research. 38(5):2234–2248. doi:10.1002/ptr.8170.
- Cheng W, Liang K, Huang A. An updated systematic review and meta-analysis of pomegranate consumption on lipid profile. Prostaglandins & Other Lipid Mediators. 2025;178:106992. doi:10.1016/j.prostaglandins.2025.106992.
- Shahraki Jazinaki M, Rashidmayvan M, Pahlavani N. The effect of pomegranate juice supplementation on C-reactive protein levels: GRADE-assessed systematic review and dose-response updated meta-analysis of data from randomized controlled trials. Phytotherapy Research. 2024;38:2818–2831. doi:10.1002/ptr.8188.
- National Institutes of Health, Office of Dietary Supplements. Vitamin C: Fact Sheet for Health Professionals. 2025. Available at: https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/
- Spanish Nutrition Foundation. No date for the record (accessed: 2026). Pomegranate. Food Market. https://www.fen.org.es/MercadoAlimentosFEN/pdfs/granada.pdf
- Jarvis S, Li C, Bogle RG. 2010. Possible interaction between pomegranate juice and warfarin. Emergency Medicine Journal. 27(1):74–75. doi:10.1136/emj.2007.055855.
- Hanley MJ, Masse G, Harmatz JS, Court MH, Greenblatt DJ. 2012. Pomegranate juice and pomegranate extract do not impair oral clearance of flurbiprofen in human volunteers: Divergence from in vitro results. Clinical Pharmacology & Therapeutics. 92(5):651–657. doi:10.1038/clpt.2012.170.
- McEvoy JW, McCarthy CP, Bruno RM, et al.; ESC Scientific Document Group. 2024. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. European Heart Journal. 45(38):3912–4018. doi:10.1093/eurheartj/ehae178.
- Mach F, Baigent C, Catapano AL, et al.; ESC Scientific Document Group. 2020 (2019 guideline). 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. European Heart Journal. 41(1):111–188. doi:10.1093/eurheartj/ehz455.
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