Plant Comparison

Flaxseed vs Fenugreek

A side-by-side comparison of two medicinal plants — every documented constituent, action, use, safety note and cited source, assembled automatically from the Omnia Sana database.

First plant
Second plant
Show:
Plant AFlaxseedLinum usitatissimumLinaceaeFull monograph →
Plant BFenugreekTrigonella foenum-graecumFabaceaeFull monograph →

At a glance

Flaxseed and Fenugreek: they share 6 indicated uses (arthritis / joint pain, cancer (anticancer research), cardiovascular / heart health, …); 2 pharmacological actions in common.

FlaxseedFenugreek
Constituents44
Pharmacological actions44
Indicated uses88
Safety notes43
Cited sources2017
Indicated uses
Only Flaxseed
BloatingIndigestion
Shared (6)
Arthritis / joint painCancer (anticancer research)Cardiovascular / heart healthInflammation (general)Metabolic supportSkin irritation
Only Fenugreek
Blood sugar / diabetes supportFertility
Pharmacological actions
Only Flaxseed
AntioxidantDigestive aid
Shared (2)
Anti-inflammatoryAnticancer (preclinical)
Only Fenugreek
Antidiabetic (blood-sugar lowering)Aphrodisiac

Evidence face-off — shared uses

ConditionFlaxseedFenugreekVerdict
Arthritis / joint pain3/108/10Stronger for Fenugreek
Cancer (anticancer research)7/107/10Comparable evidence
Cardiovascular / heart health6/107/10Comparable evidence
Inflammation (general)3/107/10Stronger for Fenugreek
Metabolic support6/107/10Comparable evidence
Skin irritation3/107/10Stronger for Fenugreek

Evidence scores (1–10) are computed from the tier of each cited source. “Comparable” means the two scores are within one point. Follow a score to its detailed sources.

Key Constituents

Lignans (secoisolariciresinol diglucoside, SDG)[3]

Flax is the richest dietary source of SDG-type lignans, converted by gut bacteria to the mammalian lignans enterodiol and enterolactone; studied for antioxidant and hormone-modulating activity.

Lignans
Alpha-linolenic acid (omega-3 fatty acid)[2, 5]

The dominant fatty acid of the seed oil (~50-55% of total oil), a plant-based omega-3 studied for cardiovascular and anti-inflammatory effects.

Mucilage polysaccharides[5]

Concentrated in the seed coat; gives flaxseed its demulcent, laxative, bulk-forming action.

MucilagePolysaccharides
Cyanogenic glycosides (linamarin, linustatin)[7]

Present at low levels; cooking/roasting reduces them to negligible amounts in normal food use - a theoretical concern only at high raw intakes.

Glycosides
Steroidal saponins (diosgenin)[12]

Thought to contribute to the antidiabetic and cholesterol-lowering effects.

Saponins
Galactomannan (soluble fiber)[5]

Mucilaginous soluble fiber that slows carbohydrate absorption, a key mechanism behind the blood-sugar-lowering effect.

Polysaccharides
4-hydroxyisoleucine (amino acid)[12]

An unusual amino acid studied for insulin-potentiating activity.

Sotolon (flavor compound)[11]

Aromatic lactone responsible for fenugreek's characteristic maple-syrup smell, including the body-odor effect reported with supplementation.

Pharmacological Actions

Anti-inflammatory[2, 4, 5, 8, 9, 12, 14, 15, 16, 18]
Anticancer (preclinical)[7]
Antioxidant[3, 5, 7, 12, 14, 15, 16, 18]
Digestive aid[2, 4, 12, 14, 15, 16, 18]
Anti-inflammatory[1, 5, 6, 9, 10, 11, 12]
Anticancer (preclinical)[8]
Antidiabetic (blood-sugar lowering)[4, 5, 6, 11, 12]
Aphrodisiac[3, 5, 11, 12]

Traditional & Indicated Uses

Arthritis / joint pain[12, 14, 15, 16, 18]Limited · 3/10

inferred from anti-inflammatory action

Evidence: 3
Label: Arthritis / joint pain
Bloating[12, 14, 15, 16, 18]Limited · 3/10

inferred from digestive action

Evidence: 3
Label: Bloating
Cancer (anticancer research)[7]Good · 7/10

inferred from anticancer action

Evidence: 7
Label: Cancer (anticancer research)
Cardiovascular / heart health[12, 13, 14, 15, 16, 18]Moderate · 6/10
Evidence: 6
Label: Cardiovascular / heart health
Indigestion[12, 14, 15, 16, 18]Limited · 3/10

inferred from digestive action

Evidence: 3
Label: Indigestion
Inflammation (general)[12, 14, 15, 16, 18]Limited · 3/10

inferred from anti-inflammatory action

Evidence: 3
Label: Inflammation (general)
Metabolic support[12, 14, 15, 16, 17, 18]Moderate · 6/10
Evidence: 6
Label: Metabolic support
Skin irritation[12, 14, 15, 16, 18]Limited · 3/10

inferred from anti-inflammatory action

Evidence: 3
Label: Skin irritation
Arthritis / joint pain[1, 5, 11, 12]Good · 8/10

inferred from anti-inflammatory action

Evidence: 8
Label: Arthritis / joint pain
Blood sugar / diabetes support[4, 5, 11, 12]Good · 7/10

inferred from antidiabetic action

Evidence: 7
Label: Blood sugar / diabetes support
Cancer (anticancer research)[8]Good · 7/10

inferred from anticancer action

Evidence: 7
Label: Cancer (anticancer research)
Cardiovascular / heart health[5, 11, 12]Good · 7/10
Evidence: 7
Label: Cardiovascular / heart health
Fertility[3, 5, 11, 12]Good · 8/10
Evidence: 8
Label: Fertility
Inflammation (general)[5, 9, 10, 11, 12]Good · 7/10

inferred from anti-inflammatory action

Evidence: 7
Label: Inflammation (general)
Metabolic support[5, 11, 12]Good · 7/10
Evidence: 7
Label: Metabolic support
Skin irritation[5, 11, 12]Good · 7/10

inferred from anti-inflammatory action

Evidence: 7
Label: Skin irritation

Safety, Cautions & Contraindications

Safety note[12, 13, 14, 15, 16, 17, 18]Info

Flaxseeds are safe for most people at recommended food amounts (1–2 tablespoons ground/day). They must be ground or milled to be bioavailable — whole seeds largely pass through the gut undigested. High fibre content may cause bloating, flatulence, and loose stools, especially if fibre intake is increased rapidly without adequate hydration. Flaxseeds contain cyanogenic glycosides (linamarin, linustatin); cooking or roasting reduces these to negligible levels in normal food amounts. Raw seeds in very large quantities are a theoretical concern, but typical use is safe (EFSA, 2017).

Safety note[12, 13, 14, 15, 16, 17, 18]Caution

Medication interactions: Flaxseed may reduce absorption of oral medications if taken simultaneously — space flaxseed supplementation 1–2 hours from medications. Omega-3 ALA and lignans may mildly enhance anticoagulant/antiplatelet effects; use caution with blood thinners. Some sources suggest caution with hormone-sensitive conditions due to phytoestrogen (lignan) content, though dietary amounts are unlikely to pose risk (Adolphe et al., 2010).

Safety note[12, 13, 14, 15, 16, 17, 18]Caution

Pregnancy: Food amounts are generally considered safe; high-dose supplements should be discussed with a clinician due to limited safety data.

Safety note[12, 13, 14, 15, 16, 17, 18, 20]Info

Duke (2002) rates flaxseed as +++ with clinical evidence (score 2) for antiatherogenic, hypocholesterolemic, laxative, lipolytic (fat-dissolving), and demulcent activities. Flaxseed's omega-3 fatty acids (ALA) and lignans are associated with reduced cardiovascular risk. Commission E approves flaxseed as a laxative and for mucilaginous protection of inflamed gastrointestinal mucosa. Dose: 1–2 tablespoons ground seed with ample water, twice daily. Whole seeds should be chewed or ground for full medicinal effect. Cyanogenic glycosides are present but at safe levels in normal dietary amounts (Duke, 2002).

Safety note[5, 11, 12]Info

Fenugreek appears https://www.nccih.nih.gov/health/fenugreek for most people.

Safety note[5, 11, 12]Caution

Less serious side effects like diarrhea and indigestion have been reported anecdotally. You may also experience https://pubmed.ncbi.nlm.nih.gov/26251835/, which could be harmful if you have an eating disorder or are trying to https://www.healthline.com/nutrition/how-to-gain-weight. Moreover, some people report a strange and slightly sweet body odor when supplementing, but this is unconfirmed. Given its effect on blood sugar, fenugreek should be used with caution if you’re taking diabetes medication or other supplements that lower blood sugar levels.

Safety note[5, 11, 12, 13]Caution

Duke (2002) provides strong clinical evidence (score 2) for fenugreek's hypoglycemic and hypocholesterolemic activities — among the best-evidenced herbal treatments for blood sugar and lipid management. Anti-inflammatory and demulcent activities also have clinical support. The seed is Commission E approved as an appetite stimulant. Dose: 6–50 g of ground seeds daily for blood sugar management; 1–4 g seeds in tea for digestive use. The plant has lactagogue effects and can cause maple syrup-like body odor due to sotolon content. Contraindicated in pregnancy at medicinal doses due to uterotonic effects (Duke, 2002).

External Ids

Gbif: 2873861
Wikidata: Q45108
Gbif: 5360475
Wikidata: Q133205

Botanical Description

Erect annual herb, slender and often branched near the top, growing 30-80 (up to 100) cm tall from a fine taproot. Leaves are alternate, sessile, narrowly lanceolate to linear, blue-green and entire-margined. Flowers are pale blue (occasionally white or pink), five-petalled and borne on slender stalks in loose terminal cymes. The fruit is a small globular capsule ('boll') that splits into ten compartments, each containing one flattened, glossy, red-brown seed.[5]

Height: 30-80 (up to 100) cm
Habit: Erect, slender annual herb
Leaves: Alternate, sessile, narrowly lanceolate to linear, blue-green, entire
Flowers: Pale blue (occasionally white or pink), five-petalled, in loose terminal cymes
Stem: Slender, erect, often branched above
Root: Fine taproot
Fruit: Globular capsule ('boll') splitting into ten compartments, each with one flattened glossy red-brown seed
Flowering Period: June-August

Erect annual herb with trifoliate leaves, each leaflet oblong and finely toothed toward the tip. Small, pale yellow to white, pea-like flowers are borne singly or in pairs in the leaf axils, followed by long, slender, curved seed pods.[11]

Height: 30-80 cm
Habit: Erect annual herb
Leaves: Trifoliate, each leaflet oblong, finely toothed toward the tip
Flowers: Small, pale yellow to white, pea-like, borne singly or in pairs in leaf axils
Stem: Erect, branching, slightly hairy
Root: Taproot with nitrogen-fixing nodules
Fruit: Long, slender, curved seed pod (10-15 cm) containing 10-20 hard, angular, yellow-brown seeds
Flowering Period: May-June

Habitat

Native to the Mediterranean region and the Fertile Crescent, cultivated since prehistory for fibre and oil and now grown worldwide in temperate regions with well-drained, fertile soils and a cool, moist growing season; occasionally found as a naturalised escape on waste and cultivated ground.[5]

Cultivated widely as a food and forage crop; native to the eastern Mediterranean and western Asia, now grown throughout South Asia, the Middle East and North Africa.[11]

Harvesting

Grown as an annual crop, seed is harvested once the capsules ('bolls') have dried and turned brown, typically in late summer, by cutting or combining the whole plant and threshing out the seed. Whole seed stores well; it should only be ground shortly before use, since the oil in ground seed oxidises and turns rancid quickly.[2]

Parts: Seed
Season: Late summer, once bolls have dried

Leaves and young sprouts are harvested throughout the growing season; seed pods are collected when fully mature and dried, then the hard seeds are threshed out.[11]

Parts: Leaf, Seed, Young sprouts
Season: Leaf/sprouts through growing season; seed at maturity

Traditional Uses

Flaxseed has a long history of traditional use as a bulk-forming laxative and demulcent for constipation and irritated gut mucosa, and as a poultice for boils and inflamed skin. Modern interest centres on its lignan (secoisolariciresinol diglucoside) and alpha-linolenic acid content, studied for cardiovascular, metabolic and hormone-related outcomes.[2, 4, 5]

Fenugreek seed has an ancient tradition across the Mediterranean, Middle East and South Asia as a digestive and appetite-stimulant remedy and lactation aid, and modern clinical research strongly supports its traditional use for blood sugar and cholesterol management, formalised in Commission E approval as an appetite stimulant.[5, 11, 12]

Preparations

Ground seed ('flax meal')[2]

Whole seed freshly ground (milled) and taken with plenty of liquid, or stirred into food; grinding is needed to make the oil and lignans bioavailable, as whole seeds largely pass through the gut undigested.

Flaxseed oil[5]

Cold-pressed oil taken as a concentrated source of alpha-linolenic acid (omega-3); lacks the fibre and lignan content of the whole ground seed.

Ground seed / seed tea[5]

Ground seeds taken with food, or whole seeds soaked/simmered as a tea, the traditional preparation for digestive and blood sugar support.

Standardized extract (capsule)[5]

Standardized seed extract in capsule form, the form most used in clinical trials on blood sugar and cholesterol.

Dosage

Ground seed[12, 13, 14, 15, 16, 17, 18]

Traditional guidance and Duke (2002) suggest 1-2 tablespoons of ground seed with ample water, once or twice daily. Educational reference only, not a prescription.

Flaxseed oil[19]

A randomised placebo-controlled trial titrated flax oil capsules (550 mg alpha-linolenic acid per 1 g of oil) to 12 capsules per day, i.e. up to roughly 12 g of oil daily, over 16 weeks - broadly matching the 1-2 tablespoons (about 10-15 mL) daily often cited for omega-3 intake. That trial was in children and adolescents with bipolar disorder and its primary outcomes were null; it is cited here only as a source for an administered human dose of the oil, not as evidence of benefit. Note the EU herbal monograph on Lini semen covers the SEED, not the oil. Educational reference only, not a prescription.

Seed[5, 12]

Clinical research and traditional sources suggest around 6-50 g of ground seed daily (higher end for blood sugar management), or 1-4 g in tea for digestive use. Educational reference only, not a prescription.

References

REF-2216, REF-2217, REF-2218, REF-2219, REF-2220, REF-2221, REF-2222, REF-2223, REF-2224, REF-2225, REF-0288
REF-1114, REF-1115, REF-1116, REF-1117, REF-0182, REF-1118, REF-1119, REF-1120, REF-1121, REF-1122

Lookalikes Review

Outcome: none-known
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07
Outcome: none-known
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

Drug Class Interactions

Not documented

Safety note[14, 15]Caution
Drug Class: antidiabetics
Mechanism: Fenugreek seed lowers fasting and post-meal blood sugar (confirmed by a meta-analysis of randomised trials in type 2 diabetes and prediabetes), so taken with diabetes medicines it may add to their effect and increase the risk of hypoglycaemia; monitor blood glucose.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-03

Pairings

Not documented

Fenugreek and bitter melon can each lower blood sugar, so taking them together — especially alongside diabetes medicines — may add up and increase the risk of hypoglycaemia. Monitor your blood glucose.[15, 16]

Partner Id: momordica-charantia
Type: caution
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-03

Fenugreek and black seed (Nigella sativa) can each lower blood sugar, so taking them together — especially alongside diabetes medicines — may add up and increase the risk of hypoglycaemia. Monitor your blood glucose.[15, 17]

Partner Id: nigella-sativa
Type: caution
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-03

References & Sources

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  8. Kaithwas, G., Mukherjee, A., Chaurasia, A.K. and Majumdar, D.K (2011) 'Anti-inflammatory, analgesic and antipyretic activities of Linum usitatissimum L. (flaxseed/linseed) fixed oil', Indian Journal of Experimental Biology, 49(12), pp. 932-938. Preclinical
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  10. Sirotkin, A.V (2023) 'Influence of flaxseed (Linum usitatissimum) on female reproduction', Planta Medica, 89(6), pp. 608-615. doi:10.1055/a-2013-2966 Meta-analysis / review
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  11. Thompson, L.U., Chen, J.M., Li, T., Strasser-Weippl, K. and Goss, P.E (2006) 'Dietary flaxseed alters tumor biological markers in postmenopausal breast cancer', 11(10), pp. 3828--3835. doi:10.1158/1078-0432.CCR-04-2326 Randomized trial
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  12. Adolphe, J.L., Whiting, S.J., Juurlink, B.H.J., Thorpe, L.U. and Alcorn, J (2010) 'Health effects with consumption of the flax lignan secoisolariciresinol diglucoside', 103(7), pp. 929--938. doi:10.1017/S0007114509992753 Clinical study
    https://doi.org/10.1017/S0007114509992753
  13. Caligiuri, S.P.B., Edel, A.L., Aliani, M. and Pierce, G.N (2014) 'Flaxseed for hypertension: implications for improved cardiovascular risk', 16(12), pp. 499. doi:10.1007/s11906-014-0499-8 Randomized trial
    https://doi.org/10.1007/s11906-014-0499-8
  14. European Food Safety Authority (2017) 'Safety of cyanogenic glycosides from flaxseed consumed as part of a usual diet', 15(11). doi:10.2903/j.efsa.2017.5026 Preclinical
    https://doi.org/10.2903/j.efsa.2017.5026
  15. Harris, W.S (2012) 'Stearidonic acid as a surrogate for eicosapentaenoic acid in cardiovascular risk reduction: update and recommendation', 70(10), pp. 565--574. Traditional / reference
    https://scholar.google.com/scholar?q=Stearidonic%20acid%20as%20a%20surrogate%20for%20eicosapentaenoic%20acid%20in%20cardiovascular%20risk%20reduction%3A%20update%20and%20recommendation
  16. Latvijas valsts mežzinātnes institūts (n.d.) 'Linsēkla Latvijā'. Available at: https://www.silava.lv Traditional / reference
    https://www.silava.lv
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    https://doi.org/10.1371/journal.pone.0007654
  18. Royal Botanic Gardens, Kew (n.d.) 'Linum usitatissimum L'. Available at: https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:381313-1 Traditional / reference
    https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:381313-1
  19. Gracious, B.L., Chirieac, M.C., Costescu, S., Finucane, T.L., Youngstrom, E.A. and Hibbeln, J.R (2010) 'Randomized, placebo-controlled trial of flax oil in pediatric bipolar disorder', Bipolar Disorders, 12(2), pp. 142-154. doi:10.1111/j.1399-5618.2010.00799.x Randomized trial
    https://doi.org/10.1111/j.1399-5618.2010.00799.x
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  1. Faghfoori, Z., Javadivala, Z., Khalili, Y. and Malek Mahdavi, A (2023) 'Effects of Trigonella foenum-graecum (fenugreek) on rheumatoid arthritis: a systematic review', Immunopharmacology and Immunotoxicology, 45(5), pp. 626-634. doi:10.1080/08923973.2023.2202298 Meta-analysis / review
    https://doi.org/10.1080/08923973.2023.2202298
  2. Ouzir, M., El Bairi, K. and Amzazi, S (2016) 'Toxicological properties of fenugreek (Trigonella foenum graecum)', Food and Chemical Toxicology, 96, pp. 145-154. doi:10.1016/j.fct.2016.08.003 Meta-analysis / review
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  3. Rao, A., Steels, E., Inder, W.J., Abraham, S. and others (2016) 'Testofen, a specialised Trigonella foenum-graecum seed extract reduces age-related symptoms of androgen decrease, increases testosterone levels and improves sexual function in healthy aging males in a double-blind randomised clinical study', The Aging Male, 19(2), pp. 134-142. doi:10.3109/13685538.2015.1135323 Randomized trial
    https://doi.org/10.3109/13685538.2015.1135323
  4. Avalos-Soriano, A., De la Cruz-Cordero, R., Rosado, J.L. and Garcia-Gasca, T (2016) '4-Hydroxyisoleucine from Fenugreek (Trigonella foenum-graecum): Effects on Insulin Resistance Associated with Obesity', Molecules, 21(11), pp. 1596. doi:10.3390/molecules21111596 Preclinical
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  5. Neelakantan, N., Narayanan, M., de Souza, R.J. and van Dam, R.M (2014) 'Effect of fenugreek (Trigonella foenum-graecum L.) intake on glycemia: a meta-analysis of clinical trials', pp. 7. Meta-analysis / review
    https://scholar.google.com/scholar?q=Effect%20of%20fenugreek%20%28Trigonella%20foenum-graecum%20L.%29%20intake%20on%20glycemia%3A%20a%20meta-analysis%20of%20clinical%20trials
  6. Nagulapalli Venkata, K.C., Swaroop, A., Bagchi, D. and Bishayee, A (2017) 'A small plant with big benefits: Fenugreek (Trigonella foenum-graecum Linn.) for disease prevention and health promotion', Molecular Nutrition & Food Research, 61(6), pp. 1600950. doi:10.1002/mnfr.201600950 Meta-analysis / review
    https://doi.org/10.1002/mnfr.201600950
  7. Ulbricht, C., Basch, E., Burke, D., Cheung, L. and others (2007) 'Fenugreek (Trigonella foenum-graecum L. Leguminosae): an evidence-based systematic review by the natural standard research collaboration', Journal of Herbal Pharmacotherapy, 7(3-4), pp. 143-177. doi:10.1080/15228940802142852 Meta-analysis / review
    https://doi.org/10.1080/15228940802142852
  8. El Bairi, K., Ouzir, M., Agnieszka, N. and Khalki, L (2017) 'Anticancer potential of Trigonella foenum graecum: Cellular and molecular targets', Biomedicine & Pharmacotherapy, 90, pp. 479-491. doi:10.1016/j.biopha.2017.03.071 Meta-analysis / review
    https://doi.org/10.1016/j.biopha.2017.03.071
  9. Piao, C.H., Bui, T.T., Song, C.H., Shin, H.S. and others (2017) 'Trigonella foenum-graecum alleviates airway inflammation of allergic asthma in ovalbumin-induced mouse model', Biochemical and Biophysical Research Communications, 482(4), pp. 1284-1288. doi:10.1016/j.bbrc.2016.12.029 Preclinical
    https://doi.org/10.1016/j.bbrc.2016.12.029
  10. Asif, M., Yousaf, H.M., Saleem, M., Saadullah, M. and others (2021) 'Trigonella foenum-graecum Seeds Oil Attenuated Inflammation and Angiogenesis in vivo through Down-Regulation of TNF-alpha', Anti-Cancer Agents in Medicinal Chemistry, 21(11), pp. 1460-1471. doi:10.2174/1871520620666201005100132 Preclinical
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  12. Kumar, P. and Bhandari, U (2013) 'Protective effect of fenugreek (Trigonella foenum-graecum L.) seeds in experimentally-induced myocardial infarction', 23(2), pp. 255--261. Traditional / reference
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  14. Neelakantan, N., Narayanan, M., de Souza, R.J. and van Dam, R.M (2014) 'Effect of fenugreek (Trigonella foenum-graecum L.) intake on glycemia: a meta-analysis of clinical trials', Nutrition Journal, 13, pp. 7. doi:10.1186/1475-2891-13-7 Meta-analysis / review
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  15. Kim, J., Noh, W., Kim, A., Choi, Y. and Kim, Y.S (2023) 'The effect of fenugreek in type 2 diabetes and prediabetes: a systematic review and meta-analysis of randomized controlled trials', International Journal of Molecular Sciences, 24(18), pp. 13999. doi:10.3390/ijms241813999 Meta-analysis / review
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  16. Zhang, X., Zhao, Y., Song, Y. and Miao, M (2024) 'Effects of Momordica charantia L. supplementation on glycemic control and lipid profile in type 2 diabetes mellitus patients: a systematic review and meta-analysis of randomized controlled trials', Heliyon, 10(10), pp. e31126. doi:10.1016/j.heliyon.2024.e31126 Meta-analysis / review
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  17. Daryabeygi-Khotbehsara, R., Golzarand, M., Ghaffari, M.P. and Djafarian, K (2017) 'Nigella sativa improves glucose homeostasis and serum lipids in type 2 diabetes: a systematic review and meta-analysis', Complementary Therapies in Medicine, 35, pp. 6-13. doi:10.1016/j.ctim.2017.08.016 Meta-analysis / review
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Generated automatically from the Omnia Sana plant database and its cited sources. For educational purposes only — not medical advice. Always consult a qualified practitioner before using medicinal plants.