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A tall tree with lush, green foliage, reminiscent of the calming health benefits of cinnamon, stands majestically against a clear blue sky.

What Is Neem?

Neem, a fast-growing, hardy tree, has earned the title village pharmacy in India due to its extensive medicinal value. Known for its impressive longevity and resilience, neem offers healing for numerous acute and chronic conditions.

Although the neem tree (Azadirachta indica) is most often associated with Ayurvedic medicine, its roots extend further back to Siddha medicine in South Indian Tamil culture, dating between 10,000 B.C. and 4,000 B.C. (Sarkar et al., 2021).

An Ancient Past

Neem’s reputation as a healing agent stretches back to the earliest Sanskrit writings, which documented the medicinal benefits of its fruits, seeds, oil, leaves, roots, and bark. Over thousands of years, neem has been integral to Indian Ayurveda and Unani medicine, benefiting millions across Asia.

Indian migrants contributed to the widespread distribution of the neem at the start of the 20th century. The neem tree has since proliferated and is now grown in 72 countries across Asia, Africa, Central, and South America (Jhariya et al., 2013).

In recent years, neem has also gained prominence in regions like tropical America and Africa, where it’s similarly regarded as a valuable treatment option.

A Most Beneficial Medicinal Plant

Neem is one of the most versatile medicinal plants, offering preventive and therapeutic benefits for humans, animals, and plants. Extracts from various parts of the neem tree—leaves, flowers, seeds, bark, and roots—are rich in bioactive phytochemicals, which have remarkable potential for treating a wide range of conditions.

These compounds give neem its anti-inflammatory, antimicrobial, anticancer, liver-protective, and immunomodulatory properties.

Furthermore, neem oil, derived from seeds, has insecticidal properties and can be used as a natural pesticide, herbicide, fungicide, and weedicide. Neem leaves, when composted, also function as biofertilizers, enhancing soil quality and agricultural yield.

A scientist in a white lab coat and blue gloves is looking through a microscope in a laboratory setting. Various lab equipment is visible on the table.

Among neem’s most studied bioactive components are limonoids, such as nimbolide and azadirachtin. These compounds exhibit significant antioxidant and anticancer properties, with studies showing their ability to neutralize free radicals and protect cells from oxidative damage.

Research further highlights neem’s ability to regulate critical biological processes, such as reducing inflammation, inducing apoptosis, modulating angiogenesis, and enhancing immune system function. These properties make neem extracts valuable in preventing cellular damage and bolstering immunity through the activation of specific white blood cells like T cells.

The therapeutic versatility of neem underscores its potential as a medicine for a wide array of diseases. Its ability to influence key biological pathways has made it a cornerstone of natural medicine, particularly for managing chronic diseases and improving overall health.

Beyond these broad health benefits, exploring neem’s role in gut microbiome modulation reveals exciting possibilities for its impact on digestive and immune health.

Key Benefits of Neem

  • Medicinal Properties:
  • Anti-inflammatory, antimicrobial, anticancer, and liver-protective.
  • Immunomodulatory functions enhance T cell production to fight infections.
  • Agricultural Uses:
  • Neem oil works as an effective pesticide, herbicide, and fungicide.
  • Neem leaf compost acts as a biofertilizer, boosting soil fertility.
  • Bioactive Compounds:
  • Limonoids like nimbolide and azadirachtin provide antioxidant and anti-cancer benefits.
  • Broad Applicability: Effective in managing both health conditions and improving crop productivity.
neem tree

Potent Broad-Spectrum Antimicrobial

Neem is particularly well known through its potent, broad-spectrum antimicrobial properties. Beyond fighting infections, neem is valued for its role in restoring gut microbiome balance, enhancing skin and hair health, and supporting blood sugar regulation. We’ll talk more about neem’s powerful and balancing affect on the human gut microbiome, one of the key reasons neem extract was used in Yeastrix Cleanse.

Today, neem is widely used as an antiseptic and is effective against various skin and scalp conditions, including septic sores and infected burns, and psoriatic lesions. Its leaves, when prepared as poultices or decoctions, are commonly recommended for boils, ulcers, and eczema, while neem oil is used for chronic skin ailments like fungal skin infections, ringworm, psoriasis, and chronic ulcers.

Key Highlights of Neem’s Traditional and Modern Uses:

  • Historical Roots: Documented use in Ayurveda, Siddha, stretching back thousands of years.
  • Versatile Application: Treats a wide range of ailments and chronic disorders.
  • Antimicrobial Benefits: Effective against many gut and skin diseases, burns, and other infections.
  • Potential Modern Applications in Humans: anti-inflammatory, anti-cancer, anti-diabetic, anti-fungal, anti-malarial, anti-microbial, anti-oxidant, anti-ulcer properties, anti-viral, blood-pressure lowering,
  • Agricultural Uses: Neem can make a potent insecticide, fungicide, herbicide, and weedicide.

Azadirachtin Is A Key Compound

Azadirachtin is a specific bioactive compound extracted from neem oil. It is then concentrated and purified for its potent effects. It is highly effective against over 200 insect species, such as aphids, thrips, whiteflies, and mites. It disrupts their feeding, mating, and development cycles.
Unlike neem oil, azadirachtin does not control fungal diseases but is far more effective as an insecticide due to its targeted mode of action.

Insecticidal and Biological Properties

Azadirachtin, a naturally occurring chemical (tetracyclic triterpenoid) found primarily in the seeds of the neem tree (Azadirachta indica), is renowned for its powerful insecticidal and biological properties. This compound, which accounts for a significant portion of neem seed extracts, functions as an antifeedant and growth disruptor for over 200 insect species.

Neem products do not necessarily provide absolute insect control like powerful chemicals. However, frequent applications can reduce pest populations dramatically by repelling them and inhibiting their larval development, growth, fertility, mating and egg laying, as well as deterring feeding.

Beyond its role as a natural pesticide, azadirachtin is environmentally friendly, biodegrading quickly with minimal toxicity to animals, humans, and bees.

Its complex structure, featuring numerous reactive oxygen-containing functional groups, contributes to its diverse biological mechanisms, including triggering oxidative stress and protecting plants from pest damage. These unique properties make azadirachtin a cornerstone in sustainable agriculture and a model for eco-friendly pest control solutions.

Is Azadirachtin Extract and Neem Oil the Same?

No, azadirachtin extracts and neem oil are not the same, though they are closely related and both derived from the neem tree (Azadirachta indica). Neem oil is extracted from the seeds of the neem tree and contains a mix of compounds, including azadirachtin, nimbin, salanin, and fatty acids.

Neem oil can work as a general pesticide and fungicide, controlling insects and diseases such as rust, powdery mildew, and sooty mould. Neem oil is broader in application but less potent for insect control than purified azadirachtin. It interferes with insect behavior (feeding and reproduction) and protects plants from some fungal pathogens. Once azadirachtin is removed from neem oil, the remaining product is referred to as clarified hydrophobic neem oil extract.

Environmental Impact

New Zealand Naturopath Eric Bakker holding a frame from a beehive with bees and honeycomb in a garden setting, marveling at nature's original sweetener.
Eric Bakker with Bees

Both neem oil and azadirachtin are safe for humans, wildlife, and pollinators like bees when used appropriately. However, they can pose slight to moderate risks to aquatic organisms, including fish and mammals.

In summary, azadirachtin is a concentrated, highly effective component of neem oil, while neem oil itself offers broader, albeit less concentrated, pest and disease management capabilities.

Neem For Gut Microbiome Balance

A person wearing a light gray top holds a pill near their mouth with one hand.

Neem not only combats pathogenic organisms but also helps maintain the balance of healthy gut bacteria. Its targeted action allows beneficial bacteria to thrive, supporting overall gut health and aiding in the restoration of the gut microbiome. It’s one of the key reasons we included a premium neem extract in out microbial balancing formula called Yeastrix Cleanse.

This selectivity is particularly valuable in cases of Candida overgrowth, where maintaining a diverse and balanced microbial population is essential for long-term gut health.

Neem has shown considerable promise as a natural antimicrobial, especially for gut health. Traditionally used in Ayurvedic medicine, neem’s bioactive compounds, like nimbin and gedunin, have strong antibacterial, antifungal, and antiparasitic properties that target pathogens often implicated in conditions like SIBO and other gut imbalances (Wylie et al., 2022).

Neem Supports Bacterial Overgrowth

Neem’s antimicrobial capabilities help control bacterial overgrowth, which is crucial in managing SIBO. Research suggests that neem is effective against common SIBO-associated bacteria like E. coli and Citrobacter, Klebsiella pneumoniae (NIH).

By reducing these bacterial populations, neem helps alleviate SIBO symptoms such as bloating, gas, and abdominal discomfort. Its anti-inflammatory properties may also provide soothing relief from intestinal irritation often experienced by those with SIBO​ (Jain et al., 2013). I also find need to be useful in an herbal formulation for SIBO patients who have high levels of Escherichia coli and Pseudomonas aeruginosa  levels in their stool test reports.


Neem Inhibits Candida and Other Fungi

a petri dish containing Candida auris growth

Neem offers significant benefits in managing Candida overgrowth by disrupting fungal cell membranes, preventing biofilm formation, and supporting a balanced gut microbiome.

Key neem compounds like azadirachtin and nimbolide weaken Candida’s cell wall integrity, making it vulnerable to immune defenses (Alzohairy et al., 2016).

These actions impair Candida’s ability to grow and reproduce, while neem’s anti-biofilm properties prevent Candida from forming protective layers that make infections more resistant (Wylie et al., 2022).

Neem’s antifungal action extends to multiple fungal species, including Candida, a common cause of fungal infections. Given the increasing resistance of fungal species to traditional antifungals, neem’s lack of documented resistance, as noted in some studies, is an encouraging advantage over existing antifungal drugs like fluconazole.

Neem also selectively targets harmful yeasts like Candida without significantly affecting beneficial gut bacteria, supporting a healthier microbial balance (Conlon et al., 2014).

Key Benefits of Neem for Candida And Bacterial Overgrowth

  • Disrupts Candida cell membranes: Weakens cell structure, making cells more vulnerable.
  • Inhibits biofilm formation: Prevents Candida from forming resistant protective biofilm layers.
  • Supports beneficial gut bacteria: Helps maintain balance, promoting healthy gut flora.
  • Selective targeting: Favours beneficial gut bacteria, promoting a balanced microbiome.
  • Reduces microbial resistance risk: No current evidence of resistance to neem compounds​
  • Broad-Spectrum Application: Effective against a range of pathogens, including bacteria and fungi, without significant toxicity (Wylie et al., 2022).

Neem Is Anti-Parasitic

microscopic picture of trichophyton rubrum

Neem’s anti-parasitic effects have been leveraged to treat various intestinal parasites. It helps to cleanse the gut by disrupting the life cycles of certain parasites, creating an environment hostile to their proliferation. (Alzohairy 2016).

Additionally, neem’s antifungal properties are effective against fungi like Candida, which can disrupt gut flora and compromise immune health. Studies show neem’s compounds can inhibit fungal growth and prevent it from colonising the gut, which is essential for a balanced microbiome​ (Barua et al., 2017).

In conclusion, neem is a promising natural remedy for addressing various gut health issues, including SIBO, Candida overgrowth, and parasitic infections. For those seeking a natural and comprehensive approach to gut health, neem can be a valuable part of their Candida Cleanse.


Anti-Malarial Activity

Neem has been used in traditional medicine for malaria treatment, especially in parts of Asia and Africa (Maafoh et al., 2024).

Compounds in neem leaf extracts have demonstrated efficacy in vitro against drug-resistant strains of Plasmodium falciparum, the parasite responsible for the most dangerous form of malaria.

This suggests neem might provide a supplementary role in malaria treatment, though more studies are necessary to improve its clinical relevance.

Key Points To Know

  • Antifungal and Antibacterial Properties:
  • Neem leaf extract is rich in compounds like nimbin, nimbidin, and azadirachtin, which show significant antimicrobial effects. Research has shown neem to be effective against Candida albicans, a common yeast involved in gut dysbiosis, without developing microbial resistance as seen with traditional antifungals.
  • Anti-inflammatory and Immunomodulatory Effects:
  • Inflammation is often associated with gut imbalances, and neem is known for its anti-inflammatory properties. These properties could help in reducing gut inflammation, thereby creating a more favorable environment for beneficial bacteria to thrive.
  • Low Toxicity and Natural Profile:
  • Neem has low toxicity, especially at dosages typically recommended for supplements. This makes it a favorable choice for individuals looking for natural alternatives to pharmaceutical antimicrobials and antifungals, especially for long-term use.
  • Shelf Stability:
  • The resilience of neem extract against degradation makes it convenient for supplement forms, ensuring longer shelf life and potency over time, which contributes to its accessibility and effectiveness.
  • No Documented Microbial Resistance:
  • This is a significant advantage in treating fungal infections like Candida, as microbial resistance is a common challenge with pharmaceutical antifungals. The lack of resistance helps ensure that neem remains effective over repeated uses.

Anti-Inflammatory

A woman wearing a gray shirt holds her wrist, which is glowing red, indicating pain or injury. Considering her discomfort, she might benefit from consuming anti-inflammatory foods to help reduce the inflammation.

Neem demonstrates potent anti-inflammatory properties due to its bioactive phyto-chemicals. Studies have confirmed its efficacy in managing both acute and chronic inflammation (Dutta et al. 2016; Emran et al. 2015; Jagadeesh et al. 2014).

Remarkably, neem has shown to be more effective than non-steroidal anti-inflammatory drugs (NSAIDs), including ibuprofen. This positions neem as a promising natural alternative for anti-inflammatory therapies. (Kang et al., 2014,

Neem extracts are capable of reducing pain and inflammation. The anti-inflammatory properties of Azadirachta indica (neem) stem from its rich composition of bioactive phytochemicals, which target multiple pathways involved in inflammation. Below is a detailed look into the compounds and their mechanisms:

Key Bioactive Compounds in Neem

(Arora & Sen., 2023)

  1. Nimbin
    • Exhibits anti-inflammatory properties by modulating inflammatory mediators.
    • Reduces the release of histamine and prostaglandins, which are key players in inflammation.
  2. Nimbidin
    • Found in neem seed oil, it suppresses the activity of pro-inflammatory cytokines like tumor necrosis factor-alpha (TNF-α) and interleukin-1β (IL-1β).
    • Inhibits the migration of immune cells to sites of inflammation.
  3. Azadirachtin
    • Known for its immunomodulatory effects, azadirachtin can reduce the overactivation of the immune system, contributing to anti-inflammatory activity.
  4. Gedunin and Quercetin
    • These polyphenolic compounds act as antioxidants, scavenging free radicals and reducing oxidative stress, which is a significant contributor to chronic inflammation.
  5. Flavonoids and Triterpenoids
    • Help inhibit enzymes like cyclooxygenase (COX) and lipoxygenase (LOX), which are involved in the synthesis of pro-inflammatory molecules.

Mechanisms of Action

(Sarkar et al., 2021)

Neem’s anti-inflammatory effects occur through:

  1. Inhibition of Pro-inflammatory Cytokines
    • Neem reduces levels of TNF-α, IL-6, and IL-1β, which are crucial in triggering and sustaining inflammation.
  2. Suppression of COX and LOX Enzymes
    • These enzymes produce prostaglandins and leukotrienes, compounds that mediate pain, fever, and swelling. Neem inhibits their activity more effectively than NSAIDs like ibuprofen.
  3. Modulation of NF-κB Pathway
    • NF-κB is a transcription factor that regulates the expression of inflammatory genes. Neem components inhibit its activation, thus reducing inflammation at the molecular level.
  4. Reduction of Oxidative Stress
    • By scavenging free radicals and increasing antioxidant enzymes, neem lowers oxidative damage, which often exacerbates inflammation.

Antioxidant Properties

Studies have shown that neem is a rich source of antioxidants that can play a role in prevention and treatment of diseases via the inhibition of bacterial growth and modulation of genetic pathways.

Azadirachta indica contains active constituents, including nimbin, nimbidin, nimbolide, limonoids and quercetin.

Not only do these compounds have antifungal and antibacterial activities, but they also exhibit anti-inflammatory, anti-arthritic, anti-tumour activities and more.

Neem has been shown to have free radical-scavenging activity and help with the management of cancer through the regulation of cell signalilng pathways. It also plays a role as an anti-inflammatory agent via regulation of pro-inflammatory enzyme activities.

How To Use Neem Oil

When looking to purchase neem oil, online stores or health food retailers are convenient sources. Choose 100 percent pure neem oil that is yellowish, cloudy, and has a distinct garlic or sulfur-like odor.

Neem oil is a versatile natural remedy with applications ranging from pest control to skincare.

Opting for certified organic neem oil ensures that it is free from solvents or petrochemicals that can be present in non-organic varieties. For targeting specific pests, like bed bugs or mosquitoes, neem oil sprays are a safe and effective alternative to chemical insecticides.

Neem oil can also be used to protect plants from pests, but take care with timing and weather.

Some garden experts advise against applying neem oil in hot weather, as it can harm plants; instead, spray in cooler temperatures and keep plants in the shade until the neem solution dries. I tend to disagree, having used neem oil for more than 20 years personally, it depends on how strong the mixture you make and the timing. Neem oil spray can be used both as an insecticide as well as a weedicide, it can kill weeds.

When it comes to an effective insecticide, lower concentrations applied more frequently (in any weather) always make more sense than concentrated solutions applied in the middle of a hot day.

To prepare neem oil for plants, mix two tablespoons of neem oil per gallon of water, and spray the solution thoroughly on all surfaces of the plant, including the undersides of leaves.

To ensure the best results, follow these guidelines:

Tips for Using Neem Oil for Skin and Hair

Neem oil is popular for skincare and haircare due to its therapeutic properties. You’ll often find it in cosmetic products, or you can add it to your homemade recipes for personal care.

  • Store Cool and Dark:
  • Always store neem oil in a cool, dark area or a refrigerator to keep it fresh longer, typically up to a year or two (or three if kept well).
  • Neem Oil More Solid At Cool Temperature:
  • If the neem oil solidifies at cooler temperatures, simply place the bottle in warm water to restore it to a liquid form. Be mindful not to overheat, as excessive warmth can degrade azadirachtin, one of neem oil’s most potent active ingredients.

Purchasing Neem Oil

  • Appearance and Quality: Look for yellow-colored, cloudy neem oil with a strong odor reminiscent of garlic and sulfur. It shouldn’t smell “stale”.
  • Purity: Opt for 100% pure neem oil, ideally certified organic, to avoid contaminants like petrochemicals or solvents that may be used during extraction. Avoid oil blends, buy pure oil only.

Applications of Neem Oil

  • Pest Control for Plants:
  • Dilution: Mix two tablespoons (approximately one ounce) of neem oil per gallon of water.
  • Usage: Spray the mixture on all plant surfaces, including the undersides of leaves, until thoroughly wet. Avoid concentrated application during very hot weather to prevent damage; keep treated plants in the shade until the solution dries. In summer, spray early morning or around dusk.
  • Weed Control:
  • Dilution: Mix two tablespoons (approximately one ounce) of neem oil with half-a-gallon of water. Application during very hot weather will help to cause damage, leading to the death of weeds. Avoid spraying plants early morning or around dusk. Spray in the middle of a hot day at seven day intervals for best results.
  • Insect Repellent:
  • Neem oil sprays are effective against mosquitoes, bed bugs, and other pests, serving as a safer alternative to chemical repellents.
  • Skincare and Haircare:
  • Neem oil is found in many cosmetic products such as soap and shampoo or can be added to homemade remedies to promote healthy skin and hair. Caution is advised with dosages.

Neem oil’s wide range of uses makes it a valuable addition to your home, whether for natural gardening solutions or personal care.


Yeastrix Cleanse: A Comprehensive Antifungal Solution

For those looking for an all-in-one solution to tackle Candida and other fungal or bacterial infections, consider Yeastrix Cleanse, our 3rd generation antifungal supplement.

This product combines a potent neem extract with several other powerful antifungals, creating a balanced and effective cleanse for yeast overgrowth.

Yeastrix Cleanse includes:

With Yeastrix Cleanse, you can simplify your antifungal regimen by getting the benefits of neem along with other natural ingredients that promote gut health and combat yeast infections. Made with the highest-quality, non-GMO, and vegetarian ingredients, it’s designed for those looking for a natural, safe, and effective approach to Candida management.

Neem Oil Safety Guidelines

Neem oil is generally safe for topical and oral use when applied in moderation and for short durations. However, caution is required to avoid potential side effects, especially when using it in large amounts or for extended periods. Here’s what you need to know:

Safe Use for Adults

  • Topical Use: Neem oil is typically safe for skin application for up to two weeks. Dilute it with a carrier oil, such as coconut oil, to reduce the risk of irritation.
  • Oral Use: When taken by mouth, neem is safe for up to 10 weeks in adults. It is also safe when applied inside the mouth for up to six weeks.
  • Dilution Test: Always test a small, diluted amount on a patch of skin to check for sensitivity or allergic reactions before broader use.

Potential Risks

  • Overuse Concerns: High doses or prolonged use may harm the liver or kidneys.
  • Pregnant and Breastfeeding Women:
  • Pregnant women should avoid neem oil, as it may induce miscarriage.
  • Breastfeeding women should also refrain from use to prevent potential adverse effects on infants.
  • Children and Infants:
  • Neem products should not be used on very young children without medical approval, as they may cause side effects, including vomiting, diarrhoea, and drowsiness.

Environmental Safety

When used as a pesticide or insecticide:

  • EPA Assessment: Cold-pressed neem seed oil and its active ingredients, such as azadirachtin, are considered safe for humans when used as directed. The EPA states that these products pose no significant risk to non-target organisms or human health.
  • Environmental Impact: Neem oil is unlikely to harm pollinators, wildlife, or aquatic systems when applied appropriately. However, always follow product guidelines to ensure safe usage.

Important Interactions

Consult a healthcare professional before using neem oil if you have a chronic medical condition or are taking different kinds of pharmaceutical medications, as interactions may occur.

Key Safety Tips

  • Dilute Properly: Always mix neem oil with a carrier oil for topical applications.
  • Mix In Warm Water First: If using as a spray for insects or weeds, mix oil in a little warm water first.
  • Patch Test: Test the diluted oil on a small skin area to avoid allergic reactions.
  • Check Labels: Follow product instructions closely, especially when using neem oil as a pesticide.
  • Consult Experts: Always seek professional advice for use in vulnerable groups like children, pregnant women, or those with underlying health or medical issues.
Man with glasses smiling outdoors.

Eric Bakker N.D.

Greetings! I am a naturopathic physician from New Zealand. Although I’ve retired from clinical practice since 2019, I remain passionate about helping people improve their lives. You’ll find I’m active online with a focus on natural health and wellbeing education through my Facebook page and YouTube channel, including this website.

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