

Mistletoe (Viscum album) is a medicinal plant that has been used in European integrative medicine for over a century. While it is most widely known for its supportive role in cancer care, mistletoe therapy is now being explored for its potential benefits in metabolic health, including blood sugar regulation, insulin support, and weight management.
Mistletoe contains bioactive compounds such as lectins, flavonoids, and polyphenols, which appear to influence immune signaling, inflammation, and metabolic pathways. When prescribed by a trained healthcare provider, mistletoe therapy may be used as a complementary treatment alongside nutrition, lifestyle changes, and conventional medical care.
Research suggests mistletoe may support metabolic health and weight management by improving the way the body regulates blood sugar, insulin, and fat. Unlike stimulants or fad supplements, mistletoe works gradually to enhance the body’s natural metabolic processes, which may be especially helpful for those experiencing insulin resistance or hormonally driven weight gain.
Mistletoe supports metabolic health by helping the body manage blood sugar, insulin, and fat metabolism. Research suggests that its effects are gradual and supportive, rather than forceful, making it a gentle way to improve metabolic function over time.
To make this understandable for everyone, let’s translate the complex “science-speak” into everyday concepts. Think of your metabolism like a factory. When you have insulin resistance or weight gain issues, the factory’s doors are jammed, the workers are exhausted, and the storage warehouse is overflowing.
Mistletoe therapy acts like a specialized “factory consultant” to get things moving again.
The Science: Mistletoe activates the PI3K/Akt pathway, which moves GLUT4 (sugar transporters) to the cell surface.
Let’s break it down: Imagine your cells are houses and sugar is the delivery person. In insulin resistance, the front doors are locked and the “Insulin Key” doesn’t work. Sugar stays stuck in the street (your bloodstream), causing damage.
This will translate into DECREASED INSULIN RESISTANCE:
The Science: Mistletoe’s antioxidants protect Beta-cells from oxidative stress and “glucotoxicity.”
Let’s Break it Down: Your pancreas is the factory’s power plant; it creates the insulin keys. When blood sugar is constantly high, it’s like running the power plant at 200% capacity until the machines catch fire and break down (Beta-cell death).
This will translate into IMPROVED BLOOD SUGAR REGULATION:
The Science: Mistletoe blocks PPAR-gamma, a signal that tells the body to create new fat cells.
Let’s Break it Down: When your body has extra energy, it likes to build new “warehouses” (fat cells) to store it. Once these warehouses are built, they are very hard to tear down.
This will translate into increased FAT METABOLISM:
These outcomes are very promising and as with all research, further research is encouraged to further develop a deeper understanding for the maximal benefits that may be attained using mistletoe therapy.
Mistletoe therapy may be helpful for individuals experiencing metabolic challenges, particularly when conventional lifestyle strategies have not fully addressed symptoms.
You may benefit if you:
Mistletoe therapy is intended to be supportive and integrative, not a replacement for foundational metabolic care.
Mistletoe therapy is not appropriate for everyone. It should always be prescribed and monitored by a qualified healthcare provider.
Caution or avoidance is recommended if you:
Your naturopathic doctor will review your medical history, medications, and goals to determine whether mistletoe therapy is appropriate for you.
Mistletoe therapy has been used in clinical settings for over 100 years, particularly in Europe. It has been studied extensively in integrative oncology and is increasingly being researched for metabolic and endocrine support.
When used under professional supervision, mistletoe therapy is generally considered safe and well tolerated, with most side effects being mild and temporary. Ongoing research continues to explore optimal dosing, administration routes, and long-term effects.
Mistletoe is most commonly administered as a subcutaneous injection (just under the skin), similar to insulin injections. In some clinical settings, mistletoe may also be given intravenously, though this route requires closer monitoring.
Treatment plans are individualized and may vary based on:
Your practitioner will guide you on dosing, frequency, and duration.
Mistletoe is generally well tolerated by most people. Because mistletoe stimulates the immune system, some mild short-lived side effects may occur, including:
Severe local reactions at the injection site occur in less than 1% of people, and most side effects resolve on their own.
Serious reactions are rare but may include angioedema, anaphylaxis, low blood pressure, loss of consciousness, or infection at the injection site.
There is more research supporting the safety of subcutaneous mistletoe injections than intravenous use. While IV therapy may carry a higher risk of severe allergic reactions, more research is still needed. Careful screening and medical supervision significantly reduce risks.
Mistletoe therapy works best when combined with foundational lifestyle strategies that support metabolic health, as with all therapies for metabolic wellness, including but not limited to:
Addressing these factors helps create the metabolic environment needed for mistletoe therapy to be most effective.
Mistletoe therapy may be an appropriate option if you are looking for additional support with blood sugar regulation, metabolic health, or weight management, and want a personalized, medically guided approach.
Because mistletoe therapy is not appropriate for everyone, the best way to determine whether it is right for you is through an individualized assessment. Book a consultation with one of our naturopathic doctors to review your health history, current concerns, and goals, and to determine whether mistletoe therapy may be a safe and appropriate part of your care plan.
New to Longév Clinic? Contact us to book a complimentary discovery call.
Book an appointment online here.
REFERENCES:
Szurpnicka J, Kowalczuk A, Szterk A. Biological activity of mistletoe: in vitro and in vivo studies and mechanisms of action. J Physiol Sci. 2020;70(1):32. [PMID: 32621089]
Ko BS, Kang S, Moon BR, Ryuk JA, Park S. A 70% Ethanol Extract of Mistletoe Rich in Betulin, Betulinic Acid, and Oleanolic Acid Potentiated β-Cell Function and Mass and Enhanced Hepatic Insulin Sensitivity. Evidence-Based Complement Altern Med. 2016;2016:7836823. [PMID: 26884795]
Gray AM, Flatt PR. Insulin-secreting activity of the traditional antidiabetic plant Viscum album (mistletoe). J Endocrinol. 1999;160(3):409-414. [PMID: 10076186]
Lazuardi M, Wibowo D, Alam RF, et al. Efficacy of quercetin-like compounds from the mistletoe plant of Dendrophthoe pentandra L. Miq, as oral random blood sugar lowering treatment in diabetic rats. Vet Q. 2024;44(1):1-14. doi:10.1080/01652176.2024.2372090. [PMID: 38943615]
PDQ® Integrative, Alternative, and Complementary Therapies Editorial Board. PDQ Mistletoe Extracts. Bethesda, MD: National Cancer Institute. Updated 06/21/2023. Available at: https://www.cancer.gov/about-cancer/treatment/cam/patient/mistletoe-pdq. [PMID: 26389415]
Swanston-Flatt, S. K., Day, C., Flatt, P. R., Gould, B. J., & Bailey, C. J. (1989). Glycaemic effects of traditional European plant treatments for diabetes. Studies in normal and streptozotocin diabetic mice. Diabetes Research (Edinburgh, Scotland), 10(2), 69–73.
Orhan, N., Aslan, M., Demirci, B., & Ergun, F. (2005). Antidiabetic evaluation of Viscum album ssp. album leaves in streptozotocin-diabetic rats. Journal of Ethnopharmacology, 98(3), 273–278.
Shrosbree, A. S., et al. (Molecules, 2016). Triterpenoids from Viscum album L. and Their Ability to Inhibit Adipocyte Differentiation. Molecules, 21(12), 1629.