When the “Tree of Life” becomes a threat to life: A rare case of pulmonary embolism associated with <i>Moringa oleifera</i>

Pulmonary embolism (PE) is a serious cardiovascular emergency typically linked to recent surgery, immobility, malignancy, or thrombophilia. Herbal supplements may also contribute to thrombosis. Moringa oleifera , often used for antioxidant and metabolic benefits, demonstrated procoagulant activity in vitro . We describe a 77-year-old gentleman with hypertension and diabetes who presented with severe dyspnea, hypotension, hypoxemia, and imaging-confirmed bilateral PE requiring thrombolysis. With no conventional risk factors identified, his recent Moringa use for 4 months was considered the likely trigger. This case highlights the need to assess supplement use in unexplained venous thromboembolism and to further investigate Moringa’s vascular risks.