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Cholesterol

LDL/HDL/ApoB modulation.

Ranked by evidence strength across reported benefits.

Mineral#1· strong

Magnesium

Essential cofactor in 300+ enzymatic reactions, from ATP production to muscle relaxation.

Fatty Acid#2· strong

Omega-3 (EPA/DHA)

Marine long-chain omega-3s — the most-studied anti-inflammatory and cardiovascular nutrient.

Vitamin#3· strong

Vitamin B3 (Niacin)

NAD+ precursor; nicotinic acid form lowers LDL and raises HDL.

Compound#4· strong

Psyllium Husk

Soluble fiber with strong evidence for cholesterol reduction and bowel regularity.

Compound#5· strong

Psyllium Husk

Viscous soluble fiber — lowers cholesterol, glucose, and supports regularity.

Mineral#6· strong

Potassium

Major intracellular cation essential for BP control, muscle function, and acid-base balance.

Herb#7· strong

Garlic

Culinary bulb with cardiovascular benefits primarily via allicin and aged-garlic compounds.

Compound#8· strong

Beetroot Juice

Dietary nitrate source improving NO production, BP, and endurance performance.

Compound#9· strong

Beta-Glucan

Polysaccharide that primes innate immune cells (yeast) or lowers cholesterol (oat).

Compound#10· strong

Betaine Anhydrous (TMG)

Methyl donor — improves power output and lowers homocysteine.

Herb#11· strong

Aged Garlic Extract (Kyolic)

Odorless aged garlic with S-allyl-cysteine for vascular health.

Compound#12· strong

Red Yeast Rice

Fermented rice product containing natural monacolin K (chemically identical to lovastatin).

Compound#13· strong

Phytosterols (Plant Sterols)

Plant sterols/stanols competitively inhibit cholesterol absorption.

Fatty Acid#14· strong

Algal Omega-3 (Vegan EPA/DHA)

Plant-based EPA and DHA from microalgae for vegan diets.

Compound#15· strong

Red Yeast Rice

Naturally contains monacolin K (chemically identical to lovastatin) — same risks as statins.

Fatty Acid#16· strong

Omega-3 (rTG form)

Re-esterified triglyceride EPA/DHA — ~70% better absorption than ethyl ester form.

Fatty Acid#17· strong

Omega-3 (Ethyl Ester)

Concentrated EE form found in most prescription and budget fish oils — cheaper, less bioavailable.

Fatty Acid#18· strong

Algal Omega-3 (DHA/EPA)

Plant-source DHA (and some EPA) from cultivated marine algae — vegan alternative to fish oil.

Compound#19· strong

Ubiquinone (CoQ10)

Standard oxidized CoQ10 — cheaper and effective in younger adults who can readily reduce it.

Vitamin#20· strong

Niacin (Flush)

Flushing form of B3 — historically used for dyslipidemia at gram doses.

Mineral#21· strong

Magnesium Sulfate (IV)

Reference IV form used in eclampsia and acute asthma.

Fatty Acid#22· strong

EPA-Only Omega-3

Pure EPA reduces residual cardiovascular risk on statins.

Vitamin#23· strong

Vitamin K1 (Phylloquinone)

Leafy-green K1 essential for hepatic coagulation factors.

Vitamin#24· moderate

Vitamin K2 (MK-7)

Activates the proteins that direct calcium into bone — not arteries.

Compound#25· moderate

Berberine

Plant alkaloid that activates AMPK — metformin-like effects on glucose and lipids.

Compound#26· moderate

Coenzyme Q10

Mitochondrial electron carrier and lipid-soluble antioxidant.

Vitamin#27· moderate

Vitamin E

Primary lipid-phase antioxidant protecting membrane PUFAs.

Amino Acid#28· moderate

L-Arginine

Conditionally essential amino acid and direct nitric oxide precursor.

Herb#29· moderate

Pomegranate

Polyphenol-rich fruit converted by gut microbes to urolithin A (mitochondrial benefit).

Herb#30· moderate

Green Tea (EGCG)

Polyphenol-rich tea; EGCG modestly boosts metabolism and supports cardiovascular health.

Compound#31· moderate

Soy Isoflavones

Phytoestrogens with mild SERM effects on bone, hot flashes, and lipids.

Compound#32· moderate

Ubiquinol (CoQ10)

Reduced active form of CoQ10 — preferred in adults over 40 and those with statin-induced depletion.

Vitamin#33· moderate

Vitamin K2 (MK-7)

Long-half-life K2 — directs calcium to bone and away from arteries.

Amino Acid#34· moderate

Taurine

Conditionally essential amino acid involved in bile salt conjugation, osmoregulation, and cardiac function.

Amino Acid#35· moderate

L-Citrulline

Arginine precursor with superior bioavailability for NO and pump-driven performance.

Herb#36· moderate

Bilberry

Anthocyanin-rich berry traditionally used for night vision and vascular support.

Compound#37· moderate

Resveratrol

Polyphenol from grapes — sirtuin activator with mixed human evidence.

Amino Acid#38· moderate

Taurine

Conditionally essential amino acid with cardiovascular, metabolic, and longevity effects.

Herb#39· moderate

Artichoke Leaf Extract

Choleretic herb — supports bile flow, gallbladder, and mild lipid lowering.

Fatty Acid#40· moderate

Krill Oil

Phospholipid-bound EPA/DHA from Antarctic krill — includes astaxanthin antioxidant.

Amino Acid#41· moderate

Taurine (High-Dose)

Conditionally essential amino acid with longevity and metabolic effects.

Vitamin#42· moderate

Vitamin D3 + K2 Synergy Note

Combined fat-soluble vitamins addressing calcium destination (bone vs artery).

Mushroom#43· moderate

Shiitake (Lentinan)

Culinary mushroom whose beta-glucan lentinan is an approved injectable immune adjunct.

Herb#44· moderate

Hawthorn

Cardiotonic herb traditionally used for mild heart failure and mild hypertension.

Herb#45· moderate

Olive Leaf Extract

Mediterranean herb with antihypertensive and immune effects.

Herb#46· moderate

Artichoke Leaf

Cholagogue herb improving dyspepsia and modestly reducing cholesterol.

Herb#47· moderate

Bergamot Extract

Standardized citrus polyphenol fraction shown to lower LDL and triglycerides.

Fatty Acid#48· moderate

Krill Oil

Phospholipid-bound omega-3 with astaxanthin; better bioavailability than fish oil per gram.

Compound#49· moderate

Resveratrol

Polyphenol activating sirtuins; bioavailability and clinical effects modest.

Herb#50· moderate

Aged Garlic Extract (Kyolic)

Standardized aged garlic — modest BP and cholesterol benefits.

Compound#51· moderate

Bergamot Polyphenols

Standardized citrus extract — significant LDL and triglyceride reduction.

Herb#52· moderate

Hawthorn (Crataegus)

Cardiotonic herb traditionally used in early-stage heart failure.

Compound#53· moderate

Lycopene

Tomato carotenoid linked with prostate and cardiovascular protection.

Compound#54· moderate

Nattokinase

Fermented soy serine protease with fibrinolytic activity.

Compound#55· moderate

Lumbrokinase

Earthworm-derived fibrinolytic enzyme complex.

Compound#56· moderate

Pterostilbene (Extra)

Methylated resveratrol analog with superior bioavailability.

Compound#57· moderate

Betaine (Liver)

TMG methyl donor used for fatty liver and homocysteinemia.

Compound#58· moderate

Trans-Resveratrol (Pure)

Purified active isomer of resveratrol.

Vitamin#59· moderate

Mixed Tocopherols

Full-spectrum natural vitamin E avoiding α-only supplementation pitfalls.

Herb#60· moderate

Hawthorn Berry

Crataegus for mild heart failure and BP support.

Herb#61· moderate

Arjuna

Terminalia arjuna bark for cardiovascular support.

Herb#62· moderate

Horse Chestnut

Aesculus seed extract for chronic venous insufficiency.

Herb#63· moderate

Butcher's Broom

Ruscus aculeatus for venous insufficiency.

Herb#64· moderate

Centella Triterpene Fraction

Standardized madecassoside/asiaticoside for skin and venous health.

Peptide#65· moderate

SS-31 (Elamipretide)

Mitochondrial-targeted peptide for cardiolipin protection.

Compound#66· moderate

MitoQ

Mitochondria-targeted ubiquinone (CoQ10 analog).

Compound#67· moderate

Hydroxytyrosol

Olive polyphenol for cardiovascular health.

Fatty Acid#68· moderate

Squalene

Olive oil/shark liver lipid antioxidant.

Herb#69· moderate

Bergamot Extract

Citrus bergamia for cardiometabolic support.

Vitamin#70· moderate

Inositol Hexanicotinate (No-Flush Niacin)

Niacin form without flushing.

Vitamin#71· moderate

Niacin Extended Release

Slow-release nicotinic acid for cholesterol.

Compound#72· moderate

Plant Sterols/Stanols

Phytosterols for cholesterol lowering.

Compound#73· moderate

Psyllium Husk

Soluble fiber from Plantago ovata.

Compound#74· moderate

Vitamin D3 + K2

Synergistic combo for calcium routing.

Compound#75· moderate

Quercetin Phytosome

Lecithin-complexed quercetin.

Compound#76· moderate

Rutin

Quercetin-rutinoside for venous health.

Compound#77· moderate

Diosmin + Hesperidin

Citrus flavonoid pair for venous insufficiency.

Compound#78· moderate

Beta-Sitosterol

Plant sterol for BPH and cholesterol.

Compound#79· moderate

Isoquercetin

Highly bioavailable quercetin glycoside.

Mushroom#80· moderate

Oyster Mushroom

Pleurotus ostreatus with ergothioneine.

Compound#81· moderate

TMG (Betaine Anhydrous)

Methyl donor for homocysteine reduction.

Compound#82· moderate

Trimethylglycine (Betaine)

Same as TMG; osmolyte and methyl donor.

Herb#83· moderate

Ginkgo Biloba EGb 761

Standardized Ginkgo for cognition.

Compound#84· moderate

Type III Collagen

Skin and vascular collagen.

Compound#85· moderate

2S-Hesperidin (Cardiose)

Bioactive isomer of hesperidin.

Compound#86· moderate

Enzogenol

New Zealand pine bark extract.

Compound#87· moderate

Pycnogenol (Pine Bark)

French maritime pine bark for circulation.

Compound#88· moderate

Grape Seed Extract

Vitis vinifera procyanidins.

Compound#89· moderate

Trans-Resveratrol

Active form of resveratrol.

Compound#90· moderate

Pomegranate Extract

Punica granatum ellagitannins.

Compound#91· moderate

Punicalagin

Major pomegranate ellagitannin.

Herb#92· moderate

Olive Leaf (Standardized Oleuropein)

High-oleuropein extract.

Fatty Acid#93· moderate

Black Seed Oil (Nigella sativa)

Thymoquinone for immune and metabolic health.

Compound#94· moderate

Apple Pectin

Soluble fiber from apples.

Compound#95· moderate

Beetroot Nitrate

Inorganic nitrate for NO production.

Compound#96· moderate

(−)-Epicatechin

Cocoa flavanol for follistatin/myostatin.

Fatty Acid#97· moderate

EVOO Polyphenols

Extra virgin olive oil polyphenols.

Fatty Acid#98· moderate

EPA-Dominant Fish Oil

Concentrated EPA for inflammation.

Fatty Acid#99· moderate

Algae Omega-3

Vegan EPA/DHA source.

Fatty Acid#100· moderate

Flax Seed Oil (ALA)

Alpha-linolenic acid omega-3.

Compound#101· moderate

Chia Seed

Salvia hispanica ALA source.

Fatty Acid#102· moderate

Hemp Seed Oil

3:1 omega-6 to omega-3 ratio.

Fatty Acid#103· moderate

Salmon Roe Phospholipids

Phospholipid omega-3s from salmon eggs.

Fatty Acid#104· moderate

Perilla Oil

High ALA from Perilla frutescens.

Herb#105· limited

Guggul (Commiphora mukul)

Ayurvedic resin used historically for cholesterol and thyroid support.

Mineral#106· limited

Magnesium Taurate

Magnesium + taurine — gentle on the gut with cardiovascular and glycemic synergies.

Mineral#107· limited

Magnesium Orotate

Magnesium + orotic acid — studied specifically in heart failure and athletic populations.

Vitamin#108· limited

Tocotrienols (Vitamin E)

Unsaturated vitamin E family — superior antioxidant capacity vs alpha-tocopherol.

Compound#109· limited

Policosanol

Long-chain alcohols from sugarcane wax marketed for cholesterol; Cuban studies positive but unreplicated.

Compound#110· limited

Pterostilbene

Bioavailable resveratrol analog with longer half-life.

Compound#111· limited

Policosanol

Sugar cane alcohols — mixed evidence for lipid lowering (Cuban trials positive, others negative).

Compound#112· limited

Cuban Policosanol

Sugar-cane–derived lipid-lowering long-chain alcohols.