Phytosterols

Phytosterols

Best for

Lower bad and total cholesterol

Proven modest benefit for 3–52 weeks · 6 meta-analyses , n=5.5k

37 papers · 3 claims · 58 outcomes scored · 1 positive

Outcomes

What phytosterols actually does, by outcome

Each row is one outcome with effect size, evidence base, the dose that worked in trials, and time to first effect. Magnitude tiers come from native-unit MCID where available, Cohen's d otherwise.

Outcome Effect Evidence Dose Weeks Rank
Lower bad and total cholesterol Proven modest benefit
small
33 meta-analyses n=5.5k Meta-analyzed 0.04–3200 g 3–52 wk #2/103
Raise good cholesterol levels Likely real but unnoticeable
trivial
28 meta-analyses n=5.1k Meta-analyzed 0.45–2500 g 3–52 wk
Reduce cholesterol absorbed from food Not enough research
2 RCTs n=— 800–3200 mg 4–6 wk

Risk profile

Adverse events and known drug interactions

Safety events

Elevated CK level (moderate severity, phase 2) moderate
Epilepsy (moderate severity, phase 2) moderate
Loose stools/diarrhea (possibly related event in phase 1) mild
alanine aminotransferase increased mild
gastrointestinal symptoms mild
gastrointestinal adverse effects mild
Headache (treatment-emergent adverse event)
Dizziness (treatment-emergent adverse event)

Drug interactions

Cholesterol-Lowering Medication major unknown
Ezetimibe moderate decreases concentration
Drug:Ezetimibe moderate decreases effect
Efavirenz moderate decreases effect
Ezetimibe minor decreases concentration

Co-studied with

Supplements that share evidence with phytosterols

Sources

  1. 1. The lipid lowering effect of plant sterol ester capsules in hypercholesterolemic subjects. (2007)
  2. 2. Efficacy and safety of disodium ascorbyl phytostanol phosphates in men with moderate dyslipidemia. (2008)
  3. 3. Cholesterol lowering effect of a soy drink enriched with plant sterols in a French population with moderate hypercholesterolemia. (2008)
  4. 4. The effects of phytosterols present in natural food matrices on cholesterol metabolism and LDL-cholesterol: a controlled feeding trial. (2010)
  5. 5. Lipid-altering effects of a dietary supplement tablet containing free plant sterols and stanols in men and women with primary hypercholesterolaemia: a randomized, placebo-controlled crossover trial. (2012)
  6. 6. The cholesterol lowering efficacy of plant stanol ester yoghurt in a Turkish population: a double-blind, placebo-controlled trial. (2013)
  7. 7. LDL-cholesterol-lowering effect of plant sterols and stanols across different dose ranges: a meta-analysis of randomised controlled studies. (2014)
  8. 8. Plant sterols-enriched diet decreases small, dense LDL-cholesterol levels in children with hypercholesterolemia: a prospective study. (2014)
  9. 9. Efficacy of yogurt drink with added plant stanol esters (Benecol®, Colanta) in reducing total and LDL cholesterol in subjects with moderate hypercholesterolemia: a randomized placebo-controlled crossover trial NCT01461798. (2014)
  10. 10. The effect of a low-fat spread with added plant sterols on vascular function markers: results of the Investigating Vascular Function Effects of Plant Sterols (INVEST) study. (2015)

Generated August 14, 2026

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