for educational and safety purposes
Every compound in the sci-wiki that affects cholesterol; the ones you can source are floated to the front, then the reference-only entries. Tap any for the full entry, mechanism, and outlets.
14 sourced · 19 reference
Lipo-MIC + NAD+ is a lipotropic injectable that pairs the fat-metabolizing MIC nutrients (methionine, inositol, and choline) with NAD+, the coenzyme at the center of cellular energy production. The MIC compounds help the liver package and export fat rather than store it, while NAD+ fuels mitochondrial energy metabolism and activates sirtuins involved in fat handling. Combining lipid support with a foundational energy coenzyme, it is a modern take on the classic lipotropic injection for those pursuing fat loss and vitality.
Y-134 is a research-stage selective estrogen receptor modulator (SERM) engineered by fine-tuning the well-known drug raloxifene. Beyond the classic SERM profile of blocking estrogen in breast tissue while supporting bone, Y-134 carries a striking bonus: it switches on the aryl hydrocarbon receptor (AhR) and drives even hard-to-treat triple-negative breast cancer cells into programmed cell death, an effect its parent compound only hinted at. Elegant and highly selective, it is prized as a research tool, though it remains preclinical with no human data.
Berberine is a bright-yellow isoquinoline alkaloid found in several plants, including barberry, goldenseal, and Chinese goldthread, and used for centuries in traditional Chinese and Ayurvedic medicine. Modern research has focused on its ability to lower blood sugar and improve cholesterol and other lipids, effects that work largely by activating the cellular energy sensor AMPK. It is widely sold as a dietary supplement, though its absorption is poor and it is not an approved drug in Western countries.
Citrus bergamot refers to the bergamot orange (Citrus bergamia), a Mediterranean citrus fruit best known for flavoring Earl Grey tea and for the essential oil used in perfume. As a supplement it is standardized to the bergamot polyphenolic fraction, a mixture of flavonoids studied mainly for lowering cholesterol and improving cardiometabolic markers. The clinical evidence is encouraging but comes largely from small trials.
Garlic extract is a concentrated preparation made from garlic (Allium sativum), a pungent bulb of the onion family that has served as both food and folk remedy for thousands of years. Its characteristic chemistry comes from sulfur-containing compounds, most notably allicin, which forms when the bulb is crushed [2]. Sold in forms such as garlic powder, garlic oil, and aged garlic extract, it is marketed as a dietary supplement, with research focusing chiefly on modest effects on blood pressure, cholesterol, and immunity [1].
Phosphatidylcholine is a class of phospholipids that form a major part of the membranes surrounding living cells and are the principal component of lecithin. Each molecule is built from a glycerol backbone, two fatty acids, and a phosphate group linked to choline, and the compound is abundant in foods such as egg yolk and soybeans. Beyond its structural role, phosphatidylcholine is the body's main store of the essential nutrient choline and has been studied as a dietary supplement and in conditions ranging from liver disease to ulcerative colitis.
Red yeast rice is a bright reddish-purple product made by fermenting rice with the mold Monascus purpureus. Long used in China as a food coloring and in traditional medicine, it contains monacolin K, a compound chemically identical to the cholesterol-lowering statin lovastatin. It is sold as a dietary supplement to lower cholesterol, though the strength and purity of products vary considerably.
Toremifene is a selective estrogen receptor modulator (SERM) of the triphenylethylene class, used to treat metastatic breast cancer in postmenopausal women whose tumors are estrogen receptor-positive [1][3]. A close chemical relative of tamoxifen, it blocks estrogen's effects in breast tissue while acting like estrogen in some other tissues [2]. Introduced in the United States in 1997, it is marketed under the brand name Fareston.
Vitamin B3 is an essential water-soluble nutrient that exists in two main forms, nicotinic acid (niacin) and nicotinamide (niacinamide), both of which the body converts into the coenzymes NAD+ and NADP+ that drive hundreds of redox reactions in energy metabolism. A prolonged dietary lack causes pellagra, the deficiency disease classically remembered by the "three Ds" of dermatitis, diarrhea, and dementia. In pharmacologic doses nicotinic acid favorably shifts blood lipids (raising HDL while lowering LDL, triglycerides, and lipoprotein(a)) and produces the characteristic warm "niacin flush," whereas nicotinamide has neither the flush nor the lipid effects and is used mainly in dermatology. It is distinct from the dedicated NAD-boosting precursors nicotinamide riboside (NR) and NMN, which are covered in their own entries.
Vitamin E is the collective name for a group of eight fat-soluble compounds, four tocopherols and four tocotrienols, of which alpha-tocopherol is the form the body preferentially retains and the one with the greatest vitamin activity. Its principal role is as a lipid-soluble antioxidant that protects cell membranes from damage by free radicals. Vitamin E is found in vegetable oils, nuts, seeds, and green vegetables, and dietary deficiency is rare, usually resulting from disorders of fat absorption rather than low intake.
Aspirin + Atorvastatin is a fixed-dose combination medicine that pairs low-dose aspirin, an antiplatelet drug, with atorvastatin, a cholesterol-lowering statin. It is used mainly to prevent cardiovascular events such as heart attacks and strokes in people who already have, or are at high risk of, cardiovascular disease. Combining the two drugs in a single pill is intended to simplify treatment and improve adherence, and such fixed-dose combinations underpin the wider polypill approach to cardiovascular prevention.
Pitavastatin is a statin, a cholesterol-lowering drug that blocks HMG-CoA reductase, the enzyme controlling an early step of cholesterol synthesis. Two features distinguish it within the class: it is barely metabolized by the CYP3A4 enzyme, so it has notably few drug interactions, and it is the most glucose-neutral of the statins, avoiding much of the small rise in diabetes risk seen with others. Used to lower LDL cholesterol and cardiovascular risk and given once daily as a calcium salt, it is marketed under names such as Livalo, Livazo, and Zypitamag, and was first approved in Japan in 2003.
Rosuvastatin is a statin, a cholesterol-lowering drug that blocks the enzyme HMG-CoA reductase. It is the most potent and one of the most hydrophilic statins, prescribed to lower elevated cholesterol and reduce the risk of heart attack, stroke, and other cardiovascular events. Its benefits appear to reach beyond cholesterol lowering: in the JUPITER trial it prevented arterial events in people with normal LDL but elevated C-reactive protein and also reduced venous thromboembolism, evidence of anti-inflammatory pleiotropy. Developed by AstraZeneca, it is sold as Crestor and as a generic.
Ezetimibe is a cholesterol absorption inhibitor used to lower blood cholesterol, most often alongside a statin. Sold under the brand name Zetia among others, it acts in the small intestine to block the transport protein that ferries dietary and biliary cholesterol into the body. It is taken as an oral tablet for high cholesterol and related lipid disorders.
Acipimox is a synthetic derivative of nicotinic acid (niacin) used as a lipid-lowering medication. It is prescribed mainly to lower elevated triglycerides and, to a lesser degree, to raise HDL cholesterol in people with certain forms of hyperlipidemia. Marketed in parts of Europe under the trade name Olbetam, it is generally regarded as having a milder side-effect profile than niacin itself.
ASC41 is an investigational oral prodrug developed by Gannex, a subsidiary of Ascletis Pharma, for non-alcoholic steatohepatitis (NASH, increasingly called MASH). The liver converts it into ASC41-A, a selective agonist of thyroid hormone receptor beta (THR-beta).
Beta-glucans are a group of naturally occurring polysaccharides made of D-glucose units joined by beta glycosidic bonds. They occur in the cell walls of cereals such as oats and barley, as well as in baker's yeast, mushrooms, algae, and some bacteria, and their structure varies with the source. Soluble cereal beta-glucans are best known for lowering blood LDL cholesterol, which underpins approved heart-health claims in several regions, while forms derived from yeast and fungi are studied mainly for effects on the immune system.
Beta-sitosterol is a phytosterol, a plant-derived sterol whose chemical structure closely resembles that of cholesterol. It is one of the most abundant plant sterols in the human diet and is distributed widely in vegetable oils, nuts, seeds, legumes, and other plant foods. It has been studied mainly for two purposes: lowering blood cholesterol by interfering with cholesterol absorption in the gut, and easing the urinary symptoms of benign prostatic hyperplasia [1][2]. It is available as a dietary supplement and as an added ingredient in cholesterol-lowering foods.
Chitosan is a natural linear polysaccharide made by chemically modifying chitin, the tough material found in the shells of shrimp, crabs, and other crustaceans, as well as in fungal cell walls [1][2]. Produced by removing acetyl groups from chitin, it is biodegradable, biocompatible, and carries a positive charge in acidic conditions, properties that have made it useful across agriculture, water treatment, wound care, and drug delivery [1][2]. It is also sold as a dietary supplement marketed for weight loss and cholesterol control, although the clinical evidence for those uses is weak [1][3].
Chlorella is a genus of single-celled green freshwater algae, widely sold as a nutrient-dense dietary supplement and health food [1][2]. Its tiny spherical cells are packed with protein, chlorophyll, vitamins, minerals, and other nutrients, and the dried biomass is taken as tablets or powder [1][2]. First described in the late nineteenth century, Chlorella became well known as a model organism in photosynthesis research and as a proposed answer to food shortages; today it is studied for possible effects on cholesterol, blood sugar, and oxidative stress, though robust clinical proof of health benefits is limited [1][2][3].
CinSulin is a brand of water-extracted cinnamon supplement marketed for blood sugar support. It is produced by steeping cinnamon bark in water to concentrate the water-soluble compounds believed to influence glucose metabolism while leaving behind most of the fat-soluble coumarin. Small trials of this style of aqueous cinnamon extract have reported modest reductions in fasting blood glucose, although the broader evidence for cinnamon in diabetes remains mixed.
Hydroxytyrosol is a phenolic phytochemical found in olives, olive oil and olive leaves, valued chiefly for its strong antioxidant activity. Chemically a catechol-type phenylethanoid, it is one of the main polyphenols behind the health reputation of the Mediterranean diet. It is sold as a dietary supplement and food ingredient and is a subject of research into cardiovascular and anti-inflammatory effects.
Lunasin is a naturally occurring peptide of forty-three amino acids first isolated from soybean seed. It also occurs in cereal grains such as barley, wheat, and rye, and in a few other seeds. Since the late 1990s it has been studied chiefly for possible cancer-preventive, cholesterol-lowering, and anti-inflammatory effects, with most attention paid to its apparent ability to influence how genes are switched on and off by altering histone proteins.
Lycopene is a bright red carotenoid pigment found most abundantly in tomatoes and other red fruits such as watermelon and pink grapefruit. Chemically it is a tetraterpene hydrocarbon, and unlike some carotenoids it has no vitamin A activity. It is valued as a dietary antioxidant and as a natural food colorant, and it has been studied for possible roles in prostate and cardiovascular health, though the clinical evidence is mixed.
Maitake (Grifola frondosa) is an edible and medicinal mushroom native to temperate forests of East Asia and North America, where it grows in large clustered fruiting bodies at the base of trees. It is valued both as a culinary mushroom and as a source of bioactive polysaccharides, especially beta-glucans, that have been studied for immune-modulating and antitumor effects [1][3]. A partially purified extract known as maitake D-fraction has been the focus of much of the medicinal research [2][3].
Oleic acid is a monounsaturated omega-9 fatty acid and one of the most abundant fatty acids found in nature. It is the principal fat in olive oil and occurs widely in other vegetable oils and animal fats, and it is also the most common fatty acid stored in human fat tissue. As a dietary fat it has been studied for its effects on blood cholesterol and cardiovascular health, and it is a central component of the Mediterranean diet. Beyond nutrition it has many industrial uses, from soaps to pharmaceutical formulations.
Pemafibrate is a selective peroxisome proliferator-activated receptor alpha modulator (SPPARMα) used as an oral lipid-lowering medicine, chiefly to reduce elevated blood triglycerides. It belongs to the fibrate family of drugs but was engineered to bind the PPARα receptor with greater potency and selectivity than older fibrates, with the aim of improving the balance between benefit and adverse effects. Developed by the Japanese company Kowa and marketed as Parmodia, it was first approved in Japan in 2017.
The first CB1 cannabinoid-receptor blocker; a withdrawn anti-obesity drug (Acomplia) that curbed appetite and cleaned up metabolic markers, but was pulled worldwide for serious psychiatric risk.
Seladelpar lysine dihydrate (formerly MBX-8025; marketed as Livdelzi) is an orally administered, selective agonist of peroxisome proliferator-activated receptor delta (PPAR-delta) approved in 2024 for primary biliary cholangitis. By activating PPAR-delta in hepatocytes, cholangiocytes, and immune cells, it downregulates bile acid synthesis and dampens hepatic inflammation, lowering alkaline phosphatase and other markers of bile-duct injury. In the phase 3 RESPONSE trial it produced significant biochemical responses and, notably, reduced pruritus in parallel with falling serum levels of interleukin-31, the itch-associated cytokine, offering a mechanistic explanation for its antipruritic effect that distinguishes it from earlier therapies. It is used for adults with primary biliary cholangitis, either combined with ursodeoxycholic acid when that agent is insufficient or as monotherapy in patients who cannot tolerate it.
Shiitake (Lentinula edodes) is an edible mushroom native to East Asia and mainland Southeast Asia that is now cultivated and eaten worldwide. Prized as a culinary ingredient, it also has a long history in East Asian traditional medicine and is studied for bioactive constituents such as the polysaccharide lentinan. It ranks among the most widely produced cultivated mushrooms globally.
Spirulina is a dietary supplement made from the dried biomass of cyanobacteria, single-celled organisms often called blue-green algae, chiefly species of the genus Arthrospira. Rich in protein, B vitamins, iron, and the blue pigment phycocyanin, it has a long history of use as a food and is sold today as powder, tablets, and capsules. Marketed for a wide array of health benefits, it has modest supporting evidence for effects on blood lipids and body weight, while broader claims are not well established and contamination of some products is a recognized concern.
Tetrahydrocurcumin is a colorless compound formed when curcumin, the principal yellow pigment of turmeric, is reduced, and it is one of the main metabolites produced when curcumin is broken down in the body. Chemically it is a hydrogenated curcuminoid; unlike its brightly colored parent it is nearly white, and it tends to be more chemically stable and more readily absorbed [1]. Marketed as a dietary supplement and cosmetic ingredient, tetrahydrocurcumin has been studied mainly for antioxidant and anti-inflammatory activity, though most of the evidence comes from laboratory and animal work rather than large human trials [1].
Tocotrienols are a group of naturally occurring compounds that form part of the vitamin E family, alongside the more familiar tocopherols [1]. They occur in four forms, alpha, beta, gamma, and delta, and are found in dietary oils such as palm and rice bran oil. Studied mainly as fat-soluble antioxidants, they have drawn research attention for possible effects on cholesterol, cognition, and cellular health [2][3].