What is dyslipidemia?
Dyslipidemia is a condition where a person exhibits altered blood lipid metabolism. This shows up on bloodwork as abnormal levels of various cholesterols and/or fats, such as high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol, and triglycerides.[1] Non-HDL cholesterol (Non-HDL-C), apolipoprotein B, and the ratio of total cholesterol to HDL-C may also be important metrics to examine in dyslipidemia.[2][3] Abnormalities in these markers and/or ratios are associated with increased risk of cardiovascular disease.[4] Changing certain markers may result in stronger clinical outcomes (non-HDL-C) than others (HDL-C).[5]
What are the main signs and symptoms of dyslipidemia?
Signs of dyslipidemia are easily found on routine blood work. Symptoms of dyslipidemia on its own are rare. Infrequently, people may find xanthomas (hard fatty deposits of tissue on the skin or just under the skin) on their palms, eyelids, or tendons.[6]
Due to the rarity of dyslipidemia symptoms, and the common presence of other cardiovascular disease risk factors, clinicians will also often examine for high blood pressure, high blood sugar, and obesity if dyslipidemia is suspected.[7]
How is dyslipidemia diagnosed?
Diagnosis of dyslipidemia is based on blood lipid levels. Dyslipidemia includes a wide range of abnormalities of lipid metabolism, and may be diagnosed by a combination of the following:
- Total cholesterol over 240 mg/dL
- LDL-C over 160 mg/dL
- Triglycerides over 200 mg/dL
- HDL-C under 40 mg/dL [7]
What are some of the main medical treatments for dyslipidemia?
What are some of the main medical treatments for dyslipidemia? First-line medical treatments for dyslipidemia include lifestyle-based interventions; nutrition, exercise, avoiding tobacco, and weight loss are important first considerations when discussing dyslipidemia treatment.[7]
Some of the following drugs and therapeutics may be recommended based on a patient's overall risk of cardiovascular disease and individual presentation:[7]
- Statins are very effective at reducing LDL-C, and have shown a reduction in cardiovascular events (i.e., heart attacks and strokes)[8]
- PCSK9 inhibitors have also shown these effects, but are more expensive, and have a smaller body of research[9]
- Ezetimibe may be useful in addition to a statin if further risk reduction is required [10]
- Fibrates are recommended for moderate and severe elevations of triglycerides (> 400 to 500 mg/dL)[11]
- Bile acid sequestrants, such as cholestyramine, may effectively lower LDL-C; however, they may raise triglycerides, there is sparse data for cardiovascular event reductions when used in conjunction with statins, and poor adherence has been noted[12]
- Folic acid may lower triglycerides and total cholesterol, and was found to increase HDL in a dose-response fashion[13]
- Niacin may cause robust improvements in HDL-C of 21%; however, there is mostly consistent evidence showing a lack of reduction in cardiovascular events or mortality[14][15][16]
- Bempedoic acid shows promise for further reducing LDL-C when patients are on a maximally tolerated dose of statins, while not worsening muscular adverse events typical of statins[17][18][19][20]
Have any supplements been studied for dyslipidemia?
Omega-3 fatty acid supplements, like fish oil, have been studied for dyslipidemia. They have reliably been found to result in relatively large reductions in triglycerides, and inconsistently increase LDL-C and HDL-C to a minor degree.[21][22][23] They may increase bleeding risk, so those on anticoagulant drugs should be cautious of taking these supplements.[7]
Another supplement that has been studied for dyslipidemia is red yeast rice. Red yeast rice sometimes contains monacolin K, which is identical to the statin lovastatin. For this reason, red yeast rice products containing non-negligible amounts of monacolin K are banned by the FDA since they are a “non-approved drug”.[24][25] If monacolin K is present, red yeast rice may have similar effects and safety profiles to statins.[26][27] However, the methodology for assessing safety in trials is often poor.[27]
Additionally, garlic supplements decrease total cholesterol and LDL-C, though not consistently, with unclear impacts on HDL-C.[28][29] Effects on LDL-C and HDL-C may occur less often when garlic supplements are given alongside a lipid-lowering diet.[30][31][32].
Finally, psyllium fiber can have beneficial effects not only on LDL-C, but on non-HDL-C and apolipoprotein B levels, which may be more predictive of cardiovascular disease than LDL-C.[3]
How could diet affect dyslipidemia?
Dietary changes can substantially impact a range of lipid markers, including total cholesterol, LDL-C, and triglycerides.[1][33][34] Dietary changes may also alter HDL-C levels, but how this impacts cardiovascular health is unclear.[35]
Generally, dietary changes to improve dyslipidemia encompass encouragement of a caloric deficit (if weight loss is indicated), reduction of saturated fat to <10% of daily calories, increase in monounsaturated fatty acids (MUFA), increase in polyunsaturated fatty acids (PUFA), and an increase in soluble fiber intake.[1][7] Curtailing heavy alcohol consumption is also recommended, if applicable.[36]
Are there any other treatments for dyslipidemia?
Exercise can impact several markers of dyslipidemia. Exercise is a commonly recommended therapy to increase HDL-C, but it also can lower LDL-C and triglycerides. [37][38]
HDL-C may increase with activity level in a dose-response manner. Decreases in LDL-C and triglycerides may require higher intensity exercise. Aerobic exercise generally has a larger evidence base for encouraging these changes, though resistance exercise may be equally effective as long as it is of a similar caloric expenditure (generally requiring lower weight, more repetitions, and more sets).[39]
Tobacco smokers have higher levels of triglycerides, LDL-C, and lower levels of HDL-C.[40] Smoking cessation tends to improve HDL-C within about a year.[41] There are mixed results as to whether, when, and by how much other blood lipids levels may improve.[42][43][40] However, smoking cessation clearly does ultimately reduce cardiovascular disease risk.
Obstructive sleep apnea generally increases risk for dyslipidemia.[44] Fortunately, the gold standard treatment for sleep apnea, continuous positive airway pressure (CPAP) therapy, improves total cholesterol, LDL-C, and HDL-C levels.[45]
What causes dyslipidemia?
Dyslipidemia can have many causes, including diabetes, tobacco usage, liver and kidney disease, and hypothyroidism.[7]
There are also different drugs that can cause dyslipidemia:
- Thiazide diuretics
- β-blockers
- Cyclosporine
- Glucocorticoids
- Oral estrogens [46]
Finally, there are genetic conditions that can cause dyslipidemia. For example, familial hypercholesterolemia causes high levels of cholesterol from an inability to metabolize LDL-C properly.[47]
Examine Database: Dyslipidemia
Research FeedRead all studies
Frequently asked questions
Dyslipidemia is a condition where a person exhibits altered blood lipid metabolism. This shows up on bloodwork as abnormal levels of various cholesterols and/or fats, such as high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol, and triglycerides.[1] Non-HDL cholesterol (Non-HDL-C), apolipoprotein B, and the ratio of total cholesterol to HDL-C may also be important metrics to examine in dyslipidemia.[2][3] Abnormalities in these markers and/or ratios are associated with increased risk of cardiovascular disease.[4] Changing certain markers may result in stronger clinical outcomes (non-HDL-C) than others (HDL-C).[5]
Signs of dyslipidemia are easily found on routine blood work. Symptoms of dyslipidemia on its own are rare. Infrequently, people may find xanthomas (hard fatty deposits of tissue on the skin or just under the skin) on their palms, eyelids, or tendons.[6]
Due to the rarity of dyslipidemia symptoms, and the common presence of other cardiovascular disease risk factors, clinicians will also often examine for high blood pressure, high blood sugar, and obesity if dyslipidemia is suspected.[7]
Diagnosis of dyslipidemia is based on blood lipid levels. Dyslipidemia includes a wide range of abnormalities of lipid metabolism, and may be diagnosed by a combination of the following:
- Total cholesterol over 240 mg/dL
- LDL-C over 160 mg/dL
- Triglycerides over 200 mg/dL
- HDL-C under 40 mg/dL [7]
What are some of the main medical treatments for dyslipidemia? First-line medical treatments for dyslipidemia include lifestyle-based interventions; nutrition, exercise, avoiding tobacco, and weight loss are important first considerations when discussing dyslipidemia treatment.[7]
Some of the following drugs and therapeutics may be recommended based on a patient's overall risk of cardiovascular disease and individual presentation:[7]
- Statins are very effective at reducing LDL-C, and have shown a reduction in cardiovascular events (i.e., heart attacks and strokes)[8]
- PCSK9 inhibitors have also shown these effects, but are more expensive, and have a smaller body of research[9]
- Ezetimibe may be useful in addition to a statin if further risk reduction is required [10]
- Fibrates are recommended for moderate and severe elevations of triglycerides (> 400 to 500 mg/dL)[11]
- Bile acid sequestrants, such as cholestyramine, may effectively lower LDL-C; however, they may raise triglycerides, there is sparse data for cardiovascular event reductions when used in conjunction with statins, and poor adherence has been noted[12]
- Folic acid may lower triglycerides and total cholesterol, and was found to increase HDL in a dose-response fashion[13]
- Niacin may cause robust improvements in HDL-C of 21%; however, there is mostly consistent evidence showing a lack of reduction in cardiovascular events or mortality[14][15][16]
- Bempedoic acid shows promise for further reducing LDL-C when patients are on a maximally tolerated dose of statins, while not worsening muscular adverse events typical of statins[17][18][19][20]
Omega-3 fatty acid supplements, like fish oil, have been studied for dyslipidemia. They have reliably been found to result in relatively large reductions in triglycerides, and inconsistently increase LDL-C and HDL-C to a minor degree.[21][22][23] They may increase bleeding risk, so those on anticoagulant drugs should be cautious of taking these supplements.[7]
Another supplement that has been studied for dyslipidemia is red yeast rice. Red yeast rice sometimes contains monacolin K, which is identical to the statin lovastatin. For this reason, red yeast rice products containing non-negligible amounts of monacolin K are banned by the FDA since they are a “non-approved drug”.[24][25] If monacolin K is present, red yeast rice may have similar effects and safety profiles to statins.[26][27] However, the methodology for assessing safety in trials is often poor.[27]
Additionally, garlic supplements decrease total cholesterol and LDL-C, though not consistently, with unclear impacts on HDL-C.[28][29] Effects on LDL-C and HDL-C may occur less often when garlic supplements are given alongside a lipid-lowering diet.[30][31][32].
Finally, psyllium fiber can have beneficial effects not only on LDL-C, but on non-HDL-C and apolipoprotein B levels, which may be more predictive of cardiovascular disease than LDL-C.[3]
Dietary changes can substantially impact a range of lipid markers, including total cholesterol, LDL-C, and triglycerides.[1][33][34] Dietary changes may also alter HDL-C levels, but how this impacts cardiovascular health is unclear.[35]
Generally, dietary changes to improve dyslipidemia encompass encouragement of a caloric deficit (if weight loss is indicated), reduction of saturated fat to <10% of daily calories, increase in monounsaturated fatty acids (MUFA), increase in polyunsaturated fatty acids (PUFA), and an increase in soluble fiber intake.[1][7] Curtailing heavy alcohol consumption is also recommended, if applicable.[36]
Exercise can impact several markers of dyslipidemia. Exercise is a commonly recommended therapy to increase HDL-C, but it also can lower LDL-C and triglycerides. [37][38]
HDL-C may increase with activity level in a dose-response manner. Decreases in LDL-C and triglycerides may require higher intensity exercise. Aerobic exercise generally has a larger evidence base for encouraging these changes, though resistance exercise may be equally effective as long as it is of a similar caloric expenditure (generally requiring lower weight, more repetitions, and more sets).[39]
Tobacco smokers have higher levels of triglycerides, LDL-C, and lower levels of HDL-C.[40] Smoking cessation tends to improve HDL-C within about a year.[41] There are mixed results as to whether, when, and by how much other blood lipids levels may improve.[42][43][40] However, smoking cessation clearly does ultimately reduce cardiovascular disease risk.
Obstructive sleep apnea generally increases risk for dyslipidemia.[44] Fortunately, the gold standard treatment for sleep apnea, continuous positive airway pressure (CPAP) therapy, improves total cholesterol, LDL-C, and HDL-C levels.[45]
Dyslipidemia can have many causes, including diabetes, tobacco usage, liver and kidney disease, and hypothyroidism.[7]
There are also different drugs that can cause dyslipidemia:
- Thiazide diuretics
- β-blockers
- Cyclosporine
- Glucocorticoids
- Oral estrogens [46]
Finally, there are genetic conditions that can cause dyslipidemia. For example, familial hypercholesterolemia causes high levels of cholesterol from an inability to metabolize LDL-C properly.[47]
References
Examine Database References
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- High-density lipoprotein (HDL) - Rogoveanu OC, Mogoşanu GD, Bejenaru C, Bejenaru LE, Croitoru O, Neamţu J, Pietrzkowski Z, Reyes-Izquierdo T, Biţă A, Scorei ID, Scorei RIEffects of Calcium Fructoborate on Levels of C-Reactive Protein, Total Cholesterol, Low-Density Lipoprotein, Triglycerides, IL-1β, IL-6, and MCP-1: a Double-blind, Placebo-controlled Clinical StudyBiol Trace Elem Res.(2015 Feb)
- High-density lipoprotein (HDL) - Hee-Jung Park, Hyun-Sook LeeThe influence of obesity on the effects of spirulina supplementation in the human metabolic response of Korean elderlyNutr Res Pract.(2016 Aug)
- High-density lipoprotein (HDL) - Ferreira-Hermosillo A, Torres-Duran PV, Juarez-Oropeza MAHepatoprotective effects of Spirulina maxima in patients with non-alcoholic fatty liver disease: a case seriesJ Med Case Rep.(2010 Apr 7)
- High-density lipoprotein (HDL) - Rahnama I, Arabi SM, Chambari M, Bahrami LS, Hadi V, Mirghazanfari SM, Rizzo M, Hadi S, Sahebkar AThe effect of Spirulina supplementation on lipid profile: GRADE-assessed systematic review and dose-response meta-analysis of data from randomized controlled trials.Pharmacol Res.(2023-Jul)
- High-density lipoprotein (HDL) - Boden G, Sargrad K, Homko C, Mozzoli M, Stein TPEffect of a low-carbohydrate diet on appetite, blood glucose levels, and insulin resistance in obese patients with type 2 diabetesAnn Intern Med.(2005 Mar 15)
- High-density lipoprotein (HDL) - Brehm BJ, Seeley RJ, Daniels SR, D'Alessio DAA randomized trial comparing a very low carbohydrate diet and a calorie-restricted low fat diet on body weight and cardiovascular risk factors in healthy womenJ Clin Endocrinol Metab.(2003 Apr)
- High-density lipoprotein (HDL) - Zhou C, Wang M, Liang J, He G, Chen NKetogenic Diet Benefits to Weight Loss, Glycemic Control, and Lipid Profiles in Overweight Patients with Type 2 Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trails.Int J Environ Res Public Health.(2022 Aug 22)
- High-density lipoprotein (HDL) - M Florentin, M S Elisaf, C V Rizos, V Nikolaou, E Bilianou, C Pitsavos, E N LiberopoulosL-Carnitine/Simvastatin Reduces Lipoprotein (a) Levels Compared with Simvastatin Monotherapy: A Randomized Double-Blind Placebo-Controlled StudyLipids.(2017 Jan)
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- High-density lipoprotein (HDL) - A R Rahbar, R Shakerhosseini, N Saadat, F Taleban, A Pordal, B GollestanEffect of L-carnitine on plasma glycemic and lipidemic profile in patients with type II diabetes mellitusEur J Clin Nutr.(2005 Apr)
- Apolipoprotein B - Ali Sheikhi, Kurosh Djafarian, Moein Askarpour, Sakineh Shab-BidarThe effects of supplementation with L-carnitine on apolipoproteins: A systematic review and meta-analysis of randomized trialsEur J Pharmacol.(2019 Sep 5)
- Total cholesterol - González-Ortiz M, Hernández-González SO, Hernández-Salazar E, Martínez-Abundis EEffect of oral L-carnitine administration on insulin sensitivity and lipid profile in type 2 diabetes mellitus patientsAnn Nutr Metab.(2008)
- High-density lipoprotein (HDL) - Maki KC, Lawless AL, Kelley KM, Dicklin MR, Kaden VN, Schild AL, Rains TM, Marshall JWEffects of prescription omega-3-acid ethyl esters on fasting lipid profile in subjects with primary hypercholesterolemiaJ Cardiovasc Pharmacol.(2011 Apr)
- High-density lipoprotein (HDL) - Schuchardt JP, Neubronner J, Kressel G, Merkel M, von Schacky C, Hahn AModerate doses of EPA and DHA from re-esterified triacylglycerols but not from ethyl-esters lower fasting serum triacylglycerols in statin-treated dyslipidemic subjects: Results from a six month randomized controlled trialProstaglandins Leukot Essent Fatty Acids.(2011 Dec)
- High-density lipoprotein (HDL) - Thusgaard M, Christensen JH, Mørn B, Andersen TS, Vige R, Arildsen H, Schmidt EB, Nielsen HEffect of fish oil (n-3 polyunsaturated fatty acids) on plasma lipids, lipoproteins and inflammatory markers in HIV-infected patients treated with antiretroviral therapy: a randomized, double-blind, placebo-controlled studyScand J Infect Dis.(2009)
- High-density lipoprotein (HDL) - Dawczynski C, Martin L, Wagner A, Jahreis Gn-3 LC-PUFA-enriched dairy products are able to reduce cardiovascular risk factors: a double-blind, cross-over studyClin Nutr.(2010 Oct)
- High-density lipoprotein (HDL) - Schirmer SH, Werner CM, Binder SB, Faas ME, Custodis F, Böhm M, Laufs UEffects of omega-3 fatty acids on postprandial triglycerides and monocyte activationAtherosclerosis.(2012 Nov)
- High-density lipoprotein (HDL) - Cazzola R, Russo-Volpe S, Miles EA, Rees D, Banerjee T, Roynette CE, Wells SJ, Goua M, Wahle KW, Calder PC, Cestaro BAge- and dose-dependent effects of an eicosapentaenoic acid-rich oil on cardiovascular risk factors in healthy male subjectsAtherosclerosis.(2007 Jul)
- Apolipoprotein B - Shidfar F, Keshavarz A, Hosseyni S, Ameri A, Yarahmadi SEffects of omega-3 fatty acid supplements on serum lipids, apolipoproteins and malondialdehyde in type 2 diabetes patientsEast Mediterr Health J.(2008 Mar-Apr)
- Blood glucose - Luo J, Rizkalla SW, Vidal H, Oppert JM, Colas C, Boussairi A, Guerre-Millo M, Chapuis AS, Chevalier A, Durand G, Slama GModerate intake of n-3 fatty acids for 2 months has no detrimental effect on glucose metabolism and could ameliorate the lipid profile in type 2 diabetic men. Results of a controlled studyDiabetes Care.(1998 May)
- C-Reactive Protein (CRP) - Yusof HM, Miles EA, Calder PInfluence of very long-chain n-3 fatty acids on plasma markers of inflammation in middle-aged menProstaglandins Leukot Essent Fatty Acids.(2008 Mar)
- Triglycerides - Oliveira JM, Rondó PHOmega-3 fatty acids and hypertriglyceridemia in HIV-infected subjects on antiretroviral therapy: systematic review and meta-analysisHIV Clin Trials.(2011 Sep-Oct)
- Weight - Bays HE, Maki KC, Doyle RT, Stein EThe effect of prescription omega-3 fatty acids on body weight after 8 to 16 weeks of treatment for very high triglyceride levelsPostgrad Med.(2009 Sep)
- Platelet Aggregation - Serebruany VL, Miller M, Pokov AN, Lynch D, Jensen JK, Hallén J, Atar DEarly impact of prescription Omega-3 fatty acids on platelet biomarkers in patients with coronary artery disease and hypertriglyceridemiaCardiology.(2011)
- High-density lipoprotein (HDL) - Kim MK, Sasaki S, Sasazuki S, Okubo S, Hayashi M, Tsugane SLong-term vitamin C supplementation has no markedly favourable effect on serum lipids in middle-aged Japanese subjectsBr J Nutr.(2004 Jan)
- High-density lipoprotein (HDL) - T Sakai, V S Kamanna, M L KashyapNiacin, but not gemfibrozil, selectively increases LP-AI, a cardioprotective subfraction of HDL, in patients with low HDL cholesterolArterioscler Thromb Vasc Biol.(2001 Nov)
- High-density lipoprotein (HDL) - Valeria Nasser Figueiredo, Felipe Vendrame, Bruno A Colontoni, Thiago Quinaglia, Jose Roberto Matos-Souza, Filipe Azevedo Moura, Otavio R Coelho, Eliana C de Faria, Andrei C SpositoShort-term effects of extended-release niacin with and without the addition of laropiprant on endothelial function in individuals with low HDL-C: a randomized, controlled crossover trialClin Ther.(2014 Jun 1)
- High-density lipoprotein (HDL) - Panahi Y, Kianpour P, Mohtashami R, Jafari R, Simental-Mendía LE, Sahebkar ACurcumin Lowers Serum Lipids and Uric Acid in Subjects With Nonalcoholic Fatty Liver Disease: A Randomized Controlled TrialJ Cardiovasc Pharmacol.(2016 Sep)
- High-density lipoprotein (HDL) - Maithili Karpaga Selvi N, Sridhar MG, Swaminathan RP, Sripradha REfficacy of Turmeric as Adjuvant Therapy in Type 2 Diabetic PatientsIndian J Clin Biochem.(2015 Apr)
- High-density lipoprotein (HDL) - Mirzabeigi P, Mohammadpour AH, Salarifar M, Gholami K, Mojtahedzadeh M, Javadi MRThe Effect of Curcumin on some of Traditional and Non-traditional Cardiovascular Risk Factors: A Pilot Randomized, Double-blind, Placebo-controlled TrialIran J Pharm Res.(2015 Spring)
- High-density lipoprotein (HDL) - Ferguson JJA, Wolska A, Remaley AT, Stojanovski E, MacDonald-Wicks L, Garg MLBread enriched with phytosterols with or without curcumin modulates lipoprotein profiles in hypercholesterolaemic individuals. A randomised controlled trialFood Funct.(2019 May 22)
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- High-density lipoprotein (HDL) - Earnest CP, Almada AL, Mitchell TLHigh-performance capillary electrophoresis-pure creatine monohydrate reduces blood lipids in men and womenClin Sci (Lond).(1996 Jul)
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- High-density lipoprotein (HDL) - Bin Sayeed MS, Asaduzzaman M, Morshed H, Hossain MM, Kadir MF, Rahman MRThe effect of Nigella sativa Linn. seed on memory, attention and cognition in healthy human volunteersJ Ethnopharmacol.(2013 Jul 30)
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- High-density lipoprotein (HDL) - Batista Gde A, Cunha CL, Scartezini M, von der Heyde R, Bitencourt MG, Melo SFProspective double-blind crossover study of Camellia sinensis (green tea) in dyslipidemiasArq Bras Cardiol.(2009 Aug)
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- High-density lipoprotein (HDL) - Maryam Akbari, Omid Reza Tamtaji, Kamran B Lankarani, Reza Tabrizi, Ehsan Dadgostar, Neda Haghighat, Fariba Kolahdooz, Amir Ghaderi, Mohammad Ali Mansournia, Zatollah AsemiThe effects of resveratrol on lipid profiles and liver enzymes in patients with metabolic syndrome and related disorders: a systematic review and meta-analysis of randomized controlled trialsLipids Health Dis.(2020 Feb 17)
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- High-density lipoprotein (HDL) - Muhammad Shoaib Akhtar, Ayesha Ramzan, Amanat Ali, Maqsood AhmadEffect of Amla fruit (Emblica officinalis Gaertn.) on blood glucose and lipid profile of normal subjects and type 2 diabetic patientsInt J Food Sci Nutr.(2011 Sep)
- High-density lipoprotein (HDL) - Gimeno E, de la Torre-Carbot K, Lamuela-Raventós RM, Castellote AI, Fitó M, de la Torre R, Covas MI, López-Sabater MCChanges in the phenolic content of low density lipoprotein after olive oil consumption in men. A randomized crossover controlled trialBr J Nutr.(2007 Dec)
- High-density lipoprotein (HDL) - Król E, Krejpcio Z, Byks H, Bogdański P, Pupek-Musialik DEffects of chromium brewer's yeast supplementation on body mass, blood carbohydrates, and lipids and minerals in type 2 diabetic patientsBiol Trace Elem Res.(2011 Nov)
- High-density lipoprotein (HDL) - Vajdi M, Musazadeh V, Karimi A, Heidari H, Tarrahi MJ, Askari GEffects of Chromium Supplementation on Lipid Profile: an Umbrella of Systematic Review and Meta-analysis.Biol Trace Elem Res.(2023-Aug)
- Apolipoprotein B - Shahinfar H, Amini MR, Sheikhhossein F, Djafari F, Jafari A, Shab-Bidar SThe effect of chromium supplementation on apolipoproteins: A systematic review and meta-analysis of randomized clinical trials.Clin Nutr ESPEN.(2020-Dec)
- High-density lipoprotein (HDL) - Rahbar AR, Nabipour IThe hypolipidemic effect of Citrullus colocynthis on patients with hyperlipidemiaPak J Biol Sci.(2010 Dec 15)
- High-density lipoprotein (HDL) - Osadnik T, Goławski M, Lewandowski P, Morze J, Osadnik K, Pawlas N, Lejawa M, Jakubiak GK, Mazur A, Schwingschackl L, Gąsior M, Banach MA network meta-analysis on the comparative effect of nutraceuticals on lipid profile in adults.Pharmacol Res.(2022-Sep)
- High-density lipoprotein (HDL) - Blais JE, Huang X, Zhao JVOverall and Sex-Specific Effect of Berberine for the Treatment of Dyslipidemia in Adults: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials.Drugs.(2023-Apr)
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