Citrus Bergamot Extract
Specifically for High Cholesterol
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Why it works for High Cholesterol:
Multiple complementary mechanisms (distinct from statins):
- In liver cells, bergamot extract reduced total/free cholesterol and did not directly inhibit HMG-CoA reductase; instead, it down-regulated HMG-CoA reductase protein and activated AMPK, which collectively suppress endogenous cholesterol synthesis. MDPI
- In intestinal cells, the flavonoid brutieridin reduced cholesterol uptake, likely via NPC1L1 transporter effects (the same target class ezetimibe acts on). MDPI
Net effect in humans: randomized and prospective clinical studies show reductions in LDL-C and total cholesterol, with variable effects on HDL-C and triglycerides, consistent with the mechanisms above. Frontiers
How to use for High Cholesterol:
These are the dosing patterns used in clinical trials (not medical advice):
- Standardized flavonoid dose: Trials of Bergavit®/bergamot juice extract using ~150 mg/day of total flavonoids (primarily neoeriocitrin, neohesperidin, naringin) for 4–6 months lowered LDL-C and total cholesterol versus placebo; products in these trials delivered ~550–600 mg/day of extract to yield 150 mg flavonoids. Take once daily with a meal. MDPI
- BPF® (bergamot polyphenolic fraction): Several RCTs and placebo-controlled studies used 500–1,000 mg/day for 30–90 days (some up to 6 months), reporting LDL-C and total cholesterol reductions (and sometimes ↑HDL-C, ↓TG). OAText
- Combination nutraceuticals: Bergamot combined with other lipid-active botanicals (e.g., artichoke) has also improved lipid markers in RCTs; if you choose a combo product, match the bergamot component to the standardized ranges above. MDPI
Monitoring & expectations
- Re-check a fasting lipid panel after 8–12 weeks to assess response; most change appears by 1–2 months and can increase through 4–6 months. MDPI
- Use alongside diet, exercise, and risk-based therapy; don’t stop a prescribed statin without your clinician.
Scientific Evidence for High Cholesterol:
Randomized, double-blind, placebo-controlled (single-ingredient bergamot):
- Foods 2024, n=64, 150 mg/day flavonoids for 4 months → LDL-C ↓11.5%, TC ↓8.8%, ox-LDL ↓, and good tolerability. MDPI
Prospective 6-month study (single-ingredient bergamot):
- Frontiers in Pharmacology 2016, n=80, 150 mg/day flavonoids for 6 months → improvements in LDL subfractions (↓ small, dense LDL) and overall lipid profile. (Prospective controlled design; not blinded.) Frontiers
BPF® randomized/placebo-controlled studies (different formulations/doses):
- 500–1,000 mg/day for ~30–90 days lowered LDL-C and total cholesterol and sometimes ↑HDL-C/↓TG (various patient populations, including mixed hyperlipidemia and metabolic syndrome). OAText
- Adjunct to statin: adding BPF enhanced rosuvastatin’s lipid effects in mixed hyperlipidemia in a controlled clinical study. (This supports efficacy but raises the question of interactions; see warnings.) International Journal of Cardiology
Mechanistic confirmation (cell studies):
- Nutrients 2021 showed AMPK activation, reduced HMG-CoA reductase protein, and reduced intestinal cholesterol uptake via NPC1L1, aligning with human lipid improvements. MDPI
Broader evidence base: A systematic review/meta-analysis of citrus extracts (including bergamot) supports lipid-lowering potential from animal to human studies, though larger, longer RCTs are still needed. Frontiers
Specific Warnings for High Cholesterol:
Potential drug interactions (CYP3A4/statins):
Bergamot and related citrus contain furanocoumarins (e.g., bergamottin) that can inhibit intestinal CYP3A4, a mechanism behind the well-known grapefruit–statin interaction (notably with simvastatin, lovastatin, atorvastatin). Direct clinical interaction data for oral bergamot supplements are limited and mixed, but caution is warranted—especially if you take CYP3A4-metabolized drugs. Discuss with your clinician/pharmacist before combining. ScienceDirect
- Practical tip: If you and your clinician choose to add bergamot to a statin regimen, monitor for myalgias and consider checking liver enzymes and statin levels if symptoms develop; some interaction resources flag a possible interaction, and at least one clinical study combined BPF with rosuvastatin without major safety signals while boosting effect (efficacy finding; still apply caution). Hello Pharmacist
Photosensitivity is about the essential oil, not the oral polyphenol extract:
Bergamot essential oil (topical) contains bergapten and can be phototoxic; this is not the same as standardized oral flavonoid extracts used for cholesterol. Avoid ingesting essential oil and avoid skin application before UV exposure. ScienceDirect
General tolerability:
Clinical trials of oral extracts reported good tolerability over 1–6 months with routine safety labs unchanged; occasional mild GI symptoms are possible. Do not use in pregnancy/breastfeeding due to insufficient data. MDPI
Diabetes meds / hypoglycemia:
Some studies suggest modest glycemic effects; if you’re on antidiabetic drugs, monitor glucose when starting bergamot. EurekaSelect
General Information (All Ailments)
What It Is
Citrus Bergamot Extract is derived from the bergamot orange (Citrus bergamia), a fragrant citrus fruit native to the Calabria region of southern Italy. Unlike the sweet oranges used for eating, bergamot is primarily valued for its high concentration of unique polyphenols—plant compounds with potent antioxidant and lipid-lowering properties. The extract is typically produced from the juice and albedo (the white inner peel) of the fruit, yielding a standardized formulation rich in flavonoids such as naringin, neohesperidin, brutieridin, and melitidin.
Citrus Bergamot is commonly consumed in capsule, powder, or tea form as a natural supplement designed to support cardiovascular health, cholesterol balance, and metabolic function. It is not to be confused with bergamot essential oil, which is used in aromatherapy and topical applications but not for oral supplementation.
How It Works
The bioactive compounds in Citrus Bergamot Extract act through several mechanisms that target lipid metabolism, oxidative stress, and inflammation:
- Cholesterol Regulation. The flavonoids in bergamot mimic the action of statins—drugs that inhibit the enzyme HMG-CoA reductase, which plays a central role in cholesterol synthesis in the liver. This helps lower LDL (“bad”) cholesterol and triglycerides, while simultaneously raising HDL (“good”) cholesterol levels.
- Antioxidant Effects. Bergamot polyphenols neutralize free radicals and reduce oxidative stress, which can damage cells and contribute to chronic diseases such as atherosclerosis, diabetes, and neurodegeneration. These antioxidants also help protect lipids in the bloodstream from oxidation, a key factor in plaque formation.
- Anti-inflammatory Action. By downregulating inflammatory pathways (such as NF-κB activation), bergamot reduces systemic inflammation—a known contributor to cardiovascular and metabolic disorders.
- Blood Sugar and Metabolic Support. Studies suggest bergamot may improve insulin sensitivity and support better blood glucose control, making it potentially beneficial for people with metabolic syndrome or prediabetes.
- Liver Health. The extract supports liver function by reducing fat accumulation (steatosis) and promoting detoxification processes. This is particularly relevant for non-alcoholic fatty liver disease (NAFLD).
Why It’s Important
Citrus Bergamot Extract holds growing importance in preventive health and integrative medicine due to its natural, multi-targeted effects on cardiovascular and metabolic health. Key reasons for its relevance include:
- Natural Cholesterol Management: It offers a botanical alternative or adjunct to prescription statins, especially for individuals who are statin-intolerant due to muscle pain or other side effects.
- Metabolic Syndrome Prevention: With its ability to improve lipid profiles, reduce inflammation, and enhance glucose metabolism, bergamot may help reduce risk factors associated with heart disease, diabetes, and obesity.
- Liver and Vascular Protection: The extract’s antioxidant and hepatoprotective properties make it valuable for maintaining liver health and protecting blood vessels from oxidative damage.
- Overall Wellness and Longevity: Its broad antioxidant profile contributes to cellular protection, potentially supporting healthy aging and resilience against chronic disease.
Considerations
While Citrus Bergamot Extract is generally considered safe and well-tolerated, there are several important considerations to keep in mind:
- Dosage and Standardization: Effective doses typically range from 500 to 1,000 mg daily of standardized extract (usually containing around 25–40% polyphenols). It’s essential to choose products that specify the concentration of active compounds.
- Potential Interactions: Because bergamot can influence lipid metabolism and liver enzymes, it may interact with medications such as statins, antihypertensives, and diabetes drugs. Consultation with a healthcare provider is advised before combining them.
- Possible Side Effects: Mild gastrointestinal discomfort, heartburn, or muscle aches have been occasionally reported. Overuse may theoretically lead to excessive lowering of cholesterol or blood sugar in sensitive individuals.
- Quality and Purity: Supplements vary widely in quality. Reputable brands should use clinically studied extracts, ideally standardized to specific flavonoid content (e.g., Bergamonte® or Citrus Bergamot Polyphenolic Fraction [BPF]).
- Contraindications: Pregnant or breastfeeding individuals should avoid use due to limited safety data. Likewise, people with chronic liver disease or those taking multiple prescription medications should seek medical supervision before use.
Helps with these conditions
Citrus Bergamot Extract is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
High Blood Pressure
Endothelial function & vascular effects (indirect BP relevance). In a 12-week, double-blind, placebo-controlled RCT in adults with features of met...
High Cholesterol
Multiple complementary mechanisms (distinct from statins):In liver cells, bergamot extract reduced total/free cholesterol and did not directly inhibit...
Type 2 Diabetes
Improves insulin resistance and fasting glucose (adjunct effect). In randomized, placebo-controlled trials of bergamot extracts or phytocomplexes, par...
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