Benefits
Total cholesterol, a blood marker, in a maker-led 12-week trial
In a double-blind trial of 60 adults with raised cholesterol, one capsule of 1.2 billion CFU a day for 12 weeks lowered total cholesterol 13.6 percent from baseline versus 4.2 percent on placebo, a significant difference. LDL cholesterol did not differ significantly from placebo overall, only in a higher-cholesterol subgroup defined after the fact. A 2016 report re-presents the same trial.
LDL cholesterol, a blood marker, in independent trials
In a German trial of 86 adults with untreated raised LDL, 12 weeks lowered LDL by 6.6 mg/dL while it rose 2.3 mg/dL on placebo, a small difference. In a Chinese trial of 136 adults, the main analysis found no difference from placebo; LDL fell slightly more only among the 101 who took it as directed and avoided antibiotics.
HDL cholesterol, triglycerides and blood pressure
In the independent German trial, HDL cholesterol, triglycerides, blood pressure and arterial stiffness did not differ from placebo after 12 weeks. In the maker-led trial, HDL cholesterol also did not differ from placebo in the full report; a later abstract from the same authors on the same trial described HDL and triglyceride changes as significant.
Bile acids and LDL particles in a small open study
In a 4-week study of 20 healthy adults with overweight and no placebo group, escalating daily doses lowered conjugated bile acids in the blood, ApoB and small LDL particles, and non-HDL cholesterol fell 6.2 mg/dL after the first week. AB-Biotics part funded it and three authors work there; without a control group the changes cannot be firmly attributed to the probiotic.
With red yeast rice: a separate combination product
A 12-week trial in 39 adults tested the three strains together with red yeast rice supplying 10 mg of monacolin K. Unadjusted cholesterol changes did not differ from placebo; after adjusting for unequal past cholesterol treatment, LDL and total cholesterol fell more. This is another product, and its results cannot be credited to the probiotic alone.
Mechanism of action
Bile salt hydrolase activity
In laboratory tests the three strains showed bile salt hydrolase activity, strongest when combined. This enzyme deconjugates bile salts so more are lost in the stool, and the liver uses cholesterol to replace them. In a small open study in people, conjugated bile acids and fibroblast growth factor 19 in the blood fell during intake.
Cholesterol uptake and binding in culture
In culture, the strains took up cholesterol from the medium and bound part of it to their cell surface. Whether this happens to a meaningful extent in the human gut has not been shown.
Short-chain fatty acid production
In laboratory culture the strains, especially CECT 7529, produced propionic and butyric acids, short-chain fatty acids proposed to influence lipid metabolism. Effects of this in people have not been established.
Clinical trials
Randomized, double-blind, placebo-controlled trial: one capsule a day of 1.2 billion CFU of the three-strain mix, or the same capsule without bacteria, for 12 weeks; two of the four authors, including the corresponding author, list AB-Biotics, the mix's maker; no registry number given; a 2016 report by the same authors (Mediterr J Nutr Metab) shows matching baseline and 12-week figures and appears to describe the same trial (Fuentes et al. 2013, Br J Nutr)
60 adults aged 18 to 65 with raised cholesterol (30 per group).
Total cholesterol fell 13.6 percent from baseline versus 4.2 percent on placebo, and 12-week values differed significantly between groups. LDL cholesterol (down 14.7 versus 5.8 percent) and oxidized LDL only trended lower than placebo, and HDL did not differ. In a subgroup with higher starting total cholesterol, defined after the fact, total cholesterol, LDL and oxidized LDL fell 17.4, 17.6 and 15.6 percent from baseline and were lower than placebo; in the lower subgroup only total cholesterol differed from placebo. These are blood markers, not heart outcomes.
Randomized, double-blind, placebo-controlled trial at Leibniz University Hannover: one capsule a day of 1.2 billion CFU (1:1:1) or maltodextrin placebo for 12 weeks; primary outcome LDL cholesterol; registered DRKS00020384; funded by the German Research Foundation, no competing interests declared; an earlier conference abstract of the trial lists an AB-Biotics R&D author (statistical support) and a SymbioPharm business development director as coauthors, with SymbioPharm supplying the product (Kerlikowsky et al. 2025, Probiotics Antimicrob Proteins)
86 adults aged 30 to 75 with untreated LDL cholesterol of 160 to 220 mg/dL (43 per group).
LDL cholesterol changed by minus 6.6 mg/dL on the probiotic and plus 2.3 mg/dL on placebo (P = 0.006), and total cholesterol fell 10.4 mg/dL on the probiotic, a significant difference from placebo (P = 0.045). HDL cholesterol, triglycerides, blood pressure, arterial stiffness and overall gut microbiota did not differ between groups.
Randomized, double-blind, placebo-controlled trial: one sachet a day of the three strains (1:1:1, 1.2 billion CFU, a Life-space product) or maltodextrin for 12 weeks; primary outcome change in LDL cholesterol; registered ChiCTR2200058631; part funded by the BYHEALTH Nutrition and Health Research Foundation, with two authors from the BYHEALTH Institute, and both study products were prepared by By-Health Co., Ltd. (Ma et al. 2026, NPJ Sci Food)
136 adults with moderately raised blood lipids not on medication; 120 completed.
In the intention-to-treat analysis, LDL and total cholesterol did not differ significantly from placebo (P = 0.075 and 0.053). In the per-protocol set of 101 adherent participants without antibiotic use, LDL cholesterol fell 0.118 mmol/L and total cholesterol 0.163 mmol/L more than on placebo (both p < 0.05). Mild adverse events, mainly digestive discomfort, did not differ between groups.
Single-center, single-arm pilot study with no placebo: 1.2 billion CFU capsules, one a day in week 1 rising to four a day in week 4; registered NCT05378230; funded in part by AB-Biotics (Kaneka group), with three AB-Biotics employees among the authors (Padro et al. 2024, Cardiovasc Res)
20 healthy adults with overweight (10 men, 10 women), aged 25 to 60, not taking lipid-lowering drugs.
Conjugated bile acids and fibroblast growth factor 19 fell. Non-HDL cholesterol fell most after week 1 on one capsule a day (minus 6.2 mg/dL from baseline, P = 0.033), and ApoB100, ApoB48 and small LDL particles fell. Changes were measured against baseline only, with no control group.
Randomized, double-blind, placebo-controlled trial of 1 billion CFU of the three strains plus red yeast rice extract with 10 mg of monacolin K, once daily for 12 weeks; primary outcome LDL cholesterol; retrospectively registered NCT04677335; funded by AB-Biotics, one author an AB-Biotics employee (Guerrero-Bonmatty et al. 2021, Nutrients)
39 adults with total cholesterol of 200 mg/dL or more, statin-naive or having stopped a statin for intolerance (21 active, 18 placebo).
Unadjusted LDL and total cholesterol changes did not differ from placebo. After adjusting for a baseline imbalance in recent cholesterol treatment (81 versus 22 percent), LDL cholesterol (p = 0.023) and total cholesterol (p = 0.011) fell more than on placebo. No adverse effects were noted. The result reflects the combination, not the probiotic alone.