Benefits
Healthy cholesterol
A meta-analysis of 124 controlled studies found that 0.6 to 3.3 grams a day of plant sterols and stanols lowered LDL cholesterol by an average of 6 to 12 percent, with larger drops at higher intakes up to about 3 grams. The studies tested plant sterols as a class, not Advasterol specifically.
Heart health as part of a balanced diet
Foods and supplements with added plant sterols are a common nonprescription way to support healthy LDL cholesterol alongside diet changes. Randomized trials have not yet tested whether they lower heart attack or stroke rates, and some genetic studies link high blood plant sterol levels with heart disease, so the long-term picture is still open.
Mechanism of action
Blocked cholesterol absorption
Plant sterols compete with cholesterol for uptake in the intestine, reducing the amount of dietary and biliary cholesterol absorbed.
Increased LDL clearance
With less cholesterol arriving from the gut, the liver takes up more LDL cholesterol from the blood.
Clinical trials
Meta-analysis of 124 randomized controlled studies (201 dose groups) of plant sterols, plant stanols or both, at an average dose of 2.1 g/day. (Ras et al. 2014, Br J Nutr)
Participants in randomized controlled studies of plant sterol or stanol intake, at doses from 0.2 to 9.0 g/day.
Intakes of 0.6 to 3.3 g/day lowered LDL cholesterol by an average of 6 to 12 percent, with the effect continuing to grow up to about 3 g/day (average 12 percent). Plant sterols and stanols showed similar dose responses. Doses above 4 g/day were too few to pool. Two of the three authors worked for Unilever R&D.