Benefits
Weight management
A meta-analysis of chitosan trials found modest reductions in body weight and body fat versus control, though effects were small (about 0.8 kg) with no significant change in BMI or waist. Those trials used mostly shellfish-derived chitosan; KiOnutrime-CsG, a fungal (Aspergillus niger) chitosan, was tested separately in one 90-day single-blind placebo-controlled trial in 96 overweight adults at 2.5 g a day, co-authored by KitoZyme staff: body weight fell 3.1 kg on average, significantly more than on placebo.
Fat binding
Chitosan can bind some dietary fat in the gut, but the amount of extra fat excreted in human studies is small and inconsistent.
Shellfish-free option
Being fungal-derived, it suits vegetarians and people with shellfish allergies, unlike traditional shellfish chitosan.
Cholesterol: small drop in chitosan trials, lipids flat in own trial
In a 90-day single-blind placebo-controlled trial of KiOnutrime-CsG itself (2.5 g a day, 96 overweight adults, co-authored by KitoZyme staff), LDL, HDL and triglycerides did not change; total cholesterol was not reported. A pooled analysis of 6 placebo-controlled trials of generic chitosan in 416 adults with high cholesterol found total cholesterol about 11.6 mg/dL lower, with no significant change in LDL, HDL or triglycerides.
Mechanism of action
Electrostatic fat binding
Positively charged chitosan binds negatively charged fatty acids and bile acids in the gut, forming complexes that are excreted rather than absorbed.
Bile-acid sequestration
In theory, binding bile acids could prompt the body to draw on cholesterol to replace them, but human data on chitosan and cholesterol are limited and inconsistent.
Clinical trials
Systematic review and meta-analysis of randomized controlled trials of chitosan on body weight and composition. (Huang et al. 2020, Critical Reviews in Food Science and Nutrition)
Adults across multiple RCTs of chitosan; the pooled trials used mostly shellfish-derived chitosan, not the fungal KiOnutrime-CsG form.
Chitosan supplementation supported modest reductions in body weight versus control.