Rice Bran Extract (Stabilized Rice Bran and Gamma-Oryzanol)

Oryza sativa
Evidence Level
Limited
8 Clinical Trials
6 Documented Benefits
2/5 Evidence Score

Rice bran is the outer layer of the brown rice grain, removed when rice is polished white. Supplement-grade bran is heat-treated to make stabilized rice bran, a powder containing fiber, oil, vitamin E compounds and gamma-oryzanol. Gamma-oryzanol is a group of plant sterols joined to ferulic acid, found in the bran oil and also sold alone in capsules. The best-studied use is blood cholesterol: pooled trials of rice bran oil in the diet show modest LDL reductions, while one pooled analysis of rice bran supplementation found no clear effect. Small trials of specific extracts have looked at blood sugar after meals, sleep and mood; older gamma-oryzanol studies covered strength training and menopausal complaints. Rice bran can carry more inorganic arsenic than polished rice. This ingredient is not the same as rice bran arabinoxylan (Biobran or MGN-3), an enzyme-modified fiber product.

Studied Dose Stabilized rice bran 20 g/day; gamma-oryzanol 300 to 600 mg/day; rice bran oil about 30 to 50 g/day in place of other dietary fats; an ethanol rice bran extract 1 g/day (4.5 mg/g gamma-oryzanol); rice bran triterpenoids 16.5 mg with a meal.
Active Compound Gamma-oryzanol (ferulic acid esters of plant sterols and triterpene alcohols), plant sterols, tocopherols and tocotrienols, ferulic acid and bran fiber; extracts are often standardized to gamma-oryzanol.

Benefits

LDL and total cholesterol levels

A pooled analysis of 11 randomized trials (572 people) found rice bran lowered LDL by about 15 mg/dL, with larger effects for rice bran oil than for whole bran. A separate pooled analysis of 8 trials of rice bran supplementation found no significant change in any blood fat. The clearest results come from trials using 30 to 50 g of rice bran oil a day in place of other dietary fats, not a capsule.

Blood sugar response after meals

In a crossover trial in 19 healthy men run by a company research team, adding 16.5 mg of rice bran triterpenoids to a rice meal lowered the rise in blood sugar over 1 to 3 hours, though the overall glucose curve only trended lower. In 28 adults with type 2 diabetes, 20 g a day of stabilized rice bran for 12 weeks lowered after-meal glucose versus their own baseline, not versus placebo.

Sleep onset and sleep efficiency

In a 2-week randomized, placebo-controlled trial in 50 adults with disturbed sleep, 1 g a day of an ethanol rice bran extract standardized to gamma-oryzanol shortened the time to fall asleep and raised total sleep time and sleep efficiency on overnight sleep recordings. Self-rated sleep quality did not differ from placebo. This is a single small trial of one extract, which the maker supplied.

Mood scores in adults with low mood

In an 8-week randomized, placebo-controlled trial in 100 adults with mild to moderate depressive symptoms, 1 g a day of a rice bran extract lowered clinician-rated depression scores more than placebo. Most self-rated scales and blood markers did not differ between groups. This is a single trial of one extract, which the maker supplied; anyone with persistent low mood should talk to a doctor.

Strength gains during resistance training

Gamma-oryzanol has long been sold to lifters. Over 9 weeks of training, weight-trained men taking 500 mg a day gained no more strength or power than those on placebo, and testosterone, cortisol and growth hormone did not differ. A second 9-week trial in 30 young men taking 600 mg a day reported larger bench press and leg curl gains than placebo. The two trials conflict, and the positive one was small.

Menopausal symptom scores

The menopause evidence is decades old. In an early Japanese study, 40 women with menopausal complaints took 300 mg a day of gamma-oryzanol for 4 to 8 weeks, and most improved on standard symptom scores. There was no placebo group, so a placebo response cannot be ruled out.

Mechanism of action

1

Compounds in the oil fraction and cholesterol uptake

In a controlled feeding study, rice bran oil lowered cholesterol while defatted rice bran fiber did not, pointing to compounds in the oil rather than its fats or fiber. Plant sterols in the oil are thought to compete with cholesterol for absorption, but in one trial oils with low and high gamma-oryzanol lowered cholesterol about equally, so the oryzanol content itself may matter less.

2

Slower sugar uptake from the gut

In rat gut tissue and human gut-cell experiments, cycloartenol, a triterpene alcohol from rice bran, reduced glucose transport, apparently by limiting how much of the sugar transporter SGLT1 reached the cell surface; related rice bran compounds lowered after-meal blood sugar in mice. This is lab and animal work offered to explain the human after-meal results.

3

Histamine signalling and sleep in mice

In mouse studies by the group that ran the human sleep trial, the rice bran extract shortened the time to fall asleep and increased non-REM sleep by blocking the histamine H1 receptor, and had no sleep effect in mice lacking that receptor. This has not been shown in people.

Clinical trials

1
Stabilized Rice Bran in Type 2 Diabetes: 12-Week Placebo-Controlled Trial
PubMed

Randomized, placebo-controlled trial of 20 g a day of stabilized rice bran for 12 weeks (Cheng et al. 2010, Ann Nutr Metab)

28 adults with type 2 diabetes in Taiwan.

After-meal glucose and the area under the glucose curve fell by 14.4% and 15.7% from baseline in the rice bran group, and HbA1c also fell from baseline; these glucose results were reported against baseline rather than against placebo. Total and LDL cholesterol were 9.2% and 13.7% lower than in the placebo group, and adiponectin was 40% higher.

2
Rice Bran Oil With Low or High Gamma-Oryzanol in Men With Mildly High Cholesterol
PubMed

Randomized, controlled, parallel trial comparing 50 g a day of rice bran oil containing 0.05 g or 0.8 g of gamma-oryzanol for 4 weeks after a 2-week peanut oil run-in, from the Nestle Research Centre (Berger et al. 2005, Eur J Nutr)

30 men aged 38 to 64 with mildly raised cholesterol.

Both rice bran oils lowered total cholesterol by 6.3% and LDL by 10.5% compared with the peanut oil run-in, and the two oils did not differ, so extra gamma-oryzanol added nothing measurable. There was no separate control group during the rice bran oil phase.

3
Rice Bran Oil vs Defatted Rice Bran: Two Controlled Feeding Studies
PubMed

Study 1: defatted rice bran added to double fiber intake for 5 weeks (parallel design). Study 2: 10-week randomized crossover in which rice bran oil made up a third of dietary fat versus a matched oil blend (Most et al. 2005, Am J Clin Nutr)

26 (study 1) and 14 (study 2) healthy adults with moderately raised cholesterol in the United States.

Defatted rice bran did not lower blood lipids. Rice bran oil lowered total cholesterol and cut LDL by 7% versus the control oil, with HDL unchanged. Because the fatty acids were matched, the authors attribute the effect to other oil compounds such as the unsaponifiable fraction.

4
Rice Bran Triterpenoids and After-Meal Blood Sugar: Single-Meal Crossover
PubMed

Double-blind, randomized, placebo-controlled crossover test of a rice meal with olive oil plus 16.5 mg of rice bran triterpenoids versus olive oil alone; all authors were employed by Kao Corporation (Misawa et al. 2018, Food Nutr Res)

19 healthy adult men in Japan.

The rise in blood glucose over the first 1, 2 and 3 hours was significantly smaller after the triterpenoid meal, but the overall glucose curve only trended lower (P = 0.087). Insulin, GLP-1 and GIP did not differ. The effect was clearest in the 8 men with the largest glucose rises. This was a single test meal, not a long-term outcome.

5
Gamma-Oryzanol 500 mg/day During 9 Weeks of Resistance Training: No Added Effect
PubMed

Randomized, placebo-controlled trial of 500 mg a day of gamma-oryzanol during a 9-week periodized resistance training program (Fry et al. 1997, Int J Sport Nutr)

Moderately weight-trained men.

Both groups gained strength (bench press and squat) and jump power with no difference between them. Testosterone, cortisol, estradiol, growth hormone, insulin and blood lipids also did not differ. The authors concluded gamma-oryzanol did not influence performance.

6
Gamma-Oryzanol 600 mg/day and Strength With Resistance Training
PubMed

Double-blind, placebo-controlled trial of 600 mg a day of gamma-oryzanol taken after training during 9 weeks of resistance exercise four days a week (Eslami et al. 2014, Indian J Med Res)

30 healthy young men (16 gamma-oryzanol, 14 placebo with lactose).

One-repetition maximum for bench press and leg curl rose more with gamma-oryzanol than with placebo. Body measurements and skinfolds did not differ. The sample was small, and the result conflicts with the earlier null trial at 500 mg a day.

7
Rice Bran Extract and Sleep: 2-Week Polysomnography Trial
PubMed

Randomized, double-blind, placebo-controlled trial of 1,000 mg a day of an ethanol rice bran extract (standardized to 4.5 mg/g gamma-oryzanol, supplied by S&D Co.) for 2 weeks (Um et al. 2019, Sci Rep)

50 adults with sleep disturbance in Korea.

Compared with placebo, the extract shortened sleep latency (adjusted P = 0.047), increased total sleep time (P = 0.019) and improved sleep efficiency (P = 0.010) on polysomnography. Daytime sleepiness scores fell more than on placebo, but the extract group started out sleepier. Self-rated sleep quality (PSQI) and fatigue did not differ between groups. 42 of the 50 randomized were analyzed. No serious adverse events; mild events numbered 6 on the extract and 10 on placebo.

8
Rice Bran Extract and Depressive Symptoms: 8-Week RCT
PubMed

Randomized, double-blind, placebo-controlled trial of 1 g a day of a rice bran extract for 8 weeks; capsules supplied free by S&D Co., and the paper later received two published corrections (Huh et al. 2025, Am J Clin Nutr)

100 adults aged 19 to 75 with mild to moderate depressive symptoms in Korea (47 and 50 completed).

Clinician-rated Hamilton depression scores fell more with the extract (adjusted difference about 5.7 points versus placebo). PHQ-9 was lower only in the per-protocol analysis, the Beck depression and anxiety scales showed only trends, and other questionnaires and blood markers (BDNF, serotonin, dopamine, cortisol) did not differ. No adverse events were reported.

Side effects and drug interactions

Common Potential side effects

Generally well tolerated in the trials cited here: no adverse events were reported in the 8-week mood trial, and in the 2-week sleep trial mild adverse events were similar on the extract and on placebo.
Rice bran concentrates inorganic arsenic: tested rice bran reached about 1 mg/kg, roughly 10 to 20 times the level in the bulk grain, and five rice bran solubles products held 0.61 to 1.9 mg/kg. A 20 g daily serving of such products can supply more inorganic arsenic than the 0.01 mg a day implied by drinking water limits. Choose brands that test for arsenic, especially for children.
In a small 1980 study, a single 300 mg dose of gamma-oryzanol lowered TSH (thyroid-stimulating hormone) in people with an underactive thyroid. People with thyroid conditions should tell their doctor before using it.

Important Drug interactions

Cholesterol-lowering medicines: rice bran oil and gamma-oryzanol may add a small extra LDL-lowering effect; tell your doctor so lipid tests can be interpreted.
Diabetes medicines: rice bran products may lower after-meal blood sugar, which could add to glucose-lowering medicines; monitor blood sugar when starting.
Thyroid hormone (levothyroxine): gamma-oryzanol lowered TSH in a small study of people with an underactive thyroid, which could affect how thyroid tests are read; ask your doctor before combining.

Frequently asked questions about Rice Bran Extract (Stabilized Rice Bran and Gamma-Oryzanol)

Is rice bran extract the same as Biobran or MGN-3?

No. Biobran (MGN-3) is a rice bran arabinoxylan that has been modified with mushroom enzymes, and it is studied mainly for immune markers. The products on this page are stabilized rice bran, rice bran oil and its gamma-oryzanol fraction, or alcohol extracts of the bran. Results from one do not transfer to the other.

Does gamma-oryzanol raise testosterone or build muscle?

The evidence does not show a hormone effect. In a 9-week placebo-controlled trial in weight-trained men, 500 mg a day did not change testosterone, growth hormone or cortisol, and strength rose no more than on placebo. A later small trial at 600 mg a day reported larger strength gains, so the strength question is unresolved.

Is cooking with rice bran oil the same as taking a supplement?

Not quite. The cholesterol trials with the clearest results used 30 to 50 g of rice bran oil a day, which delivers much more of the oil and its gamma-oryzanol than a capsule. Capsule doses of gamma-oryzanol (300 to 600 mg) have far less controlled lipid evidence.

Should I worry about arsenic in rice bran?

It is worth checking. Rice bran holds much more inorganic arsenic than the bulk grain, and tests of rice bran solubles products found levels that could exceed the amount implied by drinking water limits at a 20 g daily serving. Look for products tested for heavy metals, and take extra care with children.

What is Rice Bran Extract?

Rice bran is the outer layer of the brown rice grain, removed when rice is polished white. Supplement-grade bran is heat-treated to make stabilized rice bran, a powder containing fiber, oil, vitamin E compounds and gamma-oryzanol.

What is Rice Bran Extract used for?

Rice Bran Extract is researched primarily for Cardiovascular, Metabolic Health, and Sleep Health. A pooled analysis of 11 randomized trials (572 people) found rice bran lowered LDL by about 15 mg/dL, with larger effects for rice bran oil than for whole bran.

What is the recommended dosage of Rice Bran Extract?

The clinically studied dose is Stabilized rice bran 20 g/day; gamma-oryzanol 300 to 600 mg/day; rice bran oil about 30 to 50 g/day in place of other dietary fats; an ethanol rice bran extract 1 g/day (4.5 mg/g gamma-oryzanol); rice bran triterpenoids 16.5 mg with a meal. Always follow the product label and check with a healthcare provider for personal advice.

Is Rice Bran Extract safe, and does it have side effects?

For most healthy adults, Rice Bran Extract is well tolerated at studied doses. Reported effects can include: Generally well tolerated in the trials cited here: no adverse events were reported in the 8-week mood trial, and in the 2-week sleep trial mild adverse events were similar on the extract and on placebo. It may also interact with some medications. Rice Bran Extract is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does Rice Bran Extract interact with any medications?

Possible interactions include: Cholesterol-lowering medicines: rice bran oil and gamma-oryzanol may add a small extra LDL-lowering effect; tell your doctor so lipid tests can be interpreted. If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for Rice Bran Extract?

NutraSmarts rates the evidence for Rice Bran Extract as Limited (2 out of 5). It is backed by 8 clinical trials and 16 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(16 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Park SY, Kim Y, Park MJ, Kim JY. Rice Bran Consumption Improves Lipid Profiles: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2024;17(1):114. doi: 10.3390/nu17010114.PubMedUsed to support: Meta-analysis of 11 randomized trials (572 participants): rice bran lowered triglycerides (-15.13 mg/dL), total cholesterol (-11.80 mg/dL) and LDL (-15.11 mg/dL), with no change in HDL. Rice bran oil had larger effects on total and LDL cholesterol than whole rice bran; higher doses, longer trials and Asian populations showed bigger effects.
  2. Hariri Z, Afzalzade F, Sohrab G, Saadati S, Yari Z. The effects of rice bran supplementation for management of blood lipids: A GRADE-assessed systematic review, dose-response meta-analysis, and meta-regression of randomized controlled trials. Syst Rev. 2023;12(1):65. doi: 10.1186/s13643-023-02228-y.PubMedUsed to support: GRADE-assessed meta-analysis of 8 randomized trials (11 effect sizes) of rice bran supplementation: no significant effect on triglycerides, total cholesterol, LDL or HDL versus control. The authors call for larger, longer, better-designed trials.
  3. Pourrajab B, Sohouli MH, Amirinejad A, Fatahi S, Găman MA, Shidfar F. The impact of rice bran oil consumption on the serum lipid profile in adults: a systematic review and meta-analysis of randomized controlled trials. Crit Rev Food Sci Nutr. 2022;62(22):6005-6015. doi: 10.1080/10408398.2021.1895062.PubMedUsed to support: Meta-analysis of 8 randomized trials (14 effect sizes) of rice bran oil consumption in adults: total cholesterol fell by 7.29 mg/dL, LDL by 7.62 mg/dL and triglycerides by 9.19 mg/dL.
  4. Most MM, Tulley R, Morales S, Lefevre M. Rice bran oil, not fiber, lowers cholesterol in humans. Am J Clin Nutr. 2005;81(1):64-8. doi: 10.1093/ajcn/81.1.64.PubMedUsed to support: Two controlled feeding studies in moderately hypercholesterolemic adults: defatted rice bran did not lower lipids, while rice bran oil (a third of dietary fat) lowered total cholesterol and cut LDL by 7% versus a fatty-acid-matched control oil, with HDL unchanged. The authors attribute the effect to non-fatty-acid oil compounds such as the unsaponifiable fraction.
  5. Berger A, Rein D, Schäfer A, Monnard I, Gremaud G, Lambelet P, Bertoli C. Similar cholesterol-lowering properties of rice bran oil, with varied gamma-oryzanol, in mildly hypercholesterolemic men. Eur J Nutr. 2005;44(3):163-73. doi: 10.1007/s00394-004-0508-9.PubMedUsed to support: Randomized trial in 30 mildly hypercholesterolemic men: 50 g/day of rice bran oil with either 0.05 g or 0.8 g of gamma-oryzanol for 4 weeks lowered total cholesterol 6.3% and LDL 10.5% from a peanut oil run-in, with no difference between the low- and high-oryzanol oils.
  6. Bumrungpert A, Chongsuwat R, Phosat C, Butacnum A. Rice Bran Oil Containing Gamma-Oryzanol Improves Lipid Profiles and Antioxidant Status in Hyperlipidemic Subjects: A Randomized Double-Blind Controlled Trial. J Altern Complement Med. 2019;25(3):353-358. doi: 10.1089/acm.2018.0212.PubMedUsed to support: Randomized, double-blind trial in 59 hyperlipidemic adults: 30 mL/day of rice bran oil containing 4,000, 8,000 or 11,000 ppm gamma-oryzanol in cooked meals for 4 weeks lowered LDL by 8% to 12.2% versus 0.8% with soybean oil, and raised antioxidant capacity markers (ORAC, FRAP).
  7. Cheng HH, Huang HY, Chen YY, Huang CL, Chang CJ, Chen HL, Lai MH. Ameliorative effects of stabilized rice bran on type 2 diabetes patients. Ann Nutr Metab. 2010;56(1):45-51. doi: 10.1159/000265850.PubMedUsed to support: Randomized, placebo-controlled trial in 28 adults with type 2 diabetes: 20 g/day of stabilized rice bran for 12 weeks lowered after-meal glucose (14.4%), glucose area under the curve (15.7%) and HbA1c versus baseline; total and LDL cholesterol were 9.2% and 13.7% lower and adiponectin 40% higher than in the placebo group.
  8. Misawa K, Jokura H, Shimotoyodome A. Rice bran triterpenoids improve postprandial hyperglycemia in healthy male adults: a randomized, double-blind, placebo-controlled study. Food Nutr Res. 2018;62:1412. doi: 10.29219/fnr.v62.1412.PubMedUsed to support: Double-blind, randomized, placebo-controlled crossover in 19 healthy men by Kao Corporation researchers: a rice meal with 16.5 mg of rice bran triterpenoids in olive oil reduced the incremental blood glucose rise over 1 to 3 hours versus placebo oil; the overall glucose curve only trended lower, and insulin, GLP-1 and GIP did not differ.
  9. Okahara F, Suzuki J, Hashizume K, Osaki N, Shimotoyodome A. Triterpene alcohols and sterols from rice bran reduce postprandial hyperglycemia in rodents and humans. Mol Nutr Food Res. 2016;60(7):1521-31. doi: 10.1002/mnfr.201500897.PubMedUsed to support: Kao Corporation study: a triterpene alcohol and sterol preparation from rice bran lowered post-meal blood sugar when added to rice in people and in mice; in rat gut and human cell experiments, cycloartenol reduced glucose transport by limiting SGLT1 transporter movement to the cell surface (lab and animal mechanism work).
  10. Fry AC, Bonner E, Lewis DL, Johnson RL, Stone MH, Kraemer WJ. The effects of gamma-oryzanol supplementation during resistance exercise training. Int J Sport Nutr. 1997;7(4):318-29. doi: 10.1123/ijsn.7.4.318.PubMedUsed to support: Randomized, placebo-controlled trial in moderately weight-trained men: with 500 mg/day of gamma-oryzanol during 9 weeks of resistance training, both groups gained strength and jump power with no difference between them, and hormones (testosterone, cortisol, estradiol, growth hormone, insulin, beta-endorphin) and blood lipids did not differ versus placebo.
  11. Eslami S, Esa NM, Marandi SM, Ghasemi G, Eslami S. Effects of gamma oryzanol supplementation on anthropometric measurements & muscular strength in healthy males following chronic resistance training. Indian J Med Res. 2014;139(6):857-63..PubMedUsed to support: Double-blind, placebo-controlled trial in 30 healthy young men: 600 mg/day of gamma-oryzanol during 9 weeks of resistance training produced larger 1-repetition maximum gains in bench press and leg curl than placebo, with no difference in body measurements.
  12. Ishihara M, Ito Y, Nakakita T, Maehama T, Hieda S, Yamamoto K, Ueno N. [Clinical effect of gamma-oryzanol on climacteric disturbance -on serum lipid peroxides (author's transl)]. Nihon Sanka Fujinka Gakkai Zasshi. 1982;34(2):243-51..PubMedUsed to support: Japanese-language uncontrolled study (English abstract read) of 40 women with menopausal complaints given 300 mg/day of gamma-oryzanol for 4 to 8 weeks: most improved on Kupperman and Ueda symptom scores, and lipids improved in those with high values. No placebo or control group; no side effects reported.
  13. Um MY, Yang H, Han JK, Kim JY, Kang SW, Yoon M, Kwon S, Cho S. Rice bran extract supplement improves sleep efficiency and sleep onset in adults with sleep disturbance: A randomized, double-blind, placebo-controlled, polysomnographic study. Sci Rep. 2019;9(1):12339. doi: 10.1038/s41598-019-48743-8.PubMedUsed to support: Randomized, double-blind, placebo-controlled 2-week trial in 50 adults with sleep disturbance (42 analyzed): 1,000 mg/day of an ethanol rice bran extract (4.5 mg/g gamma-oryzanol, supplied by S&D Co.) shortened sleep latency and increased total sleep time and sleep efficiency on polysomnography. Epworth sleepiness fell more than on placebo from an unequal baseline; Pittsburgh sleep quality and fatigue scores did not differ between groups. Also summarizes the group's earlier mouse work linking the extract to histamine H1 receptor blockade.
  14. Huh SY, Lee YL, Kim SH, Lee SY. Efficacy of rice bran extract for alleviating depressive symptoms in adults: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2025;122(1):112-121. doi: 10.1016/j.ajcnut.2025.05.021.PubMedUsed to support: Randomized, double-blind, placebo-controlled 8-week trial in 100 adults with mild to moderate depressive symptoms: 1 g/day of a rice bran extract lowered Hamilton depression scores more than placebo (adjusted difference about -5.7); PHQ-9 differed only per protocol, other scales and biomarkers did not differ, and no adverse events were reported. Capsules were supplied by S&D Co.; the article has two published corrigenda.
  15. Sun GX, Williams PN, Carey AM, Zhu YG, Deacon C, Raab A, Feldmann J, Islam RM, Meharg AA. Inorganic arsenic in rice bran and its products are an order of magnitude higher than in bulk grain. Environ Sci Technol. 2008;42(19):7542-6. doi: 10.1021/es801238p.PubMedUsed to support: Analysis of rice bran and rice bran solubles products: inorganic arsenic reached about 1 mg/kg in rice bran, 10 to 20 times bulk grain, and 0.61 to 1.9 mg/kg in five rice bran solubles products; a 20 g serving supplies 0.012 to 0.038 mg of inorganic arsenic, above the 0.01 mg/day implied by drinking water limits.
  16. Shimomura Y, Kobayashi I, Maruto S, Ohshima K, Mori M, Kamio N, Fukuda H. Effect of gamma-oryzanol on serum TSH concentrations in primary hypothyroidism. Endocrinol Jpn. 1980;27(1):83-6. doi: 10.1507/endocrj1954.27.83.PubMedUsed to support: Small clinical study: a single 300 mg oral dose of gamma-oryzanol lowered elevated TSH in patients with primary hypothyroidism, and longer use lowered TSH in 6 of 8 patients, with no change in thyroid hormone levels.