How Probiotics Help Cholesterol Levels

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Doctor holding Magnifier focus to stomach with intestine probiotics for gut health

Cholesterol is an incredible molecule, important for cell membranes, vitamin D, digestion, hormones and more. And there are ways to make sure your cholesterol is at optimal levels. 

Probiotics, live beneficial bacteria typically found in fermented foods and supplements, are commonly known for their positive effects on gut health. However, research reveals that these microscopic organisms also play a crucial role in cholesterol metabolism. Let’s explore how probiotics can help improve cholesterol levels and examine the scientific evidence backing these claims.

How Probiotics Influence Cholesterol Levels

1. Bile Salt Deconjugation:

Bile acids, produced by the liver, are necessary for fat digestion. When bile salts are released into the gut, they are reabsorbed by the body. Certain strains of probiotics, particularly Lactobacillus and Bifidobacterium species can deconjugate bile salts, making them less absorbable. As a result, more bile acids are excreted, and the body must use cholesterol to produce more bile salts, leading to lower circulating cholesterol levels.

2. Cholesterol Assimilation:

Some probiotic strains are capable of directly assimilating cholesterol from the gut. This reduces the amount of cholesterol that is absorbed into the bloodstream. The bacteria incorporate cholesterol into their cell membranes, effectively sequestering it.

3. Short-Chain Fatty Acid (SCFA) Production:

Probiotics ferment dietary fibers to produce short-chain fatty acids (SCFAs), such as butyrate and acetate. These SCFAs are known to help regulate lipid metabolism by reducing the production of cholesterol in the liver. This mechanism indirectly influences blood cholesterol levels.

4. Modulation of Gut Microbiota:

Probiotics help balance the gut microbiome, promoting the growth of beneficial bacteria that are linked to improved cholesterol levels. A healthy microbiome can influence metabolic pathways, leading to better lipid profiles and reduced risk of cardiovascular disease.

Scientific Trials Supporting Probiotics and Cholesterol Management

Several clinical studies have demonstrated that probiotics can effectively reduce cholesterol levels, particularly LDL cholesterol, often referred to as “bad” cholesterol.

1. **Lactobacillus reuteri and LDL Cholesterol Reduction**

One of the most well-known studies was a double-blind, placebo-controlled trial that investigated the effects of *Lactobacillus reuteri* NCIMB 30242 on cholesterol levels. In this study, participants consumed a yogurt or capsule containing *L. reuteri* for six weeks. The results showed that LDL cholesterol levels decreased by approximately 11.6%, and total cholesterol levels were reduced by 9.1% compared to the placebo group . This strain of probiotic appeared to enhance bile salt deconjugation, reducing the body’s absorption of cholesterol.

2. **Multistrain Probiotics and Cholesterol Improvement**

A 2017 meta-analysis published in *PLOS ONE* analyzed 15 randomized controlled trials to assess the impact of various probiotic strains on cholesterol levels. The researchers concluded that multistrain probiotics were more effective than single strains, leading to an average reduction in LDL cholesterol of 7.8 mg/dL and total cholesterol by 9.1 mg/dL. This meta-analysis highlighted the importance of strain diversity and dosage in achieving optimal cholesterol-lowering effects  .

3. **Lactobacillus plantarum and Total Cholesterol**

Another clinical trial examined the effect of Lactobacillus plantarum on cholesterol metabolism in hypercholesterolemic individuals. After 12 weeks of supplementation with L. plantarum, participants experienced a 7.84% reduction in total cholesterol and a 9.27% reduction in LDL cholesterol levels. Researchers attributed these results to the ability of *L. plantarum* to modulate bile acid metabolism and reduce cholesterol absorption in the intestine .

Best Probiotic Strains for Cholesterol Management

Based on clinical research, certain probiotic strains stand out for their ability to help manage cholesterol levels. These include:

– *Lactobacillus reuteri* NCIMB 30242

– *Lactobacillus plantarum*

– *Bifidobacterium longum*

– *Lactobacillus acidophilus*

– *Lactobacillus gasseri*

(See Heart Helpers)

Incorporating probiotics through dietary sources like yogurt, kefir, sauerkraut, and kombucha, or through high-quality supplements, can provide a natural boost to cholesterol regulation.

How to Incorporate Probiotics into Your Routine

1. Fermented Foods: Adding foods like yogurt, kimchi, and sauerkraut to your diet can naturally introduce probiotics into your system. Make sure they are raw and unpasteurized, as heat treatment kills beneficial bacteria.

2. Probiotic Supplements: Look for high-quality supplements that contain clinically studied strains, particularly those mentioned above for cholesterol management. The dosage can vary, but most studies suggest a minimum of 10 billion CFU (colony-forming units) per day to see significant results.

Enter Heart Helpers! Heart Helpers is our 25 billion CFU, 10 strain probiotic. No refrigeration needed. 

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About Dr. Keith Smigiel NP, DC

Dr. Keith Smigiel

Dr. Keith Smigiel is a regenerative medicine physician and pain management specialist. He takes an integrative approach to medicine, focusing on customized solutions tailored to individual needs. Using advanced, non-surgical treatments, Dr. Smigiel stimulates your body’s ability to naturally heal itself.

Dr. Smigiel helps people suffering from conditions such as chronic pain and erectile dysfunction, to hair loss and weight gain. Combining treatments such as PRP Therapy, Ozone, Neural Prolotherapy, and IV Infusions with functional rehabilitation, he helps you look and feel better.

He heals the body, instead of just treating the symptoms!

With his professional qualifications as a certified family nurse practitioner, a doctor of chiropractic, and a fellow of the International Academy of Medical Acupuncture, Dr. Smigiel offers patients comprehensive care from a broad perspective of conventional and alternative medicine. He also has extensive experience in functional rehabilitation and chronic pain management.

Dr. Smigiel is married to Angela and has two children, Sophia and Larz. When he’s not busy helping patients, he enjoys hiking, mountain biking, motocross, and boating.

About Dr. Lauren Lattanza NMD, FACC

Dr. Lattanza Office Visit with Patient

As a Naturopathic Physician, I am trained to treat the whole person and get to the root cause of disease.

I went to Arizona State University where I graduated with a bachelor’s degree in psychology with a depth in physiology and minor in Spanish. After my undergraduate degree I was working on prerequisite classes towards medical school, which is when I came to learn that my values identified best with the principles of naturopathic medicine. I knew that I wanted to help patients identify the causes of disease and be able to offer treatments which would improve their health rather than simply treating symptoms.

I dedicated the next 4 years to the Southwest College of Naturopathic Medicine in Tempe, Arizona where I attained my Doctorate of Naturopathic Medicine. I served as Class President all 4 years, Board of Trustees – Student Trustee, spoke as the Club President for our branch of Toastmasters, and was voted by my peers and attending physicians to earn the Outstanding Leadership Award for the Class of 2020. Throughout medical school I took it upon myself to work alongside MDs, DOs, chiropractors, and functional medicine practitioners in addition to naturopathic physicians.

As a Spanish speaking student, I was able to volunteer with community clinics around Phoenix and provide free healthcare to low-income families. Due to this combined exposure, I came to find my passion in treating cardiometabolic and digestive disorders that are all too common, yet largely preventable. I took the opportunity to learn the broad spectrum of healthcare so I can ensure that I am able to provide my patients with the best options.

About Dr. Jack Wolfson DO, FACC

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Dr. Jack Wolfson is a cardiologist, Amazon best-selling author, husband, father, and the nation’s #1 Natural Heart Doctor.

For more than two decades, more than one million people have enjoyed the warmth, compassion, and transformational power of his natural heart health courses and events.

Dr. Wolfson is the founder of Natural Heart Doctor Scottsdale, his heart health practice in Arizona, and Natural Heart Doctor, an online resource center with natural health information. Doctors from across the globe reach out to Dr. Wolfson for training and education in holistic health practices.

He has been named one of America’s Top Functional Medicine Doctors and is a five-time winner of the Natural Choice Awards as a holistic M.D. Dr. Wolfson’s work has been covered by more than 100 media outlets, including NBC, CNN, and the Washington Post. His book “The Paleo Cardiologist: The Natural Way to Heart Health” was an Amazon #1 best-seller.

Dr. Wolfson and his wife Heather have four children and are committed to making the world a better place to live. They provide for those in need (including animals) and support natural health causes through their philanthropic efforts.

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Our chiropractor is an expert at adjustments and holistic chiropractic care and works closely in conjunction with the other health care experts at Natural Heart Doctor.

Call (480) 535-6844 for details and scheduling.

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We use specially formulated natural vitamins and minerals that are injected into a vein to prevent or treat dehydration. Ideal for people in Arizona.

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Stimulate your body’s natural healing abilities and promote physical and emotional well-being with acupuncture at Natural Heart Doctor.

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Our health coaches use evidence based skillful conversation, clinical interventions, and strategies to engage you actively and safely in health behavior changes.

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We use the most advanced testing in the world to assess heart health and to identify the root cause of your health issues.

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Schedule an office visit with one of our cardiologists, holistic physicians, chiropractor, or health coaches.

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Frequently Asked Questions

I’d like to receive an online second opinion from Natural Heart Doctor. What do I do next?

You can initiate a second opinion online through our website at any time. To begin, select the team member you’d like to speak with and open an account.

Click here for cardiologist Dr. Jack Wolfson.

Naturopathic Medical Doctor Dr. Lauren Lattanza. Get details.

Naturopathic Medical Doctor Dr. Tonia Rainier. Get details.

Click here for  Natural Heart Doctor Health Coach.

Alternatively, you can email health@naturalheartdoctor.com. A member of our care team will help guide you through the process of starting a second opinion.

What is the cost of a Natural Heart Doctor Online Second Opinion?

The cost for most second opinions varies by team member. This fee includes information collection, a phone or video consultation, a second opinion from a Natural Heart Doctor specialist and guidance throughout the process from your personal Care Team at Natural Heart Doctor.

Cardiologist Dr. Jack Wolfson’s Second Opinion Fee is $1500.

Holistic Physician’s Dr. Lauren Lattanza’s Second Opinion Fee is $250.

Naturopathic Physician Dr. Tonia Rainier’s Second Opinion Fee is $250.

Note: We apply the Online Second Opinion Call fee as a credit to any future consultations with Natural Heart Doctor, should you choose them.

Will my insurance cover the cost of a Natural Heart Doctor Online Second Opinion?

Most likely, no. Most health plans do not cover online second opinions or consultations. You are responsible for the cost of our second opinion. Natural Heart Doctor cannot file a claim with your insurance carrier, nor can we provide a procedure (CPT) code for this service.

What is the timeline to receive an online second opinion?

We do our best to schedule your second opinion as quickly as possible. Typically, it takes 5 to 7 business days after your information has been collected to receive your phone or video online second opinion.

What information do you need in advance of our call?

Our office will send you a short questionnaire to complete and return. We DO NOT need your complete medical records.

How many questions can I ask the expert during our call?

You may ask a maximum of five questions. This is to ensure that the expert has sufficient time to devote to each question. All questions must be finalized before your online meeting.

What should I expect to receive once my second opinion is complete?

You will receive a summary of our discussion along with our second opinion. The second opinion will be in written form. After you have reviewed the second opinion, a Natural Heart Doctor clinician will follow up with you by phone to address general medical questions about the information provided in the second opinion.

What if I have follow-up questions for the expert after I have reviewed my second opinion?

If you have a clarifying question about an expert’s response to one of the questions in your second opinion, and the Natural Heart Doctor clinician is unable to address it, then you may request a follow up session for an additional fee. 

Is my medical and payment information secure?

Natural Heart Doctor is strongly committed to protecting the privacy and security of all our patients. Our website meets all federal requirements for protecting personal health information under the Health Insurance Portability and Accountability Act (HIPAA). All financial transactions are processed by Natural Heart Doctor securely using industry standard payment processing tools.

I would rather visit Natural Heart Doctor for an in-person appointment. What should I do next?

If you would prefer an in-person appointment at Natural Heart Doctor instead of an online second opinion, please call (480) 535-6844 for details and scheduling.

Can I schedule a follow up appointment with the specialist who provided my online second opinion?

Yes, we’re happy to help you on an extended basis. Our clinician can discuss options with you when presenting our second opinion summary.