01Markers · Lipids
Total cholesterol
The combined cholesterol carried in all lipoprotein particles, including LDL and HDL.
- Measured in
- Blood (serum)
- Units
- mg/dL, mmol/L
- Also called
- serum cholesterol
- Berberine
- HIIT
- Milk thistle
- Magnesium
- Zinc
- Melatonin
- Vitamin C
- Taurine
- Ubiquinol (CoQ10)
- Zone 2 cardio
- Iron
- Red yeast rice
- L-carnitine
- Vitamin D3
- Ashwagandha
- Collagen
- Creatine
- Resveratrol
- Vitamin E
- NAD+
- Omega-3
- NAC
- L-theanine
- Vitamin K2
- Lion's mane
- PQQ
- Finnish sauna
AWhat moves Total cholesterol
26 of 27 studied
Moves it17
Human studies found a change. The grade reflects the studies behind it, from A (strongest) to D.
BerberineLowersGrade A
Berberine lowers total cholesterol.
55 studies linked
- The effects of berberine on blood lipids: a systemic review and meta-analysis of randomized controlled trials. (2013)
- Efficacy and safety of berberine for dyslipidaemias: A systematic review and meta-analysis of randomized clinical trials. (2018)
- Berberine protects steatotic donor undergoing liver transplantation via inhibiting endoplasmic reticulum stress-mediated reticulophagy. (2019)
- Overall and Sex-Specific Effect of Berberine for the Treatment of Dyslipidemia in Adults: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials. (2023)
- Impact of Berberine or Berberine Combination Products on Lipoprotein, Triglyceride and Biological Safety Marker Concentrations in Patients with Hyperlipidemia: A Systematic Review and Meta-Analysis. (2024)
- Meta-analysis of the effect and safety of berberine in the treatment of type 2 diabetes mellitus, hyperlipemia and hypertension. (2015)
- +49 more studies
HIITLowersGrade A
HIIT lowers total cholesterol.
Meta-analysis or review · 43 studies linked
- HIIT is not superior to MICT in altering blood lipids: a systematic review and meta-analysis. (2019)
- Effects of HIIT and MICT on cardiovascular risk factors in adults with overweight and/or obesity: A meta-analysis. (2019)
- Effects of high-intensity interval training on cardiometabolic health: a systematic review and meta-analysis of intervention studies. (2017)
- Effects of different exercise modalities on lipid profiles in overweight and obese children and adolescents: a systematic review and network meta-analysis of randomized controlled trials. (2026)
- Effects and Dose-Response Relationship of High-Intensity Interval Training on Cardiometabolic Risk in Individuals With Overweight and Obesity: A Systematic Review and Meta-Analysis. (2026)
- Comparative efficacy of exercise modes on cardiometabolic health in women with polycystic ovary syndrome: a systematic review with pairwise and network meta-analyses. (2026)
- +37 more studies
Milk thistleLowersGrade A
Milk thistle lowers total cholesterol.
Meta-analysis or review · Small effect · 24 studies linked
Approximately −0.28 SMD; −8 to −18 mg/dL. Effect modest and inconsistent across trials. May be disease-specific to NAFLD (see pc_005). Contested.
- Anti-Tumor Activity and Mechanism of Silibinin Based on Network Pharmacology and Experimental Verification. (2024)
- Impacts of Supplementation with Silymarin on Cardiovascular Risk Factors: A Systematic Review and Dose–Response Meta-Analysis (2024)
- The Effects of a Fixed Combination of Berberis aristata and Silybum marianum on Dyslipidaemia - A Meta-analysis and Systematic Review. (2020)
- Metabolic effect of berberine–silymarin association: A meta‐analysis of randomized, double‐blind, placebo‐controlled clinical trials (2019)
- Effects of silymarin supplementation on blood lipids: A systematic review and meta‐analysis of clinical trials (2019)
- The effects of silymarin supplementation on metabolic status and oxidative stress in patients with type 2 diabetes mellitus: A systematic review and meta-analysis of clinical trials (2018)
- +18 more studies
MagnesiumLowersGrade A
Magnesium lowers total cholesterol.
Meta-analysis or review · Small effect · 21 studies linked
- Chen GC, Pang Z, Liu QF (2020)
- Effectiveness of mineral supplements (magnesium, chromium, zinc, selenium, chromium picolinate) in reducing insulin resistance in polycystic ovary syndrome: a meta-analysis of randomized controlled tr (2026)
- The effect of magnesium supplementation on serum concentration of lipid profile: an updated systematic review and dose-response meta-analysis on randomized controlled trials. (2025)
- Dietary magnesium intake is protective in patients with periodontitis. (2022)
- Comparative Efficacy of Magnesium and Potassium Towards Cholesterol and Quality of Life in Patients With Type 2 Diabetes Mellitus: A Randomised Single-Blinded Controlled Clinical Trial. (2024)
- The Effect of Magnesium Supplementation on Insulin Resistance and Metabolic Profiles in Women with Polycystic Ovary Syndrome: a Randomized Clinical Trial. (2024)
- +15 more studies
ZincLowersGrade A
Zinc lowers total cholesterol.
Meta-analysis or review · 18 studies linked
TC reduction more consistent in T2D than general population. Some confounding from dietary changes co-occurring in lifestyle-modification trials.
- Effects of Zinc supplementation on serum lipids: a systematic review and meta-analysis. (2015)
- Effects of zinc supplementation on lipid profile in patients with type 2 diabetes mellitus: A systematic review and meta-analysis (2020)
- Effect of Zinc Supplementation on Lipid Profile and Body Composition in Patients with Type 2 Diabetes Mellitus: A GRADE-Assessed Systematic Review and Meta-Analysis (2024)
- Effects of Dose and Duration of Zinc Interventions on Risk Factors for Type 2 Diabetes and Cardiovascular Disease: A Systematic Review and Meta-Analysis. (2021)
- Effect of Zinc Supplementation on Glycemic Control in Newly Diagnosed Patients With Type 2 Diabetes Mellitus (2024)
- The effects of zinc supplementation on the metabolic factors in patients with non-alcoholic fatty liver disease: a randomized, double-blinded, placebo-controlled clinical trial. (2023)
- +12 more studies
MelatoninLowersGrade A
Melatonin lowers total cholesterol.
Meta-analysis or review · Small effect · 8 studies linked
Total cholesterol modestly reduced; below clinical significance thresholds for cardiovascular risk reduction
- The effect of melatonin supplementation on lipid profile, oxidative stress, inflammatory marker, and sleep quality in patients with chronic kidney disease: a GRADE assessed meta-analysis. (2026)
- Comprehensive Effects of Melatonin Supplementation on Cardiometabolic Risk Factors: A Systematic Review and Dose-Response Meta-Analysis. (2025)
- [Mechanism of melatonin regulating the expression level of rhythm genes to alleviate interstitial pulmonary fibrosis]. (2024)
- Impact of Melatonin Supplementation on Sports Performance and Circulating Biomarkers in Highly Trained Athletes: A Systematic Review of Randomized Controlled Trials. (2024)
- Evaluating the antioxidant and anti-inflammatory effect of melatonin in pediatric hemodialysis patients: a randomized, placebo-controlled trial. (2026)
- Metabolic and hormonal effects of melatonin and/or magnesium supplementation in women with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial. (2021)
- +2 more studies
Vitamin CLowersGrade A
Vitamin C lowers total cholesterol.
Meta-analysis or review · 8 studies linked
- Synchronizing positive effect of vitamin C and chromium on hyper lipidemia, hyperglycemia, liver enzymes and BMI of diabetes mellitus type 2 patients. (2024)
- The effect of different levels of vitamin C and chromium on growth performance, carcass characteristics, digestive organs, immunity, blood constituents, liver enzymes, cecal microflora, meat sensory t (2023)
- Impact of Rutin and Vitamin C combination on oxidative stress and glycemic control in patients with type 2 diabetes. (2020)
- LDL-cholesterol lowering effect of a new dietary supplement: an open label, controlled, randomized, cross-over clinical trial in patients with mild-to-moderate hypercholesterolemia. (2018)
- Does vitamin C supplementation exert profitable effects on serum lipid profile in patients with type 2 diabetes? A systematic review and dose-response meta-analysis. (2021)
- The effect of vitamin C supplementation on lipid profile of type 2 diabetic patients: a systematic review and meta-analysis of clinical trials. (2021)
- +2 more studies
TaurineLowersGrade A
Taurine lowers total cholesterol.
Meta-analysis or review · 7 studies linked
49 corpus studies. Mechanism: bile acid synthesis upregulation (7α-hydroxylase) + LDLR upregulation. ≥2 MAs confirm direction.
- Effect of Long-Term Taurine Supplementation on the Lipid and Glycaemic Profile in Adults with Overweight or Obesity: A Systematic Review and Meta-Analysis. (2024)
- Protective and therapeutic effectiveness of taurine supplementation plus low calorie diet on metabolic parameters and endothelial markers in patients with diabetes mellitus: a randomized, clinical tri (2022)
- The Effects of Taurine Supplementation on Metabolic Profiles, Pentosidine, Soluble Receptor of Advanced Glycation End Products and Methylglyoxal in Adults With Type 2 Diabetes: A Randomized, Double-Bl (2021)
- The Effects of TRX Suspension Training Combined with Taurine Supplementation on Body Composition, Glycemic and Lipid Markers in Women with Type 2 Diabetes. (2021)
- The effects of taurine supplementation on glycemic control and serum lipid profile in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled trial. (2020)
- Effect of weight-loss diet combined with taurine supplementation on body composition and some biochemical markers in obese women: a randomized clinical trial. (2020)
- +1 more studies
Ubiquinol (CoQ10)LowersGrade A
Ubiquinol (CoQ10) lowers total cholesterol.
Meta-analysis or review · 7 studies linked
- Treatment of coenzyme Q10 for 24 weeks improves lipid and glycemic profile in dyslipidemic individuals (2017)
- Coenzyme Q10 Supplementation Improves Adipokine Levels and Alleviates Inflammation and Lipid Peroxidation in Conditions of Metabolic Syndrome: A Meta-Analysis of Randomized Controlled Trials (2020)
- A systematic review for the efficacy of coenzyme Q10 in patients with chronic kidney disease (2021)
- Effects of curcumin and/or coenzyme Q10 supplementation on metabolic control in subjects with metabolic syndrome: a randomized clinical trial (2022)
- Effect of liquid ubiquinol supplementation on glucose, lipids and antioxidant capacity in type 2 diabetes patients: a double-blind, randomised, placebo-controlled trial. (2018)
- Does high-dose coenzyme Q10 improve oxidative damage and clinical outcomes in Parkinson's disease? (2014)
- +1 more studies
Zone 2 cardioLowersGrade A
Zone 2 cardio lowers total cholesterol.
Meta-analysis or review · 7 studies linked
- The Effects of HIIT vs. MICT and Sedentary Controls on Blood Lipid Concentrations in Nondiabetic Overweight and Obese Young Adults: A Meta-analysis. (2023)
- HIIT is not superior to MICT in altering blood lipids: a systematic review and meta-analysis (2019)
- Effectiveness of HIIE versus MICT in Improving Cardiometabolic Risk Factors in Health and Disease: A Meta-analysis. (2021)
- Efficacy of high-intensity interval training versus continuous training on serum myonectin and lipid outcomes in adults with metabolic syndrome: A post-hoc analysis of a clinical trial. (2024)
- HIIT is superior than MICT on cardiometabolic health during training and detraining (2020)
- Effects of HIIT and MICT on cardiovascular risk factors in adults with overweight and/or obesity: A meta-analysis. (2019)
- +1 more studies
IronLowersGrade A
Iron lowers total cholesterol.
Meta-analysis or review · 6 studies linked
No established effect of iron supplementation on total cholesterol.
- 3D cultured human umbilical cord mesenchymal stem cell spheroids regulate oxidative stress and iron homeostasis through the Nrf2 pathway to resist ferroptosis in ovarian granulosa cells and ovarian dy (2025)
- Consumption of lettuce with seaweed extract biostimulant application improved iron homeostasis in a randomized interventional trial of healthy individuals (2025)
- The role of genetically predicted serum iron levels on neurodegenerative and cardiovascular traits. (2024)
- Long-term iron supplementation combined with vitamin B6 enhances maximal oxygen uptake and promotes skeletal muscle-specific mitochondrial biogenesis in rats. (2023)
- Efficacy and Safety of Roxadustat in Patients with Chronic Kidney Disease: An Updated Meta-Analysis of Randomized Controlled Trials including 6,518 Patients. (2022)
- Long-term efficacy and safety of hypoxia-inducible factor prolyl hydroxylase inhibitors in anaemia of chronic kidney disease: A meta-analysis including 13,146 patients. (2021)
Red yeast riceLowersGrade A
Red yeast rice lowers total cholesterol.
2 studies linked
- Nutraceutical pill containing berberine versus ezetimibe on plasma lipid pattern in hypercholesterolemic subjects and its additive effect in patients with familial hypercholesterolemia on stable cholesterol-lowering treatment (2012)
- Middle-term dietary supplement use and cardiometabolic risk factors: evidence from a real-life setting (2015)
L-carnitineLowersGrade A
L-carnitine lowers total cholesterol.
Meta-analysis or review · Modest effect · 1 study linked
166 studies in corpus; Wang 2020 animal corroborates direction; TC effect consistently smaller than TG reduction
Vitamin D3LowersGrade B
Vitamin D3 lowers total cholesterol.
Meta-analysis or review · 10 studies linked
- Are There Any Pleiotropic Benefits of Vitamin D in Patients With Diabetic Kidney Disease? A Systematic Review of Randomized Controlled Trials. (2023)
- Effects of vitamin D, omega-3 and a simple strength exercise programme in cardiovascular disease prevention: The DO-HEALTH randomized controlled trial. (2024)
- Two-Month Consumption of Orange Juice Enriched with Vitamin D3 and Probiotics Decreases Body Weight, Insulin Resistance, Blood Lipids, and Arterial Blood Pressure in High-Cardiometabolic-Risk Patients (2024)
- A randomized placebo-controlled, double-blind study to investigate the effect of a high oral loading dose of cholecalciferol in non-alcoholic fatty liver disease patients, new insights on serum STAT-3 (2023)
- Vitamin D Status, Cardiovascular Risk Profile, and miRNA-21 Levels in Hypertensive Patients: Results of the HYPODD Study. (2022)
- Vitamin D supplementation and cardiometabolic risk factors among diverse schoolchildren: a randomized clinical trial. (2022)
- +4 more studies
AshwagandhaLowersGrade B
Ashwagandha lowers total cholesterol.
Meta-analysis or review · 3 studies linked
- Withania somnifera (Indian ginseng) in diabetes mellitus: A systematic review and meta-analysis of scientific evidence from experimental research to clinical application. (2020)
- Effects of Withania somnifera (Ashwagandha) on Hematological and Biochemical Markers, Hormonal Behavior, and Oxidant Response in Healthy Adults: A Systematic Review. (2023)
- Hypoglycemic, diuretic and hypocholesterolemic effect of winter cherry (Withania somnifera, Dunal) root. (2000)
CollagenLowersGrade B
Collagen lowers total cholesterol.
Human trials · 2 studies linked
CreatineLowersGrade B
Creatine lowers total cholesterol.
Human trials · 2 studies linked
Studied, no change7
Studies looked and found no meaningful change. That is a result, not missing data.
ResveratrolNo changeGrade A
Studies of Resveratrol found no change in total cholesterol.
Meta-analysis or review · 41 studies linked
See total_cholesterol entry for detailed analysis. Merged: TC and total_cholesterol refer to same biomarker.
- Resveratrol Supplementation and its Potential Benefits in Obesity-related Non-communicable Diseases. (2026)
- Study on the Influence and Mechanism of Resveratrol on Cognitive Impairment in Chronic Kidney Disease Rats Through Regulating Gut Microbiota and the TLR4/NFκB Pathway. (2025)
- Clinical Efficacy of Curcumin, Resveratrol, Silymarin, and Berberine on Cardio-Metabolic Risk Factors Among Patients With Type 2 Diabetes Mellitus: A Systemic Review and Bayesian Network Meta-Analysis (2025)
- Effects of resveratrol on the lipid profile of post-menopause women: Systematic review and meta-analysis. (2025)
- Resveratrol attenuates inflammation and fibrosis in rheumatoid arthritis-associated interstitial lung disease via the AKT/TMEM175 pathway. (2024)
- Effects of resveratrol on polycystic ovarian syndrome: a systematic review and meta-analysis of randomized controlled trials. (2024)
- +35 more studies
Vitamin ENo changeGrade A
Studies of Vitamin E found no change in total cholesterol.
33 studies linked
Consistent null from VE-MA-002 (22 RCTs), corey_2015, ahmadi_2014. VE is not a lipid-modifying intervention. Grade A null finding.
- Effect of tocotrienol-rich fraction (TRF) on lipid profile in hyperlipidemic experimental animal model: a systematic review and meta-analysis. (2025)
- Effect of vitamin E on cardiometabolic factors in paediatric metabolic dysfunction-associated steatotic liver disease: a systematic review with meta-analysis. (2025)
- Effects of vitamin E administration on serum lipid profile in diabetic patients: a grade-assessed systematic review and dose-response meta-analysis of RCTs. (2025)
- Vitamin E supplementation improves testosterone, glucose- and lipid-related metabolism in women with polycystic ovary syndrome: a meta-analysis of randomized clinical trials. (2022)
- A meta-analysis of effects of vitamin E supplementation alone and in combination with omega-3 or magnesium on polycystic ovary syndrome. (2022)
- Effect of Vitamin E on Clinical Outcomes in Patients With Non-alcoholic Fatty Liver Disease: A Meta-Analysis. (2022)
- +27 more studies
NAD+No changeGrade A
Studies of NAD+ found no change in total cholesterol.
Omega-3No changeGrade A
Studies of Omega-3 found no change in total cholesterol.
Small effect · 1 study linked
- Eslick GD, Howe PR, Smith C, Priest R, Bensoussan A (2009)
NACNo changeGrade B
Studies of NAC found no change in total cholesterol.
Human trials · 3 studies linked
L-theanineNo changeGrade B
Studies of L-theanine found no change in total cholesterol.
Human trials · 2 studies linked
Same grade inconsistency as fasting_glucose.
Vitamin K2No changeGrade B
Studies of Vitamin K2 found no change in total cholesterol.
Meta-analysis or review · 1 study linked
Hartley 2015 Cochrane (single RCT, n=60): no significant effect. Consolidated with total_cholesterol entry. 4 studies with TC data in corpus.
Mixed results2
Studies disagree, or the direction depends on who was studied.
Lion's maneMixed resultsGrade C
Studies of Lion's mane and total cholesterol disagree.
Human trials · 1 study linked
Lipid panel measured in Xiao-qian 2021 pilot; direction not extractable
PQQMixed resultsGrade D
Studies of PQQ and total cholesterol disagree.
1 study linked
Not studied1
No usable human study has measured Total cholesterol with these. A gap is not a negative result: nobody has looked.