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其他证据中等

Red yeast rice

别名: red fermented rice, monacolin K

Red yeast rice is made by fermenting rice with the mould Monascus purpureus and contains monacolins – monacolin K is chemically identical to the drug lovastatin. At higher monacolin doses it lowers LDL cholesterol, but because of safety concerns its monacolin content is restricted in the EU.

用途

  • lowering LDL cholesterol – moderate evidence at higher monacolin doses, which are no longer permitted in the EU
  • effect at currently permitted doses (below 3 mg) – weak evidence, the effect is smaller

剂型及区别

standardised extract stating monacolin content

in the EU less than 3 mg monacolins per daily dose

combinations with omega-3, coenzyme Q10 or policosanol

effect depends on the doses of each ingredient on the label

citrinin-free products

citrinin is a toxin that can form during fermentation

何时服用

In the evening with food, once daily.

适合搭配

A diet lower in saturated fat, more fibre (oats, legumes) and exercise.

不宜同服 / 需错开

Never combine with statins or other cholesterol-lowering medicines; avoid grapefruit and substances that slow the liver's breakdown of medicines.

注意事项

Under EU rules it is not intended for pregnant or breastfeeding women, children and teenagers under 18, or people over 70. If you have liver, kidney or muscle disease, or take any medicines, consult your doctor.

安全性

In 2018 EFSA concluded it could not identify a safe dose of monacolins from red yeast rice – statin-like side effects (muscle pain, liver injury) were reported even at 3 mg per day. Regulation (EU) 2022/860 therefore limits monacolins to less than 3 mg per daily dose. Do not exceed the label dose.

实用建议

If you notice muscle pain or weakness or dark urine, stop and see a doctor. With high LDL, discuss treatment with your doctor rather than relying on a supplement alone.

含 Red yeast rice 的产品 2

Red yeast rice + Omega-3 fatty acidssoftgel心血管血糖与代谢大脑与记忆炎症
Red yeast rice 600 mgmonacolin K · 600 mg / 粒心血管血糖与代谢
如何理解证据评级
证据充分证据中等证据薄弱无证据

充分 = 多项高质量人体研究或官方推荐;中等 = 有前景但研究规模较小;薄弱 = 研究少或结果不一;无证据 = 说法未被证实。

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重要提示

以上信息仅供科普,不能替代医生或药师建议,我们不提供药物剂量。补充剂不能替代均衡饮食;孕期、哺乳期、患病或服药者请先咨询医生。