A rice bran compound, licensed in Japan for six decades. The most consistent human signal is modest lowering of total and plaque-forming cholesterol, delivered through rice bran oil. Side effects appear rare and mild. Absorption is the unresolved problem, and within a programme already addressing blood fats the expected contribution is small. (Full Review)
| Marker | Target | Why |
|---|---|---|
| LDL cholesterol | < 70 mg/dL aggressive; < 100 mg/dL minimum | The primary documented effect; defines whether the compound is working |
| Apolipoprotein B | < 60 mg/dL aggressive; < 80 mg/dL acceptable | Counts every plaque-forming particle, so it tracks risk better than LDL cholesterol alone |
| Total cholesterol | 150–200 mg/dL | Second endpoint in every pooled analysis; moves in parallel with LDL cholesterol |
| Triglycerides | < 80 mg/dL | Fell significantly in two of three poolings and in the diabetes trial |
| High-density lipoprotein cholesterol | > 50 mg/dL in men, > 60 mg/dL in women | The one lipid fraction where a sex difference in response appeared |
| High-sensitivity C-reactive protein | < 0.5 mg/L optimal; < 1.0 mg/L acceptable | Showed the largest proportional change of any marker in controlled testing |
| Glycated hemoglobin | 4.8–5.4% | Captures the glucose effect seen in metabolic dysfunction |
| Fasting glucose | 75–90 mg/dL | Moved measurably in the diabetes trial; cheap and widely available |
| Thyroid-stimulating hormone | 0.5–2.0 mIU/L | The one hormone an oral dose has been shown to move in humans; flags the thyroid caution |
| Alanine aminotransferase | < 25 U/L in men, < 20 U/L in women | Confirms the liver tolerates the addition and detects unrelated change |
| Plasma sitosterol and campesterol | No established target; track change from own baseline | Identifies high sterol absorbers and screens for the inherited retention disorder |
Cadence: Lipid panel at 4 and 12 weeks, then every 6–12 months if continued; inflammation marker and glycated hemoglobin at 12 weeks; thyroid-stimulating hormone at 12 weeks where thyroid disease is known.