High cholesterol and related conditions
levels of scientific evidence for specific therapies


Natural Standard does not recommend specific therapies or practitioners.


Grade: A (Strong Scientific Evidence)
Therapy Specific therapeutic Use(s)
Beta-glucan
Hyperlipidemia
Calcium
Cardiopulmonary resuscitation (CPR)
Niacin
High cholesterol (niacin)
Omega-3 fatty acids, fish oil, alpha-linolenic acid
Hypertriglyceridemia (fish oil / EPA plus DHA)
Psyllium
High cholesterol
Red yeast rice
High cholesterol
Soy
High cholesterol
Grade: B (Good Scientific Evidence)
Therapy Specific therapeutic Use(s)
Arginine
Coronary artery disease / angina
Avocado
High cholesterol
Barley
Coronary heart disease (CHD)
Betaine anhydrous
Cardiovascular disease (in homocysteinuric patients)
Carob
Hypercholesterolemia (high cholesterol)
Chia
Cardiovascular disease prevention / atherosclerosis
Chitosan
High cholesterol
Coleus
Cardiomyopathy
Cordyceps
Hyperlipidemia (high cholesterol)
Gamma oryzanol
Hyperlipidemia (high cholesterol)
Garlic
High cholesterol
Globe artichoke
Lipid-lowering
L-Carnitine
Angina (chronic stable)
Niacin
Atherosclerosis (niacin)
Omega-3 fatty acids, fish oil, alpha-linolenic acid
Primary cardiovascular disease prevention (fish intake)
Pantethine
Hyperlipidemia (high cholesterol)
Peony
Heart disease (pulmonary)
Policosanol
Coronary Heart Disease (CHD)
Sweet almond
High cholesterol (whole almonds)
Zinc
High cholesterol
Grade: C (Unclear or Conflicting Scientific Evidence)
Therapy Specific therapeutic Use(s)
Alfalfa
Atherosclerosis (cholesterol plaques in heart arteries)
Amaranth oil
Heart disease
American hellebore
Cardiovascular and renal dysfunction
Aortic acid
Atherosclerosis
Arabinogalactan
High cholesterol
Arginine
Chest pain (non-cardiac)
Ashwagandha
High cholesterol
Astaxanthin
High cholesterol (LDL oxidation)
Astragalus
Coronary artery disease
Berberine
Hypercholesterolemia (high cholesterol)
Beta-glucan
Cardiovascular disease
Betaine anhydrous
Cholesterol levels
Bilberry
Atherosclerosis (hardening of the arteries), peripheral vascular disease
Biotin
Cardiovascular disease risk (in diabetics)
Black tea
Heart attack prevention / cardiovascular risk
Borage seed oil
Hyperlipidemia
Chamomile
Cardiovascular conditions
Chondroitin sulfate
Coronary artery disease (secondary prevention)
Chromium
Cardiovascular disease
Coenzyme Q10
Angina (chest pain from clogged heart arteries)
Copper
Cardiovascular disease prevention / atherosclerosis
Corydalis
Angina (chest pain)
Creatine
High cholesterol
Danshen
Cardiovascular disease / angina
DHEA
Cardiovascular disease
Dong quai
Angina pectoris / coronary artery disease
Elderberry and elder flower
High cholesterol
Fenugreek
Hyperlipidemia
Flaxseed and flaxseed oil
Heart disease (flaxseed and flaxseed oil)
Folate
Vascular disease / hyperhomocysteinemia
Gamma oryzanol
Prevention of restenosis after coronary angioplasty (PTCA)
Garlic
Atherosclerosis (hardening of the arteries)
Ginkgo
Cardiovascular disease
Ginseng
Coronary artery (heart) disease
Goldenseal
High cholesterol
Grape seed
High cholesterol
Grapefruit
Heart disease
Green tea
Heart attack prevention
Guggul
Hypercholesterolemia
Gymnema
High cholesterol
Hawthorn
Coronary artery disease (angina)
Honey
Hypercholesterolemia (high cholesterol)
Horny goat weed
Atherosclerosis
Kudzu
Cardiovascular disease / angina
Lactobacillus acidophilus
High cholesterol
L-Carnitine
Hyperlipoproteinemia (high levels of lipoprotein and cholesterol in the blood)
Lemongrass
Hypercholesterolemia (high cholesterol)
Lutein
Atherosclerosis
Lycopene
Atherosclerosis (clogged arteries) and high cholesterol
Macrobiotic diet
Cholesterol
Milk thistle
High cholesterol
Nopal
Hyperlipidemia (high cholesterol)
Omega-3 fatty acids, fish oil, alpha-linolenic acid
Angina pectoris
Pantethine
Ischemic heart disease
Pantothenic acid
High cholesterol
Peony
Heart disease (prevention)
Policosanol
High cholesterol
Pomegranate
Atherosclerosis (hardening of the arteries)
Pycnogenol
High cholesterol
Quercetin
Cardiovascular disease
Red clover
Cardiovascular - blood flow
Red yeast rice
Coronary heart disease
Reishi mushroom
Coronary heart disease
Resveratrol
Cardiovascular disease
Rhubarb
Hypercholesterolemia (high cholesterol)
Safflower
Angina pectoris / coronary artery disease
Scotch broom
Cardiovascular conditions
Sea buckthorn
Cardiovascular disease
Selenium
Cardiomyopathy
Soy
Cardiac ischemia
Spirulina
High cholesterol
Squill
Coronary artery disease
Taurine
Hypercholesterolemia (high cholesterol)
Thiamin
Atherosclerosis (prevention in patients with acute hyperglycemia, impaired glucose tolerance (IGT), and diabetes mellitus)
Thymus extract
Cardiomyopathy
Tribulus
Coronary artery disease
Turmeric
High cholesterol
Vitamin B12
Angioplasty
Vitamin B6
Angioplasty
Vitamin C
Ischemic heart disease
Vitamin D
Hypertriglyceridemia
Vitamin E
Angina
White horehound
High cholesterol
Wild yam
High cholesterol
Yucca
Hypercholesterolemia
Grade: D (Fair Negative Scientific Evidence)
Therapy Specific therapeutic Use(s)
Acacia
Hypercholesterolemia (high cholesterol)
Beta-carotene
Abdominal aortic aneurysm (AAA) prevention
Evening primrose oil
Cardiovascular health
Omega-3 fatty acids, fish oil, alpha-linolenic acid
Hypercholesterolemia
Vitamin C
Heart disease prevention
Vitamin E
Heart disease prevention
Traditional or Theoretical Uses which Lack Sufficient Evidence
Therapy Specific therapeutic Use(s)
Abuta
Hypercholesterolemia (high cholesterol)
Acerola
Atherosclerosis (hardening of the arteries)
Aconite
Heart disease
Adrenal extract
Cholesterol
African wild potato
Coronary disease
Agrimony
Cardiotonic (restores heart strength)
Algin
Hyperlipidemia (high cholesterol)
Allspice
Heart disease
Aloe
Heart disease prevention
Alpha-lipoic acid
Atherosclerosis (clogged arteries)
Alpinia
Cardiovascular disease
Amaranth oil
High cholesterol
American hellebore
Cardiac conditions
Andrographis paniculata Nees, Kan Jang®, SHA-10
Atherosclerosis (clogged arteries)
Anise
Heart disease
Antineoplastons
Cholesterol/triglyceride abnormalities
Aortic acid
Angina (chest pain)
Apple cider vinegar
High cholesterol
Arabinoxylan
Cardiovascular disease
Arnica
Angina pectoris (chest pain)
Ashwagandha
Cardiovascular disease
Astaxanthin
Atherosclerosis (prevention)
Astragalus
Angina
Avocado
Atherosclerosis
Bacopa
Cardiotonic
Bael fruit
Angina pectoris (chest pain)
Baikal skullcap
High cholesterol
Banaba
Hyperlipidemia (high cholesterol)
Barberry
Cardiovascular disease
Bee pollen
High cholesterol (hyperlipidemia)
Berberine
Cardiovascular disease
Beta-carotene
Angina pectoris (chest pain)
Beta-glucan
Atherosclerosis (hardening of the arteries)
Betaine anhydrous
Angina (chest pain)
Bilberry
Angina (chest pain)
Biotin
Hyperlipidemia
Bitter melon
High cholesterol
Black cohosh
Heart disease/palpitations
Black currant
Cardiovascular disease (heart disease)
Bloodroot
Heart disease
Blue flag
Angina
Boron
High cholesterol
Boswellia
Hyperlipidemia (high cholesterol)
Bromelain
Angina
Bupleurum
Angina (chest pain)
Butterbur
Cardiovascular conditions
Calamus
Hyperlipidemia (high cholesterol)
Calcium
Cardiac arrest
Calendula
Atherosclerosis (clogged arteries)
Capers
Heart disease
Cardamom
Cardiac conditions
Cat's claw
Heart disease
Cherry
Heart disease
Chia
Angina
Chicory
Hyperlipidemia (high cholesterol)
Chitosan
Heart disease
Chlorophyll
Atherosclerosis (hardening of the arteries)
Choline
Cardiovascular health
Chondroitin sulfate
Angina (chest pain)
Cinnamon
Chest pain
Clove
Atherosclerosis (hardening of the arteries)
Codonopsis
Myocardial injury
Coenzyme Q10
High cholesterol
Coleus
Angina (chest pain)
Comfrey
Angina (chest pain)
Copper
Hypercholesterolemia (high cholesterol)
Cordyceps
Atherosclerosis (hardening of the arteries)
Creatine
Hyperhomocysteinemia (an abnormally large level of homocysteine in the blood)
Dandelion
Cardiovascular disorders
Danshen
Clogged arteries
Datura wrightii
Chest pain
Devil's claw
Atherosclerosis
Devil's club
Heart disease
DHEA
Heart attack
DMSO
High cholesterol
Dogwood
Coronary heart disease
Dong quai
High cholesterol
Elecampane
Angina pectoris (chest pain)
Emu oil
Atherosclerosis (hardening of the arteries)
Evening primrose oil
Atherosclerosis
Fenugreek
Atherosclerosis (hardening of the arteries)
Feverfew
Heart muscle injury
Fo-ti
Angina pectoris (chest pain)
Gamma oryzanol
Atherosclerosis (hardening of the arteries)
Germanium
Angina
Ginger
Atherosclerosis
Ginkgo
Angina
Ginseng
Atherosclerosis
Globe artichoke
Atherosclerosis (hardening of the arteries)
Glyconutrients
Heart disease
Goldenseal
Atherosclerosis (hardening of the arteries)
Grape seed
Arteriosclerosis
Green tea
Artherosclerosis
Green-lipped mussel
Heart disease
Gymnema
Cardiovascular disease
Hawthorn
Cardiac murmurs
Hibiscus
Atherosclerosis (hardening of the arteries)
Holy basil
Atherosclerosis (hardening of the arteries)
Hops
Atherosclerosis (hardening of the arteries)
Horny goat weed
Angina
Hyssop
Cardiovascular conditions
Jiaogulan
Atherosclerosis (hardening of the arteries)
Katuka
Hyperlipidemia (high cholesterol)
Khella
Angina (chest pain)
Kiwi
Cardiovascular health
Lactobacillus acidophilus
Heart disease
Lemongrass
Cardiovascular health (cardiac rate)
Licorice
High cholesterol
Liver extract
Cardiovascular disease
Lotus
Cardiotonic (increases strength and tone of the heart)
Lutein
Cardiovascular disease
Lycopene
Heart disease
Macrobiotic diet
Heart disease
Maitake mushroom
High cholesterol
Mangosteen
Cardiotonic
Meadowsweet
Heart disease
Melatonin
Cardiac syndrome X
Milk thistle
Ischemic injury
Mistletoe
Arteriosclerosis
Modified citrus pectin
Atherosclerosis (hardening of the arteries)
MSM
Cardiovascular - blood flow
Muira puama
Atherosclerosis (hardening of the arteries)
Myrcia
Cardiotonic
Neem
Cardiovascular disease (heart disease)
Niacin
Coronary heart disease (CHD)
Noni
Atherosclerosis (hardened arteries)
Nopal
Cardiovascular health
Nux vomica
Cardiovascular disorders
Octacosanol
Atherosclerosis (hardening of the arteries)
Oleander
Cardiac abnormalities
Omega-3 fatty acids, fish oil, alpha-linolenic acid
Acute myocardial infarction (heart attack)
Onion
Atherosclerosis (hardening of the arteries)
Pantethine
Coronary disease
Pantothenic acid
Hypertriglyceridemia
Peony
Heart disease
Perilla
Arteriosclerosis (hardening of the arteries)
Perillyl alcohol
Cardiovascular disease
Policosanol
Heart damage
PSK
Atherosclerosis
Psyllium
Atherosclerosis (hardening of the arteries)
Pycnogenol
Atherosclerosis
Quercetin
Atherosclerosis
Raspberry
Atherosclerosis
Red clover
Cardiovascular disease
Rehmannia
Coronary heart disease (postmenopausal symptoms)
Reishi mushroom
Angina pectoris
Resveratrol
Atherosclerosis
Rhodiola
Heart disease
Riboflavin
Atherosclerosis
Rosemary
Atherosclerosis (hardening of the arteries)
Rutin
Atherosclerosis (arterial insufficiency)
Saccharomyces boulardii
Hyperlipidemia (high cholesterol)
Salvia divinorum
Cardiovascular disease
SAMe
Heart disease
Scotch broom
Angina
Sea buckthorn
Angina (chest pain)
Seaweed, kelp, bladderwrack
Atherosclerosis
Selenium
Atherosclerosis (hardening of the arteries)
Shark cartilage
Atherosclerosis (clogged arteries)
Shiitake
Atherosclerosis
Soy
Atherosclerosis (hardening of the arteries)
Spirulina
Atherosclerosis (hardening of the arteries)
Squill
Cardiotonic
Stinging nettle
Angina pectoris (chest pain)
Sweet almond
Heart disease
Sweet basil
Cardiovascular risk reduction
Tamarind
Chest pain
Tangerine
Atherosclerosis (hardening of the arteries)
Taurine
Cardiac abnormalities (cardiac contractility)
Thymus extract
Angina (chest pain)
Tribulus
Angina pectoris (chest pain)
Turmeric
Heart damage from doxorubicin (Adriamycin®
Valerian
Angina (chest pain)
Vitamin A
Heart disease
Vitamin B6
High cholesterol
Vitamin C
Atherosclerosis (hardening of the arteries)
Vitamin E
Cardiomyopathy
Vitamin O
Atherosclerosis (hardening of the arteries)
Wild yam
Cardiovascular disease
Willow bark
Coronary artery disease prevention
Yellow dock
High cholesterol
Yerba santa
Hypercholesterolemia (high cholesterol)
Yew
Cardiovascular health
Yohimbe bark extract
Angina


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