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Beta-sitosterol is one of hundreds of plant-derived "sterol" compounds (including sterols and sterolins) that have structural similarity to the cholesterol made in our bodies. The most prevalent phytosterols in the diet are beta-sitosterol, campesterol and stigmasterol. Plant oils contain the highest concentration of phytosterols - so nuts and seeds contain fairly high levels and all fruits and vegetables generally contain some amount of phytosterols. Perhaps the best way to obtain beta-sitosterol is to eat a diet rich in fruits, vegetables, nuts and seeds (which obviously brings numerous other benefits as well).
There Have Been Numerous Clinical Studies of Beta Sitosterol That Have Established the Following Benefits:
Immune system support (especially during stress)
Relieves allergies
Reduces cancer risk (prostate, breast, colon)
Anti-inflammatory and Pain relieving activity
Relieves symptoms of enlarge prostate (benign prostatic hyperplasia, BPH)
Why Beta Sitosterol Works
Beta-sitosterol is the major phytosterol in most plants. Although sitosterol and its related compound, sitosterolin, are chemically similar to cholesterol, they are poorly absorbed from the gastrointestinal tract. This poor absorption makes sitosterol/sitosterolin a popular supplement for controlling cholesterol levels -- due largely to an interference with normal cholesterol absorption from the diet.
Beta-sitosterol also appears to modulate immune function, inflammation and pain levels through its effects on controlling the production of inflammatory cytokines. This modulation of cytokine production and activity may help control allergies and reduce prostate enlargement.
Scientific Support
Epidemiologic and experimental studies show that dietary phytosterols offer protection from the most common cancers in Western societies, such as colon, breast and prostate cancer. From laboratory (test tube and animal) studies, it appears that phytosterols, such as beta-sitosterol, can influence the structure and function of cell membranes in both healthy and cancerous tissue. This effect is known to alter cellular signaling pathways that regulate tumor growth and apoptosis (cell death) and providing a possible explanation for the stimulation of immune function observed following beta-sitosterol supplementation.
In several animal studies examining the effect of beta-sitosterol consumption on experimentally induced cancer, the animals fed phytosterols had a 30%-40% lower serum cholesterol and 20-30 fold higher levels of the primary phytosterols (beta-sitosterol and campesterol) in their blood. Interestingly, tumor size in animals fed phytosterols is 30-80% smaller and the incidence of metastases to lymph nodes and lungs is 10-30% lower in phytosterol-fed animals than in the control group (fed cholesterol). From these animal studies, there is strong preliminary evidence that dietary phytosterols do indeed retard the growth and spread of breast cancer cells.
In terms of cholesterol control, several human feeding studies have shown that phytosterol-containing margarine (40 grams of phytosterols in a mixture of beta-sitosterol, campesterol and stigmasterol), consumed for 3-4 weeks, can reduce total and LDL cholesterol concentrations by about 20%. Smaller doses (2-6 g/day) have also been associated with a reduction in total and LDL cholesterol levels of about 5-15% in subjects with elevated cholesterol levels.
The scientific evidence for the "prostate-health" benefits of beta-sitosterol is excellent. In terms of prostate health, there are at least four good studies (randomized, double-blind, placebo-controlled) supporting the effect of beta-sitosterol for alleviating the symptoms of BPH (frequency and volume of urination).
In terms of immune function, beta-sitosterol has been shown (in humans) to normalize the function of T-helper lymphocytes and natural killer cells following stressful events (such as marathon running) which normally suppress immune system function. In addition to alleviating much of the post-exercise immune suppression that occurs following endurance competitions, beta-sitosterol has also been shown to normalize the ratio of catabolic stress hormones (cortisol) to anabolic (rebuilding) hormones such as DHEA.
Safety of Beta Sitosterol
Long-term safety studies have not been performed on beta-sitosterol as a dietary supplement -- but the compound is so widespread in the diet, that it is generally regarded as quite safe (GRAS).
No significant side effects or drug interactions have been reported in any of the studies investigating beta-sitosterol.
Why Beta Sitosterol Is An Essential Nutrient
Beta-sitosterol has good evidence of effectiveness in treating BPH far better than other supplements such as Saw palmetto and Pygeum. As a cholesterol-lowering supplement, again, the evidence for beta-sitosterol is good, but not quite as strong as either red yeast rice (no longer available as a supplement) or policosanol. As an immune-enhancer, beta glucan has much more evidence of effectiveness, but beta-sitosterol appears to be quite beneficial in maintaining immune function during periods of heightened stress (such as exercise recovery). As a cancer-preventive agent, the animal and test-tube data for beta-sitosterol is certainly tantalizing, but preliminary, and needs further substantiation in humans.
Dosage
The typical daily dosage of beta-sitosterol for immune-function benefits is 300-600 mg. BPH ususaly requires 600 mg daily and the cholesterol lowering beenfits usually require at least 300 mg per day and up to 1000 mg daily. A handful of roasted peanuts or a couple of tablespoons of peanut butter will contain about 10-30 mg of beta-sitosterol -- so a few handfuls of Planters or a scoop of Skippy will supply an effective dose of immune-enhancement following exercise (but also a whopping dose of calories).
References
Agren JJ, Tvrzicka E, Nenonen MT, Helve T, Hanninen O. Divergent changes in serum sterols during a strict uncooked vegan diet in patients with rheumatoid arthritis. Br J Nutr. 2001 Feb;85(2):137-9.
Awad AB, Chan KC, Downie AC, Fink CS. Peanuts as a source of beta-sitosterol, a sterol with anticancer properties. Nutr Cancer. 2000;36(2):238-41.
Awad AB, Downie A, Fink CS, Kim U. Dietary phytosterol inhibits the growth and metastasis of MDA-MB-231 human breast cancer cells grown in SCID mice. Anticancer Res. 2000 Mar-Apr;20(2A):821-4.
Awad AB, Downie AC, Fink CS. Inhibition of growth and stimulation of apoptosis by beta-sitosterol treatment of MDA-MB-231 human breast cancer cells in culture. Int J Mol Med. 2000 May;5(5):541-5.
Awad AB, Fink CS. Phytosterols as anticancer dietary components: evidence and mechanism of action. J Nutr. 2000 Sep;130(9):2127-30.
Ayesh R, Weststrate JA, Drewitt PN, Hepburn PA. Safety evaluation of phytosterol esters. Part 5. Faecal short-chain fatty acid and microflora content, faecal bacterial enzyme activity and serum female sex hormones in healthy normolipidaemic volunteers consuming a controlled diet either with or without a phytosterol ester-enriched margarine. Food Chem Toxicol. 1999 Dec;37(12):1127-38.
Becker M, Staab D, Von Bergman K. Long-term treatment of severe familial hypercholesterolemia in children: effect of sitosterol and bezafibrate. Pediatrics. 1992 Jan;89(1):138-42.
Becker M, Staab D, Von Bergmann K. Treatment of severe familial hypercholesterolemia in childhood with sitosterol and sitostanol. J Pediatr. 1993 Feb;122(2):292-6.
Bhattacharyya AK, Connor WE, Lin DS. The origin of plant sterols in the skin surface lipids in humans: from diet to plasma to skin. J Invest Dermatol. 1983 Apr;80(4):294-6.
Bouic PJ, Lamprecht JH. Plant sterols and sterolins: a review of their immune-modulating properties. Altern Med Rev. 1999 Jun;4(3):170-7.
Briones ER, Steiger D, Palumbo PJ, Kottke BA. Primary hypercholesterolemia: effect of treatment on serum lipids, lipoprotein fractions, cholesterol absorption, sterol balance, and platelet aggregation. Mayo Clin Proc. 1984 Apr;59(4):251-7.
Drexel H, Breier C, Lisch HJ, Sailer S. Lowering plasma cholesterol with beta-sitosterol and diet. Lancet. 1981 May 23;1(8230):1157.
Henneking K, Heckers H. Prostatic adenoma. Indication for therapy using sitosterine-containing phytopharmacologic agents. Med Welt. 1983 May 27;34(21):625-32.
Jones PJ, Ntanios FY, Raeini-Sarjaz M, Vanstone CA. Cholesterol-lowering efficacy of a sitostanol-containing phytosterol mixture with a prudent diet in hyperlipidemic men. Am J Clin Nutr. 1999 Jun;69(6):1144-50.
Miettinen TA, Tarpila S. Fecal beta-sitosterol in patients with diverticular disease of the colon and in vegetarians. Scand J Gastroenterol. 1978;13(5):573-6.
Nair PP, Turjman N, Kessie G, Calkins B, Goodman GT, Davidovitz H, Nimmagadda G. Diet, nutrition intake, and metabolism in populations at high and low risk for colon cancer. Dietary cholesterol, beta-sitosterol, and stigmasterol. Am J Clin Nutr. 1984 Oct;40(4 Suppl):927-30.
Oster P, Schlierf G, Heuck CC, Greten H, Gundert-Remy U, Haase W, Klose G, Nothelfer A, Raetzer H, Schellenberg B, Schmidt-Gayk H. Sitosterol in familial hyperlipoproteinemia type II. A randomized double-blind cross-over study. Dtsch Med Wochenschr. 1976 Sep 3;101(36):1308-11.
Parsons HG, Jamal R, Baylis B, Dias VC, Roncari D. A marked and sustained reduction in LDL sterols by diet and cholestyramine in beta-sitosterolemia. Clin Invest Med. 1995 Oct;18(5):389-400.
Plant sterols and sterolins. Altern Med Rev. 2001 Apr;6(2):203-6.
Raicht RF, Cohen BI, Fazzini EP, Sarwal AN, Takahashi M. Protective effect of plant sterols against chemically induced colon tumors in rats. Cancer Res. 1980 Feb;40(2):403-5.
von Holtz RL, Fink CS, Awad AB. beta-Sitosterol activates the sphingomyelin cycle and induces apoptosis in LNCaP human prostate cancer cells. Nutr Cancer. 1998;32(1):8-12.
Vuoristo M, Tilvis R, Miettinen TA. Serum plant sterols and lathosterol related to cholesterol absorption in coeliac disease. Clin Chim Acta. 1988 May 31;174(2):213-24.
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