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HeartCited

Chitosan

fiber

Also known as: Deacetylated Chitin, Poly-D-Glucosamine, Chitosan HCl

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About

Chitosan is a positively charged polysaccharide derived from crustacean shells that binds bile acids and dietary fat in the intestine. A 2018 Cochrane review of 14 RCTs found a statistically significant but clinically modest reduction in total cholesterol, though its practical clinical significance is debated.

How It Works

A positively charged polysaccharide that electrostatically binds negatively charged bile acids and dietary fat forming insoluble complexes excreted in feces; reduces dietary fat absorption by 1-5%; bile acid sequestration triggers hepatic LDL receptor upregulation similar to bile acid sequestrant drugs.

Evidence For Conditions

Side Effects

  • Constipation
  • Gas and bloating
  • Nausea
  • Allergic reactions in those with shellfish allergy (contraindicated)

Drug & Supplement Interactions

  • Fat-soluble vitamins (A, D, E, K — may reduce absorption)
  • Oral medications (may bind and reduce absorption — separate by 2 hours)
  • Warfarin (may reduce vitamin K absorption, affecting INR)

Always inform your healthcare provider about all supplements you take.

Related Ingredients

FDA Disclaimer: These statements have not been evaluated by the Food and Drug Administration. The products and information on this website are not intended to diagnose, treat, cure, or prevent any disease. The evidence grades presented are based on our analysis of published peer-reviewed research and do not constitute medical advice. Always consult your healthcare provider before starting any supplement regimen.