Lecithin: Benefits, Dosage, Contraindications

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Lecithin is a natural lipid mix composed of more than 50% phospholipids, primarily phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine, and phosphatidylinositol, along with varying quantities of other substances like triglycerides, fatty acids, and carbohydrates, depending on the source. It can be found in egg yolks, soybeans, fish, organ meats, and other plants such as sunflower or rapeseed. Its precise composition depends on the source. For example, egg lecithin contains 69% phosphatidylcholine and 24% phosphatidylethanolamine, while soy lecithin contains 24% phosphatidylcholine, 22% phosphatidylethanolamine, and 19% phosphatidylinositol. The fatty acids in lecithin are primarily omega-6 fatty acids and a small amount of omega-3 fatty acids. In contrast to animal-derived lecithins, phosphatidylserine is scarcely present in plant-derived lecithins. Lecithins are excellent emulsifiers, commonly used by the food industry under the code “E322.” Plant-based lecithins are important sources of phospholipids and have the ability to increase the bioavailability and incorporation of fatty acids into certain target tissues (brain, liver, muscles, etc.). Marine-origin phospholipids are already known to be preferential carriers of polyunsaturated n-3 or omega-3 fatty acids, compared to triglycerides providing the same PUFAs. Some studies tend to confirm these properties in plant-based lecithins, which can be carriers of specific fatty acids, such as alpha-linolenic acid (ALA), the main precursor of omega-3s. Lecithins as supplements help modulate lipid metabolism, increase the bioavailability of the fatty acids they contain, and exert lipo-regulatory, anti-inflammatory, and antioxidant effects.

Other name(s) 

Soy Lecithin, Sunflower Lecithin

Family or group: 

Fatty Acids

Active ingredients:

Phosphatidylserine

Phosphatidylcholine


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Ulcerative Colitis
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Clinical research suggests that taking phospholipids rich in slow-release phosphatidylcholine improves symptoms and remission rates in patients with ulcerative colitis. Three single-center randomized controlled trials with a lecithin containing 30% phosphatidylcholine yielded positive results, while a trial with lecithin containing >94% phosphatidylcholine appears inconclusive. The consumption of phosphatidylcholine for 3 months increased the clinical remission rate and improved clinical symptoms compared to placebo. It also reduced the need for steroids, resulting in complete withdrawal of corticosteroid therapy without disease flare-ups in 80% of patients. Additional research in a group of hard-to-treat patients suggests that the effective dose of this slow-release phosphatidylcholine-rich phospholipid preparation is at least 1 g/day when taken in four divided doses over 12 weeks; however, taking 3 to 4 g per day seems to be more effective. Remission occurred in 50% and 60% of patients taking 3 g or 4 g per day, respectively, compared to 30% in patients taking 1 g per day and 0% in patients taking the control dose of 0.5 gram per day. Additionally, the clinical response in the three treatment groups was 70%, compared to 0% in the control group.

Posologie

posologieOral

posologie10 g


Synergies


Hypercholesterolemia
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Some clinical research shows that the daily intake of 500 mg to 30 g of lecithin for a period of up to 11 months reduces cholesterol levels in healthy individuals or those diagnosed with hypercholesterolemia. However, two clinical studies failed to show an effect of lecithin on low-density lipoprotein LDL cholesterol or total cholesterol levels in individuals with hyperlipidemia.

Posologie

posologieOral

posologie500 - 30 mg


Properties


Cholesterol-lowering

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Phospholipids exert a cholesterol-lowering effect. Thus, in patients suffering from hypercholesterolemia, soy lecithin supplementation significantly reduces plasma cholesterol levels. In hypercholesterolemic hamsters and rabbits, soy phospholipid supplementation increases HDL cholesterol levels and reduces the LDL/HDL ratio, a known risk factor for metabolic diseases. These effects are thought to be due to the fact that phospholipids can decrease the activity of microsomal HMG-CoA reductase (an enzyme involved in the cholesterol biosynthesis pathway) and the enterocyte absorption of cholesterol. They also increase the excretion of biliary cholesterol, lipid beta-oxidation, and plasma concentration of ApoA1 (Apolipoprotein A1 is the main protein component of antiatherogenic high-density lipoproteins HDL).

Usages associés

Hypercholesterolemia

Metabolic

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A study conducted on rats demonstrated that rapeseed lecithin, rich in alpha-linolenic acid (ALA), when added without prior pre-emulsification, was able to induce a dose-dependent increase in the appearance of lipids and ALA in the lymph, which would be associated with an increase in the secretion and size of chylomicrons (lipid particles carrying triglycerides after digestion). Thus, vectorization of ALA in the form of phospholipids via lecithin from rapeseed would increase its bioavailability, compared to vectorization in the form of triglycerides in an oil. However, the study shows that the beneficial effect of rapeseed lecithin on lipid absorption becomes significant only at supplementation doses (30% of total lipids), much higher than those found in foods, which never exceed 10%. These data validate a dose-dependent effect of plant lecithins on lipid absorption. Independently of their dose, both lecithins induced changes in the intestinal microbiota in these mice, increasing the fecal abundance of Clostridium Leptum, a bacterial group described as anti-inflammatory. Rapeseed lecithin may additionally have a specific effect on bile acid metabolism by promoting bile acid elimination, whose accumulation can be toxic. Thus, these preclinical data demonstrate that the use of plant lecithins as an ingredient in a balanced diet does not induce any adverse effect on lipid metabolism. Soy and sunflower lecithins are among the only emulsifiers not to cause any major deleterious impact on the composition and pro-inflammatory potential of the intestinal microbiota.

Usages associés

Hypercholesterolemia

Hepatoprotective

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Research results on animals suggest that lecithin may protect against alcohol-induced liver damage.a0 Moreover, the liver plays a central role in lipid metabolism and homeostasis. Several preclinical studies have demonstrated that replacing a fraction of dietary triglycerides with plant lecithins was associated with an improvement in the liver lipid profile with a reduction in hepatic triglycerides.


Neurological

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Oral lecithin intake may increase serum choline levels, which is a precursor to acetylcholine. As a source of choline, lecithin was thought to help alleviate symptoms of cholinergic diseases such as Alzheimer's disease and tardive dyskinesia. However, oral lecithin intake does not appear to affect cholinergic neuronal function.


Anti-inflammatory

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Supplementation with phosphatidylcholine resulted in a significant reduction in arthritis development in rats, potentially due to inhibition of the inflammatory response mediated by neutrophil leukocytes. Soy phosphatidylcholine can limit the inflammatory process in joints in a chronic mouse model of rheumatoid arthritis (collagen-induced arthritis) when administered during the onset of the disease. Pretreatment effectively prevented leukocyte adhesion to the endothelial layer and reduced inducible nitric oxide synthase (iNOS) expression, thereby reducing the degree of synovial angiogenesis. Therefore, lecithins could prove effective in reducing inflammatory reactions in arthritis and similar inflammatory processes.

Usages associés

Ulcerative Colitis


Safety dosage

Adult: 1.5 g - 30 g

Lecithin has been safely used at doses up to 30 grams per day for a maximum of 6 weeks.


Precautions

Pregnant women: avoid

There is insufficient reliable information on the safety of lecithin in medicinal amounts during pregnancy.

Breastfeeding women: avoid

There is insufficient reliable information on the safety of lecithin in medicinal amounts during breastfeeding.

Allergies: use with caution

Lecithin may cause allergic reactions in individuals allergic to eggs or soy.