Lecithin: Benefits, Dosage, Contraindications
Other name(s)
Soy Lecithin, Sunflower Lecithin
Family or group:
Fatty Acids
Active ingredients:
Phosphatidylserine
Phosphatidylcholine
Indications
Rating methodology
EFSA approval.
Ulcerative Colitis ✪✪✪✪✪
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
Synergies
Delayed-Release Phosphatidylcholine Is Effective for Treatment of Ulcerative Colitis: A Meta-Analysis
Profermin is efficacious in patients with active ulcerative colitis--a randomized controlled trial
Delayed release phosphatidylcholine in chronic-active ulcerative colitis: a randomized, double-blinded, dose finding study
Retarded release phosphatidylcholine benefits patients with chronic active ulcerative colitis
Phosphatidylcholine for steroid-refractory chronic ulcerative colitis: a randomized trial
Hypercholesterolemia ✪✪✪✪✪
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
Lecithin has no effect on serum lipoprotein, plasma fibrinogen and macro molecular protein complex levels in hyperlipidaemic men in a double-blind controlled study
Influence of soy lecithin administration on hypercholesterolemia
Effect of soy isoflavone protein and soy lecithin on endothelial function in healthy postmenopausal women
Treatment of hypercholesterolaemia with oral lecithin
Properties
Cholesterol-lowering
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
Soy lecithin reduces plasma lipoprotein cholesterol and early atherogenesis in hypercholesterolemic monkeys and hamsters: beyond linoleate
The contrasting effects of a dietary soya lecithin product and corn oil on lipoprotein lipids in normolipidemic and familial hypercholesterolemic subjects
Inhibitory effect of lysophosphatidylcholine on pancreatic lipase-mediated hydrolysis in lipid emulsion
Metabolic
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
Hepatoprotective
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
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
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
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.