How Red Yeast Rice Works
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How Red Yeast Rice Works

While a majority of the body's cholesterol is produced in the liver, red yeast rice has been shown to effectively restrict the livers' production. However, this herbal compound also contains a variety of ingredients and active constituents that have been shown in studies to impart healthful cholesterol benefits. One active constituent, monacolin K, may effectively stop a key liver enzyme from producing cholesterol. A study published in 1997 in the journal Current Therapeutic Research found that men and women taking 13.5 mg total monacolins (about 1.2 grams) of concentrated red yeast rice daily for two months showed significant decreases in serum (blood) cholesterol levels. A UCLA School of Medicine clinical trial found that supplementation of about 10 mg total monacolins (2.4 grams) daily of red yeast rice for 12 weeks significantly decreased total and LDL ("bad") cholesterol levels, as well as triglycerides in a sample of people with elevated cholesterol.


Another cholesterol-boosting ingredient in red yeast rice, the compound known as mevinolin, has also been shown to offer antioxidant properties. In addition, the cholesterol benefits of red yeast rice may be due to its large amounts of such ingredients as fiber, rice starch, sterols, and fatty acids, all of which have been shown to decrease harmful levels of cholesterol and triglycerides, while also raising levels of HDL ("good") cholesterol.


In addition to rice starch, protein, fiber, sterols, and fatty acids, red yeast rice contains numerous active constituents, including monacolin K, dihydromonacolin, and monacolin I to VI.

Researchers have determined that one of the ingredients in red yeast rice, called monacolin K, inhibits the production of cholesterol by stopping the action of a key enzyme in the liver ( HMG-CoA reductase) that is responsible for manufacturing cholesterol. The drug lovastatin (Mevacor®) acts in a similar fashion to this red yeast rice ingredient. However, the amount per volume of monacolin K in red yeast rice is small (0.2% per 5 mg) when compared to the 20–40 mg of lovastatin available as a prescription drug. This has prompted researchers to suggest that red yeast rice may have other ingredients, such as sterols, that might also contribute to lowering cholesterol.

(Heber D, Yip I, Ashley JM, et al. Cholesterol-lowering effects of a proprietary Chinese red-yeast-rice dietary supplement. Am J Clin Nutr 1999;69:231–6).

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