Red yeast rice may be the new superfood in our quest to lower high cholesterol. Red yeast rice is not actually a "new" food. The Chinese have known about it for over 1200 years and it is commonly used in China as a staple food.
Red yeast rice is believed to be as effective as pharmaceutical statin drugs prescribed to lower cholesterol. Can this be true? Is red yeast a "natural statin"? Does red yeast lower cholesterol as well as or better than stain drugs? Just how much does red yeast lower cholesterol and how much red yeast should you everyday take to lower your cholesterol? Are some forms of red yeast superior to others?
The answers to these questions are of vital importance to our national health. Over 106 million Americans over age 20 have high cholesterol, according to the American Heart Association. And, high cholesterol is an equal opportunity threat. Even President Barack Obama has high cholesterol, according to White House physician Dr. Jeffrey Kuhlman. President Obama's LDL ("bad") cholesterol level is 137, which is 37 points higher than the healthy cut-off level of 100 for LDL cholesterol.
What Is Red Yeast?
According to the National Institutes of Health, red yeast is a mold known as monascus purpureus. It is fermented and sprinkled over rice, giving it a red color. It is also used to make red rice wine and red rice vinegar, a common food flavoring in Chinese food.
Red yeast contains compounds known as monacolins which are known to reduce cholesterol. In particular ‘monacolin K’, a naturally occurring compound found in red yeast, is the same as the pharmaceutical compound "lovastatin".
According to The National Institutes of Health, the first documented use of red yeast rice was in the Chinese Tang dynasty in 800 A.D. In traditional Chinese medicine, red yeast has been used to improve blood circulation.
Is There Any Scientific Evidence That Red Yeast Lowers Cholesterol?
Several research studies spanning many years have documented the effectiveness of red yeast rice in lowering cholesterol.
Two important studies have been conducted in the United States. In the first study, led by Dr. David Becker from the University of Pennsylvania School of Medicine, 79 patients were divided into 2 groups. The first group was given 40 mg/day of simvastatin, a commonly prescribed drug to lower cholesterol.
The second group was put on an alternative therapy consisting of red yeast supplements (either 2400 mg/day or 3600 mg/day depending on how high their cholesterol was) and omega -3 fatty acids, consisting of 2100 mg/day of EPA and 1680 mg/day of DHA. Both groups also followed reasonable diet and exercise lifestyles.
At the end of 12 weeks, the researchers compared the 2 groups. Which group did better--the group on statins or the group on natural food supplements?
The result may surprise you. The group on statins lowered their LDL (bad) cholesterol by 39%. But the group on red yeast rice and fish oil pills did even better, lowering their bad cholesterol by 42%.
Again, these results were achieved in just 12 weeks.
A 2005 study from Taiwan reached similar results. In that study, conducted by researchers from China Medical University and China Medical University Hospital in Taichung, Taiwan, 79 patients with average LDL cholesterol levels of 203 dl/ were given 1200 mg of red yeast (600 mg twice a day) for 8 weeks.
At the end of the 8 weeks, the patients on red yeast supplement lowered their total cholesterol by 21.5 , their LDL cholesterol by 27% , and their triglycerides by 15.8%.
Based on the strength of these and other similar studies (notably a 1999 study by Dr. David Heber of the UCLA Center for Human Nutrition), both the National Institutes of Health and the Mayo Clinic have endorsed the use of red yeast rice as an aid in lowering cholesterol.
How Exactly Does Red Yeast Lower Cholesterol?
When the red yeast is consumed, it is broken down in the body and it is then that the lovastatin compounds are released. These compounds then interfere with the enzymes that make bad cholesterol preventing the cholesterol from forming. Red yeast, like prescribed statin drugs, has been found to inhibit the work of a destructive enzyme called 3- hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase.
What do we take from these studies. It is fairly clear that red yeast can be used an alternative to statins to lower high cholesterol. Red yeast is especially useful because many people experience side effects from statins such as muscle twitches and pains or are otherwise intolerant to statin drugs.
Warnings and Possible Side Effects of Red Yeast Rice:
In 2007 the Food and Drug Administration (FDA) issued a warning to consumers about red yeast. Since red yeast contains lovastatin -- an active pharmaceutical ingredient --- they felt it should only be prescribed and monitored by approved professionals. Among the reasons cited by the FDA is the fact that the lovastatin has been known to cause severe muscle and kidney problems. The risk of experiencing these side effects is increased if you are taking certain anti- depressants and certain antibiotics.
The National Institutes of Health stated that because of the FDA action on the products there are some difficulties with consistency. It says that products that are bought over the internet can have varying levels of the monacolin K in them, from nothing to worrying amounts. It says the effects are not completely predictable. It recommends that there is stronger clinical evidence as well as better knowledge of side effects for traditional pharmaceutical cholesterol lowering drugs.
The National Institutes of Health indicates that the side effects of red yeast supplementation are similar to the statin drugs lovastatin and include dizziness, asthma, heartburn, gas, bloating, muscle pain or damage, headaches, abdominal soreness and kidney problems.
They recommend that people with liver disease should not use red yeast products. Women who are pregnant and breast feeding also should not use red yeast.
The University of Maryland has added additional warnings. The National Institutes of Health recommend that under people under 18 should not use red yeast . The University of Maryland is even stricter, warning that people under 20 s not use red yeast.
The University of Maryland also say that red yeast can be harmful in people who drink more than two drinks a day. Also those with thyroid problems or those who have received organ transplants should avoid it.
What Is The Best Way to take Red Yeast?
Red Yeast is sold in two ways-- as a supplement and as a powder.
As mentioned above, the FDA has implemented controls on red yeast and this especially relates to supplements. You can purchase supplements but be sure to check how much monacolin K they contain.
The easiest and perhaps the safest way to get the benefits of red yeast is to eat it in rice form as the Chinese have for 1200 years. Below is a recipe to prepare red yeast rice which you can have with an array of dishes.
Recipe for Red Yeast Rice:
1.Start with regular white rice.
2.Place the Rice in a bowl of cold water and leave for 30 to 40 minutes or until the rice has been saturated with the water.
3. Drain the cold water and add the rice to a pot.
4. Add 1 ½ cups of water per cup of rice and boil.
5. Allow to simmer for 4-5 minutes
6. Once all the water has been absorbed leave the rice to cool slightly.
7. Add the red yeast-1 ½ tablespoon per cup of rice. Mix thoroughly.
8. Keep the mixture at room temperature for 4 -5 days. Until the rice has turned a purplish/reddish color.
9. You can reheat and eat with your desired dish.
Note: It is important that all the water has been absorbed into the rice or else it will become a breeding ground for bacteria. If you find any water after you’ve left it to incubate then it is best to through it out.
If you intend to purchase red yeast over the internet, consult your doctor before hand to make sure it will not interfere with any of your medications or that your medical history does not indicate that you should not take read yeast. Also, if you suffer any of the side effects of read yeast supplementation --muscle twitches, pains etc-- contact your doctor immediately as it could be potentially serious.