Update 1/18/20. Pterostilbene is an antioxidant nutrient found in blueberries and other foods. It's related to resveratrol. Some dietary supplements are using pterostilbene instead of resveratrol because it's supposed to be better. But is it really better? Some research suggests pterostilbene might raise bad cholesterol (LDL) levels. This would make it worse for people with heart disease or anyone trying to reduce heart disease risk. In this pterostilbene review, let's look at the research showing elevations in LDL levels and see what we can figure out.
What Is Pterostilbene
Pterostilbene (say, “tero-still-bean”) is a member of a class of dietary compounds called stilbenes ( say, “still-bean”). Resveratrol is also a member of the stilbene family.
For years, resveratrol has been one of the most popular anti-aging supplements in the world. But, we don't absorb resveratrol well.
In one lab animal study, 80% of pterostilbene was absorbed, compared to only 20% for resveratrol.
Since Pterostilbene looks like resveratrol (chemically speaking) and we absorb it better, the idea is it's better than resveratrol.
That's the theory anyway…
Foods With Pterostilbene
Generally, berries and grapes are good sources of pterostilbene. Other foods containing this nutrient include:
- Blueberries
- Red grapes
- Cranberries
- Peanuts
These foods also contain resveratrol too.
The amount of pterostilbene in foods depends on which food we are talking about. Overall, the amount is not much, usually in the nanogram level (1 billionth of a gram).
In other words, foods don't have a lot of this stuff.
Some supplements contain 50 mg in 1 capsule. That's a boatload compared to what's in food.
Pterostilbene Health Benefits
A lot of people say pterostilbene is healthy -and there is some research to back them up. Various studies have noted this nutrient has the following properties:
It might even protect us against cancer.
But, most of the proof comes from studies involving:
- lab animals
- isolated cells in a test tube
What about people?
Pterostilbene has less human clinical research than resveratrol. One reason is resveratrol has been around longer and has been studied more. Eventually, that's likely going to change.
Does Pterostilbene Raise LDL?
Concerns pterostilbene might not be healthy started with a 2014 investigation where 80 people with high cholesterol and/or high bad cholesterol levels were split into 4 groups:
- pterostilbene: 125 mg twice a day (250 mg total)
- pterostilbene: 50 mg twice a day (100 mg total)
- pterostilbene: 50 mg + grape extract (GE) 100 mg twice a day
- Placebo group
The study lasted 6-8 weeks.
These researchers noted LDL levels increased significantly when people took 100-250 mg of pterostilbene a day.
The increase in bad cholesterol was about 17 mg/dl. That's quite a lot if you ask me.
For some, a 17 point increase in bad cholesterol could push someone from borderline high into the high LDL range.
Higher LDL levels can raise heart disease risk
What Do LDL Cholesterol Numbers Mean?
Cholesterol tests will tell you your bad cholesterol levels. If you look at your blood tests, this is what your LDL level means.
LDL Number (mg/dl) | Category |
Less than 100 | Optimal (great!!) |
100-129 | Almost optimal (should be lower) |
130-159 | Borderline high LDL |
160-189 | High LDL levels |
190 and above | Very high LDL levels |
The higher the bad cholesterol level, the worse off you might be.
Here are blood cholesterol kits
Interestingly, pterostilbene did not increase LDL levels when it was combined with grape seed extract. Grape seed extract is another type of antioxidant nutrient.
On the plus side, pterostilbene lowered both systolic and diastolic blood pressure by about 7 points each. But, does this reduction in blood pressure make up for the effect of raising of bad cholesterol levels?
This investigation was supported by a grant from ChromaDex corporation. Their flagship product is an anti-aging supplement called Niagen which contains a substance called nicotinamide riboside. See the Niagen review for more on that supplement.
In another study, funded Elysium Health (makers of Elysium Basis), 120 older adults (60-80 years of age) were divided into the following 3 groups:
- Group 1: 250 mg of nicotinamide riboside + 50 mg of pterostilbene
- Group 2: 500 mg of nicotinamide riboside + 100 mg of pterostilbene
- Group 3: Placebo group
The study lasted 8 weeks.
Results: Researchers noted the supplement raised bad cholesterol and total cholesterol levels, although this was said to be not clinically significant.
The lower dosage (50 mg) of Elysium raised bad cholesterol levels by 3% – 3.5%. The higher dosage (100 mg) was said to raise LDL levels even more.
Any Other Proof?
So far, two studies appear to show pterostilbene raises LDL levels (and maybe total cholesterol). In 2018, the bad cholesterol topic was addressed again in a Letter To the Editor of a clinical journal but this was a rehashing of the evidence summarized above.
One person has privately told me his LDL increased when he took a combination of 50 mg of pterostilbene and 250 mg of Niagen. His LDL levels were normal beforehand. After he stopped taking the pterostilbene supplement, his LDL cholesterol levels returned to normal.
See the Elysium Basis Review for more on this combination of ingredients.
How Much Is Safe?
This nutrient is safe when consumed in the low amounts found in food. But are pterostilbene supplements safe? The plant nutrient seems to reduce blood pressure and may have other health properties, but would these effects outweigh the raising of bad cholesterol levels?
I'm not sure.
Research has noted as little as 50 mg of pterostilbene could raise bad cholesterol levels. Evidence suggests supplements may interfere with drug metabolism. While the low amounts in food are safe, if you take medicine and are considering a high potency supplement, talk to your doctor or pharmacist.
Pterostilbene vs. Resveratrol
Pterostilbene is absorbed better than resveratrol. That's why companies are using it. The idea is it works better because we absorb it better. But, that's faulty logic in my opinion.
Better absorption doesn't necessarily mean it works better.
If you are on the fence about which supplement to take, you might be wise going with the supplement with more human research.
Or, avoid both supplements and just eat the foods containing these nutrients.
My Suggestion
If you're looking for a research-based health supplement, I like Kyolic Aged Garlic Extract. This supplement has many human studies showing it is cardiovascular friendly, has antioxidant benefits and helps immune function to name a few. I take this stuff myself.
Here is Aged Garlic Extract I use
Does Pterostilbene Raise Bad Cholesterol?
I'd like to see a couple of other studies before passing judgment. Until more is known, pterostilbene may be something to consider avoiding if you have cholesterol problems. If you're going to take this supplement, it might be wise to get a cholesterol test first – and then check your cholesterol again after 6-8 weeks. If your bad cholesterol levels are going to increase, you should know by then.
gio says
More from the comments below:
When I look at the LDL/HDL ratio, as both increased the ratio remained almost the same, well below the ‘ideal’ standard metric, at 1.73 & 1.79.
Is the ratio the key metric to take from this?
The HDL/Tri ratio (2nd most important marker) as follows:
1.1 & .97
this after discontinuing Pterostilbene.
Ratios remained the same even though the Triglycerides went up, so did the HDL.
If my HDL comes down next time I may consider restarting Pterostilbene, is the ratio the most important even though my LDL & CHOL/HDLC RATIO took a dive after discontinuing?
Joe Cannon says
While HDL is often called good cholesterol, it seems to be less important than triglycerides and LDL. While I would take not of HDL levels, lowering LDL and triglycerides to me is more important
gio says
Follow up to my comment below:
LDL
98 May ’18
109 May ’19
149 Feb ’21 (gap due to Covid, but Pterostilbene introduced, 100gm / day)
113 May ’21 (after discontinuing Pterostilbene)
High cholesterol may not be as bad as mainstream thinking suggests, as the comment suggests below it may be necessary for many important functions and be part of an overall health improvement, but the weight of evidence at keeping it low is large.
What is puzzling and possibly outweighs any negative impact is the CHOL/HDLC RATIO & HDL rose at exactly the same time and the same rate of increase, possibly backing up the comment above that its an overall benefit.
My TRIGLYCERIDES rose at the same rate over the same period but have not come down after discontinuing.
Overall I don’t want to mess with what was a satisfactory state of health until science improves on these supplements.
Would appreciate any comments.
Joe Cannon says
Have you discussed this with your doctor?
gio says
The only reason I started the pterostilbene is its enhancing effect on the Tru Niagen, supposedly.
My doctor of course has to look this stuff up, she is generally supportive of my ‘experimentations’!…but it’s like the blind leading the blind LOL.
Like many health-enhancing products the research is continuing, I agree lowering is the route and was achieved by discontinuing, it was interesting the ratios remained the same though, and, is cholesterol always the demon we think it is?
Joe Cannon says
For what it’s worth I remain skeptical about the claims of Tru Niagen, NMN and Elysium Basis. Here are several things Ive written about them
NR clinical studies
Nicotinamide Riboside Clinical Studies (podcast)
Is Tru Niagen Anti Aging
I took Tru Niagen for 30 days. Heres what happened
Tru Niagen Review of Research
Elysium Basis : 32 Things To Know
Can Elyium Basis Help ALS?
Nicotinamide Mononucleotide Does It Slow The Aging Process?
I’m glad you have a doctor who is supportive of your experiments. It’s very difficult for people to keep up with the research on supplements and still keep up to speed on medicine.
gio says
Yes, it significantly raised my LDL levels, over the course of six months taking two blood draws, then I supplemented with grapeseed extract and it made no difference, now I have discontinued both, I was researching to see if resveratrol has the same effect, it seems like it does.
I still take Niagen.
Joe Cannon says
Hi Gio, I thank you for sharing what happened to you, and I’m very sorry that pterostilbene raised your LDL levels. From what I know, resveratrol should not raise LDL levels. Here is a review which came to this conclusion too.
Here are some reviews of other supplements which may help you
Berberine Review
Cholesterol Reducing Supplements
Here’s my podcast on this too
Kirk says
The body uses cholesterol for cell repair – especially in the brain. Could the increased cholesterol actually be a mechanism of anti-aging rather than merely a side effect?
Joe Cannon says
Kirk, that’s an interesting question. I dont know if anyone has addressed this.
Roseann says
Hi Joe, first thank you for letting me know how to pronounce Pterostilbene. I had just purchased it, and the dose is 150 mg! Since my LDL is somewhat higher than it should be, I now know I shouldn’t take it. At least, that’s the decision I made after reading your review. I’ll take Reservatol.
I sincerely appreciate all your research that you share with your readers. It is extremely valuable.
Joe Cannon says
Hey Roseann, glad to help and I had trouble pronouncing it myself so you are in good company 🙂
Kelly Lark says
Hello,
Can you tell me if weight gain is common with Bergamot or Cholesterol 360.
Regards
Kelly
Joe Cannon says
Hi Kelly, I have not heard of people gaining weight while taking either bergamot or cholesterol 360.
Here is the bergamot review
Here is the Cholesterol 360 review
Have you experienced weight gain? Can you tell more about how long you were taking it and how much you have gained?