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Bergamot: A Natural Solution for Heart Health and Cholesterol Management

Thrive Carolinas / Dietitian Services  / Bergamot: A Natural Solution for Heart Health and Cholesterol Management

Bergamot: A Natural Solution for Heart Health and Cholesterol Management

What is Bergamot?

Bergamot (Citrus bergamia) is a citrus fruit that originates from Southern Italy. A hybrid of bitter orange and lemon, it is widely used for its essential oil (BEO) in perfumes, cosmetics, and aromatherapy. However, recent research has highlighted bergamot’s powerful health benefits, particularly in cholesterol management, heart health, and metabolic support.

Key Health Benefits of Bergamot

1. Supports Healthy Cholesterol Levels

Bergamot contains polyphenols and flavonoids that help:

  • Lower LDL (“bad” cholesterol)
  • Reduce triglycerides
  • Improve HDL (“good” cholesterol”)
  • Decrease small dense LDL particles linked to heart disease

Studies suggest that bergamot may serve as a natural alternative for individuals who are statin-intolerant or prefer a more holistic approach to cholesterol management.

2. Aids in Heart Health & Reduces Cardiovascular Risk

Bergamot has shown positive effects on arterial health by improving:

  • Lipoprotein profile
  • Vascular function
  • Carotid intima-media thickness (cIMT), a marker for early atherosclerosis

A 6-month clinical study found that bergamot extract significantly reduced total cholesterol, LDL, and triglycerides while improving arterial health.

3. Supports Metabolic Health & Insulin Sensitivity

A randomized, double-blind study found that a supplement containing bergamot and artichoke extract improved:

  • Insulin sensitivity
  • Markers of inflammation
  • Liver health (NAFLD indexes)

This makes bergamot particularly beneficial for those with metabolic syndrome or prediabetes.

Bergamot vs. Statins: How Do They Compare?

Mechanism of Action

Statins: Block HMG-CoA reductase, the enzyme responsible for cholesterol production, leading to increased LDL clearance.

Bergamot: Contains flavonoids like neoeriocitrin, naringin, and neohesperidin, which help:

  • Reduce cholesterol absorption in the intestines
  • Regulate HMG-CoA reductase expression
  • Improve lipid metabolism

Effectiveness

Statins: Reduce LDL cholesterol by 30-60%, significantly lowering cardiovascular risk.
Bergamot: Reduces LDL by 7.6% to 40.8%, though results vary across studies.

Side Effects & Tolerability

Statins: May cause muscle pain (myalgia), liver enzyme elevation, and a slight increase in diabetes risk.
Bergamot: Is generally well-tolerated with minimal side effects, making it a promising alternative for statin-intolerant individuals.

Bergamot can also be used alongside statins to enhance cholesterol-lowering effects, allowing for lower statin doses.

Recommended Dosage & Supplementation

Always consult with your healthcare provider before starting any new supplement regimen.

Is Bergamot Safe?

Clinical trials show that bergamot is well-tolerated, with no significant adverse effects reported. Even in patients using second-generation antipsychotics, bergamot did not cause negative interactions.

However, due to its effects on cholesterol metabolism, it may enhance the potency of statins, so dosage adjustments should be monitored.

Should You Try Bergamot for Heart Health?

  • If you are statin-intolerant or prefer natural cholesterol support, bergamot may be a great option.
  • It lowers LDL, supports heart health, and improves metabolic function with minimal side effects.
  • Works well alone or alongside statins for enhanced cardiovascular protection.

Want to Learn More?

Want to read more about Bergamot?

  1. Bergamot Reduces Plasma Lipids, Atherogenic Small Dense LDL, and Subclinical Atherosclerosis in Subjects With Moderate Hypercholesterolemia: A 6 Months Prospective Study.
    Toth PP, Patti AM, Nikolic D, et al. Frontiers in Pharmacology. 2015;6:299. doi:10.3389/fphar.2015.00299.
  2. A Randomized, Double-Blind, Placebo-Controlled Clinical Trial on the Effect of a Dietary Supplement Containing Dry Artichoke and Bergamot Extracts on Metabolic and Vascular Risk Factors in Individuals With Suboptimal Cholesterol Levels. Fogacci F, Giovannini M, Di Micoli A, et al. Nutrients. 2024;16(11):1587. doi:10.3390/nu16111587.
  3. Effect of Bergamot on Lipid Profile in Humans: A Systematic Review. Lamiquiz-Moneo I, Giné-González J, Alisente S, et al. Critical Reviews in Food Science and Nutrition. 2020;60(18):3133-3143. doi:10.1080/10408398.2019.1677554.
  4. Lipid Management for the Prevention of Atherosclerotic Cardiovascular Disease. Michos ED, McEvoy JW, Blumenthal RS. The New England Journal of Medicine. 2019;381(16):1557-1567. doi:10.1056/NEJMra1806939. Leading Journal.
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