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Figure 34 Plant sterols have been long known to reduce plasma LDL-cholestero levels, by competing with dietary and biliary cholesterol absorption in the intestine. After a number of animal studies in the early 1950s, B-sitostero was introduced in 1957 by Eli Lilly as a drug for the treatment of hyper cholesterolemia [159]. Because of its poor solubility and bioavailability doses of up to 18 g/day had to be given. Phytosterols were soon aban doned, but renewed interest arose more recently with the possible use o plant sterols and sterol derivatives as nutraceutical agents. Phytosterol: and phytostanols are esterified with fatty acids, and these higly lipophilic esters can be readily incorporated into the lipid phase of foods such a: margarines.
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