Kolesterol ve kalp hastalıklarındaki kötü şöhreti gündemde kaldıkça, kolesterolü düşürücü  ilaçların veya yöntemlerin çeşitleri artmaya devam edecek gibi görünmektedir. Günümüzde kötü kolesterolü ( LDL kolesterol) istikrarlı bir şekilde düşüren ve bu sayede kalp hastalıklarından ölümleri (hatta tüm ölümleri) azalttığı gösterilen tek ilaç grubu statin adı verilen ilaçlardır. Kolesterolü ne pahasına olursa olsun bir şekilde düşürelim  düşüncesinin pek işe yaramadığı bir takım talihsiz ilaç denemelerinden anlaşılmıştır. Bu nedenle kolesterolümüzü düşürür iken ödeyeceğimiz bedeli ve kazançlarımızı her zaman göz önünde bulundurmak gerekir.

Bitkisel steroller (“phytosterols”) doğada pek çok bitkide küçük oranda bulunan, moleküler yapısı biraz kolesterole benzer ama özellikleri tamamen  farklı moleküllerdir. Bu sterollerin barsaktan kolesterol emilimi azalttığı gösterilmiştir. Bu etkilerinden faydalanmak için yiyeceklere eklenmesi fikri son yıllarda gittikçe kabul görmüş ve yaygınlaşmıştır. Yapılan çalışmalar günde 1-2 gr arasında alınan bitkisel sterollerin kan kolesterol düzeyini % 10-15 oranında azalttığını ortaya koymuştur. Bu dozda alınan bitkisel sterollerin sağlık açısından başka güvenlik riski taşımadığı da batılı sağlık otoriteleri tarafından onaylanmıştır. Bu nedenle dünyada ve ülkemizde özellikle bazı süt ürünleri bitkisel steroller ile güçlendirilmekte, bu şekilde pazarda farklı bir şekilde konumlandırılmaktadır. Unutmamak gerekir ki, elde edilen kolesterol düşmesi kalp hastalarında hedeflenen kolesterol düşmelerinden uzaktır. Ancak, bu ürünlerin tüketilmesi de ek güvenlik riski getirmeden kolesterol düşürmeye yardımcı olmaktadır.

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