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TABLE OF CONTENTS | REFERENCES | GLOSSARY
Lecithin/Phosphatidylcholine/Choline
General Description
Lecithin is an oily substance belonging a group of nutrients known as phospholipids, which are water-soluble compounds composed of fatty acids, phosphorus, and nitrogen. The fatty acid portion of lecithin consists of linoleic acid or a combination of linoleic and linolenic acids, both of which are essential in the human diet. The phosphorus portion of lecithin is in the form of phosphatidylcholine (PC), and the terms "lecithin" and "phosphatidylcholine" are used interchangeably in medical literature. PC is generally considered to be the most beneficial compound found in lecithin because it is a rich source of choline, a member of the B-vitamin complex involved in many vital biological functions.

Food sources
Dietary sources of choline are found primarily in the form of phosphatidylcholine from lecithin. Good sources of lecithin include liver, red meat, whole grains, legumes, and egg yolks (in fact, the term "lecithin" is derived from the Greek word for egg yolk, lekithos). Free choline (without the phosphatidyl group) is found in whole grains, liver, soy, and in some vegetables (especially cauliflower and cabbage). Supplemental sources of PC labeled as "lecithin" usually contain 10-20 percent PC. More concentrated supplements (containing about 35 percent PC) are usually labeled as "phosphatidylcholine." Other supplemental forms of choline include choline salts such as choline bitartrate, citrate, or chloride.

Health applications

Functions and uses
Choline is a crucial component of acetylcholine, a neurotransmitter essential for normal brain function. Phosphatidylcholine is a key structural component of cellular membranes and also plays an important role in the transport of fats throughout the bloodstream. As a constituent of bile, PC helps control cholesterol levels, prevent fatty buildup in the liver, and maintain gallbladder function.

Mental function
Because choline is known to play a key role in brain chemistry, studies have been conducted to determine the efficacy of choline and lecithin supplements in various mental disorders including Alzheimer's disease, tardive dyskinesia, depression, and bipolar disorder. While it appears to have no effect on the progression of Alzheimer's, studies indicate that lecithin supplementation may be helpful in some cases of mania1 and tardive dyskinesia.2-4

Liver health
Phosphatidylcholine is essential for healthy liver function, and a concentrated PC formulation is used in Germany to treat a variety of liver disorders. Studies have shown that PC supplementation can provide significant improvement in some forms of hepatitis,5-9 and may also be beneficial for patients with alcoholic cirrhosis.9-11

Cardiovascular health
Lecithin's role in fat transport can make it a useful supplement for promoting cardiovascular health. Research indicates that lecithin can help lower serum cholesterol12-16 and triglyceride16 levels while raising HDL 13,16 (the "good cholesterol") levels„factors that inhibit the progression of atherosclerosis. Lecithin can also reduce the tendency of blood platelets to clump together and form clots, therby promoting healthy blood flow.15,16

Dosage/toxicity
The recommended dosage for lecithin varies according to its PC content and its intended use. Consult a nutritionally-oriented healthcare professional to determine the appropriate dosage. Many people prefer lecithin or PC concentrates over choline salts because high doses of choline may cause gastrointestinal discomfort and a "fishy" odor. In addition, research indicates that lecithin may be more effective than choline salts in raising serum choline levels.17 There is currently no evidence that lecithin or choline salts are toxic to humans.


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