I have taken Ezetimibe for a long time… pretty weak on its own, but does really well in combination with a fibrate and esp a Statin, I am currently on Repatha and Ezetimibe, ApoB is 42-46…. Theoretically the fibrates should and do seem to cause fat loss and more so inhibit fat gain, due to increasing CPT , hitting ppar-a etc…
On the video posted by RapAdmin, Brian Kennedy says one reason for choosing gemfibrozil is that it is safer than other fibrates. The studies bear him out. Muscle pain exists, but in less than one percent in the first link below and not mentioned in the other two.
10.1056/NEJM199908053410604 click on “Gemfibrozil for the Secondary Prevention of Heart Disease……”
Gemfibrozil is taken for downing triglycerides and increasing HDL; Impact on LDL and lp(a) is uncertain, most studies show no impact (see the last link above) others some reduction. However, there may be a beneficial change within LDL “We conclude that GEM significantly altered the composition and distribution of LDL subspecies with a shift from small dense LDL particles to large, less dense particles in HTG patients.
But our target is longevity. The Helsinki Heart study didn´t show any reduction in non-cardio related mortality for gemfibrozil, but perhaps this should not be any disappointment since it was not designed for longevity. We will know more when results are in from the trial I believe is taking place at Kennedy´s lab.
But I find what Brian Kennedy says in the video worrying: that when you take more than one supplement, you don´t know what happens. Positive effects can be cancelled and this is more common than additive effects. I heard more from him on this at a conference and find it so disconcerting that on the fly I decide to make a separate post on this.
Brian Kennedy stated that Gemfibrozil was the “safest”, but it does have the most drug interactions, something to think about for everyone interested in it. It does have the most positive data in reducing heart disease, though, both the Helsinki heart study and the VA- HIT study showed that it reduced events substantially. I have restarted Bezafibrate and this time I am somehow tolerating it ha ha. It keeps my blood sugar down about 10 points, in addition to whatever it’s doing on lipids that I haven’t measured yet. Beza has a lot of data too, it’s been around since 1980 and it has a lot of effects outside of lipids. The only big studies on that have been done after statins were re-introduced, so there’s a lot of statin contamination in those, but it does show, small benefits, and large benefits in people with metabolic syndrome. As I said earlier, I really think the fibrates can be used to enhance fat loss.