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In this regard, various mechanisms are anticipated, including diminishing cholesterol synthesis via hindering the activity of HMG-CoA reductase (71), reducing intestinal cholesterol absorption concomitant with augmented fecal emission (72), enzymatic deconjugation of bile salts and higher excretion of bile acids (73), and competing with cholesterol for intestinal absorption (74)

15 : 117132 Smith CD, Gallenstein LG, Layton WJ, Kryscio RJ, Markesbery WR

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It may also interact with certain medications, such as blood pressure drugs and medications for erectile dysfunction, so consulting with a healthcare provider is important