Fiber Psyllium Husk — Supplements

Soluble viscous fiber that forms a gel matrix for cholesterol binding, glycemic control, and bowel regularity.

Overview

Psyllium husk (Plantago ovata) is a soluble, viscous, gel-forming fiber with one of the strongest evidence bases among dietary fibers. It has FDA-approved health claims for cholesterol reduction and cardiovascular risk reduction. Meta-analyses demonstrate significant LDL cholesterol lowering (~7%), improved glycemic control in type 2 diabetes, and normalization of bowel habits in both constipation and diarrhea. Psyllium acts as a prebiotic and supports gut barrier function.

Indications

  • LDL cholesterol reduction
  • Bowel regularity (constipation and diarrhea)
  • Blood glucose management
  • Weight management (satiety enhancement)
  • Irritable bowel syndrome (IBS) symptom management

Mechanism of Action

Psyllium absorbs water and forms a viscous gel matrix in the intestinal lumen

Dosing

CompoundDoseFrequencyNotes
Psyllium Husk5 g1-3 times dailyStart low and titrate; take with full glass of water

Evidence Grade

GRADE C

Safety & Contraindications

  • Must be taken with adequate water (at least 240 mL) to prevent choking/obstruction
  • Start with low dose and increase gradually to minimize bloating and gas
  • Separate from medications by 2 hours (may reduce absorption)
  • Contraindicated in bowel obstruction or dysphagia