Ezetimibe, is a prescription cholesterol-absorption inhibitor used to lower LDL-C in hypercholesterolemia. In the performance-enhancement world, it’s commonly used to offset cycle-related lipid strain when statins aren’t tolerated or as an add-on for extra LDL reduction. It works by blocking the NPC1L1 transporter in the small intestine, reducing dietary and biliary cholesterol uptake. Typical dosing is 10 mg once daily, with or without food, either solo or stacked with a statin. Benefits include a meaningful LDL drop (about 18–25% alone, and an additional ~15–20% when added to a statin) with minimal effect on training, heart rate, or blood pressure.
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