mineral · for high cholesterol
Chromium
A bioavailable form of the trace mineral chromium that enhances insulin sensitivity and helps regulate blood sugar levels. May support healthy body composition and reduce carbohydrate cravings.
How strong is the research?
Not verified evidence
1 paper read.
Tested as: Mixed forms across 38 studies. The form mattered. Picolinate for total cholesterol. Nicotinate for HDL.
Who was studied: Adults, some with diabetes and some without. The effect was larger in those with diabetes.
We found 1 study on this. We have not finished reading them yet, so we are not ready to say either way.
Before you take it
- No formal Tolerable Upper Intake Level (UL) established by the Food and Nutrition Board (IOM, 2001) due to insufficient long-term safety data; potential harm at high doses cannot be excluded, particularly in patients with renal or hepatic impairment, where isolated case reports link high-dose chromium supplementation to nephrotoxicity, hepatotoxicity, and rhabdomyolysis.
- Insulin and antidiabetes medications (metformin, sulfonylureas): chromium picolinate may potentiate glucose-lowering effects, increasing hypoglycemia risk; patients on these medications should consult a prescriber before supplementing.
- Levothyroxine: concurrent administration of chromium picolinate and levothyroxine reduced thyroxine area-under-the-curve by approximately 17% in a small study (n=7); separate administration is recommended (take levothyroxine at least 30 minutes before or 3–4 hours after chromium picolinate).
- Fluoroquinolone and tetracycline-class antibiotics: chromium may chelate with these antibiotics in the GI tract and reduce their absorption; take chromium at least 2 hours before or 4–6 hours after the antibiotic dose.
- The FDA permits only a 'highly qualified health claim' for chromium picolinate in relation to blood sugar and insulin resistance — one of the lowest regulatory confidence categories — stating the relationship is 'highly uncertain.'
- Available evidence does not support genotoxic risk from chromium picolinate at typical supplemental doses (≤1,000 mcg/day elemental Cr) per NIH ODS and EFSA safety consensus through 2024; long-term safety data beyond this dose range remain insufficient.
When to take it
Best taken: with food