Benefits
Significant oxidized LDL reduction (33%)
In treatment-naïve subjects with cardiovascular risk factors, CitrOlive 500 mg/day decreased oxidized LDL significantly (93.8 → 62.8 U/L, p<0.05) while it increased in controls. Ox-LDL is a key driver of atherosclerosis — addressing it directly supports vascular health.
Increased paraoxonase activity (PON1)
Documented a significant increase in serum paraoxonase activity (PON1: 64.5 → 78.7 U/L, p<0.05) in the CitrOlive group, while controls remained unchanged. PON1 is an HDL-associated enzyme protecting LDL from oxidation — increased PON1 activity reduces atherogenic potential. Mechanism complements the direct ox-LDL reduction.
Triglyceride and oxidized LDL drop
500 mg/day for 90 days produced significant drops in both triglycerides and oxidized LDL — prominent risk factors for cardiovascular disorders. Multi-parameter cardiovascular improvement supports comprehensive cardiovascular health applications.
Improved ox-LDL/LDL-C ratio
Documented similar significant findings in the ox-LDL/LDL-C ratio — addressing not just absolute oxidized LDL but the proportion of LDL that is oxidatively modified. Ratio is a more refined marker of atherosclerotic risk than either parameter alone. Particularly relevant for those with normal absolute LDL but elevated cardiovascular risk.
Mediterranean diet phytonutrient delivery
CitrOlive delivers Mediterranean diet phytonutrients in concentrated form — supporting cardiovascular health applications. The Mediterranean diet has long been considered the gold standard for healthy nutrition and has been clinically associated with reduced cardiovascular problems for decades. Concentrated form supports dosing precision.
Strong antioxidant + anti-inflammatory activity
CitrOlive's cardiovascular benefits result from strong antioxidant and anti-inflammatory activity. The phytochemicals, polyphenols, and flavonoids in the olive + citrus combination work synergistically to address oxidative stress and inflammation — two key drivers of atherosclerosis. Multi-mechanism approach vs single-pathway interventions.
Treatment-naïve population validation
Studied in treatment-naïve subjects with cardiovascular risk factors — those not already on statins or other cardiovascular medications. Treatment-naïve population strengthens clinical evidence by removing confounders from concurrent medications. Supports CitrOlive as first-line natural intervention for moderate cardiovascular risk.
Mediterranean ingredients line — water-soluble
Water-soluble nature supports formulation in functional food, beverages, dietary supplements, and nutrition bars. Important addition to Frutarom's Mediterranean ingredients line alongside Portusana (purslane). Reflects mission to explore Mediterranean Diet benefits via pure, safe ingredients backed by scientific research.
Mechanism of action
LDL oxidation prevention
CitrOlive's polyphenols and flavonoids prevent LDL oxidation — the critical step in atherosclerosis development. Oxidized LDL is taken up by macrophages forming foam cells, the initial lesion of atherosclerosis. Preventing LDL oxidation addresses atherosclerosis at an earlier mechanistic step than statins (which reduce LDL production).
Paraoxonase (PON1) activity enhancement
PON1 is an HDL-associated enzyme that hydrolyzes oxidized phospholipids and protects LDL from oxidation. Increased PON1 activity is associated with reduced atherosclerosis risk. CitrOlive significantly increases PON1 — providing complementary mechanism to direct antioxidant scavenging.
Citrus flavonoid bioactivity
Citrus flavonoids (hesperidin, naringin, hesperetin, naringenin) have documented cardiovascular effects including vascular endothelial function support, anti-inflammatory activity, and lipid metabolism modulation. Citrus bioflavonoids are known to provide a protective effect on the cardiovascular system.
Olive leaf polyphenol activity
Olive leaf polyphenols (oleuropein, hydroxytyrosol) have well-characterized cardiovascular benefits — supporting healthy blood pressure, vascular function, and lipid profile. Same compound class supports the cardiovascular benefits of olive oil and Mediterranean diet. Concentrated extract delivers significant polyphenols vs dietary intake.
Anti-inflammatory pathway support
Chronic low-grade inflammation drives atherosclerosis alongside oxidation. CitrOlive's anti-inflammatory activity addresses the inflammatory component of cardiovascular disease. Combined antioxidant + anti-inflammatory mechanisms provide comprehensive cardiovascular support.
Clinical trials
Published 3-month randomized double-blind controlled trial in 23 treatment-naïve subjects with cardiovascular risk factors (TC >200 mg/dL, LDL-C >130 mg/dL). Intervention: CitrOlive 500 mg/day (2 capsules) vs matched placebo. Primary outcomes: oxidized LDL, lipid metabolism parameters, plasma atherogenic capacity, paraoxonase activity (PON1). PMID 33920476.
23 treatment-naïve subjects with cardiovascular risk factors (mean age 41.9, 69.6% males). 3-month intervention.
Oxidized LDL decreased significantly: 93.8 → 62.8 U/L (p<0.05) in intervention vs increase in controls. Paraoxonase activity (PON1) increased significantly: 64.5 → 78.7 U/L (p<0.05) in intervention vs unchanged controls. Similar significant findings in ox-LDL/LDL-C ratio. Reduction in atherogenic LDL oxidation in treatment-naïve moderate-risk atherosclerosis subjects vs controls.
Foundational double-blind placebo-controlled clinical trial conducted at Murcia University (UCAM), Spain — the trial supporting CitrOlive's commercial launch. Subjects received 500 mg/day CitrOlive or matching placebo for 90 days. Primary outcomes: triglycerides and oxidized LDL — both prominent cardiovascular risk markers.
Subjects with cardiovascular risk factors. 90-day intervention with 500 mg/day CitrOlive or placebo.
Significant drop in triglycerides and oxidized LDL levels vs placebo. Both are prominent risk factors for cardiovascular disorders. Established CitrOlive's cardiovascular health positioning. Foundation for the subsequent published treatment-naïve study confirming ox-LDL reduction mechanism. Reflects the Mediterranean diet's clinical legacy for cardiovascular health.
Acute toxicity studies documenting safety of CitrOlive supplementation even at high doses. Foundational regulatory and safety package for the patented ingredient. Supporting Frutarom's positioning of pure, safe Mediterranean ingredients.
Not applicable — acute toxicity safety studies.
Acute toxicity studies demonstrated safety of CitrOlive even when ingested in high doses. Foundation for clinical applications at 500 mg/day standard dose plus supports food and beverage applications where dose control may vary. Reinforces Mediterranean ingredients line safety profile.