What Are the Potential Benefits of Pantethine Supplementation?
Each pantethine molecule contains two units derived from pantothenic acid (vitamin B5). In line with the roles of vitamin B5, pantethine and coenzyme A in the body, the European Food Safety Authority (EFSA) has concluded that vitamin B5 contributes to normal energy-yielding metabolism, normal mental performance, the reduction of tiredness and fatigue, and the normal synthesis and metabolism of steroid hormones, vitamin D and certain neurotransmitters.
Reported symptoms of vitamin B5 deficiency include restlessness, fatigue, sleep disturbances and muscle cramps. However, deficiency has so far been observed mainly under artificial experimental conditions, for example after administration of an antagonist, rather than in dietary studies.
In several clinical studies, higher doses of pantethine reduced LDL cholesterol by an average of approximately 20% and triglycerides by approximately 33% in people with elevated blood lipids. At the same time, levels of “good” HDL cholesterol increased. To achieve these effects, researchers generally used an average daily dose of 900 mg of pantethine over a study period of four months.
Because these studies reported favorable effects in people with cholesterol levels of at least 200 mg/dL and triglyceride levels above 150 mg/dL, pantethine supplements are typically dosed much more highly than standard vitamin B5 supplements. Vitamin B5 products often provide around 5–10 mg, whereas pantethine products may provide approximately 500–1,000 mg per day.
Pantethine appears to have a generally favorable tolerability profile. The authors of one study reported no obvious adverse effects associated with its use. A review found that approximately 1% of participants experienced mild gastrointestinal complaints. In one clinical study involving children, pantethine was well tolerated at a dose of 60 mg per kilogram of body weight per day—equivalent to 3,600 mg for a person weighing 60 kilograms.
Sources
Further information and studies on pantethine can be found in the sources below.
The effects of pantethine on fatty liver and fat distribution
www.pubmed.ncbi.nlm.nih.gov/11425046
Biosynthesis of Pantothenic Acid and Coenzyme A
www.ncbi.nlm.nih.gov/pmc/articles/PMC4950986
Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline
www.pubmed.ncbi.nlm.nih.gov/23193625
Coenzyme A: back in action
www.pubmed.ncbi.nlm.nih.gov/15893380
Pantethine, a derivative of vitamin B5, favorably alters total, LDL and non-HDL cholesterol in low to moderate cardiovascular risk subjects eligible for statin therapy: a triple-blinded placebo and diet-controlled investigation
www.ncbi.nlm.nih.gov/pmc/articles/PMC3942300