Brum J, et al. - Researchers undertook a meta-analysis to investigate the efficacy of concomitant use of psyllium, a gel-forming viscous soluble fiber, in further lowering of overall cholesterol in subjects already receiving statins. Data provided evidence supporting that psyllium fiber taken before meals add to the effectiveness of statins. For those who cannot tolerate side effects associated with higher-dose statins, this would be an easy to implement dietary intervention.