Low dose chromium-polynicotinate or policosanol is effective in hypercholesterolemic children only in combination with glucomannan

► Non-pharmacologic management of hyperlipemia in teenagers may include nutraceutics. ► Chromium-polynicotinate or policosanol are effective only combined with glucomannan. ► Starch may have a negative effect when associated with glucomannan. ► The best combinations and doses of nutraceutics need further studies.