Highlights
(1) This review focuses on the active ingredients and their mechanisms of action of food & medicine homology resources with lipid-regulating effects.
(2) The effects of 55 active ingredients of 53 food & medicine homology resources on regulating blood lipids were reviewed.
(3) Triterpenes and their glycosides, flavonoids, alkaloids and polysaccharides are the main active ingredients of food & medicine homology resources in regulating blood lipids.
(4) The active ingredients of food & medicine homology resources can regulate blood lipids mainly by regulating AMPK pathway, cholesterol metabolism pathway, PPARγ signaling pathway and gut microbiota.

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