Selecting the Right Probiotic is the Key

Do you ever think about what goes into your body each day? You should. One of the key to feeling good and being healthy s eating nutritious food and making sure our gastrointestinal (GI) tract has the tools it needs to optimally digest and absorb nutrients. The GI tract includes the stomach and intestines, which work to digest foods and eliminate waste.

A variety of “good” intestinal bacteria helps to keep the digestive system running. These “good” bacteria are called probiotic bacteria, or probiotics. Probiotics digest food, process waste, and keep the “bad” bacteria – which have the potential to cause disease and illness – in check.

This issue of Ask the Doctor will look at the probiotic bacteria that play an important role in maintaining our health and wellness: we need them, what they can do for us, and how to make sure we are getting enough. Also, we will talk about an exciting process that truly delivers probiotic bacteria taken in nutritional supplements. Encapsulated in a pearl-like sphere, they survive transport to the intestines, set up house, and exert their beneficial effects. As we will see, probiotic supplementation can help prevent and treat many different illnesses, unless the beneficial bacteria reach the intestines alive and active, the supplement is worthless.

Q. I thought bacteria were bad. How can bacteria be good for us?

A. Some kinds of bacteria do cause illnesses and disease in humans. “Strep” throat is an example of an illness caused by bacteria.

However, the majority of bacteria do not cause disease. In fact, there are types of bacteria that are actually beneficial. “Good” bacteria, known as probiotic bacteria, are used in the manufacturing of food and beverages. Some examples of foods that have probiotic food ingredients are buttermilk, yogurt, cheese, sausage, and acidophilus milk.

These same kinds of probiotic bacteria are present in our intestines and help to keep the digestive system running by digesting food and processing waste.

Q. What are probiotics?

A. Probiotics are live bacteria that are non-toxic and do not cause disease (non-pathogenic).

Some of the best-understood probiotic bacteria include members of the Lactobacillus and Bifidobacterium groups. Because of the Lactobacillus and Bifidobacterium’s ability to break down lactose, these probiotic bacteria are also known as lactic acid bacteria. Both of these types of probiotic bacteria are well studied and are available in both food and dietary supplements.

Q. Is there a difference between the probiotic bacteria that is found in yogurt, and in nutritional supplements?

A. Actually, the bacteria that are in yogurt, our intestine, and most natural supplements are the same types of probiotic bacteria, Lactobacillus acidophilus and Bifidobacteria longum. Because of this, these bacteria are referred in a generic sense as probiotics. So, the term probiotics may refer to the “good” bacteria that are present in food or that live in our intestine, or that are part of a natural supplement.

Q. Where do these probiotic bacteria come from?

A. As recently as the middle of the last century, bacteria found naturally in food ingredients were used to make a fermented food product. For example, the example, the lactic acid bacteria found naturally in milk were used to make cheese. This was known as wild fermentation.

Wild fermentations are no longer used. Today, the probiotic bacteria used in food and natural supplements are harvested via a highly controlled fermentation process. This process results in high numbers of bacteria and ensures quality and purity of the bacteria.

Q. Why are probiotic bacteria important for digestive health?

A. Normal microflora (the term commonly used for intestinal bacteria) is associated with good health. An imbalance in this natural microflora (when the beneficial probiotics are outnumbered by the harmful bacteria) is frequently associated with various disease states such as yeast infections and colon cancer.

Eating foods or taking a nutritional supplement containing probiotic bacteria can help support and modify the composition of the large intestine microflora. Microflora of the large intestine assist digestion through fermentation (by making the intestines more inhospitable to invading bacteria species), protection against disease-causing bacteria, and stimulation of the immune system.

The probiotics, Lactobacillus and Bifidobacteria, occupy a central role in the intestinal and provide health benefits.

Q. How do probiotic bacteria help with digestion?

A. Lactose is an important sugar that is converted to lactic acid by lactic acid bacteria. Lactose intolerance results from an inability to digest lactose, due to the failure of small intestine mucosal cells to produce lactase, an enzyme needed to digest lactose. This often results because of genetics, gastrointestinal disease, or because of the decline in the amount of intestinal lactase levels associated with aging. Lactase deficient people accumulate non-absorbed lactose in the gastrointestinal tract, which draws water and electrolytes into the gut and speeds waste through the intestines, leading to bloating, cramping, and diarrhea.

Approximately 50 million people in the United States have partial to complete lactose intolerance. The following chart illustrates the racial break down of lactose intolerance in this country.

Lactic acid bacteria have been shown to help the breakdown of lactose, specifically by enhancing the activity of lactase (beta galactosidase), which improves lactose digestion and tolerance. Furthermore, in a randomized, controlled clinical trial, Bifidobacteria longum was shown to assist in the breakdown of lactose and relieve the symptoms of lactose intolerance (flatulence) in people with lactose intolerance.

Q. What is the difference between digestive enzymes and probiotics? Can they be taken together?

A. Digestive enzymes, such as protease, amalyse, and lipase, act upon food, breaking it down into simpler components that can be used by the body for energy. Without enzymes, digestion could not take place. Therefore, the food that we eat could not be absorbed and utilized by our bodies.

Probiotics help the enzymes to digest food and process waste. In essence, probiotic bacteria and enzymes work together to ensure that the digestive tract is running smoothly. When taken together, enzymes assure greater levels of digestion absorption of your food, and probiotic bacteria aid the enzymes in digestion and keep problems in check.

Q. Is helping to ensure a healthy digestive system the only use for probiotics?

A. Absolutely not! Probiotic bacteria, such as Lactobacillus acidophilus, have been found to help prevent vaginal yeast infections in women that suffer from these reoccurring infections.

Approximately 35% of vaginal infections are caused by the yeast. Candida albicans, Candida, is a fungus that is a component of the normal gastrointestinal microflora. However, Candida must not be allowed to increase in numbers. An overgrowth is associated with adverse health effects like vaginal infections, oral thrush, or even serious systematic yeast infections. Probiotics have been shown to keep levels of Candida in check.

Probiotic bacteria have also been demonstrated to have anti-cancer properties. In baa clinical study, colon cancer patients given Lactobacillus acidophilus fermented milk showed a significant increase in numbers of intestinal Lactobacilli and a decrease in risk factors associated with colon cancer.

Patients suffering from inflammatory bowel diseases, such as ulcerative colitis and Crohn’s disease can benefit from probiotic bacteria supplementation. Studies have shown that probiotic bacteria assist in maintaining remission in ulcerative colitis and preventing reoccurrence of Crohn’s disease. Manipulating the intestinal flora may prove to be more effective and better tolerated than the drugs that are conventionally given to treat these diseases. I one study, Lactobacillus acidophilus was found to improve the intestinal barrier and clinical status in children suffering from Crohn’s disease.

Probiotics supplementation can also improve and prevent skin disease, such as eczema. Studies have shown that probiotic bacteria can actually control inflammation associated with skin conditions. In one study, infants with eczema who were given probiotic-supplemented formulas showed a significant improvement in skin condition.

The chart below summarizes some of the diseases and conditions that probiotic bacteria can help prevent and/or improve.

Q. How often should probiotics be taken to ensure optimal support of the digestion system?

A. Probiotic bacteria do not permanently colonize in the body. They need to be replenished by the consumption of foods containing probiotic bacteria or by taking a probiotic natural supplement. Whatever form you choose to replenish the intestinal probiotics, they need to be ingested daily for their health-promoting effects to continue.

Q. If I take a probiotic nutritional supplement, how many bacteria should a good quality supplement contain?

A. The critical factor is not how many bacteria that a supplement contains, but rather how many bacteria reach the intestines healthy, vigorous, and ready to work.

A good quality supplement will deliver at least 3 billion living, healthy probiotic bacteria per dose to your intestines. The bacteria in the probiotic natural supplement should be a mixture of both Lactobacillus and Bifidobacteria.

Again, the critical key to a good quality probiotic supplement is that the bacteria must be alive to work. Only living probiotic bacteria can colonize in the intestines. A good quality probiotic nutritional supplement will have GUARANTEED levels of live bacteria at the point of consumption. Inferior brands will merely state levels of live bacteria at the point of manufacture.

Recently, a private laboratory tested various probiotic nutritional supplements in the marketplace, including one utilizing a new process that encapsulates the bacteria in a spherical, pearl-like coating. Each of these supplements were best-selling brands, two of them were enteric coated, and all had label guarantees about potency. The lab counted the levels claimed by each manufacturer.

Q. Then how do I know I am getting what I pay for?

A. First, look for a product that has a “use by” date or an “expiration” date clearly stated on the package.

It is also important to look for a probiotic supplement that does not require refrigeration. Probiotic supplements that require refrigeration often have been subjected to warm temperatures during shipment and storage that will inevitably kill off some or all of the bacteria.

It is also important that the product label guarantees live bacteria at the time of purchase, not at the time of shipment or manufacturing. However, from the laboratory test discussed, we see that sometimes these written guarantees are not worth the paper they are written on. There is one scientifically validated process that truly delivers live and vigorous bacteria to the intestine. This process suspends the probiotic bacteria in a moist paste and immediately seals the bacteria in a perfectly seamless, spherical, gelatin ball. This bacterial paste is completely protected from air and dryness so the bacteria are alive until the specialized gelatin dissolves – in the intestines.

Q. Why is it important to dissolve only in the intestine?

A. Lactic acid bacteria are not very resistant to the acids of the stomach. The harsh environment of the stomach destroys the majority of these bacteria.

This pearly-like coating technology protects bacteria from the stomach acid. The sphere is specially developed to only dissolve in the intestines. Enteric coating is not enough as it does nothing to protect the bacteria while they wait for purchase on the shelf.

Q. What does this proprietary coating technology mean to me?

A. This specialized process is an expensive processing step, but it has many advantages to you.

The pearl-shaped spheres actually “seal” the bacteria in the capsule, which protects them from air. Probiotic bacteria are anaerobic, meaning they do not require oxygen to live. In fact, the presence of oxygen can actually injure or kill probiotic bacteria. In addition, the special coating’s ability to seal the bacteria in the capsule stimulates the need for the nutritional supplement to be refrigerated – though they can be kept in the refrigerator, if desired.

By protecting the bacteria on the shelf and in the stomach, the probiotic bacteria successfully reach the intestine. As a result, there will be a greater number of healthy, intact bacteria that can colonize in the intestine.

Conclusion

Many health care practitioners believe all health issues are related in some way to the process of digestion. Probiotics play a crucial role in improving our digestive health, which, in turn, is interconnected to every single function in our bodies.

Taking a probiotic supplement is an excellent way to replenish the good bacteria in your intestinal microflora. A quality probiotic product contains two different types of bacteria from Lactobacillus and Bifidobacteria species with at least one billion live bacteria per dose.

But how do you know the bacteria re still alive? Look at the package. If there is no fate stamp, put it down. If it says the company guarantees there was a certain number alive at the time of manufacture, put it down. Tat means that the company is not willing to claim the bacteria are alive when delivered to the target site, the intestine. If the product must be constantly refrigerated, put it down. How do you know it didn’t sit in a truck for two days, or was in a warehouse before it was shipped to the health food store?

Find a probiotic that says the bacteria are guaranteed to be alive in the numbers stated on the label until the printed on the package. Find a product using unique, cutting edge science to deliver the probiotic bacteria in a form that uses spherical, sealed, triple coating to protect the bacteria. That company has gone to extra time and expense to make sure you reap the benefits that probiotics can offer.

Improving Sexual Performance Naturally

Sex. It’s everywhere. It’s on TV (a lot!). It’s in the books we read and the movies we watch. Even the radio seems a veritable hot bed of sex. (what would hard rock, soft jazz, or Motown classics be without songs about sex?) Magazines are full of sex and it’s not just the “naughty” ones with glossy centerfolds. From Sports Illustrated to Good Housekeeping, sex makes for titillating headlines and cover stories. In fact, 21^st Century America seems to be awash in sex, except where it counts – in the bedrooms and love lives of married Americans.

No one really knows for sure how many of the 113 million married Americans are living as couples with DINS (dual income, no sex). Estimates range from 15 to 50 percent. Even couples who have sex fairly often feel like they’re not having enough sex or that it’s not as enjoyable as it was in the past, or both. And while women are stereotyped as the sex refusers and avoiders, surveys show that both women and men decline spousal advances fairly equally.

What’s really interesting about this lack of sexual activity in America, is that the very same thing is happening to husbands and wives residing in Paris and London, as well as Lisbon and Madrid. Research has shown that married couples who reside within Western civilized countries are much more likely to have unhappy sex lives than their counterparts living elsewhere in the world. That’s because the married couples residing in the rainforests of Brazil, the streets of Beijing, and the mountains of Tibet have access to powerful plant medicines that keep their sexual relationships healthy and happy. In fact, in China and India alone, over one billion men and women routinely incorporate plant medicines for healthy and satisfying sex.

As a medicine hunter, I have discovered effective plants and herbs al over the planet that really do improve orgasms in women and erections in men. Now it’s your turn. I’m going to teach you how to enhance your sexuality and introduce you to an entire arsenal of libido lifting plants to help make sex fun, vibrant, and satisfying for both you and your partner.

Q. These plants sound too good to be true. Do they really work?

A. Yes, they do. Part of their success is their ability to work with your body’s innate mechanisms for healthy sex. Good sex is much more than just stimulated body parts. But it’s a good place to start!

A man needs an erect penis that remains firm past foreplay and on into intercourse. He also needs to sustain that erection and experience forceful and pleasurable ejaculation when he and his partner are both ready for his orgasm. A woman needs to feel desire and feel desired for her nipples to be aroused, her clitoris stimulated, and her vagina lubricated – the basics leading to her orgasm.

Plants that enhance sex can help men and women obtain these bare necessities of sex. And unlike other supplements, you’ll know if the medicinal plant you’ve purchased is actually doing what it promised to do. You can’t really tell if the calcium supplement you take each day is making your bones stronger. But you will be able to tell pretty soon if Catuaba, for example, is increasing your sexual desire.

Q. Night after night, my husband falls asleep on the sofa. And the honest to goodness truth is that I’m too tired for sex, too. I love my husband and once upon a time I loved sex. But my job, the kids, those never-ending errands, and trying to keep up with the laundry are too exhausting. Is there a plant that can rev us up?

A. Many women are in the same sexless boat you’re sailing around in and they don’t like it any more than you do. In fact, women all over the world put their family’s needs before their own, leading to some very tired moms and wives.

Life’s demands can also impair sexual performance in men. Work stressors, family demands, and home maintenance result in fatigue and lack of energy. Men find that they have no energy left to devote to to sex at the end of the day.

But, over 80 percent of married couples in the world have at their disposal a health care system that integrates sex into their personal health and well being. For centuries, millennia actually, practitioners of traditional medicine have prescribed Maca and Rhodiola to reduce “sexual fatigue” in women and men who are just too tired to make love.

Q. Since I had a baby four months ago, I have no desire for sex. This is making my husband pretty frustrated and me too, actually. I’d love to want sex again.

A. A married woman with a baby and a toddler or two can feel that her body isn’t really hers. So much for feeling sexy! While this fact can be a source of great pride and joy, it can also drain desire.

As women enter perimenopause – those years when they are still menstruating despite fluctuating estrogen levels – they often have no desire for sex. Since estrogen is the engine that drives women’s reproductive function, when it starts to go, sex goes too. Women who have reached menopause may find their minds wandering during sex. Pondering the car’s need for an oil change or if the milk in the refrigerator has reached its expiration date makes for pretty blah sex. It also makes it nearly impossible to achieve orgasm.

Once more, traditional medicine has some answers:

Q. My husband has a desire for sex, but sometimes it’s not enough. Even if we’re both in the mood, he can’t maintain his erection very long. It’s very frustrating for us both.

A. For men it’s often their equipment that lets them down. As men age, they find they can’t get an erection hard enough or keep an erection long enough to satisfy their partners and themselves.

While women can fake an orgasm if they’re tired, men have to perform every single time they have sex. Luckily, Mother Nature can help:

Q. There are hundreds of supplements that claim to make men hard and women weak with desire. I’ve tried some of these, and they don’t do anything. When should I believe that the herbs and plan medicines you have discovered are nay better?

A. There are a lot of “snake oil” companies out there pitching products that promise to improve our sex lives but do absolutely nothing. One reason for this glut of useless supplements is simple demand. Men and women trying to make their sex lives better, are willing to give most products the benefit of the doubt and buy one or two. Sex sells – and even products that are purchased one time only will make big profits.

To get the most for your money, make sure the sexual supplement you are considering is from a well-respected manufacturer. Ask store staff, surf the Internet, and do some searching for the best nutraceutical companies. Make sure the herbs are standardized and that the extracts are concentrated fro optimal benefit.

Q. Are these sex-enhancing plants safe?

A. Despite years of use by practitioners of traditional medicine, significant adverse effects have not been reported for most sex-enhancing plants. However, men who have already been diagnosed with certain health conditions such as high blood pressure, thyroid disease, prostate problems, or other illnesses should use caution when selecting any health supplement. The same advice applies to women, especially women who are pregnant or nursing. And always remember to keep your doctor informed about the supplements you are using, especially if you are also taking prescription drugs. But the sex-enhancing plants have been traveling on planet Earth for a long, long time. And hopefully they’ll be here for lot longer, continuing to work effectively and go about their business of safely improving orgasms and erections and making sex great for men and women all over the world.

Q. OK, exactly how did early native healers figure out which plants improve sex? Was it just simple trial and error?

A. It does seem pretty remarkable that tribal peoples have discovered the right plants to treat diseases and improve health without modern day scientific advances.

From my many years as a “medicine hunter” in rainforests and grasslands and marshes and mountains, I’ve learned that healing plants exist for virtually every health need. It’s up to the medicine man or women to put the plant into practice. These healers have been able to do this successfully for thousands of people, by intensively studying and working with the plants. By putting themselves into the plant’s world, becoming part of the world around them, native healers have intuitively discovered which plant helps which disease. It wasn’t mere luck that brought all those plants and all those healers together. It was the natural and spiritual connection existing between the two.

Q. Are there other “natural” remedies we can use to improve our sex lives?

A. The easiest way to naturally enhance your sex life is to practice, practice, practice! Because if you don’t use it, you might lose it. Studies have shown that couples in the Amazon rainforest as well as couples in the concrete jungle of New York City have better sex lives if thy make sex a priority. All the sex-enhancing plants in the world are useless if the men and women taking them don’t put them to the test.

Men who smoke need to quit. Research has shown that cigarettes send men’s sex lives up in smoke. Men who smoke more than 20 cigarettes daily have a 60 percent higher risk of erectile dysfunction compared to men who never smoked. That’s because smoking decreases blood flow making it difficult for men to obtain an erection.

And finally, since sex is a visual and tactile endeavor, there are quite natural and creative ways to give it a boost. Visually stimulating images can arouse even the tiredest of the tired. Premiere Magazine recently compiled a list of the most erotic movie sex scenes ever. You don’t have to feel embarrassed when renting these movies (as you might with pornography) at the video store and they are guaranteed to light up your life:

1.      Diane Lane and Oliver Martinez making love in UNFAITHFUL (2002)

2.      Hilary Swank pleasuring Chloe Sevigny in BOYS DON’T CRY (1999)

3.      Brad Pitt and Claire Forlani making love in MEET JOE BLACK (1998)

4.      Leonardo DiCaprio drawing Kate Winslet in the nude in TITANIC (1997)

5.      Sharon Stone uncrossing her legs while she is being interrogated in a room full of en in BASIC INSTINCT (1992)

6.      Patrick Swazye and Demi Moore in the pottery secene early on in GHOST (1990)

7.      Michael Douglas and Glenn Close having sex in an elevator in FATAL A TTRACTION (1987)

8.      Mickey Rourke caressing Kim Basinger’s body with an ice cube in 9 1.2 WEEKS (1986)

9.      William Hurt and Kathleen Turner having sex in BODY HET (1981)

10.  Julie Christine and Donald Sutherland making love in DON’T LOOK NOW (1973)

11.  Rita Hayworth flipping back her hair and singing “Put The Blame on Mame” in FILDA (1946)

One Important Last Point

Sex always has consequences. And improving your sex life does not eliminate the requirement to practice it responsibly. Sexually transmitted diseases, hepatitis, and HIV/AIDS must be prevented, pregnancy must be considered and consent between partners must exist.

Conclusion

Sexual activity keeps us connected – both tangibly and spiritually to our heart’s desire. It helps us feel secure and well loved and adds to our self esteem. In other words, good sex is important to good life.

But all of us need a little help now and then. Sex-enhancing plants that have been used for thousands of years by millions of people provide that help. You can have actual sexual healing with effective sexual supplements and maybe find out what you’ve been missing.

After all, 80 percent of the world’s married couples can’t be wrong!

Regulating Blood Pressure Naturally

High blood pressure (also known as hypertension) affects about 65 million Americans, or about 1 in 3 adults. There are many potential causes of hypertension, but not necessarily any symptoms. In fact, 30% of the people who have high blood pressure don’t even realize it.

In other words, just because you don’t have symptoms doesn’t mean you don’t have high blood pressure. That’s why it’s called “The Silent Killer.” And, make no mistake about it: high blood pressure is dangerous. It is the number one modifiable cause of stroke. Just lowering blood pressure reduces the chance of stroke by 35 to 40 percent. Other conditions, including heart attack and heart failure can be reduced from 25 to 50 percent, respectively.

In this issue of Ask the Doctor, we’re going to talk about high blood pressure and an exciting natural treatment for lowering blood pressure safely and effectively.

Of course, changing blood pressure numbers depends, in a large part, on the choices we make every day – how much we exercise, the foods we eat, and our lifestyle overall. But, for those times we need extra help, there is a new, scientifically-studied supplement to help us along our path to better health and lower blood pressure.

Blood pressure guidelines from the National Heart, Lung, and Blood Institute.

Q. What exactly is blood pressure?

A. Blood pressure is divided into two parts, systolic and diastolic. Systolic is the pressure of the heart beating. Diastolic is the pressure of the heart and vessels filling. When blood pressure numbers are written out, like “120/80,” 120 is the systolic pressure and 80 is the diastolic pressure. The unit of measurement for blood pressure is millimeters of mercury, written as “mm/Hg.”

Q. What is considered high blood pressure?

A. A person’s blood pressure can naturally vary throughout the day – even between heartbeats.

However, if the numbers are consistently high (over 120 systolic and 80 diastolic), after multiple visits to your healthcare practitioner, you may have either pre-hypertension or high blood pressure.

Young arteries and arteries that are kept young through healthy diet and exercise are typically more elastic and unclogged. Blood flows through them easily and without much effort. However, as we age, our arteries become more prone to plaque buildup (due to diets high in saturated fat and sedentary lifestyles) and don’t “flex” as well under pressure. The result is faster blood flow, all the time. Over the long term, it damages heart tissue, arteries, kidney and other major organs.

To get a better idea of high blood pressure, compare your arteries to a garden hose. When unblocked, a garden hose allows water to flow through it quickly and easily – without any real rush or stress. However, if you block the end of the hose with your thumb, closing it off even a little, water rushes out much more quickly.

For many years, high diastolic pressure was considered even more of a threat than high systolic pressure. That thinking has changed somewhat but high diastolic numbers could still mean organ damage in your body – especially for individuals under 50.

Q. What courses high blood pressure?

A. The reasons for hypertension aren’t always clear. However, there are lifestyle factors that contribute to high blood pressure that you can change:

Body type: Weight isn’t always a reliable indicator of whether or not you’ll have high blood pressure – but the type of weight is. Lean body mass – muscle – doesn’t increase blood pressure levels the way that fat can. However, fat body mass, especially fat around your middle, can contribute to high blood pressure.

Sedentary lifestyle: Too often, many of us sit down all day at work, and then sit down all night at home. Over time, this inactivity usually leads to weight gain, making the heart work harder to pump blood through the body. In a way, it almost seems contradictory, but inactivity usually leads to higher heart rates.

Sodium intake: Sometimes it’s hard to believe how much salt there is in processed foods. However, salt intake in itself is not necessarily bad. For people with a history of congestive heart failure, ischemia, and high blood pressure, sodium is definitely out. For those individuals, it leads to more water retention, which increases blood pressure. (Salt’s effect on water retention is one reason that so many sports drinks have fairly high sodium content – the sodium in the drink prevents your body from sweating out too much water.) But, for healthy individuals, moderate salt intake, especially a mixed mineral salt like sea salt or Celtic salt (good salt should never be white) is fine.

Low potassium intake: Unlike sodium, potassium is a mineral which most Americans get too little of. Potassium helps regulate the amount of sodium in our cells, expelling excess amounts through the kidneys. Low levels of this mineral can allow too much sodium to build up in the body.

Heavy alcohol intake: Having three or more alcoholic drinks a day (two or more for women) nearly doubles an individual’s chance of developing high blood pressure. Over time, heavy drinking puts a lot of stress on the organs, including the heart, liver, pancreas and brain.

Unhealthy eating: Eating a lot of processed or fatty foods contributes to high blood pressure. Adapting a diet that is rich in fruits and vegetables, whole grain products, fish, nuts and magnesium and potassium (like the Dietary Approaches to Stop Hypertension, known as the “DASH” diet) can bring it back down.

Smoking: If you smoke, stop. Smoking damages the heart and arteries – period. Nicotine constricts blood vessels, increases heart rate, and raises blood pressure. This in turn, increases hormone production and adrenaline levels, further stressing the body.

As if that weren’t bad enough, the carbon monoxide in cigarette smoke replaces the oxygen in the blood, making the heart work even harder to make up the difference. Since the effect of a single cigarette can last for an hour, smoking throughout the day leads to continuously revved-up blood pressure.

Some of these factors might sound like a lot to overcome. The important thing to remember is that all of these behaviors are changeable. If you have high blood pressure, modifying any of these can significantly lower blood pressure as part of an overall plan.

Q. What are the blood pressure numbers I should see?

A. Experts consider healthy blood pressure numbers to be 115/75 mm/Hg. The reason? They found that the risk of cardiovascular disease doubles at each increment of 20/10 mmHg over 115/75 mm/Hg. Even small jumps in blood pressure numbers increase the risk of stroke and heart attack.

Q. Okay, so other than diet, exercise and lifestyle changes are there other natural ways or supplements I can use to lower my blood pressure?

A. Yes, in fact, you hear about some of them in the news all the time – fish oil, CoQ10, and garlic. As effective as these symptoms are, they typically lower systolic pressure much more than diastolic pressure.

However, there is a blend of scientifically and clinically studied natural ingredients that lower high blood pressure separately, and work even better when they’re combined. This combination blend contains: dandelion leaf extract, lycopene, stevia extract, olive leaf extract and hawthorn extract.

Every one of these ingredients has been studied and recommended for years. But now, a scientific study on a supplement that combines them in one synergistic formula shows encouraging results for lowering systolic and diastolic blood pressure.

Let’s take a look at each:

Stevia:

Stevia (Stevia rebaudiana) originated in South America, and is often used as a sweetener. Glycosides in stevia, particularly stevoside, give the plan its sweet flavor 0 anywhere from 100 to 200 times sweeter than sugar.

The leaf of stevia is considered the medicinal part of the plant. Research shows that extracts of the leaf relax arteries and help prevent the buildup of calcium on artery walls – keeping them healthy and reducing blood pressure.

In a long-term, randomized, placebo-controlled clinical study, stevia reduced systolic and diastolic blood pressure. On average, participants’ blood pressure reduced from baseline 150 mm/Hg to 140 mm/Hg systolic and 95 mm/Hg to 89 mm/Hg diastolic.

And, in another double-blind, placebo-controlled clinical study, stevia lowered blood pressure quite significantly – by an average of 14 millimeters of mercury in both systolic and diastolic readings. Those are impressive numbers!

Despite its role as a sweetener, stevia may have a side benefit to for those with hypertension – blood sugar regulation. Scientific studies show that extracts of stevia regulated blood sugar and reduced blood pressure.

A clinical study showed that stevia extract actually improved glucose tolerance by decreasing plasma glucose levels during the test and after overnight fasting in all participants. Regulating blood sugar is very important for those with high blood pressure. When blood sugar levels are high, blood vessels are inflamed. Many people with diabetes have high blood pressure as well. In a paired, cross-over clinical study, stevioside (one of the compounds in stevia) reduced glucose levels in individuals with type 2 diabetes. Further scientific studies show that stevia works to control blood sugar levels by stimulating insulin secretion by the pancreatic beta cells. It shows great potential in treating type 2 diabetes. Further scientific studies show that stevia works to control blood sugar levels by stimulating insulin secretion by the pancreatic beta cells. Its shows great potential in treating type 2 diabetes as well as hypertension.

Hawthorn extract:

Hawthorn (Crataegus spp. Oxycantha) has been used since ancient ties as a medicinal herb – even being mentioned by the Greek herbalist Dioscorides, in the first century AD. Traditionally, it has generally been used for support of the heart. Modern research points to bioflavonoid-like complexes in hawthorn leaf and flower that seem to be most responsible for its benefits on cardiac health, like blood vessel elasticity.

The bioflavonoids found in hawthorn include oligomeric procyanidins, vitexin, quercetin, and hyperoside. They have numerous benefits on the cardiovascular system. Hawthorn can improve coronary artery blood flow and the contractions of the heart muscle. Scientific studies show that the procyanidins in hawthorn are responsible for its ability to make the aorta and other blood vessels more flexible and relaxed, so that blood pumps more slowly and with less effort – sparing the cardiovascular system such a hard workout.

The procyanidins in hawthorn also have antioxidant properties – protecting against free radical cellular damage.

And, hawthorn may also inhibit angiotensin-converting enzyme. Angiotensin-converting enzyme is responsible for retaining sodium and water, and may have roots in our evolutionary development. It influences blood vessel contraction and dilation, sodium and water balance and heart cell development – just about everything that has to do with blood pressure. This may have developed as a way of dealing with periods of drought and stress. By narrowing the blood vessels, the body could guarantee an adequate supply of blood and focus on repairing tissue.

Unfortunately, that can lead to real problems these days. Since many of us live in an industrialized society, and frequently have pretty sedentary lifestyles, conserving sodium just makes the conditions for high blood pressure that much worse.

Like the other ingredients in this combination, hawthorn showed benefits on other body systems, too. In clinical and scientific studies, it not only lowered blood pressure, but also showed anti-anxiety properties and regulated blood sugar.

Olive leaf extract:

Olive leaf (Olea europaea) comes up again and again in scientific and clinical studies as having beneficial effects on hypertension. One of olive leaf’s most beneficial compounds is oleuropein – the same compound that makes olive oil so helpful in reducing blood pressure. Here again, we have to look at the traditional Mediterranean diet, which features voluminous use of olives and olive oil. Not surprisingly, blood pressure is generally much lower in Greek and Italian populations.

But it’s not just the diet – scientific studies showed that oleuropein lowered blood pressure by relaxing the blood vessels and prevented buildup of plaque in arteries. Plus, whether in olive leaf extract or in olive oil, oleuropein works as an antioxidant, too.

Dandelion leaf extract:

Dandelion (Taraxacum offinale) leaves provide a healthy supply of vitamins, much like spinach. In fact, although it has become the bane of North American gardeners and lawn owners, dandelion greens are a component of many gourmet salads.

Medicinally, dandelion has been used for centuries, dating back to ancient Greece. Leaves intended for medicinal use are harvested before flowering, to ensure the most nutrients.

They are a very rich source of vitamin A, and contain vitamin D, vitamin C, carious B vitamins, iron, silicon, magnesium, zinc and manganese, too. Dandelion leaves produce a diuretic effect in the body, similar to a prescription drug. Since one of dandelion leaf’s traditional uses was the treatment of water retention, it’s really not too surprising. Dandelion leaf is also rich in potassium – one of the vital minerals many Americans lack in their diet. So, even though it may act as a diuretic, it replaces more potassium than the body expels.

The diuretic effect of dandelion can relieve hypertension by drawing excess water and sodium from the body and releasing it through the kidneys as urine. Getting rid of extra water and sodium allows the blood vessels to relax – lowering blood pressure.

Lycopene:

If a nutrient can be called exciting, lycopene is it. Lycopene is found mostly in tomatoes and processed tomato products, like pasta and pizza sauce. Related to beta-carotene lycopene shows great antioxidant abilities among its many talents. In fact, it shows even greater free-radical scavenging properties than beta-carotene, its more famous cousin. Healthy intakes of lycopene can guard against a variety of chronic conditions, including lowering LDL (bad) cholesterol, lowering homocysteine levels and reducing blood platelet stickiness that can lead to clogged arteries. It’s even being studied for its protective effect against prostate cancer.

And, for proof, you don’t have to look too far to see the amazing effect lycopene intake can have on health. The Mediterranean diet provides an excellent example. Its high intakes of vegetables, (tomatoes, of course, playing a central role) fish, and whole grains improve cholesterol levels and lower blood pressure. The research on lycopene as a stand-alone nutrient has been compelling. A randomized clinical trial found that not having enough lycopene was associated with early thickening of the arteries.

So, it makes sense that other clinical trials, showed that higher intakes of lycopene frequently meant less thickening of arteries, and a reduced risk of heart attack. In one study, the risk of heart attack was 60% lower in individuals with the highest levels of lycopene. In a multicenter study, similar results were found – men with the highest levels of lycopene had a 48% lower risk of heart attack.

Q. What can I expect taking this herbal combination?

A. You should notice both systolic and diastolic numbers lowering in about two weeks. The scientific study showed that for pre-hypertensive and stage I, (early hypertensive individuals) this combination for ingredients lowers both systolic and diastolic blood pressure.

When you’re taking herbs to support your blood pressure, it’s important to keep it monitored so you have an accurate reading (and record) of your numbers. If you need to, you can pick up a home blood pressure monitoring device. These can retail for anywhere from $30 all the way up to $200, but buying one in the $30 to $50 range is a good idea and money well spent. Consider taking the machine to your local doctor’s office or fire department to have it tested for accuracy against a professional blood pressure monitor. See the chart below for tips on getting an accurate reading from a home monitor.

Tips for Accurate Blood Pressure Monitoring:

-Relax for about 5 to 10 minutes before measurement.

-If you have just come inside from cold outdoors allow yourself to warm up.

-Remove tight-fitting clothing and jewelry.

-Unless your physician recommends otherwise, use left arm to measure pressure.

-Sit, don’t stand.

-Remain still and do not talk while using the monitor.

Q. Are there any side effects?

A. There were no side effects noted in the study. However, because of the mild diuretic effect of dandelion leaf extract, you may notice an increase in trips to the bathroom. It’s always important to make sure you don’t get dehydrated, so you may want to drink more water during the day.

Conclusion:

High blood pressure doesn’t happen overnight. As we get older, the likelihood of developing hypertension increases. And, stressful, fast-forward lifestyles, bad diets and no exercise conspire to raise our blood pressure.

In my own practice I have helped patients move toward a healthier lifestyle, including diet, exercise, and blood-pressure reducing supplements. They live better, more vibrant lives as a result, and their blood pressure normalizes. It really can happen – you can bring your blood pressure back to normal, and this combination of scientifically and clinically validated ingredients can help.

Vitality 101

More and more Americans are feeling overworked, overtired, and overcome by life’s demands. We just do not have the energy we need to meet our responsibilities to the people we care about. More importantly, we don’t even have the energy to have fun! It seems that a constant feeling of fatigue has become part of the American way of life.

Research has shown that the same processes that cause lack of energy can rob us of sleep, saddle us with excess weight, disrupt our hormonal balance, and create significant amounts of stress in our daily lives. Chronic stress can dramatically contribute to fatigue, sleep disorders, irritability, and anxiety. The research simply confirms what most of us already know – uncomfortable stress can really wear us out mentally and physically! It can take away the satisfaction of a job well done. It can take away our ability to believe in ourselves. And, sadly and maybe most importantly, continual stress can take the fun and joy out of life.

In a separate issue of Ask the Doctor, we discuss the energy and sleeping needs of people suffering from chronic fatigue syndrome and fibromyalgia. In this issue, I discuss the 3-step process I call “Vitality 101.” People do not have to accept pain, insomnia, or fatigue. It’s time for everyone to feel great and have a life they love!

Step 1 – Nutrition

Good overall nutrition is important for everyone! As a foundation product to support energy levels, a powdered drink mix is a pleasant, easy way to ensure that you are taking all of the necessary vitamins, minerals, and amino acids that you need to have great energy all through your day.

The following chart lists the most critical ingredients. You can see that almost all of the vitamins and minerals work together to help improve energy levels and overall health.

In addition to the powdered energy drink mix, it is important that you also take a high potency vitamin B-complex supplement. This should include niacinamide, thiamin, riboflavin, vitamin B6, vitamin B12, pantothenic acid, and choline, which are especially important to restore the energy production needs of your body. It is also critical to get enough water, as most Americans are chronically dehydrated.

Step 2 – Rest Your Body

Having trouble sleeping is one of the most troubling symptoms of stress. While the stress is wearing us down and making us tired, it’s also keeping us tense and unable tot relax. The result? That easy drift into sleep becomes harder and harder. And if we are lucky enough to actually get some shut-eye, stress will often wake us up, sometimes several times a night.

This occurs because excess stress suppresses the sleep center in the brain. It is important to break the “stress/insomnia cycle” early, before it results in pain and hormonal and immune dysfunction!

Because good quality sleep is how the body repairs and re-energizes itself, it may be helpful to use herbal products to promote good quality sleep. There are many natural supplements that are marketed as sleep formulas. To get the best results, it is very important that the right ingredients are in the sleep formula you buy. Look for a supplement that has a blend of herbs that promote deep sleep, such as valerian, L-theanine, hops, passionflower, Jamaica dogwood and wild lettuce. This combination of herbs is important as each herb addresses a different aspect of sleeplessness and muscle tension caused by stress. Taking only one or two of these herbs alone is much less likely to be effective.

Step 3 – Manage Excess Stress Levels

In this fast paced world, it is important to learn to manage the stressor in our lives. Glandular extracts, such as raw adrenal extract, can offer natural support to help our bodies deal with the effects of stress and, in turn, can boost your energy levels. Exercise is another stress buster. Using your body physically is important for good health. Find something that is fun for you, however, or you are unlikely to stick with it!

Q. Does stress zap my energy in any other ways besides making me lay awake at night and causing me to be a zombie the next morning?

A. Most people are familiar with the body’s dramatic response to an emergency. The heart pounds, the muscles constrict, and the lungs expand – and while this is happening, we are capable of greater than normal strength and speed. This response is the body’s way of rescuing itself when faced with an emergency. We don’t have to think about it to make it happen. It’s automatic.

The same can be said of a chronic stress response. Whether we’re late for a business meeting because we’re stuck in traffic, or worrying about how we are going to pay for our children’s college tuition, our response to stress happens automatically. The difference between the two is that the body’s response in an emergency starts and resolves itself quickly. The response to being stuck in traffic may not.

The body makes the “stress hormone”, cortisol, to handle the normal stresses of day-to-day living. But in an emergency situation, the adrenal glands, located above the kidneys, secrete increased amounts of this hormone until the emergency passes. Then the body returns to its normal function. Unfortunately, however, chronic stress is more complex. When our body is subjected to increased amounts of the hormone, cortisol, for an extended time, it can lead to a condition known as “adrenal burnout” or “adrenal fatigue.” While it’s true that very large amounts of cortisol can have damaging effects on our hormones, too little cortisol doesn’t allow us to respond to stress properly. It’s really a matter of balance.

Q. How can I control the stress in my life and re-energize?

A. Many people who are under constant stress may have adrenal burnout. Adrenal burnout occurs when the adrenal glands are constantly producing cortisol in response to chronic stress. Over time, this exhausts the adrenal reserve, meaning the adrenal gland can no longer increase cortisol production in response to stress.

The good news is that changes in our hormone levels can return to normal when stress is decreased. The key in learning how to deal with daily stress is to allow the body to return to its normal state. I discuss additional techniques for coping with stress in my recent book Three Steps to Happiness! Healing Through Joy (see my website, www. jacobeitelbaum .com, for more information). In addition to stress control, it is important to supplement your adrenals with a glandular therapy regimen to ensure healthy cortisol levels and adrenal function. Glandular therapy, which uses the concentrated forms of bovine (cow) or porcine (pig) glands, can improve the health of our glands. Pioneers in the field of endocrinology (the study of hormones) hypothesized that glandular extracts work by providing nutrients the body lacked and thus repaired the malfunctioning gland.

Adrenal Extract

If you are one of the unlucky folks with stressed-out adrenal glands, you should see great results from taking raw adrenal supplements. Be sure to buy adrenal extract supplement that contains both whole adrenal and cortex adrenal.

The best adrenal supplement should also contain vitamin C, vitamin B6, pantothenic acid and licorice. Licorice contains glycyrrhizin, which is broken down into glycyrrhizic or glycyrrhetinic acid. This compound inhibits the activity of an enzyme that turns active cortisol into inactive cortisol. While in high amounts (greater than 100 mg of glycyrrhizic acid/day), licorice administration causes hypertension, no such effects have been observed at lower doses. Experts have speculated that inhibition of the cortisol-converting enzyme may reduce cortisol-related symptoms associated with adrenal insufficiency. The adrenal glands use these nutrients to manufacture cortisone and other compounds. It just makes sense to purchase an adrenal supplement with these supportive ingredients.

Liver Extract

Did your grandmother ever tell you to eat your liver so that you didn’t get “tired blood?” Well, it turns out that she was right. Liver extract is another glandular extract that can help improve energy levels.

Liver extract is an excellent source of highly bioavailable nutrients including iron, B vitamins (especially B12), and other minerals. The stamina and energy-enhancing benefits of liver are widely touted. Liver extract has been shown to support healthy function of the liver and increase the energy levels inside our body.

Because heat will destroy the key components in the liver, a high quality liver extract supplement should be cold-processed and encapsulated to enhance speed and absorption of nutrients from liver. A high quality aqueous liver extract supplement should also contain vitamin B12 to support healthy blood iron and oxygen levels to energize.

Q. It will be great to get a good night’s sleep. Are there also any other natural alternatives that could help promote relaxation and increase my energy levels during the day?

A. Yes, there are. Rhodiola rosea is an all-natural herb that has long been used to help relieve stress and increase energy. Rhodiola has also been used to lift our moods, improve sexual satisfaction, and even help in certain nervous system disorders. First used in Siberia and Russia, Rhodiola is now being extensively studied and has been found to increase resistance to toxins (both physical and chemical), balance the work of the body, help memory storage and mental functioning, and improve resistance to physical and emotional stress.

In clinical trials, the most effective Rhodiola rosea extract was found to contain 3% rosavins and 1% salidroside. While there are many Rhodiola supplements in health food stores, only those containing these specific amounts can provide the best results.

Lifestyle Treatments

Altered digestion, food intolerances, decreased energy, fatigue, cognitive problems, and sleeplessness create the need for changes in daily living routines. These can include alterations in diet; exercise modifications; alterations in activities of daily living according to one’s energy level; and sleep/rest management. All may require the assistance of a professional clinician, such as a chiropractor, nutrition specialist, physical and/or occupational therapist, mental health professional, or sleep therapist.

Conclusion

Super busy lives demand super strength nutrition. Begin each day with a powdered nutritional supplement after getting at least 8 hours of sleep each night. In addition to the nutritional beverage mix, a vitamin B complex supplement should be taken every morning. The nutritional drink mix and the vitamin B complex supplement will ensure that your body has all the vitamins, minerals, amino acids, and other nutrients to combat your fatigue. Taking a daily adrenal supplement, like the one discussed earlier, will provide the much needed (and often depleted) nutrients your body may be lacking, and help you recover lost energy. Rhodiola rosea, and ginseng can offer additional natural nutritional support in your busy life to boost your energy levels. These nutritional supplements can be used daily and you will feel energized to get through each day’s challenges and opportunities!

Enjoy the Rainbow – the Color Wheel of Fruits and Vegetables

We’ve all heard the statistics, and have probably seen the signs in the produce section of our favorite grocery store: eating 5 servings of fruits and veggies a day is important,

Chances are also pretty good that we’ve also seen the newest food pyramid, encouraging Americans to “eat a rainbow of frits and vegetables.” That is, choose from the rich variety of colors for the best all-around health benefits.

In this Ask the Doctor, we’re going to look at the unique health components of different colored fruits and vegetables, and why they’re so important. Plus, we’ll learn about supplemental options, like fruit and vegetable drink mixes, for those days when our diets just aren’t that great.

Q. What’s the big deal about fruits and vegetables?

A. Well, for the main reason that they are whole foods – created by nature (or at least generations of farming) and are rich in a variety of nutrients. Processed foods can’t match the health benefits of strawberries or broccoli – items that have fiber, vitamins, and enzymes built right in.

Q. What does “eating a rainbow” of fruits and vegetables really mean?

A. This is simply an easy way of remembering to get as much color variety in your diet as possible to maximize your intake of a broad range of nutrients. The colors of fruits and vegetables are often a tangible clue to the unique vitamins and other healthy substances they contain. Getting a variety of colors, therefore, means getting a variety of the essential nutrients your body needs to stay healthy and strong.

Enjoying the Rainbow: Fruit and Vegetable Benefits:

Q. Can you tell me a little more about the healthy components of fruits and vegetables?

Let’s take a look at some of the most well-studied and important nutrients:

Quercetin is found in apples, onions and citrus fruits (also is hawthorn and other berries and apple-related fruits usually used in traditional herbal remedies and modern supplements). It prevents LSL cholesterol oxidation and helps the body cope with allergens and other lung and breathing problems.

Clinical studies show that quercetin’s main points of absorption in the body appear to be in the small intestine – about 50%. The rest – at least 47% is metabolized by the colonic micro flora – the beneficial bacteria such as Lactobacillus acidophilus and Bifidobacterium longum. You may consider adding these beneficial bacteria (found in yogurt) either through the diet or a supplemental form.

Ellagic Acid is a component of ellagitannins – dietary polyphenols with antioxidant (and possibly anticancer) properties. Polyphenols are the basic building blocks of many plant-based antioxidants. More complex phenolic compounds, such as flavonoids are created from these molecules.

Ellagic acid is found in many fruits and foods, namely raspberries, strawberries, pomegranates, and walnuts. Clinical studies suggest that ellagitannins and ellagic acid act as antioxidants and anticarcinogens in the gastrointestinal tract.

Ellagitannins are durable antioxidants, and happily, they do not appear to be diminished by processing, like freezing. This means the benefits are still strong, even in frozen packs of raspberries or strawberries, or some of the better multi-ingredient supplement drink mixes.

In scientific studies, ellagic acid also showed an anti-proliferative effect on cancer cells, decreasing their ATP (adenosine triphosphate) production. ATP is the molecule that provides the primary energy source for the cells in our bodies. In a sense, ellagic acid seems to deprive cancer cells of their fuel.

Beta-Carotene: Probably the best-known of the carotenoids, beta-carotene is converted by the body into vitamin A. Many vegetables, especially orange and yellow varieties, are rich in this nutrient. Think summer squash, yams and of course, carrots.

Beta-carotene has long been associated with better eyesight, but it has other benefits, too. In a scientific study, beta-carotene decreased cholesterol levels in the liver by 44% and reduces liver triglycerides by 40%.

Lycopene is a carotenoid mostly found in tomatoes, but also in smaller amounts in watermelon and other fruits. Clinical studies have shown that lycopene consumption may decrease the risk of prostate cancer. In fact, high intakes of lycopene are associated with a 30% to 40% reduced risk. And, as good as beta-carotene is, its cousin, lycopene, seems to be an even stronger nutrient, protecting not just against prostate cancer, but heart disease as well.

Lutein is found in many fruits and vegetables, including blueberries and members of the squash family. Lutein is important for healthy eyes, and in fact it is found in high concentrations naturally in the macular region of the retina – where we see fine detail. It is one of the only carotenoids, along with its close sibling zeaxanthin, that is found in the macula and lens of the eye.

Lutein also supports your heart, too. In a scientific study, lutein reduced atherosclerotic lesion size by 43%. In other words, high intakes of lutein may actually help prevent coronary artery disease!

Interestingly, as is the case with lycopene, cooking or processing foods with lutein may actually make it more easily absorbed.

In clinical studies, men with high intakes of lutein (and its close cousin, zeaxanthin, found in broccoli and spinach) had a 19% lower risk of cataract, and women had a 22% decreased risk, compared to those whose lutein intakes were much lower.

Vitamin C: One of the best-known nutrients out there, vitamin C keeps our immune system strong; speeds wound healing, and promote strong muscles and joints. A free-radical fighter, vitamin C prevents oxidative damage to tissues, builds strength in collagen and connective tissue, and even reduces joint pain.

Sources of vitamin C are scattered throughout the spectrum of fruits and vegetables. Oranges and other citrus are the most commonly associated with vitamin C, but it also is present in tomatoes, and to a lesser extent in berries and cherries.

Potassium: Most Americans are deficient in potassium. For the most part, it’s hard to get too much of this valuable mineral. Potassium does great things for our hearts. Higher intakes of dietary potassium from fruits and vegetables have been found in clinical research to lower blood pressure in only 4 weeks.

Many researchers believe that the typical American diet has led to a state of chronic, low-grade acidosis – too much acid in the body. Potassium helps change pH balance to a more alkaline environment in the body and increases bone density.

This was proven in the long-running Framingham Heart Study which showed that dietary potassium, (along with magnesium and fruit and vegetable intake) provided greater bone density in older individuals.

Fiber is another food component many just don’t get enough of – especially if they’re eating a “typical American diet.” Fruits, vegetables and whole grains are excellent sources of fiber. However, fiber from a good fruits and vegetable drink mix should be derived from inulin and chicory root. This soluble fiber source not only adds to the overall amount of fiber you need (25 to 38 grams a day), but also provides a nice “nesting ground” for the beneficial bacteria that populate the intestines. And, even though some fiber has a bad rap for inhibiting mineral absorption, inulin and chicory root are “bone building” fibers – they actually help the body absorb calcium.

Flavonoids are an overarching term that encompasses flavonols, anthocyanidins, and flavones, isoflavones, proanthocyanidins, Quercetin and more. They are almost everywhere: in fruits, vegetables, grains, herbs, nuts and seeds – even in the coffee, wine and tea we drink. Flavonoids are responsible for the colors in the skins of fruits and the leaves of trees and other plants.

Flavonoids have many health benefits. They can help stop the growth of tumor cells and are potent antioxidants. Additionally, flavonoids have also been studied for their ability to reduce inflammation.

Anthocyanins: High on the list of important “visible” nutrients are anthocyanins. They color fruits and vegetables blue and red.

Anthocyanins are members of this extended family of nutmeats, the flavonoids. Typically found in high amounts in berries, anthocyanins are readily absorbed in the stomach and small intestine.

As antioxidants, anthocyanins dive deep into cell membranes, protecting them from damage. IT may be one reason why the anthocyanins from blueberries are considered such an important component in battling neuronal decline, like Alzheimer’s. Blackberries, raspberries, and strawberries are also excellent sources of this flavonoids group.

SDG lignans, (short for secoisolariciresinol diglucoside) are polyphenolic components of flaxseed, pumpkin and other herbal sources. Much of the recent research surrounding lignans has focused on flaxseed. In scientific and clinical studies, lignans from flaxseed support hormonal balance and may have cancer-preventing abilities. In fact, in one study, flaxseed lignans reduced metastatic lung tumor by 82% compared to controls.

The lignans in pumpkin seed, also considered a major source, target 5-alpha reductase activity.

This enzyme catalyzes the conversion of testosterone into the more potent dihydrotestosterone (DHT). DHT, like testosterone, is a steroid hormone or androgen. Androgens are responsible for the development and maintenance of masculine sex characteristics in both men and women. Excess levels of DHT can cause serious problems with prostate or bladder health. That’s why modulation of the 5-alpha reductase enzyme is so important – it helps maintain healthy testosterone and DHT levels. By balancing the levels of these key hormones, pumpkin seed lignans provide protection for prostate and bladder cells.

In addition, pumpkin seed has been shown to modulate the enzyme aromatase. Aromatase is present in the estrogen-producing cells of the adrenal glands, ovaries, testicles, adipose tissue, and brain. Aromatase converts testosterone, an androgen, into estradiol, and estrogen.

Inhibition of the aromatase conversion can help maintain a balance of healthy testosterone levels in women, which has been shown to strengthen pelvic muscles and reduce incidence of incontinence.

In fact, a clinical study, involving a pumpkin extract in conjunction with soy, resulted in significant support for bladder health. After two weeks of supplementation, 23 of the 39 postmenopausal women enrolled in the study showed great improvement in urinary frequency and sleep. By the end of the six week study, 74.4 percent of participants found pumpkin extract safely and significantly improved “nocturnia,” that is, the need to urinate frequently at night. For individuals with 2 to 4 episodes of nocturnia prior to the stud, and 81.8% improvement was seen – also showing great improvement in sleep quality. After all, if you don’t have to wake up every couple of hours to go to the bathroom you’re bound to get better sleep.

Beta glucan: Mushrooms are intense immune-boosting powerhouses due to their beta-glucan content. Three well-studied power-house mushrooms that contribute beta glucan to the diet include maitake, reishi and shiitake.

The most significant constituents of mushrooms are long chain polysaccharides (molecules formed from many sugar units) known as beta-glucan. These huge molecules act as immunoregualtors in the human body, helping to stabilize and balance the immune system.

This includes specific support of white blood cells, or lymphocytes, the primary cells of the immune system. Lymphocytes fall broadly into three categories: T cells, B cells, and natural killer (NK) cells.

In one clinical study, 165 patients with various types of advanced cancer were given maitake mushroom compounds alone or with chemotherapy. Cancer regression or significant symptom improvement was observed in 58% of liver cancer patients, and 62% of lung cancer patients. Plus, when maitake was taken in addition to chemotherapy, the immune cell activities were enhanced 1.2 to 1.4 times, compared with chemotherapy alone.

In another clinical study, researchers determined that Reishi increased the number of cancer killing white blood cells and made them more deadly to cancer cells.

And, in a scientific study of human breast cancer and myeloma cancer and myeloma cancer cell lines, shiitake compounds provided a 51% antiproliferative effect on the cells – inducing “apoptosis’ – the programmed cell death that should occur naturally.

While beta-glucan are distributed throughout the mushroom body, the beta-glucan concentrations are significantly higher in the mycelium – the interwoven fibers or filaments that make up the “feeding structure” of the mushroom.

Bioflavonoids are commonly found in bright yellow citrus fruits, including lemons, limes and oranges. They are responsible for the bright pigment found in the skin of the fruit, and are considered a “companion” to vitamin C, seeming to extend the value of the nutrient within the body.

Hesperidin is just one of the valuable bioflavonoids found in citrus. Hesperidin appears to lower cholesterol levels, as well as support joint collagen in examples of rheumatoid arthritis.

Epigallocatechin gallate (EGCG):

Polyphenols, most notably EGCG, or epigallocatechin gallate, are well-studied and powerful components of tea. EGCG has been shown to reduce colon and breast cancer risk. Green tea also boosts the immune system and encourages T-cell formation – part of the front-line defense of our bodies against sickness and disease.

Q. I’ve been seeing articles about fruits, vegetables and supplements touting “high ORAC value.” What does this mean?

ORAC is an acronym for Oxygen Radical Absorption Capacity, and is simply a measurement of antioxidant activity of nutrients. Oxygen radicals, or free radicals, are unstable molecules. They grab electrons from other cells to use for themselves, and in the process can damage them. It is believed that free radical activity plays a role in the development of many diseases such as heart disease and cancer, and also plays a role in aging.

Antioxidants help prevent this damage by “loaning out” extra electrons to stabilize free radicals/ Consider any fruit or vegetable with a high ORAC rating as having a lot of “antioxidant power.”

I know I should eat more fruits and vegetables, but it just seems so hard to get five servings a day.

The number one excuse I hear for not buying frits and veggies is that “fruits and vegetables are too expensive.” But are they really? Certainly, fresh foods that aren’t in season and have to be shipped a distance can be a bit pricey. If anyone added up how much spend on fast food, or prepackaged or processed snacks, it would probably be shocking.

Luckily, there are many ways to get your “Daily 5”. For instance, frozen fruits and veggies retain much of their nutrient profile. They can be an excellent alternative when certain foods are out of season. So too, are fruit and vegetable drink mixes – excellent supplemental sources of some of the nutrients our bodies need most.

More recently, the American Institute of Cancer Research discovered a reason many adults don’t eat their vegetables is – I’m not making this up – “a fear of flatulence.”

Of course, for people not accustomed to the fiber in fruits and veggies, there is some reason to think it’ll increase gas. When cell walls break down, and fiber passes through the system, it can create flatulence. Folks who eat fruits and vegetables every day generally don’t have this problem. Their systems are already accustomed to it.

For those just starting out on a better diet, however, start slowly – it helps your body adapt. Cooking vegetables can help, too, because it begins breaking down the cell walls early on.

One thing is certain, however. The “Typical American Diet” and good health are mutually exclusive. The increase in type 2 diabetes, heart disease, high cholesterol, and hypertension all point to the abuse our bodies suffer by eating diets high in fatty meats, processed sugars, and refined grains.

Q. Can I just drink fruit and vegetables drinks in place of 5 servings of fruits and vegetables?

Green drinks and fruit and vegetable drink mixes aren’t meant to replace whole foods, but they can be an excellent substitute when you’re rushed or traveling or just trying to fill everyday nutritional gaps. Their whole food ingredients absorb very easily and gently in the gut, and many of these drink mixes contain healthy doses of fiber, too.

Green drink mixes and food-based drink mixes combine many colorful fruits and vegetables and sometimes grasses in a healthy, mixable supplement assortment. While there have been many advancements in the field of green drinks, there are only a few that take the primary reason we eat into consideration: taste!

Happily, there are some companies out there with great-tasting drink mixes that also formulate based on the color concept, ensuring you get the broadest assortment of nutrients from a full range of fruit and vegetable colors to promote optimal health.

High-quality fruit and vegetable drink mixes offer the best from nature’s color wheel in a convenient and great-tasting supplement. So, the next tie you feel like taking a coffee break – try a fruit and veggie break instead. Your body and spirit will thank you.

Nutrients Every Heart Needs

High blood pressure. High cholesterol levels. Ever increasing stress. All are factors related to the development of heart disease – the leading cause of death for both men and women. In fact, 1 in 2 women in the United States die of heart disease or stroke, while 1 in 30 dies of breast cancer. If current trends remain unchanged, not only will heart disease remain the primary killer in our country, the number of people it claims will steadily and dramatically increase in the next 20 years.

Fortunately, heart disease is a problem you can do something about. Proven ways to prevent or mitigate the effects of heart disease include taking targeted nutritional supplements, making changes in the foods we eat, exercising most days of the week, drinking in moderation, eliminating tobacco use and adapting a positive attitude. Research shows that those of us who are often angry and depressed have more heart disease than people that live their lives with a more positive outlook.

In this Ask the Doctor, we’ll talk about specific nutritional supplements that are heart healthy, whether your goal is to prevent heart disease or reduce the effects of heart disease if you currently have it.

Q. I am trying hard to live a healthier life. But it all seems so overwhelming. How do I start?

A. It may help to know that you’re not alone in feeling overwhelmed. Lots of people feel this way. This is why the Centers for Disease Control and the American Heart Association are both urging people to prevent heart disease by identifying their individual health risk factors.

A risk factor is an indicator of whether or not you may develop a certain health condition. In heart disease prevention, there are two kinds of risk factors. There are risk factor you can control – such as diet, exercise, and the supplements you take. There are also risk factors you can’t change or control –your age, race, and gender, as well as your family’s history of heart disease.

Examples can be really helpful. Let’s follow three adults – Fred, Jane, and Earl – and determine their risk factors.

Low Risk

Fred is 32, single, has a job he loves, has an optimistic attitude about his life, and works out 5 days a week. Most days Fred’s diet is fruits, vegetables, whole grains and low fat. Occasionally Fred will eat a cheeseburger and fries when he watches the game with his buddies. Fred’s risk factors are his male gender and the occasional high fat content in his diet.

Moderate Risk

Jane is 55, a lawyer, married, and has a very stressful job. Jane eats lots of salads, fruits, and whole grains. However, her job requires her to work long hours which leaves little time to exercise. Jane is for the most part happy with her life, but her work stress had led to times of negativity. Her father had a heart attack when he was 56. Jane’s risk factors include her age (greater than 50), negativity from job stress, lack of regular exercise, and a family history of heart disease.

High Risk

Earl is 65, married, and has just retired from a job he hated. He spends most of his day watching TV and eating potato chips and other high fat, salty snacks. Earl has told his friends and family since he worked so hard for so long, he is sure to drop dead soon after retiring. He has high cholesterol and high blood pressure. Earl’s father had a heart attack and died when he was 73. Earl’s risk is his male gender, age (greater than 50), sedentary lifestyle, poor diet, negative outlook on life, high cholesterol and high blood pressure, and a family history of heart disease.

Q. OK, it’s pretty easy to see that Fred needs to watch his diet, Jane needs to exercise more, and Earl needs lots of help. But, which supplements should they take?

A. The Whole Heart Nutrition chart is an easy way to determine the supplements each risk level needs. As you can see, everyone wanting to prevent heart disease – Fred, Jane, Earl, you, and I – need to take quality heart formula multivitamin, garlic, and a fish oil supplement providing Omega-3 fatty acids. CoQ10 is also a smart choice for complete heart heath support.

Q. Why do we all need to take a “heart multivitamin”? Why can’t we take a regular multivitamin to prevent heart disease?

A. Since the human heart simply cannot function without adequate amounts of certain vitamins and minerals, it seems logical that a multivitamin would be the foundation of good nutrition for your heart. Heart-health formulated multivitamins provide the exact nutrients needed to prevent heart disease.

That’s why we need to take a specially formulated heart-focused multi-vitamin. The cells and the tissues that make up the heart must have vitamins C, A, and E, as well as B1, B6, and B12 to function. Folic acid, the little B vitamin that is so crucial in preventing spina bifida (a birth defect), breast cancer, and Alzheimer’s disease is also needed to keep heart muscles strong. The B vitamins and folic acid are very important to heart health because they help lower homocysteine levels. Homocysteine is a potential and emerging cardiac risk factor,

Magnesium is a mighty mineral and healthy hearts need it every day. Aloha lipoic acid, a fatty acid, provides protection against heart cholesterol and high blood pressure. Lutein and lycopene are all-natural nutrients and keep our arteries free from the buildup of plaque, a condition linked to heart attacks and strokes.

Multivitamins formulated with these exact vitamins, minerals, and nutrients will work with medications often prescribed to treat heart disease and provide the nutrition our hearts need.

Q. Don’t all multivitamins work with medications prescribed to treat heart disease?

A. Many multivitamin formulas contain herbs and other nutrients that can interfere with prescription medications, especially mediations prescribed to treat heart disease. One multivitamin does not fit all.

The more risk factors you have, the greater your chance of developing heart disease.

Q. What can garlic supplements do for Fred, Jane and Earl or other people with low to high risk factors?

A. Garlic supplements have a very long and very successful history of preventing premature death from heart attacks. Lately, however, there have been some conflicting news stories about supplemental garlic’s ability to lower high cholesterol and high blood pressure – the causes of heart disease and death. That’s because many different garlic supplements have been used in these studies – garlic oil, garlic powder, aged garlic extract, and supplements made from fresh garlic. They have all been studied clinically for their effects in heart disease.

The best garlic supplements (and the ones that showed the best effects in garlic studies) contain alliin, which is then converted to allicin. Allicin is the compound that lowers harmfully high cholesterol levels and dangerous blood pressure readings. Allicin is also responsible for garlic’s characteristic odor. Because alliin is very stable when dry, properly prepared and enteric coated fresh garlic preparations preserve the allicin-producing action until the garlic mixes with the fluids of the intestinal tract. Fresh garlic extract’s enteric coating also prevents garlic breath. In contrast, aged garlic contains absolutely no allicin or allicin potential. This fact is probably responsible for the poor results noted in lowering cholesterol and blood pressure from aged garlic preparations.

The most effective garlic supplements are made from fresh garlic, enteric coated, and provide a daily dose of at least 10 milligrams (mg) alliin or a total allicin potential of 4,000 micrograms (mcg). Taking a once-daily garlic supplement that delivers 4,000 mcg of allicin will lower Jane’s and Earl’s high blood pressure and Earl’s high cholesterol, naturally and effectively.

Whole Heart Nutrition

Each additional risk factor requires additional supplements or increased doses for protection from heart disease.

Q. What about fish oil supplements? I know they can prevent heart disease but I’ve also heard they contain harmful substances, too.

A. You’re right on both counts. But, there are excellent fish oil supplements naturally loaded with Omega-3 fatty acids, powerful nutrients that prevent heart disease, that are also certified free of harmful contaminants.

In the 1980s, researchers first began noticing the native Inuit (Eskimo) populations of Greenland and Alaska had hardly and heart disease despite a very high-fat diet. The deep-water fish that these peoples eat (and continue to eat to this day) are indeed quite fatty. But, this kind of fat, rich in Omega-3 fatty acids actually protects the heart instead of harming it.

Research has shown that the Omega-3 fatty acids in fish oil supplements can:

-Reduce the risk of arrhythmias, lethal heartbeat rhythms that cause sudden death.

-Lower the levels of triglycerides, fats in the blood that can increase a person’s

risk of dying from a heart attack, even if a person’s cholesterol levels are normal.

-Slow atherosclerosis – the growth of harmful plaque on artery walls.

Atherosclerosis develops over many years. If the plaque growth is slow and

stable, chances are low that a heart attack will result. However, rapidly growing

or unstable plaques can rupture. The body responds with inflammation, which

causes blood clots to form. These blood clots block the artery and cause a heart

attack.

-Keep blood pressure levels low. Many people have high blood pressure for years

without knowing it. That’s because it has no symptoms. Uncontrolled high

blood pressure can lead to stroke, heart attack, heart failure, and kidney failure.

While 25% of Americans have high blood pressure, nearly one-third of these

people don’t know they have it. This is why high blood pressure is often called

the “silent killer.”

You can get all of this heart disease preventive protection from just 600-1800 mg of fish oil. It’s pretty simple to see why Fred, Jane, Earl, and you and I need to take fish oil supplements every day.

However, it is absolutely critical that the fish oil supplement you take is free of contaminants and guaranteed fresh! Make sure that the manufacturer of the fish oil supplement you buy is able to provide documentation of purity in their product. Supplements should contain no detectable dioxin (a widely used toxic preservative), DDT (a toxic insecticide), PCBs (polychlorinated biphenyls) or heavy metals such as mercury and lead.

Before you buy any fish oil supplement, ask the clerk if you can open the bottle or jar and smell the contents. A fishy smelling fish oil supplementation means it is rancid. Rancid fish oil is not going to help your heart at all and may actually hurt it.

Q. That leaves CoQ10. Why is it important for Jane and Earl?

A. CoQ10, also known as ubiquinone, is the premier heart supplement! CoQ10 is part of our energy producing system. It works directly in the mitochondria of each cell. Mitochondria are highly specialized structures within each cell and are often referred to as powerhouses. These tiny energy producers generate 95% of the energy the body requires. The number of mitochondria in a cell depends on its function and energy needs. The heart has very important functions and requires a vast amount of energy. Thus, the heart has a lot of mitochondria or little powerhouses.

CoQ10 is incredibly crucial to the health of our hearts. Especially to hearts that are pumping blood with too much cholesterol. But, in a dangerous paradox, CoQ10 levels can become dangerously depleted when physicians treat high cholesterol in their patients with certain medications. The so-called “statin” drugs (Mevacor/lovastatin and Crestor/rosubastatin are two examples) are powerful and medications prescribed to lower harmful cholesterol levels. However, one very harmful side effect they share is that they deprive cells of CoQ10. While some physicians are aware of this serious side effect and tell their patients to take at least 400 mg of CoQ10 each day, most are not. The result? Any good the statin drugs may be doing is actually negated by their depletion of CoQ10.

Q. How does CoQ10 actually work? Has it been studied in heart disease?

A. Yes, it has! CoQ10 has been extensively studied in heart disease. This natural nutrient is present in every nucleated cell in our body (the only cells that don’t contain CoQ10 are red blood cells). Heart cells, however, are absolutely loaded with CoQ10. Its job is fairly simply – CoQ10 is vital to the production of adenosine triphosphate (ATP), the compound our body uses for 95% of its energy needs.

In 1998, 144 patients who had been admitted to the hospital after a heart attack, participated in a CoQ10 study. Half of the patients received 120 mg of CoQ10 a day in addition to the usual treatments given to heart attack patients. The other half, the control group, received the usual treatments and a placebo, but no CoQ10.

The results showed that the group taking CoQ10 had less irregular heartbeat, experienced less angina (a type of heart pain), and had much better function in the left ventricle (the most essential chamber of the heart), compared to the placebo group. Total deaths due to sudden heart failure or another heart attack were also reduced in the CoQ10 group.

Q. What if I have already been diagnosed with Congestive Heart Failure? Will CoQ10 still help me?

A. CoQ10 has been proven in study after study to help slow down the destruction that occurs in congestive heart failure (CHF), a serious heart disease, and heal the heart muscles damaged by heart attacks. In fact, heart attacks often occur when the body’s CoQ10 levels are low.

In a CHF study, patients received 100 mg of CoQ10 or a placebo twice daily for 12 weeks. Before and after the treatment period, the researchers introduced a catheter into the right ventricle of the patients’ hearts to determine the degree of muscle damage CHF had caused. In the group who took CoQ10, the pumping ability of the heart improved significantly. The placebo group’s hearts did not. The researchers conducting the study recommended that people with CHF add CoQ10 to the other medications they need to take to stay alive and well.

Q. Are some types of CoQ10 better than others?

A. Indeed they are. CoQ10 products are not created equally. The key to this natural medicine is the quality of the manufacturing. Take a CoQ10 supplement that’s been used in research conducted by prestigious universities (it will tell you this right on the label). Researchers want the best CoQ10 for their studies. You want the best CoQ10 for yourself and your loved ones.

The best CoQ10 has to meet the following criteria:

1. Must be easily absorbed during the digestion process so that it can get into the

bloodstream.

2. Must reach the mitochondria in the cell.

3. Must be proven effective in studies.

4. Must be safe and free of impurities.

Q. It sounds as if CoQ10 is only for people with moderate or high risk factors. Can others benefit from this supplement?

A. Many people, including those like Fred with low risk factors or no risk of heart disease take CoQ10 every day. CoQ10 supplements may reduce your risk of cancer, prevent gum disease, and help certain nerve cells work more effectively.

Conclusion

Understanding your personal risk factors, making it better lifestyle choices, taking a multivitamin formulated for your heart, an enteric-coated fresh garlic supplement, fish oil supplement with Omega-3 fatty acids, and CoQ10 – the heart’s super-nutrient – can help keep your heart healthy and strong.

Helen Keller, the famous lecturer and author, who was both blind and deaf wrote, “The best and most beautiful things in the world cannot e seen or even touched. They must be felt with the human heart.”

Healthy hearts have the most opportunities to “feel” the best and are the most beautiful thing our world has to offer.

Sytrinol 150mg – Cholesterol Formula

Now Vitamins Sytrinol is a revolutionary new dietary supplement that was carefully developed to help support healthy cholesterol and triglyceride levels.  This is made possible based on Sytrinol’s high concentration of polymethoxylated flavones (PMF’s) from citrus, palm tocotrienols and other proprietary constituents. Studies have shown that this novel blend of cardiovascular supporting compounds can help maintain cholesterol and triglyceride levels that are already within a healthy range.*

Polymethoxylated flavones, or simply PMF’s are a type of potent, highly active bioflavonoid commonly found in citrus fruits.  Tangeretin and nobiletin are two of the most potent, and their ability to support healthy cardiovascular function is backed by over 25 years of well-documented research.  In addition to the role they play in preserving the integrity of healthy cells, it has been theorized that Polymethoxylated flavones posses the ability to maintain healthy cholesterol levels.  They do this by inhibiting the formation of two key cholesterol building blocks – apolipoprotein-B and triglycerides.  Without these, the body loses its ability to construct LDL cholesterol, thus resulting in a more healthy total cholesterol pool.

Palm tocotrienols, an equally beneficial component of Sytrinol, have also been shown to affect toe production of cholesterol.  Tocotrienols, like vitamin E, has strong antioxidant properties that allow it to protect cell membranes.  Additionally, they have been shown in studies to reduce blood platelet aggregation, inhibit the formation of arterial plaque and decrease the oxidation of LDL cholesterol.*

This potent combination is what ultimately allows Now Vitamins Sytrinol to provide exceptional lipid profile protection.  For added support, we’ve included 50mg of Milk Thistle, 50mg of Alpha Lipoic Acid and 10mg of Policosanol, per serving.

Sytrinol is a proprietary and registered trademark product of Source One Global Partners.

Remifemin

Symptomatic Relief, Scientifically Supported*

The only RemiSure black cohosh

Unique to Remifemin® - Exclusive standardized isopropanolic black cohosh extract, subject of over 90 scientific papers.

Proven Effective – The most clinically studies natural intervention for menopausal symptoms with over 40 years of use worldwide*

• Relief from hot flashes, night sweats, mood swings, irritability, and related occasional sleeplessness*
• Particularly in women in early stages of menopause*

Safe – Completely hormone free

• Works naturally without plant-based estrogens that can affect breast and uterine cell growth
• Can be used safely by women with a history of breast cancer who cannot take estrogen

Efficacy

Safety

Relevant Reports and Guidelines

Responding to the need for alternative menopausal symptom relief*

Natural, Safe alternative to HRT for menopausal symptoms*

• Remifemin black cohosh was as effective as HRT for menopausal symptoms*

Superior Manufacturing Quality

• Prepared according to Good Manufacturing Practice (GMPs) which ensure delivery of a product with the highest quality and consistency
• Convenient dosing – one 20mg tablet twice a day (one in the MORNING, one in the EVENING)
• 100% RemiSure black cohosh – not a combination of herbs

VitaNet Recommends Remifemin

1. Remifemin unique standardized isopropanolic extract is the most widely studied and clinically tested natural alternative treatment for relief of menopausal symptoms.
2. Remifemin black cohosh proven effective in reducing menopause and peri-menopause symptoms, including hot flashes, right sweats, mood swings, and irritability without estrogenic effects.
3. Used safely by millions of patients worldwide for over 40 years.  Remifemin has been proven effective and is the most clinically studied natural intervention of menopause.
4. Remifemin doesn’t have the side effects that are experienced with hormonal drugs prescribed for the relief of menopausal symptoms.

Lit source: Enzymatic therapy.

*this statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treate, cure, or prevent any disease.

Part I. The Stress Response

The stress reaction is a host of responses necessary for any animal to live in the world.  Commonly called the fight-or-flight reation,  we as humans often experience it in rapid heartbeat and increased breathing rate.  It comes when we exercise more vigorously than usual, or when we are suddenly and unexpectedly frightened.

We are all different.  We show a range in how strongly we experience the stress response.  Most of us are usually calm and experience the stress response when an unexpected noise frightens us to alertness, or we run to first base as fast as we can in a benefit baseball game that is not on our usual playtime schedule.  We breathe harder for a while and notice our hearts beating faster and harder then usual, but after a while these responses all calm down, and we are again in our usual state—out or the stress response.  Others of us are very low key, and it takes a lot to disturb our physiological calm.  Still others of us are very sensitive to triggers of the stress response and go into it “at the drop of a hat” and to a greater degree than do calmer people.  For some, parts of the stress response are almost always engaged—never really calming down all the way—giving one a hyper-vigilant or anxious demeanor.

When a stress trigger occurs, the body puts out stress hormones, magnesium and calcium, among other things, into the bloodstream.  At the same time, nerve cells begin to “fire,” telling heart and muscles to “speed up. NOW!!!”  These blood, nerve and organ changes make possible the instantaneous and collective rise in the body’s heart rate, blood pressure, and other necessities for the fight-or-flight reaction.

Much research has been done on the stress response, especially on the effects of stress hormones, such as adrenaline (also called epinephrine) on body, organ and cell.  You can get an idea of how widespread the stress response is-affecting every aspect of physiology—by noting some of the reactions to adrenaline, one of the major stress hormones.  See Table 1.

Much study as the cellular, biochemical and physiological levels has shown that the stress response vitally involves the influx of calcium into cells,  resulting in a drastic change in the cells’ internal magnesium-to-calcium ratio (Mg:Ca).

In simple solutions, such as salt water, all ions are evenly dispersed.  Not so in living cells.  Ions are carefully and meticulously separated in living cells, and this ion “packaging” is vital to life processes and health.  Calcium ions, for the most part, are kept outside cells while magnesium ions are kept mainly inside cells.  The stress response changes this.  During stress response, calcium ions rush inside the cell, and this alters the internal Mg:Ca ratio.  This change in ratio exhibits wide effects because, while magnesium and calcium are very similar in their chemistry, biologically these two elements function and react very differently.  Magnesium and calcium are two sides of a physiological coin: they are antagonistic to one another yet comes as a team. For example:

• Calcium excites nerves; magnesium calms them down. 
• Calcium makes muscles contract, but magnesium is necessary for muscles to relax.
• Calcium is necessary to the clotting reaction—so necessary for wound healing—but magnesium keeps the blood flowing freely and prevents abnormal thickening when clotting reactions would be dangerous.

Scientific study shows more and more that the underlying cellular change enabling the stress response is a low Mg:Ca ratio caused by a large and sudden influx of calcium into cells.  This stress response subsides when the cell’s magnesium returns to its dominant presence inside cells, moving extra calcium back outside cells to its “normal” Mg:Ca ratio.  This underlying principle is present in studies of nerve cell-stress hormone response, organs such as hearts, the high blood pressure response to stress, and the blood-clotting reaction during stress, among many others.  See Table 2.

In the normal healthy state, the stress response occurs when necessary, and subsides when the crisis or trigger is over.  Since magnesium and calcium—two essential nutrients that must be obtained by the body from its dietary environment—are so essential to this important response, it is not surprising that nutritional magnesium and calcium status can affect the response. 

Let’s see how.

In the normal unstressed state, cellular Mg:Ca ratio is high.  If this cannot be maintained due to lack of adequate body magnesium or an overwhelming amount of body calcium, the ratio may not be able to maintain or return itself to its healthy nonstressed ratio.  In such a case, the stress response, in the absence of an appropriate trigger, can occur.  This can be seen when nutritional magnesium deficits cause high blood pressure or increase blood stickiness (platelet aggregation). Additionally, since a low Mg:Ca ratio can increase adrenaline secretion as well as cells’ response to adrenaline, a too low magnesium state can keep the stress response from subsiding in a timely way.  Even worse, when body magnesium becomes drastically low, this becomes a stress trigger in itself, alarming the body into further stress response with out enough magnesium to back it up, resulting in a low magnesium-high stress crisis that can end in sudden death.

In the industrialized world, we live in a state of chronic, on-going stress.  This environmental reality increases our daily need for magnesium in order to maintain a healthy stress response that can calm when not necessary.

Part II. Heart Disease Is Often a Magnesium Deficiency

Clearly, an adequate amount of nutritional magnesium—in proper balance with adequate nutritional calcium—is key to a healthy stress response.  And yet today we have diets dangerously low in magnesium.  Add the recent additions of nutritional calcium via supplements and food fortifications meant to stave off osteoporosis, and many of us are getting inadequate magnesium plus too much calcium.  This results in a large occurrence of heart disease.

Not all, but much of the heart disease in the industrialized world can be explained by the low magnesium state of these societies.  People with heart disease—for the most part—are people who are in a state of magnesium that is borderline or deficient.  Many studies on heart disease patients exist due to medicine’s effort to understand and treat this widespread malady.  Although not intended as such, this body of research shows us what stress can do to a person in a magnesium deficient state.

Part III. Mental and Emotional Stress Deplete Magnesium

It is commonly accepted that certain traditional risk factors for heart disease exist.  This include high cholesterol, high blood pressure, family history of heart disease, and other factors, all of which can be linked to a shortage of nutritional magnesium.  Recent studies tell us that stresses—both sudden and chronic—with their high magnesium requirements, are also strong risk factors for heart disease.

The sudden stress of the L.A. earthquake and the 9/11 World Trade Center attack showed an upsurge of adverse heart events in people with heart disease.  Even heart patients living in Florida, hundres of miles away from the WTC attack, showed more adverse heart events in response to 9/11 than in usual times.  Again, adverse heart events in this largely magnesium deficient population show that the triggered stress response tested their magnesium status and found it wanting.

Emotional stress and phobic anxiety cause heart problems in patients with heart disease—a population we know to be mostly low in their nutritional magnesium status.  Chronic states of emotional stress, including a history of childhood abuse, neglect or family dysfunction, depression, and panic disorder, must now be added to the list of traditional risk factors for heart disease such as high blood pressure and high cholesterol.  Depression can be a symptom of low magnesium status.  So can anxiety, panic attacks, irritability, hyperactivity, and over-sensitivity to loud noises.  Do these newly found risk factors cause heart disease, or are they risk factors because the, as well as heart disease, can all be aspects of low magnesium status?  These chronic sources of stress can increase the human need for magnesium as well as be caused by its deficit.

Emotional stress triggers in susceptible people can even bring a sudden death due to heart attack, presumably by initiating a stress/low-magnesium crisis.  Such emotional “triggers” include work stress, high-pressure deadlines, social isolation and loneliness, low socioeconomic status, anxiety, war, fear of war, anger and rage.  Identical stress triggers cause more human heart attacks regardless of age, race, gender, or geographic location, including continent.

Mental stress, such as working out a math problem, can be shown to have impact upon the magnesium-stress response connection, since it can bring on heart attacks in people with heart disease.

Part IV. Stress, Magnesium and Aging

We are hearing a lot about stress in the health media, and rightly so as this constant companion to our lives brings on the fight-or-flight syndrome, a stress response that, when activated, has been shown to shorten lifespan.  When we realize that the stress response is exacerbated when we are low in magnesium, that we are living on low-magnesium foods for the most part, and that our lifestyles are more and more filled with chronic stresses and stressful events, we are not surprised to see that several aspects of magnesium deficiency are remarkably like aspects of the aging process.

When faced with out stressful lifestyles, coupled with a society presenting a chronically low-magnesium/high-calcium diet, what is our best defense? For many of us, magnesium supplements can help to preserve or restore a healthy Mg:Ca balance, so important to our health in these stressful times.

Supplement labels can be confusing!

The list of ingredients on some supplement labels can tax the mind of even a Ph.D. in nutrition!  What’s worse, although labeling laws exist to counter misleading and non-uniform labeling, confusing and deceptive labeling, confusing and deceptive labeling practices continue to abound.  Here’s some help to aid you in making better sense of supplement labels.

1.Begin at the Bottom

The supplement facts panel on the label of every nutitional supplement sold in the U.S. tells you about active ingredients in a product. Before analyzing this information, look beneath the panel, where the OTHER INGREDIENTS are listed.  Here, at a glance you can begin to spot a questionable product.  Synthetic colors, flavors, preservatives, or the absence of certain information, are early warning signals. 

1. Other Ingredients: supplements can be natural only by degree, since their manufacture often requires the use of binders, flowing agents and other items.  Such materials may come from natural and artificial sources. They must be listed in descending order by quantity.
2. Contains No / May Contain:  Sometimes, supplements are derived from sources that could cause reactions in allergic individuals (eg. Soy, shellfish).  Better labels tell you which allergens are absent, as well as those which may be present.
3. Expiration date & lot Number: shelf life varies fro different supplements, but most will diminish in potency and quality over time.  Better labels provide a USE BYE or EXPIRATION date.  They also note a LOT NUMBER for identifying product origin (for tracking any product related problems).

2.Directions, Dose & Value

Directions: Though not required on labels, directions tell how and when to take supplements.  This is important because timing your doses can affect absorption. In general:

·        Vitamins are best absorbed when taken with food, and in divided doses throughout the day.

·        Fat-soluble vitamins (A,D,E,K) require dietary fat for absorption, so are best taken with meals.

·        Many minerals can be absorbed effectively at any time.

·        Most herbs, probiotics, amino acids & proteolytic enzymes (not digestive enzymes, which should be taken with meals) are best taken on an empty stomach.

1. Serving size: SERVING SIZE is required on labels. It recommends the number of tablets, capsules, spoonfuls, ect. Taken at one time.  Be ware that a serving is not necessarily the total recommended daily amount.

2.      Cost-Effectiveness: To determine, first find the SERVING SIZE.  Then read the directions to see how much servings are suggested daily.  Finally, divide the number of servings needed into the number of SERVINGS PER CONTAINER.

Example: Assuming the two bottles above have the same ingredients and cost. The product on right offers more servings, and is a better buy. Product on left just has less nutritive ingredients, or more filler, in each pill.

3.      % DV (Daily Value): The daily value of a nutrient represents the amount expected to meet the daily needs of an “average” healthy person.  On labels, % DV indicates provided by one serving.  DVs have not been established for herbs, essential fatty acids and other nutrients.

Note: Many experts in nutrition think that suggested DV levels for some nutrients are far too low to optimize health.  This is why certain ingredients may be present at greater than 100% DV levels.

3.Games Labels Play

There is no free lunch in the world of supplements.  A bottle that costs less probably contains less – either fewer nutrients, or less effective forms of nutrients.  Educate yourself; compare ingredient amounts, forms and sources, and watch out for labeling tricks such as these.

“Padding” the label

“padding” the label is a common way for supplement marketers to make their ingredients list look more complete and beneficial than it really is.  Padding methods include:

1. Pixie Dust:  Adding useful ingredients in therapeutically useless amounts. Some brands use tiny amounts of nutrients just to get the ingredient on the label.  Learn how much nutrient is required, and be watchful of inappropriate measurement sizes. (See Weights & Measures below.)

Example: CoQ10 useful range is 30mg to 400mg (milligrams.)  product on left provides 1000mcg  (microgram) of CoQ10, the equivalent of just one mg!  product on right provides a beneficial 50mg.

2. Sounds Good:  Adding impressive but irrelevant ingredients, often in useless amounts, that are of no benefit to the formula.

Example: Whole grains such as oats are part of a heart healthy diet, but the product on left provides less than a pinch 20mg of oat bran.  Product on right includes no irrelevant ingredients in useless amounts.

3. Expanding Assets:  Separately listing the parts of a single ingredient to give the illusion of additional ingredients. 

Example: Fiber and flavonoids are part of oats, not more ingredients.

The “Name’s the Same” Game

A common trick is to provide unproven, weak or useless forms of familiar, good ingredients.  Buyer beware!

Example: Studies suggest that Pygeum bark standardized extract helps support prostate health.  Product on left uses unresearched powdered bark.

Proprietary Blend = “It’s a Secret”

Some companies may hide the quantity and quality of their ingredients by calling their formula  a “Proprietary Blend.”  This term may allow manufacturers to use a lot of nutrient from a cheap source and very little from a good source without disclosing how much of each you are actually getting. 

This deceptive practice is legal—as long as the secret blend:

·        Is labeled “Proprietary Blend” (or fanciful trademark name)

·        Lists individual nutrients in descending order by weight

·        Lists the total weight per serving

When you see the word “Proprietary,” ask: “how relevant is the first or second ingredient?”  Sometimes, the most abundant ingredients are either fillers, or inexpensive, less effective forms.

Example: Legally, product on left could contain 99% alfalfa filler and only 1% of all the other herbs together! The Good Label tells all.

Hiding Outside the Box

Another clever way to hide the quality of ingredients is by listing them outside the Supplement Facts box, in the Other Ingredients section located beneath the box.  This section is usually intended for listing agents used in the tableting or encapsulation process.

Example: Agents used in supplement manufacture (i.e. cellulose and stearates) should be listed under Other Ingredients.  Product on left also uses this section to list catchy sounding spirulina, lycopene, and grape seeds.  With no amounts listed, assume these ingredients are present in low levels that provide little value.  A supplement maker who is proud of a product’s nutritive ingredients will fully disclose amounts within the Supplement Facts box not list these ingredients along with manufacturing agents in the Other Ingredient section.

4.Understanding Herbs

Herb Forms: Powders, Tinctures, Extracts

The form, preparation and concentration of an herb affects its potency and influences the herb’s potential for therapeutic effectiveness.  the potency of all herb forms except standardized extracts are uncertain and depends on factors invisible to the consumer (i.e. soil quality, rainfall, seasonal climate, harvesting methods, storage methods and age).

            Know Your Plant Parts: Medicinal plants often have specific parts that are most effective therapeutically, such as the root for goldenseal, the leaf for raspberry, and the blossom for clover.  Products using irrelevant plant parts may cost less, but offer little or no benefit!

Powdered Herb

Often encapsulated or used as tea, powdered herbs are more likely than other forms to lose potency when exposed to air.  Fresh, high quality powdered herb may add therapeutic or nutritional value to a supplement.  Low quality powders may provide little benefit.  Look for expiration or “use by” dates.

Example: If the label doesn’t say otherwise, assume the form of herb is powdered.  Better labels specify plant part and latin name (genus and species).  Sometimes a less effective species of a plant is used to save money.  Check to see if other related species may be equally effective.

Tinctures and Fluid Extracts

Tinctures contain the soluble parts of dried or fresh herbs, often extracted in a mixture of alcohol and water, vinegar or glycerin.  Tinctures are usually dispensed by drops. This form is more stable and thus has longer shelf life than powdered herb.

Example: Better labels specify tincture strength as a ratio.  Regular tinctures are made using 1 or 2 parts herb to 10 parts solvent, yielding strength ratio of 1:10 or 1:5.  higher potency tinctures (also known as fluid extracts) use more herb in less solvent, yielding stronger 1:3, 1:2, or even high strength 1:1 ratios.

Concentrated and standardized extracts

Concentrated or standardized extracts (solid, powdered, liquid) are generally prepared from evaporated herbal tinctures or teas.

1. Concentrated extracts commonly use 4 to 8 parts of plant matter to make 1 part extract (4:1 to 8:1).  Some may use up to 200 pounds of herb to make 1 pound of finished product (200:1)!

Example: A better label tells you the concentration strength by noting the ratio of herb to extract.  This is often appears after the plant name.

2. Standardized Extracts are lab-analyzed to provide a verified amount of one or more nutritive ingredients.  In many cases, proportional amounts of other constituents are also present, retaining the natural “fingerprint” of the whole herb.  Standardized extracts are the most consistent, and often the most potent, form of an herb.  They are used in the majority of studies demonstrating therapeutic effectiveness.

Example: Standardized extracts provide a set percentage of an herb’s researched nutritive ingredient.  Useless this percentage is noted on the label, the term “Standardized” is meaningless.

5.Beware of False Claims

Is it science of is it marketing?  To avoid being misled, question all claims on supplement labels as well as in advertisements.  Although government guidelines restrict the types of claims that manufacturers can legally use to promote their products, not all companies comply.  Many promises mount to little more than marketing hype.

Use common sense to decide if a claim seems realistic.  Be aware of emotionally charged, misleading language in advertising.

When doubt, contact the company and request information to support a claim.  Unbiased research and human studies are most relevant.  If the science seems legitimate, verify that the form and dose used in product match form and dose showing benefit in studies.

HDL BOOSTER

(Product No. 02922)

DESCRIPTION:

HDL Booster is a physician-developed dietary supplement that has been clinically shown to increase good cholesterol levels, particularly HDL-2, the best form of cholesterol.* The formula combines essential vitamins and minerals, at levels recommended by the American Heart Association (AHA), with key amino acids, powerful antioxidants, and traditional herbal extracts to provide superior support for cardiovascular health.*  

HDL Booster:

·         Formulated by Dr. Dennis Goodman, Chief of Cardiology at Scripps Memorial Hospital

·         Clinically studied to increase good cholesterol levels up to 23%*¹

·         All-inclusive formula; includes ingredients recommended in accordance with the American Heart Association

·         Replaces the CoQ10 depleted by cholesterol lowering (statin) drugs.*²

STRUCTURE/FUNCTION:

HDL Booster has been clinically shown to increase HDL cholesterol levels.* HDL Booster also supports healthy cholesterol and healthy triglyceride levels already within the normal ranges.* By reducing C-reactive protein levels, HDL Booster helps support the body’s natural anti-inflammatory response.*  

FORMULA:

Two tablets (one serving) contain:

Vitamin C (ascorbic acid)                                                          148 mg

Vitamin E (as natural mixed tocopherols)                                    35 IU

Niacin (as niacinamide)                                                              21 mg

Vitamin B6 (as pyridoxine HCl)                                                  3 mg

Folic Acid                                                                                 301 mcg

Vitamin B12 (as cyanocobalamin)                                              20 mcg

Magnesium (from magnesium amino acid chelate)                       10 mg

Selenium (as L-selenomethionine)                                               49 mcg

Proprietary Blend                                                                      388 mg

   hawthorn (Crategus oxyacantha) berry extract,         

   taurine, garlic (Allium sativum) bulb, grape seed (Vitis

   vinifera) extract, grape skin (Vitis vinifera) extract,

   N-acetyl-L-cysteine, alpha-lipoic acid, soy (Glycine

   max) isoflavones, tocotrienols

L-Arginine (as L-arginine HCl)                                                  153 mg

L-Carnitine (as L-carnitine L-tartrate)                                        51 mg

Coenzyme Q10 (CoQ10)(ubiquinone 10)                         25 mg

Policosanol                                                                                7 mg

Other ingredients: See label for most current information.

Contains no: sugar, salt, yeast, wheat, gluten,  corn, dairy products, artificial coloring, artificial flavoring, or preservatives.  This product contains natural ingredients; color variations are normal. 

INTRODUCTION:

Cholesterol, the soft, waxy substance present among the lipids (fats) in the bloodstream and in all cells, is important for wide variety of physiological functions. It is essential for the formation of cellular membranes, necessary for the production of bile salts, and also plays a role in the synthesis of certain hormones.^3-5

Cholesterol is both produced by the body and obtained from food. Endogenous cholesterol is formed by human cells, particularly liver cells, whereas exogenous cholesterol is absorbed through the gastrointestinal tract from food.^3,4

Because cholesterol can not be metabolized for energy, it must be removed from the body once it has served its function. The major route of removal is through the liver, where it is processed and subsequently excreted from the body.^3,4

Types of Cholesterol

Cholesterol is lipophilic (“fat loving” or water insoluble) by nature. It can not be dissolved in the blood, and must, therefore, be transported by carriers known as lipoproteins. These carriers are classified by density, with LDL (low density lipoproteins) and HDL (high density lipoproteins) being the most common.^4,5

LDL is often referred to as “bad” cholesterol. LDLs carry cholesterol throughout the body. Conversely, HDL, or “good” cholesterol, is responsible for carrying cholesterol away from the arteries to the liver where it is eventually processed and eliminated from the body.^3,4,6

Scientific studies have shown that both types of cholesterol are important indicators of cardiovascular health. But recent research, focusing on the beneficial subtypes of HDL, has found that certain fractions of HDL may be more supportive of cardiovascular health than others. The two most notably supportive HDL fractions are HDL-2 and HDL-3.⁷

The smaller HDL-3 is synthesized by the liver and intestines. This form, which is known as “free cholesterol-rich” HDL, scavenges or “scoops up” free cholesterol. The cholesterol is then chemically altered by the addition of an ester group. When sufficient cholesterol is esterified, HDL-3 becomes HDL-2, which is therefore referred to as “cholesterol ester-rich” HDL. HDL-2 is larger in size and has been shown to be more cardiosupportive than HDL-3.*⁷  

HOW IT WORKS:

HDL is known to possess antioxidant activity and to help balance the body’s natural anti-inflammatory response, both of which are important for cardiovascular health, but its most important function is the role it plays in cholesterol transport.^6,8 High levels of HDL cholesterol are also associated with reduced platelet activity, another key indicator of arterial and venous health.⁹

Both HDL and LDL levels are important indicators of healthy cardiovascular function.* Therefore, supplements that increase the level of good cholesterol can profoundly impact heart health.* In 2002, an open label pilot study was conducted at Scripps Memorial Hospital to evaluate the effects of a proprietary supplement on lipid profiles. The dietary supplement, which mirrors HDL Booster and contains a combination of antioxidants, B-vitamins, amino acids, and botanical extracts, was developed by Dr. Goodman, the leading cardiologist at Scripps. The trial involved 50 people, who were evaluated prior to the study, then again at three and six months. After three months of supplementation, good cholesterol levels increased in all groups.* The changes were more pronounced at the six-month time point, where good cholesterol rose up to 23 percent and levels of HDL-2 (the best cholesterol) increased 50 percent in one subset of participants (HDL <40 mg/dL).*¹ Additionally, the supplement also helped maintain healthy triglycerides levels that were already within the normal ranges.* Decreases in homocysteine, an amino acid found in the blood that plays a role in cardiovascular health, were observed as well.*^1,10

The following chart summarizes the benefits of each of the ingredients in HDL Booster: