Category Archives: J. CONDITIONS TO TREAT

How policosanol lowers cholesterol and implications for your safety

In a previous post I reviewed policosanol, which can lower LDL (bad) cholesterol levels by 20% to 30%.

The source of policosanol seems to influence its activity, with Cuban sugar cane-based policosanol being most effective. It’s available on the Internet and in stores. In fact, One-A-Day Cholesterol Plus contains sugar cane-based policosanol.

Now, a study conducted at the University of Kentucky College of Pharmacy shows how it works.

Continue reading How policosanol lowers cholesterol and implications for your safety →

Dealing with caffeine withdrawal

An article in Yoga Journal states, “Some yogis eschew the use of all caffeine, while others adopt a policy of moderate consumption. Caffeine can temporarily enliven the body, but dependence on it could hinder your yoga practice.”

For those who want to stop using caffeine-containing products, the article recommends adding Yogi tea or specific medicinal herbs to your diet to help ease the transition.

I have no idea if any of this stuff helps. It is clear however, that caffeine withdrawal is well documented and is included in DSM-IV-TR (the 4th text revision of Diagnostic and Statistical Manual of Mental Disorders), considered the bible of mental disorders.

Here are details of the caffeine withdrawal symptoms.

Continue reading Dealing with caffeine withdrawal →

Black cohosh warnings

This site has followed the growing safety concerns over black cohosh here and here.

Now, The Medicines and Healthcare Products Regulatory Agency of the U.K. will issue new labeling regulations with warnings. And the European Medicines Agency (EMEA) and its Committee on Herbal Medicinal Products have issued a public statement that warns of the potential connection between herbal medicinal products containing black cohosh root (Cimicifugae racemosae rhizome) and hepatotoxicity.

The statement includes the following advice.

Continue reading Black cohosh warnings →

What is the correct dose of coenzyme Q10?

There is no well-established dose of coenzyme Q10. One review listed a range of doses from 75 mg to 360 mg per day to treat high blood pressure. And the suggested doses for other conditions fall within this range.

In Japan, the medicinal dosage of CoQ10 is 30 mg/day, but it’s more commonly taken as a dietary supplement at 100 mg to 200 mg daily.

For the past year Japan’s Ministry of Health, Labour and Welfare has worked to get control of this situation. In the absence of sufficient dosing data, the following actions are likely to be implemented.

  • Require manufacturers and distributors to confirm the safety of the dose in long-term use
  • Provide consumers with relevant warnings or cautions
  • Document information on adverse reactions, etc.

Good work.

8/22/06 18:59 JR

Is there a role for acupuncture in smoking cessation?

A couple of weeks ago I posted general considerations for stopping smoking. A couple of hours ago I posted on exercise and smoking cessation. Let’s round out the topic with acupuncture and smoking cessation.

The bottom line. The literature does not support using acupuncture (or acupressure, laser therapy, and electrostimulation) in this way. There are just too many problems in the design and implementation of the studies to permit reliable conclusions.

The American Cancer Society agrees with this conclusion, but let’s look at one study reviewed by the American Cancer Society.

Continue reading Is there a role for acupuncture in smoking cessation? →

The role of exercise in smoking cessation

A literature review by Dr. Guy Faulkner from the University of Toronto reveals that adding exercise to standard care (counseling and/or nicotine replacement therapy) increases short-term smoking abstinence.

Unfortunately, the evidence is not good for long-term abstinence. A Cochrane review concluded, “only one of 11 trials offered evidence for exercise aiding smoking cessation at a 12-month follow up.”

But wait, there’s more.

Continue reading The role of exercise in smoking cessation →

Complementary therapy for the aging face

“Facial restoration” might not be your typical form of complementary medicine, but for aging adults, as well as people with HIV/AIDS or diabetes, an enhanced appearance provides a psychological edge that may lead to positive thoughts and actions.

The fact is that real or perceived physical unattractiveness can result in insecurity, anxiety, and fear. It can alter intimate relationships and social interactions. It can even extract a “plainness penalty” in the labor market.

Continue reading Complementary therapy for the aging face →

Yes, omega-3 reduces age-related macular degeneration risk — No, I don’t think so.

In July, two studies in well-respected ophthalmology journals came to different conclusions on this topic.

First, the good news. Then, the not so good news. Finally, news you can use.

Harvard researchers concluded that increased intake of fish reduced the risk of age-related macular degeneration (AMD) — particularly for 2 or more servings per week. Also, higher intake of dietary omega-3 fatty acid was associated with a lower risk of AMD. The study population came from the National Research Council World War II Veteran Twin Registry.

Contrary to this, researchers from the University of Ottawa reviewed 6 studies and concluded that the results were inconsistent and they couldn’t say for sure.

What to do?

Continue reading Yes, omega-3 reduces age-related macular degeneration risk — No, I don’t think so. →

Nattokinase and blood clots

Nattokinase is promoted as a safe anticlotting agent. An email I received this morning described it as perhaps “among the most powerful of all methods to improve your heart health.” The source of nattokinase is natto, a vegetable cheese-like food made from fermented soybeans.

The story is similar to other “miracle” treatments from the orient ? except for the part about the horses. The Japanese have eaten natto for a thousand years. They have a lower prevalence of heart disease. And western drugs are poison.

Oops, I almost forgot. “Ancient Samurai … fed it to their horses to increase their speed and strength.”

Here’s what I found.

Continue reading Nattokinase and blood clots →

Coffee and alcoholic cirrhosis

Here is another in an endless string of publications reporting associations between a lifestyle parameter and disease. This study of more than 125,000 patients published in the Archives of Internal Medicine concluded that there might be “an ingredient in coffee that protects against cirrhosis, especially alcoholic cirrhosis.” Furthermore, the absence of a relation of tea drinking to cirrhosis suggests that the relation is less likely due to caffeine than to some other coffee ingredient.”

Here is the take home message from this study. The authors concluded there are no clear therapeutic implications based on these findings. Even if coffee is protective, the primary approach to reduction of alcoholic cirrhosis is avoidance or cessation of heavy alcohol drinking.”

Illustration: Just Coffee

6/21/06 23:05 JR

Multibionta Probiotic Multivitamin

Soon to be on shelves of pharmacies and health food stores in the U.S. is a probiotic-multivitamin that contains three different probiotic strains, as well as vitamins and minerals. The probiotics are Lactobacillus gasseri PA 16/8, Bifidobacterium bifidum MF 20/5, Bifidobacterium longum SP 07/3.

The tablet has a protective coating for better tolerability, and the press release claims that “Multibionta Probiotic Multivitamin reduced the duration and severity of common cold symptoms by up to two days compared to taking a multivitamin alone.”

I couldn’t find that study on PubMed, but here are some considerations for the daily use of a probiotic.

Continue reading Multibionta Probiotic Multivitamin →

Starchild Abraham Cherrix’s legal victory

CancerBlog reports that Starchild Abraham Cherrix, a 16-year-old cancer patient, will be permitted to avoid a second round of cancer treatment in favor of CAM. The court ruled that a board-certified radiation oncologist of his choice who is interested in alternative treatments must treat him.

The young man is taking the Hoxsey method, an herbal treatment that is illegal in the United States but can be obtained in Mexico.

Abraham got his legal victory. What he really needs is a medical victory. Don’t bet the farm on Hoxsey.

Continue reading Starchild Abraham Cherrix’s legal victory →

Transcendental meditation and the response to acute pain

WebMD and CBS News (which uses WebMD news releases) used a little common sense when summarizing the results of a new study on transcendental meditation (T M). The article appears in the August issue of NeuroReport.

Other medical news sources opted for more hype than substance. The offenders include EurekAlert, MedicineNet.com, MedlinePlus, HealthCentral.com, BrightSurf.com, Science Blog, and MedicineWorld.org.

I could make the list longer, but it’s getting late.

Here is what everyone reported.

Continue reading Transcendental meditation and the response to acute pain →

Probiotics and dental health

A growing list of products designed to improve dental health are being studied and marketed. Much of the interest is in Scandinavia. Less is shown in the U.S. at this time.

Here are the results of studies that have assessed the value of adding the probiotic Lactobacillus rhamnosus or Lactobacillus reuteri to the diet or personal dental hygiene regimens. The objective was to reduce dental caries or at least change some of the factors that increase the risk of tooth decay.

Continue reading Probiotics and dental health →