Natures Pharmacy E-Book
Natures Pharmacy E-Book
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Dedicated to all those
who are looking for ways
to improve health.
iv
Forewords
S ince 2006, when I began postgraduate studies in homeopathy after a family tra-
gedy, I have become increasingly aware that there is tremendous harm being
done by conventional medicine, and not enough healing. Every case I encounter
further solidifies my opinion that despite the time, research and funding pouring
into pharmaceuticals and medical technology, our culture is one with widespread
illness and death. This is due to a culture too willing to accept that there is a pill to
fix everything quickly; we have lost sight of the more traditional forms of medicine
in favour of medical ‘advances’ which may prolong life, but which certainly do not
increase health.
When I first met Pam Duff, I immediately felt a connection; her knowledge, no-non-
sense attitude and passion for health and helping people resonated with me. Having
studied homeopathy, holistic nutrition and other health care modalities extensively,
I share her disappointment in the current state of the health care system and the
strong desire to change it. I have come to regard highly her opinion and have a tre-
mendous amount of respect for her, both as a person and as a medical professional.
To say that I was excited to learn that she was writing this book would be to put it
mildly. This book is what people working in holistic health fields, and those who take
great interest in them, have been waiting for. It is the culmination of years of study,
research and first-hand experience. Pam’s experience in the health care system,
together with her knowledge and passion for holistic health, provide the reader with
a book like no other, a book that will likely ruffle a few feathers in the conventional
medical world.
This book comes at a very important time, a time when this culture is slowly, but
surely awakening. Never before have we had access to so much information and
misinformation, and we are hungry for knowledge and answers. Many people obtain
their medical information from their physicians or from mass media, where the latest
drugs and vaccines are forced upon them with the use of clever, colourful marketing
tools, and are not exposed to other viewpoints or health modalities.
This is a very important text, which can be used as a reference tool for both the
health professional and average citizen alike. Simply stated and clear-cut, Pam tells
it like it is and presents medical and scientific fact. This book echoes the sentiments
of many living in our time, those who are taking their health into their own hands.
v
It is a book that presents health alternatives, that challenges the current medical
model and that displays Pam’s tireless efforts to help people achieve health. I think
the author can be confident that many people will gain a broader understanding of
the health implications of pharmaceuticals and the effective alternatives that are
available, because of her efforts.
~ Erin Toner
I am honoured to write a forward to this excellent book on natural ways to take care
of our health. Pam and I share a common background: We are both highly educated
health professionals with extensive knowledge in holistic medicine. Pam is a retired
registered nurse and I am a chiropractor. With my background it is very natural for
me to use alternative medicine to treat and heal my family. I can diagnose a condi-
tion and find a natural solution that will work best. This approach works effectively
for me because I have the background to make the right choices when it comes to
selecting the correct treatment. I am fortunate to have this knowledge, however, not
everyone has this depth of information.
In our world the role of alternative medicine in our society is expanding exponen-
tially. For those individuals who want to use natural alternatives, deciphering truths
and facts from misleading information can be overwhelming. Our main source of
information today is the internet and it is full of either fact or fiction. The public
wants to explore options outside of conventional medicine to regain their health but
how can this be done when there is an overabundance of information? How do we
make sense of this information? How do we make the best choices for ourselves and
our family?
Pam Duff’s latest book fills the major gaps in health information about the use
of natural medicine. By presenting a research-based book the consumer now has
complete knowledge of their benefits, advantages and disadvantages. This book has
been created in a particular format to help the reader understand what the condi-
tion is and which supplements will work best. The research studies that support the
treatment are listed and if the reader wishes more information he may locate the
study and read it completely. This is convenient and makes a research based book
convenient, accessible, and friendly to the general public.
From reading this book it is clear that science supports natural medicine and this
will aid consumers in taking control of their own health initiatives. This book is about
educating the public with facts and sound advice that is supported by research. It
is well written and up to date. It is an excellent resource for the public and health
professionals. Enjoy the book and use it to regain your health.
vi
Acknowledgements
A lthough I spent several years researching for this book, others have helped me
along the way.
I have always valued the opinion of my husband of 48 years, Duane Duff, a retired
high school teacher. His support has been invaluable. He even proof-read the book
while admitting he had no idea what he was reading but as long as the right punc-
tuation and grammar were there, he was happy – and so was I. I can never thank
him enough for all he has done for me.
Thank you goes to Alejandro Duff for the author photo. His natural keen eye for
a great photograph came at a very young age. He can make anything look good,
including his grandmother.
It was my clients and co-workers who kept prodding me for more and more informa-
tion that gave rise to this task. If it wasn’t for their insistence, I never would have
started to climb this mountain nor finished it! I am truly grateful to them for pushing
me beyond what I thought I was capable of doing.
I am inspired and grateful to all the enlightened conventional and alternative health
care providers, authors, and websites that offer quality information. They have
contributed to my knowledge as I try to bridge the gap between conventional and
alternative healing. And a special thank you goes to all those bridges that continue
to pop up.
To find evidence-based alternatives, I used Google Scholar and PubMed for many
months. But when I stumbled upon GreenMedInfo.com, I thought I had died and
gone to abstract heaven! This is a marvelous resource and one I highly recommend.
Both Sayer Ji and Cameron Fillers promptly addressed all my questions. Their hard
work is a much-needed resource and I am truly thankful to them for cutting down
my search time.
~ Pamela Duff
vii
viii
About The Book
First, it dares to suggest that foods and herbs just might be a first-line of defence
for health instead of modern medications. Far too much emphasis is placed on using
drugs first and ignoring what centuries of world-wide practise has shown that using
plants prevent disease and restore health during illness.
Third, it keeps studies right with statements instead of buried at the back of the book
where few tend to look at the best of times.
Although there is room in the world of health for alternatives, the information provid-
ed here is to be used as an open door to both realms of healing. This book is meant
to show that alternatives are not snake oil but have scientifically proven benefits just
as conventional medicine claims to have had for years.
Remember: Herbs are Medicines. They can interact with pharmaceutical medica-
tions. Therefore, just because they are listed as alternatives, do not go out and try to
replace what your doctor has already prescribed. Investigate everything you put into
your mouth, whether it is medication, supplements, herbs, food or water. Then work
with a professional to see if there is an alternative right for you.
Study both sides just as I did and then take charge of your own health.
~ Pamela Duff
ix
x
Introduction
T his book began as a few sheets of paper that were used as reference material for
advisors at The Organic Grocer, an award-winning certified organic store in Sur-
rey, BC, Canada. We have customers from around the world that come because they
know they can obtain quality information from our professional staff.
Frequently frustrated, customers related stories about their doctors ignoring ques-
tions regarding taking medications with a supplement. Often they were treated like
children and told to stay away from using nutrients for healing because they were
nothing more than snake oil. That never sits well with people and only tends to drive
them into the “other” camp. Those unsettling experiences led me into a fascinating
area of study, one which, unknowingly, started many years ago.
I was forced to retire early as a registered nursing director. Antibiotics over long
periods of time plummeted my condition and contributed to other health concerns.
The stress, improper eating habits, and lack of rest deteriorated my health to such an
extent that I basically went home to die. Instead, when I regained my health through
the use of alternatives, I knew I could never go back to the solitary conventional
methods. Today, my health and quality of life are better than they were almost 20
years ago when I left nursing.
I continued to study though, taking courses from both camps – conventional and
alternative. After receiving several certifications in nutritional areas, I was asked to
join the team of consultants at The Organic Grocer. There, I was, and still am, able
to guide people toward better diets along with a wiser use of supplements in conjunc-
tion with their medications.
Patients are usually cautioned about drug to drug or drug to herb interactions. No
one tells them, however, about the nutrients their medications are destroying nor are
they told that taking supplements could offset this loss.
On the other hand, once someone is made aware that maybe their medications are
depleting valuable nutrients, he/she assumes that medications can be taken together
with their supplements. Such is not the case.
Studies have shown that almost all drugs deplete at least one nutrient needed by the
body; most often it is the very nutrient required to correct the problem. Most medica-
tions deplete a long list of nutrients.
xi
Pamela Duff, RN, CSNC
This book lists only the nutrient depletions that have been studied. More are
suspected but, as yet, have not been “scientifically” proven.
In an attempt to be fair, I have to say that doctors are not completely at fault for their
lack of knowledge in nutrition. Such courses have not been taught at most medical
schools and what are available, give the barest of outlines based on a food pyramid.
What is unforgiveable is their not wanting to even take a peak at what the alternative
world of healing has to offer. A closed mind is a stagnant excuse for knowledge.
Doctors, instead of taking the time to find out, spew forth skewed information offered
up by pharmaceutical representatives; information that does not include such facts
as nutrient depletions and certainly, would never suggest that a plant could be used
as an alternative.
I chose to list drugs according to general categories of ailments for which they are
used. I found that most people cannot name the drug they are taking but they did
know why – usually.
I still recommend that if you are in doubt, check with your doctor or pharmacist.
There are ones out there who do know this information or who are willing to learn.
If yours does not, encourage him/her to find out or find someone who does know or
willing to find out.
All drugs cause side effects as well as nutritional destruction. This is because they
are usually based on one active ingredient. Foods contain hundreds of substan-
ces that work synergistically and rarely cause discomfort to the extreme of some
medications.
Worse yet is this statistic. Since 2009, prescription drug deaths have outnumbered
deaths from traffic accidents in the United States; claiming a life every fourteen min-
utes. (LA Times, Sept. 17, 2011)
According to the United States National Poison Data System, NO DEATHS have
resulted from taking vitamins, minerals, proteins or herbs. Yet which ones are pulled
off the shelves at the speed of light if someone reports a “stomach ache” that might be
connected – not the drugs. Those are allowed to kill people and still remain available
to repeat the practise yet herbs, with no history of mortality, are not allowed to be
sold or severely restricted in some way.
xii
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Ironically, scare tactics seem to work when it comes to frightening people away from
using anything natural in favour of prescribed synthetics. There is definitely some-
thing wrong with the priorities of our present-day so-called health care systems.
Suggested Alternatives are included with each category. These are only suggestions
that should be investigated further and approved by your doctor or pharmacist since
some can interfere with other medications. Often a medication can be substituted,
although the medical profession does not want you to know that.
The alternative suggestions are those that have been studied by scientists and used
by medical doctors, chiropractors, naturopaths, and other professional health care
providers in their own practises.
The body needs nutrients in order to function. Think cars. If you were to put diesel
fuel into a BMW or sugar into your gas tank, the car would soon stop running,
with parts unable to function again. So it is with the human body. Give it the fuel it
needs and it heals itself but give it junk instead, and the results are predicable with
evidence all around us.
Dr. Carl Pfeiffer said it best: “For every drug that benefits a patient, there is a natural
substance that can achieve the same effect.”
Cautions
´´Do not take any supplement at the same time as a medication whether it
is prescribed or over-the-counter. This includes herbs, vitamins and minerals.
Unless completely contraindicated, taking supplements two to three hours
away from medications usually prevents or minimizes any possible interference.
´´Fruit and Fruit juices should not be used to take medications. Fruit juices
are powerful healers but, unfortunately, they can interfere with the action of
medications. The one most studied is Grapefruit juice; but there have also
been studies done on many other fruits (see the Appendix).
´´More than 20 years ago, grapefruit juice proved to alter the effectiveness of
more than 30 prescription drugs. Since then, other fruits have been studied
that mirror similar effects, although, with results not as drastic as in some
cases with grapefruit interactions.
´´Grapefruit, and its juice, has the potential for the most harm. Grapefruit
contains certain flavonoids (naringenin, quercetin, kaempferol) which
increase the concentrations of many drugs, sometimes tripling the amount,
and delaying their release to where the bloodstream can be flooded with the
medication, occasionally with fatal results. Effects can last for three days or
more so taking juice at a different time of the day is out of the question.
xiii
Pamela Duff, RN, CSNC
´´Some interesting studies have also been performed on a few exotic tropical
juices including Noni, Mangosteen, Goji, and Acai. Those brought out the
benefits with none suggesting possible drug interactions. Despite the enormous
health benefits that far out-weigh any possible damage done by taking them,
it is still a good idea to avoid taking any medication with juice.
´´Do not take medications with Milk either. Dairy products interfere
with certain antibiotics, especially tetracyclines, osteoporosis-prevention
medications, and laxatives, to name a few.
´´Do not take medications with Alcohol, Tea, Coffee, Sodas, Ma huang,
bitter orange, or chocolate or any other liquid except water.
´´Know your medication. Know why you are taking it; what the side effects
are; and what foods (yes, foods) might interact.
´´Above all, know what nutrients you should take to compensate for what
your drug is costing you.
xiv
Acid Blockers/Antacids/Anti-ulcer
(Used to treat gastrointestinal ulcers, acid reflux, or heartburn)
Common examples:
Antacids
aluminum/magnesium – Gaviscon, Maalox, Mylanta, Milk of Magnesia,
Amphojel
calcium carbonate – Tums, Titralac, Rolaids, and others
sodium bicarbonate – baking soda
Anti-flatulent (anti-foaming agent)
Alka-Seltzer Gas Relief, Gas-X, Maalox Anti-Gas, Mylanta Gas, Mylicon
Infant, Ovol, Phazyme Infant and many others
H2-Blockers (Histamine receptor antagonists)
cimetidine – Tagamet
famotidine – Pepcid
nizatidine – Axid
ranitidine – Zantac
Proton Pump Inhibitors (PPIs)
esomeprazole – Nexium
iansoprazole – Prevacid
omeprazole – Prilosec, Zegarid
pantoprazole – Protonix
rabeprazole - Aciphex
... and others
Others
sucralfate – Carafate
sulfasalazine – Azulfidine, Salazopyrin
Deplete:
A, beta carotene, B1, B2, B3, B6, B9, B12, C, D, E, K, calcium, chromium,
copper, iron, magnesium, phosphorus, potassium, selenium, zinc, CoQ10,
Acid Blockers
´´Acid Blockers basically destroy all nutrients, or prevent them from being
absorbed. Altering the pH balance of the digestive tract lays the
groundwork for a whole host of diseases and disorders. Reducing stomach
acids makes it harder for the body to digest food. Oftentimes, what appears
15
Pamela Duff, RN, CSNC
to be too much acid is really the opposite with food sitting too long in the
stomach waiting for enough digestive juices to form in order to break it down.
*Aymard et al: Haematological adverse effects of histamine H2-receptor antagonists. Med Toxicol
Adverse Drug Exp 1988 Nov-Dec;3(6):430-48
*Bohager 2009:39
*Champagne: Low gastric hydrochloric acid secretion and mineral bioavailability. Adv Exp Med Biol
1989;249:173-84
*Chapman et al: Adverse effects of long-term proton pump inhibitor use: a review for the otolaryngologist.
J Voice 2010 Feb 6
*Doornebal et al: An unknown but potentially serious side effect of proton pump inhibitors:
hypomagnesaemia. Ned Tijdschr Geneeskd 2009;153:A711
*Henry et al: Proton pump inhibitors reduce the bioavailability of dietary vitamin C. Aliment Pharmacol
Ther 2005 Sep 15;22(6):539-45
*Kroupa & Dolina: Risk of long-term antisecretory treatment. Vnitr Lek 2010 Feb;56(2):115-9
*McColl: Effect of proton pump inhibitors on vitamins and iron. Am J Gastroenterol 2009 Mar;104
Suppl 2:S5-9
*Oh: Proton pump inhibitors - uncommon adverse effects. Aust Fam Physician 2011 Sep;40(9):705-8
*Russell et al: Effect of antacid and H2 receptor antagonists on the intestinal absorption of folic acid.
J Lab Clin Med 1988;112:458-63
*Skikne et al: Role of gastric acid in food iron absorption. Gastroenterol 1981 Dec;81(6):1068-71
´´Acid Blockers cause a vitamin B12 deficiency. B12 requires adequate stomach
acids in order to make intrinsic factor which is necessary to absorb the B12
molecule. It is often advisable to take a sublingual (SL – under the tongue) B12
supplement which bypasses the digestive system. Take note, that the amount
required to correct a mild B12 deficiency in the elderly is 200 times greater
than the RDA (recommended dietary allowance).
*Dharmarajan et al: Do acid-lowering agents affect vitamin B12 status in older adults? J Am Med Dir
Assoc 2008 Mar;9(3):162-7
*Eussen et al: Oral cyanocobalamin supplementation in older people with vitamin B12 deficiency: a
dose-finding trial. Arch Toxicol 2011 Jan 26
*Saltxman et al: Effect of hypochlorhydria due to omeprazole treatment or atrophic gastritis on protein-
bound vitamin B12 absorption. J Am Coll Nutr 1994 Dec;13(6):544-5
*Havu: Enterochromaffin-like cell carcinoids of gastric mucosa in rats after life-long inhibition of gastric
secretion. Digestion 1986;35 Suppl 1:42-55
*Higginbotham: Effectiveness and safety of proton pump inhibitors in infantile gastroesophageal reflux
disease. Ann Pharmacother 2010 Mar;44(3):572-6
16
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Orenstein et al: Multicenter, double-blind, randomized, placebo-controlled trial assessing the efficacy
and safety of proton pump inhibitor lansoprazole in infants with symptoms of gastroesophageal
reflux disease. J Pediatr 2009 Apr;154(4):514-520.e4
´´PPIs are the most potent of the acid-reducing medications. They reduce
stomach acid production up to 99% which strongly interferes with nutrient
absorption. Ironically, they are also capable of inducing acid-related symptoms.
PPIs are the most common cause of diarrhea and pneumonia in the elderly
and in children. One study revealed that doses taken for a year or more, more
than doubled the risk of osteoporosis and hip fractures. They concluded that
the increased risk was likely the depletion of calcium and vitamin D, which
hampered the body’s ability to build new bone.
*Canani et al: Therapy with gastric acidity inhibitors increases the risk of acute gastroenteritis and
community-acquired pneumonia in children. Pediatrics 2006 May;117(5):e817-20
*Corley et al: Proton pump inhibitors and histamine-2 receptor antagonists are associated with hip
fractures among at-risk patients. Gastroenterol 2010 Jul;139(1):93-101
*Cunningham & Dial: Is over-use of proton pump inhibitors fuelling the current epidemic of Clostridium
difficile-associated diarrhoea? J Hosp Infect 2008 Sep;70(1):1-6
*Eurich et al: Recurrent community-acquired pneumonia in patients starting acid-suppressing drugs.
Am J Med 2010 Jan;123(1):47-53
*Laheij et al: Risk of community-acquired pneumonia and use of gastric acid-suppressive drugs.
JAMA 2004 Oct 27;292(16):1955-60
*McGowan et al: Prescribing of anti-osteoporotic therapies following the use of proton pump inhibitors
in general practice. Pharmacoepidemiol Drug Saf 2010 Jul;19(7):763-9
*Reimer et al: Proton-pump inhibitor therapy induces acid-related symptoms in healthy volunteers after
withdrawal of therapy. Gastroentero 2009 Jul;137(1):80-7,87e1
*Teramura-Grönblad et al: Use of proton-pump inhibitors and their associated risks among frail elderly
nursing home residents. Scand J Prim Health Care 2010 Sep;28(3):154-9
*Yang et al: Long-term proton pump inhibitor therapy and risk of hip fracture. JAMA 2006 Dec:296
(24):2947-53
´´PPIs can induce dangerously low sodium levels to the point of delirium and
Acid Blockers
17
Pamela Duff, RN, CSNC
Suggested alternatives:
Aloe vera juice or gel helps calm and heal the digestive tract and is particularly
helpful in treating inflammatory bowel diseases.
*Davis et al: Randomised double-blind placebo-controlled trial of aloe vera for irritable bowel syn-
drome. Int J Clin Pract 2006 Sep;60(9):1080-6
*Korkina et al: The protective and healing effects of a natural antioxidant formulation based on ubi-
quinol and Aloe vera against dextran sulfate-induced ulcerative colitis in rats. Lancet 2001 Dec
15;358(9298):2026-33
*Langmead et al: Randomized double-blind placebo-controlled trial of oral aloe vera gel for active
ulcerative colitis. Aliment Pharmacol Ther 2004 Apr 1;19(7):739-47
*Langmead et al: Randomized, double-blind, placebo-controlled trial of oral aloe vera gel for active
ulcerative colitis. Ann Allergy Asthma Immunol 2003 Apr;90(4):371-7;quiz 377-8, 421
Alkaline foods – eat more of them! A good listing can be found online.
*www.rense.com/1.mpicons/acidalka.htm
*Angelica is an herb that helps decrease symptoms of ulcerative colitis and other inflammatory bowel
diseases.
*Wong et al: Protective effect of polysaccharides from Angelica sinensis on ulcerative colitis in rats.
Inflammopharma 2008 Aug;16(4):162-7
*Ye et al: Effect of polysaccharides from Angelica sinensis on gastric ulcer healing. Radiat Res 2006
May;165(5):546-52
18
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Apples inhibit H. pylori bacterium; decrease damage to the gastric mucosa; and
prevent the development of inflammatory bowel disease. Be sure to eat only organic
apples because conventionally grown apples are the number one fruit for chemical
content.
*Apples worst for pesticides on produce list. CBC News, Jun 14, 2011
*Castagnini et al: Reduction of colonic inflammation in HLA-B27 transgenic rats by feeding Marie Mé-
nard apples, rich in polyphenols. Br J Nutr 2009 Dec;102(11):1620-8
*DeNoon: Apples Are Top Food With Most Pesticides: ‘Dirty Dozen’ List Reveals Fruits/Veggies With
Most Pesticides. WebMD Health News June 13, 2011
*Pastene et al: In vitro inhibitory effect of apple peel extract on the growth of Helicobacter pylori and
respiratory burst induced on human neutrophils. J Agric Food Chem 2009 Sep 9;57(17):7743-9
*Shabecoff: 100 Chemicals for Apples Add Up to Enigma on Safety. NY Times Feb 5, 1989
*Splinter et al: The effect of preoperative apple juice on gastric contents, thirst, and hunger in children.
Can J Anesth 1989 Jan;36(1):55-58
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
*Yoshioka et al: Orally administered apple procyanidins protect against experimental inflammatory
bowel disease in mice. Int Immunopharmacol 2008 Dec 20;8(13-14):1802-7
Arginine (an amino acid) and Garlic help prevent acid-induced ulcerative colitis.
*Harisa et al: L-arginine augments the antioxidant effect of garlic against acetic acid-induced ulcerative
colitis in rats. Pak J Pharm Sci 2009 Oct;22(4):373-80
Astaxanthin is a potent antioxidant (500 times greater than vitamin E) with anti-
inflammatory properties that help treat dyspepsia (indigestion). It is this carotenoid
derived from algae sources that give some fish and flamingos their pink colour.
*Kidd: Astaxanthin, cell membrane nutrient with diverse clinical benefits and anti-aging potential. Altern
Med Rev 2011 Dec;16(4):355-64
*Kupcinskas et al: Efficacy of the natural antioxidant astaxanthin in the treatment of functional dys-
pepsia in patients with or without Helicobacter pylori infection: A prospective, randomized, double
blind, and placebo-controlled study. Phytomed 2008 Jun;15(6-7):391-9
*Yasui et al: Dietary inhibits colitis and colitis-associated colon carcinogenesis in mice via modulation
of the inflammatory cytokines. Chem Biol Interact 2011 May 20
*Goel et al: Anti-ulcerogenic effect of banana powder (Musa sapientum var. paradisiaca) and its effect
on mucosal resistance. J Ethnopharmacol 1986 Oct;18(1):33-44
*Mukhopadhyaya et al: Effect of banana powder (Musa sapientum var. paradisiaca) on gastric mucosal
shedding. J Ethnopharmacol 1987 Sep-Oct;21(1):11-9
19
Pamela Duff, RN, CSNC
Bitter Herbs help improve poor digestion. Swedish bitters is a combination of herbs
that have been used for decades. Some bitter herbs include arugula (rocket), dande-
lion, gentian, goldenseal, garlic mustard, milk thistle, watercress, and yarrow. Use
them often in salads or green smoothies.
*Abascal & Yarnell: Combining herbs in a formula for irritable bowel syndrome. Alt Compl Ther 2005
Feb;11(1):17-23
*Alqasoumi et al: Rocket “Eruca sativa”: a salad herb with potential gastric anti-ulcer activity. World J
Gastroenterol 2009 Apr 28;15(16):1958-65
*Challem: Bitter herbs for better digestion: looking for a safe and natural alternative to antacids? Try
the remedy used for years by Europeans for upset stomach and digestive troubles. Better Nutrtion
February 2007 online article
*Lamy et al: Antigenotoxic properties of Eruca sativa (rocket plant), erucin and erysolin in human hepa-
toma (HepG2) cells towards benzo(a)pyrene and their mode of action. Food Chem Toxicol 2008
Jul;46(7):2415-21
*Li et al: Effects of common-used bitter-cold herbs on gastrointestinal hormone in rats. J Trad Chin
Med 2007 Jan
*Snow & Spelman: The influence of bitter, aromatic, and pungent medicinal plants on gut function.
Gastro Liver Dis Nutr Desk Ref 17:237-49
Beta glucans are polysaccharides derived from oats, mushrooms, or yeasts. Beta
glucans are safe and effectively used to treat a number of diseases including colitis
and stomach cancer as well as simple colds and flus. (see more under Anti-virals and
Cancer)
*Daddaoua et al: Active hexose correlated compound acts as a prebiotic and is antiinflammatory in
rats with hapten-induced colitis. J Nutr 2007 May;137(5):1222-8
Boswellia (Frankincense) gum resin decreases ulcers, regulates the digestive tract
and improves nutrient absorption.
*Gupta et al: Effects of gum resin of Boswellia serrata in patients with chronic colitis. Plant Med 2001
Jul;67(5):391-5
*Gupta et al: Effects of Boswellia serrata gum resin in patients with ulcerative colitis. Eur J Med Res
1997 Jan;2(1):37-43
*Madisch et al: Boswellia serrata extract for the treatment of collagenous colitis. A double-blind, ran-
domized, placebo-controlled, multicenter trial. Int J Colorectal Dis 2007 Dec;22(12):1445-51
20
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Hale et al: Treatment with oral bromelain decreases colonic inflammation in the IL-10-deficient murine
model of inflammatory bowel disease. Clin Immunol 2005 Aug;116(2):135-42
*Onken et al: Bromelain treatment decreases secretion of pro-inflammatory cytokines and chemokines
by colon biopsies in vitro. Clin Immunol 2008 Mar;126(3):345-52
*Pellicano et al: Benefit of dietary integrators for treating functional dyspepsia: a prospective pilot
study. Clin Exp Allergy 2009 Jun;39(6):875-82
Butterbur is an herb from the daisy family that helps prevent ulcers. It is also an
effective remedy for migraines.
*Brune et al: Gastro-protective effects by extracts of Petasites hybridus: the role of inhibition of pep-
tido-leukotriene synthesis. Planta Med 1993 Dec;59(6):494-6
*Lipton et al: Petasites hybridus root (butterbur) is an effective preventive treatment for migraine. Ann
N Y Acad Sci 2009 Feb;1155:278-83
*Wang et al: Calcium-antagonizing activity of S-petasin, a hypotensive sesquiterpene from Petasites
formosanus, on inotropic and chronotropic responses in isolated rat atria and cardiac myocytes.
Naunyn Schmiedebergs Arch Pharmacol 2004 Mar;369(3):322-9
Cambuca (Plinia edulis), a Brazilian herb, proves more effective than lansoprazole
in preventing ulcers.
*Ishikawa et al: Evaluation of gastroprotective activity of Plinia edulis (Vell.) Sobral (Myrtaceae) leaves in
rats. J Ethnopharma 2008 Aug 13;118(3):527-9
Carotenoids from red bananas and paprika, Golden Delicious apples, and Valencia
oranges has an effect on the H. pylori bacterium and some multi-drug resistant
strains.
*Englberger et al: Carotenoid and vitamin content of Karat and other Micronesian banana cultivars. Int
J Food Sci Nutr 2006 Aug-Sep;57(5-6):399-418
*Englberger et al: Carotenoid-rich bananas: a potential food source for alleviating vitamin A deficiency.
Food Nutr Bull 2003 Dec;24(4):303-18
*Molnár et al: Carotenoids with anti-Helicobacter pylori activity from Golden delicious apple. Phytother
Res 2010 May;24(5):644-8
*Molnár et al: Biological activity of carotenoids in red paprika, Valencia orange and Golden delicious
apple. Phytother Res 2005 Aug;19(8):700-7
Catechins are a group of flavonoids that have the same effects as PPIs but without
the side effects. Catechins can be found in such foods as green tea, açaí fruit, dark
chocolate and berries.
*Murakami et al: Gastric H+, K(+)-ATPase inhibition by catechins. J Pharm Pharmacol 1992
Nov;44(11):926-8
CLA (conjugated linoleic acid) reduces bacteria-induced colitis and often helps with
weight-loss.
*Hontecillas et al: Nutritional regulation of porcine bacterial-induced colitis by conjugated linoleic acid.
J Nutr 2002 Jul;132(7):2019-27
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Pamela Duff, RN, CSNC
Cloves and Cinnamon are particulary effective against the H. pylori bacterium that
often causes ulcers.
*Bhamarapravati et al: Extracts of spice and food plants from Thai traditional medicine inhibit the growth
of the human carcinogen Helicobacter pylori. Indian J Ophthalmol 2009 May-Jun;57(3):185-9
*Tabak et al: Cinnamon extracts’ inhibitory effect on Helicobacter pylori. J Ethnopharma 1999 Nov
30;67(3):269-77
Coconut Water or Coconut Milk helps prevent ulcers and reduces the toxic effects
of aluminum poisoning. By replacing part of omega-6 fatty acid supplementation
with medium-chain fatty acids of Coconut, colitis attacks are decreased.
*Mañé et al: Partial replacement of dietary (n-6) fatty acids with medium-chain triglycerides decreases
the incidence of spontaneous colitis in interleukin-10-deficient mice. J Nutr 2009 Mar;139(3):603-10
*Nneli et al: Antiulcerogenic effects of coconut (Cocos nucifera) extract in rats. Phytother Res 2008
Jul;22(7):970-2
*Shadnia et al: Successful treatment of acute aluminium phosphide poisoning: possible benefit of
coconut oil. Hum Exp Toxicol 2005 Apr;24(4):215-8
Cow milk elimination helps infants overcome GERD that is not responsive to medi-
cations. Probiotics also help with infant and adult GERD (see below).
*Farahmand et al: Cow’s milk allergy among children with gastroesophageal reflux disease. Gut Liver
2011 Sep;5(3):298-301
*Hanai & Sugimoto: Curcumin has bright prospects for the treatment of inflammatory bowel disease.
J Lab Clin Med 1997 Dec;130(6):576-84
*Jian et al: Preventive and therapeutic effects of NF-kappaB inhibitor curcumin in rats colitis induced by
trinitrobenzene sulfonic acid. World J Gastroenterol 2005 Mar 28;11(12):1747-52
*Jiang et al: Curcumin-attenuated trinitrobenzene sulphonic acid induces chronic colitis by inhibiting
expression of cyclooxygenase-2. World J Gastroenterol 2006 Jun 28;12(24):3848-53
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Lubbad et al: Curcumin reverses attenuated carbachol-induced contraction of the colon in a rat
model of colitis. Scand J Gastroenterol 2009;44(2):187-94
*Lubbad et al: Curcumin attenuates inflammation through inhibition of TLR-4 receptor in experimental
colitis. Mol Cell Biochem 2009 Feb;322(1-2):127-35
*Rafiee et al: Effect of curcumin on acidic pH-induced expression of IL-6 and IL-8 in human esopha-
geal epithelial cells (HET-1A): role of PKC, MAPKs, and NF-kappaB. Am J Physiol Gastroint Liver
Physiol 2009 Feb;296(2):G388-98
*Salh et al: Curcumin attenuates DNB-induced murine colitis. Am J Physiol Gastrointest Liver Physiol
2003 Jul;285(1):G235-43
*Sethi et al: Curcumin attenuates aluminium-induced functional neurotoxicity in rats. Pharmacol Bio-
chem Behav 2009 Jul;93(1):31-9
*Sugimoto et al: Curcumin prevents and ameliorates trinitrobenzene sulfonic acid-induced colitis in
mice. Gastroenterol 2002 Dec;123(6):1912-22
*Ukil et al: Curcumin, the major component of food flavour turmeric, reduces mucosal injury in trinitro-
benzene sulphonic acid-induced colitis. Br J Pharmacol 2003 May;139(2):209-18
*Ung et al: Oral administration of curcumin emulsified in carboxymethyl cellulose has a potent anti-inflam-
matory effect in the IL-10 gene-deficient mouse model of IBD. Dig Dis Sci 2010 May;55(5):1272-7
*Venkataranganna et al: NCB-02 (standardized Curcumin preparation) protects dinitrochlorobenzene-
induced colitis through down-regulation of NFkappa-B and iNOS. World J Gastroenterol 2007
Feb 21;13(7):1103-7
*Yadav et al: Novel formulation of solid lipid microparticles of curcumin for anti-angiogenic and anti-
inflammatory activity for optimization of therapy of inflammatory bowel disease. J Pharm Pharma-
col 2009 Mar;61(3):311-21
*Yadav et al: Effect of cyclodextrin complexation of curcumin on its solubility and antiangiogenic and
anti-inflammatory activity in rat colitis model. AAPS PharmSciTech 2009;10(3):752-62
*Zhang et al: Curcumin regulated shift from Th1 to Th2 in trinitrobenzene sulphonic acid-induced
chronic colitis. Acta Pharmacol Sin 2006 Aug;27(8):1071-7
*Zhang et al: Curcumin inhibits trinitrobenzene sulphonic acid-induced colitis in rats by activation of
peroxisome proliferator-activated receptor gamma. Int Immunopharmacol 2006 Aug;6(8):1233-42
Dandelion, Fennel, Lemonbalm, Marigold (Calendula), St. Johns Wort are herbs
that effectively treat colitis and diarrhea.
*Chakŭrski et al: Treatment of chronic colitis with an herbal combination of Taraxacum officinale, Hi-
pericum perforatum, Melissa officinaliss, Calendula officinalis and Foeniculum vulgare. Vutr Boles
1981;20(6):51-4
Diet rich in fruits, vegetables and fiber significantly decrease digestive disorders
including Barett’s esophagus, as well as all types of cancers (see separately), dia-
betes, and heart disease.
*Gramenzi et al: Association between certain foods and risk of acute myocardial infarction in women.
Acid Blockers
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Pamela Duff, RN, CSNC
Digestive Enzymes and/or Hydrochloric acid (Hcl) at every meal enhances diges-
tion and the immune system.
*Bohager 2009:65-69
DGL (deglycyrrhizinated licorice root) before a meal helps protect the stomach lining
especially if there is an ulcer present.
*Bennett et al: Aspirin-induced gastric mucosal damage in rats: cimetidine and deglycyrrhizinated
liquorice together give greater protection than low doses of either drug alone. J Pharm Pharmacol
1980 Feb;32(2):151
*Feldman & Gilat: A trial of deglycyrrhizinated liquorice in the treatment of duodenal ulcer. Gut
1971;12:449
*Johnston & McIsaac: The effects of deglycyrrhizinised liquorice and cimetidine on resting gastric mu-
cosal blood flow in man. Br J Pharmacol 1981;74:971-972
*Morgan et al: The effect of deglycyrrhizinised liquorice on the occurrence of aspirin and aspirin plus
bile acid-induced gastric lesions, and aspirin absorption in rats. Gastroenterol 1982;82:1134
*Rees et al: Effect of deglycyrrhizinated liquorice on gas-tric mucosal damage by aspirin. Scand J
Gastroenterol 1979;14(5):605-7
*Russell et al: Studies on the protective effect of deglycyrrhinised liquorice against aspirin (ASA) and
ASA plus bile acid-induced gastric mucosal damage, and ASA absorption in rats. Scand J Gastro-
enterol Suppl 1984;92:97-100
*van Marle et al: Deglycyrrhizinised liquorice and the renewal of rat stomach epithelium. Eur J Phar-
macol 1981;72:219-225
Dong quai (Angelica sinensis), also known as the female ginseng, naturally increases
estrogen levels but it also decreases the effects of ulcerative colitis.
*Wong et al: Protective effect of polysaccharides from Angelica sinensis on ulcerative colitis in rats.
Inflammopharma 2008 Aug;16(4):162-7
*Ye et al: Effect of polysaccharides from Angelica sinensis on gastric ulcer healing. Rad Res 2006
May;165(5):546-52
Ellagic acid, found in red raspberries, has the same effect as PPIs but without the
side effects.
*Murakami et al: Inhibition of gastric H+, K(+)-ATPase and acid secretion by ellagic acid. Mol Nutr Food
Res 2008 Jun;52(6):692-700
Essential oils have gastro-protective effects; help to regulate bowel flora; improve
digestion; and some are effective in preventing H. pylori. They can safely be taken in-
ternally by adults or children although infants should be massaged with the oils in a
carrier oil instead of giving internally: Caraway, Fennel, Lavender, Lemon, Marjoram,
Neroli, Nutmeg, Orange, Oregano, and Peppermint (especially effective).
*Alexandrovich et al: The effect of fennel (Foeniculum Vulgare) seed oil emulsion in infantile colic: a
randomized, placebo-controlled study. Altern Ther Health Med 2003 Jul-Aug;9(4):58-61
*Bergonzelli et al: Essential oils as components of a diet-based approach to management of Helico-
bacter infection. Antimicrob Agents Chemother 2003 Oct;47(10):3240-46
*Cappello et al: Peppermint oil (Mintoil) in the treatment of irritable bowel syndrome: a prospective
double blind placebo-controlled randomized trial. Dig Liver Dis 2007 Jun;39(6):530-6
Acid Blockers
*Freise & Köhler: Peppermint oil-caraway oil fixed combination in non-ulcer dyspepsia--comparison of
the effects of enteric preparations. Pharmazie 1999 Mar;54(3):210-5
*Grigoleit & Grigoleit: Peppermint oil in irritable bowel syndrome. Phytomed 2005 Aug;12(8):601-6
*Hawrelak et al: Essential oils in the treatment of intestinal dysbiosis: A preliminary in vitro study. Altern
Med Rev 2009 Dec;14(4):380-4
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Hiki et al: Peppermint oil reduces gastric spasm during upper endoscopy: a randomized, double-
blind, double-dummy controlled trial. Gastrointest Endosc 2003 Apr;57(4):475-82
*Hiki et al: Peppermint oil reduces gastric spasm during upper endoscopy: a randomized, double-
blind, double-dummy controlled trial. J Clin Gastroenterol 2001 Jul;33(1):27-31
*Inamori et al: Early effects of peppermint oil on gastric emptying: a crossover study using a continu-
ous real-time 13C breath test (BreathID system). J Gastroenterol 2007 Jul;42(7):539-42
*Kline et al: Enteric-coated, pH-dependent peppermint oil capsules for the treatment of irritable bowel
syndrome in children. J Pediatr 2001 Jan;138(1):125-8
*May et al: Efficacy and tolerability of a fixed combination of peppermint oil and caraway oil in patients
suffering from functional dyspepsia. Aliment Pharmacol Ther 2000 Dec;14(12):1671-7
*Merat et al: The effect of enteric-coated, delayed-release peppermint oil on irritable bowel syndrome.
Dig Dis Sci 2010 May;55(5):1385-90
*Moraes et al: Effects of limonene and essential oil from Citrus aurantium on gastric mucosa: role of
prostaglandins and gastric mucus secretion. Chem Biol Interact 2009 Aug 14;180(3):499-505
Fish oil, FOS (prebiotic food), Soluble fiber, Gum arabic and Antioxidants reduce
the need for steroids in ulcerative colitis.
*Aslan & Triadafilopoulos: Fish oil fatty acid supplementation in active ulcerative colitis: a double-blind,
placebo-controlled, crossover study. Am J Gastroenterol 1992 Apr;87(4):432-7
*Seidner et al: An oral supplement enriched with fish oil, soluble fiber, and antioxidants for corticoster-
oid sparing in ulcerative colitis: a randomized, controlled trial. Clin Gastroenterol Hepatol 2005
Apr;3(4):358-69
Flavonoids (bioflavonoids) are the what give fruits and vegetables their colour. They
have a wide variety of health benefits include gastro-protective effects.
*Odvina: Comparative value of orange juice versus lemonade in reducing stone-forming risk. Clin J Am
Soc Nephrol 2006 Nov;1(6):1269-74
*Zayachkivska et al: Gastroprotective effects of flavonoids in plant extracts. J Physiol Pharmacol 2005
Mar;56 Suppl 1:219-31
Gallstones (as well as liver and kidney stones) are signs of poor digestion. They can
be eliminated using various techniques including Garlic oil or Chanca piedra (Span-
ish for “stone crusher”).
*Moritz: The Liver and Gallbladder Miracle Cleanse, Ulysses Press, 2007
*Nijhawan et al: Evaluation of garlic oil as a contact dissolution agent for gallstones: comparison with
monooctanoin. Trop Gastroenter 2000 Oct-Dec;21(4):177-9
*Raintree Tropical Plant Database - www.rain-tree.com/chanca.htm
Ginger is a valuable herbal root that prohibits ulcer formation, protects the di-
gestive tract from aluminum damage, and is up to eight times more effective than
lansoprazole.
*Moselhy et al: Role of ginger against the reproductive toxicity of aluminium chloride in albino male rats.
Reprod Domest Anim 2011 Jul 26
*Nanjundaiah et al: Gastroprotective effect of ginger rhizome (Zingiber officinale) extract: role of gallic
acid and cinnamic acid in H+, K+-ATPase/H. pylori Inhibition and anti-oxidative mechanism. Evid
Based Compl Alt Med 2009 Jul 1
*Siddaraju & Dharmesh: Inhibition of gastric H+, K+-ATPase and Helicobacter pylori growth by phe-
Acid Blockers
nolic antioxidants of Zingiber officinale. Mol Nutr Food Res 2007 Mar;51(3):324-32
Ginkgo biloba is an herb often used to improve memory (mainly because it improves
circulation). It also has anti-inflammatory effects that help reduce colitis symptoms.
*Kotakadi et al: Ginkgo biloba extract EGb 761 has anti-inflammatory properties and ameliorates colitis
in mice by driving effector T cell apoptosis. Carcinogen 2008 Sep;29(9):1799-806
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Pamela Duff, RN, CSNC
Glucosamine is an essential sugar required by many cells in the body for proper
functioning. It is effective for decreasing the effects of such autoimmune disorders as
inflammatory bowel diseases and arthritis.
*Russell: Glycoaminoglycan (GAG) deficiency in protective barrier as an underlying, primary cause of
ulcerative colitis, Crohn’s disease interstitial cystitis and possibly Reiter’s syndrome. Med Hypoth
1999 Apr;52(4):297-301
*www.innvista.com/health/nutrition/sugars/glucosamine.htm
*Yomagida et al: Glucosamine, a naturally occurring amino monosaccharide, suppresses dextran sul-
fate sodium-induced colitis in rats. Int J Mol Med 2008 Sep;22(3):317-23
Goldenseal and Bloodroot are herbs that inhibit the H. pylori bacteria, often the
cause of stomach ulcers.
*Mahady et al: In vitro susceptibility of Helicobacter pylori to isoquinoline alkaloids from Sanguinaria
canadensis and Hydrastis canadensis. J Med Food 2007 Dec;10(4):694-701
Grapes protect against the H. pylori bacterium. Buy only organic grapes as they are
#7 on the list of foods that are highest in pesticides, which are known carcinogens.
*Martini et al: Antibacterial activity of grape extracts on cagA-positive and -negative Helicobacter pylori
clinical isolates. J Chemother 2009 Nov;21(5):507-13
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
Hawthorn is an herb often used to strengthen the heart muscle but it also has other
multi-beneficial effects including gastro-protective.
*Tadić et al: Anti-inflammatory, gastroprotective, free-radical-scavenging, and antimicrobial activities of
hawthorn berries ethanol extract. J Agric Food Chem 2008 Sep 10;56(17):7700-9
Honey (non-pasteurized or Manuka), Olive oil, and Beeswax is a safe and effective
combination to use on painful hemorrhoids or anal fissures that often develop after
prolonged digestive problems. Manuka honey is an effective rehydration additive
for infants and children after a bout of gastroenteritis; lessens inflammatory bowel
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
diseases; and helps overcome stomach ulcers caused by H. Pylori (warning: it will
also feed Candida yeast that often accompanies H. pylori). Use only unpasteurized or
Manuka honey as the average “grocery store honey” is not real honey and therefore,
not medicinally effective.
*Abdulrhman et al: Bee honey added to the oral rehydration solution in treatment of gastroenteritis in
infants and children. J Med Food 2010 Jun;13(3):605-9
*Al-Waili et al: The safety and efficacy of a mixture of honey, olive oil, and beeswax for the management
of hemorrhoids and anal fissure: a pilot study. Sci World J 2006 Feb 2;6:1998-2005
*Medhi et al: Effect of Manuka honey and sulfasalazine in combination to promote antioxidant de-
fense system in experimentally induced ulcerative colitis model in rats. Indian J Exp Biol 2008
Aug;46(8):583-90
*Prakash et al: Effect of different doses of Manuka honey in experimentally induced inflammatory
bowel disease in rats. Phytother Res 2008 Aug 7
*Schneider: Tests Show Most Store Honey Isn’t Honey: Ultra-filtering Removes Pollen, Hides Honey
Origins. Food Safety News 2011 Nov 7
*Somal et al: Susceptibility of Helicobacter pylori to the antibacterial activity of manuka honey. J R Soc
Med 1994 Jan;87(1):9-12
Iron supplements are often necessary but can aggravate colitis. Vitamin E can
lessen these effects but iron supplements should always be taken with food. Some
forms are easier to absorb than others but which ones depends on the person. Fer-
rous fumarate is a form often prescribed and very difficult to absorb with most
causing constipation. Because of poor absorption, iron deficiency anemia is common
in those with celiac disease, H. pylori and GERD.
*Carrier et al: Iron supplementation increases disease activity and vitamin E ameliorates the effect in
rats with dextran sulfate sodium-induced colitis. J Nutr 2002 Oct;132(10):3146-50
*Erichsen et al: Low-dose oral ferrous fumarate aggravated intestinal inflammation in rats with DSS-
induced colitis. Inflamm Bowel Dis 2005 Aug;11(8):744-8
*Fayed et al: Prevalence of celiac disease, Helicobacter pylori and gastroesophageal reflux in patients
with refractory iron deficiency anemia. J Trop Pediatr 2008 Feb;54(1):43-53
Japanese apricots lessen the effects of ulcerative colitis and help heal stomach le-
sions caused by H. pylori.
*Otsuka et al: Suppressive effects of fruit-juice concentrate of Prunus mume Sieb. et Zucc. (Japanese
apricot, Ume) on Helicobacter pylori-induced glandular stomach lesions in Mongolian gerbils.
Asian Pac J Cancer Prev 2005 Jul-Sep;6(3):337-41
*Singh et al: Exploring the ameliorative potential of Punica granatum in dextran sulfate sodium induced
ulcerative colitis in mice. Phytother Res 2009 Apr 15
Magnesium deficiency can cause seizures in those taking PPIs for a long time.
*Cundy & Dissanayake: Severe hypomagnesaemia in long-term users of proton-pump inhibitors. Clin
Endocrinol (Oxf) 2008 Aug;69(2):338-41
Acid Blockers
Mango flowers and leaves protect the gastric system and help heal ulcers.
*Lima et al: Can the aqueous decoction of mango flowers be used as an antiulcer agent? Planta Med
2004 Aug;70(8):745-52
*Severi et al: Polyphenols with antiulcerogenic action from aqueous decoction of mango leaves
(Mangifera indica L.). Molecul 2009;14(3):1098-110
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Pamela Duff, RN, CSNC
Melatonin not only can be used to induce sleep but provides a safe and effective
alternative to PPIs; improves symptoms of colitis and GERD (gastroesophageal re-
flux disease); reduces aging effects in the digestive tract; and decreases gallbladder
inflammation.
*Akbulut et al: Melatonin decreases apoptosis in gastric mucosa during aging. Aging Clin Exp Res
2011 Mar 14
*Kandil et al: The potential therapeutic effect of melatonin in Gastro-Esophageal Reflux Disease. BMC
Gastroenterol 2010;10:7
*Koppisetti et al: Reactive oxygen species and the hypomotility of the gall bladder as targets for the
treatment of gallstones with melatonin: a review. Dig Dis Sci 2008 Oct;53(10):2592-603
*Mazzon et al: Melatonin modulates signal transduction pathways and apoptosis in experimental col-
itis. J Pineal Res 2006 Nov;41(4):363-73
*Werbach: Melatonin for the treatment of gastroesophageal reflux disease. Altern Ther Health Med
2008 Jul-Aug;14(4):54-8
Neem is an herb with natural anti-microbial properties and therefore useful in pre-
venting bacteria-caused ulcers as well as having other gastro-protective effects.
*Bandyopadhyay et al: Clinical studies on the effect of Neem (Azadirachta indica) bark extract on gas-
tric secretion and gastroduodenal ulcer. Life Sci 2004 Oct 29;75(24):2867-78
*Dorababu et al: Effect of aqueous extract of neem (Azadirachta indica) leaves on offensive and dif-
fensive gastric mucosal factors in rats. Indian J Physiol Pharmacol 2006 Jul-Sep;50(3):241-9
Noni fruit controls nausea and vomiting after surgery. It also decreases symptoms
of reflux esophagitis and gastric ulcers.
*Mahattanadul et al: Effects of Morinda citrifolia aqueous fruit extract and its biomarker scopoletin on
reflux esophagitis and gastric ulcer in rats. J Ethnopharmacol 2011 Mar 24 ;134(2):243-50
*Prapaitrakool & Itharat: Morinda citrifolia Linn. for prevention of postoperative nausea and vomiting. J
Med Assoc Thai 2010 Dec;93 Suppl 7:S204-9
Acid Blockers
Olive leaves (yes, from the olive tree) have numerous health benefits including pre-
venting the development of non-alcoholic fatty liver.
*Omagari et al: Olive leaf extract prevents spontaneous occurrence of non-alcoholic steatohepatitis in
SHR/NDmcr-cp rats. Pathol 2010 Jan;42(1):66-72
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Orange or Lemon juice helps reduce the formation of kidney stones better than
potassium citrate. Stones are often a sign of poor digestion and made worse by
antacids.
*Aras et al: Can lemon juice be an alternative to potassium citrate in the treatment of urinary cal-
cium stones in patients with hypocitraturia? A prospective randomized study. Urol Res 2008
Dec;36(6):313-7
*Kang et al: Long-term lemonade based dietary manipulation in patients with hypocitraturic nephrolith-
iasis. J Urol 2007 Apr;177(4):1358-62;disc 1362; quiz 1591
*Odvina et al: Comparative value of orange juice versus lemonade in reducing stone-forming risk. Clin
J Am Soc Nephrol 2006 Nov;1(6):1269-74
Papaya fruit (unripened) has beneficial effects on gastric ulcers. It is able to detoxify
gliadin, a protein found in wheat that an increasing number of people are unable to digest.
*Cornell et al: Papaya latex enzymes capable of detoxification of gliadin. Amino Acids 2009 Jan 21
*Ezike et al: Carica papaya (Paw-Paw) unripe fruit may be beneficial in ulcer. Int J Oncol 2004
Dec;25(6):1809-15
Papaya leaf extract protects the gastric system and has antioxidant effects similar
to vitamin E.
*Protective effect of Carica papaya L leaf extract against alcohol induced acute gastric damage and
blood oxidative stress in rats. West Indian Med J 2008 Sep;57(4):323-6
*Mehdipour et al: Antioxidant potentials of Iranian Carica papaya juice in vitro and in vivo are compar-
able to alpha-tocopherol. Phytother Res 2006 Jul;20(7):591-4
Pineapple juice (fresh) has natural enzymes that decrease inflammatory bowel
symptoms.
*Hale et al: Dietary supplementation with fresh and colonic neoplasia in IL-10-deficient mice with colitis.
Inflamm Bowel Dis 2010 Dec;16(12):2012-21
Acid Blockers
Pomegranates are fruits that protect the digestive tract from alcohol and aspirin-induced
damage and prevents the kidneys from forming stones. Pomegranates also increase
good bacteria (probiotics) which are vital for good digestion and the immune system.
*Ajaikumar et al: The inhibition of gastric mucosal injury by Punicagranatum L. (pomegranate) metha-
nolic extract. J Ethnopharmacol 2005 Jan 4;96(1-2):171-6
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Pamela Duff, RN, CSNC
*Bialonska et al: The effect of pomegranate (Punica granatum L.) byproducts and ellagitannins on the
growth of human gut bacteria. J Agric Food Chem 2009 Sep 23;57(18):8344-9
*Singh et al: Exploring the ameliorative potential of Punica granatum in dextran sulfate sodium induced
ulcerative colitis in mice. Phytother Res 2009 Apr 15
*Tugcu et al: Protective effect of a potent antioxidant, pomegranate juice, in the kidney of rats with
nephrolithiasis induced by ethylene glycol. Bone 2010 Nov;47(5):926-37
Probiotics improve digestion and inflammatory bowel conditions in adults and in-
fants; strengthen the immune system in adults and infants; play an important role
in the prevention of superbugs and various autoimmune disorders; are more effective
and safer than simethicone for colicky babies.
*Chermesh I, Eliakim R. Probiotics and the gastrointestinal tract: where are we in 2005? World J
Gastroenterol 2006;12:853-57
*Duff: Probiotics at a Glance - www.innvista.com/health/nutrients/probiotics/default.htm
*Eren et al: Clinical efficacy comparison of Saccharomyces boulardii and yogurt fluid in acute non-
bloody diarrhea in children: a randomized, controlled, open label study. Am J Trop Med Hyg 2010
Mar;82(3):488-91
*Forchielli & Walker: The role of gut-associated lymphoid tissues and mucosal defence. Br J Nutr
2005;93(Supp 1):S41-8
*Gotteland et al: Systematic review: are probiotics useful in controlling gastric colonization by Helico-
bacter pylori? Aliment Pharmacol Ther 2006;23:1077-86
*Guyonnet et al: Effect of a fermented milk containing Bifidobacterium animalis DN-173 010 on the
health-related quality of life and symptoms in irritable bowel syndrome in adults in primary care:
a multicentre, randomized, double-blind, controlled trial. Aliment Pharmacol Ther. 2007 Aug
1;26(3):475-86
*Hajela et al: Are probiotics a feasible intervention for prevention of diarrhoea in the developing world?
Gut Pathog 2010;2(1):10
*Heydarian et al: A comparison between traditional yogurt and probiotic yogurt in non-inflammatory
acute gastroenteritis. Saudi Med J 2010 Mar;31(3):280-3
*Heyman: Effect of lactic acid bacteria on diarrheal diseases. J Am Coll Nutr 2000;19:137S-46S
*Hun: Bacillus coagulans significantly improved abdominal pain and bloating in patients with IBS.
Postgrad Med 2009 Mar;121(2):119-24
*Indrio et al: Lactobacillus reuteri accelerates gastric emptying and improves regurgitation in infants.
Eur J Clin Invest 2011 Apr;41(4):417-22
*Johnson-Henry et al: Probiotics reduce bacterial colonization and gastric inflammation in H. pylori-
infected mice. Dig Dis Sci 2004;49:1095-102
*Ki et al: In vitro inhibition of Helicobacter pylori growth and of adherence of cagA-positive strains to
gastric epithelial cells by Lactobacillus paraplantarum KNUC25 isolated from kimchi. J Med Food
2010 Jun;13(3):629-34
*Konieczna et al: Bifidobacterium infantis 35624 administration induces Foxp3 T regulatory cells in
human peripheral blood: potential role for myeloid and plasmacytoid dendritic cells. Gut 2012
Mar;61(3):354-66
*Kukkonen et al: Long-term safety and impact on infection rates of postnatal probiotic and prebiotic (syn-
biotic) treatment: randomized, double-blind, placebo-controlled trial. Pediatrics 2008;122(1):8-12
*Lee et al: The effect of Saccharomyces boulardii on human colon cells and inflammation in rats with
trinitrobenzene sulfonic acid-induced colitis. Dig Dis Sci 2008 Jul 10
*Mennigen & Bruewer: Effect of probiotics on intestinal barrier function. Ann N Y Acad Sci 2009
Acid Blockers
May;1165:183-9
*Mohamadzadeh & Owen: Reprogramming intestinal immunity is the answer to induced pathogenic
inflammation. Immunother 2011 Dec;3(12):1415-7
*Oelschlaeger: Mechanisms of probiotic actions - A review. Int J Med Microbiol 2010;300(1):57-62
*Ogawa et al: Protective effect of Lactobacillus casei strain Shirota on Shiga toxin-producing Esche-
richia coli O157:H7 infection in infant rabbits. Infect Immun 2001;69:1101-8
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*Pascual et al: Lactobacillus salivarius CTC2197 prevents Salmonella enteritidis colonization in chick-
ens. Appl Environ Microbiol 1999;65:4981-6
*Paton et al: Designer probiotics for prevention of enteric infections. Nat Rev Microbiol 2006;4:193-200
*Paton et al: Recombinant probiotics for treatment and prevention of enterotoxigenic Escherichia coli
diarrhea. Gastroentero 2005;128:1219-28
*Pina et al: Improvement of intestinal function in cystic fibrosis patients using probiotics. An Pediatr
(Barc) 2008 Dec;69(6):501-5
*Resta-Lenert & Barrett: Modulation of intestinal barrier properties by probiotics: role in reversing col-
itis. Ann N Y Acad Sci 2009 May;1165:175-82
*Sahin et al: Effects of the probiotic agent Saccharomyces Boulardii on the DNA damage in acute
necrotizing pancreatitis induced rats. Hum Exp Toxicol 2007 Aug;26(8):653-61
*Savino et al: Lactobacillus reuteri (American Type Culture Collection Strain 55730) versus sim-
ethicone in the treatment of infantile colic: a prospective randomized study. Pediatrics 2007
Jan;119(1):e124-30
*Sheehan et al: Improving gastric transit, gastrointestinal persistence and therapeutic efficacy of the
probiotic strain Bifidobacterium breve UCC2003. Microbiol 2007;153:3563-71
*Shornikova et al: Bacteriotherapy with Lactobacillus reuteri in rotavirus gastroenteritis. Pediatr Infect
Dis J 1997;16:1103-7
*Solis et al: Probiotics as a help in children suffering from malnutrition and diarrhoea. Eur J Clin Nutr
2002;56(Suppl 3):S57-9
*Tursi et al: Mesalazine and/or Lactobacillus casei in maintaining long-term remission of symptomatic
uncomplicated diverticular disease of the colon. Hepatogastroentero 2008 May-Jun;55(84):916-20
*Uchida et al: Yogurt containing Lactobacillus gasseri OLL 2716 (LG21 yogurt) accelerated the healing
of acetic acid-induced gastric ulcer in rats. Biosci Biotechnol Biochem 2010 Sep 23;74(9):1891-4
*Van Niel et al: Lactobacillus therapy for acute infectious diarrhea in children: a meta-analysis. Pediat-
rics 2002;109:678-84
*Vilela et al: Influence of Saccharomyces boulardii on the intestinal permeability of patients with Crohn’s
disease in remission. Scand J Gastroenterol 2008;43(7):842-8
*Wu & Vallance: Saccharomyces boulardii ameliorates Citrobacter rodentium-induced colitis
through actions on bacterial virulence factors. Am J Physiol Gastrointest Liver Physiol 2008
Jan;294(1):G295-306
*Wullt et al: Lactobacillus plantarum 299v enhances the concentrations of fecal short-chain fatty acids in
patients with recurrent clostridium difficile-associated diarrhea. Dig Dis Sci 2007 Sep;52(9):2082-6
Psyllium is a soluble fiber that often helps to correct digestive disorders and proves to
be as effective as mesalamine (an anti-inflammatory drug) for treating ulcerative colitis.
*Bijkerk et al: Soluble or insoluble fibre in irritable bowel syndrome in primary care? Randomised pla-
cebo controlled trial. BMJ 2009 Aug 27;339:b3154
*Fernández-Bañares et al: Randomized clinical trial of Plantago ovata seeds (dietary fiber) as com-
pared with mesalamine in maintaining remission in ulcerative colitis. Spanish Group for the Study
of Crohn’s Disease and Ulcerative Colitis (GETECCU). Am J Gastroenterol 1999 Feb;94(2):427-33
*Karhunen et al: A psyllium fiber-enriched meal strongly attenuates postprandial gastrointestinal pep-
tide release in healthy young adults. J Nutr 2010 Apr;140(4):737-44
*Rodríguez-Cabezas et al: Dietary fiber down-regulates colonic tumor necrosis factor alpha
and nitric oxide production in trinitrobenzenesulfonic acid-induced colitic rats. J Nutr 2002
Nov;132(11):3263-71
Psyllium, Mint, Coriander, and Lemonbalm are all effective for treating IBS (irrit-
Acid Blockers
Quercetin and Vitamin E dramatically reduce the severity of esophageal reflux and
without damage to the gastrointestinal tract.
31
Pamela Duff, RN, CSNC
*Murakami et al: Inhibition of gastric H+, K(+)-ATPase by quercetin. J Enzyme Inhib 1992;5(4):293-8
*Venkateswara & Vijayakumar: Effect of quercetin, flavonoids and alpha-tocopherol, an antioxidant vita-
min, on experimental reflux oesophagitis in rats. J Agric Food Chem 2005 Dec 28;53(26):10306-9
Red Yeast Rice is usually given to lower cholesterol levels but it can also increase
bile acid excretion which helps digestion.
*Ma et al: Red yeast rice increases excretion of bile acids in hamsters. Biomed Environ Sci 2009
Aug;22(4):269-77
Rooibos Tea is native to South Africa and used for centuries to relieve spasms and
help calm a hyperactive gastrointestinal tract. It is safe even for babies.
*Gilani et al: Antispasmodic effects of Rooibos tea (Aspalathus linearis) is mediated predominantly
through K+ -channel activation. Basic Clin Pharmacol Toxicol 2006 Nov;99(5):365-73
Sage and Red Sage have the same effects as PPIs but without the side effects and
should not be taken with other PPIs.
*Mayer et al: Gastroprotective constituents of Salvia officinalis L. Fitoterapia. 2009 Oct;80(7):421-6
*Murakami et al: Effect of salvianolic acid A, a depside from roots of Salvia miltiorrhiza, on gastric
H+,K(+)-ATPase. Planta Med 1990 Aug;56(4):360-3
Spices improve the intestinal villi quality which is vital for proper nutrient absorp-
tion. Spices tested included black and red peppers and ginger.
*Prakash & Srinivasan: Beneficial influence of dietary spices on the ultrastructure and fluidity of the
intestinal brush border in rats. Br J Nutr 2010 Feb 24:1-9
Acid Blockers
32
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Bogatov: Selenium deficiency and its dietary correction in patients with irritable bowel syndrome and
chronic catarrhal colitis. Vopr Pitan 2007;76(3):35-9
*Coskun et al: The study of biochemical and histopathological effects of spirulina in rats with TNBS-
induced colitis. Bratisl Lek Listy 2011;112(5):235-43
*Kumudha et al: Purification, identification, and characterization of methylcobalamin from Spirulina
platensis. J Agric Food Chem 2010 Sep 22;58(18):9925-30
Sprouted Barley improves inflammatory bowel conditions. When grains, seeds and
legumes are sprouted (germinated), the effect improves the availability of nutrients,
sometimes increasing their nutrient content. The process also improves the digestion
of the fiber which makes a good food source for probiotics and called prebiotics.
*Araki et al: Germinated barley foodstuff suppresses dextran sulfate experimental colitis in rats: the role
of mast cells. Int J Mol Med 2007 Feb;19(2):257-62
*Hanai et al: Germinated barley foodstuff prolongs remission in patients with ulcerative colitis. Int J Mol
Med 2004 May;13(5):643-7
*Kanauchi et al: Treatment of ulcerative colitis by feeding with germinated barley foodstuff: first report
of a multicenter open control trial. J Gastroenterol 2002 Nov;37 Suppl 14:67-72
Teas (herbal) after a meal help digestion of adults and improves infantile colic. Drops
of Essential oils can also be put into hot water and taken as a tea: Fenugreek, Fen-
nel, Ginger, Melissa, Peppermint are the most effective either as an herbal tea or an
essential oil.
*Ghayur & Gilani: Pharmacological basis for the medicinal use of ginger in gastrointestinal disorders.
Dig Dis Sci 2005 Oct;50(10):1889-97
*Hu et al: Effect of ginger on gastric motility and symptoms of functional dyspepsia. World J Gastro-
enterol 2011 Jan 7;17(1):105-10
*Nanjundaiah et al: Gastroprotective Effect of Ginger Rhizome (Zingiber officinale) Extract: Role of Gal-
lic Acid and Cinnamic Acid in H+, K+-ATPase/H. pylori Inhibition and Anti-oxidative Mechanism.
Evid Based Complement Alternat Med 2009 Jul 1
*No authors listed: Herbal remedies for dyspepsia: peppermint seems effective. Prescrire Int 2008
Jun;17(95):121-3
*Prakash & Srinivasan: Beneficial influence of dietary spices on the ultrastructure and fluidity of the
intestinal brush border in rats. Br J Nutr 2010 Feb 24:1-9
*Savino et al: A randomized double-blind placebo-controlled trial of a standardized extract of Matri-
cariae recutita, Foeniculum vulgare and Melissa officinalis (ColiMil) in the treatment of breastfed
colicky infants. Phytother Res 2005 Apr;19(4):335-40
*Yamahara et al: The anti-ulcer effect in rats of ginger constituents. Med Hypoth 2009 Sep;73(3):306-8
*Yamahara et al: The anti-ulcer effect in rats of ginger constituents. J Ethnopharmacol 1988
Jul-Aug;23(2-3):299-304
Water safely and effectively reduces stomach acids without the use of medications. It
is best to drink filtered water and not tap water.
*Karamanolis et al: A glass of water immediately increases gastric pH in healthy subjects. Dig Dis Sci
Acid Blockers
2008 Dec;53(12):3128-32
33
Pamela Duff, RN, CSNC
Yacón root is native to the Andes mountains and showing promise in several health
areas. Its prebiotic properties have beneficial effects in treating colitis by stimulating
the growth of the protiotic Lactobacillus and Bifidobacterium strains.
*Alvarez et al: Prebiotic inulin/oligofructose in Yacón root (Smallanthus sonchifolius), phytochemistry
and standardization as basis for clinical and pre-clinical research. Rev Gastroenterol Peru 2008
Jan-Mar;28(1):22-7
Acid Blockers
34
Acne
Common examples:
tretinoins (retinoids)
adapalene [Differin]
isotretinoin [Accutane]
tazarotene [Tazorac, Avage, Zorac]
tretinoin [Retin-A, Vesanoid]
steroid creams, lotions, ointments (see even more Depletions from that list)
Antibiotics are often prescribed (see even more Depletions from that list)
... and others
Deplete:
A, E, zinc (the very nutrients needed to improve skin conditions)
Suggested alternatives:
AVOID!
´´Dairy (there are over 60 hormones in dairy including raw, organic milk) and
watch the sugar/carbohydrate/fat intake
*Acne: Are Milk and Sugar the Causes? By Mark Hyman, MD, online article in the Huffington Post
*Adebamowo et al: Milk consumption and acne in teenaged boys. J Am Acad Dermatol 2008
May;58(5):787-93
*Adebamowo et al: Milk consumption and acne in adolescent girls. Dermatol Online J 2006;12(4):1
*Adebamowo et al: High school dietary dairy intake and teenage acne. J Am Acad Dermat 2005,
Feb:52(2):207-214
*James et al: Dietary polyunsaturated fatty acids and inflammatory mediator production. Am J Clin
Nutr 2000 Jan;71(1 Suppl):343S-8S
*Kaymak et al: Dietary glycemic index and glucose, insulin, insulin-like growth factor-I, insulin-like
growth factor binding protein 3, and leptin levels in patients with acne. J Am Acad atol 2007
Nov;57(5):819-23
*Melnik et al: Evidence for acne-promoting effects of milk and other insulinotropic dairy products.
Nestle Nutr Workshop Ser Pediatr Program 2011 ;67:131-45
*Smith et al: The effect of a low glycemic load diet on acne vulgaris and the fatty acid composition of
skin surface triglycerides. J Dermatol Sci 2008 Jul;50(1):41-52
*Smith et al: The effect of a high- protein, low glycemic-load diet versus a conventional, high glycemic-
load diet on biochemical parameters associated with acne vulgaris: a randomized, investigator-
masked, controlled trial. J Am Acad Dermatol 2007 Aug;57(2):247-56
Acne
35
Pamela Duff, RN, CSNC
*Smith et al: A low-glycemic-load diet improves symptoms in acne vulgaris patients: a randomized
controlled trial. Am J Clin Nutr 2007 Jul;86(1):107-15
´´Fast food
*Litt: McDonald’s Acne. Arch Dermatol 1974;110(6):956
Antioxidants reduce acne and skin aging. Acne can appear at any age as a result
of hormonal changes, poor diet, or stress. Antioxidants improve skin conditions of
all age groups and include vitamins E and C, CoQ10, alpha-lipoic acid, glutathione,
and others. A diet containing plenty of fresh fruits and vegetables, fermented soy
products, goji berries, flaxseed and borage oils, aloe vera, and pomegranates have
proven to be important along with exercise.
*Bouroshaki et al: Protective effect of pomegranate seed oil on hexachlorobutadiene-induced nephro-
toxicity in rat kidneys. Ren Fail 2010 Jun;32(5):612-7
*Cho et al: Dietary aloe vera supplementation improves facial wrinkles and elasticity and it increases
the type i procollagen gene expression in human skin in vivo. Ann Dermatol 2009 Feb;21(1):6-11
*Lacroix et al: Supplementation with a complex of active nutrients improved dermal and epidermal
characteristics in skin equivalents generated from fibroblasts from young or aged donors. Gastro-
enterol Hepatol 1997 Apr;20(4):172-4
*Neukam et al: Supplementation of flaxseed oil diminishes skin sensitivity and improves skin barrier
function and condition. Skin Pharmacol Physiol 2010 Nov 18;24(2):67-74
*Puizina-Ivić:Skin aging. Acta Dermatovenerol Alp Panonica Adriat 2008 Jun;17(2):47-54
*Reeve et al: Mice drinking goji berry juice (Lycium barbarum) are protected from UV radiation-induced
skin damage viaantioxidant pathways. Photochem Photobiol Sci 2010:9:601-607
*Spirt et al: Intervention with flaxseed and borage oil supplements modulates skin condition in women.
Br J Nutr 2009 Feb;101(3):440-5
*Wang et al: Effects of wolfberry fruit on rat’s cryotolerance oxytolerance and fatigue-tolerance. J
Qiqihar Med 2002-01
*Yoshimura et al: Inhibitory effect of an ellagic acid-rich pomegranate extract on tyrosinase activity and
ultraviolet-induced pigmentation. Biosci Biotechnol Biochem 2005 Dec;69(12):2368-73
Beta carotene (vitamin A) and Vitamin E play important roles in reducing and
preventing acne.
*El-Akawi et al: Does the plasma level of vitamins A and E affect acne condition? Clin Exp Dermatol
2006 May;31(3):430-4
*Labadarios et al: Vitamin A in acne vulgaris. Clin Exp Dermatol 1987;12:432-6
Brewer’s Yeast (Saccharomyces cerevisiae) is not the same as Candida yeast and,
therefore, a beneficial food high in trace nutrients, especially the B-vitamins.
*Weber et al: Treatment of acne with a yeast preparation. Fortschr Med 1989 Sep 10;107(26):563-6
Acne
36
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Diet changes toward proper nutrition are crucial – which will not only help acne but
mood and depression as well which often go hand-in-hand with acne. Good nutrition
is vital for any age but especially for teens who are going through hormonal changes.
*Adebamowo et al: High school dietary dairy intake and teenage acne. J Am Acad Dermatol 2005
Feb;52(2):207-14
*Anderson: Foods as the cause of acne. Am Fam Physician 1971 Mar;3(3):102-3
*Cordain, PhD: Implications for the Role of Diet in Acne. Seminars in Cutaneous Medicine and Surgery
2005 June:24(2):84-91
*Cordain et al: Diet and Acne Revisited. Arch Dermatol 2002;138(12):1591-1592
*Cordain et al: Acne vulgaris: a disease of Western civilization. Arch Dermatol 2002 Dec;138(12):1584-90
*Danby: Nutrition and acne. Clinics in Dermatol 2010;28:598-604
*Logan et al: Dietary fat, fiber, and acne vulgaris. J Am Acad Derma 2007:57(6):1092-93
*Rasmussen et al: Diet and Acne. Inter J Derma 1977 Jul:16(6):488-92
*Smith et al: The effect of a high-protein, low glycemic–load diet versus a conventional, high glycemic–
load diet on biochemical parameters associated with acne vulgaris: A randomized, investigator-
masked, controlled trial. J Am Acad Derma 2007 Aug:57(2):247-256
*Spencer et al: Diet and acne: a review of the evidence. Int J Dermatol 2009 Apr;48(4):339-47
*Wolf et al: Acne and diet. Clinic Derma 2004 Sep-Oct:22(5):387-393
Essential oils are potent antimicrobials that can be applied topically to reduce acne
infections: Basil, Rosemary, and Tea Tree (Melaleuca).
*Bassett et al: A comparative study of tea-tree oil versus benzoylperoxide in the treatment of acne.
Med J Aust 1990 Oct 15;153(8):455-8
*Fu et al: Investigation of antibacterial activity of rosemary essential oil against Propioni bacterium
acnes with atomic force microscopy. Planta Med 2007 Oct;73(12):1275-80
*Sharquie et al: Treatment of acne vulgaris with 2% topical tea lotion. Saudi Med J 2006 Jan;27(1):83-5
*Viyoch et al: Evaluation of in vitro antimicrobial activity of Thai basil oils and their micro-emulsion for-
mulas against Propionibacterium acnes. Br J Nutr 2005 Jan;93(1):81-91
Green tea lotion is an inexpensive but an effective topical treatment for acne.
*Elsaie et al: The efficacy of topical 2% green tea lotion in mild-to-moderate acne vulgaris. J Drugs
Dermatol 2009 Apr;8(4):358-64
Guggul is an Ayurvedic herb often used to control Cholesterol levels but it is proving
useful in treating difficult cystic acne better than tetracycline.
*Thappa and Dogra: Nodulocystic acne: oral gugulipid versus tetracycline. J Derma 1994 Oct;21(10):729-31
*Itamura et al: Effect of homeopathic treatment of 60 Japanese patients with chronic skin disease.
Compl Therap Med 2007 June;15:(2):115-120
37
Pamela Duff, RN, CSNC
Hops is an herb used in the brewing industry and often used as a calming agent but
it also prevents acne-causing bacteria.
*Yamaguchi et al: In vitro evaluation of antibacterial, anticollagenase, and antioxidant activities of hop
components (Humulus lupulus) addressing acne vulgaris. Phytomed 2009 Apr;16(4):369-76
Licorice root has better effects in reducing bacterial-induced acne than erythromycin.
*Nam et al: Anti-acne effects of Oriental herb extracts: a novel screening method to select anti-acne
agents. Mol Nutr Food Res 2008 Jul 24
Mangosteen is a fruit that has free radical-scavenging properties and anti-acne effects.
*Pothitirat et al: Anti-acne-inducing bacterial activity of mangosteen fruit rind extracts. Med Princ Pract
2010;19(4):281-6
Melatonin is often thought of as being just for inducing sleep but it has so many
other functions including the improvement of skin conditions.
*Eşrefoğlu et al: Potent therapeutic effect of melatonin on aging skin in pinealectomized rats. J Pineal
Res 2005 Oct;39(3):231-7
Niacinamide (a form of niacin, B3) and Glucosamine improve acne, rosacea, and
skin discolourations (hyperpigmentation).
*Bissett et al: Reduction in the appearance of facial hyperpigmentation by topical N-acetyl glucosa-
mine. J Cosmet Dermatol 2007 Mar;6(1):20-6
*Niren & Torok: The nicomide improvement in clinical outcomes study (NICOS): results of an 8-week
trial. Cutis 2006 Jan;77(1 Suppl):17-28
Acne
38
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Omega-3 fatty acids (flax or fish oils, sacha inchi seeds) reduce acne inflammation
sometimes caused by a diet that is too high in omega-6. Omega-3 also improves the
depression often associated with the condition.
*Conklin et al: High omega-6 and low omega-3 fatty acids are associated with depressive symptoms
and neuroticism. Psychosom Med 2007;69:932-4
*Fontani et al: Cognitive and physiological effects of Omega-3 polyunsaturated fatty acid supplemen-
tation in healthy subjects. Eur J Clin Invest 2005;35:691-9
*Freeman et al: Omega-3 fatty acids: evidence basis for treatment and future research in psychiatry. J
Clin Psych 2006;67:1954-67
*Logan: Linoleic and linolenic acids and acne vulgaris. Br J Dermatol 2008;158:201-2
*Logan et al: Omega-3 fatty acids and acne. Arch Dermatol 2003 Jul;139(7):941-2
*Rubin et al: Acne vulgaris, mental health and omega-3 fatty acids: a report of cases. Lipids in Health
and Disease 2008:7:36
Prebiotic makeup is far healthier for the skin than chemically-laden popular anti-
biotic brands.
*No authors listed: Prebiotic cosmetics: an alternative to antibacterial products. Int J Cosmet Sci.
2007;29(1):63-4
Probiotics and Fiber promote healthy immune and digestive systems which in turn,
reduce the risk of developing acne and other skin problems.
*Al-Ghazzewi & Tester: Effect of konjac glucomannan hydrolysates and probiotics on the growth of
the skin bacterium Propionibacterium acnes in vitro. Internl J Cosmet Sci 2010 Apr;32(2):139-42
*Bowe and Logan: Acne vulgaris, probiotics and the gut-brain-skin axis - back to the future? Gut
Pathog 2011;3(1):1
*Kim et al: Dietary effect of lactoferrin-enriched fermented milk on skin surface lipid and clinical
improvement of acne vulgaris. Nutr 2010 Sept;26(9):902-9
*Krutmann et al: Pre- and probiotics for human skin. J Dermatol Sci 2009 Apr;54(1):1-5
*Ouwehand et al: Probiotics: an overview of beneficial effects. Antonie van Leeuwenhoek 2002
Aug;82(1-4):279-89
Resveratrol is a potent antioxidant found mainly in the skins of red grapes and can
be used topically or internally to treat acne. All antioxidants help a variety of health
issues by preventing the damaging effects of free radicals.
*Coenye et al: Eradication of Propionibacterium acnes biofilms by plant extracts and putative identi-
fication of icariin, resveratrol and salidroside as active compounds. Phytomed Available online 1
February 2012
*Docherty et al: Resveratrol inhibition of Propionibacterium acnes. J Antimicrob Chemother
2007;59(6):1182-84
*Fabbrocini et al: Resveratrol-containing gel for the treatment of acne vulgaris: a single-blind, vehicle-
controlled, pilot study. Am J Clin Dermatol 2011 Apr 1;12(2):133-41
39
ADHD/Narcolepsy
(Used to treat Attention Deficit Hyperactivity Disorder [an Autism Spectrum Disorder]
and Narcolepsy [a sleep disorder])
Common examples:
amphetamines – Adderall, and others
dextroamphetamines – Dexedrine, DextroStat, and others
lisdexamfetamine – Vyvanse
methamphetamines – (illegal but in the same class of drugs used for ADHD)
methylphenidate – Concerta, Daytrana, Metadate, Methylin, Ritalin, others
modafinil – Alertec, Provigil, Sparlon, Vigicer, and others
pemoline – Cylert
Deplete:
B6, B7, C, D, E, magnesium, zinc, tyrosine
We identified 1527 cases of violence disproportionally reported for 31 drugs.” PLoS One
2010;5(12):e15337
*Pliszka et al: Comparative effects of methylphenidate and mixed salts amphetamine on height and
weight in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry
2006 May;45(5):520-6
*Smith et al: Cardiomyopathy associated with amphetamine administration. Am Heart J 1976;91(6):792-7
40
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
´´Drugs have little effect but alternatives do and without the side effects.
*Arnold: Alternative treatments for adults with attention-deficit hyperactivity disorder (ADHD). Ann N Y
Acad Sci 2001 Jun;931:310-41
*Cala et al: A survey of herbal use in children with ADHD or depression. Pharmacotherapy 2003
Feb;23(2):222-30
*Chan et al: Complementary and alternative therapies in childhood attention and hyperactivity
problems. J Dev Behav Pediatr 2003 Feb;24(1):4-8
*Harding et al: Outcome-based comparison of Ritalin versus food-supplement treated children with
AD/HD. Altern Med Rev 2003, Aug:8(3):319-30
*Kidd: Attention deficit/hyperactivity disorder (ADHD) in children: rationale for its integrative
management. Altern Med Rev 2000;5(5):402-28
*Schoenthaler and Bier: The effect of vitamin-mineral supplementation on juvenile delinquency
among American schoolchildren: a randomized, double-blind placebo-controlled trial. J Altern
Complement Med 2000 Feb;6(1):7-17
*Sinha and Efron: Complementary and alternative medicine use in children with ADHD. J Paediatr
Child Health 2005 Jan/Feb;41(1-2):23-6
´´Sugar and sugar substitutes also act like drugs. Aspartame, in particular, is
linked to certain mental disorders and compromised learning and emotional
functioning.
*Avena et al: Sugar-dependant rats show enhanced responding for sugar after abstinence: Evidence
of a sugar deprivation effect. Physio Behav 2005:84:359-362
*Humphries et al: Direct and indirect cellular effects of aspartame on the brain. Eur J Clin Nutr 2008
Apr;62(4):451-62
*Rada et al: Daily bingeing on sugar repeatedly releases dopamine in the accumbens shell. Neurosc
2005:134:737-744
*Weil & Rosen: Chocolate to morphine: Understanding mind-active drugs. 1983
*Wender and Solanto: Effects of sugar on aggressive and inattentive behavior in children with attention
deficit disorder with hyperactivity and normal children. Pediatrics 1991 Nov;88(5):960-6
*Wolraich et al: Effects of diets high in sucrose or aspartame on the behavior and cognitive performance
of children. N Engl J Med 1994 Feb 3;330(5):301-7
´´Food colouring and preservatives affect behavior, liver toxicity, and the
digestive tract in ADHD children.
*Ashida et al: Synergistic effects of food colors on the toxicity of 3-amino-1,4-dimethyl-5H-
pyrido[4,3-b]indole (Trp-P-1) in primary cultured rat hepatocytes. J Nutr Sci Vitaminol (Tokyo) 2000
Jun;46(3):130-6
*Bateman et al: The effects of a double blind, placebo controlled, artificial food colourings and benzoate
preservative challenge on hyperactivity in a general population sample of preschool children. Arch
Dis Child 2004 Jun;89(6):506-11
ADHD/Narcolepsy
*Berdonces: Attention deficit and infantile hyperactivity. Rev Enferm 2001 Jan;24(1):11-4
*Boris and Mandel: Foods and additives are common causes of the attention deficit hyperactive
disorder in children. Ann Allergy 1994 May;72(5):462-8
*Conners et al: Food additives and hyperkinesis: a controlled double-blind experiment. Pediat 1976
Aug;58(2):154-66
*Howard et al: ADHD is associated with a “Western” dietary pattern in adolescents. J Attn Dis 2010
Jul 14
*McCann et al: Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children
41
Pamela Duff, RN, CSNC
Suggested alternatives:
Amino Acids are protein building blocks. Several are essential for autism spectrum
children and include Glutamine, Arginine, and Taurine. Such deficiencies are often
seen as salt cravings. According to this study, “Several interventions offer promise:
(a) taurine to suppress vasopressin and replenish astrocytes; (b) glutamine as fuel
for intestines and brain; (c) arginine to spare glutamine, detoxify ammonia, and
increase brain blood flow; and (d) oral rehydration salts to compensate dilutional
hyponatremia.” NOTE: Rehydration salts can be made simply by mixing coloured
sea salt (not white) with pure water. Coloured sea salt contains all trace minerals and
not just sodium chloride found in the processed white version.
ADHD/Narcolepsy
*Good: Do salt cravings in children with autistic disorders reveal low blood sodium depleting brain
taurine and glutamine? Med Hypoth 2011 Sep 16
42
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Carnitine is a non-essential amino acid that boosts brain energy while reducing
impulse behaviour.
*Adriani et al: Acetyl-L-carnitine reduces impulsive behaviour in adolescent rats. Psychopharma 2004
Nov;176(3-4):296-304
*Torrioli et al: A double-blind, parallel, multicenter comparison of L-acetylcarnitine with placebo on the
attention deficit hyperactivity disorder in fragile X syndrome boys. Am J Med Genet A 2008 Apr
1;146(7):803-12
*Van Oudheusden & Scholte: Efficacy of carnitine in the treatment of children with attention-deficit
hyperactivity disorder. Prostaglandins Leukot Essent Fatty Acids 2002 Jul;67(1):33-8
Flax oil (omega-3) and Vitamin C significantly improve behavioral symptoms of ADHD.
*Joshi et al: Supplementation with flax oil and vitamin C improves the outcome of Attention Deficit
Hyperactivity Disorder (ADHD). Prostaglandins Leukot Essent Fatty Acids 2006 Jan;74(1):17-21
Ginseng and Ginkgo biloba are herbs that improve ADHD symptoms.
*Lyon et al: Effect of the herbal extract combination Panax quinquefolium and Ginkgo biloba on atten-
tion-deficit hyperactivity disorder: a pilot study. J Psychiatry Neurosci 2001 May;26(3):221-8
Goji berries/Wolfberry have significant prenatal effects on the later cognative abil-
ities of the offspring. They also have a neuroprotective effects and improve eyesight.
ADHD/Narcolepsy
*Amagase & Nance: A randomized, double-blind, placebo-controlled, clinical study of the gen-
eral effects of a standardized Lycium barbarum (Goji) Juice, GoChi. J Alt Compl Med 2008
May;14(4):403-12
*Feng et al: A milk-based wolfberry preparation prevents prenatal stress-induced cognitive impairment
of offspring rats, and inhibits oxidative damage and mitochondrial dysfunction in vitro. Neurochem
Res 2010 Feb 5
43
Pamela Duff, RN, CSNC
*Yu et al: Neuroprotective effects of anti-aging oriental medicine Lycium barbarum against beta-amyl-
oid peptide neurotoxicity. Exp Gerontol 2005 Aug-Sep;40(8-9):716-27
Healthy Lifestyle Changes are being effectively used by many parents as a first-line
treatment for ADHD symptoms.
*Attention deficit hyperactivity disorder - Other Treatments. U Maryland Med Center online
*Bosmier: Health lifestyle changes are being used by many parents as first-line ADHD treatment. Nat-
uralNews, January 31, 2012
*Children With ADHD Benefit from Healthy Lifestyle Options as First-Line Treatment. ScienceDaily,
January 24, 2012
Iron deficiency occurs in over 80% of ADHD kids. Iron is a vital mineral responsible
for producing proper dopamine neurotransmission in the brain which is responsible
for healthy central nervous system function.
*Konofal et al: Iron deficiency in children with ADHD. Arch Pediatr Adolesc Med 2004 Dec;158(12):1113-5
*Konofal et al: Effects of iron supplementation on attention deficit hyperactivity disorder in children.
Pediatr Neurol 2008 Jan;38(1):20-6
Omega-3 fatty acids (flax or fish oils, sacha inchi seeds) significantly improves
behaviour, attention, and focus.
*Bélanger et al: Omega-3 fatty acid treatment of children with attention-deficit hyperactivity disorder: A
randomized, double-blind, placebo-controlled study. Paediatr Child Health 2009 Feb;14(2):89-98
*Haag: Essential fatty acids and the brain. Can J Psychiatry 2003 Apr;48(3):195-203
*Hirayama et al: Effect of docosahexaenoic acid-containing food administration on symptoms of ADHD
- a placebo-controlled double-blind study. Eur J Clin Nutr 2004 Mar;58(3):467-73
*Johnson et al: Omega-3/omega-6 fatty acids for attention deficit hyperactivity disorder: a randomized
placebo-controlled trial in children and adolescents. J Atten Disord 2009 Mar;12(5):394-401
ADHD/Narcolepsy
*Joshi et al: Supplementation with flax oil and vitamin C improves the outcome of Attention Deficit
Hyperactivity Disorder (ADHD). Prostaglandins Leukot Essent Fatty Acids 2006 Jan;74(1):17-21
*Richardson & Puri: The potential role of fatty acids in attention-deficit/hyperactivity disorder. Prosta-
glandins Leukot Essent Fatty Acids 2000 Jul-Aug;63(1-2):79-87
*Sinn: Physical fatty acid deficiency signs in children with ADHD symptoms. Prostaglandins Leukot
Essent Fatty Acids 2007 Aug;77(2):109-15
44
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Sorgi et al: Effects of an open-label pilot study with high-dose EPA/DHA concentrates on plasma
phospholipids and behavior in children with attention deficit hyperactivity disorder. Chem Biol
Interact 2008 Nov 25;176(2-3):121-8
*Stevens et al: EFA supplementation in children with inattention, hyperactivity, and other disruptive
behaviors. Lipids 2003 Oct;38(10):1007-21
*Vaisman et al: Correlation between changes in blood fatty acid composition and visual sustained
attention performance in children with inattention: effect of dietary n-3 fatty acids containing
phospholipids. Am J Clin Nutr 2008 May;87(5):1170-80
*Voigt et al: A randomized, double-blind, placebo-controlled trial of docosahexanoic acid supplemen-
tation in children with ADHD. J Pediatr 2001 Aug;139(2):189-96
Probiotics in high doses and multiple strains improve digestion, the immune system
and brain function.
*see References for books by Bock, Bohager, Buckley, McCarthy, and Matthews
Protein (good quality and easy to digest forms) enhances mental function while
minimizing ADHD symptoms. Adding probiotics and digestive enzymes also improve
digestion and absorption of all foods but especially proteins.
*Zavala et al: Imbalance of plasma amino acids in patients with autism and subjects with ADHD. Rev
Neurol 2001 Sep 1-15;33(5):401-8
Pycnogenol is an antioxidant derived from pine bark that has numerous health
benefits including modifying ADHD behaviour.
*Dvoráková et al: The effect of polyphenolic extract from pine bark, Pycnogenol on the level of glutathi-
one in children suffering from attention deficit hyperactivity disorder (ADHD). J Interferon Cytokine
Res 2010 Oct 15
ADHD/Narcolepsy
*Dvoráková et al: Urinary catecholamines in children with attention deficit hyperactivity disorder
(ADHD): modulation by a polyphenolic extract from pine bark (pycnogenol). Nutr Neurosci 2007
Jun-Aug;10(3-4):151-7
*Rohdewald: A review of the French maritime pine bark extract (Pycnogenol), a herbal medication with
a diverse clinical pharmacology. Int J Clin Pharmacol Ther 2002 Apr;40(4):158-68
*Trebatická et al: Treatment of ADHD with French maritime pine bark extract, Pycnogenol. Eur Child
Adolesc Psychiatry 2006 Sep;15(6):329-35
45
Pamela Duff, RN, CSNC
Vitamins and Minerals are especially important for ADHD kids (Bock; Buckley;
McCarthy; Matthews). They act as co-factors for enzymes. In other words, without
either, the other does not work. DO NOT use gummies or Centrum-type vitamins
as these contain sugars and colours with little nutrient value, and worse yet, often
cause a deterioration in a child’s behaviour. Some recommended companies that
formulate vitamins and minerals especially for kids within the autism spectrum
include:
*BrainChild Nutritionals - brainchildnutritionals.com/
*Kirkman Labs - www.kirkmanlabs.com/
*Metagenics - www.metagenics.com/
*New Beginnings Nutritionals - www.nbnus.com/
*Nordic Naturals - www.nordicnaturals.com/
For Narcolepsy
L-Tyrosine is an amino acid that appears to help with this sleep disorder. Like B-
vitamins, single amino acids should be taken in combination with others. Therefore,
if adequate protein is being consumed, then adding taurine along with digestive
enzymes high in proteases can increase absorption and related effectiveness.
*Roufs: L-tyrosine in the treatment of narcolepsy. Med Hypotheses 1990 Dec;33(4):269-73
*Mouret et al: Treatment of narcolepsy with L-tyrosine. J Ethnopharmacol 2009 Nov 12;126(2):308-13
46
Alcohol
Depletes:
A, B1, B2, B3, B5, B6, B7, B9, B12, C, D, E, EFAs, choline, calcium,
chromium, glutathione/NAC, iron, magnesium, phosphorus, potassium,
selenium, zinc, melatonin, good intestinal bacteria
´´Known as the sixth food group to many people, Alcohol impairs the mind
and the body but, here, I am only addressing nutrient losses. Alcohol, even
in small amounts and at the very least, affects the liver’s ability to produce
digestive enzymes thus preventing the absorption of all nutrients. Those
who consume alcohol on a regular basis, rapidly become nutrient deficient
with the predicable consequence of developing diseases and disorders as well
as causing Fetal Alcohol Syndrome in a developing fetus.
*Bode: Effect of alcohol consumption on the gut. Best Pract Res Clin Gastroenter 2003 Aug;17(4):575-
92
*Dreosti: Nutritional factors underlying the expression of the fetal alcohol syndrome. Ann NY Acad Sci
1993 Mar;678:193-204
*Eckardt et al: Health hazards associated with alcohol consumption. JAMA 1981;246(6):648-66
*Lieber: Relationships between Nutrition, Alcohol Use and Liver Disease. Alcoh Res Health 2003;27
*Lieber: Alcohol: its metabolism and interaction with nutrients. Ann Rev Nutr 2000 July;20:395-430
*Manzo et al: Nutrition and alcohol neurotoxicity. Neurotoxicol 1994;15(3):555-65
´´Alcohol, Caffeine and Smoking often go together with the trio decreasing
fertility; increasing miscarriages and stillbirths; and significantly increasing
the risk of pancreatic disease and ultimately, diabetes.
*Braganza: Pancreatic disease: a casualty of hepatic “detoxification”? Lancet 1983 Oct 29;2(8357):1000-
3
*Florack et al: Cigarette smoking, alcohol consumption, and caffeine intake and fecundability. Prevent
Med 1994;23(2):175-80
*Kerr et al: Effect of caffeine on the recognition of and responses to hypoglycemia in humans. Ann
Intern Med 1993 Oct 15;119(8):799-804
*Tuomilehto et al: Coffee consumption as trigger for insulin dependent diabetes mellitus in childhood.
Br Med J 1990;300(6725):642-3
´´Alcohol consumption is one of the 9 measured risk factors for heart attacks,
cardiac arrhythmias and pneumonia.
*Lochen & Rasmussen: Palpitations and lifestyle: impact of depression and self-rated health. The
Nordland Health Study. Scandin J Soc Med 1996;24(2):140-4
*Gyárfás et al: Effect of potentially modifiable risk factors associated with myocardial infarction in
Alcohol
52 countries in a case-control study based on the INTERHEART study. Orv Hetil 2006 Apr
16;147(15):675-86
*Shellito et al: Effect of alcohol consumption on host release of interleukin-17 during pulmonary
47
Pamela Duff, RN, CSNC
infection with Klebsiella pneumoniae. Alcohol Clin Exp Res 2001 Jun;25(6):872-81
Alpha lipoic acid is a potent antioxidant that can reduce injury to the digestive
tract.
*Sehirli et al: Antioxidant effect of alpha-lipoic acid against ethanol-induced gastric mucosal erosion in
rats. Pharmacol 2008;81(2):173-80
Amino acids have anti-oxidant and anti-inflammatory effects on the digestive tract
as well as the liver.
*Chen et al: Taurine supplementation prevents ethanol-induced decrease in serum adiponectin and
reduces hepatic steatosis in rats. J Exp Biol 2009 Jan;212(Pt 2):163-8
*Kerai et al: Taurine: protective properties against ethanol-induced hepatic steatosis and lipid peroxi-
dation during chronic ethanol consumption in rats. Amino Acids 1998;15(1-2):53-76
*Liu et al: Beneficial effects of histidine and carnosine on ethanol-induced chronic liver injury. Food
Chem Toxicol 2008 May;46(5):1503-9
*Nanji et al: Arginine reverses ethanol-induced inflammatory and fibrotic changes in liver despite con-
tinued ethanol administration. J Pharmacol Exp Ther 2001 Dec;299(3):832-9
*Senthilkumar & Nalini: Glycine prevents hepatic fibrosis by preventing the accumulation of collagen in
rats with alcoholic liver injury. Pol J Pharmacol 2004 Jan-Feb;56(1):121-8
*Westrick et al: Dietary tryptophan reverses alcohol-induced impairment of facial recognition but not
verbal recall. Alcohol Clin Exp Res 1988 Aug;12(4):531-3
Amla is an Ayurvedic herb which helps reduce alcohol-induced brain damage and
overall toxicity.
*Reddy et al: Emblica officinalis ameliorates alcohol-induced brain mitochondrial dysfunction in rats. J
Med Food 2011 Jan-Feb;14(1-2):62-8
*Reddy et al: Amelioration of alcohol-induced oxidative stress by Emblica officinalis (amla) in rats. In-
dian J Biochem Biophys 2010 Feb;47(1):20-5
Apricots and the kernels reduce alcohol-induced testicular damage and liver fibrosis.
*Abdel-Rahman: Can apricot kernels fatty acids delay the atrophied hepatocytes from progression
to fibrosis in dimethylnitrosamine (DMN)-induced liver injury in rats? Lipids Health Dis 2011 Jul
7;10(1):114
*Kurus et al: Apricot ameliorates alcohol induced testicular damage in rat model. Food Chem Toxicol
2009 Oct;47(10):2666-72
B12 and B9 (folate) reduce alcohol-induced fetal developmental damage. (see Ap-
pendix for a list of the B vitamins by number and name)
48
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Xu et al: The maternal combined supplementation of folic acid and Vitamin B(12) suppresses ethanol-
induced developmental toxicity in mouse fetuses. Reprod Toxicol 2006 Jul;22(1):56-61
Bay leaves can provide some protection to the liver and stomach.
*Afifi et al: Evaluation of the gastroprotective effect of Laurus nobilis seeds on ethanol induced gastric
ulcer in rats. J Ethnopharmacol 1997 Sep;58(1):9-14
*Matsuda et al: Preventive effect of sesquiterpenes from bay leaf on blood ethanol elevation in ethanol-
loaded rat: structure requirement and suppression of gastric emptying. Bioorg Med Chem Lett
1999 Sep 20;9(18):2647-52
*Matsuda et al: Inhibitory mechanism of costunolide, a sesquiterpene lactone isolated from Laurus no-
bilis, on blood-ethanol elevation in rats: involvement of inhibition of gastric emptying and increase
in gastric juice secretion. Alcohol 2002 Mar-Apr;37(2):121-7
*Yoshikawa et al: Alcohol absorption inhibitors from bay leaf (Laurus nobilis): structure-requirements of
sesquiterpenes for the activity. Bioorg Med Chem 2000 Aug;8(8):2071-7
Chrysin, a bioflavonoid found in certain passion flowers, helps protect the liver from
alcohol-induced damage.
*Sathiavelu et al: Hepatoprotective effect of chrysin on prooxidant-antioxidant status during ethanol-
induced toxicity in female albino rats. J Pharm Pharmacol 2009 Jun;61(6):809-17
Coconut contains necessary saturated fatty acids that have numerous health bene-
fits including protecting the liver from alcohol-induced damage.
*Mini & Rajamohan: Influence of coconut kernel protein on lipid metabolism in alcohol fed rats. Indian
J Exp Biol 2004 Jan;42(1):53-7
*Nanji et al: Medium chain triglycerides and vitamin E reduce the severity of established experimental
alcoholic liver disease. J Pharmacol Exp Ther 1996 Jun;277(3):1694-700
*Nanji et al: Dietary saturated fatty acids down-regulate cyclooxygenase-2 and tumor necro-
sis factor alfa and reverse fibrosis in alcohol-induced liver disease in the rat. Hepatology 1997
Dec;26(6):1538-45
*Nanji et al: Dietary saturated fatty acids reverse inflammatory and fibrotic changes in rat liver despite
continued ethanol administration. J Pharmacol Exp Ther 2001 Nov;299(2):638-44
*Ronis et al: Dietary saturated fat reduces alcoholic hepatotoxicity in rats by altering fatty acid metabol-
ism and membrane composition. J Nutr 2004 Apr;134(4):904-12
*Bao et al: Curcumin alleviates ethanol-induced hepatocytes oxidative damage involving heme oxy-
genase-1 induction. J Ethnopharmacol 2010 Jan 18
49
Pamela Duff, RN, CSNC
*El-Deen & Eid: Efficacy of curcumin to reduce hepatic damage induced by alcohol and thermally
treated oil in rats. Vet Ital 2010 Jan-Mar;46(1):83-92
*Ghoneim: Effects of curcumin on ethanol-induced hepatocyte necrosis and apoptosis: implica-
tion of lipid peroxidation and cytochrome c. Naunyn Schmiedebergs Arch Pharmacol 2009
Jan;379(1):47-60
*Giannessi et al: Curcumin protects Leydig cells of mice from damage induced by chronic alcohol
administration. Med Sci Monit 2008 Nov;14(11):BR237-42
*Gukovsky et al: Curcumin ameliorates ethanol and nonethanol experimental pancreatitis. Am J Physiol
Gastrointest Liver Physiol 2003 Jan;284(1):G85-95
*Jagota & Reddy: The effect of curcumin on ethanol induced changes in suprachiasmatic nucleus
(SCN) and pineal. Cell Mol Neurobiol 2007 Dec;27(8):997-1006
*Naik et al: Protection of liver cells from ethanol cytotoxicity by curcumin in liver slice culture in vitro. J
Ethnopharmacol 2004 Nov;95(1):31-7
*Nanji et al: Curcumin prevents alcohol-induced liver disease in rats by inhibiting the expression of
NF-kappa B-dependent genes. Am J Physiol Gastrointest Liver Physiol 2003 Feb;284(2):G321-7
*Nishiyama et al: Curcuminoids and sesquiterpenoids in turmeric (Curcuma longa L.) suppress an
increase in blood glucose level in type 2 diabetic KK-Ay mice. J Agric Food Chem 2005 Feb
23;53(4):959-63
*Pae et al: Curcumin attenuates ethanol-induced toxicity in HT22 hippocampal cells by activating
mitogen-activated protein kinase phosphatase-1. Neurosci Lett 2009 Apr 10;453(3):186-9
*Quiles et al: An ethanolic-aqueous extract of Curcuma longa decreases the susceptibility of liver micro-
somes and mitochondria to lipid peroxidation in atherosclerotic rabbits. Biofactors 1998;8(1-2):51-7
*Rajakrishnan et al: Effect of curcumin on ethanol-induced stress on mononuclear cells. Phytother Res
2002 Mar;16(2):171-3
*Rajakrishnan et al: Neuroprotective role of curcumin from curcuma longa on ethanol-induced brain
damage. Phytother Res. 1999 Nov;13(7):571-4
*Rivera-Espinoza & Muriel: Pharmacological actions of curcumin in liver diseases or damage. Liver Int
2009 Nov;29(10):1457-66
*Rukkumani et al: Comparative effects of curcumin and its analog on alcohol- and polyunsaturated
fatty acid-induced alterations in circulatory lipid profiles. J Med Food 2005;8(2):256-60
*Rukkumani et al: Curcumin influences hepatic expression patterns of matrix metalloproteinases in
liver toxicity. Ital J Biochem 2004 Jul;53(2):61-6
*Rukkumani et al: Comparative effects of curcumin and an analog of curcumin on alcohol and PUFA
induced oxidative stress. J Pharm Pharm Sci 2004 Aug 20;7(2):274-83
*Rukkumani et al: Protective effects of curcumin and photo-irradiated curcumin on circulatory lipids
and lipid peroxidation products in alcohol and polyunsaturated fatty acid-induced toxicity. Phyto-
ther Res 2003 Sep;17(8):925-9
*Vanisree & Sudha: Curcumin combats against cigarette smoke and ethanol-induced lipid alterations
in rat lung and liver. J Appl Microbiol 2009 Jun;106(6):2086-95
*Wang et al: Preliminary effects of alcohol and Curcuma longa upon CYP2E1 and hematotoxicity in
benzene-induced mice]. Zhonghua Yi Xue Za Zhi 2009 Sep 15;89(34):2429-31
50
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
D-Ribose is a monosaccharide made within the body that is necessary for energy
and DNA and RNA production of all cells. It is particularly effective in reducing
symptoms of heart failure, even that brought on by alcoholism.
*Clay et al: Chronic alcoholic cardiomyopathy. Protection of the isolated ischaemic working heart by
ribose. Biochem Int 1988 Nov;17(5):791-800
Fenugreek is an herb often used as a digestive aid but it also provides some protect-
ive benefits to the liver.
*Kaviarasan et al: Protective action of fenugreek (Trigonella foenum graecum) seed polyphenols against
alcohol-induced protein and lipid damage in rat liver. Cell Biol Toxicol 2008 Oct;24(5):391-400
*Kaviarasan & Anuradha: Fenugreek (Trigonella foenum graecum) seed polyphenols protect liver
from alcohol toxicity: a role on hepatic detoxification system and apoptosis. Pharmazie 2007
Apr;62(4):299-304
*Kaviarasan et al: Fenugreek seed (Trigonella foenum graecum) polyphenols inhibit ethanol-induced
collagen and lipid accumulation in rat liver. Cell Biol Toxicol 2007 Nov;23(6):373-83
*Kaviarasan et al: Fenugreek (Trigonella foenum graecum) seed extract prevents ethanol-induced tox-
icity and apoptosis in Chang liver cells. Alcohol 2006 May-Jun;41(3):267-73
*Thirunavukkarasu et al: Protective effect of fenugreek (Trigonella foenum graecum) seeds in experi-
mental ethanol toxicity. Curr Eye Res 2006 Feb;31(2):147-53
Gamma-oryzanol is a mixture of substances derived from rice bran oil that has
liver-protecting effects.
*Chotimarkorn & Ushio: The effect of trans-ferulic acid and gamma-oryzanol on ethanol-induced liver
injury in C57BL mouse. Phytomed 2008 Apr 17
Ginger is a well-known herb used as a digestive aid but it also protects the liver from
fibrosis.
*Motawi et al: Zingiber officinale acts as a nutraceutical agent against liver fibrosis. Nutr Metab (Lond)
2011;8:40
Mar;11(1):127-32
51
Pamela Duff, RN, CSNC
*Zhang et al: Effect of tea polyphenol on cytokine gene expression in rats with alcoholic liver disease.
Hepatobiliary Pancreat Dis Int 2006 May;5(2):268-72
Herbal combination of Red sage, Ginseng, and Camphor help prevent an alcohol-
induced fatty liver.
*Horie et al: Effect of a herbal medicine on fatty liver in rats fed ethanol chronically. Nihon Arukoru
Yakubutsu Igakkai Zasshi 2009 Dec;44(6):636-48
Kudzu is a noxious weed in many places but it is proving to have several health
benefits including the reduction of alcohol cravings and withdrawal symptoms as
well as offering some protection for the digestive tract.
*Benlhabib et al: Kudzu root extract suppresses voluntary alcohol intake and alcohol withdrawal symp-
toms in P rats receiving free access to water and alcohol. J Med Food 2004 Summer;7(2):168-79
*Lin et al: Puerariae radix isoflavones and their metabolites inhibit growth and induce apoptosis in
breast cancer cells. Biochem Biophys Res Commun 2009 Jan 23;378(4):683-8
*Lukas et al: An extract of the Chinese herbal root kudzu reduces alcohol drinking by heavy drinkers
in a naturalistic setting. Alcohol Clin Exp Res 2005 May;29(5):756-62
*Tam et al: The efficacy and tolerability of adjunctive alternative herbal medicine (Salvia miltiorrhiza and
Pueraria lobata) on vascular function and structure in coronary patients. J Altern Complement
Med 2009 Apr;15(4):415-21
*Zhang et al: Effects of Puerariae radix extract on the increasing intestinal permeability in rat with
alcohol-induced liver injury. J Ethnopharmacol 2009 Nov 12;126(2):207-14
Milk Thistle is an herb long-used to improve liver function especially in those with
a fatty liver or alcohol-induced cirrhosis.
*Lucena et al: Effects of silymarin MZ-80 on oxidative stress in patients with alcoholic cirrhosis. Re-
sults of a randomized, double-blind, placebo-controlled clinical study. Biol Pharm Bull 2005
Dec;28(12):2211-5
Pomegranates protect the digestive tract from alcohol and aspirin-induced damage
and the liver from fibrosis.
52
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Ajaikumar et al: The inhibition of gastric mucosal injury by Punicagranatum L. (pomegranate) metha-
nolic extract. J Ethnopharmacol 2005 Jan 4;96(1-2):171-6
*Toklu et al: Pomegranate peel extract prevents liver fibrosis in biliary-obstructed rats. J Pharm Phar-
macol 2007 Sep;59(9):1287-95
Liv 52 is an Ayurvedic herbal combination that has proven protection for the liver
while increasing the rate of alcohol elimination.
*Chauhan & Kulkarni: Alcohol hangover and Liv.52. Eur J Clin Pharmacol 1991;40(2):187-8
*Dhawan & Goel: Hepatoprotective effects of Liv-52 and its indirect influence on the regulation of
thyroid hormones in rat liver toxicity induced by carbon tetrachloride. Arch Pediatr Adolesc Med
2000 Oct;154(10):979-83
*Girish et al: Hepatoprotective activity of six polyherbal formulations in paracetamol induced liver tox-
icity in mice. Indian J Med Res 2009 May;129(5):569-78
*Gopumadhavan et al: Protective effect of Liv.52 on alcohol-induced fetotoxicity. Alcohol Clin Exp Res
1993 Oct;17(5):1089-92
*Huseini et al: The efficacy of Liv-52 on liver cirrhotic patients: a randomized, double-blind, placebo-
controlled first approach. Phytomed 2005 Sep;12(9):619-24
*Kaláb & Krechler: The effect of the heptoprotective agent LIV 52 on liver damage. Radiat Oncol. 2010
Nov 22;5(1):111
*Mitra et al: Liv.52 regulates ethanol induced PPARgamma and TNF alpha expression in HepG2 cells.
Mol Cell Biochem 2008 Aug;315(1-2):9-15
*Roy et al: Down regulation of tumour necrosis factor activity in experimental hepatitis by a herbal
formulation, Liv 52. Indian J Exp Biol 1994 Oct;32(10):694-7
Omega fatty acids help prevent a fatty liver. Omega-3 fatty acids are rapidly depleted
Alcohol
from the brain by alcoholism and a deficiency leads to what is called, a fatty liver.
*Milne et al: Elevated oxidation of docosahexaenoic acid, 22:6 (n-3), in brain regions of rats undergoing
ethanol withdrawal. Neurosci Lett 2006 Sep 25;405(3):172-4
53
Pamela Duff, RN, CSNC
*Pawlosky & Salem: Development of alcoholic fatty liver and fibrosis in rhesus monkeys fed a low n-3
fatty acid diet. Alcohol Clin Exp Res 2004 Oct;28(10):1569-76
*Song et al: Prevention of alcoholic fatty liver and mitochondrial dysfunction in the rat by long-chain
polyunsaturated fatty acids. J Hepatol 2008 Aug;49(2):262-73
Papaya leaf protects the digestive tract and the blood from free-radical damage.
*Indran et al: Protective effect of Carica papaya L leaf extract against alcohol induced acute gastric
damage and blood oxidative stress in rats. West Indian Med J 2008 Sep;57(4):323-6
Pomegranates protect the digestive tract from alcohol and aspirin-induced injury.
*Ajaikumar et al: The inhibition of gastric mucosal injury by Punicagranatum L. (pomegranate) metha-
nolic extract. J Ethnopharmacol 2005 Jan 4;96(1-2):171-6
Quercetin protects the brain; reduces anxiety; and decreases the effects of
withdrawal.
*Joshi et al: Protective effect of quercetin on alcohol abstinence-induced anxiety and convulsions. Cell
Mol Biol (Noisy-le-grand) 2002 Sep;48(6):685-92
*Singh et al: Reversal of aging and chronic ethanol-induced cognitive dysfunction by quercetin a bio-
flavonoid. Free Radic Res 2003 Nov;37(11):1245-52
Resveratrol (alone or with vitamin E) prevents free-radical DNA damage that results
from alcohol and sugar consumption.
*Ajmo et al: Resveratrol alleviates alcoholic fatty liver in mice. Am J Physiol Gastrointest Liver Physiol
2008 Oct;295(4):G833-42
*Bishayee et al: Resveratrol and liver disease: from bench to bedside and community. Liver Int 2010
Sep;30(8):1103-14
*Das et al: Protective effect of resveratrol and vitamin E against ethanol-induced oxidative damage in
mice: biochemical and immunological basis. Indian J Biochem Biophys 2010 Feb;47(1):32-7
*Rocha et al: Weekend ethanol consumption and high-sucrose diet: resveratrol effects on energy
expenditure, substrate oxidation, lipid profile, oxidative stress and hepatic energy metabolism.
Alcohol
54
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Yan et al: Protection of resveratrol and its analogues against ethanol-induced oxidative DNA damage
in human peripheral lymphocytes. HIV Med 2010 Jan 5
St. John’s Wort reduces withdrawal symptoms BUT, it should never be taken with
alcohol or other medication.
*Coskun et al: Attenuation of ethanol withdrawal syndrome by extract of Hypericum perforatum in
Wistar rats. Fundam Clin Pharmacol 2006 Oct;20(5):481-8
Vitamin E prevents alcoholic liver disease and vitamin E from palm oil protects the
digestive tract from damage.
*Herbay et al: Low vitamin E content in plasma of patients with alcoholic liver disease, hemochroma-
tosis and Wilson’s disease. J Hepatol 1994 Jan;20(1):41-6
*Jaarin et al: Effect of palm vitamin E on the healing of ethanol-induced gastric injury in rats. Int J Food
Sci Nutr 2000;51 Suppl:S31-41
*Nanji et al: Eicosanoid production in experimental alcoholic liver disease is related to vitamin E levels
and lipid peroxidation. Mol Cell Biochem 1994 Nov 9;140(1):85-9
Whey protein isolates and Collagen protect the stomach from forming ulcers.
*Castro et al: Anti-ulcerogenic effect of a whey protein isolate and collagen hydrolysates against etha-
nol ulcerative lesions on oral administration to rats. J Med Food 2010 Feb;13(1):83-90
*Rosaneli et al: Efficacy of a whey protein concentrate on the inhibition of stomach ulcerative lesions
caused by ethanol ingestion. J Med Food 2002;5(4):221-8
55
Alzheimer’s Disease
Common examples:
donepezil – Aricept
galantamine – Reminyl
memantine – Namenda
rivastigmine – Exelon
tacrine – Cognex
Deplete: C
´´It is strongly suspected that many more nutrients are depleted but testing has
not officially confirmed this. Studies have found that patients diagnosed as
having Alzheimer’s disease or dementia are instead severely deficient in many
nutrients. Once these nutrients were replaced, symptoms disappeared or were
dramatically reduced. A number of nutraceuticals were specifically identified
as being important in preventing or slowing the disease: Policosanol; Beta-
carotene; Hops; DHA; B12; folate (B9), Cacao; Chromium picolinate and
Cinnamon for blood sugar control; Vitamin D; Genistein; Sesame.
*Bowman et al: Nutrient biomarker patterns, cognitive function, and MRI measures of brain aging.
Neurol 2011 Dec 28 Pub online ahead of print
*Chandra: Effect of vitamin and trace-element supplementation on cognitive function in elderly subjects
. Nutr 2001;17:709 –12
*Cicconetti et al: Nutritional deficiency and Alzheimer’s disease: how to identify and prevent. [Article in
Italian] Recenti Prog Med 2000 Mar;91(3):135-40
*Del Parigi et al: Nutritional factors, cognitive decline, and dementia. Brain Res Bull 2006 Mar 15;69(1):1-
19
*Foster, Harold MD: What Really Causes Alzheimer’s Disease. 2004 online pdf
*Gonzalez-Gross et al: Nutrition and cognitive impairment in the elderly . Br J Nutr 2001;86:313–21
*McCaddon et al: Functional vitamin B12 deficiency and Alzheimer disease. Neurol 2002
May;58(9):1395-99
*McCarty: Toward prevention of Alzheimers disease--potential nutraceutical strategies for suppressing
the production of amyloid beta peptides. Med Hypoth 2006;67(4):682-97
*No authors listed: High doses of vitamins fight Alzheimer’s disease: Why don’t doctors recommend
Alzheimer's Disease
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´´Donepezil and memantine are known to cause a lowered heart rate while
increasing the risk of seizures.
*Babai et al: Comparison of adverse drug reactions with donepezil versus memantine: analysis of the
French Pharmacovigilance Database. Therapie 2010 May-Jun;65(3):255-9
´´Fluoride has shown to significantly affect the brain in both children and
adults (see Fluoride) and raises the risk of developing Alzheimer’s.
*National Research Council (2003-2006): Fluoride in Drinking Water: A Scientific Review of EPA’s
Standards
Suggested alternatives:
Açaí fruit is a potent antioxidant that prevents damage to the brain and elsewhere
in the body.
*Kang et al: Anti-oxidant capacities of flavonoid compounds isolated from acai pulp (Euterpe oleracea Mart). Food
Chem 2010 Oct:122(3):610-617
*Mertens-Talcott et al: Pharmacokinetics of anthocyanins and antioxidant effects after the consumption of antho-
cyanin-rich acai juice and pulp (Euterpe oleracea Mart) in human healthy volunteers. J Agric Food Chem
2008:56(17):7796–7802
*Oliveira de Souza et al: Diet supplementation with acai (Euterpe oleracea Mart.) pulp improves biomarkers of
oxidative stress and the serum lipid profile in rats. Nutr 2010 July-Aug:26(7-8):804-810
*Schauss et al: Antioxidant capacity and other bioactivities of the freeze-dried Amazonian palm berry, Euterpe
oleraceae Mart (Acai). J Agric Food Chem 2006:54(22):8604-8610
*Spada et al: Frozen fruit pulp of Euterpe oleraceae Mart (Acai) prevents hydrogen peroxide-induced damage in
the cerebral cortex, cerebellum, and hippocampus of rats. J Med Food 2009 Oct:12(5):1084-1088
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Pamela Duff, RN, CSNC
*Khanna et al: Characterization of the potent neuroprotective properties of the natural vitamin E alpha-
tocotrienol. Public Health 2010 Jun;124(6):332-8
*Lu et al: Memory loss in old rats is associated with brain mitochondrial decay and RNA/DNA oxida-
tion: partial reversal by feeding acetyl-L-carnitine and/or R-alpha -lipoic acid. Proc Natl Acad Sci
USA 2002 Feb 19;99(4):2356-61
*Maczurek et al: Lipoic acid as an anti-inflammatory and neuroprotective treatment for Alzheimer’s
disease. Adv Drug Deliv Rev 2008 Oct-Nov;60(13-14):1463-70
Anthocyanins are flavonoids found in red, blue, or purple foods. They are potent
antioxidants that are able to cross the blood-brain barrier to promote healthy learn-
ing and memory.
*Andres-Lacueva et al: Anthocyanins in aged blueberry-fed rats are found centrally and may enhance
memory. BMB Rep 2010 Jan;43(1):46-51
Apples prevent the decline in cognitive performance. But do yourself a favour, eat
only organic fruit as apples are the number one food that contain pesticides which
are toxic enough to severely affect an already overwhelmed brain.
*Apples worst for pesticides on produce list. CBC News, Jun 14, 2011
*Chan and Shea: Dietary supplementation with apple juice decreases endogenous amyloid-beta lev-
els in murine brain. Int J Mol Med 2010 Oct;26(4):447-55
*DeNoon: Apples Are Top Food With Most Pesticides: ‘Dirty Dozen’ List Reveals Fruits/Veggies With
Most Pesticides. WebMD Health News June 13, 2011
*No authors listed: Apple juice concentrate maintains acetylcholine levels following dietary comprom-
ise. J Alz Dis. 2006 Aug;9(3):287-91
*Shabecoff: 100 Chemicals for Apples Add Up to Enigma on Safety. NY Times Feb 5, 1989
*Tchantchou et al: Apple juice concentrate prevents oxidative damage and impaired maze perform-
ance in aged mice. Ann Clin Psychiatry 2009 Jul-Sep;21(3):148-61
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
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*Yadav et al: Propoxur-induced acetylcholine esterase inhibition and impairment of cognitive function:
attenuation by Withania somnifera. Int Immunopharmacol 2003 Sep;3(9):1313-24
B vitamins help improve cognitive and nerve function. Since there are about 14
in the family which all work together, it is important to take them as a complex to
prevent causing a deficiency in others if one is taken separately. It is also important
to take an additional B12 sublingually (under the tongue) to reduce the chances of
developing a type of anemia (pernicious) and to make use of its brain-enhancing
properties. Nicotinamide (a form of niacin, B3) restores cognition in Alzheimer’s
disease. (see Appendix for the list of B vitamins by name and number)
*Green et al: Nicotinamide restores cognition in Alzheimer’s disease transgenic mice via a mechanism
involving sirtuin inhibition and selective reduction of Thr231-phosphotau. J Neurosci 2008 Nov
5;28(45):11500-10
*Low Vitamin B12 levels may lead to brain shrinkage, cognitive problems. Ame Acad Neurol 2011 Sept 26
*Jager et al: Cognitive and clinical outcomes of homocysteine-lowering B-vitamin treatment in mild
cognitive impairment: a randomized controlled trial. Int J Geriatr Psych 2011 Jul 21
*Selhub et al: B vitamins and the aging brain. Nutr Rev 2010 Dec;68 Suppl 2:S112-8
*Singh et al: Beneficial effects of folic acid on enhancement of memory and antioxidant status in aged
rat brain. Cell Mol Neurobio 2011 Jan;31(1):83-91
*Tangney et al: Vitamin B12, cognition, and brain MRI measures: A cross-sectional examination. Neuro
2011;77(13):1276
*Wang et al: Vitamin B12 and folate in relation to the development of Alzheimer’s disease. Neurol 2001
May 8;56(9):1188-94
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Pamela Duff, RN, CSNC
*Smach et al: Folate and homocysteine in the cerebrospinal fluid of patients with Alzheimer’s disease
or dementia: a case control study. Eur Neurol 2011;65(5):270-8
*Smith et al: Homocysteine-lowering by B vitamins slows the rate of accelerated brain atrophy in mild
cognitive impairment: A randomized controlled trial. PLoS ONE 2010;5(9):e12244
*Spence et al: Understanding the complexity of homocysteine lowering with vitamins. JAMA
2011;306(23):2610-11
*Wolters et al: Cobalamin: a critical vitamin in the elderly. Prev Med 2004 Dec;39(6):1256–66
Berries, Grape juice, Spinach and Walnuts are foods of choice for enriching brain
function and reducing the effects of neuro-degenerative diseases such as Alzheimer’s.
*Joseph et al: Grape juice, berries, and walnuts affect brain aging and behavior. J Ethnopharmacol
2008 Aug 13;118(3):396-404
*Joseph et al: Reversals of age-related declines in neuronal signal transduction, cognitive, and motor
behavioral deficits with blueberry, spinach, or strawberry dietary supplementation. J Gastroenter
2002 Nov;37 Suppl 14:67-72
*Joseph et al: Grape juice, berries, and walnuts affect brain aging and behavior. J Ethnopharmacol
2008 Aug 13;118(3):396-404
*Shukitt-Hale et al: Blueberry polyphenols attenuate kainic acid-induced decrements in cognition and
alter inflammatory gene expression in rat hippocampus. Nutr Neurosci 2008 Aug;11(4):172-82
*Shukitt-Hale et al: Effects of blackberries on motor and cognitive function in aged rats. Nutr Neurosci
2009 Jun;12(3):135-40
*Willis et al: Blueberry supplementation attenuates microglial activation in hippocampal intraocular
grafts to aged hosts. Glia 2009 Dec 14
Black Pepper contains an alkaloid that improves brain function and cognitive
Alzheimer's Disease
abilities.
*No authors listed: Piperine, the main alkaloid of Thai black pepper, protects against neurodegenera-
tion and cognitive impairment in animal model of cognitive deficit like condition of Alzheimer’s
disease. Food Chem Toxicol 2009 Dec 23
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Pu et al: Protective effect of buckwheat polyphenols against long-lasting impairment of spatial mem-
ory associated with hippocampal neuronal damage in rats subjected to repeated cerebral is-
chemia. J Pharmacol Sci 2004 Apr;94(4):393-402
Carotenoids are found in red, yellow, and orange fruit as well as many dark green
vegetables. Carotenoids significantly reduce the oxidative stress (free radicals) that
lead to cognitive decline.
*Unno et al: Beta-cryptoxanthin, plentiful in Japanese mandarin orange, prevents age-related cogni-
tive dysfunction and oxidative damage in senescence-accelerated mouse brain. Biol Pharm Bull
2011;34(3):311-7
*Vasudevan & Parle: Pharmacological evidence for the potential of Daucus carota in the management
of cognitive dysfunctions. Biol Pharm Bull 2006 Jun;29(6):1154-61
Coconut Water and Oil contain MCTs (Medium Chain Triglycerides) which are fatty
acids vital for the brain and found in virgin coconut and palm oils. One medical
doctor used coconut oil to reverse her husband’s Alzheimer’s disease (Newport).
*Fife: Stop Alzheimer’s Now!: How to Prevent & Reverse Dementia, Parkinson’s, ALS, Multiple Sclero-
sis & Other Neurodegenerative Disorders. Piccadilly Books, 2011
61
Pamela Duff, RN, CSNC
*Gursche: Medical Doctor Treats Alzheimer’s with Coconut Oil. Alpha Health Burnaby, BC handout
and online at www.alphahealth.ca/coconutoilandhealth/?p=4
*Kale University video interview with MD who treated her husband - www.kaleuniversity.
org/4655-coconut-oil-turns-alzheimers-disease
*Newport: Alzheimer’s Disease: What If There Was a Cure? Basic Health Publications, 2011
*Park et al: Poria cocos water extract (PCW) protects PC12 neuronal cells from beta-amyloid-induced
cell death through antioxidant and antiapoptotic functions. Pharmazie 2009 Nov;64(11):760-4
*Reger et al: Effects of beta-hydroxybutyrate on cognition in memory-impaired adults. J Agric Food
Chem 2006 Mar 22;54(6):2123-8
Colostrum is the first “milk” produced by mammals who have just given birth. It is
high in nutrients and antibodies needed by the new infant. Colostrum is proving to
have neuro-protective effects which may prevent Alzheimer’s.
*Douraghi-Zadeh et al: The protective effects of the nutraceutical, colostrinin, against Alzheimer’s dis-
ease, is mediated via prevention of apoptosis in human neurones induced by aggregated beta-
amyloid. J Nutr Health Aging 2009 Jun;13(6):522-7
CoQ10 is required by every cell in the body for energy and has a special affinity for
the heart but it also reduces plaque, protects neurons and improves behaviour in the
Alzheimer’s patient.
*Dumont et al: Coenzyme Q10 decreases amyloid pathology and improves behavior in a transgenic
mouse model of Alzheimer’s Disease. J Alzheimers Dis 2011 Jul 28
*Won et al: Coenzyme Q10 protects neurons against neurotoxicity in hippocampal slice culture.
Neuroreport 2011 Oct 5;22(14):721-6
*Yang et al: Coenzyme Q10 reduces beta-amyloid plaque in an APP/PS1 transgenic mouse model of
Alzheimer’s disease. J Mol Neurosci 2010 May;41(1):110-3
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*Park et al: Protection against amyloid beta cytotoxicity by sulforaphane: role of the proteasome.
Obesity (Silver Spring) 2009 Aug 13
63
Pamela Duff, RN, CSNC
*Lee et al: Inhibitory effect of green tea extract on beta-amyloid-induced PC12 cell death by inhibition
of the activation of NF-kappaB and ERK/p38 MAP kinase pathway through antioxidant mechan-
isms. Brain Res Mol Brain Res 2005 Oct 31;140(1-2):45-54
*Shimmyo et al: Epigallocatechin-3-gallate and curcumin suppress amyloid beta-induced beta-site
APP cleaving enzyme-1 upregulation. Am J Physiol Heart Circ Physiol 2005 Aug;289(2):H715-21
*Unno et al: Daily consumption of green tea catechin delays memory regression in aged mice. Bioger-
ontol 2007 Apr;8(2):89-95
*Unno et al: Daily ingestion of green tea catechins from adulthood suppressed brain dysfunction in
aged mice. Biofact 2008;34(4):263-71
*Unno et al: Suppressive effect of green tea catechins on morphologic and functional regression of the
brain in aged mice with accelerated senescence (SAMP10). Exp Gerontol 2004 Jul;39(7):1027-34
*Zhang et al: Green tea polyphenol (-)-epigallocatechin-3-gallate enhances the inhibitory effect of
huperzine A on acetylcholinesterase by increasing the affinity with serum albumin. Nutr Neurosci
2009 Aug;12(4):142-8
Fruit and Vegetables reduce AGEs (advanced glycation end products) which lead to
various so-called age-related diseases including cardiovascular, cataracts, diabetes,
and Alzheimer’s and protect against the formation of cancer cells.
*Pashikanti et al: Rutin metabolites: novel inhibitors of nonoxidative advanced glycation end products.
Free Radic Biol Med 2009 Dec 4
*Platt et al: Fruits and vegetables protect against the genotoxicity of heterocyclic aromatic amines
activated by human xenobiotic-metabolizing enzymes expressed in immortal mammalian cells.
Mutat Res 2010 Aug 14
*Ramful et al: Citrus fruit extracts reduce advanced glycation end products (AGEs)- and H(2)O(2)-
induced oxidative stress in human adipocytes. J Agric Food Chem 2010 Sep 30
Genistein is an isoflavone found in a few plants (kudzu, fava beans, soy beans)
that can have such benefits as improving brain function but these foods can also be
hormone-disrupters. Therefore eating them should be limited to the occasional use.
However, fermentation of such foods does rid them of such harmful effects.
*Bagheri et al: Genistein ameliorates learning and memory deficits in amyloidβ(1-40) rat model of Alz-
heimer’s disease. Neurobiol Learn Mem 2011 Mar;95(3):270-6
*Ding et al: Genistein and folic acid prevent oxidative injury induced by β-amyloid peptide. Basic Clin
Pharmacol Toxicol 2010 Nov 29
*Ma et al: Genistein as a neuroprotective antioxidant attenuates redox imbalance induced by beta-
amyloid peptides 25-35 in PC12 cells. Int J Dev Neurosci 2010 Jun;28(4):289-95
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Ginseng improves short term memory and prevents degeneration of the nervous
system.
*Arushanian et al: Effect of eleutherococcus on short-term memory and visual perception in healthy
humans. Eksp Klin Farmakol 2003 Sep-Oct;66(5):10-3
*Lian et al: Protective effects of ginseng components in a rodent model of neurodegeneration. Ann
Neurol 2005 May;57(5):642-8
*Wang et al: Anti-neuroinflammation effect of ginsenoside Rbl in a rat model of Alzheimer disease.
Neurosci Lett 2011 Jan 3;487(1):70-2
Glucosamine is one of eight known “essential” sugars needed by certain cells in the
body for proper functioning including repair of neurons and joints.
*Hwang et al: Glucosamine exerts a neuroprotective effect via suppression of inflammation in rat brain
ischemia/reperfusion injury. Glia 2010 Nov 15;58(15):1881-92
*www.innvista.com/health/nutrition/sugars/glucosamine.htm
Goji berries/Wolfberry are high in antioxidants which protects the nervous system
from degeneration.
*Amagase & Nance: A randomized, double-blind, placebo-controlled, clinical study of the general
effects of a standardized Lycium barbarum (Goji) Juice, GoChi. J Altern Complement Med 2008
May;14(4):403-12
*Chang & So: Use of anti-aging herbal medicine, Lycium barbarum, against aging-associated dis-
eases. What do we know so far? Cell Mol Neurobiol 2008 Aug;28(5):643-52
*Feng et al: A milk-based wolfberry preparation prevents prenatal stress-induced cognitive impairment
of offspring rats, and inhibits oxidative damage and mitochondrial dysfunction in vitro. Neurochem
Res 2010 Feb 5
*Ho et al: Neuroprotective effects of polysaccharides from wolfberry, the fruits of Lycium barbarum,
against homocysteine-induced toxicity in rat cortical neurons. J Alzheimers Dis 2010;19(3):813-27
*Ho et al: Polysaccharides from wolfberry antagonizes glutamate excitotoxicity in rat cortical neurons.
CNS Spectr 1999 Dec;4(12):34-47
*Potterat: Goji (Lycium barbarum and L. chinense): Phytochemistry, pharmacology and safety in the
perspective of traditional uses and recent popularity. Planta Med 2010:76(1):7-19
*Wu et al: Antioxidant activities of some common ingredients of traditional chinese medicine, Angelica
sinensis, Lycium barbarum and Poria cocos. Phytother Res 2004 Dec;18(12):1008-12
*Yu et al: Neuroprotective effects of anti-aging oriental medicine Lycium barbarum against beta-amyl-
oid peptide neurotoxicity. Exp Gerontol 2005 Aug-Sep;40(8-9):716-27
Gotu kola is native to Asian countries and used for thousands of years for a variety
of disorders. In modern times, gotu kola is used to improve blood flow and to de-
crease anxiety.
*Gotu kola: University of Maryland Medical Center website
*Singh et al: Neuronutrient impact of Ayurvedic Rasayana therapy in brain aging. Biogeront 2008
Dec;9(6):369-74
*Subathra et al: Emerging role of Centella asiatica in improving age-related neurological antioxidant
status. Exp Gerontol 2005;40(8-9):707-15
Alzheimer's Disease
*Xu et al: Gotu Kola (Centella Asiatica) extract enhances phosphorylation of cyclic AMP response
element binding protein in neuroblastoma cells expressing amyloid beta peptide. BMC Microbiol
2008 Mar 11;8:45
Grape juice and Grape Seed extract contain potent antioxidants which signifi-
cantly improve brain function.
*Balu etal: Rejuvenation of antioxidant system in central nervous system of aged rats by grape seed
extract. Neurosci Lett 2005 Aug 5;383(3):295-300
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Pamela Duff, RN, CSNC
*Joseph et al: Grape juice, berries, and walnuts affect brain aging and behavior. J Ethnopharmacol
2008 Aug 13;118(3):396-404
*Krikorian et al: Concord grape juice supplementation improves memory function in older adults with
mild cognitive impairment. Br J Nutr 2009 Dec 23:1-5
*Liu et al: Grape seed polyphenolic extract specifically decreases Aβ*56 in the brains of Tg2576 Mice.
J Alzheimers Dis 2011 Jul 8
*Shukitt-Hale et al: Effects of concord grape juice on cognitive and motor deficits in aging. Nutr 2006
Mar:22(3):295-302
*Thomas et al: Grape seed polyphenols and curcumin reduce genomic instability events in a trans-
genic mouse model for Alzheimer’s disease. Mutat Res 2009 Feb 10;661(1-2):25-34
Horny Goat Weed is an herb known to increase blood flow and often used by body-
builders but it also protects against memory loss.
*He et al: Neuroprotective effects of icariin on memory impairment and neurochemical deficits in sen-
escence-accelerated mouse prone 8 (SAMP8) mice. Brain Res 2010 Jun 2;1334:73-83
*Zeng et al: Icariin attenuates β-amyloid-induced neurotoxicity by inhibition of tau protein hyperphos-
phorylation in PC12 cells. Neuropharmacol 2010 Nov;59(6):542-50
Kava is a valuable herb with neuroprotective properties but despite its health bene-
fits, it is not allowed in Canada.
*Wruck et al: Kavalactones protect neural cells against amyloid beta peptide-induced neurotoxicity
via extracellular signal-regulated kinase 1/2-dependent nuclear factor erythroid 2-related factor 2
activation. Mol Pharmacol 2008 Jun;73(6):1785-95
Maca, a Peruvian root, enhances memory and gives a general sense of well-being.
Maca is often used to balance hormones in both men and women.
*León: The “Maca” (Lepidium meyenii ), a little known food plant of Peru. Econ Bot 18(2):122-7
*Rubioa et al: Aqueous and hydroalcoholic extracts of Black Maca (Lepidium meyenii) improve sco-
polamine-induced memory impairment in mice. Food Chem Toxicol 2007 Oct;45(10):1882-90
*McKeown et al: Dietary magnesium intake is related to metabolic syndrome in older Americans. Eur
J Nutr 2008 Jun;47(4):210-6
Mandarin oranges contain a potent antioxidant that has anti-aging effects that also
prevent cognative decline.
*Unno et al: Beta-cryptoxanthin, plentiful in Japanese mandarin orange, prevents age-related cogni-
tive dysfunction and oxidative damage in senescence-accelerated mouse brain. Biol Pharm Bull
2011;34(3):311-7
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Mangosteen fruit contains potent antioxidants that prevent cellular damage from
free radicals.
*Moongkarndi et al: Protective effect of mangosteen extract against beta-amyloid-induced cytotoxicity,
oxidative stress and altered proteome in SK-N-SH cells. J Proteome Res. 2010 May 7;9(5):2076-86
Melatonin reduces oxidative damage to the aging brain; increases the effects of
another antioxidant called Resveratrol; has general neuro-protective effects; and im-
proves liver function in the aged.
*Caballero et al: Melatonin alters cell death processes in response to age-related oxidative stress in the
brain of senescence-accelerated mice. J Pineal Res 2009 Jan;46(1):106-14
*Caballero et al: Favorable effects of a prolonged treatment with melatonin on the level of oxidative dam-
age and neurodegeneration in senescence-accelerated mice. J Pineal Res 2008 Oct;45(3):302-11
*Cuesta et al: Melatonin improves inflammation processes in liver of senescence-accelerated prone
male mice (SAMP8). Exp Gerontol 2010 Dec;45(12):950-6
*Gül et al: Dose-dependent neuroprotective effects of melatonin on experimental spinal cord injury in
rats. Surg Neurol 2005 Oct;64(4):355-61
*Gutierrez-Cuesta et al: Effects of melatonin in the brain of the senescence-accelerated mice-prone 8
(SAMP8) model. Rev Neurol 2011 May 16;52(10):618-622
*Gutierrez-Cuesta et al: Evaluation of potential pro-survival pathways regulated by melatonin in a mur-
ine senescence model. J Pineal Res 2008 Nov;45(4):497-505
*Kwon et al: Melatonin synergistically increases resveratrol-induced heme oxygenase-1 expression
through the inhibition of ubiquitin-dependent proteasome pathway: a possible role in neuroprotec-
tion. J Pineal Res 2011 Mar;50(2):110-23
*Kwon et al: Melatonin potentiates the neuroprotective properties of resveratrol against beta-amyloid-
induced neuro-degeneration by modulating AMP-activated protein kinase pathways. J Clin Neurol
2010 Sep;6(3):127-37
*Okatani et al: Acutely administered melatonin restores hepatic mitochondrial physiology in old mice.
Int J Biochem Cell Biol 2003 Mar;35(3):367-75
*Okatani et al: Melatonin reduces oxidative damage of neural lipids and proteins in senescence-accel-
erated mouse. Neurobiol Aging 2002 Jul-Aug;23(4):639-44
*Perreau et al: Melatonin treatment in old mice enables a more youthful response to LPS in the brain.
J Neuroimmunol 2007 Jan;182(1-2):22-31
Melissa (Lemonbalm) is an herb that contains a flavonoid called Luteolin which re-
duces anxiety; improves coordination and cognitive function; and reduces agitation
in those with mild Alzheimer’s disease.
*Akhondzadeh et al: Melissa officinalis extract in the treatment of patients with mild to moderate Alz-
heimer’s disease: a double blind, randomised, placebo controlled trial. J Neurol Neurosurg Psych
2003 Jul;74(7):863-6
*Orhan & Aslan: Appraisal of scopolamine-induced antiamnesic effect in mice and in vitro antiacetyl-
Alzheimer's Disease
cholinesterase and antioxidant activities of some traditionally used Lamiaceae plants. Food Chem
Toxicol 2010 May 10
*Raines et al: Investigation of the anxiolytic effects of luteolin, a lemon balm flavonoid in the male
Sprague-Dawley rat. AANA J 2009 Feb;77(1):33-6
Nettle (Stinging Nettle) is an herb that reduces toxic effects that lead to brain lesions
and memory loss.
*Toldy et al: The beneficial effects of nettle supplementation and exercise on brain lesion and memory
in rat. J Nutr Biochem 2008 Dec 12
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Pamela Duff, RN, CSNC
Noni fruit improves blood flow thereby increasing cognitive function, endurance,
flexibility and balance.
*Gilani et al: Antispasmodic and vasodilator activities of Morinda citrifolia root extract are mediated
through blockade of voltage dependent calcium channels. BMC Complement Altern Med 2010
Jan 13;10(1):2
*Ma et al: Evaluation of the ergogenic potential of noni juice. Phytother Res 2007 Nov;21(11):1100-1
*Muto et al: Morinda citrifolia fruit reduces stress-induced impairment of cognitive function accompan-
ied by vasculature improvement in mice. Physiol Behav 2010 Sep 1;101(2):211-7
*Pachauri et al: Protective effect of fruits of Morinda citrifolia L. on scopolamine induced memory
impairment in mice: A behavioral, biochemical and cerebral blood flow study. J Ethnopharmacol
2011 Nov 15
*West et al: A double-blind clinical safety study of noni fruit juice. Pac Health Dialog 2009 Nov;15(2):21-32
Omega-3 fatty acids (fish, flaxseed oil, sacha inchi seeds) have numerous health
benefits including brain-protecting qualities.
*van Gelder et al: Fish consumption, n-3 fatty acids, and subsequent 5-y cognitive decline in elderly
men: the Zutphen Elderly Study. Am J Clin Nutr 2007 Apr;85(4):1142-7
Pycnogenol is a potent antioxidant extract from pine bark that has numerous health
Alzheimer's Disease
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Quercetin is a citrus bioflavonoid used most often for its natural anti-histamine
properties but it also improves alcohol-induced deteriorating brain function.
*Singh et al: Reversal of aging and chronic ethanol-induced cognitive dysfunction by quercetin a bio-
flavonoid. Free Radic Res 2003 Nov;37(11):1245-52
Red Yeast Rice is not only good for lowering cholesterol but also for improving brain
function.
*Lee et al: Red mold rice promoted antioxidase activity against oxidative injury and improved the mem-
ory ability of zinc-deficient rats. J Agric Food Chem 2009 Nov 25;57(22):10600-7
*Lee et al: Red mold rice ameliorates impairment of memory and learning ability in intracerebroven-
tricular amyloid beta-infused rat by repressing amyloid beta accumulation. J Neurosci Res 2007
Nov 1;85(14):3171-82
Reishi mushroom has anti-aging effects and protects neurons from degeneration.
*No authors listed: Ganoderma lucidum protects dopaminergic neuron degeneration through inhib-
ition of microglial activation. Evid Based Comple Alternat Med 2009 Jul 16
*Weng et al: Ganodermasides C and D, two new anti-aging ergosterols from spores of the medicinal
mushroom Ganoderma lucidum. Biosci Biotechnol Biochem 2011 Apr 22
*Weng et al: Ganodermasides A and B, two novel anti-aging ergosterols from spores of a medi-
cinal mushroom Ganoderma lucidum on yeast via UTH1 gene. Bioorg Med Chem 2010 Feb
1;18(3):999-1002
Resveratrol is a potent antioxidant found in blueberries and grapes (but not much
in wine) that helps prevent Alzheimer’s as well as other diseases.
*Albani et al: Neuroprotective properties of resveratrol in different neurodegenerative disorders. Biofact
2010 Sep;36(5):370-6
*Chang et al: Low-dose pterostilbene, but not resveratrol, is a potent neuromodulator in aging and
Alzheimer’s disease. Neurobiol Aging 2011;08:15
*Chiavaroli et al: Resveratrol inhibits isoprostane production in young and aged rat brain. Mol Cells
2008 Nov 30;26(5):486-9
*Doré: Unique properties of polyphenol stilbenes in the brain: more than direct antioxidant actions;
gene/protein regulatory activity. Neuropharma 2008 Jun;54(7):1112-9
*Harada et al: Resveratrol improves cognitive function in mice by increasing production of insulin-like
growth factor-I in the hippocampus. J Nutr Biochem 2011 Dec;22(12):1150-59
*Kim et al: Resveratrol inhibits inducible nitric oxide synthase and cyclooxygenase-2 expression in
beta-amyloid-treated C6 glioma cells. Int J Mol Med 2006 Jun;17(6):1069-75
*Oomen et al: Resveratrol preserves cerebrovascular density and cognitive function in aging mice.
Front Aging Neurosci 2009;1:4
*Rahvar et al: Effect of oral resveratrol on the BDNF gene expression in the hippocampus of the rat
brain. Neurochem Res 2011 Jan 9
*Richard et al: Neuroprotective properties of resveratrol and derivatives. Ann N Y Acad Sci 2011 Jan;1215:103-8
Rooibos Tea is native to South Africa and long used as a rejuvenation tonic for
adults and babies. It possesses antioxidant properties that protect brain function
from damaging effects of free radicals.
Alzheimer's Disease
*Inanami et al: The suppression of age-related accumulation of lipid peroxides in rat brain by adminis-
tration of Rooibos tea (Aspalathus linearis). Neurosci Lett 1995 Aug 18;196(1-2):85-8
Saffron is a spice whose actions are comparable with donepezil but without the side
effects.
*Akhondzadeh et al: A 22-week, multicenter, randomized, double-blind controlled trial of Crocus
sativus in the treatment of mild-to-moderate Alzheimer’s disease. Psychopharmacol (Berl) 2010
Jan;207(4):637-43
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Pamela Duff, RN, CSNC
St. John’s Wort is a well-known herb often used for depression but it appears to
improve spatial memory as well.
*Trofimiuk et al: Activation of CREB by St. John’s wort may diminish deletorious effects of aging on
spatial memory. AAPS PharmSciTech 2005 Sep 20;6(1):E74-82
Trans-fats contribute to diminished cognitive function. Trans fats are formed in the
food processing industry especially those containing fats or oily foods.
*Corsinovil et al: Dietary lipids and their oxidized products in Alzheimer’s disease. Mol Nut Food Res
2011 Sept:55(2):S161–SS172
Vinpocetine is an extract from the periwinkle plant that is proving to be even more
effective than the standard ginkgo biloba for improving cognitive function.
*Balestreri et al: A double-blind placebo controlled evaluation of the safety and efficacy of vinpocetine
in the treatment of patients with chronic vascular senile cerebral dysfunction. J Am Geri Soc
1987;May:35(5):425-30
*Kiss and Karpati: Mechanism of action of vinpocetine. Acta Pharmaceut Hungar1996;66(5):213-24
*No author listed: Vinpocetine. Monograph. Alt Med Rev 2002;(3):240-3
* Valikovics: Investigation of the effect of vinpocetine on cerebral blood flow and cognitive functions.
Ideggyogy Sz 2007;60(7-8):301-10
Vitamins and Minerals increase cognitive abilities and lifespan while decreasing
the risk and duration of infections.
*Chan et al: Efficacy of a vitamin/nutriceutical formulation for early-stage Alzheimer’s disease: a 1-year,
open-label pilot study with an 16-month caregiver extension. Am J Alzh Dis Other Demen 2008
Dec-2009 Jan;23(6):571-85
Alzheimer's Disease
*Chandra: Effect of vitamin and trace-element supplementation on immune responses and infection in
elderly subjects. Lancet 1992;340:1124-27
*Kesse-Guyot et al: Adherence to nutritional recommendations and subsequent cognitive perform-
ance: findings from the prospective Supplementation with antioxidant vitamins and minerals 2 (SU.
VI.MAX 2) study. Am J Clin Nutr 2011 Jan;93(1):200-10
*Lee et al: Association between 25-hydroxyvitamin D levels and cognitive performance in middle-aged
and older European men. J Neurol Neurosurg Psychiatry. 2009 Jul;80(7):722-9
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Alzheimer's Disease
71
Analgesics/Anti-inflammatories/
NSAIDs/Opioids
(Used to control various levels of pain, inflammation, and fevers)
Common examples:
sulindac – Clinoril
... and many more
Opioids (used to treat moderate to severe pain)
buprenorphine – Buprenex
butorphanol – Stadol
codeine
fentanyl – Duragesic, Innovar and others
hydrocodone – Dyazide, Maxzide, Lortab, Alor, Lorcet, Vicodin, and others
hydromorphone – Dilaudid
meperidine – Demerol
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
methadone – Dolophine
morphine – Astramorph
oxycodone – OxyContin, Percodan
propoxyphene – Darvon
... and many more
Deplete:
B1, B2, B3, B5, B7, B9, B12, C, D, E, K, calcium, copper, iron,
magnesium, potassium, sodium, zinc and almost all other minerals,
melatonin, glutathione/NAC, protein
´´Food Additives consist of thousands and many are linked to such painful
conditions as migraines and fibromyalgia which improve when these are
eliminated from the diet. Of special concern are Aspartame, MSG, Sucralose
(Splenda) which are notorious for causing many health problems.
*Jacob & Stechschulte: Formaldehyde, aspartame, and migraines: a possible connection. Dermatitis
2008 May-Jun;19(3):E10-1
*Patel et al: Popular sweetner sucralose as a migraine trigger. Headache 2006 Sep;46(8):1303-4
*Smith et al: Relief of fibromyalgia symptoms following discontinuation of dietary excitotoxins. Ann
Pharmacother 2001 Jun;35(6):702-6
´´NSAIDS and their chronic use, have been linked to a two-fold increased
risk of blood cancer; restless leg syndrome, especially in those also taking
antidepressants; blood clots; congestive heart failure; and death.
*Farkouh et al: Cardiovascular outcomes in high risk patients with osteoarthritis treated with. Ann
Rheum Dis 2007 Jun;66(6):764-70
*Gislason et al: Increased mortality and cardiovascular morbidity associated with use of nonsteroidal
anti-inflammatory drugs in chronic heart failure. Arch Intern Med 2009 Jan 26;169(2):141-9
Analgesics/Anti-Inflammatories
*Leutgeb & Martus: Regular intake of non-opioid analgesics is associated with an increased risk of
restless legs syndrome in patients maintained on antidepressants. Eur J Med Res 2002 Aug
30;7(8):368-78
*Walter et al: Long-term use of acetaminophen, aspirin, and other nonsteroidal anti-inflammatory
drugs and risk of hematologic malignancies: results from the prospective vitamins and lifestyle
(VITAL) study. J Clin Oncol 2011 May 9
´´Sorbitol is a sugar alcohol alternative that can cause abdominal pain and
bloating.
*Jain et al: Sorbitol intolerance in adults. Am J Gastroenterol 1985 Sep;80(9):678-81
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Pamela Duff, RN, CSNC
Suggested alternatives:
* There are dozens of other evidence-based alternatives that relieve pain. Some of these in-
clude chiropractic treatments, yoga, accupuncture, massage, biofeedback, light therapy and
many more but I am only addressing oral supplemental relief.
Alpha-lipoic acid (a potent antioxidant), GLA (the good part of omega-6) and Carnitine
(made in the body from two amino acids, lysine and methionine) taken alone or in com-
bination with each other, help relieve pain from various causes.
*Chiechio et al: Acetyl-L-carnitine in neuropathic pain: experimental data. CNS Drugs 2007;21 Suppl
1:31-8; discussion 45-6
*Chiechio et al: L-Acetylcarnitine induces analgesia by selectively up-regulating mGlu2 metabotropic
glutamate receptors. Mol Pharmacol 2002 May;61(5):989-96
*Ghelardini et al: Acetyl-l-carnitine induces muscarinic antinocieption in mice and rats. Neuropharma
2002 Dec;43(7):1180-7
*Magis et al: A randomized double-blind placebo-controlled trial of thioctic acid in migraine prophyl-
axis. Headache 2007 Jan;47(1):52-7
*Memeo & Loiero: Thioctic acid and acetyl-L-carnitine in the treatment of sciatic pain caused by a herni-
ated disc: a randomized, double-blind, comparative study. Clin Drug Investig 2008;28(8):495-500
*Ranieri et al: The use of alpha-lipoic acid (ALA), gamma linolenic acid (GLA) and rehabilitation in the
treatment of back pain: effect on health-related quality of life. Int J Immunopathol Pharmacol 2009
Jul-Sep;22(3 Suppl):45-50
*Vincent et al: Effects of alpha-lipoic acid supplementation in peripheral arterial disease: a pilot study.
Zhongguo Zhen Jiu 2010 Aug;30(8):617-22
Andrographis is an herb often used to improve the immune system but it also has
anti-inflammatory activity.
*Chandrasekaran et al: Effect of an extract of Andrographis paniculata leaves on inflammatory and
allergic mediators in vitro. J Ethnopharmacol 2010 May 27;129(2):203-7
Anthrocyanins are found in such fruits as cherries and raspberries and have a
similar effect as ibuprofen and naproxen but without the side effects.
*Seeram et al: Cyclooxygenase inhibitory and antioxidant cyanidin glycosides in cherries and berries.
Phytomed 2001 Sep;8(5):362-9
Arginine is an amino acid used, in this case, for treating interstitial cystitis, a pain-
ful urinary bladder condition.
*Korting et al: A randomized double-blind trial of oral L-arginine for treatment of interstitial cystitis. J
Urol 1999 Feb;161(2):558-65
Analgesics/Anti-Inflammatories
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Jäger et al: Phytomedicines prepared from Arnica flowers inhibit the transcription factors AP-1 and
NF-kappaB and modulate the activity of MMP1 and MMP13 in human and bovine chondrocytes.
Planta Med 2009 Oct;75(12):1319-25
*Jeffrey and Belcher: Use of Arnica to relieve pain after carpal-tunnel release surgery. Altern Ther
Health Med. 2002 Mar-Apr;8(2):66-8
*Karow et al: Efficacy of Arnica montana D4 for healing of wounds after Hallux valgus surgery com-
pared to diclofenac. Curr Med Res Opin 1998;14(3):127-39
*Kawakami et al: Inflammatory process modulation by homeopathic arnica montana 6CH: The role of
individual variation. Evid Based Complement Alternat Med 2011;2011:917541
*Knuesel et al: Arnica montana gel in osteoarthritis of the knee: an open, multicenter clinical trial. Adv
Ther 2002 Sep-Oct;19(5):209-18
*Lüdtke and Hacke: On the effectiveness of the homeopathic remedy Arnica montana. Wien Med
Wochenschr 2005 Nov;155(21-22):482-90
*Lyss et al: Helenalin, an anti-inflammatory sesquiterpene lactone from Arnica, selectively inhibits tran-
scription factor NF-kappaB. Biol Chem 1997 Sep;378(9):951-61
*Lyss et al: The anti-inflammatory sesquiterpene lactone helenalin inhibits the transcription factor NF-
kappaB by directly targeting p65. J Biol Chem 1998 Dec 11;273(50):33508-16
*Macêdo et al: Anti-inflammatory activity of Arnica montana 6cH: preclinical study in animals. Hom-
eopathy 2004 Apr;93(2):84-7
*Merfort: Arnica: new insights on the molecular mode of action of a traditional medicinal plant. Teratol-
ogy 1999 Apr;59(4):252-60
*Robertson et al: Homeopathic Arnica montana for post-tonsillectomy analgesia: a randomised pla-
cebo control trial. Homeopathy 2007 Jan;96(1):17-21
*Seeley et al: Effect of homeopathic Arnica montana on bruising in face-lifts: results of a randomized,
double-blind, placebo-controlled clinical trial. Arch Facial Plast Surg 2006 Jan-Feb;8(1):54-9
*Tveiten & Bruset: Effect of Arnica D30 in marathon runners. Pooled results from two double-blind
placebo controlled studies. Adv Exp Med Biol 2007;595:379-405
*Widrig et al: Choosing between NSAID and arnica for topical treatment of hand osteoarthritis in a
randomised, double-blind study. Rheumatol Int 2007 Apr;27(6):585-91
*Wolf et al: Efficacy of Arnica in varicose vein surgery: results of a randomized, double-blind, placebo-
controlled pilot study. Forsch Komplementarmed Klass Naturheilkd 2003 Oct;10(5):242-7
Aromatherapy Essential oils prove more effective than standard analgesics for
pain and reduced the amount of opiods needed (ginger, orange, peppermint, rose-
mary). The oils of clary sage, marjoram, cinnamon, ginger, and geranium in a base
of almond oil proved an effective belly massage treatment for menstrual pain in high
school girls.
*Higley 2010:438-40
*Ess Sci Pub 2009:456-57 Analgesics/Anti-Inflammatories
*Hur et al: Aromatherapy massage on the abdomen for alleviating menstrual pain in high school girls:
a preliminary controlled clinical study. Evid Based Comple Alt Med 2012;2012:187163
*Kim et al: Treatment with lavender aromatherapy in the post-anesthesia care unit reduces opioid re-
quirements of morbidly obese patients undergoing laparoscopic adjustable gastric banding. Obes
Surg 2007 Jul;17(7):920-5
*Martinez et al: Antinociceptive effect and GC/MS analysis of Rosmarinus officinalis L. essential oil
from its aerial parts. Planta Med 2009 Apr;75(5):508-11
*Melli et al: Effect of peppermint water on prevention of nipple cracks in lactating primiparous women:
a randomized controlled trial. Int Breastfeed J 2007;2:7
*Melli et al: A randomized trial of peppermint gel, lanolin ointment, and placebo gel to prevent nipple
crack in primiparous breastfeeding women. Med Sci Monit 2007 Sep;13(9):CR406-411
*Yip & Tam: An experimental study on the effectiveness of massage with aromatic ginger and orange
essential oil for moderate-to-severe knee pain among the elderly in Hong Kong. Microbes Infect
2006 May;8(6):1450-4
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Pamela Duff, RN, CSNC
B-complex vitamins are important for healthy nerves and can help alleviate the pain
of neuropathy. (see Appendix for a list of B vitamins according to name and number)
*Jolivalt et al: B vitamins alleviate indices of neuropathic pain in diabetic rats. Eur J Pharmacol 2009
Jun 10;612(1-3):41-7
Bees Wax compounds help protect against NSAID-induced gastric ulcers if taken
internally. A warm beeswax massage can be soothing to painful joints.
*Illnait et al: Effects of D-002, a product isolated from beeswax, on gastric symptoms of patients with
osteoarthritis treated with piroxicam: a pilot study. J Med Food 2005;8(1):63-8
Boswellia (Frankincense) is a plant that has been used for thousands of years for
healing all manner of conditions. It has potent anti-inflammatory properties that
reduce pain including that of Crohn’s disease.
*Blain et al: Boswellia frereana (frankincense) suppresses cytokine-induced matrix metalloproteinase
expression and production of pro-inflammatory molecules in articular cartilage. Curr Eye Res
2006 Feb;31(2):147-53
*Gerhardt et al: Therapy of active Crohn disease with Boswellia serrata extract H 15. Gastroenterol
2001 Jan;39(1):11-7
*Gupta et al: Effects of gum resin of Boswellia serrata in patients with chronic colitis. Plant Med 2001
Analgesics/Anti-Inflammatories
Jul;67(5):391-5
*Sengupta et al: A double blind, randomized, placebo controlled study of the efficacy and safety of
5-Loxin for treatment of osteoarthritis of the knee. Arthritis Res Ther 2008;10(4):R85
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Capsaicin is a substance in hot peppers that is, ironically, a natural pain reliever.
*Bernstein et al: Topical capsaicin treatment of chronic postherpetic neuralgia. J Am Acad Dermatol
1989 Aug;21(2 Pt 1):265-70
*Watson et al: A randomized vehicle-controlled trial of topical capsaicin in the treatment of posther-
petic neuralgia. Clin Ther 1993 May-Jun;15(3):510-26
Cat’s Claw is an herb with known pain and inflammation relieving substances. With
Maca, Cat’s Claw also protects chondroitin, an important part of joint and cartilage
health.
*Allen-Hall et al: Uncaria tomentosa acts as a potent TNF-alpha inhibitor through NF-kappaB. J Ethn-
opharmacol 2009 Dec 6
*Cisneros et al: An Uncaria tomentosa (cat’s claw) extract protects mice against ozone-induced lung
inflammation. J Ethnopharmacol 2005 Jan 15;96(3):355-64
*Miller et al: The chrondoprotective actions of a natural product are associated with the activation of
IGF-1 production by human chondrocytes despite the presence of IL-1beta. BMC Complement
Analgesics/Anti-Inflammatories
Altern Med 2006 Apr 7;6:13
*Mur et al: Randomized double blind trial of an extract from the pentacyclic alkaloid-chemotype of
uncaria tomentosa for the treatment of rheumatoid arthritis. J Rheumatol 2002 Apr;29(4):678-81
*Piscoya et al: Efficacy and safety of freeze-dried cat’s claw in osteoarthritis of the knee: mechanisms
of action of the species Uncaria guianensis. Inflamm Res 2001 Sep;50(9):442-8
*Rinner et al: Antiproliferative and pro-apoptotic effects of Uncaria tomentosa in human medullary
thyroid carcinoma cells. Anticancer Res 2009 Nov;29(11):4519-28
*Sandoval et al: Cat’s claw inhibits TNFalpha production and scavenges free radicals: role in cyto-
protection. Plant Foods Hum Nutr 2010 Sep;65(3):225-32
*Sandoval-Chacón et al: Antiinflammatory actions of cat’s claw: the role of NF-kappaB. Aliment Phar-
macol Ther 1998 Dec;12(12):1279-89
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Pamela Duff, RN, CSNC
Celedrin cream is a formula containing Cetyl myristoleate that helps relieve pain.
*Hesslink et al: Cetylated fatty acids improve knee function in patients with osteoarthritis. J Rheumatol
2002 Aug;29(8):1708-12
Cherries (tart and sweet) are natural anti-inflammatories that relieve gouty and
post-exercise muscle pain.
*Jacob et al: Consumption of cherries lowers plasma urate in healthy women. J Nutr 2003
Jun;133(6):1826-9
*Kelley et al: Consumption of Bing sweet cherries lowers circulating concentrations of inflammation
markers in healthy men and women. J Nutr 2006 Apr;136(4):981-6
*Kuehl et al: Efficacy of tart cherry juice in reducing muscle pain during running: a randomized con-
trolled trial. J Int Soc Sports Nutr 2010;7:17
*Tall et al: Tart cherry anthocyanins suppress inflammation-induced pain behavior in rat. Behav Brain
Res 2004 Aug 12;153(1):181-8
CoQ10 is a coenzyme with anti-inflammatory effects that can help prevent migraines
while a deficiency can cause them. The Ubiquinol form has better absorption than
the cheaper ubiquinone.
*Hershey et al: Coenzyme Q10 deficiency and response to supplementation in pediatric and adoles-
cent migraine. Headache 2007 Jan;47(1):73-80
Analgesics/Anti-Inflammatories
*Maroz et al: Reactivity of ubiquinone and ubiquinol with superoxide and the hydroperoxyl radical:
implications for in vivo antioxidant activity. Free Radic Biol Med 2009 Jan 1;46(1):105-9
*Rozen et al: Open label trial of coenzyme Q10 as a migraine preventive. Cephalalgia 2002
Mar;22(2):137-41
*Sándor et al: Efficacy of coenzyme Q10 in migraine prophylaxis: a randomized controlled trial. Neurol
2005 Feb 22;64(4):713-5
*Schmelzer et al: Functions of coenzyme Q10 in inflammation and gene expression. Biofactors
2008;32(1-4):179-83
*Schmelzer et al: Effects of ubiquinol-10 on microRNA-146a expression in vitro and in vivo. Mediators
Inflamm 2009;2009:415437
*Schmelzer et al: In vitro effects of the reduced form of coenzyme Q(10) on secretion levels of TNF-
alpha and chemokines in response to LPS in the human monocytic cell line THP-1. J Clin Biochem
Nutr 2009 Jan;44(1):62-6
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*Schmelzer et al: The reduced form of coenzyme Q10 mediates distinct effects on cholesterol metab-
olism at the transcriptional and metabolite level in SAMP1 mice. IUBMB Life 2010 Nov 17
79
Pamela Duff, RN, CSNC
*Park et al: Luteolin and chicoric acid synergistically inhibited inflammatory responses via inactivation
of PI3K-Akt pathway and impairment of NF-κB translocation in LPS stimulated RAW 264.7 cells.
Eur J Pharmacol 2011 Apr 15
*Schütz et al: Taraxacum - a review on its phytochemical and pharmacological profile. J Ethnopharma-
col 2006 Oct 11;107(3):313-23
Devil’s Claw, White Willow Bark and Cayenne are potent pain relievers. White
willow bark was the basis for making aspirin at one time.
*Gagnier et al: Herbal medicine for low back pain. Cochrane Database Syst Rev 2006 Apr
19;(2):CD004504
*Warnock et al: Effectiveness and safety of Devil’s Claw tablets in patients with general rheumatic
disorders. Phytother Res 2007 Dec;21(12):1228-33
EGCG (Epigallocatechin gallate) is a substance found in green tea that helps relieve
pain, one of its many health benefits.
*Ahmed et al: Down-regulation of myeloid cell leukemia 1 by epigallocatechin-3-gallate sensitizes
rheumatoid arthritis synovial fibroblasts to tumor necrosis factor alpha-induced apoptosis. Am J
Surg 2010 Jul 7
*Yun et al: Epigallocatechin-3-gallate suppresses TNF-alpha -induced production of MMP-1 and -3 in
rheumatoid arthritis synovial fibroblasts. Gastroenter 2007 May;132(5):1925-36
Enzyme therapy can speed pain relief as well as helping the digestion and the im-
mune system. For pain relief, take between meals.
*Chichoke: Enzymes can hasten pain relief. Nutr Sci News 2001 Feb
Flavonoids (Bioflavonoids) are plant substances that have numerous health benefits
including reducing pain and bleeding after surgery.
*Mlakar and Kosorok: Flavonoids to reduce bleeding and pain after stapled hemorrhoidopexy: a ran-
domized controlled trial. Wien Klin Wochenschr 2005 Aug;117(15-16):558-60
*Rovenský et al: Effects of purified micronized flavonoid fraction (Detralex) on prophylactic treatment of
adjuvant arthritis with methotrexate in rats. Isr Med Assoc J 2008 May;10(5):377-80
*Simsek et al: Effects of micronized purified flavonoid fraction (Daflon) on pelvic pain in women with
laparoscopically diagnosed pelvic congestion syndrome: a randomized crossover trial. Clin Exp
Obstet Gynecol 2007;34(2):96-8
*Taskin et al: The effects of daflon on pelvic pain in women with Taylor Syndrome. J Am Assoc Gynecol
Laparosc 1996 Aug;3(4, Supplement):S49
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Food sensitivities often cause pain (migraines, abdominal, muscle, joint). Common
triggers include alcohol, artificial sweeteners, caffeine, chocolate, dairy (especially
aged cheese), pickled foods, shellfish, wheat, MSG (monosodium glutamate), nitrates
and smoke found in processed meats.
*Sun-Edelstein & Mauskop: Foods and supplements in the management of migraine headaches. Mol
Canc Ther 2008 Jun;7(6):1708-19
GLA (gamma-linolenic acid) can help relieve arthritic pain. GLA is the “good” part
of omega-6 fatty acid and found in such oils as borage, evening primrose, and black
currant seed. It is also found in such foods as blueberries, walnuts, apples, flax seed
and watercress.
*Cameron et al: Evidence of effectiveness of herbal medicinal products in the treatment of arthritis.
Part 2: Rheumatoid arthritis. Phytother Res 2009 Nov 25;23(12):1647-1662
*Gamma-linolenic acid. U Maryland Medical Center online
*Leventha et al: Treatment of rheumatoid arthritis with blackcurrant seed oil. Br J Rheumatol 1994
Sep;33(9):847-52
Ginger is not only a good herb for digestion but proves superior to NSAIDs in reliev-
ing pain.
*Fouda et al: Evaluation of the effect of hydroalcoholic extract of Zingiber officinale rhizomes in rat
collagen-induced arthritis. Basic Clin Pharmacol Toxicol 2009 Mar;104(3):262-71
*Funk et al: Comparative effects of two gingerol-containing Zingiber officinale extracts on experimental
rheumatoid arthritis. J Nat Prod 2009 Feb 13
*Ozgoli et al: Comparison of effects of ginger, mefenamic acid, and ibuprofen on pain in women with Analgesics/Anti-Inflammatories
primary dysmenorrhea. J Altern Complement Med 2009 Feb 13
Ginkgo biloba is an herb often used to improve memory because it increases blood
flow which is likely why it is effective in preventing some migraines.
*D’Andrea et al: Efficacy of Ginkgolide B in the prophylaxis of migraine with aura. Neurol Sci 2009
May;30 Suppl 1:S121-4
*Usai et al: An innovative approach for migraine prevention in young age: a preliminary study. Neurol
Sci 2010 Jun;31 Suppl 1:S181-3
Ginseng has long been used as a general restorative but it is also proving to be a safe
alternative for pain.
*Park et al: Effects of AIF on knee osteoarthritis patients: double-blind, randomized placebo-controlled
study. Korean J Physiol Pharmacol 2009 Feb;13(1):33-7
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Pamela Duff, RN, CSNC
Green Plantain Banana pulp protects the gastric mucosa from aspirin-induced
erosions.
*Lewis et al: A natural flavonoid present in unripe plantain banana pulp (Musa sapientum L. var. para-
disiaca) protects the gastric mucosa from aspirin-induced erosions. J Ethnopharmacol 1999
Jun;65(3):283-8
Holy Basil is an herb well known for its mood uplifting properties but it seems to
help sciatic nerve pain as well.
*Muthuraman et al: Ameliorative effects of Ocimum sanctum in sciatic nerve transection-induced neur-
opathy in rats. J Ethnopharmacol 2008 Oct 30;120(1):56-62
Homeopathic remedies safely and effectively treat various painful conditions in-
cluding fibromyalgia and migraines. Although arnica is the number one choice for
relieving pain, there are others that are effective as pain-relievers.
*Bell et al: Improved clinical status in fibromyalgia patients treated with individualized homeopathic
remedies versus placebo. Rheumatology (Oxford) 2004 May;43(5):577-82
*Bornhöft et al: Effectiveness, safety and cost-effectiveness of homeopathy in general practice - sum-
marized health technology assessment. Forsch Komplementmed 2006;13 Suppl 2:19-29
*Haselen & Fisher: A randomized controlled trial comparing topical piroxicam gel with a homeopathic
gel in osteoarthritis of the knee. Rheumatol (Oxford) 2000 Jul;39(7):714-9
*Jacobs et al: Treatment of acute childhood diarrhea with homeopathic medicine: a randomized clin-
ical trial in Nicaragua. Pediatrics 1994 May;93(5):719-25
*Relton et al: Healthcare provided by a homeopath as an adjunct to usual care for fibromyalgia (FMS):
results of a pilot Randomised Controlled Trial. Homeopathy 2009 Apr;98(2):77-82
*Witt et al: Homeopathic treatment of patients with migraine: a prospective observational study with a
2-year follow-up period. J Altern Complement Med 2010 Apr;16(4):347-55
*Witt et al: Homeopathic treatment of patients with chronic low back pain: A prospective observational
study with 2 years’ follow-up. HNO 2007 Apr;55(4):258-63
labelled as “honey”.
*Kassim et al: Ellagic acid, phenolic acids, and flavonoids in Malaysian honey extracts demonstrate in
vitro anti-inflammatory activity. Nutr Res 2010 Sep;30(9):650-9
*Owoyele et al: Effects of honey on inflammation and nitric oxide production in Wistar rats. Zhong Xi Yi
Jie He Xue Bao 2011 Apr ;9(4):447-52
*Schneider: Tests Show Most Store Honey Isn’t Honey: Ultra-filtering Removes Pollen, Hides Honey
Origins. Food Safety News 2011 Nov 7
Hops is a calming herb that has anti-inflammatory activity which helps athritis,
liver inflammation and fibrosis.
*Cleemput et al: Hop bitter acids efficiently block inflammation independent of GRalpha, PPARalpha,
or PPARgamma. Mol Nutr Food Res 2009 Aug 4
*Dorn et al: Xanthohumol, a chalcon derived from hops, inhibits hepatic inflammation and fibrosis. Mol
Nutr Food Res 2010 Jan 19
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*Hougee et al: Selective inhibition of COX-2 by a standardized CO2 extract of Humulus lupulus in vitro
and its activity in a mouse model of zymosan-induced arthritis. Biochem Biophys Res Commun
1996 Jul 16;224(2):358-61
Kudzu is considered a noxious weed in many places but it does have health benefits
including helping relieve the pain of cluster headaches.
*Sewell: Response of cluster headache to kudzu. Headache 2009 Jan;49(1):98-105
Licorice root has long helped relieve the pain of stomach ulcers so it should come
as no surprise that it helps with the pain of canker sores as well.
*Martin et al: A controlled trial of a dissolving oral patch concerning glycyrrhiza (licorice) herbal extract
for the treatment of aphthous ulcers. Gen Dent 2008 Mar-Apr;56(2):206-10; quiz 211-2, 224
*Moghadamnia et al: The efficacy of the bioadhesive patches containing licorice extract in the man-
agement of recurrent aphthous stomatitis. Phytother Res 2009 Feb;23(2):246-50
Linden and Quercetin are effective in treating arthritic pain. Linden is an herb
often used for its sedative properties while Quercetin, a bioflavonoid, is used as a
natural antihistamine and anti-inflammatory.
*Quercetin. U Maryland Medical Center online
*Martinez et al: Antinociceptive activity of Tilia americana var. mexicana inflorescences and quercetin
in the formalin test and in an arthritic pain model in rats. Neuropharma 2008 Nov 5
Magnesium, Selenium, Malic acid, and Fish oil help prevent migraines and can
safely be used even by children. A deficiency in magnesium especially, can constrict Analgesics/Anti-Inflammatories
blood vessels that often leads to headaches.
*Cohen: High-dose oral magnesium treatment of chronic, intractable erythromelalgia. Ann Pharma-
cother 2002 Feb;36(2):255-60
*Eisinger et al: Selenium and magnesium status in fibromyalgia. Magnes Res 1994 Dec;7(3-4):285-8
*Facchinetti et al: Magnesium prophylaxis of menstrual migraine: effects on intracellular magnesium.
Headache 1991 May;31(5):298-301
*Facchinetti et al: Oral magnesium successfully relieves premenstrual mood changes. Obstet Gynecol
1991 Aug;78(2):177-81
*McCarty et al: Magnesium taurate and fish oil for prevention of migraine. Med Hypotheses 1996
Dec;47(6):461-6
*Marcus et al: Serum ionized magnesium in post-traumatic headaches. Maturitas 2005 June
16;51(2):177-86
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Pamela Duff, RN, CSNC
*Russell et al: Treatment of fibromyalgia syndrome with Super Malic: a randomized, double blind, pla-
cebo controlled, crossover pilot study. J Rheumatol 1995 May;22(5):953-8
*Shechter et al: Effects of oral magnesium therapy on exercise tolerance, exercise-induced chest pain,
and quality of life in patients with coronary artery disease. Am J Cardiol 2003 Mar 1;91(5):517-21
*Teragawa et al: The preventive effect of magnesium on coronary spasm in patients with vasospastic
angina. Clin Cancer Res 2008 Nov 1;14(21):6855-66
*Wang et al: Oral magnesium oxide prophylaxis of frequent migrainous headache in children: a ran-
domized, double-blind, placebo-controlled trial. Eur J Endocrinol 2009 Apr;160(4):611-7
Melatonin, often used to induce sleep, has many other health benefits including
relieving headaches and reducing kidney damage caused by acetaminophen.
*Ilbey et al: Melatonin prevents acetaminophen-induced nephrotoxicity in rats. Int Urol Nephrol
2009;41(3):695-702
*Peres et al: Potential therapeutic use of melatonin in migraine and other headache disorders. Expert
Opin Investig Drugs 2006 Apr;15(4):367-75
Milk Thistle, often used as a liver support, proves superior to drugs in reducing
inflammation of osteoarthritis.
*Hussain et al: Anti-inflammatory activity of silymarin in patients with knee osteoarthritis. A comparative
study with piroxicam and meloxicam. J Proteomics 2010 Mar 10;73(5):951-64
Mullein is an herb that has been used for hundreds of years for bronchitis and heavy
coughs but it is also an anti-inflammatory, helping to relieve pain.
*Tatli et al: Anti-inflammatory and antinociceptive potential of major phenolics from Verbascum salvii-
folium Boiss. Z Naturforsch [C] 2008 Mar-Apr;63(3-4):196-202
Myrtle is an herb that manages the pain and inflammation of oral infections. A few
drops of myrtle tincture or essential oil on toothpaste is a viable option.
*Babaee et al: The efficacy of a paste containing Myrtus communis (Myrtle) in the management of re-
current aphthous stomatitis: a randomized controlled trial. Clin Oral Investig 2010 Feb;14(1):65-70
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Natural substances such as Curcumin, ECGC, Green Tea, Milk Thistle, Pom-
egranate, Quercetin, and Resveratrol help prevent osteo- and rheumatoid arthritis.
*Khalifé & Zafarullah: Molecular targets of natural health products in arthritis. Arthritis Res Ther 2011
Feb 3;13(1):102
Niacin (vitamin B3) helps prevent migraines but if extra is taken of this it must ac-
company a full B-complex for better effect since the B family all work together.
*Velling et al: Sustained-release niacin for prevention of migraine headache. Mayo Clin Proc 2003
Jun;78(6):770-1
Noni fruit is as effective as analgesics and steroids for reducing pain and inflammation.
*Basar et al: Analgesic and antiinflammatory activity of Morinda citrifolia L. (Noni) fruit. Phytother Res
2010 Jan;24(1):38-42
*Basar et al: Analgesic and antiinflammatory activity of Morinda citrifolia L. (Noni) fruit. Phytother Res
2009 Jun 22
*Buia et al: Polysaccharide composition of the fruit juice of Morinda citrifolia (Noni). Phytochem 2006
June;67(12):1271-75
*Chan-Blancoa et al: The noni fruit (Morinda citrifolia L.): A review of agricultural research, nutritional
and therapeutic properties. J Food Comp Anal 2006 Sept-Nov:19(6-7):645-654
*Dixon et al: Ferment this: The transformation of Noni, a traditional polynesian medicine (Morinda Cit-
rifolia, Rubiaceae). Econ Bot 53(1):51-68
*Dussossoy et al: Characterization, anti-oxidative and anti-inflammatory effects of Costa Rican noni
juice (Morinda citrifolia L.). J Ethnopharmacol 2010 Sep 19
*McClatchey: From Polynesian healers to health food stores: Changing perspectives of Morinda citri-
folia (Rubiaceae). Integ Canc Ther 2002 June;1(2):110-120
*McKoy et al: Preliminary investigation of the anti-inflammatory properties of an aqueous extract from
Morinda citrifolia (Noni). Proc West Pharmacol Soc 2002 45:76-78
Analgesics/Anti-Inflammatories
*Nualsanit et al: Damnacanthal-induced anti-inflammation is associated with inhibition of NF-κB Activ-
ity. Inflamm Allergy Drug Targets 2011 Nov 1
*Potterat & Hamburger: Morinda citrifolia (Noni) Fruit - Phytochemistry, Pharmacology, Safety. Planta
Med 2007;73(3):191-199
*West et al: A double-blind clinical safety study of noni fruit juice. Pac Health Dialog 2009 Nov;15(2):21-32
Olive leaf and Oil have anti-inflammatory effects similar to COX-2 inhibitors
(NSAIDs).
*Corona et al: Inhibition of p38/CREB phosphorylation and COX-2 expression by olive oil polyphenols
underlies their anti-proliferative effects. Biochem Biophys Res Commun 2007 Oct 26;362(3):606-11
*Kaeidi et al: Olive (Olea europaea L.) leaf extract attenuates early diabetic neuropathic pain through
prevention of high glucose-induced apoptosis: In vitro and in vivo studies. J Ethnopharma 2011
Apr 22
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Pamela Duff, RN, CSNC
*Lucas et al: Molecular mechanisms of inflammation. Anti-inflammatory benefits of virgin olive oil and
the phenolic compound oleocanthal. Curr Pharm Des 2011 ;17(8):754-68
*Süntar et al: Assessment of anti-inflammatory and antinociceptive activities of Olea europaea L. Urol
Int 2006;77(3):269-74
Omega-3 fatty acids are known anti-inflammatories and can be found in fish or
flaxseed oils and sacha inchi seeds.
*Adam et al: Anti-inflammatory effects of a low arachidonic acid diet and fish oil in patients with rheuma-
toid arthritis. Rheumatol Int 2003 Jan;23(1):27-36
*Follegatti-Romero et al: Supercritical CO2 extraction of omega-3 rich oil from Sacha inchi (Plukenetia
volubilis L.) seeds. J Supercrit Fluids 2009 July;49(3):323-29
*Fritsch et al: A multicenter study of the effect of dietary supplementation with fish oil omega-3 fatty acids
on carprofen dosage in dogs with osteoarthritis. J Am Vet Med Assoc 2010 Mar 1;236(5):535-9
*Galarraga et al: Cod liver oil (n-3 fatty acids) as an non-steroidal anti-inflammatory drug sparing agent
in rheumatoid arthritis. Rheumatol (Oxford) 2008 May;47(5):665-9
*Gruenwald et al: Effect of cod liver oil on symptoms of rheumatoid arthritis. Adv Ther 2002
Mar-Apr;19(2):101-7
*Guillén et al: Characterization of sacha inchi (Plukenetia volubilis L.) oil by FTIR spectroscopy and 1H
NMR. Comparison with linseed oil. J Am Oil Chem Soc 80;8:755-62
*Guesens et al: Long-term effect of omega-3 fatty acid supplementation in active rheumatoid arthritis.
A 12-month, double-blind, controlled study. Arthritis Rheum 1994 Jun;37(6):824-9
*Lewis & Sandford: Rotator cuff tendinopathy: is there a role for polyunsaturated Fatty acids and anti-
oxidants? J Hand Ther 2009 Jan-Mar;22(1):49-55; quiz 56
*Lau et al: Effects of fish oil supplementation on non-steroidal anti-inflammatory drug requirement in
patients with mild rheumatoid arthritis--a double-blind placebo controlled study. Br J Rheumatol
1993 Nov;32(11):982-9
*Maroon & Bost: Omega-3 fatty acids (fish oil) as an anti-inflammatory: an alternative to nonsteroidal
anti-inflammatory drugs for discogenic pain. Surg Neurol 2006 Apr;65(4):326-31
*Tartibian et al: The effects of ingestion of omega-3 fatty acids on perceived pain and external symp-
toms of delayed onset muscle soreness in untrained men. Clin J Sport Med 2009 Mar;19(2):115-9
*Zainal et al: Relative efficacies of omega-3 polyunsaturated fatty acids in reducing expression of key
proteins in a model system for studying osteoarthritis. Osteoarth Cartil 2009 Jul;17(7):896-905
Orange peel (which is full of flavonoids) has effects similar to COX-2 inhibitors
(NSAIDs).
*Chen et al: Effect and mechanism of total flavonoids of orange peel on rat adjuvant arthritis. Zhong-
guo Zhong Yao Za Zhi 2010 May;35(10):1298-301
*Frasca et al: Involvement of inducible nitric oxide synthase and cyclooxygenase-2 in the anti-inflamma-
tory effects of a red orange extract in human chondrocytes. Nat Prod Res 2010 Sep;24(15):1469-80
Analgesics/Anti-Inflammatories
Pomegranates protect the digestive tract from inflammation caused by alcohol and
aspirin and the chondroitin joint content in those with osteoarthritis.
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Ajaikumar et al: The inhibition of gastric mucosal injury by Punicagranatum L. (pomegranate) metha-
nolic extract. J Ethnopharmacol 2005 Jan 4;96(1-2):171-6
*Boussetta et al: Punicic acid a conjugated linolenic acid inhibits TNFalpha-induced neutrophil
hyperactivation and protects from experimental colon inflammation in rats. PLoS One 2009 Jul
31;4(7):e6458
*Hadipour-Jahromy & Mozaffari-Kermani: Chondroprotective effects of pomegranate juice on monoi-
odoacetate-induced osteoarthritis of the knee joint of mice. Phytother Res 2009 Jun 5
Probiotics relieve abdominal pain and bloating in IBS; work better than mesalazine
for diverticulitis; reduce complications in SIRS (Systemic inflammatory response
syndrome); and relieve symptoms of arthritis.
*Hun: Bacillus coagulans significantly improved abdominal pain and bloating in patients with IBS.
Postgrad Med 2009 Mar;121(2):119-24
*Mandel et al: Bacillus coagulans: a viable adjunct therapy for relieving symptoms of rheumatoid arth-
ritis according to a randomized, controlled trial. BMC Complement Altern Med 2010 Jan 12;10(1):1
*Shimizu et al: Synbiotics decrease the incidence of septic complications in patients with severe SIRS:
a preliminary report. Dig Dis Sci. 2009 May;54(5):1071-8
*Tursi et al: Mesalazine and/or Lactobacillus casei in maintaining long-term remission of symptomatic
uncomplicated diverticular disease of the colon. Hepatogastroenterol 2008 May-Jun;55(84):916-20
Pycnogenol (alone or with certain vitamins [C, E]) helps prevent various types of
pain including migraines. Pycnogenol is a powerful antioxidant extracted from pine
bark.
*Chayasirisobhon: Use of a pine bark extract and antioxidant vitamin combination product as therapy
for migraine in patients refractory to pharmacologic medication. Headache 2006 May;46(5):788-93
*Cisár et al: Effect of pine bark extract (Pycnogenol) on symptoms of knee osteoarthritis. Phytother
Res 2008 Aug;22(8):1087-92
*Suzuki et al: French maritime pine bark extract significantly lowers the requirement for analgesic
medication in dysmenorrhea: a multicenter, randomized, double-blind, placebo-controlled study.
Prev Med 2009 Aug-Sep;49(2-3):184-9
*Vinciguerra et al: Cramps and muscular pain: prevention with pycnogenol in normal subjects, ven- Analgesics/Anti-Inflammatories
ous patients, athletes, claudicants and in diabetic microangiopathy. Cancer Lett 2007 Jun
18;251(1):43-52
Red Oranges (navels, valencias, Blood) have the same orange-coloured peel on the
outside but inside, they are a deep red to maroon colour. These red oranges have
anti-inflammatory properties which also protect the chondroitin content in joints,
particularly important in those with arthritis.
*Frasca et al: Involvement of inducible nitric oxide synthase and cyclooxygenase-2 in the anti-inflamma-
tory effects of a red orange extract in human chondrocytes. Nat Prod Res 2010 Sep;24(15):1469-80
Reishi mushrooms are known immune boosters but they are also effective in reliev-
ing the pain of herpes and neuralgia.
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Pamela Duff, RN, CSNC
*Hijikata et al: Effect of an herbal formula containing Ganoderma lucidum on reduction of herpes zoster
pain: a pilot clinical trial. Am J Chin Med 2005;33(4):517-23
*Hijikata and Yamada: Effect of Ganoderma lucidum on postherpetic neuralgia. J Nutr 2006 Mar;136(3
Suppl):816S-820S
Riboflavin (vitamin B2) helps prevent migraines but take it with a full B complex
since they all work together for better effect and less likely to create a deficiency if
taken separately.
*Schoenen et al: Effectiveness of high-dose riboflavin in migraine prophylaxis. A randomized controlled
trial. Neurology 1998 Feb;50(2):466-70
Rose Hips have a high vitamin C content but they are becoming harder to find in
supplemental form. Vitamin C is a known antioxidant and likely the reason for it
being effective in relieving pain.
*Chrubasik et al: A one-year survey on the use of a powder from Rosa canina lito in acute exacerba-
tions of chronic pain. Phytother Res 2008 Sep;22(9):1141-8
Saffron, Celery seed, and Anise seed prove more effective than mefenamic acid for
menstrual pain.
*Nahid et al: The effect of an Iranian herbal drug on primary dysmenorrhea: a clinical controlled trial. J
Midwifery Womens Health 2009 Sep-Oct;54(5):401-4
Savory is an herb that appears to be effective in relieving sinus pain and inflammation.
*Uslu et al: Effects of aqueous extracts of Satureja hortensis L. on rhinosinusitis treatment in rabbit. J
Ethnopharma 2002 Oct;82(2-3):83-7
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Shiitake mushrooms protect the liver against acetaminophen damage. Shiitake and
White button mushrooms reduce the incidences and severity of collagen-induced
arthritis. Immunity (autoimmunity) to collagen type II can occur to cause arthritis
rather than cure it.
*Chandra et al: White button and shiitake mushrooms reduce the incidence and severity of collagen-
induced arthritis in dilute brown non-agouti mice. J Nutr 2011 Jan;141(1):131-6
*Sasidharan et al: In vitro antioxidant activity and hepatoprotective effects of Lentinula edodes against
paracetamol-induced hepatotoxicity. Molecules 2010 Jun;15(6):4478-89
Ursolic acid (found in many berries and herbs) is comparable to ibuprofen for reliev-
ing pain but without the stomach upsets.
*Kang et al: The anti-arthritic effect of ursolic acid on zymosan-induced acute inflammation and adju-
vant-induced chronic arthritis models. J Pharm Pharmacol 2008 Oct;60(10):1347-54
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Pamela Duff, RN, CSNC
Vitamin D3 deficiency can cause Myalgias (persistent muscle pain). One study
found that a single mega dose of vitamin D improved menstrual and other pain-
related disorders in women. Dosages are often limited to 1000 or 2000 IU per day but
even this is rarely enough to meet the minimum most people need.
*Badsha et al: Myalgias or non-specific muscle pain in Arab or Indo-Pakistani patients may indicate
vitamin D deficiency. Clin Rheumatol 2009 Aug;28(8):971-3
*Bertone-Johnson & Manson: Vitamin D for Menstrual and Pain-Related Disorders in Women. Arch
Intern Med 2012;172(4):367-69
*Plotnikoff and Quigley: Prevalence of severe hypovitaminosis D in patients with persistent, nonspecific
musculoskeletal pain. Mayo Clin Proc 2003 Dec;78(12):1463-70
*Waltman et al: Vitamin D insufficiency and musculoskeletal symptoms in breast cancer survivors on
aromatase inhibitor therapy. Cancer Nurs. 2009 Mar-Apr;32(2):143-50
Vitamin E, Fish oil, and Nettle combination decreases the need for analgesics.
*Jacquet et al: Phytalgic, a food supplement, vs placebo in patients with osteoarthritis of the knee
or hip: a randomised double-blind placebo-controlled clinical trial. Arthritis Res Ther 2009 Dec
16;11(6):R192
Water is an important part of pain relief that is often ignored. Keeping well hydrated
often relieves pain. (Batmanghelidj)
habilitation stage for patients who have had a myocardial infarct. Lik Sprava 2000 Jul-Aug;(5):111-4
*Tilscher et al: Results of a double-blind, randomized comparative study of Wobenzym-placebo in
patients with cervical syndrome. Wien Med Wochenschr 1996;146(5):91-5
Yacon is a tuber grown in the Andes mountain regions that is related to sunflower
and Jerusalem artichoke. It is showing significant antioxidant, antimicrobial and
anti-inflammatory activity while helping to build bone.
*Hong et al: Melampolides from the Leaves of Smallanthus sonchifolius and their inhibitory activity of
lps-induced nitric oxide production. Chem Pharmaceut Bull 2008;56(2):199
*Melampolides from the leaves of Smallanthus sonchifolius and their inhibitory activity of lps-induced
nitric oxide production. Chem Pharm Bull (Tokyo) 2008 Feb;56(2):199-202
*Ragusa et al: A bioactive diterpene from Smallanthus sonchifolius. Nat Prod Commun
2008;3(10):1663-66
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Antibiotics
(Used to treat bacterial infections, including leprosy and tuberculosis)
Common examples:
aminoglycosides (-mycin, -micin)
gentamicin – Cidomycin, Garamycin, and others
neomycin – Mycifradin, Neo-Fradin, Neo-Tabs
streptomycin
... and others
anti-tuberculars
ethambutol – Myambutol
isoniazid – INH and others
pyrazinamide – Tebrazid and others
rifampin – Rifadin and others
cephalosporins (five generations and counting)
chlorhexidine – Oro-Clense, Peridex and others
dapsone – DDS, Aczone, Avlosulfon, Dapsone
fluoroquinolones (-oxacin’s)
ciprofloxacin – Cipro, Ciloxam, and others
levofloxacin – Iquix, Levaquin, Quixin
ofloxacin – Floxin, Ocuflox
... and others
furazolidine – Furoxon
linezolid – Zyvox
loracarbef – Lorabid
macrolides
azithromycin – Zithromax and others
clarithromycin – Biaxin
erythromycin – Apo-Erythro, Diomycin, E-Mycin, Erybid, and others
... and others
metronidazole – Apo-Metronidazole, Flagyl, Metro, Nidagel, and others
Anitbiotics
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Pamela Duff, RN, CSNC
Deplete:
A, beta carotene, B1, B2, B3, B5, B6, B7, B8, B9, B12, C, D, E, K,
PABA, glutathione/NAC, choline, calcium, copper, iron, magnesium,
potassium, selenium, sodium, zinc, carnitine, good intestinal bacteria,
CoQ10
´´Antibiotics have no effect on viruses so they should not be used for such
infections as colds, flu, or most upper respiratory infections. They also have
no effect on sinus infections since the majority of those are viral infections.
*Braglia: Research: Antibiotics Will Not Help Your Sinuses. GreenMedInfo newsletter 2012 Feb 21
*Garbutt et al: Amoxicillin for acute rhinosinusitis: a randomized controlled trial. JAMA 2012 Feb
15;307(7):685-92
*Nyquist et al: Antibiotic prescribing for children with colds, upper respiratory tract infections, and
bronchitis. JAMA 1998 Mar 18;279(11):875-7
´´Antibiotics literally mean “against life”. They kill bacteria, both the bad that is
causing an infection and the good that is needed for the immune and digestive
systems. Therefore, taking a PRO-biotic (“for life”) is vital to rebuilding the
immune system so that it can naturally fight off invaders - of the bacterial
kind. (see more on Probiotics below)
Suggested alternatives:
Acacia gum, Arjuna, Clove, Cinnamon, and Eucalyptus have strong antimicrobial
activity against several multi-strain resistant bacteria.
Anitbiotics
*Khan et al: Antimicrobial activity of five herbal extracts against multi drug resistant (MDR) strains of
bacteria and fungus of clinical origin. Molecules 2009 Feb 4;14(2):586-97
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Ferro et al: In vitro susceptibilities of Shigella flexneri and Streptococcus pyogenes to inner gel of Aloe
barbadensis Miller. Antimicrob Agents Chemother 2003 Mar;47(3):1137-9
*Shilpakala et al: Susceptibilities of Escherichia coli and Staphylococcus aureus to Aloe barbadensis.
Cochrane Database Syst Rev 2002(2):CD001480
*Alpinia galanga, a member of the ginger family, is effective against several drug-resistant bacteria.
*Latha et al: Antiplasmid activity of 1’-acetoxychavicol acetate from Alpinia galanga against multi-drug
resistant bacteria. J Ethnopharmacol 2009 Jun 25;123(3):522-5
Apples reduce the side effects caused by the cholera vaccine and with Hops, protects
ligament cells in the mouth. Buy only organic apples as they are the #1 food that
contains pesticides, many of which cause cancer.
*Apples worst for pesticides on produce list. CBC News, Jun 14, 2011
*DeNoon: Apples Are Top Food With Most Pesticides: ‘Dirty Dozen’ List Reveals Fruits/Veggies With
Most Pesticides. WebMD Health News June 13, 2011
*Inaba et al: Apple- and hop-polyphenols protect periodontal ligament cells stimulated with enamel
matrix derivative from Porphyromonas gingivalis. J Periodontol 2005 Dec;76(12):2223-9
*Shabecoff: 100 Chemicals for Apples Add Up to Enigma on Safety. NY Times Feb 5, 1989
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
*Yoshino et al: Co-administration of cholera toxin and apple polyphenol extract as a novel and safe
mucosal adjuvant strategy. Vaccine 2009 Jul 30;27(35):4808-17
Bee propolis, including the potent Brazilian green bee propolis, is effective against
MRSA and other bacterial strains and in preventing ear infections in children chron-
ically prone to them.
*Campana et al: Antimicrobial activity of two propolis samples against human Campylobacter jejuni. J
Med Food 2009 Oct;12(5):1050-6
*Leitão et al: Comparative evaluation of in-vitro effects of Brazilian green propolis and Baccharis
Anitbiotics
dracunculifolia extracts on cariogenic factors of Streptococcus mutans. Biol Pharm Bull 2004
Nov;27(11):1834-9
*Marchisio et al: Effectiveness of a propolis and zinc solution in preventing acute otitis media
in children with a history of recurrent acute otitis media. Int J Immunopathol Pharmacol 2010
Apr-Jun;23(2):567-75
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Pamela Duff, RN, CSNC
Beetroot, Apple and Citrus pectins have anti-bacterial activity against the staphyl-
ococcal bacteria.
*Fluer et al: Influence of various pectins on production of staphylococcal enterotoxins types A and B].
Zh Mikrobiol Epidemiol Immunobiol 2007 Nov-Dec(6):11-6
Beta Glucans are polysaccharides derived from oats, mushrooms, barley or yeasts.
Beta glucans are particularly effective for priming and normalizing the immune
system and protecting the body against a number of pathogenic bacteria.
*Aviles et al: Active hexose correlated compound enhances resistance to Klebsiella pneumoniae in-
fection in mice in the hindlimb-unloading model of spaceflight conditions. J Appl Physiol 2003
Aug;95(2):491-6
*Kernodle et al: Prophylactic anti-infective activity of poly-(1-6)-beta-D—Glucapyranosyl-(1-3)-beta-D-
glucapy-ranose glucan in a guinea pig model of Staphylococcal wound infection. Antimicrob Ag
Chemother 1998;42:545-49
*Lahnborg et al: The effect of glucan—a host resistance activator—and ampicillin on experimental
intra-abdominal sepsis. J Reticuloendothel Soc 1982;32:347-53
*Rasmussen et al: Killing of Escherichia coli by mononuclear phagocytes and neutrophils stimulated in
vitro with beta-1, 3-D-polyglucose derivatives. Microbiol Immunol 1992;36(11):1173-88
*Rasmussen & Seljelid: Dynamics of blood components and peritoneal fluid during treatment of
murine E. coli sepsis with beta-1, 3-D-polyglucose derivatives. I: Cells. Scand J Immunol 1990
Oct;32(4):321-31
*Rasmussen & Seljelid: Dynamics of blood components and peritoneal fluid during treatment of mur-
ine E. coli sepsis with beta-1, 3-D-polyglucose derivatives. II. Interleukin 1, tumor necrosis factor,
prostaglandin E2 and leukotriene B4, Scand J Immunol 1990 Oct;32(4):333-40
*Rasmussen et al: Dynamics of blood components and peritoneal fluid during treatment of murine E.
coli sepsis with beta-1, 3-D-polyglucose derivatives. Scand J Immunol 1985;63:73-80
*Williams & Diluzio: Glucan induced modification of experimental Staphylococcus aureus infection in
normal, leukemic and immunosuppressed mice. Adv Exp Med Biol 1979;121(A):291-306
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Carotenoids, from red, yellow, orange and dark green fruits and vegetables) are ef-
fective against a variety of drug-resistant bacteria including H. Pylori, often blamed
for causing stomach ulcers.
*Molnár et al: Biological activity of carotenoids in red paprika, Valencia orange and Golden delicious
apple. Phytother Res 2005 Aug;19(8):700-7
Cat’s Claw is an herb that boosts the immune system but it also has antibacterial
activity.
*Ccahuana-Vasquez et al: Antimicrobial activity of Uncaria tomentosa against oral human pathogens.
Braz Oral Res 2007 Jan-Mar;21(1):46-50
*Eberlin et al: Uncaria tomentosa extract increases the number of myeloid progenitor cells in the
bone marrow of mice infected with Listeria monocytogenes. Int Immunopharmacol 2005
Jul;5(7-8):1235-46
Clove and Holy Basil protect the body against Klebsiella bacteria.
*Saini et al: Induction of resistance to respiratory tract infection with Klebsiella pneumoniae in mice
fed on a diet supplemented with tulsi (Ocimum sanctum) and clove (Syzgium aromaticum) oils. J
Microbiol Immunol Infect 2009 Apr;42(2):107-13
*Panacek et al: Silver colloid nanoparticles: synthesis, characterization, and their antibacterial activity.
J Phys Chem B 2006 Aug 24;110(33):16248-53
*Silvestry-Rodriguez et al: Inactivation of Pseudomonas aeruginosa and Aeromonas hydrophila by
silver in tap water. J Environ Sci Health A Tox Hazard Subst Environ Eng 2007 Sep;42(11):1579-84
95
Pamela Duff, RN, CSNC
Curcumin is the active part of Turmeric and has many health benefits including
antibiotic and antifungal effects.
*Wang et al: Study on the antibiotic activity of microcapsule curcumin against foodborne pathogens.
Int J Food Microbiol 2009 Nov 30;136(1):71-4
*Chang et al: Influence of pH on bioactivity of cinnamon oil against Legionella pneumophila and its
disinfection efficacy in hot springs. Brain Res 2006 Nov 20;1120(1):183-90
*Chang et al: Antibacterial activity of leaf essential oils and their constituents from Cinnamomum
osmophloeum. J Ethnopharmacol 2001 Sep;77(1):123-7
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Dryden et al: A randomized, controlled trial of tea tree topical preparations versus a standard topical
regimen for the clearance of MRSA colonization. J Hosp Infect 2004 Apr;56(4):283-6
*Edwards-Jones et al: The effect of essential oils on methicillin-resistant Staphylococcus aureus using
a dressing model. Burns 2004 Dec;30(8):772-7
*Fu et al: Antimicrobial activity of clove and rosemary essential oils alone and in combination. Med
Hypotheses 2001 Aug;57(2):258-75
*Juneja et al: Control of Clostridium perfringens in cooked ground beef by carvacrol, cinnamaldehyde,
thymol, or oregano oil during chilling. J Food Prot 2006 Jul;69(7):1546-51
*Khan et al: Inhibition of quorum sensing regulated bacterial functions by plant essential oils with spe-
cial reference to clove oil. Lett Appl Microbiol 2009 Sep;49(3):354-60
*Mayaud et al: Comparison of bacteriostatic and bactericidal activity of 13 essential oils against strains
with varying sensitivity to antibiotics. Lett Appl Microbiol 2008 Sep;47(3):167-73
*Nikitin & Simvolokov: The efficacy of the natural antibacterial preparation chlorophyllypt in the com-
bined treatment of acute lung abscesses. Ter Arkh 1989;61(8):113-6
*Nuryastuti et al: Effect of cinnamon oil on icaA expression and biofilm formation by Staphylococcus
epidermidis. Appl Environ Microbiol 2009 Nov;75(21):6850-5
*Rafii and Shahverdi: Comparison of essential oils from three plants for enhancement of antimicrobial
activity of nitrofurantoin against enterobacteria. Nutr Cancer 1996;26(1):111-20
*Roller et al: The antimicrobial activity of high-necrodane and other lavender oils on methicillin-sensi-
tive and resistant Staphylococcus aureus (MSSA and MRSA). J Altern Complement Med 2009
Mar;15(3):275-9
*Salari et al: Antibacterial effects of Eucalyptus globulus leaf extract on pathogenic bacteria isolated from
specimens of patients with respiratory tract disorders. Clin Microbiol Infect 2006 Feb;12(2):194-6
*Shahverdi et al: Trans-cinnamaldehyde from Cinnamomum zeylanicum bark essential oil reduces the
clindamycin resistance of Clostridium difficile in vitro. J Food Sci 2007 Jan;72(1):S055-8
*Shkurupiĭ et al: Use of essential oil of peppermint (Mentha piperita) in the complex treatment of pa-
tients with infiltrative pulmonary tuberculosis. Virol J 2009 Jan 20;6:8
*Tohidpour et al: Antibacterial effect of essential oils from two medicinal plants against Methicillin-
resistant Staphylococcus aureus (MRSA). Phytomed 2009 Jul 1
*Warnke et al: The battle against multi-resistant strains: Renaissance of antimicrobial essential oils as a
promising force to fight hospital-acquired infections. J Craniomaxillofac Surg 2009 May 25
Fennel, and its Essential oil, has significant anti-bacterial activity, especially for
multi-drug resistant strains of tuberculosis and Acinetobacter baumannii.
*Camacho-Corona et al: Activity against drug resistant-tuberculosis strains of plants used in Mex-
ican traditional medicine to treat tuberculosis and other respiratory diseases. Phytother Res 2008
Jan;22(1):82-5
*Jazani et al: Antibacterial effects of Iranian fennel essential oil on isolates of Acinetobacter baumannii.
Pak J Biol Sci 2009 May 1;12(9):738-41
Garlic is the most-used natural antibiotic available world-wide and certainly the
most cost-effective.
*Bjarnsholt et al: Garlic blocks quorum sensing and promotes rapid clearing of pulmonary Pseudo-
monas aeruginosa infections. Microbiol 2005 Dec;151(Pt 12):3873-80
Anitbiotics
*Cutler & Wilson: Antibacterial activity of a new, stable, aqueous extract of allicin against methicillin-
resistant Staphylococcus aureus. Br J Biomed Sci 2004;61(2):71-4
*Fani et al: Inhibitory activity of garlic (Allium sativum) extract on multidrug-resistant Streptococcus
mutans. J Indian Soc Pedod Prev Dent 2007 Oct-Dec;25(4):164-8
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*Hannan et al: Anti-mycobacterial activity of garlic (Allium sativum) against multi-drug resistant and
non-multi-drug resistant mycobacterium tuberculosis. Pak J Pharm Sci 2011 Jan;24(1):81-5
*Harjai et al: Garlic blocks quorum sensing and attenuates the virulence of Pseudomonas aeruginosa.
FEMS Immunol Med Microbiol 2009 Sep 18
*Iwalokun et al: In vitro antimicrobial properties of aqueous garlic extract against multidrug-resistant
bacteria and Candida species from Nigeria. J Med Food 2004;7(3):327-33
*Lee et al: Antibacterial activity of vegetables and juices. Nutrition 2003 Nov-Dec;19(11-12):994-6
*Princivalli et al: Lactobacillus rhamnosus GG inhibits invasion of cultured human respiratory cells by
prtF1-positive macrolide-resistant group A streptococci. Lett Appl Microbiol 2009 Mar;48(3):368-72
*Sohn et al: Anti-inflammatory and antimicrobial effects of garlic and synergistic effect between garlic
and ciprofloxacin in a chronic bacterial prostatitis rat model. Int J Antimicrob Agents 2009 Apr 16
*Tsao et al: Two diallyl sulphides derived from garlic inhibit meticillin-resistant Staphylococcus aureus
infection in diabetic mice. J Med Microbiol 2007 Jun;56(Pt 6):803-8
Green Bananas are an effective treatment for children with diarrhea, hospitalized or
at home, and is more effective than antibiotics.
*Rabbani et al: Green banana-supplemented diet in the home management of acute and prolonged
diarrhoea in children: a community-based trial in rural Bangladesh. Trop Med Int Health 2010
Oct;15(10):1132-9
*Rabbani et al: Green banana reduces clinical severity of childhood shigellosis: a double-blind, ran-
domized, controlled clinical trial. Pediatr Infect Dis J 2009 May;28(5):420-5
*Rabbani et al: Green banana and pectin improve small intestinal permeability and reduce fluid loss in
Bangladeshi children with persistent diarrhea. Dig Dis Sci 2004 Mar;49(3):475-84
*Rabbani et al: Clinical studies in persistent diarrhea: dietary management with green banana or pectin
in Bangladeshi children. Gastroenterol 2001 Sep;121(3):554-60
Homeopathics are safer and often more effective than conventional treatment for
bacterial infections especially for children with ear and upper respiratory infections;
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severe sepsis; relieving pain and bruising after surgery; diarrhea of bacterial or un-
known origins; and for sinusitis.
*Bornhöft et al: Effectiveness, safety and cost-effectiveness of homeopathy in general practice - sum-
marized health technology assessment. Forsch Komplementmed 2006;13 Suppl 2:19-29
*Frass et al: Adjunctive homeopathic treatment in patients with severe sepsis: a randomized, double-
blind, placebo-controlled trial in an intensive care unit. Homeopathy 2005 Apr;94(2):75-80
*Jacobs et al: Homeopathic treatment of acute childhood diarrhea: results from a clinical trial in Nepal.
J Invest Dermatol 2008 Oct;128(10):2429-41
*Jacobs et al: Homeopathy for childhood diarrhea: combined results and metaanalysis from three
randomized, controlled clinical trials. Pediatr Infect Dis J 2003 Mar;22(3):229-34
*Jeffrey & Belcher: Use of Arnica to relieve pain after carpal-tunnel release surgery. Alt Ther Health Med
2002 Mar-Apr;8(2):66-8
*Sarrell et al: Efficacy of naturopathic extracts in the management of ear pain associated with acute
otitis media. Arch Pediatr Adolesc Med 2001 Jul;155(7):796-9
*Seeley et al: Effect of homeopathic Arnica montana on bruising in face-lifts: results of a randomized,
double-blind, placebo-controlled clinical trial. Arch Facial Plast Surg 2006 Jan-Feb;8(1):54-9
*Steinsbekk et al: Homeopathic care for the prevention of upper respiratory tract infections in children:
a pragmatic, randomised, controlled trial comparing individualised homeopathic care and waiting-
list controls. Compl Ther Med 2005 Dec;13(4):231-8
*Witt et al: Homeopathic treatment of patients with chronic sinusitis: A prospective observational study
with 8 years follow-up. BMC Ear Nose Throat Disord 2009 Jul 27;9:7
*Wolf et al: Efficacy of Arnica in varicose vein surgery: results of a randomized, double-blind, placebo-
controlled pilot study. Forsch Komplementarmed Klass Naturheilkd 2003 Oct;10(5):242-7
*Wustrow et al: Naturopathic therapy for acute otitis media. An alternative to the primary use of anti-
biotics. HNO 2005 Aug;53(8):728-34
*Wustrow: Alternative versus conventional treatment strategy in uncomplicated acute otitis media in
children: a prospective, open, controlled parallel-group comparison. Int J Clin Pharmacol Ther
2004 Feb;42(2):110-9
Limes are more effective than certain spices against drug-resistant E. coli and may
inhibit cholera from surviving in foods.
*Rahman et al: Antibacterial activity of natural spices on multiple drug resistant Escherichia coli iso-
lated from drinking water, Bangladesh. Ann Clin Microbiol Antimicrob 2011;10:10
*Rodrigues et al: Protection from cholera by adding lime juice to food - results from community and
laboratory studies in Guinea-Bissau, West Africa. Trop Med Int Health 2000 Jun;5(6):418-22
Maitake mushroom reduces effective dosage of vancomycin for Listeria while en-
hancing natural immunity.
*Kodama et al: Addition of Maitake D-fraction reduces the effective dosage of vancomycin for the
Anitbiotics
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Pamela Duff, RN, CSNC
Manuka Honey and other non-pasteurized honey are especially good for preventing
infections in wounds, including MRSA and other multi-drug pathogens. The Man-
uka plant of New Zealand is related to the Tea Tree plant of Australia. Both have
superior antimicrobial properties. In one study alone (Cooper 2001) “...759 current
infections ceased. The honey dressings did not adhere to or irritate the wound, and
they were easily and painlessly renewed.” Use only unpasteurized or Manuka honey
as the average “grocery store honey” is not real honey and therefore, not medicinally
effective.
*Allen et al: A survey of the antibacterial activity of some new zealand honeys. J Pharm Pharmacol
1991 Dec;43(12):817-22
*Al-Waili et al: Honey and Microbial Infections: A Review Supporting the Use of Honey for Microbial
Control. J Med Food 2011 Aug 22
*Al-Waili: Investigating the antimicrobial activity of natural honey and its effects on the pathogenic bac-
terial infections of surgical wounds and conjunctiva. J Med Food 2004;7(2):210-22
*Albietz & Lenton: Effect of antibacterial honey on the ocular flora in tear deficiency and meibomian
gland disease. Cornea 2006 Oct;25(9):1012-9
*Brady et al: The sensitivity of dermatophytes to the antimicrobial activity of manuka honey and other
honey. Pharm Pharmacol Comm 1996 Oct;2(10):471-73
*Cooper et al: The sensitivity to honey of Gram-positive cocci of clinical significance isolated from
wounds. J Appl Micro 2002 Nov;93(5):857-63
*Cooper et al: Manuka honey used to heal a recalcitrant surgical wound. Eur J Clin Microbiol Infect Dis
2001 Oct;20(10):758-9
*Cooper & Molan: The use of honey as an antiseptic in managing Pseudomonas infection. J Wound
Care 1999 Apr;8(4):161-4
*Cooper et al: Antibacterial activity of honey against strains of Staphylococcus aureus from infected
wounds. J R Soc Med 1999 June;92(6):283–85
*Eyarefe et al: Small bowel responses to enteral honey and glutamine administration following massive
small bowel resection in rabbit. Afr J Med Med Sci 2008 Dec;37(4):309-14
*Gethin & Cowman: Bacteriological changes in sloughy venous leg ulcers treated with manuka honey
or hydrogel: an RCT. J Wound Care 2008 Jun;17(6):241-4, 246-7
*Gethin & Cowman: Manuka honey vs. hydrogel--a prospective, open label, multicentre, randomised
controlled trial to compare desloughing efficacy and healing outcomes in venous ulcers. J Clin
Nurs 2009 Feb;18(3):466-74
*Jaganathan: Can flavonoids from honey alter multidrug resistance? Med Hypoth 2011 Jan 17
*Khoo et al: Wound contraction effects and antibacterial properties of Tualang honey on full-thickness
burn wounds in rats in comparison to hydrofibre. BMC Complement Altern Med 2010;10:48
*Majtan et al: Honeydew honey as a potent antibacterial agent in eradication of multi-drug resistant
Stenotrophomonas maltophilia isolates from cancer patients. Phytother Res 2010 Sep 29
*Molan: The antibacterial activity of honey: The nature of the antibacterial activity. Bee World
2006;73(1):5-28
*Molan: Potential of honey in the treatment of wounds and burns. Am J Clin Dermatol 2001 Jan
1;2(1):13-19
*Molan: Why honey is effective as a medicine: The scientific explanation of its effects. Bee World
2001;82(1):22-40
Anitbiotics
*Natarajan et al: Healing of an MRSA-colonized, hydroxyurea-induced leg ulcer with honey. J Derma-
tolog Treat 2001 Mar;12(1):33-6
*Russell et al: Identification of some antibacterial constituents of New Zealand manuka honey. J Agric
Food Chem 1990;38(1):10–13
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*Sayed et al: Immune defense of rats immunized with fennel honey, propolis, and bee venom against
induced staphylococcal infection. J Med Food 2009 Jun;12(3):569-75
*Schneider: Tests Show Most Store Honey Isn’t Honey: Ultra-filtering Removes Pollen, Hides Honey
Origins. Food Safety News 2011 Nov 7
*Somal et al: Susceptibility of Helicobacter pylori to the antibacterial activity of manuka honey. J R Soc
Med 1994 Jan;87(1):9-12
*Subrahmanyam: Honey dressing versus boiled potato peel in the treatment of burns: a prospective
randomized study. Burns 1996 Sep;22(6):491-3
*Visavadia et al: Manuka honey dressing: An effective treatment for chronic wound infections. Br J Oral
Maxillofac Surg 2008 Jan;46(1):55-6
*Willix et al: A comparison of the sensitivity of wound-infecting species of bacteria to the antibacterial
activity of manuka honey and other honey. J Appl Microbio 1992 Nov;73(5):388-94
*Wood et al: Manuka honey, a low cost leg ulcer dressing. NZ Med J 1997 Mar 28;110(1040):107
Marjoram is a common food spice that has antibacterial and antifungal activity.
*Leeja & Thoppil: Antimicrobial activity of methanol extract of Origanum majorana L. (Sweet marjoram).
J Environ Biol 2007 Jan;28(1):145-6
Nasturtium and Horseradish are just as effective against several infections as stan-
dard antibiotics. Nasturtium flowers provide a tangy flavour to a salad.
*Goos et al: Efficacy and safety profile of a herbal drug containing nasturtium herb and horseradish
root in acute sinusitis, acute bronchitis and acute urinary tract infection in comparison with other
treatments in the daily practice/results of a prospective cohort study. Arzneimittelforschung.
2006;56(3):249-57
Naturopathic ear drops are safer and more effective than antibiotics for ear
infections.
*Sarrell et al: Naturopathic treatment for ear pain in children. Pediatrics. 2003 May;111(5 Pt 1):e574-9
*Wustrow: Naturopathic therapy for acute otitis media. An alternative to the primary use of antibiotics.
HNO 2005 Aug;53(8):728-34
Neem has strong antibacterial properties. Neem oil is used the most often and de-
rived from the seeds of a tree native to India.
*Nair et al: Antibacterial activity of some plant extracts used in folk medicine. J Herb Pharmacother
2007;7(3-4):191-201
*Thakurta et al: Antibacterial, antisecretory and antihemorrhagic activity of Azadirachta indica used to
treat cholera and diarrhea in India. J Ethnopharmacol 2007 May 22;111(3):607-12
Neem and Guava fruit, leaves and bark have antibacterial effects.
*Birdi et al: Newer insights into the mechanism of action of Psidium guajava L. leaves in infectious diar-
rhoea. BMC Compl Alt Med 2010;10:33
*Hogue et al: Antibacterial activity of guava (Psidium guajava L.) and Neem (Azadirachta indica A.
Juss.) extracts against foodborne pathogens and spoilage bacteria. Foodborne Pathog Dis
2007;4(4):481-8
*Rahim et al: Antibacterial activity of Psidium guajava leaf and bark against multidrug-resistant Vibrio
cholerae: implication for cholera control. Jpn J Infect Dis 2010 Jul;63(4):271-4
*Vieira et al: Microbicidal effect of medicinal plant extracts (Psidium guajava Linn. and Carica papaya
Linn.) upon bacteria isolated from fish muscle and known to induce diarrhea in children. Rev Inst
Med Trop Sao Paulo 2001 May-Jun;43(3):145-8
Anitbiotics
Neem and Mango inhibit at least 4 strains of bacteria associated with dental cavities.
*Prashant et al: The effect of mango and neem extract on four organisms causing dental caries: Strep-
tococcus mutans, Streptococcus salivavius, Streptococcus mitis, and Streptococcus sanguis: an
in vitro study. Indian J Dent Res 2007 Oct-Dec;18(4):148-51
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Olive leaf and oil are effective against several drug-resistant strains of bacteria.
*Camacho-Corona et al: Activity against drug resistant-tuberculosis strains of plants used in Mex-
ican traditional medicine to treat tuberculosis and other respiratory diseases. Phytother Res 2008
Jan;22(1):82-5
*Giamarellos-Bourboulis et al: Oleuropein: a novel immunomodulator conferring prolonged survival in
experimental sepsis by Pseudomonas aeruginosa. Shock 2006 Oct;26(4):410-6
*Markin et al: In vitro antimicrobial activity of olive leaves. Mycoses 2003 Apr;46(3-4):132-6
*Pereira et al: Phenolic compounds and antimicrobial activity of olive (Olea europaea L. Cv. Cobran-
çosa) leaves. Molecules 2007 May 26;12(5):1153-62
*Sudjana et al: Antimicrobial activity of commercial Olea europaea (olive) leaf extract. Front Neurol
Neurosci 2010;28:107-12
Papaya fruit and seeds have broad anti-bacterial properties and perfectly safe to eat
during pregnancy. Add a few seeds to smoothies where the peppery flavour makes a
nice addition to green drinks while giving anti-bacterial protection.
*Adebiyi et al: Papaya (Carica papaya) consumption is unsafe in pregnancy: fact or fable? Scien-
tific evaluation of a common belief in some parts of Asia using a rat model. Br J Nutr 2002
Aug;88(2):199-203
*Emeruwa: Antibacterial substance from Carica papaya fruit extract. J Nat Prod 1982 Mar-Apr;45(2):123-7
*Leite et al: Carica papaya seed macerate as inhibitor of conjugative R plasmid transfer from Salmon-
ella typhimurium to Escherichia coli in vitro and in the digestive tract of gnotobiotic mice. J Gen
Appl Microbiol 2005 Feb;51(1):21-6
*Osato et al: Antimicrobial and antioxidant activities of unripe papaya. Life Sci 1993;53(17):1383-9
*Yismaw et al: The invitro assessment of antibacterial effect of papaya seed extract against bacterial
pathogens isolated from urine, wound and stool. Ethiop Med J 2008 Jan;46(1):71-7
Pau d’Arco bark has anti-microbial properties including preventing MRSA bacteria.
*Pereira et al: Tabebuia avellanedae naphthoquinones: activity against methicillin-resistant staphylo-
coccal strains, cytotoxic activity and in vivo dermal irritability analysis. Ann Clin Microbiol Anti-
microb 2006 Mar 22;5:5
improves survival of rats with neonatal sepsis caused by Klebsiella pneumoniae. Gac Med Mex
1995 Jan-Feb;131(1):14-22
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Probiotics, in significant amounts and varied strains, are vital in overcoming various
bacterial infections, including superbugs like C. difficile, because they strengthen
the immune system. 80% of the immune system is in the normal gut flora so it is
important to keep the good bacteria well fed feed. When an infection develops, up the
dosage. Yogurt does not have nearly enough good bacteria and many brands do not
even have active culture. Antibiotics can often cause diarrhea and probiotics have
proven to overcome this side effect.
*Banerjee et al: Lactobacillus delbrueckii ssp. bulgaricus B-30892 can inhibit cytotoxic effects and
adhesion of pathogenic Clostridium difficile to Caco-2 cells. Gut Pathog 2009;1(1):8
*Choi et al: Production of a nisin-like bacteriocin by Lactococcus lactis subsp. lactis A164 isolated from
Kimchi. Eur Rev Med Pharmacol Sci 2009 Nov-Dec;13(6):461-4
*Cianci et al: Efficacy of Lactobacillus Rhamnosus GR-1 and of Lactobacillus Reuteri RC-14 in the
treatment and prevention of vaginoses and bacterial vaginitis relapses. Minerva Ginecol 2008
Oct;60(5):369-76
*Duman et al: Efficacy and safety of Saccharomyces boulardii in prevention of antibiotic-associated
diarrhoea due to Helicobacterpylori eradication. Wei Sheng Yan Jiu 2011 Jan;40(1):103-6
*Gao et al: Dose-response efficacy of a proprietary probiotic formula of Lactobacillus acidophilus
CL1285 and Lactobacillus casei LBC80R for antibiotic-associated diarrhea and Clostridium dif-
ficile-associated diarrhea prophylaxis in adult patients. Am J Gastroenterol 2010 Jul;105(7):1636-41
*Hickson: Probiotics in the prevention of antibiotic-associated diarrhoea and Clostridium difficile infec-
tion. Therap Adv Gastroenterol 2011 May;4(3):185–197
*Karska-Wysocki et al: Antibacterial activity of Lactobacillus acidophilus and Lactobacillus casei against
methicillin-resistant Staphylococcus aureus (MRSA). Microbiol Res 2010 Oct 20;165(8):674-86
*Lee et al: Probiotics prophylaxis in children with persistent primary vesicoureteral reflux. Pediatr
Nephrol 2007 Sep;22(9):1315-20
*Lesbros-Pantoflickova et al: Helicobacter pylori and Probiotics. J Nutr 2007 Mar;137:812S-18S
*Lkhagvadorj et al: Anti-infectious activity of symbiotics in a novel mouse model of methicillin-resistant
Staphylococcus aureus infection. Microbiol Immunol 2010 May ;54(5):265-75
*Oishi et al: Effect of probiotics, Bifidobacterium breve and Lactobacillus casei, on bisphenol A expos-
ure in rats. Biosci Biotechnol Biochem 2008 Jun;72(6):1409-15
*Rohde et al: The use of probiotics in the prevention and treatment of antibiotic-associated diar-
rhea with special interest in Clostridium difficile-associated diarrhea. Nutr Clin Pract 2009
Anitbiotics
Feb-Mar;24(1):33-40
*Sugawara et al: Perioperative synbiotic treatment to prevent postoperative infectious complications in
biliary cancer surgery: a randomized controlled trial. Ann Surg 2006 Nov;244(5):706-14
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*Sullivan et al: Effect of supplement with lactic-acid producing bacteria on fatigue and physical activity
in patients with chronic fatigue syndrome. Nutr J 2009 Jan 26;8:4
*Szajewska et al: Meta-analysis: Saccharomyces boulardii for treating acute diarrhoea in children. Ali-
ment Pharmacol Ther 2007 Feb 1;25(3):257-64
*Wu & Vallance: Saccharomyces boulardii ameliorates Citrobacter rodentium-induced colitis
through actions on bacterial virulence factors. Am J Physiol Gastrointest Liver Physiol 2008
Jan;294(1):G295-306
*Wullt et al: Lactobacillus plantarum 299v enhances the concentrations of fecal short-chain fatty acids in
patients with recurrent clostridium difficile-associated diarrhea. Dig Dis Sci 2007 Sep;52(9):2082-6
Savory has antibacterial and antifungal activity but only with the methanol extrac-
Anitbiotics
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Slovak Honeydew Honey is more effective than Manuka honey (15+) against multi-
strains of bacteria.
*Majtan et al: Honeydew honey as a potent antibacterial agent in eradication of multi-drug resistant
Stenotrophomonas maltophilia isolates from cancer patients. Phytother Res 2010 Sep 29
Spices have anti-microbial effects against cholera-type bacteria. Spices tested were
basil, clove, garlic, horseradish, marjoram, oregano, rosemary, and thyme.
*Yano et al: Antimicrobial effect of spices and herbs on Vibrio parahaemolyticus. Int J Food Microbiol
2006 Aug 15;111(1):6-11
Stevia, an herb that is 200 times sweeter than table sugar, is often used by diabetics
and non-diabetics alike because of its sweetness, health benefits and no calories.
One of the health benefits is that it is effective against E. coli (and other food-borne
pathogens) without affecting beneficial gut bacteria.
*Tomita et al: Bactericidal activity of a fermented hot-water extract from Stevia rebaudiana Bertoni
towards enterohemorrhagic Escherichia coli O157:H7 and other food-borne pathogenic bacteria.
Microbiol Immunol 1997;41(12):1005-9
Vitamin D3 is vital for strengthening the immune system. A deficiency can lead to
such dangerous infections as Bacterial vaginosis during pregnancy and tuberculo-
sis, among many diseases people are at risk of developing from vitamin D deficiency.
*Bodnar et al: Maternal vitamin D deficiency is associated with bacterial vaginosis in the first trimester
of pregnancy. J Nutr 2009 Jun;139(6):1157-61
*Fabri et al: Tuberculosis. Vitamin D is required for IFN-γ–mediated antimicrobial activity of human
macrophages. Sci Transl Med 2011 Oct 12;3(104):104ra102
Wormwood is the herb of choice when it comes to getting rid of internal parasites but
it also has some antibacterial effects.
*Fiamegos et al: Antimicrobial and efflux pump inhibitory activity of caffeoylquinic acids from Artemisia
absinthium against gram-positive pathogenic bacteria. PLoS One 2011;6(4):e18127
105
Anti-depressants
(Used to treat various forms of depression)
Common examples:
Tricyclics
amitriptyline – Elavil and others
amoxapine – Asendin
doxepin – Sinequan
imipramine – Tofranil and others
nortriptyline – Aventyl and others
*MAOs (monoamine oxidase inhibitors)
eldepryl – Selegeline
isocarboxazid – Marplan
moclobemide – Aurorix, Manerix
phenelzine - Nardil
rasagiline – Azilect
tranylcypromine – Parnate
SSRIs (selective serotonin reuptake inhibitors)
citalopram – Celexa
fluoxetine – Prozac, Sarafem, Fontex
paroxetine – Paxil
sertraline – Zoloft
... and others
Others
bupropion – Wellbutrin
trazadone – Desyrel
venlafaxine – Effexor
Deplete:
Anti-Depressants
B1, B2, B3, B5, B6, B8, B9, B12, C, choline, calcium, chromium,
magnesium, selenium, melatonin, CoQ10, DHEA, glutathione/NAC
´´MAO Caution: There are at least four types of foods that must be strictly
avoided when taking these drugs. They contain tyramine which can cause
serious side effects.
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´´SSRIs are linked to congenital defects including high blood pressure in babies.
*Baker: SSRI horrors grow: women who take popular antidepressants risk babies with severe high
blood pressure. NaturalNews Fri Jan 13, 2012
*Malm et al: Selective serotonin reuptake inhibitors and risk for major congenital anomalies. Obstet
Gyn 2011 Jul;118(1):111-20
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Pamela Duff, RN, CSNC
´´Statin drugs used to lower Cholesterol levels actually increase the likelihood
of depression.
*Buajordet et al: Statins – the pattern of adverse effects with empahsis on mental reactions. Data from
a national and an international database. Tidsskr Nor Laegeforen 1997 Sep 20;117(22):3210-3
*Hyyppä et al: Does simvastatin affect mood and steroid hormone levels in hypercholesterolemic
men? A randomized double-blind trial. Psychoneuroendocrin 2003 Feb;28(2):181-94
*Tatley & Savage: Psychiatric adverse reactions with statins, fibrates and ezetimibe: implications for the
use of lipid-lowering agents. Drug Saf 2007;30(3):195-201
Suggested alternatives:
Carnitine is made in the body by two amino acids, lysine and methionine, and has
antidepressant effects especially in older people.
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Garzya et al: Evaluation of the effects of L-acetylcarnitine on senile patients suffering from depression.
Drugs Exp Clin Res 1990;16(2):101-6
*Pettegrew et al: 31P-MRS study of acetyl-L-carnitine treatment in geriatric depression: preliminary
results. Int J Neurosci 2003 Dec;113(12):1691-701
Ginseng root has been used for thousands of years to correct problems in the body,
including depression.
*Wang et al: Antidepressant-like effects of the active acidic polysaccharide portion of ginseng in mice.
J Ethnopharmacol 2010 Jul 29
109
Pamela Duff, RN, CSNC
*Amagase & Nanse: A randomized, double-blind, placebo-controlled, clinical study of the general
effects of a standardized Lycium barbarum (Goji) Juice, GoChi. J Altern Complement Med 2008
May;14(4):403-12
Graviola fruit and leaves are from a tree that grows in the Amazon jungle. Graviola
is proving to have anti-depressive qualities.
*Hasrat et al: Isoquinoline derivatives isolated from the fruit of Annona muricata as 5-HTergic 5-HT1A
receptor agonists in rats: unexploited antidepressive (lead) products. J Pharm Pharmacol 1997
Nov;49(11):1145-9
Homeopathic Medicine is as effective and far better tolerated than Prozac. Out-
comes in areas of anxiety, depression, and irritable bowel proved to be more than
75% positive.
*Adler et al: Homeopathic individualized Q-potencies versus fluoxetine for moderate to severe depres-
sion: double-blind, randomized non-inferiority trial. Evid Based Complement Alternat Med 2009
Aug 17
*Mathie & Robinson: Outcomes from homeopathic prescribing in medical practice: a prospective,
research-tarageted, pilot study. Homeopathy 2006,95:199-205
*Ullman: Homeopathic alternatives to antidepressant drugs. NaturalNews, January 09, 2012
Kava is a safe antidepressant herb but, despite its positive effects, it is still not al-
lowed to be sold in Canada.
*Sarris et al: The kava anxiety depression spectrum study (KADSS): a randomized, placebo-controlled
crossover trial using an aqueous extract of Piper methysticum. Psychopharmacology (Berl) 2009
Aug;205(3):399-407
*Witte et al: Meta-analysis of the efficacy of the acetonic kava-kava extract WS1490 in patients with
non-psychotic anxiety disorders. Phytother Res 2005 Mar;19(3):183-8
Lavender is an herb long-used for its calming effects but it may have some anti-
depressant qualities as well.
*Lee & Lee: Effects of lavender aromatherapy on insomnia and depression in women college students.
Br J Pharmacol 1999 Sep;128(2):380-4
Lobelia is an herb also known as Indian tobacco and used to treat various lung
conditions. While it is used to help people quit smoking, it has some anti-depressant
qualities as well.
*Lobelia: U Maryland Med Center
*Subarnas et al: An antidepressant principle of Lobelia inflata L. (Campanulaceae). J Pharm Sci 1992
Jul;81(7):620-1
Omega-3 fatty acids, especially DHA, has antidepressant qualities and is as ef-
fective as Prozac but much safer. Omega-3 fatty acids are found in flax and fish oils
and sacha inchi seeds.
*Clayton et al: Reduced mania and depression in juvenile bipolar disorder associated with long-chain
omega-3 polyunsaturated fatty acid supplementation. Eur J Clin Nutr 2009 Aug;63(8):1037-40
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*Freeman et al: Randomized dose-ranging pilot trial of omega-3 fatty acids for postpartum depression.
J Psychol 1975 Mar;89(2d Half):261-5
*Jazayeri et al: Comparison of therapeutic effects of omega-3 fatty acid eicosapentaenoic acid and
fluoxetine, separately and in combination, in major depressive disorder. Aust N Z J Psychiatry
2008 Mar;42(3):192-8
*Levant et al: Decreased brain docosahexaenoic acid content produces neurobiological effects asso-
ciated with depression: Interactions with reproductive status in female rats. Psychoneuroendocrin
2008 Oct;33(9):1279-92
*Osher & Belmaker: Omega-3 fatty acids in depression: a review of three studies. CNS Neurosci Ther
2009;15(2):128-33
*Oudenhove et al: Fatty acid-induced gut-brain signaling attenuates neural and behavioral effects of
sad emotion in humans. J Clin Invest 2011 Jul 25
Probiotics help with depression because they repair a damaged digestive tract
thereby increasing the absorption of nutrients.
*Bravo et al: Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor
expression in a mouse via the vagus nerve. Proc Natl Acad Sci USA 2011 Sep 20;108(38):16050-5
*Desbonnet et al: Effects of the probiotic Bifidobacterium infantis in the maternal separation model of
depression. Neurosci 2010 Nov 10;170(4):1179-88
Resveratrol is a potent antioxidant found in the skins of red grapes and proving to
have numerous health benefits including an anti-depressant-like effect.
*Xu et al: Antidepressant-like effect of trans-resveratrol: Involvement of serotonin and noradrenaline
system. Eur Neuropsychopharmacol 2010 Jun;20(6):405-13
Rhodiola is an herb often used for stress energy and as an adaptogen. It also im-
proves mental and physical performance.
*Chen et al: The effects of Rhodiola rosea extract on 5-HT level, cell proliferation and quantity of neur-
ons at cerebral hippocampus of depressive rats. Phytomed 2009 Sept;16(9):830-38
*Darbinyan et al: Clinical trial of Rhodiola rosea L. extract SHR-5 in the treatment of mild to moderate
depression. Nord J Psychiat 2007;61(5):343-8
*Darbinyan et al: Rhodiola rosea in stress induced fatigue – a double blind cross-over study of a stan-
dardized extract SHR-5 with a repeated low-dose regimen on the mental performance of healthy
physicians during night duty. Phytomed 2000;7:365-71
*Kelly: Rhodiola rosea: A Possible Plant Adaptogen. Alt Med Rev 2001;6(3):293-302
*Perfumi & Mattioli: Adaptogenic and central nervous system effects of single doses of 3% rosavin and
1% salidroside Rhodiola rosea L. extract in mice. Phytoth Res 2007 Jan;21(1):37-43
*Qin et al: Effects of Rhodiola rosea on level of 5-hydroxytryptamine, cell proliferation and differentia-
Anti-Depressants
tion, and number of neuron in cerebral hippocampus of rats with depression induced by chronic
mild stress. Zhongguo Zhong Yao Za Zhi 2008 Dec;33(23):2842-6
*Spasov et al: A double-blind, placebo-controlled pilot study of the stimulating and adaptogenic effect
of Rhodiola rosea SHR-5 extract on the fatigue of students caused by stress during an examina-
tion period with a repeated low-dose regimen. Phytomed 2000;7:85-89
*van Diermen et al: Monoamine oxidase inhibition by Rhodiola rosea L. roots. J Ethnopharmacol 2009
Mar;122(2):397-401
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Pamela Duff, RN, CSNC
St. John’s Wort is a safe alternative to SSRIs but should never be taken with other
antidepressants.
*Franklin et al: Sub-chronic treatment with an extract of Hypericum perforatum (St John’s wort) sig-
nificantly reduces cortisol and corticosterone in the rat brain. Eur Neuropsychopharmacol 2004
Jan;14(1):7-10
*Rahimi et al: Efficacy and tolerability of Hypericum perforatum in major depressive disorder in com-
parison with selective serotonin reuptake inhibitors: a meta-analysis. Prog Neuropsychopharma-
col Biol Psychiatry 2009 Feb 1;33(1):118-27
*Uebelhack et al: Efficacy and tolerability of Hypericum extract STW 3-VI in patients with moderate
depression: a double-blind, randomized, placebo-controlled clinical trial. Zhonghua Gan Zang
Bing Za Zhi 2002 Dec;10(6):449-51
Sesame oil has several health benefits including a calming effect during depression.
*Kumar et al: Neuropsychopharmacological effect of sesamol in unpredictable chronic mild stress
model of depression: behavioral and biochemical evidences. Psychopharmacology (Berl) 2011
Apr;214(4):819-28
Tryptophan (along with light) is an effective antidepressant for SAD (seasonal affect-
ive disorder) and reduces the need for medications in treating aggressive psychiatric
patients. Tryptophan is banned from Canada and the US but since it is an amino
acid, it can be made in the body from other proteins. The closest legal supplement is
5-HTP.
*Ghadirian et al: Efficacy of light versus tryptophan therapy in seasonal affective disorder. J Affect
Anti-Depressants
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Tryptophan and Nicotinamide (B3) has the same effect as imipramine for depression.
*Chouinard et al: Tryptophan-nicotinamide, imipramine and their combination in depression. A con-
trolled study. Acta Psychiatr Scand 1979 Apr;59(4):395-414
Valerian reduces anxiety and depression but since it is also a sleep aid, caution is
advised as to when it is taken.
*Hattesohl et al: Extracts of Valeriana officinalis L. s.l. show anxiolytic and antidepressant effects but
neither sedative nor myorelaxant properties. Phytomed 2008 Jan;15(1-2):2-15
Anti-Depressants
113
Anti-fungals
(Used to treat yeast or other fungal infections)
Common examples:
amphotericin B – Fungizone
corticosteroids (Steroids – see more depletions from that list)
triamcinolone – Nasacort
mometasone – Nasonex
fluticasone – Fonase
beclomethasone – Beconase
budesonide – Rhinocort
flunisolide – Nasarel
fluconazole – Diflucan
flucytosine – Ancobon, 5-FC, and others
griseofulvin – Fulvicin, Grisactin, and others
itraconazole – Sporanox
ketoconazole – Ketozole, Nizoral
miconazole – Monistat and others
nystatin – Mycostatin and others
Deplete:
B1, B2, B3, B6, B7, B12, E, K, calcium, magnesium, potassium, sodium,
good intestinal bacteria
Suggested alternatives:
Acacia gum, Arjuna, Clove, Cinnamon, and Eucalyptus have strong antimicrobial
Anti-Fungals
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Ashwagandha is an herb often used for adrenal gland support but it has anti-fungal
effects that help prevent systemic Aspergillus infections.
*Dhuley: Therapeutic efficacy of Ashwagandha against experimental aspergillosis in mice. Immun-
opharmacol Immunotoxicol 1998 Feb;20(1):191-8
Bee propolis, Aloe vera and B-complex help treat fungal infections.
*Iljazović et al: Efficacy in treatment of cervical HRHPV infection by combination of beta interferon, and
herbal therapy in woman with different cervical lesions. Bosn J Basic Med Sci 2006 Nov;6(4):79-84
*Oliveira et al: Antifungal activity of propolis extract against yeasts isolated from onychomycosis le-
sions. Mem Inst Oswaldo Cruz 2006 Aug;101(5):493-7
Bees wax, Honey, and Olive oil is an effective topical combination for treating com-
mon fungal infections.
*Waili: An alternative treatment for pityriasis versicolor, tinea cruris, tinea corporis and tinea faciei with
topical application of honey, olive oil and beeswax mixture: an open pilot study. Complement Ther
Med 2004 Mar;12(1):45-7
Cabbage juice is not only a good digestive aid, but it has some anti-fungal effects as well.
*Sisti et al: Antifungal activity of Brassica oleracea var botrytis fresh aqueous juice. Fitoterapia 2003
Jul;74(5):453-8
Caper seeds have antifungal properties and can be added to salads or pizzas!
*Lam & Ng: A protein with antiproliferative, antifungal and HIV-1 reverse transcriptase inhibitory activ-
ities from caper (Capparis spinosa) seeds. Zhong Yao Cai 2004 Nov;27(11):848-50
Cayenne pepper has long been used for pain control and strengthening the heart
Anti-Fungals
115
Pamela Duff, RN, CSNC
*Renault et al: CAY-1, a novel antifungal compound from cayenne pepper. Med Mycol. 2003
Feb;41(1):75-81
Clove is a spice and potent antioxidant that is effective against Candida yeast
infections.
*He et al: In vitro activity of eugenol against Candida albicans biofilms. Mycopathol 2007
Mar;163(3):137-43
*Taguchi et al: Protection of oral or intestinal candidiasis in mice by oral or intragastric administration of
herbal food, clove (Syzygium aromaticum). Nippon Ishinkin Gakkai Zasshi 2005;46(1):27-33
*Odintsova et al: Antifungal activity of storage 2S albumins from seeds of the invasive weed dandelion
Taraxacum officinale Wigg. Protein Pept Lett 2009 Nov 1
116
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Mir-Rashed et al: Disruption of fungal cell wall by antifungal Echinacea extracts. Med Mycol 2010
Nov;48(7):949-58
Essential oils have potent antimicrobial effects which will include fungi, bacteria,
viruses, and parasites. Particularly effective for fungi are the oils of: Anise, Cin-
namon, Clove, Cumin, Eucalyptus, Geranium, Grapefruit, Holy Basil, Lavender,
Lemon, Lemongrass, Mountain savory, Oregano, Peppermint, Rosemary, Rosewood,
Sage, Sandlewood, Spearmint, Tarragon, Tea tree (melaleuca), Thyme, Turmeric, and
Wintergreen.
*Amber et al: Anticandidal effect of Ocimum sanctum essential oil and its synergy with fluconazole and
ketoconazole. Phytomed 2010 Oct;17(12):921-5
*Apisariyakul et al: Antifungal activity of turmeric oil extracted from Curcuma longa (Zingiberaceae). J
Ethnopharmacol 1995 Dec 15;49(3):163-9
*Braga et al: Thymol inhibits Candida albicans biofilm formation and mature biofilm. Arch Gen Psych-
iatry 2004 Jun;61(6):618-27
*Buck et al: Comparison of two topical preparations for the treatment of onychomycosis: Melaleuca
alternifolia (tea tree) oil and clotrimazole. J Fam Pract 1994 Jun;38(6):601-5
*Chaieb et al: Antioxidant properties of the essential oil of Eugenia caryophyllata and its antifungal
activity against a large number of clinical Candida species. Mycoses 2007 Sep;50(5):403-6
*Dalleau et al: In vitro activity of terpenes against Candida biofilms. Int J Antimicrob Agents 2008
Jun;31(6):572-6
*D’Auria et al: Antifungal activity of Lavandula angustifolia essential oil against Candida albicans yeast
and mycelial form. Med Mycol 2005 Aug;43(5):391-6
*Ergin & Arikan: Comparison of microdilution and disc diffusion methods in assessing the inc vitro
activity of fluconazole and Melaleuca alternifolia (tea tree) oil against vaginal Candida isolates. J
Chemo 2002 Oct;14(5):465-72
*Galván et al: Antifungal and antioxidant activities of the phytomedicine pipsissewa, Chimaphila um-
bellata. Phytochem 2008 Feb;69(3):738-46
*Hajlaoui et al: Chemical composition and biological activities of Tunisian Cuminum cyminum
L. essential oil: a high effectiveness against Vibrio spp. strains. Food Chem Toxicol 2010
Aug-Sep;48(8-9):2186-92
*He et al: In vitro activity of eugenol against Candida albicans biofilms. Mycopathologia 2007
Mar;163(3):137-43
*Inouye et al: The vapor activity of oregano, perilla, tea tree, lavender, clove, and geranium oils against
a Trichophyton mentagrophytes in a closed box. J Infect Chemother 2006 Dec;12(6):349-54
*Kosalec et al: Antifungal activity of fluid extract and essential oil from anise fruits (Pimpinella anisum
L., Apiaceae). Acta Pharm 2005 Dec;55(4):377-85
*Lopes-Lutz et al: Screening of chemical composition, antimicrobial and antioxidant activities of Arte-
misia essential oils. Phytochem 2008 May;69(8):1732-8
*Luqman et al: Potential of rosemary oil to be used in drug-resistant infections. Altern Ther Health Med
2007 Sep-Oct;13(5):54-9
*Maruyama et al: Protective activity of geranium oil and its component, geraniol, in combination with
Anti-Fungals
vaginal washing against vaginal candidiasis in mice. Biol Pharm Bull 2008 Aug;31(8):1501-6
*Meepagala et al: Antifungal constituents of the essential oil fraction of Artemisia dracunculus L. Var.
Dracunculus. J Agric Food Chem 2002 Nov 20;50(24):6989-92
*Mondello et al: In vivo activity of terpinen-4-ol, the main bioactive component of Melaleuca alternifolia
Cheel (tea tree) oil against azole-susceptible and -resistant human pathogenic Candida species.
BMC Infect Dis 2006 Nov 3;6:158
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Pamela Duff, RN, CSNC
*Nenoff et al: Antifungal activity of the essential oil of Melaleuca alternifolia (tea tree oil) against patho-
genic fungi in vitro. Skin Pharmacol 1996;9(6):388-94
*Oliveira et al: Antifungal activity of propolis extract against yeasts isolated from onychomycosis le-
sions. Mem Inst Oswaldo Cruz 2006 Aug;101(5):493-7
*Pawar & Thaker: In vitro efficacy of 75 essential oils against Aspergillus niger. Mycoses 2006
Jul;49(4):316-23
*Romagnoli et al: Antifungal activity of essential oil from fruits of Indian Cuminum cyminum. Pharm Biol
2010 Jul;48(7):834-8
*Shin: Anti-Aspergillus activities of plant essential oils and their combination effects with ketoconazole
or amphotericin B. Int Immunopharmacol 2008 Dec 10;8(12):1672-80
*Soković et al: Antifungal activities of selected aromatic plants growing wild in Greece. Obes Surg 2011
Mar;21(3):356-61
*Syed et al: Treatment of toenail onychomycosis with 2% butenafine and 5% Melaleuca alternifolia (tea
tree) oil in cream. Trop Med Int Health 1999 Apr;4(4):284-7
*Taguchi et al: Therapeutic effects on murine oral candidiasis by oral administration of cassia (Cinna-
momum cassia) preparation. Nippon Ishinkin Gakkai Zasshi 2010;51(1):13-21
*Tampieri et al: The inhibition of Candida albicans by selected essential oils and their major compon-
ents. Mycopathologia 2005 Apr;159(3):339-45
*Warnke et al: The battle against multi-resistant strains: Renaissance of antimicrobial essential oils as a
promising force to fight hospital-acquired infections. J Craniomaxillofac Surg 2009 May 25
*Essential Science 2009;410-413
*Higley 2010;296-98
Garlic and Onions are potent antifungals against at least 18 strains of yeasts and
dermatophytes, a group of three types of common fungi responsible for such skin
infections as ringworm or Athlete’s foot.
*An et al: Allicin enhances the oxidative damage effect of amphotericin B against Candida albicans.
Phytother Res 2009 Aug;23(8):1103-8
*Borjihan et al: The vacuole-targeting fungicidal activity of amphotericin B against the pathogenic
fungus Candida albicans and its enhancement by allicin. J Antibiot (Tokyo) 2009 Dec;62(12):691-7
*Khodavandi et al: Comparison between efficacy of allicin and fluconazole against Candida albicans
in vitro and in a systemic candidiasis mouse model. FEMS Microbiol Lett 2011 Feb;315(2):87-93
*Shams-Ghahfarokhi et al: In vitro antifungal activities of Allium cepa, Allium sativum and ketoconazole
against some pathogenic yeasts and dermatophytes. Pharmacol Res 2010 Feb;61(2):142-8
Honey can be effective against Candida, Aspergillus mold, and the bacterium
Anti-Fungals
Staphylococcus aureus. Mixed with Tea Tree oil and cinnamon, honey is also ef-
fective against the Malassezia yeast (seborrhea). Use only unpasteurized or Manuka
honey as the average “grocery store honey” is not real honey and therefore, not medi-
cinally effective.
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*Al-Waili: Mixture of honey, beeswax and olive oil inhibits growth of Staphylococcus aureus and Can-
dida albicans. Arch Med Res 2005 Jan-Feb;36(1):10-3
*Al-Waili: An alternative treatment for pityriasis versicolor, tinea cruris, tinea corporis and tinea faciei
with topical application of honey, olive oil and beeswax mixture: an open pilot study. Complement
Ther Med 2004 Mar;12(1):45-7
*Boukraâ & Bouchegrane: Additive action of honey and starch against Candida albicans and Aspergil-
lus niger. Rev Iberoam Micol 2007 Dec 31;24(4):309-11
*Gupta et al: Role of antifungal agents in the treatment of seborrheic dermatitis. Am J Clin Dermatol
2004;5(6):417-22
*Schneider: Tests Show Most Store Honey Isn’t Honey: Ultra-filtering Removes Pollen, Hides Honey
Origins. Food Safety News 2011 Nov 7
Lemongrass and Lemon juice are effective treatments for oral thrush, which is a
fungal infection of the mouth.
*Wright et al: Treatment of oral thrush in HIV/AIDS patients with lemon juice and lemon grass (Cym-
bopogon citratus) and gentian violet. Phytomed 2009 Mar;16(2-3):118-24
Licorice compounds are showing promise for topically treating vulvovaginal candi-
diasis, a fungal infection that plagues women.
*Fatima et al: Antifungal activity of Glycyrrhiza glabra extracts and its active constituent glabridin. Am
J Clin Nutr 2010 Nov 10
*Pellati et al: In vitro effects of glycyrrhetinic acid on the growth of clinical isolates of Candida albicans.
Phytother Res 2008 Dec 9
Lycopene is a carotenoid that has some potent health benefits including anti-fungal
effects against Candida yeast infections.
*Sung et al: Damage to the cytoplasmic membrane and cell death caused by lycopene in Candida
albicans. Clin Biochem 2010 Mar;43(4-5):424-9
Marjoram is a common cooking herb that has antifungal and antibacterial activity.
*Leeja & Thoppil: Antimicrobial activity of methanol extract of Origanum majorana L. (Sweet marjoram).
J Environ Biol 2007 Jan;28(1):145-6
Moringa oleifera (Miracle or Horseradish tree) extracts and oils have antifungal
properties.
*Chuang et al: Anti-fungal activity of crude extracts and essential oil of Moringa oleifera Lam. PLoS
One 2011;6(1):e14575
*Dolara et al: Local anaesthetic, antibacterial and antifungal properties of sesquiterpenes from myrrh.
Planta Med 2000 May;66(4):356-8
Neem and Herbs (soapberry and mint) are superior to Betadine for vaginal discharges.
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Pamela Duff, RN, CSNC
*Salhan et al: A phase II randomized controlled trial to evaluate the safety and efficacy of Praneem
polyherbal vaginal tablets compared with betadine vaginal pessary in women with symptoms of
abnormal vaginal discharge. Asia Pac J Public Health 2009 Oct;21(4):461-8
Noni fruit is effective against several fungi and has a potent detoxifying activity that
is 40 times better than sufloraphane (a compound found in broccoli).
*Banerjee et al: An extract of Morinda citrifolia interferes with the serum-induced formation of filament-
ous structures in Candida albicans and inhibits germination of Aspergillus nidulans. Am J Chin
Med 2006;34(3):503-9
*Jainkittivong et al: Antifungal activity of Morinda citrifolia fruit extract against Candida albicans. Oral
Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Sep;108(3):394-8
*Pawlus et al: An anthraquinone with potent quinone reductase-inducing activity and other constitu-
ents of the fruits of Morinda citrifolia (noni). Rejuvenation Res 2010 Dec;13(6):749-54
Prickly Ash is a small North American tree that has some potent antimicrobial
effects.
*Bafi-Yeboa et al: Antifungal constituents of northern prickly ash, Zanthoxylum americanum mill.
Phytomed 2005 May;12(5):370-7
Probiotics everyday is a good start in preventing microbes from taking hold but
when they do, the intake needs to be increased, especially after taking an anti-fungal
or antibiotic. (Bacillus coagulans was formerly known as Lactobacillus sporogenes)
*Czaczyk et al: Antifungal activity of Bacillus coagulans against Fusarium sp. Acta Microbiol Pol
2002;51(3):275-83
*Yang & Chang: Purification of a new antifungal compound produced by Lactobacillus plantarum AF1
isolated from kimchi. Int J Food Microbiol 2010 Apr 30;139(1-2):56-63
*Wang & Ng: An antifungal peptide from red lentil seeds. Peptides 2007 Mar;28(3):547-52
Resveratrol, a potent antioxidant found in the skins of blueberries and red grapes,
has antifungal properties.
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Jeandet et al: Phytoalexins from the Vitaceae: biosynthesis, phytoalexin gene expression in trans-
genic plants, antifungal activity, and metabolism. J Agri Food Chem 2002;50(10):2731–41
*Jung et al: Fungicidal effect of resveratrol on human infectious fungi. Arch Pharm Res 2005
May;28(5):557-60
*Jung et al: Candicidal action of resveratrol isolated from grapes on human pathogenic yeast C. albi-
cans. J Microbiol Biotechnol 2007 Aug;17(8):1324-9
Savory is usually used as a flavour in cooking but it also has antifungal and antibac-
terial activity but only with the methanol extraction and not when hexane is used.
*Razzaghi-Abyaneh et al: Inhibitory effects of Satureja hortensis L. essential oil on growth and aflatoxin
production by Aspergillus parasiticus. Int J Food Microbiol 2008 Apr 30;123(3):228-33
*Sahin et al: Evaluation of antimicrobial activities of Satureja hortensis L. J Ethnopharmacol 2003
Jul;87(1):61-5
Spirulina not only enhances the immune system but has significant antifungal,
antiviral, and anticancer activity. Spirulina is a blue-green algae derived from aqua-
tic cyanobacteria, Arthrospira platensis (Africa, Asia, South America), Arthrospira
pacifica (Hawaiian Islands) or Arthrospira maxima (Central America).
*Blinkova et al: Biological activity of Spirulina. Zh Mikrobiol Epidemiol Immunobiol 2001 Mar-Apr;(2):114-8
Tribulus is an herb often used by men to boost testosterone levels but it also displays
potent antifungal activity against fluconazole-resistant fungi, including Candida.
*Zhang et al: In vitro and in vivo antifungal activities of the eight steroid saponins from Tribulus ter-
restris L. with potent activity against fluconazole-resistant fungal pathogens. Biol Pharm Bull 2005
Dec;28(12):2211-5
Anti-Fungals
Yucca flowers have potent antifungal activity. They are one of many edible flowers
that make a nice addition to salads.
*Favel et al: Antifungal activity of steroidal glycosides from Yucca gloriosa L. Phytother Res 2005
Feb;19(2):158-61
121
Anti-histamines
(used to treat allergy symptoms)
Common examples:
astemizole – Hismanyl
brompheniramine – Dimetapp and others
chlorpheniramine – Chlorotab and others
clemastine – Tavist
cyproheptadine – Periactin
dimenhydrinate – Dimetabs, Dramamine, and others
diphenhydramine – Benadryl, Nytol, and others
ephedrine – Synergenex caffeine, 4Ever Fit, and others
meclizine – Antivert and others
pseudoephedrine – Sudafed, Actifed, Allegra, and others
terfenadine – Seldane and others
Deplete:
B2, C, choline, CoQ10
children.
*Sausenthaler et al: Margarine and butter consumption, eczema and allergic sensitization in children.
The LISA birth cohort study. Pediatr Allergy Immunol 2006 Mar;17(2):85-93
´´Measles may actually prevent allergies while Vaccines increase the risk as
well as numerous other health issues in children, teens, and adults.
122
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Chirumbolo: Use of basophil activation test in the investigation of adverse effects to vaccines. Hum
Vaccin 2011 Aug1;7(8)
*Claesson: Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality.
J Trop Med 2011;2011:706304
*Guinovart et al: Leukemia cutis arising at the site of injection of a tetanus vaccine booster. Actas
Dermosifiliogr 2010 Oct;101(8):727-9
*Hurwitz & Morgenstern: Effects of diphtheria-tetanus-pertussis or tetanus vaccination on allergies
and allergy-related respiratory symptoms among children and adolescents in the United States. J
Manipulative Physiol Ther 2000 Feb;23(2):81-90
*No authors listed: Tetanus vaccine may be laced with anti-fertility drug. International/developing
countries. Vaccine Wkly 1995 May 29 - Jun 5:9-10
*Orbach et al: Vaccines and autoimmune diseases of the adult. Discov Med 2010 Feb;9(45):90-7
*Patrizi et al: Sensitization to thimerosal in atopic children. Contact Dermatitis 1999 Feb;40(2):94-7
*Rosenlund et al: Allergic disease and atopic sensitization in children in relation to measles vaccination
and measles infection. Pediatrics 2009 Mar;123(3):771-8
*Stratton et al: Adverse events associated with childhood vaccines other than pertussis and rubella.
Summary of a report from the Institute of Medicine. JAMA 1994 May 25;271(20):1602-5
´´Meat and Fat consumption by the mother increases the risk of infant eczema.
*Saito et al: Maternal meat and fat consumption during pregnancy and suspected atopic eczema in
Japanese infants aged 3-4 months: the Osaka Maternal and Child Health Study. Pediatr Allergy
Immunol 2010 Feb;21(1Pt1):38-46
´´Wheat allergies can develop to the point of anaphylaxis. Wheat and other
grains, have a protein called gluten which is often the cause of diverse allergic
reactions. Barley is not a suitable alternative for those with wheat allergies
since both contain gluten. (See Appendix for Gluten-containing and Gluten-
free listing).
*Pourpak et al: Which cereal is a suitable substitute for wheat in children with wheat allergy? Pediatr
Allergy Immunol 2005 May;16(3):262-6
*Humbert et al: Gluten intolerance and skin diseases. Eur J Dermatol 2006 Jan-Feb;16(1):4-11
*Palosuo et al: A novel wheat gliadin as a cause of exercise-induced anaphylaxis. J Allergy Clin
Immunol 1999 May;103(5 Pt 1):912-7
Anti-Histamines
´´Wheat and Milk allergies appear more frequently in those who have eczema
and respiratory problems.
*Finn et al: Serum IgG antibodies to gliadin and other dietary antigens in adults with atopic eczema.
Clin Exp Dermatol 1985 May;10(3):222-28
*Varjonen et al: Antigliadin IgE--indicator of wheat allergy in atopic dermatitis. Allergy 2000
Apr;55(4):386-91
123
Pamela Duff, RN, CSNC
Suggested alternatives:
Allergen removal from the mother’s diet reduces infant colic. Allergens tested in-
cluded: cow’s milk, eggs, peanuts, tree nuts, wheat, soy and fish.
*Hill et al: Effect of a low-allergen maternal diet on colic among breastfed infants: a randomized, con-
trolled trial. Arch Pharm Res 2004 Sep;27(9):930-6
*Hill et al: A low allergen diet is a significant intervention in infantile colic: results of a community-based
study. J Allergy Clin Immunol 1995 Dec;96(6Pt1):886-92
*Hill et al: A low allergen diet is a significant intervention in infantile colic: results of a community-based
study. Arch Dis Child 1982 Oct;57(10):742-7
Andrographis is an herb used to boost the immune system during illness but it also
has anti-inflammatory and anti-allergic activity.
*Chandrasekaran et al: Effect of an extract of Andrographis paniculata leaves on inflammatory and
allergic mediators in vitro. J Ethnopharmacol 2010 May 27;129(2):203-7
Apples decrease allergy symptoms. Be sure to eat only organic apples because con-
ventionally grown apples are the number one fruit for chemical content.
*Akiyama et al: Dietary unripe apple polyphenol inhibits the development of food allergies in murine
models. FEBS Lett 2005 Aug 15;579(20):4485-91
*Apples worst for pesticides on produce list. CBC News, Jun 14, 2011
*No authors listed: Procyanidin C1 from apple extracts inhibits Fc epsilon RI-mediated mast cell activa-
tion. Int Arch Allergy Immunol 2008;147(3):213-21
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
Bee Pollen and Propolis help prevent and decrease allergy symptoms.
*Ishikawa et al: Inhibitory effect of honeybee-collected pollen on mast cell degranulation in vivo and in
vitro. Forsch Komplementarmed Klass Naturheilkd 2002 Feb;9(1):22-30
Anti-Histamines
*Medeiros et al: Anti-allergic effect of bee pollen phenolic extract and myricetin in ovalbumin-sensitized
mice. J Ethnopharmacol 2008 Sep 2;119(1):41-6
*Shinmei et al: Effect of Brazilian propolis on sneezing and nasal rubbing in experimental allergic rhinitis
of mice. Immunopharmacol Immunotoxicol 2009;31(4):688-93
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*Kirmaz et al: Effects of glucan treatment on the Th1/Th2 balance in patients with allergic rhinitis: a
double-blind placebo-controlled study. Eur Cytokine Netw 2005 Jun;16(2):128-34
Burdock root has potent antioxidant and allergy-preventing properties since it helps
cleanse the blood of impurities.
*Chan et al: A review of the pharmacological effects of Arctium lappa (burdock). Inflammopharma
2011;19(5):245-54
*Knipping et al: In vitro and in vivo anti-allergic effects of Arctium lappa L. Exp Biol Med (Maywood)
2008 Aug 14
*Sohn et al: Anti-allergic and anti-inflammatory effects of butanol extract from Arctium Lappa L. Clin
Mol Aller 2011 Feb 8;9:4
Chlorella is a green algae that has numerous health benefits including the reduction
of some milk allergies.
*Hasegawa et al: Oral administration of hot water extracts of Chlorella vulgaris reduces IgE production
against milk casein in mice. Int J Immunopharmacol 1999 May;21(5):311-23
Colloidal Oatmeal and Rice used topically is a better and safer treatment than
steroids for skin allergy symptoms.
*Cerio et al: Mechanism of action and clinical benefits of colloidal oatmeal for dermatologic practice. J
Drugs Dermatol 2010 Sep;9(9):1116-20
Anti-Histamines
*Pigatto et al: An evaluation of the allergic contact dermatitis potential of colloidal grain suspensions. J
Exp Bot 2000 Oct;51(351):1635-45
Curcumin is the main active substance found in the cooking spice, Turmeric.
Curcumin has many health benefits including the prevention and relief of allergy
symptoms.
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Pamela Duff, RN, CSNC
*Choi et al: Inhibitory effects of curcumin on passive cutaneous anaphylactoid response and com-
pound 48/80-induced mast cell activation. Anat Cell Biol 2010 Mar;43(1):36-43
*Kobayashi et al: Curcumin inhibition of Dermatophagoides farinea-induced interleukin-5 (IL-5) and
granulocyte macrophage-colony stimulating factor (GM-CSF) production by lymphocytes from
bronchial asthmatics. Biochem Pharmacol 1997 Oct 1;54(7):819-24
*Kurup et al: Immune response modulation by curcumin in a latex allergy model. Clin Mol Allergy
2007;5:1
*Kurup & Barrios: Immunomodulatory effects of curcumin in allergy. Mol Nutr Food Res 2008
Sep;52(9):1031-9
*Lee et al: Curcumin, a constituent of curry, suppresses IgE-mediated allergic response and mast cell
activation at the level of Syk. J Allergy Clin Immunol 2008 May;121(5):1225-31
*Matsuda et al: Anti-allergic principles from Thai zedoary: structural requirements of curcuminoids for
inhibition of degranulation and effect on the release of TNF-alpha and IL-4 in RBL-2H3 cells. Bioorg
Med Chem 2004 Nov 15;12(22):5891-8
*Suzuki et al: Elucidation of anti-allergic activities of curcumin-related compounds with a special refer-
ence to their anti-oxidative activities. Biol Pharm Bull 2005 Aug;28(8):1438-43
*Trinh et al: Inhibitory effects of curcuminoids on passive cutaneous anaphylaxis reaction and scratch-
ing behavior in mice. Arch Pharm Res 2009 Dec;32(12):1783-7
Ellagic acid (found in such foods as berries, walnuts, pecans, and pomegranates)
has anti-allergy effects.
*Rogerio et al: Anti-inflammatory effects of Lafoensia pacari and ellagic acid in a murine model of
asthma. Eur J Pharmacol 2008 Feb 2;580(1-2):262-70
Essential oils are safely used on children to relieve allergic skin conditions but they
must be added a carrier oil since essential oils are very potent and could irritate the
skin. 36 oils were tested with these being the most effective for treating allergies:
Marjoram, Frankinsence, German chamomile, Myrrh, Thyme, and Lavender.
*Anderson et al: Evaluation of massage with essential oils on childhood atopic eczema. Phytother Res
2000 Sep;14(6):452-6
Food Dyes, Aspartame (an artificial sweetener) and Glutamic acid (an amino acid
processed as a flavour enhancer, eg. MSG) can aggravate sensitivities to the point of
anaphylaxis.
*Collins-Williams: Clinical spectrum of adverse reactions to tartrazine. J Asthma 1985;22(3):139-43
*Desmond & Trautlein: Tartrazine (FD&C yellow #5) anaphylaxis: a case report. Ann Allergy 1981
Feb;46(2):81-2
*Glutamic acid. Innvista - www.innvista.com/health/nutrients/proteins/glutamic.htm
Anti-Histamines
*Lau et al: Synergistic interactions between commonly used food additives in a developmental neuro-
toxicity test. Toxicol Sci 2006 Mar;90(1):178-87
*MacCara: Tartrazine: a potentially hazardous dye in Canadian drugs. Can Med Assoc J 1982 Apr
15;126(8):910-4
*Ros et al: A follow-up study of patients with recurrent urticaria and hypersensitivity to aspirin, ben-
zoates and azo dyes. Br J Dermatol 1976 Jul;95(1):19-24
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Gallic acid (found in such foods as blueberries, walnuts, apples, flax seed and water-
cress) helps prevent some allergic reactions.
*Kim et al: Gallic acid inhibits histamine release and pro-inflammatory cytokine production in mast
cells. Zhong Xi Yi Jie He Xue Bao 2004 Jan;2(1):30-2
GLA (gamma-linolenic acid) is an effective and safe treatment for eczema-like condi-
tions in infants or adults. GLA is the “good” part of omega-6 fatty acid and found in
such oils as borage, evening primrose, and black currant seed. It is also found in
such foods as blueberries, walnuts, apples, flax seed and watercress.
*Andreassi et al: Efficacy of gamma-linolenic acid in the treatment of patients with atopic dermatitis. J
Int Med Res 1997 Sep-Oct;25(5):266-74
*Fiocchi et al: The efficacy and safety of gamma-linolenic acid in the treatment of infantile atopic
dermatitis. J Int Med Res 1994 Jan-Feb;22(1):24-32
*Horrobin: Essential fatty acid metabolism and its modification in atopic eczema. Am J Clin Nutr 2000
Jan;71(1 Suppl):367S-72S
*Kanehara et al: Clinical effects of undershirts coated with borage oil on children with atopic dermatitis:
a double-blind, placebo-controlled clinical trial. J Dermatol 2007 Dec;34(12):811-5
*Linnamaa et al: Blackcurrant seed oil for prevention of atopic dermatitis in newborns: a randomized,
double-blind, placebo-controlled trial. Clin Exp Allergy 2010 Aug;40(8):1247-55
*Morse & Clough: A meta-analysis of randomized, placebo-controlled clinical trials of Efamol evening
primrose oil in atopic eczema. Where do we go from here in light of more recent discoveries? Curr
Pharm Biotechnol 2006 Dec;7(6):503-24
*van Gool et al: Gamma-linolenic acid supplementation for prophylaxis of atopic dermatitis--a random-
ized controlled trial in infants at high familial risk. Am J Clin Nutr 2003 Apr;77(4):943-51
*Yoon et al: The therapeutic effect of evening primrose oil in atopic dermatitis patients with dry scaly
skin lesions is associated with the normalization of serum gamma-interferon levels. Skin Pharma-
col Appl Skin Physiol 2002 Jan-Feb;15(1):20-5
*Zabolotnyi et al: Efficacy of a complex homeopathic medication (Sinfrontal) in patients with acute
maxillary sinusitis: a prospective, randomized, double-blind, placebo-controlled, multicenter clin-
ical trial. Explore (NY) 2007 Mar-Apr;3(2):98-109
Hops is an herb used in the brewing industry and often added to herbal sleep-
inducing remedies but it also helps relieve allergy symptoms.
127
Pamela Duff, RN, CSNC
*Takubo et al: Effects of hop extracts on nasal rubbing and sneezing in BALB/c mice. Biol Pharm Bull
2006 Apr;29(4):689-92
Mangos have anti-allergy and anti-parasitic effects and may reduce the risk of an-
aphylactic reactions.
*García et al: Anthelminthic and antiallergic activities of Mangifera indica L. stem bark components
Vimang and mangiferin. Phytother Res 2003 Dec;17(10):1203-8
*Lee et al: Mangiferin inhibits passive cutaneous anaphylaxis reaction and pruritus in mice. Planta Med
2009 Oct;75(13):1415-7
*Barrager et al: A multicentered, open-label trial on the safety and efficacy of methylsulfonylmethane in
the treatment of seasonal allergic rhinitis. J Altern Complement Med 2002 Apr;8(2):167-73
Nasal irrigation helps relieve and prevent sinus infections and allergy symptoms.
*Rabago et al: Nasal irrigation for chronic sinus symptoms in patients with allergic rhinitis, asthma, and
nasal polyposis: a hypothesis generating study. WMJ 2008 Apr;107(2):69-75
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Tomooka et al: Clinical study and literature review of nasal irrigation. Laryngoscope 2000
Jul;110(7):1189-93
Olbas oil is a combination of essential oils that makes an excellent sinus and upper
respiratory decongestant during allergies or infections.
*Zalewski et al: Clinical evaluation of Olbas oil effect on nasal mucosa in acute rhinitis patients during
common cold. Otolaryngol Pol 1997;51 Suppl 25:312-4
Omega-3 fatty acids help prevent allergies (in humans and their pets)
*Bensignor et al: Efficacy of an essential fatty acid-enriched diet in managing canine atopic dermatitis:
a randomized, single-blinded, cross-over study. Vet Dermatol 2008 Jun;19(3):156-62
*Furuhjelm et al: Fish oil supplementation in pregnancy and lactation may decrease the risk of infant
allergy. Acta Paediatr. 2009 Sep;98(9):1461-7
*Gueck et al: Alterations of mast cell mediator production and release by gamma-linolenic and docosa-
hexaenoic acid. Ethn Dis 2010;20(1 Suppl 1):S1-65-72
*Miyake et al: Fish and fat intake and prevalence of allergic rhinitis in Japanese females: the Osaka
Maternal and Child Health Study. J Am Coll Nutr 2007 Jun;26(3):279-87
*Oliwiecki et al: Levels of essential and other fatty acids in plasma and red cell phospholipids from
normal controls and patients with atopic eczema. Acta Derm Venereol 1991;71(3):224-8
*Saevik et al: A randomized, controlled study to evaluate the steroid sparing effect of essential fatty
acid supplementation in the treatment of canine atopic dermatitis. Swed Dent J 2006;30(2):55-60
Peaches have anti-allergic effects but buy only organic peaches since they are num-
ber 4 on the list of produce with numerous pesticides.
*Shin et al: Anti-allergic inflammatory activity of the fruit of Prunus persica: role of calcium and NF-
kappaB. Food Chem Toxicol 2010 Jul 12
*The Full List: 53 Fruits and Veggies. Environmental Working Group - www.ewg.org/foodnews/list/
Perilla (a common name for plants of the mint family) and Rosmarinic acid (a
polyphenol from mint plants) reduce allergy symptoms.
*Oh et al: Effect of Perilla frutescens var. acuta Kudo and rosmarinic acid on allergic inflammatory reac-
Anti-Histamines
Prebiotics (a dietary fiber that feeds probiotics), taken during the first two years of
life, significantly reduces allergies.
129
Pamela Duff, RN, CSNC
*Arslanoglu et al: Early dietary intervention with a mixture of prebiotic oligosaccharides reduces the
incidence of allergic manifestations and infections during the first two years of life. J Nutr 2008
Jun;138(6):1091-5
Probiotics prevent and relieve allergy symptoms, including eczema, in all people
from prenatal to the elderly.
*Abrahamsson et al: Probiotics in prevention of IgE-associated eczema: a double-blind, randomized,
placebo-controlled trial. J Allergy Clin Immunol 2007 May;119(5):1174-80
*Angelis et al: Probiotic preparation has the capacity to hydrolyze proteins responsible for wheat al-
lergy. J Food Prot 2007 Jan;70(1):135-44
*Beaulieu et al: Anti-inflammatory potential of a malleable matrix composed of fermented whey pro-
teins and lactic acid bacteria in an atopic dermatitis model. J Inflamm (Lond) 2007;4:6
*Böttcher et al: Low breast milk TGF-beta2 is induced by Lactobacillus reuteri supplementation
and associates with reduced risk of sensitization during infancy. Pediatr Allergy Immunol 2008
Sep;19(6):497-504
*Choi et al: Anti-inflammatory activity of the ethanol extract of Chungkukjang, Korean fermented bean:
5-lipoxygenase inhibition. J Med Food 2008 Sep;11(3):539-43
*Forsythe et al: Oral treatment with live Lactobacillus reuteri inhibits the allergic airway response in
mice. Am J Respir Crit Care Med 2007 Mar 15;175(6):561-9
*Gerasimov et al: Probiotic supplement reduces atopic dermatitis in preschool children: a randomized,
double-blind, placebo-controlled, clinical trial. Am J Clin Dermatol 2010;11(5):351-61
*Hoang et al: Lactobacillus rhamnosus cell lysate in the management of resistant childhood atopic
eczema. Inflamm Allergy Drug Targets 2010 Jul 1;9(3):192-6
*Ishida et al: Clinical effects of Lactobacillus acidophilus strain L-92 on perennial allergic rhinitis: a double-
blind, placebo-controlled study. Biochem Biophys Res Commun 2003 Feb 21;301(4):1062-8
*Ishida et al: Clinical effects of Lactobacillus acidophilus strain L-92 on perennial allergic rhinitis: a
double-blind, placebo-controlled study. J Dairy Sci 2005 Feb;88(2):527-33
*Ivory et al: Oral delivery of Lactobacillus casei Shirota modifies allergen-induced immune responses
in allergic rhinitis. Clin Exp Allergy 2008 Aug;38(8):1282-9
*Johansson et al: Early colonization with a group of Lactobacilli decreases the risk for allergy at five
years of age despite allergic heredity. PloS One 2011;6(8):e23031
*Kalliomäki & Isolauri: Pandemic of atopic diseases--a lack of microbial exposure in early infancy? Curr
Drug Targets Infect Disord 2002 Sep;2(3):193-9
*Kalliomäki et al: Probiotics in primary prevention of atopic disease: a randomised placebo-controlled
trial. Lancet 2001 Apr 7;357(9262):1076-9
*Karimi et al: Lactobacillus reuteri-induced regulatory T cells protect against an allergic airway re-
sponse in mice. Am J Respir Crit Care Med 2008 Nov 21
*Kim et al: Effect of probiotic mix (Bifidobacterium bifidum, Bifidobacterium lactis, Lactobacillus acid-
ophilus) in the primary prevention of eczema: a double-blind, randomized, placebo-controlled trial.
Pediatr Allergy Immunol 2010 Mar;21(2 Pt 2):e386-93
*Kuitunen et al: Probiotics prevent IgE-associated allergy until age 5 years in cesarean-delivered chil-
dren but not in the total cohort. J Allergy Clin Immunol 2009 Feb;123(2):335-41
*Kukkonen et al: Probiotics and prebiotic galacto-oligosaccharides in the prevention of allergic diseases:
a randomized, double-blind, placebo-controlled trial. J Allergy Clin Immunol 2007 Jan;119(1):192-8
*Marsella: Evaluation of Lactobacillus rhamnosus strain GG for the prevention of atopic dermatitis in
dogs. Proc Natl Acad Sci USA 2009 Jun 30;106(26):10859-64
*Michail et al: Efficacy of probiotics in the treatment of pediatric atopic dermatitis: a meta-analysis of
Anti-Histamines
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*Tang: Probiotics and prebiotics: immunological and clinical effects in allergic disease. Nestle Nutr
Workshop Ser Pediatr Program 2009;64:219-38
*Trinh et al: Anti-allergic effects of fermented Ixeris sonchifolia and its constituent in mice. J Microbiol
Biotechnol 2010 Jan;20(1):217-23
*Valsecchi et al: Probiotics and children: is an integration useful in allergic diseases? Pediatr Med Chir
2008 Jul-Aug;30(4):197-203
*West et al: Probiotics during weaning reduce the incidence of eczema. Pediatr Allergy Immunol 2009
Aug;20(5):430-7
*Weston et al: Effects of probiotics on atopic dermatitis: a randomised controlled trial. Arch Dis Child
2005 Sep;90(9):892-7
*Wickens et al: A differential effect of 2 probiotics in the prevention of eczema and atopy: a double-
blind, randomized, placebo-controlled trial. J Allergy Clin Immunol 2008 Oct;122(4):788-94
*Woo et al: Effect of Lactobacillus sakei supplementation in children with atopic eczema-dermatitis
syndrome. Ann Allergy Asthma Immunol 2010 Apr;104(4):343-8
*Woo et al: Effect of Lactobacillus sakei supplementation in children with atopic eczema-dermatitis
syndrome. Int J Canc 2003 Aug 20;106(2):178-86
*Xiao et al: Effect of probiotic Bifidobacterium longum BB536 [corrected] in relieving clinical symp-
toms and modulating plasma cytokine levels of Japanese cedar pollinosis during the pollen
season. A randomized double-blind, placebo-controlled trial. J Investig Allergol Clin Immunol
2006;16(2):86-93
*Zhu et al: Meta analysis of lactic acid bacteria as probiotics for the primary prevention of infantile ec-
zema. Zhongguo Dang Dai Er Ke Za Zhi 2010 Sep;12(9):734-9
Pycnogenol is a potent antioxidant extracted from pine tree bark that prevents his-
tamine release which causes an allergic reaction.
*Sharma et al: Pycnogenol inhibits the release of histamine from mast cells. Phytother Res 2003
Jan;17(1):66-9
*Wilson et al: A randomized, double-blind, placebo-controlled exploratory study to evaluate the poten-
tial of pycnogenol for improving allergic rhinitis symptoms. Phytother Res 2010 Aug;24(8):1115-9
Resveratrol is a potent antioxidant extracted from the skins of red grapes that
decreases the risk of allergies.
*Cheong et al: Anti-allergic action of resveratrol and related hydroxystilbenes. Planta Med 1999
Apr;65(3):266-8
*Lim et al: trans-Resveratrol, an extract of red wine, inhibits human eosinophil activation and degranu-
lation. Br J Pharmacol 2008 Dec;155(7):995-1004
*Min et al: Quercetin inhibits expression of inflammatory cytokines through attenuation of NF-kappaB
and p38 MAPK in HMC-1 human mast cell line. Inflamm Res 2007 May;56(5):210-5
Anti-Histamines
*Moon et al: Quercetin inhalation inhibits the asthmatic responses by exposure to aerosolized-ovalbu-
min in conscious guinea-pigs. Arch Pharm Res 2008 Jun;31(6):771-8
*Ragazzi et al: Resveratrol activity on guinea pig isolated trachea from normal and albumin-sensitized
animals. Pharmacol Res Commun 1988 Dec;20 Suppl 5:79-82
Rooibos Tea boosts antibody production which reduces allergic reactions. Rooibos
is native to South Africa and safe to drink even for babies.
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Pamela Duff, RN, CSNC
*Kunishiro et al: Effects of rooibos tea extract on antigen-specific antibody production and cytokine
generation in vitro and in vivo. Biosci Biotechnol Biochem 2001 Oct;65(10):2137-45
Rose petal extracts decrease allergy symptoms, including inflammation and pain.
*Choi & Hwang: Investigations of anti-inflammatory and antinociceptive activities of Piper cubeba,
Physalis angulata and Rosa hybrida. J Ethnopharmacol 2003 Nov;89(1):171-5
*Jeon et al: Anti-allergic effects of white rose petal extract and anti-atopic properties of its hexane frac-
tion. Cell Mol Neurobiol 2000 Oct;20(5):591-604
St. John’s Wort cream or oil relieves allergic skin conditions. It is especially helpful
in reducing the pain of shingles.
*Schempp et al: Topical treatment of atopic dermatitis with St. John’s wort cream--a randomized,
placebo controlled, double blind half-side comparison. Phytomed 2003;10 Suppl 4:31-7
Vitamins D and E are often deficient in those with allergies and supplementation
improves allergic conditions.
*Ehlayel et al: Is high prevalence of vitamin D deficiency evidence for asthma and allergy risks? Eur Ann
Allergy Clin Immunol 2011 Jun 43(3):81-8
*Javanbakht et al: Randomized controlled trial using vitamins E and D supplementation in atopic
dermatitis. J Dermatolog Treat 2010 Jul 24
*Tsoureli-Nikita et al: Evaluation of dietary intake of vitamin E in the treatment of atopic dermatitis: a
study of the clinical course and evaluation of the immunoglobulin E serum levels. Leuk Res 2003
Mar;27(3):275-83
Anti-Histamines
132
Anti-Parasitics - external
lindane
gamma benzene hexachloride – Gambextm shampoo
Hexit
Kwell
... and others
benzyl benzoate
OTC flea and pest medications for animals
Advantagetm, Frontlinetm, Bio-Spottm, Programtm, Sentineltm
... and others
Deplete:
E, GABA
Warning: Lindane is often prescribed for children as a remedy for lice. It is a chlorin-
ated hydrocarbon neurotoxic pesticide which has been banned in over 50 coun-
tries but still sold in North America. NEVER USE ON INFANTS OR CHILDREN, so
says the Canadian Paediatric Society on the Government of Canada website. In my
opinion, it should not be used on pets, the elderly or anyone else for that matter.
*Arisi et al: Brain and liver lipid peroxidation levels following acute and short-term lindane
administration in the rat. Toxicol Lett 1994 Oct;74(1):61-68
*Bloomquist et al: Inhibition of gamma-aminobutyric acid-stimulated chloride flux in mouse brain
vesicles by polychlorocycloalkane and pyrethroid insecticides. Neurotox 1986 Fall;7(3):11-20
*Davies et al: Lindane Poisonings. Arch Dermatol 1983;119(2):142-44
*Ginsburg et al: Absorption of lindane (gamma benzene hexachloride) in infants and children. J Ped
1977 Dec;91(6):998-1000
*Lawrence & Casida: Interactions of lindane, toxaphene and cyclodienes with brain-specific
external
133
Pamela Duff, RN, CSNC
14
*Parmar et al: Effect of lindane on hepatic and brain cytochrome P450s and influence of P450
modulation in lindane induced neurotoxicity. Food Chem Toxicol 2003 Aug;41(8):1077-87
*Suñol et al: Regional concentrations of GABA, serotonin and noradrenaline in brain at onset of
seizures induced by lindane (γ-hexachlorocyclohexane). Neuropharmacol 1988 July;27(7):677-81
*Suñol et al: Convulsant effect of lindane and regional brain concentration of GABA and dopamine.
Toxicol 1988 May;49(2-3):247-52
*Tsushimoto et al: Cytotoxic, mutagenic, and cell-cell communication inhibitory properties of DDT,
lindane, and chlordane on Chinese hamster cellsin vitro. Arch Environ Contam Tox 12(6):721-29
*Tusell et al: Relationship between lindane concentration in blood and brain and convulsant response
in rats after oral or intraperitoneal administration. Arch Tox 60(6):432-37
Aloe vera proves to be just as effective for treating scabies as benzyl benzoate but
without the side effects. Taken internally, aloe also protects the liver and other cells
against Lindane-induced toxicity.
*Etim et al: The protective effect of aloe vera juice on lindane induced hepatotoxicity and genotoxicity.
Anti-Parasitics -
Essential oils are safe and effective against several parasites but they should be
added to a carrier oil or a shampoo since essential oils are strong and could cause
contact dermatitis if used alone. Clove oil proved to be the most effective of 38 oils
134
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
tested for mosquito bites and chiggers but others can also be effective including Tea
tree (melaleuca) (especially for head lice), Oregano, Citronella, Cinnamon, Pine, and
Eucalyptus.
*Choi et al: Efficacy of spray formulations containing binary mixtures of clove and eucalyptus oils
against susceptible and pyrethroid/ malathion-resistant head lice (Anoplura: Pediculidae). J Med
Entomol 2010 May;47(3):387-91
*Eamsobhana et al: Laboratory evaluation of aromatic essential oils from thirteen plant species as
candidate repellents against Leptotrombidium chiggers (Acari: Trombiculidae), the vector of scrub
typhus. Exp Appl Acarol 2009 Mar;47(3):257-62
*Trongtokit et al: Comparative repellency of 38 essential oils against mosquito bites. Phytother Res
2005 Apr;19(4):303-9
*Yang et al: Ovicidal and adulticidal activities of Origanum majorana essential oil constituents against
insecticide-susceptible and pyrethroid/malathion-resistant Pediculus humanus capitis (Anoplura:
Pediculidae). J Agric Food Chem 2009 Mar 25;57(6):2282-7
*Yang et al: Ovicidal and adulticidal activities of Cinnamomum zeylanicum bark essential oil com-
pounds and related compounds against Pediculus humanus capitis (Anoplura: Pediculicidae). Int
J Parasitol 2005 Dec;35(14):1595-600
Grapefruit seed extract is safer and just as effective as any prescribed chemical.
*Abdel-Ghaffar et al: Efficacy of a grapefruit extract on head lice: a clinical trial. Parasitol Res 2009
Nov 27
Vitamin E and Alpha-lipoic acid protect the brain from lindane damage.
*Bist et al: Inhibition of lindane-induced toxicity using alpha-lipoic acid and vitamin E in the brain of Mus
musculus. Protoplasma 2010 Jun;242(1-4):49-53
*Bist & Bhatt: The evaluation of effect of alpha-lipoic acid and vitamin E on the lipid peroxidation,
gamma-amino butyric acid and serotonin level in the brain of mice (Mus musculus) acutely intoxi-
cated with lindane. Neurolog Sc 2009 Jan;276(1-2):99-102
Anti-Parasitics -
external
135
Anti-Parasitics - internal
Common examples:
amodiaquine – Camoquin
chloroquine – Aralen
hydroxychloroquine – Plaquenil
pentamidine – NebuPent, Pentacarinat, Pentam 300
pyrimethamine – Daraprim
quinine
...and others
Deplete:
B6, B9, D, calcium, magnesium
Suggested alternatives:
Artemisia (Wormwood) and Artemisinin are more effective in combination with such
substances as Curcumin, as treatments for malaria and leishmania.
*Atemnkeng et al: Evaluation of Artemisia annua infusion efficacy for the treatment of malaria in Plas-
modium chabaudi chabaudi infected mice. Exp Parasitol 2009 Aug;122(4):344-8
*Dondorp et al: Artesunate versus quinine in the treatment of severe falciparum malaria in African chil-
dren (AQUAMAT): an open-label, randomised trial. Lancet 2010; 376 (9753):1647–57
internal
*Dondorp et al: Artesunate versus quinine for treatment of severe falciparum malaria: a randomised
trial. Lancet 2005; 366(9487):717–25
*Nandakumar et al: Curcumin-artemisinin combination therapy for malaria. Antimicrob Agents
Chemother 2006 May;50(5):1859-60
Anti-Parasitics -
*Sen et al: Artemisinin triggers induction of cell-cycle arrest and apoptosis in Leishmania donovani
promastigotes. J Med Microbiol 2007 Sep;56(Pt 9):1213-8
136
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Ramadan et al: Effect of Ferula assafoetida on experimental murine Schistosoma mansoni infection.
J Appl Physiol 2007 Feb;102(2):516-28
Oct;53(10):1316-28
*Sriraj et al: Effect of curcumin on pathogenesis of hamster-opisthorchiasis through apoptosis-related
gene expression. Southeast Asian J Trop Med Public Health 2009 Nov;40(6):1208-15
*Lira-Salazar et al: Effects of homeopathic medications Eupatorium perfoliatum and Arsenicum album
on parasitemia of Plasmodium berghei-infected mice. Homeopathy 2006 Oct;95(4):223-8
137
Pamela Duff, RN, CSNC
Papaya seeds are strong anti-parasitics. Adding a few seeds to your green smoothie
adds a peppery flavour as well as parasitic protection.
*Kermanshai et al: Benzyl isothiocyanate is the chief or sole anthelmintic in papaya seed extracts.
Phytochem 2001 Jun;57(3):427-35
*Okeniyi et al: Effectiveness of dried Carica papaya seeds against human intestinal parasitosis: a pilot
study. J Med Food 2007 Mar;10(1):194-6
*Satrija et al: Anthelmintic activity of papaya latex against patent Heligmosomoides polygyrus infec-
tions in mice. J Ethnopharmacol 1995 Nov 3;48(3):161-4
Quassia is obtained from the bark of the tree and is more effective than quinine for
malaria.
*Cachet et al: Antimalarial activity of simalikalactone E, a new quassinoid from quassia amara L.
(Simaroubaceae). Antimicrob Agents, Chemother 2009 Oct;53(10):4393-98
*Houëla et al: Quassinoid constituents of Quassia amara L. leaf herbal tea. Impact on its antimalarial
activity and cytotoxicity. J Ethnopharm 2009 Oct 29;126(1):114-18
*Jensen et al: Pediculosis capitis treated with quassia tincture. Acta Derm Venereol 1978;58(6):557-9
Thyme, Yarrow, and Propolis prove superior to the drug glucantime (which is not
available in Canada or the US) for Leishmaniasis.
internal
*Nilforoushzadeh et al: Comparison of Thymus vulgaris (Thyme), Achillea millefolium (Yarrow) and
propolis hydroalcoholic extracts versus systemic glucantime in the treatment of cutaneous leish-
maniasis in balb/c mice. Biosci Biotechnol Biochem 2008 Jan;72(1):94-100
Anti-Parasitics -
138
Anti-psychotics
(Used to treat various mental disorders)
Common examples:
chlorpromazine – Thorazine and others
clomipramine – Anafranil
clozapine – Clozaril
fluoxetine – Prozac, Sarafem, Fontex
fluphenazine – Anatensol, Prolixin, and others
haloperidol – Haldol
lithium – Eskalith, Lithizine, Lithobid and others
molindone – Moban
promethazine – Phenergan and others
risperidone – Risperdal and others
thioridazine – Apo-Thioridazine and others
trifluoperazine – Novo-Flurazine, Stelazine, and others
Deplete:
A, B2, B3, B6, B8, B9, B12, C, D, E, K, calcium, iron, potassium,
selenium, CoQ10, glycine, NAC
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*Duits & Bos: Psychiatric disorders with use of simvastatin. Ned Tijdschr Geneeskd 1993 Jun
26;137(26):1312-5
*Golomb et al: Severe irritability associated with statin cholesterol-lowering drugs. QJM 2004
Apr;97(4):229-35
*Hillbrand et al: Serum cholesterol and aggression in hospitalized male forensic patients. J Behav Med
1995 Feb;18(1):33-43
*Muldoon et al: Effects of lovastatin on cognitive function and psychological well-being. Am J Med
2000 May;108(7):538-46
*Olson et al: Lipid-lowering medication use and aggression scores in women: a report from the NHLBI-
sponsored WISE study. J Womens Health (Larchmt) 2008 Mar;17(2):187-94
*Tatley & Savage: Psychiatric adverse reactions with statins, fibrates and ezetimibe: implications for the
use of lipid-lowering agents. Drug Saf 2007;30(3):195-201
*Virkkunen: Serum cholesterol levels in homicidal offenders. A low cholesterol level is connected with
a habitually violent tendency under the influence of alcohol. Neuropsychobio 1983;10(2-3):65-9
´´Statin drugs taken to reduce Cholesterol levels are associated with adverse
Anti-psychotics
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´´Varenicline (Champix in Canada and Chantix in the US) is sold mainly to help
people quit smoking but it is strongly linked to the worsening of psychiatric
disorders.
*DiPaula & Thomas: Worsening psychosis induced by varenicline in a hospitalized psychiatric patient.
Pharmacother 2009 Jul;29(7):852-7
Suggested alternatives:
Alpha lipoic acid and Niacinamide (B3) are effective in treating schizophrenia.
*Seybolt: Is it time to reassess alpha lipoic acid and niacinamide therapy in schizophrenia? Med Hy-
potheses 2010 Dec;75(6):572-5
Amino acids, Arginine and Lysine, reduce anxiety and psychosocial stress.
*Jezova et al: Subchronic treatment with amino acid mixture of L-lysine and L-arginine modifies
neuroendocrine activation during psychosocial stress in subjects with high trait anxiety. Nutr
Neurosci 2005 Jun;8(3):155-60
*Smriga et al: Oral treatment with L-lysine and L-arginine reduces anxiety and basal cortisol levels in
healthy humans. Biomed Res 2007 Apr;28(2):85-90
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walnuts, apples, flax seed and watercress) and Omega-3 from fish, flaxseed or sacha
inchi seeds.
*Amminger et al: Long-Chain -3 fatty acids for indicated prevention of psychotic disorders, a random-
ized, placebo-controlled trial. Arch Gen Psych 2010;67(2):146-54
*Arvindakshan et al: Supplementation with a combination of Ω-3 fatty acids and antioxidants (vitamins
E and C) improves the outcome of schizophrenia. Schiz Res 2003 Aug;62(3):195-204
*Clayton et al: Reduced mania and depression in juvenile bipolar disorder associated with long-chain
omega-3 polyunsaturated fatty acid supplementation. Eur J Clin Nutr 2009 Aug;63(8):1037-40
*Clayton et al: Long-chain omega-3 polyunsaturated fatty acids in the blood of children and adoles-
cents with juvenile bipolar disorder. Lipids 2008 Nov;43(11):1031-8
*Emsley et al: Clinical potential of omega-3 fatty acids in the treatment of schizophrenia. CNS Drugs
2003;17(15):1081-1091(11)
*Evansa et al: Red blood cell membrane essential fatty acid metabolism in early psychotic patients fol-
lowing antipsychotic drug treatment. Prostaglandins, Leukotri EFAs 2003 Dec;69(6):393-99
*Frangou et al: Efficacy of ethyl-eicosapentaenoic acid in bipolar depression: randomised double-blind
placebo-controlled study. Zhongguo Zhong Xi Yi Jie He Za Zhi 2005 Mar;25(3):222-4
*Freeman et al: Omega-3 Fatty Acids: Evidence Basis for Treatment and Future Research in Psychiatry
. J Clin Psych 2006 Dec;67:12:154-67
*Freeman: Omega-3 fatty acids in psychiatry: A Review. Ann Clin Psych 2000;12(3):159-65
*Horrobin: The relationship between schizophrenia and essential fatty acid and eicosanoid metabol-
ism. Prostaglan Leukotri EFAs 1992 May;46(1):71-77
*Khan et al: Reduced erythrocyte membrane essential fatty acids and increased lipid peroxides in
schizophrenia at the never-medicated first-episode of psychosis and after years of treatment with
antipsychotics. Schiz Res 2002 Nov;58(1):1-10
*McNamara et al: Deficits in docosahexaenoic acid and associated elevations in the metabolism of
arachidonic acid and saturated fatty acids in the postmortem orbitofrontal cortex of patients with
bipolar disorder. J Ayub Med Coll Abbottabad 2008 Apr-Jun;20(2):118-24
*McNamara & Carlson: Role of omega-3 fatty acids in brain development and function: Potential im-
plications for the pathogenesis and prevention of psychopathology. Prosta Leukotri EFAs 2006
Oct-Nov;75(4-5):329-49
*Maes et al: Lowered Ω3 polyunsaturated fatty acids in serum phospholipids and cholesteryl esters of
depressed patients. Psych Res 1999 Mar;85(3):275-91
*Mahadik et al: Prevention of oxidative stress-mediated neuropathology and improved clinical out-
come by adjunctive use of a combination of antioxidants and omega-3 fatty acids in schizophre-
nia. Int Rev Psych 2006;18(2):119-31
*Osher & Belmaker: Omega-3 fatty acids in depression: a review of three studies. CNS Neurosci Ther
2009;15(2):128-33
*Peet & Stokes: Omega-3 fatty acids in the treatment of psychiatric disorders. Drugs
2005;65(8):1051-1059(9)
*Puri et al: Eicosapentaenoic acid treatment in schizophrenia associated with symptom remission, nor-
malisation of blood fatty acids, reduced neuronal membrane phospholipid turnover and structural
brain changes. Intl J Clin Pract 2000;54(1):57-63
*Ranjekar et al: Decreased antioxidant enzymes and membrane essential polyunsaturated fatty acids
in schizophrenic and bipolar mood disorder patients. Psych Res 2003 Dec;121(2):109-22
*Reddy et al: Reduced red blood cell membrane essential polyunsaturated fatty acids in first episode
schizophrenia at neuroleptic-naive baseline. Schiz Bull 2004;30(4):901-911
*Sarris et al: Omega-3 for bipolar disorder: meta-analyses of use in mania and bipolar depression. J
Anti-psychotics
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*Vaddadi et al: A double-blind trial of essential fatty acid supplementation in patients with tardive dys-
kinesia. Early Hum Dev 1996 Jul 19;45(3):203-14
*Vaddadi: Use of gamma-linolenic acid in the treatment of schizophrenia and tardive dyskinesia. Pros-
tagl Leukotri EFAs 1992 May;46(1):67–70
*Vaddadi et al: A double-blind trial of essential fatty acid supplementation in patients with tardive dys-
kinesia. Psych Res 1989 Mar;27(3):313-23
*Wozniak et al: Omega-3 fatty acid monotherapy for pediatric bipolar disorder: a prospective open-
label trial. Eur Neuropsychopharmacol 2007 May-Jun;17(6-7):440-7
Ginkgo biloba is an herb often used to improve memory but it also has properties
that reduce fear and symptoms of tardive dyskinesia in schizophrenics.
*Yang et al: Extract of Ginkgo biloba EGb761 facilitates extinction of conditioned fear measured by
fear-potentiated startle. Neuropsychopharmacol 2007 Feb;32(2):332-42
*Zhang et al: Extract of ginkgo biloba treatment for tardive dyskinesia in schizophrenia: a randomized,
double-blind, placebo-controlled trial. Clin Gastroenterol Hepatol 2006 Dec;4(12):1502-6
High Homocysteine levels play a role in the development of bipolar disorders and
associated with various neurological dysfunctions. Lowering homocysteine levels
can be accomplished by adding certain B vitamins (6, 9, 12) along with a B-complex.
(see Appendix for a list of B vitamins according to name and number)
*Dias et al: Serum homocysteine levels and cognitive functioning in euthymic bipolar patients. Acta Vet
Hung 2005;53(3):319-24
*Ientile et al: Homocysteine, vitamin determinants and neurological diseases. Front Biosci (Schol Ed)
2010;2:359-72
*Smith et al: Homocysteine-lowering by B vitamins slows the rate of accelerated brain atrophy in mild
cognitive impairment: A randomized controlled trial. PLoS ONE 2010;5(9):e12244
*Spence et al: Understanding the complexity of homocysteine lowering with vitamins. JAMA
2011;306(23):2610-11
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Pamela Duff, RN, CSNC
*Poeggeler et al: Melatonin, hydroxyl radical-mediated oxidative damage, and aging: A hypothesis. J
Pineal Res 1993 May;14(4)151-68
*Reiter: Interactions of the pineal hormone melatonin with oxygen-centered free radicals: a brief review.
Braz J Med Bio Res 1993;26(11):1141-55
*Shamir et al: Melatonin treatment for tardive dyskinesia a double-blind, placebo-controlled, crossover
study. Arch Gen Psych 2001;58:1049-52
*Stasica et al: Melatonin as a hydroxyl radical scavenger. J Pineal Res 1998 Aug;25(1):65-66
Milk Thistle is an herb often used to strengthen the liver but it is also an effective
treatment for OCD (obsessive-compulsive disorder) compared to fluoxetine.
*Sayyah et al: Comparison of Silybum marianum (L.) Gaertn. with fluoxetine in the treatment of ob-
sessive-compulsive disorder. Prog Neuropsychopharmacol Biol Psych 2010 Mar17;34(2):362-365
NAC (N-acetyl cysteine) is an amino acid that is safe and effective for depressive
symptoms in bipolar disorder.
*Berk et al: N-acetyl cysteine for depressive symptoms in bipolar disorder--a double-blind randomized
placebo-controlled trial. Biol Psychiatry 2008 Sep 15;64(6):468-75
*Lafleur et al: N-acetylcysteine augmentation in serotonin reuptake inhibitor refractory obsessive-com-
pulsive disorder. Digestion 2008;78(4):224-8
St. John’s Wort has value in treating SAD (seasonal affective disorder) but it must
never be taken with other medications.
*Terman & Terman: Controlled trial of naturalistic dawn simulation and negative air ionization for sea-
sonal affective disorder. Pharmacopsych 1997 Sep;30 Suppl 2:89-93
Tryptophan (along with light) is an effective treatment for social phobia and SAD
(seasonal affective disorder). It also reduces the need for medications in treating ag-
gressive psychiatric patients. Tryptophan is banned in Canada and the US but since
it is an amino acid, it can be made in the body from other proteins or eaten in foods
such as gourd seeds. The closest legal supplement is 5-HTP.
*Ghadirian et al: Efficacy of light versus tryptophan therapy in seasonal affective disorder. J Affect
Disord 1998 Jul;50(1):23-7
*Hudson et al: Protein-source tryptophan as an efficacious treatment for social anxiety disorder: a pilot
study. Can J Physiol Pharmacol 2007 Sep;85(9):928-32
*Lam et al: L-tryptophan augmentation of light therapy in patients with seasonal affective disorder. Can
J Psych 1997 Apr;42(3):303-6
*McGrath et al: The effect of L-tryptophan on seasonal affective disorder. Water Res 2002
Sep;36(15):3821-33
*Volavka et al: Tryptophan treatment of aggressive psychiatric inpatients. Biol Psych 1990 Oct
15;28(8):728-32
ances of schizophrenia.
*Kinney et al: Relation of schizophrenia prevalence to latitude, climate, fish consumption, infant mor-
tality, and skin color: a role for prenatal vitamin d deficiency and infections? Schizophr Bull 2009
May;35(3):582-95
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Anti-psychotics
145
Anti-spasmodics/Muscle Relaxants
(Used to relieve muscle spasms or cramps)
Common examples:
baclofen – Lioresal, Nu-Baclo
dantrolene – Dantrium
dicyclomine – Bentyl, Bentylol, and others
hyoscyamine – Cystospaz, Levsin, and others
Deplete:
C, B9, calcium, iron, magnesium
Suggested alternatives:
Anti-spasmodic/Muscle Relaxants
Essential Oils have anti-spasmodic effects, relieving pain and improving circula-
tion. Often used in a carrier oil, essential oil massages reduce cramping. Peppermint
oil can be taken internally to relieve gastric spasms and improve digestion. Oils
studied as anti-spasmodics include Peppermint, Rosemary, and Thyme.
*Beer et al: Effect of Thymol on the spontaneous contractile activity of the smooth muscles. Phytomed
2007 Jan;14(1):65-9
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*Hiki et al: Peppermint oil reduces gastric spasm during upper endoscopy: a randomized, double-
blind, double-dummy controlled trial. Gastrointest Endosc. 2003 Apr;57(4):475-82
*Sagorchev et al: Investigations into the specific effects of rosemary oil at the receptor level. Phytomed
2009 Dec 22
Mineral deficiencies are often the cause of cramping, especially in the legs. Taking
electrolytes (potassium, sodium, chloride, bicarbonate) and other minerals includ-
ing magnesium and calcium can help relieve cramping particularly after exercise.
Minerals can safely be taken by anyone including pregnant women.
*Bergeron: Heat cramps: fluid and electrolyte challenges during tennis in the heat. J Sci Med Sport
2003 Mar;6(1):19-27
*Clarkson & Haymes: Exercise and mineral status of athletes: calcium, magnesium, phosphorus, and
iron. Med Sci Sport Exer 1995 June;27(6):831-43
*Clinton et al: Painful muscle spasm reversed by magnesium sulphate. A case report. S Afr Med J 1985
Aug 31;68(5):332-3
*Dahle et al: The effect of oral magnesium substitution on pregnancy-induced leg cramps. Am J Ob-
stet Gyn 1995 July;173(1):175-80
*Kugelmas: Preliminary observation: oral zinc sulfate replacement is effective in treating muscle cramps
in cirrhotic patients. J Am Coll Nutr 2000 Feb;19(1):13-15
Noni fruit has antispamodic and vasodilating effects that can help reduce muscle
spasms.
*Gilani et al: Antispasmodic and vasodilator activities of Morinda citrifolia root extract are mediated
through blockade of voltage dependent calcium channels. BMC Complement Altern Med 2010
Jan 13;10(1):2
*West et al: A double-blind clinical safety study of noni fruit juice. Pac Health Dialog 2009 Nov;15(2):21-32
Purslane is an herb, often used in salads, that has muscle relaxant properties that
work better than drugs.
*Habtemariam et al: The muscle relaxant properties of Portulaca oleracea are associated with high
concentrations of potassium ions. J Ethnopharmacol 1993 Dec;40(3):195-200
*Okwuasaba et al: Comparison of the skeletal muscle relaxant properties of Portulaca oleracea ex-
tracts with dantrolene sodium and methoxyverapamil. J Ethnopharmacol 1987 Jul;20(2):85-106
Anti-spasmodic/Muscle Relaxants
147
Anti-virals/Anti-retrovirals
(Used to treat HIV, herpes, influenza, chickenpox, shingles, cold sores, and others)
Common examples:
Antivirals
acyclovir – Avirax and others
amantadine – Symmetrel
famciclovir – Famvir
foscarnet – Foscavir
ganciclovir – DHPG, Cytovene, Vitrasert, and others
oseltamivir – Tamiflu
ribavirin – Copegus, Rebetol, Ribasphere, Virazole
rimantadine – Flumadine
valacyclovir – Valtrex
zanamivir – Relenza
... and many others
Anti-retrovirals
abacavir – Epzicom, Ziagen
adefovir – Hepsera
amprenavir – Agenerase
Anti-virals/Anti-retrovirals
cidofovir – Vistide
delavirdine – Rescriptor
didanosine – Videx
emtricitabine – Emtriva
efavirenz – Sustiva
enfurvitide – Fuzeon
indinavir - Crixivan
lamivudine – 3TC, Epivir, and others
nelfinavir – Viracept
nevirapine – Viramune
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ritonavir – Norvir
saquinavir – Fortovase, Invirase
stavudine – Zeerit
tenofovir – Viread
zidovudine – AZT
...and many others
Deplete:
B1, B2, B12, E, calcium, carnitine, copper, iron, magnesium, NAC,
potassium, zinc, CoQ10
´´Viral infections can subclinically prime a host for central nervous system
(CNS) autoimmune diseases such as MS (multiple sclerosis), long after the
original infection.
*Theil et al: Viruses can silently prime for and trigger central nervous system autoimmune disease. J
Neurovirol 2001 Jun;7(3):220-7
´´HPV (human papilloma virus) has been all over the news of late especially
regarding enforced vaccinations. There are some 200 different kinds of
the HP virus but the infamous Guardasil vaccine addresses only 4 types
(GreenMedInfo) and does not have any effect on those who already have the
virus. In the UK, Cervarix is the competing vaccine used on young women –
and boys, of all things (Mathis: Dec 19, 2011; CBS news). The side effects from
these vaccines can be devastating, often leading to a variety of autoimmune
disorders (as do other vaccines). There is even a new name for these disorders:
“Post-Guardasil Syndrome”. Recently, Tomljenovic & Shaw concluded that
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women with preexisting infection: a randomized trial. JAMA. 2007 Aug 15;298(7):743-53
*Mathis: Medical journal openly questions science, ethics of HPV vaccinations. NaturalNews article,
Friday Jan 13, 2012
*Mathis, Rosemary: Post-Gardasil Syndrome - the new name for the spectrum of side effects following
HPV vaccination. NaturalNews, Wed, Dec 7, 2011
*Mathis: Gardasil boys come marching in - 4 new Gardasil deaths reported to VAERS. NaturalNews
Dec 19, 2011
*Orbach et al: Vaccines and autoimmune diseases of the adult. Discov Med 2010 Feb;9(45):90-7
*Sutton et al: CNS demyelination and quadrivalent HPV vaccination. Mult Scler 2009 Jan;15(1):116-9
*Sims: Girl,13, left in ‘waking coma’ and sleeps for 23 hours a day after severe reaction to cervical
cancer jabs. UK Daily Mail, Wed Nov 16, 2011
*Tomljenovic & Shaw: Human papillomavirus (HPV) vaccine policy and evidence-based medicine: Are
they at odds? Ann Med Dec 22, 2011 (posted online)
Suggested alternatives:
Aloe vera induces interferon production while displaying anti-viral effects against at
least two potent viruses.
*Lin et al: Aloe-emodin is an interferon-inducing agent with antiviral activity against Japanese enceph-
alitis virus and enterovirus 71. Planta Med 2009 Mar;75(4):337-9
Alpha lipoic acid, Milk Thistle, and Selenium give a powerful triple approach for
Hep C that is superior to traditional interferon and antiviral drugs which work less
than 30% of the time.
*Berkson et al: A conservative triple antioxidant approach to the treatment of hepatitis C. Combination
of alpha lipoic acid (thioctic acid), silymarin, and selenium: three case histories. Med Klin (Munich)
1999 Oct 15;94 Suppl 3:84-9
Sep;72(9):1568-72
Astragalus is an herb often used to support the immune system but it is also ef-
fective against a broad ranges of viruses including viral myocarditis, which affects
the heart.
*Fauce et al: Telomerase-based pharmacologic enhancement of antiviral function of human CD8+ T
lymphocytes. J Immunol 2008 Nov 15;181(10):7400-6
*Huang et al: Effect of Astragalus membranaceus on T-lymphocyte subsets in patients with viral myo-
carditis. Zhongguo Zhong Xi Yi Jie He Za Zhi 1995 Jun;15(6):328-30
*Liu et al: Influence of ganciclovir and astragalus membranaceus on proliferation of hematopoietic
progenitor cells of cord blood after cytomegalovirus infection in vitro. Zhonghua Er Ke Za Zhi 2004
Jul;42(7):490-4
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*Mao et al: Modulatory effect of Astragalus membranaceus on Th1/Th2 cytokine in patients with her-
pes simplex keratitis. Am J Physiol Endocrinol Metab 2007 Jun;292(6):E1906-16
*Song et al: QiHong prevents death in coxsackievirus B3 induced murine myocarditis through inhib-
ition of virus attachment and penetration. Exp Biol Med (Maywood) 2007 Dec;232(11):1441-8
*Tang et al: Clinical and experimental effectiveness of Astragali compound in the treatment of chronic
viral hepatitis B. J Int Med Res 2009 May-Jun;37(3):662-7
*Zhu et al: In vivo and in vitro antiviral activities of calycosin-7-O-beta-D-glucopyranoside against cox-
sackie virus B3. Biol Pharm Bull 2009 Jan;32(1):68-73
Banana lectins have immune-regulating activity and inhibits the HIV virus and
cancer cells.
*Cheung et al: Musa acuminata (Del Monte banana) lectin is a fructose-binding lectin with cytokine-
inducing activity. Phytomed 2009 Jun;16(6-7):594-600
*Swanson et al: A lectin isolated from bananas is a potent inhibitor of HIV replication. J Biol Chem 2010
Mar 19;285(12):8646-55
Bee Propolis (with or without Echinacea and Vitamin C) is a potent antiviral that
is superior to acyclovir for genital herpes.
*Cohen et al: Effectiveness of an herbal preparation containing echinacea, propolis, and vitamin C in
preventing respiratory tract infections in children: a randomized, double-blind, placebo-controlled,
multicenter study. Arch Pediatr Adolesc Med 2004 Mar;158(3):217-21
*Giurcăneanu et al: Treatment of cutaneous herpes and herpes zoster with Nivcrisol-D. Virologie 1988
Jan-Mar;39(1):21-4
*Nolkemper et al: Mechanism of herpes simplex virus type 2 suppression by propolis extracts.
Phytomed 2009 Aug 12
*Schnitzler et al: Antiviral activity and mode of action of propolis extracts and selected compounds.
Phytother Res 2009 May 27
*Vynograd et al: A comparative multi-centre study of the efficacy of propolis, acyclovir and placebo in
the treatment of genital herpes (HSV). Phytomed 2000 Mar;7(1):1-6
Beta Glucans are polysaccharides derived from oats, mushrooms, or yeasts. They are
Anti-virals/Anti-retrovirals
particularly effective for priming and normalizing the immune system; protecting
the body from a number of viruses, including West Nile and H1N1; and effective in
those who have been vaccinated and those who have not.
*ECDC Influenza Team. H5N1 virus resistant to oseltamivir isolated from Vietnamese patient. Euro
Surveill 2005 Oct 20;10(10):E051020.2
*Feldman et al: Randomized phase II clinical trials of Wellmune WGP® for immune support during cold
and flu season. J Appl Res 2009;9(1-2)
*Jain: Influence of vitamins and trace-elements on the incidence of respiratory infection in the elderly.
Nutr Res 2002;22:85-7
*Jung et al: Anti-viral effect of Saccharomyces cerevisiae beta-glucan to swine influenza virus by in-
creased production of interferon-gamma and nitric oxide. J Vet Med B Infect Dis Vet Public Health
2004 Mar;51(2):72-6
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*Moyad et al: Immunogenic yeast-based fermentate for cold/flu-like symptoms in nonvaccinated indi-
viduals. J Altern Complement Med 2010 Feb;16(2):213-8
*Moyad et al: Effects of a modified yeast supplement on cold/flu symptoms. Urol Nurs 2008
Feb;28(1):50-5
*Nogusa et al: Low-dose supplementation with active hexose correlated compound improves the
immune response to acute influenza infection in C57BL/6 mice. Nutr Res 2009 Feb;29(2):139-43
*Ohta et al: In vivo anti-influenza virus activity of an immunomodulatory acidic polysaccharide iso-
lated from Cordyceps militaris grown on germinated soybeans. J Agric Food Chem 2007 Dec
12;55(25):10194-9
*Ritz et al: Supplementation with active hexose correlated compound increases the innate immune
response of young mice to primary influenza infection. JPEN J Parenter Enteral Nutr 2006
Jan-Feb;30(1):10-5
*Rondanelli et al: The biological activity of beta-glucans. Minerva Med 2009 Jun;100(3):237-45
*Talbott & Talbott: Effect of BETA 1, 3/1, 6 GLUCAN on upper respiratory tract infection symptoms and
mood state in marathon athletes. J Sports Sci Med 2009;8:509-515
*Wang et al: Oral administration of active hexose correlated compound enhances host resistance to
West Nile encephalitis in mice. J Nutr 2009 Mar;139(3):598-602
*Wang et al: Sulfated beta-glucan derived from oat bran with potent anti-HIV activity. Planta Med 2002
May;68(5):397-401
Black cohosh is an herb often used by women for menopausal symptoms but it also
has anti-HIV activity.
*Sakurai et al: Anti-AIDS agents. Part 57: Actein, an anti-HIV principle from the rhizome of Cimicifuga
racemosa (black cohosh), and the anti-HIV activity of related saponins. Bioorg Med Chem Lett
2004 Mar 8;14(5):1329-32
Black Cumin Seed has antiviral effects especially against herpes viruses.
*Salm & Hossain: Protective effect of black seed oil from Nigella sativa against murine cytomegalovirus
infection. Int J Immunopharmacol 2000 Sep;22(9):729-40
Bromelain is an enzyme derived from Pineapple that has anti-viral properties. Bro-
melain also demonstrates a therapeutic effect in the treatment of Pityriasis lichen-
oides chronica, a skin disorder thought to be caused by viruses.
*Braun et al: Therapeutic use, efficiency and safety of the proteolytic pineapple enzyme Bromelain-
POS in children with acute sinusitis in Germany. In Vivo 2005 Mar-Apr;19(2):417-21
*Massimiliano et al: Role of bromelain in the treatment of patients with pityriasis lichenoides chronica.
J Dermatolog Treat 2007;18(4):219-22
Anti-virals/Anti-retrovirals
*Smirnova et al: Flu virion as a substrate for proteolytic enzymes. Bioorg Khim 2008 May-Jun;34(3):409-15
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*Osio et al: Acetyl-l-carnitine in the treatment of painful antiretroviral toxic neuropathy in human
immunodeficiency virus patients: an open label study. J Peripher Nerv Syst 2006 Mar;11(1):72-6
*Osio et al: A double-blind, parallel-group, placebo-controlled, multicentre study of acetyl L-carnitine
in the symptomatic treatment of antiretroviral toxic neuropathy in patients with HIV-1 infection. HIV
Med 2007 May;8(4):241-50
Cat’s claw is an herb often used to strengthen the immune system and appears to
reduce infection caused by Dengue virus-2.
*Reis et al: Immunomodulating and antiviral activities of Uncaria tomentosa on human monocytes
infected with Dengue Virus-2. Int Immunopharmacol 2008 Mar;8(3):468-76
Coleus forskohlii is an Ayurvedic plant that has several health benefits including
as an HIV inhibitor.
*Bodiwala et al: Anti-HIV diterpenes from Coleus forskohlii. Nat Prod Commun 2009 Sep;4(9):1173-5
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Dandelion, Licorice and Chinese herbs appear safe and effective in reducing her-
pes infection in pregnant women.
*Xing et al: Clinical and experimental study on antiviral activity of reduqing against human cytomegalo-
virus. Zhongguo Zhong Xi Yi Jie He Za Zhi 2000 Apr;20(4):245-7
Diet rich in fruits and vegetables significantly lowers the risk of viral infections
including HIV and herpes.
*Arendt et al: Plasma antioxidant capacity of HIV-seropositive and healthy subjects during long-term
ingestion of fruit juices or a fruit-vegetable-concentrate containing antioxidant polyphenols. Toxi-
col In Vitro 2000 Oct;14(5):405-8
*Thomas et al: Micronutrient intake and the risk of herpes zoster: a case-control study. Int J Epidemiol
2006 Apr;35(2):307-14
Enzymes are safer and as effective as any pharmaceutical intervention for herpes.
*Billigmann: Enzyme therapy--an alternative in treatment of herpes zoster. A controlled study of 192
patients. Fortschr Med 1995 Feb 10;113(4):43-8
Essential oils are strong anti-microbials making some of them potent antivirals that
can be used internally or externally with knowledgeable guidance. The oils that have
the most antiviral effects include: Cinnamon, Clove, Eucalyptus, Lemon, Melissa,
Myrrh, Oregano, Tea tree, Peppermint, Rosewood, Thieves, Thyme. Throat sprays
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and Nasal inhalers are also available that have essential oil content and are effective
in treating sore throats and sinus congestion.
*Ben-Arye et al: Treatment of upper respiratory tract infections in primary care: a randomized study
using aromatic herbs. Evid Based Comple Alter Med 2011;2011:690346
*Hayashi et al: Inhibitory effect of cinnamaldehyde, derived from Cinnamomi cortex, on the growth of
influenza A/PR/8 virus in vitro and in vivo. Antiviral Res 2007 Apr;74(1):1-8
*Hubbert et al: Efficacy and tolerability of a spray with Salvia officinalis in the treatment of acute pharyn-
gitis - a randomised, double-blind, placebo-controlled study with adaptive design and interim an-
alysis. Eur J Med Res 2006 Jan 31;11(1):20-6
*Kurokawa et al: Purification and characterization of eugeniin as an anti-herpesvirus compound from
Geum japonicum and Syzygium aromaticum. J Pharmacol Exp Ther 1998 Feb;284(2):728-35
*Nenoff et al: Antifungal activity of the essential oil of Melaleuca alternifolia (tea tree oil) against patho-
genic fungi in vitro. Skin Pharmacol 1996;9(6):388-94
*Nolkemper et al: Antiviral effect of aqueous extracts from species of the Lamiaceae family against
Herpes simplex virus type 1 and type 2 in vitro. Planta Med 2006 Dec;72(15):1378-82
*Schuhmacher et al: Virucidal effect of peppermint oil on the enveloped viruses herpes simplex virus
type 1 and type 2 in vitro. Phytomed 2003;10(6-7):504-10
*Schnitzler et al: Antiviral activity of Australian tea tree oil and eucalyptus oil against herpes simplex
virus in cell culture. Pharmazie 2001 Apr;56(4):343-7
*Vazquez & Zawawi: Efficacy of alcohol-based and alcohol-free melaleuca oral solution for the treat-
ment of fluconazole-refractory oropharyngeal candidiasis in patients with AIDS HIV Clin Trials.
2002 Sep-Oct;3(5):379-85
Fiber (pectins, flaxseed, acacia and myrrh gums) inhibits influenza viruses.
*Green & Woolley: Inibition by certain polysaccharides of hemagglutination and of multiplication of
influenza virus. J Exp Med 1947 Jun 30;86(1):55-64
Fig latex is safe and effective to use for removing warts, which are usually caused
by viruses.
*Bohlooli et al: Comparative study of fig tree efficacy in the treatment of common warts (Verruca vul-
garis) vs. cryotherapy. Int J Dermatol 2007 May;46(5):524-6
155
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Grapefruit – the Upside – inhibits the Hep C virus – but it cannot be eaten by
anyone taking medication of any kind – even a one-a-day aspirin.
*Nahmias et al: Apolipoprotein B-dependent hepatitis C virus secretion is inhibited by the grapefruit
flavonoid naringenin. Hepatol 2008 May;47(5):1437-45
Herbal combinations are more effective at inhibiting various viral infections than
drugs even for children.
*Ayisi & Nyadedzor: Comparative in vitro effects of AZT and extracts of Ocimum gratissimum, Ficus
polita, Clausena anisata, Alchornea cordifolia, and Elaeophorbia drupifera against HIV-1 and HIV-
2 infections. Antiviral Res 2003 Mar;58(1):25-33
*Hussein et al: Inhibitory effects of sudanese medicinal plant extracts on hepatitis C virus (HCV) prote-
ase. Phytother Res 2000 Nov;14(7):510-6
*Kubo & Nishimura: Antipyretic effect of Mao-to, a Japanese herbal medicine, for treatment of type A
influenza infection in children. Phytomed 2007 Feb;14(2-3):96-101
*Kurokawa et al: Purification and characterization of eugeniin as an anti-herpesvirus compound from
Geum japonicum and Syzygium aromaticum. J Pharmacol Exp Ther 1998 Feb;284(2):728-35
*Kurokawa et al: Efficacy of traditional herbal medicines in combination with acyclovir against herpes
simplex virus type 1 infection in vitro and in vivo. Antiviral Res 1995 May;27(1-2):19-37
*Senthilkumar and Venkatesalu: Phytochemical analysis and antibacterial activity of the essential oil of
Clausena anisata (Willd.) Hook. f. ex Benth. Inter J Int Bio 2009;5(2):116
*Shiraki et al: Cytomegalovirus infection and its possible treatment with herbal medicines. Nippon
Rinsho. 1998 Jan;56(1):156-60
*Xing et al: Clinical and experimental study on antiviral activity of reduqing against human cytomegalo-
virus. Zhongguo Zhong Xi Yi Jie He Za Zhi 2000 Apr;20(4):245-7
*Yu et al: Anti-influenza virus effects of the aqueous extract from Mosla scabra. J Ethnopharmacol
2010 Feb 3;127(2):280-5
Homeopathics are safer for children with ear infections and superior to conventional
treatment. They are also effective against the flu and warts.
*Bornhöft et al: Effectiveness, safety and cost-effectiveness of homeopathy in general practice - sum-
marized health technology assessment. Forsch Komplementmed 2006;13 Suppl 2:19-29
*Ferley et al: A controlled evaluation of a homoeopathic preparation in the treatment of influenza-like
syndromes. Br J Clin Pharmacol 1989 Mar;27(3):329-35
Anti-virals/Anti-retrovirals
*Haidvogl et al: Homeopathic and conventional treatment for acute respiratory and ear complaints: a
comparative study on outcome in the primary care setting. BMC Complement Altern Med 2007;7:7
*Kainz et al: Homoeopathic versus placebo therapy of children with warts on the hands: a randomized,
double-blind clinical trial. Dermatology 1996;193(4):318-20
*Vickers & Smith: Homoeopathic Oscillococcinum for preventing and treating influenza and influenza-
like syndromes. Cochrane Database Syst Rev 2000(2):CD001957
*Wustrow: Alternative versus conventional treatment strategy in uncomplicated acute otitis media in
children: a prospective, open, controlled parallel-group comparison. Int J Clin Pharmacol Ther
2004 Feb;42(2):110-9
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Honey is effective in treating herpes and other viral lesions but the honey must be
non-pasteurized or Manuka since the typical grocery store honey does not possess
any medicinally healing properties. (see more under Antibiotics)
*Al-Waili: Topical honey application vs. acyclovir for the treatment of recurrent herpes simplex lesions.
Med Sci Monit 2004 Aug;10(8):MT94-8
*Alandejani et al: Effectiveness of honey on Staphylococcus aureus and Pseudomonas aeruginosa
biofilms. Otolaryngol Head Neck Surg 2009 Jul;141(1):114-8
*Molan: Why honey is effective as a medicine: The scientific explanation of its effects. Bee World
2001;82(1):22-40
*Schneider: Tests Show Most Store Honey Isn’t Honey: Ultra-filtering Removes Pollen, Hides Honey
Origins. Food Safety News 2011 Nov 7
Hops is a calming herb used in the brewing industry but it also has antiviral activity.
*Buckwold et al: Antiviral activity of hop constituents against a series of DNA and RNA viruses. Antiviral
Res 2004 Jan;61(1):57-62
- Carrageenan is extracted from seaweed (Irish moss) for use in food prep-
aration as a vegan alternative to gelatin. It is a potent inhibitor of the virus.
*Buck et al: Carrageenan is a potent inhibitor of papillomavirus infection. PLoS Pathog 2006 Jul;2(7):e69
*Roberts et al: Genital transmission of HPV in a mouse model is potentiated by nonoxynol-9 and inhib-
Anti-virals/Anti-retrovirals
ited by carrageenan. Nat Med 2007 Jul;13(7):857-61
- Curcumin inhibits cervical cancer cells that are associated with HPV
infection.
*Divya & Pillai: Antitumor action of curcumin in human papillomavirus associated cells involves down-
regulation of viral oncogenes, prevention of NFkB and AP-1 translocation, and modulation of
apoptosis. Mol Carcinog 2006 May;45(5):320-32
157
Pamela Duff, RN, CSNC
*Maher et al: Curcumin suppresses human papillomavirus oncoproteins, restores p53, Rb, and
PTPN13 proteins and inhibits benzo[a]pyrene-induced upregulation of HPV E7. Mol Carcinog 2011
Jan;50(1):47-57
*Prusty & Das: Constitutive activation of transcription factor AP-1 in cervical cancer and suppression
of human papillomavirus (HPV) transcription and AP-1 activity in HeLa cells by curcumin. Br J Nutr
2007 Oct;98(4):720-6
- Dietary Supplements reduce the risk of contracting the virus and the
resulting cervical cancer [PLEASE, do not go out and buy Centrum-type
vitamins and think you are safe. Synthetics of any kind are toxins and do
not help prevent anything].
*Hwang et al: Dietary supplements reduce the risk of cervical intraepithelial neoplasia. Int J Gynecol
Cancer 2010 Apr;20(3):398-403
- Tea tree oil (melaleuca) is a safe and effective external treatment for HPV warts.
*Millar & Moore: Successful topical treatment of hand warts in a paediatric patient with tea tree oil
(Melaleuca alternifolia). Complement Ther Clin Pract 2008 Nov;14(4):225-7
- Usnic acid (derived from several lichen species) and Zinc improve post
surgical time for healing.
*Scirpa et al: A zinc sulfate and usnic acid preparation used as post-surgical adjuvant therapy in genital
lesions by Human Papillomavirus. Minerva Ginecol 1999 Jun;51(6):255-60
158
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Mangosteen is a potent anti-viral fruit that generally protects all cells from toxic
effects.
*Chen et al: Active constituents against HIV-1 protease from Garcinia mangostana. Planta Med 1996
Aug;62(4):381-2
*Ngawhirunpat et al: Antioxidant, free radical-scavenging activity and cytotoxicity of different solvent
extracts and their phenolic constituents from the fruit hull of mangosteen (Garcinia mangostana).
Pharm Biol 2010 Jan;48(1):55-62
*Ryu et al: Xanthones with neuraminidase inhibitory activity from the seedcases of Garcinia man-
gostana. Bioorg Med Chem 2010 Sep 1;18(17):6258-64
Melissa (Lemonbalm) oil is effective for topically treating herpes simplex labialis
and internally for inhibiting the HSV-2 virus.
*Allahverdiyev et al: Antiviral activity of the volatile oils of Melissa officinalis L. against Herpes simplex
virus type-2. Phytomed 2004 Nov;11(7-8):657-61
*Koytchev et al: Balm mint extract (Lo-701) for topical treatment of recurring herpes labialis. Phytomed
1999 Oct;6(4):225-30
*Mazzanti et al: Inhibitory activity of Melissa officinalis L. extract on Herpes simplex virus type 2 replica-
tion. Nat Prod Res 2008;22(16):1433-40
*Schnitzler et al: Melissa officinalis oil affects infectivity of enveloped herpesviruses. Phytomed 2008
Sep;15(9):734-40
Milk Thistle is an herb long-used to improve liver function but it also has strong
anti-viral properties. It is effective in reducing iron levels in those with Hep C who do
not respond to medications.
*Bares et al: Silybin treatment is associated with reduction in serum ferritin in patients with chronic
hepatitis C. J Clin Gastroenterol 2008 Sep;42(8):937-44
*El-Kamary et al: A randomized controlled trial to assess the safety and efficacy of silymarin on symp-
toms, signs and biomarkers of acute hepatitis. Phytomed 2009 May;16(5):391-400
*Ferenci et al: Silibinin is a potent antiviral agent in patients with chronic hepatitis C not responding to
pegylated interferon/ribavirin therapy. Gastroenterol 2008 Nov;135(5):1561-7
159
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Nightshade Family extracts (Solasodine rhamnosyl glycosides [SRGs]) are not only
proving to kill various cancers but may have a similar effect on the HSV-1 virus.
SRGs are found in such plants as Eggplant.
*Thorne et al: The inactivation of herpes simplex virus by some Solanaceae glycoalkaloids. Antiviral
Res 1985 Dec;5(6):335-43
*Akihisa et al: Anti-inflammatory and potential cancer chemopreventive constituents of the fruits of
Morinda citrifolia (Noni). J Nat Prod 2007 May;70(5):754-7
*Kamata et al: Cell-based chemical genetic screen identifies damnacanthal as an inhibitor of HIV-1 Vpr
induced cell death. Biochem Biophys Res Commun 2006 Sep 29;348(3):1101-6
Noni fruit and Wrightia tinctoria have antiviral activity against Hep C.
*Selvam et al: Studies of Antiviral Activity and Cytotoxicity of Wrightia tinctoria and Morinda citrifolia.
Indian J Pharm Sci 2009 Nov;71(6):670-2
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*Lee-Huang et al: Discovery of small-molecule HIV-1 fusion and integrase inhibitors oleuropein and
hydroxytyrosol inhibition. Biochem Biophys Res Commun 2007 Mar 23;354(4):872-8
*Micol et al: The olive leaf extract exhibits antiviral activity against viral haemorrhagic septicaemia rhab-
dovirus (VHSV). Antiviral Res 2005 Jun;66(2-3):129-36
*Pereira et al: Phenolic compounds and antimicrobial activity of olive (Olea europaea L. Cv. Cobran-
çosa) leaves. Molecules 2007 May 26;12(5):1153-62
*Zhao et al: Antiviral efficacy against hepatitis B virus replication of oleuropein isolated from Jasminum
officinale L. var. grandiflorum. J Ethnopharmacol 2009 Sep 7;125(2):265-8
Pomegranate has a broad range of antiviral activity and acts synergistically with
some anti-viral medications.
*Haidari et al: Pomegranate (Punica granatum) purified polyphenol extract inhibits influenza virus and
has a synergistic effect with oseltamivir. Phytomed 2009 Jul 6
*Kotwal: Genetic diversity-independent neutralization of pandemic viruses (e.g. HIV), potentially pan-
demic (e.g. H5N1 strain of influenza) and carcinogenic (e.g. HBV and HCV) viruses and possible
agents of bioterrorism (variola) by enveloped virus neutralizing compounds (EVNCs). Vaccine 2008
Jun 6;26(24):3055-8
*Su et al: Time-dependent effects of pomegranate juice and pomegranate polyphenols on foodborne
viral reduction. Foodborne Pathog Dis 2011 Jul 21
*Sundararajan et al: Influenza virus variation in susceptibility to inactivation by pomegranate poly-
phenols is determined by envelope glycoproteins. Antiviral Res 2010 Oct;88(1):1-9
Probiotics lower the number and severity of various viral infections, internally and
externally.
*Baron et al: A patented strain of Bacillus coagulans increased immune response to viral challenge.
Postgrad Med 2009 Mar;121(2):114-8
*Clancy et al: Reversal in fatigued athletes of a defect in interferon gamma secretion after administra-
tion of Lactobacillus acidophilus. Br J Sports Med 2006 Apr;40(4):351-4
*Iovieno et al: Preliminary evidence of the efficacy of probiotic eye-drop treatment in patients with ver-
nal keratoconjunctivitis. Graefes Arch Clin Exp Ophthalmol 2008 Mar;246(3):435-41
*Kekkonen et al: The effect of probiotics on respiratory infections and gastrointestinal symptoms dur-
ing training in marathon runners. Int J Sport Nutr Exerc Metab 2007 Aug;17(4):352-63
*Leyer et al: Probiotic effects on cold and influenza-like symptom incidence and duration in children. J
Gerontol A Biol Sci Med Sci 2011 Feb;66(2):179-82
*Makino et al: Reducing the risk of infection in the elderly by dietary intake of yoghurt fermented with
Lactobacillus delbrueckii ssp. bulgaricus OLL1073R-1. Br J Nutr 2010 Oct;104(7):998-1006
*Pregliasco et al: A new chance of preventing winter diseases by the administration of synbiotic formu-
Anti-virals/Anti-retrovirals
lations. Carcinogen 2008 May;29(5):1049-56
*Vrese et al: Probiotic bacteria reduced duration and severity but not the incidence of common cold
episodes in a double blind, randomized, controlled trial. Vaccine 2006 Nov 10;24(44-46):6670-4
*Winkler et al: Effect of a dietary supplement containing probiotic bacteria plus vitamins and minerals
on common cold infections and cellular immune parameters. Int J Clin Pharmacol Ther 2005
Jul;43(7):318-26
Quassia is an herb family that exhibits antiviral properties against a wide variety of
viruses.
*Apers et al: Antiviral activity of simalikalactone D, a quassinoid from Quassia africana. Planta Med
2002 Jan;68(1):20-4
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Reishi mushroom improves the recovery time of those with herpes genitalis and
labialis; reduces the pain from postherpetic neuralgia caused by the varicella zoster
virus; and inhibits HIV and Epstein-Barr.
*Akihisa et al: Anti-inflammatory and anti-tumor-promoting effects of triterpene acids and sterols from
the fungus Ganoderma lucidum. Chem Biodivers 2007 Feb;4(2):224-31
*Hijikata et al: Herbal mixtures containing the mushroom Ganoderma lucidum improve recovery time in
patients with herpes genitalis and labialis. J Altern Complement Med 2007 Nov;13(9):985-7
*Hijikata & Yamada: Effect of Ganoderma lucidum on postherpetic neuralgia. J Nutr 2006 Mar;136(3
Suppl):816S-820S
*Hijikata et al: Effect of an herbal formula containing Ganoderma lucidum on reduction of herpes zoster
pain: a pilot clinical trial. Am J Chin Med 2005;33(4):517-23
*Iwatsuki et al: Lucidenic acids P and Q, methyl lucidenate P, and other triterpenoids from the fungus
Ganoderma lucidum and their inhibitory effects on Epstein-Barr virus activation. J Nat Prod 2003
Dec;66(12):1582-5
*Min et al: Triterpenes from the spores of Ganoderma lucidum and their inhibitory activity against HIV-1
protease. Chem Pharm Bull (Tokyo) 1998 Oct;46(10):1607-12
*Yuen et al: Telomerase-associated apoptotic events by mushroom ganoderma lucidum on premalig-
nant human urothelial cells. Nutr Cancer 2008;60(1):109-19
Resveratrol is a potent antioxidant found in the skins of blueberries and red grapes.
It has antiviral effects especially against the herpes viruses.
*Campagna & Rivas: Antiviral activity of resveratrol. Biochem Soc Trans 2010 Feb;38(Pt 1):50-3
*Evers et al: 3,4’,5-Trihydroxy-trans-stilbene (resveratrol) inhibits human cytomegalovirus replication
and virus-induced cellular signaling. Antiviral Res 2004 Aug;63(2):85-95
*Pterostilbene Monograph. Alt Med Rev 2010;15(2):159-63
Rooibos Tea is native to South Africa and has numerous health benefits including
that of anti-HIV properties. It is safe enough for babies to drink.
*Kunishiro et al: Effects of rooibos tea extract on antigen-specific antibody production and cytokine
generation in vitro and in vivo. Biosci Biotechnol Biochem 2001 Oct;65(10):2137-45
*Nakano et al: Anti-human immunodeficiency virus activity of oligosaccharides from rooibos tea
(Aspalathus linearis) extracts in vitro. Leukemia 1997 Apr;11 Suppl 3:128-30
*Nakano et al: Polysaccharide from Aspalathus linearis with strong anti-HIV activity. Biosci Biotechnol
Biochem 1997 Feb;61(2):267-71
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Selenium, Milk Thistle and Alpha lipoic acid is an effective treatment combination
for Hep C patients.
*Berkson: A conservative triple antioxidant approach to the treatment of hepatitis C. Combination of
alpha lipoic acid (thioctic acid), silymarin, and selenium: three case histories. Med Klin (Munich)
1999 Oct 15;94 Suppl 3:84-9
St. John’s Wort has antiviral activity especially against the herpes viruses.
*Hudson et al: Antiviral activities of hypericin. Antiviral Res 1991 Feb;15(2):101-12 Anti-virals/Anti-retrovirals
Stevia is an herb that is some 200 times sweeter than table sugar. It has anti-
diabetic, antioxidant, antibacterial and antiviral effects.
*Shukla et al: Antioxidant ability and total phenolic content of aqueous leaf extract of Stevia rebaudiana
Bert. Exp Toxicol Pathol 2011 Mar 4
*Takahashi et al: Analysis of anti-rotavirus activity of extract from Stevia rebaudiana. Antiviral Res 2001
Jan;49(1):15-24
*Tomita et al: Bactericidal activity of a fermented hot-water extract from Stevia rebaudiana Bertoni
towards enterohemorrhagic Escherichia coli O157:H7 and other food-borne pathogenic bacteria.
Microbiol Immunol 1997;41(12):1005-9
Valerian root is often used to promote sleep but it also contains a compound that
has anti-HIV activity.
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Pamela Duff, RN, CSNC
*Murakami et al: New Rev-transport inhibitor with anti-HIV activity from Valerianae radix. Bioorg Med
Chem Lett 2002 Oct 21;12(20):2807-10
Vitamins B and C inhibit various viruses and have therapeutic effects for Hep A
patients.
*Komar & Vasil’ev: The use of water-soluble vitamins in viral hepatitis A. Klin Med (Mosk) 1992
Jan;70(1):73-5
*White et al: In vitro effect of ascorbic acid on infectivity of herpesviruses and paramyxoviruses. BMC
Musculoskelet Disord 2008 Jun 11;9:85
Zinc has antiviral effects against several viruses including the herpes viruses.
*Abdulhamid et al: Effect of zinc supplementation on respiratory tract infections in children with cystic
fibrosis. Pediatr Pulmonol 2008 Mar;43(3):281-7
*Li et al: Observation on clinical efficacy of combined therapy of zinc supplement and jinye baidu
granule in treating human cytomegalovirus infection. Zhongguo Zhong Xi Yi Jie He Za Zhi 2005
May;25(5):449-51
*Li et al: The correlation between prognosis of HCMV infection and zinc in mature women. J Huazhong
Univ Sci Technolog Med Sci 2004;24(6):628-9
Anti-virals/Anti-retrovirals
164
Anxiety
Common examples:
Benzodiazepines
alprazolam – Xanax
chlordiazepoxide – Librium, Libritabs
clonazepam – Klonopin
clorazepate – Tranxene
diazepam – Valium
lorazepam – Ativan
oxazepam – Serax
... and others
Deplete:
B9, D, K, calcium, melatonin
Suggested alternatives:
Aromatherapy using Essential oils or Bach flowers reduce anxiety. Essential oils
include Bergamont, Lavender, Rose, Rosemary and Ylang ylang.
*Atsumi & Tonosaki: Smelling lavender and rosemary increases free radical scavenging activity and
decreases cortisol level in saliva. Psychiatry Res 2007 Feb 28;150(1):89-96
*Diego et al: Aromatherapy positively affects mood, EEG patterns of alertness and math computa-
tions. Int J Neurosci 1998 Dec;96(3-4):217-24
*Hongratanaworakit: Relaxing effect of rose oil on humans. Nat Prod Commun 2009 Feb;4(2):291-6
*Hongratanaworakit & Buchbauer: Relaxing effect of ylang ylang oil on humans after transdermal ab-
sorption. Phytother Res 2006 Sep;20(9):758-63
*Hwang: The effects of the inhalation method using essential oils on blood pressure and stress re-
sponses of clients with essential hypertension. Taehan Kanho Hakhoe Chi 2006 Dec;36(7):1123-34
*Lehrner et al: Ambient odors of orange and lavender reduce anxiety and improve mood in a dental
office. Physiol Behav 2005 Sep 15;86(1-2):92-5
*Lehrner et al: Ambient odor of orange in a dental office reduces anxiety and improves mood in female
patients. Physiol Behav 2000 Oct 1-15;71(1-2):83-6
*McCaffrey et al: The effects of lavender and rosemary essential oils on test-taking anxiety among
graduate nursing students. Holist Nurs Pract 2009 Mar-Apr;23(2):88-93
Anxiety
*Moss et al: Aromas of rosemary and lavender essential oils differentially affect cognition and mood in
healthy adults. Int J Neurosci 2003 Jan;113(1):15-38
*Segura: Emotional support and Bach Flower Therapy. Rev Enferm 2009 Oct;32(10):16-9
165
Pamela Duff, RN, CSNC
*Toda & Morimoto: Effect of lavender aroma on salivary endocrinological stress markers. Arch Oral Biol
2008 Oct;53(10):964-8
*Tsang & Ho: A systematic review on the anxiolytic effects of aromatherapy on rodents under experi-
mentally induced anxiety models. Rev Neurosci 2010;21(2):141-52
*Walach et al: Efficacy of Bach-flower remedies in test anxiety: a double-blind, placebo-controlled,
randomized trial with partial crossover. J Anxiety Disord 2001 Jul-Aug;15(4):359-66
Carob has anti-anxiety effects, acting similar to benzodiazepines. Carob has long
been used as a chocolate substitute, although the taste is not similar but it does have
numerous health benefits of its own, as does raw chocolate (cacao).
*Avallone et al: Extraction and purification from Ceratonia siliqua of compounds acting on central and
peripheral benzodiazepine receptors. Fitoterapia 2002 Aug;73(5):390-6
Chamomile is an herb long-used for its calming effects and therefore valuable in
reducing anxiety.
*Amsterdam et al: A randomized, double-blind, placebo-controlled trial of oral Matricaria recutita
(chamomile) extract therapy for generalized anxiety disorder. J Clin Psychopharmacol 2009
Aug;29(4):378-82
Curcumin is the main active component of the cooking spice Turneric. Curcumin
has numerous health benefits including anti-anxiety properties.
*Gilhotra & Dhingra: GABAergic and nitriergic modulation by curcumin for its antianxiety-like activity in
mice. Brain Res 2010 Sep 17;1352:167-75
Damiana is an herb that has traditional uses to relieve anxiety and now scientists
are proving this effect.
*Kumar & Sharma: Anti-anxiety activity studies of various extracts of Turnera aphrodisiaca Ward. J
Herb Pharmacother 2005;5(4):13-21
Echinacea has long been used as an immune-booster during the cold and flu season
but it also has anti-anxiety properties.
*Haller et al: The effect of Echinacea preparations in three laboratory tests of anxiety: comparison with
chlordiazepoxide. Phytother Res 2010 Nov;24(11):1605-13
GABA (gamma butyric acid) is a brain chemical that regulates the anti-anxiety part
of the brain. Benzodiazepines target GABA receptors in the brain, making them
effective for reducing anxiety. However, these drugs are addictive and discontinuing
their use can be more difficult than withdrawing from heroin.
Anxiety
*Abdou et al: Relaxation and immunity enhancement effects of gamma-aminobutyric acid (GABA)
administration in humans. Acupunct Med 2008 Mar;26(1):51-6
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Gotu Kola is an herb long used to improve the memory but it also has value in treat-
ing anxiety disorders.
*Bradwejn et al: A double-blind, placebo-controlled study on the effects of Gotu Kola (Centella asiatica)
on acoustic startle response in healthy subjects. J Clin Psychopharmacol 2000 Dec;20(6):680-4
*Gotu kola. U Maryland Medical Center online
Herbs are comparable to benzodiazepines for effect but without the dangerous side
effects.
*Mohan et al: Evaluation of the anxiolytic activity of NR-ANX-C (a polyherbal formulation) in ethanol
withdrawal-induced anxiety behavior in rats. Evid Based Complement Alternat Med 2011;2011
Kava kava is an herb that is a safe and effective treatment for anxiety, even though
it is not allowed in Canada.
*Boerner et al: Kava-Kava extract LI 150 is as effective as opipramol and buspirone in generalised anx-
iety disorder--an 8-week randomized, double-blind multi-centre clinical trial in 129 out-patients.
Phytomed 2003;10 Suppl 4:38-49
*Boerner et al: Kava kava in the treatment of generalized anxiety disorder, simple phobia and specific
social phobia. Phytother Res 2001 Nov;15(7):646-7
*Cagnacci et al: Kava-Kava administration reduces anxiety in perimenopausal women. Integr Cancer
Ther 2008 Dec;7(4):295-310
*Clouatre et al: Kava kava: examining new reports of toxicity. Toxicol Lett 2004 Apr15;150(1):85-96
*Garrett et al: Extracts of kava (Piper methysticum) induce acute anxiolytic-like behavioral changes in
mice. Psychopharmacology (Berl) 2003 Oct;170(1):33-41
*Geier & Konstantinowicz: Kava treatment in patients with anxiety. Phytother Res 2004 Apr;18(4):297-300
*Neuhaus et al: Treatment of perioperative anxiety in suspected breast carcinoma with a phytogenic
tranquilizer. Zentralbl Gynakol 2000;122(11):561-5
*Pittler & Ernst: Kava extract for treating anxiety. Cochrane Database Syst Rev 2002(2):CD003383
*Pittler & Ernst: Efficacy of kava extract for treating anxiety: systematic review and meta-analysis. J Clin
Psychopharmacol 2000 Feb;20(1):84-9
*Rex et al: Anxiolytic-like effects of kava-kava in the elevated plus maze test--a comparison with diaze-
pam. Prog Neuropsychopharmacol Biol Psych 2002 Jun;26(5):855-60
*Sarris et al: Kava Anxiety Depression Spectrum Study (KADSS): a mixed methods RCT using an
aqueous extract of Piper methysticum. Complement Ther Med 2009 Jun;17(3):176-8
Anxiety
*Sarris et al: Kava: a comprehensive review of efficacy, safety, and psychopharmacology. Aust N Z J
Psych 2011 Jan;45(1):27-35
167
Pamela Duff, RN, CSNC
*Sarris et al: The ava Anxiety Depression Spectrum Study (KADSS): a randomized, placebo-controlled
crossover trial using an aqueous extract of Piper methysticum. Psychopharmacology (Berl) 2009
Aug;205(3):399-407
*Thompson et al: Enhanced cognitive performance and cheerful mood by standardized extracts of
Piper methysticum (Kava-kava). Hum Psychopharmacol 2004 Jun;19(4):243-50
*Witte et al: Meta-analysis of the efficacy of the acetonic kava-kava extract WS1490 in patients with
non-psychotic anxiety disorders. Phytother Res 2005 Mar;19(3):183-8
Melatonin and Motherwort (herb) help relieve anxiety while protecting the retina of
the eye during anxiety attacks.
*Ovanesov et al: Effects of melatonin and motherwort tincture on the emotional state and visual func-
tions in anxious subjects. Eksp Klin Farmakol 2006 Nov-Dec;69(6):17-9
*Shikov et al: Effect of Leonurus cardiaca oil extract in patients with arterial hypertension accompanied
by anxiety and sleep disorders. Phytother Res 2011 Apr;25(4):Melissa officinalis 540-3
Neem is an antimicrobial herb that also has other health benefits including being
comparable to diazepam for reducing anxiety but safer.
*Thaxter et al: An extract of neem leaves reduces anxiety without causing motor side effects in an
experimental model. West Indian Med J 2010 Jun;59(3):245-8
Noni fruit reduces anxiety as a result of its natural relationship with the GABA
receptors in the brain.
*Deng et al: Noni as an anxiolytic and sedative: a mechanism involving its gamma-aminobutyric acider-
gic effects. Phytomed 2007 Aug;14(7-8):517-22
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Han et al: Anxiolytic-like effects of 4-O-methylhonokiol isolated from magnolia officinalis through en-
hancement of GABAergic transmission and chloride influx. J Med Food 2011 Apr 18
*Kalman et al: Effect of a proprietary Magnolia and Phellodendron extract on stress levels in healthy
women: a pilot, double-blind, placebo-controlled clinical trial. Cancer Epidemiol Biomarkers Prev
2005 Sep;14(9):2098-105
Rhodiola rosea is an herb useful in addressing stress and which significantly de-
creases anxiety.
*Bystritsky et al: A pilot study of Rhodiola rosea (Rhodax) for generalized anxiety disorder (GAD). J
Altern Complement Med 2008 Mar;14(2):175-80
Skullcap is a family of herbs that have similar actions as benzodiazepines but with-
out the side-effects.
*Awad et al: Phytochemical and biological analysis of skullcap (Scutellaria lateriflora L.): a medicinal
plant with anxiolytic properties. Phytomed 2003 Nov;10(8):640-9
*Hui et al: Anxiolytic effect of wogonin, a benzodiazepine receptor ligand isolated from Scutellaria
baicalensis Georgi. Biochem Pharmacol. 2002 Nov 1;64(9):1415-24
*Wolfson & Hofmann: An investigation into the efficacy of Scutellaria lateriflora in healthy volunteers.
Altern Ther Health Med 2003 Mar-Apr;9(2):74-8
Tart Cherry Juice can help overcome insomnia and improve sleep duration and
quality.
*Howatson et al: Effect of tart cherry juice (Prunus cerasus) on melatonin levels and enhanced sleep
quality. Eur J Nutr 2011 Oct 30
*Pigeon et al: Effects of a tart cherry juice beverage on the sleep of older adults with insomnia: a pilot
study. J Med Food 2010 Jun;13(3):579-83
Theanine is a derivative of green tea that works well with midazolam in reducing
anxiety.
*Heese et al: Anxiolytic effects of L-theanine--a component of green tea--when combined with midaz-
olam, in the male Sprague-Dawley rat. J Altern Complement Med 2010 Aug;16(8):875-82
Valerian is an herb often used to promote sleep but it also helps relieve anxiety, with
or without Lemon balm (Melissa).
*Benke et al: GABA A receptors as in vivo substrate for the anxiolytic action of valerenic acid, a major
constituent of valerian root extracts. Neuropharmacol 2008 Jun 17
*Hattesohl et al: Extracts of Valeriana officinalis L. s.l. show anxiolytic and antidepressant effects but
neither sedative nor myorelaxant properties. Phytomed 2008 Jan;15(1-2):2-15
*Kennedy et al: Anxiolytic effects of a combination of Melissa officinalis and Valeriana officinalis during
laboratory induced stress. Phytother Res 2006 Feb;20(2):96-102
*Murphy et al: Valeriana officinalis root extracts have potent anxiolytic effects in laboratory rats.
Phytomed 2009 Dec 28
Anxiety
169
Anti-arrhythmics/Cardiac Regulators
(Used to treat abnormal heart rhythms)
Common examples:
Group I
moricizine – Ethmozine and others
Group IA
disopyramide – Norpace and others
procainamide – Procan and others
quinidine – Quinalan and others
Group IB
lidocaine – Xylocaine and others
mexiletine – Mexitil
phenytoin – Dilantin and others
Group IC
flecainide – Tambocar
propafenone – Rhythmol
Group II
acebutolol – Sectral
esmolol – Brevibloc
Anti-arrhythmics/Cardiac Regulators
170
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
digoxin – Lanoxin
edrophonium – Reversol and others
Deplete:
A, B1, C, E, calcium, magnesium, phosphorus, potassium, CoQ10
´´Do not take the following within 2 hours of these medications: large
amounts of aloe vera, licorice root, quinine (tonic water), or fiber (psyllium).
´´Do not take the following herbs at all if on any of these heart medications
since they have the same effect: Foxglove, Hawthorn, and Siberian ginseng.
Anti-arrhythmics/Cardiac Regulators
´´Ibuprofen use may cause arrhythmias.
*Douglas: Palpitations following regular ibuprofen dosing in a 13-year-old girl: a case report. J Med
Case Reports 2010;4:76
171
Pamela Duff, RN, CSNC
*van der Hooft et al: Corticosteroids and the risk of atrial fibrillation. Arch Intern Med 2006 May
8;166(9):1016-20
Suggested alternatives:
Astragalus significantly improves heart function, especially in those with CHF (con-
gestive heart failure).
*Ma et al: Mechanisms of the therapeutic effect of astragalus membranaceus on sodium and water
retention in experimental heart failure. Chin Med J (Engl) 1998 Jan;111(1):17-23
*Xi et al: The inhibitory effects of Radix Astragali on hypoxic pulmonary hypertension of rats. Nutr J
2008;7:11
*Zhang et al: Effect of Astragalus injection on plasma levels of apoptosis-related factors in aged pa-
tients with chronic heart failure. Chin J Integr Med 2005 Sep;11(3):187-90
*Zhou et al: Study on effect of Astragalus injection in treating congestive heart failure. Zhongguo Zhong
Xi Yi Jie He Za Zhi 2001 Oct;21(10):747-9
Bacopa, Amla, Licorice, Indian mango, and Clove protect the heart and kidneys.
*Bafna & Balaraman: Antioxidant activity of DHC-1, an herbal formulation, in experimentally-induced
cardiac and renal damage. Phytother Res 2005 Mar;19(3):216-21
Chili peppers contain capsaicin which strengthens the heart, regulates the beat,
and improves its function.
*Ahuja et al: The effect of 4-week chilli supplementation on metabolic and arterial function in humans.
Eur J Clin Nutr 2007 Mar;61(3):326-33
172
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
CoQ10 is a vital antioxidant needed by every cell in the body to make energy but
it has a special leaning towards the heart muscle. The ubiquinol form has better
absoption than the cheaper ubiquinone form.
*Adarsh et al: Coenzyme Q10 (CoQ10) in isolated diastolic heart failure in hypertrophic cardiomyopathy
(HCM). Biofactors 2008;32(1-4):145-9
*Baggio et al: Italian multicenter study on the safety and efficacy of coenzyme Q10 as adjunctive therapy
in heart failure. CoQ10 Drug Surveillance Investigators. Mol Aspects Med 1994;15 Suppl:s287-94
*Baggio et al: Italian multicenter study on the safety and efficacy of coenzyme Q10 as adjunctive ther-
apy in heart failure (interim analysis). The CoQ10 Drug Surveillance Investigators. Forsch Komple-
mentarmed Klass Naturheilkd 2005 Apr;12(2):77-83
*Kumar et al: Effect of carni Q-gel (ubiquinol and carnitine) on cytokines in patients with heart failure in
the Tishcon study. Acta Cardiol 2007 Aug;62(4):349-54
*Maroz et al: Reactivity of ubiquinone and ubiquinol with superoxide and the hydroperoxyl radical:
implications for in vivo antioxidant activity. Free Radic Biol Med 2009 Jan 1;46(1):105-9
*Mortensen et al: Long-term coenzyme Q10 therapy: a major advance in the management of resistant
myocardial failure. Wien Klin Wochenschr 2005 Aug;117(15-16):558-60
*Okello et al: Combined statin/coenzyme Q10 as adjunctive treatment of chronic heart failure. Med
Hypotheses 2009 Sep;73(3):306-8
*Schmelzer et al: The reduced form of coenzyme Q10 mediates distinct effects on cholesterol metab-
olism at the transcriptional and metabolite level in SAMP1 mice. IUBMB Life 2010 Nov 17
*Tiano et al: Effect of coenzyme Q10 administration on endothelial function and extracellular super-
oxide dismutase in patients with ischaemic heart disease: a double-blind, randomized controlled
study. Eur Heart J 2007 Sep;28(18):2249-55
Anti-arrhythmics/Cardiac Regulators
Diet rich in fruits and vegetables plays a significant role in preventing and revers-
ing various cardiovascular disorders along with a benefit of reduced mortality from
all causes.
*Nagura et al: Fruit, vegetable and bean intake and mortality from cardiovascular disease among
Japanese men and women: the JACC Study. Br J Nutr 2009 Jul;102(2):285-92
*Pfister et al: Plasma vitamin C predicts incident heart failure in men and women in European Pro-
spective Investigation into Cancer and Nutrition-Norfolk prospective study. Am Heart J 2011 Aug
;162(2):246-53
173
Pamela Duff, RN, CSNC
*Holubarsch et al: The efficacy and safety of Crataegus extract WS 1442 in patients with heart failure:
the SPICE trial. Eur J Heart Fail 2008 Dec;10(12):1255-63
*Hwang et al: Effects of hawthorn on the progression of heart failure in a rat model of aortic constric-
tion. Pharmacother 2009 Jun;29(6):639-48
*Pittler et al: Hawthorn extract for treating chronic heart failure: meta-analysis of randomized trials. Am
J Med 2003 Jun 1;114(8):665-74
*Pittler et al: Hawthorn extract for treating chronic heart failure. Cochrane Database Syst Rev 2008
Jan 23;(1):CD005312
*Rietbrock et al: Actions of standardized extracts of Crataegus berries on exercise tolerance and qual-
ity of life in patients with congestive heart failure. Arzneimittelforschung. 2001 Oct;51(10):793-8
Motherwort is an herb with a traditional use for addressing women’s issues but it
also has anti-arrhythmic effects.
*Ritter et al: Cardiac and electrophysiological effects of primary and refined extracts from Leonurus
cardiaca L. (Ph.Eur.). Planta Med 2010 Apr;76(6):572-82
Omega-3 fatty acids prevent and reverse atrial fibrillation. Omega-3 fatty acids are
found in abundance in fish and flaxseed oils and sacha inchi seeds.
*Aarsetøy et al: Low levels of cellular omega-3 increase the risk of ventricular fibrillation during the
acute ischaemic phase of a myocardial infarction. Resuscitation 2008 Sep;78(3):258-64
*Calò et al: N-3 Fatty acids for the prevention of atrial fibrillation after coronary artery bypass surgery:
a randomized, controlled trial. J Am Coll Cardiol 2005 May 17;45(10):1723-8
*Gronroos & Alonso: Diet and risk of atrial fibrillation– epidemiologic and clinical evidence. Circ J 2010
Oct;74(10):2029-38
174
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Heidt et al: Beneficial effects of intravenously administered N-3 fatty acids for the prevention of atrial
fibrillation after coronary artery bypass surgery: a prospective randomized study. Thorac Cardio-
vasc Surg 2009 Aug;57(5):276-80
*Kumar et al: Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human atrial
mechanical function after reversion of atrial arrhythmias to sinus rhythm: reversal of tachycardia-
mediated atrial cardiomyopathy with fish oils. Heart Rhythm 2011 May;8(5):643-9
*Li et al: Omega-3 polyunsaturated fatty acids inhibit transient outward and ultra-rapid delayed rectifier
K+currents and Na+current in human atrial myocytes. Cardiovasc Res 2009 Feb 1;81(2):286-93
*Macchia et al: Omega-3 fatty acid supplementation reduces one-year risk of atrial fibrillation in pa-
tients hospitalized with myocardial infarction. Eur J Clin Pharmacol 2008 Jun;64(6):627-34
*Mariscalco et al: Preoperative n-3 polyunsatured fatty acids are associated with a decrease in the
incidence of early atrial fibrillation following cardiac surgery. Angiology 2010 Oct;61(7):643-50
*Mayyas et al: Dietary Ω3 fatty acids modulate the substrate for post-operative atrial fibrillation in a
canine cardiac surgery model. Cardiovasc Res 2011 Mar 1;89(4):852-61
*Metcalf et al: Effect of dietary n-3 polyunsaturated fatty acids on the inducibility of ventricular tachy-
cardia in patients with ischemic cardiomyopathy. Am J Cardiol 2008 Mar15;101(6):758-61
*Patel et al: Omega-3 polyunsaturated fatty acid supplementation reduced atrial fibrillation recurrence
after pulmonary vein antrum isolation. J Invest Dermatol 1989 Jun;92(6):842-7
*Ramadeen et al: n-3 Polyunsaturated fatty acids alter expression of fibrotic and hypertrophic genes
in a dog model of atrial cardiomyopathy. Heart Rhythm 2010 Apr;7(4):520-8
*Virtanen et al: Serum long-chain n-3 polyunsaturated fatty acids and risk of hospital diagnosis of atrial
fibrillation in men. Circulation 2009 Dec 8;120(23):2315-21
*Zhang et al: n-3 polyunsaturated fatty acids prevents atrial fibrillation by inhibiting inflammation in a
canine sterile pericarditis model. Int J Cardiol 2010 Sep 8
Pterocarpus (Kino tree) is and herb that has similar effects as digoxin.
*Mohire et al: Cardiotonic activity of aqueous extract of heartwood of Pterocarpus marsupium. Indian
J Exp Biol 2007 Jun;45(6):532-7
Red Sage protects against sudden cardiac death caused by lethal arrhythmias.
*Shan et al: Tanshinone IIA protects against sudden cardiac death induced by lethal arrhythmias via
repression of microRNA-1. Br J Pharmacol 2009 Nov;158(5):1227-35
Resveratrol is a potent antioxidant that strengthens the heart thereby reducing the
risk of arrhythmias
*Xin et al: Favorable effects of resveratrol on sympathetic neural remodeling in rats following myocar-
dial infarction. Eur J Pharmacol 2010 Dec 15;649(1-3):293-300
Anti-arrhythmics/Cardiac Regulators
*Zhang et al: Resveratrol, a natural ingredient of grape skin: antiarrhythmic efficacy and ionic mechan-
isms. Biochem Biophys Res Commun 2006 Feb 24;340(4):1192-9
175
Pamela Duff, RN, CSNC
*Hornby: A one-year observational study to determine the efficacy and safety of Strauss Heartdrops®
in reducing risk to coronary heart disease. Study Report online
*Petrella et al: Effect of herbal Strauss Heartdrops in patients with chronic stable angina. Study Report,
Oct 16, 2005
Zinc and Copper levels are low in those with congestive heart failure and atrial
fibrillation which are reversed when these minerals are supplemented.
*Ghaemian et al: Zinc and Copper levels in severe heart failure and the effects of atrial fibrillation on the
zinc and copper status. Int J Oncol 2008 May;32(5):1085-90
Anti-arrhythmics/Cardiac Regulators
176
Blood Pressure/Anti-hypertensives
(Used to lower blood pressure)
Common examples:
ACE Inhibitors (angiotensin converting enzyme – any of the prils)
benazepril – Lotensin
captopril – Capoten
enalapril – Vasotec
quinapril – Accupril
ramipril – Altace
... and others
Adrenergics
clonidine – Catapres
methyldopa – Aldomet, and others
Anti-adrenergics
doxazosin – Cardura
prazosin - Minipress
... and others
ARBs (angiotensin receptor blockers – any of the sartans)
losartan – Cozaar
valsartan – Diovan
... and others
Blood Pressure/Anti-hypertensives
Beta-adrenergic Blockers (any of the olols)
acebutolol - Monitan and others
atenolol – Tenormin
metoprolol - Lopressor
timolol - Timoptic drops
... and others
Calcium-channel Blockers
amlodipine – Norvasc
diltiazem – Cardizem and others
felodipine – Plendil
nifedipine – Aldalat, Procardia, and others
verapamil – Calan, Isoptin, and others
177
Pamela Duff, RN, CSNC
Vasodilators
diazoxide – Hyperstat, Proglycem
hydralazine – Apo-Hydralazine, Apresoline, Novo-Hylazin, Nu-Hydral
minoxidil – Apo-Gain, Minox and others
nitroprusside – Nipride, Nitropress
... and others
Deplete:
B1, B2, B3, B6, B9, B12, C, D, calcium, copper, iron, magnesium,
potassium, selenium, sodium, zinc, CoQ10, DHEA, quercetin, melatonin
´´Beta Blockers, in particular, rapidly decrease CoQ10 levels (as do Statin drugs
for Cholesterol) – which has been known for over 30 years. CoQ10 is needed
to make energy in every cell in the body but the heart needs it the most.
Therefore it is vital that CoQ10 supplementation take place if on medications.
*Kishi et al: Bioenergetics in clinical medicine XV. Inhibition of coenzyme Q10-enzymes by clinically
used adrenergic blockers of beta-receptors. Res Commun Chem Pathol Pharmacol 1977
May;17(1):157-64
*Sarter: Coenzyme Q10 and cardiovascular disease: A review. J Cardio Nurs 2002 July;16(4):9-20
´´Beta Blockers affect exercise capacity and blood flow in the lungs in those
with moderate to severe hypertension.
*Provencher et al: Deleterious effects of beta-blockers on exercise capacity and hemodynamics in
patients with portopulmonary hypertension. Gastroenterol 2006 Jan;130(1):120-6
´´Caffeine increases blood pressure; therefore, do not take your blood pressure
with, or just after, drinking a caffeinated beverage.
*Robertson et al: Effects of caffeine on plasma renin activity, catecholamines and blood pressure. New
Blood Pressure/Anti-hypertensives
´´Calcium channel blockers increase the risk of heart failure and when used
with Diruetics, increase the risk of heart attacks more than any other two
medication-combinations.
*Boger-Megiddo et al: Myocardial infarction and stroke associated with diuretic based two drug
antihypertensive regimens: population based case-control study. BMJ 2010;340:c103
*Shibata et al: Do calcium channel blockers increase the diagnosis of heart failure in patients with
hypertension? Am J Cardiol 2010 Jul 15;106(2):228-35
178
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Blood Pressure/Anti-hypertensives
Suggested alternatives:
Alpha-linolenic acid is a plant-based omega-3 fatty acid that helps lower blood
pressure.
*Ogawa et al: Dietary alpha-linolenic acid inhibits angiotensin-converting enzyme activity and mRNA
expression levels in the aorta of spontaneously hypertensive rats. J Oleo Sci 2009;58(7):355-60
179
Pamela Duff, RN, CSNC
Arginine (an amino acid) is comparable to Calcium Channel Blockers without the
side effects, and safe to take during pregnancy.
*Altun et al: Effects of oral L-arginine supplementation on blood pressure and asymmetric dimethylar-
ginine in stress-induced preeclamptic rats. Cell Biochem Funct 2008 Sep-Oct;26(5):648-53
*Ast et al: Evaluation of the antihypertensive effect of L-arginine supplementation in patients with
mild hypertension assessed with ambulatory blood pressure monitoring. Med Sci Monit 2010
May;16(5):CR266-71
*Cavanal et al: The influence of L-arginine on blood pressure, vascular nitric oxide and renal morphom-
etry in the offspring from diabetic mothers. Pediatr Res 2007 Aug;62(2):145-50
*Lee et al: L-arginine supplementation reduces cardiac noradrenergic neurotransmission in spontan-
eously hypertensive rats. J Mol Cell Cardiol 2009 Jul;47(1):149-55
*Lekakis et al: Oral L-arginine improves endothelial dysfunction in patients with essential hypertension.
Int J Cardiol 2002 Dec;86(2-3):317-23
*Li et al: Comparative effects of calcium channel blockers and L-arginine on chronic intermittent hypox-
ic pulmonary hypertension in rats. Zhonghua Jie He He Hu Xi Za Zhi 1994 Dec;17(6):372-4, 385
*Lucotti et al: Beneficial effects of a long-term oral L-arginine treatment added to a hypocaloric diet
and exercise training program in obese, insulin-resistant type 2 diabetic patients. Am J Physiol
Endocrinol Metab 2006 Nov;291(5):E906-12
*Martina et al: Long-term N-acetylcysteine and L-arginine administration reduces endothelial activation
and systolic blood pressure in hypertensive patients with type 2 diabetes. Diabetes Care 2008
May;31(5):940-4
*Miller: The effects of sustained-release-L-arginine formulation on blood pressure and vascular compli-
ance in 29 healthy individuals. Altern Med Rev 2006 Mar;11(1):23-9
Blood Pressure/Anti-hypertensives
*Neri et al: L-arginine supplementation in women with chronic hypertension: impact on blood pressure
and maternal and neonatal complications. J Matern Fetal Neonatal Med 2010 Dec;23(12):1456-60
*Neri et al: Effect of L-arginine on blood pressure in pregnancy-induced hypertension: a randomized
placebo-controlled trial. J Matern Fetal Neonatal Med 2006 May;19(5):277-81
*Neri et al: Effects of acute L-arginine infusion on non-stress test in hypertensive pregnant women. J
Matern Fetal Neonatal Med 2004 Jul;16(1):23-6
*Orozco-Gutiérrez et al: Effect of L-arginine or L-citrulline oral supplementation on blood pressure
and right ventricular function in heart failure patients with preserved ejection fraction. Cardiol J
2010;17(6):612-8
Arginine and NAC (N-acetylcysteine) are amino acids that can improve blood
pressure.
*Martina et al: Long-term N-acetylcysteine and L-arginine administration reduces endothelial activation
and systolic blood pressure in hypertensive patients with type 2 diabetes. Diabetes Care 2008
May;31(5):940-4
180
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Astragalus and Angelica are herbs that improve conditions of those being treated
with ACE inhibitors.
*Wojcikowski et al: Effect of Astragalus membranaceus and Angelica sinensis combined with Enalapril
in rats with obstructive uropathy. Phytother Res 2009 Dec 3
Beetroot improves blood pressure and keeps the blood vessels healthy.
*Webb et al: Acute blood pressure lowering, vasoprotective, and antiplatelet properties of dietary ni- Blood Pressure/Anti-hypertensives
trate via bioconversion to nitrite. Hyperten 2008 Mar;51(3):784-90
181
Pamela Duff, RN, CSNC
Carvacrol, found in Oregano Oil, helps to lower blood pressure. Synthetic carvacrol
is to be avoided as it is toxic and found in such products as Lysol, Pinesol, and
Listerine.
*Aydin et al: Hypotensive effects of carvacrol on the blood pressure of normotensive rats. Planta Med
2007 Oct;73(13):1365-71
Chlorella is a marine algae that has significant health benefits including reducing
the risk of strokes in hypertensive patients.
*Merchant et al: Nutritional supplementation with Chlorella pyrenoidosa for mild to moderate hyperten-
sion. J Med Food 2002 Fall;5(3):141-52
*Sansawa et al: Effect of chlorella and its fractions on blood pressure, cerebral stroke lesions, and
life-span in stroke-prone spontaneously hypertensive rats. J Nutr Sci Vitaminol (Tokyo) 2006
Dec;52(6):457-66
*Shimada et al: Anti-hypertensive effect of gamma-aminobutyric acid (GABA)-rich Chlorella on high-
normal blood pressure and borderline hypertension in placebo-controlled double blind study. Clin
Exp Hypertens 2009 Jun;31(4):342-54
*Figueroa et al: Oral L-citrulline supplementation attenuates blood pressure response to cold pressor
test in young men. Am J Hypertens 2010 Jan;23(1):12-6
Coconut has many proven health benefits including helping to reduce high blood
pressure levels.
*Alleyne et al: The control of hypertension by use of coconut water and mauby: two tropical food
drinks. West Indian Med J 2005 Jan;54(1):3-8
182
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Burke et al: Randomized, double-blind, placebo-controlled trial of coenzyme Q10 in isolated systolic
hypertension. Appl Psychophysiol Biofeedback 2009 Jun;34(2):71-91
*Maroz et al: Reactivity of ubiquinone and ubiquinol with superoxide and the hydroperoxyl radical:
implications for in vivo antioxidant activity. Free Radic Biol Med 2009 Jan 1;46(1):105-9
*Rosenfeldt et al: Coenzyme Q10 in the treatment of hypertension: a meta-analysis of the clinical trials.
J Hum Hypertens 2007 Apr;21(4):297-306
*Schmelzer et al: The reduced form of coenzyme Q10 mediates distinct effects on cholesterol metab-
olism at the transcriptional and metabolite level in SAMP1 mice. IUBMB Life 2010 Nov 17
*Teran et al: Coenzyme Q10 supplementation during pregnancy reduces the risk of pre-eclampsia. Int
J Gynaecol Obstet 2009 Apr;105(1):43-5
Eggplant inhibits key enzymes associated with the development of diabetes and
hypterension.
*Kwon et al: In vitro studies of eggplant (Solanum melongena) phenolics as inhibitors of key enzymes
relevant for type 2 diabetes and hypertension. Bioresour Technol 2008 May;99(8):2981-8
Eugenol, found in the essential oils of Basil, Bay leaf, Cinnamon, Clove, and Nut-
meg, has hypotensive effects.
*Fátima & Interaminense: Enhanced hypotensive effects of the essential oil of Ocimum gratissimum
Blood Pressure/Anti-hypertensives
leaves and its main constituent, eugenol, in DOCA-salt hypertensive conscious rats. Planta Med
2005 Apr;71(4):376-8
183
Pamela Duff, RN, CSNC
Flavanols (found in a variety of foods including dark, raw cacao) have hypotensive
effects but sugared or sugar-free cocoa had no effect.
*Allen et al: Daily consumption of a dark chocolate containing flavanols and added sterol esters affects
cardiovascular risk factors in a normotensive population with elevated cholesterol. J Med Food
2007 Mar;10(1):134-42
*Berry et al: Impact of cocoa flavanol consumption on blood pressure responsiveness to exercise. Br
J Nutr 2010 May;103(10):1480-4
*Desch et al: Effect of cocoa products on blood pressure: systematic review and meta-analysis. Am J
Hypertens 2010 Jan;23(1):97-103
*Desch et al: Low vs. higher-dose dark chocolate and blood pressure in cardiovascular high-risk pa-
tients. Am J Hypertens 2010 Jun;23(6):694-700
*Erdman et al: Effects of cocoa flavanols on risk factors for cardiovascular disease. Asia Pac J Clin Nutr
2008;17 Suppl 1:284-7
*Faridi et al: Acute dark chocolate and cocoa ingestion and endothelial function: a randomized con-
trolled crossover trial. Am J Clin Nutr 2008 Jul;88(1):58-63
*Grassi et al: Cocoa reduces blood pressure and insulin resistance and improves endothelium-de-
pendent vasodilation in hypertensives. Hypertension 2005 Aug;46(2):398-405
*McCullough et al: Hypertension, the Kuna, and the epidemiology of flavanols. J Cardiovasc Pharma-
col 2006;47 Suppl 2:S103-9; discussion 119-21
*Ried et al: Does chocolate reduce blood pressure? A meta-analysis. BMC Med 2010;8:39
*Taubert et al: Effects of low habitual cocoa intake on blood pressure and bioactive nitric oxide: a ran-
domized controlled trial. JAMA 2007 Jul 4;298(1):49-60
Flaxseed oil, which is high in omega-3 fatty acids, helps lower blood pressure.
*Paschos et al: Dietary supplementation with flaxseed oil lowers blood pressure in dyslipidaemic pa-
tients. Eur J Clin Nutr 2007 Oct;61(10):1201-6
Folate (B9) in high doses for a short time helps lower blood pressure.
*Cagnacci et al: High-dose short-term folate administration modifies ambulatory blood pressure in
postmenopausal women. A placebo-controlled study. Eur J Clin Nutr 2009 Oct;63(10):1266-8
Folic acid (B9) and D-ribose help prevent right ventricular hypertrophy resulting
from hypertension. Ribose is a non-sweet medicinal sugar important for ATP (energy)
production.
*Lamberts et al: Preservation of diastolic function in monocrotaline-induced right ventricular hyper-
trophy in rats. Am J Physiol Heart Circ Physiol 2007 Sep;293(3):H1869-76
*John et al: Effects of fruit and vegetable consumption on plasma antioxidant concentrations and
blood pressure: a randomised controlled trial. Cancer Lett 2004 May 28;208(2):163-70
*McCall et al: Dietary intake of fruits and vegetables improves microvascular function in hypertensive
subjects in a dose-dependent manner. Circulation 2009 Apr 28;119(16):2153-60
184
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Potterat: Goji (Lycium barbarum and L. chinense): Phytochemistry, pharmacology and safety in the
perspective of traditional uses and recent popularity. Planta Med 2010:76(1):7-19
Grapes and Apples help prevent atherosclerosis and reduce blood pressure, even in
pregnant women (preeclampsia), but only use organic as both that are convention-
ally grown are high on the list of foods containing large numbers of pesticides.
*de Moura et al: Protective action of a hydroalcoholic extract of a vinifera grape skin on experimental
preeclampsia in rats. Hypertens Pregn 2007;26(1):89-100
*No authors listed: Phenolics from purple grape, apple, purple grape juice and apple juice prevent
early atherosclerosis induced by an atherogenic diet in hamsters. Mol Nutr Food Res 2008
Apr;52(4):400-7
*Park et al: Concord grape juice supplementation reduces blood pressure in Korean hypertensive
men: Double-blind, placebo controlled intervention trial. BioFact 2004;22(1-4):145-147
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
Grapefruit – the Upside – helps reduce blood pressure but it still cannot be eaten by
those on any kind of medication including the one-a-day aspirin.
*Díaz-Juárez et al: Effect of Citrus paradisi extract and juice on arterial pressure both in vitro and in
vivo. Phytother Res 2009 Jul;23(7):948-54
Blood Pressure/Anti-hypertensives
lar problems in general as well as diabetes.
*Adrian et al: A long-term moderate magnesium-deficient diet aggravates cardiovascular risks associ-
ated with aging and increases mortality in rats. J Hypertens 2008 Jan;26(1):44-52
*Adrian et al: A long-term moderate magnesium-deficient diet aggravates cardiovascular risks associ-
ated with aging and increases mortality in rats. Cancer Biol Ther 2011 Jan 15;11(2):229-35
*Fuentes et al: Acute and chronic oral magnesium supplementation: effects on endothelial function,
exercise capacity, and quality of life in patients with symptomatic heart failure. J Periodontal Res
1996 Aug;31(6):408-13
*Guerrero-Romero & Rodríguez-Morán: The effect of lowering blood pressure by magnesium sup-
plementation in diabetic hypertensive adults with low serum magnesium levels: a randomized,
double-blind, placebo-controlled clinical trial. J Hum Hypertens 2009 Apr;23(4):245-51
*Inoue et al: Lipid metabolism and magnesium. Clin Calcium 2005 Nov;15(11):65-76
*Laurant et al: Effect of magnesium deficiency on blood pressure and mechanical properties of rat
carotid artery. Hyperten 1999 May;33(5):1105-10
*Laurant et al: Dietary magnesium intake can affect mechanical properties of rat carotid artery. Br J
Nutr 2000 Nov;84(5):757-64
185
Pamela Duff, RN, CSNC
*Ma et al: Associations of serum and dietary magnesium with cardiovascular disease, hypertension,
diabetes, insulin, and carotid arterial wall thickness: the ARIC study. Atherosclerosis Risk in Com-
munities Study. J Clin Epidemiol 1995 Jul;48(7):927-40
*Shechter et al: Effects of oral magnesium therapy on exercise tolerance, exercise-induced chest pain,
and quality of life in patients with coronary artery disease. Am J Cardiol 2003 Mar1;91(5):517-21
Niacin (B3) improves arterial health and lessens the symptoms of chronic kidney
failure.
*Cho et al: Niacin ameliorates oxidative stress, inflammation, proteinuria, and hypertension in rats with
Blood Pressure/Anti-hypertensives
Olive leaf and Olive oil help prevent hypertension and are just as effective as ACE
inhibitors but without the dangerous side effects.
*El & Karakaya: Olive tree (Olea europaea) leaves: potential beneficial effects on human health. Nutr
Rev 2009 Nov;67(11):632-8
*Perrinjaquet-Moccetti et al: Food supplementation with an olive (Olea europaea L.) leaf extract re-
duces blood pressure in borderline hypertensive monozygotic twins. Phytother Res 2008 Aug
27;22(9):1239-1242
186
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Scheffler et al: Olea europaea leaf extract exerts L-type Ca(2+) channel antagonistic effects. J Ethn-
opharmacol 2008 Nov 20;120(2):233-40
*Susalit et al: Olive (Olea europaea) leaf extract effective in patients with stage-1 hypertension: com-
parison with Captopril. Phytomed 2010 Oct 29
Olive oil and Onions improve blood pressure and other conditions.
*Kalus et al: Influence of the onion as an essential ingredient of the Mediterranean diet on arterial blood
pressure and blood fluidity. Arzneimittelforschung 2000 Sep;50(9):795-801
Omega-3 fatty acids, found in such foods as fish and flaxseed oil and sacha inchi
seeds, lower blood pressure and increase cardiovascular health.
*Duda et al: Fish oil, but not flaxseed oil, decreases inflammation and prevents pressure overload-
induced cardiac dysfunction. Immunopharmacol Immunotoxicol 2009;31(2):209-13
*Grassi et al: Blood pressure is reduced and insulin sensitivity increased in glucose-intolerant,
hypertensive subjects after 15 days of consuming high-polyphenol dark chocolate. J Nutr 2008
Sep;138(9):1671-6
*Huang et al: Amelioration of insulin resistance and hypertension in a fructose-fed rat model with fish
oil supplementation. Metabolism 1997 Nov;46(11):1252-8
*Singh et al: Eicosapentaenoic acid-induced endothelium-dependent and -independent relaxation of
sheep pulmonary artery. Eur J Pharmacol 2010 Jun 25;636(1-3):108-13
*Xun et al: Fish oil, selenium and mercury in relation to incidence of hypertension: a 20-year follow-up
study. J Intern Med 2010 Dec 10
Orange and Black currant juices improve inflammation markers in those with
peripheral arterial disease.
*Dalgård et al: Supplementation with orange and blackcurrant juice, but not vitamin E, improves
inflammatory markers in patients with peripheral arterial disease. Br J Nutr 2009 Jan;101(2):263-9
*Ghanim et al: Orange juice neutralizes the proinflammatory effect of a high-fat, high-carbohydrate
meal and prevents endotoxin increase and Toll-like receptor expression. Am J Clin Nutr 2010
Apr;91(4):940-9
Papaya reduces blood pressure more effectively than hydralazine. Papaya has anti-
oxidant activity similar to vitamin E.
*Eno et al: Blood pressure depression by the fruit juice of Carica papaya (L.) in renal and DOCA-
induced hypertension in the rat. Phytother Res 2000 Jun;14(4):235-9
*Mehdipour et al: Antioxidant potentials of Iranian Carica papaya juice in vitro and in vivo are compar-
able to alpha-tocopherol. Phytother Res 2006 Jul;20(7):591-4
Blood Pressure/Anti-hypertensives
Phellodendron and Citrus peel improve blood pressure, cholesterol and blood sugar
levels.
*Oben et al: Phellodendron and Citrus extracts benefit cardiovascular health in osteoarthritis patients:
a double-blind, placebo-controlled pilot study. Nutr J 2008;7:16
Pomegranates reduce blood pressure and LDL oxygenation and prevent the forma-
tion of arterial plaque.
*Aviram et al: Pomegranate juice consumption for 3 years by patients with carotid artery stenosis
reduces common carotid intima-media thickness, blood pressure and LDL oxidation. Clin Nutr
2004 Jun;23(3):423-33
*de Nigris et al: Effects of a pomegranate fruit extract rich in punicalagin on oxidation-sensitive genes
and eNOS activity at sites of perturbed shear stress and atherogenesis. Cardiovasc Res 2007
Jan 15;73(2):414-23
*Mohan et al: Effect of pomegranate juice on Angiotensin II-induced hypertension in diabetic Wistar
rats. Phytother Res 2009 Dec 17
187
Pamela Duff, RN, CSNC
Quercetin is a citrus bioflavonoid that reduces blood pressure and cholesterol levels.
*Edwards et al: Quercetin reduces blood pressure in hypertensive subjects. J Nutr 2007
Nov;137(11):2405-11
*Egert et al: Quercetin reduces systolic blood pressure and plasma oxidised low-density lipopro-
tein concentrations in overweight subjects with a high-cardiovascular disease risk phenotype: a
double-blinded, placebo-controlled cross-over study. Br J Nutr 2009 Oct;102(7):1065-74
Red Yeast Rice improves arterial health and reduces all-cause mortality. Red Yeast
Rice is produced from fermented rice with an added yeast (Monascus purpurus),
which gives it a reddish hue. RYR is also effective for lowering cholesterol levels since
its action is the same as statins but much safer.
*Li et al: Xuezhikang, an extract of cholestin, decreases plasma inflammatory markers and endothel-
in-1, improve exercise-induced ischemia and subjective feelings in patients with cardiac syndrome
Blood Pressure/Anti-hypertensives
Stevia, an herb that is 200 times sweeter than table sugar, is often used by diabetics
and non-diabetics alike because of its health benefits and no calories. One of the
health benefits is that it helps lower blood pressure.
*Chan et al: A double-blind placebo-controlled study of the effectiveness and tolerability of oral stevio-
side in human hypertension. Br J Clin Pharmacol 2000 Sep;50(3):215-20
188
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Hsieh et al: Efficacy and tolerability of oral stevioside in patients with mild essential hypertension: a
two-year, randomized, placebo-controlled study. Clin Ther 2003 Nov;25(11):2797-808
*Jeppesen et al: Antihyperglycemic and blood pressure-reducing effects of stevioside in the diabetic
Goto-Kakizaki rat. Metabol 2003 Mar;52(3):372-8
Blood Pressure/Anti-hypertensives
189
Blood Thinners/
Anti-coagulants/Anti-platelets
(Used to prevent blood clots, thrombosis, embolisms, and strokes)
Common examples:
aspirin (see Analgesics for more Depletions)
dipyridamole – Persantine and others
heparin
warfarin – Coumadin and others
antiplatelets
abciximab – ReoPro
cilostazol - Pletal
thrombolytics
alteplase – Activase, Cathflo
Deplete:
Blood Thinners/
Anti-coagulants/Anti-platelets
Alfalfa
Aniseed
Arnica
Asafoetida
Cayenne
Chamomile
Clove
Feverfew
Garlic
Ginger
Ginkgo
Ginseng
190
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Horse chestnut
Licorice root
Papain
Red clover
St John’s wort
White willow bark (aspirin)
Baybery
Beet root
Blackberry
Burdock
Devil’s claw
Horsetail
Mullein
Nettle
Quinine
Shepherd’s Purse
Vitamins A, C, and K
Yarrow
Blood Thinners/
Anti-coagulants/Anti-platelets
side effects.
*Rombouts et al: Daily vitamin K supplementation improves anticoagulant stability. J Thromb Haemost
2007 Oct;5(10):2043-8
´´Goji berries (Wolfberry), Noni fruit, and Pomegranates are nourishing fruits
that provide numerous health benefits but they may interact with warfarin.
*Carrl et al: Coumadin resistance and the vitamin supplement “Noni”. Am J Hem 2004 Sept:77(1):103
*Komperda: Potential interaction between pomegranate juice and warfarin. Pharmacotherapy 2009
Aug;29(8):1002-6
*Lam et al: Possible interaction between warfarin and Lycium barbarum L. Ann Pharmacother 2001
Oct:35(10):1199-1201
191
Pamela Duff, RN, CSNC
´´Blood thinners (Warfarin) should not be used for those with atrial fibrillation
because they increase the risk of stroke.
*Gottlieb & Salem-Schatz: Anticoagulation in atrial fibrillation. Does efficacy in clinical trials translate
into effectiveness in practice? Arch Intern Med 1994 Sep12;154(17):1945-53
*Lam et al: Alternatives to chronic warfarin therapy for the prevention of stroke in patients with atrial
fibrillation. Int J Cardiol 2010 Nov 26
*Yang et al: Warfarin in haemodialysis patients with atrial fibrillation: what benefit? Europace 2010
Dec;12(12):1666-72
Suggested alternatives:
endothelial cells and thrombus formation in rat vessels in vivo. In Vivo 1999 Jan-Feb;13(1):7-12
Cloves are safer and more effective than heparin or aspirin as a blood thinner.
*Lee et al: Purification and characterization of antithrombotics from Syzygium aromaticum (L.). Biol
Pharm Bull 2001 Feb;24(2):181-7
*Srivastava: Antiplatelet principles from a food spice clove (Syzygium aromaticum L) [corrected]. Pros-
taglandins Leukot Essent Fatty Acids 1993 May;48(5):363-72
Coleus forskohlii is an Ayurvedic plant that has several health benefits including
anti-platelet activity, especially on tumour-induced platelet aggregation.
*Agarwal & Parks: Forskolin: a potential antimetastatic agent. Int J Cancer 1983 Dec 15;32(6):801-4
192
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Srivastava: Extracts from two frequently consumed spices--cumin (Cuminum cyminum) and turmeric
(Curcuma longa)--inhibit platelet aggregation and alter eicosanoid biosynthesis in human blood
platelets. Prostaglandins Leukot Essent Fatty Acids 1989 Jul;37(1):57-64
Dark Chocolate is a rich source of flavonoids that inhibits negative platelet activity.
*Bordeaux et al: Casual chocolate consumption and inhibition of platelet function. Prev Cardiol
2007;10(4):175-80
*Flammer et al: Dark chocolate improves coronary vasomotion and reduces platelet reactivity. Circula-
tion 2007 Nov 20;116(21):2376-82
*Hamed et al: Dark chocolate effect on platelet activity, C-reactive protein and lipid profile: a pilot study.
Neurotoxicol Teratol 1999 Jul-Aug;21(4):349-57
*Murphy et al: Dietary flavanols and procyanidin oligomers from cocoa (Theobroma cacao) inhibit
platelet function. Am J Clin Nutr 2003 Jun;77(6):1466-73
Ginkgo biloba enhances the effects of cilostazol without it affecting bleeding time.
*Ryu et al: Ginkgo biloba extract enhances antiplatelet and antithrombotic effects of cilostazol without
prolongation of bleeding time. Nutr Cancer 2005;51(1):52-8
Grapes have significant antioxidant content and effect, inhibiting platelet aggrega-
tion. Grape juice was proven to be significantly higher in a particular polyphenol
than either red wine or non-alcoholic wine. Buy only organically-grown grapes as
conventionally grown grapes are high on the list of foods that contain large numbers
of pesticides.
*Bub et al: Malvidin-3-glucoside bioavailability in humans after ingestion of red wine, dealcoholized red
Blood Thinners/
Anti-coagulants/Anti-platelets
wine and red grape juice. Eur J Nutr 40(3):113-120
*Demrow et al: Administration of wine and grape juice inhibits in vivo platelet activity and thrombosis in
stenosed canine coronary arteries. Circ 1995:91:1182-1188
*Keevil et al: Grape juice, but not orange juice or grapefruit juice, inhibits human platelet aggregation.
J Nutr 2000;130:53-56
*Meng et al: Urinary and plasma levels of resveratrol and quercetin in humans, mice, and rats after
ingestion of pure compounds and grape juice. J Agric Food Chem 2004;52(4):935-942
*Osman et al: Grape juice but not orange or grapefruit juice inhibits platelet activity in dogs and mon-
keys (Macaca fasciularis). J Nut 1998, Dec;128(12):2307-2312
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
Japanese Apricots improve blood flow without the need of blood thinners.
*Chuda et al: Mumefural, citric acid derivative improving blood fluidity from fruit-juice concentrate of
Japanese apricot (Prunus mume Sieb. et Zucc. J Agric Food Chem 1999 Mar;47(3):828-31
Melatonin may be effective in treating severe bleeding associated with low platelets
that occur for no apparent reason.
193
Pamela Duff, RN, CSNC
*Todisco et al: Severe bleeding symptoms in refractory idiopathic thrombocytopenic purpura: a case
successfully treated with melatonin. Am J Ther 2003 Mar-Apr;10(2):135-6
*Todisco & Rossi: Melatonin for refractory idiopathic thrombocytopenic purpura: a report of 3 cases.
Am J Ther 2002 Nov-Dec;9(6):524-6
*Todisco & Rossi: Melatonin for refractory idiopathic thrombocytopenic purpura: a report of 3 cases.
Jpn J Pharmacol 2001 Dec;87(4):327-32
Onions and Olive oil (in a Mediterranean diet) improve blood flow and general car-
dio health.
*Kalus et al: Influence of the onion as an essential ingredient of the Mediterranean diet on arterial blood
pressure and blood fluidity. Arzneimittelforschung 2000 Sep;50(9):795-801
Parsley may inhibit platelet aggregation (clumping together) but it also prolongs
bleeding time, an important factor for those taking blood thinners.
*Gadi et al: Parsley extract inhibits in vitro and ex vivo platelet aggregation and prolongs bleeding time
in rats. J Ethnopharmacol 2009 May 23
*Arruzazabala et al: Comparative study of policosanol, aspirin and the combination therapy polico-
sanol-aspirin on platelet aggregation in healthy volunteers. Pharmacol Res 1997 Oct;36(4):293-7
*Castaño et al: Comparison of the effects of policosanol and atorvastatin on lipid profile and plate-
let aggregation in patients with dyslipidaemia and type 2 diabetes mellitus. Clin Drug Investig
2003;23(10):639-50
194
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Resveratrol is a potent antioxidant found in the skins of red grapes that has anti-
platelet activity. Contrary to popular belief, there are only miniscule amounts of
resveratrol in red wine.
*Bertelli et al: Antiplatelet activity of cis-resveratrol. Drugs Exp Clin Res 1996;22(2):61-3
*Lin et al: Mechanisms of resveratrol-induced platelet apoptosis. Cardiovasc Res 2009 Aug
1;83(3):575-85
*Yang et al: Inhibitory effects of resveratrol on platelet activation induced by thromboxane a(2) receptor
agonist in human platelets. Am J Chin Med 2011;39(1):145-59
Sea Buckthorn (noted for its rare Omega-7 content) has anti-platelet effects.
*Johansson et al: Sea buckthorn berry oil inhibits platelet aggregation. J Nutr Biochem 2000
Oct;11(10):491-5
Blood Thinners/
Anti-coagulants/Anti-platelets
Biophys Acta 2007 Apr;1770(4):578-84
Yucca is a flowering desert plant that has anti-platelet activity stronger than
Resveratrol.
*Olas et al: Anti-platelet effects of different phenolic compounds from Yucca schidigera Roezl. Bark.
Platelets 2002 May;13(3):167-73
*Olas et al: Inhibition of oxidative stress in blood platelets by different phenolics from Yucca schidigera
Roezl. Bark. Nutrition 2003 Jul-Aug;19(7-8):633-40
195
Bronchodilators
(Used to treat asthma or COPD)
Common examples:
albuterol – Asmol, Proventil, Ventolin, and others
aminophylline – Truphylline
bitolterol – Tornalate
diphylline – Lufyllin
ephedrine
epinephrine – Bronkaid, EpiPen, and others
fluticasone (steroid) – Flonase, Flovent
ipratropium – Apo-Ipravent, Atrovent, and others
isoproterenol – Isuprel
levalbuterol – Xopenex
metaproterenol – Alupent
montelukast – Singulair
oxtriphylline – Choledyl SA
pirbuterol – Maxair
salmeterol – Serevent
terbutaline – Brethine, Brethair and others
theophylline – Slobid,Theo-Dur, Theo24, Theolair, and others
Deplete:
B1, B6, B9, C, iodine, magnesium, potassium, selenium, and most other
minerals
*Spurling et al: Antibiotics for bronchiolitis in children. Cochrane Database Syst Rev 2011(6):CD005189
´´Stimulants should never be taken with bronchodilators or any other type of
medication. The combination can increase the heart rate to dangerous levels.
Stimulants include caffeinated herbs or beverages, cough and cold medications,
ginsengs, licorice root, bitter orange, grilled meats, sugar, and alcohol.
*Cohen, 2011:43
196
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Suggested alternatives:
Angelica and Rehmannia, a Chinese herbal formula, improves COPD (chronic ob-
structive pulmonary disease) symptoms.
*Cui et al: Intervention effect of tongfei mixture on nocturnal hypoxia in patients with chronic obstruct-
ive pulmonary disease. Phytother Res 2008 Aug 11
Antioxidants improve COPD and strengthen the lungs which help prevent pneu-
monia, especially in children.
*Cemek et al: Oxidative stress and enzymic-non-enzymic antioxidant responses in children with acute
pneumonia. Cell Biochem Funct 2006 May-Jun;24(3):269-73
*Rahman: Antioxidant therapies in COPD. Int J Chron Obstruct Pulmon Dis 2006;1(1):15-29
*Theilla et al: A diet enriched in eicosapentanoic acid, gamma-linolenic acid and antioxidants in the
prevention of new pressure ulcer formation in critically ill patients with acute lung injury: A random-
ized, prospective, controlled study. Clin Nutr 2007 Dec;26(6):752-7
*Valenca et al: Supplementation with vitamins C and E improves mouse lung repair. J Nutr Biochem
2008 Sep;19(9):604-11
Astragalus is an herb often used for adrenal support and its stress-reducing proper-
ties also inhibits hypoxic pulmonary hypertension.
*Xi et al: The inhibitory effects of Radix Astragali on hypoxic pulmonary hypertension of rats. Nutr J
2008;7:11
197
Pamela Duff, RN, CSNC
*Keyhanmanesh et al: The effect of thymoquinone, the main constituent of Nigella sativa on tracheal
responsiveness and white blood cell count in lung lavage of sensitized guinea pigs. J Ethnopha-
rmacol 2009 Oct 29;126(1):102-7
*Mansour & Tornhamre: Inhibition of 5-lipoxygenase and leukotriene C4 synthase in human blood cells
by thymoquinone. J Enzyme Inhib Med Chem 2004 Oct;19(5):431-6
Borage oil, known for its high GLA content, helps treat asthma.
*Ziboh et al: Suppression of leukotriene B4 generation by ex-vivo neutrophils isolated from asthma
patients on dietary supplementation with gammalinolenic acid-containing borage oil: possible
implication in asthma. Clin Dev Immunol 2004 Mar;11(1):13-21
Butterbur is a safe and effective anti-inflammatory herb that helps treat asthma.
*Danesch: Petasites hybridus (Butterbur root) extract in the treatment of asthma--an open trial. Altern
Med Rev 2004 Mar;9(1):54-62
*Lee et al: Butterbur, a herbal remedy, confers complementary anti-inflammatory activity in asthmatic
patients receiving inhaled corticosteroids. Clin Exp Allergy 2004 Jan;34(1):110-4
*Lin et al: Bronchodilatory effects of S-isopetasin, an antimuscarinic sesquiterpene of Petasites formo-
sanus, on obstructive airway hyperresponsiveness. Neoplasma 2006;53(5):402-9
Capsaicin (found in chili peppers) significantly reduces sinus polyps which can af-
fect breathing ability.
*Baudoin et al: Capsaicin significantly reduces sinonasal polyps. Acta Otolaryngol 2000
Mar;120(2):307-11
Cat’s Claw is an herb often used to support the immune system but it also helps
reduce lung inflammation.
*Cisneros et al: An Uncaria tomentosa (cat’s claw) extract protects mice against ozone-induced lung
inflammation. J Ethnopharmacol 2005 Jan 15;96(3):355-64
198
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Creatine is a supplement well known to body builders but it also has other qualities
important to those with muscular diseases or neurotoxic disorders including Par-
kinson’s or Huntington’s. In addition, Creatine is proving to be a useful treatment for
those with COPD and safely taken by diabetics and those on dialysis.
*Fuld et al: Creatine supplementation during pulmonary rehabilitation in chronic obstructive pulmonary
disease. Thorax 2005 Jul;60(7):531-7
*Gualano et al: Creatine supplementation does not impair kidney function in type 2 diabetic patients: a
randomized, double-blind, placebo-controlled, clinical trial. Eur J Appl Physiol 2010 Oct 26
*Gualano et al: Effects of creatine supplementation on renal function: a randomized, double-blind,
placebo-controlled clinical trial. Eur J Appl Physiol 2008 May;103(1):33-40
Creatine, Carnitine, and Amino acids improve the conditions of those with COPD.
*Villaça et al: New treatments for chronic obstructive pulmonary disease using ergogenic aids. J Bras
Pneumol 2006 Jan-Feb;32(1):66-74
Curcumin (the active part of Turmeric) slows the development of inflammation and
allergic reactions.
*Chen et al: Effect of curcumin on the expression of collagen type I protein and transforming growth
factor-beta1mRNA in pulmonary fibrosis rats. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi
2008 May;26(5):257-61
*Kobayashi et al: Curcumin inhibition of Dermatophagoides farinea-induced interleukin-5 (IL-5) and
granulocyte macrophage-colony stimulating factor (GM-CSF) production by lymphocytes from
bronchial asthmatics. Biochem Pharmacol 1997 Oct 1;54(7):819-24
*Kurup & Barrios: Immunomodulatory effects of curcumin in allergy. Mol Nutr Food Res 2008
Sep;52(9):1031-9
*Marwick et al: Oxidative stress and steroid resistance in asthma and COPD: pharmacological ma-
nipulation of HDAC-2 as a therapeutic strategy. Expert Opin Ther Targets 2007 Jun;11(6):745-55
*Moon et al: Curcumin attenuates ovalbumin-induced airway inflammation by regulating nitric oxide.
Biochem Biophys Res Commun 2008 Oct 17;375(2):275-9
*Oh et al: Curcumin attenuates allergic airway inflammation and hyper-responsiveness in mice through
NF-κB inhibition. J Ethnopharmacol 2010 Jul 17
*Ram et al: Curcumin attenuates allergen-induced airway hyperresponsiveness in sensitized guinea
pigs. Biol Pharm Bull 2003 Jul;26(7):1021-4
Bronchodilators
*Venkatesan et al: Protection from acute and chronic lung diseases by curcumin. Adv Exp Med Biol
2007;595:379-405
199
Pamela Duff, RN, CSNC
Diet plays a significant role in developing and reversing asthma and other breathing
problems such as pulmonary fibrosis (lung scarring) and COPD. A diet rich in fruits,
vegetables, and fiber is the key.
*Hirayama et al: Do vegetables and fruits reduce the risk of chronic obstructive pulmonary disease? A
case-control study in Japan. Prev Med 2009 Aug-Sep;49(2-3):184-9
*Miyake et alL Vegetable, fruit, and cereal intake and risk of idiopathic pulmonary fibrosis in Japan. Ann
Nutr Metab 2004 Nov-Dec;48(6):390-7
*Romieu & Trenga: Diet and obstructive lung diseases. Epidemiol Rev 2001;23(2):268-87
*Spector & Surrette: Diet and asthma: has the role of dietary lipids been overlooked in the manage-
ment of asthma. Ann Allergy Asthma Immunol 2003 Apr;90(4):371-7;quiz 377-8,421
*Tabak et al: Chronic obstructive pulmonary disease and intake of catechins, flavonols, and flavones:
the MORGEN Study. Am J Respir Crit Care Med 2001 Jul 1;164(1):61-4
*Varraso et al: Prospective study of dietary fiber and risk of chronic obstructive pulmonary disease
among US women and men. Am J Epidemiol 2010 Feb 19
Essential oils improve breathing and, as antimicrobials, also kill any virus or bac-
teria that may be the cause. Particularly effective are Eucalyptus, Peppermint, Pine,
Rose, Spruce, Wintergreen, Raven,and RC.
*Boskabady et al: Relaxant effects of Rosa damascena on guinea pig tracheal chains and its possible
mechanism(s). J Ethnopharmacol 2006 Jul 19;106(3):377-82
*Higley 2010:460-61
Fish oil (alone or with Vitamin C and Zinc) is as effective as montelukast in re-
ducing the severity of airway constriction. The combination is especially beneficial
to children.
*Biltagi et al: Omega-3 fatty acids, vitamin C and Zn supplementation in asthmatic children: a random-
ized self-controlled study. Acta Paediatr 2009 Apr;98(4):737-42
*Nagakura et al: Dietary supplementation with fish oil rich in omega-3 polyunsaturated fatty acids in
children with bronchial asthma. Eur Respir J 2000 Nov;16(5):861-5
*Tecklenburg-Lund et al: Randomized controlled trial of fish oil and montelukast and their combination
on airway inflammation and hyperpnea-induced bronchoconstriction. PLoS One 2010;5(10):e13487
Ginkgo, Vitamin C and Astaxanthin prove better than ibuprofen for reducing res-
piratory inflammation.
*Haines et al: Summative interaction between astaxanthin, Ginkgo biloba extract (EGb761) and vitamin
C in suppression of respiratory inflammation: a comparison with ibuprofen. Phytother Res 2011
Jan;25(1):128-36
*No authors listed: In vitro effects of astaxanthin combined with ginkgolide B on T lymphocyte acti-
vation in peripheral blood mononuclear cells from asthmatic subjects. J Pharmacol Sci 2004
Feb;94(2):129-36
Bronchodilators
*Tang et al: The effect of Ginkgo Biloba extract on the expression of PKCalpha in the inflammatory cells
and the level of IL-5 in induced sputum of asthmatic patients. J Huazhong Univ Sci Technolog Med
Sci 2007 Aug;27(4):375-80
200
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Halpern: Anti-inflammatory effects of a stabilized lipid extract of Perna canaliculus (Lyprinol). Allerg
Immunol (Paris) 2000 Sep;32(7):272-8
Kava kava is a potent anti-inflammatory but not available in Canada despite its
beneficial health properties.
*Folmer et al: Inhibition of TNFalpha-induced activation of nuclear factor kappaB by kava (Piper
methysticum) derivatives. Biochem Pharmacol 2006 Apr 14;71(8):1206-18
Magnesium improves airway function during bronchial spasms in adults and chil-
dren. Magnesium can also improve the function of such steroids as fluticasone,
which, ironically, depletes this mineral.
*Alter et al: Intravenous magnesium as an adjuvant in acute bronchospasm: a meta-analysis. Ann
Emerg Med 2000 Sep;36(3):191-7
*Ciarallo et al: Higher-dose intravenous magnesium therapy for children with moderate to severe acute
asthma. Arch Pediatr Adolesc Med 2000 Oct;154(10):979-83
*Gontijo-Amaral et al: Oral magnesium supplementation in asthmatic children: a double-blind random-
ized placebo-controlled trial. Eur J Clin Nutr 2007 Jan;61(1):54-60
*Kazaks et al: Effect of oral magnesium supplementation on measures of airway resistance and sub-
jective assessment of asthma control and quality of life in men and women with mild to moderate
asthma: a randomized placebo controlled trial. J Asthma 2010 Feb;47(1):83-92
Moringa oleifera (The Miracle Tree) seed extract is effective in treating asthma.
*Mahajan et al: Effect of Moringa oleifera Lam. seed extract on toluene diisocyanate-induced immune-
Bronchodilators
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Pamela Duff, RN, CSNC
Nasturtium and Horseradish are effective for treating upper respiratory conditions.
*Goos et al: Efficacy and safety profile of a herbal drug containing nasturtium herb and horseradish
root in acute sinusitis, acute bronchitis and acute urinary tract infection in comparison with other
treatments in the daily practice/results of a prospective cohort study. Arzneimittelforschung
2006;56(3):249-57
Olive oil consumption during pregnancy is associated with decreased wheezing dur-
ing the first year of an infant’s life.
*Castro-Rodriguez et al: Olive oil during pregnancy is associated with reduced wheezing during the
first year of life of the offspring. Pediatr Pulmonol 2010 Apr;45(4):395-402
Probiotics help treat allergy symptoms, asthma, and a host of other conditions.
*Choi et al: Anti-inflammatory activity of the ethanol extract of Chungkukjang, Korean fermented bean:
5-lipoxygenase inhibition. J Med Food 2008 Sep;11(3):539-43
Bronchodilators
*Hong et al: Differential suppression of heat-killed lactobacilli isolated from kimchi, a Korean traditional
food, on airway hyper-responsiveness in mice. J Clin Immunol 2010 May;30(3):449-58
*Karimi et al: Lactobacillus reuteri-induced regulatory T cells protect against an allergic airway re-
sponse in mice. Am J Respir Crit Care Med 2008 Nov 21
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Pycnogenol (from pine bark) is a potent antioxidant that helps manage childhood
asthma.
*Lau et al: Pycnogenol as an adjunct in the management of childhood asthma. West J Med 1998
Dec;169(6):356-63
Raw milk benefits asthmatics but “boiled” or pasteurized milk increases breathing
difficulties.
*Loss et al: The protective effect of farm milk consumption on childhood asthma and atopy: The GAB-
RIELA study. J Allergy Clin Immunol 2011 Aug 27
Selenium (alone or with Inositol (B8) and vitamin E) improves the effects of
medication in those with chronic asthma. It also manages other upper respiratory
conditions.
*Allam & Lucane: Selenium supplementation for asthma. Cochrane Database Syst Rev
2004;(2):CD003538
*Biniwale & Ehrenkranz: The role of nutrition in the prevention and management of bronchopulmonary
dysplasia. Int J Toxicol 2010 Oct 19
Thyme helps improve upper respiratory conditions including asthma and COPD.
Bronchodilators
*Engelbertz et al: Thyme extract, but not thymol, inhibits endothelin-induced contractions of isolated
rat trachea. Zentralbl Gynakol 2000;122(11):561-5
Umcka is a product that has long been used as an effective remedy for upper respira-
tory conditions in adults and children. The main ingredient in Umcka is identified in
studies as Pelargonium sidoides (EPs 7630).
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Pamela Duff, RN, CSNC
*Matthys & Heger: Treatment of acute bronchitis with a liquid herbal drug preparation from Pelargon-
ium sidoides (EPs 7630): a randomised, double-blind, placebo-controlled, multicentre study. Curr
Med Res Opin 2007 Feb;23(2):323-31
*Michaelis et al: Investigation of the influence of EPs® 7630, a herbal drug preparation from Pelargon-
ium sidoides, on replication of a broad panel of respiratory viruses. Phytomed 2010 Oct 29
204
Caffeine
Common examples:
Prescription examples:
Aqua Ban, Apectol, butalbital compounds [Barbiturates – dozens
of them], Cafergot, Esgic, Fiorinal, Migral, Milgralam, Norgesic,
Permathene H2O Off, Soma and Darvon [propoxyphene] Compounds,
Triaminacin with Codeine, and many others
Over-the-counter examples:
Anacin, Caffedrine, Dristan, Ephedra, Excedrin, No Doz, Midol, Pain
Reliever, Triaminicin, Vanquish, Vivarin, and many others
Weight loss product examples:
Appredrine, Dexatrim, Dietrac, 4Ever Fit, WestPharm, Hydro-Lean,
and many others
Chocolate, Coffee, Tea, Maté, Guarana, Ma huang (ephedra)
Soft drink examples:
Mello Yello, Mountain Dew, Sunkist Orange, Dr. Pepper, Pepsi, Diet
Pepsi, Coke and many others
Energy drink examples:
Red Bull, 5150 Semi Sweet, and a whole host of others
Deplete:
B1, B2, B3, B5, B6, B7, B8, B9, B12, C, D, K, choline, chromium,
calcium, iron, magnesium, potassium, zinc, calcitonin, PABA
J Nutr1999;91(4):289-95
*Hallberg & Rossander: Effect of different drinks on the absorption of non-heme iron from composite
meals. Hum Nutr Appl Nutr 1982;36(2):116-23
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Pamela Duff, RN, CSNC
*Kynast-Gales & Massey: Effect of caffeine on circadian excretion of urinary calcium and magnesium.
J Am Coll Nutr 1994;13(5):467-72
*Morck et al: Inhibition of food iron absorption by coffee. Am J Clin Nutr 1983;37(3):416-20
´´Caffeine:
- is a drug therefore, when it is stopped, causes withdrawal symptoms in
everyone from a fetus to an adult.
*Daly et al: Caffeine--an atypical drug of dependence. Drug Alcohol Depend 1998 June-
July;51(1-2):199-206
*Devoe et al: Maternal caffeine consumption and fetal behavior in normal third-trimester pregnancy.
Am J Obstet Gynecol 1993;168(4):1105-11
*Leviton et al: Behavioral correlates of caffeine consumption by children. Clin Ped 1992 Dec;31(12):742-
50
*McGowan et al: Neonatal withdrawal symptoms after chronic maternal ingestion of caffeine. South
Med J 1988;81(9):1092-4
*Martin et al: Neonatal withdrawal syndrome after chronic maternal drinking of mate. The Drug Monitor
2007;29(1)127-9
*Oliveto et al: Caffeine drug discrimination in humans: acquisition, specificity and correlation with self-
reports. JPET 1992 June;261(3):885-94
- has the same effect as amphetamines.
*Koran et al: Double-blind study of dextroamphetamine versus caffeine augmentation for treatment-
resistant obsessive-compulsive disorder. J Clin Psych 2009 Nov;70(11):1530-5
- contributes to mood disorders.
*Livermore: Caffeine boosts eating disorders. Health 1991 Jun 16
*Quinlan et al: The acute physiological and mood effects of tea and coffee: the role of caffeine level.
Pharmacology, biochemistry, and behavior. 2000;66(1):19-28
*Roca et al: Chronic caffeine or theophylline exposure reduces gamma-aminobutyric acid/
benzodiazepine receptor site interactions. Mole Pharmacol May;33(5)481-85
- affects the brain.
*Kaasinen et al: Dopaminergic effects of caffeine in the human striatum and thalamus. Neuroreport
2004 Feb 9;15(2):281-5
- increases blood pressure and heart arrythmias.
*James: Critical review of dietary caffeine and blood pressure: a relationship that should be taken more
seriously. Psychosom Med 2004;66:63-71
*Lane et al: Caffeine affects cardiovascular and neuroendocrine activation at work and home.
Psychosom Med 2002;64(4):595-603
*Lane et al: Caffeine effects on cardiovascular and neuroendocrine responses to acute psychosocial
stress and their relationship to level of habitual caffeine consumption. Psychosom Med
1990;52(3):320-36
*Myers & Reeves: The effect of caffeine on daytime ambulatory blood pressure. Am J
Hyperten1991;4(5Pt1):4231
*Noordzij et al: Blood pressure response to chronic intake of coffee and caffeine: a meta-analysis of
randomized controlled trials. J Hyperten 2005 May;23(5):921-28
*Nurminen et al: Coffee, caffeine and blood pressure: a critical review. Eur J Clin Nutr 1999;53(11):831-
9
- contributes to eating disorders.
*Krahn et al: Caffeine consumption in patients with eating disorders. Hosp Comm Psych 1991;42(3)313-
5
- reduces insulin sensitivity that leads to diabetes.
Caffeine
*Kerr et al: Effect of caffeine on the recognition of and responses to hypoglycemia in humans. Ann Inter
Med 1993;119(8):799-804
*MacKenzie et al: Metabolic and hormonal effects of caffeine: randomized, double-blind, placebo-
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´´On the upside, topical caffeine can prevent and reduce cellulite.
*Bertin et al: A double-blind evaluation of the activity of an anti-cellulite product containing retinol,
caffeine, and ruscogenine by a combination of several non-invasive methods. J Cosmet Sci 2001
Jul-Aug;52(4):199-210
*Pires-de-Campos et al: The effect of topical caffeine on the morphology of swine hypodermis as
measured by ultrasound. J Cosmet Dermatol 2008 Sep;7(3):232-7
Caffeine
*Velasco et al: Effects of caffeine and siloxanetriol alginate caffeine, as anticellulite agents, on fatty
tissue: histological evaluation. J Cosmet Dermatol 2008 Mar;7(1):23-9
*Vogelgesang et al: In vitro and in vivo efficacy of sulfo-carrabiose, a sugar-based cosmetic ingredient
with anti-cellulite properties. Int J Cosmet Sci 2010 Aug 30
207
Pamela Duff, RN, CSNC
´´Caffeine intake during pregnancy can take up to three times longer than
usual to detoxify from the mother’s body and can remain in the developing
fetus up to a year after birth as well as in the mother’s breast milk.
*Aldridge et al: Caffeine metabolism in the newborn. Clin Pharmacol Therapeut 1979;25(4): 447-53
*Cazeneuve et al: Biotransformation of caffeine in human liver microsomes from fetuses, neonates,
infants and adults. Bri J Clin Pharmacol 1994;37:405-12
*Karypidis et al: Association of cytochrome P450 1B1 polymorphism with first-trimester miscarriage.
Fert Ster 2006;86(5):1498-503
*Kuczkowski et al: Social drug use in the parturient: implications for the management of obstetrical
anesthesia. Med J Malaysia 2003;58:147–54
*McKim et al: Caffeine and its effects on pregnancy and the neonate. J Nurse Midwife 1991;36(4):226-
31
*Nehlig & Debry: Consequences on the newborn of chronic maternal consumption of coffee during
gestation and lactation: a review. J Am Coll Nutr 1994;13(1): 6-21
*Ryu: Caffeine in human milk and in serum of breast-fed infants. Developmental pharmacology and
therapeutics. 1985;8(6):329-37
*Stavchansky et al: Pharmacokinetics of caffeine in breast milk and plasma after single oral
administration of caffeine to lactating mothers. Biopharma & Drug Dis 1988;9(3):285-99
´´Smoking (Nicotine) increases the body’s need for caffeine, which is why the
two often go together.
Caffeine
*Gasio et al: Caffeine potentiates the discriminative-stimulus effects of nicotine in rats. Psychopharmacol
2002 Aug;162(4):385-95
*Kozlowski: Effects of caffeine consumption on nicotine consumption. Psychopharmacol 1976;47(2):165-
168
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*Strassnig et al: Increased caffeine and nicotine consumption in community-dwelling patients with
schizophrenia. Schiz Res 2006 Sept;86(1-3):269-75
*Swanson et al: Caffeine and nicotine: A review of their joint use and possible interactive effects in
tobacco withdrawal. Add Beh 1994 May-June;19(3):229-56
Suggested alternatives:
There are a large number of coffee and tea substitutes on the market today – many
of them even taste good! I have listed only a few here but did not include any of the
herb teas.
Carob is an excellent rehydration drink for adults or children, especially after bouts
of diarrhea; it also has a calming effect and inhibits the growth of cancer cells.
*Akşit et al: Carob bean juice: a powerful adjunct to oral rehydration solution treatment in diarrhoea.
Paediatr Perinat Epidemiol 1998 Apr;12(2):176-81
*Avallone et al: Extraction and purification from Ceratonia siliqua of compounds acting on central and
peripheral benzodiazepine receptors. Fitoterapia 2002 Aug;73(5):390-6
*Corsi et al: Antiproliferative effects of Ceratonia siliqua L. on mouse hepatocellular carcinoma cell line.
Fitoterapia 2002 Dec;73(7-8):674-84
*Klenow et al: Carob fibre compounds modulate parameters of cell growth differently in human
HT29 colon adenocarcinoma cells than in LT97 colon adenoma cells. Food Chem Toxicol 2008
Apr;46(4):1389-97
Chicory has long been a favourite roasted drink that is often combined with dan-
delion or other roots. Chicory protects the liver and improves mineral absorption,
unlike coffee which depletes minerals.
*Ahmed et al: Anti-hepatotoxic activity of cichotyboside, a sesquiterpene glycoside from the seeds of
Cichorium intybus. J Asian Nat Prod Res 2008 Mar-Apr;10(3-4):223-31
*Roberfroid et al: Dietary chicory inulin increases whole-body bone mineral density in growing male
rats. J Nutr 2002 Dec;132(12):3599–602
*Zafar & Mujahid: Anti-hepatotoxic effects of root and root callus extracts of Cichorium intybus. J Ethn-
opharmacol 1998 Dec;63(3):227-31
Green tea has a little caffeine but it is a safer and healthier alternative to coffee.
EGCG is an extract from Green Tea which acts as a proton-pump inhibitor (see Acid
Blockers).
*Assunção et al: Green tea averts age-dependent decline of hippocampal signaling systems related to
antioxidant defenses and survival. Free Radic Biol Med 2010 Mar 15;48(6):831-838
*Chiu et al: Double-blinded, placebo-controlled trial of green tea extracts in the clinical and histologic
appearance of photoaging skin. Dermatol Surg 2005 Jul;31(7 Pt 2):855-60; discussion 860
*Esfandiari & Kelly: The effects of tea polyphenolic compounds on hair loss among rodents. J Natl Med
Assoc 2005 Aug;97(8):1165-9
*Fu et al: Metabonomics study of the protective effects of green tea polyphenols on aging rats induced
by d-galactose. J Pharm Biomed Anal 2011 Mar 26
*Gupta et al: Green tea (Camellia sinensis) protects against selenite-induced oxidative stress in experi-
mental cataractogenesis. Ophthalmic Res 2002 Jul-Aug;34(4):258-63
*Hsu et al: Effect of green tea extract on obese women: a randomized, double-blind, placebo-con-
Caffeine
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Pamela Duff, RN, CSNC
*Kitani et al: The effects of tetrahydrocurcumin and green tea polyphenol on the survival of male
C57BL/6 mice. Biogerontol 2007 Oct;8(5):567-73
*Kuriyama et al: Green tea consumption and mortality due to cardiovascular disease, cancer, and all
causes in Japan: the Ohsaki study. JAMA 2006 Sep13;296(10):1255-65
*Lee et al: Inhibitory effect of green tea extract on beta-amyloid-induced PC12 cell death by inhibition
of the activation of NF-kappaB and ERK/p38 MAP kinase pathway through antioxidant mechan-
isms. Brain Res Mol Brain Res 2005 Oct 31;140(1-2):45-54
*Murakami et al: Gastric H+, K(+)-ATPase inhibition by catechins. J Pharm Pharmacol 1992
Nov;44(11):926-8
*Okamoto: Habitual green tea consumption and risk of an aneurysmal rupture subarachnoid hemor-
rhage: a case-control study in Nagoya, Japan. Eur J Epidemiol 2006;21(5):367-71
*Rathore & Wang: Green tea catechin extract in intervention of chronic breast cell carcinogenesis
induced by environmental carcinogens. Mol Carcinog 2011 Aug 31
*Sachdeva et al: Epigallocatechin gallate ameliorates chronic fatigue syndrome in mice: behavioral and
biochemical evidence. Behav Brain Res 2009 Jul 27
*Unno et al: Daily consumption of green tea catechin delays memory regression in aged mice. Bioger-
ontol 2007 Apr;8(2):89-95
*Unno et al: Daily ingestion of green tea catechins from adulthood suppressed brain dysfunction in
aged mice. Biofact 2008;34(4):263-71
*Yamabe et al: Matcha, a powdered green tea, ameliorates the progression of renal and hepatic dam-
age in type 2 diabetic OLETF rats. J Med Food 2009 Aug;12(4):714-21
*Zeng et al: Green tea may be benefit to the therapy of atrial fibrillation. J Cell Biochem 2011 Mar 4
*Zhang et al: Green tea and the prevention of breast cancer: a case-control study in Southeast China.
PLoS One 2007 Nov 7;2(11):e1153
*Zheng et al: Green tea intake lowers fasting serum total and LDL cholesterol in adults: a meta-analysis
of 14 randomized controlled trials. Am J Clin Nutr 2011 Aug;94(2):601-10
*Zhao et al: Long-term administration of green tea catechins prevents age-related spatial learning and
memory decline in C57BL/6 J mice by regulating hippocampal cyclic amp-response element
binding protein signaling cascade. Neurosci 2009 Apr 10;159(4):1208-15
Rooibos tea is a healthier beverage choice that is also safe for babies. The flavour is
similar to black tea.
*Fukasawa et al: Anti-oxidative effects of rooibos tea extract on autoxidation and thermal oxidation of
lipids. J Oleo Sci 2009;58(6):275-83
*Inanami et al: The suppression of age-related accumulation of lipid peroxides in rat brain by adminis-
tration of Rooibos tea (Aspalathus linearis). Neurosci Lett 1995 Aug 18;196(1-2):85-8
*Khan & Gilani: Selective bronchodilatory effect of Rooibos tea (Aspalathus linearis) and its flavonoid,
chrysoeriol. Eur J Nutr 2006 Dec;45(8):463-9
*Kawano et al: Hypoglycemic effect of aspalathin, a rooibos tea component from Aspalathus linearis,
in type 2 diabetic model db/db mice. Invest New Drugs 2010 Dec;28(6):766-82
*Kunishiro et al: Effects of rooibos tea extract on antigen-specific antibody production and cytokine
generation in vitro and in vivo. Biosci Biotechnol Biochem 2001 Oct;65(10):2137-45
*Lee & Jang: Antioxidant activity and protective effect on DNA strand scission of Rooibos tea (Aspala-
thus linearis). J Altern Complement Med 2010 Jul;16(7):807-9
*Marnewick et al: Inhibition of tumour promotion in mouse skin by extracts of rooibos (Aspalathus
linearis) and honeybush (Cyclopia intermedia), unique South African herbal teas. Cancer Lett 2005
Jun 28;224(2):193-202
*Nakano et al: Anti-human immunodeficiency virus activity of oligosaccharides from rooibos tea
(Aspalathus linearis) extracts in vitro. Leukemia 1997 Apr;11 Suppl 3:128-30
*Nakano et al: Polysaccharide from Aspalathus linearis with strong anti-HIV activity. Biosci Biotechnol
Caffeine
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Ulicná et al: Does rooibos tea (Aspalathus linearis) support regeneration of rat liver after intoxication
by carbon tetrachloride? Gen Physiol Biophys 2008 Sep;27(3):179-86
Teeccino coffee and tea substitutes have excellent flavours that offer energy boosts
from nutrients rather than stimulants.
*teeccino.com/
Caffeine
211
Cancer
(Used to inhibit various types of cancer cells)
Common examples:
actinomycin D – Cosmegan
aldesleukin – Proleukin
aminoglutethimide – Cytadren
anastrozole – Arimidex
cisplatin – Platinol
cyclophosphamide/cytophosphane – Endoxan, Cytoxan, Neosar, Procytox,
Revimmune
docetaxel – Taxotere
doxorubicin – Adriamycin, Rubex
epirubicin – Ellence, Pharmorubicin RDF
exemestane – Aromasin
fluorouracil – Adrucil, 5-FU
gemcitabine – Gemzar
methotrexate – Folex, Maxtrex, and others
mitomycin – Mutamycin, Mytozytrex
paclitaxel – Taxol, Onxal
procarbazine – Matulane
tamoxifen – Nolvadex-D, Tamofen, and others
trastuzumab – Herceptin and others
... and many more
Deplete:
A, B1, B2, B6, B9, B12, C, E, choline, calcium, magnesium, potassium,
selenium, zinc, L-carnitine, L-glutamine, glutathione/NAC, melatonin,
essential fatty acids, CoQ10
´´Ironically, many of these nutrients are needed for reducing chemo side effects
and for preventing cancer in the first place.
Cancer
212
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Trocho et al: Formaldehyde derived from dietary aspartame binds to tissue components in vivo. Life
Sci 1998;63(5):337-49
213
Pamela Duff, RN, CSNC
*Tsakiris et al: The effect of aspartame metabolites on human erythrocyte membrane acetylcholinesterase
activity. Pharmacol Res 2006 Jan;53(1):1-5
*Wiklund et al: Sucralose - An ecotoxicological challenger? Chemosphere 2012 Jan ;86(1):50-5
´´Cholesterol levels, a little on the high side, actually protect against cancer,
especially in older people, while low cholesterol levels increase mortality.
*Traissac et al: Significance of cholesterol levels in patients 75 years or older. Presse Med 2005 Nov
19;34(20 Pt 1):1525-32
*Trieu & Uckun: Low density lipoprotein (LDL)-mediated suppression of Lewis lung carcinoma in
hypercholesterolemic LDL receptor-deficient mice. Biochem Biophys Res Commun 1999
Feb16;255(2):377-81
´´Mammograms appear to be causing more harm than good. Studies over the
past 20 years confirm that the low-radiation of mammograms may actually
increase the risk of cancer. Despite an increase in this screening, breast cancer
has also increased accordingly. False positives are estimated to be more than
63%, which calls for more screening and ultimately one or two mastectomies
“just to be sure”. According to one study,
“By attending screening with mammography some women
will avoid dying from breast cancer or receive less aggressive
treatment. But many more women will be overdiagnosed,
receive needless treatment, have a false-positive result, or
live more years as a patient with breast cancer. Systematic
Cancer
214
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Anderson et al: Assessing the impact of screening mammography: Breast cancer incidence and
mortality rates in Connecticut (1943-2002). Breast Cancer Res Treat 2006 Oct;99(3):333-40
*Andrieu et al: Effect of chest X-rays on the risk of breast cancer among BRCA1/2 mutation carriers in
the international BRCA1/2 carrier cohort study: a report from the EMBRACE, GENEPSO, GEO-
HEBON, and IBCCS Collaborators’ Group. J Clin Oncol 2006 Jul 20;24(21):3361-6
*Autier et al: Breast cancer mortality in neighbouring European countries with different levels of
screening but similar access to treatment: trend analysis of WHO mortality database. BMJ
2011;343:d4411
*Brodersen et al: The benefits and harms of screening for cancer with a focus on breast screening. Pol
Arch Med Wewn 2010 Mar;120(3):89-94
*Colin & Foray: DNA damage induced by mammography in high family risk patients: Only one single
view in screening. Breast 2011 Dec 31
*Colin et al: DNA double-strand breaks induced by mammographic screening procedures in human
mammary epithelial cells. Int J Radiat Biol 2011 Jul 29
*de González & Reeves: Mammographic screening before age 50 years in the UK: comparison of the
radiation risks with the mortality benefits. Br J Cancer 2005 Sep 5;93(5):590-6
*Feeley et al: Digital mammography in a screening programme and its implications for pathology: a
comparative study. J Clin Pathol 2011 Mar ;64(3):215-9
*Fenton et al: Effectiveness of computer-aided detection in community mammography practice. J Natl
Cancer Inst 2011 Jul 27
*Frankenberg et al: Enhanced neoplastic transformation by mammography X rays relative to 200 kVp
X rays: indication for a strong dependence on photon energy of the RBE(M) for various end points.
Radiat Res 2002 Jan;157(1):99-105
*Frankenberg-Schwager et al: Mutagenicity of low-filtered 30 kVp X-rays, mammography X-rays and
conventional X-rays in cultured mammalian cells. Int J Radiat Biol 2002 Sep;78(9):781-9
*Friedenson: Is mammography indicated for women with defective BRCA genes? Implications of
recent scientific advances for the diagnosis, treatment, and prevention of hereditary breast cancer.
MedGenMed 2000 Mar 9;2(1):E9
*Goel et al: The association between the pre-diagnosis mammography screening interval and
advanced breast cancer. CMAJ 2003 Jul 22;169(2):111-7
*Gomolka et al: Measurement of the initial levels of DNA damage in human lymphocytes induced by
29 kV X rays (mammography X rays) relative to 220 kV X rays and gamma rays. Radiat Res 2005
May;163(5):510-9
*Gøtzsche & Nielsen: Screening for breast cancer with mammography. Cochrane Database Syst Rev
2009(4):CD001877
*Hakama et al: Implementation of screening as a public health policy: issues in design and evaluation.
J Med Screen 1999;6(4):209-16
*Heyes et al: Mammography-oncogenecity at low doses. J Radiol Prot 2009 Jun;29(2A):A123-32
*Heyes & Mill: The neoplastic transformation potential of mammography X rays and atomic bomb
spectrum radiation. Radiat Res 2004 Aug;162(2):120-7
*Hogge et al: The mammographic spectrum of fat necrosis of the breast. Radiograph 1995
Nov;15(6):1347-56
*Hubbard et al: Modelling the cumulative risk of a false-positive screening test. Stat Methods Med Res
2010 Mar 31
*Jansen-van der Weide et al: Exposure to low-dose radiation and the risk of breast cancer among
women with a familial or genetic predisposition: a meta-analysis. Eur Radiol 2010 Nov;20(11):2547-
56
*Jørgensen & Gøtzsche: Overdiagnosis in publicly organised mammography screening programmes:
systematic review of incidence trends. BMJ 2009;339:b2587
*Losch et al: Post-radiation atypical vascular proliferation mimicking angiosarcoma eight months
following breast-conserving therapy for breast carcinoma. J Clin Aesthet Dermatol 2011
Apr;4(4):47-8
Cancer
*Mandelblatt et al: Effects of mammography screening under different screening schedules: model
estimates of potential benefits and harms. Ann Intern Med 2009 Nov 17;151(10):738-47
215
Pamela Duff, RN, CSNC
*Mestres et al: Induction of incomplete and complex chromosome aberrations by 30kVp X Rays. Rad
Res 2010 Dec 8
*Miller et al: Is mammography screening for breast cancer really not justifiable? Recent Results Cancer
Res 2003;163:115-28; disc 264-6
*Novak: Rupture of a cyst during compression at mammography. Report of a case. Acta Radiol 1989
May-Jun;30(3):257-8
*Olsen et al: Estimating the benefits of mammography screening: the impact of study design. Zhonghua
Zhong Liu Za Zhi 2005 Nov;27(11):667-71
*Olsen & Gøtzsche: Screening for breast cancer with mammography. Urology 2004 May;63(5):900-4
*Olsen & Gøtzsche: Cochrane review on screening for breast cancer with mammography. Lancet
2001 Oct 20;358(9290):1340-2
*Pennes & Homer: Disappearing breast masses caused by compression during mammography.
Radiology 1987 Nov;165(2):327-8
*Raftery & Chorozoglou: Possible net harms of breast cancer screening: updated modelling of Forrest
report. BMJ 2011;343:d7627
*Schootman et al: The full potential of breast cancer screening use to reduce mortality has not yet
been realized in the United States. Breast Cancer Res Treat 2004 Jun;85(3):219-22
*Smith-Bindman et al: Comparing the performance of mammography screening in the USA and the
UK. J Med Screen 2005;12(1):50-4
*Stigers et al: Abnormalities of the breast caused by biopsy: spectrum of mammographic findings.
AJR Am J Roentgenol 1991 Feb;156(2):287-91
*Svendsen et al: Breast cancer incidence after the introduction of mammography screening: what
should be expected? Cancer 2006 May 1;106(9):1883-90
*Trombetta et al: Mammary fat necrosis following radiotherapy in the conservative management of
localized breast cancer: does it matter? Radiother Oncol 2010 Oct;97(1):92-4
*Voogd et al: More breast cancer death in 2008: stepping up prevention. Ned Tijdschr Geneeskd
2010;154(6):A1550
*Watmough et al: Breast compression: a preliminary study. J Biomed Eng 1993 Mar;15(2):121-6
*Zahl et al: Natural history of breast cancers detected in the Swedish mammography screening
programme: a cohort study. Lancet Oncol 2011 Nov ;12(12):1118-24
*Zahl et al: The natural history of invasive breast cancers detected by screening mammography. Arch
Intern Med 2008 Nov 24;168(21):2311-6
*Zhang et al: Low doses ionizing radiation enhances the invasiveness of breast cancer cells by inducing
epithelial-mesenchymal transition. Biochem Biophys Res Commun 2011 Aug 19 ;412(1):188-92
Still, when you compare wolves to lions, it is reasonable to assume both should
be avoided.
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*Bazin et al: Hydroxy benzoate preservatives (Parabens) in the environment: Data for Environmental
Toxicity Assessment. Xenobiotics in the Urban Water Cycle, Environmental Pollution, 2010;16(Pt
II):245-57
*Byford et al: Oestrogenic activity of parabens in MCF7 human breast cancer cells. J Steroid Biochem
Mol Biol 2002 Jan;80(1):49-60
*Darbre & Charles: Oestrogenic activity of benzyl salicylate, benzyl benzoate and
butylphenylmethylpropional (Lilial) in MCF7 human breast cancer cells in vitro. J Appl Toxicol
2009 July;29(5):422-34
*Darbre: Environmental oestrogens, cosmetics and breast cancer. Best Practice & Research Clin
Endocrin Met 2006 Mar;20(1):121-43
*Darbre et al: Concentrations of parabens in human breast tumours. J Appl Toxi 2004 Jan-Feb;24(1):5-13
*Harvey & Darbre: Endocrine disrupters and human health: could oestrogenic chemicals in body
care cosmetics adversely affect breast cancer incidence in women? J Appl Toxicol 2004 May-
Jun;24(3):167-76
*Harvey: Parabens, oestrogenicity, underarm cosmetics and breast cancer: a perspective on a
hypothesis. J Appl Toxicol 2003 Sep-Oct;23(5):285-88
*Pugazhendhi et al: Oestrogenic activity of p-hydroxybenzoic acid (common metabolite of paraben
esters) and methylparaben in human breast cancer cell lines. J Appl Toxi 2005 Jul-Aug;25(4):301-9
*Tavaresa et al: Parabens in male infertility—Is there a mitochondrial connection? Reprod Toxicol 2009
Jan;27(1):1-7
*Wolff et al: Blood levels of organochlorine residues and risk of breast cancer. J Natl Cancer Inst 1993
Apr 21;85(8):648-52
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*Woolcott et al: Organochlorines and breast cancer risk by receptor status, tumor size, and grade
(Canada). Cancer Causes Control 2001 Jun;12(5):395-404
*Xu et al: Associations of serum concentrations of organochlorine pesticides with breast cancer and
prostate cancer in U.S. adults. Environ Health Perspect 2010 Jan;118(1):60-6
*Zhao et al: Exposure to organochlorine pesticides is an independent risk factor of hepatocellular
carcinoma: A case-control study. J Expo Sci Environ Epidemiol 2011 Sep 14
´´Smoking not only causes a myriad of diseases but can render chemotherapy
drugs ineffective.
*Shen et al: Nicotine induces resistance to chemotherapy in nasal epithelial cancer. Am J Rhinol
Allergy 2010 Mar;24(2):e73-7
*Zhang et al: Nicotine induces resistance to chemotherapy by modulating mitochondrial signaling in
lung cancer. Am J Respir Cell Mol Biol 2009 Feb;40(2):135-46
´´Watch out for the media. They often give misleading information, especially
regarding nutrition. For example, take note of this headline: “Vitamin E Tied
to Prostate Cancer Risk, Finds Study”, published on Fox News (and other
media) October 12, 2011. The actual study states quite clearly that “There were
statistically nonsignificant increased risks of prostate cancer in the vitamin
E group”. See more studies listed below under Vitamin E that show vitamin E
does prevent prostate cancer.
*Lippman et al: Effect of Selenium and Vitamin E on Risk of Prostate Cancer and Other Cancers. The
Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA 2009 Dec;301(1):39-51
Suggested alternatives:
Aloe vera kills cancer cells and increases the effects of chemotherapy drugs. Aloe
also protects against possible organ damage from petroleum products. It may, how-
ever, decrease the effect of cisplatin.
*Chen et al: Aloe-emodin-induced apoptosis in human gastric carcinoma cells. Food Chem Toxicol 2007
Nov;45(11):2296-303
*Chiu et al: Aloe-emodin induces cell death through S-phase arrest and caspase-dependent path-
ways in human tongue squamous cancer SCC-4 cells. Anticancer Res 2009 Nov;29(11):4503-11
Cancer
*Chou & Liang: The molecular effects of aloe-emodin (AE)/liposome-AE on human nonmelanoma skin
cancer cells and skin permeation. Chem Res Toxicol 2009 Dec;22(12):2017-28
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*El-Shemy et al: Antitumor properties and modulation of antioxidant enzymes’ activity by Aloe vera leaf
active principles isolated via supercritical carbon dioxide extraction. Curr Med Chem 2009 Nov 24
*Esmat et al: Cytotoxicity of a natural anthraquinone (Aloin) against human breast cancer cell lines with
and without ErbB-2: topoisomerase IIalpha coamplification. Cancer Biol Ther 2006 Jan;5(1):97-103
*Gbadegesin et al: Comparative hepatotoxicity and clastogenicity of sodium arsenite and three petrol-
eum products in experimental Swiss Albino Mice: the modulatory effects of Aloe vera gel. Food
Chem Toxicol 2009 Oct;47(10):2454-7
*Guo et al: Suppression of C-myc expression associates with anti-proliferation of aloe-emodin on
gastric cancer cells. Cancer Invest 2008 May;26(4):369-74
*Guo et al: Anticancer effect of aloe-emodin on cervical cancer cells involves G2/M arrest and induc-
tion of differentiation. Acta Pharmacol Sin 2007 Dec;28(12):1991-5
*Lai et al: Chaperones are the target in aloe-emodin-induced human lung nonsmall carcinoma H460
cell apoptosis. Eur J Pharmacol 2007 Nov 14;573(1-3):1-10
*Lee et al: Induction of apoptosis in human leukaemic cell lines K562, HL60 and U937 by diethylhexyl-
phthalate isolated from Aloe vera Linne. J Pharm Pharmacol 2000 Aug;52(8):1037-41
*Lin et al: Aloe-emodin induces apoptosis of human nasopharyngeal carcinoma cells via caspase-
8-mediated activation of the mitochondrial death pathway. Cancer Lett 2009 Nov 24
*Lissoni et al: A randomized study of chemotherapy versus biochemotherapy with chemotherapy plus
Aloe arborescens in patients with metastatic cancer. In Vivo 2009 Jan-Feb;23(1):171-5
*Mijatovic et al: Aloe emodin decreases the ERK-dependent anticancer activity of cisplatin. Cell Mol
Life Sci 2005 Jun ;62(11):1275-82
*Tabolacci et al: Antitumor properties of aloe-emodin and induction of transglutaminase 2 activity in
B16-F10 melanoma cells. Life Sci 2010 Aug 28;87(9-10):316-24
Aloe and Honey kill cancer cells. It is advisable to use only non-pasteurized honey
as there are no healing properties to be found in grocery store honey.
*Schneider: Tests Show Most Store Honey Isn’t Honey: Ultra-filtering Removes Pollen, Hides Honey
Origins. Food Safety News 2011 Nov 7
*Tomasin et al: Oral administration of Aloe vera and honey reduces Walker tumour growth by decreas-
ing cell proliferation and increasing apoptosis in tumour tissue. Phytother Res 2010 Sep 13
Andrographis (an herb from India known as the “king of bitters”) is more effective
than doxorubicin for lymphoma.
*Verma and Vinayak: Antioxidant action of Andrographis paniculata on lymphoma. Mol Biol Rep. 2008
Dec;35(4):535-40
Angelica sinensis (Dong quai) inhibits various cancer cells including cervical, co-
lon, and brain – BUT, it still should not be taken by those with breast cancer. It
also protects against radiation-induced pulmonary fibrosis and promotes blood cell
formation if taken with Astragalus.
*Cao et al: A novel polysaccharide, isolated from Angelica sinensis (Oliv.) Diels induces the apoptosis
of cervical cancer HeLa cells through an intrinsic apoptotic pathway. Zhongguo Zhong Xi Yi Jie
He Za Zhi 1997 Apr;17(4):207-9
*Chenga et al: Acetone extract of Angelica sinensis inhibits proliferation of human cancer cells via
inducing cell cycle arrest and apoptosis. Life Sc 2004 Aug 13;75(13):1579-94
*Gu et al: The effect of Angelica sinensis on adhesion, invasion, migration and metastasis of melanoma
cells. Zhong Yao Cai 2007 Mar;30(3):302-5
*Han et al: Angelica sinensis down-regulates hydroxyproline and Tgfb1 and provides protection in mice
with radiation-induced pulmonary fibrosis. Radiat Res 2006 May;165(5):546-52
*Kan et al: Study of the anti-proliferative effects and synergy of phthalides from Angelica sinensis on
colon cancer cells. J Ethnopharmacol 2008 Jul 30
Cancer
*Tsa et al: The antitumor effects of Angelica sinensis on malignant brain tumors in vitro and in vivo. Clin
Cancer Res 2005 May 1;11;3475
219
Pamela Duff, RN, CSNC
*Tsai et al: The natural compound n-butylidenephthalide derived from Angelica sinensis inhibits malig-
nant brain tumor growth in vitro and in vivo. J Nutr 2007 Sep;137(9):2068-73
*Yang et al: An herbal decoction of Radix astragali and Radix angelicae sinensis promotes hematopoi-
esis and thrombopoiesis. J Ethnopharmacol 2009 Jul 6;124(1):87-97
*Yim et al: A novel anticancer agent, decursin, induces G1 arrest and apoptosis in human prostate
carcinoma cells. Cancer Res 2005 Feb 1;65(3):1035-44
*Zhong et al: Protection of Angelica sinensis against radiation-induced pulmonary fibrosis in mice.
Zhonghua Yu Fang Yi Xue Za Zhi 2007 Mar;41(2):105-9
Antioxidant deficiencies increase the risk of breast cancer and abnormal cervical
cells. An added benefit is that antioxidants significantly decrease chemotherapy side
effects.
*Nicolson & Conklin: Reversing mitochondrial dysfunction, fatigue and the adverse effects of
chemotherapy of metastatic disease by molecular replacement therapy. Clin Exp Metastasis
2008;25(2):161-9
*Shen et al: Telomere length, oxidative damage, antioxidants and breast cancer risk. Int J Cancer 2009
Apr 1;124(7):1637-43
*Siegel et al: Dietary consumption of antioxidant nutrients and risk of incident cervical intraepithelial
neoplasia. Gynecol Oncol 2010 Sep;118(3):289-94
Anthocyanins, substances found in Grape skins, Red Rice and Black raspberries,
have anti-tumor properties.
*Koide et al: Antitumor effect of hydrolyzed anthocyanin from grape rinds and red rice. Biol Pharm Bull
2009 Mar;32(3):468-74
*Wang et al: Anthocyanins in black raspberries prevent esophageal tumors in rats. Cancer Prev Res
(Phila Pa) 2009 Jan;2(1):84-93
Apple, Apple Cider Vinegar, and Apple pectin have antitumor effects against vari-
ous cancer cells. But do yourself a bigger favour and use only organically grown
apples as the chemicals used to grow conventional ones significantly increase cancer
risks. Apples are #1 on the pesticide list.
*Abe et al: Generation of antitumor active neutral medium-sized alpha-glycan in apple vinegar fermen-
tation. Biosci Biotechnol Biochem 2007 Sep;71(9):2124-9
*Apples worst for pesticides on produce list. CBC News, Jun 14, 2011
*DeNoon: Apples Are Top Food With Most Pesticides: ‘Dirty Dozen’ List Reveals Fruits/Veggies With
Most Pesticides. WebMD Health News June 13, 2011
*Gallus et al: Does an apple a day keep the oncologist away? Ann Oncol 2005 Nov;16(11):1841-4
*Gerhauser: Cancer chemopreventive potential of apples, apple juice, and apple components. J Endo-
Cancer
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*Kubo et al: Antitumor agents from the cashew (Anacardium occidentale) apple juice. J Agric Food
Chem 1993:41(6):1012-15
*He & Liu: Phytochemicals of apple peels: isolation, structure elucidation, and their antiproliferative and
antioxidant activities. J Agric Food Chem 2008 Nov 12;56(21):9905-10
*Hibasami et al: Induction of apoptosis by three types of procyanidin isolated from apple (Rosaceae
Malus pumila) in human stomach cancer KATO III cells. Int J Mol Med 2004 Jun;13(6):795-9
*Jedrychowski et al: Case-control study on beneficial effect of regular consumption of apples on
colorectal cancer risk in a population with relatively low intake of fruits and vegetables. Basic Clin
Pharmaco Toxi 2009 Mar;104(3):262-71
*Jedrychowski & Maugeri: An apple a day may hold colorectal cancer at bay: recent evidence from a
case-control study. Rev Environ Health 2009 Jan-Mar;24(1):59-74
*Liu et al: Apples prevent mammary tumors in rats. J Altern Complement Med 2010 Sep;16(9):973-8
*Liu et al: Fresh apples suppress mammary carcinogenesis and proliferative activity and induce apopto-
sis in mammary tumors of the Sprague-Dawley rat. J Agric Food Chem 2009 Jan 14;57(1):297-304
*Maldonado-Celis et al: Apple procyanidins activate apoptotic signaling pathway in human colon
adenocarcinoma cells by a lipid-raft independent mechanism. Biochem Biophys Res Commun
2009 Oct 16;388(2):372-6
*No authors listed. Induction of apoptosis in HT-29 colon cancer cells by phloretin. Methods 2007
Aug;42(4):339-48
*Pierini et al: Procyanidin effects on oesophageal adenocarcinoma cells strongly depend on flavan-3-
ol degree of polymerization. Mol Nutr Food Res 2008 Dec;52(12):1399-407
*Shabecoff: 100 Chemicals for Apples Add Up to Enigma on Safety. NY Times Feb 5, 1989
*Soyalan et al: Apple juice intervention modulates expression of ARE-dependent genes in rat colon
and liver. Carcinogen 2000 Aug;21(8):1461-7
*Sun & Liu: Apple phytochemical extracts inhibit proliferation of estrogen-dependent and estrogen-
independent human breast cancer cells through cell cycle modulation. J Agric Food Chem 2008
Dec 24;56(24):11661-7
*Tazawa et al: Dietary fiber inhibits the incidence of hepatic metastasis with the anti-oxidant activity
and portal scavenging functions. Hum Cell. 1999 Dec;12(4):189-96
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
*Veeriah et al: Apple polyphenols modulate expression of selected genes related to toxicological defence
and stress response in human colon adenoma cells. Int J Cancer 2008 Jun 15;122(12):2647-55
*Waldecker et al: Histone-deacetylase inhibition and butyrate formation: Fecal slurry incubations with
apple pectin and apple juice extracts. Nutr 2008 Apr;24(4):366-74
*Wolfe et al: Antioxidant activity of apple peels. J Agric Food Chem 2003 Jan 29;51(3):609-14
*Wu et al: In vitro and in vivo study of phloretin-induced apoptosis in human liver cancer cells involving
inhibition of type II glucose transporter. Int J Cancer 2009 May 1;124(9):2210-9
*Yang et al: Apple polyphenol phloretin potentiates the anticancer actions of paclitaxel through induc-
tion of apoptosis in human hep G2 cells. Mol Carcinog 2009 May;48(5):420-31
Apples and Curcumin inhibit breast cancer cell processes that are resistant to
chemotherapy. Curcumin is the active part of the food spice, Turmeric.
*Yoon & Liu: Effect of selected phytochemicals and apple extracts on NF-kappaB activation in human
breast cancer MCF-7 cells. J Agric Food Chem 2007 Apr 18;55(8):3167-73
Apricots and Beta carotene have a potent protective effect against methotrexate-
induced intestinal damage.
Cancer
*Vardi et al: Potent protective effect of apricot and beta-carotene on methotrexate-induced intestinal
oxidative damage in rats. Food Chem Toxicol 2008 Sep;46(9):3015-22
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Astragalus is an herb that protects the body from the effects of stress. It also helps
manage cancer-related anorexia, chronic fatigue and proves to be a beneficial com-
plimentary treatment, even in children with leukemia.
*Astragalus. U Maryland Medical Center online
*Cho et al: Myelophil, an extract mix of Astragali Radix and Salviae Radix, ameliorates chronic fatigue:
a randomised, double-blind, controlled pilot study. Complement Ther Med 2009 Jun;17(3):141-6
*Dong et al: Effects of large dose of Astragalus membranaceus on the dendritic cell induction of per-
ipheral mononuclear cell and antigen presenting ability of dendritic cells in children with acute
leukemia. Zhongguo Zhong Xi Yi Jie He Za Zhi 2005 Oct;25(10):872-5
*Duan & Wang: Clinical study on effect of Astragalus in efficacy enhancing and toxicity reducing of
chemotherapy in patients of malignant tumor. Food Chem Toxicol 2008 Mar;46(3):1089-96
*Lee & Lee: A phase II study of an herbal decoction that includes Astragali radix for cancer-associated
anorexia in patients with advanced cancer. Integr Cancer Ther 2010 Feb 11
*Lv et al: Study on effect of Astragalus membranaceus injection on hematopoiesis in anemic mice with
myelosuppression. Zhong Yao Cai 2005 Sep;28(9):791-3
*Zou & Liu: Effect of astragalus injection combined with chemotherapy on quality of life in patients with
advanced non-small cell lung cancer. Zhongguo Zhong Xi Yi Jie He Za Zhi 2003 Oct;23(10):733-5
*Ding et al: Chemopreventive characteristics of avocado fruit. Semin Cancer Biol 2007 Oct;17(5):386-94
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*Lu et al: Inhibition of prostate cancer cell growth by an avocado extract: role of lipid-soluble bioactive
substances. J Nutr Biochem 2005 Jan;16(1):23-30
Bananas regulate the immune system and inhibit HIV virus and cancer cells.
*Cheung et al: Musa acuminata (Del Monte banana) lectin is a fructose-binding lectin with cytokine-
inducing activity. Phytomed 2009 Jun;16(6-7):594-600
B vitamins significantly lower the risk of cancers while a deficiency increases the
risk. Folic acid (B9) protects against methotrexate side effects and Inositol (B8)
stimulates natural killer cells. (see Appendix for a list of B vitamins according to
name and number)
*Ames: Prevention of mutation, cancer, and other age-associated diseases by optimizing micronutrient
intake. J Nucleic Acids 2010 Sep 22;2010
*Baten et al: Inositol-phosphate-induced enhancement of natural killer cell activity correlates with
tumor suppression. Carcinogen 1989 Sep;10(9):1595-8
*Brunaud et al: Effects of vitamin B12 and folate deficiencies on DNA methylation and carcinogenesis
in rat liver. Clin Chem Lab Med 2003 Aug;41(8):1012-9
*Giovannucci: Epidemiologic studies of folate and colorectal neoplasia: a review. J Nutr
2002;132(Suppl):S2350-S2355
*Johansson et al: Serum B vitamin levels and risk of lung cancer. JAMA 2010 Jun 16;303(23):2377-85
*Kerr & Colucci: Inositol phospholipid signaling and the biology of natural killer cells. J Innate Immun
2011;3(3):249-57
*Larsson et al: Vitamin B6 and risk of colorectal cancer: a meta-analysis of prospective studies. JAMA
2010;303:1077-83
*Ortiz et al: Folic acid and folinic acid for reducing side effects in patients receiving methotrexate for
rheumatoid arthritis. Cochrane Database Syst Rev 2000;(2):CD000951
*Raina et al: Chemopreventive efficacy of inositol hexaphosphate against prostate tumor growth and
progression in TRAMP mice. Clin Cancer Res 2008 May 15;14(10):3177-84
*Singh et al: In vivo suppression of hormone-refractory prostate cancer growth by inositol hexaphos-
phate: induction of insulin-like growth factor binding protein-3 and inhibition of vascular endothelial
growth factor. Clin Cancer Res 2004 Jan 1;10(1Pt1):244-50
*Xu & Chen: One-carbon metabolism and breast cancer: an epidemiological perspective. J Genet
Genomics 2009;36:203-214
*Bobek et al: The effect of red beet (Beta vulgaris var. rubra) fiber on alimentary hypercholesterolemia
and chemically induced colon carcinogenesis in rats. Nahrung 2000 Jun;44(3):184-7
223
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*Kapadia et al: Chemoprevention of lung and skin cancer by Beta vulgaris (beet) root extract. Cancer
Lett 2008 Jan 18;259(1):39-49
Berries contain ellagic acid which inhibits estrogen growth and protects against the
formation of various cancers and non-cancerous cells such as hemangioma.
*Aiyer & Gupta: Berries and ellagic acid prevent estrogen-induced mammary tumorigenesis by modu-
lating enzymes of estrogen metabolism. Canc Prev Res (Phila Pa) 2010 Jun;3(6):727-37
*Atalay et al: Anti-angiogenic property of edible berry in a model of hemangioma. J Pharm Pharmacol
1992 Nov;44(11):926-8
*Bagchi et al: Anti-angiogenic, antioxidant, and anti-carcinogenic properties of a novel anthocyanin-
rich berry extract formula. Biochem (Mosc) 2004 Jan;69(1):74-80
*Stoner et al: Protection against esophageal cancer in rodents with lyophilized berries: potential mech-
anisms. Nutr Canc 2006;54(1):33-46
Beta glucans are polysaccharides derived from oats, mushrooms, or yeasts. Beta
glucans are safe and effectively used to inhibit various cancer cells, enhance bone
marrow formation, prevent chemo-induced hair loss, prolong longevity, reduce the
toxic effects of cancer medications, and generally improve the quality of life.
*Akramiene et al: Effects of beta-glucans on the immune system. Medicina (Kaunas) 2007;43(8):597-606
*Burikhanov et al: Suppressive effect of active hexose correlated compound (AHCC) on thymic apop-
tosis induced by dexamethasone in the rat. Geburtshilfe Frauenheilkd 1996 May;56(5):221-5
*Chan et al: The effects of beta-glucan on human immune and cancer cells. J Hematol Oncol 2009
Jun 10;2:25
*Cowawintaweewat et al: Prognostic improvement of patients with advanced liver cancer after active
hexose correlated compound (AHCC) treatment. Asian Pac J Allergy Immunol 2006 Mar;24(1):33-45
*Cramer et al: Mobilization of hematopoietic progenitor cells by yeast-derived beta-glucan requires
activation of matrix metalloproteinase-9. Proc Natl Acad Sci USA 2008 Sep 23;105(38):14551-4
*Dang et al: Betulinic acid derivatives as human immunodeficiency virus type 2 (HIV-2) inhibitors. J Med
Chem 2009 Dec 10;52(23):7887-91
*Fullerton et al: Induction of apoptosis in human prostatic cancer cells with beta-glucan (Maitake
mushroom polysaccharide). Boll Soc Ital Biol Sper 2000 Jan-Feb;76(1-2):1-4
*Gao et al: Active hexose correlated compound enhances tumor surveillance through regulating both
innate and adaptive immune responses. Cancer Immunol Immunother 2006 Oct;55(10):1258-66
*Gu et al: Enhancement of radioprotection and anti-tumor immunity by yeast-derived beta-glucan in
mice. J Med Food 2005 Summer;8(2):154-8
*Gu & Belury: Selective induction of apoptosis in murine skin carcinoma cells (CH72) by an ethanol
extract of Lentinula edodes. Cancer Lett 2005 Mar 18;220(1):21-8
*Hazama et al: Efficacy of orally administered superfine dispersed lentinan (beta-1,3-glucan) for the
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*Hirose et al: The influence of active hexose correlated compound (AHCC) on cisplatin-evoked
chemotherapeutic and side effects in tumor-bearing mice. Toxicol Appl Pharmacol 2007 Jul
15;222(2):152-8
*Isoda et al: Clinical efficacy of superfine dispersed lentinan (beta-1,3-glucan) in patients with hepato-
cellular carcinoma. Hepatogastroenterol 2009 Mar-Apr;56(90):437-41
*Ito et al: Maitake beta-glucan enhances granulopoiesis and mobilization of granulocytes by increasing
G-CSF production and modulating CXCR4/SDF-1 expression. Int Immunopharmacol 2009 Jun 30
*Kobayashi et al: Suppressing effects of daily oral supplementation of beta-glucan extracted from
Agaricus blazei Murill on spontaneous and peritoneal disseminated metastasis in mouse model. J
Cancer Res Clin Oncol 2005 Aug;131(8):527-38
*Kodama et al: Effect of Maitake (Grifola frondosa) D-Fraction on the activation of NK cells in cancer
patients. J Med Food 2003;6(4):371-7
*Lin et al: Maitake beta-glucan promotes recovery of leukocytes and myeloid cell function in peripheral
blood from paclitaxel hematotoxicity. Cancer Immunol Immunother 2010 Feb 6
*Lin et al: Maitake beta-glucan MD-fraction enhances bone marrow colony formation and reduces
doxorubicin toxicity in vitro. Int Immunopharmacol 2004 Jan;4(1):91-9
*Mach et al: Evaluation of active hexose correlated compound hepatic metabolism and potential for
drug interactions with chemotherapy agents. J Soc Integr Oncol 2008 Summer;6(3):105-9
*Mansell et al: Macrophage-mediated destruction of human malignant cells in vivo. J Nat Cancer Inst
1975;54:571-80
*Masuda et al: Maitake beta-glucan enhances therapeutic effect and reduces myelosupression and
nephrotoxicity of cisplatin in mice. Int Immunopharmacol 2009 May;9(5):620-6
*Matsui et al: Improved prognosis of postoperative hepatocellular carcinoma patients when treated
with functional foods: a prospective cohort study. J Hepatol 2002 Jul;37(1):78-86
*Matsushita et al: Combination therapy of active hexose correlated compound plus UFT significantly
reduces the metastasis of rat mammary adenocarcinoma. Anticancer Drugs 1998;9:343-50
*Nakano et al: A multi-institutional prospective study of lentinan in advanced gastric cancer patients
with unresectable and recurrent diseases: effect on prolongation of survival and improvement of
quality of life. Kanagawa Lentinan Research Group. Planta Med 1990 Aug;56(4):360-3
*Ng & Yap: Inhibition of human colon carcinoma development by lentinan from shiitake mushrooms
(Lentinus edodes). J Altern Complement Med 2002 Oct;8(5):581-9
*Park et al: The ethyl acetate extract of Phellinus linteus grown on germinated brown rice induces G0/
G1 cell cycle arrest and apoptosis in human colon carcinoma HT29 cells. Phytother Res 2009
Dec 8
*Patchen et al: Glucan: mechanisms involved in its “radioprotective” effect. J Leuc Biol 1987;42:95-105
*Patchen & McVittie: Stimulated hemopoesis and enhanced survival following glucan treatment in
sublethally and lethally irradiated mice. Int J Immunopharmac 1985;7:923-32
*Rondanelli et al: The biological activity of beta-glucans. Minerva Med 2009 Jun;100(3):237-45
*Shigama et al: Alleviating effect of active hexose correlated compound (AHCC) for anticancer drug-
induced side effects in non-tumor-bearing mice. J Exp Ther Oncol 2009;8(1):43-51
*Shimizu et al: Efficacy of oral administered superfine dispersed lentinan for advanced pancreatic
cancer. Hepatogastroenterol 2009 Jan-Feb;56(89):240-4
*Sun et al: The effect of active hexose correlated compound in modulating cytosine arabinoside-in-
duced hair loss, and 6-mercaptopurine- and methotrexate-induced liver injury in rodents. Cancer
Epidemiol 2009 Oct;33(3-4):293-9
*Suzuki et al: Inhibition of experimental pulmonary metastasis of Lewis lung carcinoma by orally admin-
istered beta-glucan in mice. Chem Pharm Bull (Tokyo) 1991 Jun;39(6):1606-8
*Taguchi: Clinical efficacy of lentinan on patients with stomach cancer: end point results of a four-year
follow-up survey. Cancer Detect Prev Suppl 1987;1:333-49
*Turner & Chaudhary: Dramatic prostate-specific antigen response with activated hemicellulose com-
pound in metastatic castration-resistant prostate cancer. Anticancer Drugs 2009 Mar;20(3):215-6
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*Williams & Diluzio: Glucan induced modification of experimental Staphylococcus aureus infection in
normal, leukemic and immunosuppressed mice. Adv Exp Med Biol 1979;121(A):291-306
*Yagita et al: H-2 haplotype-dependent serum IL-12 production in tumor-bearing mice treated with
various mycelial extracts. In Vivo 2002;16:49-54
*Yang et al: Prevention of postoperative recurrence of bladder cancer: a clinical study. J Agric Food
Chem 2007 Sep 5;55(18):7609-14
Beta-sitosterol, one of many plant sterols, reduces the proliferation of various can-
cer cells; prevents an enlarged prostate; and reduces high cholesterol levels.
*Awad et al: Beta-Sitosterol activates Fas signaling in human breast cancer cells. Phytomed 2007
Nov;14(11):747-54
*Park et al: Beta-sitosterol induces anti-proliferation and apoptosis in human leukemic U937 cells
through activation of caspase-3 and induction of Bax/Bcl-2 ratio. Biol Pharm Bull 2007
Jul;30(7):1317-23
*Zhao et al: Beta-sitosterol inhibits cell growth and induces apoptosis in SGC-7901 human stomach
cancer cells. J Agric Food Chem 2009 Jun 24;57(12):5211-8
Black cumin seed is comparable and safer than 5-fluorouracil and the oil inhibits
colon cancer without any side effects.
*Norwood et al: A comparison of 5-fluorouracil and natural chemotherapeutic agents, EGCG and
thymoquinone, delivered by sustained drug delivery on colon cancer cells. Biomed Sci Instru
2007;43:272-7
*Salim & Fukushima: Chemopreventive potential of volatile oil from black cumin (Nigella sativa L.) seeds
against rat colon carcinogenesis. Nutr Cancer 2003;45(2):195-202
Black Cohosh has long been used to treat menopausal symptoms. Although there has
been some concern that it contributes to breast cancer because of its phytoestrogen
content, studies show the opposite; that it inhibits breast and prostate cancer cells. It
can, however, interfere with such cancer treatments as radiation and chemotherapy.
*Einbond et al: Growth inhibitory activity of extracts and compounds from Cimicifuga species on hu-
man breast cancer cells. Phytomed 2008 June15(6-7):504–511
*Einbond et al: Actein and a fraction of black cohosh potentiate antiproliferative effects of chemo-
therapy agents on human breast cancer cells. Planta Med 2006 Oct;72(13):1200-6cancer cells.
Phytomed 2008 Jun;15(6-7):504-11
*Einbond et al: Growth inhibitory activity of extracts and purified components of black cohosh on hu-
man breast cancer cells. Breast Cancer Res Treat 2004 Feb;83(3):221-31
*Hostanska et al: Apoptosis of human prostate androgen-dependent and -independent carcinoma
cells induced by an isopropanolic extract of black cohosh involves degradation of cytokeratin (CK)
18. Anticancer Res 2005 Jan-Feb;25(1A):139-47
*Hostanska et al: Cimicifuga racemosa extract inhibits proliferation of estrogen receptor-positive and
negative human breast carcinoma cell lines by induction of apoptosis. Breast Cancer Res Treat
2004 Mar;84(2):151-60
*Jarry et al: Petasiphenone, a phenol isolated from Cimicifuga racemosa, in vitro inhibits proliferation of
the human prostate cancer cell line LNCaP. Planta Med 2007 Feb;73(2):184-7
*Jacobson et al: Randomized trial of black cohosh for the treatment of hot flashes among women with
a history of breast cancer. J Clin Oncol 200;19(10):2739-2745
*McKenna et al: Black cohosh: efficacy, safety, and use in clinical and preclinical applications. [Re-
view]. Altern Ther Health Med 2001;7(3):93-100
*Qiu et al. A triterpene glycoside from black cohosh that inhibits osteoclastogenesis by modulating
RANKL and TNFalpha signaling pathways. Chem Biol 2007;14(7):860-9
*Rockwell et al: Alteration of the effects of cancer therapy agents on breast cancer cells by the herbal
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*Seidlová-Wuttke et al: Inhibitory effects of a black cohosh (Cimicifuga racemosa) extract on prostate
cancer. J Pineal Res 2011 Mar;50(2):110-23
*Walji et al: Black cohosh (Cimicifuga racemosa [L.] Nutt.): safety and efficacy for cancer patients. Sup-
port Care Cancer 2007;15(8):913-21
Burzynski, MD is the controversial head of a clinic that has a very high success rate
in reversing various cancers. Read more about him and his battle to keep people well.
*www.burzynskimovie.com/
*www.burzynskiclinic.com/
*Adams: Burzynski documentary reveals true agenda of FDA and cancer industry to destroy cancer
cures that really work. NaturalNews, July 14, 2011
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Pamela Duff, RN, CSNC
Calendula is more effective than trolamine for skin healing after radiation.
*Pommier et al: Phase III randomized trial of Calendula officinalis compared with trolamine for
the pevention of acute dermatitis during irradiation for breast cancer. J Clin Oncol. 2004 Apr
15;22(8):1447-53
Capsaicin, a substance in hot peppers, reduces pain and inhibits pancreatic cancer cells.
*Ghilardi et al: Selective blockade of the capsaicin receptor TRPV1 attenuates bone cancer pain. J
Neurosci 2005 Mar 23;25(12):3126-31
*Zhang et al: In vitro and in vivo induction of apoptosis by capsaicin in pancreatic cancer cells is mediated
through ROS generation and mitochondrial death pathway. Apoptosis 2008 Dec;13(12):1465-78
Carnitine is a substance made in the body from two amino acids, lysine and me-
thionine. Carnitine is effective for treating fatigue and chemo-induced peripheral
neuropathy.
*Bianchi et al: Symptomatic and neurophysiological responses of paclitaxel- or cisplatin-induced neur-
opathy to oral acetyl-L-carnitine. Eur J Canc 2005 Aug;41(12):1746-50
*Cruciani et al: Safety, tolerability and symptom outcomes associated with L-carnitine supplementa-
tion in patients with cancer, fatigue, and carnitine deficiency: a phase I/II study. J Pain Symptom
Manage 2006 Dec;32(6):551-9
*Flatters et al: Acetyl-L-carnitine prevents and reduces paclitaxel-induced painful peripheral neurop-
athy. Neurosci Lett 2006 Apr 24;397(3):219-23
*Jin et al: Prevention of paclitaxel-evoked painful peripheral neuropathy by acetyl-L-carnitine: effects on
axonal mitochondria, sensory nerve fiber terminal arbors, and cutaneous Langerhans cells. Exp
Neurol 2008 Mar;210(1):229-37
*Maestri et al: A pilot study on the effect of acetyl-L-carnitine in paclitaxel- and cisplatin-induced per-
ipheral neuropathy. Tumori 2005 Mar-Apr;91(2):135-8
Carvacrol (from Oregano oil) significantly increases liver regeneration after partial
hepatectomy. Synthetic carvacrol is toxic and should be avoided. It is found in such
products as Lysol, Pinesol, and Listerine.
*Uyanoglu et al: Effects of carvacrol upon the liver of rats undergoing partial hepatectomy. Toxicol Sci
2007 Sep;99(1):190-202
Cat’s Claw is an herb often used to boost the immune system but it also has anti-
cancer activity against a variety of cancer cells, helps repair cells, and enhances
recovery.
*Akesson et al: C-Med 100, a hot water extract of Uncaria tomentosa, prolongs lymphocyte survival in
vivo. Phytomed 2003 Jan;10(1):23-33
*Bacher et al: Oxindole alkaloids from Uncaria tomentosa induce apoptosis in proliferating, G0/
G1-arrested and bcl-2-expressing acute lymphoblastic leukaemia cells. Br J Haematol 2006
Mar;132(5):615-22
*Cheng et al: Induction of apoptosis by Uncaria tomentosa through reactive oxygen species produc-
tion, cytochrome c release, and caspases activation in human leukemia cells. Biosci Biotechnol
Biochem 2007 Apr;71(4):893-9
Cancer
*Giménez et al: Cytotoxic effect of the pentacyclic oxindole alkaloid mitraphylline isolated from Uncaria
tomentosa bark on human Ewing’s sarcoma and breast cancer cell lines. Planta Med 2009 Sep 1
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*Mammone et al: A water soluble extract from Uncaria tomentosa (Cat’s Claw) is a potent enhancer of
DNA repair in primary organ cultures of human skin. Phytother Res 2006 Mar;20(3):178-83
*Prado et al: Antiproliferative effects of mitraphylline, a pentacyclic oxindole alkaloid of Uncaria tomen-
tosa on human glioma and neuroblastoma cell lines. Phytomed 2007 Apr;14(4):280-4
*Riva et al: The antiproliferative effects of Uncaria tomentosa extracts and fractions on the growth of
breast cancer cell line. Anticancer Res 2001 Jul-Aug;21(4A):2457-61
*Sheng et al: Treatment of chemotherapy-induced leukopenia in a rat model with aqueous extract from
Uncaria tomentosa. Phytomed 2000 Apr;7(2):137-43
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*Selvaduray et al: Palm tocotrienols inhibit proliferation of murine mammary cancer cells and induce
expression of interleukin-24 mRNA. J Interferon Cytokine Res 2010 Dec;30(12):909-16
Coleus forskohlii is an Ayurvedic plant that has several health benefits including
killing stomach cancer cells and preventing tumour-induced platelet aggregation
(clumping).
*Agarwal & Parks: Forskolin: a potential antimetastatic agent. Int J Cancer 1983 Dec 15;32(6):801-4
*Li & Wang: A forskolin derivative, FSK88, induces apoptosis in human gastric cancer BGC823 cells
through caspase activation involving regulation of Bcl-2 family gene expression, dissipation of
mitochondrial membrane potential and cytochrome c release. Cell Biol Int 2006 Nov;30(11):940-6
*Xing et al: Inhibition of tumor cell proliferation by Coleon C. J Chemother 2008 Apr;20(2):238-45
CoQ10, Riboflavin (B2), and Niacin (B3) improve conditions of those undergoing
tamoxifen therapy.
*Premkumar et al: Effect of coenzyme Q10, riboflavin and niacin on serum CEA and CA 15-3 levels in
breast cancer patients undergoing tamoxifen therapy. Planta Med 2009 Oct;75(13):1415-7
Creatine is a supplement well known to body builders but it also has other qualities
important to those with muscular diseases or neurotoxic disorders including Parkin-
son’s or Huntington’s. Creatine is also proving to be a useful treatment for children who
are undergoing chemotherapy for leukemia in that it reduces the side effect of body-fat
accumulation caused by the treatment. It is safe for diabetics and those on dialysis.
*Bourgeois et al: Creatine monohydrate attenuates body fat accumulation in children with acute lymph-
Cancer
oblastic leukemia during maintenance chemotherapy. Pediatr Blood Cancer 2008 Aug;51(2):183-7
*Gualano et al: Creatine supplementation does not impair kidney function in type 2 diabetic patients: a
randomized, double-blind, placebo-controlled, clinical trial. Eur J Appl Physiol 2010 Oct 26
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Curcumin inhibits various cancer cells; works synergistically with paclitaxel to in-
hibit breast cancer; and reverses multidrug resistant osteosarcoma cells.
*Chan et al: Inhibition of growth and sensitization to cisplatin-mediated killing of ovarian cancer cells by
polyphenolic chemopreventive agents. Carcinogen 1982;3(11):1331-8
*Dairaku et al: Inhibitory effect of curcumin on IMP dehydrogenase, the target for anticancer and anti-
viral chemotherapy agents. Biosci Biotechnol Biochem 2010;74(1):185-7
*Dujic et al: Curcumin in combination with visible light inhibits tumor growth in a xenograft tumor
model. Int J Canc 2009 Mar 15;124(6):1422-8
*Ganta et al: Curcumin enhances oral bioavailability and anti-tumor therapeutic efficacy of paclitaxel
upon administration in nanoemulsion formulation. PLoS One 2010;5(10):e13264
*Ji & Cao: Curcumin attenuates EGF-induced AQP3 up-regulation and cell migration in human ovarian
cancer cells. Canc Chemother Pharmacol 2008 Oct;62(5):857-65
*Kang et al: Curcumin suppresses the paclitaxel-induced nuclear factor-kappaB in breast cancer cells
and potentiates the growth inhibitory effect of paclitaxel in a breast cancer nude mice model.
Breast J 2009 May-Jun;15(3):223-9
*Kunnumakkara et al: Curcumin sensitizes human colorectal cancer xenografts in nude mice to
gamma-radiation by targeting nuclear factor-kappaB-regulated gene products. Clin Cancer Res
2008 Apr 1;14(7):2128-36
*Lee et al: Curcumin induces cell cycle arrest and apoptosis in human osteosarcoma (HOS) cells.
Anticancer Res 2009 Dec;29(12):5039-44
*Leow et al: Antitumor activity of natural compounds, curcumin and PKF118-310, as Wnt/β-catenin
antagonists against human osteosarcoma cells. Invest New Drugs 2010 Dec;28(6):766-82
*Lin et al: and angiogenesis in ovarian carcinoma by targeting the nuclear factor-kappaB pathway. J
Clin Invest 2009 May;119(5):1322-34. doi: 10.1172/JCI37385
*Mackenzie et al: Curcumin induces cell-arrest and apoptosis in association with the inhibition of
constitutively active NF-kappaB and STAT3 pathways in Hodgkin’s lymphoma cells. Int J Cancer.
2008 Jul 1;123(1):56-65
*Metzler et al: Curcumin diminishes human osteoclastogenesis by inhibition of the signalosome-asso-
ciated I kappaB kinase. J Cancer Res Clin Oncol 2009 Feb;135(2):173-9
*Saydmohammed et al: Curcumin suppresses constitutive activation of STAT-3 by up-regulating pro-
tein inhibitor of activated STAT-3 (PIAS-3) in ovarian and endometrial cancer cells. J Cell Biochem
2010 May 15;110(2):447-56
*Schaaf et al: Curcumin acts as anti-tumorigenic and hormone-suppressive agent in murine and hu-
man pituitary tumour cells in vitro and in vivo. Endocr Relat Canc 2009 Dec;16(4):1339-50
*Shi et al: Antiproliferation and apoptosis induced by curcumin in human ovarian cancer cells. Cell Biol
Int 2006 Mar;30(3):221-6
*Su et al: Curcumin inhibits human lung large cell carcinoma cancer tumour growth in a murine xeno-
graft model. Phytother Res 2010 Jan 13;24(2):189-192
*Syu et al: Cytotoxicity of curcuminoids and some novel compounds from Curcuma zedoaria. J Nat
Prod 1998 Dec;61(12):1531-4
*Wahl et al: Curcumin enhances Apo2L/TRAIL-induced apoptosis in chemoresistant ovarian cancer
cells. Gynecol Oncol 2007 Apr;105(1):104-12
Cancer
*Walters et al: Cytotoxic effects of curcumin on osteosarcoma cell lines. Invest New Drugs 2008
Aug;26(4):289-97
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*Watson et al: Curcumin-induced apoptosis in ovarian carcinoma cells is p53-independent and in-
volves p38 mitogen-activated protein kinase activation and downregulation of Bcl-2 and survivin
expression and Akt signaling. Mol Carcinog 2010 Jan;49(1):13-24
*Weir et al: Curcumin induces G2/M arrest and apoptosis in cisplatin-resistant human ovarian cancer
cells by modulating Akt and p38 MAPK. Canc Biol Ther 2007 Feb;6(2):178-84
*Xiao & Wang: Empirical study of reverse effect on mediated multidrug resistance of U-2OS/ADM cells
with curcumin in vitro. Wei Sheng Yan Jiu 2011 Jan;40(1):103-6
*Yallapu et al: Curcumin induces chemo/radio-sensitization in ovarian cancer cells and curcumin nano-
particles inhibit ovarian cancer cell growth. J Ovarian Res 2010;3:11
*Yim et al: A novel anticancer agent, decursin, induces G1 arrest and apoptosis in human prostate
carcinoma cells. Cancer Res 2005 Feb 1;65(3):1035-44
*Zheng et al: Growth-inhibitory effects of curcumin on ovary cancer cells and its mechanisms. J Hua-
zhong Univ Sci Technolog Med Sci 2004;24(1):55-8
*Zheng et al: Growth inhibition and apoptosis inducing mechanisms of curcumin on human ovarian
cancer cell line A2780. Chin J Integr Med 2006 Jun;12(2):126-31
*Zheng et al: Inhibitory effects of curcumin on apoptosis of human ovary cancer cell line A2780 and its
molecular mechanism. J Clin Psychia 2007;68 Suppl 10:4-7
Dandelion has many cleansing and anti-cancer effects, especially breast and prostate.
*Koo et al: Taraxacum officinale induces cytotoxicity through TNF-alpha and IL-1alpha secretion in Hep
G2 cells. Life Sci 2004 Jan 16;74(9):1149-57
*Schütz et al: Taraxacum--a review on its phytochemical and pharmacological profile. J Ethnopharma-
col 2006 Oct 11;107(3):313-23
*Sigstedt et al: Evaluation of aqueous extracts of Taraxacum officinale on growth and invasion of
breast and prostate cancer cells. Int J Oncol 2008 May;32(5):1085-90
*Takasaki et al: Anti-carcinogenic activity of Taraxacum plant. J Exp Ther Oncol 2008;7(4):275-84
Diet rich in fruits and vegetables is important in preventing many types of cancers
while a diet rich in starchy foods, dairy products, meat, and oils (other than olive)
increases the risk. β-ionone, a precursor for carotenoids, found in a wide variety of
fruits and vegetables, inhibits the metastasis of liver cancer cells. Fruit and vege-
tables also reduce AGEs (advanced glycation end products) which lead to various
age-related diseases including cardiovascular, cataracts, diabetes, and Alzheimer’s.
*Butler et al: A vegetable-fruit-soy dietary pattern protects against breast cancer among postmeno-
pausal Singapore Chinese women. J Biomed Sci 2002 Jul-Aug;9(4):359-64
*Chan et al: Vegetable and fruit intake and pancreatic cancer in a population-based case-control study
in the San Francisco bay area. Cancer Epidemiol Biomarkers Prev 2005 Sep;14(9):2093-7
*Chen et al: Structure-proteasome-inhibitory activity relationships of dietary flavonoids in human can-
cer cells. Front Biosci 2007;12:1935-45
*Colomer et al: Giacomo Castelvetro’s salads. Anti-HER2 oncogene nutraceuticals since the 17th
century? Clin Transl Oncol 2008 Jan;10(1):30-4
*Cottet et al: Postmenopausal breast cancer risk and dietary patterns in the E3N-EPIC prospective
cohort study. Am J Epidemiol 2009 Nov 15;170(10):1257-67
*Cramer et al: Dietary animal fat in relation to ovarian cancer risk. Obstet Gynecol 1984 Jun;63(6):833–8
*Deneo-Pellegrini et al: Vegetables, fruits, and risk of colorectal cancer: a case-control study from
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*Do et al: Fruits, vegetables, soy foods and breast cancer in pre- and postmenopausal Korean women:
a case-control study. Int J Vitam Nutr Res 2007 Mar;77(2):130-41
*Edefonti et al: Nutrient-based dietary patterns and laryngeal cancer: evidence from an exploratory
factor analysis. Cancer Epidemiol Biomark Prev 2010 Jan;19(1):18-27
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*Edington et al: Outcomes of undernutrition in patients in the community with cancer or cardio-vascu-
lar disease. Proc Nutr Soc 1999 Aug;58(3):655-61
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*Franceschi et al: Diet and thyroid cancer: a pooled analysis of four European case-control studies. Int
J Cancer 1991 May 30;48(3):395-8
*Freedman et al: Fruit and vegetable intake and head and neck cancer risk in a large United States
prospective cohort study. Int J Cancer 2008 May 15;122(10):2330-6
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Diet Assoc 1996 Apr;96(4):361-6, 369
*García-Segovia et al: Olive oil consumption and risk of breast cancer in the Canary Islands: a popula-
tion-based case-control study. Public Health Nutr 2006 Feb;9(1A):163-7
*Hamdi & Castellon: Oleuropein, a non-toxic olive iridoid, is an anti-tumor agent and cytoskeleton dis-
ruptor. Biochem Biophys Res Commun 2005 Sep 2;334(3):769-78
*Hansson et al: Diet and risk of gastric cancer. A population-based case-control study in Sweden. Int
J Cancer 1993 Sep 9;55(2):181-9
*Huang et al: The anti-metastatic efficacy of β-ionone and the possible mechanisms of action in human
hepatocarcinoma SK-Hep-1 cells. Br J Nutr 2011 Jul 26:1-8
*Lee et al: Intakes of fruits, vegetables, vitamins A, C, and E, and carotenoids and risk of renal cell
cancer. Cancer Epidemiol Biomarkers Prev 2006 Dec;15(12):2445-52
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genotypes on bladder cancer risk. Cancer Epidemiol Biomark Prev 2009 Jul;18(7):2090-7
*Materljan et al: Multiple sclerosis and cancers in Croatia--a possible protective role of the “Mediter-
ranean diet”. Coll Antropol 2009 Jun;33(2):539-45
*Matsui et al: Improved prognosis of postoperative hepatocellular carcinoma patients when treated
with functional foods: a prospective cohort study. J Hepatol 2002;37:78-86
*Menendez & Lupu: Mediterranean dietary traditions for the molecular treatment of human cancer:
anti-oncogenic actions of the main olive oil’s monounsaturated fatty acid oleic acid (18:1n-9). Curr
Pharm Biotechnol 2006 Dec;7(6):495-502
*Newmark et al: A Western-style diet induces benign and malignant neoplasms in the colon of normal
C57Bl/6 mice. Carcinogen 2001 Nov;22(11):1871-5
*Pandey & Shukla: Diet and gallbladder cancer: a case-control study. Eur J Cancer Prev 2002
Aug;11(4):365-8
*Pashikanti et al: Rutin metabolites: novel inhibitors of nonoxidative advanced glycation end products.
Free Radic Biol Med 2009 Dec 4
*Platt et al: Fruits and vegetables protect against the genotoxicity of heterocyclic aromatic amines
activated by human xenobiotic-metabolizing enzymes expressed in immortal mammalian cells.
Mutat Res 2010 Aug 14
*Ramful et al: Citrus Fruit Extracts Reduce Advanced Glycation End Products (AGEs)- and H(2)O(2)-
Induced Oxidative Stress in Human Adipocytes. J Agric Food Chem 2010 Sep 30
*Rashidkhani et al: Fruits, vegetables and risk of renal cell carcinoma: a prospective study of Swedish
women. Int J Cancer 2005 Jan 20;113(3):451-5
*Rose et al: International comparisons of mortality rates for cancer of the breast, ovary, prostate, and
colon, and per capita food consumption. Cancer Vol 1986 Dec;58(11):2363–71
*Rossi et al: Flavonoids and risk of squamous cell esophageal cancer. Arch Intern Med 2000 Apr
10;160(7):1009-13
*Trichopoulou et al: Consumption of olive oil and specific food groups in relation to breast cancer risk
in Greece. J Natl Cancer Inst 1995 Jan 18;87(2):110-6
*Ursin et al: Milk consumption and cancer incidence: a Norwegian prospective study. Br J Cancer
1990 March;61(3):456–59
*Xue et al: Epithelial cell hyperproliferation induced in the exocrine pancreas of mice by a western-style
diet. J Natl Cancer Inst 1996 Nov 6;88(21):1586-90
*Xue et al: Model of mouse mammary gland hyperproliferation and hyperplasia induced by a western-
style diet. Nutr Canc 1996;26(3):281-7
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*Zhang et al: Greater vegetable and fruit intake is associated with a lower risk of breast cancer among
Chinese women. Int J Cancer 2009 Jul 1;125(1):181-8
Enzyme therapy improves the quality of life by reducing disease symptoms as well
as side effects of cancer treatments. Wobenzym is a combination of plant-based and
pancreatic enzymes that help treat various cancers.
*Beuth: Proteolytic enzyme therapy in evidence-based complementary oncology: fact or fiction? Integr
Cancer Ther 2008 Dec;7(4):311-6
*Beuth et al: Impact of complementary oral enzyme application on the postoperative treatment results
of breast cancer patients--results of an epidemiological multicentre retrolective cohort study. J
Nutr Sci Vitaminol (Tokyo) 2006 Aug;52(4):287-92
*Korpan & Fialka: Wobenzyme and diuretic therapy in lymphedema after breast operation. Wien Med
Wochenschr 1996;146(4):67-72
*Rammer & Friedrich: Enzyme therapy in treatment of mastopathy. A randomized double-blind clinical
study. Nutr Canc 1996;25(3):297-304
*Sakalová et al: Retrolective cohort study of an additive therapy with an oral enzyme preparation in
patients with multiple myeloma. Cancer Chemother Pharmacol 2001 Jul;47 Suppl:S38-44
*Wald: Exogenous proteases confer a significant chemopreventive effect in experimental tumor mod-
els. J Pediatr Gastroenterol Nutr 1997 Apr;24(4):399-404
Essential oils have proven anti-cancer benefits. A massage, using Lavender oil in a
little carrier oil, is helpful for inducing sleep especially for those in hospice care. Oils
studied include Artemisia, Clove, Citronella, Curcumin, Garlic, Geranium, Ginger,
Lemon, Lemon balm (melissa), Lime, Sandalwood, Thyme, and Verbena.
*de Sousa et al: Melissa officinalis L. essential oil: antitumoral and antioxidant activities. J Pharm Phar-
macol 2004, May;56(5):677-81
*Dudai et al: Citral is a new inducer of caspase-3 in tumor cell lines. Planta Med 2005 May;71(5):484-8
*Kaur et al: Skin cancer chemopreventive agent, {alpha}-santalol, induces apoptotic death of human
epidermoid carcinoma A431 cells via caspase activation together with dissipation of mitochondrial
membrane potential and cytochrome c release. Carcinogen 2005 Feb;26(2):369-80
*Koparal & Zeytinoglu: Effects of carvacrol on a human non-small cell lung cancer (NSCLC) cell line,
A549. Cytotechnol 2003 Nov;43(1-3):149-54
*Lim et al: Curcuma wenyujin extract induces apoptosis and inhibits proliferation of human cervical
cancer cells in vitro and in vivo. Integr Canc Ther 2010 Feb 11
*Lopes-Lutz et al: Screening of chemical composition, antimicrobial and antioxidant activities of Arte-
misia essential oils. Phytochem 2008 May;69(8):1732-8
*Martino et al: Verbena officinalis essential oil and its component citral as apoptotic-inducing agent in
chronic lymphocytic leukemia. Int J Immunopathol Pharmacol 2009 Oct-Dec;22(4):1097-104
*Matsuo & Mimaki: Lignans from Santalum album and their cytotoxic activities. Chem Pharm Bull
(Tokyo) 2010;58(4):587-90
*M’barek et al: Cytotoxic effect of essential oil of thyme (Thymus broussonettii) on the IGR-OV1 tumor
cells resistant to chemotherapy. Braz J Med Biol Res 2007 Nov;40(11):1537-44
Cancer
*Moteki et al: Specific induction of apoptosis by 1,8-cineole in two human leukemia cell lines, but not
a in human stomach cancer cell line. Oncol Rep 2002 Jul-Aug;9(4):757-60
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*Soden et al: A randomized controlled trial of aromatherapy massage in a hospice setting. Palliat Med
2004 Mar;18(2):87-92
*Wu et al: Differential effects of allyl sulfides from garlic essential oil on cell cycle regulation in human
liver tumor cells. Food Chem Toxicol 2004, Dec;42(12):1937-47
*Yoo et al: Eugenol isolated from the essential oil of Eugenia caryophyllata induces a reactive oxy-
gen species-mediated apoptosis in HL-60 human promyelocytic leukemia cells. Canc Lett 2005,
July;225(1):41-52
*Zhang et al: Alpha-santalol, a chemopreventive agent against skin cancer, causes G2/M cell cycle
arrest in both p53-mutated human epidermoid carcinoma A431 cells and p53 wild-type human
melanoma UACC-62 cells. BMC Res Notes 2010;3:220
Essiac Tea has long been used as an alternative cancer treatment which is attrib-
uted to its potent antioxidant content and DNA-protective action. It contains 4 herbs:
Eugenol (found in Cloves and some Honey) kills colon cancer cells.
*Jaganathan et al: Apoptotic effect of eugenol in human colon cancer cell lines. Cell Biol Int 2010 Nov 2
Fermented Papaya decreases toxic and oxidative damage of cells that could develop
into cancer.
*Aruoma et al: Molecular effects of fermented papaya preparation on oxidative damage, MAP
Kinase activation and modulation of the benzo[a]pyrene mediated genotoxicity. Biofactors
2006;26(2):147-59
Fermented Wheat Germ, Fermented Soy (isoflavones) and Miso (another fermented
food) have anti-cancer properties. Do not use non-fermented or GMO soy as these do
not have the protective effects but rather can be hormone-disrupting at the very least.
*Ahmed et al: A genistein derivative, ITB-301, induces microtubule depolymerization and mitotic arrest
in multidrug-resistant ovarian cancer. Canc Chemother Pharmacol 2011 Feb 22
Cancer
*Choi et al: Pro-apoptotic effect and cytotoxicity of genistein and genistin in human ovarian cancer
SK-OV-3 cells. Life Sci 2007 Mar 20;80(15):1403-8
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*Demidov et al: Adjuvant fermented wheat germ extract (Avemar) nutraceutical improves survival of
high-risk skin melanoma patients: a randomized, pilot, phase II clinical study with a 7-year follow-
up. Canc Biother Radiopharm 2008 Aug;23(4):477-82
*Klein et al: Prolonged stabilization of platinum-resistant ovarian cancer in a single patient consuming
a fermented soy therapy. Gynecol Oncol 2006 Jan;100(1):205-9
*Ohuchi et al: Decrease in size of azoxymethane induced colon carcinoma in F344 rats by 180-day
fermented miso. Oncol Rep 2005 Dec;14(6):1559-64
Flaxseed contains lignans that have anti-cancer properties, especially for breast
and prostate. It also protects the lungs against radiation-induced damage. Flaxseed
can be safely taken with tamoxifen to reduce breast tumours and when taken with
soy isoflavones, reduces the tumor-stimulating effects of non-fermented soy. ‘Secoi-
solariciresinol diglucoside’ is an antioxidant substance in flax as well as sunflower,
pumpkin, and sesame seeds.
*Ansenberger et al: Decreased severity of ovarian cancer and increased survival in hens fed a flax-
seed-enriched diet for 1 year. Gynecol Oncol 2010 Feb 12
*Bommareddy et al: Effects of dietary flaxseed on intestinal tumorigenesis in Apc(Min) mouse. Nutr
Cancer 2009;61(2):276-83
*Bommareddy et al: Chemopreventive effects of dietary flaxseed on colon tumor development. Nutr
Cancer 2006;54(2):216-22
*Chen et al: Flaxseed and pure secoisolariciresinol diglucoside, but not flaxseed hull, reduce human
breast tumor growth (MCF-7) in athymic mice. J Nutr 2009 Nov;139(11):2061-6
*Chen et al: Dietary flaxseed interacts positively with tamoxifen to induce breast tumor regression. Nutr
Cancer. 2007;58(2):162-70
*Chen et al: Flaxseed alone or in combination with tamoxifen inhibits MCF-7 breast tumor growth in
ovariectomized athymic mice with high circulating levels of estrogen. Exp Biol Med (Maywood)
2007 Sep;232(8):1071-80
*Chen et al: Dietary flaxseed enhances the inhibitory effect of tamoxifen on the growth of estrogen-de-
pendent human breast cancer (mcf-7) in nude mice. Acta Pharmacol Sin 2001 Aug;22(8):756-60
*Demark-Wahnefried et al: Flaxseed supplementation (not dietary fat restriction) reduces pros-
tate cancer proliferation rates in men presurgery. Cancer Epidemiol Biomarkers Prev 2008
Dec;17(12):3577-87
*Dwivedi et al: Chemopreventive effects of dietary flaxseed oil on colon tumor development. Planta
Med 2008 May;74(6):686-92
*Dwivedi et al: Chemopreventive effects of dietary flaxseed oil on colon tumor development. Nutr
Cancer 2005;51(1):52-8
*Jungeström et al: Flaxseed and its lignans inhibit estradiol-induced growth, angiogenesis, and secre-
tion of vascular endothelial growth factor in human breast cancer xenografts in vivo. Clin Cancer
Res 2007 Feb 1;13(3):1061-7
*Lee et al: Dietary flaxseed prevents radiation-induced oxidative lung damage, inflammation and fibro-
sis in a mouse model of thoracic radiation injury. Cancer Biol Ther 2009 Jan;8(1):47-53
*Lin et al: Effect of mammalian lignans on the growth of prostate cancer cell lines. Anticancer Res 2001
Nov-Dec;21(6A):3995-9
*Power & Thompson: Can the combination of flaxseed and its lignans with soy and its isoflavones
reduce the growth stimulatory effect of soy and its isoflavones on established breast cancer? Mol
Nutr Food Res 2007 Jul;51(7):845-56
*Saggar et al: Dietary flaxseed lignan or oil combined with tamoxifen treatment affects MCF-7 tumor
growth through estrogen receptor- and growth factor-signaling pathways. Biol Psych 2006 Nov
1;60(9):987-90
*Thompson et al: Dietary flaxseed alters tumor biological markers in postmenopausal breast cancer.
Clin Cancer Res 2005 May 15;11(10):3828-35
Cancer
*Touillaud et al: Dietary lignan intake and postmenopausal breast cancer risk by estrogen and proges-
terone receptor status. J Natl Cancer Inst 2007 Mar 21;99(6):475-86
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*Truan et al: Flaxseed oil reduces the growth of human breast tumors (MCF-7) at high levels of circulat-
ing estrogen. Mol Nutr Food Res 2010 Oct;54(10):1414-21
*Waldschläger et al: Flax-seed extracts with phytoestrogenic effects on a hormone receptor-positive
tumour cell line. Anticancer Res 2005 May-Jun;25(3A):1817-22
GLA (gamma-linolenic acid is the “good” part of omega-6 fatty acids) suppresses bone
cancer cell growth. GLA is found in such oils as borage, evening primrose, and black
currant seeds.
*Booyens et al: The effect of gamma-linolenic acid on the growth of human osteogenic sarcoma and
oesophageal carcinoma cells in culture. S Afr Med J 1984 Feb 18;65(7):240-2
German New Medicine links Five Biological Laws to preventing and reversing all
cancers
*learninggnm.com/
Ginkgo biloba (alone or with UV light and antioxidants) helps prevent cancer and
protects the kidneys against damage from medications.
*Eli & Fasciano: An adjunctive preventive treatment for cancer: ultraviolet light and ginkgo biloba,
together with other antioxidants, are a safe and powerful, but largely ignored, treatment option for
the prevention of cancer. Med Hypotheses 2006;66(6):1152-6
*Ye et al: Ginkgo biloba and ovarian cancer prevention: epidemiological and biological evidence. Canc
Lett 2007 Jun 18;251(1):43-52
Goji berries/Wolfberry inhibit the growth of various cancers; increase platelets and
white blood cells after radiation or chemotherapy; and generally boost the sense of
wellbeing.
*Amagase & Nance: A randomized, double-blind, placebo-controlled, clinical study of the general
effects of a standardized Lycium barbarum (Goji) Juice, GoChi. J Altern Complement Med 2008
May;14(4):403-12
*Chao et al: Hot water-extracted Lycium barbarum and Rehmannia glutinosa inhibit proliferation and
induce apoptosis of hepatocellular carcinoma cells. Diabet Med 2007 Jul;24(7):759-63
*Chang & So: Use of anti-aging herbal medicine, Lycium barbarum, against aging-associated dis-
eases. What do we know so far? Cell Mol Neurobiol 2008 Aug;28(5):643-52
*Gong et al: Therapeutic effects of Lycium barbarum polysaccharide (LBP) on irradiation or chemo-
therapy-induced myelosuppressive mice. Canc Biother Radiopharm 2005 Apr;20(2):155-62
*Li et al: Lycium barbarum inhibits growth of estrogen receptor positive human breast cancer cells by
favorably altering estradiol metabolism. Nutr Canc 2009;61(3):408-14
*Luo et al: Lycium barbarum polysaccharides induce apoptosis in human prostate cancer cells and
Cancer
inhibits prostate cancer growth in a xenograft mouse model of human prostate cancer. J Med
Food 2009 Aug;12(4):695-703
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*Potterat: Goji (Lycium barbarum and L. chinense): Phytochemistry, pharmacology and safety in the
perspective of traditional uses and recent popularity. Planta Med 2010:76(1):7-19
*Reeve et al: Mice drinking goji berry juice (Lycium barbarum) are protected from UV radiation-induced
skin damage via antioxidant pathways. Photochem Photobiol Sci 2010 Apr 31;9(4):601-607
Grapes program the deaths of various cancer cells. Buy only organic grapes as they
are #7 on the list of foods that are highest in pesticides which are known carcinogens.
*Hudson et al: Inhibition of prostate cancer growth by muscadine grape skin extract and resveratrol
through distinct mechanisms. Cancer Res 2007 Sep 1;67(17):8396-405
*Mertens-Talcott et al: Induction of cell death in Caco-2 human colon carcinoma cells by ella-
gic acid rich fractions from muscadine grapes (Vitis rotundifolia). J Agric Food Chem 2006 Jul
26;54(15):5336-43
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
*Quiney et al: Flavones and polyphenols inhibit the NO pathway during apoptosis of leukemia B-cells.
Leuk Res 2004 Aug;28(8):851-61
*Yi et al: Study of anticancer activities of muscadine grape phenolics in vitro. J Agric Food Chem 2005
Nov 2;53(22):8804-12
Grapefruit – the Upside – inhibits various cancers and protects against radiation-
induced bone marrow instability. However, it still cannot be eaten by anyone on
medication – even a one-a-day aspirin.
*Jagetia & Reddy: The grapefruit flavanone naringin protects against the radiation-induced genomic
instability in the mice bone marrow: a micronucleus study. Mutat Res 2002 Aug 26;519(1-2):37-48
*Miller et al: Inhibition of oral carcinogenesis by citrus flavonoids. Nutr Cancer 2008;60(1):69-74
*Vanamala et al: Suppression of colon carcinogenesis by bioactive compounds in grapefruit. Carcino-
gen 2006 Jun;27(6):1257-65
Grapeseed, Blackseed, and Curcumin inhibit tumor growth and decrease liver
damage caused by tamoxifen.
*El-Beshbishy et al: Grapeseed extract, black seed extract and curcumin ameliorate tamoxifen-in-
duced liver injury. Hepatogastro 2007 Jan-Feb;54(73):320-4
*Singh et al: Grape seed extract inhibits advanced human prostate tumor growth and angiogenesis and
upregulates insulin-like growth factor binding protein-3. Int J Cancer 2004 Feb 20;108(5):733-40
*Velmurugan et al: Dietary feeding of grape seed extract prevents intestinal tumorigenesis in APCmin/+
mice. Neoplasia 2010 Jan;12(1):95-102
Graviola is a plant native to the Amazon forest and proves to be 10,000 times more
effective than doxorubicin as an anti-cancer agent.
*Reiser et al: Five novel mono-tetrahydrofuran ring acetogenins from the seeds of Annona muricata. J
Nat Prod 1996 Feb;59(2):100-8
Green Tea helps prevent cancer while caffeinated drinks increase the risk.
*Baliga et al: Growth inhibitory and antimetastatic effect of green tea polyphenols on metastasis-
specific mouse mammary carcinoma 4T1 cells in vitro and in vivo systems. Clin Cancer Res 2005
Mar 1;11(5):1918-27
*Kuriyama et al: Green tea consumption and mortality due to cardiovascular disease, cancer, and all
causes in Japan: the Ohsaki study. JAMA 2006 Sep13;296(10):1255-65
Cancer
*Rathore & Wang: Green tea catechin extract in intervention of chronic breast cell carcinogenesis
induced by environmental carcinogens. Mol Carcinog 2011 Aug 31
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Song et al: Coffee, tea, colas, and risk of epithelial ovarian cancer. Cancer Epidemiol Biomarkers Prev
2008 Mar;17(3):712-6
*Thangapazham et al: Green tea polyphenols and its constituent epigallocatechin gallate inhibits pro-
liferation of human breast cancer cells in vitro and in vivo. Cancer Lett 2007 Jan 8;245(1-2):232-41
*Zhang et al: Green tea extract inhibits proliferation of uterine leiomyoma cells in vitro and in nude mice.
Am J Obstet Gynecol 2010 Jan 12
*Zhang et al: Green tea and the prevention of breast cancer: a case-control study in Southeast China.
PLoS One 2007 Nov 7;2(11):e1153
Green Tea and Medicinal mushrooms reduce the risk of breast cancer.
*Zhang et al: Dietary intakes of mushrooms and green tea combine to reduce the risk of breast cancer
in Chinese women. Int J Cancer 2009 Mar 15;124(6):1404-8
Greens contain chlorophyll which enhances overall health and play a significant role
in cancer prevention. Greens include various grass juices (alfalfa, barley, wheat etc),
chlorella, kelp and other sea vegetables.
*Chernomorsky et al: Effect of dietary chlorophyll derivatives on mutagenesis and tumor cell growth.
Teratog Carcinog Mutagen 1999;19:313-22
Guggul is an herb often recommended for cholesterol but it also has anti-tumor ef-
fects especially for bone cancer.
*Ichikawa & Aggarwal: Guggulsterone inhibits osteoclastogenesis induced by receptor activator of
nuclear factor-kappaB ligand and by tumor cells by suppressing nuclear factor-kappaB activation.
Clin Cancer Res 2006 Jan 15;12(2):662-8
Haplamine, extracted from the plant Haplophyllum perforatum, is more potent than
gemcitabine for treating pancreatic cancers.
*Ea et al: Cytotoxic effects of haplamine and its major metabolites on human cancer cell lines. Planta
Med 2008 Aug;74(10):1265-8
Herbal combinations (Maral root, Rhodiola, Siberian ginseng and Schisandra) and
(Geranium, mushroom, ginseng, and Dong quai) improve overall conditions of pa-
tients during chemo/radiation therapy.
*Kormosh et al: Effect of a combination of extract from several plants on cell-mediated and humoral
immunity of patients with advanced ovarian cancer. Zhong Xi Yi Jie He Xue Bao 2007 Jan;5(1):50-5
*Zhuang et al: Effect of citronellol and the Chinese medical herb complex on cellular immunity of can-
cer patients receiving chemotherapy/radiotherapy. Phytother Res 2009 Jun;23(6):785-90
Herbs versus Drugs – Herbs prove safer, better tolerated, and just as effective as the
drugs. In this study, the herbal combination was Channel Flow by Health Concerns.
The drugs that Channel Flow was compared to were estradiol (HRT), medroxyproges-
terone (HRT), sulindac (Analgesic), and actinomycin D (Cancer).
Cancer
*Wieser et al: A botanical extract from channel flow inhibits cell proliferation, induces apoptosis, and
suppresses CCL5 in human endometriotic stromal cells. Biol Reprod 2009 Aug;81(2):371-7
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Pamela Duff, RN, CSNC
Homeopathics are safe and effectively used in treating various cancers, chemother-
apy-induced conditions, and menopausal symptoms in breast cancer survivors.
*Banerjee et al: Chelidonium majus 30C and 200C in induced hepato-toxicity in rats. Homeopathy
2010 Jul;99(3):167-76
*Bhattacharjee et al: Amelioration of carcinogen-induced toxicity in mice by administration of a po-
tentized homeopathic drug, natrum sulphuricum 200. Evid Based Complement Alternat Med
2009 Mar;6(1):65-75
*Bhattacharjee et al: Homeopathic drugs Natrum sulphuricum and Carcinosin prevent azo dye-in-
duced hepatocarcinogenesis in mice. J Pharmacol Exp Ther 2007 Jan;320(1):64-71
*Bornhöft et al: Effectiveness, safety and cost-effectiveness of homeopathy in general practice - sum-
marized health technology assessment. Forsch Komplementmed 2006;13 Suppl 2:19-29
*Frenkel et al: Cytotoxic effects of ultra-diluted remedies on breast cancer cells. Int J Oncol 2010
Feb;36(2):395-403
*Jacobs et al: Homeopathy for menopausal symptoms in breast cancer survivors: a preliminary ran-
domized controlled trial. J Altern Complement Med 2005 Feb;11(1):21-7
*Jonas et al: Can homeopathic treatment slow prostate cancer growth? Integr Cancer Ther
2006;5(4):343-9
*Kassab et al: Homeopathic medicines for adverse effects of cancer treatments. Cochrane Database
Syst Rev 2009(2):CD004845
*Pathak et al: Protective potentials of a potentized homeopathic drug, Lycopodium-30, in ameliorating
azo dye induced hepatocarcinogenesis in mice. Mol Cell Biochem 2006 Apr;285(1-2):121-31
*Rostock et al: Classical homeopathy in the treatment of cancer patients--a prospective observational
study of two independent cohorts. BMC Cancer 2011 Jan 17;11(1):19
Hops is a familiar calming herb used in the brewing industry but it also has the
ability to induce the deaths of cancer cells and prohibit the growth and migration of
liver cancer cells.
*Delmulle et al: Anti-proliferative properties of prenylated flavonoids from hops (Humulus lupulus L.) in
human prostate cancer cell lines. Phytomed 2006 Nov;13(9-10):732-4
*Diller et al: Synthesis of demethylxanthohumol, a new potent apoptosis-inducing agent from hops.
Chem Biodivers 2005 Oct;2(10):1331-7
*Dorn et al: Xanthohumol, a prenylated chalcone derived from hops, inhibits proliferation, migration
and interleukin-8 expression of hepatocellular carcinoma cells. Int J Oncol 2010 Feb;36(2):435-41
*Lust et al: Xanthohumol activates the proapoptotic arm of the unfolded protein response in chronic
Cancer
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Integrated Cancer Clinics are highly recommended as they offer the best of all
worlds – conventional and alternative. Find one in your area.
Isoliquiritigenin (a flavonoid found in such foods as licorice and soybeans) has anti-
tumor effects against prostate cancer.
*Lee et al: Induction of cell cycle arrest in prostate cancer cells by the dietary compound isoliquiriti-
genin. J Med Food 2009 Feb;12(1):8-14
Kaempferol is a flavonoid found in certain fruits and vegetables which are known
fighters of various types of cancer. When it was combined with Quercetin, another
bioflavonoid known for its natural antihistamine effects, success rates increased
even further.
*Calderón-Montaño et al: A review on the dietary flavonoid kaempferol. Mini Rev Med Chem 2011
Apr;11(4):298-344
*de Vrie et al: Consumption of quercetin and kaempferol in free-living subjects eating a variety of diets.
Canc Lett 1997 Mar;114(1-2):141-44
*Garcia-Closas et al: Intake of specific carotenoids and flavonoids and the risk of gastric cancer in
Spain. Nutr Canc 1998;32(3):154-8
*Huang et al: Kaempferol induced apoptosis via endoplasmic reticulum stress and mitochon-
dria-dependent pathway in human osteosarcoma U-2 OS cells. Mol Nutr Food Res 2010
Nov;54(11):1585-95
*Middleton et al: The Effects of Plant Flavonoids on Mammalian Cells:Implications for Inflammation,
Heart Disease, and Cancer. Pharmacol Rev 2000 Dec1;52(4):673-751
*Nakamura et al: Augmentation of differentiation and gap junction function by kaempferol in partially
differentiated colon cancer cells. J Cell Physiol 2003 Oct;197(1):110-21
*Nguyen et al: Kaempferol-induced growth inhibition and apoptosis in A549 lung cancer cells is medi-
ated by activation of MEK-MAPK. J Cell Physiol 2003 Oct;197(1):110-21
*Yoshida et al: Kaempferol sensitizes colon cancer cells to TRAIL-induced apoptosis. Biochem Bio-
phys Res Comm 2008 Oct 10;375(1):129-33
*Zhang et al: Ginkgo biloba extract kaempferol inhibits cell proliferation and induces apoptosis in pan-
Cancer
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Pamela Duff, RN, CSNC
Kiwifruit has antioxidant properties that specifically prohibits the growth of cancer
cells.
*Collins et al: Kiwifruit protects against oxidative DNA damage in human cells and in vitro. Nutr Cancer
2001;39(1):148-53
*Deters et al: Kiwi fruit (Actinidia chinensis L.) polysaccharides exert stimulating effects on cell prolifera-
tion via enhanced growth factor receptors, energy production, and collagen synthesis of human
keratinocytes, fibroblasts, and skin equivalents. Cell Biol Toxicol 2010 Aug 1
*Motohashi et al: Cancer prevention and therapy with kiwifruit in Chinese folklore medicine: a study of
kiwifruit extracts. J Ethnopharmacol 2002 Aug;81(3):357-64
Lion’s Mane mushroom not only stimulates nerve regeneration but has anti-cancer
properties as well.
*Wang et al: Antimutagenicity of extracts of Hericium erinaceus. Kaohsiung J Med Sci 2001
May;17(5):230-8
Lycopene from tomatoes decreases the risk of pancreatic cancer. Watermelon juice
increases blood concentrations of lycopene and beta-carotene.
*Bowen et al: Tomato sauce supplementation and prostate cancer: lycopene accumulation and modu-
lation of biomarkers of carcinogenesis. Exp Biol Med (Maywood) 2002 Nov;227(10):886-93
*Edwards et al: Consumption of watermelon juice increases plasma concentrations of lycopene and
beta-carotene in humans. J Nutr 2003 Apr;133(4):1043-50
*Jian et al: Do dietary lycopene and other carotenoids protect against prostate cancer? Int J Cancer
2005 Mar 1;113(6):1010-4
*Nkondjock et al: Dietary intake of lycopene is associated with reduced pancreatic cancer risk. J Nutr
2005 Mar;135(3):592-7
Maitake and Murill mushrooms stimulate natural killer cell activity and improve
the quality of life in those undergoing chemotherapy. Maitake also reduces immuno-
suppression by mitomycin-C.
*Ahn et al: Natural killer cell activity and quality of life were improved by consumption of a mushroom
extract, Agaricus blazei Murill Kyowa, in gynecological cancer patients undergoing chemotherapy.
Int J Gynecol Cancer 2004 Jul-Aug;14(4):589-94
*Harada et al: Relationship between dendritic cells and the D-fraction-induced Th-1 dominant re-
sponse in BALB/c tumor-bearing mice. Cancer Lett 2003 Mar 31;192(2):181-7
*Inoue et al: Effect of maitake (Grifola frondosa) D-fraction on the control of the T lymph node Th-1/
Th-2 proportion. Biol Pharm Bull 2002 Apr;25(4):536-40
Cancer
*Jumes et al: Effects of Agaricus brasiliensis mushroom in Walker-256 tumor-bearing rats. J Agric Food
Chem 2007 Apr 18;55(8):2816-23
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*Kodama et al: Potential antitumor activity of a low-molecular-weight protein fraction from Grifola
frondosa through enhancement of cytokine production. J Med Food 2010 Feb;13(1):20-30
*Kodama et al: Maitake D-Fraction enhances antitumor effects and reduces immunosuppression by
mitomycin-C in tumor-bearing mice. Nutr 2005 May;21(5):624-9
*Kodama et al: Effect of maitake (Grifola frondosa) D-fraction on the activation of NK cells in cancer
patients. Cochrane Database Syst Rev 2003;(2):CD004264
*Kodama et al: A polysaccharide, extract from Grifola frondosa, induces Th-1 dominant responses in
carcinoma-bearing BALB/c mice. Jpn J Pharmacol 2002 Dec;90(4):357-60
*Konno: Potential growth inhibitory effect of maitake D-fraction on canine cancer cells. Vet Ther
2004;5(4):263-71
*Louie et al: Synergistic potentiation of interferon activity with maitake mushroom d-fraction on bladder
cancer cells. BJU Int 2009 Sep 4
*Masuda et al: Inhibitory effect of MD-Fraction on tumor metastasis: involvement of NK cell activation
and suppression of intercellular adhesion molecule (ICAM)-1 expression in lung vascular endothel-
ial cells. Biol Pharm Bull 2008 Jun;31(6):1104-8
*Murakawa et al: Therapy of myeloma in vivo using marine phospholipid in combination with Agaricus
blazei Murill as an immune respond activator. J Oleo Sci 2007;56(4):179-88
*Pyo et al: Possible immunotherapeutic potentiation with D-fraction in prostate cancer cells. J Hematol
Oncol 2008;1:25
*Sanzen et al: Nitric oxide-mediated antitumor activity induced by the extract from Grifola frond-
osa (Maitake mushroom) in a macrophage cell line, RAW264.7. J Exp Clin Cancer Res 2001
Dec;20(4):591-7
*Shomori et al: Antitumor effects of a water-soluble extract from Maitake (Grifola frondosa) on human
gastric cancer cell lines. Oncol Rep 2009 Sep;22(3):615-20
Mango contains compounds that program the cell deaths of prostate and lymph
node carcinomas.
*Prasad et al: Induction of apoptosis by lupeol and mango extract in mouse prostate and LNCaP cells.
Nutr Cancer 2008;60(1):120-30
Mangosteen fruit has potent antioxidant properties that protect against cisplatin-
induced kidney toxicity and cancer cell proliferation as well as preventing aromatase
activity. Aromatase is an enzyme involved in the synthesis of estrogen.
*Akao et al: Anti-cancer effects of xanthones from pericarps of mangosteen. Int J Mol Sci 2008;9:355-370
*Balunas et al: Xanthones from the botanical dietary supplement mangosteen (Garcinia mangostana)
with aromatase inhibitory activity. J Nat Prod 2008 Jul;71(7):1161-6
*Chin et al: Xanthones with quinone reductase-inducing activity from the fruits of Garcinia mangostana
(Mangosteen). Phytochem 2008, Feb;69(3):754-58
*Du & Francis: Anthocyanins of Mangosteen (Garcinia mangostana). J Food Sc 1997;42:1667-1668
*Foti et al: In vitro inhibition of multiple cytochrome P450 isoforms by xanthone derivatives from man-
gosteen extract. Drug Met Disp 2009 Sept;37(9):1848-1855
*Jiang et al: Fatty acid synthase inhibitors of phenolic constituents isolated from Garcinia mangostana.
Bioorg Med Chem Lett 2010 Aug 15
*Jung et al: Antioxidant xanthones from the pericarp of Garcinia mangostana (Mangosteen). J Agric
Food Chem 2006;54(6):2077-82
*Kondo et al: Bioavailability and antioxidant effects of a xanthone-rich mangosteen (Garcinia man-
gostana) product in humans. J Agric Food Chem 2009;57(19):8788-8792
*Matsumoto et al: Induction of apoptosis by xanthones from mangosteen in human leukemia cell lines.
J Nat Prod 2003 Aug;66(8):1124-7
*Moongkarndi et al: Antiproliferative activity of Thai medicinal plant extracts on human breast adeno-
Cancer
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Pamela Duff, RN, CSNC
*Obolskiy et al: Garcinia mangostana L: a phytochemical and pharmacological review. Phyto Res
2009 Aug;23(8):1047-1065
*Pedraza-Chaverri et al: Medicinal properties of mangosteen (Garcinia mangostana). Food Chem
Toxic 2008 Oct;46(10)3227-39
*Pérez-Rojas et al: Renoprotection by alpha-Mangostin is related to the attenuation in renal oxidative/
nitrosative stress induced by cisplatin nephrotoxicity. Free Radic Res 2009;43(11):1122-32
*Sánchez-Pérez et al: The alpha-mangostin prevention on cisplatin-induced apoptotic death in LLC-
PK1 cells is associated to an inhibition of ROS production and p53 induction. Chem Biol Interact
2010 Oct 6;188(1):144-50
*Watanapokasin et al: Potential of xanthones from tropical fruit mangosteen as anti-cancer agents:
caspase-dependent apoptosis induction in vitro and in mice. Appl Biochem Biotechnol 2010
Oct;162(4):1080-94
*Walker: HPLC analysis of selected xanthones in mangosteen fruit. J Sep Sc 2007;30:1229–34
*Jang et al: Melatonin exerts differential actions on X-ray radiation-induced apoptosis in normal mice
splenocytes and Jurkat leukemia cells. J Pineal Res 2009 Sep;47(2):147-55
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*Joo & Yoo: Melatonin induces apoptotic death in LNCaP cells via p38 and JNK pathways: therapeutic
implications for prostate cancer. J Pineal Res 2009 Aug;47(1):8-14
*Karslioglu et al: Radioprotective effects of melatonin on radiation-induced cataract. J Radiat Res
(Tokyo) 2005 Jun;46(2):277-82
*Kim & Yoo: Melatonin induces apoptotic cell death via p53 in LNCaP cells. Korean J Physiol Pharma-
col 2010 Dec;14(6):365-9
*Lissoni et al: Decreased toxicity and increased efficacy of cancer chemotherapy using the pineal hor-
mone melatonin in metastatic solid tumour patients with poor clinical status. Eur J Cancer 1999
Nov;35(12):1688-92
*Martín-Renedo et al: Melatonin induces cell cycle arrest and apoptosis in hepatocarcinoma HepG2
cell line. J Pineal Res 2008 Nov;45(4):532-40
*Mediavilla et al: Melatonin increases p53 and p21WAF1 expression in MCF-7 human breast cancer
cells in vitro. Life Sci 1999;65(4):415-20
*Mills et al: Melatonin in the treatment of cancer: a systematic review of randomized controlled trials
and meta-analysis. J Pineal Res 2005 Nov;39(4):360-6
*No authors listed: Pyridoxine (vitamin B6) influence on endogenic melatonin production during the
experiment. Georgian Med News 2007 Dec(153):35-8
*Proietti et al: Melatonin and vitamin D3 synergistically down-regulate Akt and MDM2 leading to TGFβ-
1-dependent growth inhibition of breast cancer cells. J Pineal Res 2011 Mar;50(2):150-8
*Ruiz-Rabelo et al: Beneficial properties of melatonin in an experimental model of pancreatic cancer.
J Pineal Res 2007 Oct;43(3):270-5
*Sánchez-Barceló et al: Melatonin and mammary cancer: a short review. Endocr Relat Cancer 2003
Jun;10(2):153-9
*Shiu et al: Melatonin slowed the early biochemical progression of hormone-refractory prostate cancer
in a patient whose prostate tumor tissue expressed MT1 receptor subtype. J Pineal Res 2003
Oct;35(3):177-82
*Tam et al: Melatonin as a negative mitogenic hormonal regulator of human prostate epithelial cell
growth: potential mechanisms and clinical significance. J Pineal Res 2008 Jul 14
*Um et al: Melatonin sensitizes Caki renal cancer cells to kahweol-induced apoptosis through CHOP-
mediated up-regulation of PUMA. J Pineal Res 2011 Jan 18
*Yang et al: Inhibitory effects of melatonin on the growth of pituitary prolactin-secreting tumor in rats.
J Pineal Res 2006 Apr;40(3):230-5
Melatonin and Vitamins C and E protect the kidneys against insecticide damage
that often leads to cancer.
*Gultekin et al: In vivo changes in antioxidant systems and protective role of melatonin and a combina-
tion of vitamin C and vitamin E on oxidative damage in erythrocytes induced by chlorpyrifos-ethyl
in rats. Arch Toxicol 2001 Apr;75(2):88-96
*Oncu et al: Nephrotoxicity in rats induced by chlorpryfos-ethyl and ameliorating effects of antioxidants.
Hum Exp Toxicol 2002 Apr;21(4):223-30
Milk Thistle is a well-known herb used to strengthen the liver but it has other
health benefits including preventing the formation of lung cancer cells.
*Tyagi et al: Silibinin modulates TNF-α and IFN-γ mediated signaling to regulate COX2 and iNOS ex-
pression in tumorigenic mouse lung epithelial LM2 cells. Wiley Online Lib 31 AUG 2011; Mol Car-
cinog 2011 Aug 31
2007;57(10):665-78
*Rostock et al: Anticancer activity of a lectin-rich mistletoe extract injected intratumorally into human
pancreatic cancer xenografts. Anticancer Res 2005 May-Jun;25(3B):1969-75
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Pamela Duff, RN, CSNC
NAC (N-acetylcysteine) and Inositol (B8) inhibit cancer cells. NAC is an amino acid
with anitoxidant properties.
*Kassie et al: Combinations of N-Acetyl-S-(N-2-Phenethylthiocarbamoyl)-L-Cysteine and myo-inositol
inhibit tobacco carcinogen-induced lung adenocarcinoma in mice. Cancer Prev Res (Phila Pa)
2008 Sep;1(4):285-97
*Raina et al: Chemopreventive efficacy of inositol hexaphosphate against prostate tumor growth and
progression in TRAMP mice. Clin Cancer Res 2008 May 15;14(10):3177-84
Natural Substances have proven to prevent various kinds of cancers. There are
some 568 listed on GreenMedInfo.com with studies backing each one. Some are
included in this section on cancer but for more, take a look and see why we should
be looking at natural alternatives first rather than drugs.
*www.greenmedinfo.com/disease/cancers-all
Neem has anti-cancer compounds against several types of cancer. It also prevents
tumor formation from such carcinogens as benzopyrenes (found in cigarette and
wood smoke and in such burned foods as coffee). In addition, Neem enhances the
effects of cyclophosphamide.
*Gangar et al: Anti-clastogenic activity of Azadirachta indica against benzo(a)pyrene in murine fores-
tomach tumorigenesis bioassay. Acta Pol Pharm 2010 Jul-Aug;67(4):381-90
*Ghosh et al: Pretreatment with neem (Azadirachta indica) leaf preparation in Swiss mice diminish-
es leukopenia and enhances the antitumor activity of cyclophosphamide. Phytother Res 2006
Sep;20(9):814-8
*Kumar et al: Nimbolide a limonoid from Azadirachta indica inhibits proliferation and induces apoptosis
of human choriocarcinoma (BeWo) cells. Invest New Drugs 2009 Jun;27(3):246-52
*Kumar et al: Anticancer effects of ethanolic neem leaf extract on prostate cancer cell line (PC-3). J
Ethnopharmacol 2006 Apr 21;105(1-2):246-50
*Priyadarsini et al: The neem limonoids azadirachtin and nimbolide induce cell cycle arrest and
mitochondria-mediated apoptosis in human cervical cancer (HeLa) cells. Free Radic Res 2010
Jun;44(6):624-34
*Subapriya et al: Modulation of xenobiotic-metabolizing enzymes by ethanolic neem leaf extract during
hamster buccal pouch carcinogenesis. J Exp Clin Cancer Res 2005 Jun;24(2):223-30
Niacin (B3), in high doses (along with a B-complex to avoid creating a deficiency
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vital for DNA repair, immune system function and decreasing the side effects of
chemotherapy.
*Kirkland: Niacin and Carcinogenesis . Nut Canc 2003;46(2):110–18
*Yong & Petersen: High dietary niacin intake is associated with decreased chromosome translocation
frequency in airline pilots. Br J Nutr 2010 Oct 8:1-9
Noni fruit is a safe antioxidant food that reduces cancer risk in smokers; works
Cancer
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Olive leaf and Olive oil prevent the formation of cancer cells with both having
radioprotective properties.
*Abaza et al: Induction of growth inhibition and differentiation of human leukemia HL-60 cells by a Tu-
nisian gerboui olive leaf extract. Biosci Biotechnol Biochem 2007 May;71(5):1306-12
*Andreadou et al: Metabonomic identification of novel biomarkers in doxorubicin cardiotoxicity and
protective effect of the natural antioxidant oleuropein. NMR Biomed 2009 Jul;22(6):585-92
*Andreadou et al: Acute doxorubicin cardiotoxicity is successfully treated with the phytochemical
oleuropein through suppression of oxidative and nitrosative stress. J Mol Cell Cardiol 2007
Mar;42(3):549-58
*Benavente-García et al: Radioprotective effects in vivo of phenolics extracted from Olea europaea L.
leaves against X-ray-induced chromosomal damage: comparative study versus several flavonoids
and sulfur-containing compounds. J Hepatol 1994 Jan;20(1):41-6
*Bosetti et al: Olive oil, seed oils and other added fats in relation to ovarian cancer (Italy). Cancer
Causes Control 2002 Jun;13(5):465-70
*Corona et al: Inhibition of p38/CREB phosphorylation and COX-2 expression by olive oil polyphenols
underlies their anti-proliferative effects. Biochem Biophys Res Commun 2007 Oct 26;362(3):606-11
*Kimura & Sumiyoshi: Olive leaf extract and its main component oleuropein prevent chronic ultra-
violet B radiation-induced skin damage and carcinogenesis in hairless mice. J Nutr 2009
Nov;139(11):2079-86
*Kountouri et al: In-vitro gastric cancer prevention by a polyphenol-rich extract from olives through
induction of apoptosis. Magnes Res 2006 Jun;19(2):113-22
*Menendez et al: Analyzing effects of extra-virgin olive oil polyphenols on breast cancer-associated
fatty acid synthase protein expression using reverse-phase protein microarrays. Clin Nutr 2009
Feb;28(1):34-8
*Menendez et al: Olive oil’s bitter principle reverses acquired autoresistance to trastuzumab (Hercep-
tin) in HER2-overexpressing breast cancer cells. BMC Cancer 2007;7:80
*Reyes-Zurita et al: Maslinic acid, a natural triterpene from Olea europaea L., induces apoptosis in
HT29 human colon-cancer cells via the mitochondrial apoptotic pathway. Cancer Lett 2009 Jan
8;273(1):44-54
*Sirianni et al: Oleuropein and hydroxytyrosol inhibit MCF-7 breast cancer cell proliferation interfering
with ERK1/2 activation. Mol Nutr Food Res 2009 Dec 10
*Sumiyoshi & Kimura: Effects of olive leaf extract and its main component oleuroepin on acute ultra-
violet B irradiation-induced skin changes in C57BL/6J mice. Phytother Res 2009 Dec 2
Omega-3 fatty acids halt cancer cell formation. Omega-3 is found in fish and flax-
seed oils and sacha inchi seeds.
*Hering et al: Inhibition of proliferation by omega-3 fatty acids in chemoresistant pancreatic cancer
cells. Ann Surg Oncol 2007 Dec;14(12):3620-8
*Merendino et al: Induction of apoptosis in human pancreatic cancer cells by docosahexaenoic acid.
Ann N Y Acad Sci 2003 Dec;1010:361-4
*Rose et al: Effects of dietary fish oil on fatty acids and eicosanoids in metastasizing human breast
cancer cells. Nutr Canc 1994;22(2):131-41
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*Fan et al: Chemopreventive effects of orange peel extract (OPE). I: OPE inhibits intestinal tumor growth
in ApcMin/+ mice. J Med Food 2007 Mar;10(1):11-7
*Li et al: Isolation and syntheses of polymethoxyflavones and hydroxylated polymethoxyflavones as
inhibitors of HL-60 cell lines. Bioorg Med Chem 2007 May 15;15(10):3381-9
*Rossi et al: Flavonoids and risk of squamous cell esophageal cancer. Arch Intern Med 2000 Apr
10;160(7):1009-13
*Sergeev et al: Apoptosis-inducing activity of hydroxylated polymethoxyflavones and polymethoxyfla-
vones from orange peel in human breast cancer cells. Mol Nutr Food Res 2007 Dec;51(12):1478-84
*Vitali et al: Effect of a standardized extract of red orange juice on proliferation of human prostate cells
in vitro. Fitoterapia 2006 Apr;77(3):151-5
*Xiao et al: Monodemethylated polymethoxyflavones from sweet orange (Citrus sinensis) peel inhibit
growth of human lung cancer cells by apoptosis. Mol Nutr Food Res 2009 Mar;53(3):398-406
Oyster mushrooms inhibit various cancer cells; protect the liver from chemically-
induced side effects; and guard all organs against oxidative damage.
*Chen et al: A glycoprotein extracted from golden oyster mushroom Pleurotus citrinopileatus exhibiting
growth inhibitory effect against U937 leukemia cells. Physiol Behav 2005 Jul 21;85(4):469-78
*Jayakumar et al: Protective effect of an extract of the oyster mushroom, Pleurotus ostreatus, on anti-
oxidants of major organs of aged rats. Exp Gerontol 2007 Mar;42(3):183-91
*Jayakumar et al: Antioxidant activity of the oyster mushroom, Pleurotus ostreatus, on CCl(4)-induced
liver injury in rats. Food Chem Toxicol 2006 Dec;44(12):1989-96
*Jedinak & Sliva: Pleurotus ostreatus inhibits proliferation of human breast and colon cancer cells
through p53-dependent as well as p53-independent pathway. Int J Oncol 2008 Dec;33(6):1307-13
*Lavi et al: An aqueous polysaccharide extract from the edible mushroom Pleurotus ostreatus induces
anti-proliferative and pro-apoptotic effects on HT-29 colon cancer cells. Cancer Lett 2006 Nov
28;244(1):61-70
*Li et al: A novel lectin with potent antitumor, mitogenic and HIV-1 reverse transcriptase inhibit-
ory activities from the edible mushroom Pleurotus citrinopileatus. Biochim Biophys Acta 2008
Jan;1780(1):51-7
*No authors listed: Effect of oyster mushroom (Pleurotus ostreatus) on pathological changes in dim-
ethylhydrazine-induced rat colon cancer. World J Surg 2007 May;31(5):1041-6
*No authors listed: Cytotoxic effect of oyster mushroom Pleurotus ostreatus on human androgen-
independent prostate cancer PC-3 cells. J Med Food 2006;9(2):196-204
*Wang et al: A new lectin with highly potent antihepatoma and antisarcoma activities from the oyster
mushroom Pleurotus ostreatus. Biochem Biophys Res Commun 2000 Sep 7;275(3):810-6
Palm Oil is a good saturated fat that has numerous health benefits.
*Nesaretnam et al: Effect of palm oil carotene on breast cancer tumorigenicity in nude mice. Lipids
2002 Jun;37(6):557-60
Papaya prevents many degenerative disease conditions including cancer. Even its
seeds, which are known anti-parasitics, have anti-leukemia properties. Its anti-
oxidant activity is similar to vitamin E and can safely be eaten by anyone, unless
allergic.
*Aruoma et al: Applications and bioefficacy of the functional food supplement fermented papaya prep-
aration. Toxicol 2010 Sep 23
*da Silva et al: Genotoxic and cytotoxic safety evaluation of papain (Carica papaya L.) using in vitro
assays. J Biomed Biotechnol 2010;2010:197898
*Garcia-Solis et al: Screening of antiproliferative effect of aqueous extracts of plant foods consumed in
Mexico on the breast cancer cell line MCF-7. Int J Food Sci Nutr 2009 May 26:1-15
*Mehdipour et al: Antioxidant potentials of Iranian Carica papaya juice in vitro and in vivo are compar-
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Peaches work synergistically with cisplatin in treating solid tumors. Be sure to get
organically-grown peaches as they are #4 on conventionally grown peaches are on
the list of foods containing the most pesticides which are known carcinogens.
*Lee et al: Extract of Prunus persica flesh (PPFE) improves chemotherapeutic efficacy and protects
against nephrotoxicity in cisplatin-treated mice. Phytother Res 2009 Jan 12
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
Pomegranates contain four compounds (ellagic acid, caffeic acid, punicic acid, lut-
eolin) which inhibit the growth of various cancer cells and protect leukocytes from
radiation damage. Unlike tamoxifen and estradiol, pomegranates do not have side
effects when exerting selective estrogen receptor modulator activity.
*Adams et al: Pomegranate ellagitannin-derived compounds exhibit antiproliferative and antiaromat-
ase activity in breast cancer cells in vitro. Cancer Prev Res (Phila Pa) 2010 Jan;3(1):108-13
*Adams et al: Pomegranate juice, total pomegranate ellagitannins, and punicalagin suppress inflam-
matory cell signaling in colon cancer cells. J Agric Food Chem 2006 Feb 8;54(3):980-5
*Afaq et al: Oral feeding of pomegranate fruit extract inhibits early biomarkers of UVB radiation-
induced carcinogenesis in SKH-1 hairless mouse epidermis. Photochem Photobiol 2010
Nov-Dec;86(6):1318-26
Cancer
*Albrecht et al: Pomegranate extracts potently suppress proliferation, xenograft growth, and invasion
of human prostate cancer cells. J Med Food 2004 Fall;7(3):274-83
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*Dahlawi et al: Bioactive actions of pomegranate fruit extracts on leukemia cell lines in vitro hold prom-
ise for new therapeutic agents for leukemia. Nutr Cancer 2011 Nov 18
*Dikmen et al: The antioxidant potency of Punica granatum L. fruit peel reduces cell proliferation and
induces apoptosis on breast cancer. J Med Food 2011 Aug 23
*Grossmann et al: Punicic acid is an omega-5 fatty acid capable of inhibiting breast cancer prolifera-
tion. Int J Oncol 2010 Feb;36(2):421-6
*Kim et al: Chemopreventive and adjuvant therapeutic potential of pomegranate (Punica granatum) for
human breast cancer. Breast Cancer Res Treat 2002 Feb;71(3):203-17
*Kohno et al: Pomegranate seed oil rich in conjugated linolenic acid suppresses chemically induced
colon carcinogenesis in rats. Cancer Sci 2004 Jun;95(6):481-6
*Lansky et al: Pomegranate (Punica granatum) pure chemicals show possible synergistic inhibition of
human PC-3 prostate cancer cell invasion across Matrigel. Invest New Drugs 2005 Mar;23(2):121-2
*Nair et al: Pomegranate extract induces cell cycle arrest and alters cellular phenotype of human pan-
creatic cancer cells. Anticancer Res 2011 Sep;31(9):2699-704
*Pantuck et al: Phase II study of pomegranate juice for men with rising prostate-specific antigen fol-
lowing surgery or radiation for prostate cancer. Forsch Komplementmed 2007 Feb;14(1):39-44
*Rosenblat et al: Consumption of polyphenolic-rich beverages (mostly pomegranate and black currant
juices) by healthy subjects for a short term increased serum antioxidant status, and the serum’s
ability to attenuate macrophagecholesterol accumulation. Food Funct 2010:1:99-109
*Saruwatari et al: Pomegranate juice inhibits sulfoconjugation in caco-2 human colon carcinoma cells.
J Med Food 2008 Dec:11(4):623-28
*Sreeja et al: Pomegranate extract demonstrate a selective estrogen receptor modulator profile in
human tumor cell lines and in vivo models of estrogen deprivation. J Nutr Biochem 2011 Aug 10
*Toklu et al: Punica granatum peel extract protects against ionizing radiation-induced enteritis and
leukocyte apoptosis in rats. J Radiat Res (Tokyo) 2009 Jul;50(4):345-53
*Wolfe et al: Cellular antioxidant activity of common fruits. J Agric Food Chem 2008 Sep 24;56(18):8418-26
*Ito et al: A new approach to prostate cancer. J Pharm Pharmacol 1989 Jul;41(7):488-9
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*Lin et al: Effect of progesterone on the invasive properties and tumor growth of progesterone recep-
tor-transfected breast cancer cells MDA-MB-231. J Agric Food Chem 1999 Mar;47(3):840-4
*Yu et al: Apoptosis induced by progesterone in human ovarian cancer cell line SNU-840. Diabet Care
2010 Feb;33(2):246-51
Red Yeast Rice inhibits tumor growth and cell proliferation of various cancers even
better than lovastatin (used to treat high cholesterol). Red Yeast Rice is produced
from fermented rice with an added yeast (Monascus purpurus), which gives it a red-
dish colour.
*Ho & Pan: The Monascus metabolite monacolin K reduces tumor progression and metastasis of
Lewis lung carcinoma cells. J Agric Food Chem 2009 Sep 23;57(18):8258-65
*Ho et al: Effects of Monascus-fermented rice extract on malignant cell-associated neovascularization
and intravasation determined using the chicken embryo chorioallantoic membrane model. J Med
Food 2008 Mar;11(1):91-8
*Hong et al: Chinese red yeast rice inhibition of prostate tumor growth in SCID mice. Canc Prev Res
(Phila) 2011 Apr;4(4):608-15
*Hong et al: Chinese red yeast rice versus lovastatin effects on prostate cancer cells with and without
androgen receptor overexpression. J Med Food 2008 Dec;11(4):657-66
*Hong et al: Anticancer effects of Chinese red yeast rice versus monacolin K alone on colon cancer
cells. Clin Endocrinol (Oxf) 2008 Aug;69(2):338-41
*Tsai et al: Red mold rice mitigates oral carcinogenesis in 7,12-dimethyl-1,2-benz[a]anthracene-induced
oral carcinogenesis in hamster. Evid Base Complement Alt Med 2011(2011): Art ID245209:8 pages
*Yoon et al: Antioxidative and antimutagenic activities of 70% ethanolic extracts from four fungal my-
celia-fermented specialty rices. J Radiol Prot 2009 Sep;29(3):429-43
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*Jiang et al: Ganoderma lucidum suppresses growth of breast cancer cells through the inhibition of
Akt/NF-kappaB signaling. Nutr Cancer 2004;49(2):209-16
*Kashimoto et al: Inhibitory effect of a water-soluble extract from the culture medium of Ganoderma lu-
cidum (Rei-shi) mycelia on the development of pulmonary adenocarcinoma induced by N-nitroso-
bis (2-hydroxypropyl) amine in Wistar rats. Oncol Rep 2006 Dec;16(6):1181-7
*Kubo et al: Protective effects of a water-soluble extract from cultured medium of Ganoderma lucidum
(Rei-shi) mycelia and Agaricus blazei murill against X-irradiation in B6C3F1 mice: Increased small
intestinal crypt survival and prolongation of average time to animal death. Int J Mol Med 2005
Mar;15(3):401-6
*Li et al: Reversal effect of Ganoderma lucidum polysaccharide on multidrug resistance in K562/ADM
cell line. Acta Pharmacol Sin 2008 May;29(5):620-7
*Li et al: Effects of Ganoderma lucidum spores on HepG2 cells proliferation and growth cycle. Zhong
Yao Cai 2008 Oct;31(10):1514-8
*Liu et al: The anti-androgen effect of ganoderol B isolated from the fruiting body of Ganoderma lu-
cidum. Bioorg Med Chem 2007 Jul 15;15(14):4966-72
*Lu et al: Ganoderma lucidum extracts inhibit growth and induce actin polymerization in bladder can-
cer cells in vitro. Cancer Lett 2004 Dec 8;216(1):9-20
*Müller et al: Ganoderma lucidum causes apoptosis in leukemia, lymphoma and multiple myeloma
cells. Leuk Res 2006 Jul;30(7):841-8
*Sadava et al: Effect of Ganoderma on drug-sensitive and multidrug-resistant small-cell lung carcin-
oma cells. Med Hypotheses 2008;70(2):346-8
*Tang et al: Ganoderic acid T from Ganoderma lucidum mycelia induces mitochondria mediated apop-
tosis in lung cancer cells. Life Sci 2006 Dec 23;80(3):205-11
*Wang & Weng: Antitumor activity of extracts of Ganoderma lucidum and their protective effects on
damaged HL-7702 cells induced by radiotherapy and chemotherapy. Zhongguo Zhong Yao Za Zhi
2006 Oct;31(19):1618-22
*Wu et al: Post-treatment of Ganoderma lucidum reduced liver fibrosis induced by thioacetamide in
mice. Phytother Res 2009 Jul 20
*Yang et al: Medicinal mushroom Ganoderma lucidum as a potent elicitor in production of t-resveratrol
and t-piceatannol in peanut calluses. J Agric Food Chem 2010 Sep 8;58(17):9518-22
Reishi mushroom, Dong quai, Dang shen, and Geranium oil is a combination that
improves the overall condition of those undergoing chemo or radiation treatments.
*Zhuang et al: Effect of citronellol and the Chinese medical herb complex on cellular immunity of can-
cer patients receiving chemotherapy/radiotherapy. Phytother Res 2009 Jun;23(6):785-90
Novel cellular mechanisms involving the ERKs/p53 cascade. Free Radic Biol Med 2006 Jul
15;41(2):318-25
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*Chakraborty et al: In vitro evaluation of the cytotoxic, anti-proliferative and anti-oxidant properties of
pterostilbene isolated from Pterocarpus marsupium. Toxicol In Vitro 2010 Jun;24(4):1215-28
*Duessel et al: Growth inhibition of human colon cancer cells by plant compounds. Clin Lab Sci 2008
Summer;21(3):151-7
*Ganapathy et al: Resveratrol enhances antitumor activity of TRAIL in prostate cancer xenografts
through activation of FOXO transcription factor. PLoS One 2010;5(12):e15627
*Guo et al: Mechanisms of resveratrol bovine serum albumin nanoparticle-induced cell death in human
ovarian cancer SKOV3 cells. Nan Fang Yi Ke Da Xue Xue Bao 2010 Nov;30(11):2440-2
*Li et al: Resveratrol inhibits proliferation and promotes apoptosis of osteosarcoma cells. Eur J Phar-
macol 2009 May 1;609(1-3):13-8
*Lin et al: Inducible COX-2-dependent apoptosis in human ovarian cancer cells. Carcinogen 2011
Jan;32(1):19-26
*Marimuthu et al: Treatment of ovarian cancer cells with nutlin-3 and resveratrol combination leads to
apoptosis via caspase activation. J Med Food 2011 Jan-Feb;14(1-2):46-52
*No authors listed: Resveratrol induces senescence-like growth inhibition of U-2 OS cells associ-
ated with the instability of telomeric DNA and upregulation of BRCA1. Mech Ageing Dev 2009
Aug;130(8):528-37
*Qin et al: Study on the effect of resveratrol on metastasis-associated ability of ovarian carcinoma HO-
8910PM cells in vitro. Zhong Yao Cai 2007 Feb;30(2):176-8
*Rezk et al: Use of resveratrol to improve the effectiveness of cisplatin and doxorubicin: study in human
gynecologic cancer cell lines and in rodent heart. Am J Obstet Gynecol 2006 May;194(5):e23-6
Ruta graveolens (Rue), either in herbal or homeopathic form, inhibits colon, breast
and prostate cancer cells.
*Fadlalla et al: Ruta graveolens extract induces DNA damage pathways and blocks Akt activation to
inhibit cancer cell proliferation and survival. Anticancer Res 2011 Jan;31(1):233-41
Seaweed, alone or with Fermented Rice bran, prevents the growth of breast and
cervical cancer cells.
*Chui et al: Growth inhibitory potential of effective microorganism fermentation extract (EM-X) on can-
cer cells. Int J Mol Med 2004 Nov;14(5):925-9
*Funahashi et al: Wakame seaweed suppresses the proliferation of 7,12-dimethylbenz(a)-anthracene-
induced mammary tumors in rats. Jpn J Cancer Res1999 Sep;90(9):922-7
*Yuan et al: Extracts from dulse (Palmaria palmata) are effective antioxidants and inhibitors of cell pro-
liferation in vitro. Food Chem Toxicol 2005 Jul;43(7):1073-81
Cancer
*Yuan & Walsh: Antioxidant and antiproliferative activities of extracts from a variety of edible seaweeds.
Food Chem Toxicol 2006 Jul;44(7):1144-50
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Pamela Duff, RN, CSNC
Sesame seeds contain compounds that stop the growth of a wide variety of tumor
cells including leukemia, multiple myeloma, and cancers of the colon, prostate,
breast, pancreas, and lung.
*Harikumar et al: Sesamin manifests chemopreventive effects through the suppression of NF-kappa
B-regulated cell survival, proliferation, invasion, and angiogenic gene products. Mol Cancer Res
2010 May;8(5):751-61
Shiitake mushrooms inhibit the formation of various cancer cells and with Rice
Bran, programs the death of leukemia cells.
*Dang et al: Betulinic acid derivatives as human immunodeficiency virus type 2 (HIV-2) inhibitors. J Med
Chem 2009 Dec 10;52(23):7887-91
*Fang et al: Inhibition of growth and induction of apoptosis in human cancer cell lines by an ethyl acet-
ate fraction from shiitake mushrooms. J Altern Complement Med 2006 Mar;12(2):125-32
*Ghoneum & Gollapudi: Modified arabinoxylan rice bran (MGN-3/Biobran) sensitizes human T cell
leukemia cells to death receptor (CD95)-induced apoptosis. Cancer Lett 2003 Nov 10;201(1):41-9
*Israilides et al: In vitro cytostatic and immunomodulatory properties of the medicinal mushroom Len-
tinula edodes. Phytomed 2008 Jun;15(6-7):512-9
*Ng & Yap: Inhibition of human colon carcinoma development by lentinan from shiitake mushrooms
(Lentinus edodes). J Altern Complement Med 2002 Oct;8(5):581-9
*Ngai & Ng: Lentin, a novel and potent antifungal protein from shitake mushroom with inhibitory effects
on activity of human immunodeficiency virus-1 reverse transcriptase and proliferation of leukemia
cells. Life Sci 2003 Nov 14;73(26):3363-74
*Shen et al: Effect of the culture extract of Lentinus edodes mycelia on splenic sympathetic activity and
cancer cell proliferation. Actas Urol Esp 2003 Oct;27(9):732-4
*Zhou et al: The shiitake mushroom-derived immuno-stimulant lentinan protects against murine mal-
aria blood-stage infection by evoking adaptive immune-responses. Int Immunopharmacol 2009
Apr;9(4):455-62
Spirulina not only enhances the immune system but has significant anticancer,
antiviral, and antifungal activity.
*Blinkova et al: Biological activity of Spirulina. Zh Mikrobiol Epidemiol Immunobiol 2001 Mar-Apr;(2):114-8
Stevia, an herb that is 200 times sweeter than table sugar, is often used by diabet-
ics and non-diabetics alike because of its sweetness with no calories. It does have
additional health benefits including inhibiting the formation of skin cancer.
*Yasukawa et al: Inhibitory effect of stevioside on tumor promotion by 12-O-tetradecanoylphorbol-
13-acetate in two-stage carcinogenesis in mouse skin. Biol Pharm Bull 2002 Nov;25(11):1488-90
*Chung et al: Chemoprevention of colonic aberrant crypt foci in Fischer rats by sulforaphane and
phenethyl isothiocyanate. Carcinogen 2000;21(12):2287-91
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*Fimognari et al: Growth inhibition, cell-cycle arrest and apoptosis in human T-cell leukemia by the
isothiocyanate sulforaphane. Carcinogen 2002;23(4):581-86
*Gamet-Payrastre et al: Sulforaphane, a naturally occurring isothiocyanate, induces cell cycle arrest
and apoptosis in HT29 human colon cancer cells. Cancer Res 2000 Mar 3;60:1426
*Juge et al: Molecular basis for chemoprevention by sulforaphane: a comprehensive review. Cell Mole
Life Sci 2007 May;64(9):1105-27
*Kim et al: Induction of G2/M arrest and apoptosis by sulforaphane in human osteosarcoma U2-OS
cells. Mol Med Report 2011 Sep-Oct;4(5):929-34
*Matsui et al: Sulforaphane induces cell cycle arrest and apoptosis in murine osteosarcoma cells in
vitro and inhibits tumor growth in vivo. Oncol Rep 2007 Nov;18(5):1263-8
*Myzak et al: A novel mechanism of chemoprotection by sulforaphane: Inhibition of Histone Deacetyl-
ase. Canc Res 2004 Aug 15;64:5767
*Singh et al: Sulforaphane induces caspase-mediated apoptosis in cultured PC-3 human prostate
cancer cells and retards growth of PC-3 xenografts in vivo. Carcinogen 2004;25(1): 83-90
*Wang et al: Targeting cell cycle machinery as a molecular mechanism of sulforaphane in prostate
cancer prevention. Internatl J Oncol 2004;24(1):187-92
*Zhang et al: Anticarcinogenic activities of sulforaphane and structurally related synthetic norbornyl
isothiocyanates. Proceed Natl Acad Sci USA (PNAS) 1994 Apr 12;91(8):3147-50
Theanine is a substance found in green tea that is often used to relieve stress but it
also improves the function of anti-cancer drugs.
*Sugiyama & Sadzuka: Theanine and glutamate transporter inhibitors enhance the antitumor efficacy
of chemotherapeutic agents. Biochim Biophys Acta 2003 Dec 5;1653(2):47-59
Vitamin C inhibits cancer cell growth and fresh fruit and vegetables high in vita-
mins lower the risk of developing cancers.
*Harding et al: Plasma vitamin C level, fruit and vegetable consumption, and the risk of new-onset type
2 diabetes mellitus: the European prospective investigation of cancer--Norfolk prospective study.
Arch Intern Med 2008 Jul 28;168(14):1493-9
*Tsao: Inhibiting effect of ascorbic acid on the growth of human mammary tumor xenografts. Am J Clin
Nutr 1991 Dec;54(6 Suppl):1274S-1280S
Cancer
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Vitamin C, EGCG (from Green Tea), Lysine and Proline (amino acids) combination
has strong anti-cancer activity.
*Roomi et al: Effect of ascorbic acid, lysine, proline, and green tea extract on human osteosarcoma cell
line MNNG-HOS xenografts in nude mice: evaluation of tumor growth and immunohistochemistry.
Med Oncol 2006;23(3):411-8
*Roomi et al: Antitumor effect of nutrient synergy on human osteosarcoma cells U-2OS, MNNG-HOS
and Ewing’s sarcoma SK-ES.1. Oncol Rep 2005 Feb;13(2):253-7
Vitamin D3 prevents at least 16 types of cancers and decreases mortality rates (but
not D2). Winter sunlight provides little protection (Webb) therefore, supplementation
is a must, especially if you live in northern latitudes. A deficiency is linked to muscle
pain in breast cancer survivors. There are hundreds of studies but just a few are
listed here.
*Adams, Mike: New research shows vitamin D slashes risk of cancers by 77 percent; cancer industry
refuses to support cancer prevention. NaturalNews, Friday, June 08, 2007 www.naturalnews.
com/021892_vitamin_D_American_Cancer_Society.html
*Autier & Gandini: Vitamin D supplementation and total mortality: a meta-analysis of randomized con-
trolled trials. Arch Intern Med 2007;167(16):1730-37
*Bjelakovic et al: Vitamin D supplementation for prevention of mortality in adults. Cochrane Data Syst
Rev 2011 Jul 6;(7):CD007470
*Chiang & Chen: Vitamin D for the prevention and treatment of pancreatic cancer. World J Gastro-
enterol 2009 Jul 21;15(27):3349-54
*Chlebowski et al: Calcium plus vitamin D supplementation and the risk of breast cancer. J Natl Cancer
Inst 2008 Nov 19;100(22):1581-91
*Crew et al: Association between plasma 25-hydroxyvitamin D and breast cancer risk. Canc Prev Res
(Phila Pa) 2009 Jun;2(6):598-604
*Crew et al: High prevalence of vitamin D deficiency despite supplementation in premenopausal women
with breast cancer undergoing adjuvant chemotherapy. J Clin Oncol 2009 May 1;27(13):2151-6
*Engel et al: Joint effects of dietary vitamin D and sun exposure on breast cancer risk: results from the
French E3N cohort. Canc Epidemiol Biomark Prev 2011 Jan;20(1):187-98
*Fife et al: Effects of vitamin D3 on proliferation of cancer cells in vitro. Cancer Lett 1997 Nov
25;120(1):65-9
*Garland et al: Vitamin D for cancer prevention: global perspective. Ann Epidemiol 2009 Jul;19(7):468-83
*Garland et al: What is the dose-response relationship between vitamin D and cancer risk? Nutr Rev
2007 Aug;65(1)91-95
*Garland et al: Vitamin D and prevention of breast cancer: Pooled analysis. J Steroid Biochem Molec
Biol 2007 March;103(3-5):708-11
*Garland & Garland: Do sunlight and vitamin D reduce the likelihood of colon cancer? Int J Epidemiol
1980;9:227-31
*Grant: 826 Highly Cited and Recent Papers on UVB and/or Vitamin D and Cancer (pdf online)
*Grant: Geographic variation of prostate cancer mortality rates in the USA; implications for prostate
cancer risk related to vitamin D. Int J Canc 2004;111:470–1
*Grant: A multicountry ecologic study of risk and risk reduction factors for prostate cancer mortality.
Eur Urol 2004;45:371-9
*Grant: An estimate of premature cancer mortality in the United States due to inadequate doses of
solar ultraviolet-B radiation, Cancer 2002b;94:1867-75
*Grant & Garland: A critical review of studies on vitamin D in relation to colorectal cancer. Nutr Canc
2004;48(2):115-23
*Grant and Holick: Benefits and requirements of vitamin D for optimal health: a review. Alt Med Rev
2005:10(2):94
Cancer
*John et al: Sun exposure, vitamin D receptor gene polymorphisms, and breast cancer risk in a multi-
ethnic population. Am J Epidemiol 2007;166(12):1409-19
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*Knight et al: Vitamin D and reduced risk of breast cancer: a population-based case-control study.
Cancer Epidemiol Biomarkers Prev 2007 Mar;16(3):422-9
*Mondul et al: Serum vitamin D and risk of bladder cancer. Biol Trace Elem Res 2002 Nov;89(2):105-10
*Reid et al: Prophylaxis against vitamin D deficiency in the elderly by regular sunlight exposure. Age
Ageing 1986;15:35-40
*Robsahm et al: Vitamin D(3) from sunlight may improve the prognosis of breast-, colon- and prostate
cancer (Norway). Canc Cau Contr 2004;15:149-58
*Sears, Al MD and Herring, John. Your Best Health Under the Sun. 2007
*Sharabani et al: Cooperative antitumor effects of vitamin D3 derivatives and rosemary preparations in
a mouse model of myeloid leukemia. Int J Cancer 2006 Jun 15;118(12):3012-21
*Skinner et al: Vitamin D intake and the risk for pancreatic cancer in two cohort studies. Canc Epi-
demiol Biomark Prev 2006 Sep;15(9):1688-95
*Sorenson, Marc MD. ABC Denver Ch 7 interview online: www.youtube.com/watch?v=JyOT8UcGhhg
*Swami et al: Vitamin D growth inhibition of breast cancer cells: gene expression patterns assessed by
cDNA microarray. Breast Cancer Res Treat 2003 Jul;80(1):49-62
*Tuohimaa et al: Both high and low levels of blood vitamin D are associated with a higher prostate cancer
risk: a longitudinal, nested case-control study in the Nordic countries. Int J Canc 2004;108:104-8
*van den Bemd & Chang: Vitamin D and vitamin D analogs in cancer treatment. Curr Drug Targets
2002;3:85-94
*Vrieling et al: Serum 25-hydroxyvitamin D and postmenopausal breast cancer survival: a prospective
patient cohort study. Breast Cancer Res 2011 Jul 26;13(4):R74
*Waltman et al: Vitamin D insufficiency and musculoskeletal symptoms in breast cancer survivors on
aromatase inhibitor therapy. Cancer Nurs 2009 Mar-Apr;32(2):143-50
*Webb et al: Influence of season and latitude on the cutaneous synthesis of vitamin D3: exposure to
winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in human skin. J
Clin Endocrinol Metab 1988;67:373-8
*Welsh: Induction of apoptosis in breast cancer cells in response to vitamin D and antiestrogens. Bio-
chem Cell Biol 1994 Nov-Dec;72(11-12):537-45
*Wu et al: 1alpha,25-Dihydroxyvitamin D(3) antiproliferative actions involve vitamin D receptor-medi-
ated activation of MAPK pathways and AP-1/p21(waf1) upregulation in human osteosarcoma.
Phytomed 2008 Aug;15(8):577-86
*Watters et al: Associations between alpha-tocopherol, beta-carotene, and retinol and prostate cancer
survival. Cancer Res 2009 May 1;69(9):3833-41
259
Pamela Duff, RN, CSNC
Vitamin E, Green tea (EGCG), and Genistein work synergistically with the chemo-
therapy drug Taxol (paclitaxel) to kill prostate cancer cells.
*Ping et al: Taxol synergizes with antioxidants in inhibiting hormal refractory prostate cancer cell
growth. Urol Oncol 2008 Sep 23
White Button mushrooms inhibit various cancers; stimulate natural killer cells;
and contain significant quantities of bioavailable vitamin B12.
*Adams et al: White button mushroom (Agaricus bisporus) exhibits antiproliferative and proapoptotic
properties and inhibits prostate tumor growth in athymic mice. Nutr Cancer 2008;60(6):744-56
*Carrizo et al: The antineoplastic lectin of the common edible mushroom (Agaricus bisporus) has two
binding sites, each specific for a different configuration at a single epimeric hydroxyl. J Biol Chem
2005 Mar 18;280(11):10614-23
*Chen et al: Anti-aromatase activity of phytochemicals in white button mushrooms (Agaricus bisporus).
Mol Cell Biochem 2005 Dec;280(1-2):173-9
*Grube et al: White button mushroom phytochemicals inhibit aromatase activity and breast cancer cell
proliferation. J Nutr 2001 Dec;131(12):3288-93
*Koyyalamudi et al: Vitamin B12 is the active corrinoid produced in cultivated white button mushrooms
(Agaricus bisporus). J Agric Food Chem 2009 Jul 22;57(14):6327-33
*Miyake et al: Inhibitory effects of 2-amino-3H-phenoxazin-3-one on the melanogenesis of murine B16
melanoma cell line. Biosci Biotechnol Biochem 2010;74(4):753-8
*Wu et al: Dietary supplementation with white button mushroom enhances natural killer cell activity in
C57BL/6 mice. Child Dev 2007 May-Jun;78(3):927-37
Wormwood is an herb used mainly to get rid of parasites but it does have anti-cancer
effects as well.
*Du et al: Artesunate induces oncosis-like cell death in vitro and has antitumor activity against pan-
creatic cancer xenografts in vivo. Cancer Chemother Pharmacol 2010 Apr;65(5):895-902
*Nam et al: Effects of artemisinin and its derivatives on growth inhibition and apoptosis of oral cancer
cells. Head Neck. 2007 Apr;29(4):335-40
Zyflamend by New Chapter kills various cancer cells and suppresses tumor growth
in the prostate.
*Bemis et al: Zyflamend, a unique herbal preparation with nonselective COX inhibitory activity, induces
apoptosis of prostate cancer cells that lack COX-2 expression. Nutr Canc 2005;52(2):202-12
*Capodice et al: Zyflamend in men with high-grade prostatic intraepithelial neoplasia: results of a
phase I clinical trial. J Soc Integr Oncol 2009 Spring;7(2):43-51
*Kunnumakkara et al: Zyflamend suppresses growth and sensitizes human pancreatic tumors to gem-
citabine in an orthotopic mouse model through modulation of multiple targets. Int J Canc 2011
Sept 20
*Rafailov et al: The role of Zyflamend, an herbal anti-inflammatory, as a potential chemopreventive
agent against prostate cancer: a case report. Integr Cancer Ther 2007 Mar;6(1):74-76
*Sandur et al: Zyflamend, a polyherbal preparation, inhibits invasion, suppresses osteoclastogenesis,
and potentiates apoptosis through down-regulation of NF-kappa B activation and NF-kappa B-
Cancer
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*Yang et al: Zyflamend reduces LTB4 formation and prevents oral carcinogenesis in a
7,12-dimethylbenz[alpha]anthracene (DMBA)-induced hamster cheek pouch model. Carcinogen
2008 Aug 6
*Yang et al: Zyflamend-mediated inhibition of human prostate cancer PC3 cell proliferation: effects on
12-LOX and Rb protein phosphorylation. Cancer Biol Ther 2007 Feb;6(2):228-36
Cancer
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Cholesterol- (Lipid-) lowering
Common examples:
Bile Acid Sequestrants
cholestyramine – Questran and others
colestipol – Colestid
Fibrates
clofibrate – Atromid-S
fenofibrate – Tricor
gemfibrozil – Lopid
... and others
Statins (HMG-CoA reductase inhibitors)
atorvastatin – Lipitor
lovastatin – Mevacor
pravastatin – Pravachol, Selektine
rosuvastatin – Crestor
simvastatin – Zocor
... and others
Deplete:
A, beta carotene, B1, B3, B9, B12, D, E, K, calcium, copper, iron,
magnesium, potassium, phosphorus, zinc and other minerals, essential
lowering
´´Statins rapidly deplete CoQ10. Within two weeks, body stores of CoQ10 have
decreased by 50% but this loss can be reversed with supplementation which goes
on to improve congestive heart failure, brain function, myopathies and more.
*Akahane et al: Atrial fibrillation induced by simvastatin treatment in a 61-year-old man. Heart Vessels
2003 Jul;18(3):157-9
262
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*Bargossi et al: Exogenous CoQ10 supplementation prevents plasma ubiquinone reduction induced
by HMG-CoA reductase inhibitors. Mol Aspects Med 1994;15 Suppl:s187-93
*Beltowski et al: Adverse effects of statins - mechanisms and consequences. World J Gastroenterol
2005 Dec 21;11(47):7466-72
*Diebold et al: Influences of lovastatin administration on the respiratory burst of leukocytes and the
phosphorylation potential of mitochondria in guinea pigs. Biochim Biophys Acta 1994 Jul 6
;1200(2):100-8
*Folkers et al: Lovastatin decreases coenzyme Q levels in humans. Proc Natl Acad Sci USA 1990
Nov;87(22):8931-4
*Fux et al: Coenzyme Q10 and cognition in atorvastatin treated dogs. Neurosci Lett 2011 Jul 8
*Galli & Iuliano: Do statins cause myopathy by lowering vitamin E levels? Med Hypotheses 2009 Nov 5
*Kromer & Moosmann: Statin-induced liver injury involves cross-talk between cholesterol and
selenoprotein biosynthetic pathways. Mol Pharmacol 2009 Jun;75(6):1421-9
*Kucharská et al: Simvastatin decreased coenzyme Q in the left ventricle and skeletal muscle but not
in the brain and liver in L-NAME-induced hypertension. Physiol Res 2007;56 Suppl 2:S49-54
*Langsjoen &Langsjoen: The clinical use of HMG CoA-reductase inhibitors and the associated
depletion of coenzyme Q10. A review of animal and human publications. Biofactors 2003;18(1-
4):101-11
*Miyake et al: Effect of treatment with 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors on
serum coenzyme Q10 in diabetic patients. Arzneimittelforschung 1999 Apr;49(4):324-9
*Moosmann & Behl: Selenoprotein synthesis and side-effects of statins. Lancet 2004
Mar13;363(9412):892-4
*Moosmann & Behl: Selenoproteins, cholesterol-lowering drugs, and the consequences: revisiting of
the mevalonate pathway. Trends Cardiovasc Med 2004 Oct;14(7):273-81
*Mortensen et al: Dose-related decrease of serum coenzyme Q10 during treatment with HMG-CoA
reductase inhibitors. Mol Aspects Med 1997 ;18 Suppl:S137-44
*Neale et al: Statin precipitated lactic acidosis? J Clin Pathol 2004 Sep ;57(9):989-90
*Okello et al: Combined statin/coenzyme Q10 as adjunctive treatment of chronic heart failure. Med
Hypotheses 2009 Sep;73(3):306-8
*Rubinstein et al: Statin therapy decreases myocardial function as evaluated via strain imaging. Clin
Cardiol 2009 Dec;32(12):684-9
*Satoh et al: Effects of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors on mitochondrial
respiration in ischaemic dog hearts. Br J Pharmacol 1995 Sep ;116(2):1894-8
*Silver et al: Effect of atorvastatin on left ventricular diastolic function and ability of coenzyme Q10 to
reverse that dysfunction. Am J Cardiol 2004 Nov 15;94(10):1306-10
*Sugiyama: HMG CoA reductase inhibitor accelerates aging effect on diaphragm mitochondrial
respiratory function in rats. Biochem Mol Biol Int 1998 Dec;46(5):923-31
*Willis et al: Lovastatin decreases coenzyme Q levels in rats. Proc Natl Acad Sci USA 1990;87(22):8928-
30
´´Statins are not the only medications that deplete CoQ10. It is estimated that Cholesterol- (Lipid-)
there are some 200 medications that rob the body of CoQ10 including acid
blockers, antacids, allergies, antiarrhythmics, antibiotics, antidepressants,
blood thinners, blood pressures, cancers, cholesterol-lowering, diabetes, anti-
retrovirals, and psychiatric meds.
*Cohen, 2011:126-129
´´Statins are associated with over 70 physical and mental conditions. Even the
FDA admits that statin use contributes to hearing loss, muscle disease and
diabetes. Despite more than 900 studies proving adverse effects, they still
remain on the market with young children now being encouraged to take them.
lowering
*www.greenmedinfo.com/toxic-ingredient/statin-drugs
*Alberton et al: Adverse events associated with individual statin treatments for cardiovascular disease:
an indirect comparison meta-analysis. QJM 2011 Sep 14
263
Pamela Duff, RN, CSNC
*Alsheikh-Ali et al: Effect of the magnitude of lipid lowering on risk of elevated liver enzymes,
rhabdomyolysis, and cancer: insights from large randomized statin trials. J Am Coll Cardiol 2007
Jul 31;50(5):409-18
*Backes et al: Does simvastatin cause more myotoxicity compared with other statins? Ann
Pharmacother 2009 Dec;43(12):2012-20
*Baker et al: Differing effect of statins on insulin sensitivity in non-diabetics: a systematic review and
meta-analysis. Diabetes Res Clin Pract 2010 Jan ;87(1):98-107
*Benson: FDA admits statin drugs cause diabetes, memory loss. NaturalNews 2012 March 1
*Berner: Statins can produce ataxia in bipolar disorder: two case reports. J Clin Psych 2010
Mar;71(3):359
*Biesenbach et al: Terminal myoglobinuric renal failure in lovastatin therapy with pre-existing chronic
renal insufficiency. Wien Klin Wochenschr 1996;108(11):334-7
*Bonovas & Sitaras: Does pravastatin promote cancer in elderly patients? A meta-analysis. CMAJ
2007 Feb 27;176(5):649-54
*Buajordet et al: Statins – the pattern of adverse effects with empahsis on mental reactions. Data from
a national and an international database. Tidsskr Nor Laegeforen 1997 Sep 20;117(22):3210-3
*Collidge et al: Severe statin-induced rhabdomyolysis mimicking Guillain-Barré syndrome in four
patients with diabetes mellitus treated with fusidic acid. Diabet Med 2010 Jun;27(6):696-700
*Culver et al: Statin use and risk of diabetes mellitus in postmenopausal women in the Women’s Health
Initiative. Arch Intern Med online first January 9, 2012
*Dr. Stephanie Seneff, “The Dark Truth About the “Wonder Drug” Millions Swear By”, posted online by
Dr. Mercola, Oct 26, 2011
*FDA Expands Advice on Statin Risks. FDA website February 27, 2012
*Friedman et al: Screening statins for possible carcinogenic risk: up to 9 years of follow-up of 361,859
recipients. Pharmacoepidemiol Drug Saf 2008 Jan;17(1):27-36
*Golomb & Evans: Statin adverse effects: a review of the literature and evidence for a mitochondrial
mechanism. Am J Cardiovasc Drugs 2008;8(6):373-418
*Golomb: Implications of statin adverse effects in the elderly. Expert Opin Drug Saf 2005 May;4(3):389-
97
*Hamilton-Craig et al: At sea with SEAS: the first clinical endpoint trial for ezetimibe, treatment of
patients with mild to moderate aortic stenosis, ends with mixed results and more controversy.
Heart Lung Circ 2009 Oct;18(5):343-6
*Hyyppä et al: Does simvastatin affect mood and steroid hormone levels in hypercholesterolemic
men? A randomized double-blind trial. Psychoneuroendocrin 2003 Feb ;28(2):181-94
*Johansen: Increased diabetes mellitus risk with statin use: Comment on “Statin Use and Risk of
Diabetes Mellitus in Postmenopausal Women in the Women’s Health Initiative”. Arch Intern Med.
2012;172(2):152
*Krane et al: Effect of atorvastatin on inflammation and outcome in patients with type 2 diabetes
mellitus on hemodialysis. Kidney Int 2008 Dec;74(11):1461-7
*Mills et al: Efficacy and safety of statin treatment for cardiovascular disease: a network meta-analysis
of 170,255 patients from 76 randomized trials. QJM 2010 Oct 7
lowering
*Ohmura et al: Acute onset and worsening of diabetes concurrent with administration of statins.
Endocr J 2005 Jun;52(3):369-72
*Preiss et al: Risk of incident diabetes with intensive-dose compared with moderate-dose statin
therapy: a meta-analysis. JAMA 2011 Jun 22;305(24):2556-64
*Sattar et al: Statins and risk of incident diabetes: a collaborative meta-analysis of randomised statin
Cholesterol- (Lipid-)
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*Rabkin et al: Reduction of protein synthesis and statin-induced cardiomyocyte cell death. Cardiovasc
Toxicol 2007;7(1):1-9
*Rabkin & Kong: Lovastatin-induced cardiac toxicity involves both oncotic and apoptotic cell death
265
Pamela Duff, RN, CSNC
with the apoptotic component blunted by both caspase-2 and caspase-3 inhibitors. Toxicol Appl
Pharmacol 2003 Dec 15 ;193(3):346-55
*Rajaram: Hepatitis, rhabdomyolysis and multi-organ failure resulting from statin use. BMJ Case Rep
2009;2009
*Sakaeda et al: Statin-associated muscular and renal adverse events: data mining of the public version
of the FDA adverse event reporting system. PLoS One 2011;6(12):e28124
*Schech et al: Risk factors for statin-associated rhabdomyolysis. Pharmacoepidemiol Drug Saf 2007
Mar;16(3):352-8
*Schindler et al: Asymptomatic statin-induced rhabdomyolysis after long-term therapy with the
hydrophilic drug pravastatin. Clin Ther 2007 Jan;29(1):172-6
*Stankovic et al: Concomitant administration of simvastatin and danazol associated with fatal
rhabdomyolysis. Clin Ther 2010 May;32(5):909-14
*Tuccori et al: Statin-associated psychiatric adverse events: a case/non-case evaluation of an Italian
database of spontaneous adverse drug reaction reporting. Drug Saf 2008;31(12):1115-23
*Urso et al: Changes in ubiquitin proteasome pathway gene expression in skeletal muscle with exercise
and statins. Arterioscler Thromb Vasc Biol 2005 Dec;25(12):2560-6
*Waness et al: Simvastatin-induced rhabdomyolysis and acute renal injury. Blood Purif 2008;26(4):394-8
´´Statins alter platelet function and increase LDL oxidation which is corrected
with CoQ10 and Vitamin E.
*Palomäki et al: Effects of lovastatin therapy on susceptibility of LDL to oxidation during alpha-
tocopherol supplementation. Arterioscler Thromb Vasc Biol 1999 Jun;19(6):1541-8
*Palomäki et al: Enhanced oxidizability of ubiquinol and alpha-tocopherol during lovastatin treatment.
FEBS Lett 1997 Jun 30;410(2-3):254-8
*Puccetti et al: Time-dependent effect of statins on platelet function in hypercholesterolaemia. Eur J
Clin Invest 2002 Dec;32(12):901-8
´´Shocking, but true, is the the fact that Lipitor is the number one selling drug
of all time in any drug category worldwide.
*www.reuters.com/article/2010/04/13/roche-avastin-drugs-idUSLDE63C0BC20100413
*www.forbes.com/2006/03/21/pfizer-merck-amgen-cx_mh_pk_0321topdrugs.html
*www.medindia.net/health_statistics/health_facts/top-ten-selling-drugs.htm
´´High cholesterol does not reduce risk of death or other coronary heart
lowering
diseases. This 1992 study states in its conclusion that “Lowering serum
cholesterol concentrations does not reduce mortality and is unlikely to prevent
coronary heart disease. Claims of the opposite are based on preferential
citation of supportive trials.”
Cholesterol- (Lipid-)
*Ravnskov et al: Cholesterol lowering trials in coronary heart disease: frequency of citation and
outcome. BMJ 1992 Jul 4;305(6844):15-9
´´Cholesterol levels, a little on the high side, actually protect against cancer,
especially in older people. Low cholesterol levels increase mortality.
*Al-Mallah et al: Low admission LDL-cholesterol is associated with increased 3-year all-cause mortality
in patients with non ST segment elevation myocardial infarction. Canc 1995 Dec 15;76(12):2491-6
*Traissac et al: Significance of cholesterol levels in patients 75 years or older. Presse Med 2005 Nov
266
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19;34(20 Pt 1):1525-32
*Trieu & Uckun: Low density lipoprotein (LDL)-mediated suppression of Lewis lung carcinoma in
hypercholesterolemic LDL receptor-deficient mice. Biochem Biophys Res Commun 1999
Feb16;255(2):377-81
´´Meat: Irradiation and microwave cooking increase cell oxidation which causes
irregularities in cholesterol and triglyceride levels and could lead to cancer.
*Broncano et al: Effect of different cooking methods on lipid oxidation and formation of free cholesterol
oxidation products (COPs) in Latissimus dorsi muscle of Iberian pigs. Meat Sci 2009 Jun 16
*Echarte et al: Consequences of microwave heating and frying on the lipid fraction of chicken and beef
patties. J Agric Food Chem 2003 Sep 24;51(20):5941-5
*Lee et al: Formation of cholesterol oxides in irradiated raw and cooked chicken meat during storage.
Poult Sci 2001 Jan ;80(1):105-8
Suggested alternatives:
Açai fruit is a potent antioxidant that improves cholesterol levels and prevents dam-
age to regions of the brain and elsewhere in the body.
*Kang et al: Anti-oxidant capacities of flavonoid compounds isolated from acai pulp (Euterpe oleracea
Mart). Food Chem 2010, Oct:122(3):610-617
*Mertens-Talcott et al: Pharmacokinetics of anthocyanins and antioxidant effects after the consump-
tion of anthocyanin-rich acai juice and pulp (Euterpe oleracea Mart) in human healthy volunteers.
J Agric Food Chem 2008:56(17):7796–7802
*Oliveira de Souza et al: Diet supplementation with acai (Euterpe oleracea Mart.) pulp improves bio-
markers of oxidative stress and the serum lipid profile in rats. Nutr 2010, July-Aug:26(7-8):804-810
*Schauss et al: Antioxidant capacity and other bioactivities of the freeze-dried Amazonian palm berry,
Euterpe oleraceae Mart (Acai). J Agric Food Chem 2006:54(22):8604-8610
*Spada et al: Frozen fruit pulp of Euterpe oleraceae Mart (Acai) prevents hydrogen peroxide-in-
duced damage in the cerebral cortex, cerebellum, and hippocampus of rats. J Med Food 2009,
Cholesterol- (Lipid-)
Oct:12(5):1084-1088
*Udani et al: Effects of Açai (Euterpe oleracea Mart.) berry preparation on metabolic parameters in a
healthy overweight population: A pilot study. Nutr J 2011;10:45
Alfalfa reduces high cholesterol levels and prevents plaque buildup in the arteries.
*Malinow et al: Effect of alfalfa meal on shrinkage (regression) of atherosclerotic plaques during chol-
esterol feeding in monkeys. Atheroscler 1980 Nov;37(3):433-8
*Malinow et al: Alfalfa saponins and alfalfa seeds. Dietary effects in cholesterol-fed rabbits. Atheroscler
1980 Nov;37(3):433-8
lowering
Alpha lipoic acid and Vitamin C (ascorbate form, not ascorbic) prevent LDL oxidation.
*Sabharwal & May: Alpha-Lipoic acid and ascorbate prevent LDL oxidation and oxidant stress in endo-
thelial cells. Mol Cell Biochem 2008 Feb;309(1-2):125-32
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Pamela Duff, RN, CSNC
Apples and Pears have a significantly positive effect on blood lipid levels thereby
decreasing the risk of atherosclerosis. But do yourself a favour, eat only organic fruit
as apples are the number one food that contains pesticides, many of which cause
cancer.
*Apples worst for pesticides on produce list. CBC News, Jun 14, 2011
*Auclair et al: Apple polyphenols and fibers attenuate atherosclerosis in apolipoprotein E-deficient
mice. Phytomed 2007 Apr;14(4):280-4
*DeNoon: Apples Are Top Food With Most Pesticides: ‘Dirty Dozen’ List Reveals Fruits/Veggies With
Most Pesticides. WebMD Health News June 13, 2011
*Leontowicz et al: Apple and pear peel and pulp and their influence on plasma lipids and antioxidant
potentials in rats fed cholesterol-containing diets. J Agric Food Chem 2003 Sep 10;51(19):5780-5
*Pearson et al: Apple juice inhibits human low density lipoprotein oxidation. Life Sc 1999,
Apr:64(21):1913-20
*Setorki et al: Effects of apple juice on risk factors of lipid profile, inflammation and coagulation, endo-
thelial markers and atherosclerotic lesions in high cholesterolemic rabbits. Lipids Health Dis
2009;8:39
*Shabecoff: 100 Chemicals for Apples Add Up to Enigma on Safety. NY Times Feb 5, 1989
Arginine (in the L-form) is an amino acid that improves arterial function in those
with high cholesterol.
*Javanmard et al: Effect of L-arginine on circulating endothelial progenitor cells in hypercholesterolemic
rabbits. Int J Cardiol 2010 Aug 20;143(2):213-6
*Nakai et al: Effects of L-arginine on the endogenous angiogenic response in a model of hypercholes-
terolemia. Surgery 2005 Aug;138(2):291-8
*Nematbakhsh et al: The prevention of endothelial dysfunction through endothelial cell apoptosis in-
hibition in a hypercholesterolemic rabbit model: the effect of L-arginine supplementation. Lipids
Health Dis 2008;7:27
*Choi et al: Positive Effects of Astaxanthin on Lipid Profiles and Oxidative Stress in Overweight Sub-
jects. Plant Foods Hum Nutr 2011 Oct 1
*Lankin et al: Antioxidants decreases the intensification of low density lipoprotein in vivo peroxidation
during therapy with statins. Mol Cell Biochem 2003 Jul;249(1-2):129-40
*Zhao et al: Ameliorative effect of astaxanthin on endothelial dysfunction in streptozotocin-induced
Cholesterol- (Lipid-)
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*Jiao et al: Antihyperlipidemic and antihypertensive effect of a triterpenoid-rich extract from bamboo
shavings and vasodilator effect of friedelin on phenylephrine-induced vasoconstriction in thoracic
aortas of rats. Phytother Res 2007 Dec;21(12):1135-41
*Park & Jhon: Effects of bamboo shoot consumption on lipid profiles and bowel function in healthy
young women. Exp Biol Med (Maywood) 2008 Oct;233(10):1242-54
Basil oil inhibits cholesterol synthesis. Basil oil can be made at home by placing the
herb into extra-virgin olive oil and letting it stand at room temperature for a couple
of weeks.
*Bazzano et al: Non-soy legume consumption lowers cholesterol levels: a meta-analysis of random-
ized controlled trials. Nutr Metab Cardiovasc Dis 2009 Nov 23
*Bravo et al: Ocimum basilicum ethanolic extract decreases cholesterol synthesis and lipid accumula-
tion in human macrophages. J Carcinog 2005 Sep 2;4:15
Beans help lower and regulate cholesterol levels. Beans are a better sustainable and
healthier protein choice than meat.
*Dabai et al: Comparative effects on blood lipids and faecal steroids of five legume species incorpor-
ated into a semi-purified, hypercholesterolaemic rat diet. Br J Nutr 1996 Apr;75(4):557-71
*Xu et al: Comparative studies on the antioxidant activities of nine common food legumes against cop-
per-induced human low-density lipoprotein oxidation in vitro. J Food Sci 2007 Sep;72(7):S522-7 Cholesterol- (Lipid-)
Beetroot significantly reduces LDL cholesterol while raising HDL levels.
*Bobek et al: The effect of red beet (Beta vulgaris var. rubra) fiber on alimentary hypercholesterolemia
and chemically induced colon carcinogenesis in rats. Nahrung 2000 Jun;44(3):184-7
*Dahri et al: Effect of Nigella sativa (kalonji) on serum cholesterol of albino rats. Neurosci Lett 2010
Oct;482(3):183-7
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Pamela Duff, RN, CSNC
Black and Brown Rice have cardio-protective properties that prevent arterial plaque
formation.
*Kim et al: The effects of a mixture of brown and black rice on lipid profiles and antioxidant status in
rats. Ann Nutr Metab 2006;50(4):347-53
*Xia et al: Supplementation of diets with the black rice pigment fraction attenuates atherosclerotic
plaque formation in apolipoprotein e deficient mice. J Nutr 2003 Mar;133(3):744-51
Carnosine and Histidine (amino acids) delay diabetic deterioration and protect LDL
cholesterol from being oxidized.
*Lee et al: Histidine and carnosine delay diabetic deterioration in mice and protect human low density
lipoprotein against oxidation and glycation. Cont Lens Anterior Eye 2008 Jun;31(3):141-6; quiz 170
Celery, Chicory leaves and Barley protect the liver in those with high cholesterol
levels.
*El-Mageed: Hepatoprotective effect of feeding celery leaves mixed with chicory leaves and barley
grains to hypercholesterolemic rats. Pharmacogn Mag 2011 Apr ;7(26):151-6
Mar;47(3):840-4
Cocoa (dark unsweetened) reduces blood cholesterol levels but not sweetened milk
chocolate.
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*Baba et al: Continuous intake of polyphenolic compounds containing cocoa powder reduces LDL
oxidative susceptibility and has beneficial effects on plasma HDL-cholesterol concentrations in
humans. Proc Natl Acad Sci USA 2009 Jun 2;106(22):9033-8
*Hirano et al: Antioxidant effects of polyphenols in chocolate on low-density lipoprotein both in vitro
and ex vivo. Mutat Res 1999 Apr 6;440(2):181-8
*Jia et al: Short-term effect of cocoa product consumption on lipid profile: a meta-analysis of random-
ized controlled trials.Am J Clin Nutr 2010 Jul;92(1):218-25
*Mellor et al: High-cocoa polyphenol-rich chocolate improves HDL cholesterol in Type 2 diabetes pa-
tients. Diabet Med 2010 Nov;27(11):1318-21
*Mursu et al: Dark chocolate consumption increases HDL cholesterol concentration and choco-
late fatty acids may inhibit lipid peroxidation in healthy humans. Food Chem Toxicol 2008
Dec;46(12):3586-92
*No authors listed: Effects of cocoa powder and dark chocolate on LDL oxidative susceptibility and
prostaglandin concentrations in humans. Am J Clin Nutr 2001 Nov;74(5):596-602
*Ruzaidi et al: The effect of Malaysian cocoa extract on glucose levels and lipid profiles in diabetic rats.
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Coconut (and Palm) Oil, Coconut Water, Coconut Milk and Coconut Protein
contain MCTs (medium chain triglycerides) which lower LDL cholesterol and tri-
glycerides while increasing HDL cholesterol, similar to statins but without the side
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*Kruger et al: Dietary red palm oil reduces ischaemia-reperfusion injury in rats fed a hypercholesterol-
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*Nevin & Rajamohan: Beneficial effects of virgin coconut oil on lipid parameters and in vitro LDL oxida-
tion. Clin Biochem 2004 Sep;37(9):830-5
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*Oguntibeju et al: Red palm oil: nutritional, physiological and therapeutic roles in improving human
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*Pereira et al: Effects of dietary palm oil on serum lipid peroxidation, antithrombin III, plasma cyclic
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*Salil & Rajamohan: Hypolipidemic and antiperoxidative effect of coconut protein in hypercholesterol-
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*Sandhya & Rajamohan: Beneficial effects of coconut water feeding on lipid metabolism in cholesterol-
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*Sandhya & Rajamohan: Comparative evaluation of the hypolipidemic effects of coconut water and
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*Siddiqui et al: Comparative hypoglycemic and nephroprotective effects of tocotrienol rich fraction
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CoQ10 is a vital part of every cell in the body for ATP (energy) production. It helps
vitamin E function better and is necessary in overcoming symptoms caused by statin
drugs. The ubiquinol form is better absorbed than the cheaper ubiquinone form.
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*Schmelzer et al: Ubiquinol-induced gene expression signatures are translated into altered parameters
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*Thomas et al: Cosupplementation with coenzyme Q prevents the prooxidant effect of alpha-toco-
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terioscler Thromb Vasc Biol 1996 May;16(5):687-96
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of LOX-1-mediated ROS generation via the AMPK/PKC/NADPH oxidase signaling pathway. Mol
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*Witting et al: Anti-atherogenic effect of coenzyme Q10 in apolipoprotein E gene knockout mice. Free
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*Chithra & Leelamma: Hypolipidemic effect of coriander seeds (Coriandrum sativum): mechanism of
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*Dhanapakiam et al: The cholesterol lowering property of coriander seeds (Coriandrum sativum):
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*Ruel et al: Favourable impact of low-calorie cranberry juice consumption on plasma HDL-cholesterol
concentrations in men. Br J Nutr 2006 Aug;96(2):357-64
*Ruel et al: Low-calorie cranberry juice supplementation reduces plasma oxidized LDL and cell ad-
hesion molecule concentrations in men. Br J Nutr 2008 Feb;99(2):352-9
Curcumin (a potent part of the food spice Turmeric) has cholesterol-lowering prop-
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*Alwi et al: The effect of curcumin on lipid level in patients with acute coronary syndrome. Acta Med
Indones 2008 Oct;40(4):201-10
*Arafa: Curcumin attenuates diet-induced hypercholesterolemia in rats. Med Sci Monit 2005
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*Feng et al: Curcumin inhibits cholesterol uptake in Caco-2 cells by down-regulation of NPC1L1 ex-
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*Jang et al: Effects of curcumin for preventing restenosis in a hypercholesterolemic rabbit iliac artery
stent model. Catheter Cardiovasc Interv 2009 Nov 15;74(6):881-8
*Kang & Chen: Curcumin eliminates oxidized LDL roles in activating hepatic stellate cells by suppress-
ing gene expression of lectin-like oxidized LDL receptor-1. Lab Invest 2009 Nov;89(11):1275-90
*Kim & Kim: Hypocholesterolemic effects of curcumin via up-regulation of cholesterol 7a-hydroxylase
in rats fed a high fat diet. Nutr Res Pract 2010 Jun;4(3):191-5
*Lee et al: Curcumin inhibits TNFalpha-induced lectin-like oxidised LDL receptor-1 (LOX-1) expression
and suppresses the inflammatory response in human umbilical vein endothelial cells (HUVECs) by
an antioxidant mechanism. J Enzyme Inhib Med Chem 2010 Oct;25(5):720-9
*Liu & Hong: Effect of three different curcumin pigmens on the prdiferation of vascular smooth muscle
cells by ox-LDL and the expression of LDL-R. Zhongguo Zhong Yao Za Zhi 2006 Mar;31(6):500-3
*Mahfouz et al: Curcumin prevents the oxidation and lipid modification of LDL and its inhibition of
prostacyclin generation by endothelial cells in culture. Prostaglandins Other Lipid Mediat 2009
Nov;90(1-2):13-20
*Miquel et al: The curcuma antioxidants: pharmacological effects and prospects for future clinical use.
A review. Arch Gerontol Geriatr 2002 Feb;34(1):37-46
*Quiles et al: Curcuma longa extract supplementation reduces oxidative stress and attenuates aortic
fatty streak development in rabbits. Arterioscler Thromb Vasc Biol 2002 Jul 1;22(7):1225-31
*Ramírez-Tortosa et al: Oral administration of a turmeric extract inhibits LDL oxidation and has
hypocholesterolemic effects in rabbits with experimental atherosclerosis. Atherosclerosis 1999
Dec;147(2):371-8
*Soni & Kuttan: Effect of oral curcumin administration on serum peroxides and cholesterol levels in Cholesterol- (Lipid-)
human volunteers. Indian J Physiol Pharmacol 1992 Oct;36(4):273-5
*Verma & Mathuria: Curcumin ameliorates aflatoxin-induced lipid-peroxidation in liver and kidney of
mice. Acta Pol Pharm 2008 Mar-Apr;65(2):195-202
*Yuan et al: Curcumin inhibits cellular cholesterol accumulation by regulating SREBP-1/caveolin-1 sig-
naling pathway in vascular smooth muscle cells. Appl Environ Microbiol 2008 Jul;74(14):4564-6
Curcumin, Capsaicin (found in hot peppers), and Garlic keep cholesterol levels in
check.
*Ahuja et al: Effects of capsaicin, dihydrocapsaicin, and curcumin on copper-induced oxidation of hu-
man serum lipids. J Agric Food Chem 2006 Aug 23;54(17):6436-9
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*Ahuja & Ball: Effects of daily ingestion of chilli on serum lipoprotein oxidation in adult men and women.
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*Hussain and Chandrasekhara: Biliary proteins from hepatic bile of rats fed curcumin or capsaicin
inhibit cholesterol crystal nucleation in supersaturated model bile. Indian J Biochem Biophys 1994
Oct;31(5):407-12
*Kempaiah & Srinivasan: Antioxidant status of red blood cells and liver in hypercholesterolemic rats fed
hypolipidemic spices. Acta Pharmacol Sin 2007 Oct;28(10):1559-65
*Kempaiah & Srinivasan: Influence of dietary spices on the fluidity of erythrocytes in hypercholesterol-
aemic rats. Br J Nutr 2005 Jan;93(1):81-91
*Manjunatha & Srinivasan: Protective effect of dietary curcumin and capsaicin on induced oxidation
of low-density lipoprotein, iron-induced hepatotoxicity and carrageenan-induced inflammation in
experimental rats. J Agric Food Chem 2009 Aug 26;57(16):7401-8
*Manjunatha & Srinivasan: Hypolipidemic and antioxidant effects of dietary curcumin and capsaicin in
induced hypercholesterolemic rats. Life Sci 2001 Dec 7;70(3):253-67
*Naidu & Thippeswamy: Inhibition of human low density lipoprotein oxidation by active principles from
spices. Mol Cell Biochem 2002 Jan;229(1-2):19-23
*Rukkumani et al: Comparative effects of curcumin and its analog on alcohol- and polyunsaturated
fatty acid-induced alterations in circulatory lipid profiles. J Med Food 2005;8(2):256-60
Dandelion lowers lipid levels and prevents the formation of kidney and bladder
stones.
*Choi et al: Hypolipidemic and antioxidant effects of dandelion (Taraxacum officinale) root and leaf on
cholesterol-fed rabbits. Int J Mol Sci 2010;11(1):67-78
*Grases et al: Urolithiasis and phytotherapy. Int Urol Nephrol 1994;26(5):507-11
Dates, although high in natural sugars, do not have detrimental effects on blood
sugar or cholesterol levels.
*Rock et al: Effects of date (Phoenix dactylifera L, Medjool or Hallawi Variety) consumption by healthy
subjects on serum glucose and lipid levels and on serum oxidative status: a pilot study. J Agric
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Diet rich in fruit, vegetables, and fiber reduce abdominal fat as well as cholesterol
levels which significantly reduces the risk of coronary heart disease.
*Carluccio et al: Homocysteine induces VCAM-1 gene expression through NF-kappaB and NAD(P)H
oxidase activation: protective role of Mediterranean diet polyphenolic antioxidants. Chemosphere
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*Estruch et al: Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial.
Ann Intern Med 2006 Jul 4;145(1):1-11
*Fitó et al: Effect of a traditional Mediterranean diet on lipoprotein oxidation: a randomized controlled
trial. Arch Intern Med 2007 Jun 11;167(11):1195-203
*Jenkins et al: Effects of a dietary portfolio of cholesterol-lowering foods vs lovastatin on serum lipids
and C-reactive protein. JAMA 2003 Jul 23;290(4):502-10
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*Kim et al: Leafy vegetable mix supplementation improves lipid profiles and antioxidant status in
C57BL/6J mice fed a high fat and high cholesterol diet. J Med Food 2009 Aug;12(4):877-84
*Lapointe et al: Effects of dietary factors on oxidation of low-density lipoprotein particles. J Nutr Bio-
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*Martínez-González et al: Mediterranean diet and reduction in the risk of a first acute myocardial infarc-
tion: an operational healthy dietary score. Antiviral Res 2005 Apr;66(1):9-12
*Rimm et al: Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men.
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*Sasakabe et al: Effects of a moderate low-carbohydrate diet on preferential abdominal fat loss and
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Fiber (barley, flaxseed, oats, psyllium, konjac root) improves cholesterol levels, pre-
vents diabetes, and helps with weight loss.
*Anderson et al: Cholesterol-lowering effects of psyllium intake adjunctive to diet therapy in men and
women with hypercholesterolemia: meta-analysis of 8 controlled trials. Am J Clin Nutr 2000
Feb;71(2):472-9
*Anderson et al: Long-term cholesterol-lowering effects of psyllium as an adjunct to diet therapy in the
treatment of hypercholesterolemia. Clin J Sport Med 2009 Mar;19(2):115-9
*Arvill & Bodin: Effect of short-term ingestion of konjac glucomannan on serum cholesterol in healthy
men. Am J Clin Nutr 1995 Mar;61(3):585-9
*Berg et al: Effect of an oat bran enriched diet on the atherogenic lipid profile in patients with an in-
creased coronary heart disease risk. A controlled randomized lifestyle intervention study. Ann
Nutr Metab 2003;47(6):306-11
*Biörklund et al: Changes in serum lipids and postprandial glucose and insulin concentrations after
consumption of beverages with beta-glucans from oats or barley: a randomised dose-controlled
trial. Eur J Clin Nutr 2005 Nov;59(11):1272-81
*Butt et al: Oat: unique among the cereals. Eur J Nutr 2008 Mar;47(2):68-79
*Davy et al: High-fiber oat cereal compared with wheat cereal consumption favorably alters LDL-
cholesterol subclass and particle numbers in middle-aged and older men. Am J Clin Nutr 2002
Aug;76(2):351-8
*Delzenne & Cani: A place for dietary fibre in the management of the metabolic syndrome. Curr Opin
Clin Nutr Metab Care 2005 Nov;8(6):636-40
*Karmally et al: Cholesterol-lowering benefits of oat-containing cereal in Hispanic americans. J Am Diet
Assoc 2005 Jun;105(6):967-70 Cholesterol- (Lipid-)
*Pan et al: Meta-analysis of the effects of flaxseed interventions on blood lipids. Am J Clin Nutr 2009
Aug;90(2):288-97
*Queenan et al: Concentrated oat beta-glucan, a fermentable fiber, lowers serum cholesterol in hyper-
cholesterolemic adults in a randomized controlled trial. Nutr J 2007;6:6
*Reyna-Villasmil et al: Oat-derived beta-glucan significantly improves HDLC and diminishes LDLC and
non-HDL cholesterol in overweight individuals with mild hypercholesterolemia. Am J Ther 2007
Mar-Apr;14(2):203-12
*Romero et al: Cookies enriched with psyllium or oat bran lower plasma LDL cholesterol in normal
and hypercholesterolemic men from Northern Mexico. J Pharmacol Sci 2007 Aug;104(4):355-65
*Rondanelli et al: The biological activity of beta-glucans. Minerva Med 2009 Jun;100(3):237-45
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*Shimizu et al: Effect of high beta-glucan barley on serum cholesterol concentrations and visceral fat
area in Japanese men--a randomized, double-blinded, placebo-controlled trial. Plant Foods Hum
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*Talati et al: The effects of barley-derived soluble fiber on serum lipids. Ann Fam Med 2009
Mar-Apr;7(2):157-63
*Wolever et al: Physicochemical properties of oatβ-glucan influence its ability to reduce serum LDL
cholesterol in humans: a randomized clinical trial. Am J Clin Nutr 2010 Oct;92(4):723-32
Fish oil and Coconut fat taken during pregnancy prevents stress-induced changes
in early post-delivery development of the infant.
*Borsonelo et al: Supplementation with fish oil and coconut fat prevents prenatal stress-induced chan-
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Flaxseed reduces circulating total and LDL-cholesterol levels and with Pumpkin
seeds, protects the arteries and liver. Flaxseed is also more protective than soy
protein against increasing triglyceride levels and fatty liver.
*Bhathena et al: Dietary flaxseed meal is more protective than soy protein concentrate against hyper-
triglyceridemia and steatosis of the liver in an animal model of obesity. J Am Coll Nutr 2003
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*Makni et al: Hypolipidemic and hepatoprotective effects of flax and pumpkin seed mixture rich in
omega-3 and omega-6 fatty acids in hypercholesterolemic rats. Food Chem Toxicol 2008
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*Pan et al: Meta-analysis of the effects of flaxseed interventions on blood lipids. Am J Clin Nutr 2009
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*Yang et al: Flaxseed oil attenuates nonalcoholic fatty liver of hyperlipidemic hamsters. J Agric Food
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Folic acid (B9) prevents LDL oxidation. Do not take one B vitamin without a B-
complex as it will increase the likelihood of a deficiency in one or more of the other
B-family members.
*McEneny et al: Folate: in vitro and in vivo effects on VLDL and LDL oxidation. Int J Vitam Nutr Res
2007 Jan;77(1):66-72
Fruit-enriched diet lowers LDL-cholesterol levels better than a fruit-free diet and
helps the obese, with high cholesterol levels, lose weight.
lowering
*Crujeiras et al: A role for fruit content in energy-restricted diets in improving antioxidant status in
obese women during weight loss. Nutr 2006 Jun;22(6):593-9
*de Oliveira et al: Weight loss associated with a daily intake of three apples or three pears among
overweight women. Nutr 2003 Mar;19(3):253-6
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Grapes and Grapeseed extract have potent antioxidant effects that protect against
LDL oxidation and coronary artery disease in general. Buy only organic grapes
as non-organic grapes are high on the list of foods containing a good number of
pesticides.
*Chou et al: Effect of ingestion of purple grape juice on endothelial function in patients with coronary
heart disease. Am J Card 2001:88(5):553-555
*Day et al: Effect of concentrated red grape juice consumption on serum antioxidant capacity and low-
density lipoprotein oxidation. Ann Nutr Metab 1997:41:353-357
*Miyagi et al: Inhibition of human low-density lipoprotein oxidation by flavonoids in red wine and grape
juice. Am J Cardio 1997, Dec;80(12):1627-31
*O’Byrne et al: Comparison of the antioxidant effects of Concord grape juice flavonoids α-tocopherol
on markers of oxidative stress in healthy adults. Am J Clin Nutr 2002, Dec;76(6):1367-1374
*Park et al: Daily grape juice consumption reduces oxidative DNA damage and plasma free radical
Cholesterol- (Lipid-)
levels in healthy Koreans. Mut Res Fund Mol Mech Mutagen 2003, Aug;529(1-2):77-86
*Shafiee et al: Grape and grape seed extract capacities at protecting LDL against oxidation generated
by Cu2+, AAPH or SIN-1 and at decreasing superoxide THP-1 cell production. A comparison to
other extracts or compounds. Free Radic Res 2003 May;37(5):573-84
*Stein et al: Purple grape juice improves endothelial function and reduces the susceptibility of LDL
cholesterol to oxidation in patients with coronary artery disease. Circ 1999;100:1050-1055
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*Vinson et al: Red wine, dealcoholized red wine, and especially grape juice, inhibit atherosclerosis in a
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*Gorinstein et al: Red grapefruit positively influences serum triglyceride level in patients suffering
from coronary atherosclerosis: studies in vitro and in humans. J Agric Food Chem 2006 Mar
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Guggulipid (extract of guggul gum) inhibits LDL oxidation and lowers blood fats.
*Wang et al: The hypolipidemic natural product Commiphora mukul and its component guggulsterone
inhibit oxidative modification of LDL. Atheroscler 2004 Feb;172(2):239-46
Gymnema, an herb usually sold for improving blood sugar levels, also improves
serum cholesterol and triglyceride levels.
*Shigematsu et al: Effect of administration with the extract of Gymnema sylvestre R. Br leaves on lipid
metabolism in rats. Biol Pharm Bull 2001 Jun;24(6):713-7
Hawthorn and Kiwi fruit are superior to statins in lowering cholesterol levels and
without the side effects.
*Xu et al: A study of the comparative effects of hawthorn fruit compound and simvastatin on lowering
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High fructose corn syrup (HFCS) and Fructose are added to processed foods. They
significantly increase the risk factors for cardiovascular disease.
*Shahraki et al: Prevention of high fructose-induced metabolic syndrome in male wistar rats by aque-
ous extract of tamarindus indica seed. Acta Med Iran 2011 May;49(5):277-83
*Stanhope et al: Consumption of fructose and high fructose corn syrup increase postprandial triglycer-
ides, LDL-cholesterol, and apolipoprotein-B in young men and women. J Clin Endocrinol Metab
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Horehound, an herb noted for its lung-cleansing effects during colds, also has anti-
oxidant properties that prevent LDL oxidation.
*Martin-Nizard et al: Natural phenylpropanoids protect endothelial cells against oxidized LDL-induced
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Licorice root contains a substance called Glabridin which prevents LDL oxidation.
*Carmeli & Fogelman: Antioxidant effect of polyphenolic glabridin on LDL oxidation. Toxicol Ind Health
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Milk Thistle is an herb long-used to improve liver function and does not interact
with statins.
*Deng et al: Effect of silymarin supplement on the pharmacokinetics of rosuvastatin. Pharm Res 2008
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*Mehta et al: Effect of fruits of Moringa oleifera on the lipid profile of normal and hypercholesterolaemic
rabbits. J Ethnopharmacol 2003 Jun;86(2-3):191-5
Niacin (B3) but not Niacinamide raises HDL cholesterol while lowering phosphate
levels in dialysis patients.
*Harikrishnan et al: Efficacy and safety of combination of extended release niacin and atorvas-
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*Müller et al: Niacin lowers serum phosphate and increases HDL cholesterol in dialysis patients. Clin J
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*Philipp et al: Effect of niacin supplementation on fibrinogen levels in patients with peripheral vascular
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*Rosenson: Management of non-high-density lipoprotein abnormalities. Am J Chin Med
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*Sampathkumar: Niacin and analogs for phosphate control in dialysis--perspective from a developing
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*Tavintharan et al: Effects of niacin on cell adhesion and early atherogenesis: biochemical and func-
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*Taylor et al: The effect of 24 months of combination statin and extended-release niacin on carotid
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*Yang et al: Effect of niacin on adipocyte leptin in hypercholesterolemic rabbits. Cardiovasc Pathol
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*Zhang et al: Niacin inhibits surface expression of ATP synthase beta chain in HepG2 cells: implications
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Noni fruit, leaves, and root extracts help regulate cholesterol levels. The juice is
safe to take even at almost a litre a day.
*Mandukhail et al: Studies on antidyslipidemic effects of Morinda citrifolia (Noni) fruit, leaves and root
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*West et al: A double-blind clinical safety study of noni fruit juice. Pac Health Dialog 2009 Nov;15(2):21-32
Nuts (macadamias, pecans, pine nuts, pistachios) and Seeds (flaxseed, hempseed,
sesame) improve cholesterol levels.
*Aksoy et al: Pistachio intake increases high density lipoprotein levels and inhibits low-density lipopro-
tein oxidation in rats. Tohoku J Exp Med 2007 May;212(1):43-8
lowering
*Curb et al: Serum lipid effects of a high-monounsaturated fat diet based on macadamia nuts. Arch
Intern Med 2000 Apr 24;160(8):1154-8
*Garg et al: Macadamia nut consumption lowers plasma total and LDL cholesterol levels in hyper-
cholesterolemic men. J Nutr 2003 Apr;133(4):1060-3
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*Garg et al: Macadamia nut consumption modulates favourably risk factors for coronary artery disease
in hypercholesterolemic subjects. Lipids 2007 Jun;42(6):583-7
*Griel et al: A macadamia nut-rich diet reduces total and LDL-cholesterol in mildly hypercholesterol-
emic men and women. Basic Clin Pharmacol Toxicol 2009 Mar;104(3):206-10
*Hiraoka-Yamamoto et al: Serum lipid effects of a monounsaturated (palmitoleic) fatty acid-rich diet
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*Hudthagosol et al: Pecans acutely increase plasma postprandial antioxidant capacity and catechins
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*Lee et al: Selective increase in pinolenic acid (all-cis-5,9,12-18:3) in Korean pine nut oil by crystalliza-
tion and its effect on LDL-receptor activity. Lipids 2004 Apr;39(4):383-7
*Li et al: Regular consumption of nuts is associated with a lower risk of cardiovascular disease in
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*Mercanligil et al: Effects of hazelnut-enriched diet on plasma cholesterol and lipoprotein profiles in
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*Morgan & Clayshulte: Pecans lower low-density lipoprotein cholesterol in people with normal lipid
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*Pan et al: Meta-analysis of the effects of flaxseed interventions on blood lipids. Am J Clin Nutr 2009
Aug;90(2):288-97. Epub 2009 Jun 10
*Prociuk et al: Cholesterol-induced stimulation of platelet aggregation is prevented by a hempseed-
enriched diet. Can J Physiol Pharmacol 2008 Apr;86(4):153-9
*Sari et al: Effect of pistachio diet on lipid parameters, endothelial function, inflammation, and oxidative
status: a prospective study. Nutr 2009 Jul 30
*Sheridan et al: Pistachio nut consumption and serum lipid levels. J Am Coll Nutr 2007 Apr;26(2):141-8
*Visavadiya & Narasimhacharya: Sesame as a hypocholesteraemic and antioxidant dietary compon-
ent. Food Chem Toxicol 2008 Jun;46(6):1889-95
*Yen et al: Protective effect of pine (Pinus morrisonicola Hay.) needle on LDL oxidation and its anti-
inflammatory action by modulation of iNOS and COX-2 expression in LPS-stimulated RAW 264.7
macrophages. Food Chem Toxicol 2008 Jan;46(1):175-85
Oats contains beta-glucans which significantly lower LDL while improving HDL
cholesterol.
*Butt et al: Oat: unique among the cereals. Eur J Nutr 2008 Mar;47(2):68-79
*Chen et al: Avenanthramides and phenolic acids from oats are bioavailable and act synergistic-
ally with vitamin C to enhance hamster and human LDL resistance to oxidation. J Nutr 2004
Jun;134(6):1459-66
*Horn et al: Oats and soy in lipid-lowering diets for women with hypercholesterolemia: is there syn-
ergy? J Am Diet Assoc 2001 Nov;101(11):1319-25
*Karmally et al: Cholesterol-lowering benefits of oat-containing cereal in Hispanic americans. J Am Diet
Assoc 2005 Jun;105(6):967-70
*Queenan et al: Concentrated oat beta-glucan, a fermentable fiber, lowers serum cholesterol in hyper-
cholesterolemic adults in a randomized controlled trial. Nutr J 2007;6:6
*Reyna-Villasmil et al: Oat-derived beta-glucan significantly improves HDLC and diminishes LDLC and
non-HDL cholesterol in overweight individuals with mild hypercholesterolemia. Am J Ther 2007
Mar-Apr;14(2):203-12
*Wolever et al: Physicochemical properties of oatβ-glucan influence its ability to reduce serum LDL
cholesterol in humans: a randomized clinical trial. Am J Clin Nutr 2010 Oct;92(4):723-32
Oats and Amaranth help maintain good cholesterol levels. Cholesterol- (Lipid-)
*Czerwiński et al: Oat (Avena sativa L.) and amaranth (Amaranthus hypochondriacus) meals posi-
tively affect plasma lipid profile in rats fed cholesterol-containing diets. J Nutr Biochem 2004
Oct;15(10):622-9
Olive leaf and Olive oil help prevent arterial damage by reducing LDL oxidation
while increasing HDL levels. Hydroxytyrosol and Oleuropein are the antioxidants
found in good quality extra-virgin olive oils.
*Covas et al: Virgin olive oil phenolic compounds: binding to human low density lipoprotein (LDL) and
effect on LDL oxidation. Urology 2010 Aug;76(2 Suppl 1):S2-6
*Cullinen: Olive oil in the treatment of hypercholesterolemia. Med Health R I 2006 Mar;89(3):113
lowering
*El & Karakaya: Olive tree (Olea europaea) leaves: potential beneficial effects on human health. Nutr
Rev 2009 Nov;67(11):632-8
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Pamela Duff, RN, CSNC
*Fabiani et al: Oxidative DNA damage is prevented by extracts of olive oil, hydroxytyrosol, and other
olive phenolic compounds in human blood mononuclear cells and HL60 cells. J Nutr 2008
Aug;138(8):1411-6
*Gimeno et al: Changes in the phenolic content of low density lipoprotein after olive oil consumption in
men. A randomized crossover controlled trial. Br J Nutr 2007 Dec;98(6):1243-50
*Jemai et al: Lipid-lowering and antioxidant effects of hydroxytyrosol and its triacetylated derivative re-
covered from olive tree leaves in cholesterol-fed rats. J Agric Food Chem 2008 Apr 23;56(8):2630-6
*Masella et al: Extra virgin olive oil biophenols inhibit cell-mediated oxidation of LDL by increasing the
mRNA transcription of glutathione-related enzymes. J Nutr 2004 Apr;134(4):785-91
*Moreno et al: Effect of phenolic compounds of virgin olive oil on LDL oxidation resistance. Med Clin
(Barc) 2003 Feb 8;120(4):128-31
*Rietjens et al: New insights into controversies on the antioxidant potential of the olive oil antioxidant
hydroxytyrosol. J Agric Food Chem 2007 Sep 5;55(18):7609-14
*Turner et al: Antioxidant and anti-atherogenic activities of olive oil phenolics. Int J Vitam Nutr Res 2005
Jan;75(1):61-70
*Wang et al: The anti-atherosclerotic effect of olive leaf extract is related to suppressed inflammatory
response in rabbits with experimental atherosclerosis. Eur J Nutr 2008 Aug;47(5):235-43
Omega fatty acids (flax, pumpkin seeds, krill oil) have antioxidant effects.
*Bunea et al: Evaluation of the effects of Neptune Krill Oil on the clinical course of hyperlipidemia. Altern
Med Rev 2004 Dec;9(4):420-8
*Ferramosca et al: A krill oil supplemented diet reduces the activities of the mitochondrial tricarboxylate
carrier and of the cytosolic lipogenic enzymes in rats. J Anim Physiol Anim Nutr (Berl) 2011 Feb 25
*Garrido-Sánchez et al: Inverse relation between levels of anti-oxidized-LDL antibodies and eicosa-
pentanoic acid (EPA). Br J Nutr 2008 Sep;100(3):585-9
*Makni et al: Hypolipidemic and hepatoprotective effects of flax and pumpkin seed mixture rich in
omega-3 and omega-6 fatty acids in hypercholesterolemic rats. Food Chem Toxicol 2008
Dec;46(12):3714-20
*Zhu et al: Effects of krill oil on serum lipids of hyperlipidemic rats and human SW480 cells. Lipids
Health Dis 2008 Aug 29;7(1):30
Peanuts help regulate cholesterol levels. Eat only organically grown peanuts as
others often contain molds that cause other health issues.
*Lokko et al: Regular peanut consumption improves plasma lipid levels in healthy Ghanaians. Int J
Food Sci Nutr 2007 May;58(3):190-200
Cholesterol- (Lipid-)
*O’Byrne et al: Low fat-monounsaturated rich diets containing high-oleic peanuts improve serum lipo-
protein profiles. Lipids 1997 Jul;32(7):687-95
Phellodendron and Citrus peel improve blood pressure, cholesterol and blood sugar
levels.
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*Oben et al: Phellodendron and Citrus extracts benefit cardiovascular health in osteoarthritis patients:
a double-blind, placebo-controlled pilot study. Nutr J 2008;7:16
Pineapple leaf extract has cholesterol-controlling effects similar to statins but does
not have the side effects attributed to statin drugs.
*Xie et al: Hypolipidemic mechanisms of Ananas comosus L. leaves in mice: different from fibrates but
similar to statins. J Pharmacol Sci 2007 Mar;103(3):267-74
*Xie et al: The effects of Ananas comosus L. leaves on diabetic-dyslipidemic rats induced by alloxan
and a high-fat/high-cholesterol diet. Am J Chin Med 2005;33(1):95-105
Plant Sterols are cholesterol-like compounds found in vegetable oils, nuts, and leg-
umes. Alone, they are required by every cell membrane. Together with Sytrinol (a
citrus bioflavonoid combination), plant sterols are notably more effective in regulat-
ing cholesterol levels.
*Abumweis et al: Plant sterols/stanols as cholesterol lowering agents: A meta-analysis of randomized
controlled trials. Food Nutr Res 2008;52. doi: 10.3402/fnr.v52i0.1811
*de Jong et al: Effects of long-term plant sterol or stanol ester consumption on lipid and lipoprotein
metabolism in subjects on statin treatment. Br J Nutr 2008 Nov;100(5):937-41
*English: New Dietary Supplement Shows Dramatic Effects in Lowering Cholesterol, LDL, and Trigly-
cerides. Nutr Rev online from Life Extension November 2004 issue.
*Ferretti et al: Effect of phytosterols on copper lipid peroxidation of human low-density lipoproteins.
Nutr 2009 Oct 6
*Jenkins et al: Effects of a dietary portfolio of cholesterol-lowering foods vs lovastatin on serum lipids
and C-reactive protein. JAMA 2003 Jul 23;290(4):502-10
*Murray, 2009:146-147
*Racette et al: Dose effects of dietary phytosterols on cholesterol metabolism: a controlled feeding
study. Am J Clin Nutr 2010 Jan;91(1):32-8
Probiotics help medications function better and assist in manufacturing some of the
nutrients lost by the medications, especially some of the B vitamins.
283
Pamela Duff, RN, CSNC
*Ataie-Jafari et al: Cholesterol-lowering effect of probiotic yogurt in comparison with ordinary yogurt in
mildly to moderately hypercholesterolemic subjects. Ann Nutr Metab 2009;54(1):22-7
*Kullisaar et al: Antioxidative probiotic fermented goats’ milk decreases oxidative stress-mediated
atherogenicity in human subjects. Br J Nutr 2003 Aug;90(2):449-56
*Zvenigorodskaia et al: Advisability of using probiotics in the treatment of atherogenic dyslipidemia.
Eksp Klin Gastroenterol 2011(2):37-43
Psyllium has significant effect in lowering LDL cholesterol in both men and women.
*Anderson et al: Long-term cholesterol-lowering effects of psyllium as an adjunct to diet therapy in the
treatment of hypercholesterolemia. Clin J Sport Med 2009 Mar;19(2):115-9
*Anderson et al: Cholesterol-lowering effects of psyllium intake adjunctive to diet therapy in men and
women with hypercholesterolemia: meta-analysis of 8 controlled trials. Am J Clin Nutr 2000
Feb;71(2):472-9
*Schwesinger et al: Soluble dietary fiber protects against cholesterol gallstone formation. Am J Surg
1999 Apr;177(4):307-10
*Trautwein et al: Psyllium, not pectin or guar gum, alters lipoprotein and biliary bile acid composition
and fecal sterol excretion in the hamster. Lipids 1998 Jun;33(6):573-82
Psyllium and Oat Bran is an effective combination for lowering LDL cholesterol.
*Romero et al: Cookies enriched with psyllium or oat bran lower plasma LDL cholesterol in normal
and hypercholesterolemic men from Northern Mexico. J Pharmacol Sci 2007 Aug;104(4):355-65
Red Yeast Rice (produced from fermented rice with an added yeast, Monascus pur-
purus, which gives it a reddish hue) is proving to be more effective than statins and
much safer – even for children with high cholesterol. RYR has strong antioxidant
activity and suppresses the development of fat cells.
*Becker et al: Simvastatin vs therapeutic lifestyle changes and supplements: randomized primary
prevention trial. Mayo Clin Proc 2008 Jul;83(7):758-64
*Becker et al: Red yeast rice for dyslipidemia in statin-intolerant patients: a randomized trial. Ann Intern
Med 2009 Jun 16;150(12):830-9, W147-9
*Bianchi et al: Extracts of Monascusus purpureus beyond statins--profile of efficacy and safety of the
lowering
*Halbert et al: Tolerability of red yeast rice (2,400 mg twice daily) versus pravastatin (20 mg twice daily)
in patients with previous statin intolerance. Am J Cardiol 2010 Jan 15;105(2):198-204
*Heber et al: Cholesterol-lowering effects of a proprietary Chinese red-yeast-rice dietary supplement.
Am J Clin Nutr 1999 Feb;69(2):231-6
*Hong et al: Chinese red yeast rice versus lovastatin effects on prostate cancer cells with and without
androgen receptor overexpression. J Med Food 2008 Dec ;11(4):657-66
*Jeon et al: Red yeast rice extracts suppress adipogenesis by down-regulating adipogenic transcrip-
tion factors and gene expression in 3T3-L1 cells. Life Sci 2004 Nov 12;75(26):3195-203
284
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*Lee et al: Red mold rice ameliorates impairment of memory and learning ability in intracerebroven-
tricular amyloid beta-infused rat by repressing amyloid beta accumulation. Antiviral Res 2008
Feb;77(2):153-6
*Li et al: Xuezhikang, an extract of cholestin, decreases plasma inflammatory markers and endothel-
in-1, improve exercise-induced ischemia and subjective feelings in patients with cardiac syndrome
X. Int J Cardiol 2007 Oct 31;122(1):82-4
*Li et al: Effects of xuezhikang, an extract of cholestin, on lipid profile and C-reactive protein: a short-
term time course study in patients with stable angina. Clin Chim Acta 2005 Feb;352(1-2):217-24
*Lin et al: Cholestin (Monascus purpureus rice) inhibits homocysteine-induced reactive oxygen spe-
cies generation, nuclear factor-kappaB activation, and vascular cell adhesion molecule-1 expres-
sion in human aortic endothelial cells. J Biomed Sci 2008 Mar;15(2):183-96
*Lu et al: Effect of Xuezhikang, an extract from red yeast Chinese rice, on coronary events in a Chinese
population with previous myocardial infarction. Am J Cardiol 2008 Jun 15;101(12):1689-93
*Wang et al: Effect of red mold rice on antifatigue and exercise-related changes in lipid peroxidation in
endurance exercise. Appl Microbiol Biotechnol 2006 Mar;70(2):247-53
*Wei et al: Effect of Monascus purpureus-fermented rice on lipidemia and fatty liver in quail. Res Com-
mun Mol Pathol Pharmacol 2006;119(1-6):67-75
*Wei et al: Effect of Monascus purpureus-fermented rice on lipidemia and fatty liver in quail. Adv Exp
Med Biol. 1996;403:607-13
*Yu et al: Safety and mutagenicity evaluation of nanoparticulate red mold rice. J Agric Food Chem
2008;56(22):11038–48
Red Yeast Rice and Omega-3 have similar actions to statins but much safer.
*Ong & Cheah: Statin alternatives or just placebo: an objective review of omega-3, red yeast rice and
garlic in cardiovascular therapeutics. Chin Med J (Engl) 2008 Aug 20;121(16):1588-94
Red Yeast Rice, Berberine and Policosanol lower lipid levels and increase insulin
sensitivity in those with high cholesterol.
*Affuso et al: Effects of a nutraceutical combination (berberine, red yeast rice and policosanols) on lipid
levels and endothelial function randomized, double-blind, placebo-controlled study. Nutr Metab
Cardiovasc Dis 2009 Aug 19
Red Yeast Rice and Nattokinase (but not nattokinase alone) have potent effects on
blood lipid levels.
*Yang et al: Combined nattokinase with red yeast rice but not nattokinase alone has potent effects on
blood lipids in human subjects with hyperlipidemia. Asia Pac J Clin Nutr 2009;18(3):310-7
Resveratrol (found in grape skins) is a potent antioxidant that protects LDL choles-
terol from oxidation.
*Belguendouz et al: Resveratrol inhibits metal ion-dependent and independent peroxidation of porcine Cholesterol- (Lipid-)
low-density lipoproteins. Biochem Pharmacol 1997 May 9;53(9):1347-55
*Belguendouz et al: Interaction of transresveratrol with plasma lipoproteins. Biochem Pharmacol 1998
Mar 15;55(6):811-6
*Berrougui et al: A new insight into resveratrol as an atheroprotective compound: inhibition of lipid
peroxidation and enhancement of cholesterol efflux. Atheroscl 2009 Dec;207(2):420-7
*Chang et al: Resveratrol attenuates oxidized LDL-evoked Lox-1 signaling and consequently protects
against apoptotic insults to cerebrovascular endothelial cells. J Cereb Blood Flow Metab 2011
Mar;31(3):842-54
*Lin et al: Resveratrol protects against oxidized LDL-induced breakage of the blood-brain barrier by
lessening disruption of tight junctions and apoptotic insults to mouse cerebrovascular endothelial
lowering
285
Pamela Duff, RN, CSNC
*Ou et al: Resveratrol, a polyphenolic compound in red wine, protects against oxidized LDL-induced
cytotoxicity in endothelial cells. Clin Chim Acta 2006 Feb;364(1-2):196-204
Vitamin C (ascorbate forms are best) protects smooth muscle cells against death
from oxidation.
*Pancorbo et al: Vitamin C-lipid metabolites: uptake and retention and effect on plasma C-reactive
protein and oxidized LDL levels in healthy volunteers. Med Sci Monit 2008 Nov;14(11):CR547-51
*Siow et al: Vitamin C protects human vascular smooth muscle cells against apoptosis induced by
moderately oxidized LDL containing high levels of lipid hydroperoxides. Arterioscler Thromb Vasc
Biol 1999 Oct;19(10):2387-94
Vitamin E (tocopherols) decreases LDL oxidation – but only the natural d-form and
not the synthetic dl-form. Tocotrienols are similar in structure to Vitamin E toco-
pherols. Both are powerful antioxidants that help lower triglyceride levels. The best
vitamin E supplement is one that contains all 4 tocopherols and 4 tocotrienols.
lowering
286
Circulation
(Used to treat intermittent claudication/peripheral artery disease)
Common examples:
pentoxifylline – Flexital, Pentox, Pentoxil, Trental
cilostazol – Pletal
ticlopidine – Ticlid
Deplete: E
Suggested alternatives:
Antioxidants (A [carotenoids], C, E), along with Fiber and Omega fatty acids and
no smoking, prevent intermittent claudication.
*Törnwall et al: High intakes of antioxidant vitamins may be protective against intermittent claudication.
Am J Epidemiol 2000 May;151(9):892-901
*Wang et al: Effects of supervised treadmill walking training on calf muscle capillarization in patients
with intermittent claudication. Angiol 2009 Feb-Mar;60(1):36-41
287
Pamela Duff, RN, CSNC
Black currant and Orange juices improve peripheral artery disease and thus circu-
lation. Likely the reason vitamin E did not respond as well in this study is because
they only used 15 mg.
*Dalgård et al: Supplementation with orange and blackcurrant juice, but not vitamin E, improves
inflammatory markers in patients with peripheral arterial disease. Br J Nutr 2009 Jan;101(2):263-9
Ginkgo biloba improves circulation, which is why it often works to improve memory.
*Blume et al: Placebo-controlled double-blind study of the effectiveness of Ginkgo biloba special ex-
tract EGb 761 in trained patients with intermittent claudication. Vasa 1996;25(3):265-74
*Peters et al: A proprietary ginkgo biloba extract is safe and effective in the treatment of patients with
intermittent claudication. J Nutr 2008 Feb;138(2):332-7
Grapes help prevent coronary artery disease. Buy only organic grapes as non-
organic grapes are #7 on the list of foods that are highest in pesticides which are
known carcinogens.
*Fitzpatrick et al: Endothelium-dependent vasorelaxing activity of wine and other grape products. Am
J Physiol 1993 Aug;265(2 Pt 2):H774-8
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
Japanese Apricots improve blood flow and inhibit the development of cardiovascu-
lar disease.
*Chuda et al: Mumefural, citric acid derivative improving blood fluidity from fruit-juice concentrate of
Japanese apricot (Prunus mume Sieb. et Zucc). J Agric Food Chem 1999 Mar;47(3):828-31
*Kim et al: Prunus mume extract ameliorates exercise-induced fatigue in trained rats. J Med Food
2008 Sep;11(3):460-8
*Utsunomiya et al: Fruit-juice concentrate of Asian plum inhibits growth signals of vascular smooth
muscle cells induced by angiotensin II. Life Sci 2002 Dec 27;72(6):659-67
Noni fruit improves the growth of new blood vessels, thereby increasing blood flow
which results in better cognitive function and a decrease in the risk of ischemic at-
tacks (strokes).
288
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Gilani et al: Antispasmodic and vasodilator activities of Morinda citrifolia root extract are mediated
through blockade of voltage dependent calcium channels. BMC Complement Altern Med 2010
Jan 13;10(1):2
*Hornick et al: Inhibition of angiogenic initiation and disruption of newly established human vascular
networks by juice from Morinda citrifolia (noni). Angiog 6(2):143-149
*Ma et al: Evaluation of the ergogenic potential of noni juice. Phyto Res 2007 Nov;21(11):1100-1101
*Muto et al: Morinda citrifolia fruit reduces stress-induced impairment of cognitive function accompan-
ied by vasculature improvement in mice. Physiol Behav 2010 Sep 1;101(2):211-7
*Samoylenko et al: New constituents from noni (Morinda citrifolia) fruit juice. J Agric Food Chem
2006;54(17):6398-6402
*West et al: A double-blind clinical safety study of noni fruit juice. Pac Health Dialog 2009 Nov;15(2):21-32
Omega fatty acids help protect the arteries from developing peripheral disorders
involving circulation.
*Leng et al: A combination of GLA and EPA may have therapeutic value in peripheral arterial disease.
Clin Nutr 1998 Dec;17(6):265-71
*Madden et al: Fish oil induced increase in walking distance, but not ankle brachial pressure index, in
peripheral arterial disease is dependent on both body mass index and inflammatory genotype.
Prostaglan Leukot Ess Fat Acids 2007 Jun;76(6):331-40
289
Diabetes
(Used to control blood sugar levels)
Common examples:
Sulfonylureas
acetohexamide – Dymelor
chlorpropamide – Diabinese and others
glimepiride – Amaryl
glipizide – Glucotrol
glyburide – DiaBeta, Glynase, Micronase and others
tolazamide – Tolinase
tolbutamide – Apo-Tolbutamide, Novo-Butamide
Others
diazoxide – Proglycem
exenatide – Byetta
Insulins – Humulin, Humalog, Novolin, PenFill and others
metformin – Glucophage, Glumetza, Fortamet and others
metformin combinations – Actoplus Met, Avandamet, GlucoVance and
others
miglitol – Glyset
nateglinide – Starlix
pioglitazone – Actos
repaglinide – Prandin
rosiglitazone – Avandia
Deplete:
B1, B3, B6, B9, B12, magnesium, glucosamine, CoQ10, DHEA
´´Hyperglycemic herbs (increase blood sugar levels): Celery seed, Gotu kola,
Rosemary
´´Hypoglycemic herbs (reduce blood sugar levels): Alfalfa, Aloe vera, Banaba,
Bilberry leaves, Bitter melon, Burdock root, Cinnamon, Curcumin, Dandelion
Diabetes
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291
Pamela Duff, RN, CSNC
*Bowker et al: Increased cancer-related mortality for patients with type 2 diabetes who use sulfonylureas
or insulin. Diabet Care 2006 Feb;29(2):254-8
*Pantalone et al: The risk of developing coronary artery disease or congestive heart failure, and
overall mortality, in type 2 diabetic patients receiving rosiglitazone, pioglitazone, metformin, or
sulfonylureas: a retrospective analysis. Acta Diabetol 2009 Jun;46(2):145-54
´´Metformin, in particular, depletes the body of B12 (and the intrinsic factor
needed to absorb it) along with folic acid (B9), and CoQ10 (also needed by
the heart) (Cass 2007:45). Deficiencies of B12 and B9 increase the risk of
certain anemias and raise homocysteine levels which lead to heart disease.
Metformin, Glyburide and Sulphonylureas increase the risk of cardiovascular
mortality and hypothyroidism.
*Berger: Incidence of severe sideeffects during therapy with sulfonylureas and biguanides. Horm
Metab Res Suppl 1985;15:111-5
*Campbell: Metformin and the sulphonylureas: the comparative risk. Horm Metab Res Suppl
1985;15:105-11
*Fisman et al: Oral antidiabetic treatment in patients with coronary disease: time-related increased
mortality on combined glyburide/metformin therapy over a 7.7-year follow-up. Clin Cardiol 2001
Feb;24(2):151-8
*Fisman et al: Antihyperglycemic treatment in diabetics with coronary disease: increased metformin-
associated mortality over a 5-year follow-up. Cardiol 1999;91(3):195-202
*Jatwa & Kar: Amelioration of metformin-induced hypothyroidism by Withania somnifera and Bauhinia
purpurea extracts in Type 2 diabetic mice. Phytother Res 2009 Aug;23(8):1140-5
*Olsson et al: Increased mortality in Type II diabetic patients using sulphonylurea and metformin in
combination: a population-based observational study. Diabetologia 2000 May;43(5):558-60
*Quaile et al: Toxicity and toxicokinetics of metformin in rats. Toxicol Appl Pharmacol 2010 Jan 11
*Vella et al: The use of metformin in type 1 diabetes: a systematic review of efficacy. Diabetologia 2010
Jan 8
´´Microwave cooked Carrots (as an example of just one food) increases blood
glucose and insulin levels; reduces the feeling of being full; and depletes the
vitamin A (beta carotene) content as opposed to raw food.
*Gustafsson et al: Influence of processing and cooking of carrots in mixed meals on satiety, glucose
and hormonal response. Int J Food Sci Nutr 1995 Feb;46(1):3-12
´´Neuropathy is often a painful side effect of diabetes and made worse by other
causes including gluten sensitivity and the antibiotic isoniazid.
*Bushara: Neurologic presentation of celiac disease. Gastroenterol 2005 Apr;128(4 Suppl 1):S92-7
*Hadjivassiliou et al: Neuropathy associated with gluten sensitivity. Free Radic Biol Med 2010 Mar
15;48(6):831-838
*Hadjivassiliou et al: Sensory ganglionopathy due to gluten sensitivity. Neurology 2010 Sep
14;75(11):1003-8
*Steichen et al: Isoniazid induced neuropathy: consider prevention. Rev Mal Res 2006 Apr;23(2 Pt
1):157-60
292
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Lee et al: Low dose organochlorine pesticides and polychlorinated biphenyls predict obesity,
dyslipidemia, and insulin resistance among people free of diabetes. PLoS One 2011;6(1):e15977
*Lee et al: Association of organochlorine pesticides with peripheral neuropathy in patients with diabetes
or impaired fasting glucose. Diabetes 2008 Nov;57(11):3108-11
Suggested alternatives:
*Gray & Flatt: Pancreatic and extra-pancreatic effects of the traditional anti-diabetic plant, Medicago
sativa (lucerne). Br J Nutr 1997 Aug;78(2):325-34
*Swanston-Flatt et al: Traditional plant treatments for diabetes. Studies in normal and streptozotocin
diabetic mice. Diabetologia 1990 Aug;33(8):462-4
293
Pamela Duff, RN, CSNC
Aloe vera reduces blood sugar levels and increases the healing of burns as well as
diabetic ulcers (in combination with other ingredients). Mepentol Leche is a milky
emulsion consisting of hyperoxygenated fatty acids, aloe vera and a Mimosa bark.
*Ghannam et al: The antidiabetic activity of aloes: preliminary clinical and experimental observations.
Horm Res 1986;24(4):288-94
*Sánchez et al: Prevention of vascular ulcers and diabetic foot. Non-randomized open clinical evalua-
tion on the effectiveness of “Mepentol Leche”. Rev Enferm 2006 Oct;29(10):25-30
*Somboonwong et al: Therapeutic effects of Aloe vera on cutaneous microcirculation and wound heal-
ing in second degree burn model in rats. J Med Assoc Thai 2000 Apr;83(4):417-25
Aloe, Sea buckthorn, and Turmeric have significant wound-healing abilities for
chronic diabetic ulcers.
*Gupta et al: A poly-herbal formulation accelerates normal and impaired diabetic wound healing.
Wound Repair Regen 2008 Nov-Dec;16(6):784-90
Alpha-linolenic acid (an essential fatty acid found in plant-based oils) helps lower
blood pressure while increasing insulin sensitivity.
*Ogawa et al: Dietary alpha-linolenic acid inhibits angiotensin-converting enzyme activity and mRNA
expression levels in the aorta of spontaneously hypertensive rats. J Oleo Sci 2009;58(7):355-60
Alpha-lipoic acid reduces blood pressure and increases insulin sensitivity. It is also
effective in treating diabetic neuropathy and reducing risk of cardiovascular events
in diabetics. The R form appears to be more bioavailable to the body than the typical
L-form.
*Bureković et al: The role of alpha-lipoic acid in diabetic polyneuropathy treatment. Bosn J Basic Med
Sci 2008 Nov;8(4):341-5
*Liu et al: Curative effect of alpha-lipoic acid on peripheral neuropathy in type 2 diabetes: a clinical
study. Zhonghua Yi Xue Za Zhi 2007 Oct 16;87(38):2706-9
*Masharani et al: Effects of controlled-release alpha lipoic acid in lean, nondiabetic patients with poly-
cystic ovary syndrome. J Diabetes Sci Technol 2010 Mar;4(2):359-64
*Mittermayer et al: Treatment with alpha-lipoic acid reduces asymmetric dimethylarginine in patients
with type 2 diabetes mellitus. Transl Res 2010 Jan;155(1):6-9
*Streeper et al: Differential effects of lipoic acid stereoisomers on glucose metabolism in insulin-resist-
ant skeletal muscle. Am J Physiol 1997 Jul;273(1Pt1):E185-91
*Thirunavukkarasu et al: Lipoic acid attenuates hypertension and improves insulin sensitivity, kallikrein
activity and nitrite levels in high fructose-fed rats. J Comp Physiol B 2004 Nov;174(8):587-92
Alpha-lipoic acid and GLA (gamma-linolenic acid) improves all forms of neuropathy.
*Ranieri et al: The use of alpha-lipoic acid (ALA), gamma linolenic acid (GLA) and rehabilitation in the
treatment of back pain: effect on health-related quality of life. Int J Immunopathol Pharmacol 2009
Jul-Sep;22(3 Suppl):45-50
Diabetes
294
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Beltramo et al: Effects of thiamine and benfotiamine on intracellular glucose metabolism and rel-
evance in the prevention of diabetic complications. Acta Diabetol 2008 Sep;45(3):131-41
*Du et al: Oral benfotiamine plus alpha-lipoic acid normalises complication-causing pathways in type
1 diabetes. Diabetologia 2008 Oct;51(10):1930-2
*Du et al: Oral benfotiamine plus alpha-lipoic acid normalises complication-causing pathways in type
1 diabetes. Mol Nutr Food Res 2010 Jan;54(1):7-16
*Stirban et al: Benfotiamine prevents macro- and microvascular endothelial dysfunction and oxidative
stress following a meal rich in advanced glycation end products in individuals with type 2 diabetes.
Diabetes Care 2006 Sep;29(9):2064-71
Amaranth is an ancient grain that corrects blood sugar levels and prevents diabetic
complications.
*Kim et al: Antioxidative and anti-diabetic effects of amaranth (Amaranthus esculantus) in streptozoto-
cin-induced diabetic rats. Cell Biochem Funct 2006 May-Jun;24(3):195-9
Apples, as opposed to many other fruits, improve blood sugar and fat levels. It is
advisable to use only organically grown apples as the chemicals used to grow non-
organic apples significantly increase cancer risks. Apples are #1 on the pesticide list.
*Apples worst for pesticides on produce list. CBC News, Jun 14, 2011
*Barbosa et al: Varietal influences on antihyperglycemia properties of freshly harvested apples using in
vitro assay models. J Med Food 2010 Dec;13(6):1313-23
*DeNoon: Apples Are Top Food With Most Pesticides: ‘Dirty Dozen’ List Reveals Fruits/Veggies With
Most Pesticides. WebMD Health News June 13, 2011
*Sánchez et al: Highly methoxylated pectin improves insulin resistance and other cardiometabolic risk
factors in Zucker fatty rats. J Agric Food Chem 2008 May 28;56(10):3574-81
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
Arginine, Methionine, and NAC (N-acetyl-cysteine) are all amino acids that have
several beneficial effects for obese diabetics.
*Cestaro: Effects of arginine, S-adenosylmethionine and polyamines on nerve regeneration. J Appl
Physiol 2008 Jun;104(6):1727-35
*Fisman et al: The nitric oxide pathway: is L-arginine a gate to the new millennium medicine? A meta-
analysis of L-arginine effects. J Med 1999;30(3-4):131-48
*Fu et al: Dietary L-arginine supplementation reduces fat mass in Zucker diabetic fatty rats. J Nutr 2005
Apr;135(4):714-21
*Lucotti et al: Beneficial effects of a long-term oral L-arginine treatment added to a hypocaloric diet
and exercise training program in obese, insulin-resistant type 2 diabetic patients. Am J Physiol
Endocrinol Metab 2006 Nov;291(5):E906-12
*McConell: Effects of L-arginine supplementation on exercise metabolism. Curr Opin Clin Nutr Metab
Care 2007 Jan;10(1):46-51
*Martina et al: Long-term N-acetylcysteine and L-arginine administration reduces endothelial activa-
tion and systolic blood pressure in hypertensive patients with type 2 diabetes. Diabet Care 2008
May;31(5):940-4
*Monti et al: Beneficial role of L-arginine in cardiac matrix remodelling in insulin resistant rats. Eur J Clin
Invest 2008 Nov;38(11):849-56
*Piatti et al: Long-term oral L-arginine administration improves peripheral and hepatic insulin sensitivity
Diabetes
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Artemisia princeps is an herb that is superior to the drug rosiglitazone for improv-
ing the function of fats in diabetics.
*Jung et al: Antilipogenic and hypolipidemic effects of ethanol extracts from two variants of Artemisia
princeps Pampanini in obese diabetic mice. J Med Food 2009 Dec;12(6):1238-44
*Jung et al: The anti-diabetic effects of ethanol extract from two variants of Artemisia princeps Pam-
panini in C57BL/KsJ-db/db mice. Food Chem Toxicol 2007 Oct;45(10):2022-29
*Kang et al: Eupatilin, isolated from Artemisia princeps Pampanini, enhances hepatic glucose metab-
olism and pancreatic beta-cell function in type 2 diabetic mice. Diabet Res Clin Pract 2008
Oct;82(1):25-32
*Yamamoto et al: Anti-obesity and anti-diabetic effects of ethanol extract of Artemisia princeps in
C57BL/6 mice fed a high-fat diet. Food Funct 2011 Jan;2(1):45-52
Ashwaganda is an herb often used to support the stress organs (adrenal glands)
which can also significantly improve insulin sensitivity.
*Anwer et al: Effect of Withania somnifera on insulin sensitivity in non-insulin-dependent diabetes mel-
litus rats. Basic Clin Pharmacol Toxicol 2008 Jun;102(6):498-503
Astragalus is an adaptogenic herb that strengthens the immune system which can
help decrease insulin resistance and glucose intolerance. Plus, it has anti-aging ef-
fects and decreases the autoimmune destruction of pancreatic cells in diabetics.
*Astragalus. U Maryland Medical Center online
*Chan et al: Antihyperglycemic and antioxidative effects of a herbal formulation of Radix Astrag-
ali, Radix Codonopsis and Cortex Lycii in a mouse model of type 2 diabetes mellitus. Clin Exp
Immunol 2009 Apr;156(1):78-87
*Hsu & Chiang: Stimulating effects of Bacillus subtilis natto-fermented Radix astragali on hyaluronic
acid production in human skin cells. J Ethnopharmacol 2009 Jul 17
*Lau et al: Radix astragali and Radix rehmanniae, the principal components of two antidiabetic foot ul-
cer herbal formulae, elicit viability-promoting effects on primary fibroblasts cultured from diabetic
foot ulcer tissues. Phytother Res 2009 Jun;23(6):809-15
*Lei et al: Anti-aging effect of astragalosides and its mechanism of action. Acta Pharmacol Sin 2003
Diabetes
Mar;24(3):230-4
*Li et al: Effect of Astragalus polysaccharide on pancreatic cell mass in type 1 diabetic mice. Zhong-
guo Zhong Yao Za Zhi 2007 Oct;32(20):2169-73
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*Wang et al: HDTIC-1 and HDTIC-2, two compounds extracted from Astragali Radix, delay replicative
senescence of human diploid fibroblasts. Mech Ageing Dev 2003 Dec;124(10-12):1025-34
*Wang et al: Two isomers of HDTIC isolated from Astragali Radix decrease the expression of p16 in
2BS cells. Chin Med J (Engl) 2008 Feb 5;121(3):231-5
*Wang et al: The two isomers of HDTIC compounds from Astragali Radix slow down telomere short-
ening rate via attenuating oxidative stress and increasing DNA repair ability in human fetal lung
diploid fibroblast cells. DNA Cell Biol 2010 Jan;29(1):33-9
*Xu et al: Selective elevation of adiponectin production by the natural compounds derived from a
medicinal herb alleviates insulin resistance and glucose intolerance in obese mice. Endocrin 2009
Feb;150(2):625-33
Astragalus, Dang shen (similar to Panax ginseng), and Lychee have antidiabetic and
antioxidant properties.
*Chan et al: Antihyperglycemic and antioxidative effects of a herbal formulation of Radix Astrag-
ali, Radix Codonopsis and Cortex Lycii in a mouse model of type 2 diabetes mellitus. Clin Exp
Immunol 2009 Apr;156(1):78-87
Avocado seed oil has blood sugar-lowering effects while the flesh effectively contrib-
utes to wound healing when applied to diabetic ulcers.
*Edem et al: Effect of aqueous extracts of alligator pear seed (Persea americana mill) on blood glu-
cose and histopathology of pancreas in alloxan-induced diabetic rats. Transplantation 2007 Jul
27;84(2):173-9
*Nayak et al: Wound healing activity of Persea americana (avocado) fruit: a preclinical study on rats. J
Wound Care 2008 Mar;17(3):123-6
Bamboo extract may prevent fat cells from increasing in those with type 2 diabetes.
*Panee et al: A novel function of bamboo extract in relieving lipotoxicity. Phytother Res 2008
May;22(5):675-80
Banana starch, root, fruit, flowers, and leaves have anti-diabetic effects with the
starch helping the obese to lose weight.
*Adewoye et al: Anti-oxidant and anti-hyperglycemic activities of musa sapientum root extracts in
alloxan-induced diabetic rats. J Med Chem 2010 Oct 28;53(20):7365-76
*Ble-Castillo et al: Effects of native banana starch supplementation on body weight and insulin sensi-
tivity in obese type 2 diabetics. Int J Environ Res Public Health 2010 May;7(5):1953-62
*Dhanabal et al: Hypoglycemic effect of ethanolic extract of Musa sapientum on alloxan induced dia-
betes mellitus in rats and its relation with antioxidant potential. J Nutr 2010 Aug;140(8):1462-8
*Kaimal et al: Hypolipidaemic and antioxidant effects of fruits of Musa AAA (Chenkadali) in alloxan
induced diabetic rats. Indian J Exp Biol 2010 Feb;48(2):165-73
*Pari & Umamaheswari: Antihyperglycaemic activity of Musa sapientum flowers: effect on lipid peroxi-
dation in alloxan diabetic rats. Water Res 2002 Sep;36(15):3821-33
*Pérez-Pérez et al: Antioxidant capacity of crude extracts from clones of banana and plane species. J
Med Food 2006;9(4):517-23
*Thakorlal et al: Resistant starch in Micronesian banana cultivars offers health benefits. Pac Health
Dialog 2010 Apr;16(1):49-59
*Umamaheswari et al: Antihyperglycaemic activity of Musa sapientum flowers: effect on lipid peroxida-
Diabetes
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Pamela Duff, RN, CSNC
*Ohkawa et al: Three new anti-oxidative saponarin analogs from young green barley leaves. Chem
Pharm Biol 1998;46:1887-90
*Yu et al: Effects of young barley leaf extract and antioxidative vitamins on LDL oxidation and free rad-
ical scavenging activities in type 2 diabetes. Diabetes Metab 2002;28:1262
Berberine, alone or with Cinnamon, Kudzu, Red Yeast Rice, or Policosanol, has
potent anti-diabetic properties with benefical effects on fat metabolism that are bet-
ter than the drug metformin. Berberine-containing plants include Barberry, Golden-
seal, Goldenthread, and Oregon grape which are also strong anti-microbials.
*Affuso et al: Effects of a nutraceutical combination (berberine, red yeast rice and policosanols) on lipid
levels and endothelial function randomized, double-blind, placebo-controlled study. Nutr Metab
Cardiovasc Dis 2009 Aug 19
*Akilen et al: Glycated haemoglobin and blood pressure-lowering effect of cinnamon in multi-ethnic
Type 2 diabetic patients in the UK: a randomized, placebo-controlled, double-blind clinical trial.
Photochem Photobiol 2004 Nov-Dec;80(3):579-82
*Chen et al: Berberine improves free-fatty-acid-induced insulin resistance in L6 myotubes through in-
hibiting peroxisome proliferator-activated receptor gamma and fatty acid transferase expressions.
Metabol 2009 Dec;58(12):1694-702
*Gao et al: Of berberine and puerarin on dexamethesone-induced insulin resistance in porcine ovarian
thecal cells. Zhongguo Zhong Xi Yi Jie He Za Zhi 2009 Jul;29(7):623-7
*Gao et al: Effect of berberine on expression of hepatocyte nuclear factor-4alpha in rats with fructose-
induced insulin resistance. Toxicol Appl Pharmacol 2006 Oct 1;216(1):11-9
*Hao et al: Amelioration effects of berberine on diabetic microendothelial injury model by the combina-
tion of high glucose and advanced glycation end products in vitro. Eur J Pharmacol 2011 Jan 13
*Kong et al: Berberine reduces insulin resistance through protein kinase C-dependent up-regulation of
insulin receptor expression. Metabol 2009 Jan;58(1):109-19
*Liu et al: Berberine modulates insulin signaling transduction in insulin-resistant cells. Mol Cell Endo-
crinol 2010 Apr 12;317(1-2):148-53
*Lu et al: Berberine promotes glucagon-like peptide-1 (7-36) amide secretion in streptozotocin-in-
duced diabetic rats. J Endocrinol 2009 Feb;200(2):159-65
*Yin et al: Efficacy of berberine in patients with type 2 diabetes mellitus. Metabol 2008 May;57(5):712-7
*Zhang et al: Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing
insulin receptor expression. Evid Based Complement Alternat Med 2009 Oct 6
*Zhang et al: Anti-diabetic effects of cinnamaldehyde and berberine and their impacts on retinol-
binding protein 4 expression in rats with type 2 diabetes mellitus. Chin Med J (Engl) 2008 Nov
5;121(21):2124-8
*Zhou et al: Protective effect of berberine on beta cells in streptozotocin- and high-carbohydrate/high-
fat diet-induced diabetic rats. Eur J Pharmacol 2009 Mar 15;606(1-3):262-8
Berries contain anthocyanins which reduce abdominal fat and help prevent meta-
Diabetes
bolic syndrome which refers to a group of risk factors that lead to coronary artery
disease, stroke, and type 2 diabetes. (A.D.A.M. Medical Encyclopedia; PubMed)
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*Tsuda: Regulation of adipocyte function by anthocyanins; possibility of preventing the metabolic syn-
drome. J Agric Food Chem 2008 Feb 13;56(3):642-6
Beta glucans are polysaccharides derived from oats, mushrooms, or yeasts. They
are safe and effectively used to prevent various diseases including diabetes. They
also posses wound-healing properties.
*Akramiene et al: Effects of beta-glucans on the immune system. Medicina (Kaunas) 2007;43(8):597-606
*Babineau et al: A phase II multicenter, double-blind, randomized, placebo-controlled study of three
dosages of an immunomodulator (PGG-glucan) in high-risk surgical patients. Arch Surg 1994
Nov;129(11):1204-10
*Babineau et al: Randomized phase I/II trial of a macrophage-specific immunomodu-lator (PGG-glu-
can) in high-risk surgical patients. Ann Surg 1994 Nov;220(5):601-9
*de Felippe et al: Infection prevention in patients with severe multiple trauma with the immunomodula-
tor beta 1-3 polyglucose (glucan). Surg Gyne Obst 1993;177(4):383-88
*Hong et al: Anti-diabetic effect of an alpha-glucan from fruit body of maitake (Grifola frondosa) on KK-
Ay mice. J Pharm Pharmacol 2007 Apr;59(4):575-82
*Hooda et al: Dietary oat beta-glucan reduces peak net glucose flux and insulin production and modu-
lates plasma incretin in portal-vein catheterized grower pigs. J Nutr 2010 Sep;140(9):1564-9
*Hu et al: Antihyperglycemic effect of polysaccharide from fermented broth of Pleurotus citrinopileatus.
Antivir Ther 2008;13(2):253-62
*Leibovich & Danon: Promotion of wound repair in mice by application of glucan. J Reticuloendo Soc
1980;27:1-11
*Rondanelli et al: The biological activity of beta-glucans. Minerva Med 2009 Jun;100(3):237-45
*Wakame: Protective effects of active hexose correlated compound (AHCC) on the onset of diabetes
in the rat. Biomed Res 1999;145-52
Bitter melon is superior to rosiglitazone in controlling blood sugar levels. Both Bit-
ter Melon and Maitake mushrooms possess alpha-glucosidase inhibitors.
*Higashino et al: Hypoglycemic effects of Siamese Momordica charantia and Phyllanthus urinaria ex-
tracts in streptozotocin-induced diabetic rats (the 1st report). Nippon Yakurigaku Zasshi 1992
Nov;100(5):415-21
*Huang et al: Bitter melon (Momordica charantia L.) inhibits adipocyte hypertrophy and down regu-
lates lipogenic gene expression in adipose tissue of diet-induced obese rats. Br J Nutr 2008
Feb;99(2):230-9
*Inayat-ur-Rahman et al: Serum sialic acid changes in non-insulin-dependant diabetes mellitus (NID-
DM) patients following bitter melon (Momordica charantia) and rosiglitazone (Avandia) treatment.
Phytomed 2009 May;16(5):401-5
*Kumar et al: Fruit extracts of Momordica charantia potentiate glucose uptake and up-regulate Glut-4,
PPAR gamma and PI3K. Ann N Y Acad Sci 2006 Nov;1084:391-401
*Matsuur et al: Alpha-glucosidase inhibitor from the seeds of balsam pear (Momordica charantia) and
the fruit bodies of Grifola frondosa. Biosci Biotechnol Biochem 2002 Jul;66(7):1576-8
*Shih et al: Effects of Momordica charantia on insulin resistance and visceral obesity in mice on high-
Diabetes
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Pamela Duff, RN, CSNC
*Singh & Gupta: Regeneration of beta cells in islets of Langerhans of pancreas of alloxan diabetic
rats by acetone extract of Momordica charantia (Linn.) (bitter gourd) fruits. Indian J Exp Biol 2007
Dec;45(12):1055-62
Black cumin seed, Myrrh, Boswellia (Frankincense), Asafoetida, and Aloe have
blood sugar-lowering properties.
*Al-Awadi et al: The effect of a plants mixture extract on liver gluconeogenesis in streptozotocin in-
duced diabetic rats. Diabetes Res 1991 Dec;18(4):163-8
*Kavitha et al: Hypoglycemic and other related effects of Boswellia glabra in alloxan-induced diabetic
rats. Indian J Physiol Pharmacol 2007 Jan-Mar;51(1):29-39
Calamus plants prove to scientists their traditional use for diabetes control.
*Si et al: Insulin releasing and alpha-glucosidase inhibitory activity of ethyl acetate fraction of Acorus
calamus in vitro and in vivo. J Ethnopharmacol 2010 Jan 4
*Wu et al: Insulin sensitizing activity of ethyl acetate fraction of Acorus calamus L. in vitro and in vivo. J
Ethnopharmacol 2009 Jun 22;123(2):288-92
Calendula is a safe and effective healing herb for venus leg ulcers.
*Duran et al: Results of the clinical examination of an ointment with marigold (Calendula officinalis)
extract in the treatment of venous leg ulcers. Int J Tissue React 2005;27(3):101-6
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Carnitine (made in the body from the amino acids lysine and methionine) lowers
cholesterol in diabetics better than simvastatin and reduces painful neuropathy.
*Ghelardini et al: Acetyl-l-carnitine induces muscarinic antinocieption in mice and rats. Neuropharma
2002 Dec;43(7):1180-7
*Solfrizzi et al: Efficacy and tolerability of combined treatment with L-carnitine and simvastatin in
lowering lipoprotein(a) serum levels in patients with type 2 diabetes mellitus. Atheroscler 2006
Oct;188(2):455-61
Citrus fruits reduce oxidative stress that contributes to diabetes and thyroid
irregularities.
*Parmar & Kar: Medicinal values of fruit peels from Citrus sinensis, Punica granatum, and Musa para-
disiaca with respect to alterations in tissue lipid peroxidation and serum concentration of glucose,
insulin, and thyroid hormones. J Med Food 2008 Jun;11(2):376-81
*Ramful et al: Citrus fruit extracts reduce Advanced Glycation End Products (AGEs)- and H2O2-in-
duced oxidative stress in human adipocytes. J Agric Food Chem 2010 Sep 30
Clove has potent insulin-like activity. Clove, Jamaican allspice and Cinnamon ex-
ibited the most effective results out of the 24 herbs and spices tested.
*Dearlove et al: Inhibition of protein glycation by extracts of culinary herbs and spices. J Med Food
2008 Jun;11(2):275-81
*Prasad et al: An extract of Syzygium aromaticum represses genes encoding hepatic gluconeogenic
enzymes. J Ethnopharmacol 2005 Jan 4;96(1-2):295-301
Coconut oil has a long history of traditional use for healing wounds and burns.
*Sachs et al: Wound management with coconut oil in Indonesian folk medicine. Chirurg 2002
Apr;73(4):387-92
*Srivastava & Durgaprasad: Burn wound healing property of Cocos nucifera: An appraisal. Indian J
Pharmacol 2008 Aug;40(4):144-6
Cornsilk has long been used as a diuretic but it also has blood-sugar-lowering
properites.
*Guo et al: The effects of corn silk on glycaemic metabolism. Nutr Metab (Lond) 2009 Nov 23;6:47
Creatine has long been used by body builders but it is a supplement that is safely
taken for overall improvement in muscle quality for the diabetic, those on hemodialy-
Diabetes
sis or suffering from dystrophies, the aged as well as the athlete. It enhances muscle
endurance and reduces muscle cramping but it also improves insulin sensitivity.
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Cumin seed is more effective than glibenclamide for blood sugar control.
*Dhandapani et al: Hypolipidemic effect of Cuminum cyminum L. on alloxan-induced diabetic rats.
Pharmacol Res 2002 Sep;46(3):251-5
Dates, although high in natural sugars, do not have detrimental effects on blood
sugar or cholesterol levels.
*Rock et al: Effects of date (Phoenix dactylifera L, Medjool or Hallawi Variety) consumption by healthy
subjects on serum glucose and lipid levels and on serum oxidative status: a pilot study. J Agric
Food Chem 2009 Sep 9;57(17):8010-7
Diet low in carbohydrates reduces abdominal fat and adverse changes in blood lipids
especially in diabetics.
*Sasakabset al: Effects of a moderate low-carbohydrate diet on preferential abdominal fat loss and
cardiovascular risk factors in patients with type 2 diabetes. Diab Metab Syndr Obes 2011 ;4:167-74
Eggplant inhibits key enzymes associated with the development of diabetes and
hypertension.
*Kwon et al: In vitro studies of eggplant (Solanum melongena) phenolics as inhibitors of key enzymes
relevant for type 2 diabetes and hypertension. Bioresour Technol 2008 May;99(8):2981-8
Fish Oil and Moroccan Argan oil display insulin resistance and glucose intolerance.
*Samane et al: Fish oil and argan oil intake differently modulate insulin resistance and glucose intoler-
ance in a rat model of dietary-induced obesity. Metabol 2009 Jul;58(7):909-19
Fructose consumption increases risk of diabetes. The small amounts found in fresh
fruits and vegetables are not necessarily the problem. It is the commercially-made
fructose added to processed foods, especially HFCS (high fructose corn syrup), that
becomes a significant liability for diabetics and non-diabetics alike. It is on the list
Diabetes
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*Shahraki et al: Prevention of high fructose-induced metabolic syndrome in male wistar rats by aque-
ous extract of tamarindus indica seed. Acta Med Iran 2011 May;49(5):277-83
*Stanhope & Havel: Fructose consumption: potential mechanisms for its effects to increase visceral
adiposity and induce dyslipidemia and insulin resistance. Curr Opin Lipidol 2008 Feb;19(1):16-24
*Suzuki: Programmed to be Fat. CBC Nature of Things aired January 12, 2012
Fruit and Vegetable consumption reduces AGEs (advanced glycation end products)
which lead to various age-related diseases including cardiovascular, cataracts, dia-
betes, and Alzheimer’s. They also protect against cancer cell formation.
*Pashikanti et al: Rutin metabolites: novel inhibitors of nonoxidative advanced glycation end products.
Free Radic Biol Med 2009 Dec 4
*Platt et al: Fruits and vegetables protect against the genotoxicity of heterocyclic aromatic amines
activated by human xenobiotic-metabolizing enzymes expressed in immortal mammalian cells.
Mutat Res 2010 Aug 14
*Ramful et al: Citrus Fruit Extracts Reduce Advanced Glycation End Products (AGEs)- and H(2)O(2)-
Induced Oxidative Stress in Human Adipocytes. J Agric Food Chem 2010 Sep 30
Grape pumace (waste product of the wine industry) has anti-inflammatory and anti-
hyperglycemic effects.
*Hogan et al: Effects of grape pomace antioxidant extract on oxidative stress and inflammation in diet
induced obese mice. J Agric Food Chem 2010 Oct 7
*Hogan et al: Antioxidant rich grape pomace extract suppresses postprandial hyperglycemia in dia-
betic mice by specifically inhibiting alpha-glucosidase. Nutr Metab (Lond) 2010;7:71
*Cheng et al: Effect of guava (Psidium guajava L.) leaf extract on glucose uptake in rat hepatocytes. J
Food Sci 2009 Jun;74(5):H132-8
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High fiber, low sodium, low fat diet is superior to metoprolol (Blood Pressure) in
hypertensive type 2 diabetics.
*Pacy et al: Comparison of the hypotensive and metabolic effects of metoprolol therapy with a high
fibre, low sodium, low fat diet in hypertensive type 2 diabetic subjects. Diabetes Res 1984
Nov;1(4):201-7
Honey is safe and effective for healing diabetic foot ulcers but use only Manuka
honey or a raw unpasteurized honey. The average “grocery store honey” does not
have any healing components.
*Abdelatif et al: Safety and efficacy of a new honey ointment on diabetic foot ulcers: a prospective pilot
study. J Wound Care 2008 Mar;17(3):108-10
*Al-Waili et al: Honey and Microbial Infections: A Review Supporting the Use of Honey for Microbial
Control. J Med Food 2011 Aug 22
*Alandejani et al: Effectiveness of honey on Staphylococcus aureus and Pseudomonas aeruginosa
biofilms. Otolaryngol Head Neck Surg 2009 Jul;141(1):114-8
*Eyarefe et al: Small bowel responses to enteral honey and glutamine administration following massive
small bowel resection in rabbit. Afr J Med Med Sci 2008 Dec;37(4):309-14
*Gethin & Cowman: Manuka honey vs. hydrogel--a prospective, open label, multicentre, randomised
controlled trial to compare desloughing efficacy and healing outcomes in venous ulcers. J Clin
Nurs 2009 Feb;18(3):466-74
*Gollu et al: Effect of honey on intestinal morphology, intraabdominal adhesions and anastomotic heal-
ing. Phytother Res 2008 Sep;22(9):1243-7
*Hon: Using honey to heal a chronic wound in a patient with epidermolysis bullosa. Br J Nurs 2005
Oct 27;14(19 Suppl):S4-S12
*Khoo et al: Wound contraction effects and antibacterial properties of Tualang honey on full-thickness
burn wounds in rats in comparison to hydrofibre. BMC Complement Altern Med 2010;10:48
*Louis: Don’t Waste Your Money and Risk Your Health with “funny honey” Illegally Imported From
China. NaturalNews Nov 11, 2011
*Natarajan et al: Healing of an MRSA-colonized, hydroxyurea-induced leg ulcer with honey. J Derma-
tolog Treat 2001 Mar;12(1):33-6
*Subrahmanyam: Honey dressing versus boiled potato peel in the treatment of burns: a prospective
randomized study. Burns 1996 Sep;22(6):491-3
*van den Berg et al: An in vitro examination of the antioxidant and anti-inflammatory properties of
buckwheat honey. Br J Pharmacol 2009 Jul;157(5):844-53
*Visavadia et al: Manuka honey dressing: An effective treatment for chronic wound infections. Br J Oral
Maxillofac Surg 2008 Jan;46(1):55-6
Inositol (B8) deficiency and high blood sugar levels are found in those with POS
(polycystic ovary syndrome). With inositol supplementation, blood sugar levels were
reduced and ovary function improved. A good food source of inositol is found in
Diabetes
buckwheat.
*Nestler et al: Ovulatory and metabolic effects of D-chiro-inositol in the polycystic ovary syndrome. N
Engl J Med 1999 Apr 29;340(17):1314-20
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Lignans from Flaxseed improve type 2 diabetic conditions and conditions involving
the kidneys.
*Cornish et al: A randomized controlled trial of the effects of flaxseed lignan complex on metabol-
ic syndrome composite score and bone mineral in older adults. Appl Physiol Nutr Metab 2009
Apr;34(2):89-98
*Pan et al: Effects of a flaxseed-derived lignan supplement in type 2 diabetic patients: a randomized,
double-blind, cross-over trial. PLoS One 2007 Nov 7;2(11):e1148
*Velasquez et al: Dietary flaxseed meal reduces proteinuria and ameliorates nephropathy in an animal
model of type II diabetes mellitus. Kidney Int 2003 Dec;64(6):2100-7
*Lo et al: The anti-hyperglycemic activity of the fruiting body of Cordyceps in diabetic rats induced by
nicotinamide and streptozotocin. Eur Child Adolesc Psych 2006 Sep;15(6):329-35
305
Pamela Duff, RN, CSNC
Noni fruit is a safe remedy for improving glucose function; protecting the liver; and
preventing neural damage. The leaves increase wound-healing.
*Au et al: Morinda citrifolia fruit juice augments insulin action in Sprague-Dawley rats with experiment-
ally induced diabetes. Nig Quart J Hosp Med 2008;18(3):162-5
*Chan-Blancoa et al: The noni fruit (Morinda citrifolia L.): A review of agricultural research, nutritional
and therapeutic properties. J Food Comp Anal 2006 Sept-Nov:19(6-7):645-654
*Dixon et al: Ferment this: The transformation of Noni, a traditional polynesian medicine (Morinda Cit-
rifolia, Rubiaceae). Econ Bot 53(1):51-68
*Harada et al: Morinda citrifolia fruit juice prevents ischemic neuronal damage through suppression of
the development of post-ischemic glucose intolerance. J Nat Med 2010 Oct;64(4):468-73
*McClatchey: From Polynesian healers to health food stores: Changing perspectives of Morinda citri-
folia (Rubiaceae). Integ Canc Ther 2002 June;1(2):110-120
*Nayak et al: Hypoglycemic and hepatoprotective activity of fermented fruit juice of Morinda citrifolia
(Noni) in diabetic rats. Evid Base Comple Alter Med 2011;2011:875293
*Nayak et al: Evaluation of the wound-healing activity of ethanolic extract of Morinda citrifolia L. leaf.
Evid Based Complement Alternat Med 2009 Sep;6(3):351-6
*Nerurkar et al: Regulation of glucose metabolism via hepatic forkhead transcription factor 1 (FoxO1)
by Morinda citrifolia (noni) in high-fat diet-induced obese mice. Br J Nutr 2011 Oct 20:1-11
*Palu et al: Wound healing effects of noni (Morinda citrifolia L.) leaves: a mechanism involving its
PDGF/A2A receptor ligand binding and promotion of wound closure. Phytother Res 2010
Oct;24(10):1437-41
*Potterat & Hamburger: Morinda citrifolia (Noni) Fruit - Phytochemistry, Pharmacology, Safety. Planta
Med 2007;73(3):191-199
*West et al: A double-blind clinical safety study of noni fruit juice. Pac Health Dialog 2009 Nov;15(2):21-32
Oats is one of only a few grains that have therapeutic effects for diabetics mainly be-
cause it contains Beta glucans which are polysaccharides derived from oats, mush-
Diabetes
rooms or yeasts. Beta glucans are valuable in controlling diabetes and cholesterol as
well as for Cancer and the immune system as a whole.
*Butt et al: Oat: unique among the cereals. Eur J Nutr 2008 Mar;47(2):68-79
306
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Rondanelli et al: The biological activity of beta-glucans. Minerva Med 2009 Jun;100(3):237-45
*Tapola et al: Glycemic responses of oat bran products in type 2 diabetic patients. Nutr Metab Cardio-
vasc Dis 2005 Aug;15(4):255-61
Olive leaf and Olive oil are superior to glibenclamide in helping with painful
neuropathy.
*Eidi et al: Antidiabetic effect of Olea europaea L. in normal and diabetic rats. Phytother Res. 2009
Mar;23(3):347-50 and Br J Nutr 2007 Oct;98(4):720-6
*El & Karakaya: Olive tree (Olea europaea) leaves: potential beneficial effects on human health. Nutr
Rev 2009 Nov;67(11):632-8
*Jemai et al: Antidiabetic and antioxidant effects of hydroxytyrosol and oleuropein from olive leaves in
alloxan-diabetic rats. J Agric Food Chem 2009 Oct14;57(19):8798-804
*Kaeidi et al: Olive (Olea europaea L.) leaf extract attenuates early diabetic neuropathic pain through
prevention of high glucose-induced apoptosis: In vitro and in vivo studies. J Ethnopharma 2011
Apr 22
*Rigacci et al: Oleuropein aglycon prevents cytotoxic amyloid aggregation of human amylin. J Nutr
Biochem 2009 Jul 17
*Rafferty et al: In vitro and in vivo effects of natural putative secretagogues of glucagon-like peptide-1
(GLP-1). Sci Pharm 2011 Sep ;79(3):615-621
Phellodendron and Citrus peel improve blood pressure, cholesterol and blood sugar
levels.
*Oben et al: Phellodendron and Citrus extracts benefit cardiovascular health in osteoarthritis patients:
a double-blind, placebo-controlled pilot study. Nutr J 2008;7:16
307
Pamela Duff, RN, CSNC
*Hwang et al: AMP-activated protein kinase: a potential target for the diseases prevention by natural
occurring polyphenols. N Biotechnol 2009 Oct 1;26(1-2):17-22
Red Yeast Rice significantly lowers all-cause mortality in type 2 diabetics with
heart disease.
*Zhao et al: Xuezhikang, an extract of cholestin, reduces cardiovascular events in type 2 diabetes
patients with coronary heart disease: subgroup analysis of patients with type 2 diabetes from
China coronary secondary prevention study (CCSPS). Nan Fang Yi Ke Da Xue Xue Bao 2010
Aug;30(8):1874-6
308
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Stevia is an herb that is some 200 times sweeter than table sugar. It possesses
anti-diabetic, antioxidant, antiviral effects. Stevia improves beta-cell function and
prevents diabetes-associated kidney changes that often occur with artificial sweet-
eners. Although it can have some effect on blood sugar levels (any sweetener can),
it does not cause the potential health hazards associated with artificial sweeteners.
*Chang et al: Increase of insulin sensitivity by stevioside in fructose-rich chow-fed rats. J Neuroimmunol
2009 Feb 15;207(1-2):111-6
*Chen et al: Stevioside improves pancreatic beta-cell function during glucotoxicity via regulation of
acetyl-CoA carboxylase. Am J Physiol Endocrinol Metab 2007 Jun;292(6):E1906-16
*Chen et al: Stevioside counteracts the glyburide-induced desensitization of the pancreatic beta-cell
function in mice: studies in vitro. Metabol 2006 Dec;55(12):1674-80
*Chen et al: Mechanism of the hypoglycemic effect of stevioside, a glycoside of Stevia rebaudiana.
Planta Med 2005 Feb;71(2):108-13
*Curi et al: Effect of Stevia rebaudiana on glucose tolerance in normal adult humans. Biol Pharm Bull
2002 Nov;25(11):1488-90
*Dyrskog et al: Preventive effects of a soy-based diet supplemented with stevioside on the develop-
ment of the metabolic syndrome and type 2 diabetes in Zucker diabetic fatty rats. Metabol 2005
Sep;54(9):1181-8
*Gregersen et al: Antihyperglycemic effects of stevioside in type 2 diabetic subjects. Metabol 2004
Jan;53(1):73-6
*Guens: Stevioside. Phytochem 2003 Nov;64(5):913-21
*Jeppesen et al: Antihyperglycemic and blood pressure-reducing effects of stevioside in the diabetic
Goto-Kakizaki rat. Metabol 2003 Mar;52(3):372-8
*Jeppesen et al: Stevioside induces antihyperglycaemic, insulinotropic and glucagonostatic effects in
vivo: studies in the diabetic Goto-Kakizaki (GK) rats. Phytomed 2002 Jan;9(1):9-14
*Jeppesen et al: Stevioside acts directly on pancreatic beta cells to secrete insulin: actions independ-
ent of cyclic adenosine monophosphate and adenosine triphosphate-sensitive K+-channel activ-
ity. Metabol 2000 Feb;49(2):208-14
*Kujur et al: Antidiabetic activity and phytochemical screening of crude extract of Stevia rebaudiana in
Diabetes
309
Pamela Duff, RN, CSNC
*Ozbayer et al: Effects of Stevia rebaudiana (Bertoni) extract and N-nitro-l-arginine on renal function
and ultrastructure of kidney cells in experimental type 2 diabetes. J Med Food 2011 Jun 11
*Shukla et al: Antioxidant ability and total phenolic content of aqueous leaf extract of Stevia rebaudiana
Bert. Exp Toxicol Pathol 2011 Mar 4
Tart Cherries reduce oxidative stress and several other abnormalities associated
with diabetes.
*Connolly et al: Efficacy of a tart cherry juice blend in preventing the symptoms of muscle damage. J
Nat Prod 2003 Feb;66(2):263-8
*Seymour et al: Altered hyperlipidemia, hepatic steatosis, and hepatic peroxisome proliferator-activat-
ed receptors in rats with intake of tart cherry. J Med Food 2008 Jun;11(2):252-9
*Traustadóttir et al: Tart cherry juice decreases oxidative stress in healthy older men and women. J
Nutr 2009 Oct;139(10):1896-900
Vitamin B12 proves to be better than the drug nortriptyline in treating diabetic
neuropathy.
*Talaei et al: Vitamin B12 may be more effective than nortriptyline in improving painful diabetic neurop-
athy. Atheroscler 2005 Jul;181(1):131-5
Vitamin C plus a daily intake of fresh fruit and vegetables lower the risk of diabetes.
*Harding et al: Plasma vitamin C level, fruit and vegetable consumption, and the risk of new-onset type
2 diabetes mellitus: the European prospective investigation of cancer - Norfolk prospective study.
Arch Intern Med 2008 Jul 28;168(14):1493-9
310
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Diabetes
311
Diuretics
(Used to treat water retention [edema], heart failure,
and prenatal hypertension [preeclampsia])
Common examples:
Loop
bumetanide – Bumex and others
furosemide – Lasix and others
torsemide – Demadex
Osmotics
mannitol – Osmitrol, Resectisol
urea – Ureaphil
Potassium-sparing
amiloride – Midamor
spironolactone – Aldactone, Novo-spiroton
triamterene – Maxzide, Dyazide, Dyrenium
Thiazides
chlorothiazide – Diuril
chlorthalidone – Hygroton, Thalitone, Uridon and others
hydrochlorothiazide (HCTZ) – Microzide and others
indapamide – Lozide, Lozol
metolazone – Zaroxolyn
Others
acetazolamide – Acetazolam and others
Deplete:
A, B1, B2, B3, B6, B9, C, D, calcium, chloride, iron, magnesium,
potassium, sodium, zinc, CoQ10
*Boger-Megiddo et al: Myocardial infarction and stroke associated with diuretic based two drug
antihypertensive regimens: population based case-control study. BMJ 2010;340:c103
312
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Shibata et al: Do calcium channel blockers increase the diagnosis of heart failure in patients with
hypertension? Am J Cardiol 2010 Jul 15;106(2):228-35
´´Loop Diurectics decrease bone density thereby increasing the risk of fractures.
*Rejnmark et al: Fracture risk in patients treated with loop diuretics. J Intern Med 2006 Jan;259(1):117-
24
*Rejnmark et al: Loop diuretics increase bone turnover and decrease BMD in osteopenic
postmenopausal women: results from randomized controlled study with bumetanide. J Bone Min
Res 2006 Jan;21(1):163-70
Suggested alternatives:
Arginine (an amino acid) is a safe and efficient treatment for preeclampsia, improv-
ing fetal growth and increasing endurance in heart failure patients.
*Altun et al: Effects of oral L-arginine supplementation on blood pressure and asymmetric dimethylarginine
in stress-induced preeclamptic rats. Cell Biochem Funct 2008 Sep-Oct;26(5):648-53
*Doutreleau et al: Chronic L-arginine supplementation enhances endurance exercise tolerance in heart
failure patients. Int J Sports Med 2006 Jul;27(7):567-72
*Facchinetti et al: L-arginine supplementation in patients with gestational hypertension: a pilot study.
Hypertens Pregn 2007;26(1):121-30
*Fisman et al: The nitric oxide pathway: is L-arginine a gate to the new millennium medicine? A meta-
analysis of L-arginine effects. J Med 1999;30(3-4):131-48
*Neri et al: Effect of L-arginine on blood pressure in pregnancy-induced hypertension: a randomized
placebo-controlled trial. J Matern Fetal Neonatal Med 2006 May;19(5):277-81
*Neri et al: Effects of acute L-arginine infusion on non-stress test in hypertensive pregnant women. J
Matern Fetal Neonatal Med 2004 Jul;16(1):23-6
*Rytlewski et al: Effects of prolonged oral supplementation with l-arginine on blood pressure and nitric
oxide synthesis in preeclampsia. Eur J Clin Invest 2005 Jan;35(1):32-7
*Zhang et al: Effect and mechanism of L-arginine therapy for fetal growth retardation due to pregnancy-
induced hypertension. Nan Fang Yi Ke Da Xue Xue Bao 2007 Feb;27(2):198-200
patients with chronic heart failure. Chin J Integr Med 2005 Sep;11(3):187-90
*Zhou et al: Study on effect of Astragalus injection in treating congestive heart failure. Zhongguo Zhong
Xi Yi Jie He Za Zhi 2001 Oct;21(10):747-9
313
Pamela Duff, RN, CSNC
Buckwheat herb tea improves leg edema in those with chronic venous insufficiency.
*Ihme et al: Leg oedema protection from a buckwheat herb tea in patients with chronic venous
insufficiency: a single-centre, randomised, double-blind, placebo-controlled clinical trial. Eur J
Clin Pharmacol 1996;50(6):443-7
Carnitine (an amino acid), alone or with CoQ10, is a vital treatment for heart failure.
*Kobayashi et al: L-carnitine treatment for congestive heart failure--experimental and clinical study. Jpn
Circ J 1992 Jan;56(1):86-94
*Kumar et al: Effect of carni Q-gel (ubiquinol and carnitine) on cytokines in patients with heart failure in
the Tishcon study. Acta Cardiol 2007 Aug;62(4):349-54
Chlorella (sea algae) reduces the risk of anemia, proteinuria and edema in pregnant
women.
*Nakano et al: Chlorella pyrenoidosa supplementation reduces the risk of anemia, proteinuria and
edema in pregnant women. Plant Foods Hum Nutr 2010 Mar;65(1):25-30
CoQ10 is a vital nutrient for heart health, especially congestive heart failure.
*Adarsh et al: Coenzyme Q10 (CoQ10) in isolated diastolic heart failure in hypertrophic cardiomyopathy
(HCM). Biofact 2008;32(1-4):145-9
*Baggio et al: Italian multicenter study on the safety and efficacy of coenzyme Q10 as adjunctive
therapy in heart failure (interim analysis). The CoQ10 Drug Surveillance Investigators. Forsch
Komplementarmed Klass Naturheilkd 2005 Apr;12(2):77-83
*Baggio et al: Italian multicenter study on the safety and efficacy of coenzyme Q10 as adjunctive therapy
in heart failure. CoQ10 Drug Surveillance Investigators. Mol Aspects Med 1994;15 Suppl:s287-94
*Berman et al: Coenzyme Q10 in patients with end-stage heart failure awaiting cardiac transplantation:
a randomized, placebo-controlled study. Clin Cardiol 2004 May;27(5):295-9
*Langsjoen & Langsjoen: Supplemental ubiquinol in patients with advanced congestive heart failure.
Biofact 2008;32(1-4):119-28
*Molyneux et al: Coenzyme Q10; an adjunctive therapy for congestive heart failure? N Z Med J 2009
Oct 30;122(1305):74-9
Diuretics
*Morisco et al: Effect of coenzyme Q10 therapy in patients with congestive heart failure: a long-term
multicenter randomized study. Clin Investig 1993;71(8 Suppl):S134-6
*Mortensen et al: Long-term coenzyme Q10 therapy: a major advance in the management of resistant
314
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Curcumin improves cardiac function in heart failure and may prevent heart attacks.
*Epstein: Currying favor for the heart. Lab Invest 2009 Oct 19
*Morimoto et al: The dietary compound curcumin inhibits p300 histone acetyltransferase activity and
prevents heart failure in rats. J Clin Invest 2008 Mar;118(3):868-78
*Morimoto et al: Novel heart failure therapy targeting transcriptional pathway in cardiomyocytes by a
natural compound, curcumin. J Food Sci 2007 Oct;72(8):S612-7
*Zhang et al: Effects of curcumin on sarcoplasmic reticulum Ca2+-ATPase in rabbits with heart failure.
Zhonghua Xin Xue Guan Bing Za Zhi 2010 Apr;38(4):369-73
D-Ribose is a cellular “sugar” necessary for energy production which, in turn, im-
proves cardiac function.
*Brookman & Cyr: Metabolic supplementation with enhanced external counterpulsation improves
myocardial function in acquired cardiomyopathy: a case report. J Altern Complement Med 2010
Mar;16(3):323-5
*Clay et al: Chronic alcoholic cardiomyopathy. Protection of the isolated ischaemic working heart by
ribose. Biochem Int 1988 Nov;17(5):791-800
*Omran et al: D-Ribose improves diastolic function and quality of life in congestive heart failure patients:
a prospective feasibility study. Cancer Lett 1992 Apr 30;63(3):237-41
*Wagner et al: D-ribose, a metabolic substrate for congestive heart failure. Prog Cardiov Nurs 2009
Jun;24(2):59-60
Dandelion has long been used for its blood-cleansing and diurectic effects.
*Clare et al: The diuretic effect in human subjects of an extract of Taraxacum officinale folium over a
single day. J Altern Complement Med 2009 Aug;15(8):929-34
*Schütz et al: Taraxacum--a review on its phytochemical and pharmacological profile. J Ethnopharmacol
2006 Oct 11;107(3):313-23
Folic acid (B9) reduces the risk of preeclampsia. Take with a B-complex as taking
just one B vitamin can increase the risk of deficiency in one or more of the other
family members.
*Manizheh et al: Comparison study on the effect of prenatal administration of high dose and low dose
folic acid. Saudi Med J 2009 Jan;30(1):88-97
Ginseng is an ancient herb used for its overall health effects which includes an
improvment in strengthening the heart and overcoming congestive heart failure.
*Dai et al: Effect of ginseng injection in treating congestive heart failure and its influence on thyroid
hormones. Zhongguo Zhong Xi Yi Jie He Za Zhi 1999 Apr;19(4):209-11
315
Pamela Duff, RN, CSNC
Herbal Diuretics include: apple cider vinegar, artichoke, asparagus, celery seeds,
cornsilk, cranberry juice (unsweetened), cucumber, dandelion leaf, fennel, golden-
seal, green tea, hawthorn, parsley, stinging nettle, watermelon, watercress.
Horny Goat Weed is an herb used to improve circulation and shown to improve
left ventricular dysfunction and cardiac remodeling in those with congestive heart
failure.
*Song et al: Ethanol extract from Epimedium brevicornum attenuates left ventricular dysfunction
and cardiac remodeling through down-regulating matrix metalloproteinase-2 and -9 activity and
myocardial apoptosis in rats with congestive heart failure. Int J Mol Med 2008 Jan;21(1):117-24
*Han & Zhou: Selenium supplement in the prevention of pregnancy induced hypertension. Chin Med
J (Engl) 1994 Nov;107(11):870-1
316
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Newman et al: The importance of lost minerals in heart failure. Cardiovasc Hematol Agents Med
Chem 2007 Oct;5(4):295-9
Omega-3 fatty acids reduce the risk of preeclampsia. Fish must be baked or boiled
but not fried.
*Belin et al: Fish intake and the risk of incident heart failure: the Women’s Health Initiative. Circ Heart
Fail 2011 Jul 1;4(4):404-13
*Duda et al: Fish oil, but not flaxseed oil, decreases inflammation and prevents pressure overload-
induced cardiac dysfunction. Immunopharmacol Immunotoxicol 2009;31(2):209-13
*Mozaffarian et al: Fish intake and risk of incident heart failure. J Am Coll Cardiol 2005 Jun
21;45(12):2015-21
*Williams et al: Omega-3 fatty acids in maternal erythrocytes and risk of preeclampsia. Epidem 1995
May;6(3):232-7
Testosterone deficiency may contribute to congestive heart failure and raising lev-
els often improves the condition.
*Han et al: Neuroprotective effects of testosterone upon cardiac sympathetic function in rats with
induced heart failure. Eur J Pharmacol 2009 Oct 1;619(1-3):68-74
*Sun et al: Testosterone modulation of cardiacβ-adrenergic signals in a rat model of heart failure. Gen
Comp Endocrinol 2011 Apr 28
*Wehr et al: Low free testosterone is associated with heart failure mortality in older men referred for
coronary angiography. Eur J Heart Fail 2011 May;13(5):482-8
317
Erectile Dysfunction/Impotency
Common examples:
sildenafil – Revatio, Viagra
tadalafil – Adcirca, Cialis
vardenafil – Levitra, Nuviva
Deplete:
no studies found
*Solomon et al: Erectile dysfunction and statin treatment in high cardiovascular risk patients. Int J Clin
Pract 2006 Feb;60(2):141-5
318
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Suggested alternatives:
Arginine, an amino acid used alone or with Yohimbe or Pycnogenol improves ED.
*Chen et al: Effect of oral administration of high-dose nitric oxide donor L-arginine in men with organic
erectile dysfunction: results of a double-blind, randomized, placebo-controlled study. BJU Int
1999 Feb;83(3):269-73
*Lebret et al: Efficacy and safety of a novel combination of L-arginine glutamate and yohimbine hydro-
chloride: a new oral therapy for erectile dysfunction. Eur Urol 2002 Jun;41(6):608-13
*Ledda et al: Investigation of a complex plant extract for mild to moderate erectile dysfunction in a ran-
domized, double-blind, placebo-controlled, parallel-arm study. BJU Int 2010 Oct;106(7):1030-3
*Moody et al: Effects of long-term oral administration of L-arginine on the rat erectile response. J Urol
1997 Sep;158(3 Pt1):942-7
*Stanislavov & Nikolova: Treatment of erectile dysfunction with pycnogenol and L-arginine. J Sex Mari-
tal Ther 2003 May-Jun;29(3):207-13
Citrulline, another amino acid, improves erectile firmness in men with mild ED.
*Cormio et al: Oral L-citrulline supplementation improves erection hardness in men with mild erectile
dysfunction. Urol 2011 Jan;77(1):119-22
Clove (alone or with Nutmeg) proves its traditional use as an aphrodisiac by produ-
cing significant and sustained increase in sexual activity.
*Tajuddin et al: Effect of 50% ethanolic extract of Syzygium aromaticum (L.) Merr.&Perry. (clove) on
sexual behaviour of normal male rats. BMC Complement Altern Med 2004 Nov 5;4:17
*Tajuddin et al: Aphrodisiac activity of 50% ethanolic extracts of Myristica fragrans Houtt. (nutmeg) and
Syzygium aromaticum (L) Merr.&Perry (clove) in male mice: a comparative study. BMC Comple-
ment Altern Med 2003 Oct 20;3:6
Horny Goat Weed (Epimedium koreanum) has long been used in Asian medicine to
improve ED. Its effect is attributed to the production of nitric oxide and the ability to
relax smooth muscle.
*Chen & Chiu: Effect of Epimedium brevicornum Maxim extract on elicitation of penile erection in the
rat. CNS Neurol Disord Drug Targets 2008 Feb;7(1):20-7
*Chiu et al: Epimedium brevicornum Maxim extract relaxes rabbit corpus cavernosum through multi-
targets on nitric oxide/cyclic guanosine monophosphate signaling pathway. Int J Impot Res 2006
Jul-Aug;18(4):335-42
319
Pamela Duff, RN, CSNC
*Makarova et al: Effect of lipid-based suspension of Epimedium koreanum Nakai extract on sexual
behavior in rats. J Ethnopharmacol 2007 Dec 3;114(3):412-6
*Shindel et al: Erectogenic and neurotrophic effects of icariin, a purified extract of horny goat weed
(Epimedium spp.) in vitro and in vivo. J Sex Med 2010 Feb 5
Korean Black Raspberry extract improves the overall function of the male repro-
ductive system.
*Jeon et al: Fermentation filtrates of Rubus coreanus relax the corpus cavernosum and increase sperm
count and motility. J Med Food 2008 Sep;11(3):474-8
Maca, a Peruvian ginseng-type root, improves physical and mental well-being, fertil-
ity, and sexual stamina as well as decreasing an enlarged prostate (see more under
Prostate and HRT). It does not increase estrogens, progesterone, or testosterone but
rather, regulates these hormones.
*Bogani et al: Lepidium meyenii (Maca) does not exert direct androgenic activities. J Ethnopharmacol
2006 Apr;104(3):415-7
*Chung et al: Dose-response effects of Lepidium meyenii (Maca) aqueous extract on testicular func-
tion and weight of different organs in adult rats. J Ethnopharmacol 2005 Apr;98(1-2):143-7
*Cicero et al: Hexanic maca extract improves rat sexual performance more effectively than methanolic
and chloroformic maca extracts. Androl 2002;34(3):177–79
*Cicero et al: Lepidium meyenii Walp. improves sexual behaviour in male rats independently from its
action on spontaneous locomotor activity. J Ethnopharmacol 2001;75(2–3):225–29
*Gonzales et al: Red maca (Lepidium meyenii) reduced prostate size in rats . Repro Biol Endocrinol
2005 Jan 20;3:5
*Gonzales et al: Effect of alcoholic extract of Lepidium meyenii (Maca) on testicular function in male
rats.” Asian J. Androl 2003 Dec;5(4):349-52
*Gonzales et al: Effect of Lepidium meyenii (Maca), a root with aphrodisiac and fertility-enhancing
properties, on serum reproductive hormone levels in adult healthy men. J Endocrinol 2003 Jan
1;176:163-8
*Gonzales et al: Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with
serum testosterone levels in adult healthy men. Andrologia 2002 Dec;34(6):367-72
*Gonzales et al: Effect of Lepidium meyenii (maca) roots on spermatogenesis of male rats. Asian J
Androl 2001 Sep;3:231-33
*Gonzales et al: Lepidium meyenii (Maca) improved semen parameters in adult men. Asia J Androl
2001 Dec;3:301-3
*León: The “Maca” ( Lepidium meyenii ), a little known food plant of Peru. Econ Bot 18(2):122-7
*Piacente et al: Investigation of the tuber constituents of maca (Lepidium meyenii Walp). J Agric Food
Chem 2002;50(20):5621-25
*Valerio & Gonzales: Toxicological aspects of the South American herbs cat’s claw (Uncaria tomen-
Erectile Dysfunction/Impotency
tosa) and maca (Lepidium meyenii): A critical synopsis. Toxicol Rev 2005;24(1):11-35(25)
*Zenico et al: Subjective effects of Lepidium meyenii (Maca) extract on well-being and sexual perform-
ances in patients with mild erectile dysfunction: a randomised, double-blind clinical trial. Androlo-
gia 2009 Apr;41(2):95-9
*Zheng et al: Effect of a lipidic extract from Lepidium meyenii on sexual behavior in mice and rats. Urol
2000 Apr;55(4):598-602
Mediterranean Diet improves ED, especially in those with metabolic syndrome (dia-
betes, cardiovascular disease). The Mediterranean Diet is based on foods and drinks
consumed by people in countries surrounding the Mediterranean Sea.
*Esposito et al: Mediterranean diet improves erectile function in subjects with the metabolic syndrome.
Int J Impot Res 2006 Jul-Aug;18(4):405-10
320
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Olive and Coconut oils increase testosterone and antioxidant levels in men.
*Hurtado de Catalfo et al: Dietary lipids modify redox homeostasis and steroidogenic status in rat
testis. Phytother Res 2010 Feb;24(2):163-8
Passionflower lives up to its name by improving libido and overall sexual function.
*Dhawan et al: Beneficial effects of chrysin and benzoflavone on virility in 2-year-old male rats. J Med
Food 2002 Spring;5(1):43-8
Resveratrol enhances testosterone levels, sperm quality and nitric oxide production.
*Fukuhara et al: Vardenafil and resveratrol synergistically enhance the nitric oxide/cyclic guanosine
monophosphate pathway in corpus cavernosal smooth muscle cells and its therapeutic potential
for erectile dysfunction in the streptozotocin-induced diabetic rat: preliminary findings. J Sex Med
2011 Jan 26
*Sin et al: trans-Resveratrol relaxes the corpus cavernosum ex vivo and enhances testosterone levels
and sperm quality in vivo. Arch Pharm Res 2008 Jan;31(1):83-7
*Soner et al: Evaluation of vascular smooth muscle and corpus cavernosum on hypercholesterolemia.
Is resveratrol promising on erectile dysfunction? Indian J Exp Biol 2008 Aug;46(8):583-90
Erectile Dysfunction/Impotency
321
Eyesight/Drops/Injections
(used to treat Glaucoma, Macular Degeneration, Diabetic maculopathy)
Common examples:
Alpha-agonists (AA)
apraclonidine - Iopidine
brimonidine - Alphagan
Angiogenics inhibitors (anti-VEGF - Vascular Endothelial Growth Factor)
afibercept - Eylea
bevacizumab - Avastin
pegaptanib - Macugen
ranibizumab - Lucentis
Beta Blockers (BB) (see also Blood Pressure)
atenolol - Tenormin
betaxolol - Betoptic, Kerlone, Lokren
carteolol - Cartrol, Ocupress
labetalol - Normodyne
levobunolol - AK-Beta, Betagan, Liquifilm
metipranolol - Betanol, Disorat, Optipranolol, Trimepranol
propranolol - Inderal
timolol - Betimol, Timoptic
Carbonic anhydrase inhibitors (CAIs)
acetazolamide - Acetazolam, Diamox, and others
brinzolamide - Azopt
dichlorphenamide/diclofenamide - Daranide, Oratrol, and others
dorzolamide - Trusopt and others
Eyesight/Drops/Injections
322
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Prostaglandin Analogs
bimatoprost (Lumigan)
latanoprost (Xalatan)
travoprost (Travatan Z)
Deplete:
CoQ10, calcium, magnesium, potassium, sodium
´´Although these are the only nutrients known to be depleted, many more are
suspected. More depletions can be found under Blood Pressure (Beta Blockers).
Suggested alternatives:
Amla (Indian Gooseberry) contains tannins which delay the development of cata-
racts and may stimulate lens regeneration.
*Banot et al: Effect of Emblica officinalis (Gaertn) on lens regeneration in the frog, Rana cyanophlyctis
(Schneider). Indian J Exp Biol 2009 Mar;47(3):157-62
323
Pamela Duff, RN, CSNC
*Suryanarayana et al: Emblica officinalis and its enriched tannoids delay streptozotocin-induced dia-
betic cataract in rats. Mol Vis 2007 Jul 24;13:1291-7
Antioxidants are plant-based substances that protect cells from damage which
would lead to disease including eyesight degeneration.
*Coleman et al: Glaucoma risk and the consumption of fruits and vegetables among older women in
the study of osteoporotic fractures. Am J Ophthalmol 2008 Jun;145(6):1081-9
*Karazhaeva et al: The use of flavonoid antioxidants in the complex treatment of patients with per-
ipheral vitreo-chorioretinal dystrophies and dystrophic retinal detachment. Inflamm Res 2009
Aug;58(8):513-21
*Moriarty-Craige et al: Antioxidant supplements prevent oxidation of cysteine/cystine redox in patients
with age-related macular degeneration. Am J Ophthalmol 2005 Dec;140(6):1020-6
*Mozaffarieh et al: The potential value of natural antioxidative treatment in glaucoma. Surv Ophthalmol
2008 Sep-Oct;53(5):479-505
Astaxanthin is the most potent known carotenoid antioxidant. Among its many
benefits is that it protects retinal cells against oxidative damage and increases ocu-
lar blood flow.
*Cort et al: Suppressive effect of astaxanthin on retinal injury induced by elevated intraocular pressure.
Regul Toxicol Pharmacol 2010 Oct;58(1):121-30
*Nakajima et al: Astaxanthin, a dietary carotenoid, protects retinal cells against oxidative stress in-vitro
and in mice in-vivo. J Phys Chem B 2010 May 20;114(19):6601-7
*Nakano et al: Inhibitory effect of astraxanthin combined with Flavangenol on oxidative stress bio-
markers in streptozotocin-induced diabetic rats. Int J Vitam Nutr Res 2008 Jul-Sep;78(4-5):175-82
*Parisi et al: Carotenoids and antioxidants in age-related maculopathy italian study: multifocal electror-
etinogram modifications after 1 year. Ophthalmol 2008 Feb;115(2):324-333.e2
*Saito et al: Astaxanthin increases choroidal blood flow velocity. Graefes Arch Clin Exp Ophthalmol
2011 Nov 10
*Sun et al: Protective actions of microalgae against endogenous and exogenous advanced glycation
endproducts (AGEs) in human retinal pigment epithelial cells. Food Funct 2011 May 25 ;2(5):251-8
B-complex, especially B5, B6, B9, and B12 help prevent various eye disorders. (see
the Appendix for a list of B vitamins according to name and number)
*Christen et al: Folic acid, pyridoxine, and cyanocobalamin combination treatment and age-related
macular degeneration in women: the Women’s Antioxidant and Folic Acid Cardiovascular Study.
Arch Intern Med 2009 Feb 23;169(4):335-41
*Horváth & Vécsei: Current medical aspects of pantethine. Ideggyogy Sz 2009 Jul 30;62(7-8):220-9
*Roedl et al: Increased homocysteine levels in tear fluid of patients with primary open-angle glaucoma.
Ophthalmic Res 2008;40(5):249-56
Bee Propolis contains caffeic acid which helps prevent cataract formation.
*Doganay et al: Use of caffeic acid phenethyl ester to prevent sodium-selenite-induced cataract in rat
eyes. J Cataract Refract Surg 2002 Aug;28(8):1457-62
Bilberry and Pycnogenol (a pine bark extract and potent antioxidant) reduce intra-
ocular pressure and the risk of cataracts and macular degeneration.
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Fursova et al: Dietary supplementation with bilberry extract prevents macular degeneration and cata-
racts in senesce-accelerated OXYS rats. Adv Gerontol 2005;16:76-9
*Steigerwalt et al: Effects of Mirtogenol on ocular blood flow and intraocular hypertension in asymp-
tomatic subjects. Mol Vis 2008;14:1288-92
Cacao (unsweetened raw chocolate) has high antioxidant content that can prevent
numerous disorders including the formation of cataracts.
*Osakabe et al: Ingestion of proanthocyanidins derived from cacao inhibits diabetes-induced cataract
formation in rats. J Pharmacol Exp Ther 2010 Oct;335(1):149-54
Carnitine, Omega-3 fatty acids, and CoQ10 improve visual function in macular
degeneration.
*Feher et al: Improvement of visual functions and fundus alterations in early age-related macular de-
generation treated with a combination of acetyl-L-carnitine, n-3 fatty acids, and coenzyme Q10.
Ophthalmolog 2005 May-Jun;2 19(3):154-66
Carnosine eyedrops may prevent vision loss from senile cataracts, primary open-
angle glaucoma, macular degeneration, diabetic retinopathy, and aging.
*Babizhayev et al: N-acetylcarnosine lubricant eyedrops possess all-in-one universal antioxidant pro-
tective effects of L-carnosine in aqueous and lipid membrane environments, aldehyde scavenging,
and transglycation activities inherent to cataracts: a clinical study of the new vision-saving drug
N-acetylcarnosine eyedrop therapy in a database population of over 50,500 patients. Am J Ther
2009 Nov-Dec;16(6):517-33
Chlorella is a green algae with strong antioxidant properties that prevents cataract
formation.
*Shibata et al: Antioxidant and anti-cataract effects of Chlorella on rats with streptozotocin-induced
diabetes. J Nutr Sci Vitaminol (Tokyo) 2003 Oct;49(5):334-9
Coleus Forskohlii (an Ayurvedic mint plant) contains a compound called forskolin
which lowers intraocular pressure. It is also used to improve thyroid function.
Eyesight/Drops/Injections
*Caprioli et al: Forskolin lowers intraocular pressure by reducing aqueous inflow. Invest Ophthalmol Vis
Sci 1984 Mar;25(3):268-77
CoQ10 improves blood pressure, cardiac function and protects against Parkinson’s
disease. The ubiquinol form functions better than the cheaper ubiquinone.
*Burke et al: Randomized, double-blind, placebo-controlled trial of coenzyme Q10 in isolated systolic
hypertension. Appl Psychophysiol Biofeedback 2009 Jun;34(2):71-91
*Maroz et al: Reactivity of ubiquinone and ubiquinol with superoxide and the hydroperoxyl radical:
implications for in vivo antioxidant activity. Free Radic Biol Med 2009 Jan 1;46(1):105-9
*Rosenfeldt et al: Coenzyme Q10 in the treatment of hypertension: a meta-analysis of the clinical trials.
J Hum Hypertens 2007 Apr;21(4):297-306
325
Pamela Duff, RN, CSNC
*Schmelzer et al: The reduced form of coenzyme Q10 mediates distinct effects on cholesterol metab-
olism at the transcriptional and metabolite level in SAMP1 mice. IUBMB Life 2010 Nov 17
Curcumin is a safe and effective treatment for recurrent anterior uveitis, eye inflam-
mation and such degenerative conditions as dry eye, maculopathy, glaucoma, and
diabetic retinopathy.
*Allegri et al: Management of chronic anterior uveitis relapses: efficacy of oral phospholipidic curcumin
treatment. Long-term follow-up. Clin Ophthalmol 2010;4:1201-6
*Awasthi et al: Curcumin protects against 4-hydroxy-2-trans-nonenal-induced cataract formation in rat
lenses. Am J Clin Nutr 1996 Nov;64(5):761-6
*Balasubramanyam et al: Curcumin-induced inhibition of cellular reactive oxygen species generation:
novel therapeutic implications. J Biosci 2003 Dec;28(6):715-21
*Kowluru & Kanwar: Effects of curcumin on retinal oxidative stress and inflammation in diabetes. Nutr
Metab (Lond) 2007;4:8
*Kumar et al: Modulation of alpha-crystallin chaperone activity in diabetic rat lens by curcumin. Mol
Vis 2005;11:561-8
*Mandal et al: Curcumin protects retinal cells from light-and oxidant stress-induced cell death. Free
Radic Biol Med 2009 Mar 1;46(5):672-9
*Manikandan et al: Curcumin prevents free radical-mediated cataractogenesis through modulations in
lens calcium. Free Radic Biol Med 2010 Feb 15;48(4):483-92
*Manikandan et al: Effect of curcumin on selenite-induced cataractogenesis in Wistar rat pups. Curr
Eye Res 2010 Feb;35(2):122-9
*Manikandan et al: Anti-cataractogenic effect of curcumin and aminoguanidine against selenium-
induced oxidative stress in the eye lens of Wistar rat pups: An in vitro study using isolated lens.
Chem Biol Interact 2009 Oct 7;181(2):202-9
*Mrudula et al: Effect of curcumin on hyperglycemia-induced vascular endothelial growth factor ex-
pression in streptozotocin-induced diabetic rat retina. Biochem Biophys Res Commun 2007 Sep
21;361(2):528-32
*Padmaja & Raju: Antioxidant effect of curcumin in selenium induced cataract of Wistar rats. Indian J
Exp Biol 2004 Jun;42(6):601-3
*Pandya et al: Dietary curcumin prevents ocular toxicity of naphthalene in rats. Toxicol Lett 2000 Jun
5;115(3):195-204
*Suryanarayana et al: Curcumin and turmeric delay streptozotocin-induced diabetic cataract in rats.
Nutr J 2008;7:3
*Suryanarayana et al: Effect of curcumin on galactose-induced cataractogenesis in rats. Mol Vis 2003
Jun 9;9:223-30
Curcumin, Resveratrol and EGCG (a green tea extract) may have a therapeutic role
Eyesight/Drops/Injections
Fennel helps prevent glaucoma and is potent enough to rival the effects of timolol.
*Agarwal et al: Oculohypotensive effects of foeniculum vulgare in experimental models of glaucoma. J
Altern Complement Med 2009 Jan;15(1):53-7
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Fruit and Vegetable consumption reduces AGEs (advanced glycation end products)
which lead to various age-related diseases including cardiovascular, cataracts, dia-
betes, and Alzheimer’s. They also protect against cancer cell formation.
*Coleman et al: Glaucoma risk and the consumption of fruits and vegetables among older women in
the study of osteoporotic fractures. Am J Ophthalmol 2008 Jun;145(6):1081-9
*Pashikanti et al: Rutin metabolites: novel inhibitors of nonoxidative advanced glycation end products.
Free Radic Biol Med 2009 Dec 4
*Platt et al: Fruits and vegetables protect against the genotoxicity of heterocyclic aromatic amines
activated by human xenobiotic-metabolizing enzymes expressed in immortal mammalian cells.
Mutat Res 2010 Aug 14
*Ramful et al: Citrus Fruit Extracts Reduce Advanced Glycation End Products (AGEs)- and H(2)O(2)-
Induced Oxidative Stress in Human Adipocytes. J Agric Food Chem 2010 Sep 30
Ginseng improves visual light and color perception and short term memory.
*Arushanian & Shikina: Improvement of light and color perception in humans upon prolonged admin-
istration of eleutherococcus. Eksp Klin Farmakol 2004 Jul-Aug;67(4):64-6
Eyesight/Drops/Injections
*Arushanian et al: Effect of eleutherococcus on short-term memory and visual perception in healthy
humans. Eksp Klin Farmakol 2003 Sep-Oct;66(5):10-3
Goji berries/Wolfberry are a safe antioxidant fruit that protect the retina. They
have a significant therapeutic effect on glaucoma and macular degeneration as well
as eyesight in general.
*Amagase et al: Immunomodulatory effects of a standardized Lycium barbarum fruit juice in Chinese
older healthy human subjects. J Med Food 2009 Oct;12(5):1159-65
*Amagase & Nance: A randomized, double-blind, placebo-controlled, clinical study of the general
effects of a standardized Lycium barbarum (Goji) Juice, GoChi. J Altern Complement Med 2008
May;14(4):403-12
327
Pamela Duff, RN, CSNC
*Bucheli et al: Goji berry effects on macular characteristics and plasma antioxidant levels. Optom Vis
Sci 2011 Feb ;88(2):257-62
*Chan et al: Neuroprotective effects of Lycium barbarum Lynn on protecting retinal ganglion cells in an
ocular hypertension model of glaucoma. Exp Neurol 2007 Jan;203(1):269-73
*Chang & So: Use of anti-aging herbal medicine, Lycium barbarum, against aging-associated dis-
eases. What do we know so far? Cell Mol Neurobiol 2008 Aug;28(5):643-52
*Potterat: Goji (Lycium barbarum and L. chinense): Phytochemistry, pharmacology and safety in the
perspective of traditional uses and recent popularity. Planta Med 2010:76(1):7-19
*Song et al: Lycium barbarum (Goji Berry) extracts and its taurine component inhibit PPAR-γ-dependent
gene transcription in human retinal pigment epithelial cells: Possible implications for diabetic retin-
opathy treatment. Biochem Pharmacol 2011 Nov 1 ;82(9):1209-18
Lutein and/or Zeaxanthin are potent carotenoid antioxidants that are vital for good
eye health.
*Arnal et al: Lutein prevents cataract development and progression in diabetic rats. Graefes Arch Clin
Exp Ophthalmol 2008 Sep 3
*Connolly et al: Augmentation of macular pigment following supplementation with all three macular
carotenoids: an exploratory study. Curr Eye Res 2010 Apr;35(4):335-51
*Kowluru et al: Beneficial effect of zeaxanthin on retinal metabolic abnormalities in diabetic rats. Eur J
Med Res 1998 Nov 17;3(11):511-4
*Kvansakul et al: Supplementation with the carotenoids lutein or zeaxanthin improves human visual
performance. Ophthalmic Physiol Opt 2006 Jul;26(4):362-71
*Olmedilla et al: Lutein, but not alpha-tocopherol, supplementation improves visual function in pa-
tients with age-related cataracts: a 2-y double-blind, placebo-controlled pilot study. Nutr 2003
Jan;19(1):21-4
*Richer et al: Double-masked, placebo-controlled, randomized trial of lutein and antioxidant supple-
mentation in the intervention of atrophic age-related macular degeneration: the Veterans LAST
study (Lutein Antioxidant Supplementation Trial. Optomet 2004 Apr;75(4):216-30
*Semba & Dagnelie: Are lutein and zeaxanthin conditionally essential nutrients for eye health? Med
Hypoth 2003 Oct;61(4):465-72
Eyesight/Drops/Injections
*Yagi et al: The effect of lutein supplementation on visual fatigue: a psychophysiological analysis. Appl
Ergon 2009 Nov;40(6):1047-54
Melatonin is significantly protective of the retina; has calming effects; and protects
against glaucoma and radiation-induced cataract formation.
*Karslioglu et al: Radioprotective effects of melatonin on radiation-induced cataract. J Radiat Res
(Tokyo) 2005 Jun;46(2):277-82
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Lundmark et al: Melatonin in the eye: implications for glaucoma. Canc Caus Cont 2003 Nov;14(9):859-70
*Ovanesov et al: Effects of melatonin and motherwort tincture on the emotional state and visual func-
tions in anxious subjects. Eksp Klin Farmakol 2006 Nov-Dec;69(6):17-9
*Rastmanesh: Potential of melatonin to treat or prevent age-related macular degeneration through
stimulation of telomerase activity. Med Hypoth 2011 Jan;76(1):79-85
*Yi et al: Effects of melatonin in age-related macular degeneration. Ann N Y Acad Sci 2005
Dec;1057:384-92
Omega-3 fatty acids (DHA and EPA) improve ocular blood flow, blepharitis, and
meibomian gland dysfunction.
*Chong et al: Fat consumption and its association with age-related macular degeneration. Arch Oph-
thalmol 2009 May;127(5):674-80
*Connor et al: Increased dietary intake of omega-3-polyunsaturated fatty acids reduces pathological
retinal angiogenesis. Nat Med 2007 Jul;13(7):868-73
*Macsai: The role of omega-3 dietary supplementation in blepharitis and meibomian gland dysfunction
(an AOS thesis). Trans Am Ophthalmol Soc 2008;106:336-56
*Ren et al: Primary open-angle glaucoma patients have reduced levels of blood docosahexaenoic and
eicosapentaenoic acids. Prostaglan Leukot Ess Fatty Acids 2006 Mar;74(3):157-63
*Suzuki et al: Eicosapentaenoic acid suppresses ocular inflammation in endotoxin-induced uveitis. Mol
Vis 2010;16:1382-8
Potassium is an important part of the acid-base balance in the body, nerve trans-
mission, digestion and blood pressure.
*Sabboh et al: Effects of plant food potassium salts (citrate, galacturonate or tartrate) on acid-base
status and digestive fermentations in rats. Br J Nutr 2007 Jul;98(1):72-7
*Brancati et al: Effect of potassium supplementation on blood pressure in African Americans on a
low-potassium diet. A randomized, double-blind, placebo-controlled trial. Arch Inter Med 1996
Jan 8;156(1):61-7
Eyesight/Drops/Injections
*Frassetto et al: Diet, evolution and aging--the pathophysiologic effects of the post-agricultural inver-
sion of the potassium-to-sodium and base-to-chloride ratios in the human diet. Eur J Nutr 2001
Oct;40(5):200-13
*Gu et al: Effect of potassium supplementation on blood pressure in Chinese: a randomized, placebo-
controlled trial. J Hypertens 2001 Jul;19(7):1325-31
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Pamela Duff, RN, CSNC
*Kim et al: Resveratrol inhibits neuronal apoptosis and elevated Ca2+/calmodulin-dependent protein
kinase II activity in diabetic mouse retina. Diabet 2010 Jul;59(7):1825-35
*Luna et al: Resveratrol prevents the expression of glaucoma markers induced by chronic oxidative
stress in trabecular meshwork cells. Food Chem Toxicol 2009 Jan;47(1):198-204
330
Fat Blockers and Substitutes
(Used to prevent the digestion and absorption of fat in food)
Common examples:
Olestra – Olean
Orlistat – Xenical, Alli
kidney bean extract
starch neutralizer
Deplete:
A, D, E, K, lipase enzymes
´´Fat soluble vitamins (A,D,E,K) are blocked by these drugs and supplements.
When used for an extended period of time, they significantly contribute to the
risk of developing various disorders.
*Balch 2006:602-3
*Cohen 2011:81,103
*Haas 2006:469
*Nursing Spectrum Drug Handbook, 2008, orlistat
*U Maryland Med Center: “Vitamin A Retinol”, “Possible Interactions with D”, “Possible Interactions
with: Vitamin E”, “Vitamin K”,
´´Lipase is an enzyme that breaks down fats (lipids) in the body. By blocking
this important enzyme, dietary fats are not digested or absorbed, which is
pleasing to people wanting to lose weight. However, the downside of that
supposed benefit is that the fats are delivered straight to the bowel to be Fat Blockers
eliminated – without warning, no matter where you are – or with whom.
According to the Alli website, fat blockers only stop about 25% of the fat you
eat with the rest passing “harmlessly” into the bowel – in a most disconcerting
fashion. This involuntary action may be considered harmless to the company
but it is decidedly embarassing to the consumer which led to a “Bitter Pill”
award being given to the makers: “With Allies Like This, Who Needs Enemas?”
and
*A bitter pill for slimmers? by Deborah Cohen, The Guardian, September 25, 2007
Substitutes
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Pamela Duff, RN, CSNC
´´Orlistat ingredients list: Active: Orlistat (60 Mg); Inactive: Fd&c blue no.
2, edible ink, gelatin, iron oxide, microcrystalline cellulose, povidone, sodium
lauryl sulfate, sodium starch glycolate, talc, titanium dioxide
*RxList - www.rxlist.com/alli-drug.htm
´´Olestra “is a non-digestible plastic” behaving much “like a mineral oil”. I was
unable to find a definitive list of ingredients; just a lot of hype about the
supposed benefits.
*Barlam & McCloud: Severe gastrointestinal illness associated with olestra ingestion. J Ped
Gastroenterol Nutr Lett 2003 July;37(1):95-96
*The Problems with Oleastra. Center for Science in the Public Interest - www.cspinet.org/olestra/
*Health Canada rejects Olestra as a food additive, June 22, 2000
*Science Toys – http//sci-toys.com/ingredients/olestra.html
*Time Magazine lists Olestra as one of the 50 Worst Inventions, May 27, 2010
*Grün & Blumberg: Endocrine disrupters as obesogens. Molec Cell Endocrin 2009 May;304(1-2):19-29
*Grün & Blumberg: Environmental Obesogens: Organotins and endocrine disruption via nuclear
Fat Blockers
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Janesick & Blumberg: The role of environmental obesogens in the obesity epidemic. Endocrine
Updates 2011;30(4):383-99
*Janesick & Blumberg: Endocrine disrupting chemicals and the developmental programming of
adipogenesis and obesity. Birth Defects Research. Part C, Embryo Today: Reviews 2011:93(1):34-
50
*Karamaus et al: Maternal levels of dichlorodiphenyl-dichloroethylene (DDE) may increase weight and
body mass index in adult female offspring. Occup Environ Med 2009;66:143-49
*Kirchner et al: Prenatal exposure to the environmental obesogen tributyltin predisposes multipotent
stem cells to become adipocytes. Molec Endocrin 2010 Mar1;24(3):526-39
*Lee et al: Low dose organochlorine pesticides and polychlorinated biphenyls predict obesity,
dyslipidemia, and insulin resistance among people free of diabetes. PLoS One 2011;6(1):e15977
*Lim et al: Chronic exposure to the herbicide, atrazine, causes mitochondrial dysfunction and insulin
resistance. PLoS One 2009;4(4):e5186
*Lu et al: Organic diets significantly lower children’s dietary exposure to organophosphorus pesticides.
Enviro Health Perspec 2006 Feb;114(2):260-3
*Lyche et al: Natural mixtures of POPs affected body weight gain and induced transcription of genes
involved in weight regulation and insulin signaling. Aquatic Toxicol 2011;102(3-4):197-204
*Newbold: Impact of environmental endocrine disrupting chemicals on the development of obesity.
Hormones 2010;9(3):206-17
*Porta et al: Transgenerational inheritance of environmental obesogens. Occup Environ Med
2009;66:141-142
*Rönn et al: Circulating levels of persistent organic pollutants associate in divergent ways to fat mass
measured by DXA in humans. Chemosphere 2011 Jul 16
*Rubin et al: Perinatal exposure to low doses of bisphenol A affects body weight, patterns of estrous
cyclicity, and plasma LH levels. Enviro Health Perspec 2001;109(7):675-80
*Slotkin: Does early-life exposure to organophosphate insecticides lead to prediabetes and obesity?
Reproduc Toxicol 2011;31(3):297-301
*Susuki: Programmed to be Fat. CBC Nature of Things, aired January 12, 2012
*Tang-Peronard et al: Endocrine-disrupting chemicals and obesity development in humans: A review.
Obesity Rev 2011 Aug;12(8):622-36
*Twum & Wei: The association between urinary concentrations of dichlorophenol pesticides and
obesity in children. Rev Environ Health 2011;26(3):215-9
*Xu et al: Effect of early particulate air pollution exposure on obesity in mice: role of p47phox. Arterioscler
Thrombo Vasc Biol 2010;30(12):2518-27
Suggested alternatives:
Coleus forskohlii is an Ayurvedic plant that has several health benefits especially
as a fat burner while, at the same time, increasing bone mass. Fat Blockers
*Godard et al: Body composition and hormonal adaptations associated with forskolin consumption in
overweight and obese men. Obes Res 2005 Aug;13(8):1335-43
*Han et al: Effects of Coleus forskohlii on fat storage in ovariectomized rats. Yakugaku Zasshi
2005;125(5):449-53
Fats do play a role in weight gain. However, avoiding hydrogenated trans fats and
using good fats that your body needs will automatically adjust a weight problem.
and
The body craves fat because it needs it for proper cell and brain function; but all
too often, it is given the unhealthy versions. Good fats include extra virgin olive oil,
Substitutes
coconut oil, hempseed oil, avocados, nuts and so on. I do not recommend the popular
Canola oil because it is genetically modified and has a very long fatty acid chain
which the body cannot fully utilize causing much of it to oxidize. Whichever ones you
choose to use, the key is not to over do it. Do not deep fry anything. This is a decidely
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Pamela Duff, RN, CSNC
Fiber is an important part of the diet that helps with weight loss and prevents other
disorders including diabetes and high cholesterol levels.
*Delzenne & Cani: A place for dietary fibre in the management of the metabolic syndrome. Curr Opin
Clin Nutr Metab Care 2005 Nov;8(6):636-40
Flaxseed is an insoluble fiber that contains lignans which help prevent organ dam-
age caused by high-fat diets. Flaxseed also reduces the body’s tendency to produce
fat cells.
*Fukumitsu et al: Flaxseed lignan attenuates high-fat diet-induced fat accumulation and induces adi-
ponectin expression inmice. Br J Nutr 2008 Sep;100(3):669-76
Grapefruit helps fat cells properly store and utilize fats and carbohydrates. As an
essential oil, it can be used in a carrier oil and massaged into fatty tissue.
*Haze et al: Grapefruit oil attenuates adipogenesis in cultured subcutaneous adipocytes. Zhong Yao
Cai 2008 Oct;31(10):1514-8
*Higley 2010:380
Mangosteen fruit contains compounds which may have a beneficial effect in treat-
ing obesity as well as cancers.
*Jiang et al: Fatty acid synthase inhibitors of phenolic constituents isolated from Garcinia mangostana.
Bioorg Med Chem Lett 2010 Aug 15
(a B-like vitamin substance). This combination promotes various health aspects in-
cluding the prevention of cellulite which is caused by various factors including the
consumption of unhealthy fats.
*Sasaki et al: The effectiveness and safety of topical PhotoActif phosphatidylcholine-based anti-cel-
lulite gel and LED (red and near-infrared) light on Grade II-III thigh cellulite: a randomized, double-
and
334
Fluoride
(Used to prevent cavities and osteoporosis)
Common examples:
Fluotabs
Fluor-a-day
Fluorigard
Fluorinse
Fluoritab
Flura-drops
Pedi-dent
PreviDent
... and others....
Deplete:
calcium, vitamins D, E, zinc
´´Fluoride may thicken but it does not strengthen bone mass, ultimately
resulting in brittle bones. Calcium decreases the absorption of fluoride, but
on the other hand, fluoride prevents calcium from being absorbed and yet,
fluoride is still prescribed as a means of increasing bone density. Go figure.
*Jowsey & Riggs: Effect of concurrent calcium ingestion on intestinal absorption of fluoride. Metabol
1978 Aug;27(8):971-974
*Meunier et al: Fluoride salts are no better at preventing new vertebral fractures than calcium-vitamin
D in postmenopausal osteoporosis: The FAVOStudy. Osteopor Internat 8(1):4-12
*Riggs et al: Effect of Fluoride Treatment on the Fracture Rate in Postmenopausal Women with
Osteoporosis. New Engl J Med 1990 Mar;322(12):802-809
335
Pamela Duff, RN, CSNC
*Agency for Toxic Substances and Disease Registry (ATSDR) (2001). Toxicological Profile for Fluorides:
Draft Profile for Public Comment. U.S. Department of Health & Human Services, Public Health
Service.
*Analysis of government data finds babies over-exposed to fluoride in most major U.S. cities. Environ
Work Gr March 22, 2006
*Behrendt et al: Fluoride concentration and pH of iced tea products. Caries Res 2002;36(6):405-10
*Burgstahler et al: Fluoride in California wines and raisins. Fluoride 1997;30:142-6
*Cao et al: Fluoride in newer tea commodities. Fluoride 2004;37: 286-300
*Chacón et al: Prevalence of dental fluorosis and consumption of hidden fluoride in school children in
the municipality of Nezahualcóyotl]. Gac Med Mex 2009 Jul-Aug;145(4):263-7
*Chan & Koh: Fluoride content in caffeinated, decaffeinated and herbal teas. Caries Res 1996;30:88-
92
*Cohen 2011:316
*Connett & Connett: Fluoride: The hidden poison in the national organic standards. Pesticides and
You 2001;21:18-22
*Cressey: Dietary fluoride intake for fully formula-fed infants in New Zealand: impact of formula and
water fluoride. J Public Health Dent 2010 Jun 2
*Edwards: Evidence that fluoride in the infant formula causes enamel fluorosis weak. Evid Based Dent
2009;10(3):73
*Fein & Cerklewski: Fluoride content of foods made with mechanically separated chicken. J Agri Food
Chem 2001;49(9):4284-6
*Fluoride Action Network, Dental Fluorosis
*Fomon et al: Fluoride intake and prevalence of dental fluorosis: trends in fluoride intake with special
attention to infants. J Publ Heal Dent 2000;60(3):131-9
*Fomon & Ekstrand: Fluoride intake by infants. J Pub Heal Dent 1999;59(4):229-34
*Goldberg et al: Sevoflurane versus isoflurane for maintenance of anesthesia: are serum inorganic
fluoride ion concentrations of concern? Anesthesia and Analgesia 1996;82(6):1268-72
*Groth: Two Issues of Science and Public Policy: Air Pollution Control in the San Francisco Bay Area,
and Fluoridation of Community Water Supplies. PhD Dissertation, Depart Biol Sci, Stanford U,
May 1973
*Heilman et al: Assessing fluoride levels of carbonated soft drinks. J Am Dent Assoc 1999;130(11):1593-
9
*Heilman et al: Fluoride concentrations of infant foods. J Am Dent Assoc 1997;128(7):857-63
*Heller et al: Dental caries and dental fluorosis at varying water fluoride concentrations. J Pub Heal
Dent 1997;57:136-143
*Kiritsy et al: Assessing fluoride concentrations of juices and juice-flavored drinks. J Am Dent Assoc
1996;127(7):895-902
*Levy et al: Sources of fluoride intake in children. J Pub Heal Dent 1995;55:39-52
*Levy et al: Use of the fluorosis risk index in a cohort study: the Iowa fluoride study. J Pub Heal Dent
2006;66(2):92-6
*Levy & Guha-Chowdhury: Total fluoride intake and implications for dietary fluoride supplementation.
J Publ Heal Dent 1999;59:211-23
*Locker: Benefits and Risks of Water Fluoridation. An Update of the 1996 Federal-Provincial Sub-
committee Report. Prepared for Ontario Ministry of Health and Long Term Care 1999
*Lung et al: Fluoride concentrations in three types of commercially packed tea drinks in Taiwan. J
Expos Anal Environ Epidemiol 2003;13(1):66-73
*Marier & Rose: Environmental Fluoride. National Research Council of Canada. Assoc Comm Sci Crit
for Environ Qual 1977 NRCC No 16081
*Marthaler: Salt fluoridation in Europe, comparisons with Latin America. 2000. Paper available online.
*Marshall et al: Associations between intakes of fluoride from beverages during infancy and dental
fluorosis of primary teeth. J Am Coll Nutr 2004;23:108-16
Fluoride
*Nuscheler et al: Fluoride-induced nephrotoxicity: fact or fiction?. Anaesthesist 1996;45 Suppl 1:S32-
40
*Pang et al: Fluoride intake from beverage consumption in a sample of North Carolina children. J Dent
336
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Res 1992;71:1382-1388
*Potentially harmful fluoride levels found in some instant tea. Washington U School of Med Jan 25,
2005
*Rozier: The prevalence and severity of enamel fluorosis in North American children. J Pub Heal Dent
1999;59(4):239-46
*Stannard et al: Fluoride levels and fluoride contamination of fruit juices. J Clin Ped Dent 1991;16(1):38-
40
*Toothpaste: How Safe? by Don Oldenburg, Washington Post, June 16, 1997;C5
*Turner et al: Impact of imported beverages on fluoridated and nonfluoridated communities. Gen Dent
1998;46(2):190-3
*Warnakulasuriya et al: Fluoride content of alcoholic beverages. Clinica Chimica Acta 2002;320:1-4
*Warren & Levy: Current and future role of fluoride in nutrition. Dent Clin N Am 2003;47: 225-43
*Warren & Levy: Systemic fluoride: Sources, amounts, and effects of ingestion. Dent Clin N Am
1999;43: 695-711
´´Fluoride in chemicals used to grow your food. If you do not eat organically,
chances are your food is grown with a fertilizer containing sodium aluminum
fluoride (cryolite). EPA standards allow up to 7 ppm of fluoride (5 times greater
than the standards set in 1933) on over 30 fruits and vegetables treated
with cryolite which include: apricots, beets, blackberries, broccoli, brussel
sprouts, cabbage, cauliflower, citrus fruits, collards, cranberries, cucumbers,
eggplants, grapes, kale, lettuce, melons, nectarines, peaches, peppers, plums,
pumpkins, radishes, raspberries, squash, strawberries, tomatoes and turnip.
On February 15, 2002, Dow Chemical requested that the EPA allow much
greater fluoride levels on foods: 98 ppm for wheat germ, 40 ppm for wheat
bran, 31 ppm for rice bran, 30 ppm for several nuts, 28 ppm for corn meal,
26 ppm for corn flour, 25 ppm for millet, 25 ppm for wild rice, 25 ppm for
sorghum, 25 ppm for wheat, and 17 ppm for oats.
Fluoride
337
Pamela Duff, RN, CSNC
´´Fluoride adversely affects the brain, learning memory, and thyroid. Ironically,
fluoride (and chlorine) also interferes with iodine supplements taken to offset
a thyroid problem.
*Basha et al: Fluoride toxicity and status of serum thyroid hormones, brain histopathology, and learning
memory in rats: A multigenerational assessment. Biol Trace Elem Res 2011 Jul 14
*Basha et al: Evaluation of fluoride-induced oxidative stress in rat brain: A multigeneration study. Biol
Trace Elem Res 2010 Jul 24
*Ge et al: Proteomic analysis of brain proteins of rats exposed to high fluoride and low iodine. Arch
Toxicol 2010 Apr 3. Epub 2010 Apr 3
*Luke: The effect of fluoride on the physiology of the pineal gland. PhD Thesis U Surrey Guildford
1997:176
*Voronych-Semchenko: Characteristics of hypothyroidism correction and lipid metabolism disorder in
iodine deficiency. Fiziol Zh 2007;53(3):38-42
*Sun et al: Effects of high fluoride drinking water on the cerebral functions of mice. Chin J Epidemiol
2000;19:262-63
* Wang et al: Arsenic and fluoride exposure in drinking water: children’s IQ and growth in Shanyin
county, Shanxi province, China. Environ Heal Persp 2007 Apr;115(4):643-47
338
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Wang et al: Effects of coal burning related endemic fluorosis on body development and intelligence
levels of children. J App Clin Ped 2005;20(9):897-98
*Wang et al: Research on intelligence quotient of 4-7 year-old children in a district with a high level of
fluoride. End Dis Bull 1996;11:60-62]
*Wu et al: Research on the abnormal behavior of rats exposed to fluoride. Chin J Contr End Dis
1995;14(5):271
*Yang et al: Effects of high iodine and high fluorine on children’s intelligence and the metabolism of
iodine and fluorine. Chin J Pathol 1994;15(5):296-8
*Yu et al: Changes in neurotransmitters and their receptors in human foetal brain from an endemic
fluorosis area. Chin J Endemiol 1996;15:257-259
*Zhang et al: Effect of fluoride exposure on synaptic structure of brain areas related to learning-memory
in mice. [Article in Chinese]. J Hyg Res 1999;28(4):210-12
Aloe vera, Turmeric, and Holy Basil protect the body from fluoride toxicity espe-
cially during pregnancy.
*Madhusudhan et al: Effect of maternal fluoride exposure on developing CNS of rats: protective role of
Aloe vera, Curcuma longa and Ocimum sanctum. Indian J Exp Biol 2010 Aug;48(8):830-6
Arjuna is an Ayurvedic herb that protects the heart muscle from the toxic effects of
fluoride.
*Sinha et al: Terminalia arjuna protects mouse hearts against sodium fluoride-induced oxidative stress.
J Med Food 2008 Dec;11(4):733-40
Bee Propolis, especially Brazilian green propolis, has anti-bacterial effects similar
to that of Manuka honey, controlling oral bacteria that cause dental decay and in
preventing denture stomatitis.
*Leitão et al:Comparative evaluation of in-vitro effects of Brazilian green propolis and Baccharis
dracunculifolia extracts on cariogenic factors of Streptococcus mutans. Biol Pharm Bull 2004
Nov;27(11):1834-9
*Santos et al: Efficacy of Brazilian propolis gel for the management of denture stomatitis: a pilot study.
Phytother Res 2008 Aug 11
Beta glucans are polysaccharides derived from oats, mushrooms, and yeast. They
are important for preventing many diseases including peridontal.
*Breivik et al: Soluble beta-1,3/1,6-glucan from yeast inhibits experimental periodontal disease in Wis-
tar rats. J Clin Periodontol 2005 Apr;32(4):347-52
*Rondanelli et al: The biological activity of beta-glucans. Minerva Med 2009 Jun;100(3):237-45
Bioflavonoids, usually found with a good vitamin C, help prevent dental caries.
*Wood: The effects of selected dietary bioflavonoid supplementation on dental caries in young rats fed
a high-sucrose diet. J Med Food 2007 Dec;10(4):694-701
*Hassan & Abdel-Aziz: Evaluation of free radical-scavenging and anti-oxidant properties of black berry
against fluoride toxicity in rats. Food Chem Toxicol 2010 Aug-Sep;48(8-9):1999-2004
339
Pamela Duff, RN, CSNC
*Hassan & Yousef: Mitigating effects of antioxidant properties of black berry juice on sodium fluoride
induced hepatotoxicity and oxidative stress in rats. Food Chem Toxicol 2009 Sep;47(9):2332-7
Diet plays a huge role in the prevention of cavities, especially the elimination or
severe reduction of sweets and other simple carbohydrates. Evidence to this effect
became apparent in the 1930s but is still being ignored today.
*Agnew et al: The production and prevention of dental caries. J Am Dent Assoc 1933;20:193-212
*Bennett et al: The influence of diet on caries in children’s teeth. Special Report Series - Med Res
Counc UK 1931;159(19)
*Bowen et al: Influence of sweetening agents in solution on dental caries in desalivated rats. Arch Oral
Biol 1990;35(10):839-44
*East: Nutrition and dental caries. Am J Publ Heal 1938;28:72-6
*Gibson & Williams: Dental caries in pre–school children: associations with social class, toothbrushing
habit and consumption of sugars and sugar–containing foods. Caries Res 1999;33:101–113
*Heraud: Sucrose and nutritional pathology. Sucrerie Francaise 1979;120(24):21-6
*McBeath: Nutrition and diet in relation to preventive dentistry. NY J Dent 1938;8:17-21
*Mellanby: The role of nutrition as a factor in resistance to dental caries. Br Dent J 1937;62:241-52
*Mellanby & Pattison: The influence of a cereal-free diet rich in vitamin D and calcium on dental caries
in children. Br Med J 1932;I:507-10
*Nuttall & Gannon: Sucrose and disease. Diab Care 1981;4(2):305-10
*Tisdall: The effect of nutrition on the primary teeth. Child Devel 1937;8(1):102-4
Essential Oils prevent dental caries and plaque because they are potent antioxidants
and strong anti-microbials against a variety of viruses, bacteria, and yeasts. Pepper-
mint, Rosemary, and Cumin oils were better than chlorhexidine in preventing plaque
buildup.
*Bonjar: Inhibition of Clotrimazole-resistant Candida albicans by plants used in Iranian folkloric medi-
cine. Fitoterapia 2004 Jan;75(1):74-6
*Braga et al: Thymol inhibits Candida albicans biofilm formation and mature biofilm. Arch Gen Psych
2004 Jun;61(6):618-27
*Cai & Wu: Compounds from Syzygium aromaticum possessing growth inhibitory activity against oral
pathogens. J Nat Prod 1996 Oct;59(10):987-90
*Cermelli et al: Effect of eucalyptus essential oil on respiratory bacteria and viruses. Curr Microbiol
2008 Jan;56(1):89-92
*Chaieb et al: The chemical composition and biological activity of clove essential oil, Eugenia caryo-
Fluoride
phyllata (Syzigium aromaticum L. Myrtaceae): a short review. Phytother Res 2007 Jun;21(6):501-6
*Chaieb et al: Antioxidant properties of the essential oil of Eugenia caryophyllata and its antifungal
activity against a large number of clinical Candida species. Mycoses 2007 Sep;50(5):403-6
340
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Chang et al: Antibacterial activity of leaf essential oils and their constituents from Cinnamomum
osmophloeum. J Ethnopharmacol 2001 Sep;77(1):123-7
*Dalleau et al: In vitro activity of terpenes against Candida biofilms. Int J Antimicrob Agents 2008
Jun;31(6):572-6
*Fu et al: Antimicrobial activity of clove and rosemary essential oils alone and in combination. Med
Hypoth 2001 Aug;57(2):258-75
*Hayashi et al: Inhibitory effect of cinnamaldehyde, derived from Cinnamomi cortex, on the growth of
influenza A/PR/8 virus in vitro and in vivo. Antiviral Res 2007 Apr;74(1):1-8
*He et al: In vitro activity of eugenol against Candida albicans biofilms. Mycopathologia 2007
Mar;163(3):137-43
*Khan et al: Inhibition of quorum sensing regulated bacterial functions by plant essential oils with spe-
cial reference to clove oil. Lett Appl Microbiol 2009 Sep;49(3):354-60
*Kulisić et al: The effects of essential oils and aqueous tea infusions of oregano (Origanum vulgare L.
spp. hirtum), thyme (Thymus vulgaris L.) and wild thyme (Thymus serpyllum L.) on the copper-
induced oxidation of human low-density lipoproteins. Int J Food Sci Nutr 2007 Mar;58(2):87-93
*Mayaud et al: Comparison of bacteriostatic and bactericidal activity of 13 essential oils against strains
with varying sensitivity to antibiotics. Lett Appl Microbiol 2008 Sep;47(3):167-73
*Mojab et al: Antibacterial activity of Thymus daenensis methanolic extract. Pak J Pharm Sci 2008
Jul;21(3):210-3
*Naemura et al: Long-term intake of rosemary and common thyme herbs inhibits experimental throm-
bosis without prolongation of bleeding time. Thromb Res 2008;122(4):517-22
*Nagata et al: Effect of eucalyptus extract chewing gum on periodontal health: a double-masked,
randomized trial. J Periodontol 2008 Aug;79(8):1378-85
*Nuryastuti et al: Effect of cinnamon oil on icaA expression and biofilm formation by Staphylococcus
epidermidis. Appl Environ Microbiol 2009 Nov;75(21):6850-5
*Pawar & Thaker: In vitro efficacy of 75 essential oils against Aspergillus niger. Mycoses 2006
Jul;49(4):316-23
*Quale et al: In vitro activity of Cinnamomum zeylanicum against azole resistant and sensitive Candida
species and a pilot study of cinnamon for oral candidiasis. Am J Chin Med 1996;24(2):103-9
*Rasooli et al: Phytotherapeutic prevention of dental biofilm formation. Phytother Res 2008
Sep;22(9):1162-7
*Ravishankar et al: Plant-derived compounds inactivate antibiotic-resistant Campylobacter jejuni
strains. J Food Prot 2008 Jun;71(6):1145-9
*Salari et al: Antibacterial effects of Eucalyptus globulus leaf extract on pathogenic bacteria isolated from
specimens of patients with respiratory tract disorders. Clin Microbiol Infect 2006 Feb;12(2):194-6
*Shahverdi et al: Trans-cinnamaldehyde from Cinnamomum zeylanicum bark essential oil reduces the
clindamycin resistance of Clostridium difficile in vitro. J Food Sci 2007 Jan;72(1):S055-8
*Shayegh et al: Phytotherapeutic inhibition of supragingival dental plaque. Nat Prod Res 2008 Mar
20;22(5):428-39
*Tabak et al: Cinnamon extracts’ inhibitory effect on Helicobacter pylori. J Ethnopharmacol 1999 Nov
30;67(3):269-77
*Taguchi et al: Therapeutic effects on murine oral candidiasis by oral administration of cassia (Cinna-
momum cassia) preparation. Nippon Ishinkin Gakkai Zasshi 2010;51(1):13-21
*Taguchi et al: Protection of oral or intestinal candidiasis in mice by oral or intragastric administration of
herbal food, clove (Syzygium aromaticum). Nippon Ishinkin Gakkai Zasshi 2005;46(1):27-33
*Tohidpour et al: Antibacterial effect of essential oils from two medicinal plants against Methicillin-
resistant Staphylococcus aureus (MRSA). Phytomed 2009 Jul 1
*Warnke et al: The battle against multi-resistant strains: Renaissance of antimicrobial essential oils as a
promising force to fight hospital-acquired infections. J Craniomaxillofac Surg 2009 May 25
*Wong et al: Antibacterial activities of naturally occurring compounds against Mycobacterium avium
Fluoride
341
Pamela Duff, RN, CSNC
Garlic helps control bacteria responsible for dental caries and plaque.
*Bachrach et al: Garlic allicin as a potential agent for controlling oral pathogens. J Med Food 2011
May 6
*Fani et al: Inhibitory activity of garlic (Allium sativum) extract on multidrug-resistant Streptococcus
mutans. J Indian Soc Pedod Prev Dent 2007 Oct-Dec;25(4):164-8
Mango and Neem have anti-bacterial properties against 4 organisms responsible for
dental caries.
*Prashant et al: The effect of mango and neem extract on four organisms causing dental caries: Strep-
tococcus mutans, Streptococcus salivavius, Streptococcus mitis, and Streptococcus sanguis: an
in vitro study. Indian J Dent Res 2007 Oct-Dec;18(4):148-51
Mastic gum has antibacterial activity which helps prevent tooth decay.
*Aksoy et al: In vitro and in vivo antimicrobial effects of mastic chewing gum against Streptococcus
mutans and mutans streptococci. Arch Oral Biol 2006 Jun;51(6):476-81
Methionine (an amino acid) and Vitamin E protect the kidneys from oxidative stress
caused by fluoride.
*Blaszczyk et al: Influence of fluoride on rat kidney antioxidant system: effects of methionine and vita-
min E. Biol Trace Elem Res 2008 Jan;121(1):51-9
effects.
342
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Altintaş et al: Prophylactic effect of N-acetylcysteine against sodium fluoride-induced blood oxidative
stress in mice. Food Chem Toxicol 2010 Oct;48(10):2838-41
Selenium and Zinc protect the kidneys from fluoride toxicity and Selenium lessens
the effects of hair loss due to fluoride exposure.
*Wang et al: Fluorine-induced apoptosis and lipid peroxidation in human hair follicles in vitro. J Biomed
Eng 1993 Mar;15(2):121-6
*Xue et al: Study on antagonistic effects of selenium and zinc on the renal impairments induced by
fluoride in rats. Wei Sheng Yan Jiu 2000 Jan 30;29(1):21-3
Spices possess strong anti-microbial properties especially Aniseed, Basil, Bay leaves,
Black pepper, Clove, Coriander, Cumin, Cinnamon, Garlic, Gum Arabic, Horseradish,
Marjoram, Oregano, Rosemary, and Thyme.
*Chaudhry & Tariq: Bactericidal activity of black pepper, against oral isolates. Pak J Pharm Sci 2006
Jul;19(3):214-8
*Khan et al: Antimicrobial activity of five herbal extracts against multi drug resistant (MDR) strains of
bacteria and fungus of clinical origin. Molecules 2009 Feb 4;14(2):586-97
*Mandal et al: In vitro antibacterial activity of three Indian spices against methicillin-resistant staphylo-
coccus aureus. Oman Med J 2011 Sep ;26(5):319-23
*Yano et al: Antimicrobial effect of spices and herbs on Vibrio parahaemolyticus. Int J Food Microbiol
2006 Aug 15;111(1):6-11
343
Pamela Duff, RN, CSNC
*Khandare et al: Effect of tamarind ingestion on fluoride excretion in humans. Eur J Clin Nutr 2002
Jan;56(1):82-5
Tooth powder: I developed this recipe a few years ago. It has become popular in our
household and others with those with whom I have shared; young and old alike. It is
easy to make and use and safer than fluoride toothpaste and it prevents plaque. Use
all, or a few, of the oils according to your own taste and availability.
Mix together and store in a dark glass jar, putting small amounts in a similar con-
tainer for everyday use. Pour a small amount into your hand and scoop up with a
moist toothbrush.
12 tbsp baking soda (to whiten teeth and keep mouth fresh)
4 tbsp full-mineral sea salt (grey or pink) (to strengthen gums)
5 drops Peppermint oil
5 drops Thyme oil
4 drops Lemon oil
4 drops Cinnamon oil
3 drops Eucalyptus oil
3 drops Clove oil
Vitamins A, E, and CoQ10 protect the lungs and pancreas from fluoride damage.
*Stawiarska-Pieta et al: The effect of antioxidative vitamins A and E and coenzyme Q on the morpho-
logical picture of the lungs and pancreata of rats intoxicated with sodium fluoride. Food Chem
Toxicol 2009 Oct;47(10):2544-50
Vitamin D prevents cavities. This knowledge was verified in studies dating back to
1928 and a deficiency affects all ages; yet few “modern” studies have followed up on
this vital evidence. Vitamin D also decreases toxic effects of fluoride to the embryo
during pregnancy.
* Anderson et al: Influence of vitamin D in the prevention of dental caries. J Am Dent Assoc
1934;21:1349-66
*Brodsky et al: Prevention of dental caries by massive doses of vitamin D. Am J Dis Children
1941;62:1183-7
*Chalmers et al: Caries incidence and increments in community-living older adults with and with-
out dementia. Austral Res Cent Pop Oral Health, Dental School, U Adelaide Gerodontol 2002
Dec;19(2):80-94
*Day & Sedwick: Fat-soluble vitamins and dental caries in children. J Nutr 1934;8:309-28
*Ellefsen et al: Caries prevalence in older persons with and without dementia. J Am Ger Soc 2008
Jan;56(1):59-67(9)
*Grant: A review of the role of solar ultraviolet-B irradiance and vitamin D in reducing risk of dental
caries. Landes Biosc Dermatoendocrin 2011 July-Sept;3:(3)193-198
*McBeath & Zucker: Role of vitamin D in the control of dental caries in children. J Nutr 1938;15:547-64
*McBeath: Vitamin D studies, 1933-1934. Am J Pub Health 1934;24:1028-30
Fluoride
*Mellanby & Pattison: The action of vitamin D in preventing the spread and promoting the arrest of
caries in children. BMJ 1928 Dec 15;2(3545):1079–82
344
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Sherlin & Verma: Vitamin D ameliorates fluoride-induced embryotoxicity in pregnant rats. Hepato-
gastroenterol 2003 Dec;50 Suppl 2:cclxxix-cclxxx
*Vitamin deficiency underlies tooth decay. Orthomol Med News Serv February 19, 2009
Xylitol (sugar alcohol with a low glycemic index) reduces the chances of developing
cavities by controlling oral bacteria.
*Birkhed: Cariologic aspects of xylitol and its use in chewing gum: a review. Acta Odontol Scand 1994
Apr;52(2):116-27
*Hildebrandt & Sparks: Maintaining mutans streptococci suppression with xylitol chewing gum. Phyto-
ther Res 2003 Sep;17(8):938-41
*Mäkinen: Sugar alcohols, caries incidence, and remineralization of caries lesions: a literature review.
Int J Dent 2010;2010:981072
*Mäkinen et al: Thirty-nine-month xylitol chewing-gum programme in initially 8-year-old school
children: a feasibility study focusing on mutans streptococci and lactobacilli. Int Dent J 2008
Feb;58(1):41-50
*Mäkinen et al: Similarity of the effects of erythritol and xylitol on some risk factors of dental caries.
Caries Res 2005 May-Jun;39(3):207-15
*Mäkinen et al: Properties of whole saliva and dental plaque in relation to 40-month consumption of
chewing gums containing xylitol, sorbitol of sucrose. Caries Res 1996;30(3):180-8
*Mäkinen et al: Conclusion and review of the Michigan Xylitol Programme (1986-1995) for the preven-
tion of dental caries. Int Dent J 1996 Feb;46(1):22-34
*Milgrom et al: Xylitol pediatric topical oral syrup to prevent dental caries: a double-blind randomized
clinical trial of efficacy. Arch Pediatr Adolesc Med 2009 Jul;163(7):601-7
*Nakai et al: Xylitol gum and maternal transmission of mutans streptococci. J Dent Res 2010
Jan;89(1):56-60
*Trahan: Xylitol: a review of its action on mutans streptococci and dental plaque--its clinical signifi-
cance. Subst Abuse Treat Prev Policy 2008 Jan 25;3:1
*Twetman: Consistent evidence to support the use of xylitol- and sorbitol-containing chewing gum to
prevent dental caries. Evid Based Dent 2009;10(1):10-1
*Twetman & Stecksén-Blicks: Effect of xylitol-containing chewing gums on lactic acid production in
dental plaque from caries active pre-school children. Oral Health Prev Dent 2003;1(3):195-9
Yogurt consumption is linked to fewer cavities in young children but not so with
other dairy products.
*Tanaka et al: Intake of dairy products and the prevalence of dental caries in young children. J Dent
2010 Jul;38(7):579-83
345
Gout
(Used to treat symptoms of gout)
Common examples:
allopurinol – Zyloprim
colchicine
probenecid – Benemid, Benuryl, and others
sulfinpyrazone – Anturane
Deplete:
A, beta carotene, B3, B6, B9, B12, D, E, K, calcium, copper, iron,
magnesium, phosphorus, potassium, sodium, zinc
´´Gout Triggers: organ meats, seafood, alcohol, soft drinks, fructose, dairy
products, soy milk and diuretics.
*Choi et al: Intake of purine-rich foods, protein, and dairy products and relationship to serum levels
of uric acid: the Third National Health and Nutrition Examination Survey. Arthritis Rheum 2005
Jan;52(1):283-9
*Dalbeth et al: Acute effect of milk on serum urate concentrations: a randomised controlled crossover
trial. Ann Rheum Dis 2010 Sep;69(9):1677-82
*Menghini & Corte: Evaluation of hyperuricemia caused by fructose in a status of altered uric acid
metabolism. Quad Sclavo Diagn 1987 Dec;23(4):441-6
*Morozzi et al: Inhibition of fructose-induced hyperuricacidemia by pretreatment with phosphates. Boll
Soc Ital Biol Sper 1982 Apr 30;58(8):491-6
*Singh et al: Risk factors for gout and prevention: a systematic review of the literature. Curr Opin
Rheumatol 2011 Mar;23(2):192-202
Suggested alternatives:
*Rasool & Varalakshmi: Suppressive effect of Withania somnifera root powder on experimental gouty
arthritis: An in vivo and in vitro study. Chem Biol Interact 2006 Dec 15;164(3):174-80
346
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Orange juice and Hesperetin (a bioflavonoid) significantly decrease the risk of gout.
*Ghanim et al: Orange juice neutralizes the proinflammatory effect of a high-fat, high-carbohydrate
meal and prevents endotoxin increase and Toll-like receptor expression. Am J Clin Nutr 2010
Apr;91(4):940-9
*Haidari et al: Orange juice and hesperetin supplementation to hyperuricemic rats alter oxidative stress
markers and xanthine oxidoreductase activity. J Clin Biochem Nutr 2009 Nov;45(3):285-91
Quercetin, Luteolin, Milk Thistle, and Curcumin prevent the formation of uric
acid.
*Pauff & Hille: Inhibition studies of bovine xanthine oxidase by luteolin, silibinin, quercetin, and cur-
cumin. J Nat Prod 2009 Apr;72(4):725-31
Gout
347
Pamela Duff, RN, CSNC
Siberian ginseng, Angelica, and Chinese skullcap protect against the formation
of uric acid (urate crystals)
*Jung et al: Reduction of urate crystal-induced inflammation by root extracts from traditional oriental
medicinal plants: elevation of prostaglandin D2 levels. Cancer Epidemiol Biomarkers Prev 2008
Aug;17(8):2136-45
348
HRTs (Hormones Replacement Therapies)
Common examples:
androgens
oxandrolone – Oxandrin
methyltestosterone – Android, Testosterone Cypionate, Virilon, and
others
estrogen-containing
conjugated/combined – Cenestin, Premarin, and others
bio-identical – Estrace, Delestrogen, and others
esterified – Menest
estradiols – Activella, Climara, Combipatch, Estrace, Estraderm,
Estring, EstroGel, Femogex, Femring, Menostar, and many more
oral contraceptives (levonorgestrel – Mirena, Plan B, and others)
growth hormones
somatropin – Genotropin, Nutropin, and others
progestins
medroxyprogesterone – DepoProvera and others
norethindrone – Aygestin
progesterone – Crinone, Prometrium, and others
Deplete:
A, B1, B2, B3, B5, B6, B7, B8. B9, B12, C, D, E, EFAs, quercetin,
beneficial flora
´´HRTs are sometimes given to aging men which has an adverse effect on the
prostate as well as accelerating the aging process.
*Montico et al: Hormonal therapy in the senescence: Prostatic microenvironment structure and
adhesion molecules. Micron 2011 Aug;42(6):642-55
349
Pamela Duff, RN, CSNC
their active constituents) have long been associated with cancers but they
can also be linked to numerous other dangerous health conditions including
affecting the reproductive systems of both men and women.
*McGlynn et al: Persistent organochlorine pesticides and risk of testicular germ cell tumors. J Natl
Cancer Inst 2008 May 7;100(9):663-71
*Porpora et al: Endometriosis and organochlorinated environmental pollutants: a case-control study
on Italian women of reproductive age. Environ Health Perspect 2009 Jul;117(7):1070-5
Suggested alternatives:
Apples contain a substance that may help treat male baldness. Use only organically
grown apples as non-organic apples are number one on the list of produce containing
pesticides.
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
*Takahashi et al: The first clinical trial of topical application of procyanidin B-2 to investigate its potential
as a hair growing agent. Phytother Res 2001 Jun;15(4):331-6
Astaxanthin and Saw palmetto increase testosterone and decrease estradiol levels
in men.
*Angwafor & Anderson: An open label, dose response study to determine the effect of a dietary sup-
plement on dihydrotestosterone, testosterone and estradiol levels in healthy males. J Cardiovasc
Electrophysiol 2009 Sep;20(9):1055-60
Beta-sitosterol (a plant sterol) and Saw palmetto (an herb) help protect the prostate
HRTs (Hormones Replacement Therapies)
Black cohosh has long been used to treat menopausal symptoms with studies to
prove this traditional use. Although there has been some concern that it contributes
to breast cancer because of its phytoestrogen content, studies show the opposite,
that it inhibits breast and prostate cancer cells. It can, however, interfere with such
cancer treatments as radiation and chemotherapy.
*Borrelli & Ernst: Black cohosh (Cimicifuga racemosa) for menopausal symptoms: a systematic review
of its efficacy. PharmacolRes 2008;58(1):8-14
*Frei-Kleiner et al: Cimicifuga racemosa dried ethanolic extract in menopausal disorders: a double-
blind placebo-controlled clinical trial. Maturitas 2005;51(4):397-404
*Jacobson et al: Randomized trial of black cohosh for the treatment of hot flashes among women with
a history of breast cancer. J Clin Oncol 200;19(10):2739-2745
*Kanadys et al: Efficacy and safety of Black cohosh (Actaea/Cimicifuga racemosa) in the treatment of
vasomotor symptoms--review of clinical trials. Ginekol Pol 2008 Apr;79(4):287-96
350
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*McKenna et al: Black cohosh: efficacy, safety, and use in clinical and preclinical applications. [Re-
view]. Altern Ther Health Med 2001;7(3):93-100
*Mollá et al: Cimicifuga racemosa treatment and health related quality of life in post-menopausal Span-
ish women. Gynecol Endocrinol 2009 Jan;25(1):21-6
*Palacio et al: Black cohosh for the management of menopausal symptoms: a systematic review of
clinical trials. Drugs Aging 2009;26(1):23-36
*Rachoń et al: Effects of black cohosh extract on body weight gain, intra-abdominal fat accumula-
tion, plasma lipids and glucose tolerance in ovariectomized Sprague-Dawley rats. Maturitas 2008
Jul-Aug;60(3-4):209-15
*Ruediger et al: Efficacy and safety of isopropanolic black cohosh extract for climacteric symptoms.
Obstet Gynecol 2005;105:1074-1083
*Seidlová-Wuttke et al: Effects of estradiol-17beta, testosterone and a black cohosh preparation on
bone and prostate in orchidectomized rats. Maturitas 2005 Jun 16;51(2):177-86
*Seidlova-Wuttke et al: Evidence for selective estrogen receptor modulator activity in a black co-
hosh (Cimicifuga racemosa) extract: comparison with estradiol-17beta. Eur J Endocrinol 2003
Oct;149(4):351-62
*Tsukamoto et al: Isolation of CYP3A4 inhibitors from the black cohosh (Cimicifuga racemosa). Evid
Bas Comple Alt Med 2005;2(2):223-226
*U Maryland Med Center article on Black-cohosh
*Usuki: Effects of herbal components of tokishakuyakusan on progesterone secretion by corpus lu-
teum in vitro. Am J Chin Med 1991;19(1):57-60
*Wang et al: The aqueous extract of a popular herbal nutrient supplement, Angelica sinensis, protects
mice against lethal endotoxemia and sepsis. J Nutr 2006 Feb;136(2):360-5
*Wuttke et al: Phytoestrogens: endocrine disrupters or replacement for hormone replacement ther-
apy? Maturitas 2008 Sep-Oct;61(1-2):159-70
*Wutte et al: The Cimicifuga preparation BNO 1055 vs. conjugated estrogens in a double-blind pla-
cebo-controlled study: effects on menopause symptoms and bone markers. Maturitas 2003 Mar
14;44 Suppl 1:S67-77
Coconut and Olive oils increase testosterone and antioxidant levels in the testes.
*Hurtado de Catalfo et al: Dietary lipids modify redox homeostasis and steroidogenic status in rat
testis. Phytother Res 2010 Feb;24(2):163-8
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Flaxseed manages hot flashes in women not taking estrogen therapy and reduces
the risk of breast cancer.
*Pruthi et al: Pilot evaluation of flaxseed for the management of hot flashes. J Soc Integr Oncol 2007
Summer;5(3):106-12
*Sung et al: Mammalian lignans inhibit the growth of estrogen-independent human colon tumor cells.
Anticancer Res 1998 May-Jun;18(3A):1405-8
*Touillaud et al: Dietary lignan intake and postmenopausal breast cancer risk by estrogen and proges-
terone receptor status. J Natl Cancer Inst 2007 Mar 21;99(6):475-86
HRTs (Hormones Replacement Therapies)
*Truan et al: Flaxseed oil reduces the growth of human breast tumors (MCF-7) at high levels of circulat-
ing estrogen. Mol Nutr Food Res 2010 Oct;54(10):1414-21
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*Jones-Shoeman: Choose healthy lifestyle, nutritious food over hormone replacement therapy for
menopause symptoms. NaturalNews Sunday, January 22, 2012
Maca is a Peruvian ginseng-type root that produces similar results as other gin-
sengs. While the maca root can come in various colours determined by growing
conditions (black, blue, cream, green, purple, or red). Black is considered best for
energy, stamina, fertility, and sperm quality while the red has been more effective for
the male prostate. Maca does not increase estrogens, progesterone, or testosterone
but rather regulates hormones in both men and women (see more under Prostate and
Erectile Dysfunction). In females who have had their ovaries removed, black maca
also relieves depression and mental confusion.
*Bogani et al: Lepidium meyenii (Maca) does not exert direct androgenic activities. J Ethnopharmacol
2006 Apr;104(3):415-7
*Bustos-Obregon et al: Lepidium meyenii (Maca) reduces spermatogenic damage induced by a single
dose of malathion in mice. Asia J Androl 2005 Mar;7(1):71-6
* Gonzales et al: Effect of Black maca (Lepidium meyenii) on one spermatogenic cycle in rats. Andro-
logia 2006 Oct;38(5):166-72
*Gonzales et al: Effect of short-term and long-term treatments with three ecotypes of Lepidium meyenii
(MACA) on spermatogenesis in rats. J Ethnopharmacol 2006 Feb 20;103(3):448-54
*Gonzales et al: Effect of Lepidium meyenii (Maca) on spermatogenesis in male rats acutely exposed
to high altitude (4340 m). J Endocrinol 2004;180(1):87-95
*Gonzales et al: Effect of Lepidium meyenii (maca) roots on spermatogenesis of male rats. Asian J
Androl 2001 Sep;3:231-33
*Gonzales et al: Lepidium meyenii (Maca) improved semen parameters in adult men. Asian J Androl
2001 Dec;3:301-3
*León: The “Maca” ( Lepidium meyenii ) a little known food plant of Peru. Econ Bot 18(2):122-7
Magnesium improves glucose tolerance and blood fat levels in those on oral
contraceptives.
353
Pamela Duff, RN, CSNC
*Olatunji et al: Effect of dietary magnesium on glucose tolerance and plasma lipid during oral contra-
ceptive administration in female rats. Afr J Med Med Sci 2008 Jun;37(2):135-9
Papaya extract protects the uterus in both women who are pregnant and those who
are not. Papaya has antioxidant effects similar to vitamin E.
*Cherian: Effect of papaya latex extract on gravid and non-gravid rat uterine preparations in vitro. J
Ethnopharmacol 2000 Jun;70(3):205-12
*Mehdipour et al: Antioxidant potentials of Iranian Carica papaya juice in vitro and in vivo are compar-
able to alpha-tocopherol. Phytother Res 2006 Jul;20(7):591-4
*Tran et al: Pomegranate (Punica granatum) seed linolenic acid isomers: concentration-dependent
modulation of estrogen receptor activity. Atheroscler 2007 Aug;193(2):277-82
Pomegranates and Beta-sitosterol (a plant sterol) are safe and effective in stimulat-
ing uterine contractions.
*Promprom et al: The effects of pomegranate seed extract and beta-sitosterol on rat uterine contrac-
tions. Reprod Sci 2010 Mar;17(3):288-96
Progesterone affects hormones. When levels are too low, the results can lead to
painful endometriosis, fibroids, sleep disturbances, melatonin secretion, breast,
ovarian and prostate tumors, decreased neuroprotection, and pre-term births.
*Akoum et al: Secretion of interleukin-6 by human endometriotic cells and regulation by proinflamma-
tory cytokines and sex steroids. J Med Case Reports 2010;4:76
*Bentrari et al: Progesterone enhances cytokine-stimulated nitric oxide synthase II expression and cell
death in human breast cancer cells. Lab Invest 2005 May;85(5):624-32
*Caufriez et al: Progesterone prevents sleep disturbances and modulates GH, TSH, and melatonin
secretion in postmenopausal women. J Clin Endocrinol Metab 2011 Feb 2
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*Formby & Wiley: Progesterone inhibits growth and induces apoptosis in breast cancer cells: inverse
effects on Bcl-2 and p53. Ann Clin Lab Sci 1998 Nov-Dec;28(6):360-9
*Ito et al: A new approach to prostate cancer. J Pharm Pharmacol 1989 Jul;41(7):488-9
*Iwaoka et al: Selective stimulation by cinnamaldehyde of progesterone secretion in human adrenal
cells. Life Sci 2010 Jun 5;86(23-24):894-8
*Lin et al: Effect of progesterone on the invasive properties and tumor growth of progesterone recep-
tor-transfected breast cancer cells MDA-MB-231. J Agric Food Chem 1999 Mar;47(3):840-4
*Meis & Aleman: Progesterone treatment to prevent preterm birth. Drugs 2004;64(21):2463-74
*Nicola et al: Progesterone neuroprotection in traumatic CNS injury and motoneuron degeneration.
Front Neuroendocrinol 2009 Jul;30(2):173-87
*Tariverdian et al: Neuroendocrine circuitry and endometriosis: progesterone derivative dampens cor-
ticotropin-releasing hormone-induced inflammation by peritoneal cells in vitro. J Mol Med 2010
Mar;88(3):267-78
*Yamada et al: Progesterone down-regulates insulin-like growth factor-I expression in cultured human
uterine leiomyoma cells. Hum Reprod 2004 Apr;19(4):815-21
*Yu et al: Apoptosis induced by progesterone in human ovarian cancer cell line SNU-840. Diabetes
Care 2010 Feb;33(2):246-51
Sage is as effective as a steroid for treating skin redness or rashes, but less harm-
ful. With antioxidant properties, it is also effective for improving mood and mental
performance that often accompany hormonal changes.
*Kennedy et al: Effects of cholinesterase inhibiting sage (Salvia officinalis) on mood, anxiety and per-
formance on a psychological stressor battery. Neuropsychopharma 2006 Apr;31(4):845-52
*Oboh & Henle: Antioxidant and inhibitory effects of aqueous extracts of Salvia officinalis leaves on pro-
oxidant-induced lipid peroxidation in brain and liver in vitro. Pediatr Neurol 2007 Mar;36(3):152-8
*Reuter et al: Sage extract rich in phenolic diterpenes inhibits ultraviolet-induced erythema in vivo.
Planta Med 2007 Sep;73(11):1190-1
Soy Isoflavones, Lignans (from flaxseed), and Black cohosh help alleviate
menopausal symptoms including cognative decline and weight gain. Equol is a sub-
stance metabolized from daidzein, a flavonoid found in soybeans. Certain probiotics
feed on this compound and in turn, produce hormone-regulating effects including
the relief of menopausal symptoms in women and inhibiting prostate growth in men.
355
Pamela Duff, RN, CSNC
Use only non-GMO fermented soy foods as they have the medicinal value. The fer-
mentation process nullifies any hormone-disrupting qualities.
*Ishiwata et al: New equol supplement for relieving menopausal symptoms: randomized, placebo-
controlled trial of Japanese women. Menopause 2009 Jan-Feb;16(1):141-8
*Lund et al: Equol is a novel anti-androgen that inhibits prostate growth and hormone feedback. Int J
Neurosci 2008 Jan;118(1):59-77
*Sammartino et al: Short-term effects of a combination of isoflavones, lignans and Cimicifuga racem-
osa on climacteric-related symptoms in postmenopausal women: a double-blind, randomized,
placebo-controlled trial. Gynecol Endocrinol 2006;22(11):646-50
*Sarkaki et al: Preventive effects of soy meal (+/- isoflavone) on spatial cognitive deficiency and body
weight in an ovariectomized animal model of Parkinson’s disease. Pak J Biol Sci 2009 Oct
15;12(20):1338-45
Testosterone levels (higher), vitamin D and Calcium reduce the risk of falling in
older men and women.
*Bischoff-Ferrari et al: Additive benefit of higher testosterone levels and vitamin D plus calcium supple-
mentation in regard to fall risk reduction among older men and women. Osteoporos Int 2008
Sep;19(9):1307-14
356
Immunosuppressants
(Used to treat autoimmune disorders or prevent organ transplant rejection)
Common examples:
azathioprine – Imuran
basiliximab – Simulect
cyclophosphamide – Cytoxan, Neosar, Procytox
cyclosporine – Gengraf, Neoral, Sandimmune
daclizumab – Zenapax
glatiramer – Copaxone
methotrexates – amethopterin, MTX
mycophenolate – CellCept, Myfortic
pimecrolimus – Elldel
sirolimus – Rapamune
steroids – Prednisone and others
tacrolimus – Prograf
thalidomide – Thalomid
Deplete:
B6, B9, B12, E, calcium, copper, iron, magnesium, potassium, EFAs,
bioflavonoids, L-glutamine
357
Pamela Duff, RN, CSNC
´´Statin drugs for Cholesterol cause serious side effects for heart and liver
transplant patients.
*Marzoa-Rivas et al: Safety of statins when response is carefully monitored: a study of 336 heart
recipients. Transplant Proc 2005 Nov;37(9):4071-3
*Moreno et al: Severe rhabdomyolysis due to rosuvastatin in a liver transplant subject with human
immunodeficiency virus and immunosuppressive therapy-related dyslipidemia. Liver Transpl 2011
Mar;17(3):331-3
Suggested alternatives:
Aloe vera provides a safe and effective treatment for patients with oral lichen planus
(an autoimmune disease of the mouth) and vulval lichen planus (an infection affect-
ing the female vulva). Neither one is contagious and not caused by any microbe. In-
ternally, Aloe also effectively treats by decreasing the effects of rheumatoid arthritis
and multiple sclerosis.
*Choonhakarn et al: The efficacy of aloe vera gel in the treatment of oral lichen planus: a randomized
controlled trial. Br J Dermatol 2008 Mar;158(3):573-7
*Choonhakarn et al: The efficacy of aloe vera gel in the treatment of oral lichen planus: a randomized
controlled trial. Lipids Health Dis 2006;5:24
*Mirshafiey et al: Therapeutic approach by Aloe vera in experimental model of multiple sclerosis.
Immunosuppressants
358
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*Hong et al: The ethyl acetate extract of alfalfa sprout ameliorates disease severity of autoimmune-
prone MRL-lpr/lpr mice. Lupus 2009 Mar;18(3):206-15
Banana has immune-regulating activity that is also able to inhibit the HIV virus and
cancer cells.
*Cheung et al: Musa acuminata (Del Monte banana) lectin is a fructose-binding lectin with cytokine-
inducing activity. Phytomed 2009 Jun;16(6-7):594-600
Barley grass moderates the immune system especially in those with rheumatoid
arthritis.
*Cremer et al: A purified green barley extract with modulatory properties upon TNF alpha and ROS
released by human specialized cells isolated from RA patients. Roum Arch Microbiol Immunol
1998;57:231-42
Beta glucans are polysaccharides derived from oats, mushrooms, or yeasts. Beta
glucans are particularly effective for priming and normalizing the immune system
while decreasing infections and mortality rates in the severely ill.
*Akramiene et al: Effects of beta-glucans on the immune system. Medicina (Kaunas) 2007;43(8):597-606
*Babineau et al: A phase II multicenter, double-blind, randomized, placebo-controlled study of three
Immunosuppressants
359
Pamela Duff, RN, CSNC
*Czop & Austen: A b-glucan inhibitable receptor on human monocytes: its identity with the phago-
cytic receptor for particulate activators of the alternative complement pathway. J Immunol
1985;134:2588-93
*de Felippe et al: Infection prevention in patients with severe multiple trauma with the immunomodula-
tor beta 1-3 polyglucose (glucan). Surg Gyne Obst 1993;177(4):383-88
*Dellinger et al: Effect of PGG-glucan on the rate of serious postoperative infection or death observed
after high-risk gastrointestinal operations. Betafectin Gastrointestinal Study Group. Arch Surg
1999 Sep;134(9):977-83
*Gao et al: Active hexose correlated compound enhances tumor surveillance through regulating both
innate and adaptive immune responses. Cancer Immunol Immunother 2006 Oct;55(10):1258-66
*Hooda et al: Dietary oat beta-glucan reduces peak net glucose flux and insulin production and modu-
lates plasma incretin in portal-vein catheterized grower pigs. J Nutr 2010 Sep;140(9):1564-9
*Leibovich & Danon: Promotion of wound repair in mice by application of glucan. J Reticuloendo Soc
1980;27:1-11
*Lin et al: Maitake beta-glucan enhances umbilical cord blood stem cell transplantation in the NOD/
SCID mouse. Exp Biol Med (Maywood) 2009 Mar;234(3):342-53
*Onderdonk et al: Anti-infective effect of poly-beta-1,6-glucotriosyl-beta 1,3glucapyranose glucan in
vivo. Infect Imm 1992;60:1642-47
*Pourahmad et al: Protective effects of fungalβ-(1→3)-D-glucan against oxidative stress cytotoxicity
induced by depleted uranium in isolated rat hepatocytes. Hum Exp Toxicol 2011 Mar;30(3):173-81
*Rasmussen & Seljelid: Novel immunomodulators with pronounced in vitro effects caused by stimula-
tion of cytokine release. J Cell Biochem 1991;46:60-8
*Rasmussen & Seljelid: The modulatory effect of lipoproteins on the release of interleukin 1 by human
peritoneal macrophages stimulated with beta 1 -3D-polyglucose derivatives. Scand J Immunol
1989;29:477-84
*Rasmussen & Seljelid: Production of prostaglandin E2 and interleukin 1 by mouse peritoneal macro-
phages stimulated with beta-1, 3-D-glucan derivatized plastic beads. Scand J Immunol 1987
Dec;26(6):731-36
*Rondanelli et al: The biological activity of beta-glucans. Minerva Med 2009 Jun;100(3):237-45
*Suzuki et al: Immunomodulatory by orally administered beta glucan in mice. Int J Immunopharma
1989;11:761-9
*Toklu et al: Beta-glucan protects against burn-induced oxidative organ damage in rats. Int Immun-
opharmacol 2006 Feb;6(2):156-69
*Tzianabos & Cisneros: Prophylaxis with the immunomodulator PGG glucan enhances antibiotic ef-
ficacy in rats infected with antibiotic-resistant bacteria. Ann NY Acad Sci 1996 Oct;797:285-7
*Vetvicka & Vetvickova: Effects of glucan on immunosuppressive actions of mercury. J Med Food
2009 Oct;12(5):1098-104
*Washburn et al: PGG-glucan, a leukocyte-specific immunostimulant, does not potentiate GVHD or
allograft rejection. J Surg Res 1996;62:179-83
*Williams et al: Preclinical safety evaluation of soluble glucan. Int J Immunopharmacol 1988;10:405-11
*Williams & Diluzio: Glucan induced modification of experimental Staphylococcus aureus infection in
normal, leukemic and immunosuppressed mice. Adv Exp Med Biol 1979;121(A):291-306
*Xu et al: Immunomodulatory function of polysaccharide of Hericium erinaceus]. J Herb Pharmaco
2005;5(1):17-26
*Yagita et al: Novel immunotherapy using a human natural (Hn) IL-12 inducer. Jpn J Cancer Res
Immunosuppressants
1998;89:2422
*Zhou et al: The shiitake mushroom-derived immuno-stimulant lentinan protects against mur-
ine malaria blood-stage infection by evoking adaptive immune-responses. Helicobacter 2005
Apr;10(2):139-45
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*Ammon: Modulation of the immune system by Boswellia serrata extracts and boswellic acids.
Phytomed 2010 Sep;17(11):862-7
CoQ10 significantly improves functional status and quality of life of heart transplant
patients.
*Berman et al: Coenzyme Q10 in patients with end-stage heart failure awaiting cardiac transplantation:
a randomized, placebo-controlled study. Clin Cardiol 2004 May;27(5):295-9
361
Pamela Duff, RN, CSNC
Dong quai (Angelica sinensis) decreases the effects of and heals ulcerative colitis.
*Wong et al: Protective effect of polysaccharides from Angelica sinensis on ulcerative colitis in rats.
Inflammopharma 2008 Aug;16(4):162-7
*Ye et al: Effect of polysaccharides from Angelica sinensis on gastric ulcer healing. Radiat Res
2006;165(5):546-52
Flaxseed protects the kidneys, and ultimately improves blood pressure in those with
lupus nephritis, an autoimmune disorder.
*Clark et al: Flaxseed in lupus nephritis: a two-year nonplacebo-controlled crossover study. J Am Coll
Nutr 2001 Apr;20(2 Suppl):143-8
*Clark et al: A novel treatment for lupus nephritis: lignan precursor derived from flax. Lupus
2000;9(6):429-36
Goji berries/Wolfberry regulate the immune system and are especially good for a
declining eyesight.
*Amagase et al: Immunomodulatory effects of a standardized Lycium barbarum fruit juice in Chinese
older healthy human subjects. J Med Food 2009 Oct;12(5):1159-65
*Amagase & Nance: A randomized, double-blind, placebo-controlled, clinical study of the general
effects of a standardized Lycium barbarum (Goji) Juice, GoChi. J Altern Complement Med 2008
May;14(4):403-12
*Potterat: Goji (Lycium barbarum and L. chinense): Phytochemistry, pharmacology and safety in the
perspective of traditional uses and recent popularity. Planta Med 2010:76(1):7-19
Immunosuppressants
Grape seed extract reduces inflammation and oxidative stress in patients with sys-
temic sclerosis.
*Kalin et al: Activin, a grape seed-derived proanthocyanidin extract, reduces plasma levels of oxidative
stress and adhesion molecules (ICAM-1, VCAM-1 and E-selectin) in systemic sclerosis. Free Radic
Res 2002 Aug;36(8):819-25
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Melatonin safely and effectively treats systemic sclerosis (hardening and scarring
of the skin) and pulmonary sarcoidosis (lung inflammation that can turn into fibro-
sis). Melatonin also reduces oxidative damage to ALS (Amyotrophic lateral sclerosis)
patients.
*Hudspith et al: Lack of immune deficiency in sarcoidosis: compartmentalisation of the immune re-
sponse. Thorax 1987 April;42(4):250–5
*Pignone et al: Melatonin is a safe and effective treatment for chronic pulmonary and extrapulmonary
sarcoidosis. J Pineal Res 2006 Sep;41(2):95-100
*Todisco: Effectiveness of a treatment based on melatonin in five patients with systemic sclerosis. Int
J Mol Med 2010 Nov;26(5):673-8
*Todisco et al: Effectiveness of a treatment based on melatonin in five patients with systemic sclerosis.
Am J Ther 2006 Jan-Feb;13(1):84-7
*Weishaupt et al: Reduced oxidative damage in ALS by high-dose enteral melatonin treatment. J Pin-
eal Res 2006 Nov;41(4):313-23
*Khalifé & Zafarullah: Molecular targets of natural health products in arthritis. Arthritis Res Ther 2011
Feb 3;13(1):102
*Patel & Hamadeh: Nutritional and exercise-based interventions in the treatment of amyotrophic lateral
sclerosis. Clin Nutr 2009 Dec;28(6):604-17
363
Pamela Duff, RN, CSNC
*Hirazumi & Furusawa: An immunomodulatory polysaccharide-rich substance from the fruit juice of
Morinda citrifolia (Noni) with antitumour activity. Phytother Res 1999;13:380–387
*Nayak & Mengi: Immunostimulant activity of noni (Morinda citrifolia) on T and B lymphocytes. Pharm
Biol 2010 Jul;48(7):724-31
*Palu et al: The effects of Morinda citrifolia L. (noni) on the immune system: its molecular mechanisms
of action. J Ethnopharmacol 2008 Feb 12;115(3):502-6
*Samoylenko et al: New constituents from noni (Morinda citrifolia) fruit juice. J Agric Food Chem
2006;54(17):6398-6402
*West et al: A double-blind clinical safety study of noni fruit juice. Pac Health Dialog 2009 Nov;15(2):21-32
Nutrition has a profound effect on proper functioning of the immune system. Nutri-
ent deficiencies compromise the immune system, in the old and the young, contribute
to disease, and put surgery patients at risk for complications.
*Chandra: Influence of multinutrient supplement on immune responses and infection-related illness in
50-65 year old individuals. Nutr Res 2002;22:5-11
*Chandra: Nutrition and the immune system from birth to old age. Eur J Clin Nutr 2002;56:Suppl
3:S73-6
*Chandra: Graying of the immune system: can nutrient supplements improve immunity in the elderly?
J Am Med Assn 1997;277:1398-99
*Chandra: Nutrition and the immune system: an introduction. Am J Clin Nutr 1997 Aug;66(2):460S-63S
*Chandra: Effect of vitamin and trace-element supplementation on immune responses and infection in
elderly subjects. Lancet 1992;340:1124-27
*Chandra & Chandra: Nutrition, immune response, and outcome. Prog Food Nutr Sci 1986;10(1-2):1-65
*Harbige: Nutrition and immunity with emphasis on infection and autoimmune disease. Nutr Health
1996;10(4):285-312
*Marcos et al: Changes in the immune system are conditioned by nutrition. Eur J Clin Nutr 2003;57(Sup-
pl 1):S66S69
*Naber et al: Prevalence of malnutrition in nonsurgical hospitalized patients and its association with
disease complications. Am J Clin Nutr 1997 Nov;66(5):1232-9
*Rayman: Dietary selenium: time to act. BMJ 1997;314:387- 8
Omega-3 fatty acids and a low carb diet maintains a remission of Crohn’s disease.
*Lorenz-Meyer et al: Omega-3 fatty acids and low carbohydrate diet for maintenance of remission in
crohn’s disease: a randomized controlled multicenter trial. Scandin J Gastroenter 1996;31(8):778-85
Phytosterols have several health benefits especially for cholesterol and the prostate
but they also have immune-regulating properties.
Immunosuppressants
*Bouic et al: Beta-Sitosterol and beta-sitosterol glucoside stimulate human peripheral blood lympho-
cyte proliferation: implications for their use as an immunomodulatory combination. Int J Immun-
opharmacol 1996;18(12):693-700
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*Balbir-Gurman et al: Consumption of pomegranate decreases serum oxidative stress and reduces
disease activity in patients with active rheumatoid arthritis: a pilot study. Isr Med Assoc J 2011
Aug;13(8):474-9
*Bouroshaki et al: Protective effect of pomegranate seed oil on hexachlorobutadiene-induced nephro-
toxicity in rat kidneys. Ren Fail 2010 Jun;32(5):612-7
*Shukla et al: Consumption of hydrolyzable tannins-rich pomegranate extract suppresses inflamma-
tion and joint damage in rheumatoid arthritis. Nutr 2008 Jul-Aug;24(7-8):733-43
*Yamasaki et al: Dietary effect of pomegranate seed oil on immune function and lipid metabolism in
mice. Nutrition 2006 Jan;22(1):54-9
Probiotics not only strengthen the immune system but have proven to reduce the
rate of bacterial infections after liver transplants. Probiotics play an important role
in the remission of inflammatory bowel disease and eczema.
*Anuradha & Rajeshwari: Probiotics in health and disease. J Indian Acad Clin Med 2005;6(1):67-72
*Canche-Pool et al: Probiotics and autoimmunity: an evolutionary perspective. Med Hypoth
2008;70(3):657-60
*Guyonnet et al: Effect of a fermented milk containing Bifidobacterium animalis DN-173 010 on the
health-related quality of life and symptoms in irritable bowel syndrome in adults in primary care:
a multicentre, randomized, double-blind, controlled trial. Aliment Pharmacol Ther. 2007 Aug
1;26(3):475-86
*Hun: Bacillus coagulans significantly improved abdominal pain and bloating in patients with IBS.
Postgrad Med 2009 Mar;121(2):119-24
*Isolauri et al: Probiotics in the management of atopic eczema. Clin Exp Allergy 2000;30(11):1604-10
*Kalina: Lactobacilli as natural enhancer of cellular immune response. Discov Med (John Hopkins)
Published on July 25, 2009
*Larsen et al: Predominant genera of fecal microbiota in children with atopic dermatitis are not al-
tered by intake of probiotic bacteria Lactobacillus acidophilus NCFM and Bifidobacterium animalis
subsp. lactis Bi-07. FEMS Microbiol Ecol 2011;75(3):482-96
*Mennigen & Bruewer: Effect of probiotics on intestinal barrier function. Ann N Y Acad Sci 2009
May;1165:183-9
*Pina et al: Improvement of intestinal function in cystic fibrosis patients using probiotics. An Pediatr
(Barc) 2008 Dec;69(6):501-5
*Rayes et al: Supply of pre- and probiotics reduces bacterial infection rates after liver transplantation-
-a randomized, double-blind trial. Am J Transplant 2005 Jan;5(1):125-30
*Resta-Lenert & Barrett: Modulation of intestinal barrier properties by probiotics: role in reversing col-
itis. Ann N Y Acad Sci 2009 May;1165:175-82
*Sahin et al: Effects of the probiotic agent Saccharomyces Boulardii on the DNA damage in acute
necrotizing pancreatitis induced rats. Hum Exp Toxicol 2007 Aug;26(8):653-61
*Tursi et al: Mesalazine and/or Lactobacillus casei in maintaining long-term remission of symptomatic
uncomplicated diverticular disease of the colon. Hepatogastroentero 2008 May-Jun;55(84):916-20
*Vilela et al: Influence of Saccharomyces boulardii on the intestinal permeability of patients with Crohn’s
disease in remission. Scand J Gastroenterol 2008;43(7):842-8
*Wickens et al: A differential effect of 2 probiotics in the prevention of eczema and atopy: a double-
blind, randomized, placebo-controlled trial. J Allergy Clin Immunol 2008;122(4):788-94
*Wu & Vallance: Saccharomyces boulardii ameliorates Citrobacter rodentium-induced colitis
Immunosuppressants
through actions on bacterial virulence factors. Am J Physiol Gastrointest Liver Physiol 2008
Jan;294(1):G295-306
*Wullt et al: Lactobacillus plantarum 299v enhances the concentrations of fecal short-chain fatty
acids in patients with recurrent clostridium difficile-associated diarrhea. Dig Dis Sci. 2007
Sep;52(9):2082-6
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*Ho et al: Ganoderma lucidum polysaccharide peptide reduced the production of proinflammatory
cytokines in activated rheumatoid synovial fibroblast. Mol Cell Biochem 2007 Jul;301(1-2):173-9
*Li et al: Safety and efficacy of Ganoderma lucidum (lingzhi) and San Miao San supplementation in
patients with rheumatoid arthritis: a double-blind, randomized, placebo-controlled pilot trial. J
Pediatr Gastroenterol Nutr 2010 Feb;50(2):208-11
*Qi et al: Effects of Ganoderma lucidum spores on sialoadenitis of nonobese diabetic mice. Chin Med
J (Engl) 2009 Mar 5;122(5):556-60
Stevia, an herb that is about 200 times sweeter than table sugar, is often used by
diabetics and non-diabetics alike because of its health benefits and no calories.
Surprisingly, one of its health benefits is that it helps regulate the immune system.
*Boonkaewwan et al: Anti-Inflammatory and Immunomodulatory Activities of Stevioside and Its Metab-
olite Steviol on THP-1 Cells. J Agric Food Chem 2006 Feb 8;54(3):785-9
*Sehar et al: Immune up regulatory response of a non-caloric natural sweetener, stevioside. Chem Biol
Interact 2008 May 28;173(2):115-21
*Shukla et al: Antioxidant ability and total phenolic content of aqueous leaf extract of Stevia rebaudiana
Bert. Exp Toxicol Pathol 2011 Mar 4
Vitamin C and Selenium prevent tissue damage in patients with Raynaud’s and
systemic sclerosis.
*Herrick et al: Micronutrient antioxidant status in patients with primary Raynaud’s phenomenon and
systemic sclerosis. J Rheumatol 1994 Aug;21(8):1477-83
366
Laxatives
(Used to relieve constipation)
Common examples:
Bulk-forming
polycarbophil – Equalactin, Konsil fiber, Mitrolan, and others
psyllium – Fiberall, Metamucil, and others
Lubricant
mineral oil – Fleet and others
Osmotic
glycerin – Babylax, Ophthalgan, and others
lactulose – Cephulac, Chronulac, and others
polyethylene glycol – GoLYTELY, Peglyte, and others
Saline
magnesiums/aluminums – Maalox, Alumed, and others
sulfate - Epsom salts
phosphate - Fleet, Phospho-Soda
Stimulants
bisacodyl – Carter’s Little Pills, Dulcolax, Fleet, and others
casanthranol/cascara
phenolphthalein – Correctol, Ex-Lax, Feen-a-mint, and others
senna – Castoria, Senokot, and others
Softeners
docusate calcium – Sulfalax and others
potassium – Dialose and others
sodium – Colace and others
Deplete:
A, beta carotene, B2, B3, B9, B12, D, E, K, EFAs, calcium, magnesium,
iron, phosphorus, potassium (and most other minerals)
´´Laxatives speed up the passage of food through the digestive system thus
Laxatives
367
Pamela Duff, RN, CSNC
Suggested alternatives:
Bamboo shoots are a good fiber food for relieving constipation in young women.
*Park & Jhon: Effects of bamboo shoot consumption on lipid profiles and bowel function in healthy
young women. Exp Biol Med (Maywood) 2008 Oct;233(10):1242-54
Bromelain from Pineapples is an enzyme that is gentle, effective and safe to be used
as a laxative especially for post-operative constipation.
*Wen et al: Bromelain improves decrease in defecation in postoperative rats: modulation of colonic
gene expression of inducible nitric oxide synthase. Pharmacol Res 2007 Sep;56(3):254-60
Calendula flowers prove their traditional use for relieving abdominal cramps and
constipation.
*Bashir et al: Studies on spasmogenic and spasmolytic activities of Calendula officinalis flowers.
Phytother Res 2006 Oct;20(10):906-10
Cascara sacrada is safer and more effective than bisacodyl. More importantly, it
does not contribute to cancer as does bisacodyl.
*Borrelli et al: Effect of bisacodyl and cascara on growth of aberrant crypt foci and malignant tumors
in the rat colon. Life Sci. 2001 Sep 7;69(16):1871-7
Diet plays a huge role in constipation or proper elimination – so does exercise. Plant
fiber, along with plenty of water, improves constipation and various other digestive
issues – colitis, hemorrhoids, Barett’s esophagus, diverticular and so on. Fried foods
have been linked to bile duct and gallbladder cancer and a “Western” diet contributes
to constipation.
*Aldoori et al: A prospective study of diet and the risk of symptomatic diverticular disease in men. Zhen
Ci Yan Jiu 2009 Jun;34(3):180-2,187
*Aldoori et al: A prospective study of dietary fiber types and symptomatic diverticular disease in men.
Laxatives
368
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Aldoori et al: Prospective study of physical activity and the risk of symptomatic diverticular disease in
men. Gut 1995 Feb;36(2):276-82
*Aldoori et al: A prospective study of diet and the risk of symptomatic diverticular disease in men. Am
J Clin Nutr 1994 Nov;60(5):757-64
*Alonso-Coello et al: Laxatives for the treatment of hemorrhoids. Cochrane Database Syst Rev
2005(4):CD004649
*Fisher et al: Cereal dietary fiber consumption and diverticular disease: a lifespan study in rats. Am J
Clin Nutr 1985 Nov;42(5):788-804
*Greenway et al: Fourteen weeks of treatment with Viscofiber increased fasting levels of glucagon-like
peptide-1 and peptide-YY. J Med Food 2007 Dec;10(4):720-4
*Hairston et al: Lifestyle Factors and 5-Year Abdominal Fat Accumulation in a Minority Cohort: The
IRAS Family Study. Obesity (Silver Spring) 2011 Jun 16
*Howarth et al: Dietary fiber and weight regulation. Nutr Rev 2001 May;59(5):129-39
*Jenkins et al: Effect of dietary fiber on complications of gastric surgery: prevention of postprandial
hypoglycemia by pectin. Gastroentero 1977 Aug;73(2):215-7
*Kanauchi et al: Preventive effects of enzyme-treated rice fiber in a restraint stress-induced irritable
bowel syndrome model. Int J Mol Med 2010 Apr;25(4):547-55
*Kubo et al: Effects of dietary fiber, fats, and meat intakes on the risk of Barrett’s esophagus. Nutr
Cancer 2009;61(5):607-16
*Matsuba et al: Overview of epidemiology of bile duct and gallbladder cancer focusing on the JACC
Study. J Epidemiol 2005 Jun;15 Suppl 2:S150-6
*Okubo et al: Dietary patterns associated with functional constipation among Japanese women aged
18 to 20 years: a cross-sectional study. J Nutr Sci Vitaminol (Tokyo) 2007 Jun;53(3):232-8
*Perez-Miranda et al: Effect of fiber supplements on internal bleeding hemorrhoids. Hepatogastroenter
1996 Nov-Dec;43(12):1504-7
*Sansbury et al: The effect of strict adherence to a high-fiber, high-fruit and -vegetable, and low-fat
eating pattern on adenoma recurrence. Am J Epidemiol 2009 Sep 1;170(5):576-84
*Weisberger & Jamieson: Clinical inquiries: How can you help prevent a recurrence of diverticulitis? J
Fam Pract 2009 Jul;58(7):381-2
Glucomannan is a fiber from the konjac root which can relieve adult or child consti-
pation and can safely be taken while pregnant – as can any fiber as long as enough
water is also consumed.
*Chen et al: Supplementation of konjac glucomannan into a low-fiber Chinese diet promoted bowel
movement and improved colonic ecology in constipated adults: a placebo-controlled, diet-con-
trolled trial. J Am Coll Nutr 2008 Feb;27(1):102-8
*Loening-Baucke et al: Fiber (glucomannan) is beneficial in the treatment of childhood constipation.
Pediat 2004 Mar;113(3 Pt 1):e259-64
*Marzio et al: Mouth-to-cecum transit time in patients affected by chronic constipation: effect of
glucomannan. Am J Gastroenterol 1989 Aug;84(8):888-91
*Passaretti et al: Action of glucomannans on complaints in patients affected with chronic constipation:
a multicentric clinical evaluation. Ital J Gastroenterol 1991 Sep-Oct;23(7):421-5
*Signorelli et al: A clinical study of the use of a combination of glucomannan with lactulose in the con-
stipation of pregnancy. Minerva Ginecol 1996 Dec;48(12):577-82
*Staiano et al: Effect of the dietary fiber glucomannan on chronic constipation in neurologically im-
paired children. J Pediatr 2000 Jan;136(1):41-5
Guar Gum is a fiber that is safe for hospitalized patients as an effective treatment for
constipation and for preventing the dumping syndrome in those who have undergone
gastric resection.
Laxatives
*Belo et al: Effect of partially hidrolized guar-gum in the treatment of functional constipation among
hospitalized patients. Arq Gastroenterol 2008 Jan-Mar;45(1):93-5
369
Pamela Duff, RN, CSNC
*Harju et al: Effect of guar gum on gastric emptying after gastric resection. JPEN J Parenter Enteral
Nutr 1984 Jan-Feb;8(1):18-20
*Harju & Larmi: Efficacy of guar gum in preventing the dumping syndrome. JPEN J Parenter Enteral
Nutr 1983 Sep-Oct;7(5):470-2
Hempseed is a safe and nourishing remedy for adults and children in relieving
constipation.
*Cheng et al: Efficacy of a Chinese herbal proprietary medicine (Hemp Seed Pill) for functional consti-
pation. Am J Gastroenter 2010 Nov 2
Jujube is an Asian date that safely and effectively treats constipation although other
dates are known to do this as well.
*Naftali et al: Ziziphus jujuba extract for the treatment of chronic idiopathic constipation: a controlled
clinical trial. Digestion 2008;78(4):224-8
Oat Bran is a fiber that improves constipation and the bioavailability of vitamin B12.
*Sturtzel et al: The status of vitamins B6, B12, folate, and of homocysteine in geriatric home residents
receiving laxatives or dietary fiber. J Nutr Health Aging 2010 Mar;14(3):219-23
Pea pod fiber has a prebiotic influence that increases bifidobacteria which ultim-
ately, helps correct constipation.
*Iwata et al: The screening method of a bifidogenic dietary fiber extracted from inedible parts of vege-
tables. J Nutr Sci Vitaminol (Tokyo) 2009 Aug;55(4):385-8
Probiotics can help overcome constipation in adults, children, and infants. Probiot-
ics are needed for digestion as well as the immune system. PRE-biotics are food
sources for probiotics which ultimately keep the gut functioning properly.
*Amenta et al: Diet and chronic constipation. Benefits of oral supplementation with symbiotic zir fos
(Bifidobacterium longum W11 + FOS Actilight). Acta Biomed 2006 Dec;77(3):157-62
*Bekkali et al: The role of a probiotics mixture in the treatment of childhood constipation: a pilot study.
Nutr J 2007;6:17
*Bu et al: Lactobacillus casei rhamnosus Lcr35 in children with chronic constipation. Pediatr Int 2007
Aug;49(4):485-90
*De Paula et al: Effect of the ingestion of a symbiotic yogurt on the bowel habits of women with func-
tional constipation. Canc Res 2009 Dec 1;69(23):8958-66
Laxatives
*Mandalari et al: In vitro evaluation of the prebiotic properties of almond skins (Amygdalus communis
L.). FEMS Microbiol Lett 2010 Mar 1;304(2):116-22
370
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Tabbers et al: Effect of the consumption of a fermented dairy product containing Bifidobacterium
lactis DN-173 010 on constipation in childhood: a multicentre randomised controlled trial (NTRTC:
1571). Toxicol Ind Health 2007 Oct;23(9):507-13
*Yang et al: Effect of a fermented milk containing Bifidobacterium lactis DN-173010 on Chinese consti-
pated women. World J Gastroenterol 2008 Oct 28;14(40):6237-43
Psyllium fiber and Gum Arabic improve bowel conditions including fecal incontinence.
*Bliss et al: Supplementation with dietary fiber improves fecal incontinence. Nurs Res 2001
Jul-Aug;50(4):203-13
Laxatives
371
Muscle Relaxants
Common examples:
carisoprodal – Soma, Vanadom
cyclobenzaprine – Flexeril and others
metaxalone – Skelaxin
methocarbamol – Robaxin and others
paracetamol – acetaminophen, Panadol, and others
Deplete:
C, B9, iron, potassium
Suggested alternatives:
Anise seed has a long history as an antispasmodic. This study proves its historical use.
*Tirapelli et al: Antispasmodic and relaxant effects of the hidroalcoholic extract of Pimpinella anisum
(Apiaceae) on rat anococcygeus smooth muscle. J Clin Gastroenterol 2001 Jul;33(1):27-31
Arnica is Homepathy’s first line of defence for pain and muscle stiffness.
Muscle Relaxants
*Tveiten et al: Effect of Arnica D 30 during hard physical exertion. A double-blind randomized trial dur-
ing the Oslo Marathon 1990. Tidsskr Nor Laegeforen 1991 Dec 10;111(30):3630-1
372
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Bailey et al: Dietary nitrate supplementation reduces the O2 cost of low-intensity exercise and enhan-
ces tolerance to high-intensity exercise in humans. J Appl Physiol 2009 Oct;107(4):1144-55
Bromelain and Fresh pineapple juice increase the healing of achilles tendon injur-
ies. The achilles tendon is located at the back of the leg and attaches the calf muscle
to the heel bone. While this may have little to do with muscle cramps, it is another
exercise-related injury.
*Aiyegbusi et al: A comparative study of the effects of bromelain and fresh pineapple juice on the early
phase of healing in acute crush achilles tendon injury. J Med Food 2011 Apr;14(4):348-52
*Aiyegbusi et al: Bromelain in the early phase of healing in acute crush Achilles tendon injury. Ann Nutr
Metab 2009;54(4):283-90
Coconut water is better nutritionally than commercial sports drinks for rehydra-
tion after exercise and for preventing muscle spasms. It can even be used as an IV
rehydration and resuscitation fluid.
*Campbell-Falck et al: The intravenous use of coconut water. Am J Emerg Med 2000 Jan;18(1):108-11
*Ismail et al: Rehydration with sodium-enriched coconut water after exercise-induced dehydration. SE
Asian J Trop Med Pub Health 2007 Jul;38(4):769-85
*Saat et al: Rehydration after exercise with fresh young coconut water, carbohydrate-electrolyte bever-
age and plain water. J Physiol Anthropol Appl Human Sci 2002 Mar;21(2):93-104
CoQ10 (ubiquinol form) is vital for every cell in the body to produce energy but it has
a special affinity for the heart muscle.
*Kon et al: Effect of Coenzyme Q10 supplementation on exercise-induced muscular injury of rats.
Exerc Immunol Rev 2007;13:76-88
*Balsom et al: Creatine in humans with special reference to creatine supplementation. Sports Med
(Auckland) 1994;18(4):268-80
*Candow & Chilibeck: Effect of creatine supplementation during resistance training on muscle accre-
tion in the elderly. J Nutr Health Aging 2007 Mar-Apr;11(2):185-8
*Chung et al: Creatine supplements in patients with idiopathic inflammatory myopathies who are clin-
ically weak after conventional pharmacologic treatment: Six-month, double-blind, randomized,
placebo-controlled trial. Arthritis Rheum 2007 May 15;57(4):694-702
373
Pamela Duff, RN, CSNC
*Cooke et al: Creatine supplementation enhances muscle force recovery after eccentrically-induced
muscle damage in healthy individuals. J Int Soc Sports Nutr 2009;6:13
*Greenhaff et al: Influence of oral creatine supplementation of muscle torque during repeated bouts of
maximal voluntary exercise in man. Clin Sci (London) 1993;84(5):565-71
*Gualano et al: Creatine supplementation does not impair kidney function in type 2 diabetic patients: a
randomized, double-blind, placebo-controlled, clinical trial. Eur J Appl Physiol 2010 Oct 26
*Gualano et al: Effects of creatine supplementation on renal function: a randomized, double-blind,
placebo-controlled clinical trial. Eur J Appl Physiol 2008 May;103(1):33-40
*Hersch et al: Creatine in Huntington disease is safe, tolerable, bioavailable in brain and reduces serum
8OH2’dG. Neurol 2006 Jan 24;66(2):250-2
*Hespel & Derave: Ergogenic effects of creatine in sports and rehabilitation. Subcell Biochem
2007;46:245-59
*Tarnopolsky & MacLennan: Creatine monohydrate supplementation enhances high-intensity exercise
performance in males and females. Int J Sport Nutr Exerc Metab 2000 Dec;10(4):452-63
*Tarnopolsky et al: A randomized, controlled trial of creatine monohydrate in patients with mitochon-
drial cytopathies. Muscle Nerve 1997 Dec;20(12):1502-9
*Walter et al: Creatine monohydrate in muscular dystrophies: A double-blind, placebo-controlled clin-
ical study. Neurol 2000 May 9;54(9):1848-50
Curcumin, the active part of Turmeric root, reduces inflammation thus speeding up
muscle recovery.
*Davis et al: Curcumin effects on inflammation and performance recovery following eccentric exercise-
induced muscle damage. Am J Physiol Regul Integr Comp Physiol 2007 Jun;292(6):R2168-73
Essential oils used in carrier oils and massaged into an area can relieve pain and
relax the muscles: Aroma Siez, Deep Relief, PanAway, Balsam, Basil, Marjoram,
Peppermint, Rosemary, Roman chamomile, Thyme, Wintergreen.
*Beer et al: Effect of Thymol on the spontaneous contractile activity of the smooth muscles. Phytomed
2007 Jan;14(1):65-9
*Higley 2010:428-430
*Sagorchev et al: Investigations into the specific effects of rosemary oil at the receptor level. Phytomed
2009 Dec 22
*Zainuddin et al: Effects of massage on delayed-onset muscle soreness, swelling, and recovery of
muscle function. J Athl Train 2005 Jul-Sep;40(3):174-80
Magnesium is a major mineral needed for proper functioning of bones and muscles.
A deficiency can cause muscle spasms, among other disorders.
*Abraham & Flechas: Management of fibromyalgia: rationale for the use of magnesium and malic acid.
J Nutr Enviro Med 1992;3(1):49-59
*Altura & Altura: Tension headaches and muscle tension: is there a role for magnesium? Med Hypoth
2001;57(6):705-13
*Clinton et al: Painful muscle spasm reversed by magnesium sulphate. A case report. S Afr Med J 1985
Aug 31;68(5):332-3
*Machida et al: Serum melatonin levels in adolescent idiopathic scoliosis prediction and prevention for
curve progression--a prospective study. J Pineal Res 2009 Apr;46(3):344-8
*Machida et al: Melatonin. A possible role in pathogenesis of adolescent idiopathic scoliosis. Spine
(Phila Pa 1976) 1996 May 15;21(10):1147-52
374
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*Silva et al: N-acetylcysteine supplementation and oxidative damage and inflammatory response after
eccentric exercise. Int J Sport Nutr Exerc Metab 2008 Aug;18(4):379-88
Omega-3 fatty acids are known anti-inflammatories that improve muscle perform-
ance and recovery.
*Tartibian et al: The effects of ingestion of omega-3 fatty acids on perceived pain and external symp-
toms of delayed onset muscle soreness in untrained men. Clin J Sport Med 2009 Mar;19(2):115-9
Tart Cherry juice taken regularly can minimize muscle pain after strenuous
exercise.
*Kuehl et al: Efficacy of tart cherry juice in reducing muscle pain during running: a randomized con-
trolled trial. J Int Soc Sports Nutr 2010;7:17
Valerian herb has antispasmodic effects but be careful when you take it as it is also
used to induce sleep.
*Hazelhoff et al: Antispasmodic effects of valeriana compounds: an in-vivo and in-vitro study on the
guinea-pig ileum. Cancer Lett 2008 Jun 18;264(2):218-28
Vitamin E decreases muscular and oxidative damage but does not address
inflammation.
*Silva et al: Vitamin E supplementation induced by eccentric contraction. J Physiol Sci 2009 Oct 27
Muscle Relaxants
375
Nausea/Anti-emetics
(Used to manage nausea, vomiting or vertigo)
Common examples:
anticholinergics – scopolamine [Scopace, Transderm Scop]
antihistamines
dimenhydrinate – Dramamine
meclizine – Antivert
phenothiazines
prochlorperazine – Compazine
... and many others
Deplete:
B2, riboflavin, CoQ10, NAC
Suggested alternatives:
CAM (Complimentary and Alternative Medicine) is being used more and more for
all manner of disorders including nausea and vomiting related to various causes,
Nausea/Anti-emetics
376
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Ali & Arafa: Comparative protective action of curcumin, memantine and diclofenac against scopola-
mine-induced memory dysfunction. Fitoterapia 2011 Jan 26
Essential oil of Peppermint relieves digestive issues including nausea and can safely
be taken internally.
*Tate: Peppermint oil: A treatment for postoperative nausea. J Adv Nurs 1997;26:543–49
Ginger root, alone or with Protein and/or B6, has a long history of safe and effective
use for nausea related to motion, cancer treatments, surgery, or pregnancy.
*Bryer: A literature review of the effectiveness of ginger in alleviating mild-to-moderate nausea and
vomiting of pregnancy. J Midwifery Womens Health 2005;50:e1–e3
*Chittumma et al: Comparison of the effectiveness of ginger and vitamin B6 for treatment of nausea
and vomiting in early pregnancy: A randomized double-blind controlled trial. J Med Assoc Thai
2007;90:15–20
*Ensiyeh & Sakineh: Comparing ginger and vitamin B6 for the treatment of nausea and vomiting in
pregnancy: a randomised controlled trial. Midwifery 2008 Feb 11
*Ernst & Pittler: Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical
trials. Br J Anaesth 2000;84(3):367-71
*Fischer-Rasmussen et al: Ginger treatment of hyperemesis gravidarum. Eur J Obstet Gynecol Reprod
Biol 1991;38:19–24
*Grøntved et al: Ginger root against seasickness. A controlled trial on the open sea. Acta Otolaryngol
1988 Jan-Feb;105(1-2):45-9
*Keating & Chez: Ginger syrup as an antiemetic in early pregnancy. Altern Ther Health Med
2002;8:89–91
*Levine et al: Protein and ginger for the treatment of chemotherapy-induced delayed nausea. J Altern
Complement Med 2008 Jun;14(5):545-51
*Lien et al: Effects of ginger on motion sickness and gastric slow-wave dysrhythmias induced by cir-
cular vection. Am J Physiol Gastrointest Liver Physiol 2003;284:G481–G489
*Micklefield et al: Effects of ginger on gastroduodenal motility. Int J Clin Pharmacol Ther 1999;37:341–46
*Pillai et al: Anti-emetic effect of ginger powder versus placebo as an add-on therapy in children and
young adults receiving high emetogenic chemotherapy. Pediatr Blood Cancer 2010 Sep 14
*Portnoi et al: Prospective comparative study of the safety and effectiveness of ginger for the treatment
of nausea and vomiting in pregnancy. Am J Obstet Gynecol 2003;189:1374–77
*Smith et al: A randomized controlled trial of ginger to treat nausea and vomiting in pregnancy. Obstet
Gynecol 2004;103:639–45
*Sripramote & Lekhyananda: A randomized comparison of ginger and vitamin B6 in the treatment of
nausea and vomiting of pregnancy. J Med Assoc Thai 2003;86:846–53
*Vutyavanich et al: Ginger for nausea and vomiting in pregnancy: Randomized, double-masked, pla-
cebo-controlled trial. Obstet Gynecol 2001;97:577–82
*Willetts et al: Effect of a ginger extract on pregnancy-induced nausea: A randomised controlled trial.
Aust N Z J Obstet Gynaecol 2003;43:139–44
*Yamahara et al: Gastrointestinal motility enhancing effect of ginger and its active constituents. Chem
Pharm Bull (Tokyo) 1990;38:430–31
*Prapaitrakool & Itharat: Morinda citrifolia Linn. for prevention of postoperative nausea and vomiting. J
Med Assoc Thai 2010 Dec;93 Suppl 7:S204-9
Vertigoheel is a homeopathic remedy that is safe and effective for dizziness (vertigo).
377
Pamela Duff, RN, CSNC
*Bornhöft et al: Effectiveness, safety and cost-effectiveness of homeopathy in general practice - sum-
marized health technology assessment. Forsch Komplementmed 2006;13 Suppl 2:19-29
*Schneider et al: Treatment of vertigo with a homeopathic complex remedy compared with usual treat-
ments: a meta-analysis of clinical trials. Arzneimittelforschung 2005;55(1):23-9
*Weiser et al: Homeopathic vs conventional treatment of vertigo: a randomized double-blind controlled
clinical study. Arch Otolaryngol Head Neck Surg 1998 Aug;124(8):879-85
Vitamin B6 has long been used to relieve nausea in pregnancy but it should always
be taken with a B-complex to avoid creating a deficiency in one or more of the other
B family members since they all work closely together.
*Jamigorn & Phupong: Acupressure and vitamin B6 to relieve nausea and vomiting in pregnancy: A
randomized study. Arch Gynecol Obstet 2007;276:245–49
*Sahakian et al: Vitamin B6 is effective therapy for nausea and vomiting of pregnancy: A randomized,
double-blind placebo-controlled study. Obstet Gynecol July 1991;78(1)
*Shrim et al: Pregnancy outcome following use of large doses of vitamin B6 in the first trimester. J
Obstet Gynaecol 2006;26:749–51
*Vutyavanich et al: Pyridoxine for nausea and vomiting of pregnancy: A randomized, double-blind,
placebo-controlled trial. Am J Obstet Gynecol 1995;173(3 pt 1):881–4
Nausea/Anti-emetics
378
Nicotine
Common examples:
cigarettes
cigars
chewing tobacco
nicotine gum, lozenges, patches:
Commit, Habitrol, Nicoderm, Nicorette, and others
nicotine-containing foods:
cauliflower, eggplant, tomatoes, potatoes (plus other nightshade
vegetables)
*Castro & Monji: Dietary nicotine and its significance in studies on tobacco smoking. Bio-
chem Arch 1986;2:91-97
*Davis et al: Dietary nicotine: a source of urinary cotinine. J Food Chem Toxicol 1991;29:821-27
*Domino et al: The Nicotine content of common vegetables. N Engl J Med 1993;329:437
*Sheen: Detection of nicotine in foods and plant materials. J Food Sci 1988;53:1572-1573
prescription drugs (nasal spray and inhalers)
Nicotrol
Deplete:
A, carotenoids, all B vitamins, C, E, calcium, selenium, zinc, CoQ10
´´More than 4,000 chemical substances have been found in cigarette smoke;
many are carcinogenic.
*Health Canada - www.hc-sc.gc.ca/hc-ps/tobac-tabac/fact-fait/tox-eng.php
´´Nicotine use during teen years later increases the likelihood of depression as
adults.
*Iñiguez et al: Nicotine exposure during adolescence induces a depression-like state in adulthood.
Neuropsychopharma 2009 May;34(6):1609-24
´´Nicotine increases the body’s need for caffeine, which is why the two are often
used together.
*Gasio et al: Caffeine potentiates the discriminative-stimulus effects of nicotine in rats. Psychopharmacol
Nicotine
2002 Aug;162(4):385-95
*Kozlowski: Effects of caffeine consumption on nicotine consumption. Psychopharmacol 1976;47(2):165-
168
379
Pamela Duff, RN, CSNC
*Strassnig et al: Increased caffeine and nicotine consumption in community-dwelling patients with
schizophrenia. Schiz Res 2006 Sept;86(1-3):269-75
*Swanson et al: Caffeine and nicotine: A review of their joint use and possible interactive effects in
tobacco withdrawal. Add Beh 1994 May-June;19(3):229-56
´´Smoking is one of the 9 measured risk factors for heart attacks, arrhythmias,
and cancer.
*Gyárfás et al: Effect of potentially modifiable risk factors associated with myocardial infarction in
52 countries in a case-control study based on the INTERHEART study. Orv Hetil. 2006 Apr
16;147(15):675-86
*Lochen & Rasmussen: Palpitations and lifestyle: impact of depression and self-rated health. The
Nordland Health Study. Scandin J Soc Med 1996;24(2):140-4
*Thun et al: Tobacco use and cancer: an epidemiologic perspective for geneticists. Oncogene
2002;21:7307-25
Suggested alternatives:
Nicotine
380
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Rose & Behm: Inhalation of vapor from black pepper extract reduces smoking withdrawal symptoms.
Drug Alcohol Depend 1994 Feb;34(3):225-9
Chicory helps protect the liver against the carcinogens found in tobacco products.
*Hassan & Yousef: Ameliorating effect of chicory (Cichorium intybus L.)-supplemented diet against
nitrosamine precursors-induced liver injury and oxidative stress in male rats. Food Chem Toxicol
2010 Aug-Sep;48(8-9):2163-9
Curcumin, Resveratrol, and Selenium reduce damage to the brain and lungs from
cigarette smoke.
*Luchese et al: Brain and lungs of rats are differently affected by cigarette smoke exposure: antioxidant
effect of an organoselenium compound. Pharmacol Res 2009 Mar;59(3):194-201
*Vanisree & Sudha: Curcumin combats against cigarette smoke and ethanol-induced lipid alterations
in rat lung and liver. J Appl Microbiol 2009 Jun;106(6):2086-95
Melatonin given to newborns protected their hearts from nicotine damage caused
by mothers who smoked.
*Baykan et al: The protective effect of melatonin on nicotine-induced myocardial injury in newborn rats
whose mothers received nicotine. Anadolu Kardiyol Derg 2008 Aug;8(4):243-8
Noni juice is a safe remedy for reducing cancer risk in current smokers.
*Wang et al: Morinda citrifolia (noni) reduces cancer risk in current smokers by decreasing aromatic
DNA adducts. Nutr Cancer 2009;61(5):634-9
*West et al: A double-blind clinical safety study of noni fruit juice. Pac Health Dialog 2009 Nov;15(2):21-32
Vitamins and Minerals disappear faster in smokers and those associated with
smokers than in non-smokers, creating a greater need for supplementation espe-
cially such antioxidants as vitamins C and E which help repair lung damage.
*Alberg: The influence of cigarette smoking on circulating concentrations of antioxidant micronutrients.
Toxicol 2002 Nov;180(2):121-37
*Brunoa & Traber: Vitamin E biokinetics, oxidative stress and cigarette smoking. Pathophysiol 2006
Aug;13(3):143-49
*Bruno & Traber: Cigarette smoke alters human vitamin E requirements. J Nutr 2005 Apr;135(4):671-74
*Bruno et al: α-Tocopherol disappearance is faster in cigarette smokers and is inversely related to their
ascorbic acid status1,2,3. Am J Clin Nutr 2005 Jan;81(1):95-103
*Edes et al: Exposure to the carcinogen benzopyrene depletes tissue vitamin A: β-carotene prevents
depletion. Nutr Cancer 1991;15(2)
*Marangon et al: Diet, antioxidant status, and smoking habits in French men. Am J Clin Nutr Feb
1998;67(2):231-39
*Lykkesfeldt: Cigarette Smoke and Oxidative Stress, 2006:237-260 - Smoking depletes vitamin C:
Should smokers be recommended to take supplements?
*Traber et al: Vitamin E kinetics in smokers and nonsmokers. Free Rad Biol Med 2001 Dec;31(11):1368-74
*Valenca et al: Supplementation with vitamins C and E improves mouse lung repair. J Nutr Biochem
2008 Sep;19(9):604-11
Nicotine
381
Nitrates
(Used to treat angina)
Common examples:
isosorbides – Apo-ISDN, Cedocard-SR, Imdur, Isordil, ISMO, Monoket
... and others
nitrofurantoin – Furadantin and others
nitroglycerin – Deponit, Minitran, Nitro-Dur, Notroject, Nitrolingual, Nitrostat
... and others
... and others
Deplete:
B3, C, NAC
382
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Suggested alternatives:
B5 improves coronary conditions including angina. Do not take this for long periods
of time without taking a full B-complex in addition since a deficiency in one or more
of the other B vitamins can be created by just taking only one family member for any
length of time.
*Borets et al: Therapeutic efficacy of pantothenic acid preparations in ischemic heart disease patients.
Vopr Pitan 1987 Mar-Apr;(2):15-7
Carnitine is a substance produced in the body from the amino acids, lysine and
methionine. Carnitine effectively decreases the number and intensity of exercise-
induced angina episodes.
*Cacciatore et al: The therapeutic effect of L-carnitine in patients with exercise-induced stable angina:
a controlled study. Dig Dis 2003;21(3):271-5
CoQ10 is a vital antioxidant needed by every cell in the body to make energy but has
a special affinity for the heart, improving various conditions and is capable of re-
generating vitamin E. The ubiquinol form proves better than the cheaper ubiquinone
*Adarsh et al: Coenzyme Q10 (CoQ10) in isolated diastolic heart failure in hypertrophic cardiomyopathy
(HCM). Biofact 2008;32(1-4):145-9
*Baggio et al: Italian multicenter study on the safety and efficacy of coenzyme Q10 as adjunctive ther-
apy in heart failure (interim analysis). The CoQ10 Drug Surveillance Investigators. Forsch Komple-
mentarmed Klass Naturheilkd 2005 Apr;12(2):77-83
*Baggio et al: Italian multicenter study on the safety and efficacy of coenzyme Q10 as adjunctive therapy
in heart failure. CoQ10 Drug Surveillance Investigators. Mol Aspects Med 1994;15 Suppl:s287-94
*Berman et al: Coenzyme Q10 in patients with end-stage heart failure awaiting cardiac transplantation:
a randomized, placebo-controlled study. Clin Cardiol 2004 May;27(5):295-9
*Grudziński & Frankiewicz-Jóźko: Effects of oral coenzyme Q10 supplementation on sodium nitrite-
induced lipid peroxidation in rats. Rocz Panstw Zakl Hig 2001;52(3):213-8
*Langsjoen & Langsjoen: Supplemental ubiquinol in patients with advanced congestive heart failure.
Biofact 2008;32(1-4):119-28
*Maroz et al: Reactivity of ubiquinone and ubiquinol with superoxide and the hydroperoxyl radical:
implications for in vivo antioxidant activity. Free Radic Biol Med 2009 Jan 1;46(1):105-9
*Molyneux et al: Coenzyme Q10; an adjunctive therapy for congestive heart failure? NZ Med J 2009
Oct 30;122(1305):74-9
*Morisco et al: Effect of coenzyme Q10 therapy in patients with congestive heart failure: a long-term
multicenter randomized study. Clin Investig 1993;71(8 Suppl):S134-6
*Mortensen et al: Long-term coenzyme Q10 therapy: a major advance in the management of resistant
myocardial failure. Wien Klin Wochenschr 2005 Aug;117(15-16):558-60
Nitrates
*Okello et al: Combined statin/coenzyme Q10 as adjunctive treatment of chronic heart failure. Med
Hypoth 2009 Sep;73(3):306-8
383
Pamela Duff, RN, CSNC
*Ouchi et al: Tunneling effect in regeneration reaction of vitamin E by ubiquinol. J Allergy Clin Immunol
2005 Jun;115(6):1176-83
*Schmelzer et al: The reduced form of coenzyme Q10 mediates distinct effects on cholesterol metab-
olism at the transcriptional and metabolite level in SAMP1 mice. IUBMB Life 2010 Nov 17
*Singh et al: Effect of coenzyme Q10 on risk of atherosclerosis in patients with recent myocardial in-
farction. Mol Cell Biochem 2003 Apr;246(1-2):75-82
*Soja & Mortensen: Treatment of congestive heart failure with coenzyme Q10 illuminated by meta-
analyses of clinical trials. Mol Aspects Med 1997;18 Suppl:S159-68
*Tiano et al: Effect of coenzyme Q10 administration on endothelial function and extracellular super-
oxide dismutase in patients with ischaemic heart disease: a double-blind, randomized controlled
study. Pediatr Int 2008 Aug;50(4):489-94
*Tiano et al: Effect of coenzyme Q10 administration on endothelial function and extracellular super-
oxide dismutase in patients with ischaemic heart disease: a double-blind, randomized controlled
study. Eur Heart J 2007 Sep;28(18):2249-55
*Witting et al: Anti-atherogenic effect of coenzyme Q10 in apolipoprotein E gene knockout mice. Free
Radic Biol Med 2000 Aug;29(3-4):295-305
CoQ10 and Carnitine significantly reduce the inflammatory processes that lead to
heart failure.
*Kumar et al: Effect of carni Q-gel (ubiquinol and carnitine) on cytokines in patients with heart failure in
the Tishcon study. Acta Cardiol 2007 Aug;62(4):349-54
CoQ10, Carnitine, and Omega-3 fatty acids is an effective combination that works
synergistically with conventional therapy to address cardiomyopathy.
*Vargiu et al: Positive inotropic effect of coenzyme Q10, omega-3 fatty acids and propionyl-L-carnitine
on papillary muscle force-frequency responses of BIO TO-2 cardiomyopathic Syrian hamsters.
Biofact 2008;32(1-4):135-44
Omega-3 (fish oil) is comprised of DHA (docosahexaenoic acid) and EPA (eicosa-
pentaenoic acid) which help to reduce angina attacks by decreasing inflammation
and increasing stability of the cardiovascular system.
*Cawood et al: Eicosapentaenoic acid (EPA) from highly concentrated n-3 fatty acid ethyl esters is
incorporated into advanced atherosclerotic plaques and higher plaque EPA is associated with
decreased plaque inflammation and increased stability. Atheroscler 2010 Sep;212(1):252-9
Nitrates
*Salachas et al: Effects of a low-dose fish oil concentrate on angina, exercise tolerance time, serum
triglycerides, and platelet function. Angiol 1994 Dec;45(12):1023-31
384
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Tribulus is an herb that increases blood flow. It is safe and effective in treating
angina.
*Wang et al: 406 cases of angina pectoris in coronary heart disease treated with saponin of Tribulus
terrestris. Zhong Xi Yi Jie He Za Zhi 1990 Feb;10(2):85-7, 68
Nitrates
385
Osteoporosis
(Used to slow down osteoporosis development)
Common examples:
Bisphosphonates
alendronate - Fosamax
etidronate – Didronel
ibandronate – Boniva
pamidronate – Aredia
risedronate – Actonel
zoledronic – Zometa, Zomera, Aclasta, Reclast
Calcium-lowering hormone
calcitonin – Cibacalcin, Calcimar, and others
Others
raloxifene – Evista
teriparatide – Forteo
Deplete:
B6, D, calcium, iron, magnesium, zinc
´´Aspirin inhibits bone healing and new bone formation with results dose-
dependant.
*Dujić et al: The effects of different concentrations of acetylsalicylic acid on proliferation and viability of
lymphocytes in cell culture. Bosn J Basic Med Sci 2008 Aug;8(3):210-3
*Cranney et al: WITHDRAWN: Etidronate for treating and preventing postmenopausal osteoporosis.
Cochrane Database Syst Rev 2006(1):CD003376
*Duques et al: Esophagus-enteric anastomosis ulceration caused by alendronate. Arq Gastroenterol
2001 Apr-Jun;38(2):129-31
386
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*No authors listed: Alendronic acid in primary prevention: new indication. No reduction in fracture risk.
Prescrire Int 2000 Jun;9(47):70-2
387
Pamela Duff, RN, CSNC
´´Blood Thinners used over a long period of time are associated with reduced
bone density and an increase in the number of fractures.
*Gage et al: Risk of osteoporotic fracture in elderly patients taking warfarin: results from the National
Registry of Atrial Fibrillation 2. Arch Intern Med 2006 Jan 23;166(2):241-6
*Rezaieyazdi et al: Reduced bone density in patients on long-term warfarin. Int J Rheum Dis 2009
Jul;12(2):130-5
´´Celiacs have much higher rates of osteoporosis than those who do not have
digestive issues.
*Kemppainen et al: Osteoporosis in adult patients with celiac disease. Bone 1999 Mar;24(3):249-55
´´Diabetes drugs decrease bone mass and strength while increasing fracture risks.
*Ali et al: Rosiglitazone causes bone loss in mice by suppressing osteoblast differentiation and bone
formation. Endocrinol 2005 Mar;146(3):1226-35
*Aubert et al: Rosiglitazone and pioglitazone increase fracture risk in women and men with type 2
diabetes. Diabetes Obes Metab 2010 Aug;12(8):716-21
*Home et al: Rosiglitazone evaluated for cardiovascular outcomes in oral agent combination therapy
for type 2 diabetes (RECORD): a multicentre, randomised, open-label trial. Lancet 2009 Jun
20;373(9681):2125-35
*Lazarenko et al: Rosiglitazone induces decreases in bone mass and strength that are reminiscent of
aged bone. Endocrinol 2007 Jun;148(6):2669-80
*Wei et al: PGC1beta mediates PPARgamma activation of osteoclastogenesis and rosiglitazone-
induced bone loss. Cell Metab 2010 Jun 9;11(6):503-16
´´Diuretics affect bone health by removing minerals along with excess fluid.
*Rejnmark et al: Fracture risk in patients treated with loop diuretics. J Intern Med 2006 Jan;259(1):117-24
*Rejnmark et al: Loop diuretics increase bone turnover and decrease BMD in osteopenic
postmenopausal women: results from a randomized controlled study with bumetanide. J Bone
Miner Res 2006;21(1):163-70
*Corley et al: Proton pump inhibitors and histamine-2 receptor antagonists are associated with hip
fractures among at-risk patients. Gastroenterol 2010 Jul;139(1):93-101
*Gray et al: Proton pump inhibitor use, hip fracture, and change in bone mineral density in
postmenopausal women: results from the Women’s Health Initiative. Arch Intern Med 2010 May
10;170(9):765-71
*Ing-Lorenzini et al: Low-energy femoral fractures associated with the long-term use of bisphosphonates:
388
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Suggested alternatives:
Anise seed, Chamomile, and Mountain tea have estrogen-modulating effects that
help prevent osteoporosis.
Osteoporosis
*Kassi et al: Greek plant extracts exhibit selective estrogen receptor modulator (SERM)-like properties.
Br J Pharmacol 2008 Mar;153(5):879-85
389
Pamela Duff, RN, CSNC
Arginine and Lysine are amino acids that are important bone-building promot-
ers. These proteins double calcium absorption into the bone and generally improve
mineral absorption.
*Filip et al: Alpha-ketoglutarate decreases serum levels of C-terminal cross-linking telopeptide of type I
collagen (CTX) in postmenopausal women with osteopenia: six-month study. Int J Vitam Nutr Res
2007 Mar;77(2):89-97
*Fiore et al: L-arginine prevents bone loss and bone collagen breakdown in cyclosporin A-treated rats.
Eur J Pharmacol 2000 Nov 24;408(3):323-6
*Fürst: Dietary L-lysine supplementation: a promising nutritional tool in the prophylaxis and treatment
of osteoporosis. Nutr 1993 Jan-Feb;9(1):71-2
*Pennisi et al: L-arginine supplementation normalizes bone turnover and preserves bone mass in
streptozotocin-induced diabetic rats. J Endocrinol Invest 2009 Jun;32(6):546-51
*Pennisi et al: Supplementation of L-arginine prevents glucocorticoid-induced reduction of bone growth
and bone turnover abnormalities in a growing rat model. J Bone Miner Metab 2005;23(2):134-9
Ashwaganda has a profound effect in preventing bone loss in women who have had
their ovaries removed.
*Nagareddy & Lakshmana: Withania somnifera improves bone calcification in calcium-deficient ovari-
ectomized rats. Phytomed 2007 Feb;14(2-3):136-42
Bee Propolis and Royal Jelly prevent osteoporosis by stimulating bone formation
and increasing bone fracture healing time.
*Guney et al: Effects of Propolis on Fracture Healing: An Experimental Study. Phytother Res 2011 Mar 21
*Ha et al: Caffeic acid phenethyl ester inhibits osteoclastogenesis by suppressing NF kappaB and
downregulating NFATc1 and c-Fos. Int Immunopharmacol 2009 Jun;9(6):774-80
*Hidaka et al: Royal jelly prevents osteoporosis in rats: beneficial effects in ovariectomy model and in
bone tissue culture model. J Nutr 2007 Jul;137(7):1769-75
*Hidaka et al: Royal jelly prevents osteoporosis in rats: beneficial effects in ovariectomy model and in
bone tissue culture model. Adv Acc Publ 2006 April 24:3(3)339–48
*Narita et al: Royal jelly stimulates bone formation: physiologic and nutrigenomic studies with mice and
cell lines. Bull Exp Biol Med 2008 Jan;145(1):75-7
*Narita et al: Royal jelly stimulates bone formation: physiologic and nutrigenomic studies with mice and
cell lines. Biosci Biotechnol Biochem 2006 Oct;70(10):2508-14
Hops and Vitamins D and K have bone-protecting qualities that are particularly
beneficial to postmenopausal women.
*Konda et al: Rho iso-alpha acids from hops inhibit the GSK-3/NF-κB pathway and reduce inflamma-
tory markers associated with bone and cartilage degradation. J Inflamm (Lond) 2009;6:26
390
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Holick et al: Hop rho iso-alpha acids, berberine, vitamin D3 and vitamin K1 favorably impact bio-
markers of bone turnover in postmenopausal women in a 14-week trial. J Bone Miner Metab 2009
Dec 19
*Lamb et al: Nutritional supplementation of hop rho iso-alpha acids, berberine, vitamin D3, and vitamin
K1 produces a favorable bone biomarker profile supporting healthy bone metabolism in post-
menopausal women with metabolic syndrome. Nutr Res. 2011 May;31(5):347-55
Black cohosh, an herb often used in the treatment of menopausal symptoms, also
stimulates skeletal bone growth, even in men, without affecting the prostate.
*Seidlová-Wuttke et al: Effects of estradiol-17beta, testosterone and a black cohosh preparation on
bone and prostate in orchidectomized rats. Maturitas 2005 Jun 16;51(2):177-86
*Viereck et alL Isopropanolic extract of black cohosh stimulates osteoprotegerin production by human
osteoblasts. J Bone Miner Res 2005;20(11):2036-43
*Wuttke et al: The Cimicifuga preparation BNO 1055 vs. conjugated estrogens in a double-blind pla-
cebo-controlled study: effects on menopause symptoms and bone markers. Maturitas 2003 Mar
14;44 Suppl 1:S67-77
Boron is a trace mineral that stimulates bone formation and inhibits bone resorption.
*Xu et al: Therapeutic effect of dietary boron supplement on retinoic acid-induced osteoporosis in rats.
Nan Fang Yi Ke Da Xue Xue Bao 2006 Dec;26(12):1785-8
Calcium without vitamin D or taken in high amounts increase the risk of fractures.
*Klompmakerno et al: Lifetime high calcium intake increases osteoporotic fracture risk in old age. Med
Hypotheses 2005;65(3):552-8
*Reid et al: Effect of calcium supplementation on hip fractures. Osteoporos Int 2008 Aug;19(8):1119-23
nion calcareum of brittany waters. Helvetica Chimica Acta 1990 Dec 12;73(8):2183–89
*Ryan et al: Evidence that the marine-derived multi-mineral aquamin has anti-inflammatory effects on
cortical glial-enriched cultures. Phytoth Res 2011 May;25(5):765–67
391
Pamela Duff, RN, CSNC
Citrus juices and pulp, improve bone quality and antioxidant status but they should
not be eaten by those on any kind of medication including a one-a-day aspirin.
*Deyhim et al: Grapefruit pulp increases antioxidant status and improves bone quality in orchidecto-
mized rats. Br J Nutr 2007 Feb;97(2):365-72
*Deyhim et al: Citrus juice modulates bone strength in male senescent rat model of osteoporosis. Nutr
2006 May;22(5):559-63
*Morrow et al: Feeding orange pulp improved bone quality in a rat model of male osteoporosis. J Med
Food 2009 Apr;12(2):298-303
Colostrum (lactoferrin) is the first milk produced by mammals right after giving
birth. It has significant immune-boosting properties valuable for the newly born and
as a supplement, offers the same effects to the elderly as well as preserving their
bones.
*Guo et al: Orally administered lactoferrin preserves bone mass and microarchitecture in ovariecto-
mized rats. J Nutr 2009 May;139(5):958-64
Cumin seed reverses bone loss as effectively as estradiol in those who have had their
ovaries removed.
*Shirke et al: Methanolic extract of Cuminum cyminum inhibits ovariectomy-induced bone loss in rats.
Exp Biol Med (Maywood) 2008 Sep 29
Curcumin is the active part of Turmeric and significantly contributes to bone health.
*French et al: The ovariectomized, mature rat model of postmenopausal osteoporosis: an assessment
of the bone sparing effects of curcumin. Phytomed 2008 Dec;15(12):1069-78
*Metzler et al: Curcumin diminishes human osteoclastogenesis by inhibition of the signalosome-asso-
ciated I kappaB kinase. J Cancer Res Clin Oncol 2009 Feb;135(2):173-9
*Oh et al: Curcumin inhibits osteoclastogenesis by decreasing receptor activator of nuclear factor-
kappaB ligand (RANKL) in bone marrow stromal cells. Mol Cells 2008 Nov 30;26(5):486-9
*Yang et al: Curcumin improves bone microarchitecture and enhances mineral density in APP/PS1
transgenic mice. Phytomed 2011 Jan 15;18(2-3):205-13
Exercise is very important for maintaining bone health, balance, and reducing falls
and resulting fractures. Tai chi and yoga have been studied the most related to bone
health but any form of exercise is much better than nothing.
*Angin & Erden: The effect of group exercise on postmenopausal osteoporosis and osteopenia. Acta
Orthop Traumatol Turc 2009 Aug-Oct;43(4):343-50
*Chan et al: A randomized, prospective study of the effects of Tai Chi Chun exercise on bone mineral
density in postmenopausal women. Arch Phys Med Rehabil 2004 May;85(5):717-22
*Leung et al: Tai chi as an intervention to improve balance and reduce falls in older adults: A systematic
and meta-analytical review. Altern Ther Health Med 2011 Jan-Feb;17(1):40-8
Osteoporosis
*Peppone et al: Effects of a structured weight-bearing exercise program on bone metabolism among
breast cancer survivors: a feasibility trial. Clin Breast Cancer 2010 Jun;10(3):224-9
*Phoosuwan et al: The effects of weight bearing yoga training on the bone resorption markers of the
postmenopausal women. J Med Assoc Thai 2009 Sep;92 Suppl5:S102-8
392
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Song et al: A randomized study of the effects of t’ai chi on muscle strength, bone mineral density,
and fear of falling in women with osteoarthritis. J Altern Complement Med 2010 Mar;16(3):227-33
*Tolomio et al: Effects of a combined weight-bearing and non-weight-bearing ( warm water) exercise
program on bone mass and quality in postmenopausal women with low bone-mineral density.
Clin Ter 2009 Mar-Apr;160(2):105-9
*Tüzün et al: Yoga might be an alternative training for the quality of life and balance in postmenopausal
osteoporosis. Eur J Phys Rehabil Med 2010 Feb 18
*Wayne et al: The effects of Tai Chi on bone mineral density in postmenopausal women: a systematic
review. Arch Phys Med Rehabil 2007 May;88(5):673-80
FOS (fructooligosaccharide) is a prebiotic food supply for good gut bacteria, usually
derived from inulin. FOS with Plums, Omega 3, or fermented soy are good combina-
tions to increase bone health. Healthy supplies of good bacteria help correct malab-
sorption problems and resulting bone disease.
*Arjmandi et al: Combining fructooligosaccharide and dried plum has the greatest effect on restor-
ing bone mineral density among select functional foods and bioactive compounds. Helicobacter
2009 Aug;14(4):280-5
*Devareddy et al: The effects of fructo-oligosaccharides in combination with soy protein on bone in
osteopenic ovariectomized rats. Menopause 2006 Jul-Aug;13(4):692-9
*Stefano et al: Small intestine bacterial overgrowth and metabolic bone disease. Dig Dis Sci 2001
May;46(5):1077-82
Fruit, Vegetable, and Legume consumption is linked to greater bone health. Red
and orange produce, in particular, contain carotenoids which stimulate bone forma-
tion and inhibit bone resorption into the tissues but green and yellow produce is
equally as important. The Western-type diet, with more processed foods and fewer
fresh fruits and vegetables, contributes to bone loss and other health issues.
*Fujii et al Daily intake of green and yellow vegetables is effective for maintaining bone mass in young
women. Tohoku J Exp Med 2009;218(2):149-54
*Huang et al: Onion decreases the ovariectomy-induced osteopenia in young adult rats. Bone 2008
Jun;42(6):1154-63. Epub 2008 Feb 29
*Lee et al: Consumption of legumes improves certain bone markers in ovariectomized rats. Nutr Res
2011 May ;31(5):397-403
*Maurer et al: Neutralization of Western diet inhibits bone resorption independently of K intake and
reduces cortisol secretion in humans. Am J Physiol Renal Physiol 2003 Jan;284(1):F32-40
*New: Intake of fruit and vegetables: implications for bone health. Proc Nutr Soc 2003 Nov;62(4):889-99
*Park et al: Protective effect of apigenin on ovariectomy-induced bone loss in rats. Life Sci 2008 Jun
20;82(25-26):1217-23
*Sahni et al: Protective effect of total carotenoid and lycopene intake on the risk of hip fracture: a 17-year
follow-up from the Framingham Osteoporosis Study. J Bone Miner Res 2009 Jun;24(6):1086-94
*Ward et al: A western-style diet reduces bone mass and biomechanical bone strength to a greater
extent in male compared with female rats during development. Br J Nutr 2003 Sep;90(3):589-95
*Yamaguchi & Uchiyama: Beta-cryptoxanthin stimulates bone formation and inhibits bone resorption
in tissue culture in vitro. Mol Cell Biochem 2004 Mar;258(1-2):137-44
*Zhang et al: Greater vegetable and fruit intake is associated with a lower risk of breast cancer among
Chinese women. Int J Cancer 2009 Jul 1;125(1):181-8
fava beans and kudzu (a pea plant considered to be a noxious weed in many places).
Genistein is well-known and safe for supporting bone health without adversely af-
fecting breast density or endometrium thickness. It also proved to be superior to
the bone drugs alendronate, raloxifene and estradiol in reversing drug-induced
393
Pamela Duff, RN, CSNC
Grapefruit pulp improves bone quality but should not be consumed by anyone on
any kind of medication.
*Deyhim et al: Grapefruit pulp increases antioxidant status and improves bone quality in orchidecto-
mized rats. Br J Nutr 2007 Feb;97(2):365-72
Hesperitin is a citrus bioflavonoid that is important for the formation and mainten-
ance of bone mass and strength.
*Horcajada et al: Hesperidin inhibits ovariectomized-induced osteopenia and shows differential effects
on bone mass and strength in young and adult intact rats. J Appl Physiol 2008 Mar;104(3):648-54
Horny Goat Weed is an herb often sold as an endurance supplement that improves
circulation but it is also high in a substance called icarlin which appears to be more
potent than genistein when it comes to promoting bone health.
Osteoporosis
*Ma et al: Icariin is more potent than genistein in promoting osteoblast differentiation and mineralization
in vitro. J Cell Biochem 2010 Dec 29
394
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Kudzu is an herb that is often viewed as a noxious weed in many places but it does
have some valuable health properties and one is contributing to the prevention of
bone loss.
*Wang et al: Puerariae radix prevents bone loss in ovariectomized mice. J Bone Miner Metab
2003;21(5):268-75
Maca is a Peruvian root noted for balancing hormones in both men and women and
therefore valuable in protecting against estrogen deficient bone loss.
*Zhang et al: Effect of ethanol extract of Lepidium meyenii Walp. on osteoporosis in ovariectomized rat.
J Ethnopharmacol 2006 Apr 21;105(1-2):274-9
Olives contain a compound called oleuropein which protects against bone loss.
*Puel et al: Black Lucques olives prevented bone loss caused by ovariectomy and talc granulomatosis
in rats. Br J Nutr 2007 May;97(5):1012-20
*Puel et al: Dose-response study of effect of oleuropein, an olive oil polyphenol, in an ovariectomy/
Osteoporosis
inflammation experimental model of bone loss in the rat. Clin Nutr 2006 Oct;25(5):859-68
Omega 3 fatty acids and GLA (the “good” part of Omega 6 fatty acid) found in the
oils of borage, evening primrose, and black currant have beneficial effects on bone
health and joints in general.
395
Pamela Duff, RN, CSNC
*Chan et al: Effects of food groups and dietary nutrients on bone loss in elderly Chinese population. J
Nutr Health Aging 2011;15(4):287-94
*Kruger et al: Calcium, gamma-linolenic acid and eicosapentaenoic acid supplementation in senile
osteoporosis. Aging (Milano) 1998 Oct;10(5):385-94
*Rahman et al: Docosahexaenoic acid is more potent inhibitor of osteoclast differentiation in RAW
264.7 cells than eicosapentaenoic acid. J Cell Physiol 2008 Jan;214(1):201-9
Plums prevent bone loss and increase bone density thereby reversing osteopenia.
*Arjmandi et al: Dried plums improve indices of bone formation in postmenopausal women. Altern Ther
Health Med 2010 Mar-Apr;16(2):12-4
*Bu et al: Comparison of dried plum supplementation and intermittent PTH in restoring bone in oste-
openic orchidectomized rats. Am J Epidemiol 2008 Aug 27
*Deyhim et al: Dried plum reverses bone loss in an osteopenic rat model of osteoporosis. Menopause
2005 Nov-Dec;12(6):755-62
*Franklin et al: Dried plum prevents bone loss in a male osteoporosis model via IGF-I and the RANK
pathway. Bone 2006 Dec;39(6):1331-42
*Hooshmand et al: Comparative effects of dried plum and dried apple on bone in postmenopausal
women. Br J Nutr 2011 May 31:1-8
Red Yeast Rice is often used for its cholesterol-lowering properties which are similar
to statin drug action but RYR increases bone formation whereas statins do not.
*Wong & Rabie: Chinese red yeast rice (Monascus purpureus-fermented rice) promotes bone forma-
tion. Chin Med 2008 Mar 29;3:4
*Wong & Rabie: Chinese red yeast rice (Monascus purpureus-fermented rice) promotes bone forma-
tion. Nutr 2007 Mar;23(3):261-6
Osteoporosis
Resveratrol, a potent antioxidant found most commonly in the skins of red grapes,
has a positive effect on bone health.
*Habold et al: Effect of prior treatment with resveratrol on density and structure of rat long bones under
tail-suspension. Neurol 2007 Feb 20;68(8):563-8
396
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*He et al: Resveratrol prevents RANKL-induced osteoclast differentiation of murine osteoclast progeni-
tor RAW 264.7 cells through inhibition of ROS production. Biochem Biophys Res Commun 2010
Oct 22;401(3):356-62
*Li et al: Resveratrol-conjugated poly-ε-caprolactone facilitates in vitro mineralization and in vivo bone
regeneration. Acta Biomater 2011 Feb;7(2):751-8
*Liu et al: Effects of trans-resveratrol from Polygonum cuspidatum on bone loss using the ovariecto-
mized rat model. J Med Food 2005 Spring;8(1):14-9
*Shakibaei et al: Resveratrol-mediated SIRT-1 interactions with p300 modulate receptor activator of
NF-kappaB ligand (RANKL) activation of NF-kappaB signaling and inhibit osteoclastogenesis in
bone-derived cells. J Biol Chem 2011 Jan 14
Silica is a mineral known to improve the conditions of skin, hair, nails, and bones.
Its nutritional bioactive form is called Orthosilicic acid and found in health products
derived from bamboo, horsetail, or other sources.
*Kim et al: Silicon supplementation improves the bone mineral density of calcium-deficient ovariecto-
mized rats by reducing bone resorption. Biol Trace Elem Res 2009 Jun;128(3):239-47
*Spector et al: Choline-stabilized orthosilicic acid supplementation as an adjunct to calcium/vitamin
D3 stimulates markers of bone formation in osteopenic females: a randomized, placebo-con-
trolled trial. BMC Musculoskelet Disord 2008 Jun 11;9:85
Soy milk and Progesterone taken separately may be beneficial to bone health but
when taken together, contributes to bone loss. Fermented soy poses no problem to
bone health.
*Lydeking-Olsen et al: Soymilk or progesterone for prevention of bone loss--a 2 year randomized,
placebo-controlled trial. Eur J Nutr 2004 Aug;43(4):246-57
*Shen et al: Green tea and bone metabolism. Nutr Res 2009 Jul;29(7):437-56
*Shen et al: Protective effect of green tea polyphenols on bone loss in middle-aged female rats. Osteo-
poros Int 2008 Jul;19(7):979-90
397
Pamela Duff, RN, CSNC
Vitamin C improves collagen formation and osteoblast differentiation. The best vita-
min C for bioavailability is that made from mineral ascorbates (less acidic) rather
than ascorbic acid.
*Franceschi et al: Effects of ascorbic acid on collagen matrix formation and osteoblast differentiation
in murine MC3T3-E1 cells. J Bone Miner Res 1994 Jun;9(6):843-54
Vitamin D3 is an essential nutrient for bone health and the many other health
conditions that it improves.
*Sato et al: Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in Parkinson’s
disease. Parkinsonism Relat Disord 2011 Jan;17(1):22-6
*Sato et al: Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in hospitalized,
elderly women with Alzheimer’s disease: a randomized controlled trial. J Bone Miner Res 2005
Aug;20(8):1327-33
*Sato et al: Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in stroke pa-
tients. Neurol 2003 Aug 12;61(3):338-42
Vitamin K is a fat-soluble vitamin vital for blood clotting and bone health. It is found
in fermented foods (natto, soy, tempeh, miso, etc) and green foods (kale, spinach,
chard, etc). Fermented soy is an excellent source since the fermentation process
nullifies substances that can disrupt hormones. Be aware that most soy is genetic-
ally modified making it an inferior food with little to no medicinal value so try to find
organic fermented soy products as much as possible. Since these foods are high in
vitamin K, they should be carefully used by those on blood thinners.
*Adams & Pepping: Vitamin K in the treatment and prevention of osteoporosis and arterial calcification.
Am J Health Syst Pharm 2005 Aug 1;62(15):1574-81
*Atkinson et al: The effects of phytoestrogen isoflavones on bone density in women: a double-blind,
randomized, placebo-controlled trial. Am J Clin Nutr 2004 Feb;79(2):326-33
*Cheung et al: Vitamin K supplementation in postmenopausal women with osteopenia (ECKO trial): a
randomized controlled trial. PLoS Med 2008 Oct 14;5(10):e196
*Devareddy et al: Soy moderately improves microstructural properties without affecting bone mass in
an ovariectomized rat model of osteoporosis. Bone 2006 May;38(5):686-93
*Droke et al: Soy isoflavones avert chronic inflammation-induced bone loss and vascular disease. J
Inflamm (Lond) 2007 Sep 7;4:17
*Hara & Akiyama: Vitamin K and bone quality. Int J Cardiol 2010 Jan 3
Osteoporosis
*Hara & Akiyama: Vitamin K and bone quality. Clin Calcium 2007 Nov;17(11):1678-84
*Hirao et al: Onotherapy and combined therapy with vitamin K2 in postmenopausal women. J Bone
Miner Metab 2008;26(3):260-4
*Ishida: Vitamin K2. Clin Calcium 2008 Oct;18(10):1476-82
398
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Iwamoto et al: Bone quality and vitamin K2 in type 2 diabetes: review of preclinical and clinical studies.
Nutr Rev 2011 Mar;69(3):162-7
*Iwamoto et al: High-dose vitamin K supplementation reduces fracture incidence in postmenopausal
women: a review of the literature. Nutr Res 2009 Apr;29(4):221-8
*Iwamoto: Anti-fracture efficacy of vitamin K. Clin Calcium 2009 Dec;19(12):1805-14
*Kaneki: Protective effects of vitamin K against osteoporosis and its pleiotropic actions. Clin Calcium
2006 Sep;16(9):1526-34
*Kaneki et al: Japanese fermented soybean food as the major determinant of the large geographic
difference in circulating levels of vitamin K2: possible implications for hip-fracture risk. Nutr 2001
Apr;17(4):315-21
*Katsuyama et al: Promotion of bone formation by fermented soybean (Natto) intake in premenopausal
women. J Nutr Sci Vitaminol (Tokyo) 2004 Apr;50(2):114-20
*Katsuyama et al: Usual dietary intake of fermented soybeans (Natto) is associated with bone mineral
density in premenopausal women. J Nutr Sci Vitaminol (Tokyo) 2002 Jun;48(3):207-15
*Knapen et al: Vitamin K2 supplementation improves hip bone geometry and bone strength indices in
postmenopausal women. Osteoporos Int 2007 Jul;18(7):963-72
*Koh et al: Gender-specific associations between soy and risk of hip fracture in the Singapore Chinese
Health Study. Am J Epidemiol 2009 Oct 1;170(7):901-9
*Koitaya et al: Effect of low dose vitamin K2 (MK-4) supplementation on bio-indices in postmenopausal
Japanese women. J Nutr Sci Vitaminol (Tokyo) 2009 Feb;55(1):15-21
*Purwosunu et al: Vitamin K2 treatment for postmenopausal osteoporosis in Indonesia. J Obstet
Gynaecol Res 2006 Apr;32(2):230-4
*Roudsari et al: Assessment of soy phytoestrogens’ effects on bone turnover indicators in menopausal
women with osteopenia in Iran: a before and after clinical trial. Hum Cell 1999 Dec;12(4):189-96
*Sasaki et al: Vitamin K2 inhibits glucocorticoid-induced bone loss partly by preventing the reduction
of osteoprotegerin (OPG). J Bone Miner Metab 2005;23(1):41-7
*Soung et al: Soy affects trabecular microarchitecture and favorably alters select bone-specific gene
expressions in a male rat model of osteoporosis. Calcif Tissue Int 2006 Jun;78(6):385-91
*Tsukamoto: Studies on action of menaquinone-7 in regulation of bone metabolism and its preventive
role of osteoporosis. Biofact 2004;22(1-4):5-19
*Tsukamoto et al: Intake of fermented soybean (natto) increases circulating vitamin K2 (menaquin-
one-7) and gamma-carboxylated osteocalcin concentration in normal individuals. J Bone Miner
Metab 2000;18(4):216-22
*van Summeren et al: The effect of menaquinone-7 (vitamin K2) supplementation on osteocalcin carb-
oxylation in healthy prepubertal children. Br J Nutr 2009 Oct;102(8):1171-8
*Watkins et al: Protective actions of soy isoflavones and n-3 PUFAs on bone mass in ovariectomized
rats. J Nutr Biochem 2005 Aug;16(8):479-88
*Yamaguchi & Weitzmann: Vitamin K2 stimulates osteoblastogenesis and suppresses osteoclasto-
genesis by suppressing NF-κB activation. Int J Mol Med 2011 Jan;27(1):3-14
*Yamaguchi et al: Inhibitory effect of menaquinone-7 (vitamin K2) on the bone-resorbing factors-induced
bone resorption in elderly female rat femoral tissues in vitro. Exp Parasitol 2008 May;119(1):74-9
*Yamaguchi et al: Stimulatory effect of menaquinone-7 on bone formation in elderly female rat femoral
tissues in vitro: prevention of bone deterioration with aging. Int J Mol Med 2002 Dec;10(6):729-33
*Yamaguchi et al: Prolonged intake of fermented soybean (natto) diets containing vitamin K2 (mena-
quinone-7) prevents bone loss in ovariectomized rats. J Bone Miner Metab 2000;18(2):71-6
*Ye et al: Soy isoflavones attenuate bone loss in early postmenopausal Chinese women : a single-blind
randomized, placebo-controlled trial. Eur J Nutr 2006 Sep;45(6):327-34
*Zhang et al: Genistein and a soy extract differentially affect three-dimensional bone parameters and
Osteoporosis
399
Pamela Duff, RN, CSNC
Vitex (Chasteberry) is an herb often used by women to manage PMS but has a
traditional value for the reproductive systems of both men and women. Vitex also has
osteoprotective effects.
*Sehmisch et al: Vitex agnus castus as prophylaxis for osteopenia after orchidectomy in rats com-
pared with estradiol and testosterone supplementation. Phytother Res 2009 Jun;23(6):851-8
Walnut extract contains a substance (ellagic acid) which stimulates bone formation
as well as having an anti-inflammatory effect on the aorta.
*Papoutsi et al: Walnut extract (Juglans regia L.) and its component ellagic acid exhibit anti-inflamma-
tory activity in human aorta endothelial cells and osteoblastic activity in the cell line KS483. Br J
Nutr 2008 Apr;99(4):715-22
Xylitol is a healthier sugar substitute that actually helps with bone health as well
as preventing dental cavities.
*Mattila et al: Improved bone biomechanical properties in xylitol-fed aged rats. Metabolism 2002
Jan;51(1):92-6
*Mattila et al: Increased bone volume and bone mineral content in xylitol-fed aged rats. Gerontol 2001
Nov-Dec;47(6):300-5
*Mattila et al: Dietary xylitol protects against weakening of bone biomechanical properties in ovariec-
tomized rats. J Nutr 1998 Oct;128(10):1811-4
Yacon is a Peruvian tuber with significant antioxidant activity. Yacon is related to the
sunflower and Jerusalem artichoke and found to improve bone density and quality.
*Alvarez et al: Prebiotic inulin/oligofructose in Yacón root (Smallanthus sonchifolius), phytochemistry
and standardization as basis for clinical and pre-clinical research. Rev Gastroenterol Peru 2008
Jan-Mar;28(1):22-7
*Geyer et al: Effect of yacon (Smallanthus sonchifolius) on colonic transit time in healthy volunteers.
Digestion 2008;78(1):30-3
*Lobo et al: Effects of fructans-containing yacon (Smallanthus sonchifolius Poepp and Endl.) flour on
caecum mucosal morphometry, calcium and magnesium balance, and bone calcium retention in
growing rats. Br J Nutr 2007 Apr;97(4):776-85
400
Pancreas
(used to treat pancreatic disorders and cystic fibrosis digestion)
Common examples:
pancreatin – Donnazyme, Pancrezyme, Pancote and others
pancrelipase – Cotazym, Creon, Ku-zyme, Pancrease, Ultrase, Viokase and others
Deplete:
B9, iron
Suggested alternatives:
401
Pamela Duff, RN, CSNC
*Nöthlings et al: Meat and Fat Intake as Risk Factors for Pancreatic Cancer: The Multiethnic Cohort
Study. JNCI J Natl Cancer Inst 2005 Oct 5;97(19):1458-65
402
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Suggested Helpers:
Astragalus is an herb that reduces the autoimmune destruction of pancreatic cells,
especially in diabetics.
*Li et al: Effect of Astragalus polysaccharide on pancreatic cell mass in type 1 diabetic mice. Zhong-
guo Zhong Yao Za Zhi 2007 Oct;32(20):2169-73
Dandelion has pancreatic lipase activity which protects the pancreas from chem-
ically-induced pancreatitis.
*Seo et al: Taraxacum officinale protects against cholecystokinin-induced acute pancreatitis in rats.
World J Gastroenterol 2005 Jan 28;11(4):597-9
*Zhang et al: Pancreatic lipase inhibitory activity of taraxacum officinale in vitro and in vivo. Nutr Res
Pract 2008;2(4):200-3
Pancreas
403
Parkinson’s Disease
Common examples:
Anticholinergics
atropine
benztropine – Cogentin
glycopyrrolate – Robinul
propantheline – Norpanth
trihexyphenidyl – Artane
Dopamine agonists
amantadine – Symmetrel, Symadine
bromocriptine – Parlodel
levodopa – Sinemet, L-Dopa, and others
pergolide – Permax
Deplete:
B3, B6, B9, B12, C, iron, potassium, SAMe
´´5-HTP should not be taken with these drugs as the combination can cause
scleroderma-like conditions (skin becomes hard and tight).
*Auffranc et al: Sclerodermiform and poikilodermal syndrome observed during treatment with carbidopa
and 5-hydroxytryptophan [translated from French]. Ann Dermatol Venereol 1985;112:691–2
*Joly et al: Development of pseudobullous morphea and scleroderma-like illness during therapy with
L-5-hydroxytryptophan and carbidopa. J Am Acad Dermatol 1991;25:332–3
*Sternberg et al: Development of a scleroderma-like illness during therapy with L-5-hydroxytryptophan
and carbidopa. N Engl J Med 1980;303:782–7
Parkinson’s.
*Huang et al: Serum cholesterol and the progression of Parkinson’s disease: Results from DATATOP.
PLoS One 2011;6(8):e22854
404
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Suggested alternatives:
Ashwaganda is an adaptogenic herb used to combat stress but it also has neuro-
protective effects.
*Ahmad et al: Neuroprotective effects of Withania somnifera on 6-hydroxydopamine induced Parkin-
sonism in rats. Hum Exp Toxicol 2005 Mar;24(3):137-47
CoQ10 protects neurons and slows the degenerative progress. The ubiquinol form is
better absorbed and utilized than the cheaper ubiquinone.
*Cleren et al: Coenzyme Q10 has a neuroprotective effect in an experimental model of Parkinson’s
disease. J Neurochem 2008 Mar;104(6):1613-21
*Hargreaves et al: The coenzyme Q10 status of the brain regions of Parkinson’s disease patients.
Neurosci Lett 2008 Dec 5;447(1):17-9
*Maroz et al: Reactivity of ubiquinone and ubiquinol with superoxide and the hydroperoxyl radical:
implications for in vivo antioxidant activity. Free Radic Biol Med 2009 Jan 1;46(1):105-9
*Müller et al: Coenzyme Q10 supplementation provides mild symptomatic benefit in patients with Par-
Parkinson’s Disease
405
Pamela Duff, RN, CSNC
alone improves muscle quality in the aged, the athlete and those with muscular dis-
eases. It also reduces muscle cramps and helps with noise-induced hearing loss. It
is safely taken by diabetics and those on dialysis. Creatine decreases homocysteine
levels, important in those with Parkinson’s or heart disease.
*Adhihetty & Beal: Creatine and its potential therapeutic value for targeting cellular energy impairment
in neurodegenerative diseases. Neuromolecular Med 2008;10(4):275-90
*Candow & Chilibeck: Effect of creatine supplementation during resistance training on muscle accre-
tion in the elderly. J Nutr Health Aging 2007 Mar-Apr;11(2):185-8
*Chang et al: Creatine monohydrate treatment alleviates muscle cramps associated with haemodialy-
sis. Nephrol Dial Transplant 2002 Nov;17(11):1978-81
*Chung et al: Creatine supplements in patients with idiopathic inflammatory myopathies who are clin-
ically weak after conventional pharmacologic treatment: Six-month, double-blind, randomized,
placebo-controlled trial. Arthritis Rheum 2007 May 15;57(4):694-702
*Gualano et al: Creatine supplementation does not impair kidney function in type 2 diabetic patients: a
randomized, double-blind, placebo-controlled, clinical trial. Eur J Appl Physiol 2010 Oct 26
*Gualano et al: Effects of creatine supplementation on renal function: a randomized, double-blind,
placebo-controlled clinical trial. Eur J Appl Physiol 2008 May;103(1):33-40
*Hersch et al: Creatine in Huntington disease is safe, tolerable, bioavailable in brain and reduces serum
8OH2’dG. Neurol 2006 Jan 24;66(2):250-2
*Hespel & Derave: Ergogenic effects of creatine in sports and rehabilitation. Subcell Biochem
2007;46:245-59
*Minami et al: Creatine and tempol attenuate noise-induced hearing loss. Brain Res 2007 May
7;1148:83-9
*Smith et al: Effects of exercise and creatine on myosin heavy chain isoform composition in patients
with Charcot-Marie-Tooth disease. Muscle Nerve 2006 Nov;34(5):586-94
*Somayajulu-Nitu et al: Paraquat induces oxidative stress, neuronal loss in substantia nigra region
and parkinsonism in adult rats: neuroprotection and amelioration of symptoms by water-soluble
formulation of coenzyme Q10. BMC Neurosci 2009;10:88
*Taes et al: Creatine supplementation decreases homocysteine in an animal model of uremia. Kidney
Int 2003 Oct;64(4):1331-7
*Tarnopolsky & MacLennan: Creatine monohydrate supplementation enhances high-intensity exercise
performance in males and females. Int J Sport Nutr Exerc Metab 2000 Dec;10(4):452-63
*Tarnopolsky et al: A randomized, controlled trial of creatine monohydrate in patients with mitochon-
drial cytopathies. Muscle Nerve 1997 Dec;20(12):1502-9
*Walter et al: Creatine monohydrate in muscular dystrophies: A double-blind, placebo-controlled clin-
ical study. Neurol 2000 May 9;54(9):1848-50
*Yang et al: Combination therapy with coenzyme Q10 and creatine produces additive neuroprotective
effects in models of Parkinson’s and Huntington’s diseases. J Neurochem 2009 Jun;109(5):1427-39
Curcumin is the active compound found in the food spice, Turmeric. It has numerous
healing benefits including neuro-protective effects and alleviating glutathione deple-
tion, which is valuable in treating such diseases as Parkinson’s and Alzheimer’s.
*Chen et al: Curcumin protects PC12 cells against 1-methyl-4-phenylpyridinium ion-induced apoptosis
by bcl-2-mitochondria-ROS-iNOS pathway. Apoptosis 2006 Jun;11(6):943-53
Parkinson’s Disease
*Jagatha et al: Curcumin treatment alleviates the effects of glutathione depletion in vitro and in vivo:
therapeutic implications for Parkinson’s disease explained via in silico studies. Free Radic Biol
Med 2008 Mar 1;44(5):907-17
*Jaisin et al: Curcumin I protects the dopaminergic cell line SH-SY5Y from 6-hydroxydopamine-in-
duced neurotoxicity through attenuation of p53-mediated apoptosis. Neurosci Lett 2011 Feb
11;489(3):192-6
*Khuwaja et al: Neuroprotective effects of curcumin on 6-hydroxydopamine-induced Parkinson-
ism in rats: behavioral, neurochemical and immunohistochemical studies. Exp Neurol 2010
Oct;225(2):237-9
406
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Liu et al: Curcumin protects against A53T alpha-synuclein-induced toxicity in a PC12 inducible cell
model for Parkinsonism. Pharmacol Res 2011 Jan 12
*Mythri & Bharath: Curcumin: A potential neuroprotective agent in Parkinson’s disease. Curr Pharm
Des 2012 Jan 1
*Mythri et al: Mitochondrial complex I inhibition in Parkinson’s disease: how can curcumin protect
mitochondria? Antioxid Redox Signal 2007 Mar;9(3):399-408
*Rajeswari & Sabesan: Inhibition of monoamine oxidase-B by the polyphenolic compound, curcumin
and its metabolite tetrahydrocurcumin, in a model of Parkinson’s disease induced by MPTP
neurodegeneration in mice. Inflammopharmacol 2008 Apr;16(2):96-9
*Wang et al: Curcumin reduces alpha-synuclein induced cytotoxicity in Parkinson’s disease cell model.
BMC Neurosci 2010;11:57
*Wang et al: Curcumin attenuates 6-hydroxydopamine-induced cytotoxicity by anti-oxidation and nu-
clear factor-kappa B modulation in MES23.5 cells. Biochem Pharmacol 2009 Jul 15;78(2):178-83
*Yu et al: Curcumin prevents dopaminergic neuronal death through inhibition of the c-Jun N-terminal
kinase pathway. Rejuvenation Res 2010 Feb;13(1):55-64
*Zbarsky et al: Neuroprotective properties of the natural phenolic antioxidants curcumin and narin-
genin but not quercetin and fisetin in a 6-OHDA model of Parkinson’s disease. Free Radic Res
2005 Oct;39(10):1119-25
Echinacea is an herb well known for boosting the immune system during cold and
flu season but it also contains a compound which has neuro-protective effects.
*Geng et al: Neuroprotective effects of echinacoside in the mouse MPTP model of Parkinson’s dis-
ease. Eur J Pharmacol 2007 Jun 14;564(1-3):66-74
Exercise improves balance confidence and endurance. Although tai chi and dancing
have been studied the most in relation to Parkinson’s, any form of exercise is better
than nothing.
*Hackney & Earhart: Effects of dance on balance and gait in severe Parkinson disease: a case study.
Disabil Rehabil 2010;32(8):679-84
*Hackney & Earhart: Tai Chi improves balance and mobility in people with Parkinson disease. Gait
Posture 2008 Oct;28(3):456-60
*Hackney & Earhart: Short duration, intensive tango dancing for Parkinson disease: an uncontrolled
pilot study. Planta Med 1996 Oct;62(5):405-9
Ginkgo biloba is an herb most often used for increasing memory (mainly because it
increases blood flow to the brain) but Ginkgo also has properites that decrease the
neurotoxic effects of l-dopa.
*Cao et al: Experimental study on inhibition of neuronal toxical effect of levodopa by ginkgo biloba
extract on Parkinson disease in rats. J Huazhong Univ Sci Technolog Med Sci 2003;23(2):151-3
407
Pamela Duff, RN, CSNC
*Kuo et al: Deprivation of pantothenic acid elicits a movement disorder and azoospermia in a
mouse model of pantothenate kinase-associated neurodegeneration. J Inherit Metab Dis 2007
Jun;30(3):310-7
*Lee et al: Homocysteine-lowering therapy or antioxidant therapy for bone loss in Parkinson’s disease.
Mov Disord 2010 Feb 15;25(3):332-40
*Levin et al: High homocysteine levels are associated with neurodegenerative conditions such as Par-
kinson’s disease, ALS and progressive supranuclear palsy. Dement Geriatr Cogn Disord 2010
Jul;29(6):553-9
*Sandyk & Pardeshi: Pyridoxine improves drug-induced parkinsonism and psychosis in a schizo-
phrenic patient. Phytother Res 2008 Sep;22(9):1162-7
*Schroecksnadel et al: Effect of L-dopa on plasma homocysteine in PD patients: relationship to B-
vitamin status. Biometals 2008 Sep 4
Resveratrol is a substance derived from red grape skins and other fruits such
as mulberry, reduces oxidative damage, depletion of dopamine, and protects the
Parkinson’s Disease
neurons.
*Busanello et al: Resveratrol protects against a model of vacuous chewing movements induced by
reserpine in mice. Behav Pharmacol 2010 Nov 30
*Chao et al: Dietary oxyresveratrol prevents parkinsonian mimetic 6-hydroxydopamine neurotoxicity.
Free Radic Biol Med 2008 Oct 1;45(7):1019-26
*Doré: Unique properties of polyphenol stilbenes in the brain: more than direct antioxidant actions;
gene/protein regulatory activity. Neuropharmacol 2008 Jun;54(7):1112-9
408
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
SAMe is effective and well-tolerated in those with Parkinson’s suffering from depression.
*Rocco et al: S-Adenosyl-Methionine improves depression in patients with Parkinson’s disease in an
open-label clinical trial. Mov Disord 2000 Nov;15(6):1225-9
Theanine is a substance derived from Green tea and has neuroprotective properties
as well as a calming effect, useful in stressful situations.
*Cho et al: Protective effect of the green tea component, L-theanine on environmental toxins-induced
neuronal cell death. Neurotox 2008 Jul;29(4):656-62
Velvet bean extract (Mucuna pruriens) has a long history of use for treating Par-
kinson’s because of its natural dopamine content. Tests revealed that this herb had
better effects, including a longer relief from dyskinesia, than those taking l-dopa. If
you want to try it, it is wise to find the ready-made extract because the seed pods
also have a history of use – as an itch powder. Mucuna pruriens is not available in
Canada because it is a pharmaceutical rival but some Horny Goat weed products do
contain this herb.
*Kasture et al: Assessment of symptomatic and neuroprotective efficacy of Mucuna pruriens seed
extract in rodent model of Parkinson’s disease. Neurotox Res 2009 Feb;15(2):111-22
*Katzenschlager et al: Mucuna pruriens in Parkinson’s disease: a double blind clinical and pharmaco-
logical study. J Neurol Neurosurg Psych 2004 Dec;75(12):1672-7
Parkinson’s Disease
*Lieu et al: A water extract of Mucuna pruriens provides long-term amelioration of parkinsonism with
reduced risk for dyskinesias. Parkinson Related Disorders 2010 Aug;16(7):458-65
*Manyam et al: Effect of antiparkinson drug HP-200 (Mucuna pruriens) on the central monoaminergic
neurotransmitters. Phytother Res 2004;18:97-101
*Manyam et al: Neuroprotective effects of the antiparkinson drug Mucuna pruriens. Phytother Res
2004;18:706-12
409
Pamela Duff, RN, CSNC
*No authors listed: An alternative medicine treatment for Parkinson’s disease: results of a multicen-
ter clinical trial. HP-200 in Parkinson’s Disease Study Group. J Altern Complement Med 1995
Fall;1(3):249-55
410
Prostate
(used to treat prostate enlargement (BPH – benign prostatic hyperplasia])
Common examples:
5-Alpha Reductase Inhibitors
finasteride – Proscar
dutasteride – Avodart
Alpha-1 Blockers
alfuzosin – UroXatral
doxazosin – Cardura
prazosin – Minipress
tamsulosin – Flomax
terazosin – Hytrin
Deplete:
studies have not yet determined any
´´Blood thinners used beyond two years after a diagnosis of prostate cancer is
associated with a poorer prognosis.
*Tagalakis & Tamim: The effect of warfarin use on clinical stage and histological grade of prostate
Prostate
´´Certain drugs used to induce growth in young boys, cause loss of bone
quality and increases the size of the prostate. These drugs, called Aromatase
411
Pamela Duff, RN, CSNC
inhibitors (AIs), are normally used for breast cancer treatments in women and
to prevent enlarged breasts in men.
*Bajpai et al: Peripubertal aromatase inhibition in male rats has adverse long-term effects on bone
strength and growth and induces prostatic hyperplasia. J Endocrinol 2010 Oct;207(1):27-34
´´Enlarged prostates create a higher risk for prostate cancer, a risk that
continues to climb with age and nutrient deficiencies, which increase even
more when drugs for the prostate are added to the other factors.
*Mandal: Drugs for enlarged prostate raise cancer risk. news-medical.net online article published June
9, 2011
*Multigner et al: Chlordecone exposure and risk of prostate cancer. J Clin Oncol 2010 Jul 20;28(21):3457-
62
*Parent et al: Does exposure to agricultural chemicals increase the risk of prostate cancer among
farmers? Mcgill J Med 2009 Jan;12(1):70-7
412
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Xu et al: Associations of serum concentrations of organochlorine pesticides with breast cancer and
prostate cancer in U.S. adults. Environ Health Perspect 2010 Jan;118(1):60-6
´´Statin drugs, used for Cholesterol, have many side effects including stimulating
the growth of prostate cancer cells.
*Chang et al: Statins increase the risk of prostate cancer: A population-based case-control study.
Prostate 2011 Dec ;71(16):1818-24
*Murtola et al: Comparative effects of high and low-dose simvastatin on prostate epithelial cells: The
role of LDL. Eur J Pharmacol 2011 Oct 25
*Ritch et al: Effect of statin use on biochemical outcome following radical prostatectomy as evidenced
by the fact that Statin users have a lower 5-year biochemical recurrence-free survival compared
with non-users. BJU Int 2011 Oct;108(8 Pt 2):E211-6
Suggested alternatives:
*Schwarz et al: Lycopene inhibits disease progression in patients with benign prostate hyperplasia. J
Nutr 2008 Jan;138(1):49-53
413
Pamela Duff, RN, CSNC
*Singh & Agarwal: Prostate cancer chemoprevention by silibinin: bench to bedside. Mol Carcinog
2006;45(6):436-42
B12 deficiency causes a type of anemia called pernicious anemia which has been
linked to prostate cancer but which responds well to supplementation.
*Tisman et al: Coexistence of pernicious anemia and prostate cancer - ‘an experiment of nature’ in-
volving vitamin B(12 )modulation of prostate cancer growth and metabolism: a case report. J Med
Case Reports 2009;3:9295
Bee pollen derived from mustard green flowers induces prostate cancer cell death.
*Wu & Lou: A steroid fraction of chloroform extract from bee pollen of Brassica campestris induces
apoptosis in human prostate cancer PC-3 cells. Phytother Res 2007 Nov;21(11):1087-91
Prostate
Bee propolis and Brazilian Green Bee Propolis are known anti-infectives but they
also induce the deaths of various cancer cells including that of the prostate.
414
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Szliszka et al: Ethanolic extract of Brazilian green propolis sensitizes prostate cancer cells to TRAIL-
induced apoptosis. Int J Oncol 2011 Feb 1
*Szliszka et al: Ethanolic extract of propolis augments TRAIL-induced apoptotic death in prostate can-
cer cells. Evid Based Complement Alternat Med 2009 Nov 5
Beta-sitosterol and Saw palmetto protect the prostate and reduce hair loss in
men.
*Prager et al: A randomized, double-blind, placebo-controlled trial to determine the effectiveness of
botanically derived inhibitors of 5-alpha-reductase in the treatment of androgenetic alopecia. J
Altern Complement Med 2002 Apr;8(2):143-52
Black cohosh is an herb frequently used by women for menopausal symptoms but
it also works very well for men by inhibiting the formation of prostate cancer cells.
*Hostanska et al: Apoptosis of human prostate androgen-dependent and -independent carcinoma
cells induced by an isopropanolic extract of black cohosh involves degradation of cytokeratin
(CK)18. Anticancer Res 2005 Jan-Feb;25(1A):139-47
*Jarry et al: Petasiphenone, a phenol isolated from Cimicifuga racemosa, in vitro inhibits proliferation of
the human prostate cancer cell line LNCaP. Planta Med 2007 Feb;73(2):184-7
Cacao is the base for cocoa and chocolate but in the raw state has many health
benefits including a protective effect on the prostate.
*Bisson et al: Therapeutic effect of ACTICOA powder, a cocoa polyphenolic extract, on experimentally
induced prostate hyperplasia in Wistar-Unilever rats. J Med Food 2007 Dec;10(4):628-35
*Jourdain et al: In-vitro effects of polyphenols from cocoa and beta-sitosterol on the growth of human
prostate cancer and normal cells. Am J Physiol Renal Physiol 2007 Oct;293(4):F1256-61
*Peng et al: In vitro and in vivo effects of water extract of white cocoa tea (Camellia ptilophylla) against
human prostate cancer. Pharm Res 2010 Jun;27(6):1128-37
Coconut oil has significant health benefits including reducing enlarged prostates
while increasing testosterone and antioxidant levels in the testes.
*Arruzazabala et al: Effects of coconut oil on testosterone-induced prostatic hyperplasia in Sprague-
Dawley rats. J Pharm Pharmacol 2007 Jul;59(7):995-9
*Hurtado de Catalfo et al: Dietary lipids modify redox homeostasis and steroidogenic status in rat
testis. Phytother Res 2010 Feb;24(2):163-8
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*Abdulah et al: Selenium enrichment of broccoli sprout extract increases chemosensitivity and apop-
tosis of LNCaP prostate cancer cells. BMC Cancer 2009;9:414
*Ambrosini et al: Dietary patterns identified using factor analysis and prostate cancer risk: a case con-
trol study in Western Australia. Ann Epidemiol 2008 May;18(5):364-70
*Bhamre et al: Temporal changes in gene expression induced by sulforaphane in human prostate
cancer cells. Prostate 2009 Feb 1;69(2):181-90
*Brooks et al: Potent induction of phase 2 enzymes in human prostate cells by sulforaphane. Cancer
Epidemiol Biomarkers Prev 2001 Sep;10(9):949-54
*Chiao et al: Sulforaphane and its metabolite mediate growth arrest and apoptosis in human prostate
cancer cells. Int J Oncol 2002 Mar;20(3):631-6
*Gibbs et al: Sulforaphane destabilizes the androgen receptor in prostate cancer cells by inactivating
histone deacetylase 6. Proc Natl Acad Sci USA 2009 Sep 29;106(39):16663-8
*Hahm & Singh: Sulforaphane inhibits constitutive and interleukin-6-induced activation of signal
transducer and activator of transcription 3 in prostate cancer cells. Cancer Prev Res (Phila) 2010
Apr;3(4):484-94
*Ho et al: Dietary sulforaphane, a histone deacetylase inhibitor for cancer prevention. J Nut 2009
Dec;139(12):2393-6
*Keum etal: Pharmacokinetics and pharmacodynamics of broccoli sprouts on the suppression of
prostate cancer in transgenic adenocarcinoma of mouse prostate (TRAMP) mice: implication of
induction of Nrf2, HO-1 and apoptosis and the suppression of Akt-dependent kinase pathway.
Pharm Res 2009 Oct;26(10):2324-31
*Kristal & Lampe: Brassica vegetables and prostate cancer risk: a review of the epidemiological evi-
dence. Nutr Cancer 2002;42(1):1-9
*Myzak et al: Sulforaphane retards the growth of human PC-3 xenografts and inhibits HDAC activity in
human subjects. Exp Biol Med (Maywood) 2007 Feb;232(2):227-34
*Shankar et al: Sulforaphane enhances the therapeutic potential of TRAIL in prostate cancer ortho-
topic model through regulation of apoptosis, metastasis, and angiogenesis. Clin Cancer Res 2008
Nov 1;14(21):6855-66
*Singh et al: Sulforaphane inhibits prostate carcinogenesis and pulmonary metastasis in TRAMP mice in
association with increased cytotoxicity of natural killer cells. Cancer Res 2009 Mar 1;69(5):2117-25
*Xue et al: Induced hyperproliferation in epithelial cells of mouse prostate by a Western-style diet. Car-
cinogen 1997 May;18(5):995-9
Curcumin is an active compound of the cooking spice, Turmeric, and known to sig-
nificantly enhance health including that of the prostate, inducing cancer cell death
and preventing metastatic activity.
*Cabrespine-Faugeras et al: Possible benefits of curcumin regimen in combination with taxane chemo-
therapy for hormone-refractory prostate cancer treatment. Nutr Cancer 2010;62(2):148-53
*Chaudhary & Hruska: Inhibition of cell survival signal protein kinase B/Akt by curcumin in human
prostate cancer cells. Int J Cardiol 1995 May;49(3):191-9
*Chen et al: Curcumin inhibits growth, induces G1 arrest and apoptosis on human prostatic stromal
cells by regulating Bcl-2/Bax. Zhongguo Zhong Yao Za Zhi 2008 Aug;33(16):2022-5
*Chendil et al: Curcumin confers radiosensitizing effect in prostate cancer cell line PC-3. Oncogene
2004 Feb 26;23(8):1599-607
*Choi et al: Curcumin interrupts the interaction between the androgen receptor and Wnt/β-catenin sig-
Prostate
naling pathway in LNCaP prostate cancer cells. Prostate Cancer Prostatic Dis 2010 Dec;13(4):343-9
*Deeb et al: Curcumin [1,7-bis(4-hydroxy-3-methoxyphenyl)-1-6-heptadine-3,5-dione; C21H20O6]
sensitizes human prostate cancer cells to tumor necrosis factor-related apoptosis-inducing ligand/
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2005 Sep;40(9):800-3
*Zhang et al: Reducing effect of curcumin on expressions of TNF-alpha, IL-6 and IL-8 in rats with
chronic nonbacterial prostatitis. Zhonghua Nan Ke Xue 2010 Jan;16(1):84-8
417
Pamela Duff, RN, CSNC
Dandelion is an excellent blood cleanser but it also has anti-cancer activity against
prostate and breast cancer cells.
*Sigstedt et al: Evaluation of aqueous extracts of Taraxacum officinale on growth and invasion of
breast and prostate cancer cells. Int J Oncol 2008 May;32(5):1085-90
Echinacea is an herb most often used to boost the immune system at onset of an
illness but it also prevents the development of an enlarged prostate.
*Skaudickas et al: The effect of Echinacea purpurea (L.) Moench extract on experimental prostate
hyperplasia. Eur J Phys Rehabil Med 2010 May 6
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hepatocyte growth factor and vascular endothelial growth factor in vitro. Cancer Prev Res (Phila
Pa) 2009 Jul;2(7):673-82
*Siddiqui et al: Green tea polyphenol EGCG sensitizes human prostate carcinoma LNCaP cells to
TRAIL-mediated apoptosis and synergistically inhibits biomarkers associated with angiogenesis
and metastasis. Oncogene 2008 Mar 27;27(14):2055-63
Essiac Tea inhibits cancer growth including that of the prostate. Essiac tea consists
of four herbs: burdock root, slippery elm, sheep sorrel, and Indian rhubarb root.
*Ottenweller et al: Inhibition of prostate cancer-cell proliferation by Essiac. J Altern Complement Med
2004 Aug;10(4):687-91
Fisetin is a flavonoid found in strawberries, mangos and other plants. As with other
flavonoids, fisetin also encourages the death of tumours.
*Khan et al: A novel dietary flavonoid fisetin inhibits androgen receptor signaling and tumor growth in
athymic nude mice. Cancer Res 2008 Oct 15;68(20):8555-63
Flaxseed contains lignans which improve urinary function in those with enlarged
prostates as effectively as drugs but without the side effects. Flaxseed also reduces
prostate cancer cell proliferation and increases sperm quality.
*Demark-Wahnefried et al: Pilot study to explore effects of low-fat, flaxseed-supplemented diet
on proliferation of benign prostatic epithelium and prostate-specific antigen. Urology 2004
May;63(5):900-4
*Mourvaki et al: Effects of flaxseed dietary supplementation on sperm quality and on lipid composition
of sperm subfractions and prostatic granules in rabbit. Theriogenol 2009 Dec 22
*Switzer & Demark-Wahnefried: Effect of mammalian lignans on the growth of prostate cancer cell
lines. Anticancer Res 2001 Nov-Dec;21(6A):3995-9
*Zhang et al: Effects of dietary flaxseed lignan extract on symptoms of benign prostatic hyperplasia. J
Ren Nutr 2007 Jan;17(1):23-9
GLA (gamma linolenic acid) is the anti-inflammatory part of omega-6 which is found
in such oil seeds as borage, evening primrose, and black currant. GLA plays a sig-
nificant role in reducing prostate tumor growth.
*Pham et al: Dietary gamma-linolenate attenuates tumor growth in a rodent model of prostatic adeno-
carcinoma via suppression of elevated generation of PGE(2) and 5S-HETE. Prostaglandins Leukot
Essent Fatty Acids 2006 Apr;74(4):271-82
Garlic, a natural antibiotic, has a synergistic effect with the antibiotic ciprofloxacin
in treating chronic prostatitis.
*Sohn et al: Anti-inflammatory and antimicrobial effects of garlic and synergistic effect between garlic
and ciprofloxacin in a chronic bacterial prostatitis rat model. Int J Antimicrob Agents 2009 Apr 16
*Burich et al: Genistein combined polysaccharide enhances activity of docetaxel, bicalutamide and
Src kinase inhibition in androgen-dependent and independent prostate cancer cell lines. BJU Int
2008 Nov;102(10):1458-66
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*de Vere White et al: Effects of a genistein-rich extract on PSA levels in men with a history of prostate
cancer. Urol 2004 Feb;63(2):259-63
*Hamilton-Reeves et al: Effects of soy protein isolate consumption on prostate cancer biomarkers in
men with HGPIN, ASAP, and low-grade prostate cancer. Nutr Cancer 2008;60(1):7-13
*Hamilton-Reeves et al: Isoflavone-rich soy protein isolate suppresses androgen receptor expression
without altering estrogen receptor-beta expression or serum hormonal profiles in men at high risk
of prostate cancer. J Nutr 2007 Jul;137(7):1769-75
*Hussain et al: Soy isoflavones in the treatment of prostate cancer. Nutr Cancer 2003;47(2):111-7
*Hwang et al: Soy food consumption and risk of prostate cancer: a meta-analysis of observational
studies. J Altern Complement Med 2009 Aug;15(8):905-9
*Ishiwata et al: New equol supplement for relieving menopausal symptoms: randomized, placebo-
controlled trial of Japanese women. Menopause 2009 Jan-Feb;16(1):141-8
*Jacobsen et al: Does high soy milk intake reduce prostate cancer incidence? The Adventist Health
Study (United States). Cancer Caus Contr 1998;9(6):553-7
*Lakshman et al: Dietary genistein inhibits metastasis of human prostate cancer in mice. Ann Thorac
Surg 2010 Mar;89(3):781-6
*Li et al: Inactivation of nuclear factor kappaB by soy isoflavone genistein contributes to increased
apoptosis induced by chemotherapeutic agents in human cancer cells. Cancer Res 2005 Aug
1;65(15):6934-42
*Lund et al: Equol is a novel anti-androgen that inhibits prostate growth and hormone feedback. Int J
Neurosci 2008 Jan;118(1):59-77
*Majid et al: Genistein reverses hypermethylation and induces active histone modifications in tumor
suppressor gene B-Cell translocation gene 3 in prostate cancer. Cancer 2009 Nov 2
*Maskarinec et al: Serum prostate-specific antigen but not testosterone levels decrease in a random-
ized soy intervention among men. Eur J Clin Nutr 2006 Dec;60(12):1423-9
*Onozawa et al: Effects of a soybean isoflavone mixture on carcinogenesis in prostate and seminal
vesicles of F344 rats. Jpn J Cancer Res 1999 Apr;90(4):393-8
*Swami et al: Genistein potentiates the growth inhibitory effects of 1,25-dihydroxyvitamin D3 in DU145
human prostate cancer cells: role of the direct inhibition of CYP24 enzyme activity. J Dairy Sci
2009 Mar;92(3):837-46
*Travis et al: Plasma phyto-oestrogens and prostate cancer in the European Prospective Investigation
into Cancer and Nutrition. Br J Cancer 2009 Jun 2;100(11):1817-23
*Wong et al: The association between isoflavone and lower urinary tract symptoms in elderly men. Br
J Nutr 2007 Dec;98(6):1237-42
*Xu et al: MEK4 function, genistein treatment, and invasion of human prostate cancer cells. J Natl
Cancer Inst 2009 Aug 19;101(16):1141-55
*Yan & Spitznagel: Soy consumption and prostate cancer risk in men: a revisit of a meta-analysis. Am
J Clin Nutr 2009 Apr;89(4):1155-63
*Yan & Spitznagel: Meta-analysis of soy food and risk of prostate cancer in men. Int J Canc 2005 Nov
20;117(4):667-9
*Yatkin et al: The soy effect in the disease models of nonbacterial prostatitis and obstructive voiding.
Exp Biol Med (Maywood) 2007 May;232(5):674-81
*Zhang et al: A novel anti-cancer effect of genistein: reversal of epithelial mesenchymal transition in
prostate cancer cells. Acta Pharmacol Sin 2008 Sep;29(9):1060-8
*Zhou et al: Inhibition of orthotopic growth and metastasis of androgen-sensitive human prostate
tumors in mice by bioactive soybean components. Prostate 2002 Oct 1;53(2):143-53
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*Luo et al: Lycium barbarum polysaccharides induce apoptosis in human prostate cancer cells and
inhibits prostate cancer growth in a xenograft mouse model of human prostate cancer. J Med
Food 2009 Aug;12(4):695-703
Grape seed extract contains a substance called Gallic acid which inhibits prostate
cancer cell growth.
*Raina et al: Chemopreventive effects of oral gallic acid feeding on tumor growth and progression in
TRAMP mice. Mol Cancer Ther 2008 May;7(5):1258-67
*Singh et al: Grape seed extract inhibits advanced human prostate tumor growth and angiogenesis and
upregulates insulin-like growth factor binding protein-3. Int J Cancer 2004 Feb 20;108(5):733-40
*Tyagi et al: Grape seed extract inhibits EGF-induced and constitutively active mitogenic signaling but
activates JNK in human prostate carcinoma DU145 cells: possible role in antiproliferation and
apoptosis. Oncogene 2003 Mar 6;22(9):1302-16
Grape seed extract and Pycnogenol prevent prostate cancer cells from forming.
*Neuwirt et al: Oligomeric proanthocyanidin complexes (OPC) exert anti-proliferative and pro-apoptot-
ic effects on prostate cancer cells. Prostate 2008 Jul 28
Graviola is a rainforest tree whose leaves have potent anti-cancer properties espe-
cially against prostate and pancreatic cell lines.
*Kim et al: Muricoreacin and murihexocin C, mono-tetrahydrofuran acetogenins, from the leaves of
Annona muricata. Phytochem 1998 Sep;49(2):565-71
Guggul is an Ayurvedic herb often used to control cholesterol levels. It also contains
a substance called Guggulsterone which induces the deaths of prostate cancer cells.
*Singh et al: Guggulsterone-induced apoptosis in human prostate cancer cells is caused by reactive
oxygen intermediate dependent activation of c-Jun NH2-terminal kinase. Cancer Res 2007 Aug
1;67(15):7439-49
*Xiao & Singh: z-Guggulsterone, a constituent of Ayurvedic medicinal plant Commiphora mukul, inhib-
its angiogenesis in vitro and in vivo. Mol Cancer Ther 2008 Jan;7(1):171-80
Homeopathic selective treatments slow the progression of tumor cells but are not
preventatives.
*Jonas et al: Can homeopathic treatment slow prostate cancer growth? Integr Cancer Ther 2006
Dec;5(4):343-9
*MacLaughlin et al: Effects of homeopathic preparations on human prostate cancer growth in cellular
and animal models. Integr Cancer Ther 2006 Dec;5(4):362-72
Honokiol is a substance found in Magnolia that is effective for preventing and treat-
ing prostate cancer. Magnolia is one of the herbs found in Relora which is used for
regulating cortisol and stress levels.
Prostate
*Hahm et al: Honokiol, a constituent of oriental medicinal herb magnolia officinalis, inhibits growth
of PC-3 xenografts in vivo in association with apoptosis induction. Clin Cancer Res 2008 Feb
15;14(4):1248-57
421
Pamela Duff, RN, CSNC
Hops is an herb used extensively in the brewing industry and often used to promote
sleep but it also has compounds which promote prostate cancer cell deaths.
*Colgate et al: Xanthohumol, a prenylflavonoid derived from hops induces apoptosis and inhibits NF-
kappaB activation in prostate epithelial cells. Cancer Lett 2007 Feb 8;246(1-2):201-9
*Delmulle et al: Anti-proliferative properties of prenylated flavonoids from hops (Humulus lupulus L.) in
human prostate cancer cell lines. Phytomed 2006 Nov;13(9-10):732-4
Inositol (vitamin B8) has significant anti-cancer effects, stimulating the natural
killer cells.
*Agarwal et al: Inositol hexaphosphate inhibits growth and induces G1 arrest and apoptot-
ic death of androgen-dependent human prostate carcinoma LNCaP cells. Neoplasia 2004
Sep-Oct;6(5):646-59
*Baten et al: Inositol-phosphate-induced enhancement of natural killer cell activity correlates with
tumor suppression. Carcinogen 1989 Sep;10(9):1595-8
*Kerr & Colucci: Inositol phospholipid signaling and the biology of natural killer cells. J Innate Immun
2011;3(3):249-57
*Raina et al: Chemopreventive efficacy of inositol hexaphosphate against prostate tumor growth and
progression in TRAMP mice. Clin Cancer Res 2008 May 15;14(10):3177-84
*Shamsuddin & Yang: Inositol hexaphosphate inhibits growth and induces differentiation of PC-3 hu-
man prostate cancer cells. Carcinogen 1995 Aug;16(8):1975-9
*Singh et al: In vivo suppression of hormone-refractory prostate cancer growth by inositol hexaphos-
phate: induction of insulin-like growth factor binding protein-3 and inhibition of vascular endothelial
growth factor. Clin Cancer Res 2004 Jan 1;10(1Pt1):244-50
*Singh et al: Inositol hexaphosphate inhibits growth, and induces G1 arrest and apoptotic death of
prostate carcinoma DU145 cells: modulation of CDKI-CDK-cyclin and pRb-related protein-E2F
complexes. Carcinogen 2003 Mar;24(3):555-63
Kava is a calming herb that also has anti-prostate cancer effects. Kava is banned in
Canada despite its proven usefulness.
*Tang et al: Flavokawain B, a kava chalcone, induces apoptosis via up-regulation of death-receptor 5
Prostate
and Bim expression in androgen receptor negative, hormonal refractory prostate cancer cell lines
and reduces tumor growth. Indian J Exp Biol 2007 Jun;45(6):524-8
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Lycopene, Soy isoflavones, Milk Thistle, and Antioxidants lower PSA levels even
in men with prostate cancer.
*Schröder et al: Randomized, double-blind, placebo-controlled crossover study in men with pros-
tate cancer and rising PSA: effectiveness of a dietary supplement. Eur Urol 2005 Dec;48(6):922-
30;disc 930-1
*Vaishampayan et al: Lycopene and soy isoflavones in the treatment of prostate cancer. J Pharm Phar-
macol 2009 Jul;61(7):961-7
423
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*León: The “Maca” ( Lepidium meyenii ), a little known food plant of Peru. Econ Bot 18(2):122-7
*Piacente et al: Investigation of the tuber constituents of maca (Lepidium meyenii Walp). J Agric Food
Chem 2002;50(20):5621-25
*Raintree Nutrition Tropical Plant Database “Maca” www.rain-tree.com/maca.htm
*Taylor 2005:338-44
*Valerio & Gonzales: Toxicological aspects of the South American herbs cat’s claw (Uncaria tomen-
tosa) and maca (Lepidium meyenii): A critical synopsis. Toxicol Rev 2005;24(1):11-35(25)
Melatonin suppresses prostate cancer cell growth; decreases BPA toxin effects in
the testicles; and reduces effects of kidney damage caused by cell phones.
*Anjum et al: Melatonin ameliorates bisphenol A-induced biochemical toxicity in testicular mitochon-
dria of mouse. Food Chem Toxicol 2011 Aug 5
*Kim & Yoo: Melatonin Induces Apoptotic Cell Death via p53 in LNCaP Cells. Korean J Physiol Phar-
macol 2010 Dec;14(6):365-9
*Joo & Yoo: Melatonin induces apoptotic death in LNCaP cells via p38 and JNK pathways: therapeutic
implications for prostate cancer. J Pineal Res 2009 Aug;47(1):8-14
*Oktem et al: Oxidative damage in the kidney induced by 900-MHz-emitted mobile phone: protection
by melatonin. Arch Med Res 2005 Jul-Aug;36(4):350-5
*Quiroz et al: Melatonin ameliorates oxidative stress, inflammation, proteinuria, and progression of renal
damage in rats with renal mass reduction. Zhonghua Zhong Liu Za Zhi 2005 Nov;27(11):667-71
*Shiu et al: Melatonin slowed the early biochemical progression of hormone-refractory prostate cancer
in a patient whose prostate tumor tissue expressed MT1 receptor subtype. J Pineal Res 2003
Oct;35(3):177-82
*Tam et al: Melatonin as a negative mitogenic hormonal regulator of human prostate epithelial cell
growth: potential mechanisms and clinical significance. J Pineal Res 2008 Jul 14
Milk Thistle contains flavonoids that protect the prostate from cancer and induces
prostate cancer cell death.
*Deep et al: Identifying the differential effects of silymarin constituents on cell growth and cell cycle
regulatory molecules in human prostate cancer cells. Int J Cancer 2008 Jul 1;123(1):41-50
Prostate
*Singh & Agarwal: Prostate cancer chemoprevention by silibinin: bench to bedside. Mol Carcinog
2006;45(6):436-42
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*Singh et al: Suppression of advanced human prostate tumor growth in athymic mice by silibinin feed-
ing is associated with reduced cell proliferation, increased apoptosis, and inhibition of angiogen-
esis. Cancer Epidemiol Biomarkers Prev 2003 Sep;12(9):933-9
Modified Citrus Pectin induces prostate cancer cell deaths. Citrus pectin is pro-
cessed or modified for supplemental purposes to increase absorption.
*Jackson et al: Pectin induces apoptosis in human prostate cancer cells: correlation of apoptotic func-
tion with pectin structure. Glycobiol 2007 Aug;17(8):805-19
Neem leaves are known to have anti-microbial effects but they also protect the
prostate by inhibiting the formation of cancer cells.
*Kumar et al: Anticancer effects of ethanolic neem leaf extract on prostate cancer cell line (PC-3). J
Ethnopharmacol 2006 Apr 21;105(1-2):246-50
Omega fatty acids inhibit the growth of various cancer cells including prostate,
pancreas, colon and breast. A deficiency is apparent in those with prostate cancer as
opposed to those who do not have prostate problems.
*Mamalakis et al: Prostate cancer vs hyperplasia: relationships with prostatic and adipose tissue fatty
acid composition. Prostaglandins Leukot Essent Fatty Acids 2002 May-Jun;66(5-6):467-77
*Strouch et al: A high omega-3 fatty acid diet mitigates murine pancreatic precancer development. J
Surg Res. 2009 May 15
*Szymanski et al: Fish consumption and prostate cancer risk: a review and meta-analysis.Am J Clin
Nutr 2010 Nov;92(5):1223-33
Orange juice with pulp from blood oranges inhibit prostate cancer cell growth.
Blood oranges are a deep red indicating more carotenoids which have numerous
health benefits.
*Vitali et al: Effect of a standardized extract of red orange juice on proliferation of human prostate cells
in vitro. Fitoterapia 2006 Apr;77(3):151-5
Prostate
425
Pamela Duff, RN, CSNC
Peppermint oil induces prostate cancer cell death. Peppermint oil can safely be
taken internally.
*Kim et al: Menthol regulates TRPM8-independent processes in PC-3 prostate cancer cells. Biochim
Biophys Acta 2007 Apr;1770(4):659-65
*Park et al: Menthol enhances an antiproliferative activity of 1alpha,25-Dihydroxyvitamin D(3) in LNCaP
Cells. J Clin Biochem Nutr 2009 Mar;44(2):125-30
Phellodendron (Cork Tree) is a popular Chinese herb used to inhibit cancer cell
growth.
*Muralimanoharan et al: Butanol fraction containing berberine or related compound from nexrutine in-
hibits NFkappaB signaling and induces apoptosis in prostate cancer cells. Prostate 2008 Dec 23
Phytoestrogens are found in almost all plant-based unprocessed foods that protect
the body from breast and prostate cancer as well as numerous other disorders.
*Shenouda et al: Phytoestrogens in common herbs regulate prostate cancer cell growth in vitro. Cogn
Behav Ther 2009 Sep;38(3):184-90
*Shenouda et al: Phytoestrogens in common herbs regulate prostate cancer cell growth in vitro. Nutr
Cancer 2004;49(2):200-8
*Wang: Mammalian phytoestrogens: enterodiol and enterolactone. J Chromatogr B Analyt Technol
Biomed Life Sci 2002 Sep 25;777(1-2):289-309
Pomegranates reduce PSA levels and stop the proliferation of prostate cancer cells.
*Albrecht et al: Pomegranate extracts potently suppress proliferation, xenograft growth, and invasion
of human prostate cancer cells. J Med Food 2004 Fall;7(3):274-83
*Lansky et al: Pomegranate (Punica granatum) pure chemicals show possible synergistic inhibition of
human PC-3 prostate cancer cell invasion across Matrigel. Invest New Drugs 2005 Mar;23(2):121-2
*Pantuck et al: Phase II study of pomegranate juice for men with rising prostate-specific antigen fol-
lowing surgery or radiation for prostate cancer. Forsch Komplementmed 2007 Feb;14(1):39-44
*Seeram et al: In vitro antiproliferative, apoptotic and antioxidant activities of punicalagin, ellagic acid
and a total pomegranate tannin extract are enhanced in combination with other polyphenols as
found in pomegranate juice. J Nutr Biochem 2005 Jun;16(6):360-7
Prickly Pear Cactus Flower extract is a novel alternative for the treatment of an
enlarged prostate.
*Jonas et al: Cactus flower extracts may prove beneficial in benign prostatic hyperplasia due to inhibition
of 5alpha reductase activity, aromatase activity and lipid peroxidation. Urol Res1998;26(4):265-70
Pumpkin seeds are high in zinc, phytosterols, omega fatty acids, and proteins,
therefore a significant contributor to prostate health.
Prostate
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*Tsai et al: Pumpkin seed oil and phytosterol-F can block testosterone/prazosin-induced prostate
growth in rats. Urol Int 2006;77(3):269-74
Red Clover inhibits prostate enlargement and prevents the formation of prostate
cancer cells.
*Chen et al: Red clover isoflavones inhibit the proliferation and promote the apoptosis of benign pros-
tatic hyperplasia stromal cells. Zhonghua Nan Ke Xue 2010 Jan;16(1):34-9
*Jarred et al: Induction of apoptosis in low to moderate-grade human prostate carcinoma by red
clover-derived dietary isoflavones. Cancer Epidemiol Biomark Prev 2002 Dec;11:1689
Red Yeast Rice is not only an effective alternative for reducing Cholesterol but it also
inhibits the growth of prostate cancer cells.
*Hong et al: Chinese red yeast rice inhibition of prostate tumor growth in SCID mice. Cancer Prev Res
(Phila) 2011 Apr;4(4):608-15
*Hong et al: Chinese red yeast rice versus lovastatin effects on prostate cancer cells with and without
androgen receptor overexpression. J Med Food 2008 Dec 3;11(4)
*Tsai et al: Red mold rice mitigates oral carcinogenesis in 7,12-dimethyl-1,2-benz[a]anthracene-induced
oral carcinogenesis in hamster. Evid Base Complement Alt Med 2011(2011): Art ID245209:8 pages
*Yu et al: Safety and mutagenicity evaluation of nanoparticulate red mold rice. J Agric Food Chem
2008;56(22):11038–48
*Gill et al: Resveratrol sensitizes androgen independent prostate cancer cells to death-receptor medi-
ated apoptosis through multiple mechanisms. Prostate 2007 Nov 1;67(15):1641-53
*Gupta et al: Chemosensitization of tumors by resveratrol. Ann N Y Acad Sci 2011 Jan;1215(1):150-60
427
Pamela Duff, RN, CSNC
*Harada et al: Inhibitory mechanisms of the transcriptional activity of androgen receptor by resvera-
trol: Implication of DNA binding and acetylation of the receptor. J Steroid Biochem Mol Biol 2011
Jan;123(1-2):65-70
*Hudson et al: Inhibition of prostate cancer growth by muscadine grape skin extract and resveratrol
through distinct mechanisms. Cancer Res 2007 Sep1;67(17):8396-405
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
*Wang et al: Differential effects of resveratrol and its naturally occurring methylether analogs on cell
cycle and apoptosis in human androgen-responsive LNCaP cancer cells. Mol Nutr Food Res 2010
Mar;54(3):335-44
Ruta graveolens (Rue), either in herbal or homeopathic form, inhibits colon, breast
and prostate cancer cells.
*Fadlalla et al: Ruta graveolens extract induces DNA damage pathways and blocks Akt activation to
inhibit cancer cell proliferation and survival. Anticancer Res 2011 Jan;31(1):233-41
Rye bran and Soy (Genistein) induce prostate cancer cell death. Be sure to use only
non-GMO, organically-grown or fermented soy.
*Bylund et al: Rye bran and soy protein delay growth and increase apoptosis of human LNCaP pros-
tate adenocarcinoma in nude mice. Prostate 2000 Mar 1;42(4):304-14
*Landström et al: Inhibitory effects of soy and rye diets on the development of Dunning R3327 prostate
adenocarcinoma in rats. Med Princ Pract 2008;17(2):131-5
Rye Flower Pollen has proven to reduce enlarged prostates for more than 50 years.
The earliest study I found was from 1962 with dozens more since then but not all
listed here. This flower pollen is called by different names, notably Swedish Flower
Pollen, Cernilton, PollenAid, and Graminex. In Canada, I tend to lean towards Gra-
minex as a supplement of choice because it is organically certified, kosher, and uses
solvent-free extraction.
*Apolikhin et al: A comparative clinical randomized trial of cernilton efficacy and safety in patients with
chronic abacterial prostatitis. [Article in Russian] Urol 2010 Jan-Feb;(1):29-34
*Aslamazov et al: Cernilton in the treatment of prostatic adenoma and chronic prostatitis. [Article in
Russian] Urologiia 2007 Jan-Feb;(1):52,54-6
*Buck et al: Treatment of outflow tract obstruction due to benign prostatic hyperplasia with the pollen
extract Cernilton. A Double-blind, Placebo-controlled Study. Br J Urol 1990 Oct;66(4):398-404
*Chambliss : A critical review of Graminex flower pollen extract for symptomatic relief of lower urinary
tract symptoms (LUTS) in Men . Jan 12, 2003 (online pdf)
*Dutkiewicz: Usefulness of Cernilton in the treatment of benign prostatic hyperplasia. Internatl Urol
Nephrol 1996;28(1):49-53
*Leander: Preliminary research on the therapeutic effect of Cernilton on chronic prostatovesiculitis.
[Article in Swedish] Sven Lakartidn 1962 Nov 8;59:3296-304
*Rugendorff et al: Results of treatment with pollen extract (Cernilton N) in chronic prostatitis and pros-
Prostate
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Wagenlehner et al: A pollen extract (Cernilton) in patients with inflammatory chronic prostatitis–chronic
pelvic pain syndrome: A multicentre, randomised, prospective, double-blind, placebo-controlled
phase 3 study. Eur Urol 2009 Sept;56(3):544–51
*Xu et al: A comparative study on different doses of Cernilton for preventing the clinical progression
of benign prostatic hyperplasia. [Article in Chinese] Zhonghua Nan Ke Xue 2008 Jun;14(6):533-7
*www.graminex.com/
Saw Palmetto and Pygeum are herbs that can function alone but do especially well
together in reducing an enlarged prostate and preventing cancer cell growth. Saw
Palmetto compares favourably with the drug tamsulosin in treating an enlarged
prostate. The Cuban royal palm (Roystonea regia), mentioned in one of the studies,
is a member of the Saw palmetto family.
*Abe et al: Pharmacologically relevant receptor binding characteristics and 5alpha-reductase inhibitory
activity of free Fatty acids contained in saw palmetto extract. Biol Pharm Bull 2009 Apr;32(4):646-50
*Baron et al: Serenoa repens extract targets mitochondria and activates the intrinsic apoptotic path-
way in human prostate cancer cells. BJU Int 2009 May;103(9):1275-83
*Breza et al: Efficacy and acceptability of tadenan (Pygeum africanum extract) in the treatment of
benign prostatic hyperplasia (BPH): a multicentre trial in central Europe. Curr Med Res Opin
1998;14(3):127-39
*Debruyne et al: Comparison of a phytotherapeutic agent (Permixon) with an alpha-blocker (Tamsu-
losin) in the treatment of benign prostatic hyperplasia: a 1-year randomized international study.
Prog Urol 2002 Jun;12(3):384-92;disc 394-4
*Goldmann et al: Saw palmetto berry extract inhibits cell growth and Cox-2 expression in prostatic
cancer cells. Cell Biol Int 2001;25(11):1117-24
*Habib et al: Serenoa repens (Permixon) inhibits the 5alpha-reductase activity of human prostate can-
cer cell lines without interfering with PSA expression. Clin Nutr 2006 Dec;25(6):923-38
*Hizli and Uygur: A prospective study of the efficacy of Serenoa repens, tamsulosin, and Serenoa
repens plus tamsulosin treatment for patients with benign prostate hyperplasia. Int Urol Nephrol
2007;39(3):879-86
*Hostanska et al: Evaluation of cell death caused by an ethanolic extract of Serenoae repentis fructus
(Prostasan) on human carcinoma cell lines. Anticancer Res 2007 Mar-Apr;27(2):873-81
*Noa et al: Effect of D-004, a lipid extract from Cuban royal palm fruit, on histological changes of pros-
tate hyperplasia induced with testosterone in rats. Int J Tissue React 2005;27(4):203-11
*Papaioannou et al: NBBS isolated from Pygeum africanum bark exhibits androgen antagonistic ac-
tivity, inhibits AR nuclear translocation and prostate cancer cell growth. Invest New Drugs 2009
Sep 23
*Papaioannou et al: The natural compound atraric acid is an antagonist of the human androgen re-
ceptor inhibiting cellular invasiveness and prostate cancer cell growth. J Cell Mol Med 2008 Jul 4
*Shenouda et al: Phytosterol Pygeum africanum regulates prostate cancer in vitro and in vivo. Endo-
crine 2007 Feb;31(1):72-81
*Suzuki et al: Pharmacological effects of saw palmetto extract in the lower urinary tract. Life Sci 2004
Apr 23;74(23):2897-908
*van Coppenolle et al: Pharmacological effects of the lipidosterolic extract of Serenoa repens (Per-
mixon) on rat prostate hyperplasia induced by hyperprolactinemia: comparison with finasteride.
Prostate 2000 Apr 1;43(1):49-58
*Yang et al: Saw Palmetto induces growth arrest and apoptosis of androgen-dependent prostate
cancer LNCaP cells via inactivation of STAT 3 and androgen receptor signaling. Int J Oncol 2007
Sep;31(3):593-600
Saw palmetto, Lycopene and Selenium work well together in preventing prostate
Prostate
429
Pamela Duff, RN, CSNC
Saw Palmetto, Nettle, Curcumin and Quercetin is another combination that im-
proves the effects of the antibiotic prulifloxacin (fluoroquinolone) in treating bacterial
prostatitis.
*Cai et al: Serenoa repens associated with Urtica dioica (ProstaMEV) and curcumin and quercitin
(FlogMEV) extracts are able to improve the efficacy of prulifloxacin in bacterial prostatitis patients:
results from a prospective randomised study. Int J Antimicrob Agents 2009 Jun;33(6):549-53
Seaweeds (brown – kelp, wakame) contain carotenoids called fucoidans which pre-
vent the formation of prostate cancer cells.
*Kotake-Nara et al: Carotenoids affect proliferation of human prostate cancer cells. J Nutr 2001
Dec;131(12):3303-6
Selenium is an important mineral for prostate health, reducing PSA levels in those
with enlarged prostates. Do not use sodium selenate/selenite. This form is very
toxic. Sodium selenate is a by-product of the copper refining industry and disposed
of in some selenium supplements, human and animal multivitamins, baby formulas,
and “nutritional” shakes.
*Ghosh: Rapid induction of apoptosis in prostate cancer cells by selenium: reversal by metabolites of
arachidonate 5-lipoxygenase. Biochem Biophys Res Commun 2004 Mar 12;315(3):624-35
*Kise et al: Inhibitory effect of selenium on hamster pancreatic cancer induction by N’-nitrosobis(2-
oxopropyl)amine. Int J Cancer 1990 Jul 15;46(1):95-100
*108 Milligrams Of This Common “Nutrient” Can Kill A Person by Sayer Ji, GreenMedInfo, Saturday,
January 21, 2012
*Zhang et al: Selenium glycinate supplementation increases blood glutathione peroxidase activ-
ities and decreases prostate-specific antigen readings in middle-aged US men. Nutr Res 2011
Feb;31(2):165-8
Selenium, Vitamin E, and/or Soy isoflavones reduce PSA levels, lowering the risk
of prostate cancer.
*Joniau et al: Effect of nutritional supplement challenge in patients with isolated high-grade prostatic
intraepithelial neoplasia. Urology 2007 Jun;69(6):1102-6
*Kim et al: Changes in serum proteomic patterns by presurgical alpha-tocopherol and L-selenome-
thionine supplementation in prostate cancer. Cancer Epidemiol Biomarkers Prev 2005
Jul;14(7):1697-702
*Lippman et al: Effect of selenium and vitamin E on risk of prostate cancer and other cancers. JAMA
2009;301(1):39-51
Sesame seeds contain compounds that stop the growth of a wide variety of tumor
cells including leukemia, multiple myeloma, and cancers of the colon, prostate,
breast, pancreas, and lung.
*Harikumar et al: Sesamin manifests chemopreventive effects through the suppression of NF-kappa
B-regulated cell survival, proliferation, invasion, and angiogenic gene products. Mol Cancer Res
2010 May;8(5):751-61
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Tea and Soy (Genistein) contain active compounds that inhibit the formation of
prostate cancer cells especially green tea and is recommended over coffee as a better
health choice.
*Lee et al: Tea, coffee and prostate cancer. Mol Nutr Food Res 2009 Feb;53(2):256-65
*Zhou et al: Soy phytochemicals and tea bioactive components synergistically inhibit androgen-sensi-
tive human prostate tumors in mice. J Nutr 2003 Feb;133(2):516-21
Tea Tree oil is safe to use externally on animal prostate abscesses. Tea tree is an
anti-microbial that will help reduce infection.
*Kawakami et al: Treatment of prostatic abscesses by aspiration of the purulent matter and injection of
tea tree oil into the cavities in dogs. J Vet Med Sci 2006 Nov;68(11):1215-7
Vitamin D3 stops the growth of various cancers including that of the prostate. Al-
though it is best to get it from the sun, Vitamin D3 is just as valuable as a supplement.
*Bodiwala et al: Prostate cancer risk and exposure to ultraviolet radiation: further support for the pro-
tective effect of sunlight. Cancer Lett 2003 Mar 31;192(2):145-9
*Colli et al: A novel vitamin D3 analog arrests prostate growth in patients with benign prostatic hyper-
plasia: a randomized clinical trial. Eur Uro 2006 Jan:49(1):82-86
*Fife et al: Effects of vitamin D3 on proliferation of cancer cells in vitro. Cancer Lett 1997 Nov
25;120(1):65-9
*Gilbert et al: Life course sun exposure and risk of prostate cancer: population-based nested case-
control study and meta-analysis. Int J Cancer 2009 Sep 15;125(6):1414-23
Vitamin E (see more under Cancer) is important for prostate health and helps pre-
vent cancer and increase prostate cancer survival. The best and most effectively
complete vitamin E is one that has all 4 tocopherols and 4 tocotrienols (alpha, beta,
delta, gamma).
*Alkhenizan & Hafez: The role of vitamin E in the prevention of cancer: a meta-analysis of randomized
controlled trials. Ann Saudi Med 2007 Nov-Dec;27(6):409-14
*Barve et al: Mixed tocotrienols inhibit prostate carcinogenesis in TRAMP mice. Nutr Cancer 2010
Aug;62(6):789-94
*Heinonen et al: Prostate cancer and supplementation with alpha-tocopherol and beta-carotene: inci-
dence and mortality in a controlled trial. J Natl Cancer Inst 1998 Mar 18;90(6):440-6
*Luk et al: Gamma-tocotrienol as an effective agent in targeting prostate cancer stem cell-like popula-
tion. Int J Cancer 2010 Jul 8
*Watters et al: Associations between alpha-tocopherol, beta-carotene, and retinol and prostate cancer
survival. Cancer Res 2009 May 1;69(9):3833-41
Vitamin E and Selenium induce programmed cell death of prostate cancer cells.
*Reagan-Shaw et al: Combination of vitamin E and selenium causes an induction of apoptosis of hu-
man prostate cancer cells by enhancing Bax/Bcl-2 ratio. Prostate 2008 Jul 30
Vitamin E, Green tea (EGCG), and Genistein work synergistically with the chemo-
therapy drug Taxol (paclitaxel) to kill prostate cancer cells.
Prostate
*Ping et al: Taxol synergizes with antioxidants in inhibiting hormal refractory prostate cancer cell
growth. Urol Oncol 2008 Sep 23
431
Pamela Duff, RN, CSNC
Vitex (Chasteberry) is an herb often used by women to manage hormonal issues but
it is also useful for men especially in preventing and treating an enlarged prostate.
*Weisskopf et al: A Vitex agnus-castus extract inhibits cell growth and induces apoptosis in prostate
epithelial cell lines. Yao Xue Xue Bao 2009 May;44(5):456-61
*Weisskopf et al: A Vitex agnus-castus extract inhibits cell growth and induces apoptosis in prostate
epithelial cell lines. Planta Med 2005 Oct;71(10):910-6
Walnut consumption improves prostate health, likely because of its omega fatty acid
content.
*Spaccarotella et al: The effect of walnut intake on factors related to prostate and vascular health in
older men. Nutr J 2008 May 2;7:13
White button mushrooms and its major component CLA, prevent prostate tumor
growth.
*Adams et al: White button mushroom (Agaricus bisporus) exhibits antiproliferative and proapoptotic
properties and inhibits prostate tumor growth in athymic mice. Nutr Cancer 2008;60(6):744-56
Whole grains, Rye bran, and Soy protein (use only non-GMO and fermented) sig-
nificantly reduce PSA counts in prostate cancer patients.
*Bylund et al: Rye bran and soy protein delay growth and increase apoptosis of human LNCaP pros-
tate adenocarcinoma in nude mice. Prostate 2000 Mar 1;42(4):304-14
*Landberg et al: Rye whole grain and bran intake compared with refined wheat decreases urinary C-
peptide, plasma insulin, and prostate specific antigen in men with prostate cancer. J Nutr 2010
Dec;140(12):2180-6
Zinc is a known healing mineral which also prevents various cancers including that
of the prostate.
*Costello & Franklin: Novel role of zinc in the regulation of prostate citrate metabolism and its implica-
tions in prostate cancer. Prostate 1998 June;35(4):285-96
*Feng et al: Direct effect of zinc on mitochondrial apoptogenesis in prostate cells. Prostate 2002
Sept;52(4):311-18
*Franklin and Costello: Zinc as an anti-tumor agent in prostate cancer and in other cancers. Arch Bio-
chem Biophys. 2007 Jul 15;463(2):211-7
*Liang et al: Inhibitory effect of zinc on human prostatic carcinoma cell growth. Prostate 1999
Aug;40(3):200-7
*Wei et al: Differential expression of metallothioneins (MTs) 1, 2, and 3 in response to zinc treatment in
Prostate
human prostate normal and malignant cells and tissues. Mol Cancer 2008 Jan 21;7:7
*Zaichick et al: Zinc in human prostate gland: Normal, hyperplastic and cancerous. Int Urol Nephrol
1997;29(5):565-74
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Prostate
433
Psoriasis
Common examples:
retinoids – acitretin [Soriatane]
folic acid antagonist – methotrexate
steroids – triamcinolones [Aristocort, Kenacort] and others
others – anthralin [Anthraforte, Dithranol, Psoriatec] and others
Deplete:
A, beta carotene, B9, E, (plus many others if on Steroids)
Suggested alternatives:
Aloe vera is a safe and effective treatment for psoriasis which can be used internally
and externally.
*Syed et al: Management of psoriasis with Aloe vera extract in a hydrophilic cream: a placebo-con-
trolled, double-blind study. Trop Med Int Health 1996 Aug;1(4):505-9
Almond oil has a wide range of therapeutic properties which may be of benefit for
psoriasis if used topically.
*Ahmad: The uses and properties of almond oil. Complement Ther Clin Pract 2010 Feb;16(1):10-2
in South America and Spain for the treatment of psoriasis, likely due to its high fatty
acid content.
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Vasänge-Tuominen et al: The fern Polypodium decumanum, used in the treatment of psoriasis, and its
fatty acid constituents as inhibitors of leukotriene B4 formation. Biochem Biophys Res Commun
2007 Nov 3;362(4):951-7
Curcumin is the active part of Turmeric root and a potent antioxidant that improves
many health conditions including psoriasis and other autoimmune disorders. It can
also be applied topically for greater improvement.
*Bright: Curcumin and autoimmune disease. Adv Exp Med Biol 2007;595:425-51
*Heng et al: Drug-induced suppression of phosphorylase kinase activity correlates with resolution of
psoriasis as assessed by clinical, histological and immunohistochemical parameters. Br J Derma-
tol 2000 Nov;143(5):937-49
*Thangapazham et al: Beneficial role of curcumin in skin diseases. Adv Exp Med Biol 2007;595:343-57
Dehydration is linked to allergy symptoms and psoriasis which is not always pre-
ventable. Those with such skin diseases as psoriasis may have what is referred to as
clinically normal skin but they also have reduced skin water content and increased
transepidermal water loss. This means that although the skin may appear normal,
there is a defective barrier that prevents normal hydration and water-retention cap-
acity. Keeping well hydrated is important and equally important is keeping the skin
well lubricated to hold in as much moisture as possible.
*Berardesca et al: In vivo hydration and water-retention capacity of stratum corneum in clinically un-
involved skin in atopic and psoriatic patients. Acta Derm Venereol 1990;70(5):400-4
*Kim et al: Evaluation of skin surface hydration in Korean psoriasis patients: a possible factor influen-
cing psoriasis. Clin Exp Dermatol 2002 Mar;27(2):147-52
*Tanaka et al: Decreased hydration state of the stratum corneum and reduced amino acid content of
the skin surface in patients with seasonal allergic rhinitis. Br J Dermatol 1998 Oct;139(4):618-21
Edgar Cayce (1877-1945) diet proved effective in treating psoriasis. Based on his
writings, the diet was reimplemented in later years and consists of fresh fruits and
vegetables, small amounts of protein from fish and fowl, fiber supplements, olive oil,
and no red meat, processed foods, or refined carbohydrates. Saffron tea and slippery
elm bark water were consumed daily.
*Brown et al: Medical nutrition therapy as a potential complementary treatment for psoriasis--five case
reports. Altern Med Rev 2004 Sep;9(3):297-307
Gluten sensitivity is associated with the development of psoriasis and its progres-
sion. Those with Crohn’s disease are 5 times more likely to develop psoriasis than
normal (Silverberg). Celiac disease is also associated with gluten-sensitivity and
psorasis.
*Damasiewicz-Bodzek & Wielkoszyński: Serologic markers of celiac disease in psoriatic patients. J Eur
Acad Dermatol Venereol 2008 Sep;22(9):1055-61
*Humbert et al: Gluten intolerance and skin diseases. Eur J Dermatol 2006 Jan-Feb;16(1):4-11
*Michaëlsson et al: Gluten-free diet in psoriasis patients with antibodies to gliadin results in decreased
expression of tissue transglutaminase and fewer Ki67+ cells in the dermis. Acta Derm Venereol
2003;83(6):425-9
*Silverberg: Pediatric psoriasis: an update. Ther Clin Risk Manag 2009;5:849–56
*Singh et al: Celiac disease-associated antibodies in patients with psoriasis and correlation with HLA
Cw6. J Clin Lab Anal 2010;24(4):269-72
Psoriasis
*Skavland et al: In vitro screening for putative psoriasis specific antigens among wheat proteins and
peptides. Br J Dermatol 2011 Sep 12
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Pamela Duff, RN, CSNC
*Bernstein et al: Treatment of mild to moderate psoriasis with Reliéva, a Mahonia aquifolium extract--a
double-blind, placebo-controlled study. Am J Ther 2006 Mar-Apr;13(2):121-6
*Bornhöft et al: Effectiveness, safety and cost-effectiveness of homeopathy in general practice - sum-
marized health technology assessment. Forsch Komplementmed 2006;13 Suppl 2:19-29
*Witt et al: Homeopathic treatment of patients with psoriasis--a prospective observational study with
2 years follow-up. J Eur Acad Dermatol Venereol. 2009 May;23(5):538-43)
Honey and Beeswax in Olive oil is an effective topical treatment for psoriasis.
*Al-Waili: Topical application of natural honey, beeswax and olive oil mixture for atopic dermatitis or
psoriasis: partially controlled, single-blinded study. Complement Ther Med 2003 Dec;11(4):226-34
Indigo naturalis (Quig dai) is a dark blue Chinese herb that has been successfully
used to treat psoriasis since ancient times and without side effects, clearing 74% of
the skin lesions in 12 weeks.
*Lin: Indigo naturalis oil extract drops in the treatment of moderate to severe nail psoriasis: A small
case series. Arc Arch Dermatol 2011;147(5):627-9
*Lin et al: Treatment of psoriatic nails with Indigo naturalis oil extract: A non-controlled pilot study.
Dermatol 2011;223(3):239-43
*Lin et al: Anti-psoriatic effects of indigo naturalis on the proliferation and differentiation of keratino-
cytes with indirubin as the active component. J Dermatol Sci published online 12 July 2010
*Lin et al: Anti-inflammatory effects of the extract of indigo naturalis in human neutrophils. J Ethnopha-
rmacol 2009 Aug;125(1):51-58
*Lin et al: Indigo naturalis (Strobilanthes) is a safe and effective treatment for psoriasis. Arch Dermatol
2008 Nov;144(11):1457-64
*Lin et al: Successful treatment of recalcitrant psoriasis with Indigo naturalis ointment. Clin Expl
Dermatol 2007 Jan;32(1):99-100
*Lin et al: The efficacy and safety of topically applied indigo naturalis ointment in patients with plaque-
type psoriasis. Dermatol 2007;214(2):155-61
*Lin et al: Successful treatment of pediatric psoriasis with Indigo naturalis composite ointment. Pediatr
Dermatol 2006 Sep-Oct;23(5):507-10
Omega-3 fatty acids contain EPA and DHA which improve conditions in those with
psoriasis and psoriatic arthritis.
*Grimminger et al: A double-blind, randomized, placebo-controlled trial of n-3 fatty acid based lipid
infusion in acute, extended guttate psoriasis. Rapid improvement of clinical manifestations and
changes in neutrophil leukotriene profile. Life Sci 2003 Dec 19;74(5):663-73
*Lassus et al: Effects of dietary supplementation with polyunsaturated ethyl ester lipids (Angiosan) in
patients with psoriasis and psoriatic arthritis. J Int Med Res 1990 Jan-Feb;18(1):68-73
*Madland et al: Subjective improvement in patients with psoriatic arthritis after short-term oral treat-
ment with seal oil. A pilot study with double blind comparison to soy oil. J Rheumatol 2006
Feb;33(2):307-10
Plant phenols have a beneficial role in treating psoriasis which stresses the import-
ance of diet, and a plant-based one at that, in preventing and treating such diseases.
*Hrenn et al: Plant phenolics inhibit neutrophil elastase. Planta Med 2006 Oct;72(12):1127-31
15;28(2):219-27
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Huckins et al: Treatment of psoriatic arthritis with oral 1,25-dihydroxyvitamin D3: a pilot study. Arthritis
Rheum 1990 Nov;33(11):1723-7
*Morimoto et al: An open study of vitamin D3 treatment in psoriasis vulgaris. Br J Dermatol. 1986
Oct;115(4):421-9
*Schauber & Gallo: Antimicrobial peptides and the skin immune defense system. J Allergy Clin Immunol
2009 Sep;124(3 Suppl 2):R13-8
*Wu et al: Low prevalence of psoriasis among children and adolescents in a large multiethnic cohort in
southern California. J Am Acad Dermatol 2011 Feb 7
Vitamin D3, A, and Calcium have a therapeutic effect on rosacea and psoriasis.
*No authors listed: Kallikrein expression and cathelicidin processing are independently controlled in
keratinocytes by calcium, vitamin D(3), and retinoic acid. J Invest Dermatol 2010 Jan 21
Whey Protein isolate may have therapeutic effects for mild to moderate psoriasis.
*Drouin et al: XP-828L (Dermylex), a new whey protein extract with potential benefit for mild to moder-
ate psoriasis. Can J Physiol Pharmacol 2007 Sep;85(9):943-51
*Poulin et al: XP-828L in the treatment of mild to moderate psoriasis: randomized, double-blind, pla-
cebo-controlled study. J Exp Ther Oncol 2005;5(2):81-91
Psoriasis
437
Sedatives
(Used to treat anxiety or insomnia)
Common examples:
Antihistamines
diphenhydramine – Benedryl and others
hyroxyzine – Atarax and others
promethazine – Phenergan and others
Barbiturates
amobarbital – Amytal
butalbital – Axotal, Fiorinal, Fioricet, Fiorgan, Phrenilin, and many
others
phenobarbital – Donnatal, Luminal, Nembutal, and others
secobarbital – Seconal
thiopental – Pentothal
Benzodiazepines
any of the -pams
diazepam – Valium and others
flurazepam – Dalmane and others
oxazepam – Novoxapam and others
... and others
any of the -lams
alprazolam – Xanax and others
midazolam – Versed
triazolam – Halcion and others
chlordiazepoxide – Librium and others
clorazepate – Tranxene and others
Others
buspirone – BuSpar
meprobamate – Equanil and others
zolpidem - Ambien and others
Deplete:
Sedatives
A, B1, B2, B3, B5, B6, B7, B9, B12, C, D, K, calcium, potassium,
L-carnitine, melatonin
438
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
´´Statins for Cholesterol can cause insomnia as well as other adverse health
conditions.
*Tuccori et al: Statin-associated psychiatric adverse events: a case/non-case evaluation of an Italian
database of spontaneous adverse drug reaction reporting. Drug Saf 2008;31(12):1115-23
*Vgontzas et al: Effects of lovastatin and pravastatin on sleep efficiency and sleep stages. Clin
Pharmacol Ther 1991 Dec;50(6):730-7
Suggested alternatives:
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Pamela Duff, RN, CSNC
Homeopathics are safely used by everyone from infants to aged adults for sleep.
Studies show that Verum remedies significantly increased total sleep time as well as
awakenings and stage changes.
*Bell et al: Effects of homeopathic medicines on polysomnographic sleep of young adults with histories
of coffee-related insomnia. Sleep Med 2011 May;12(5):505-11
*La Pine et al: Night Shift: Can a homeopathic remedy alleviate shift lag? Dimen Crit Care Nurs 2006
May-Jun;25(3):130-36
*Naudé et al: Chronic primary insomnia: Efficacy of homeopathic simillimum. Homeopathy 2010
Jan;99(1):63-68
*Tuet et al: Homeopathic treatment of elderly patients--a prospective observational study with follow-
up over a two year period. BMC Geriatr 2010;10:10
Kava is an herb that improves sleep quality and has long been used as a seda-
tive worldwide. However, it is no longer allowed in Canada despite its many health
benefits.
*Shinomiya et al: Effects of kava-kava extract on the sleep-wake cycle in sleep-disturbed rats. Psycho-
pharmacol (Berl) 2005 Jul;180(3):564-9
Medicinal plants were studied and generally found to be effective for inducing sleep
(hops, kava, melissa, passion flower, valerian).
*van Geijlswijk et al: The use of exogenous melatonin in delayed sleep phase disorder: a meta-analysis.
Sleep 2010 Dec;33(12):1605-14
*Wheatley: Medicinal plants for insomnia: a review of their pharmacology, efficacy and tolerability. J
Psychopharmacol July 2005;19(4):414-21
Melatonin improves insomnia in all age groups from children to the elderly; helps
overcome jet lag; stimulates the anti-aging human growth hormone; reduces tin-
nitus intensity while improving sleep quality; reduces neurological damage associ-
ated with sleep apnea; and increases bladder capacity while decreasing urine
volume associated with poor sleep quality.
*Drake et al: Melatonin pharmacotherapy for nocturia in men with benign prostatic enlargement. J Urol
2004 Mar;171(3):1199-202
*Herxheimer & Petrie: Melatonin for the prevention and treatment of jet lag. Cochrane Database Syst
Rev 2002(2):CD001520
*Hung et al: Protective effect of melatonin against hippocampal injury of rats with intermittent hypoxia.
J Pineal Res 2008 Mar;44(2):214-21
*Hurtuk et al: Melatonin: can it stop the ringing? Ann Otol Rhinol Laryngol 2011 Jul ;120(7):433-40
*Matsuta et al: Melatonin increases bladder capacity via GABAergic system and decreases urine vol-
ume in rats. J Urol 2010 Jul;184(1):386-91
*Meeking et al: Exercise-induced GH secretion is enhanced by the oral ingestion of melatonin in
healthy adult male subjects. Eur J Endocrinol 1999 Jul;141(1):22-6
Sedatives
*Megwalu et al: The effects of melatonin on tinnitus and sleep. Otolaryngol Head Neck Surg 2006
Feb;134(2):210-3
*Petrie et al: Effect of melatonin on jet lag after long haul flights. BMJ 1989 Mar 18;298(6675):705-7
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Melissa (Lemon balm) is a calming herb that reduces stress, making it easier to fall
asleep.
*Kennedy et al: Attenuation of laboratory-induced stress in humans after acute administration of Mel-
issa officinalis (Lemon Balm). Psychosom Med 2004 Jul-Aug;66(4):607-13
Passion flower is an herb that reduces anxiety that ultimately enhances sleep.
*Movafegh et al: Preoperative oral Passiflora incarnata reduces anxiety in ambulatory surgery patients:
a double-blind, placebo-controlled study. Anesth Analg 2008 Jun;106(6):1728-32
Tart cherry juice increases the body’s production of melatonin which improves
sleep quality and duration.
*Howatson et al: Effect of tart cherry juice (Prunus cerasus) on melatonin levels and enhanced sleep
quality. Eur J Nutr 2011 Oct 30
*Pigeon et al: Effects of a tart cherry juice beverage on the sleep of older adults with insomnia: a pilot
study. J Med Food 2010 Jun;13(3):579-83
Valerian root has effects comparable to the drug oxazepam in treating insomnia
and improving sleep quality in postmenopausal women. It also helps those who are
going through benzodiazepine and morphine withdrawal and helps reduce restless
leg syndrome. Analysis of 16 studies indicates that Valerian improves sleep quality
without producing side effects because of its action on GABA receptors.
*Benke et al: GABA A receptors as in vivo substrate for the anxiolytic action of valerenic acid, a major
constituent of valerian root extracts. Neuropharmacol 2008 Jun 17
*Bent et al: Valerian for sleep: a systematic review and meta-analysis. Am J Med 2006 Dec;119(12):1005-12
*Circosta et al: Biological and analytical characterization of two extracts from Valeriana officinalis. J
Ethnopharmacol 2007 Jun 13;112(2):361-7
*Cuellar & Ratcliffe: Does valerian improve sleepiness and symptom severity in people with restless
legs syndrome? Altern Ther Health Med 2009 Mar-Apr;15(2):22-8
*Lindahl & Lindwall: Double blind study of a valerian preparation. Pharmacol Biochem Behav 1989
Apr;32(4):1065-6
*Murphy et al: Valeriana officinalis root extracts have potent anxiolytic effects in laboratory rats.
Phytomed 2009 Dec 28
*Sudati et al: In vitro antioxidant activity of Valeriana officinalis against different neurotoxic agents.
Neurochem Res 2009 Aug;34(8):1372-9
*Poyares et al: Can valerian improve the sleep of insomniacs after benzodiazepine withdrawal? Prog
Neuropsychopharmacol Biol Psych 2002 Apr;26(3):539-45
*Sharifzadeh et al: Effects of aqueous, methanolic and chloroform extracts of rhizome and aerial parts
of Valeriana officinalis L. on naloxone-induced jumping in morphine-dependent mice. Addict Biol
2006 Jun;11(2):145-51
Sedatives
*Taavoni et al: Effect of valerian on sleep quality in postmenopausal women: a randomized placebo-
controlled clinical trial. Menopause 2011 Jul 14
441
Pamela Duff, RN, CSNC
*Ziegler et al: Efficacy and tolerability of valerian extract LI 156 compared with oxazepam in the treat-
ment of non-organic insomnia--a randomized, double-blind, comparative clinical study. Eur J Med
Res 2002 Nov 25;7(11):480-6
Valerian and Hops are herbs that are safely taken together to improve insomnia.
Hops is a familiar herb used in the brewing industry but it also has calming effects
that work well alone or with other herbs to induce sleep.
*Koetter et al: A randomized, double blind, placebo-controlled, prospective clinical study to demon-
strate clinical efficacy of a fixed valerian hops extract combination (Ze 91019) in patients suffering
from non-organic sleep disorder. Phytother Res 2007 Sep;21(9):847-51
Valerian and Melissa taken together reduces anxiety for a more effective sleep.
*Kennedy et al: Anxiolytic effects of a combination of Melissa officinalis and Valeriana officinalis during
laboratory induced stress. Phytother Res 2006 Feb;20(2):96-102
Sedatives
442
Seizures/Anti-convulsants
Common examples:
Barbiturates
amobarbital – Amytal
phenobarbital – Luminal and others
primidone – Myidone and others
thiopental – Pentothal
... and others including Sedatives
Benzodiazepines
clonazepam – Klonopin
clorazepate – Tranxene
diazepam – Valium and others
Hydantoins
phenytoin – Dilantin and others
Succinamides
ethosuximide – Zarontin
Valproates
valproic acid – Depacon, Depakene, Depakote, and others
Others
acetazolamide – Diamox and others
carbamazepine – Tegretol and others
felbamate – Felbatol
gabapentin – Neurontin
pregabalin – Lyrica
zonisamide – Zonegran
... and more
Seizures/Anti-convulsants
Deplete:
A, B1, B2, B3, B6, B7, B9, B12, D, E, K, carnitine, choline, calcium,
copper, potassium, selenium, zinc
´´Noni juice and the herb Ginkgo biloba may interact with phenytoin.
*Chandra & Veeresham: Herb – drug interaction of noni juice and Ginkgo biloba with phenytoin. J
Pharmacog 2010 Dec;2(18):33-42
443
Pamela Duff, RN, CSNC
from the top ten of the most frequently used convulsive-associated neuro-
active drugs between 1968-2006. Isoniazid, an antibiotic used for tuberculosis,
and zolpidem, a drug for insomnia, are also known to cause seizures.
*Cubala & Landowski: Seizure following sudden zolpidem withdrawal. Prog Neuropsychopharmacol
Biol Psych 2007 Mar 30;31(2):539-40
*Kumlien & Lundberg: Seizure risk associated with neuroactive drugs: data from the WHO adverse
drug reactions database. Seizure 2010 Mar;19(2):69-73
*Murphy et al: Recurrent seizures after diphtheria, tetanus, and pertussis vaccine immunization. Onset
less than 24 hours after vaccination. Am J Dis Child 1984 Oct;138(10):908-11
*Pitchot & Ansseau: Zolpidem dependence and withdrawal seizure. Rev Med Liege 2009 Jul;64(7-
8):407-8
*Shah et al: Acute isoniazid neurotoxicity in an urban hospital. Pediatrics 1995 May;95(5):700-4
*Temmerman et al: Acute isoniazid intoxication: seizures, acidosis and coma. Acta Clin Belg 1999
Aug;54(4):211-6
´´Prednisone (Steroid) used by pregnant women can trigger low blood sugar
seizures and adrenal insufficiency in the newborn.
*Saulnier et al: Hypoglycaemic seizure and neonatal acute adrenal insufficiency after maternal exposure
to prednisone during pregnancy: a case report. Eur J Pediatr 2010 Jun;169(6):763-5
Suggested alternatives:
B6 and B7 may lower the risk of seizures. It is wise to take a complete B-complex
with these added B vitamins to reduce the risk of creating a deficiency in one or more
of the other family members.
Seizures/Anti-convulsants
*Arslan et al: The effects of biotin supplementation on serum and liver tissue biotinidase enzyme activ-
ity and alopecia in rats which were administrated to valproic acid. Brain Dev 2009 Jun;31(6):405-10
*Ohtsuka et al: Treatment of the West syndrome with high-dose pyridoxal phosphate. Brain Dev
1987;9(4):418-21
444
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Carnosine, an amino acid and precursor of histidine (another amino acid), reduces
seizures.
*Wu et al: Carnosine, a precursor of histidine, ameliorates pentylenetetrazole-induced kindled seizures
in rat. Neurosci Lett 2006 May 29;400(1-2):146-9
Essential oils have anti-seizure properties (Bay leaf, Nutmeg, Rose, Tarragon).
*Ramezani et al: The effect of Rosa damascena essential oil on the amygdala electrical kindling seiz-
ures in rat. Pak J Biol Sci 2008 Mar 1;11(5):746-51
*Sayyah et al: Anticonvulsant activity and chemical composition of Artemisia dracunculus L. essential
oil. Clin Cancer Res 2008 Feb 15;14(4):1248-57
*Sayyah et al: Anticonvulsant activity of the leaf essential oil of Laurus nobilis against pentylenetetrazole-
and maximal electroshock-induced seizures. Phytomed 2002 Apr;9(3):212-6
*Wahab et al: Anticonvulsant activities of nutmeg oil of Myristica fragrans. Phytother Res 2009
Feb;23(2):153-8
Gluten-free diet often benefits those prone to seizures. For instance, unexplained
epilepsy with cerebral calcifications may be caused by undiagnosed celiac disease.
*Gobbi et al: Coeliac disease, epilepsy, and cerebral calcifications. The Italian Working Group on Coel-
iac Disease and Epilepsy. Lancet 1992 Aug 22;340(8817):439-43
*Peltola et al: Hippocampal sclerosis in refractory temporal lobe epilepsy is associated with gluten
sensitivity. J Neurol Neurosurg Psych 2009 Jun;80(6):626-30
445
Pamela Duff, RN, CSNC
*Pfaender et al: Visual disturbances representing occipital lobe epilepsy in patients with cerebral cal-
cifications and coeliac disease: a case series. J Neurol Neurosurg Psych 2004 Nov;75(11):1623-5
*Ventura et al: Coeliac disease, folic acid deficiency and epilepsy with cerebral calcifications. Acta
Paediatr Scand 1991 May;80(5):559-62
Huperzine A from Chinese club moss is noted for helping with memory and focus
but it is also helpful for treating seizures.
*Schneider et al: Clinical use of an herbal-derived compound (Huperzine A) to treat putative complex
partial seizures in a dog. Epilepsy Behav 2009 Aug;15(4):529-34
Ketogenic diets (high fat, low carb, adequate protein) reduce seizures. Because this
diet is designed to utilize fats for fuel, it is important to use good fats as opposed to
“any type”. The same goes for proteins and carbohydrates. Sort out which ones are
beneficial for health and which ones need to be avoided.
*Hansen et al: Ketogenic diet is antiepileptogenic in pentylenetetrazole kindled mice and decrease
levels of N-acylethanolamines in hippocampus. Neurochem Int 2009 Mar-Apr;54(3-4):199-204
*Stafstrom: Dietary approaches to epilepsy treatment: old and new options on the menu. Mol Nutr
Food Res 2009 Dec;53(12):1603-11
Magnesium deficiency causes seizures in those using PPIs (Acid Blockers) for a
long time.
*Cundy & Dissanayake: Severe hypomagnesaemia in long-term users of proton-pump inhibitors. Clin
Endocrinol (Oxf) 2008 Aug;69(2):338-41
Motherwort is an herb so named because it was used to calm pregnant women but
it also has anti-convulsant activity.
*Bienvenu et al: Anticonvulsant activity of aqueous extract of Leonotis leonurus. Phytomed 2002
Apr;9(3):217-23
Noni juice improves neural damage in the brain. However, it should not be con-
sumed if on medication.
*Harada et al: Preventive Effect of Morinda citrifolia fruit juice on neuronal damage induced by focal
ischemia. Bio Pharm Bulletin 2009:32(3):405
*Dhawan: Drug/substance reversal effects of a novel tri-substituted benzoflavone moiety (BZF) isolated
from Passiflora incarnata Linn.--a brief perspective. Addict Biol 2003 Dec;8(4):379-86
Valerian root, often used to induce sleep, also has anticonvulsive properties.
*Rezvani et al: Anticonvulsant effect of aqueous extract of Valeriana officinalis in amygdala-kindled
rats: possible involvement of adenosine. J Ethnopharmacol 2010 Feb 3;127(2):313-8
446
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Vitex (Chasteberry) is an herb often used to help regulate female hormones but it
has other properties including the control or reduction of epileptic episodes.
*Saberi et al: The antiepileptic activity of Vitex agnus castus extract on amygdala kindled seizures in
male rats. Neurosci Lett 2008 Aug 22;441(2):193-6
Seizures/Anti-convulsants
447
Steroids/Corticosteroids
(Used to treat difficult inflammations)
Common examples:
Corticosteroids
beclomethasone – Beclodisk, Beconase, and others
betamethasone – Betnelan, Celestone, and others
budesonide – Entocort, Pulmicort, and others
cortisone – Cortone
dexamethasone – Decadron, Hexadrol, and others
fludrocortisone – Florinef
hydrocortizone – Cortisol, Cortef, Hycort, Westcort, and others
methylprednisolones – Medrol, Unimed, and others
mometasone – Elocon
pimecrolimus – Elldel
prednisolone – Delta-Cortef, Inflamase, Prelone, Pediapred, and others
prednisone – Deltasone, Meticorten, Orasone, Panasol-S, Winpred, and others
tacrolimus – Prograf
triamcinolone – Aristocort, Kenalog, and others
... and many others
Deplete:
A, B6, B9, C, D, E, calcium, chromium, iron, magnesium, potassium,
selenium, strontium, zinc, DHEA
Steroids/Corticosteroids
448
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
´´Inhaled steroids increase the risk of pneumonia in those with COPD and are
linked to low blood sugar and adrenal suppression. Internal use of steroids in
COPD patients also suppresses the hypothalamic-pituitary-adrenal-axis which
may be linked to obesity.
*Dunlop et al: Hypoglycemia due to adrenal suppression secondary to high-dose nebulized
corticosteroid. Pediatr Pulmonol 2002 Jul;34(1):85-6
*Schuetz et al: Effect of a 14-day course of systemic corticosteroids on the hypothalamic-pituitary-
adrenal-axis in patients with acute exacerbation of chronic obstructive pulmonary disease. BMC
Pulm Med 2008;8:1
*Singh & Loke: Risk of pneumonia associated with long-term use of inhaled corticosteroids in
chronic obstructive pulmonary disease: a critical review and update. Curr Opin Pulm Med 2010
Mar;16(2):118-22
´´Steroids are linked to mood and behavioral changes similar to bipolar disorder.
They also contribute to muscle weakness in those with cystic fibrosis.
Steroids/Corticosteroids
*Barry & Gallagher: Corticosteroids and skeletal muscle function in cystic fibrosis. J Appl Physiol 2003
Oct;95(4):1379-84
*Brown: Effects of glucocorticoids on mood, memory, and the hippocampus. Treatment and preventive
therapy. Ann N Y Acad Sci 2009 Oct;1179:41-55
449
Pamela Duff, RN, CSNC
Apigenin is a flavonoid found in a variety of fruits and vegetables that not only has
anti-cancer properties but suppresses inflammations found in a number of diseases
treated with steroids including lupus, psoriasis, rheumatoid arthritis, and Crohn’s.
*Kang et al: Apigenin, a non-mutagenic dietary flavonoid, suppresses lupus by inhibiting autoantigen
presentation for expansion of autoreactive Th1 and Th17 cells. Arthritis Res Ther 2009;11(2):R59
Arnica is superior to steroids or NSAIDs for reducing pain and it does not affect
blood clotting as do the medications.
*Alfredo et al: Effects of phonophoresis with Arnica montana onto acute inflammatory process in rat
skeletal muscles: an experimental study. Ultrasonics 2009 May;49(4-5):466-71
*Lüdtke & Hacke: On the effectiveness of the homeopathic remedy Arnica montana. Wien Med
Wochenschr 2005 Nov;155(21-22):482-90
*Baillargeon et al: The effects of Arnica Montana on blood coagulation. Randomized controlled trial.
Can Fam Physician 1993 Nov;39:2362-7
*Ekenäs et al: Screening for anti-inflammatory activity of 12 Arnica (Asteraceae) species assessed
by inhibition of NF-kappaB and release of human neutrophil elastase. Hum Exp Toxicol 2002
Apr;21(4):223-30
*Kawakami et al: Inflammatory process modulation by homeopathic arnica montana 6CH: The role of
individual variation. Evid Based Complement Alternat Med 2011;2011:917541
*Lyss et al: Helenalin, an anti-inflammatory sesquiterpene lactone from Arnica, selectively inhibits tran-
scription factor NF-kappaB. Biol Chem 1997 Sep;378(9):951-61
*Lyss et al: The anti-inflammatory sesquiterpene lactone helenalin inhibits the transcription factor NF-
kappaB by directly targeting p65. J Biol Chem 1998 Dec 11;273(50):33508-16
*Macêdo et al: Anti-inflammatory activity of Arnica montana 6cH: preclinical study in animals. Hom-
eopathy 2004 Apr;93(2):84-7
*Merfort: Arnica: new insights on the molecular mode of action of a traditional medicinal plant. Teratol-
ogy 1999 Apr;59(4):252-60
*Totonchi & Guyuron: A randomized, controlled comparison between arnica and steroids in the man-
agement of postrhinoplasty ecchymosis and edema. Plast Reconstr Surg. 2007 Jul;120(1):271-4
*Widrig et al: Choosing between NSAID and arnica for topical treatment of hand osteoarthritis in a
randomised, double-blind study. Rheumatol Int 2007 Apr;27(6):585-91
Black Cumin seed contains a substance that proves superior to fluticasone in treat-
ing asthma.
Steroids/Corticosteroids
*Boskabady et al: Antiasthmatic effect of Nigella sativa in airways of asthmatic patients. Phytomed
2010 Feb 8
*Boskabady et al: The possible prophylactic effect of Nigella sativa seed extract in asthmatic patients.
An Med Interna 1995 Oct;12(10):501-2
*Keyhanmanesh et al: The effect of thymoquinone, the main constituent of Nigella sativa on tracheal
responsiveness and white blood cell count in lung lavage of sensitized guinea pigs. J Ethnopha-
rmacol 2009 Oct 29;126(1):102-7
*Mansour & Tornhamre: Inhibition of 5-lipoxygenase and leukotriene C4 synthase in human blood cells
by thymoquinone. J Enzyme Inhib Med Chem 2004 Oct;19(5):431-6
450
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Martins et al: Comparative analysis between Chamomilla recutita and corticosteroids on wound heal-
ing. An in vitro and in vivo study. Phytother Res. 2008 Sep 19
Creatine is a supplement well known to body builders but it also has other qualities
important to those with muscular or neurotoxic disorders including Parkinson’s or
Huntington’s. In addition, creatine is proving to be a useful treatment for young
people who experience reduced growth due to steroid use, for whatever reason. Crea-
tine has no detrimental effect on the kidneys and is safely taken by diabetics and
those on dialysis.
*Gualano et al: Creatine supplementation does not impair kidney function in type 2 diabetic patients: a
randomized, double-blind, placebo-controlled, clinical trial. Eur J Appl Physiol 2010 Oct 26
*Gualano et al: Effects of creatine supplementation on renal function: a randomized, double-blind,
placebo-controlled clinical trial. Eur J Appl Physiol 2008 May;103(1):33-40
*Roy et al: Dietary supplementation with creatine monohydrate prevents corticosteroid-induced at-
tenuation of growth in young rats. Can J Physiol Pharmacol 2002 Oct;80(10):1008-14
Echinacea is an herb most recognized as one to improve the immune system during
Steroids/Corticosteroids
the cold and flu season but echinacea is a safe alternative in treating some steroid-
dependent illnesses. Those who did not receive echinacea required longer periods of
steroid use.
*Neri et al: Oral Echinacea purpurea extract in low-grade, steroid-dependent, autoimmune idiopathic
uveitis: a pilot study. Obstet Gynecol 2008 Aug;112(2 Pt1):265-70
451
Pamela Duff, RN, CSNC
*Jones: Comparison of total parenteral nutrition and elemental diet in induction of remission of Crohn’s
disease. Long-term maintenance of remission by personalized food exclusion diets. J Med Food
2004;7(1):7-12
*Okada et al: Controlled trial comparing an elemental diet with prednisolone in the treatment of active
Crohn’s disease. Hepatogastroenterol 1990 Feb;37(1):72-80
*Papadopoulou et al: Remission following an elemental diet or prednisolone in Crohn’s disease. Acta
Paediatr 1995 Jan;84(1):79-83
*Sanderson et al: Remission induced by an elemental diet in small bowel Crohn’s disease. Arch Dis
Child 1987 Feb;62(2):123-7
*Verma et al: Does adjuvant nutritional support diminish steroid dependency in Crohn disease? Scand
J Gastroenterol 2001 Apr;36(4):383-8
*Zoli et al: A randomized controlled study comparing elemental diet and steroid treatment in Crohn’s
disease. Aliment Pharmacol Ther 1997 Aug;11(4):735-40
Gluten-free diet is beneficial for treating the lung disease associated with Celiac
disease in children who were able to wean off the steroids. Gluten sensitivity is often
misdiagnosed as lupus.
*Hadjivassiliou et al: Gluten sensitivity masquerading as systemic lupus erythematosus. Ann Rheum
Dis 2004 Nov;63(11):1501-3
*Sethi et al: Benefit of gluten-free diet in idiopathic pulmonary hemosiderosis in association with celiac
disease. Pediatr Pulmonol 2010 Oct 21
Jun;58(6):413-5
Horny Goat Weed is an herb usually sold to improve circulation but it has other
beneficial effects including reducing the adverse effects of long-term use of steroids.
*Wu et al: Experimental study on antagonizing action of herba Epimedii on side effects induced by
glucocorticoids. Zhongguo Zhong Yao Za Zhi 1996 Dec;21(12):748-51,763
452
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Hyaluronic acid injections are just as effective as steroids but without the side
effects since hyaluronic acid is a substance needed throughout the body.
*Leopold et al: Corticosteroid compared with hyaluronic acid injections for the treatment of osteoarth-
ritis of the knee. A prospective, randomized trial. J Bone Joint Surg Am 2003 Jul;85-A(7):1197-203
Melatonin, often used to induce sleep, has many other benefits including neuro-
protective qualities that are superior to prednisone in spinal cord injuries.
*Cayli et al: Effect of combined treatment with melatonin and methylprednisolone on neurological re-
covery after experimental spinal cord injury. Eur Spine J 2004 Dec;13(8):724-32
*Gül et al: Dose-dependent neuroprotective effects of melatonin on experimental spinal cord injury in
rats. Surg Neurol. 2005 Oct;64(4):355-61
*Kaptanoglu et al: Comparison of the effects of melatonin and methylprednisolone in experimental
spinal cord injury. J Neurosurg 2000 Jul;93(1 Suppl):77-84
Milk Thistle is an herb with a long history of protecting the liver especially from
drug-induced damage.
*Radovanović et al: Hepatoprotective effects of silymarin in androgenic-anabolic steroid-induced liver
damage. Med Pregl 2003;56 Suppl 1:79-83
Noni fruit is as effective as analgesics and steroids for reducing pain and inflammation.
*Basar et al: Analgesic and antiinflammatory activity of Morinda citrifolia L. (Noni) fruit. Phytother Res
2010 Jan;24(1):38-42
*Basar et al: Analgesic and antiinflammatory activity of Morinda citrifolia L. (Noni) fruit. Phytother Res
2009 Jun 22
*Buia et al: Polysaccharide composition of the fruit juice of Morinda citrifolia (Noni). Phytochem 2006
June;67(12):1271-75
*Chan-Blancoa et al: The noni fruit (Morinda citrifolia L.): A review of agricultural research, nutritional
and therapeutic properties. J Food Comp Anal 2006 Sept-Nov:19(6-7):645-654
*Dixon et al: Ferment this: The transformation of Noni, a traditional polynesian medicine (Morinda Cit-
rifolia, Rubiaceae). Econ Bot 53(1):51-68
*Dussossoy et al: Characterization, anti-oxidative and anti-inflammatory effects of Costa Rican noni
juice (Morinda citrifolia L.). J Ethnopharmacol 2010 Sep 19
*McClatchey: From Polynesian healers to health food stores: Changing perspectives of Morinda citri-
folia (Rubiaceae). Integ Canc Ther 2002 June;1(2):110-120
*McKoy et al: Preliminary investigation of the anti-inflammatory properties of an aqueous extract from
Steroids/Corticosteroids
Omega 3 fatty acids taken during pregnancy and while breast feeding significantly
reduce the risk of infantile eczema.
*Furuhjelm et al: Fish oil supplementation in pregnancy and lactation may decrease the risk of infant
allergy. Acta Paediatr 2009 Sep;98(9):1461-7
453
Pamela Duff, RN, CSNC
*Thijs et al: Fatty acids in breast milk and development of atopic eczema and allergic sensitisation in
infancy. Environ Sci Technol 2010 Feb 15;44(4):1458-63
Prednisone used by pregnant women can trigger low blood sugar, seizures and
adrenal insufficiency in the newborn.
*Saulnier et al: Hypoglycaemic seizure and neonatal acute adrenal insufficiency after maternal expos-
ure to prednisone during pregnancy: a case report. Eur J Pediatr 2010 Jun;169(6):763-5
Probiotics are vital for preventing and treating eczema, even in children and much
safer than using steroids internally or externally.
*Abrahamsson et al: Probiotics in prevention of IgE-associated eczema: a double-blind, randomized,
placebo-controlled trial. J Allergy Clin Immunol 2007 May;119(5):1174-80
*Böttcher et al: Low breast milk TGF-beta2 is induced by Lactobacillus reuteri supplementation
and associates with reduced risk of sensitization during infancy. Pediatr Allergy Immunol 2008
Sep;19(6):497-504
*Gerasimov et al: Probiotic supplement reduces atopic dermatitis in preschool children: a randomized,
double-blind, placebo-controlled, clinical trial. Am J Clin Dermatol 2010;11(5):351-61
*Kalliomäki & Isolauri: Pandemic of atopic diseases--a lack of microbial exposure in early infancy? Curr
Drug Targets Infect Disord 2002 Sep;2(3):193-9
*Kim et al: Effect of probiotic mix (Bifidobacterium bifidum, Bifidobacterium lactis, Lactobacillus acid-
ophilus) in the primary prevention of eczema: a double-blind, randomized, placebo-controlled trial.
Pediatr Allergy Immunol 2010 Mar;21(2 Pt 2):e386-93
*Kukkonen et al: Probiotics and prebiotic galacto-oligosaccharides in the prevention of allergic diseases:
a randomized, double-blind, placebo-controlled trial. J Allergy Clin Immunol 2007 Jan;119(1):192-8
*Michail et al: Efficacy of probiotics in the treatment of pediatric atopic dermatitis: a meta-analysis of
randomized controlled trials. Ann Allergy Asthma Immunol 2008 Nov;101(5):508-16
*West et al: Probiotics during weaning reduce the incidence of eczema. Pediatr Allergy Immunol 2009
Aug;20(5):430-7
*Weston et al: Effects of probiotics on atopic dermatitis: a randomised controlled trial. Arch Dis Child
2005 Sep;90(9):892-7
*Wickens et al: A differential effect of 2 probiotics in the prevention of eczema and atopy: a double-
blind, randomized, placebo-controlled trial. J Allergy Clin Immunol 2008 Oct;122(4):788-94
*Zhu et al: Meta analysis of lactic acid bacteria as probiotics for the primary prevention of infantile ec-
zema. Zhongguo Dang Dai Er Ke Za Zhi 2010 Sep;12(9):734-9
Resveratrol is superior to steroids in treating COPD and has a better effect than
methylprednisolone in treating experimental spinal cord injury.
*Ates et al: Effects of resveratrol and methylprednisolone on biochemical, neurobehavioral and
Steroids/Corticosteroids
histopathological recovery after experimental spinal cord injury. Acta Pharmacol Sin 2006
Oct;27(10):1317-25
*Knobloch et al: Resveratrol impairs the release of steroid-resistant inflammatory cytokines from hu-
man airway smooth muscle cells in chronic obstructive pulmonary disease. J Pharmacol Exp Ther
2010 Dec;335(3):788-98
Selenium improves rheumatoid arthritis and decreases the need for steroids or
NSAIDs. Do not use sodium selenate/selenite. This form is very toxic. Sodium
selenate is a by-product of the copper refining industry and disposed of in some
selenium supplements, cheaper human and animal multivitamins, baby formulas,
and “nutritional” shakes.
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Heinle et al: Selenium concentration in erythrocytes of patients with rheumatoid arthritis. Clinical and
laboratory chemistry infection markers during administration of selenium. Med Klin (Munich) 1997
Sep 15;92 Suppl 3:29-31
*108 Milligrams Of This Common “Nutrient” Can Kill A Person by Sayer Ji, GreenMedInfo, Saturday,
January 21, 2012
Vitamin B12 topically is a safer and more effective choice to use on children with
eczema.
*Januchowski et al: Evaluation of topical vitamin B(12) for the treatment of childhood eczema. J Altern
Complement Med 2009 Apr;15(4):387-9
Vitamins B6, B9, B12 (used to decrease homocysteine levels) are decreased even
more during steroid use, meaning that homocysteine levels will rise.
*Martinez-Taboada et al: Homocysteine levels in polymyalgia rheumatica and giant cell arteritis: influ-
ence of corticosteroid therapy. Rheumatology (Oxford) 2003 Sep;42(9):1055-61
Wormwood, often used as an anti-parasitic, is more effective than steroids for treat-
ing Crohn’s disease. It was also found to improve mood and quality of life which was
not achieved with standard medications.
*Steroid-sparing effect of wormwood (Artemisia absinthium) in Crohn’s disease: a double-blind pla-
cebo-controlled study. Phytomed 2007 Feb;14(2-3):87-95
Steroids/Corticosteroids
455
Thyroid Hormone Replacement
(Used to treat low [hypo] thyroid conditions)
Common examples:
desiccated thyroid – Armour Thyroid
liotrix – Euthroid, Thyrolar, and others
liothyronine – Cytomel, Triostat
levothyroxine – Synthroid, Levothyroid, Levoxyl, Thyro-tabs, Eltroxin,
L-thyroxine, LT4, and others
teriparatide – Forteo
Deplete:
calcium, iodine, iron, phosphorus, zinc
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´´Thyroid nodules are detected in about 68% of healthy people who use high
sensitivity ultrasound diagnostic equipment (mammograms, ultrasounds etc)
especially 13 Mhz scanners.
*Guth et al: Very high prevalence of thyroid nodules detected by high frequency (13 MHz) ultrasound
examination. Eur J Clin Invest 2009 Aug;39(8):699-706
*Guth et al: Very high prevalence of thyroid nodules detected by high frequency (13 MHz) ultrasound
examination. HNO 2010 Jul;58(7):680-5
Suggested alternatives:
Thyroid Hormone Replacement
Ashwagandha reverses the hypothyroid effects caused by Metformin, a Diabetes
drug.
*Jatwa & Kar: Amelioration of metformin-induced hypothyroidism by Withania somnifera and Bauhinia
purpurea extracts in Type 2 diabetic mice. Phytother Res 2009 Aug;23(8):1140-5
457
Pamela Duff, RN, CSNC
Citrus fruits help regulate thyroid and insulin levels by reducing oxidative stress
that contributes to diabetes and thyroid irregularities.
*Parmar & Kar: Medicinal values of fruit peels from Citrus sinensis, Punica granatum, and Musa para-
disiaca with respect to alterations in tissue lipid peroxidation and serum concentration of glucose,
insulin, and thyroid hormones. J Med Food 2008 Jun;11(2):376-81
*Ramful et al: Citrus fruit extracts reduce Advanced Glycation End Products (AGEs)- and H2O2-in-
duced oxidative stress in human adipocytes. J Agric Food Chem 2010 Sep 30
Curcumin may somewhat stimulate proper function of the thyroid but has little or
no such effect in the aged.
*Papiez et al: Age-dependent different action of curcumin in thyroid of rat. Folia Histochem Cytobiol
2008;46(2):205-11
Iodine deficiency increases oxidative stress and DNA changes in the thyroid which
can lead to nodules and/or thyroid cancer. Since it is a trace element, not much is
needed. However, an increased consumption of processed food has placed the major-
ity of the population in the deficiency range. Adding seaweed and unprocessed sea
salt (coloured, not white), enough iodine can be obtained.
*Paschke: Molecular pathogenesis of nodular goiter. Langenbecks Arch Surg 2011 Apr 14
458
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*Gilroy et al: Evaluation of ionized and total serum magnesium concentrations in hyperthyroid cats.
Can J Vet Res 2006 Apr;70(2):137-42
*Schwartz et al: Magnesium absorption in human subjects from leafy vegetables, intrinsically labeled
with stable 26Mg. Am J Clin Nutr 1984 Apr;39(4):571-6
Mangoes and Melons decrease the risks of hypothyroidism and abnormal choles-
terol and blood sugar levels.
*Parmar & Kar: Possible amelioration of atherogenic diet induced dyslipidemia, hypothyroidism and
hyperglycemia by the peel extracts of Mangifera indica, Cucumis melo and Citrullus vulgaris fruits
in rats. Biofactors 2008;33(1):13-24
Potassium iodide reduces radiation damage to the thyroid but only if taken within
the period of two days before exposure to approximately 8 hours after.
*Zanzonico & Becker: Effects of time of administration and dietary iodine levels on potassium iodide
(KI) blockade of thyroid irradiation by 131I from radioactive fallout. Chest 2005 Dec;128(6):3817-27
Seaweed suppresses any effect that radioactive iodine might have on the thyroid.
*Maruyama & Yamamoto: Suppression of 125I-uptake in mouse thyroid by seaweed feeding: possible
preventative effect of dietary seaweed on internal radiation injury of the thyroid by radioactive iod-
ine. J Cancer Res Clin Oncol 1992;118(6):447-52
Sweet Orange peel has therapeutic action for hyperthyroidism. It is best to buy
organically grown oranges as they are on the list of high pesticide content.
*Parmar & Kar: Medicinal values of fruit peels from Citrus sinensis, Punica granatum, and Musa para-
disiaca with respect to alterations in tissue lipid peroxidation and serum concentration of glucose,
insulin, and thyroid hormones. J Med Food 2008 Jun;11(2):376-81
*The Full List: 53 Fruits and Veggies. Environmental Working Group. www.ewg.org/foodnews/list/
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460
Vaccines
Vaccines may be necessary at times but not nearly in the quantity or frequency that
is now being recommended. Pick and choose the ones you feel are necessary and the
timing of them, especially when it comes to your children. It is your responsibility to
research all vaccines and each side of the issue in order to make informed decisions.
List of Canadian Vaccines
Public Health Agency - www.phac-aspc.gc.ca/publicat/cig-gci/index-eng.php
List of UK Vaccines
Department of Health - immunisation.dh.gov.uk/
List of USA Vaccines
Center for Disease Control - www.cdc.gov/vaccines/vpd-vac/vaccines-
list.htm
List of Vaccinations required in the USA before age 6 – with ingredients
Are we overvaccinating our children? - 49 Doses of 14 vaccines before
age 6? - National Vaccine Information Center pdf download from -
www.nvic.org/Vaccine-Laws/state-vaccine-requirements.aspx
List of Vaccinations required in Canada
www.phac-aspc.gc.ca/im/is-cv/#a
Vaccine ingredients: Not every ingredient listed here is found in all vaccines
at any one time.
Acetic acid (Sodium acetate)
Aluminum (hydroxide, phosphate, sulfate)
Ammonium sulfate
Antibiotics
Benzethonium chloride (antimicrobial)
Boric acid (Sodium borate)
Calcium phosphate
Carbonyl iron
Egg albumin
Formaldehyde
Formalin
Gelatin
Gluteraldehyde
Human and Animal DNA
Hydrochloric acid
Vaccines
Hydrogen peroxide
Lab altered viruses and bacteria
461
Pamela Duff, RN, CSNC
Lactose
Mercury
Mineral oil based adjuvants
MSG (monosodium glutamate)
Peanut oil
Phenols (carbolic acid)
Phenoxyethanol
Polysorbates (Tween-20 and Tween-80)
Salt (Sodium chloride)
Squalene (MF59, AS03)
Sweeteners (sucrose, sorbitol, aspartame)
Thimerosal (Mercury)
Triton-X 100
Unidentified contaminants
*Autism is only the tip of the iceberg. Koren Publications
*Do you know what’s in a vaccine? Koren Publications
*Do you know what’s in a flu shot? Koren Publications
*How Many Vaccines will your child get? Koren Publications
*Informed Choice - www.informedchoice.info/cocktail.html
*National Vaccine Information Center - www.vaccine-tlc.org/
*Potential bio-hazard found in Gardasil vaccine, September 2011, VRAN
*Rense.com
*SaneVax (Safe Affordable Necessary Effective vaccines and vaccination practices through
education and information)
*Vaccine Education - www.vaccinationeducation.com/
*VRAN (Vaccine Risk Awareness Network) - vran.org/
*WAVE (World Association for Vaccine Education) - www.novaccine.com/
*Whale.to - www.whale.to/a/adjuvants_bibliography.html and www.whale.to/vaccines/in-
gredients.html
Vaccine Ingredients: Governmental reasoning behind vaccines
*CDC - www.cdc.gov/vaccines/vac-gen/additives.htm
*Health Canada - www.phac-aspc.gc.ca/publicat/cig-gci/p01-tab01-eng.php
Vaccinations, technically, are not mandatory in Canada or the USA but enforcement is
being pushed with choices no longer being tolerated. However, while no federal law exists
– yet – there are state laws that have mandatory vaccination requirements for schools.
*Adams: Vaccination rights attorney Patricia Finn threatened with criminal charges; New York State
demands she surrender names of all clients. 2012 February 28
*CDC - www.cdc.gov/vaccines/vac-gen/laws/state-reqs.htm
*Immunization is Not Mandatory in Canada. VRAN
*Lendman: Readying Americans for Dangerous, Mandatory Vaccinations. Global Research
*O’ Shea: End of vaccine exemptions in California? The Doctor Within newsletter April 2011, reprinted
with permission by GreenMedInfo March 2, 2012
*Walkinshaw: Mandatory vaccinations: The Canadian picture. CMAJ 2011 Nov 8;183(16)
Medical Professionals around the world have joined forces to “counter the messages
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Adjuvants are agents used in vaccines to stimulate the immune system into increas-
ing its response to the vaccine as well as to modify the effect of other ingredients.
According to the CDC, aluminum is the only adjuvant licensed in the US for vaccine
use yet it, and many others, are used. In Canada, aluminum adjuvants are still
used in some vaccines (MF59 in seasonal flu, for example). Adjuvants are linked to
numerous adverse side effects.
*Braun & Ellenberg: Descriptive epidemiology of adverse events after immunization: reports to the
Vaccine Adverse Event Reporting System (VAERS), 1991-1994. J Pediatr 1997 Oct;131(4):529-35
*Canada-U.S. may go differently on vaccine production. Canadian Press, June 30, 2009
*CDC - www.cdc.gov/vaccinesafety/concerns/adjuvants.html
*Chirumbolo et al: Use of basophil activation test in the investigation of adverse effects to vaccines.
Hum Vaccin 2011 Aug 1 ;7(8)
*Gherardi et al: Lessons from macrophagic myofasciitis: towards definition of a vaccine adjuvant-
related syndrome. Rev Neurol (Paris) 2003 Feb;159(2):162-4
*Health Canada - www.phac-aspc.gc.ca/publicat/ccdr-rmtc/11vol37/acs-dcc-6/index-eng.php
*Satoh et al: Induction of lupus autoantibodies by adjuvants. J Autoimmun 2003 Aug;21(1):1-9
Aluminum is an adjuvant with toxic effects that are linked to motor neuron degen-
eration, autism, immunodeficiency, and Gulf War syndrome.
*Exley et al: A role for the body burden of aluminium in vaccine-associated macrophagic myofasciitis
and chronic fatigue syndrome. Med Hypotheses 2009 Feb;72(2):135-9
*Mahieu et al: Aluminum toxicity. Hematological effects. Toxicol Lett 2000 Jan 5;111(3):235-42
*Nakayama: Influenza vaccine and adjuvant. Yakugaku Zasshi 2011;131(12):1723-31
*Petrik et al: Aluminum adjuvant linked to Gulf War illness induces motor neuron death in mice. Neuro-
molecular Med 2007;9(1):83-100
*Shaw & Petrik: Aluminum hydroxide injections lead to motor deficits and motor neuron degeneration.
J Inorg Biochem 2009 Nov;103(11):1555-62
*Tomljenovic & Shaw: Mechanisms of aluminum adjuvant toxicity and autoimmunity in pediatric popu-
lations. Lupus 2012;21(2):223-30
*Tomljenovic & Shaw: Do aluminum vaccine adjuvants contribute to the rising prevalence of autism? J
Inorg Biochem 2011 Nov;105(11):1489-99
*Tomljenovic & Shaw: Aluminum Vaccine Adjuvants: Are they Safe? Curr Med Chem 2011 May 16
Animal cells used in vaccines are linked to retrovirus infections, producing chronic
fatigue and prostate cancer. Aborted human fetal cells (diploid) are used in most
vaccines: measles, mumps, rabies, rubella, polio, smallpox, hepatitis, chickenpox,
herpes zoster, flu, respiratory syncytial, para-influenza viruses, HIV, West Nile virus,
Ebola, Marburg, Lassa, foot and mouth disease, Japanese encephalitis, dengue,
tuberculosis, anthrax, plague, tetanus and malaria.
*Calderón: Vaccines, biotechnology and their connection with induced abortion. Cuad Bioet 2008
May-Aug;19(66):321-53
*Miyazawa: Endogenous retroviruses as potential hazards for vaccines. Biologicals 2010
May;38(3):371-6
Anthrax vaccine is linked to birth defects in newborns when pregnant women were
vaccinated within the first trimester and cause the most adverse reactions compared
to other vaccines. Reactions at the site of injection are significant and occur twice as
Vaccines
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*Baillie et al: Is new always better than old?: The development of human vaccines for anthrax. Hum
Vaccin 2009 Dec;5(12):806-16
*Geier & Geier: Gastrointestinal adverse reactions following anthrax vaccination: an analysis of the
Vaccine Adverse Events Reporting System (VAERS) database. Hepatogastroenterol 2004
May-Jun;51(57):762-7
*McNeil et al: Short-term reactogenicity and gender effect of anthrax vaccine: analysis of a 1967-1972
study and review of the 1955-2005 medical literature. Pharmacoepidemiol Drug Saf 2007 Mar
;16(3):259-74
*Ryan et al: Birth defects among infants born to women who received anthrax vaccine in pregnancy.
Am J Epidemiol 2008 Aug 15 ;168(4):434-42
*Zakowska et al: Selected research problems of anthrax vaccine development. Przegl Epidemiol
2009;63(4):505-12
Boric Acid (Sodium borate) is an antifungal and insecticide found in some vaccines,
including HPV. It is linked to adverse fetal development (teratogenicity) and death.
It also increases cancer cell growth because of its estrogen-like effects, as well as
affecting the male reproductive system.
*Appel et al: Effects of moisture on the toxicity of inorganic and organic insecticidal dust formulations
to German cockroaches (Blattodea: Blattellidae). J Econ Entomol 2004 Jun;97(3):1009-16
*Cherrington & Chernoff: Periods of vertebral column sensitivity to boric acid treatment in CD-1 mice
in utero. Reprod Toxicol 2002 May-Jun;16(3):237-43
*Di Renzo et al: Boric acid inhibits embryonic histone deacetylases: a suggested mechanism to explain
boric acid-related teratogenicity. Toxicol Appl Pharmacol 2007 Apr 15;220(2):178-85
*Fukuda et al: Collaborative work to evaluate toxicity on male reproductive organs by repeated dose
studies in rats 24). Testicular toxicity of boric acid after 2- and 4-week administration periods. J
Toxicol Sci 2000 Oct;25 Spec No:233-9
*Harrouk et al: Effects of hyperthermia and boric acid on skeletal development in rat embryos. Birth
Defects Res B Dev Reprod Toxicol 2005 Jun;74(3):268-76
*Heindel et al: The developmental toxicity of boric acid in mice, rats, and rabbits. Environ Health Per-
spect 1994 Nov;102 Suppl 7:107-12
*Heindel et al: Developmental toxicity of boric acid in mice and rats. Fundam Appl Toxicol 1992
Feb;18(2):266-77
*Kudo et al: Collaborative work to evaluate toxicity on male reproductive organs by repeated dose
studies in rats 23). A comparative 2- and 4-week repeated oral dose testicular toxicity study of
boric acid in rats. J Toxicol Sci 2000 Oct;25 Spec No:223-32
*Narotsky et al: Effects of boric acid on axial skeletal development in rats. Biol Trace Elem Res
1998;66(1-3):373-94
*Price et al: The developmental toxicity of boric acid in rabbits. Fundam Appl Toxicol 1996
Dec;34(2):176-87
*Qureshi et al: Boric acid enhances in vivo Ehrlich ascites carcinoma cell proliferation in Swiss albino
mice. Toxicol 2001 Aug 13;165(1):1-11
*Rowe et al: The response of trout and zebrafish embryos to low and high boron concentrations is U-
shaped. Biol Trace Elem Res 1998;66(1-3):261-70
*Sabuncuoglu et al: Effects of subacute boric acid administration on rat kidney tissue. Clin Toxicol
(Phila) 2006;44(3):249-53
*Wang et al: Experimental study on the estrogen-like effect of boric Acid. Biol Trace Elem Res 2008
Feb;121(2):160-70
*Wéry et al: Defects in cervical vertebrae in boric acid-exposed rat embryos are associated with anterior
shifts of hox gene expression domains. Birth Defects Res A Clin Mol Teratol 2003 Jan;67(1):59-67
*Xue et al: Application of boric acid baits to plant foliage for adult mosquito control. J Am Mosq Control
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*Yoshizaki et al: Availability of sperm examination for male reproductive toxicities in rats treated with
boric acid. J Toxicol Sci 1999 Aug;24(3):199-208
*Zurek et al: Boric acid dust as a component of an integrated cockroach management program in
confined swine production. J Econ Entomol 2003 Aug;96(4):1362-6
Boric acid and Diphenhydramine (Benadryl) are toxic to the developing embryo if
taken together by pregnant women.
*Peters et al: Evaluation of the embryotoxic potency of compounds in a newly revised high throughput
embryonic stem cell test. Toxicol Sci 2008 Oct;105(2):342-50
Calcium phosphate and Aluminum are toxic to the immune system and blood-
stream which can lead to anemia.
*Goto et al: Local tissue irritating effects and adjuvant activities of calcium phosphate and aluminium
hydroxide with different physical properties. Vaccine 1997 Aug-Sep;15(12-13):1364-71
*Goto et al: Studies on the toxicities of aluminium hydroxide and calcium phosphate as immunological
adjuvants for vaccines. Vaccine 1993;11(9):914-8
Carbonyl iron is an adjuvant that is linked to acute brain and spinal cord
inflammation.
*Levine & Saltzman: The hyperacute form of allergic encephalomyelitis produced in rats without the aid
of pertussis vaccine. J Neuropathol Exp Neurol 1989 May;48(3):255-62
*Miljković et al: It is still not for the old iron: adjuvant effects of carbonyl iron in experimental auto-
immune encephalomyelitis induction. J Neurochem 2011 May 10
DNA and Contraceptive vaccines are being developed as a possible means of popu-
lation control. There are at least 76 factors involved in the establishment of pregnancy
which become targets for vaccine-induced abortion or contraception. DNA vaccines
also carry under-reported risks associated with structural instability. The use of
dead tissue to produce biologicals, vaccines and feedstuffs may be contributing to
transmissible encephalopathies.
*Cashman: Transmissible spongiform encephalopathies: vaccine issues. Dev Biol (Basel) 2001;106:455-
9; discussion 460-1, 465-75
*Gupta & Talwar: Contraceptive vaccines. Adv Contracept Deliv Syst 1994;10(3-4):255-65
*Jones: Vaccination for contraception. Aust NZ J Obstet Gynaecol 1994 Jun;34(3):320-9
*Lemons & Naz: Contraceptive vaccines targeting factors involved in establishment of pregnancy. Am
J Reprod Immunol 2011 Jul;66(1):13-25
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DTP (Dipheria, Tetnus, Pertussis [whooping cough]) vaccine is associated with an in-
creased risk of asthma, allergies, seizures and SIDS (sudden infant death syndrome).
*Baraff et al: Possible temporal association between diphtheria-tetanus toxoid-pertussis vaccination
and sudden infant death syndrome. Otol Neurotol 2002 Jul;23(4):447-51
*Claesson: Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality.
J Trop Med 2011 ;2011:706304
*Hurwitz & Morgenstern: Effects of diphtheria-tetanus-pertussis or tetanus vaccination on allergies
and allergy-related respiratory symptoms among children and adolescents in the United States. J
Manipulative Physiol Ther 2000 Feb;23(2):81-90
*Kaur & Handa: Erythema multiforme following vaccination in an infant. Indian J Dermatol Venereol
Leprol 2008 May-Jun;74(3):251-3
*Murphy et al: Recurrent seizures after diphtheria, tetanus, and pertussis vaccine immunization. Onset
less than 24 hours after vaccination. Am J Dis Child 1984 Oct;138(10):908-11
*Nakajima et al: Is childhood immunisation associated with atopic disease from age 7 to 32 years?
Thorax 2007 Mar;62(3):270-5
*Prandota: Urinary tract diseases revealed after DTP vaccination in infants and young children: cyto-
kine irregularities and down-regulation of cytochrome P-450 enzymes induced by the vaccine
may uncover latent diseases in genetically predisposed subjects. Reprod Biomed Online 2010
Jul;21(1):100-8
*Roberts: Vaccination and cot deaths in perspective. Arch Dis Child 1987 Jul;62(7):754-9
*Walker et al: Diphtheria-tetanus-pertussis immunization and sudden infant death syndrome. Am J
Public Health 1987 Aug;77(8):945-51
Flu vaccines, according to study conclusions, have not been proven to be safe,
effective or reduce mortality in any age group with benefits being substantially
overestimated. Flu vaccines actually prevent the immune system from functioning
properly and have been linked to increased risks of developing autoimmune disor-
ders, diabetes, and skeletal muscle destruction. Pregnant women receiving the flu
vaccine have significant increased rates of pre-eclampsia and preterm births. Acute
renal failure in those taking Statin drugs for Cholesterol is also attributed to the flu
vaccine.
*Adams: CDC admits flu vaccines don’t work (which is why you need a new one every year). May 29,
2011
*Bakshi & Mazziotta: Acute transverse myelitis after influenza vaccination: magnetic resonance im-
aging findings. J Neuroimaging 1996 Oct;6(4):248-50
*Birck et al: ANCA-associated vasculitis following influenza vaccination: causal association or mere
coincidence? J Ethnopharmacol 2000 Aug;71(3):457-63
*Black et al: Effectiveness of influenza vaccine during pregnancy in preventing hospitalizations and
outpatient visits for respiratory illness in pregnant women and their infants. Am J Perinatol 2004
Aug;21(6):333-9
*Blanco-Marchite et al: Miller Fisher syndrome, internal and external ophthalmoplegia after flu vaccina-
tion]. Kidney Int 2008 Dec;74(11):1461-7
Vaccines
*Bodewes et al: Annual vaccination against influenza virus hampers development of virus-specific
CD8+ T cell immunity in children. J Virol 2011 Nov ;85(22):11995-2000
*Christian et al: Inflammatory responses to trivalent influenza virus vaccine among pregnant women.
Vaccine 2011 Sep 20
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*Dharmaraj & Smyth: Vaccines for preventing influenza in people with cystic fibrosis. Cochrane Data-
base Syst Rev 2009 Oct 7(4):CD001753
*Fireman et al: Influenza vaccination and mortality: differentiating vaccine effects from bias. Am J Epi-
demiol 2009;170(5):650-6
*Hottes et al: Influenza vaccine effectiveness in the elderly based on administrative databases: change
in immunization habit as a marker for bias. PLoS One 2011;6(7):e22618
*Kaur & Handa: Erythema multiforme following vaccination in an infant. Indian J Dermatol Venereol
Leprol 2008 May-Jun;74(3):251-3
*Jackson et alL Bias alone could account for benefit attributed to flu vaccine, study finds. BMJ 2008;337
*Jackson et al: Evidence of bias in estimates of influenza vaccine effectiveness in seniors. Int J Epi-
demiol 2006 Apr;35(2):337-44
*Jefferson et al: Vaccines for preventing influenza in healthy adults. Cochrane Database Syst Rev
2010(7):CD001269
*Jefferson et al: Vaccines for preventing influenza in the elderly. Cochrane Database Syst Rev
2010(2):CD004876
*Jefferson et al: Vaccines for preventing influenza in healthy children. Altern Ther Heal Med 2009
Sep-Oct;15(5):44-6
*Lanza et al: Inflammation-related effects of adjuvant influenza A vaccination on platelet activation and
cardiac autonomic function. J Intern Med 2010 Sep 1
*Mallory et al: Shedding of Ann Arbor strain live attenuated influenza vaccine virus in children 6-59
months of age. Vaccine 2011 Apr 20
*Nachamkin et al: Anti-ganglioside antibody induction by swine (A/NJ/1976/H1N1) and other influ-
enza vaccines: insights into vaccine-associated Guillain-Barré syndrome. J Infect Dis 2008 Jul
15;198(2):226-33
*Osterholm et al: Efficacy and effectiveness of influenza vaccines: a systematic review and meta-
analysis. Lancet Infect Dis 2011 Oct 25
*Piñol-Ripoll et al: Chronic bronchitis and acute infections as new risk factors for ischemic stroke and
the lack of protection offered by the influenza vaccination. Cerebrovasc Dis 2008;26(4):339-47
*Plotkin et al: Influenza vaccine--a possible trigger of rhabdomyolysis induced acute renal failure due to
the combined use of cerivastatin and bezafibrate. Nephrol Dial Transplant 2000 May ;15(5):740-1
*Rizzo et al: Influenza-related mortality in the Italian elderly: no decline associated with increasing vac-
cination coverage. Vaccine 2006 Oct 30;24(42-43):6468-75
*Shoamanesh et al: Postvaccination miller fisher syndrome. Arch Neurol 2011 Oct;68(10):1327-9
*Simonsen et al: Mortality benefits of influenza vaccination in elderly people: an ongoing controversy.
Lancet Infect Dis 2007 Oct;7(10):658-66
*Simonsen et al: Impact of influenza vaccination on seasonal mortality in the US elderly population.
Arch Intern Med 2005 Feb 14;165(3):265-72
*Smith et al: Vaccines for preventing influenza in healthy children. Cochrane Database Syst Rev 2006
Jan 25;(1):CD004879
*Souayah et al: Guillain-Barré syndrome after vaccination in United States: data from the Centers for
Disease Control and Prevention/Food and Drug Administration Vaccine Adverse Event Reporting
System (1990-2005). J Clin Neuromuscul Dis 2009 Sep;11(1):1-6
*Szilagyi et al: Influenza vaccine effectiveness among children 6 to 59 months of age during 2 influenza
seasons: a case-cohort study. Anticancer Res 2009 Nov;29(11):4629-32
*Thomas et al: Influenza vaccination for healthcare workers who work with the elderly. Cochrane Data-
base Syst Rev 2010(2):CD005187
*Wada et al: Hepatitis B virus-related vasculitis manifesting as severe peripheral neuropathy following
influenza vaccination. J Cardiovasc Pharmacol 2003 Sep;42(3):329-38
*Yasuda et al: Development of fulminant Type 1 diabetes with thrombocytopenia after influenza vac-
cination: a case report. Diabet Med 2011 Jul 22
Vaccines
Flu vaccine of 2008/2009 was associated with an increase of H1N1 infection the
same year. In fact, in England, the flu vaccine given for the supposed H1N1 pandemic
467
Pamela Duff, RN, CSNC
of 2008/2009 proved to have virtually no effect but instead caused the development
of Guillain-Barré syndrome.
*Janjua et al: Seasonal influenza vaccine and increased risk of pandemic A/H1N1-related illness: first
detection of the association in British Columbia, Canada. Clin Infect Dis 2010 Nov 1;51(9):1017-1027
*Pebody et al: No effect of 2008/09 seasonal influenza vaccination on the risk of pandemic H1N1 2009
influenza infection in England. Vaccine 2011 Jan 31
*Skowronski et al: Association between the 2008-09 seasonal influenza vaccine and pandemic
H1N1 illness during Spring-Summer 2009: four observational studies from Canada. PLoS Med
2010;7(4):e1000258
*Tremblay et al: Guillain-Barré syndrome following H1N1 immunization in a pediatric patient. Ann Phar-
macother 2010 Jul-Aug;44(7-8):1330-3
Formaldehyde and Mineral oil adjuvants injected into subjects are used to induce
arthritis in lab models.
*Nair et al: Evaluation of the disease modifying activity of Colchicum luteum Baker in experimental
arthritis. J Ethnopharmacol 2010 Oct 19
Hepatitis B vaccine given to white males are linked to a 3-fold increased risk for
autism before 1999. Non-white males had a higher risk. Coincidentally, in the same
year, 1999, the CDC admitted that the mercury in vaccines was neurotoxic and
replaced it with another toxic substance, aluminum. Today, autism is 1500% higher
than it was before the vaccine push. HepB vaccine is also strongly linked to several
autoimmune and connective tissue disorders, degeneration of the central nervous
system, liver problems, arthritis, and the altering of at least 144 genes in the liver –
damaging the very organ it was supposedly designed to protect. Many doctors refuse
to give it to their children, likely because it has been linked to anaphylactic shock
and death in infants. In 1985, the HepB vaccine proved to be -58% effective when
given to children in Minnesota (Osterholm).
*Agmon-Levin et al: Ten cases of systemic lupus erythematosus related to hepatitis B vaccine. Lupus
2009 Nov;18(13):1192-7
*Alp et al: Bell’s palsy as a possible complication of hepatitis B vaccination in a child. J Health Popul
Nutr 2009 Oct;27(5):707-8
*Altman et al: HBV vaccine and dermatomyositis: is there an association? Rheumatol Int 2008
Apr;28(6):609-12
*Bogdanos et al: A study of molecular mimicry and immunological cross-reactivity between hepatitis
B surface antigen and myelin mimics. Clin Dev Immunol 2005 Sep;12(3):217-24
*Brézin et al: Acute posterior multifocal placoid pigment epitheliopathy after hepatitis B vaccine. Arch
Vaccines
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*de Carvalho & Shoenfeld: Status epilepticus and lymphocytic pneumonitis following hepatitis B vac-
cination. Eur J Intern Med 2008 Jul;19(5):383-5
*Dórea et al: Neonate exposure to thimerosal mercury from hepatitis B vaccines. Am J Perinat 2009
Aug;26(7):523-7
*Erguven et al: Optic neuritis following hepatitis B vaccination in a 9-year-old girl. J Chin Med Assoc
2009 Nov;72(11):594-7
*Faure: Multiple sclerosis and hepatitis B vaccination: could minute contamination of the vaccine
by partial hepatitis B virus polymerase play a role through molecular mimicry? Med Hypoth
2005;65(3):509-20
*Fisher et al: Adverse events associated with hepatitis B vaccine in U.S. children less than six years of
age, 1993 and 1994. Ann Epidemiol 2001 Jan;11(1):13-21
*Fisher & Eklund: Hepatitis B vaccine and liver problems in U.S. children less than 6 years old, 1993
and 1994. Epidemiol 1999 May;10(3):337-9
*Fraunfelder et al: Hepatitis B vaccine and uveitis: an emerging hypothesis suggested by review of 32
case reports. Cutan Ocul Toxicol 2010 Mar;29(1):26-9
*Gallagher & Goodman: Hepatitis B vaccination of male neonates and autism diagnosis, NHIS 1997-
2002. J Toxicol Environ Health A 2010 Jan;73(24):1665-77
*Geier & Geier: A case-series of adverse events, positive re-challenge of symptoms, and events in
identical twins following hepatitis B vaccination: analysis of the Vaccine Adverse Event Reporting
System (VAERS) database and literature review. Clin Chim Acta 2006 Feb;364(1-2):196-204
*Geier & Geier: A case-control study of serious autoimmune adverse events following hepatitis B im-
munization. Autoimmun 2005 Jun;38(4):295-301
*Geier & Geier: Hepatitis B vaccination and adult associated gastrointestinal reactions: a follow-up
analysis. Hepatogastroenterol 2002 Nov-Dec;49(48):1571-5
*Geier & Geier: A one year followup of chronic arthritis following rubella and hepatitis B vaccination
based upon analysis of the Vaccine Adverse Events Reporting System (VAERS) database. Clin
Exp Rheumatol 2002 Nov-Dec;20(6):767-71
*Girard: Autoimmune hazards of hepatitis B vaccine. Autoimmun Rev 2005 Feb;4(2):96-100
*Grézard et al: Cutaneous lupus erythematosus and buccal aphthosis after hepatitis B vaccination in
a 6-year-old child. Ann Dermatol Venereol 1996;123(10):657-9
*Hamza et al: Hepatitis B vaccine induces apoptotic death in Hepa1-6 cells. Apoptosis 2012 Jan 17
*Hamza et al: In vivo study of hepatitis B vaccine effects on inflammation and metabolism gene expres-
sion. Mol Biol Rep 2011 Jun 21
*Hernán et al: Recombinant hepatitis B vaccine and the risk of multiple sclerosis: a prospective study.
Neurol 2004 Sep 14;63(5):838-42
*Karaali-Savrun et al: Hepatitis B vaccine related-myelitis? Eur J Neurol 2001 Nov;8(6):711-5
*Kaur & Handa: Erythema multiforme following vaccination in an infant. Indian J Dermatol Venereol
Leprol 2008 May-Jun;74(3):251-3
*Khamaisi et al: Guillain-Barré syndrome following hepatitis B vaccination. Clin Exp Rheumatol 2004
Nov-Dec;22(6):767-70
*Mikaeloff et al: Hepatitis B vaccine and the risk of CNS inflammatory demyelination in childhood. Re-
prod Toxicol 2002 May-Jun;16(3):237-43
*Montella et al: Assessment of iatrogenic transmission of HCV in Southern Italy: was the cause the Salk
polio vaccination? J Med Virol 2003 May;70(1):49-50
*Osterholm et al: Lack of efficacy of Haemophilus b polysaccharide vaccine in Minnesota. JAMA 1988
Sep 9;260(10):1423-8
*Posfay-Barbe et al: How do physicians immunize their own children? Differences among pediatricians
and nonpediatricians. Pediatrics 2005 Nov;116(5):e623-33
*Rosner et al: Acute hepatitis B in the era of immunisation: pitfalls in the identification of high risk pa-
tients. Postgrad Med J 2006 Mar;82(965):207-10
Vaccines
*Santoro et al: HLA haplotype in a patient with systemic lupus erythematosus triggered by hepatitis B
vaccine. Clin Nephrol 2010 Aug;74(2):150-3
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*Sindern et al: Inflammatory polyradiculoneuropathy with spinal cord involvement and lethal [correction
of letal] outcome after hepatitis B vaccination. J Neurol Sci 2001 May 1;186(1-2):81-5
*Souayah et al: Guillain-Barré syndrome after vaccination in United States: data from the Centers for
Disease Control and Prevention/Food and Drug Administration Vaccine Adverse Event Reporting
System (1990-2005). J Clin Neuromuscul Dis 2009 Sep;11(1):1-6
*Stajich et al: Iatrogenic exposure to mercury after hepatitis B vaccination in preterm infants. Chin Med
2008 Mar 29;3:4
*Stajich et al: Iatrogenic exposure to mercury after hepatitis B vaccination in preterm infants. J Pediatr
2000 May;136(5):679-81
*Stübgen et al: Neuromuscular disorders associated with Hepatitis B vaccination. J Neurol Sci 2010
May 15;292(1-2):1-4. Epub 2010 Mar 7
*Vital et al: Postvaccinal inflammatory neuropathy: peripheral nerve biopsy in 3 cases. J Peripher Nerv
Syst 2002 Sep;7(3):163-7
*Waisbren: Acquired autoimmunity after viral vaccination is caused by molecular mimicry and antigen
complimentarity in the presence of an immunologic adjuvant and specific HLA patterns. Med
Hypot 2008;70(2):346-8
*Wang et al: Analysis on the adverse events following immunization of 10 infants death after hepatitis
B vaccination. Adv Exp Med Biol 1990;272:183-95
Infant Mortality decreased when the number of vaccines given to infants under
three months, also decreased. In one study undertaken for the years 1991-1994,
“38,787 adverse events” including infant death (highest in 1-3 month olds) after vac-
cination were reported (Braun).
Vaccines
*Braun & Ellenberg: Descriptive epidemiology of adverse events after immunization: reports to the
Vaccine Adverse Event Reporting System (VAERS), 1991-1994. J Pediatr 1997 Oct;131(4):529-35
470
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*Claesson: Immunological Links to Nonspecific Effects of DTwP and BCG Vaccines on Infant Mortality.
J Trop Med 2011;2011:706304
*Jonville-Bera et al: Sudden infant death syndrome and diphtheria-tetanus-pertussis-poliomyelitis vac-
cination status. Fundam Clin Pharmacol 1995;9(3):263-70
*Kuhnert et al: A modified self-controlled case series method to examine association between multi-
dose vaccinations and death. Stat Med 2011 Mar 15;30(6):666-77
*Miller & Goldman: Infant mortality rates regressed against number of vaccine doses routinely given: Is
there a biochemical or synergistic toxicity? Hum Exp Toxicol 2011 May 4
*Moulton et al: Evaluation of non-specific effects of infant immunizations on early infant mortality in a
southern Indian population. Trop Med Int Health 2005 Oct;10(10):947-55
*Silvers et al: The epidemiology of fatalities reported to the vaccine adverse event reporting system
1990-1997. Pharmacoepidemiol Drug Saf 2001 Jun-Jul;10(4):279-85
Measles vaccine is associated with autoimmunity in children with autism and in-
creased death rates in female children given the vaccine before the age of 9 months.
It is also noted that measles vaccination given in developing countries has resulted
in higher than normal infant mortality rates.
*Aaby et al: Increased female-male mortality ratio associated with inactivated polio and diphtheria-
tetanus-pertussis vaccines: Observations from vaccination trials in Guinea-Bissau. Pediatr Infect
Dis J 2007 Mar;26(3):247-52
*Aarby et al: High-titer measles vaccination before 9 months of age and increased female mortality: do
we have an explanation? Semin Pediatr Infect Dis 2003 Jul;14(3):220-32
*Hall & Cutts: Lessons from measles vaccination in developing countries. BMJ 1993 Nov
20;307(6915):1294-5
*Knudsen et al: Child mortality following standard, medium or high titre measles immunization in West
Africa. Int J Epidemiol 1996 Jun;25(3):665-73
*Singh & Jensen: Elevated levels of measles antibodies in children with autism. Pediatr Neurol 2003
Apr;28(4):292-4
MMR (Measles Mumps Rubella) vaccine causes a significantly higher risk of multiple
sclerosis, febrile convulsions, autism, immune disorders, and ulcerative colitis.
*Ahlgren et al: A population-based case-control study on viral infections and vaccinations and subse-
quent multiple sclerosis risk. Eur J Epidemiol 2009;24(9):541-52
*Bertuola et al: Association between drug and vaccine use and acute immune thrombocytopenia in
childhood: a case-control study in Italy. Drug Saf 2010;33(1):65-72
*Black et al: MMR vaccine and idiopathic thrombocytopaenic purpura. Br J Clin Pharmacol 2003
Jan;55(1):107-11
*France et al: Risk of immune thrombocytopenic purpura after measles-mumps-rubella immunization
in children. Pediatrics 2008 Mar;121(3):e687-92
*Jacobsen et al: Observational safety study of febrile convulsion following first dose MMRV vaccination
in a managed care setting. Vaccine 2009 Jul 23;27(34):4656-61
*Kawashima et al: Detection and sequencing of measles virus from peripheral mononuclear cells from
patients with inflammatory bowel disease and autism. Dig Dis Sci 2000 Apr;45(4):723-9
*LeBaron et al: Evaluation of potentially common adverse events associated with the first and second
doses of measles-mumps-rubella vaccine. Pediatrics 2006 Oct;118(4):1422-30
*Mehta & Munir: Does the MMR vaccine and secretin or its receptor share an antigenic epitope? Med
Hypotheses 2003 May;60(5):650-3
*Singh et al: Abnormal measles-mumps-rubella antibodies and CNS autoimmunity in children with
autism. J Biomed Sci 2002 Jul-Aug;9(4):359-64
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tics, and delayed speech. When it was removed from some childhood vaccines, the
rate of such disorders decreased.
*Ball et al: An assessment of thimerosal use in childhood vaccines. Pediatrics 2001 May;107(5):1147-54
*Drum et al: Are toxic biometals destroying your children’s future? J Pediatr 2009 Apr;154(4):514-520.
e4
*Duszczyk-Budhathoki et al: Administration of thimerosal to infant rats increases overflow of glutamate
and aspartate in the prefrontal cortex: Protective Role of Dehydroepiandrosterone Sulfate. Neuro-
chem Res 2011 Oct 21
*Geier et al: The biological basis of autism spectrum disorders: Understanding causation and treat-
ment by clinical geneticists. Acta Neurobiol Exp (Wars) 2010;70(2):209-26
*Geier et al: Blood mercury levels in autism spectrum disorder: Is there a threshold level? Acta Neuro-
biol Exp (Wars) 2010;70(2):177-86
*Geier: Thimerosal exposure&increasing trends of premature puberty in the vaccine safety datalink.
Indian J Med Res 2010 Apr;131:500-7
*Geier et al: A review of Thimerosal (Merthiolate) and its ethylmercury breakdown product: specific
historical considerations regarding safety and effectiveness. J Toxicol Environ Health B Crit Rev
2007 Dec;10(8):575-96
*Geier & Geier: A case series of children with apparent mercury toxic encephalopathies manifesting
with clinical symptoms of regressive autistic disorders. J Toxicol Environ Health A 2007 May
15;70(10):837-51
*Geier & Geier: A meta-analysis epidemiological assessment of neurodevelopmental disorders follow-
ing vaccines administered from 1994 through 2000 in the United States. Neuro Endocrinol Lett
2006 Aug;27(4):401-13
*Geier & Geier: An evaluation of the effects of thimerosal on neurodevelopmental disorders reported
following DTP and Hib vaccines in comparison to DTPH vaccine in the United States. J Toxicol
Environ Health A 2006 Aug;69(15):1481-95
*Geier & Geier: An assessment of downward trends in neurodevelopmental disorders in the
United States following removal of Thimerosal from childhood vaccines. Med Sci Monit 2006
Jun;12(6):CR231-9
*Geier & Geier: A two-phased population epidemiological study of the safety of thimerosal-containing
vaccines: a follow-up analysis. Med Sci Monit 2005 Apr;11(4):CR160-70
*Geier & Geier: Neurodevelopmental disorders following thimerosal-containing childhood immuniza-
tions: a follow-up analysis. Int J Toxicol 2004 Nov-Dec;23(6):369-76
*Geier & Geier: A comparative evaluation of the effects of MMR immunization and mercury doses from
thimerosal-containing childhood vaccines on the population prevalence of autism. Med Sci Monit
2004 Mar;10(3):PI33-9
*Geier & Geier: Neurodevelopmental disorders after thimerosal-containing vaccines: a brief communi-
cation. Exp Biol Med (Maywood) 2003 Jun;228(6):660-4
*Havarinasab et al: Immunosuppressive and autoimmune effects of thimerosal in mice. Toxicol Appl
Pharmacol 2005 Apr 15;204(2):109-21
*Hewitson et al: Delayed acquisition of neonatal reflexes in newborn primates receiving a thimerosal-
containing hepatitis B vaccine: influence of gestational age and birth weight. J Toxicol Environ
Health A 2010 Jan;73(19):1298-313
*Makani et al: Biochemical and molecular basis of thimerosal-induced apoptosis in T cells: a major role
of mitochondrial pathway. Genes Immun 2002 Aug;3(5):270-8
*Marques et al: Hair mercury in breast-fed infants exposed to thimerosal-preserved vaccines. Eur J
Pediatr 2007 Sep;166(9):935-41
*Olczak et al: Lasting neuropathological changes in rat brain after intermittent neonatal administration
of thimerosal. Folia Neuropathol 2010;48(4):258-69
*Olczak et al: Neonatal administration of a vaccine preservative, thimerosal, produces lasting im-
Vaccines
pairment of nociception and apparent activation of opioid system in rats. Brain Res 2009 Dec
8;1301:143-51
*Patrizi et al: Sensitization to thimerosal in atopic children. Contact Dermatitis 1999 Feb;40(2):94-7
472
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Mineral oils are generally considered non-toxic but studies show they may be linked
to certain autoimmune diseases as well as tissue destruction. Examples of mineral
oil adjuvants would be Bayol F (incomplete Freund’s adjuvant, IFA). Mineral oil com-
ponent examples would be Squalene (see below) and n-hexadecane which are often
used to induce experimental disorders in lab models.
*Kato et al: Role of endothelial nitric oxide synthase in aggravation of indomethacin-induced gastric
damage in adjuvant arthritic rats. J Physiol Pharmacol 2009 Dec;60(4):147-55
*Kuroda et al: Induction of lupus-related specific autoantibodies by non-specific inflammation caused
by an intraperitoneal injection of n-hexadecane in BALB/c mice. Toxicol 2006 Feb;218(2-3):186-96
*Kuroda et al: Distinctive patterns of autoimmune response induced by different types of mineral oil.
Toxicol Sci 2004 Apr;78(2):222-8
*Stills: Adjuvants and antibody production: dispelling the myths associated with Freund’s complete
and other adjuvants. ILAR J 2005;46(3):280-93
Pertussis vaccine (for Whooping Cough) not only does not give full protection, it
activates a predisposition for brain disfunction (encephalopathy), decreases muscle
function (hypotonic-hyporesponsive episodes – HHEs) and contributes to SIDS (sud-
den infant death syndrome). Despite high rates of immunization, incidents of the
disease are increasing and under-estimation is common regarding central nervous
system damage.
*Christie et al: The 1993 epidemic of pertussis in Cincinnati. Resurgence of disease in a highly immun-
ized population of children. N Engl J Med 1994 Jul 7;331(1):16-21
*Coulter: Hypotonic-Hyporesponsive Episodes to Immunisation. MedSafe July 1998
*Ehrengut: Bias in evaluating CNS complications following pertussis immunization. Acta Paediatr Jpn
1991 Aug;33(4):421-7
*Gold: Hypotonic-hyporesponsive episodes following pertussis vaccination: a cause for concern?
Drug Saf 2002;25(2):85-90
*Geier & Geier: An evaluation of serious neurological disorders following immunization: a comparison
of whole-cell pertussis and acellular pertussis vaccines. Brain Dev 2004 Aug;26(5):296-300
*McIntosh et al: Effects of vaccination on onset and outcome of Dravet syndrome: a retrospective
study. Cytotechnol 2002 Nov;40(1-3):139-49
*Tan et al: Epidemiology of pertussis. Pediatr Infect Dis J 2005 May;24(5 Suppl):S10-8
*Vandebriel et al: Lung pathology and immediate hypersensitivity in a mouse model after vaccination with
pertussis vaccines and challenge with Bordetella pertussis. Vaccine 2007 Mar 8;25(12):2346-60
Vaccines
*Wilson et al: Revisiting the possibility of serious adverse events from the whole cell pertussis vaccine:
were metabolically vulnerable children at risk? Pharmazie 2007 Apr;62(4):299-304
473
Pamela Duff, RN, CSNC
Pneumonia vaccine given to pregnant women does not protect the developing fetus
nor does it prevent ear infections in children or reduce pneumonia deaths in adults.
*Dear et al: Vaccines for preventing pneumococcal infection in adults. Cochrane Database Syst Rev
2003(4):CD000422
*Lopes et al: Ineffectiveness for infants of immunization of mothers with pneumococcal capsular poly-
saccharide vaccine during pregnancy. Braz J Infect Dis 2009 Apr;13(2):104-6
*Straetemans et al: Pneumococcal vaccines for preventing otitis media. Cochrane Database Syst Rev
2002(2):CD001480
*van Kempen et al: Pneumococcal conjugate vaccination in children with recurrent acute otitis media:
a therapeutic alternative? Int J Pediatr Otorhinolaryngol 2006 Feb;70(2):275-85
*Veenhoven et al: Effect of conjugate pneumococcal vaccine followed by polysaccharide pneumo-
coccal vaccine on recurrent acute otitis media: a randomised study. Lancet 2003 Jun
28;361(9376):2189-95
Polio vaccine may actually cause the disease with a 25-fold increased risk of de-
veloping paralytic poliomyelitis. The vaccine is also associated with an increase in
female deaths and emerged as the #1 vaccine-associated disease in the US from 1980
to 1990. In addition, contaminated vaccine is linked to HIV/AIDS when it was grown
in SIV infected chimpanzee kidney cells during the late 1950’s.
*Aaby et al: Increased female-male mortality ratio associated with inactivated polio and diphtheria-
tetanus-pertussis vaccines: Observations from vaccination trials in Guinea-Bissau. Pediatr Infect
Dis J 2007 Mar;26(3):247-52
*Hooper: Experimental oral polio vaccines and acquired immune deficiency syndrome. Mol Nutr Food
Res 2010 Jan 28
*Oliveira & Struchiner: Vaccine-associated paralytic poliomyelitis in Brazil, 1989-1995. Rev Panam
Salud Publica 2000 Apr;7(4):219-24
*Strebel et al: Epidemiology of poliomyelitis in the United States one decade after the last reported
case of indigenous wild virus-associated disease. Clin Infect Dis 1992 Feb;14(2):568-79
*Wyatt: Injections and poliomyelitis: what are the risks of vaccine associated paralysis? Dev Biol Stand
1986;65:123-6
Polysorbates (Tween) are often used as emulsifiers in food and vaccines. There are
strong links between them and damaged reproductive organs.
*Coors et al: Polysorbate 80 in medical products and nonimmunologic anaphylactoid reactions. Ann
Aller Asthma Immunol 2005 Dec;95(6):593–99
*Gajdova et al: Delayed effects of neonatal exposure to Tween 80 on female reproductive organs in
rats. Food Chem Toxicol 1993 Mar;31(3):183-90
Preservatives used in vaccines exhibit significant toxicity and revealed that “None
of the compounds commonly used as preservatives in US licensed vaccine/biological
preparations can be considered an ideal preservative, and their ability to fully com-
ply with the requirements of the US Code of Federal Regulations (CFR) for preserva-
tives is in doubt. Future formulations of US licensed vaccines/biologics should be
produced in aseptic manufacturing plants as single dose preparations, eliminating
the need for preservatives and an unnecessary risk to patients.”
*Geier et al: The relative toxicity of compounds used as preservatives in vaccines and biologics. Med
Sci Monit 2010 Apr 28;16(5):SR21-7
Rabies vaccine is not only ineffective during symptoms of the disease but may con-
Vaccines
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Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
*Willoughby:”Early death” and the contraindication of vaccine during treatment of rabies. Vaccine 2009
Nov 27;27(51):7173-7
Ruebella (German measles) vaccine causes fetal malformations and brain damage
as well as significantly contributing to abortions when given to pregnant women.
*Boniuk: Rubella. Int Ophthalmol Clin 1975;15(4):229-41
*Duvanel et al: Antibodies directed against rubella virus induce demyelination in aggregating rat brain
cell cultures. J Neurosci Res 2001 Sep 1;65(5):446-54
*Preblud et al: Fetal risk associated with rubella vaccine. JAMA 1981 Sep 25;246(13):1413-7
*Siegel: Unresolved issues in the first five years of the rubella immunization program. Am J Obstet
Gynecol 1976 Feb 15;124(4):327-32
Squalene (MF59, AS03) is an oil often obtained from shark livers and used as an
adjuvant in some vaccines, including H1N1 (Swine flu, Influenza-A) and Anthrax.
It is strongly associated with the development of Gulf War Syndrome, anemia, aut-
ism, lupus, delayed focal lipoatrophy (loss of muscle tissue after nerve injury), heart
disease and seizures.
*Akkad et al: Longitudinally extensive transverse myelitis following vaccination with nasal attenuated
novel influenza A(H1N1) vaccine. Arch Neurol 2010 Aug;67(8):1018-20
*Asa et al: Antibodies to squalene in recipients of anthrax vaccine. Neuropharmacol 2011
Feb-Mar;60(2-3):252-8
*Asa et al: Antibodies to squalene in Gulf War syndrome. Exp Mol Pathol 2000 Feb;68(1):55-64
*Bhakdi et al: Possible hidden hazards of mass vaccination against new influenza A/H1N1: have the
cardiovascular risks been adequately weighed? Med Microbiol Immunol 2009 Oct 23
*Carlson et al: The endogenous adjuvant squalene can induce a chronic T-cell-mediated arthritis in
rats. Am J Pathol 2000 June;156(6):2057–65
*Jacobucci: Million TIMES More Squalene In H1N1 Vax Than Caused GWI!! Rense.com Exclusive,
Vaccines
August 8, 2009
*Javelle et al: Delayed focal lipoatrophy after AS03-adjuvanted influenza A (H1N1) 2009 vaccine. Vac-
cine 2010 Dec 17
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Pamela Duff, RN, CSNC
Tetanus booster can cause leukemia, which first manifests itself as severe skin
lesions. It was designed to have anti-fertility action and given to women in the
Phillipines.
*Guinovart et al: Leukemia cutis arising at the site of injection of a tetanus vaccine booster. Actas Der-
mosifiliogr 2010 Oct;101(8):727-9
*No authors listed: Tetanus vaccine may be laced with anti-fertility drug. International/developing coun-
tries. Vaccine Wkly 1995 May 29 - Jun 5:9-10
*Roth et al: Effect of revaccination with BCG in early childhood on mortality: randomised trial in Guin-
ea-Bissau. BMJ 2010;340:c671
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*Wei et al: Adverse effects of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine
in 6- to 7-year-old children. Pediatr Neonatol 2011 Feb;52(1):38-41
*Zanusso et al: Molecular analysis of iatrogenic scrapie in Italy. J Gen Virol 2003 Apr;84(Pt 4):1047-52
477
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Vaccines are not developed with a focus on helping people which is evidenced by the
number of serious to deadly side effects. They are also being encouraged instead of
breastfeeding.
*Fedson: Measuring protection: efficacy versus effectiveness. Dev Biol Stand 1998;95:195-201
*Huff: CDC researchers say mothers should stop breastfeeding to boost ‘efficacy’ of vaccines. Natur-
alNews, Sunday, January 22, 2012
*Moon et al: Inhibitory effect of breast milk on infectivity of live oral rotavirus vaccines. Pediatr Infect
Dis J 2010 Oct;29(10):919-923
*Orbach et al: Vaccines and autoimmune diseases of the adult. Discov Med 2010 Feb;9(45):90-7
*Schoenfeld & Aron-Maor: Vaccination and autoimmunity-’vaccinosis’: a dangerous liaison? J Auto-
Vaccines
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In addition, one or two doses do not prevent school outbreaks and, yes, vaccine-
associated rashes are contagious.
*Angelini et al: Aplastic anemia following varicella vaccine. Pediatr Infect Dis J 2009 Aug;28(8):746-8
*Chaves et al: Safety of varicella vaccine after licensure in the United States: experience from reports
to the vaccine adverse event reporting system, 1995-2005. J Infect Dis 2008 Mar 1;197 Suppl
2:S170-7
*Chouliaras et al: Vaccine-associated herpes zoster ophthalmicus [correction of opthalmicus] and
encephalitis in an immunocompetent child. Pediatrics 2010 Apr;125(4):e969-72
*Gould et al: An outbreak of varicella in elementary school children with two-dose varicella vaccine
recipients--Arkansas, 2006. Pediatr Infect Dis J 2009 Aug;28(8):678-81
*Italiano et al: Prolonged varicella viraemia and streptococcal toxic shock syndrome following varicella
vaccination of a health care worker. Med J Aust 2009 Apr 20;190(8):451-3
*Iyer et al: Herpes zoster and meningitis resulting from reactivation of varicella vaccine virus in an
immunocompetent child. Ann Emerg Med 2009 Jun;53(6):792-5
*LaRussa et al: Transmission of vaccine strain varicella-zoster virus from a healthy adult with vaccine-
associated rash to susceptible household contacts. J Infect Dis 1997 Oct;176(4):1072-5
*Levin et al: Herpes zoster with skin lesions and meningitis caused by 2 different genotypes of the Oka
varicella-zoster virus vaccine. J Infect Dis 2008 Nov 15;198(10):1444-7
*Levin et al: Development of resistance to acyclovir during chronic infection with the Oka vaccine strain
of varicella-zoster virus, in an immunosuppressed child. J Infect Dis 2003 Oct 1;188(7):954-9
*Lopez et al: One dose of varicella vaccine does not prevent school outbreaks: is it time for a second
dose? Pediatrics 2006 Jun;117(6):e1070-7
*Nelson et al: Evidence of increasing frequency of herpes zoster management in Australian general
practice since the introduction of a varicella vaccine. Med J Aust 2010 Jul 19;193(2):110-3
*Salzman et al: Transmission of varicella-vaccine virus from a healthy 12-month-old child to his preg-
nant mother. Homeopathy 2009 Apr;98(2):77-82
Beta Glucans are polysaccharides derived from oats, mushrooms, or yeasts. Beta
glucans are particularly effective for priming and normalizing the immune system
and protecting the body from a number of viruses in those who have been vaccinated
and those who have not. (see more under Anti-virals).
*Moyad et al: Immunogenic yeast-based fermentate for cold/flu-like symptoms in nonvaccinated indi-
viduals. J Altern Complement Med 2010 Feb;16(2):213-8
Clean Lifestyle (diet, exercise, and avoiding as many chemicals as possible) keeps
the immune system strong enough to ward off disease. See more suggestions under
alternatives for Antivirals (which most pandemics are) and Antibiotics (for bacterial
infestations). Above all, study and use common sense. Ask yourself, how could any
chemical be good for me? We eat, breathe, and put chemicals on our skin, but many
of these can be avoided, if we choose to do so. Do not give up the right to choose.
*Shadnia et al: Successful treatment of acute aluminium phosphide poisoning: possible benefit of
coconut oil. Hum Exp Toxicol 2005 Apr;24(4):215-8
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Homeopathic Vaccines have been proven safe and effective by those who use them.
*Dr. Isaac Golden Natural Immunisation Research (Australia) - www.homstudy.net/Research/
*Homeopathic Immunizations: A Proven Alternative to Vaccinations. Little Mountain Homeopathy, Van-
couver, BC, January 27, 2010
*Pitcairn: Homeopathic Alternatives to Vaccines. ThinkTwice Global Vaccine Institute
Olive leaf is a strong anti-microbial that also decreases the effects of Mineral-oil-
induced encephalomyelitis.
*Miljkovi et al: Dry olive leaf extract ameliorates experimental autoimmune encephalomyelitis. Clin Nutr
2009 Jun;28(3):346-50
Plant-based vaccines have been developed and tested for years with encouraging
results.
*Carter & Langridge: Plant-based vaccines for protection against infectious and autoimmune diseases.
Crit Rev Plant Sci 2002;21(2):93-109
*D’Aoust et al: The production of hemagglutinin-based virus-like particles in plants: a rapid, efficient
and safe response to pandemic influenza. Plant Biotechnol J 2010 June;8(5):607-19
*Daniell et al: Medical molecular farming: production of antibodies, biopharmaceuticals and edible
vaccines in plants. Trends Plant Sci 2001 May 1;6(5):219–26
*Horn et al: Advantageous Features of Plant-based Systems for the Development of HIV Vaccines. J
Drug Target 2003 Jan;11(8-10):539-45
*Karasev et al: Plant based HIV-1 vaccine candidate: Tat protein produced in spinach. Vaccine 2005
Mar 7:23(15):1875–80
*Licciardi PV, Underwood JR. Identification of a novel vaccine adjuvant that stimulates and maintains
diphtheria toxoid immunity. Vaccine 2010;28(22):3865-3873
*Mason et al: Edible plant vaccines: applications for prophylactic and therapeutic molecular medicine.
Trends Molec Med 2002 July 1;8(7):324–29
*Medina-Bolivar et al: A non-toxic lectin for antigen delivery of plant-based mucosal vaccines. Vaccine
2003 Feb 14;21(9-10):997-1005
*Rybicki: Plant-made vaccines for humans and animals. Plant Biotech J 2010 June;8(5):620-37
*Salyaev et al: Development of plant-based mucosal vaccines against widespread infectious diseases.
Exp Rev Vaccines 2010 Aug;9(8):937-46
*Shchelkunov et al: Immunogenicity of a novel, bivalent, plant-based oral vaccine against hepatitis B
and human immunodeficiency viruses. Biotechnol Lett 2006 Jul;28(13):959-67
*Smith et al: Plant-derived immunocontraceptive vaccines. Reprod Fert Dev 1997;9(1):85-9
*Streatfield: Mucosal immunization using recombinant plant-based oral vaccines. Methods 2006
Feb;38(2):150-57
*Streatfield & Howard: Plant-based vaccines. Int J Parasitol 2003 May;33(5-6):479-93
*Streatfield et al: Plant-based vaccines: unique advantages. Vaccine 2001 Mar;19(17-19):2742–48
*Tacket: Plant-based vaccines against diarrheal diseases. Trans Am Clin Climatol Assoc 2007;118:79–87
*Thomas et al: Evolution of plant-made pharmaceuticals. Int J Mol Sci 2011;12(5):3220-36
*Tregoning et al: Protection against tetanus toxin using a plant-based vaccine. Eur J Immunol 2005
Apr;35(4):1320–26
*Webster et al: The development of a plant-based vaccine for measles. Vaccine 2005 Mar;15(7):1859–65
*Wen et al: A plant-based oral vaccine to protect against systemic intoxication by Shiga toxin type 2.
PNAS 2006 Apr 25; Published online before print
*Yu & Langridge: A plant-based multicomponent vaccine protects mice from enteric diseases. Nat
Biotechnol 2001;19:548-52
*Yusibov et al: Expression in plants and immunogenicity of plant virus-based experimental rabies vac-
Vaccines
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Premna corymbosa is a plant used in Auyervedic medicine which reverses the ef-
fects from mineral-oil-induced (Freund’s adjuvant) arthritis.
*Karthikeyan & Deepa: Effect of ethanolic extract of Premna corymbosa (Burm. f.) Rottl.&Willd. leaves
in complete Freund’s adjuvant-induced arthritis in Wistar albino rats. J Basic Clin Physiol Pharma-
col 2010;21(1):15-26
Probiotics keep the immune system healthy in non-vaccinated individuals and are
effective against a variety of pathogens. They can also diminish the harmful effects
of vaccinations, especially in infants.
*Amdekar et al: Probiotics: multifarious oral vaccine against infectious traumas. FEMS Immunol Med
Microbiol 2010;58(3):299-306
*Anuradha & Rajeshwari: Probiotics in health and disease. J Indian Acad Clin Med 2005;6(1):67-72
*Boge et al: A probiotic fermented dairy drink improves antibody response to influenza vaccination in
the elderly in two randomised controlled trials. Vaccine 2009 Jul 15
*Casey et al: A five-strain probiotic combination reduces pathogen shedding and alleviates disease
signs in pigs challenged with Salmonella enterica Serovar Typhimurium. Appl Environ Microbiol
2007;73:1858-63
*Chang et al: Inhibition of HIV infectivity by a natural human isolate of Lactobacillus jensenii engineered
to express functional two-domain CD4. Proc Natl Acad Sci USA 2003;100:11672-7
*Corr et al: Bacteriocin production as a mechanism for the antiinfective activity of Lactobacillus salivar-
ius UCC118. Proc Natl Acad Sci USA 2007;104:7617-21
*Davidson et al: Lactobacillus GG as an immune adjuvant for live-attenuated influenza vaccine in healthy
adults: a randomized double-blind placebo-controlled trial. Eur J Clin Nutr 2011;65(4):501-7
*De Gutierrez et al: Protective effect of intranasally inoculated Lactobacillus fermentum against Strep-
tococcus pneumoniae challenge on the mouse respiratory tract. FEMS Immunol Med Microbiol
2001;31(3):187-195
*De Vrese et al: Probiotic bacteria stimulate virus-specific neutralizing antibodies following a booster
polio vaccination. Eur J Nutr 2005;44(7):406-13
*Evrard et al: Dose-dependent immunomodulation of human dendritic cells by the probiotic Lactoba-
cillus rhamnosus Lcr35. PLoS One 2011;6(4):e18735
*Fang et al: Modulation of humoral immune response through probiotic intake. FEMS Immunol Med
Microbiol 2000;29(1):47-52
*Forchielli & Walker: The role of gut-associated lymphoid tissues and mucosal defence. Br J Nutr
2005;93(Suppl 1):S41-8
*Fuller: Probiotics in man and animals. J Appl Bacteriol 1989;66:365-78
*Gill & Rutherfurd: Viability and dose-response studies on the effects of the immunoenhancing lactic
acid bacterium Lactobacillus rhamnosus in mice. Br J Nutr 2001;86(2):285-9
*Heyman: Effect of lactic acid bacteria on diarrheal diseases. J Am Coll Nutr 2000;19:137S-46S
*Ichinohe et al: Microbiota regulates immune defense against respiratory tract influenza A virus infec-
tion. Proc Natl Acad Sci USA 2011;108(13):5354-5359
*Isolauri et al: Improved immunogenicity of oral D x RRV reassortant rotavirus vaccine by Lactobacillus
casei GG. Vaccine 1995;13(3):310-12
*Kalina & Mohamadzadeh: Lactobacilli as natural enhancer of cellular immune response. Discov Med
2005 Apr;5(26):199-203
*Kukkonen et al: Long-term safety and impact on infection rates of postnatal probiotic and prebiotic (syn-
biotic) treatment: randomized, double-blind, placebo-controlled trial. Pediatrics 2008;122(1):8-12
*Kukkonen et al: Effect of probiotics on vaccine antibody responses in infancy--a randomized pla-
cebo-controlled double-blind trial. Pediatr Allergy Immunol 2006 Sep;17(6):416-21
*Lagenaur & Berger: An anti-HIV microbicide comes alive. Proc Natl Acad Sci USA 2005;102:12294-5
Vaccines
*Mohamadzadeh & Owen: Reprogramming intestinal immunity is the answer to induced pathogenic
inflammation. Immunother 2011 Dec;3(12):1415-7
481
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*Tournier & Mohamadzadeh: Microenvironmental impact on lung cell homeostasis and immunity dur-
ing infection. Expert Rev Vaccines. 2008 May;7(4):457-66
482
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*Underwood JR, Chivers M, Dang TT, Licciardi PV. Stimulation of tetanus toxoid-specific immune re-
sponses by a traditional Chinese herbal medicine. Vaccine 2009;27(47):6634-41
*Vangelista et al: Engineering of Lactobacillus jensenii to secrete RANTES and a CCR5 antagonist
analogue as live HIV-1 blockers. Antimicrob Agents Chemo 2010 Jul;54(7):2994-3001
*West et al: Effects of feeding probiotics during weaning on infections and antibody responses to diph-
theria, tetanus and Hib vaccines. Pediatr Allergy Immunol 2008;19(1):53-60
*Youngster et al: Probiotics and the immunological response to infant vaccinations: a prospective,
placebo controlled pilot study. Arch Dis Child 2011;96:345-349
Vitamin C can treat whooping cough. According to Suzanne Humphries, MD, who
states that “...natural immunity to whooping cough lasts at least 30 years, whereas
the immunity from a vaccine lasts 3 years, and after adult boosters, all antibodies
have disappeared within a year” and that “Pertussis toxin can be neutralized in 12
hours with correct vitamin C dosing. ”
*Humphries: The vitamin c treatment of whooping cough . Intnl Med Council on Vacc 2011 Dec 20
pdf download
*Special Report: The Vitamin C Treatment of Whooping Cough. GreenMedInfo report, February 29th
2012
*Wendelboe et al: Duration of immunity against pertussis after natural infection or vaccination. Ped
Infect Dis J 2005 May;24(5):S58-S61
Mar 24;311(5768):1770-73
*McMurray et al: Micronutrient status and immune function in tuberculosis. Ann NY Acad Sci
1990;587:59-69
483
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*Mathieu et al: Vitamin D and 1,25-dihydroxyvitamin D3 as modulators in the immune system. J Steroid
Biochem Molec Bio 2004 May;89-90:449-52
*Meydani et al: Vitamin E supplementation and in vivo immune response in healthy elderly subjects: A
Randomized Controlled Trial. JAMA 1997 May 7;277(17):1380-6
*Mora et al: Vitamin effects on the immune system: vitamins A and D take centre stage. Nature Rev
Immunol 2008 Sept;8:685-98
*Scrimshaw & SanGiovanni: Synergism of nutrition, infection, and immunity: an overview. Am J Clin
Nutr 1997 Aug;66(2):464S-477S
*Urashima et al: Randomized trial of vitamin D supplementation to prevent seasonal influenza A in
schoolchildren. Am J Clin Nutr 2010, Mar 10
Zinc decreases inflammation and general discomfort that are often associated with
vaccinations.
*Yalçın et al: Zinc supplementation and TNF-α levels in vaccinated cardiac patients. J Trace Elem Med
Biol 2011 Apr 21
Vaccines
484
Appendix
B Vitamin List
Since B vitamins work together and are water-soluble, when one is listed as being
depleted, it is likely that the others are affected as well even though they may not
have “officially” made the list. When taking B vitamins as a supplement, it is wise to
take a complex in addition to the singles needed to correct a problem.
B1 – Thiamin
B2 – Riboflavin
B3 – Niacin
B5 – Pantothenic acid
B6 – Pyridoxine
B7 – Biotin
B8 – Inositol
B9 – Folic acid
B12 – Methylcobalamine
– Orotic acid
B15 – Pangamic acid
B17 – Laetrile
Choline
PABA (Para-aminobenzoic acid Appendix
485
Amino Acid List
Although there are differences of opinion, the following is basically correct.
Essential * (the body cannot make them so they must be obtained from food)
Conditionally essential*** (not normally required but if needed, the health status
of an individual will determine whether the body needs to make them or obtain from
the diet)
Alanine** Arginine***
Asparagine*** Aspartic Acid**
Carnitine*** Carnosine**
Citrulline*** Cysteine/Cystine***
Glutamic Acid** Glutamine***
Glycine*** Histidine***
Homocysteine** Isoleucine*
Leucine* Lysine*
Methionine* Ornithine***
Phenylalanine* Proline***
Serine** Taurine***
Threonine* Tryptophan*
Tyrosine*** Valine*
Appendix
486
Gluten-Free Foods
Agar Amaranth
Arabic Gum Arrowroot
Bean Flours Buckwheat (not a grain)
Carob Cassava
Cellulose Corn (maize)
Dahl Dextrose
Dried Legumes (beans, peas) Flax
Garbanzos (chickpeas) Glutamine
Glutinous Rice Guar gum
Harina Kasha
Maltodextrin Maltitol
Millet Nuts & nut flours
Poi Polenta (corn mush)
Potato Quinoa
Rice (all types) Sago (from palm plants)
Sorghum (a cereal grass) Soy
Succotash (corn & bean mix) Tapioca
Teff (a cereal grass) Xanthan gum
Gluten-Containing Foods
487
Pamela Duff, RN, CSNC
Nama shoyu (raw soy sauce but Oats & oat gum
has wheat)
Pilaf mixes Roux (wheat & fat mix)
Rye Seitan (wheat meat substitute)
Semolina (wheat) Soy sauce (contains wheat)
Spelt/Dinkel (a variety of wheat) Triticale (a variety of wheat)
Wheat Wheat Bran
Wheat Germ
Appendix
488
Juice and Medication Interaction Studies
Grapefruit Juice
Andersen et al: Intestinal first pass metabolism of midazolam in liver cirrhosis - ef-
fect of grapefruit juice. Br J Clin Pharmacol 2002 Aug;54(2):120-4
Bailey et al: Ethanol enhances the hemodynamic effects of felodipine. Clin Invest
Med 1989; Dec;12: 357-62
Bailey et al:Effect of grapefruit juice and naringin on nisoldipine pharmacokinetics.
Clin Pharmacol Ther 1993 Dec;54(6): 589-94
Bailey et al:Grapefruit juice-felodipine interaction: mechanism, predictability, and
effect of naringin. Clin Pharmacol Ther 1993 Jun;53(6): 637-42
Bailey et al: Grapefruit Juice and Drugs - How significant is the interaction ? Clin
Pharmacokinet 1994 Feb;26(2): 91-8
Bailey et al:Grapefruit juice-felodipine interaction: reproducibility and characteriza-
tion with extended release formulation. Br J Clin Pharmacol 1995 Aug; 40(2): 135-40
Bailey et al: Grapefruit juice-drug interactions. Br J Clin Pharmacol 1998
Aug;46(2):101-10
Bailey et al: Grapefruit juice-felodipine interaction: Effect of segments and an extract
from unprocessed fruit. Clin Pharmacol Ther Feb 2000 Abstract PI-71
Bailey et al. Grapefruit-felodipine interaction: effect of unprocessed fruit and prob-
able active ingredients. Clin Pharmacol Ther 2000 Nov;68(5):468-77
Bailey & Dresser: Interaction between grapefruit juice and cardiovascular drugs. Am
J Cardiovascular Drugs 2004: 4(5): 281-97(17)
Banfield et al: Grapefruit juice reduces the oral bioavailability of fexofenadine but not
desloratadine. Clin Pharmacokinet 2002;41(4):311-8
Becquemont et al: Effect of grapefruit juice on digoxin pharmacokinetics in humans.
Clin Pharmacol Ther 2001 Oct;70(4):311-6
Benmebarek et al: Effects of grapefruit juice on the pharmacokinetics of the enantio-
mers of methadone. Clin Pharmacol There 2004 Jul;76(1):55-63
Benton et al: Grapefruit juice alters terfenadine pharmacokinetics, resulting in
prolongation of repolarization on the electrocardiogram.Clin Pharmacol Ther
1996;59:383-88
Castro et al: Interaction between grapefruit juice and praziquantel in humans. Anti-
microb Agents Chemother 2002 May;46(5):1614-6
Appendix
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Pamela Duff, RN, CSNC
490
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Fukuda et al: Grapefruit component interacting with rat and human p450 CYP3A:
possible involvement of non-flavonoid components in drug interaction. Biol Pharm
Bull 1997 May;20(5):560-4
Fukuda et al: Specific CYP3A4 inhibitors in grapefruit juice: furocoumarin dimers
as components of drug interaction. Pharmacogen 1997 Oct;7(5):391-6
Garg et al: Effect of grapefruit juice on carbamazepine bioavailability in patients
with epilepsy. Clin Pharmacol Ther 1998 Sep;64(3):286-8
Goldbart et al: Near fatal acute colchicine intoxication in a child. A case report. Eur
J Pediatr 2000 Dec;159(12):895-7
Greenblatt et al: Time course of recovery of cytochrome P450 3A function after single
doses of grapefruit juice. Clin Pharmacol Ther 2003 Aug;74(2):121-9
Gross et al: Influence of grapefruit juice on cisapride pharmacokinetics. Clin Phar-
macol Ther 1999 Apr;65(4):395-401
Gubbins et al: Influence of Grapefruit Juice on the systemic availability of itraconaz-
ole oral solution in healthy adult volunteers. Pharmacother 2004 Apr:24(4):460-7
Gupta et al: Effect of grapefruit juice on the pharmacokinetics of theophylline in
healthy male volunteers. Clin Pharmacol 1999 Dec;21(10):679-82
Hermans et al: Grapefruit and tonic: A deadly combination in a patient with the Long
QT syndrome. Am J Med 2003 Apr:114(6):511-12
He et al. Inactivation of cytochrome P450 3A4 by bergamottin, a component of grape-
fruit juice. Chem Res Toxicol 1998 Apr;11(4):252-9
Ho et al: Grapefruit juice has no effect on quinine pharmacokinetics. Eur J Clin
Pharmacol 1999;55:393-8
Hollander et al: The effect of grapefruit juice on cyclosporine and prednisone metab-
olism in transplant patients. Clin Pharmacol Ther 1995;57:318-24
Hori et al: Grapefruit juice-fluvoxamine interaction. Is it risky or not? J Clin Psycho-
pharmacol 2003 Aug:23(4):422-4
Hukkinen et al:Plasma concentrations of triazolam are increased by concomitant
ingestion of grapefruit juice. Clin Pharmacol Ther 1995;58:127-31
James: Grapefruit juice and saquinavir. AIDS Treat News 1995;235:5-6
Jetter et al: Effects of grapefruit juice on the pharmacokinetics of sildenafil. Clin
Pharmacol Ther 2002 Jan;71(1):21-9
Johnston & Holt: Effect of grapefruit juice on blood cyclosporin concentration. Lan-
cet 1995;346:122-3
Josefsson et al: Effect of grapefruit juice on the pharmacokinetics of amlodipine in
healthy volunteers. Eur J Clin Pharmacol 1996;51:189-93
Kanazawa et al: The effects of grapefruit juice on the pharmacokinetics of erythro-
mycin. Eur J Clin Pharmacol 2001;56:799-803
Appendix
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492
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Lilja et al: Itraconazole increases but grapefruit juice greatly decreases plasma con-
centrations of celiprolol. Clin Pharmacol Ther 2003 Mar:73:192-8
Lilja et al: Effects of regular consumption of grapefruit juice on the pharmacokinet-
ics of simvastatin. Br J Clin Pharmacol 2004:58(1):56-60
Lin et al: The grapefruit juice effect is not limited to cytochrome P450 (P450) 3A4:
evidence for bergamottin-dependent inactivation, heme destruction, and covalent
binding to protein in P450s 2B6 and 3A5. J Pharmacol Exp Ther 2005;313:154-64
Lown et al:Grapefruit juice increases felodipine oral availability in humans by de-
creasing intestinal CYP3A protein expression. J Clin Invest 1997;99:2545-53
McInnes: Drug Interactions with Grapefruit Juice. Drug Info Perspect 1997;17:7-12
Maish et al: Influence of grapefruit juice on caffeine pharmacokinetics and pharma-
codynamics. Pharmacother 1996;16:1046-52
Min et al:Effect of grapefruit juice on the pharmacokinetics and pharmacodynamics
of quinidine in healthy volunteers. J Clin Pharmacol 1996;36:469-76
Munoz et al: Abstract PI-69: Propafenone interaction with CYP3A4 inhibitors in man.
Clin Pharmacol Ther 1997 Feb;154
Nagy et al: Effect of grapefruit juice or cimetidine coadministration on albendazole
bioavailability. Am J Trop Med Hyg 2002 Mar;66(3):260-3
Oesterheld et al: Grapefruit juice and clomipramine: shifting metabolic ratios. J Clin
Psychopharma 1997; w17: 62
Ohta et al: Dihydroxybergamottin caproate as a potent and stable CYP3A4 inhibitor.
Bioorg Med Chem 2002 Apr;10(4):969-73
Ozdemir et al: Interaction between grapefruit juice and diazepam in humans. Eur J
Drug Metab Pharmacokinet 1998 Jan-Mar;23(1):55-9
Parker et al: Effects of grapefruit juice on intestinal P-glycoprotein: Evaluation using
Digoxin in Humans. Pharmacother 2003:23(8):979-87
Penzak et al: Grapefruit Juice decreases the systemic availability of itraconazole
capsules in healthy volunteers. Ther Drug Monit 1999;21:304-9
Pisarik: Blood pressure-lowering effect of adding grapefruit juice to nifedipine and
terazosin in a patient with severe renovascular hypertension. Arch Fam Med
1996;6:413-6
Rau et al:Grapefruit juice-terfenadine single-dose interaction: magnitude, mechan-
ism and relevance. Clin Pharmacol Ther 1997;61:401-9
Reif et al: Effect of grapefruit juice intake on etoposide bioavailability. Eur J Clin
Pharmacol 2002 Oct;58(7):491-4
Rogers et al: Grapefruit juice has minimal effects on plasma concentrations of lov-
astatin-derived 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors. Clin
Pharmacol Ther 1999;66:358-66
Schubert et al: Inhibition of 17B-estradiol metabolism by grapefruit juice in ovariec-
Appendix
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Pamela Duff, RN, CSNC
Cranberry
Duthie et al: Increased salicylate concentrations in urine of human volunteers after
consumption of cranberry juice. J Agric Food Chem 2005 Apr 20;53(8):2897-900
Grant: Warfarin and cranberry juice: an interaction? J Heart Valve Dis 2004
Jan;13(1):25-6
Greenblatt et al. Interaction of flurbiprofen with cranberry juice, grape juice, tea, and
fluconazole: in vitro and clinical studies. Clin Pharmacol Ther 2006 Jan;79(1):125-33
Rindone & Murphy: Warfarin-cranberry juice interaction resulting in profound hypo-
prothrombinemia and bleeding. Am J Ther 2006 May-Jun;13(3):283-4
Suvarna et al: Possible interaction between warfarin and cranberry juice. BMJ 2003
Dec;327(7429):1454
Other Fruits
Dresser et al: Fruit juices inhibit organic anion transporting polypeptide-mediated
drug uptake to decrease the oral availability of fexofenadine. Clin Pharmacol Ther
2002 Jan;71(1):11-2
Greenblatt et al: Interaction of flurbiprofen with cranberry juice, grape juice, tea, and
fluconazole: in vitro and clinical studies. Clin Pharmacol Ther 2006;79(1):125-33
Greenblatt: Analysis of drug interactions involving fruit beverages and organic anion-
transporting polypeptides. J Clin Pharmacol 2009 Dec:49(12):1403-1407
Hidaka et al: Potent inhibition by star fruit of human cytochrome P450 3A (CYP3A)
activity. Drug Metab Dispos 2004;32(6):581-3
Hidaka et al: Inhibitory effects of fruit juices on cytochrome P450 2C9 activity in
vitro. Biosci Biotechnol Biochem 2008:72(2):406–411 (9 citrus & 8 tropical fruits
were tested) -- Citrus fruits [hyuga-natsu, unshu mandarin, banpeiyu, hirami
lemon, valencia orange, pomelo, grapefruit, lemon, and lime] -- tropical fruits
[melon, mango, litchi, pineapple, papaya, mangosteen, passion fruit, and kiwi fruit]
Huang & Lesko: Drug-Drug, Drug-Dietary Supplement, and Drug-Citrus Fruit
and Other Food Interactions: What Have We Learned? J Clin Pharmacol 2004
June:44(6):559-569
Kamath et al: Effect of fruit juices on the oral bioavailability of fexofenadine in rats.
J Pharma Sc 2005 Feb:94(2):233-239
Appendix
Kim et al: Inhibitory effects of fruit juices on CYP3A activity. Drug Metab Dispos
2006 Apr;34(4):521-3
496
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INDEX
Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
About the book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Appendix
B-vitamin list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .485
Amino Acid list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 486
Gluten list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .487
Juice-drug interaction studies . . . . . . . . . . . . . . . . . . . . . .489
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .497
Acid Blockers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Acne . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
ADHD (attention deficit hypertension disorder) . . . . . . . . . . . . . . . . . 40
Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Alzheimer’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Analgesics/Anti-inflammatories . . . . . . . . . . . . . . . . . . . . . . . . . 72
Antiarrythmics/Cardiac Regulators . . . . . . . . . . . . . . . . . . . . . . 170
Antibiotics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Antidepressants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Antifungals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Antihistamines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122
Antiparasitics (external) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Antiparasitics (internal) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Antipsychotics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139
Antispasmodics/Muscle relaxants . . . . . . . . . . . . . . . . . . . . . . . 146
Antivirals/Antiretrovirals . . . . . . . . . . . . . . . . . . . . . . . . . . . .148
Index
Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165
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Caffeine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212
Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .262
Circulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287
Corticosteroids/Steroids . . . . . . . . . . . . . . . . . . . . . . . . . . . . 448
Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .291
Diuretics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312
Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 346
Immunosuppressants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357
Laxatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .367
Narcolepsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .376
Nicotine379
NSAIDs (non-steroidal anti-inflammatories)72
Nitrates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .382
Opioids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Oral Contraceptives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349
Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .386
Pancreas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401
Index
Parkinson’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404
502
Nature’s Pharmacy: Evidence-Based Alternatives to Drugs
Prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411
Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .434
Sedatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .438
Seizures/Anticonvulsants . . . . . . . . . . . . . . . . . . . . . . . . . . . 443
Steroids/Corticosteroids . . . . . . . . . . . . . . . . . . . . . . . . . . . . 448
Thyroid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .456
Vaccines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .461
Index
503