As a consumer, it’s not always clear how to best utilize a supplement for a specific objective. The challenges are many. For starters, you have to determine whether there’s reliable research available to guide you. If that exists, you’ll next need to determine whether the published evidence applies to your circumstance. Is it applicable to your age, gender, health-related status and weight? Then, there’s the question of determining the appropriate dosage. In many instances, even the manufacturers don’t know whether a higher or lower dose is more or less effective and safe than the doses used in the clinical studies. This leaves both the consumer and health care providers in a difficult spot that often requires educated guessing. However, in some instances there’s enough data in the scientific literature to provide a more accurate picture. 

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The allopathic treatment of poor circulation typically focuses on two areas: anticoagulant medications (aspirin, Coumadin, Plavix) and/or surgical interventions such as angioplasty and stents. Anticoagulants interfere with excessive clotting allowing blood to flow freely in a liquid state. Angioplasties and stents address circulation that is impeded by blockages or narrowing in arteries. Sometimes, these invasive and pharmaceutical measures are necessary due to advanced cardiovascular disease. However, in many cases, circulation can be effectively and safely improved by addressing an often neglected part of vascular system: the endothelium.

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Recently, an old friend asked for some suggestions to protect her eyes from the “normal” visual decline associated with aging. Now, you’ve probably seen more than a few eye supplements at your local health food stores and pharmacies. And, most of these products contain similar ingredients such as beta carotene or pro-Vitamin A, copper, lutein, Vitamin C, zinc and so on. All of these nutrients and phytochemicals have been shown to benefit ocular function or health in one way or another. Having said that, some newer, far less common botanicals may provide additional protection. What’s more, these lesser known extracts are generally not found in nutraceutical formulas intended to support eye health.

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There is often disagreement about the safety and validity of medical tests in the holistic, health community. Perhaps the best examples are the use of mammography to detect breast cancer and the PSA blood test to ferret out prostate cancer. However, colonoscopies tend to be less controversial for a number of reasons. Firstly, there really isn’t any alternative, stand alone test currently available. Secondly, the documented benefits of colonoscopies far outweigh the low risk of significant side effects. Lastly, as I stated in part one of this column, colonoscopies not only detect potential malignancies, they also remove questionable growths while still benign. For these reasons, integrative health experts such as Dr. Andrew Weil and Dr. Stephen Sinatra endorse this particular test.

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In modern times, the concept of preventive medicine has been widely embraced by virtually all branches of the health care system. Perhaps the most common example is the recommendation to get an annual physical exam. The idea behind a yearly “check up” is to find developing health issues early on and to evaluate the efficacy and safety of longer term treatments which may require adjustments. Periodically, this very same practice can and should be applied to natural health routines as well.

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As a stalwart proponent of integrative medicine, I strive to integrate natural remedies into the conventional medical system. However, I don’t do so indiscriminately. Many years ago, I came to the realization that I must use an evidence-based model to separate truly effective, safe remedies from those that may do harm and/or result in a waste of money and time. This approach to evaluating alternative and complementary therapies doesn’t always make me popular in the natural health community. Still, it’s a necessary step in order ensure long lasting trust between natural health proponents, the medical establishment and, most importantly, the consumers who decide to consider all possible options.

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In previous columns I’ve reported on the myriad of health benefits associated with turmeric extracts. Turmeric is probably best known as a component of curry, the traditional spice mix. However, among scientists, turmeric has been at the center of a love-hate relationship. In animal and in vitro studies, curcuminoids, antioxidant chemicals found in turmeric, have yielded very encouraging results in conditions ranging from autoimmune disease to dementia. Conversely, human trials have been far less consistent. Poor bioavailability is suspected as the primary culprit for the mixed findings in the human studies.

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Many health experts, myself included, recommend exercising a minimum of several times a week. This “prescription” is challenging enough due to various factors ranging from lack of motivation to time constraints. But, some committed exercisers have an additional hurdle to overcome: DOMS or delayed onset muscle soreness.

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Oral lichen planus (OLP) is an inflammatory autoimmune disease that, as it’s name implies, affects tissue in and around the oral cavity – the esophagus, gums, palate and tongue. In most cases, it is a chronic condition that manifests itself in patches, rashes or sores that may or may not be accompanied by burning, pain and/or sensitivity. While uncomfortable, it is not contagious. In terms of long term complications, OLP may increase the risk of a specific form of cancer (squamous cell carcinoma) and, if present in the esophagus, could cause difficulty swallowing. As with many other autoimmune diseases, OLP is often managed with the judicious use of corticosteroids or other immunosuppressive medications. However, a growing body of research also points to several natural and safer alternatives.

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Last week, the U.S. Centers for Disease Control and Prevention reported that asthma rates are on the rise although pollution and second hand smoke exposure is declining. According to data collected in 2009, approximately 25 million Americans are now living with this inflammatory lung condition which causes coughing fits, shortness of breath, tightness in the chest and wheezing. What’s more, no age or ethnic group is immune to this trend. However, those without medical insurance are more at risk because the typical price tag associated with conventional asthma treatment rings in at over $3,200 per person/year. This explains why roughly 40% of uninsured asthma patients report that they’re unable to buy the prescription medications needed to address their symptoms. (1) Read more »

There are a great many gaps of knowledge in the field of natural medicine. A plethora of hypotheses abound, but hard data pertaining to serious medical conditions is often difficult to come by. This unfortunate reality places patients and physicians in a decidedly awkward position. Some choose to wait until more evidence of higher quality presents itself. Others apply the admittedly incomplete or preliminary information currently available as best they can. To my mind, a balance between these two camps is generally the most judicious way to proceed. My ideal approach is to keep an eye out for breaking new research and, at the same time, use the evidence that’s currently available when putting together an integrative plan of action. Read more »

In the vast majority of cases, cancer doesn’t develop quickly. A tumor doesn’t just appear out of nowhere. Rather, it forms through a complex set of circumstances that are affected by aberrant cellular changes, growth factors, hormonal influences, increased blood flow and inflammation. Technically speaking, carcinogenesis is “largely comprised of three phases: initiation, promotion and progression”. Medical researchers are keenly interested in understanding the process behind the formation of malignancies because it’s far more preferable to interfere with the genesis of cancer than to try and destroy it once it’s fully formed.
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This week’s edition of Twitter Thursday offers up several important reasons to exercise more often and new information about a nutraceutical/spice which may protect against the damage caused by heavy metal exposure. My guests today are Shari Roan, a health columnist from The Los Angeles Times; Dr. Joseph Pizzorno, the founding president of the Bastyr University and Missy Chase Lapine, “The Sneaky Chef”. Read more »