Cacao alomvattend artikel

Theobroma cacao continue meta-analyse - WIP

Eindhoven

Datum van publicatie eerste versie: 28 maart 2022 | 12022_03-28 New Human Era NHE

Datum van publicatie laatste versie: 21 april 2022 | 12022_04-21 New Human Era NHE

Auteur: Rody Mens - r.w.mens@student.tue.nl

Samengesteld voor Nutritionfactsnederlands.nl, hetgeen een website is gewijd aan het onderzoek naar de impact van voeding op de gezondheid, gestart op de bevindingen van Dr. Michael Herschel Greger.

Citatie: Mens RW. 28 March 2022. Theobroma cacao continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/23/cacao-alomvattend-artikel ; https://www.researchgate.net/publication/359050003_CacaoaTheobroma_cacao_continual_meta-analysis

Enkele kernwoorden: chocolate, chocolade, chocola, theobroma cacao, cacao, cocoa, cacaoboom, kakaw, kagaw, cocoa tree, cacoa boom, cocao tree, xocolatl, cacahuatl, bitter juice from the bean of the cocoa-tree, kakawa, food of the gods, byttnerioideae, forastero, criollo, trinitario, sugar, fat, HDL, LDL, dilate, blood vessels, eyes, peripheral artery problems, PAD, atherosclerosis, peripheral artery disease, dark chocolate, femoral arteries, veins, brain, heart, cholesterol, Pfizer, torcetrapib, kidney, milk, dilation, dilatation, dilatatie, suiker, vet

Samenvatting: Cacao nibs en poeder van de theobroma cacaoboom kunnen mogelijk bruikbaar zijn als voeding voor het cardiovasculaire systeem, het kan mogelijk bruikbaar zijn als voeding voor de hersenen, het zou mogelijk kunnen helpen als voeding voor het immuunsysteem, het kan mogelijk bruikbaar zijn als voeding voor de nieren en het kan mogelijk bruikbaar zijn als voeding voor de ogen.

Cacao afbeelding verkregen via Pablo Merchán Montes beschikbaar op https://unsplash.com/photos/SCbq6uKCyMY

Vrijwaring

Mijn vrijwaring op de service die mijn (wettelijke) aansprakelijkheid beperkt en daarmee de gebruiksvoorwaarden vaststelt voor de mate van mijn steun voor uw gebruik van de verstrekte informatie, welke vrijwaring ik heb geschreven om eventuele verkeerde interpretatie vooraf te dekken, of (exclusief of) validiteit in termen van onjuistheid of (inclusief of) onvolledigheid, onvolledigheid vanwege een lagere nauwkeurigheid terwijl ze een hoge precisie hebben, van uitspraken die datgeen zouden kunnen bevatten dat als waardevolle informatie kan worden beschouwd, die informatie die ik zo zorgvuldig als ik momenteel mogelijk kan samengesteld (aangezien ik deze bestanden blijf ontwikkelen, onderhouden en gebruiken om zowel de nauwkeurigheid als de precisie van de informatie te blijven verbeteren) en dus redelijkerwijs als betrouwbaar kan worden beschouwd door het gebruik van deze dergelijke specifiek geformuleerde verklaringen, luidt als volgt:

De informatie die volgt, hoewel zo zorgvuldig als ik momenteel mogelijk kan samengesteld, en dus redelijkerwijs als betrouwbaar kan worden beschouwd, is geschreven of (inclusief of) samengesteld door Rody Wick Mens en verstrekt dus gedeeld met de beste en meest eerlijke bedoelingen in het achterhoofd en daardoor betrouwbaar blijvend, is altijd nog steeds beperkt tot de persoonlijke interpretatie van de schrijver op dat moment, om welke reden het mogelijk in uw land van verblijf waarschijnlijk alleen te gebruiken is voor educatieve doeleinden en niet wettelijk gedefinieerd als "medisch advies" om welke reden geen aansprakelijkheid voor de interpretatie ervan, juistheid en volledigheid kan worden verleend aangezien ik wil benadrukken dat ik alleen verantwoordelijkheid neem, maar zonder wettelijke aansprakelijkheid, voor de uitspraken in wetenschappelijke artikelen over experimenteel onderzoek die ik expliciet zelf gedaan en gepubliceerd heb en terecht beschouw dat de interpretatie, juistheid en volledigheid van informatie die andere onderzoekers publiceren hun verantwoordelijkheid zonder wettelijke aansprakelijkheid is, hetgeen ook mijn integriteit bewaakt door met absolute wettige onafhankelijkheid de schrijver verdedigd en schadeloos stelt van alle schadeclaims en zo de lezer verantwoordelijk te houden voor zijn daden op basis van de verstrekte, aldus gedeelde informatie, aangezien het gebruik van deze informatie dus erkenning en aanvaarding van de geschriften beperkingen inhoudt die het gebruik ervan uitsluitend op eigen risico van de gebruiker stellen, aangezien de verstrekte informatie wordt verstrekt "zoals ze is" zonder verklaringen, garanties, voorwaarden en vrijwaringen van welke aard dan ook, expliciet of impliciet, en het daarom beter kan worden geadviseerd om altijd contact op te nemen met en het raadplegen van een arts die wettelijk gebonden is om een professionele zorgverlener te zijn, welke arts waarschijnlijk ook door de overheid gemonopoliseerde wettelijke aansprakelijkheid heeft in uw land van verblijf, voordat u grote veranderingen aanbrengt in uw levensstijl, zoals veranderingen in dieet, lichaamsbeweging of (inclusief of) aanpassing van doseringen van aanvullende middelen (e.g., middelen waarvan veel mensen die middelen een ‘farmaceutisch middel’, ‘farmakon’, ‘medicijn’, ‘medicatie’, ‘drug, ‘remedie’ en ‘nutraceutica’ noemen, van welke categorie middelen ik denk dat mensen moeten oppassen voor mogelijke negatieve complicaties als gevolg van interacties met andere in persoonlijk gebruik genomen middelen) routine zodat de arts een persoon kan helpen met de overweging om veranderingen in levensstijl door te voeren die een persoon in hun persoonlijke specifieke situatie zou kunnen helpen, rekening houdend met de individuele lichamelijke condities, hetgeen betekent dat de verstrekte informatie niet bedoeld of geïmpliceerd is als een vervanging is voor wettelijk gedefinieerd "professioneel medisch advies", "professionele medische diagnose" of "professionele medische behandeling", en dat de informatie alleen bedoeld is om de informatie-uitwisselingsrelatie tussen artsen en patiënten aan te vullen, zonder de bedoeling, implicering noch de indruk te wekken een vervanging te zijn voor, omdat het geen wettig standbare arts-patiëntrelatie vormt, omdat ik denk dat het belangrijk is dat als en wanneer het absoluut noodzakelijk is, aangezien zieke mensen degenen moeten zijn die artsen bezoeken en vermoedelijk gezonde mensen niet (ermee rekening houdend dat ik het woord arts hier gebruik in een wettige, door de overheid gemonopoliseerde context en dus niet onderzoekers bedoel die mensen zou kunnen adviseren over preventieve gezondheidszorg, en ook omdat de meeste grote gezondheidsorganisaties het erover eens zijn dat er een risico bestaat op ernstige schade voor mensen bij het aangaan van een regelmatige arts-patiëntrelatie, en alle grote gezondheidsorganisaties zijn overeengekomen dat routinematige jaarlijkse controles voor gezonde volwassenen gestopt zouden moeten worden vanwege de reden dat het aangaan van een relatie met een arts de deur opent voor mensen om een actieve patiënt te worden, hoe vaker ze hun arts zien, hoe groter de kans dat iemand wordt getest, hetgeen op zijn beurt weer leidt tot de grotere kans dat mensen worden voor beter of (exclusief of) slechter worden behandeld, welke toename van behandelingen het gevolg is van perverse prikkels die ontstaan in een met een vrijemarktsituatie vergelijken relatief laag competitief gemonopoliseerd gezondheidszorgsysteem van de overheid, en hoewel het op het eerste gezicht een goed idee lijkt, is een langdurige bekendheid met een patiënt zelden nodig om uitstekende zorg te verlenen in tijden van behoefte in een door de overheid gemonopoliseerd gezondheidszorgsysteem, maar in het geval van een voortdurend op vrije markt gebaseerde, op concurrentie gebaseerde verbetering van de gezondheidszorgsituatie, kan het zeker worden aanbevolen om hulp te zoeken bij een vertrouwde persoonlijke arts, omdat het ontwikkelen van een partnerschap met goede communicatie gericht op het verbeteren van de kwaliteit en tijd- hoeveelheid van je leven en dat in het geval dat je jezelf en degenen die je dierbaar zijn de best beschikbare persoonlijke behandeling wilt laten krijgen, hetgeen iets is dat ik denk dat iedereen zou moeten willen en welke prestatie de uren die nodig zijn om dit te bereiken het waarschijnlijk zeer zeker waard zijn), mensen diensten zoeken zoals het inwinnen van advies van een arts die hun lichamelijke conditie zou kunnen controleren tijdens het ondergaan van een voor de gezondheid significante levensstijl veranderingen en dus samenwerken, eventueel naar hetzelfde doel, in welke gesprekken ik het kan beamen en mensen kan aanmoedigen om artsen vragen te stellen over hun lichamelijke gesteldheid en de mogelijk effecten van deze veranderingen, waaronder bijvoorbeeld een relatief grote verandering in de voedingspraktijk, in welke gesprekken ik van mening ben dat artsen uw levensstijlkeuzes moeten accepteren (niet noodzakelijkerwijs respecteren) en niet moeten proberen deze te ondermijnen, zoals in het geval dat een bepaalde arts slechte gewoonten heeft dat er niet toe zouden moeten leiden dat die bepaalde arts ongezonde aanbevelingen geeft, en men zou op zoek moeten gaan naar een arts die oprecht geïnteresseerd is in en actief aanmoedigt dat iemand gezond word door betere zelfzorg doordat diegene meer actief betrokken wordt bij zijn eigen gezondheidszorg, waarvan dit ook artsen zijn die zeer goed geïnformeerd zijn en voortdurend leren over de zorg van een mens die bereid en in staat zijn om iemands huidige toestand en de mogelijke maatregelen die men kan nemen om zijn problemen te testen en te behandelen, en iemand die zich bewust inspant om het gebruik van medicijnen en operaties te vermijden en deze enkel als allerlaatste redmiddel gebruikt, en heeft een advocatiefunctie voor u als patiënt die bereid is om de patiënt de beste zorg te bieden in contact met specialisten in plaats van alleen maar de patiënt naar de specialistische zorg over te dragen, en is voorstander van het vragen van een tweede mening van andere artsen en onderzoekers (men zou moeten horen over alle beschikbare opties, samen met hun kosten, risico's en voordelen; en men moet bedenken dat men als patiënt de zorgconsument is en dus de klant welk gegeven betekent dat diegene altijd het laatste woord moet hebben bij alle beslissingen en dus ook het recht moet hebben om gewoon "nee" te zeggen, en dus mogelijk weigert de door een arts concluderende aanbevelingen te accepteren, maar niet noodzakelijkerwijs het gegeven advies negeert (e.g., over toezicht, toestemming en recept), aangezien de informatie moet worden gebruikt om een breder beeld van het informatielandschap samen te stellen (negeer nooit professioneel medisch advies of (inclusief of) uitstel bij het zoeken ervan vanwege iets dat u in de teksten van de schrijvers leest; welke weigeringen zouden kunnen optreden wanneer een arts de klant niet voldoende overtuigende argumenten geeft, hetgeen zou kunnen betekenen dat de argumenten van de arts intern onjuist zijn), hetgeen mij tot het punt brengt dat alles in mijn geschriften dat als een mening kan worden gecategoriseerd, zal moeten worden beschouwd als mijn en dus enkel de persoonlijke mening van de schrijver.

Artikel: Cacao [Sources below]

De rauwe, gedroogde, “ongedutched”, dus niet extra gealkaliseerde en des te bitterder des te gezondere cacaobonen (die niet echt “bonen” zijn omdat het geen peulvruchten zijn, maar eigenlijk zaden zijn van de fruitpeulen die direct aan de stam van de boom groeien) verwerkt tot rauwe cacao nibs (cacao nibs zijn stukjes van het cacaozaad) en cacaopoeder van de kleine groenblijvende boomplantensoort theobroma cacao (ook wel cacao, cacaoboom, kakaw, kagaw, cacaoboom, cocoa tree, cocao tree, xocolatl, kakawa, en cacahuatl genoemd hetgeen "bitter sap van de boon van de cacaoboom" betekent "; de drie belangrijkste cacaocultivarvariëteiten van de meer dan 30 cultivars van de theobroma-cacaosoorten zijn forastero, criollo en trinitario), die kan worden ingedeeld in het theobroma-geslacht (waarin de cacaoplant een van de ongeveer 17 soorten theobroma is, met "theobroma" hetgeen "voedsel van de goden" betekent van "theos" hetgeen "god" betekent + "broma" hetgeen "voedsel" betekent), hetgeen op zijn beurt kan worden ingedeeld in de onderfamilie byttnerioideae die op zijn beurt kan worden ingedeeld in de familie van de bloeiende planten van de malvaceae (welke familie ook de hibiscusplant en de katoenplant omvat) is naast een hoofdingrediënt voor chocolade (hoewel cacao zelf vaak wordt aangetroffen in voedingsmiddelen zoals chocolade, waarvan chocolade niet gezond is omdat het bijvoorbeeld relatief veel relatief meer geraffineerde oliën bevat en relatief hoge niveaus van relatief meer voedingswaarde-gewijs negatief geraffineerde suikers, en soms melk; hoewel het cacaopoeder zelf kan gunstige effecten hebben bij een aantal chronische ziekten, waaronder hart- en vaatziekten zoals hartaandoeningen [17]) mogelijk (e.g., in een smoothie en haver gerecht) bruikbaar voor:

> Het is mogelijk bruikbaar als voeding voor het cardiovasculaire systeem aangezien de cacao (onderzocht via pure chocolade) de functie van kransslagaders in het hart binnen 2 (twee) uur na consumptie zou kunnen verbeteren als waargenomen met behulp van angiografie [1], maar daarover later meer gestructureerd meer hieronder in deze tekst.

Ook zijn er enkele bloedvaten die gemakkelijk met de ogen te zien zijn, de bloedvaten in de ogen om precies te zijn, waarvan 2 (twee) uur na het eten van de cacao (via pure chocolade) een significante verbetering geeft in termen van het vermogen van de kleine adertjes in de ogen om te verwijden op welke wijze cacao dus ook als voeding voor de ogen kan dienen [2].

Kijkend naar de bloedvaten in menselijke benen, perifere slagaderproblemen zoals atherosclerose in de slagaders die de ledematen voeden leidend tot claudicatio hetgeen een krampachtige pijn in de kuitspieren is wanneer geprobeerd wordt om lichamelijke oefenen te doen met als gevolg een vermindering van de bloedstroom, bij welke mensen met dit probleem maximale loopafstand en maximale wandeltijd werden bestudeerd bij 20 patiënten met perifere vaatziekte (2) twee uur na het eten van pure chocolade met een respectabele cacaograad van 85+ [%] cacao of (exclusief of) na het eten van slappe melkchocolade werd geconcludeerd dat na consumptie van de donkere chocolade de deelnemers ongeveer 12 (een dozijn) meer afstand in meters konden lopen en voor een tijdspanne van ongeveer 17 seconden meer dan voor de consumptie van de cocoa (via donkere chocolade), maar na de melkchocolade waren ze niet eens in staat om zo ver als de referentieafstand te lopen, en ook geen enkele seconde meer dan dat hetgeen leidt tot de conclusie dat er iets in cacao lijkt te zitten dat helpt, maar waar een paar seconden hier en daar is een hint op iets maar met het enkel hebben van dit gegeven is het nog niet van erg groot belang wat betreft tot het verbeteren van de cardiovasculaire gezondheid [3].

Kijkend naar het omkeren van de aandoening atherosclerose waarvan over het algemeen werd aangenomen dat het niet eens mogelijk dit om te keren tot het jaartal 1977 [4], hetgeen zelfs is voordat Dean Ornish begon te publiceren over het omkeren van hartziekten in 1979, in welk jaar de eerste demonstratiestudie van atheroscleroseomkering met een cholesterolverlagend dieet en medicijnen werd gepubliceerd, hetgeen tevens geen omkering was op de kransslagaders die naar het hart gaan, maar eerder op de dijbeenslagaders die relatief zuurstofrijk bloed naar de benen transporteren van mensen [5].

Kijkend naar de slagaders die van het hart naar de hersenen gaan [6] is het belangrijk op te merken dat er een niet-invasieve manier is om de arteriële functie in de hersenen te meten met behulp van transcraniële echografie via welke methode kan worden geobserveerd dat bij het vragen van iemand om de adem in te houden de slagaders in de hersenen zich beginnen te openen om de bloedstroom te verhogen om te compenseren, maar als de slagaders in onze hersenen verstijfd en verlamd zijn door atherosclerose dan kunnen ze niet zo veel en niet zo snel openen als ze in een relatief gezondere situatie zouden doen en dus zou dat kunnen resulteren in een zogenaamde lagere waarde voor de "adembehoudende index" [7] hetgeen een risicofactor kan zijn voor een beroerte [8]. Er zijn een aantal bevolkingsonderzoeken geweest die mensen in de loop van de tijd hebben gevolgd en hebben vastgesteld dat degenen die chocolade aten een lagere hartslagfrequentie leken te hebben [6], hetgeen sindsdien is bevestigd door een ander onderzoek, dus op die manier kan het naast behulpzaam voor het cardiovasculaire systeem dus ook dienen als voeding voor de hersenen [9].

Maar het kan ook zo zijn dat chocoladeconsumptie toevallig verband houdt met ander gedrag dat gezond is voor het hart en de hersenen, op dezelfde manier als mensen die veel sporten, meer eten, dus in het geval van meer eten voedsel ook meer hoeveelheden chocolade eetbaar consumeren [9]. De onderzoekers zagen daar echter geen enkel bewijs van, maar je kunt niet alle factoren uitsluiten want je kunt praktisch niet alle factoren in een enkel onderzoek meenemen [9]. Om een oorzaak en gevolg koppelende relatie aan te tonen, zou je mensen willekeurig in 2 (twee) groepen moeten verdelen en de helft chocolade moeten laten eten en de andere helft niet, en ze een decennium of twee moeten volgen, waarop een onderzoeker antwoordde dat het een kleine kans heeft dat dat ooit gaat gebeuren, probeer maar eens mensen in een onderzoek te krijgen waar ze gerandomiseerd kunnen worden om 16 jaar te leven zonder chocolade te eten [10].

Cacaopoeder zou volgens een gerandomiseerde gecontroleerde studie onze bloeddruk kunnen verlagen [12], en volgens een andere studie zou het LDL de zogenaamde "slechte" cholesterolwaarden kunnen verlagen in vivo in menselijke organismen [11], en volgens weer een andere studie zou het onze HDL zodat -genaamd "goede cholesterolwaarden kunnen verhogen [13]. Dus, naast lichaamsbeweging, lijkt het erop dat cacao ook ons HDL-cholesterol kan verhogen, hetgeen een goede zaak is. Bovendien verhoogde een nieuw medicijn van het bedrijf Pfizer, torcetrapib genaamd, ook iemands HDL-cholesterol, terwijl de meeste medicijnen enkel in staat zijn om het LDL-cholesterolgehalte te kunnen verlagen. De CEO van Pfizer hield een persconferentie en noemde het een van de belangrijkste medicijnen van onze generatie, maar slechts 2 (twee) dagen later werden de feitelijke klinische gegevens vrijgegeven en werd het medicijn onmiddellijk van de markt gehaald en in de prullenbak gegooid samen met de miljard dollar die gestoken was in ontwikkelingsonderzoek dat nodig was om het te maken. Torcetrapib werkte in die zin dat het het HDL-cholesterolgehalte bij mensen lijkt te kunnen verhogen, maar het blijkt dat het ook de kans op overlijden met ongeveer 60 [%] verhoogt. Dus in ieder geval bij autopsie zouden de cholesterolwaarden er redelijk goed uit moeten zien. In plaats van dit medicijn te gebruiken, kunnen we ons dus beter gewoon aan een gezond dieet houden.

Cacao zou mogelijk ook onze bloedvaten kunnen ontstijven [14], en daarnaast zou het volgens een in vivo onderzoek ons immuunsysteem mogelijk krachtig kunnen stimuleren en dus helpen als voeding voor het immuunsysteem [15], hoewel de studie werd gefinancierd door het M&M-bedrijf, en het zou verder de endotheelfunctie in vivo bij mensen kunnen versterken omdat dit volgde uit een studie over een periode van slechts 12 maanden, welke achteruitgang in endotheelfunctie niet wordt veroorzaakt door, maar wel vaak wordt geassocieerd met zogenaamde veroudering van het menselijk lichaam [16].

Flow-gemedieerde dilatatie zoals gemeten in de hoofdslagader van de arm is vergelijkbaar ongeveer van hetzelfde kaliber als onze kransslagaders en wordt algemeen beschouwd als een van de beste maatstaven voor de arteriële functie, hetgeen een voorspeller is van het risico op cardiovasculaire problemen die schadelijke gebeurtenissen kunnen veroorzaken die mogelijk tot mortaliteit kunnen leiden [18]. Een klein beetje cacao doet niet veel, maar een beetje meer en veel meer orale inname geeft binnen enkele uren na consumptie een aanzienlijke boost in de arteriële functie. Kijkend naar de kosten kost het niet veel omdat om het effect te verkrijgen dit mogelijk is met slechts 1 (één) theelepel rauwe cacaopoeder, hetgeen ongeveer gelijk staat aan 1 (één) eetlepel of meer “Dutch bewerkte” cacao [18]. Met betrekking tot deze studie zou het u echter een beetje achterdochtig moeten maken dat de auteur bij het Hershey bedrijf in Pennsylvania in het Hershey Medical Center werkt [18], en inderdaad geld heeft aangenomen van het momenteel grootste chocoladefabrikantcentrum voor gezondheid en voeding in de Verenigde Staten van Noord-Amerika USA, gunstig gelegen nabij de kruising van Chocolate en Cocoa Avenue [19].

Door veel onderzoeken samen te voegen om tot de best beschikbare wetenschap te komen via een groot aantal gerandomiseerde gecontroleerde onderzoeken werd geconcludeerd dat de arteriële functie na het nuttigen van cacao binnen enkele uren significant verbeterd was en dat dit ook nogsteeds het geval was na weken en zelfs na maanden van relatief chronische cacaoconsumptie [20]. Het is altijd moeilijk om feiten van fictie te onderscheiden wanneer er zulke machtige financiële belangen bij betrokken zijn aangezien veel van deze onderzoeken ook door de industrie werden gefinancierd en zoals op alle onderzoeksgebieden wordt bewijsmatig gesuggereerd dat financiering door de industrie wordt geassocieerd met pro-industriële conclusies, maar zelfs na het verwijderen van die door de industrie gefinancierde studies vonden de onderzoekers nog steeds hetzelfde beschermende effect van cacao voor onze menselijke slagaders [20].

De reden dat onderzoekers de arteriële functie in de arm meten in plaats van daar waar mensen met cardiovasculaire problemen het vaak echt nodig hebben, namelijk de kransslagaders van het hart, is dat daarvoor een angiogram nodig is dat een invasievere ingreep is voor studiedeelnemers in vergelijking met de arm meting. Maar onderzoekers konden ook mensen vinden die toch al een angiogram hadden gepland en zetten zo een dubbelblinde gerandomiseerde trialstudie op waarbij de cacao (zoals bestudeerd via pure chocolade) daadwerkelijk de kransslagaders zelf opent, en wanneer ze dat deden met hetgeen een “cold-pressor-test” wordt genoemd, waarbij de hand van deelnemers in een emmer ijswater dompelen, hetgeen normaalgesproken ervoor zorgt dat je slagaders samentrekken, maar na de cacaoconsumptie (zoals bestudeerd via donkere chocolade) verwijden de slagaders significant meer [1].

Cacao (zoals onderzocht via donkere chocolade) kan ook de bloedtoevoer naar het hart van onze nieren verbeteren en zo dus dienen als voeding voor de nieren [21].

> Wat betreft consumptie, want chocolade bevat ook relatief veel verzadigd vet en relatief veel relatief meer geraffineerde suiker waardoor we hiermee voorzichtig moeten zijn [1]. Bovendien worden de meeste chocoladeproducten vervaardigd met melk, een stof waarvan bekend is dat deze de antioxidantcapaciteit in ons bloed negatief beïnvloedt [1]. Zelfs als melkchocolade hetzelfde gehalte aan flavonoïde fytonutriënten heeft als pure chocolade, wordt het antioxiderende effect van cacao mogelijk verzwakt in het bloed wanneer de melk wordt geconsumeerd [1]. Niet enkel zijn er in donkere chocolade 3x (drie keer) zoveel antioxidanten in vergelijking met melkchocolade [22], maar de melk werkt ook als actieve tegenstander tegen de positieve effecten van cacao in het menselijk lichaam [23]. Het eten van donkere chocolade zou ertoe kunnen leiden dat binnen 1 (een) uur een piek in de antioxiderende kracht van onze bloedbaan ontstaat, terwijl het consumeren van melkchocolade geen piek zou veroorzaken [23]. En als je diezelfde pure chocolade met een kopje melk consumeerd dan wordt het voordeel ook onderdrukt [23]. Volgens de onderzoekers remt de toevoeging van melk in onze maag of (inclusief of) in de chocolade zelf de antioxidantactiviteit van chocolade in het lichaam en de opname in de bloedbaan van een van anders de behulpzame fytonutriënten [23].

Suiker, zoals in reeds afgebroken koolhydraten met een lange keten, is ook niet goed voor ons menselijk lichaam omdat het de arteriële functie schaadt [24]. Eén fles suiker in de vorm van frisdrank kan tijdelijk de arteriële functie verlammen. Daarom verbetert suikervrije cacao de arteriële functie beter dan dezelfde hoeveelheid cacao waaraan suiker is toegevoegd [25]. Het elimineren van deze suiker lijkt de gunstige effecten van cacao te versterken [25]. Wel moet opgemerkt moet worden dat suikervrije dranken suikervervangers kunnen bevatten die even slecht en zelfs slechter kunnen zijn dan suiker in termen van het veroorzaken van nadelige effecten in het menselijk lichaam, welke vergelijking natuurlijk afhankelijk is van de gekozen suikervervanger.

Het komt er dus op neer dat hoewel de positieve effecten van chocolade en cacaoproducten duidelijk lijken, er voorzorgsmaatregelen moeten worden getroffen als we het hebben over de soort calorieën, het vet en de suiker in chocolade [26]. Cacaopoeder en nibs bieden dan het beste van twee werelden, hoewel misschien minder lekker, op cacao gebaseerde producten met weinig tot geen suiker en vet hebben zeker de voorkeur wat betreft bevorderlijkheid voor de gezondheid [26]. En je de bittere cacao bijvoorbeeld lekkerder maken door het gebruik in een havermout en smoothie en door de gezonde zoetstof dadelsiroop toe te voegen (hetgeen niet echt een "siroop" is omdat het gewoon gemengde dadels zijn).

Bronreferenties

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Theobroma cacao continual meta-analysis – WIP

Eindhoven

Publication date first version: 28 March 2022 | 12022_03-28 New Human Era NHE

Publication date last version: 21 April 2022 | 12022_04-21 New Human Era NHE

Author: Rody Mens - r.w.mens@student.tue.nl

Compiled for Nutritionfactsnederlands.nl, which is a website dedicated to the exploration of the impact of nutrition on health, started upon the findings of Dr. Michael Herschel Greger.

Citation: Mens RW. 28 March 2022. Theobroma cacao continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/23/cacao-alomvattend-artikel ; https://www.researchgate.net/publication/359050003_Theobroma_cacao_continual_meta-analysis

Some keywords: chocolate, chocolade, chocola, theobroma cacao, cacao, cocoa, cacaoboom, kakaw, kagaw, cocoa tree, cacoa boom, cocao tree, xocolatl, cacahuatl, bitter juice from the bean of the cocoa-tree, kakawa, food of the gods, byttnerioideae, forastero, criollo, trinitario, sugar, fat, HDL, LDL, dilate, blood vessels, eyes, peripheral artery problems, PAD, atherosclerosis, peripheral artery disease, dark chocolate, femoral arteries, veins, brain, heart, cholesterol, Pfizer, torcetrapib, kidney, milk, dilation, dilatation, dilatatie, suiker, vet

Summary: Cacao nibs and powder from the theobroma cacao tree may be usable as nutrition for the cardiovascular system, it may be usable as nutrition for the brain, it may be usable as nutrition for the immune system, it may be usable as nutrition for the kidneys, and it may be usable as nutrition for the eyes.

 

Cacao picture provided by Pablo Merchán Montes available at https://unsplash.com/photos/SCbq6uKCyMY

Disclaimer

My disclaimer on the service limiting my (lawful) liability, and thus establishing the terms of use for the extend of my support for your uses of the information given, which disclaimer I have written to prerequisitially cover any wrong interpretation, or (exclusive or) validity in terms of incorrectness or (inclusive or) incompleteness, incompleteness because of a lower accuracy while having a high precision, of statements that might contain of what might be considered valuable information, that which information I am trying to convey as diligently as I currently at the time possibly can composed (as I keep developing, maintaining and operating on these files to keep improving both the accuracy and the precision of the information) and thus reasonably believed to be reliable by the use of those such specifically formulated statements, reads as follows:

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Article: Cacao [Sources below]

The raw dried undutched thus not extra alkalized and the more bitter the healthier cacao “beans” (which are not really “beans” because they are not legumes but they are actually seeds of the fruit pods growing directly at the trunk of the tree) processed to raw cacao nibs (cacao nibs are pieces of the cacao seed) and cacao powder from the small evergreen tree plant species theobroma cacao (also called cocoa, cacaoboom, kakaw, kagaw, cocoa tree, cacoa boom, cocao tree, xocolatl, kakawa, and cacahuatl meaning “bitter juice from the bean of the cocoa-tree"; the three main cacao cultivar varieties of the more that 30 cultivars of the theobroma cacao species are forastero, criollo and trinitario) which is categorizable in the theobroma genus (in which the cacao plant is one of about 17 species of theobroma, with “theobroma” meaning “food of the gods" from “theos” meaning “god” + “broma” meaning “food”) which in turn is categorizable in the subfamily byttnerioideae which in turn is categorizable in the malvaceae flowering plant family (which family also includes the hibiscus plant and cotton plant) is next to being a main ingredient for chocolate (although cocoa itself is frequently found in foods like chocolate which chocolate is not healthy because it e.g., contains relatively high levels of relatively more refined oils and relatively high levels of relatively more nutritional content wise negatively refined sugars, and sometimes milk; the cocoa powder itself however may have beneficial effects in a number of chronic disease conditions including cardiovascular diseases such as heart diseases [17]) possibly (e.g., in a smoothie and oatmeal) usable for:

> It is possibly usable as nutrition for the cardiovascular system since the cacao (as studied via dark chocolate) could improve the function of coronary arteries in the heart within 2 (two) hours of consumption observed using angiography [1], but more about that later on structured more below in this text.

                Also, there are some blood vessels which can easily be visualized with the eyes, the blood vessels in the eyes to be precise, of which 2 (two) hours after eating the cacao (via dark chocolate) resulted in significant improvement in the ability of the little veins in your eyes to dilate in which manner cacao might also serve as nutrition for the eyes [2].

                Looking at the blood vessels in human legs, peripheral artery problems such as atherosclerosis in the arteries feeding the limbs leading to claudication which is a crampy pain in the calf muscles when trying to bodily exercise due to impaired blood flow, for which people with this problem maximal walking distance and maximal walking time were studied in 20 peripheral artery disease patients (2) two hours after eating dark chocolate with a respectable cacao degree of 85+ [%] cocoa or (exclusive or) after eating wimpy milk chocolate, was concluded that after consumption of the dark chocolate the participants could walk about 12 (a dozen) more distance in yards and for a timespan about 17 more seconds than before the consumption of the cocoa (via dark chocolate), but after the milk chocolate they were not even able to walk as far as baseline reference distance and also not a single second more than that which leads to the conclusion that there does seem to be something in cocoa that is helping, but a few seconds here and there is hinting on something but only having this information it is not yet of definite large importance concerning trying to improve cardiovascular health [3].

Looking at reversing the condition of atherosclerosis of which was generally thought of it not even possible to be reversed until the year 1977 [4], which is even before Dean Ornish started publishing on heart disease reversal in 1979, in which year the first demonstration study of atherosclerosis reversal with a cholesterol-lowering diet and drugs was published, which also was not a reversal on the coronary arteries going to the heart, but rather the femoral arteries transporting relative oxygen-rich blood to the legs of human beings [5].

Looking at the arteries going from the heart to the brain [6] it is important to note that there is a noninvasive way to measure arterial function within the brain using transcranial ultrasound via which method can be seen that when asking someone to hold their breath the brain starts opening up the arteries to increase blood flow to compensate but if the arteries in our brain are stiffened and crippled by atherosclerosis then they are unable to open as much and as fast as they would compared to a relatively more healthy situation and thus are resulting in a so-called lower value of the “breath holding index” [7] which can be a risk factor for stroke [8]. There have been a few population studies that have followed people over time and found that those who ate chocolate appeared to have lower heart stroke frequency rates [6] which is since confirmed by another study and thus it may next to being helpful for the cardiovascular system also serve as nutrition for the brain [9].

But it could also be the case that maybe chocolate consumption just happens to be related to other behaviors that are heart- and brain-healthy in the same way that people who exercise a lot do eat more food thus they may in the case of eating more food also edible consume more amounts of chocolate [9].  The researchers however did not see any evidence for that, but you cannot account for all factors because you practically cannot account for everything in one study [9]. To prove a cause and effect coupling relationship you would have to randomize people into 2 (two) groups, and make half eat chocolate, and the other half not, and follow them out for a decade or two, to which one researcher replied that there was the slightest of chance that that would ever happen as you would have to try to get people into a study where they could be randomized to live 16 years without eating chocolate [10].

                Cacao powder could according to a randomized controlled trial lower our blood pressure [12], and according to another study could lower LDL so-called “bad” cholesterol levels in vivo in human animals [11], and according to yet another study it could boost our HDL so-called “good cholesterol levels [13]. Thus, next to exercise, it seems that cocoa also might be able to boost our HDL cholesterol, which is a good thing. Furthermore, a new drug by the company Pfizer called torcetrapib also boosted one’s HDL cholesterol while most drugs are only able to lower the LDL cholesterol levels. The CEO of Pfizer held a press conference calling it one of the most important drugs of our generation, but only 2 (two) days later the actual clinical data were released, and the drug was immediately pulled off the market thrown in the trash along with the billion dollars that was needed in the developmental research it took to make it. Torcetrapib worked in the sense that it does seem to be able to raise HDL cholesterol levels in humans, but it turns out it also raises your chance of dying by about 60 [%]. So at least on autopsy, the cholesterol’s levels should look pretty good. Instead of using this drug we should thus better just stick to a healthy diet.

Cocoa could possibly also unstiffen our arteries [14], and next to that could according to an in vivo study possibly powerfully boosts our immune system and thus work as nutrition for the immune system [15] though the study was funded by the M&M company, and it could furthermore boost endothelial function in vivo in human beings in a study of a period of just 12 months, which decline is not caused by but often associated with the so-called aging of the human body [16].

Flow-mediated dilation as measured in the main artery of the arm is comparably of about the same caliber as our coronary arteries and is generally considered one of the best measures of arterial function which is a predictor of risk for the possible occurrence of cardiovascular problems potentially causing damaging events which could result in mortality [18]. A little bit of cocoa does not do much, but a little more and a lot more oral intake gives a significant boost in arterial function within hours of consumption. Looking at the costs it does not take much as the effect is achieved with just 1 (one) teaspoon of raw cocoa powder, which would be about equivalent to 1 (one) tablespoon or more of Dutch processed cocoa [18]. However, regarding this study it should make you a little suspicious that the author works at the Hershey company in Pennsylvania at the Hershey Medical Center [18], and indeed has accepted money from the currently largest chocolate manufacturer’s Center for Health and Nutrition in the United States of north America U.S.A., conveniently located near the intersection of Chocolate and Cocoa Avenues [19].

Putting a lot of studies together to come to the best available science though a large amount of randomized controlled trials was concluded that after consuming cocoa arterial function was significantly improved within hours and also still was after weeks and even after months of relatively chronic cocoa consumption [20]. It is always difficult to tease out fact from fiction when such powerful financial interests are involved as many of these studies were funded by industry as well and as in all areas of research evidence suggests that industry funding is associated with pro-industry conclusions, but even after removing those studies funded by industry the researchers still found the same protective effect of cocoa for our human arteries [20].

The reason that researchers measure arterial function in the arm rather than there where people with cardiovascular problems often really need it, which is the coronary arteries of the heart, is that that would require an angiogram which is a more invasive intervention to study participants as compared to the arm measurement. But researchers were also able to find people who were already scheduled for an angiogram anyway and thus set up a double-blind randomized trial study resulting in that the cacao (as studied via dark chocolate) actually opens up coronary arteries themselves, and when they did that what is called a “cold-pressor test” which is that where participants hands will be plunged into a bucket of ice water which cold normally causes your arteries to constrict, but after the cacao consumption (as studied via dark chocolate) the arteries dilated significantly more [1].

Cacao (as studied via dark chocolate) may also improve blood flow to the heart of our kidneys and thus serve as nutrition for the kidneys [21].

> Regarding consumption, chocolate also contains a relative high amount of saturated fat and a relatively high amount of relatively more refined sugar which is why we have to be careful [1]. Furthermore, most chocolate products are manufactured with milk, a compound known to negatively influence antioxidant capacity in our blood [1]. Even if milk chocolate had the same flavonoid phytonutrient content as dark chocolate, the antioxidant effect of cocoa is potentially weakened in the blood when the milk is consumed [1]. Not only are there 3x (triple) the antioxidants in dark chocolate as compared to milk chocolate [22], but the milk actively works against the positive effects of cacao as adversary in the human body [23]. Eating dark chocolate could result in getting a spike in the antioxidant power of our bloodstream within 1 (an) hour while consuming milk chocolate would result in no spike [23]. And if you consume that same dark chocolate with a cup of milk then the benefit gets also suppressed [23]. According to the researchers, the addition of milk either in our stomach or (inclusive or) in the chocolate itself inhibits the within-body antioxidant activity of chocolate and the absorption into the bloodstream of one of the otherwise beneficial target phytonutrients [23].

Sugar as in already broken-down long chain carbohydrates are not good for our human bodies either as it impairs arterial function [24]. One bottle of soda’s worth of sugar can temporarily cripple arterial function which is why sugar-free cocoa improves arterial function better than the same amount of cocoa with sugar added [25]. Eliminating this sugar appears to amplify the beneficial effects of cocoa [25]. What should be noted is that sugar-free drinks could contain sugar replacers which could also be as bad as and even worse than sugar in terms of causing adverse effects in the human body which comparison is of course dependent on the sugar replacer chosen at hand.

The bottom line thus being that although the positive effects of chocolate and cocoa products seem apparent, precautions should exist when we are talking about the kind of calories, the fat and sugar in chocolate [26]. Cocoa powder and nibs then offers the best of both worlds, although possibly a bit less tasty, cocoa-based products with little to no sugar and fat are in terms of health benefits certainly preferred [26]. And you can make the bitter cocoa tastier by use of it in e.g., in an oatmeal and smoothie, and by adding the healthy sweetener date “syrup” (which is not really a “syrup” because it is just blended dates).

Source references

[1] Flammer AJ, Hermann F, Sudano I, Spieker L, Hermann M, Cooper KA, Serafini M, Lüscher TF, Ruschitzka F, Noll G, Corti R. Dark chocolate improves coronary vasomotion and reduces platelet reactivity. Circulation. 2007 Nov 20;116(21):2376-82. doi: 10.1161/CIRCULATIONAHA.107.713867. Epub 2007 Nov 5. PMID: 17984375. https://pubmed.ncbi.nlm.nih.gov/17984375/ ; https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.107.713867?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed ; https://www.ahajournals.org/doi/epub/10.1161/CIRCULATIONAHA.107.713867

[2] Terai N, Gedenk A, Spoerl E, Pillunat LE, Stodtmeister R. The short-term effect of flavonoid-rich dark chocolate on retinal vessel diameter in glaucoma patients and age-matched controls. Acta Ophthalmol. 2014 Aug;92(5):e341-5. doi: 10.1111/aos.12373. Epub 2014 Mar 16. PMID: 24628966. https://pubmed.ncbi.nlm.nih.gov/24628966/ ; https://onlinelibrary.wiley.com/doi/10.1111/aos.12373 ; https://onlinelibrary.wiley.com/doi/epdf/10.1111/aos.12373

[3] Loffredo L, Perri L, Catasca E, Pignatelli P, Brancorsini M, Nocella C, De Falco E, Bartimoccia S, Frati G, Carnevale R, Violi F. Dark chocolate acutely improves walking autonomy in patients with peripheral artery disease. J Am Heart Assoc. 2014 Jul 2;3(4):e001072. doi: 10.1161/JAHA.114.001072. Erratum in: J Am Heart Assoc. 2014 Aug;3(4):e000456. PMID: 24990275; PMCID: PMC4310398. https://pubmed.ncbi.nlm.nih.gov/24990275/ ; https://www.ahajournals.org/doi/10.1161/JAHA.114.001072?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed ; https://www.ahajournals.org/doi/epub/10.1161/JAHA.114.001072 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310398/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310398/pdf/jah3-3-e001072.pdf

[4] Blankenhorn DH, Hodis HN. George Lyman Duff Memorial Lecture. Arterial imaging and atherosclerosis reversal. Arterioscler Thromb. 1994 Feb;14(2):177-92. doi: 10.1161/01.atv.14.2.177. PMID: 8305407. https://pubmed.ncbi.nlm.nih.gov/8305407/

[5] Barndt R Jr, Blankenhorn DH, Crawford DW, Brooks SH. Regression and progression of early femoral atherosclerosis in treated hyperlipoproteinemic patients. Ann Intern Med. 1977 Feb;86(2):139-46. doi: 10.7326/0003-4819-86-2-139. PMID: 189658. https://pubmed.ncbi.nlm.nih.gov/189658/ ; https://www.acpjournals.org/doi/10.7326/0003-4819-86-2-139?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed ; https://www.acpjournals.org/doi/pdf/10.7326/0003-4819-86-2-139

[6] Larsson SC, Virtamo J, Wolk A. Chocolate consumption and risk of stroke: a prospective cohort of men and meta-analysis. Neurology. 2012 Sep 18;79(12):1223-9. doi: 10.1212/WNL.0b013e31826aacfa. Epub 2012 Aug 29. PMID: 22933736. https://pubmed.ncbi.nlm.nih.gov/22933736/ ; https://n.neurology.org/content/79/12/1223.long ; https://n.neurology.org/content/79/12/1223

[7] Zavoreo I, Demarin V. Breath Holding Index in the Evaluation of Cerebral Vasoreactivity. Acta clinica Croatica, Vol.43 No.1 Ožujak 2004. https://hrcak.srce.hr/clanak/22095

[8] Silvestrini M, Vernieri F, Pasqualetti P, Matteis M, Passarelli F, Troisi E, Caltagirone C. Impaired cerebral vasoreactivity and risk of stroke in patients with asymptomatic carotid artery stenosis. JAMA. 2000 Apr 26;283(16):2122-7. doi: 10.1001/jama.283.16.2122. PMID: 10791504. https://pubmed.ncbi.nlm.nih.gov/10791504/ ; https://jamanetwork.com/journals/jama/fullarticle/192630

[9] Kwok CS, Boekholdt SM, Lentjes MA, Loke YK, Luben RN, Yeong JK, Wareham NJ, Myint PK, Khaw KT. Habitual chocolate consumption and risk of cardiovascular disease among healthy men and women. Heart. 2015 Aug;101(16):1279-87. doi: 10.1136/heartjnl-2014-307050. Epub 2015 Jun 15. Erratum in: Heart. 2018 Mar;104(6):532. PMID: 26076934; PMCID: PMC6284792. https://pubmed.ncbi.nlm.nih.gov/26076934/ ; https://heart.bmj.com/content/101/16/1279.long ; https://heart.bmj.com/content/heartjnl/101/16/1279.full.pdf ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284792/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284792/pdf/emss-80690.pdf

[10] Mackenbach JP. The temptations of chocolate. BMJ. 2011 Sep 20;343:d5883. doi: 10.1136/bmj.d5883. PMID: 21933827. https://pubmed.ncbi.nlm.nih.gov/21933827/ ; https://www.bmj.com/content/343/bmj.d5883.long

[11] Baba S, Natsume M, Yasuda A, Nakamura Y, Tamura T, Osakabe N, Kanegae M, Kondo K. Plasma LDL and HDL cholesterol and oxidized LDL concentrations are altered in normo- and hypercholesterolemic humans after intake of different levels of cocoa powder. J Nutr. 2007 Jun;137(6):1436-41. doi: 10.1093/jn/137.6.1436. PMID: 17513403. https://pubmed.ncbi.nlm.nih.gov/17513403/ ; https://academic.oup.com/jn/article/137/6/1436/4664789?login=false ; https://watermark.silverchair.com/1436.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAr4wggK6BgkqhkiG9w0BBwagggKrMIICpwIBADCCAqAGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMiK1MZty4ne7IyFxXAgEQgIICcXG20iNcWjdbjVZYp7yBvQQt110r3vFJZ_PWiUk6TG20co6BeBvifHrx9rxyKt9CBUBvZeh2YDo6eZE1k-0UaJBIFFlFf-jTuH5nb0ruoysbq2o1m-C7m0dOb-2QiwG3lKiScNEIE7gHxzGI9nolg2sMHiv6jYBWC5d2bjGtGqE7wD1W662iRNaI214tpale6NO20HY62gjBjAVpptEnrkFOepA56An9rEp6ecQG58FK3RGB4dHsuUqti0GuCxrzG1uEwhUyt_q-RdwSO_zIwiZB-_Nm4_wxwIFO3qAFvxkoz_pVyoQpquc_vS57MvD5dsSlHwe4nb6bFO0vBEM2FZ6wn28daLUdRoYuAQYtx--pVih-yzK3nlwkSS4T_Sa9g3NtFUzhmUJKMLT87e8yHUdOT0ZX6JfGQWIpSMACpMlHwHjBRMOzfadMDFLOBEjXmNRURstqsVjmxOy64ifotgq4Wi3vHr5IbmKZbVVjTfGOavZCjR81QcT5i_36W4J4e18-VEL6n-vOJYvuxBQ9u7RHeqPr3ElgFr7i5vuVnxLvd9uDFUSXmtvS5eA1BTToDg1ZpKoZcms_6m2DY8lAWNAnxrjY2ABH4gkfR8xIMV-N8sbtQZYLepUkjg7JljDevb9r8uTLtk9ZUTl_Obg0kMLE_DIt3dpSeh9ZfRpQDcqobk5bqcc82aiV7dXjYah32LnayTSFZgAJOi9QRNKXqhNZG3heNNdDai2DG4HPiIbaHZqkdIFLSUcMjac2AOT9JKzxbEQ-nNnteWh-wGpuPxnthma42nFfX_bNUIbc4Zj4eFOKhlnfiLBPoUrr0gu-jqU 

[12] Taubert D, Roesen R, Lehmann C, Jung N, Schömig E. Effects of low habitual cocoa intake on blood pressure and bioactive nitric oxide: a randomized controlled trial. JAMA. 2007 Jul 4;298(1):49-60. doi: 10.1001/jama.298.1.49. PMID: 17609490. https://pubmed.ncbi.nlm.nih.gov/17609490/ ; https://jamanetwork.com/journals/jama/fullarticle/207783

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[14] Heiss C, Finis D, Kleinbongard P, Hoffmann A, Rassaf T, Kelm M, Sies H. Sustained increase in flow-mediated dilation after daily intake of high-flavanol cocoa drink over 1 week. J Cardiovasc Pharmacol. 2007 Feb;49(2):74-80. doi: 10.1097/FJC.0b013e31802d0001. PMID: 17312446. https://pubmed.ncbi.nlm.nih.gov/17312446/ ; https://journals.lww.com/cardiovascularpharm/Fulltext/2007/02000/Sustained_Increase_in_Flow_Mediated_Dilation_After.2.aspx ; https://journals.lww.com/cardiovascularpharm/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=ArticleViewer&an=00005344-200702000-00002

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[19] The Hershey Company Establishes Center for Health and Nutrition and Releases Study Results Linking Cocoa to Improved Cardiovascular Function. The Hershey Company | May 08, 2006. https://www.newhope.com/trends/hershey-company-establishes-center-health-and-nutrition-and-releases-study-results-linking-co

[20] Hooper L, Kay C, Abdelhamid A, Kroon PA, Cohn JS, Rimm EB, Cassidy A. Effects of chocolate, cocoa, and flavan-3-ols on cardiovascular health: a systematic review and meta-analysis of randomized trials. Am J Clin Nutr. 2012 Mar;95(3):740-51. doi: 10.3945/ajcn.111.023457. Epub 2012 Feb 1. PMID: 22301923. https://pubmed.ncbi.nlm.nih.gov/22301923/ ; https://academic.oup.com/ajcn/article/95/3/740/4576702?login=false ; https://watermark.silverchair.com/740.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAsAwggK8BgkqhkiG9w0BBwagggKtMIICqQIBADCCAqIGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMrlTRP9KDGrWllsJhAgEQgIICcxjrOXQpF27ddWTjnV5Zq5PDxD5BkzDQIZGVFOA4irfYsSnElEYfI5FZN6JNR2oRyD3BXBHaz8fH-gecslq4rCRIARh5PW7DlKfedxQZ9BCTo6CVX9SUtxUpIwWfPSlZ87tDXc6zUJ_UjYO83SWd3t165HIg6My_g6AGBmY3Ds-wR-RTi3Jk83l_Y1PtyxlMBIrZnPbS7V0zekmlqQGXFjzyoN2AwYmZpudvtRk003A7C_24-13KqmtuBjfYVzavhaP7LqlKBT4Eavggb7LMmXn-y5u8_gKTirRMh1RsuQeuUGOlNJnXJXUstsvHu3YIVmvrigWtlJfmLFSqlEkpiFfz1iYGr_AJN2tNMG7iEpt4vJp00FIkBZ7n4MqlrUUGJkGIJlCcQx4OsjDAMVmApKbIwM9V522nruzrnZrvL2CEO6h4awNON2M4lzrEfZO5812TUWCmBfZMJUvY0MOv8jOmoScmZTC-UhR7ONhLXE_1vEHW_JIE-CBJCCfNJRFy0l3cF3Jagpos5vm9KKYlNkG7R66ViD5xjRd3zEtM9R_Nmg4ExCNwsJu1YzvcgQvaN8e174YmT8KOAKnEYrTL0QNvNW7AhJMwLuBW3olLLtAdZeKeQ3gVzn2L8_vuI9TNJDSUJb1YJ7LkZRi9bou5Gf8CBGY2isERtQkPyroSHB-ijvE0yxthw3Lmz2Km8GMl6VvynnUeEf68MXMovuw26zGE2BiAihuuHZKMTC3DfSHdFvqpk-v0AGQjgxwqODRbw4QZG3MO96ZzbWavguw-GoLDG2Dq4oldnjhTqvdaKTCWqIvVzF6NSKjHOBUla8_S3E2INA

[21] Pruijm M, Hofmann L, Charollais-Thoenig J, Forni V, Maillard M, Coristine A, Stuber M, Burnier M, Vogt B. Effect of dark chocolate on renal tissue oxygenation as measured by BOLD-MRI in healthy volunteers. Clin Nephrol. 2013 Sep;80(3):211-7. doi: 10.5414/CN107897. PMID: 23557792. https://pubmed.ncbi.nlm.nih.gov/23557792/ ; https://www.dustri.com/nc/article-response-page.html?artId=10552&doi=

[22] Vertuani S, Scalambra E, Vittorio T, Bino A, Malisardi G, Baldisserotto A, Manfredini S. Evaluation of antiradical activity of different cocoa and chocolate products: relation with lipid and protein composition. J Med Food. 2014 Apr;17(4):512-6. doi: 10.1089/jmf.2013.0110. Epub 2014 Jan 16. PMID: 24433077; PMCID: PMC3993070. https://pubmed.ncbi.nlm.nih.gov/24433077/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3993070/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3993070/pdf/jmf.2013.0110.pdf ; https://www.liebertpub.com/doi/10.1089/jmf.2013.0110?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed ; https://www.liebertpub.com/doi/full/10.1089/jmf.2013.0110

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[24] C M Akbari, R Saouaf, D F Barnhill, P A Newman, F W LoGerfo, A Veves. Endothelium-dependent vasodilatation is impaired in both microcirculation and macrocirculation during acute hyperglycemia. J Vas Surg 1998 28(4):687 – 694. https://www.researchgate.net/publication/13500623_Endothelium-dependent_vasodilation_is_impaired_in_both_microcirculation_and_macrocirculation_during_acute_hyperglycemia

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Hibiscus alomvattend artikel

Hibiscus continue meta-analyse

Eindhoven

Datum van publicatie eerste versie: 21 februari 2022 | 12022_02-21 New Human Era NHE

Datum van publicatie laatste versie: 21 april 2022 | 12022_04-21 New Human Era NHE

Auteur: Rody Mens - r.w.mens@student.tue.nl

Samengesteld voor Nutritionfactsnederlands.nl, hetgeen een website is gewijd aan het onderzoek naar de impact van voeding op de gezondheid, gestart op de bevindingen van Dr. Michael Herschel Greger.

Citatie: Mens RW. 21 February 2022. Hibiscus continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/22/hibiscus-alomvattend-artikel; https://www.researchgate.net/publication/358781010_Hibiscus_continual_meta-analysis

Enkele kernwoorden: hibiscus, flor de Jamaica, sorrel, roselle, rose mallow, hardy hibiscus, rose of Sharon, hypericum calycinum, ibískos, ἰβίσκος, rose of Althea, garden hibiscus, hibiscus syriacus, tropical hibiscus, red zinger, tea, hibiscus blossom, sabdariffa Sudan, kaasjeskruidfamilie, mallow, malvaceae, antioxidant, blood pressure, cholesterol, body fat, LDL, hypertension, aluminum, manganese, cancer, kanker, vet, bloeddruk, aluminium, mangaan, thee, kaasjeskruid, hypertensie

Samenvatting: De gedroogde bloembladen van de hibiscusbloem kunnen helpen als voeding voor het cardiovasculaire systeem, hebben potentie om te werken als voeding tegen kanker en kunnen helpen als voeding voor het immuunsysteem.

Hibiscus afbeelding verkregen via Eba Marie beschikbaar op https://www.pexels.com/photo/wood-dawn-red-caffeine-8851226/

Vrijwaring

Mijn vrijwaring op de service die mijn (wettelijke) aansprakelijkheid beperkt en daarmee de gebruiksvoorwaarden vaststelt voor de mate van mijn steun voor uw gebruik van de verstrekte informatie, welke vrijwaring ik heb geschreven om eventuele verkeerde interpretatie vooraf te dekken, of (exclusief of) validiteit in termen van onjuistheid of (inclusief of) onvolledigheid, onvolledigheid vanwege een lagere nauwkeurigheid terwijl ze een hoge precisie hebben, van uitspraken die datgeen zouden kunnen bevatten dat als waardevolle informatie kan worden beschouwd, die informatie die ik zo zorgvuldig als ik momenteel mogelijk kan samengesteld (aangezien ik deze bestanden blijf ontwikkelen, onderhouden en gebruiken om zowel de nauwkeurigheid als de precisie van de informatie te blijven verbeteren) en dus redelijkerwijs als betrouwbaar kan worden beschouwd door het gebruik van deze dergelijke specifiek geformuleerde verklaringen, luidt als volgt:

De informatie die volgt, hoewel zo zorgvuldig als ik momenteel mogelijk kan samengesteld, en dus redelijkerwijs als betrouwbaar kan worden beschouwd, is geschreven of (inclusief of) samengesteld door Rody Wick Mens en verstrekt dus gedeeld met de beste en meest eerlijke bedoelingen in het achterhoofd en daardoor betrouwbaar blijvend, is altijd nog steeds beperkt tot de persoonlijke interpretatie van de schrijver op dat moment, om welke reden het mogelijk in uw land van verblijf waarschijnlijk alleen te gebruiken is voor educatieve doeleinden en niet wettelijk gedefinieerd als "medisch advies" om welke reden geen aansprakelijkheid voor de interpretatie ervan, juistheid en volledigheid kan worden verleend aangezien ik wil benadrukken dat ik alleen verantwoordelijkheid neem, maar zonder wettelijke aansprakelijkheid, voor de uitspraken in wetenschappelijke artikelen over experimenteel onderzoek die ik expliciet zelf gedaan en gepubliceerd heb en terecht beschouw dat de interpretatie, juistheid en volledigheid van informatie die andere onderzoekers publiceren hun verantwoordelijkheid zonder wettelijke aansprakelijkheid is, hetgeen ook mijn integriteit bewaakt door met absolute wettige onafhankelijkheid de schrijver verdedigd en schadeloos stelt van alle schadeclaims en zo de lezer verantwoordelijk te houden voor zijn daden op basis van de verstrekte, aldus gedeelde informatie, aangezien het gebruik van deze informatie dus erkenning en aanvaarding van de geschriften beperkingen inhoudt die het gebruik ervan uitsluitend op eigen risico van de gebruiker stellen, aangezien de verstrekte informatie wordt verstrekt "zoals ze is" zonder verklaringen, garanties, voorwaarden en vrijwaringen van welke aard dan ook, expliciet of impliciet, en het daarom beter kan worden geadviseerd om altijd contact op te nemen met en het raadplegen van een arts die wettelijk gebonden is om een ​​professionele zorgverlener te zijn, welke arts waarschijnlijk ook door de overheid gemonopoliseerde wettelijke aansprakelijkheid heeft in uw land van verblijf, voordat u grote veranderingen aanbrengt in uw levensstijl, zoals veranderingen in dieet, lichaamsbeweging of (inclusief of) aanpassing van doseringen van aanvullende middelen (e.g., middelen waarvan veel mensen die middelen een ‘farmaceutisch middel’, ‘farmakon’, ‘medicijn’, ‘medicatie’, ‘drug, ‘remedie’ en ‘nutraceutica’ noemen, van welke categorie middelen ik denk dat mensen moeten oppassen voor mogelijke negatieve complicaties als gevolg van interacties met andere in persoonlijk gebruik genomen middelen) routine zodat de arts een persoon kan helpen met de overweging om veranderingen in levensstijl door te voeren die een persoon in hun persoonlijke specifieke situatie zou kunnen helpen, rekening houdend met de individuele lichamelijke condities, hetgeen betekent dat de verstrekte informatie niet bedoeld of geïmpliceerd is als een vervanging is voor wettelijk gedefinieerd "professioneel medisch advies", "professionele medische diagnose" of "professionele medische behandeling", en dat de informatie alleen bedoeld is om de informatie-uitwisselingsrelatie tussen artsen en patiënten aan te vullen, zonder de bedoeling, implicering noch de indruk te wekken een vervanging te zijn voor, omdat het geen wettig standbare arts-patiëntrelatie vormt, omdat ik denk dat het belangrijk is dat als en wanneer het absoluut noodzakelijk is, aangezien zieke mensen degenen moeten zijn die artsen bezoeken en vermoedelijk gezonde mensen niet (ermee rekening houdend dat ik het woord arts hier gebruik in een wettige, door de overheid gemonopoliseerde context en dus niet onderzoekers bedoel die mensen zou kunnen adviseren over preventieve gezondheidszorg, en ook omdat de meeste grote gezondheidsorganisaties het erover eens zijn dat er een risico bestaat op ernstige schade voor mensen bij het aangaan van een regelmatige arts-patiëntrelatie, en alle grote gezondheidsorganisaties zijn overeengekomen dat routinematige jaarlijkse controles voor gezonde volwassenen gestopt zouden moeten worden vanwege de reden dat het aangaan van een relatie met een arts de deur opent voor mensen om een ​​actieve patiënt te worden, hoe vaker ze hun arts zien, hoe groter de kans dat iemand wordt getest, hetgeen op zijn beurt weer leidt tot de grotere kans dat mensen worden voor beter of (exclusief of) slechter worden behandeld, welke toename van behandelingen het gevolg is van perverse prikkels die ontstaan in een met een vrijemarktsituatie vergelijken relatief laag competitief gemonopoliseerd gezondheidszorgsysteem van de overheid, en hoewel het op het eerste gezicht een goed idee lijkt, is een langdurige bekendheid met een patiënt zelden nodig om uitstekende zorg te verlenen in tijden van behoefte in een door de overheid gemonopoliseerd gezondheidszorgsysteem, maar in het geval van een voortdurend op vrije markt gebaseerde, op concurrentie gebaseerde verbetering van de gezondheidszorgsituatie, kan het zeker worden aanbevolen om hulp te zoeken bij een vertrouwde persoonlijke arts, omdat het ontwikkelen van een partnerschap met goede communicatie gericht op het verbeteren van de kwaliteit en tijd- hoeveelheid van je leven en dat in het geval dat je jezelf en degenen die je dierbaar zijn de best beschikbare persoonlijke behandeling wilt laten krijgen, hetgeen iets is dat ik denk dat iedereen zou moeten willen en welke prestatie de uren die nodig zijn om dit te bereiken het waarschijnlijk zeer zeker waard zijn), mensen diensten zoeken zoals het inwinnen van advies van een arts die hun lichamelijke conditie zou kunnen controleren tijdens het ondergaan van een voor de gezondheid significante levensstijl veranderingen en dus samenwerken, eventueel naar hetzelfde doel, in welke gesprekken ik het kan beamen en mensen kan aanmoedigen om artsen vragen te stellen over hun lichamelijke gesteldheid en de mogelijk effecten van deze veranderingen, waaronder bijvoorbeeld een relatief grote verandering in de voedingspraktijk, in welke gesprekken ik van mening ben dat artsen uw levensstijlkeuzes moeten accepteren (niet noodzakelijkerwijs respecteren) en niet moeten proberen deze te ondermijnen, zoals in het geval dat een bepaalde arts slechte gewoonten heeft dat er niet toe zouden moeten leiden dat die bepaalde arts ongezonde aanbevelingen geeft, en men zou op zoek moeten gaan naar een arts die oprecht geïnteresseerd is in en actief aanmoedigt dat iemand gezond word door betere zelfzorg doordat diegene meer actief betrokken wordt bij zijn eigen gezondheidszorg, waarvan dit ook artsen zijn die zeer goed geïnformeerd zijn en voortdurend leren over de zorg van een mens die bereid en in staat zijn om iemands huidige toestand en de mogelijke maatregelen die men kan nemen om zijn problemen te testen en te behandelen, en iemand die zich bewust inspant om het gebruik van medicijnen en operaties te vermijden en deze enkel als allerlaatste redmiddel gebruikt, en heeft een advocatiefunctie voor u als patiënt die bereid is om de patiënt de beste zorg te bieden in contact met specialisten in plaats van alleen maar de patiënt naar de specialistische zorg over te dragen, en is voorstander van het vragen van een tweede mening van andere artsen en onderzoekers (men zou moeten horen over alle beschikbare opties, samen met hun kosten, risico's en voordelen; en men moet bedenken dat men als patiënt de zorgconsument is en dus de klant welk gegeven betekent dat diegene altijd het laatste woord moet hebben bij alle beslissingen en dus ook het recht moet hebben om gewoon "nee" te zeggen, en dus mogelijk weigert de door een arts concluderende aanbevelingen te accepteren, maar niet noodzakelijkerwijs het gegeven advies negeert (e.g., over toezicht, toestemming en recept), aangezien de informatie moet worden gebruikt om een ​​breder beeld van het informatielandschap samen te stellen (negeer nooit professioneel medisch advies of (inclusief of) uitstel bij het zoeken ervan vanwege iets dat u in de teksten van de schrijvers leest; welke weigeringen zouden kunnen optreden wanneer een arts de klant niet voldoende overtuigende argumenten geeft, hetgeen zou kunnen betekenen dat de argumenten van de arts intern onjuist zijn), hetgeen mij tot het punt brengt dat alles in mijn geschriften dat als een mening kan worden gecategoriseerd, zal moeten worden beschouwd als mijn en dus enkel de persoonlijke mening van de schrijver.

Artikel: Hibiscus [English below]

De relatief vaak roodachtig gekleurde gedroogde bloembladen van de bloemen van de in de relatief warm getemperatuurde mediterrane, subtropische en tropische gebieden van de wereld groeiend struikplantengeslacht hibiscus (ook wel "flor de Jamaica" genoemd in het land Mexico, "sorrel" in het Caribisch gebied gebieden, "roselle" in vele delen van de wereld, ook "rose mallow", "hardy hibiscus", "rose of Sharon", welke naam vaak meer specifiek wordt gebruikt om de niet in dezelfde familie verwante hypericum calycinum te beschrijven, “ibískos", "ἰβίσκος", "rose of Althea" welk woord vaak meer specifiek gebruikt wordt voor het beschrijven van de tuin hibiscus hibiscus syriacus, en “tropische hibiscus") met ongeveer 200 plantensoorten, e.g. de hibiscusbloemsoort sabdariffa Sudan genaamd, welk plantengeslacht categoriseerdbaar is in de kaasjeskruid malvaceae plantenfamilie (ook wel "malvaceae sensu lato" en "malvaceae sensu" genoemd) welke plantensoorten vaak gebruikt worden in thee (e.g., hibiscusthee ook wel "zure thee" genoemd omdat het zuur smaakt doordat het zuren bevat zoals citroenzuur [2] of (inclusief of) als de “zing” in rode zinger thee) of (inclusief of) zelfs hoger in voedingsstoffen met behulp van de hele bloemdelen gebruikt als high-antioxidant smoothie fruitpunches (zoals je kunt in de volgende verhoudingen, laat 1 (een) handvol gedroogde hibiscusbloemen een nacht koud trekken en meng vervolgens met 1 (een) knokkel verse gember, 1 (een) theelepel amla poeder, 3 (drie) eetlepels dadelsiroop of (exclusief of) mix er dadels in, neem verder 1 (een) handvol verse donkergroen bladige muntblaadjes en wat citroensap om een drankje maken om de hele dag door te drinken en dat koud bewaard kan worden in de koelkast) zijn mogelijk bruikbaar als:

> Het kan mogelijk bruikbaar zijn als voeding voor het immuunsysteem, aangezien een onderzoek heeft aangetoond dat de consumptie van een waterig hibiscus-extract zoals thee invloed heeft op het systemische antioxidantpotentieel in de dierlijke lichamen van relatief gezonde menselijke proefpersonen doordat de biologische beschikbaar van antioxidanten in hun bloedbanen stegen. Wanneer je mensen 10 (tien) uur lang water laat drinken dan daalt het antioxidantengehalte in de bloedbanen langzaam waardoor de antioxidanten die we in ons lichaam hebben verzameld, i.a. door gezond voedsel te eten, de hele dag door langzaam opgebruikt wordt, e.g. door vrije radicalen te bestrijden, tenzij deze mensen hun antioxidantvoorraden aanvullen door antioxidantrijke voedingsmiddelen zoals hibiscusextracten te eten, in welk geval het niet helemaal opraakt in de loop van die 10 (tien) uur tijd. Het was echter moeilijk om mensen 10 (tien) uur te laten vasten, hetgeen de reden is waarom de onderzoekers de proefpersonen naast water iets te eten gaven waarvan ze wisten dat het hun antioxidantmetingen niet zou verknoeien, namelijk witbrood en kaas. Als je in plaats daarvan aan het begin van het experiment mensen een enkele kop hibiscusthee gaf in plaats van de controlegroep met alleen water, kun je binnen een uur tijd een mooie piek in het antioxidantniveau in de bloedbaan zien. Het piekende effect verdwijnt echter tenzij je de hele dag door hibiscus blijft drinken of (exclusief) iets anders eet dan kaas op witte boterhammen, waardoor we de hele dag een gezond antioxidantoverschot hebben [1]. Het gebruik van hibiscus in een drank zoals hibiscusthee zou de drank tot een van de gezondste dranken kunnen maken omdat een onderzoek naar 283 verschillende dranken concludeerde dat in termen van antioxiderende kracht het gezondste drankje om te drinken op aarde een drankje kan zijn dat als ingrediënt hibiscus bevat, zoals hibiscusthee, die zelfs hoger is in concentratie antioxidanten dan groene matcha thee [40, 41].

> Het kan nuttig zijn als voeding voor het cardiovasculaire systeem, aangezien een onderzoeksstudie hibiscus tegen obesitas in mensen onderzocht waarbij er hibiscus werd gegeven aan personen met overgewicht hetgeen vervolgens een significante vermindering in lichaamsmassa liet zien, echter niet heel erg significant omdat na 12 weken op hibiscus ze slechts ongeveer 1,5 [kg] ten opzichte van de placebo groep aan massa verloren, hetgeen betekent dat het duidelijk geen magische oplossing is voor het verminderen van het percentage slechte lichaamsvet van de lichaamsmassa [8].

De vermeende cholesterolverlagende eigenschap van hibiscusthee zag er echter wat meer belovender uit in sommige oudere onderzoeken aangezien daarin werd gesuggereerd dat een cholesterolverlaging van maar liefst 8 [%] zou kunnen optreden bij het drinken van 2 (twee) kopjes per dag over de tijd van 1 (één) maand aan onderzoek [9], echter toen alle onderzoeken werden samengevoegd, waren de resultaten min of meer een wassen neus, hetgeen leidde tot de conclusie dat het beschikbare bewijs uit gerandomiseerde controleonderzoeken niet ondersteunt dat hibiscus het vermogen heeft om serumlipiden significant te verlagen [10]. Dit kan zo zijn omdat slechts ongeveer 50 [%] van de mensen lijkt te reageert op het drinken van het equivalent van 2 (twee) tot 5 (vijf) kopjes per dag, hoewel degenen die er wel op reageren kunnen mogelijk een respectabele daling van ongeveer 12 procent in serumcholesterol niveau krijgen [11], maar er gaat echter niets boven de 30 [%] LDL-cholesteroldaling die een mens binnen enkele weken zou kunnen krijgen na het eten van een voldoende gezond plantaardig dieet [12]. Hibiscus zou dus kunnen werken voor het verlagen van het cholesterolgehalte, maar de gegevens zijn niet veelbelovend in de zin dat het niet zou kunnen werken voor die andere ongeveer 50 [%] van de menselijke dieren.

Kijkend naar menselijke dierlijke wezens met hoge bloeddruk is dit waarschijnlijk waar hibiscus echt kan schitteren als voeding voor het cardiovasculaire systeem, aangezien hoge bloeddruk een ziekte is die een miljard (10^9) mensen treft en miljoenen (10^6) doodt. Tot 2010 was er onvoldoende kwalitatief hoogstaand onderzoek om het gebruik van hibiscusthee voor de behandeling ervan te ondersteunen [13], maar sindsdien zijn gerandomiseerde dubbelblinde, placebo-gecontroleerde onderzoeken gepubliceerd waarin hibiscusthee wordt vergeleken met kunstmatig gekleurde en gearomatiseerd water dat eruitziet en smaakt als hibiscusthee, hetgeen leidde tot de conclusie dat de hibiscus thee significant beter het de bloeddruk verlaagde [14]. Het mechanisme waarom hibiscus kan werken bij het verlagen van de bloeddruk heb ik nog niet duidelijk uiteengezet, maar het lijkt de productie van stikstofmonoxide te stimuleren, hetgeen onze bloedvaten zou kunnen helpen ontspannen en dus beter te kunnen verwijden waardoor de bloeddruk verlaagd zou kunnen worden [15]. Ongeacht het mechanisme erkende een bijgewerkte review dat de dagelijkse consumptie van hibiscusthee inderdaad de bloeddruk aanzienlijk kan verlagen bij mensen met hypertensie [16].

Kijkend naar hoeveel het helpt bij het verlagen van de bloeddruk en hoe deze bloeddrukdaling zich verhoudt tot die van andere interventies, onderzocht de studie met de titel "premier clinical trial" levensstijlaanpassing voor bloeddrukcontrole. Ze realiseerden zich dat waarschijnlijk ongeveer 9 (negen) van de 10 Amerikanen hypertensie gaat ontwikkelen en randomiseerden 800 mannen en vrouwen met hoge bloeddruk in een van 3 (drie) groepen. De ene was de controlegroep, de zogenaamde adviesgroep waar patiënten te horen kregen dat ze moesten afvallen, minder zout moesten eten, meer moesten bewegen en gezonder moesten eten, maar in de twee gedragsinterventiegroepen werden ze serieus met 18 persoonlijke sessies, groepsvergaderingen, voedingsdagboeken, gecontroleerde fysieke activiteit, gemonitorde calorie-inname en gemonitorde natriuminname begeleid. De ene interventiegroep concentreerde zich alleen op lichaamsbeweging en de andere op lichaamsbeweging en voeding. Ze drongen aan op het DASH-dieet, rijk aan fruit en groenten en arm aan relatief vol-vette zuivelproducten en vlees. In 6 (zes) maanden tijd bereikten ze een daling van 4,3 punten in systolische bloeddruk vergeleken met de controle en deden ze het iets beter dan de leefstijlinterventie zonder dieet aanpassingen. Nu klinken een paar punten misschien niet als veel, want dat is alsof iemand van een bloeddruk van 150 over 90 naar een bloeddruk van 146 over 90 gaat, maar in het totale aantal op een populatieschaal zou deze daling van 5 (vijf) punten kunnen resulteren in 14 [%] minder sterfgevallen door beroertes, 9 [%] minder fatale hartaanvallen en in totaal 7 [%] minder sterfgevallen per jaar [17].

Maar een kopje hibiscusthee bij elke maaltijd verlaagde de bloeddruk niet slechts met 3 (drie), 4 (vier) of (exclusief of) 5 (vijf) punten, maar met 7 (zeven) punten, dus bijvoorbeeld van 129 naar 122 [14]. En bij een directe test tegen een markt leidend bloeddrukmedicijn genaamde captopril, bleek dat elke ochtend 2 (twee) kopjes sterke hibiscusthee, waarbij in totaal 5 (vijf) theezakjes voor die 2 (twee) kopjes werden gebruikt, even effectief was bij verlaging van de bloeddruk als een startdosis van 25 [mg] captopril, 2x (tweemaal) per dag ingenomen, hetgeen betekent dat hibiscus even effectief blijkt te zijn als het gebruik van een marktleidend medicijn voor het verlagen van de bloeddruk, en dit zonder negatieve effecten terwijl de andere negatieve effecten van het medicijn alles omvatten van gebrek aan kracht, mannenborsten, tot impotentie, met een heleboel daartussenin, waaronder zeldzame gevallen van mogelijk fatale leverschade [18, 24]. Er is zelfs een geheugensteuntje van CAPTOPRIL dat door mensen wordt gebruikt in artsenopleidingen dat gebruikt kan worden om gemakkelijker de belangrijkste negatieve werkingen van deze stof te onthouden: {CAPTOPRIL: “Cough” (hoesten), “Angioedema” (angio-oedeem), “Proteinuria” (proteïnurie), “Taste change” (smaakverandering), “hypOtension” (hypotensie), “Pregnancy problems” (zwangerschapsproblemen), “Rash” (huiduitslag), “Increased renin” (verhoogd renine), Lower blood pressure (lagere bloeddruk)}. Dus er zou geconcludeerd kunnen worden dat het dus net zo goed zou kunnen zijn als medicijnen, zonder de negatieve effecten van het medicijn [18], en beter dan dieet en lichaamsbeweging [17], maar de leefstijlinterventies waren nogal slap, aangezien volksgezondheidsdeskundigen opmerkten dat er in de eerder genoemde studie slechts om ongeveer 30 minuten lichaamsbeweging per dag werd gevraagd, en dat terwijl de Wereldgezondheidsorganisatie WHO 1 (één) uur per dag als minimale vereiste voorziet [19]. En qua voeding, hoe lager de inname van dierlijk vet [20] en hoe meer plantaardige eiwitbronnen de deelnemers in de eerste studie aten, des te beter het dieet leek te werken [21], hetgeen zou kunnen verklaren waarom vegetarische diëten nog beter lijken te werken, en des te meer plantaardig, des te lager de prevalentie van hypertensie [22]. Op het DASH-dieet minderden de studieparticipanten in het consumeren van vlees, maar ze eten het nog steeds elke dag, dus zouden ze kwalificeren als niet-vegetariërs in de Adventist 2-studie, die naar 89.000 Californiërs keek en ontdekte dat degenen die in plaats daarvan slechts wekelijks vlees aten een gemiddeld 23 [%] lagere percentage van mensen met hoge bloeddruk hadden. Het stoppen van het consumeren van al het vlees behalve vis zorgde er vervolgens voor dat deze waarde met 38 [%] werd verlaagd. Het weglaten van al het vlees resulteerde erin dat de vegetariërs minder dan de helft van deze eerdergenoemde waarde hebben en van de veganisten die een veganistisch dieet aten, waarbij dus alle dierlijke eiwitten en vetten werden weggelaten, bleek dat deze ¾ (driekwart) van hun risico op vanwege hoge bloeddruk gerelateerde ziektes hadden uitgebannen [23].

Dezelfde soort stapsgewijze dalingen in diabetes mellitus-percentages zijn zichtbaar als het dieet meer en meer plantaardig wordt en een daling van het overtollige lichaamsgewicht is hiervan ook een resultaat zodat alleen degenen die volledig plantaardig eten in de ideale lichaamsgewichtscategorie vallen [23]. Maar men zou zich kunnen afvragen of het kan zijn dat degenen die plantaardig eten enkel omdat ze gemiddeld zo mager zijn zo'n lagere bloeddruk hebben, maar dit is zeker niet het geval aangezien degenen die plantaardig eten slechts een fractie van het diabetesrisico hebben, zelfs bij dezelfde lichaamsmassa en zelfs na controle voor de lichaamsmassaindex (ook wel “body mass index BMI” genoemd) [23]. Kijken naar hypertensie heeft de gemiddelde Amerikaan een aandoening welke prehypertensie wordt genoemd, hetgeen betekent dat het hoogste getal van de bloeddruk tussen 120 en 139 ligt en dus nog geen hypertensie welke operationeel gedefinieerd begint bij 140, maar het betekent dat die mensen mogelijk op weg zijn om hypertensie te ontwikkelen. Vergeleken met de bloeddruk van degenen die volwaardige plantaardige diëten aten was de gemiddelde bloeddruk niet 3 (drie) punten lager, niet 4 (vier) punten lager en zelfs niet 7 (zeven) punten lager, maar lag deze zelfs 28 punten lager. Het is ook zo dat de groep die in deze studie het standaard Amerikaanse dieet at gemiddeld overgewicht had met een BMI van meer dan 26, hetgeen nog steeds beter was dan de meeste Amerikanen in die tijd op dat moment, terwijl de veganisten gemiddeld een BMI van 21 hadden, hetgeen ongeveer 36 pond (dat is ongeveer 16 [kg]) lichter in massa is [23]. Dus het kan ook zo zijn, en dit is ongeveer de enige reden die nog over is, dat degenen die vlees, eieren, zuivelproducten en relatief meer bewerkte rommel aten, zo'n hogere bloeddruk hadden omdat ze te zwaar waren, en dus dat het dieet op zichzelf er misschien niets mee te maken heeft.

Om dat raadsel op te lossen zouden we een groep moeten vinden die nog steeds het standaard Amerikaanse dieet eet, maar gemiddeld net zo slank is als een gemiddelde veganist. Om voor de studie een groep te vinden die zo fit en slank was moesten ze langeafstandsatleten gebruiken welke hetzelfde waardeloze Amerikaanse dieet aten, maar gedurende een periode van 21 jaar gemiddeld 48 mijl per week renden. Het onderzoek met deze hardlopers laat zien dat wanneer iemand 20 jaar lang bijna 2 (twee) marathons per week loopt, hetgeen een manier is waarmee je ongeacht wat je eet zo slank kunt zijn als een veganist en met 2 (twee) andere groepen, namelijk de veganisten en de conventionele dieetgroep die beide relatief sedentair waren met minder dan een uur lichaamsbeweging per week, hetgeen leidde tot de conclusie dat als je gemiddeld ongeveer duizend mijl per jaar rent, je relatief gezond overeen kunt komen met sommige “coach potato” veganisten in termen van bloeddruk [23]. Dit betekent natuurlijk niet dat je jezelf ervan moet weerhouden om beide te doen, maar wel is het praktisch om te weten dat het misschien makkelijker is om gewoon planten te eten om een betere bloeddrukscore te bereiken.

> Het zou ook effectief kunnen zijn als voeding tegen kanker, aangezien een onderzoek aantoonde dat het een anti mutagene werking heeft in menselijke HeLa-cellen in vitro [39] en cellulaire apoptose induceert in promyelocytische leukemiecellen in vitro [42], maar het is duidelijk dat er meer informatie nodig is, zoals meer rigoureuzere in vivo-onderzoeken.

> Met het oog op de veiligheid kan de zorg worden geuit dat zure vruchten, e.g. omdat het de stof citroenzuur bevat, de absorptie van aluminium via soortgelijke mechanismen stimuleren net zoals dat zure vruchten de absorptie van ijzer stimuleren, waarvan het stimuleren van de absorptie van aluminium een slechte zaak is voor het menselijk lichaam, terwijl het stimuleren van de opname van ijzer dat niet is.

Aluminium is het op twee na meest voorkomende element op aarde en is mogelijk niet goed voor de gezondheid van onze hersenen aangezien we door het bestuderen van gieterijarbeiders, welke jammer genoeg vaak aan relatief hoge niveaus aluminium worden blootgesteld te weten kunnen komen dat aluminium neurotoxische effecten kan veroorzaken. Maar hoewel de oorsprong van hersenziekten zoals de ziekte van Alzheimer controversieel is, is het waarschijnlijk verstandig om voorzichtig te zijn en maatregelen te nemen om de blootstelling van mensen aan het metaal aluminium te verminderen [28, 29]. Er zijn geneesmiddelen op de markt die aluminium bevatten, zoals maagzuurremmers (antacids) die het relatief hoogste aluminiumgehalte hebben, hoewel aluminiumverbindingen ook worden toegevoegd aan relatief meer bewerkte voedingsmiddelen als antiklontermiddel in pannenkoekenmix, smeltmiddelen in Amerikaanse kaas, vleesbindmiddelen, jus verdikkingsmiddelen, rijsmiddelen in sommige bakpoeders en kleurstofbindmiddelen in snoep. Een zuivere conclusie die hieruit getrokken zou kunnen worden zou dan zijn dat het voor de gezondheid in termen van aluminium beter is om het bij relatief onbewerkte voedingsmiddelen te houden [28]. Als u echter voedsel in een aluminium pot kookt, kan er een aanzienlijke hoeveelheid in het voedsel lekken wanneer vergeleken met koken in roestvrij staal [30]. Als je echter hetzelfde doet met thee, dan krijg je een aantal milligram aluminium in het water, ongeacht het type pot dat je gebruikt, hetgeen suggereert dat het aluminium in de theebladen or (exclusieve of) theebladzakjes zelf zit [30]. En inderdaad, in de jaren vijftig werd opgemerkt dat theeplanten de neiging hebben om aluminium uit de grond op te zuigen [31], maar zoals bij alles is het de dosis die iets giftig maakt, en volgens de Wereldgezondheidsorganisatie WHO is de voorlopige toelaatbare wekelijkse inname (iets dat zou kunnen worden beschouwd als een beste schatting van een veiligheidslimiet) voor aluminium 2 [mg] per gezonde kilogram lichaamsgewicht (dat is bijna een milligram per halve kilogram) per week, hetgeen betekent dat iemand met een massa van rond de 70 [kg] (dat is ongeveer 150 [pound]) voor een betere gezondheid waarschijnlijk beter niet meer dan 20 [mg] aluminium per dag zou moeten innemen [32]. Van deze hoeveelheid kan 1/5 (een vijfde) van de aluminiuminname afkomstig zijn van dranken, hetgeen overeenkomt in dat ongeveer 4 (vier) [mg] per dag uit dranken afkomstig kan zijn [32], hetgeen op zijn beurt bijvoorbeeld de hoeveelheid is die wordt gevonden in ongeveer 5 (vijf) kopjes groene, zwarte of (inclusieve of) oolongthee [33]. Dit betekent niet dat we niet meer dan 5 (vijf) kopjes thee per dag moeten drinken, omdat de hoeveelheid aluminium dat in ons lichaam komt niet is wat we eten of drinken, maar wat we opnemen [34]. Als je enkel meet hoeveel aluminium er in thee zit, dan zou het lijken alsof een paar kopjes de aluminiuminname voor een dag zouden kunnen verdubbelen, maar als je het niveau van aluminium in het lichaam van mensen meet nadat ze thee hebben gedronken, dan zou je tot de conclusie kunnen komen dat het niveau niet omhooggaat. Dit suggereert dat de biologische beschikbaarheid van aluminium uit thee in de bloedbaan laag is, hetgeen mogelijk komt doordat het grootste deel van het extraheerbare aluminium in gebrouwen thee sterk gebonden is aan grote fytonutriënten die niet gemakkelijk uit het maagdarmkanaal worden geabsorbeerd, hetgeen betekent dat het gewoon dwars door je lichaam [34] heen gaat zonder er echt in te komen waarvan waarschijnlijk meer dan 90 [%] van het aluminium in thee aan deze dergelijke materie is gebonden [33].

Studies laten ook een grote piek in de uitscheiding van aluminium via de urine na het drinken van thee zien wanneer dit vergeleken wordt met na het drinken van water. De enige gezonde manier om iets van onze mond naar onze blaas te krijgen is door eerst in onze bloedbaan te worden opgenomen, maar in dit onderzoek vergeleken ze niet dezelfde hoeveelheid thee met water. Ze lieten de proefpersoon ongeveer 8,5 (acht en een half) kop thee naar binnen slurpen, of (exclusief of) gewoon water drinken op hun gemak, dus plasten ze veel meer met de thee, dus het aluminiumgehalte was niet anders in de vergelijking thee versus water, hetgeen suggereert dat totale aluminiumabsorptie uit thee onwaarschijnlijk is en dat er mogelijk maar weinig aluminium beschikbaar is voor absorptie [35].

Dus hoewel slechts 4 (vier) kopjes thee 100 [%] van iemands dagelijkse aluminiumlimiet kunnen leveren als het compleet geabsorbeerd zou worden, dan kan het percentage dat beschikbaar is voor absorptie in de darm zelfs minder zijn dan 10 [%]. Daarom is het onwaarschijnlijk dat matige hoeveelheden theedrinken schadelijke effecten kunnen hebben op mensen [36]. Dat geldt echter voor mensen met een normale aluminiumuitscheiding. Thee is bijvoorbeeld misschien geen goede drank voor mensen met nierfalen, omdat ze aluminium niet zo efficiënt kunnen verwijderen [37]. Voor de meeste mensen zou de meeste thee echter geen probleem moeten zijn. Maar als je thee uit een blikje drinkt, koop dan on-gedeukte blikken, omdat het aluminium in gedeukte blikken gemakkelijker in de vloeistof kan lekken, waardoor het aluminiumgehalte met een factor 8 (acht) wordt verhoogd in de tijd dat het een jaar lang in de winkelrekken ligt [38].

Een onderzoek toonde aan dat er een groter percentage aluminium is dat van de hibiscus in het theewater terechtkomt, maar dat er in het algemeen minder aluminium in het theewater in hibiscusthee zit dan in vergelijking met mate-thee, zwarte thee en groene thee [3]. De vraag is of het aluminium dan uit het theewater in ons lichaam komt e.g., door absorptie in de darmen, maar we hebben die gegevens niet. Het zou goed zijn om aan de veilige kant te blijven. In dat geval moeten we uitgaan van het ergste, namelijk dat aluminium in hibiscusthee, in tegenstelling tot aluminium in groen en zwarte thee, volledig opneembaar is in ons lichaam. In dat slechtst denkbare scenario op basis van deze gegevens en de wekelijkse veiligheidslimiet van de Wereldgezondheidsorganisatie WHO, is het misschien verstandig om niet meer dan 15 kopjes hibiscusthee per dag te willen drinken, hetgeen ongeveer 3,5 [L] is op basis van iemand met een lichaamsmassa van ongeveer 70 [kg] en voor iemand met een lichaamsgewicht van 35 [kg], hetgeen een gemiddelde is voor een 10-jarige, zou ongeveer 2 [L] dan de limiet moeten zijn.

Meer uitgebreide tests suggereren echter relatief recent dat niveaus zo hoog kunnen worden als ongeveer 2x (twee keer) zoveel, hetgeen betekent dat het niet meer dan ongeveer 2 [L] per dag mag zijn voor de persoon van 70 [kg] en niet meer dan 1 (één) [L] voor mensen van 35 [kg] elke dag, en hetzelfde (die 1 liter) geldt dan ook voor zwangere personen [4].

Bovendien moet hibiscusthee volledig worden vermeden door jonge mensen onder 6 (zes) maanden oud die eigenlijk alleen moedermelk zouden moeten krijgen. Evenals zou het vermeden moeten worden door mensen die het niet efficiënt kunnen uitscheiden, hetgeen bijvoorbeeld het geval kan zijn bij mensen met nierfalen [4, 37].

Met het oog op de veiligheid kan er ook bezorgdheid worden geuit over de inname van mangaan als gevolg van het mangaangehalte in hibiscusthee, waarbij de consumptie de aanbevolen limieten kan overschrijden bij relatief hoge innames per dag, waardoor het voor een menselijk dier met een gewicht van ongeveer 70 [kg] waarschijnlijk niet zou moeten worden aanbevolen om meer dan 1 (één) liter [L] per dag te drinken, en een jong menselijk dier dat ongeveer 35 [kg] weegt, hetgeen een gemiddelde is voor een 10-jarige, zal waarschijnlijk niet regelmatig meer dan 2 (twee) kopjes hibiscusthee per dag moeten willen drinken. Mangaan is een essentieel sporenmineraal en een essentieel bestanddeel van enkele van onze belangrijkste antioxidant enzymen, waarvan we waarschijnlijk maar zo'n 2 (twee) tot 5 (vijf) [milligram] per dag nodig hebben, terwijl 4 (vier) kopjes hibiscusthee wel 17 [mg] kan bevatten met een gemiddelde van ongeveer 10 [mg] [4].

In een onderzoek waarin vrouwen gedurende 4 (vier) maanden 15 kopjes per dag kregen, zagen ze enkel een verbetering in hun ontstekingsremmende antioxidant-enzymactiviteit en geen negatieve effecten [5]. Een studie waarbij 20 kopjes per dag werden gebruikt, toonde ook geen nadelige korte termijneffecten en, belangrijker nog, toonde aan dat het vasthouden van mangaan die binnen is gekregen via de voeding in het lichaam relatief goed gereguleerd is, hetgeen uitwijst dat ons lichaam niet dom is, want als we te veel in ons lichaam zouden innemen, dan vermindert de absorptie en verhoogt de uitscheiding om effectief van overtollige inname af te kunnen komen zonder schade aan te berokkenen [6]. Dus ook al krijgen theedrinkers 10 keer zoveel mangaan als 10 of misschien zelfs 20 milligram per dag, het niveau in hun bloed is in wezen identiek, hetgeen betekent dat er weinig bewijs is dat mangaan in de voeding een risico vormt [7].

Dat was echter gewone thee, aangezien ik nog niets weet over de absorptie van hibiscus. In dat geval, om voorzichtig te zijn, zouden we waarschijnlijk het best niet routinematig de referentiedosis van 10 [mg] per dag moeten overschrijden, hetgeen neerkomt op slechts ongeveer 1 (één) liter per dag voor een persoon van 70 [kg] en een halve liter voor een persoon van 35 [kg]. Dus als je het drinkt als vervanging voor drinkwater, dus 2 (twee) liter per dag, bijvoorbeeld door de hibiscusbloemblaadjes te mengen om ze niet weg te gooien, wordt het aluminiumgehalte verdubbeld en de mangaanconcentratie met ongeveer 30 [%] verhoogd, hetgeen iets is dat niet erg fatsoenlijk zou kunnen zijn om aan te raden om elke dag te doen. Gelukkig zijn er een heleboel andere gezonde dranken die een vervanger van water kunnen zijn, zoals een relatief eenvoudig citroenwater en limoenwater drank, of een relatief meer geavanceerde gezonde groentesmoothie.

Een ander gezondheidsprobleem zou kunnen zijn dat, hoewel degenen die plantaardige diëten eten een superieure parodontale gezondheid lijken te hebben met minder tandvleesaandoeningen en minder tekenen van ontsteking zoals bloedingen, er bij mensen met plantaardige diëten gemiddeld ongeveer twee keer zoveel voorkomen van tanderosie, hetgeen gebieden zijn op de tanden waar het glazuur mogelijk dunner is geworden door de frequentere consumptie van zure groenten en fruit [25]. Dit leidt tot de conclusie dat we mogelijk beter onze mond kunnen spoelen met water om het zuur van onze tanden te verwijderen nadat we iets relatiefs zuurs zoals citrus hebben gegeten, inclusief relatief zure dranken [26] zoals de hibiscusthee die ook wel zure thee wordt genoemd [9]. Onderzoekers van de tandheelkundige school van de Universiteit van Iowa testten 25 verschillende populaire theesoorten en vonden er twee met een pH van minder dan 3, hetgeen betekent dat ze even zuur zijn als sinaasappelsap of coca-cola. Dit waren de passie van Tazo en de rode framboos van Bigelow, welke theesoorten beide als eerste ingrediënt hibiscus bevatten, hetgeen ook het onderdeel van de thee is welke zorgt voor de “zing” (pit) in rode zinger thee [26]. Om te zien of de thee echt tanden kon oplossen, namen ze 30 geëxtraheerde kiezen van mensen, en inderdaad, van de 5 (vijf) geteste theeën kwam de grootste erosie van het weken van tanden in de thee met de meeste hibiscus.

Nu lieten ze wel de tand 25 uur achter elkaar in de thee zitten, maar dit was om een levenslange blootstelling te simuleren. Het komt erop neer dat kruidenthee potentieel eroderend is, met name fruitige en citrusachtige theesoorten met ingredienten zoals hibiscus, maar het hangt allemaal af van verschillende factoren. Om het erosieve potentieel te minimaliseren kunnen we ook een rietje gebruiken [26] en na het nuttigen van zuur voedsel of dranken moeten we waarschijnlijk het beste onze mond spoelen met water om het zuur te helpen neutraliseren [27].

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[37] Santos F, Massie MD, Chan JC. Risk factors in aluminum toxicity in children with chronic renal failure. Nephron. 1986;42(3):189-95. doi: 10.1159/000183665. PMID: 3511396. https://pubmed.ncbi.nlm.nih.gov/3511396/

[38] Veríssimo MI, Gomes MT. Aluminium migration into beverages: are dented cans safe? Sci Total Environ. 2008 Nov 1;405(1-3):385-8. doi: 10.1016/j.scitotenv.2008.05.045. Epub 2008 Jul 30. PMID: 18672271. https://pubmed.ncbi.nlm.nih.gov/18672271/ ; https://www.sciencedirect.com/science/article/pii/S0048969708006220?via%3Dihub ; https://reader.elsevier.com/reader/sd/pii/S0048969708006220?token=C1AA9AF0386D1572BB9F745DB3259108DC2448574FDADCA7C491C2AA050E3D31A0D3C81B5CDD2558EBCA1284E3C138D9&originRegion=eu-west-1&originCreation=20220222132821

[39] Olvera-García V, Castaño-Tostado E, Rezendiz-Lopez RI, Reynoso-Camacho R, González de Mejía E, Elizondo G, Loarca-Piña G. Hibiscus sabdariffa L. extracts inhibit the mutagenicity in microsuspension assay and the proliferation of HeLa cells. J Food Sci. 2008 Jun;73(5):T75-81. doi: 10.1111/j.1750-3841.2008.00781.x. PMID: 18577016. https://pubmed.ncbi.nlm.nih.gov/18577016/ ; https://ift.onlinelibrary.wiley.com/doi/10.1111/j.1750-3841.2008.00781.x ; https://ift.onlinelibrary.wiley.com/doi/epdf/10.1111/j.1750-3841.2008.00781.x

[40] Carlsen MH, Halvorsen BL, Holte K, Bøhn SK, Dragland S, Sampson L, Willey C, Senoo H, Umezono Y, Sanada C, Barikmo I, Berhe N, Willett WC, Phillips KM, Jacobs DR Jr, Blomhoff R. The total antioxidant content of more than 3100 foods, beverages, spices, herbs and supplements used worldwide. Nutr J. 2010 Jan 22; 9:3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841576/bin/1475-2891-9-3-S1.PDF

[41] Komes D, Horžić D, Belščak A, Ganić KK, Vulić I, Green tea preparation and its influence on the content of bioactive compounds, Food Research International, Volume 43, Issue 1, 2010, Pages 167-176, ISSN 0963-9969, https://doi.org/10.1016/j.foodres.2009.09.022. https://www.sciencedirect.com/science/article/pii/S0963996909002877

[42] Chang YC, Huang HP, Hsu JD, Yang SF, Wang CJ. Hibiscus anthocyanins rich extract-induced apoptotic cell death in human promyelocytic leukemia cells. Toxicol Appl Pharmacol. 2005 Jun 15;205(3):201-12. doi: 10.1016/j.taap.2004.10.014. Epub 2004 Dec 7. PMID: 15922006. https://pubmed.ncbi.nlm.nih.gov/15922006/ ; https://www.sciencedirect.com/science/article/pii/S0041008X04004740?via%3Dihub ; https://reader.elsevier.com/reader/sd/pii/S0041008X04004740?token=1FB70EFE621BB31CABBCC56E62A54AA546A2B16D47C66E9CE562BABCF79A498653FA3F164598EC61363D24F2F2115C8E&originRegion=eu-west-1&originCreation=20220222144800

 Hibiscus continual meta-analysis

Eindhoven

Publication date first version: 21 February 2022 | 12022_02-21 New Human Era NHE

Publication date last version: 21 April 2022 | 12022_04-21 New Human Era NHE

Author: Rody Mens - r.w.mens@student.tue.nl

Citation: Mens RW. 21 February 2022. Hibiscus continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/22/hibiscus-alomvattend-artikel; https://www.researchgate.net/publication/358781010_Hibiscus_continual_meta-analysis

Compiled for Nutritionfactsnederlands.nl, which is a website dedicated to the exploration of the impact of nutrition on health, started upon the findings of Dr. Michael Herschel Greger.

Some keywords: hibiscus, flor de Jamaica, sorrel, roselle, rose mallow, hardy hibiscus, rose of Sharon, hypericum calycinum, ibískos, ἰβίσκος, rose of Althea, garden hibiscus, hibiscus syriacus, tropical hibiscus, red zinger, tea, hibiscus blossom, sabdariffa Sudan, kaasjeskruidfamilie, mallow, malvaceae, antioxidant, blood pressure, cholesterol, body fat, LDL, hypertension, aluminum, manganese, cancer, kanker, vet, bloeddruk, aluminium, mangaan, thee, kaasjeskruid, hypertensie

Summary: The dried petals of the hibiscus flower may help as nutrition for the cardiovascular system, may potentially help as nutrition against cancer and may help as nutrition for the immune system.

Hibiscus picture provided by Eba Marie available at https://www.pexels.com/photo/wood-dawn-red-caffeine-8851226/

Disclaimer

My disclaimer on the service limiting my (lawful) liability, and thus establishing the terms of use for the extend of my support for your uses of the information given, which disclaimer I have written to prerequisitially cover any wrong interpretation, or (exclusive or) validity in terms of incorrectness or (inclusive or) incompleteness, incompleteness because of a lower accuracy while having a high precision, of statements that might contain of what might be considered valuable information, that which information I am trying to convey as diligently as I currently at the time possibly can composed (as I keep developing, maintaining and operating on these files to keep improving both the accuracy and the precision of the information) and thus reasonably believed to be reliable by the use of those such specifically formulated statements, reads as follows:

The information that follows, although as diligently as currently at the time possible composed, and thus reasonably believed to be reliable, written or (inclusive or) compiled by Rody Wick Mens and provided thus shared with the best and most honest intentions in mind staying trustworthy, is always still limited to the writers personal interpreter at that time, for which reason it is possibly in your country of staying probably only to be used for educational purposes and not legally defined as "medical advice" for which reason no liability for its interpretation, correctness and completeness can be granted as I want to emphasize that I only take responsibility, but without lawful liability, for the statements in scientific papers on experimental research that I have explicitly done and published myself, and rightfully regard that the interpretation, correctness and completeness of information that other researchers are publishing is their responsibility without lawful liability, which also safeguards my integrity with absolute lawful independence defending and indemnifying the writer harmless from any claims of harm and thus maintaining the reader to be responsible for its acts upon the provided thus shared information, as use of this information thus constitutes acknowledgement and acceptance of the writings limitations places the use of it solely at the user’s own risk as the information provided is provided “as is” without representations, warranties, conditions and indemnities of any kind, either express or implied, and it may therefore thus be better advised to always contact and consult a physician that is lawfully bonded to be able to be a professional health care provider which physician also probably may have government monopolized legal liability in your country of staying, before making any major changes to your lifestyle such as changes to diet, exercise, or (inclusive or) adjustment in dosages of supplemental substances (e.g., substances which a lot of people consider to be called a “pharmaceutical”, “pharmakon”, “medicine”, “medication”, “drug”, “remedy” and “nutraceutical”, of which category of substances I think people should be beware of possible negative complications due to interactions with other personal habitually used substances) routine such that the physician can help a person with the consideration of implementing lifestyle changes that might help a person in their personal specific situation taking into account the individual bodily conditions, meaning that the information given is not intended as nor implied to be a substitute for legally defined “professional medical advice”, “professional medical diagnosis” nor “professional medical treatment”, and that the information is only intended to complement the informational exchange relationship between physicians and patients while not intending, implying nor creating an impression to be a substitute for it as it does not constitute a lawful physician-patient relationship, because I think that it is important that if and when it is absolutely necessary, as sick people should be the ones visiting physicians and presumably healthy people should not (please note that I use the word physician here in lawful government monopolized context and thus not talking about a researchers which could advise people on preventative healthcare, and also since most major health organizations agree that there is the risk for serious harm for people in establishing a regular physician-patient relationship, and all major health organizations have agreed that routine annual checkups for healthy adults should be abandoned because of the reason that establishing a relationship with a physician opens the door for people to become an active patient the more they see their physicians which the more likely someone is to be tested which in turn leads to the more likely people are to be treated for either better or (exclusive or) worse which increase in treatments is because of bad incentives originating from a to a free market situation compared relatively low competitive governmental monopolized health care system, and although it might at first seem to be a good idea, a long-standing familiarity with a patient is rarely necessary in order to provide excellent care in times of need in a government monopolized healthcare system, however in the case of a constantly free market competition-based improving healthcare situation, seeking help from a trusted personal physician could definitely be recommended because developing a partnership with good communication focused on improving the quality and time-quantity of your life and in case of need if you want to get yourself and the ones dear to you the best available personalized treatment, it is something that I think anyone should want and which achievement is probably well worth the hours required in the search), people seek services such as obtaining advice from a physician who could monitor their bodily condition while undergoing health-significant lifestyle changes and thus working together, possibly towards the same goal, in which conversations I can encourage people to ask physicians any questions that one may have regarding their bodily condition and the possible effects of the changes, which for example include a relatively large change in dietary practices, in which conversations I am of opinion that physicians should accept (not necessarily respect) your lifestyle choices and not try to undermine them such as in the case that a certain physician has bad habits that should not have to lead to that certain physician giving unhealthy recommendations,  and one should look for a physician who is genuinely interested in and actively encouraging someone to become healthy through better self-care by that someone getting more actively involved in their own healthcare, of which these physicians are very knowledgeable and constantly learning about the care of a human being willing and able to clearly explain one’s present condition and the possible courses of action that one can take to test and treat one’s problems, and one who makes a conscious effort to avoid the use of medications and surgery only using these as a very last resort, and has an advocate function for you as patient willing to provide the patient with the best of care when in contact with specialists rather than just transferring the patient to the specialist care, and is in favor of second opinions of other physicians and researchers (one should hear about all of the available options along with their costs, risks, and advantages; and one should remember that as a patient one is the health care consumer and thus the customer which given should always grant that one the final say in all decisions and thus including the right to just say “No”, thus possibly refusing to accept a physicians concluding recommendations (e.g., on supervision, permission and prescription) but not necessarily disregarding the advice given as the information should be used to assemble a more broader picture of the landscape of information (never disregard professional medical advice or (inclusive or) delay in seeking it because of something you read in the writers’ texts; which refusals could be occurring when a physician does not provide convincing enough arguments to the customer which could potentially mean that the physicians arguments are internally flawed), which brings me to the point that anything in my writings that might be categorized as an opinion are to be considered my and thus the writer’s own personal views only.

 

Article: Hibiscus [Sources below]

The relatively often reddish colored dried petals of the flowers of the in the relatively warm temperate mediterranean, subtropical and tropical areas of the world growing hibiscus shrub plant genus (also called “flor de Jamaica” in the country Mexico, “sorrel” in the Caribbean areas, “roselle” in many parts of the world, also “rose mallow”, “hardy hibiscus”, “rose of Sharon” which name is often more specifically used to describe the not in the same family related hypericum calycinum, “ibískos”, “ἰβίσκος”, “rose of Althea” which word is often more specifically used for the garden hibiscus hibiscus syriacus, and “tropical hibiscus”) containing about 200 plant species, e.g., the hibiscus blossom sabdariffa Sudan, which genus is categorizable in the mallow malvaceae plant family (also called “kaasjeskruidfamilie”, “malvaceae sensu lato” and “malvaceae sensu”) which plant species are often used in tea (e.g. hibiscus tea also called “sour tea” because it tastes sour because it contains acids in it like citric acid [2] or (inclusive or) as the “zing” in red zinger tea) or (inclusive or) even higher in nutrients using the whole flower parts as high antioxidant smoothie fruit punches (as you can in the following proportions soak 1 (one) handful of dried hibiscus flowers cold brewing overnight and then blend with 1 (one) knuckle of fresh ginger, 1 (one) teaspoon of amla powder, 3 (three) tablespoons of date syrup or (exclusive or) blend in some dates, furthermore take 1 (one) handful of fresh dark leavy green mint leaves and some lemon juice to make a drink just to drink throughout the day which drink is cold storable in the fridge) are possible usable as:

> It may be useful as nutrition for the immune system since a study showed that consumption of an aqueous hibiscus extract like tea has impact on systemic antioxidant potential in relatively healthy human animal being subjects thus shown that the antioxidant phytonutrients in hibiscus are effectively absorbed in human animal bodies since the bioavailable of antioxidants in their bloodstream became raised. If you have people drinking just water for 10 (ten) hours then the antioxidant level in the bloodstreams slowly plummets thus the antioxidants we have accumulated in our bodies, i.a. by eating healthy foods, gets slowly used up throughout the day e.g., by fighting off free radicals, unless these people replenish your antioxidant stores by eating antioxidant rich foods like hibiscus extracts in which case it does not get used up totally over the span of those 10 (ten) hours of time. It was hard to get people to fast for 10 (ten) hours though which is why in addition to water, the researchers gave the study subjects something to eat of which they knew that it would not mess up their antioxidant measurements, which things to eat were white bread and cheese. If at the beginning of the experiment you instead gave people a single cup of hibiscus tea instead of the control group with water only you can see a nice spike in the antioxidant level in the blood stream within an hour of time. The spike effect disappears however unless you keep sipping hibiscus throughout the day or (exclusive or) eat something other than cheese on white sandwiches thus giving us a healthy antioxidant surplus all day long [1]. Using hibiscus in a beverage such as hibiscus tea might make the beverage one of the healthiest beverages since a study looking into 283 different beverages concluded that in terms of antioxidant power and concluded the healthiest thing to drink on the planet Earth may be a drink which contains the ingredient hibiscus such as hibiscus tea which is even higher in concentration of antioxidants than green matcha tea [40, 41].

> It may be useful as nutrition for the cardiovascular system since a research study pitted hibiscus against obesity in humans giving hibiscus to overweight individuals and showed reduced body mass but after 12 weeks on hibiscus, they only lost about 1,5 [kg] over placebo meaning that it is not very significant and also clearly no magic fix for body mass reduction by reducing the bad body fat percentage fraction [8].                              

                However the purported cholesterol-lowering property of hibiscus tea had looked a bit more promising as in some older studies it was suggested that as much as an 8 [%] reduction in cholesterol could occur when drinking 2 (two) cups a day over the time of 1 (one) month of research [9], but when all the studies are put together the results were pretty much a wash leading to the conclusion that available evidence from randomized control trials does not support in favor of hibiscus having the ability to significantly lower serum lipids [10]. This may be the case because only about 50 [%] of people seem to respond at all to drinking the equivalent of between 2 (two) to 5 (five) cups a day, though those that do respond to it may get a about a respectable 12 [%] drop in serum cholesterol levels [11], but this is nothing like the 30 [%] LDL cholesterol drop as human can get within weeks of eating a healthy enough plant-based diet [12]. So, hibiscus could work for cholesterol level lowering but the data is not promising in the sense that it could not work for the other about 50 [%] of human animals.

                Looking at human animal beings with high blood pressure this is where hibiscus may really shine for helping as nutrition for the cardiovascular system since high blood pressure is a disease affecting a billion (10^9) people and killing millions (10^6). Up until 2010 there was not sufficient high enough quality research out there to support the use of hibiscus tea to treat it [13], but since then randomized double-blind, placebo-controlled studies have been published where hibiscus tea is compared to artificially colored and flavored water that looks and tastes like hibiscus tea which led to the conclusion that the hibiscus tea did significantly better in lowering blood pressure [14]. The mechanism why hibiscus may work in lowering blood pressure is not something I have clearly laid out yet, but it does appear to boost nitric oxide production which could help our arteries relax making them able to dilate better and thus in that manner being able to lower the blood pressure [15]. Regardless of the mechanism an updated review acknowledged that the daily consumption of hibiscus tea may indeed significantly lower blood pressures in people with hypertension [16].

                Looking at how much it helps in lowering blood pressure and how this drop in blood pressure does compare to that of other interventions, the study titled “premier clinical trial” looked into lifestyle modification for blood pressure control. Realizing that about 9 (nine) out of 10 Americans are probably going to develop hypertension, they randomized 800 men and women with high blood pressure into one of 3 (three) groups. One was the control group the so-called advice only group where patients were just told to lose weight cut down on salt increase exercise and eat healthier, but in the two behavioral intervention groups they got serious with 18 face-to-face sessions, groups meetings, food diaries, monitored physical activity, monitored calorie intake and monitored sodium intake. One intervention group just concentrated on exercise and the other included exercise and diet. They pushed the DASH diet, high in fruits and vegetables, and low in full-fat dairy products and meat. In 6 (six) months of time they achieved a 4.3 point drop in systolic blood pressure compared to the control and doing slightly better than the lifestyle intervention without the diet modifications. A few points might not sound like a lot because that is like someone going from a blood pressure of 150 over 90 to a blood pressure of 146 over 90, but on a population scale a 5 point drop in the total number would result in a 14 [%] fewer stroke deaths, 9 [%] fewer fatal heart attacks, and 7 [%] fewer overall deaths every year [17].

                But a cup of hibiscus tea with each meal did not just lower blood pressure by 3 (three), 4 (four) or (exclusive or) 5 (five) points but by 7 (Seven) points, meaning for example from 129 down to 122 [14]. And when tested head-to-head against a market leading blood-pressure drug called captopril, 2 (two) cups of strong hibiscus tea every morning, using a total of 5 (five) tea bags for those 2 (two) cups was as effective in lowering blood pressure as a starting dose of 25 [mg] of captopril taken 2x (twice) a day meaning that hibiscus is found to be as effective as the use of a leading drug in lowering blood pressure and this without negative effects, while the drugs additional negative effects include everything from lack of strength, man boobs, down to impotence, with a whole lot in between, including rare cases of potentially fatal liver damage [18, 24]. There is even a mnemonic of CAPTOPRIL used by people to learn in physician education which could help in trying to memorize the major negative effects of this substance: {CAPTOPRIL: Cough, Angioedema, Proteinuria, Taste change, hypOtension, Pregnancy problems, Rash, Increased renin, Lower blood pressure}. It thus might be concluded that it could be as good as drugs, without the drug’s negative effects [18], and better than diet and exercise [17], however the lifestyle interventions were pretty wimpy as public health experts noted that the previously mentioned premier study was only asking for about 30 minutes of exercise a day, whereas the World Health Organization WHO is stating that 1 (one) hour a day should be considered as minimum requirement [19]. And diet-wise the lower the animal fat intake [20] and the more plant sources of protein the premier study participants were eating, the better the diet appeared to work [21], which may explain why vegetarian diets appear to work even better, and the more plant-based the lower the prevalence of hypertension [22]. Using the DASH diet the participants cut down on meat but are still eating it every day so would qualify as nonvegetarians in the Adventist 2 study which looked at 89,000 Californians and found that those who instead only ate meat on more like a weekly basis had 23 [%] lower rates of high blood pressure. Cutting out all meat except fish this rate became 38 [%] lower. Cutting out all meat showed that the vegetarians have less than half the rate and the vegans eating any vegan diet cutting out all animal protein and fat appeared to have thrown ¾ (three quarters) of their risk for this major disease killer because of high blood pressure related illnesses out of the window [23].

The same kind of stepwise drops is shown in diabetes mellitus rates as diets gets more and more plant-based and a drop in excess body weight was also a result such that only those eating completely plant-based diets fell into the ideal bodyweight category [23]. But one could ask if it may be that those eating plant-based have such lower blood pressure just because they are so skinny on average, but this is definitely not the case since those eating plant based just have a fraction of the diabetes risk even at the same body mass and even after controlling for body mass index BMI [23]. Looking at hypertension, the average American has a condition what is called prehypertension meaning that the top number of the blood pressure is between 120 and 139 and thus not yet hypertension which operationally defined starts at 140 but it means those people may be on their way of developing hypertension. Compared to the blood pressure of those eating whole food plant-based diets then the blood pressure was not 3 (three) points lower, not 4 (four) points lower, and not even 7 (seven) points lower, but this was even 28 points lower on average. It also being the case that the group used in this study eating the standard American diet was on average overweight with a body mass index BMI over 26 which was still better than most Americans at the time while the vegans had on average a trim BMI of 21 meaning about 36 pounds (which is about 16 [kg]) lighter in mass [23]. So, it may also be the case, and this about the only reason left, that those eating meat, eggs, dairy, and relatively more processed junk foods had such higher blood pressure was because they were overweight, maybe the diet per se had nothing to do with it.    

To solve that riddle we would have to find a group still eating the standard American diet but at the same time is on average as slim as an average vegan. To find a group that fit and trim for the study, they had to use long-distance endurance athletes, who ate the same crappy American diet but ran an average of 48 miles per week for a period of 21 years long. The study with these runners showing that when someone runs almost 2 (two) marathons a week for 20 years in which manner you can be as slim as a vegan no matter what you eat and using 2 (two) other group which are the vegans and the conventional diet group which were both relatively sedentary having less than an hour of exercise a week, leading to the conclusion that if you run an average of about a thousand miles every year only then you can relatively healthy rival some couch potato vegans in terms of blood pressure [23]. This of course does not mean and should not make you hesitant for doing both, but it is practical to know that it may be easier to just eat plants to achieve better blood pressure levels.

> It may also be effective as nutrition against cancer since a study showed that it is antimutagenic in human HeLa cells in vitro [39] and inducing cellular apoptosis in promyelocytic leukemia cells in vitro [42], but it is clear that more information is needed such as more rigorous in vivo studies.

> Considering safety, the concern may be raised that sour fruits, e.g., because of citric acid compound containment, boost the absorption of aluminum via a like mechanisms as sour fruits boost the absorption of iron, which boosting of absorption of aluminum is a bad thing for your body whereas the boosting of absorption of iron is not.

Aluminum is the third most abundant element on Earth and may not be good for our brain health as we learn through studying foundry workers who unfortunately often get exposed to relatively high levels of aluminum which exposure could induce neurotoxic effects. But even though the origin of brain diseases like Alzheimer’s are controversial it would be probably wise to be careful and to take steps to lessen human exposure to the metal aluminum [28, 29].  There are aluminum-containing drugs on the market like antacids that have the relatively highest containment level of aluminum, though aluminum compounds are also added to relatively more processed foods as anti-caking agents in like pancake mix, melting agents in American cheese, meat binders, gravy thickeners, rising agents in some baking powders, and dye-binders in candy. A fair conclusion would be that for health it is in terms of aluminum thus better to stick to relatively unprocessed foods [28]. However, if you cook foods in an aluminum pot, a significant amount can leach into the food when compared to cooking in stainless steel [30]. If you do the same thing with tea, though, you get a few milligrams of aluminum regardless of what type of pot you use, which is suggesting the aluminum is in the tea leaves or (exclusive or) tea leave bags itself [30]. And indeed back in the 1950s it was noticed that tea plants tend suck up aluminum from the soil [31], but like anything it is the dose that makes the poison, and according to the World Health Organization WHO the provisional tolerable weekly intake (which could be considered as a best guess at a safety limit) for aluminum is 2 [mg] per healthy kilogram of body weight (which is nearly a milligram per pound) per week meaning that someone with a mass around 70 [kg] (which is about 150 [pounds]) for better health probably should not ingest more than 20 [mg] of aluminum per day [32]. 1/5 (a fifth) of aluminum intake of this amount may come from beverages which translates to about 4 (four) [mg] a day [32], which in turn is e.g., the amount found in about 5 (five) cups of green, black, or (inclusive or) oolong tea [33]. This does not mean that we should not drink more than 5 (five) cups of tea a day because the amount of aluminum content in our bodies is not what we eat or drink, it is what we absorb [34]. If you only measured how much aluminum was in tea, it would seem as though a couple cups could double aluminum intake for the day, but if you measured the level of aluminum in people’s bodies after they drink tea you could come to the conclusion that it does not go up. This suggests that the bioavailability of aluminum in tea coming into the bloodstream is low which possibly is the case because most of the extractable aluminum in brewed tea is strongly bound to large phytonutrients that are not easily absorbed from the gastrointestinal tract, so it just passes right through you without actually getting into your body [34] with probably more than 90 [%] of the aluminum in tea is bound up to these kinds of matter [33].

Studies also show a large spike in aluminum excretion through the urine after drinking tea when compared to after drinking water. The only healthy way for something to get from our mouth to our bladder is to first be absorbed into our bloodstream, but in this research, they were not comparing the same quantity of tea to water. They had the study subject chug down about 8,5 (eight and a half) cups of tea, or (exclusive or) just drink water at their leisure, so they peed a lot more with the tea, so the aluminum content was no different tea versus water, suggesting that gross aluminum absorption from tea is unlikely and that only little aluminum is potentially available for absorption [35].

So though as few as 4 (four) cups of tea could provide 100 [%] of one’s daily aluminum limit when all would be absorbed, the percentage available for absorption in the intestine may be even less than 10 [%]. Therefore, it is unlikely that moderate amounts of tea drinking can have any harmful effects on humans [36]. However, that is for people with normal aluminum excretion. For example, tea may not be a good beverage for people with kidney failure, since they cannot get rid of aluminum as efficiently [37]. For most people though, most tea should not be a problem. Though if you drink tea out of a can, buy undented cans, as the aluminum in dented cans can leach into the liquid boosting aluminum levels by a factor of 8 (eight) sitting on store shelves for a year [38].

A study showed that there is a greater percentage of aluminum that gets from the hibiscus into the tea water but that there is less aluminum overall in the tea water in hibiscus tea than when compared to mate tea, black tea and green tea [3].  The question the is if the aluminum then gets from the tea water into our body, e.g., by absorption in our intestines, but we do not have that data it could be good to be on the safe side in which case we should assume the worst which is that hibiscus tea aluminum, unlike green and black tea aluminum, is completely absorbable. In that worst case scenario, based on this data and the World Health Organization WHO weekly safety limit we may not want to drink more than 15 cups of hibiscus tea a day which is about 3,5 [L] based on someone with a body mass of about 70 [kg] and for someone with a body mass of 35 [kg] which is an average for a 10 year old about 2 [L] should then be the limit.

However, more extensive testing relatively recently suggests levels may reach as high as about 2x (twice) as much meaning it should be no more than about 2 [L] a day for the 70 [kg] person, and no more than 1 (one) [L] for people of 35 [kg] and also for pregnant persons, every day [4].

Furthermore, hibiscus tea should be completely avoided by young humans under 6 (six) months old who should only be getting breast milk. The same is also the case for people who cannot efficiently excrete it, which e.g., might be the case in cases of people with kidney failure [4, 37].

Considering safety the concern may also be raised about manganese intake consequently of the manganese content in hibiscus tea in which consumption it may exceed recommended limits at relatively high intakes a day leading that for a human animal weighing about 70 [kg] it probably should not be recommended to drink more than 1 (one) liter [L] a day and a young human animal weighing about 35 [kg] which is an average for a 10 year old in which case this person should probably not want to regularly drink more than 2 (two) cups of hibiscus tea a day. Manganese is an essential trace mineral and a vital component of some of our most important antioxidant enzymes of which we probably only need about 2 (two) to 5 (five) [milligrams] a day, whereas 4 (four) cups of hibiscus tea can have as much as 17 [mg] averaging about 10 [mg] [4].

In a study in which women were given 15 cups a day for 4 (four) months they only saw an improvement in their anti-inflammatory antioxidant enzyme activity and no negative effects [5].
A study using 20 cups a day similarly showed no adverse short-term effects and importantly showed that retention of dietary manganese is relatively well-regulated thus showing that our body is not stupid since if we take too much in our body decreases the absorption and increases the excretion to get rid of excess intake effectively without harm done [6].  So even though tea drinkers may get 10 times the manganese load getting 10 or even 20 milligrams a day, the level in their blood is essentially identical meaning that there is little evidence that dietary manganese poses a risk [7].

That was regular tea though since I do not know yet about the absorption from hibiscus in which case to err on the side of caution, we should probably not routinely exceed the reference dose of 10 [mg] per day which amounts to only about 1 (one) liter a day for a 70 [kg] person and half a liter for a 35 [kg] person. So, drinking it using it as a substitute for drinking water like 2 (two) liters a day e.g., blending the hibiscus petals in not throwing them away effectively doubling aluminum content and increasing manganese concentrations by about 30 [%] which is something that could not be very decently advisable to do each day. Luckily there are a lot of other healthy beverages which can do for a substitute of water such as a relatively simple lemon water and lime water drink, or a relatively more advanced healthy vegetable smoothie.

Another health concern might be that even though those that eat plant-based diets appear to have superior periodontal health with less gum disease and fewer signs of inflammation like bleeding, people following plant-based diets have on average about twice the prevalence of dental erosions which are areas on the teeth where the enamel has thinned possibly because of the more frequent consumption of acidic fruits and vegetables [25]. This leads to the conclusion that we better should swish and rinse our mouths with water to clear the acid from our teeth after we eat something like citrus, including acidic beverages [26] such as the hibiscus tea which is also called sour tea [9]. Researchers at the University of Iowa dental school tested 25 different popular teas, and found two with a pH under 3, meaning equivalently as acidic as orange juice or coca cola. These were Tazo’s passion and Bigelow’s red raspberry, both of tea sorts containing hibiscus as their first ingredient, which is that part which also brings the zing to red zinger tea [26]. To see if the teas could actually dissolve teeth, they took 30 extracted molars from people, and indeed, out of the 5 (five) teas tested, the greatest erosion came from soaking teeth in the tea with the most hibiscus.

Now, to be clear, they left the tooth sitting in the tea for 25 hours straight, but this was to simulate a lifetime of exposure. The bottom line is that herbal teas are potentially erosive, particularly fruity and citrusy teas with ingredients like hibiscus, but it all depends on a variety of factors. To minimize the erosive potential, we can also use a straw [26] and after consuming acidic food or drinks we should probably best rinse our mouth with water to help neutralize the acid [27].

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[42] Chang YC, Huang HP, Hsu JD, Yang SF, Wang CJ. Hibiscus anthocyanins rich extract-induced apoptotic cell death in human promyelocytic leukemia cells. Toxicol Appl Pharmacol. 2005 Jun 15;205(3):201-12. doi: 10.1016/j.taap.2004.10.014. Epub 2004 Dec 7. PMID: 15922006. https://pubmed.ncbi.nlm.nih.gov/15922006/ ; https://www.sciencedirect.com/science/article/pii/S0041008X04004740?via%3Dihub ; https://reader.elsevier.com/reader/sd/pii/S0041008X04004740?token=1FB70EFE621BB31CABBCC56E62A54AA546A2B16D47C66E9CE562BABCF79A498653FA3F164598EC61363D24F2F2115C8E&originRegion=eu-west-1&originCreation=20220222144800

 

Brazil nut bertholletia excelsa continual meta-analysis

Brazil nut bertholletia excelsa continue meta-analyse

Eindhoven

Datum van publicatie eerste versie: 18 februari 2022 | 12022_02-18 New Human Era NHE

Datum van publicatie laatste versie: 21 april 2022 | 12022_04-21 New Human Era NHE

Auteur: Rody Mens - r.w.mens@student.tue.nl

Samengesteld voor Nutritionfactsnederlands.nl, hetgeen een website is gewijd aan het onderzoek naar de impact van voeding op de gezondheid, gestart op de bevindingen van Dr. Michael Herschel Greger.

Citatie: Mens RW. 18 February 2022. Brazil nut bertholletia excelsa continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/18/brazil-nut-bertholletia-excelsa-continual-meta-analysis ; https://www.researchgate.net/publication/358709031_Brazil_nut_bertholletia_excelsa_continual_meta-analysis_English_and_Dutch

Enkele kernwoorden: bertholletia excelsa, castañas de Brasil, paranoten, nuez de Brasil, castanha-do-pará, nigger toes, chestnuts from Pará, cholesterol, LDL, HDL, selenium, antioxidant, cancer, longevity, lower oxidation, improve our arterial function, improve blood sugar levels, paranoot, kanker, oxidatie, aderfunctie, bloedbuisfunctie, bloedsuikerniveau, bloedsuiker

Samenvatting: De paranoot bertholletia excelsa zou mogelijk kunnen helpen als voeding voor het cardiovasculaire systeem, als voeding voor het immuunsysteem en als voeding voor de behandeling van kanker.


Paranoten afbeelding verkregen via pictavio beschikbaar op https://pixabay.com/photos/brazil-nuts-without-shell-5252364/

Vrijwaring

Mijn vrijwaring op de service die mijn (wettelijke) aansprakelijkheid beperkt en daarmee de gebruiksvoorwaarden vaststelt voor de mate van mijn steun voor uw gebruik van de verstrekte informatie, welke vrijwaring ik heb geschreven om eventuele verkeerde interpretatie vooraf te dekken, of (exclusief of) validiteit in termen van onjuistheid of (inclusief of) onvolledigheid, onvolledigheid vanwege een lagere nauwkeurigheid terwijl ze een hoge precisie hebben, van uitspraken die datgeen zouden kunnen bevatten dat als waardevolle informatie kan worden beschouwd, die informatie die ik zo zorgvuldig als ik momenteel mogelijk kan samengesteld (aangezien ik deze bestanden blijf ontwikkelen, onderhouden en gebruiken om zowel de nauwkeurigheid als de precisie van de informatie te blijven verbeteren) en dus redelijkerwijs als betrouwbaar kan worden beschouwd door het gebruik van deze dergelijke specifiek geformuleerde verklaringen, luidt als volgt:

De informatie die volgt, hoewel zo zorgvuldig als ik momenteel mogelijk kan samengesteld, en dus redelijkerwijs als betrouwbaar kan worden beschouwd, is geschreven of (inclusief of) samengesteld door Rody Wick Mens en verstrekt dus gedeeld met de beste en meest eerlijke bedoelingen in het achterhoofd en daardoor betrouwbaar blijvend, is altijd nog steeds beperkt tot de persoonlijke interpretatie van de schrijver op dat moment, om welke reden het mogelijk in uw land van verblijf waarschijnlijk alleen te gebruiken is voor educatieve doeleinden en niet wettelijk gedefinieerd als "medisch advies" om welke reden geen aansprakelijkheid voor de interpretatie ervan, juistheid en volledigheid kan worden verleend aangezien ik wil benadrukken dat ik alleen verantwoordelijkheid neem, maar zonder wettelijke aansprakelijkheid, voor de uitspraken in wetenschappelijke artikelen over experimenteel onderzoek die ik expliciet zelf gedaan en gepubliceerd heb en terecht beschouw dat de interpretatie, juistheid en volledigheid van informatie die andere onderzoekers publiceren hun verantwoordelijkheid zonder wettelijke aansprakelijkheid is, hetgeen ook mijn integriteit bewaakt door met absolute wettige onafhankelijkheid de schrijver verdedigd en schadeloos stelt van alle schadeclaims en zo de lezer verantwoordelijk te houden voor zijn daden op basis van de verstrekte, aldus gedeelde informatie, aangezien het gebruik van deze informatie dus erkenning en aanvaarding van de geschriften beperkingen inhoudt die het gebruik ervan uitsluitend op eigen risico van de gebruiker stellen, aangezien de verstrekte informatie wordt verstrekt "zoals ze is" zonder verklaringen, garanties, voorwaarden en vrijwaringen van welke aard dan ook, expliciet of impliciet, en het daarom beter kan worden geadviseerd om altijd contact op te nemen met en het raadplegen van een arts die wettelijk gebonden is om een ​​professionele zorgverlener te zijn, welke arts waarschijnlijk ook door de overheid gemonopoliseerde wettelijke aansprakelijkheid heeft in uw land van verblijf, voordat u grote veranderingen aanbrengt in uw levensstijl, zoals veranderingen in dieet, lichaamsbeweging of (inclusief of) aanpassing van doseringen van aanvullende middelen (e.g., middelen waarvan veel mensen die middelen een ‘farmaceutisch middel’, ‘farmakon’, ‘medicijn’, ‘medicatie’, ‘drug, ‘remedie’ en ‘nutraceutica’ noemen, van welke categorie middelen ik denk dat mensen moeten oppassen voor mogelijke negatieve complicaties als gevolg van interacties met andere in persoonlijk gebruik genomen middelen) routine zodat de arts een persoon kan helpen met de overweging om veranderingen in levensstijl door te voeren die een persoon in hun persoonlijke specifieke situatie zou kunnen helpen, rekening houdend met de individuele lichamelijke condities, hetgeen betekent dat de verstrekte informatie niet bedoeld of geïmpliceerd is als een vervanging is voor wettelijk gedefinieerd "professioneel medisch advies", "professionele medische diagnose" of "professionele medische behandeling", en dat de informatie alleen bedoeld is om de informatie-uitwisselingsrelatie tussen artsen en patiënten aan te vullen, zonder de bedoeling, implicering noch de indruk te wekken een vervanging te zijn voor, omdat het geen wettig standbare arts-patiëntrelatie vormt, omdat ik denk dat het belangrijk is dat als en wanneer het absoluut noodzakelijk is, aangezien zieke mensen degenen moeten zijn die artsen bezoeken en vermoedelijk gezonde mensen niet (ermee rekening houdend dat ik het woord arts hier gebruik in een wettige, door de overheid gemonopoliseerde context en dus niet onderzoekers bedoel die mensen zou kunnen adviseren over preventieve gezondheidszorg, en ook omdat de meeste grote gezondheidsorganisaties het erover eens zijn dat er een risico bestaat op ernstige schade voor mensen bij het aangaan van een regelmatige arts-patiëntrelatie, en alle grote gezondheidsorganisaties zijn overeengekomen dat routinematige jaarlijkse controles voor gezonde volwassenen gestopt zouden moeten worden vanwege de reden dat het aangaan van een relatie met een arts de deur opent voor mensen om een ​​actieve patiënt te worden, hoe vaker ze hun arts zien, hoe groter de kans dat iemand wordt getest, hetgeen op zijn beurt weer leidt tot de grotere kans dat mensen worden voor beter of (exclusief of) slechter worden behandeld, welke toename van behandelingen het gevolg is van perverse prikkels die ontstaan in een met een vrijemarktsituatie vergelijken relatief laag competitief gemonopoliseerd gezondheidszorgsysteem van de overheid, en hoewel het op het eerste gezicht een goed idee lijkt, is een langdurige bekendheid met een patiënt zelden nodig om uitstekende zorg te verlenen in tijden van behoefte in een door de overheid gemonopoliseerd gezondheidszorgsysteem, maar in het geval van een voortdurend op vrije markt gebaseerde, op concurrentie gebaseerde verbetering van de gezondheidszorgsituatie, kan het zeker worden aanbevolen om hulp te zoeken bij een vertrouwde persoonlijke arts, omdat het ontwikkelen van een partnerschap met goede communicatie gericht op het verbeteren van de kwaliteit en tijd- hoeveelheid van je leven en dat in het geval dat je jezelf en degenen die je dierbaar zijn de best beschikbare persoonlijke behandeling wilt laten krijgen, hetgeen iets is dat ik denk dat iedereen zou moeten willen en welke prestatie de uren die nodig zijn om dit te bereiken het waarschijnlijk zeer zeker waard zijn), mensen diensten zoeken zoals het inwinnen van advies van een arts die hun lichamelijke conditie zou kunnen controleren tijdens het ondergaan van een voor de gezondheid significante levensstijl veranderingen en dus samenwerken, eventueel naar hetzelfde doel, in welke gesprekken ik het kan beamen en mensen kan aanmoedigen om artsen vragen te stellen over hun lichamelijke gesteldheid en de mogelijk effecten van deze veranderingen, waaronder bijvoorbeeld een relatief grote verandering in de voedingspraktijk, in welke gesprekken ik van mening ben dat artsen uw levensstijlkeuzes moeten accepteren (niet noodzakelijkerwijs respecteren) en niet moeten proberen deze te ondermijnen, zoals in het geval dat een bepaalde arts slechte gewoonten heeft dat er niet toe zouden moeten leiden dat die bepaalde arts ongezonde aanbevelingen geeft, en men zou op zoek moeten gaan naar een arts die oprecht geïnteresseerd is in en actief aanmoedigt dat iemand gezond word door betere zelfzorg doordat diegene meer actief betrokken wordt bij zijn eigen gezondheidszorg, waarvan dit ook artsen zijn die zeer goed geïnformeerd zijn en voortdurend leren over de zorg van een mens die bereid en in staat zijn om iemands huidige toestand en de mogelijke maatregelen die men kan nemen om zijn problemen te testen en te behandelen, en iemand die zich bewust inspant om het gebruik van medicijnen en operaties te vermijden en deze enkel als allerlaatste redmiddel gebruikt, en heeft een advocatiefunctie voor u als patiënt die bereid is om de patiënt de beste zorg te bieden in contact met specialisten in plaats van alleen maar de patiënt naar de specialistische zorg over te dragen, en is voorstander van het vragen van een tweede mening van andere artsen en onderzoekers (men zou moeten horen over alle beschikbare opties, samen met hun kosten, risico's en voordelen; en men moet bedenken dat men als patiënt de zorgconsument is en dus de klant welk gegeven betekent dat diegene altijd het laatste woord moet hebben bij alle beslissingen en dus ook het recht moet hebben om gewoon "nee" te zeggen, en dus mogelijk weigert de door een arts concluderende aanbevelingen te accepteren, maar niet noodzakelijkerwijs het gegeven advies negeert (e.g., over toezicht, toestemming en recept), aangezien de informatie moet worden gebruikt om een ​​breder beeld van het informatielandschap samen te stellen (negeer nooit professioneel medisch advies of (inclusief of) uitstel bij het zoeken ervan vanwege iets dat u in de teksten van de schrijvers leest; welke weigeringen zouden kunnen optreden wanneer een arts de klant niet voldoende overtuigende argumenten geeft, hetgeen zou kunnen betekenen dat de argumenten van de arts intern onjuist zijn), hetgeen mij tot het punt brengt dat alles in mijn geschriften dat als een mening kan worden gecategoriseerd, zal moeten worden beschouwd als mijn en dus enkel de persoonlijke mening van de schrijver.

Artikel: Brazil nut bertholletia excelsa [ENGLISH BELOW]

De relatief hoge hoeveelheid geconcentreerde onverzadigde vetten en de relatief hoge hoeveelheid geconcentreerde seleniumverbinding die braziliaanse kastanjevruchtzaden bevatten die gehaald kunnen worden uit de kokosnootachtige nootbevattende capsule van de bertholletia excelsa-boomplant (ook wel castañas de Brasil, paranoten, nuez de Brasil, castanha-do genoemd-pará, negertenen, nigger toes en kastanjes uit Pará) welke in te delen is in de lecythidaceae plantenfamilie is mogelijk bruikbaar als:

> Het is mogelijk bruikbaar als voeding voor het cardiovasculaire systeem, aangezien in een studie getiteld "Een enkele consumptie van grote hoeveelheden paranoten verbetert het cholesterolgehalte van gezonde vrijwilligers" de onderzoekers 10 mannen en vrouwen een enkele maaltijd gaven met 0 (nul), 1 (één), 4 (vier), of (exclusieve of) 8 (acht) paranoten, en ontdekte dat de inname van slechts die enkele portie vrijwel onmiddellijk het cholesterolgehalte verbeterde. De zogenaamde "slechte" cholesterolwaarden van LDL in het bloed waren significant lager vanaf slechts 9 (negen) [uur] na de inname van de noten en zeker niet insignificant aangezien ze de LDL-cholesterolwaarden aanzienlijk deden dalen met bijna 20 punten binnen een dag aan tijdsbestek. In vergelijking met de momenteel beschikbare medicijnen, werken zelfs de momenteel beschikbare LDL-cholesterolverlagende medicijnen niet zo snel omdat statines gemiddeld ongeveer 4 (vier) dagen nodig hebben om een ​​significant effect te hebben. Ze maten ook het cholesterolniveau 5 (vijf) en 30 dagen later terwijl ze gedurende die hele tijd geen paranoten aten en enkel ze die eerdergenoemde portie paranoten een maand eerder hadden gehad en de onderzoekers maten dat hun LDL-cholesterolwaarden 30 dagen later nog steeds waren gedaald, concluderende dat de LDL-cholesterolwaarden daalden en gedaald bleven na het eten van slechts 4 (vier) van deze noten. En nee, het onderzoek werd niet gefinancierd door de paranotenindustrie.

Interessant is dat (4) vier noten sneller leken te werken dan 8 (acht) noten in termen van de LDL “slechte” cholesterol te verlagen en het HDL “goede” cholesterol te verhogen, hetgeen suggereert dat het eten van slechts 4 (vier) noten voldoende zou kunnen zijn om de niveaus van LDL-cholesterol LDL-c te verbeteren en HDL-cholesterol HDL-c tot 30 dagen en misschien zelfs langer omdat ze verdere resultaten na 30 dagen niet hebben getest.

Wanneer een studie in de literatuur verschijnt die een resultaat als dit laat zien dat te mooi lijkt om waar te zijn zou je meestal willen wachten om de resultaten gerepliceerd te zien voordat het in de klinische praktijk verandert en dus voordat iets aan patiënten wordt aanbevolen, vooral wanneer het onderzoek is gedaan bij slechts 10 mensen, en vooral wanneer de bevindingen letterlijk te ongelooflijk zijn om te geloven. Maar als de interventie goedkoop, gemakkelijk, ongevaarlijk en gezond is, zoals het eten van 4 (vier) paranoten per maand, dan is naar mijn mening de bewijslast een beetje omgekeerd. Ik denk dat de redelijke standaardpositie zou moeten zijn om het gewoon te doen proberen in het geval dat de interventie goedkoop, gemakkelijk, onschadelijk en gezond is totdat het tegendeel is bewezen. In deze studie concludeerden ze dat een enkele portie voldoende is zonder lever- en niertoxiciteit te veroorzaken welke toxiciteit ze mogelijk benoemde om te verwijzen naar het relatief hoge seleniumgehalte in paranoten, zo hoog dat het eten van 4 (vier) paranoten per dag ons zelfs kan opstoten tegen of over de aanvaardbare dagelijkse limiet voor selenium, maar daar hoeven we ons geen zorgen over te maken als we slechts één keer per maand 4 (vier) van deze noten eten [1].

> Het kan bruikbaar zijn als voeding voor het immuunsysteem en als voeding tegen kanker, aangezien de paranoot kan worden gecategoriseerd als een noot en noten in het algemeen bruikbaar zijn als voeding voor het immuunsysteem en als voeding tegen kanker, aangezien de gegevens van de "Harvard Nurses ' Studie' suggereert dat consumptie van echte noten nuttig kan zijn als middel om borstkanker te voorkomen door het risico op borstkanker te verminderen [2]. Een vervolgonderzoek waarbij de dochters van de verpleegsters betrokken waren, bevestigde de bevindingen die suggereren dat degenen die meer noten, bonen, linzen en maïs aten, slechts een fractie van het risico op een fibrocystische borst en dus borstkasziekte hadden, welke het hebben van deze ziekte iemand een hoger risico op kanker geeft, en het concludeerde ook dat de beschermende effecten het sterkst bleken te zijn voor degenen die het meeste risico lopen, i.e. degenen met een familiegeschiedenis in het optreden van borstkaskanker [3].

Een ander onderzoek vond zelfs dat slechts 2 (twee) handen vol noten per week bescherming kan bieden tegen alvleesklierkanker hetgeen een van de dodelijkste vormen van kanker is bij mensen [4]. De onderzoekers in een artikel van de Lancet in 2013 wisten niet zeker waarom noten werken tegen kanker, maar concludeerden dat noten worden beschreven als " voedingsrijk verpakt met allerlei eigenschappen", hetgeen enkele van de mechanismen kan verklaren waardoor notencomponenten mogelijk kankerceldood zouden kunnen induceren en remt de groei en de verspreiding van kanker in vitro [5].

Als we kijken naar noten en kankerbestrijdende eigenschappen in termen van antioxidantgehalte, dan zijn pecannoten op de eerste plaats en walnoten op de tweede plaats de twee het hoogst in antioxiderende eigenschappen volgens een onderzoek naar vaak gegeten eetbare notenzaden waarbij 25 (vijfentwintig) walnoten het antioxidantequivalent hebben van 8 (acht) [gram] vitamine C hetgeen vergelijkbaar is met de vitamine C in 100 (honderd) sinaasappels. De top vijf van gezondste noten in termen van antioxidantconcentratie zijn van boven naar beneden pecannoten, walnoten, hazelnoten (ook wel filberts genoemd), pistachenoten en amandelen [14].

Kijkend naar de proliferatie van menselijke kankercellen versus toenemende concentraties van de 10 (tien) meest voorkomende noten die in de Verenigde Staten van Amerika worden gegeten met in vitro druppelend water op menselijke dierlijke leverkankercellen als controle in welk geval er niets significants gebeurt hetgeen betekent dat ze groeien met 100 [%] groei en ze blijven groeien bij 100 [%] groei liet zien dat hazelnoten, pistachenoten en paranoten het ook niet veel beter lijken te doen dan deze watercontrolegroep en pijnboompitten, cashewnoten en macadamianoten hebben een significante impact, waarbij amandelen twee keer zo beschermend lijken te zijn omdat ze de groei van kankercellen bij slechts de helft van de dosis al halveren, echter walnoten en pecannoten laten een dramatisch grote daling van de kankerproliferatie zien bij slechts relatief kleine doseringen. Ze vonden ook vergelijkbare resultaten waarbij noten werden getest tegen menselijke dierlijke darmkankercellen, hetgeen bijzonder nuttig is om te weten omdat ingenomen noten in direct contact zouden kunnen komen met darmkankertumoren in vivo, terwijl voor zoiets als borstkanker zelfs als noten de groei van borstkanker in vitro onderdrukten in een petrischaal dit niet noodzakelijkerwijs betekent dat de consumptie van noten de groei van borstkanker in de borst zou kunnen onderdrukken aangezien de beschermende notenbestanddelen misschien niet eens in de bloedbaan worden opgenomen [7].

Om dat te testen, ontwierpen onderzoekers in een ander onderzoek en van de staatsuniversiteit van de Verenigde Staten van Amerika in Pennsylvania een experiment waarin ze het bloed van noteneters vergeleken met niet-noteneters op borstkankercellen druppelden omdat ze wilden weten wat het was met noten dat zo beschermend was. Ze voerden mensen hele walnoten, of (exclusief of) alleen de walnotenolie, of (exclusief of) alleen de walnotenschillen en druppelden vervolgens hun bloed op menselijke borstkankercellen in vitro in een petrischaal gedurende de volgende 6 (zes) [uren] hetgeen resulteerde in dat het bloed van degenen die walnoten aten de groei van menselijke borstkanker onderdrukte, hetgeen niet leek te werken in alleen de oliegroep en de groep waar enkel de walnotenschil werd gebruikt. Deze gegevens suggereren dus dat sommige componenten van walnoten inderdaad worden geabsorbeerd via het maagdarmkanaal, waarop deze vervolgens in het bloed circuleren en zo mogelijk de proliferatie van borstkankercellen kunnen beïnvloeden [6].

> Het is mogelijk bruikbaar als voeding voor het cardiovasculaire systeem voor het zorgen van een lang leven, aangezien een verhoogde consumptie van noten in verband is gebracht met een verminderd risico op ernstige chronische ziekten, waaronder cardiovasculaire hartaandoeningen en diabetes mellitus type twee. Onderzoekers van Harvard waren geïnteresseerd of de effecten van noten voortkomende uit klinische studies welke hebben aangetoond dat noten helpen met het totale cholesterolgehalte te verlagen, de oxidatie te verlagen, onze arteriële functie te verbeteren en de bloedsuikerspiegel te verbeteren, zich zouden vertalen in een langere levensduur en dus minder sterfte door allerlei oorzaken. Een studie waarin meer dan honderdduizend mensen tientallen jaren gevolgd werden resulteerde in de conclusie dat degenen die elke dag noten aten significant langer leefden. Dagelijkse notenconsumenten resulteerde in minder sterfgevallen door kanker, minder hartaandoeningen en minder sterfgevallen door luchtwegaandoeningen, allemaal geconcludeerd na controle voor andere leefstijlfactoren, hetgeen betekent dat notenconsumenten significant langer leefden, of ze bijvoorbeeld ouder waren of (inclusief of) jonger, dik (inclusief of) mager, of ze nu meer bewogen of (inclusief of) rookten, dronken of ander voedsel aten dat de mortaliteit kan beïnvloeden maakte dus niet uit voor noten om dit effect te behalen [8].

De zorg zou kunnen worden geuit dat noten zo hoog geconcenteerd aan vet zijn dat men zich zorgen zou kunnen maken dat frequente consumptie van noten kan leiden tot ongezonde gewichtstoename, maar dat is niet welke conclusie ze uit dit onderzoek vonden en daarnaast hebben in feite andere onderzoeken de consumptie van noten in verband gebracht met een slankere taille, minder gewichtstoename en een lager risico op obesitas [8]. Als je kijkt naar veel van de onderzoeken bij elkaar genomen, dan laten bijna alle onderzoeken zien dat diëten verrijkt met echte noten het lichaamsgewicht, de body mass index BMI of (inclusieve of) middelomtrek helemaal niet lijken te beïnvloeden [8, 9].

Een van de meest recente van dergelijke onderzoeken, waarin proefpersonen werd verteld om gedurende 3 (drie) maanden elke dag 0 (nul), 70 of (exclusieve of) 120 pistachenoten aan hun dagelijkse dieet toe te voegen als een behoorlijke middagsnack leidde tot de conclusie dat met er met de resultaten niet eens significant gezegd kan worden welke groep geen noten aten of (exclusief of) welke groepen meer dan 100 noten per dag aten [10]. Daarom lijkt het raadzaam om zo’n 1-2 (een of twee) kleine handenvolle hoeveelheden aan noten per dag in te nemen om verschillende gezondheidsvoordelen te garanderen zonder dat het risico van lichaamsgewichtstoename daarbij te pas komt, zoals blijkt uit deze studiereview blijkt waarin de schrijvers van de studie geen duidelijke verbanden hadden met de notenindustrie [11]. Slechts een paar porties noten per week kunnen onze levensduur verlengen en het aantal kankergevallen verlagen [12]. Maar het lijkt erop dat we de consumptie op peil moeten houden om deze voordelen te behouden, zoals uit de PREDIMED-studie bleek dat toen mensen na al relatief lange tijd noten te eten werd verteld minder noten te eten of (exclusief of) extra vierge olijfolie te kiezen bleek dat binnen 5 (vijf) jaar ze een groot deel van de door noten consumptie geïnduceerde lange levensvoordelen bleken te verliezen. Alleen de groep die begon met het eten van noten en minstens evenveel noten bleef eten, bleek toen nog het significante overlevingsvoordeel [13].

Bronreferenties

[1] Colpo E et al. A Single Consumption of High Amounts of the Brazil Nuts Improves Lipid Profile of Healthy Volunteers. Journal of Nutrition and Metabolism. 2013. https://doi.org/10.1155/2013/653185 ; https://www.hindawi.com/journals/jnme/2013/653185/ ; https://www.researchgate.net/publication/248385213_A_Single_Consumption_of_High_Amounts_of_the_Brazil_Nuts_Improves_Lipid_Profile_of_Healthy_Volunteers

[2] Su X, Tamimi RM, Collins LC, Baer HJ, Cho E, Sampson L, Willett WC, Schnitt SJ, Connolly JL, Rosner BA, Colditz GA. Intake of fiber and nuts during adolescence and incidence of proliferative benign breast disease. Cancer Causes Control. 2010 Jul;21(7):1033-46. doi: 10.1007/s10552-010-9532-7. Epub 2010 Mar 14. PMID: 20229245; PMCID: PMC3066086. https://pubmed.ncbi.nlm.nih.gov/20229245/ ; https://link.springer.com/article/10.1007/s10552-010-9532-7 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3066086/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3066086/pdf/nihms279888.pdf

[3] Berkey CS, Willett WC, Tamimi RM, Rosner B, Frazier AL, Colditz GA. Vegetable protein and vegetable fat intakes in pre-adolescent and adolescent girls, and risk for benign breast disease in young women. Breast Cancer Res Treat. 2013 Sep;141(2):299-306. doi: 10.1007/s10549-013-2686-8. Epub 2013 Sep 17. PMID: 24043428; PMCID: PMC3903425. https://pubmed.ncbi.nlm.nih.gov/24043428/ ; https://link.springer.com/article/10.1007/s10549-013-2686-8 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3903425/

[4] Bao Y, Hu FB, Giovannucci EL, Wolpin BM, Stampfer MJ, Willett WC, Fuchs CS. Nut consumption and risk of pancreatic cancer in women. Br J Cancer. 2013 Nov 26;109(11):2911-6. doi: 10.1038/bjc.2013.665. Epub 2013 Oct 22. PMID: 24149179; PMCID: PMC3844914. https://pubmed.ncbi.nlm.nih.gov/24149179/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844914/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844914/pdf/bjc2013665a.pdf ; https://www.nature.com/articles/bjc2013665

[5] Papanastasopoulos P, Stebbing J. Nuts and cancer: where are we now? Lancet Oncol. 2013 Nov;14(12):1161-2. doi: 10.1016/S1470-2045(13)70516-3. PMID: 24176559. https://pubmed.ncbi.nlm.nih.gov/24176559/ ; https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(13)70516-3/fulltext

[6] Vanden Heuvel JP, Belda BJ, Hannon DB, Kris-Etherton PM, Grieger JA, Zhang J, Thompson JT. Mechanistic examination of walnuts in prevention of breast cancer. Nutr Cancer. 2012;64(7):1078-86. doi: 10.1080/01635581.2012.717679. PMID: 23061909. https://pubmed.ncbi.nlm.nih.gov/23061909/

[7] Yang J, Liu RH, Halim L, Antioxidant and antiproliferative activities of common edible nut seeds, LWT - Food Science and Technology, Volume 42, Issue 1, 2009, Pages 1-8, ISSN 0023-6438, https://doi.org/10.1016/j.lwt.2008.07.007 ; https://www.sciencedirect.com/science/article/pii/S0023643808001771 ; https://reader.elsevier.com/reader/sd/pii/S0023643808001771?token=728FE3419C5FD7F1DC58CF68CD8ED81DDECB3369595C5D3D240DB8081B6DF0A5B8380080788B49FFFEE36363FAE93975&originRegion=eu-west-1&originCreation=20220218145850

[8] Bao Y, Han J, Hu FB, Giovannucci EL, Stampfer MJ, Willett WC, Fuchs CS. Association of nut consumption with total and cause-specific mortality. N Engl J Med. 2013 Nov 21;369(21):2001-11. doi: 10.1056/NEJMoa1307352. PMID: 24256379; PMCID: PMC3931001. https://pubmed.ncbi.nlm.nih.gov/24256379/ ; https://www.nejm.org/doi/10.1056/NEJMoa1307352?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200www.ncbi.nlm.nih.gov ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931001/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931001/pdf/nihms552688.pdf

[9] Flores-Mateo G, Rojas-Rueda D, Basora J, Ros E, Salas-Salvadó J. Nut intake and adiposity: meta-analysis of clinical trials. Am J Clin Nutr. 2013 Jun;97(6):1346-55. doi: 10.3945/ajcn.111.031484. Epub 2013 Apr 17. PMID: 23595878. https://pubmed.ncbi.nlm.nih.gov/23595878/ ; https://academic.oup.com/ajcn/article/97/6/1346/4576893?login=false ; https://watermark.silverchair.com/1346.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAsUwggLBBgkqhkiG9w0BBwagggKyMIICrgIBADCCAqcGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM9IYXTsrng7tnJ7L_AgEQgIICeKTepJ2knpR2ffLgOOvusjdrMqr2bCxxuYuyAXKixd1IMEpord8dQn55VmybK7UJpBe2YksHGwGwGLj-R8DSbtUNj9vDdK7R0uKbdiB0dFGTiTVV2vNAqJ7rFBUAbc69-O56P0hWIpT9nLLNsp6_2GWVHTIEnJdYFgg-4DKL9j2v8UObSMyMudELS33J6iez0WdNfw6noSUGeBbt9pcv6YCMmhYuyyS9tJSN1YUlcsyEYGJhy1VvKtmfz9fCYZ6NvKmu4UC6y0o-YHbc_pjeLv9ZA8qFTqR05qKkyLQKFRhJ4jIoaSribp24WO72NWvZDV5cmwPtQ3wIzuLV5z0_QqZYOE-hryfXBOZKUdCmZG_SWH4m1qTyYLT0z5jMRwlUlzvT1_0-Y43ydgcWZ1UIMSIdqkRwTbyMbacUzoSCS8IsjOOSC-yU9N7NwO0TCXPjoUhZ5yaq-XFGpBQ2uChEewVhasCOi-nrZ_aaxd8SJykNPcmOI5ls9W1Ukxot3Yojx0Cxx-NGVuO0dQNR6xMjBxOgeP_VY8WkSxViEhGDGrzXI3hQhTojWIg6SvbZoKo-l5C_mnhN77VR-lwFzMiJJXxxOvO1gfPJAZSzX4MfdipxTI8fUMxMTVP38BjpiX-OgbMFZPX0fo3fEF1GREDr0F5l3q7c6onAN-X_B3tE-PklVhxPpvL4B2Ejj3c9XEsSb30sdQ0fPYfrJp750G4g43MBXLxQ8gs0JhkjuwKMMmiflvQg7BCPdqAI51N9j93-z_WiX-LUx7XjmVX1eyBESVv4dvJJEOd4YyoBRfEc0e_-SwdqKfHiUNwJ6584jcQh156-kF7Q3sae

[10] Wang X, Li Z, Liu Y, Lv X, Yang W. Effects of pistachios on body weight in Chinese subjects with metabolic syndrome. Nutr J. 2012 Apr 3;11:20. doi: 10.1186/1475-2891-11-20. PMID: 22472037; PMCID: PMC3383470. https://pubmed.ncbi.nlm.nih.gov/22472037/ ; https://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-11-20 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3383470/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3383470/pdf/1475-2891-11-20.pdf

[11] Vadivel V, Kunyanga CN, Biesalski HK. Health benefits of nut consumption with special reference to body weight control. Nutrition. 2012 Nov-Dec;28(11-12):1089-97. doi: 10.1016/j.nut.2012.01.004. PMID: 23044160. https://pubmed.ncbi.nlm.nih.gov/23044160/ ; https://www.sciencedirect.com/science/article/pii/S089990071200038X?via%3Dihub

[12] Rohrmann S, Faeh D. Should we go nuts about nuts? BMC Med. 2013 Jul 16;11:165. doi: 10.1186/1741-7015-11-165. PMID: 23866107; PMCID: PMC3716782. https://pubmed.ncbi.nlm.nih.gov/23866107/ ; https://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-11-165 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716782/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716782/pdf/1741-7015-11-165.pdf

[13] Guasch-Ferré M, Bulló M, Martínez-González MÁ, Ros E, Corella D, Estruch R, Fitó M, Arós F, Wärnberg J, Fiol M, Lapetra J, Vinyoles E, Lamuela-Raventós RM, Serra-Majem L, Pintó X, Ruiz-Gutiérrez V, Basora J, Salas-Salvadó J; PREDIMED study group. Frequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial. BMC Med. 2013 Jul 16;11:164. doi: 10.1186/1741-7015-11-164. PMID: 23866098; PMCID: PMC3738153. https://pubmed.ncbi.nlm.nih.gov/23866098/ ; https://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-11-164 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738153/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738153/pdf/1741-7015-11-164.pdf

[14] U.S. Department of Agriculture. Oxygen Radical Absorbance Capacity (ORAC) of Selected Foods—2007. November 2007. http://www.functionalfood.org.tw/fodinf/food_inf970220-1.pdf

Brazil nut bertholletia excelsa continual meta-analysis

Eindhoven

Publication date first version: 18 February 2022 | 12022_02-18 New Human Era NHE

Publication date last version: 21 April 2022 | 12022_04-21 New Human Era NHE

Author: Rody Mens - r.w.mens@student.tue.nl

Compiled for Nutritionfactsnederlands.nl, which is a website dedicated to the exploration of the impact of nutrition on health, started upon the findings of Dr. Michael Herschel Greger.

Citation: Mens RW. 18 February 2022. Brazil nut bertholletia excelsa continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/18/brazil-nut-bertholletia-excelsa-continual-meta-analysis ; https://www.researchgate.net/publication/358709031_Brazil_nut_bertholletia_excelsa_continual_meta-analysis_English_and_Dutch

Some keywords: bertholletia excelsa, castañas de Brasil, paranoten, nuez de Brasil, castanha-do-pará, nigger toes, negertenen, chestnuts from Pará, cholesterol, LDL, HDL, selenium, antioxidant, cancer, longevity, lower oxidation, improve our arterial function, improve blood sugar levels, paranoot, kanker, oxidatie, aderfunctie, bloedbuisfunctie, bloedsuikerniveau, bloedsuiker

Summary: The Brazil nut bertholletia excelsa could possibly help as nutrition for the cardiovascular system, as nutrition for the immune system, and as nutrition for the treatment of cancer.

 

Brazil nut picture provided by pictavio available at https://pixabay.com/photos/brazil-nuts-without-shell-5252364/

Disclaimer

My disclaimer on the service limiting my (lawful) liability, and thus establishing the terms of use for the extend of my support for your uses of the information given, which disclaimer I have written to prerequisitially cover any wrong interpretation, or (exclusive or) validity in terms of incorrectness or (inclusive or) incompleteness, incompleteness because of a lower accuracy while having a high precision, of statements that might contain of what might be considered valuable information, that which information I am trying to convey as diligently as I currently at the time possibly can composed (as I keep developing, maintaining and operating on these files to keep improving both the accuracy and the precision of the information) and thus reasonably believed to be reliable by the use of those such specifically formulated statements, reads as follows:

The information that follows, although as diligently as currently at the time possible composed, and thus reasonably believed to be reliable, written or (inclusive or) compiled by Rody Wick Mens and provided thus shared with the best and most honest intentions in mind staying trustworthy, is always still limited to the writers personal interpreter at that time, for which reason it is possibly in your country of staying probably only to be used for educational purposes and not legally defined as "medical advice" for which reason no liability for its interpretation, correctness and completeness can be granted as I want to emphasize that I only take responsibility, but without lawful liability, for the statements in scientific papers on experimental research that I have explicitly done and published myself, and rightfully regard that the interpretation, correctness and completeness of information that other researchers are publishing is their responsibility without lawful liability, which also safeguards my integrity with absolute lawful independence defending and indemnifying the writer harmless from any claims of harm and thus maintaining the reader to be responsible for its acts upon the provided thus shared information, as use of this information thus constitutes acknowledgement and acceptance of the writings limitations places the use of it solely at the user’s own risk as the information provided is provided “as is” without representations, warranties, conditions and indemnities of any kind, either express or implied, and it may therefore thus be better advised to always contact and consult a physician that is lawfully bonded to be able to be a professional health care provider which physician also probably may have government monopolized legal liability in your country of staying, before making any major changes to your lifestyle such as changes to diet, exercise, or (inclusive or) adjustment in dosages of supplemental substances (e.g., substances which a lot of people consider to be called a “pharmaceutical”, “pharmakon”, “medicine”, “medication”, “drug”, “remedy” and “nutraceutical”, of which category of substances I think people should be beware of possible negative complications due to interactions with other personal habitually used substances) routine such that the physician can help a person with the consideration of implementing lifestyle changes that might help a person in their personal specific situation taking into account the individual bodily conditions, meaning that the information given is not intended as nor implied to be a substitute for legally defined “professional medical advice”, “professional medical diagnosis” nor “professional medical treatment”, and that the information is only intended to complement the informational exchange relationship between physicians and patients while not intending, implying nor creating an impression to be a substitute for it as it does not constitute a lawful physician-patient relationship, because I think that it is important that if and when it is absolutely necessary, as sick people should be the ones visiting physicians and presumably healthy people should not (please note that I use the word physician here in lawful government monopolized context and thus not talking about a researchers which could advise people on preventative healthcare, and also since most major health organizations agree that there is the risk for serious harm for people in establishing a regular physician-patient relationship, and all major health organizations have agreed that routine annual checkups for healthy adults should be abandoned because of the reason that establishing a relationship with a physician opens the door for people to become an active patient the more they see their physicians which the more likely someone is to be tested which in turn leads to the more likely people are to be treated for either better or (exclusive or) worse which increase in treatments is because of bad incentives originating from a to a free market situation compared relatively low competitive governmental monopolized health care system, and although it might at first seem to be a good idea, a long-standing familiarity with a patient is rarely necessary in order to provide excellent care in times of need in a government monopolized healthcare system, however in the case of a constantly free market competition-based improving healthcare situation, seeking help from a trusted personal physician could definitely be recommended because developing a partnership with good communication focused on improving the quality and time-quantity of your life and in case of need if you want to get yourself and the ones dear to you the best available personalized treatment, it is something that I think anyone should want and which achievement is probably well worth the hours required in the search), people seek services such as obtaining advice from a physician who could monitor their bodily condition while undergoing health-significant lifestyle changes and thus working together, possibly towards the same goal, in which conversations I can encourage people to ask physicians any questions that one may have regarding their bodily condition and the possible effects of the changes, which for example include a relatively large change in dietary practices, in which conversations I am of opinion that physicians should accept (not necessarily respect) your lifestyle choices and not try to undermine them such as in the case that a certain physician has bad habits that should not have to lead to that certain physician giving unhealthy recommendations,  and one should look for a physician who is genuinely interested in and actively encouraging someone to become healthy through better self-care by that someone getting more actively involved in their own healthcare, of which these physicians are very knowledgeable and constantly learning about the care of a human being willing and able to clearly explain one’s present condition and the possible courses of action that one can take to test and treat one’s problems, and one who makes a conscious effort to avoid the use of medications and surgery only using these as a very last resort, and has an advocate function for you as patient willing to provide the patient with the best of care when in contact with specialists rather than just transferring the patient to the specialist care, and is in favor of second opinions of other physicians and researchers (one should hear about all of the available options along with their costs, risks, and advantages; and one should remember that as a patient one is the health care consumer and thus the customer which given should always grant that one the final say in all decisions and thus including the right to just say “No”, thus possibly refusing to accept a physicians concluding recommendations (e.g., on supervision, permission and prescription) but not necessarily disregarding the advice given as the information should be used to assemble a more broader picture of the landscape of information (never disregard professional medical advice or (inclusive or) delay in seeking it because of something you read in the writers’ texts; which refusals could be occurring when a physician does not provide convincing enough arguments to the customer which could potentially mean that the physicians arguments are internally flawed), which brings me to the point that anything in my writings that might be categorized as an opinion are to be considered my and thus the writer’s own personal views only.

 

Article: Brazil nut bertholletia excelsa [SOURCES BELOW]

The relatively high amount of concentrated unsaturated fats and relatively high amount of concentrated selenium compound containing brazil chestnut fruit seeds found in the coconut-like nut containing capsule from the bertholletia excelsa tree plant (also called castañas de Brasil, paranoten, nuez de Brasil, castanha-do-pará, nigger toes, negertenen and chestnuts from Pará) categorizable in the lecythidaceae plant family is possibly usable for:

> It is possibly usable as nutrition for the cardiovascular system since in a study titled “A single consumption of high amounts of Brazil nuts improves the cholesterol levels of healthy volunteers” the researchers gave 10 men and women a single meal containing 0 (zero), 1 (one), 4 (four), or (exclusive or) 8 (eight) Brazil nuts and found that the ingestion of just that single serving almost immediately improved cholesterol levels. The LDL so-called “bad” cholesterol levels in the blood were significantly lower starting just 9 (nine) [hours] after the ingestion of the nuts and with a by no means an insignificant amount as they made the LDL cholesterol levels significantly drop with nearly 20 points within a day of time. As compared to currently available drugs, even currently available LDL cholesterol lowering drugs do not work that fast as it takes statins statistically normal like about 4 (four) days to have a significant effect. They also measured the cholesterol level 5 (five) and 30 days later while they were not eating Brazil nuts this whole time as they had just that earlier mentioned single serving of Brazil nuts a month before and the researchers measured that their LDL cholesterol levels were still down 30 days later concluding that the LDL cholesterol levels went down and stayed down after eating just 4 (four) of these nuts. And no this the study was not funded by the Brazil nut industry.

               Interestingly, (4) four nuts seemed to work faster than 8 (eight) nuts in terms of lowering LDL “bad” cholesterol and boost HDL “good” cholesterol which results suggest that eating just 4 (four) nuts might be enough to improve the levels of LDL cholesterol LDL-c and HDL cholesterol HDL-c for up to 30 days and maybe even longer as they did not test for results past the 30 days mark.          

Usually when a study comes out in the literature showing something too-good-to-be-true result like this you would want to wait to see the results replicated before changing clinical practice and thus before recommending something to patients, particularly when the study is done on only 10 people, and especially when the findings are literally just too incredible to be believed. But when the intervention is cheap, easy, harmless, and healthy like eating 4 (four) Brazil nuts a month then in my opinion, the burden of proof is kind of reversed. I think the reasonable default position should be to just do and try it in the case of when the intervention is cheap, easy, harmless, and healthy until proven otherwise. In this study they concluded that a single serving is sufficient without producing liver and kidney toxicity which toxicity they possibly stated referring to the relatively high amount of selenium content found in Brazil nuts such high that eating 4 (four) Brazil nuts every day may actually bump us up against and over the tolerable daily limit for selenium, but which is not something we have to worry about if we are just eating 4 (four) of these nuts once a month [1].

> It may be usable as nutrition for the immune system and as nutrition against cancer as the Brazil nut is categorizable as a nut and nuts in general are usable as nutrition for the immune system and as nutrition against cancer since the data from the “Harvard Nurses’ Study” suggests that real nut consumption may be useful aiding as a means for preventing breast chest cancer by reducing breast chest cancer risk [2]. A follow-up study involving the daughters of the nurses corroborated the findings suggesting that those eating more nuts, beans, lentils, and corn were found to just have a fraction of the risk for a fibrocystic breast and thus chest disease which having of this disease places one at higher risk for cancer, and it concluded also that the protective effects were found to be strongest for those most at risk i.e., the ones with a family history of breast chest cancer occurrences [3].

A different study even found just 2 (two) handfuls of nuts a week may protect against pancreatic cancer which is one of human animals’ deadliest cancers [4]. The researchers in a paper from the Lancet in 2013 were not sure why nuts work against cancer but concluded that nuts are described as “nutritionally precious packed with all sorts of properties” which may explain some of the mechanisms by which nut components could possibly induce cancer cell death and inhibit the cancer growth and spread in vitro [5].

Looking at nuts and anticancer properties in terms of antioxidant content, then pecans are at first place and walnuts at second place which two are the highest in antioxidant properties according to a study looking at often eaten edible nut seeds with 25 (twenty-five) walnuts having the antioxidant equivalent of 8 (eight) [gram] of vitamin C which is comparable to the vitamin C found in a 100 (hundred) oranges. The top five healthiest nuts in terms of antioxidant concentration are from top to bottom pecans, walnuts, hazelnuts (also called filberts), pistachios, and almonds [14].

Looking at human cancer cell proliferation versus increasing concentrations of the 10 (ten) most common nuts eaten in the United States of America with in vitro dripping water on human animal liver cancer cells as a control in which case nothing significant happens meaning that they start out powering away at 100 [%] growth and they keep powering away at 100 [%] growth shows that hazelnuts, pistachios, and Brazil nuts do also not seem to do much better than this water control group and pine nuts, cashews, and macadamia nuts do have some significant impact, of which almonds appear twice as protective halving cancer cell growth at only half the dose, but walnuts and pecans show a dramatically higher drop in cancer proliferation at just relatively tiny doses. They also found similar results pitting nuts against human animal colon cancer cells which knowing of is particularly useful since ingested nuts could come in direct contact with colon cancer tumors in vivo whereas for something like breast cancer even if nuts suppressed breast cancer growth in vitro in a petri dish that does not necessarily mean nut consumption would suppress breast cancer growth in the breast, since the protective nut compounds might not even get absorbed into the bloodstream [7].

To test that, researchers at Pennsylvania’s united states of America state university designed an experiment in a different research study in which they dripped the blood of nut-eaters compared to non-nut-eaters on breast cancer cells because they wanted to know what it was about nuts that was so protective. They fed people whole walnuts, or (exclusive or) just the walnut oil, or (exclusive or) just the walnut skins and then dripped their blood on human breast cancer cells in vitro in a petri dish over the next 6 (six) [hours] which resulted that the blood of those eating walnuts suppressed the growth of human breast cancer, but it did not seem to work in just the oil group and just the skin group. These data thus suggest that some components of walnuts are indeed absorbed via the gastro-intestinal tract, then circulate in the blood, and then thus can potentially affect breast cancer cell proliferation [6].

> It is possibly usable as nutrition for the cardiovascular system for longevity since increased nut consumption has been associated with a reduced risk of major chronic diseases, including cardiovascular heart disease and diabetes mellitus type two. Researchers at Harvard were interested if the clinical trials effects of nuts which have shown that nuts help lower total cholesterol level, lower oxidation, improve our arterial function, and improve blood sugar levels would translate into greater longevity thus less all-cause mortality. A study in which over a hundred thousand people followed for decades resulted in the conclusion that those that ate nuts every day lived significantly longer. Daily nut consumers had fewer cancer deaths, heart disease deaths, and fewer deaths from respiratory disease all after controlling for other lifestyle factors meaning that nut consumers lived significantly longer whether they were e.g., older or (inclusive or) younger, fat (inclusive or) skinny, whether they exercised more or (inclusive or) smoked, drank, or ate other foods that may affect mortality thus did not matter for nuts to show to reach this effect [8].                 

The concern might be raised that nuts are so relatively highly concentrated with fat that there may be a concern that frequent nut consumption can result in unhealthy weight gain, however, that is not what they found in this study and next to that other studies have associated nut consumption with a slimmer waist, less weight gain, and lower risk of obesity [8]. If you look at a lot of the studies put together then almost all studies show that diets enriched with real nuts do not seem to affect body weight, body mass index BMI, or (inclusive or) waist circumference much at all [8, 9].

One of the most recent of such studies, in which subjects were told to add either 0 (zero), 70, or (exclusive or) 120 pistachio nuts to their daily diet as quite an afternoon snack every day for 3 (three) months of time led to results of which one cannot even tell significantly which group were not eating nuts or (exclusive or) which groups were eating over 100 nuts a day [10]. Hence it appears that the incorporation of nuts around 1-2 (one or two) small handfuls a day would be advisable to ensure various health benefits without the risk of body weight gain as conclusion of this study review in which the writers of the study had no apparent ties to the nut industry [11]. Just a few servings of nuts a week may boost our lifespan and lower cancer rates [12]. But it appears we must keep consumption up to keep holding these benefits as in the PREDIMED study when relatively long-time nut eaters were told to cut down on eating nuts or (exclusive or) choose extra virgin olive oil it showed that within 5 (five) years they apparently lost much of their nut consumption induced longevity benefit. Only the group that started out eating nuts and continued to eat at least the same number of nuts still had the significant survival advantage [13].

Source references

[1] Colpo E et al. A Single Consumption of High Amounts of the Brazil Nuts Improves Lipid Profile of Healthy Volunteers. Journal of Nutrition and Metabolism. 2013. https://doi.org/10.1155/2013/653185 ; https://www.hindawi.com/journals/jnme/2013/653185/ ; https://www.researchgate.net/publication/248385213_A_Single_Consumption_of_High_Amounts_of_the_Brazil_Nuts_Improves_Lipid_Profile_of_Healthy_Volunteers

[2] Su X, Tamimi RM, Collins LC, Baer HJ, Cho E, Sampson L, Willett WC, Schnitt SJ, Connolly JL, Rosner BA, Colditz GA. Intake of fiber and nuts during adolescence and incidence of proliferative benign breast disease. Cancer Causes Control. 2010 Jul;21(7):1033-46. doi: 10.1007/s10552-010-9532-7. Epub 2010 Mar 14. PMID: 20229245; PMCID: PMC3066086. https://pubmed.ncbi.nlm.nih.gov/20229245/ ; https://link.springer.com/article/10.1007/s10552-010-9532-7 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3066086/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3066086/pdf/nihms279888.pdf

[3] Berkey CS, Willett WC, Tamimi RM, Rosner B, Frazier AL, Colditz GA. Vegetable protein and vegetable fat intakes in pre-adolescent and adolescent girls, and risk for benign breast disease in young women. Breast Cancer Res Treat. 2013 Sep;141(2):299-306. doi: 10.1007/s10549-013-2686-8. Epub 2013 Sep 17. PMID: 24043428; PMCID: PMC3903425. https://pubmed.ncbi.nlm.nih.gov/24043428/ ; https://link.springer.com/article/10.1007/s10549-013-2686-8 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3903425/

[4] Bao Y, Hu FB, Giovannucci EL, Wolpin BM, Stampfer MJ, Willett WC, Fuchs CS. Nut consumption and risk of pancreatic cancer in women. Br J Cancer. 2013 Nov 26;109(11):2911-6. doi: 10.1038/bjc.2013.665. Epub 2013 Oct 22. PMID: 24149179; PMCID: PMC3844914. https://pubmed.ncbi.nlm.nih.gov/24149179/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844914/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844914/pdf/bjc2013665a.pdf ; https://www.nature.com/articles/bjc2013665

[5] Papanastasopoulos P, Stebbing J. Nuts and cancer: where are we now? Lancet Oncol. 2013 Nov;14(12):1161-2. doi: 10.1016/S1470-2045(13)70516-3. PMID: 24176559. https://pubmed.ncbi.nlm.nih.gov/24176559/ ; https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(13)70516-3/fulltext

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[13] Guasch-Ferré M, Bulló M, Martínez-González MÁ, Ros E, Corella D, Estruch R, Fitó M, Arós F, Wärnberg J, Fiol M, Lapetra J, Vinyoles E, Lamuela-Raventós RM, Serra-Majem L, Pintó X, Ruiz-Gutiérrez V, Basora J, Salas-Salvadó J; PREDIMED study group. Frequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial. BMC Med. 2013 Jul 16;11:164. doi: 10.1186/1741-7015-11-164. PMID: 23866098; PMCID: PMC3738153. https://pubmed.ncbi.nlm.nih.gov/23866098/ ; https://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-11-164 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738153/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738153/pdf/1741-7015-11-164.pdf

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Nigella sativa continual meta-analysis

Nigella sativa continue meta-analyse

Eindhoven

Datum van publicatie eerste versie: 13 februari 2022 | 12022_02-13 New Human Era NHE

Datum van publicatie laatste versie: 21 april 2022 | 12022_04-21 New Human Era NHE

Auteur: Rody Mens - r.w.mens@student.tue.nl

Samengesteld voor Nutritionfactsnederlands.nl, hetgeen een website is gewijd aan het onderzoek naar de impact van voeding op de gezondheid, gestart op de bevindingen van Dr. Michael Herschel Greger.

Citatie: Mens RW. 13 February 2022. Nigella sativa continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/17/nigella-sativa-continual-meta-analysis; https://www.researchgate.net/publication/358676062_Nigella_sativa_continual_meta-analysis_English_and_Dutch

Enkele kernwoorden: Nigella sativa, NS, n. sativa, black cumin, nigella sativa, miracle herb, black seed, statin, cholesterol, triglycerides, blood pressure, blood sugar control, LDL, LDL cholesterol, perimenopausal, menopause, hypothyroidism, Hashimoto, bloeddruk, bloed suiker controle, hypothyreoïdie

Samenvatting: De nigella sativa zaden kunnen helpen als voeding voor het cardiovasculaire systeem, als voeding voor het voortplantingssysteem, als voeding voor het immuunsysteem en als voeding voor de schildklier.

Komijn afbeelding verkregen via Mockupo beschikbaar op https://unsplash.com/photos/guKZhjmfero

Vrijwaring

Mijn vrijwaring op de service die mijn (wettelijke) aansprakelijkheid beperkt en daarmee de gebruiksvoorwaarden vaststelt voor de mate van mijn steun voor uw gebruik van de verstrekte informatie, welke vrijwaring ik heb geschreven om eventuele verkeerde interpretatie vooraf te dekken, of (exclusief of) validiteit in termen van onjuistheid of (inclusief of) onvolledigheid, onvolledigheid vanwege een lagere nauwkeurigheid terwijl ze een hoge precisie hebben, van uitspraken die datgeen zouden kunnen bevatten dat als waardevolle informatie kan worden beschouwd, die informatie die ik zo zorgvuldig als ik momenteel mogelijk kan samengesteld (aangezien ik deze bestanden blijf ontwikkelen, onderhouden en gebruiken om zowel de nauwkeurigheid als de precisie van de informatie te blijven verbeteren) en dus redelijkerwijs als betrouwbaar kan worden beschouwd door het gebruik van deze dergelijke specifiek geformuleerde verklaringen, luidt als volgt:

De informatie die volgt, hoewel zo zorgvuldig als ik momenteel mogelijk kan samengesteld, en dus redelijkerwijs als betrouwbaar kan worden beschouwd, is geschreven of (inclusief of) samengesteld door Rody Wick Mens en verstrekt dus gedeeld met de beste en meest eerlijke bedoelingen in het achterhoofd en daardoor betrouwbaar blijvend, is altijd nog steeds beperkt tot de persoonlijke interpretatie van de schrijver op dat moment, om welke reden het mogelijk in uw land van verblijf waarschijnlijk alleen te gebruiken is voor educatieve doeleinden en niet wettelijk gedefinieerd als "medisch advies" om welke reden geen aansprakelijkheid voor de interpretatie ervan, juistheid en volledigheid kan worden verleend aangezien ik wil benadrukken dat ik alleen verantwoordelijkheid neem, maar zonder wettelijke aansprakelijkheid, voor de uitspraken in wetenschappelijke artikelen over experimenteel onderzoek die ik expliciet zelf gedaan en gepubliceerd heb en terecht beschouw dat de interpretatie, juistheid en volledigheid van informatie die andere onderzoekers publiceren hun verantwoordelijkheid zonder wettelijke aansprakelijkheid is, hetgeen ook mijn integriteit bewaakt door met absolute wettige onafhankelijkheid de schrijver verdedigd en schadeloos stelt van alle schadeclaims en zo de lezer verantwoordelijk te houden voor zijn daden op basis van de verstrekte, aldus gedeelde informatie, aangezien het gebruik van deze informatie dus erkenning en aanvaarding van de geschriften beperkingen inhoudt die het gebruik ervan uitsluitend op eigen risico van de gebruiker stellen, aangezien de verstrekte informatie wordt verstrekt "zoals ze is" zonder verklaringen, garanties, voorwaarden en vrijwaringen van welke aard dan ook, expliciet of impliciet, en het daarom beter kan worden geadviseerd om altijd contact op te nemen met en het raadplegen van een arts die wettelijk gebonden is om een ​​professionele zorgverlener te zijn, welke arts waarschijnlijk ook door de overheid gemonopoliseerde wettelijke aansprakelijkheid heeft in uw land van verblijf, voordat u grote veranderingen aanbrengt in uw levensstijl, zoals veranderingen in dieet, lichaamsbeweging of (inclusief of) aanpassing van doseringen van aanvullende middelen (e.g., middelen waarvan veel mensen die middelen een ‘farmaceutisch middel’, ‘farmakon’, ‘medicijn’, ‘medicatie’, ‘drug, ‘remedie’ en ‘nutraceutica’ noemen, van welke categorie middelen ik denk dat mensen moeten oppassen voor mogelijke negatieve complicaties als gevolg van interacties met andere in persoonlijk gebruik genomen middelen) routine zodat de arts een persoon kan helpen met de overweging om veranderingen in levensstijl door te voeren die een persoon in hun persoonlijke specifieke situatie zou kunnen helpen, rekening houdend met de individuele lichamelijke condities, hetgeen betekent dat de verstrekte informatie niet bedoeld of geïmpliceerd is als een vervanging is voor wettelijk gedefinieerd "professioneel medisch advies", "professionele medische diagnose" of "professionele medische behandeling", en dat de informatie alleen bedoeld is om de informatie-uitwisselingsrelatie tussen artsen en patiënten aan te vullen, zonder de bedoeling, implicering noch de indruk te wekken een vervanging te zijn voor, omdat het geen wettig standbare arts-patiëntrelatie vormt, omdat ik denk dat het belangrijk is dat als en wanneer het absoluut noodzakelijk is, aangezien zieke mensen degenen moeten zijn die artsen bezoeken en vermoedelijk gezonde mensen niet (ermee rekening houdend dat ik het woord arts hier gebruik in een wettige, door de overheid gemonopoliseerde context en dus niet onderzoekers bedoel die mensen zou kunnen adviseren over preventieve gezondheidszorg, en ook omdat de meeste grote gezondheidsorganisaties het erover eens zijn dat er een risico bestaat op ernstige schade voor mensen bij het aangaan van een regelmatige arts-patiëntrelatie, en alle grote gezondheidsorganisaties zijn overeengekomen dat routinematige jaarlijkse controles voor gezonde volwassenen gestopt zouden moeten worden vanwege de reden dat het aangaan van een relatie met een arts de deur opent voor mensen om een ​​actieve patiënt te worden, hoe vaker ze hun arts zien, hoe groter de kans dat iemand wordt getest, hetgeen op zijn beurt weer leidt tot de grotere kans dat mensen worden voor beter of (exclusief of) slechter worden behandeld, welke toename van behandelingen het gevolg is van perverse prikkels die ontstaan in een met een vrijemarktsituatie vergelijken relatief laag competitief gemonopoliseerd gezondheidszorgsysteem van de overheid, en hoewel het op het eerste gezicht een goed idee lijkt, is een langdurige bekendheid met een patiënt zelden nodig om uitstekende zorg te verlenen in tijden van behoefte in een door de overheid gemonopoliseerd gezondheidszorgsysteem, maar in het geval van een voortdurend op vrije markt gebaseerde, op concurrentie gebaseerde verbetering van de gezondheidszorgsituatie, kan het zeker worden aanbevolen om hulp te zoeken bij een vertrouwde persoonlijke arts, omdat het ontwikkelen van een partnerschap met goede communicatie gericht op het verbeteren van de kwaliteit en tijd- hoeveelheid van je leven en dat in het geval dat je jezelf en degenen die je dierbaar zijn de best beschikbare persoonlijke behandeling wilt laten krijgen, hetgeen iets is dat ik denk dat iedereen zou moeten willen en welke prestatie de uren die nodig zijn om dit te bereiken het waarschijnlijk zeer zeker waard zijn), mensen diensten zoeken zoals het inwinnen van advies van een arts die hun lichamelijke conditie zou kunnen controleren tijdens het ondergaan van een voor de gezondheid significante levensstijl veranderingen en dus samenwerken, eventueel naar hetzelfde doel, in welke gesprekken ik het kan beamen en mensen kan aanmoedigen om artsen vragen te stellen over hun lichamelijke gesteldheid en de mogelijk effecten van deze veranderingen, waaronder bijvoorbeeld een relatief grote verandering in de voedingspraktijk, in welke gesprekken ik van mening ben dat artsen uw levensstijlkeuzes moeten accepteren (niet noodzakelijkerwijs respecteren) en niet moeten proberen deze te ondermijnen, zoals in het geval dat een bepaalde arts slechte gewoonten heeft dat er niet toe zouden moeten leiden dat die bepaalde arts ongezonde aanbevelingen geeft, en men zou op zoek moeten gaan naar een arts die oprecht geïnteresseerd is in en actief aanmoedigt dat iemand gezond word door betere zelfzorg doordat diegene meer actief betrokken wordt bij zijn eigen gezondheidszorg, waarvan dit ook artsen zijn die zeer goed geïnformeerd zijn en voortdurend leren over de zorg van een mens die bereid en in staat zijn om iemands huidige toestand en de mogelijke maatregelen die men kan nemen om zijn problemen te testen en te behandelen, en iemand die zich bewust inspant om het gebruik van medicijnen en operaties te vermijden en deze enkel als allerlaatste redmiddel gebruikt, en heeft een advocatiefunctie voor u als patiënt die bereid is om de patiënt de beste zorg te bieden in contact met specialisten in plaats van alleen maar de patiënt naar de specialistische zorg over te dragen, en is voorstander van het vragen van een tweede mening van andere artsen en onderzoekers (men zou moeten horen over alle beschikbare opties, samen met hun kosten, risico's en voordelen; en men moet bedenken dat men als patiënt de zorgconsument is en dus de klant welk gegeven betekent dat diegene altijd het laatste woord moet hebben bij alle beslissingen en dus ook het recht moet hebben om gewoon "nee" te zeggen, en dus mogelijk weigert de door een arts concluderende aanbevelingen te accepteren, maar niet noodzakelijkerwijs het gegeven advies negeert (e.g., over toezicht, toestemming en recept), aangezien de informatie moet worden gebruikt om een ​​breder beeld van het informatielandschap samen te stellen (negeer nooit professioneel medisch advies of (inclusief of) uitstel bij het zoeken ervan vanwege iets dat u in de teksten van de schrijvers leest; welke weigeringen zouden kunnen optreden wanneer een arts de klant niet voldoende overtuigende argumenten geeft, hetgeen zou kunnen betekenen dat de argumenten van de arts intern onjuist zijn), hetgeen mij tot het punt brengt dat alles in mijn geschriften dat als een mening kan worden gecategoriseerd, zal moeten worden beschouwd als mijn en dus enkel de persoonlijke mening van de schrijver.

Artikel: Nigella sativa [English below]

Het peperige zwarte komijnzaad nigella sativa (ook bekend als NS, n. sativa, zwarte komijn, nigella sativa, wonderkruid en zwart zaad) is te categoriseren als een lid van de boterbloem plantenfamilie (en dus niet de wortelfamilie waarin komijn categoriseerbaar is, hetgeen betekent dat de zwarte komijnzaad nigella sativa niet echt te beschouwen is als komijn [1]) is relatief gemakkelijk te gebruiken door het bijvoorbeeld in een pepermolen te doen en het bovenop voedsel te malen, net zoals je zou kunnen met zwarte peperkorrels en is mogelijk bruikbaar voor:

> Het kan mogelijk bruikbaar zijn als voeding voor het cardiovasculaire systeem, aangezien uit systematische reviews en meta-analyses van gerandomiseerde gecontroleerde onderzoeken is gebleken dat de dagelijkse consumptie van zwarte komijn het cholesterolniveau, triglyceride niveau, bloeddruk en bloedsuikerspiegel aanzienlijk verbetert [2, 3]. Een studie concludeerde dat postmenopauzale vrouwen die willekeurig werden gerandomiseerd met 1 (één) gram (hetgeen minder is dan ongeveer ¼ (een kwart) theelepel) per dag aan zwarte komijnpoeder, hun LDL-cholesterol binnen 2 (twee) maanden met 27 [%] (procent) verlaagden, hetgeen significant beter was dan de placebo en welke resultaten het soort resultaten zijn in het effectbereik van hetgeen je eerder zou verwachten van een bepaald (zoals cholesterol, bijv. LDL-cholesterol) cardiovasculaire lipiden verlagende "statine" "drug", echter dit was slechts een druppeltje van vegetatieve kookkruiden [4] waarvan de dagelijkse dosis die in de meeste van deze onderzoeken wordt gebruikt, slechts enkele dollars of (exclusief of) eurocenten per dag zou kosten.

> Het zou kunnen helpen als voeding voor het voortplantingssysteem bij menopauzale symptomen, aangezien een studieresultaat aantoonde dat het bij perimenopauze vrouwen het LDL-cholesterolgehalte verlaagde en 1 (een) maand na het stoppen met het gebruik van het kruid het cholesterolgehalte weer begon te stijgen, zodat het een goedkope, veilige, effectieve (en heerlijke als je van pittige dingen houdt) behandeling lijkt te zijn voor enkele van de dodelijkste risicofactoren van menselijke dieren die verband houden met hart- en vaatziekten, zonder enige negatieve effecten te weeg te brengen, maar in plaats daarvan ook met de extra positieve effecten zoals verlies van eetlust en gewichtsverlies [5].

> Het kan ook helpen als voeding voor het cardiovasculaire systeem, aangezien uit een systematische review en meta-analyse van gerandomiseerde gecontroleerde onderzoeken naar gewichtsverlies (RCT's voor gewichtsverlies) is gebleken dat ongeveer ¼ (een kwart) theelepel zwarte komijnpoeder per dag gezond gewichtsverlies lijkt te veroorzaken binnen een tijdsbestek van enkele maanden [6].

> Het kan ook helpen als voeding voor het cardiovasculaire systeem, als voeding voor het immuunsysteem en als voeding voor de schildklier, want in een gerandomiseerde, dubbelblinde placebo-gecontroleerde studie van 8 (acht) weken met ½ (halve) theelepel zwarte komijnpoeder per dag bij mensen met de orgaanspecifieke mogelijke auto-immuunziekte thyreoïditis ziekte van Hashimoto waarbij het menselijk lichaam de eigen schildklier aanvalt, hetgeen vaak leidt tot hypothyreoïdie als gevolg van vernietiging en littekenvorming van de thyreoïde klier zelf (van welke ziekte bekend is dat er gedeeltelijk een genetische component is, aangezien identieke tweelingen vaker de ziekte delen dan twee-eiige tweelingen. Maar zelfs bij identieke tweelingen was de concordantie slechts ongeveer 50 [%] (procent), hetgeen betekent dat zelfs als uw identieke tweeling met bijna exact dezelfde DNA aangezien je de ziekte hebt, er maar een kleine kans is dat je het krijgt, waarmee wordt benadrukt dat andere belangrijke factoren dan je genen een rol spelen bij de ontwikkeling van de ziekte hetgeen kan worden samengevat als "genen laden het pistool, maar de omgevingsfactoren kunnen de trekker overhalen"; Bovendien is vastgesteld voor meer dan 90 chemicaliën dat deze de hormonale balans en schildklierfunctie verstoren, maar slechts enkele van dergelijke verontreinigende stoffen tonen aan dat ze bijdragen aan auto-immuunziekte van de schildklier. Deze omvatten polyaromatische koolwaterstoffen PAHs, die rokers veel binnenkrijgen via sigaretten, maar bij niet-rokers komt de blootstelling bijna volledig uit voedsel. Polycyclische aromatische koolwaterstoffen PAK's worden voornamelijk gevormd wanneer spiervlees, zoals rundvlees, varkensvlees, vis en kip, wordt gekookt met methoden op hoge temperatuur zoals grillen. Polybroombifenolen en bifenylen, PBB's, zijn een soort vlamvertragende chemicaliën die niet langer in de verenigde staten van Amerika worden geproduceerd, maar worden nog steeds aangetroffen in de aquatische voedselketen [13]. Polychloorbifenylen PCB's worden gebruikt in een aantal industriële processen en komen ook grotendeels via de consumptie van vis, maar ook ander vlees en eieren in het lichaam van mensen terecht [8,12]. Men zou dus kunnen vermoeden dat degenen die plantaardige diëten eten, minder hypothyreoïdie zouden hebben en inderdaad, een onderzoek toonde aan dat veganistische diëten, ondanks hun lagere jodiuminname, de neiging hadden beschermend te zijn [14]. Echter heb ik in de maand mei van 2021 nog geen informatie kunnen vinden of ze ook ooit in een interventioneel onderzoek zijn getest. Een niet zo veganistische adaptatie van het paleolithische dieet is ook geprobeerd bij de patiënten van Hashimoto, maar leek de schildklierfunctie niet te verbeteren [15]) welke suppletie met zwarte komijnpoeder niet alleen leidde tot een gezonde significante vermindering van het lichaamsgewicht, maar ook tot een statistisch significante verlaging van het schildklierstimulerend hormoon, hetgeen een verbetering van de schildklierfunctie betekent, en het verlaagde zelfs het niveau van auto-immuun anti-thyroïde antilichamen, evenals een toename van bloedspiegels van schildklierhormoon T3, en er was een significante daling in de pro-inflammatoire celsignaleringsverbinding heterodimeer cytokine-eiwitcomplex interleukine 23, waarvan wordt aangenomen dat het verlagende effect van deze verbindingen de auto-immuun ontsteking van de schildklier bevordert, hetgeen een ontstekingsremmende eigenschap van de plant laat zien, en bovendien werd er een daling van 17 [%] procent van het relatief “slechte” LDL-cholesterol waargenomen [7, 8, 9]. Gezien het feit dat patiënten met Hashimoto een bijzonder hoog risico lopen op het ontwikkelen van hartaandoeningen, zou dit ook kunnen helpen bij de behandeling van Hashimoto-gerelateerde metabole afwijkingen [10]. In een soortgelijk onderzoek kon het echter niet de significante gunstige veranderingen in de schildklierfunctie aantonen met dezelfde dosis in hetzelfde tijdsbestek, maar dit kan zo zijn gekomen omdat de deelnemers in dit onderzoek niet allemaal patiënten met de ziekte van Hashimoto waren maar eerder hypothyreoïd om welke reden dan ook, hetgeen kan leiden tot verwaterde de resultaten. Bovendien is het ook mogelijk dat het vertellen van patiënten om de zwarte komijndoses samen met hun schildklier hormoonvervangende therapie in te nemen, de absorptie ervan heeft beïnvloed hetgeen relatief vergelijkbaar is in observatie met andere voedingsmiddelen en medicijnen, hetgeen de reden dan ook is waarom patiënten statistisch normaal wordt verteld om het op een lege maag [11].

> Concluderend dat er geen nadelen zijn zou het gebruik van nigella sativa het te proberen waard zijn want in vergelijking met huidige standaard aan behandelingen is het ergste dat in dit geval kan gebeuren, dat u smakelijker voedsel krijgt.

Bronreferenties

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[8] Burek CL, Talor MV. Environmental triggers of autoimmune thyroiditis. J Autoimmun. 2009 Nov-Dec;33(3-4):183-9. doi: 10.1016/j.jaut.2009.09.001. Epub 2009 Oct 9. PMID: 19818584; PMCID: PMC2790188. https://pubmed.ncbi.nlm.nih.gov/19818584/ ; https://www.sciencedirect.com/science/article/pii/S0896841109001152?via%3Dihub ; https://reader.elsevier.com/reader/sd/pii/S0896841109001152?token=245F6538FF27512C66923ACB750CFCE9819E9390CDCC4B74B314EC58946D5E3B814619E6873979FBE10ADBBAC12A10CE&originRegion=eu-west-1&originCreation=20220217155320 ;

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2790188/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2790188/pdf/nihms151864.pdf

[9] Farhangi, MA, Dehghan P & Tajmiri S. Powdered black cumin seeds strongly improves serum lipids, atherogenic index of plasma and modulates anthropometric features in patients with Hashimoto’s thyroiditis. Lipids Health Dis 17, 59 (2018). https://doi.org/10.1186/s12944-018-0704-x ; https://lipidworld.biomedcentral.com/articles/10.1186/s12944-018-0704-x#citeas ; https://lipidworld.biomedcentral.com/track/pdf/10.1186/s12944-018-0704-x.pdf

[10] Chen WH, Chen YK, Lin CL, Yeh JH, Kao CH. Hashimoto's thyroiditis, risk of coronary heart disease, and L-thyroxine treatment: a nationwide cohort study. J Clin Endocrinol Metab. 2015 Jan;100(1):109-14. doi: 10.1210/jc.2014-2990. PMID: 25272307. https://pubmed.ncbi.nlm.nih.gov/25272307/ ; https://academic.oup.com/jcem/article/100/1/109/2812750?login=false ; https://watermark.silverchair.com/jcem0109.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAscwggLDBgkqhkiG9w0BBwagggK0MIICsAIBADCCAqkGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMYdt9lHqyEpYRjb1LAgEQgIICesMmHt9EqDYDT2DuGd50i2Dx0ICA3PEkznGAy_X1sQdaBXbXH922KD55MVuez2yCt_5A_qLsVHZNtDtoEgwQRU8z0AyGR4x7SQvXOdeSm7ilrQMXUFTrvOzrAE3SBFg6-L-0qUGOI_B1Mo59hiTwJ_aKqDxiNd9bcxCouYlswZCvMp3eOXWPIL-LxM6NZCvS5fcqjek2IKTLaoaUKkKN50jEJsLZpMEfjxgNAEqLup4DFRWUGovSFsuEbfXFWyaysvwUMvwVk4paZf35Y1ZiV7UCXjThzMtST9CpShF_3WahVwFfXchMinFjcW6pr5OTbzw2pS3fTnd1eFKNYkXh527dmCaO58w3LTEkeIkrgFsDTtQYdJRQGT_in_CzpH8zWj-NaOyhKn1VdjdhBUGjxEmk9UAxfeA1CYI_gKlIHEe0sjBXYh19sXLBgAXL3X6GC2PI_qpMrWXGa39kXIlDhNkjHR_aQNQpZI90fQxxcWerAZ5DdI0MfGEdxUwDrFNVv3BlkUQJ2VvlqCjjwkfXKgoQXQ6gTIyCPN8nZxuhU7CVcAKEHt_oFi-CnIEZKNBGUpeBUogPFxnQCpg1Yfynzpn0saDW7DSjdblK_2UTs-oeuICocJsFUJCNzOwvD6_OWRmK6LhjFgepTBjj-44_yMVejpMAD_DCbau9_lkj5drrjvyRr71-ClOlqgWfqtibJZxOoisw8kPgUQ_1_nek-UYk3HnpNkIPKz8Yo2VclR6AgkDQ0iFNyewrF2HrRoWQheIzK_iLhBGNIf-Oec8JGcfHMCnxXEP8YDYSzAAR39lBkH_gQ156bZyGUoVwQFvI07gmkYSvgLJCGGs

[11] Tekieh, Maryam & Esfahanian, Fatemeh & Emadi, Fatemeh & Gholami, Mohammad & Emaratkar, Elham. (2019). Effect of Nigella sativa on thyroid function in patients with hypothyroidism treated with levothyroxine: a triple-blind randomized controlled trial Medical Science. https://www.researchgate.net/publication/334361421_Effect_of_Nigella_sativa_on_thyroid_function_in_patients_with_hypothyroidism_treated_with_levothyroxine_a_triple-blind_randomized_controlled_trial_Medical_Science ;

[12] Punnen S, Hardin J, Cheng I, Klein EA, Witte JS. Impact of meat consumption, preparation, and mutagens on aggressive prostate cancer. PLoS One. 2011;6(11):e27711. doi: 10.1371/journal.pone.0027711. Epub 2011 Nov 23. PMID: 22132129; PMCID: PMC3223211. https://pubmed.ncbi.nlm.nih.gov/22132129/ ; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0027711 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3223211/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3223211/pdf/pone.0027711.pdf

[13] Headrick ML, Hollinger K, Lovell RA, Matheson JC. PBBs, PCBs, And Dioxins In Food Animals, Their Public Health Implications, Veterinary Clinics of North America: Food Animal Practice, Volume 15, Issue 1, 1999, Pages 109-131, ISSN 0749-0720, https://doi.org/10.1016/S0749-0720(15)30210-3. (https://www.sciencedirect.com/science/article/pii/S0749072015302103) ; https://www.sciencedirect.com/science/article/pii/S0749072015302103?via%3Dihub ; https://reader.elsevier.com/reader/sd/pii/S0749072015302103?token=370922E7E74D287F6F6C93D1A2FF80D93BC3A2B03C73FFE1FC9BF73BF4EAB3FC273D70A28CF18B4BC078943A3F9664EB&originRegion=eu-west-1&originCreation=20220217185959

[14] Tonstad S, Nathan E, Oda K, Fraser G. Vegan diets and hypothyroidism. Nutrients. 2013 Nov 20;5(11):4642-52. doi: 10.3390/nu5114642. PMID: 24264226; PMCID: PMC3847753. https://pubmed.ncbi.nlm.nih.gov/24264226/ ; https://www.mdpi.com/2072-6643/5/11/4642 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847753/

[15] Abbott RD, Sadowski A, Alt AG. Efficacy of the Autoimmune Protocol Diet as Part of a Multi-disciplinary, Supported Lifestyle Intervention for Hashimoto's Thyroiditis. Cureus. 2019 Apr 27;11(4):e4556. doi: 10.7759/cureus.4556. PMID: 31275780; PMCID: PMC6592837. https://pubmed.ncbi.nlm.nih.gov/31275780/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6592837/

 

 Nigella sativa continual meta-analysis

Eindhoven

Publication date first version: 13 February 2022 | 12022_02-13 New Human Era NHE

Publication date last version: 21 April 2022 | 12022_04-21 New Human Era NHE

Author: Rody Mens - r.w.mens@student.tue.nl

Compiled for Nutritionfactsnederlands.nl, which is a website dedicated to the exploration of the impact of nutrition on health, started upon the findings of Dr. Michael Herschel Greger.

Citation: Mens RW. 13 February 2022. Nigella sativa continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/17/nigella-sativa-continual-meta-analysis; https://www.researchgate.net/publication/358676062_Nigella_sativa_continual_meta-analysis_English_and_Dutch

Some keywords: Nigella sativa, NS, n. sativa, black cumin, nigella sativa, miracle herb, black seed, statin, cholesterol, triglycerides, blood pressure, blood sugar control, LDL, LDL cholesterol, perimenopausal, menopause, hypothyroidism, Hashimoto, bloeddruk, bloed suiker controle, hypothyreoïdie

Summary: The nigella sativa seeds may help as nutrition for the cardiovascular system, as nutrition for the reproductive system, as nutrition for the immune system and as nutrition for the thyroid.

Cumin picture provided by Mockupo available at https://unsplash.com/photos/guKZhjmfero

Disclaimer

My disclaimer on the service limiting my (lawful) liability, and thus establishing the terms of use for the extend of my support for your uses of the information given, which disclaimer I have written to prerequisitially cover any wrong interpretation, or (exclusive or) validity in terms of incorrectness or (inclusive or) incompleteness, incompleteness because of a lower accuracy while having a high precision, of statements that might contain of what might be considered valuable information, that which information I am trying to convey as diligently as I currently at the time possibly can composed (as I keep developing, maintaining and operating on these files to keep improving both the accuracy and the precision of the information) and thus reasonably believed to be reliable by the use of those such specifically formulated statements, reads as follows:

The information that follows, although as diligently as currently at the time possible composed, and thus reasonably believed to be reliable, written or (inclusive or) compiled by Rody Wick Mens and provided thus shared with the best and most honest intentions in mind staying trustworthy, is always still limited to the writers personal interpreter at that time, for which reason it is possibly in your country of staying probably only to be used for educational purposes and not legally defined as "medical advice" for which reason no liability for its interpretation, correctness and completeness can be granted as I want to emphasize that I only take responsibility, but without lawful liability, for the statements in scientific papers on experimental research that I have explicitly done and published myself, and rightfully regard that the interpretation, correctness and completeness of information that other researchers are publishing is their responsibility without lawful liability, which also safeguards my integrity with absolute lawful independence defending and indemnifying the writer harmless from any claims of harm and thus maintaining the reader to be responsible for its acts upon the provided thus shared information, as use of this information thus constitutes acknowledgement and acceptance of the writings limitations places the use of it solely at the user’s own risk as the information provided is provided “as is” without representations, warranties, conditions and indemnities of any kind, either express or implied, and it may therefore thus be better advised to always contact and consult a physician that is lawfully bonded to be able to be a professional health care provider which physician also probably may have government monopolized legal liability in your country of staying, before making any major changes to your lifestyle such as changes to diet, exercise, or (inclusive or) adjustment in dosages of supplemental substances (e.g., substances which a lot of people consider to be called a “pharmaceutical”, “pharmakon”, “medicine”, “medication”, “drug”, “remedy” and “nutraceutical”, of which category of substances I think people should be beware of possible negative complications due to interactions with other personal habitually used substances) routine such that the physician can help a person with the consideration of implementing lifestyle changes that might help a person in their personal specific situation taking into account the individual bodily conditions, meaning that the information given is not intended as nor implied to be a substitute for legally defined “professional medical advice”, “professional medical diagnosis” nor “professional medical treatment”, and that the information is only intended to complement the informational exchange relationship between physicians and patients while not intending, implying nor creating an impression to be a substitute for it as it does not constitute a lawful physician-patient relationship, because I think that it is important that if and when it is absolutely necessary, as sick people should be the ones visiting physicians and presumably healthy people should not (please note that I use the word physician here in lawful government monopolized context and thus not talking about a researchers which could advise people on preventative healthcare, and also since most major health organizations agree that there is the risk for serious harm for people in establishing a regular physician-patient relationship, and all major health organizations have agreed that routine annual checkups for healthy adults should be abandoned because of the reason that establishing a relationship with a physician opens the door for people to become an active patient the more they see their physicians which the more likely someone is to be tested which in turn leads to the more likely people are to be treated for either better or (exclusive or) worse which increase in treatments is because of bad incentives originating from a to a free market situation compared relatively low competitive governmental monopolized health care system, and although it might at first seem to be a good idea, a long-standing familiarity with a patient is rarely necessary in order to provide excellent care in times of need in a government monopolized healthcare system, however in the case of a constantly free market competition-based improving healthcare situation, seeking help from a trusted personal physician could definitely be recommended because developing a partnership with good communication focused on improving the quality and time-quantity of your life and in case of need if you want to get yourself and the ones dear to you the best available personalized treatment, it is something that I think anyone should want and which achievement is probably well worth the hours required in the search), people seek services such as obtaining advice from a physician who could monitor their bodily condition while undergoing health-significant lifestyle changes and thus working together, possibly towards the same goal, in which conversations I can encourage people to ask physicians any questions that one may have regarding their bodily condition and the possible effects of the changes, which for example include a relatively large change in dietary practices, in which conversations I am of opinion that physicians should accept (not necessarily respect) your lifestyle choices and not try to undermine them such as in the case that a certain physician has bad habits that should not have to lead to that certain physician giving unhealthy recommendations,  and one should look for a physician who is genuinely interested in and actively encouraging someone to become healthy through better self-care by that someone getting more actively involved in their own healthcare, of which these physicians are very knowledgeable and constantly learning about the care of a human being willing and able to clearly explain one’s present condition and the possible courses of action that one can take to test and treat one’s problems, and one who makes a conscious effort to avoid the use of medications and surgery only using these as a very last resort, and has an advocate function for you as patient willing to provide the patient with the best of care when in contact with specialists rather than just transferring the patient to the specialist care, and is in favor of second opinions of other physicians and researchers (one should hear about all of the available options along with their costs, risks, and advantages; and one should remember that as a patient one is the health care consumer and thus the customer which given should always grant that one the final say in all decisions and thus including the right to just say “No”, thus possibly refusing to accept a physicians concluding recommendations (e.g., on supervision, permission and prescription) but not necessarily disregarding the advice given as the information should be used to assemble a more broader picture of the landscape of information (never disregard professional medical advice or (inclusive or) delay in seeking it because of something you read in the writers’ texts; which refusals could be occurring when a physician does not provide convincing enough arguments to the customer which could potentially mean that the physicians arguments are internally flawed), which brings me to the point that anything in my writings that might be categorized as an opinion are to be considered my and thus the writer’s own personal views only.

 

Article: Nigella sativa [Sources below]

The peppery flavored black cumin seed nigella sativa (also known as NS, n. sativa, black cumin, nigella sativa, miracle herb and black seed) is categorizable as a member of the buttercup plant family (and thus not the carrot family in which cumin is categorizable meaning that the black cumin seed nigella sativa is not really to be considered as cumin [1]) is relatively easily usable by example putting it in a pepper mill grinding it onto foods just like you could with black pepper granules and is possibly usable for:

> It may be usable as nutrition for the cardiovascular system since systematic reviews and meta-analyses of randomized controlled trials have found that daily black cumin consumption significantly improves cholesterol level, triglyceride levels, blood pressure, and blood sugar control [2, 3]. A study found that postmenopausal women randomized to 1 (one) gram (which is less than about ¼ (a quarter) teaspoon) a day of black cumin powder reduced their LDL cholesterol by 27 [%] (percent) within 2 (two) months which was significantly better than the placebo and which results are the kind of results in the effect range of what you would more likely expect from a certain (such as cholesterol, e.g. LDL cholesterol) cardiovascular lipid-lowering “statin” “drug”, yet this was just a sprinkle of a vegetative cooking spice [4] of which the daily dose used in most of these studies would only cost a few dollar or (exclusive or) euro cents a day.

> It may help as nutrition for the reproductive system with menopausal symptoms since in a study result showed that in perimenopausal women it lowered LDL-cholesterol levels and 1 (one) month after stopping the use of the spice the cholesterol levels started to creep back up so that it does appear to be a cheap, safe, effective (and delicious if you like things spicy) treatment for some of human animals’ most deadliest risk factors related to cardiovascular diseases without causing any negative effects but instead of negative effects also having the additional positive effects such as loss of appetite and weight loss [5].

> It may also help as nutrition for the cardiovascular system since a systematic review and meta-analysis of randomized controlled weight loss trials (weight loss RCTs) found that about ¼ (a quarter) teaspoon of black cumin powder every day does appear to cause healthy weight loss within a timespan of a few months [6].

> It may also help as nutrition for the cardiovascular system, as nutrition for the immune system and as nutrition for the thyroid because in a randomized, double-blind placebo-controlled trial study of 8 (eight) weeks with ½ (a half) teaspoon of powdered black cumin a day in people with the organ-specific possible autoimmune disorder thyroiditis Hashimoto’s disease where the human body attacks their own thyroid gland often leading to hypothyroidism due to destruction and scarring of the thyroid gland itself (of which disease it is known that there is partly a genetic component, since identical twins are more likely to share the disease than fraternal twins. However, even with identical twins, the concordance rate was only about 50 [%] (percent) meaning even if your identical twin with almost the exact same DNA as you has the disease, there is only like a flip of a coin’s chance you will get it thus emphasizing that important factors other than your genes play a role in the development of the disease which could be summarized as “genes load the gun, but environment may pull the trigger”; Furthermore, more than 90 chemicals have been noted to disrupt the hormonal balance and thyroid function, however only a few such pollutants show evidence that they contribute to autoimmune thyroid disease. These include polyaromatic hydrocarbons PAHs, which smokers get a lot from cigarettes, but in nonsmokers exposure comes almost entirely from food. Polycyclic aromatic hydrocarbons PAHs are primarily formed when muscle meats, such as beef, pork, fish and chicken, are cooked by high temperature methods such as grilling. Polybrominated biphenols and biphenyls, PBBs, are a type of flame-retardant chemical no longer manufactured in the United States of America but are still found in the aquatic food chain [13]. Polychlorinated biphenyls PCBs are used in a number of industrial processes and end up in people’s bodies largely through the consumption of fish as well, but also other meat and eggs [8,12]. Thus, one might suspect those eating plant-based diets would have lower rates of hypothyroidism and indeed a study showed that despite their lower iodine intake vegan diets tended to be protective [14]. I could not find any information yet in the month May of 2021 if they have also ever been put to the test in an interventional trial. A not so vegan modification of the Paleolithic diet has also been tried in Hashimoto’s patients, but did not appear to improve thyroid function [15]) which powdered black cumin supplementation led to not only to a healthy significant reduction in body weight, but it also statistically significantly reduced thyroid stimulating hormone which is signifying improvement of thyroid functioning, and it even lowered the level of autoimmune anti-thyroid antibodies, as well as increasing blood levels of thyroid hormone T3, and there was a significant drop in the proinflammatory cell signaling compound heterodimeric cytokine protein complex interleukin 23 which dropping effect of these compounds is thought to help promote the autoimmune inflammation of the thyroid thus showing the anti-inflammatory property of the plant, and in addition there was a 17 [%] percent drop in LDL relatively “bad” cholesterol observed [7, 8, 9]. Given the fact that patients with Hashimoto’s may be at particularly high risk of developing heart disease, this is could also help in management of Hashimoto-related metabolic abnormalities [10]. However, in a similar trial it failed to show the significant beneficial changes in thyroid function with the same dose in the same time frame, however this might be because in this study they were not all people had Hashimoto’s disease but rather hypothyroid for any reason, which thus may have diluted the results. On top of that it is also possible that telling patients to take the black cumin doses with their thyroid hormone replacement therapy may have interfered with its absorption which is a relatively similar observation as to other foods and drugs, which is why patients are statistically normal told to take it on an empty stomach [11].

> Concluding that there are no downsides it is worth a try since compared to currently standardized treatments, possibly the worst that can happen in this case is you will end up having tastier food.

Source references

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cayenne pepper capsicum continual meta-analysis

Cayenne pepper capsicum continue meta-analyse

Eindhoven

Datum van publicatie eerste versie: 12 februari 2022 | 12022_02-12 New Human Era NHE

Datum van publicatie laatste versie: 21 april 2022 | 12022_04-21 New Human Era NHE

Auteur: Rody Mens - r.w.mens@student.tue.nl

Samengesteld voor Nutritionfactsnederlands.nl, hetgeen een website is gewijd aan het onderzoek naar de impact van voeding op de gezondheid, gestart op de bevindingen van Dr. Michael Herschel Greger.

Citatie: Mens RW. 12 January 2022. Cayenne pepper capsicum continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/15/cayenne-pepper-capsicum-continual-meta-analysis; https://www.researchgate.net/publication/358617675_cayenne_pepper_capsicum_continual_meta-analysis

Enkele kernwoorden: Cayenne pepper capsicum, capsicum, red peppers, African chilies, tabasco peppers, Mexican chilies, Louisiana long pepper, pimiento, irritable bowel syndrome IBS, postinfectious irritable bowel syndrome, PI-IBS, chronic indigestion, chronic dyspepsia, dyspepsia, indigestion, substance P, capsaicin, cluster headache, suicide headache, blood pressure, human animal brown adipose fatty acid tissue, fat, vet, vetweefsel, arginine, antioxidant, obesity, postinfectieus prikkelbare darm syndroom, Afrikaanse pepers, Mexicaanse pepers, PDS, PDS-PI, chronische indigestie, chronische dyspepsie, dyspepsia, clusterhoofdpijn, propulsid, cisapride, capsaïcine, clusterhoofdpijn, zelfmoordhoofdpijn, headache syndrome, hoofdpijnsyndroom

Samenvatting: De cayennepeper, die is afgeleid van de vrucht van capsicumpeper spp. kan mogelijk nuttig zijn als voeding voor het spijsverteringskanaal, als voeding voor de hersenen, als voeding voor het cardiovasculaire systeem en als voeding voor het immuunsysteem.

Cayenne peper afbeelding verkregen via JJ Jordan beschikbaar op https://www.pexels.com/photo/food-nature-dark-meal-7999181/  

Vrijwaring

Mijn vrijwaring op de service die mijn (wettelijke) aansprakelijkheid beperkt en daarmee de gebruiksvoorwaarden vaststelt voor de mate van mijn steun voor uw gebruik van de verstrekte informatie, welke vrijwaring ik heb geschreven om eventuele verkeerde interpretatie vooraf te dekken, of (exclusief of) validiteit in termen van onjuistheid of (inclusief of) onvolledigheid, onvolledigheid vanwege een lagere nauwkeurigheid terwijl ze een hoge precisie hebben, van uitspraken die datgeen zouden kunnen bevatten dat als waardevolle informatie kan worden beschouwd, die informatie die ik zo zorgvuldig als ik momenteel mogelijk kan samengesteld (aangezien ik deze bestanden blijf ontwikkelen, onderhouden en gebruiken om zowel de nauwkeurigheid als de precisie van de informatie te blijven verbeteren) en dus redelijkerwijs als betrouwbaar kan worden beschouwd door het gebruik van deze dergelijke specifiek geformuleerde verklaringen, luidt als volgt:

De informatie die volgt, hoewel zo zorgvuldig als ik momenteel mogelijk kan samengesteld, en dus redelijkerwijs als betrouwbaar kan worden beschouwd, is geschreven of (inclusief of) samengesteld door Rody Wick Mens en verstrekt dus gedeeld met de beste en meest eerlijke bedoelingen in het achterhoofd en daardoor betrouwbaar blijvend, is altijd nog steeds beperkt tot de persoonlijke interpretatie van de schrijver op dat moment, om welke reden het mogelijk in uw land van verblijf waarschijnlijk alleen te gebruiken is voor educatieve doeleinden en niet wettelijk gedefinieerd als "medisch advies" om welke reden geen aansprakelijkheid voor de interpretatie ervan, juistheid en volledigheid kan worden verleend aangezien ik wil benadrukken dat ik alleen verantwoordelijkheid neem, maar zonder wettelijke aansprakelijkheid, voor de uitspraken in wetenschappelijke artikelen over experimenteel onderzoek die ik expliciet zelf gedaan en gepubliceerd heb en terecht beschouw dat de interpretatie, juistheid en volledigheid van informatie die andere onderzoekers publiceren hun verantwoordelijkheid zonder wettelijke aansprakelijkheid is, hetgeen ook mijn integriteit bewaakt door met absolute wettige onafhankelijkheid de schrijver verdedigd en schadeloos stelt van alle schadeclaims en zo de lezer verantwoordelijk te houden voor zijn daden op basis van de verstrekte, aldus gedeelde informatie, aangezien het gebruik van deze informatie dus erkenning en aanvaarding van de geschriften beperkingen inhoudt die het gebruik ervan uitsluitend op eigen risico van de gebruiker stellen, aangezien de verstrekte informatie wordt verstrekt "zoals ze is" zonder verklaringen, garanties, voorwaarden en vrijwaringen van welke aard dan ook, expliciet of impliciet, en het daarom beter kan worden geadviseerd om altijd contact op te nemen met en het raadplegen van een arts die wettelijk gebonden is om een ​​professionele zorgverlener te zijn, welke arts waarschijnlijk ook door de overheid gemonopoliseerde wettelijke aansprakelijkheid heeft in uw land van verblijf, voordat u grote veranderingen aanbrengt in uw levensstijl, zoals veranderingen in dieet, lichaamsbeweging of (inclusief of) aanpassing van doseringen van aanvullende middelen (e.g., middelen waarvan veel mensen die middelen een ‘farmaceutisch middel’, ‘farmakon’, ‘medicijn’, ‘medicatie’, ‘drug, ‘remedie’ en ‘nutraceutica’ noemen, van welke categorie middelen ik denk dat mensen moeten oppassen voor mogelijke negatieve complicaties als gevolg van interacties met andere in persoonlijk gebruik genomen middelen) routine zodat de arts een persoon kan helpen met de overweging om veranderingen in levensstijl door te voeren die een persoon in hun persoonlijke specifieke situatie zou kunnen helpen, rekening houdend met de individuele lichamelijke condities, hetgeen betekent dat de verstrekte informatie niet bedoeld of geïmpliceerd is als een vervanging is voor wettelijk gedefinieerd "professioneel medisch advies", "professionele medische diagnose" of "professionele medische behandeling", en dat de informatie alleen bedoeld is om de informatie-uitwisselingsrelatie tussen artsen en patiënten aan te vullen, zonder de bedoeling, implicering noch de indruk te wekken een vervanging te zijn voor, omdat het geen wettig standbare arts-patiëntrelatie vormt, omdat ik denk dat het belangrijk is dat als en wanneer het absoluut noodzakelijk is, aangezien zieke mensen degenen moeten zijn die artsen bezoeken en vermoedelijk gezonde mensen niet (ermee rekening houdend dat ik het woord arts hier gebruik in een wettige, door de overheid gemonopoliseerde context en dus niet onderzoekers bedoel die mensen zou kunnen adviseren over preventieve gezondheidszorg, en ook omdat de meeste grote gezondheidsorganisaties het erover eens zijn dat er een risico bestaat op ernstige schade voor mensen bij het aangaan van een regelmatige arts-patiëntrelatie, en alle grote gezondheidsorganisaties zijn overeengekomen dat routinematige jaarlijkse controles voor gezonde volwassenen gestopt zouden moeten worden vanwege de reden dat het aangaan van een relatie met een arts de deur opent voor mensen om een ​​actieve patiënt te worden, hoe vaker ze hun arts zien, hoe groter de kans dat iemand wordt getest, hetgeen op zijn beurt weer leidt tot de grotere kans dat mensen worden voor beter of (exclusief of) slechter worden behandeld, welke toename van behandelingen het gevolg is van perverse prikkels die ontstaan in een met een vrijemarktsituatie vergelijken relatief laag competitief gemonopoliseerd gezondheidszorgsysteem van de overheid, en hoewel het op het eerste gezicht een goed idee lijkt, is een langdurige bekendheid met een patiënt zelden nodig om uitstekende zorg te verlenen in tijden van behoefte in een door de overheid gemonopoliseerd gezondheidszorgsysteem, maar in het geval van een voortdurend op vrije markt gebaseerde, op concurrentie gebaseerde verbetering van de gezondheidszorgsituatie, kan het zeker worden aanbevolen om hulp te zoeken bij een vertrouwde persoonlijke arts, omdat het ontwikkelen van een partnerschap met goede communicatie gericht op het verbeteren van de kwaliteit en tijd- hoeveelheid van je leven en dat in het geval dat je jezelf en degenen die je dierbaar zijn de best beschikbare persoonlijke behandeling wilt laten krijgen, hetgeen iets is dat ik denk dat iedereen zou moeten willen en welke prestatie de uren die nodig zijn om dit te bereiken het waarschijnlijk zeer zeker waard zijn), mensen diensten zoeken zoals het inwinnen van advies van een arts die hun lichamelijke conditie zou kunnen controleren tijdens het ondergaan van een voor de gezondheid significante levensstijl veranderingen en dus samenwerken, eventueel naar hetzelfde doel, in welke gesprekken ik het kan beamen en mensen kan aanmoedigen om artsen vragen te stellen over hun lichamelijke gesteldheid en de mogelijk effecten van deze veranderingen, waaronder bijvoorbeeld een relatief grote verandering in de voedingspraktijk, in welke gesprekken ik van mening ben dat artsen uw levensstijlkeuzes moeten accepteren (niet noodzakelijkerwijs respecteren) en niet moeten proberen deze te ondermijnen, zoals in het geval dat een bepaalde arts slechte gewoonten heeft dat er niet toe zouden moeten leiden dat die bepaalde arts ongezonde aanbevelingen geeft, en men zou op zoek moeten gaan naar een arts die oprecht geïnteresseerd is in en actief aanmoedigt dat iemand gezond word door betere zelfzorg doordat diegene meer actief betrokken wordt bij zijn eigen gezondheidszorg, waarvan dit ook artsen zijn die zeer goed geïnformeerd zijn en voortdurend leren over de zorg van een mens die bereid en in staat zijn om iemands huidige toestand en de mogelijke maatregelen die men kan nemen om zijn problemen te testen en te behandelen, en iemand die zich bewust inspant om het gebruik van medicijnen en operaties te vermijden en deze enkel als allerlaatste redmiddel gebruikt, en heeft een advocatiefunctie voor u als patiënt die bereid is om de patiënt de beste zorg te bieden in contact met specialisten in plaats van alleen maar de patiënt naar de specialistische zorg over te dragen, en is voorstander van het vragen van een tweede mening van andere artsen en onderzoekers (men zou moeten horen over alle beschikbare opties, samen met hun kosten, risico's en voordelen; en men moet bedenken dat men als patiënt de zorgconsument is en dus de klant welk gegeven betekent dat diegene altijd het laatste woord moet hebben bij alle beslissingen en dus ook het recht moet hebben om gewoon "nee" te zeggen, en dus mogelijk weigert de door een arts concluderende aanbevelingen te accepteren, maar niet noodzakelijkerwijs het gegeven advies negeert (e.g., over toezicht, toestemming en recept), aangezien de informatie moet worden gebruikt om een ​​breder beeld van het informatielandschap samen te stellen (negeer nooit professioneel medisch advies of (inclusief of) uitstel bij het zoeken ervan vanwege iets dat u in de teksten van de schrijvers leest; welke weigeringen zouden kunnen optreden wanneer een arts de klant niet voldoende overtuigende argumenten geeft, hetgeen zou kunnen betekenen dat de argumenten van de arts intern onjuist zijn), hetgeen mij tot het punt brengt dat alles in mijn geschriften dat als een mening kan worden gecategoriseerd, zal moeten worden beschouwd als mijn en dus enkel de persoonlijke mening van de schrijver.

Artikel: Cayenne [English below]

De vrucht van de cayennepeper capsicum spp. plant (ook wel capsicum, rode peper, Afrikaanse pepers, tabasco pepers, Mexicaanse pepers, Louisiana long pepper, piment en pimiento; e.g. de soort capsicum annuum) die tot de meest geconsumeerde culinaire kruiden behoort, valt in te delen in de in de nachtschade solanaceae plantenfamilie en is mogelijk inzetbaar als:

> Het kan mogelijk nuttig zijn als voeding voor het spijsverteringskanaal, omdat het kan helpen bij voedselvergiftiging en mogelijke door voedselvergiftiging veroorzaakte ziekten zoals het prikkelbare darm syndroom PDS ook wel IBS (in dit geval dan ook wel postinfectieus prikkelbare darm syndroom PI-IBS genoemd, dus ook wel PDS-PI) en de chronische indigestieproblemen die chronische dyspepsie worden genoemd omdat van 48 miljoen gevallen van jaarlijkse voedselvergiftiging [10] er ongeveer 10 [%] eindigt met PDS en zelfs meer kunnen eindigen met de chronische indigestie chronische dyspepsie [9]. Wanneer het oraal wordt ingenomen, kan het helpen bij het prikkelbare darm syndroom IBS, waardoor de pijnlijke effecten van IBS worden verminderd, omdat het vermogen van hete peperverbindingen pijnvezels kan uitputten van een neurotransmitter die het lichaam gebruikt om pijn over te brengen, genaamd substantie P [4, 8]. Het resultaat van een voorlopige studie geeft aan dat de chronische toediening van rode peperpoeder aan IBS-patiënten met maagsapresistente pillen significant effectiever was dan placebo bij het verminderen van de intensiteit van buikpijn en een opgeblazen gevoel en door de patiënten als significant effectiever werd beschouwd dan de placebo [3]. Het kan ook helpen bij chronische spijsverteringsproblemen die chronische dyspepsie worden genoemd, want als je capsules met rode peperpoeder geeft aan mensen die lijden aan chronische indigestie, van ongeveer 3/2 (anderhalve) theelepel per dag en vergeleken met placebo, zie je dat over het algemeen binnen een maand hun symptomen afnamen, waaronder hun buikpijn en een opgeblazen gevoel, en het leidde ook tot minder ervaren misselijkheid [5].                                                                                                                                    Rode peper zou dus nuttig kunnen zijn en het verhogen van de inname zou ook superieur kunnen zijn aan het gebruik van het vaak voorgeschreven middel propulsid (ook wel cisapride genoemd) dat bijna net zo goed werkte als het poeder van rode cayennepeper en over het algemeen goed werd verdragen totdat het mensen doodde hetgeen de reden is waarom propulsid van de markt werd gehaald nadat het tientallen doden had veroorzaakt [6, 7].

> Het kan mogelijk nuttig zijn als voeding voor de hersenen, omdat het kan helpen bij de behandeling van clusterhoofdpijn (ook wel cluster headaches genoemd). Omdat onderzoekers ontdekten dat als we een hete peper snijden en dus het middel capsaïcine (capsaïcine is het brandende bestanddeel van hete pepers) gebruiken door de gesneden peper zo plaatselijk in onze neus aanbrengen door het in onze neusgaten te wrijven, krijgen we een brande, mogelijke pijnlijke, loopneus en we begint te niezen. Echter het dag in dag uit aanbrengen leidde bewonderenswaardig niet tot verhoogde irritatie, maar de pijnvezels, de zenuwen die de pijnsensatie dragen, hebben mogelijk zoveel van de pijnneurotransmitter stof P gedumpt hetgeen leidde dat de voorraad mogelijk op wordt gemaakt. Dus, dag na dag aanbrengen leidde er mogelijk toe dat de zenuwen hun winkels uitputten, wat er mogelijk toe leidde dat ze geen pijnsignalen meer konden verzenden totdat ze weer meer van deze te verzenden stof hadden gemaakt, welk proces om de voorraad van deze pijnsignalerende stof te herstellen gemiddeld ongeveer een paar weken duurde [4]. Dit gaf onderzoekers het idee om deze techniek te gebruiken voor het zeldzame hoofdpijnsyndroom clusterhoofdpijn genaamd, dat is beschreven als een van de ergste pijnen die de mens ervaart, aangezien weinig of geen medische aandoeningen pijnlijker zijn, en het wordt ook "zelfmoordhoofdpijn" genoemd omdat patiënten vaak het overwegen van het nemen van en patiënten er ook hun leven over hebben genomen [11]. Er wordt gedacht dat het wordt veroorzaakt door arteriële dilatatie die druk uitoefent op de trigeminuszenuw in het gezicht en daarom omvatten behandelingen zeer divers alles van zenuwblokkades tot het gebruik van botox en het gebruik van chirurgie. Dezelfde zenuw gaat naar de neus, dus het kan ook worden geprobeerd om de hele zenuw al zijn substantie P te laten dumpen, waardoor het de pijn op die manier zou kunnen verminderen [4, 8]. Clusterhoofdpijn is eenzijdige hoofdpijn, hetgeen betekent dat er slechts aan één kant van het hoofd, pijn gevoeld wordt. Dit leidde tot een onderzoek waarin ook deze interne intra-individuele controle werd gebruikt, waaruit bleek dat degenen die capsaïcine in het neusgat aan de andere kant van het hoofd smeerden dan waar ze pijn hadden geen significant verschil hadden, aangezien die personen ongeveer 40 aanvallen per dag begonnen te krijgen, en 1 (een) maand later waren de hoofdpijnen nog steeds hevig aanwezig. Maar bij degenen die capsaïcine in het neusgat wreef aan de kant van het hoofd waar de hoofdpijn aanwezig was, halveerde het gemiddeld aantal hoofdpijnaanvallen. In feite was de helft van de patiënten "genezen", welke term in deze studie betekende dat de clusterhoofdpijn volledig verdwenen was. Al met al had 80 [%] van de individuen een positieve reactie, hetgeen ten minste gelijk is aan, zo niet beter dan, alle huidige therapieën die er momenteel bekend waren [12].

> Het zou mogelijk nuttig kunnen zijn als voeding voor het cardiovasculaire systeem om de volgende 2 (twee) redenen. Een reden is dat pittig voedsel kan helpen bij het verminderen van de zoutinname, aangezien orale toediening van capsaïcine (capsaïcine is het brandende bestanddeel van hete pepers) aan deelnemers in een onderzoek de zoute smaaksensaties versterkte en daardoor de dagelijkse inname van natriumzout zou kunnen verlagen en de daaropvolgende natriumzout geïnduceerde bloeddrukverhoging zou kunnen verminderen [1].                                                                                                

De andere reden is dat menselijk dierlijk bruin vetzuur (vet) weefsel hitte voor warmte genereert door vet te verbranden, welk proces thermogenese wordt genoemd, een proces dat bij jonge kinderen [13] maar ook bij volwassen mensen betrokken is bij door kou veroorzaakte toenames in het energieverbruik van het hele lichaam en daarmee een deel van de controle van de lichaamstemperatuur, hetgeen betekent dat hoe dik we zijn gedeeltelijk afhankelijk is van de omgevingstemperatuur [14].

In 2013 toonden onderzoekers aan dat je bruin vetweefsel kunt activeren door mensen lang genoeg te koelen, aangezien 2 (twee) uur blootstelling aan kou per dag gedurende 6 (zes) weken kan leiden tot een significante vermindering van lichaamsvet [15]. Bovendien kan ons bruine vet, in plaats van blootstelling aan kou, ook worden geactiveerd door sommige voedselingrediënten, zoals rode peper, welk voedsel de verbinding capsaïcine bevat die hete pepers heet maakt en ook verantwoordelijk kan zijn voor de verbranding van bruin vet bij menselijke dieren [16]. Binnen 30 minuten na het eten van het equivalent van een jalapeno-peper zou het energieverbruik uit bruin vet aanzienlijk kunnen stijgen [17].                                                                                                                                                                                              Statistisch normaal gezien, wanneer we minder calorieën binnenkrijgen, vertraagt ​​ons metabolisme en ondermijnt het onze pogingen om gewicht te verliezen. Maar het strooien van 1/3 (een derde) van een theelepel cayennepeperpoeder op onze maaltijden gaat die metabolische vertraging tegen en bevordert de vetverbranding. De onderzoekers waren bereid om ze meer te geven om te proberen hun onderzoek af te stemmen op sommige van de onderzoeken in Azië, maar ze werkten met Kaukasische blanke mensen en er is een verschil in de maximaal toelaatbare dosis rode chilipeper tussen Aziatische mensen en Kaukasische blanke mensen, vandaar dat ze de dosis niet verhoogde [18]. Bij Aziatische vrouwen, zoals sommige Japanse vrouwen, kun je de vetverbranding na een vetrijke maaltijd ook aanzienlijk verhogen door de dosis te verhogen, zoals het toevoegen van meer dan 1 (één) eetlepel rode peperpoeder [19].                                                                                                                                                                            Het was al tientallen jaren geleden al bekend dat cayennepeper de stofwisseling verhoogt, maar het was nog niet algemeen bekend hoe het de stofwisseling verhoogde [20]. Nu zijn er algemeen beschikbare studies die aantonen dat deze klasse van verbindingen het energieverbruik bij mensen met bruin vet verhoogt, maar niet bij degenen zonder bruin vet, hetgeen erop wijst dat ze alleen het energieverbruik van het bruine vetweefsel verhogen. Er zijn ook allerlei structureel vergelijkbare smaakmoleculen in andere voedingsmiddelen zoals zwarte peper en gember waarvan kan worden verwacht dat ze ook de thermogenese activeren, maar deze moleculen zijn nog niet rechtstreeks op deze eigenschap getest [17].                                                                                                                                                              Al deze resultaten suggereren dus dat de anti-obesitas-effecten van peperverbindingen gebaseerd zijn op de warmte genererende activiteit van gerekruteerd bruin vetweefsel. Herhaalde inname zou dus de chronische effecten van blootstelling aan kou een beetje kunnen nabootsen in termen van bruinvetverbranding zonder dat we onszelf kou hoeven laten lijden [15]. Als extra kanttekening, aangezien pittig voedsel niet door iedereen wordt gewaardeerd vanwege de mogelijk zintuiglijke verbranding en pijn op de tong, en soms ook in de maag en verder mogelijk ook in de darmen, dat argininerijk voedsel ook bruin vetweefsel kan stimuleren door een verscheidenheid aan van mechanismen, hetgeen betekent dat je voor hetzelfde resultaat mogelijk ook meer zaden, noten (echte noten dus bijvoorbeeld geen pinda's en cashewnoten) en bonen zoals sojabonen zou kunnen eten [22].

> Het kan mogelijk ook nuttig zijn als voeding voor het immuunsysteem. Dit kan zijn omdat in vitro lignan-glycosiden geïsoleerd uit paprika een sterke wegvangende activiteit lijken te hebben tegen vrije radicalen, wat een reden is waarom cayennepeper het immuunsysteem kan helpen door in vivo mogelijk de antioxidantactiviteit te verhogen [2].

Bronreferenties

[1] Li Q, Cui Y, Jin R, et al. Enjoyment of Spicy Flavor Enhances Central Salty-Taste Perception and Reduces Salt Intake and Blood Pressure. Hypertension. Dec 2017;70(6):1291-1299.  https://pubmed.ncbi.nlm.nih.gov/29089370/

[2] Lee DY, Lee DG, Cho JG, et al. Lignans from the fruits of the red pepper (Capsicum annuum L.) and their antioxidant effects. Arch Pharm Res. Oct 2009;32(10):1345-1349. https://pubmed.ncbi.nlm.nih.gov/19898795/  

[3] Bortolotti M, Porta S. Effect of red pepper on symptoms of irritable bowel syndrome: preliminary study. Dig Dis Sci. 2011 Nov;56(11):3288-95. doi: 10.1007/s10620-011-1740-9. Epub 2011 May 15. PMID: 21573941. https://pubmed.ncbi.nlm.nih.gov/21573941/ ; https://link.springer.com/article/10.1007/s10620-011-1740-9

[4] Geppetti P, Fusco BM, Marabini S, Maggi CA, Fanciullacci M, Sicuteri F. Secretion, pain and sneezing induced by the application of capsaicin to the nasal mucosa in man. Br J Pharmacol. 1988 Mar;93(3):509-14. doi: 10.1111/j.1476-5381.1988.tb10305.x. PMID: 3370386; PMCID: PMC1853845. https://pubmed.ncbi.nlm.nih.gov/3370386/ ; https://bpspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1476-5381.1988.tb10305.x?sid=nlm%3Apubmed ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1853845/

[5] Bortolotti M, Coccia G, Grossi G, Miglioli M. The treatment of functional dyspepsia with red pepper. Aliment Pharmacol Ther. 2002 Jun;16(6):1075-82. doi: 10.1046/j.1365-2036.2002.01280.x. PMID: 12030948. https://pubmed.ncbi.nlm.nih.gov/12030948/ ; https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2036.2002.01280.x?sid=nlm%3Apubmed

[6] Tack J, Coremans G, Janssens J. A risk-benefit assessment of cisapride in the treatment of gastrointestinal disorders. Drug Saf. 1995 Jun;12(6):384-92. doi: 10.2165/00002018-199512060-00004. PMID: 8527013. https://pubmed.ncbi.nlm.nih.gov/8527013/ ; https://link.springer.com/article/10.2165/00002018-199512060-00004

[7] PROPULSID: A Heartburn Drug, Now Linked to Children’s Deaths. By DAVID WILLMAN. Dec. 20, 2000 12 AM PT. https://www.latimes.com/nation/la-122001propulsid-story.html

[8] Ailani J, Young WB. The role of nerve blocks and botulinum toxin injections in the management of cluster headaches. Curr Pain Headache Rep. 2009 Apr;13(2):164-7. doi: 10.1007/s11916-009-0028-7. PMID: 19272284. https://pubmed.ncbi.nlm.nih.gov/19272284/

[9] Mearin F. Postinfectious functional gastrointestinal disorders. J Clin Gastroenterol. 2011 Aug;45 Suppl: S102-5. doi: 10.1097/MCG.0b013e31821fbf58. PMID: 21666422. https://pubmed.ncbi.nlm.nih.gov/21666422/https://journals.lww.com/jcge/Abstract/2011/08001/Postinfectious_Functional_Gastrointestinal.9.aspx

[10] CDC. 2011. Estimates of Foodborne Illness in the United States. https://www.cdc.gov/foodborneburden/2011-foodborne-estimates.html

[11] Nesbitt AD, Goadsby PJ. Cluster headache. BMJ. 2012 Apr 11;344:e2407. doi: 10.1136/bmj.e2407. PMID: 22496300. https://pubmed.ncbi.nlm.nih.gov/22496300/ ; https://www.bmj.com/content/344/bmj.e2407.long

[12] Fusco BM, Marabini S, Maggi CA, Fiore G, Geppetti P. Preventative effect of repeated nasal applications of capsaicin in cluster headache. Pain. 1994 Dec;59(3):321-325. doi: 10.1016/0304-3959(94)90017-5. PMID: 7708405.  https://pubmed.ncbi.nlm.nih.gov/7708405/ ; https://journals.lww.com/pain/Abstract/1994/12000/Preventative_effect_of_repeated_nasal_applications.1.aspx

[13] Sacks H, Symonds ME. Anatomical locations of human brown adipose tissue: functional relevance and implications in obesity and type 2 diabetes. Diabetes. 2013 Jun;62(6):1783-90. doi: 10.2337/db12-1430. PMID: 23704519; PMCID: PMC3661606. https://pubmed.ncbi.nlm.nih.gov/23704519/ ; https://diabetesjournals.org/diabetes/article/62/6/1783/15918/Anatomical-Locations-of-Human-Brown-Adipose ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661606/

[14] Yoneshiro T, Aita S, Matsushita M, Kameya T, Nakada K, Kawai Y, Saito M. Brown adipose tissue, whole-body energy expenditure, and thermogenesis in healthy adult men. Obesity (Silver Spring). 2011 Jan;19(1):13-6. doi: 10.1038/oby.2010.105. Epub 2010 May 6. PMID: 20448535. https://pubmed.ncbi.nlm.nih.gov/20448535/ ; https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2010.105

[15] Yoneshiro T, Aita S, Matsushita M, Kayahara T, Kameya T, Kawai Y, Iwanaga T, Saito M. Recruited brown adipose tissue as an antiobesity agent in humans. J Clin Invest. 2013 Aug;123(8):3404-8. doi: 10.1172/JCI67803. Epub 2013 Jul 15. PMID: 23867622; PMCID: PMC3726164. https://pubmed.ncbi.nlm.nih.gov/23867622/ ; https://www.jci.org/articles/view/67803 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726164/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726164/pdf/JCI67803.pdf

[16] Yoneshiro T, Aita S, Kawai Y, Iwanaga T, Saito M. Nonpungent capsaicin analogs (capsinoids) increase energy expenditure through the activation of brown adipose tissue in humans. Am J Clin Nutr. 2012 Apr;95(4):845-50. doi: 10.3945/ajcn.111.018606. Epub 2012 Feb 29. PMID: 22378725. https://pubmed.ncbi.nlm.nih.gov/22378725/ ; https://academic.oup.com/ajcn/article/95/4/845/4576740?login=false

[17] Saito M, Yoneshiro T. Capsinoids and related food ingredients activating brown fat thermogenesis and reducing body fat in humans. Curr Opin Lipidol. 2013 Feb;24(1):71-7. doi: 10.1097/MOL.0b013e32835a4f40. PMID: 23298960. https://pubmed.ncbi.nlm.nih.gov/23298960/ ; https://journals.lww.com/co-lipidology/Fulltext/2013/02000/Capsinoids_and_related_food_ingredients_activating.12.aspx

[18] Janssens PL, Hursel R, Martens EA, Westerterp-Plantenga MS. Acute effects of capsaicin on energy expenditure and fat oxidation in negative energy balance. PLoS One. 2013 Jul 2;8(7):e67786. doi: 10.1371/journal.pone.0067786. PMID: 23844093; PMCID: PMC3699483. https://pubmed.ncbi.nlm.nih.gov/23844093/ ; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0067786 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699483/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699483/pdf/pone.0067786.pdf

[19] Yoshioka M, St-Pierre S, Suzuki M, Tremblay A. Effects of red pepper added to high-fat and high-carbohydrate meals on energy metabolism and substrate utilization in Japanese women. Br J Nutr. 1998 Dec;80(6):503-10. doi: 10.1017/s0007114598001597. PMID: 10211048. https://pubmed.ncbi.nlm.nih.gov/10211048/ ; https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/effects-of-red-pepper-added-to-highfat-and-highcarbohydrate-meals-on-energy-metabolism-and-substrate-utilization-in-japanese-women/ECE5314AD06A5AE74AF974C2F72858E8

[20] Henry CJ, Emery B. Effect of spiced food on metabolic rate. Hum Nutr Clin Nutr. 1986 Mar;40(2):165-8. PMID: 3957721. https://pubmed.ncbi.nlm.nih.gov/3957721/

[21] Ludy MJ, Moore GE, Mattes RD. The effects of capsaicin and capsiate on energy balance: critical review and meta-analyses of studies in humans. Chem Senses. 2012 Feb;37(2):103-21. doi: 10.1093/chemse/bjr100. Epub 2011 Oct 29. PMID: 22038945; PMCID: PMC3257466. https://pubmed.ncbi.nlm.nih.gov/22038945/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3257466/ ; https://academic.oup.com/chemse/article/37/2/103/273510?login=false

[22] Wu Z, Satterfield MC, Bazer FW, Wu G. Regulation of brown adipose tissue development and white fat reduction by L-arginine. Curr Opin Clin Nutr Metab Care. 2012 Nov;15(6):529-38. doi: 10.1097/MCO.0b013e3283595cff. PMID: 23075933. https://pubmed.ncbi.nlm.nih.gov/23075933/ ; https://journals.lww.com/co-clinicalnutrition/Abstract/2012/11000/Regulation_of_brown_adipose_tissue_development_and.4.aspx

 Cayenne pepper capsicum continual meta-analysis

Eindhoven

Publication date first version: 12 February 2022 | 12022_02-12 New Human Era NHE

Publication date last version: 21 April 2022 | 12022_04-21 New Human Era NHE

Author: Rody Mens - r.w.mens@student.tue.nl

Compiled for Nutritionfactsnederlands.nl, which is a website dedicated to the exploration of the impact of nutrition on health, started upon the findings of Dr. Michael Herschel Greger.

Citation: Mens RW. 12 February 2022. Cayenne pepper capsicum continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/15/cayenne-pepper-capsicum-continual-meta-analysis ; https://www.researchgate.net/publication/358617675_cayenne_pepper_capsicum_continual_meta-analysis

Some keywords: Cayenne pepper capsicum, capsicum, red peppers, African chilies, tabasco peppers, Mexican chilies, Louisiana long pepper, pimiento, irritable bowel syndrome IBS, postinfectious irritable bowel syndrome, PI-IBS, chronic indigestion, chronic dyspepsia, dyspepsia, indigestion, substance P, capsaicin, cluster headache, suicide headache, blood pressure, human animal brown adipose fatty acid tissue, fat, vet, vetweefsel, arginine, antioxidant, obesity, postinfectieus prikkelbare darm syndroom, Afrikaanse pepers, Mexicaanse pepers, PDS, PDS-PI, chronische indigestie, chronische dyspepsie, dyspepsia, clusterhoofdpijn, propulsid, cisapride, capsaïcine, clusterhoofdpijn, zelfmoordhoofdpijn, headache syndrome, hoofdpijnsyndroom

Summary: The cayenne pepper, which is derived from the fruit of capsicum pepper spp. could be helpful as nutrition for the digestive tract, helpful as nutrition for the brain, helpful as nutrition the cardiovascular system, and as nutrition for the immune system.

 

 

Cayenne pepper picture provided by JJ Jordan available at https://www.pexels.com/photo/food-nature-dark-meal-7999181/

Disclaimer

My disclaimer on the service limiting my (lawful) liability, and thus establishing the terms of use for the extend of my support for your uses of the information given, which disclaimer I have written to prerequisitially cover any wrong interpretation, or (exclusive or) validity in terms of incorrectness or (inclusive or) incompleteness, incompleteness because of a lower accuracy while having a high precision, of statements that might contain of what might be considered valuable information, that which information I am trying to convey as diligently as I currently at the time possibly can composed (as I keep developing, maintaining and operating on these files to keep improving both the accuracy and the precision of the information) and thus reasonably believed to be reliable by the use of those such specifically formulated statements, reads as follows:

The information that follows, although as diligently as currently at the time possible composed, and thus reasonably believed to be reliable, written or (inclusive or) compiled by Rody Wick Mens and provided thus shared with the best and most honest intentions in mind staying trustworthy, is always still limited to the writers personal interpreter at that time, for which reason it is possibly in your country of staying probably only to be used for educational purposes and not legally defined as "medical advice" for which reason no liability for its interpretation, correctness and completeness can be granted as I want to emphasize that I only take responsibility, but without lawful liability, for the statements in scientific papers on experimental research that I have explicitly done and published myself, and rightfully regard that the interpretation, correctness and completeness of information that other researchers are publishing is their responsibility without lawful liability, which also safeguards my integrity with absolute lawful independence defending and indemnifying the writer harmless from any claims of harm and thus maintaining the reader to be responsible for its acts upon the provided thus shared information, as use of this information thus constitutes acknowledgement and acceptance of the writings limitations places the use of it solely at the user’s own risk as the information provided is provided “as is” without representations, warranties, conditions and indemnities of any kind, either express or implied, and it may therefore thus be better advised to always contact and consult a physician that is lawfully bonded to be able to be a professional health care provider which physician also probably may have government monopolized legal liability in your country of staying, before making any major changes to your lifestyle such as changes to diet, exercise, or (inclusive or) adjustment in dosages of supplemental substances (e.g., substances which a lot of people consider to be called a “pharmaceutical”, “pharmakon”, “medicine”, “medication”, “drug”, “remedy” and “nutraceutical”, of which category of substances I think people should be beware of possible negative complications due to interactions with other personal habitually used substances) routine such that the physician can help a person with the consideration of implementing lifestyle changes that might help a person in their personal specific situation taking into account the individual bodily conditions, meaning that the information given is not intended as nor implied to be a substitute for legally defined “professional medical advice”, “professional medical diagnosis” nor “professional medical treatment”, and that the information is only intended to complement the informational exchange relationship between physicians and patients while not intending, implying nor creating an impression to be a substitute for it as it does not constitute a lawful physician-patient relationship, because I think that it is important that if and when it is absolutely necessary, as sick people should be the ones visiting physicians and presumably healthy people should not (please note that I use the word physician here in lawful government monopolized context and thus not talking about a researchers which could advise people on preventative healthcare, and also since most major health organizations agree that there is the risk for serious harm for people in establishing a regular physician-patient relationship, and all major health organizations have agreed that routine annual checkups for healthy adults should be abandoned because of the reason that establishing a relationship with a physician opens the door for people to become an active patient the more they see their physicians which the more likely someone is to be tested which in turn leads to the more likely people are to be treated for either better or (exclusive or) worse which increase in treatments is because of bad incentives originating from a to a free market situation compared relatively low competitive governmental monopolized health care system, and although it might at first seem to be a good idea, a long-standing familiarity with a patient is rarely necessary in order to provide excellent care in times of need in a government monopolized healthcare system, however in the case of a constantly free market competition-based improving healthcare situation, seeking help from a trusted personal physician could definitely be recommended because developing a partnership with good communication focused on improving the quality and time-quantity of your life and in case of need if you want to get yourself and the ones dear to you the best available personalized treatment, it is something that I think anyone should want and which achievement is probably well worth the hours required in the search), people seek services such as obtaining advice from a physician who could monitor their bodily condition while undergoing health-significant lifestyle changes and thus working together, possibly towards the same goal, in which conversations I can encourage people to ask physicians any questions that one may have regarding their bodily condition and the possible effects of the changes, which for example include a relatively large change in dietary practices, in which conversations I am of opinion that physicians should accept (not necessarily respect) your lifestyle choices and not try to undermine them such as in the case that a certain physician has bad habits that should not have to lead to that certain physician giving unhealthy recommendations,  and one should look for a physician who is genuinely interested in and actively encouraging someone to become healthy through better self-care by that someone getting more actively involved in their own healthcare, of which these physicians are very knowledgeable and constantly learning about the care of a human being willing and able to clearly explain one’s present condition and the possible courses of action that one can take to test and treat one’s problems, and one who makes a conscious effort to avoid the use of medications and surgery only using these as a very last resort, and has an advocate function for you as patient willing to provide the patient with the best of care when in contact with specialists rather than just transferring the patient to the specialist care, and is in favor of second opinions of other physicians and researchers (one should hear about all of the available options along with their costs, risks, and advantages; and one should remember that as a patient one is the health care consumer and thus the customer which given should always grant that one the final say in all decisions and thus including the right to just say “No”, thus possibly refusing to accept a physicians concluding recommendations (e.g., on supervision, permission and prescription) but not necessarily disregarding the advice given as the information should be used to assemble a more broader picture of the landscape of information (never disregard professional medical advice or (inclusive or) delay in seeking it because of something you read in the writers’ texts; which refusals could be occurring when a physician does not provide convincing enough arguments to the customer which could potentially mean that the physicians arguments are internally flawed), which brings me to the point that anything in my writings that might be categorized as an opinion are to be considered my and thus the writer’s own personal views only.

 

Article: Cayenne [Sources below]

The fruit of the cayenne pepper capsicum spp. plant (also called capsicum, red peppers, African chilies, tabasco peppers, Mexican chilies, Louisiana long pepper, piment and pimiento; e.g. the species capsicum annuum) which is among the most widely consumed culinary spices is categorizable in the in the nightshade solanaceae plant family is possible usable as:

> It could be helpful as nutrition for the digestive tract since it could help with food poisoning and potential food poisoning induced diseases such as irritable bowel syndrome IBS (in this case then also called postinfectious irritable bowel syndrome PI-IBS) and the chronic indigestion problems called chronic dyspepsia since of 48 million cases of annual food poisoning [10] about 10 [%] may end up with IBS and even more may end up with the chronic indigestion chronic dyspepsia [9].

When taken orally it might help with irritable bowel syndrome IBS lessening the painful effects of IBS since the ability of hot pepper compounds could deplete pain fibers of a neurotransmitter the body uses to transmit pain called substance P [4, 8]. The result of a preliminary study indicates that the chronic administration of red pepper powder in IBS patients with enteric-coated pills was significantly more effective than placebo in decreasing the intensity of abdominal pain and bloating and was by the patients considered to be significantly more effective than the placebo [3]. It could also help with chronic indigestion problems called chronic dyspepsia, because if you give capsules of red pepper powder to people suffering from chronic indigestion of about 3/2 (one-and-a-half) teaspoons’ a day worth and compared to placebo, within a month their overall symptoms dropped, including their stomach pain, and bloated feelings, and it also led to less experienced nausea too [5].

Thus, red pepper could be helpful and increasing intake could also be superior to the use of the frequently prescribed drug propulsid (also called cisapride) which worked almost as good as the red cayenne pepper powder and was considered generally well tolerated until it killed people which is why propulsid was pulled from the market after causing dozens of deaths [6, 7].

> It could be helpful as nutrition for the brain since it could help treating cluster headaches. Since researchers found that if we cut a hot pepper and thus use the compound capsaicin (capsaicin is the burning component of hot peppers) by rubbing it inside our nostrils thus topically applying in our nose then our will start burning, possible hurting, running and we will start sneezing. Applying this day after day did surprisingly not lead to increased irritation but the pain fibers, the nerves that carry pain sensation, possibly dumped so much of the pain neurotransmitter called substance P that people possible run out of stock of this substance. So, day after day application possibly led to the nerves exhausting their stores possibly resulting in no longer being able to transmit pain messages until they made more from scratch, which process to recover the stock took on average about a couple weeks [4].                          This gave researchers the idea to use this technique for the rare headache syndrome called cluster headache which has been described as one of the worst pains human’s experiences since few if any medical conditions are more painful, and it has also been named “suicide headache” because patients often consider taking and patients also have taken their lives over it [11].  It is thought to be caused by arterial dilation putting pressure on the trigeminal nerve in the face and thus treatments diversely involve everything from nerve blocks to using botox and using surgery. The same nerve goes down to the nose so it could also be tried to cause the whole nerve to dump all its substance P, thus decreasing pain in that manner [4, 8]. Cluster headaches are one-sided headaches meaning that there is only pain on one side of the head. This led to a study in which also this internal intra-individual control was used showing that those who rubbed capsaicin in the nostril on the opposite side of the head as the side where they felt the pain coming from had no significant difference happen since those individuals started out having around 40 attacks a day, and 1 (one) month later the headaches were still heavily present. But in those that rubbed capsaicin in the nostril on the side of the head where the headaches were present cut the average number of attacks in half. In fact, half the patients were “cured” which term in this study meant that the cluster headaches were gone completely. All in all, 80 [%] of the individuals had a positive response which result is at least equal to if not better than all the current therapies which where currently known out there [12].

> It could be helpful as nutrition the cardiovascular system for the following 2 (two) reasons.

One reason is that spicy foods may help with decreasing salt intake since oral capsaicin (which capsaicin is the burning component of hot peppers) administration to participants in a study enhanced salty taste sensations and could thereby lower daily natrium salt intake and decrease subsequent natrium-salt induced blood pressure [1].

The other reason being that human animal brown adipose fatty acid (fat) tissue is generating heat for warmth by burning fat, which process is called thermogenesis, which process in young children [13] but also in adult humans is involved in cold-induced increases in whole-body caloric energy expenditure and thereby part of the control of body temperature meaning that how fat we are is partly dependent on environmental temperatures [14]. In 2013, researchers showed that one could activate brown adipose tissue by chilling people out long enough since 2 (two) hours of cold exposure every day for 6 (six) weeks can lead to a significant reduction in body fat [15]. Furthermore, instead of cold exposure, our brown fat can also be activated by some food ingredients such as red pepper which contains the compound capsaicin which compound makes hot peppers hot and could also be responsible for brown fat burning in human animals [16]. There could be a significant rise in energy expenditure by brown fat within 30 minutes of eating the equivalent of a jalapeno pepper [17].                                                                                       Statistically normal speaking, when we cut down on calories, our metabolism slows down undercutting our weight loss attempts. But sprinkling 1/3 (a third) of a teaspoon of cayenne pepper powder onto our meals counteracts that metabolic slowdown and promotes fat burning. The researchers were willing to try giving them more to try to match their study to some of the studies done in Asia, but they were working with Caucasian people and there is a difference in maximum tolerable dose of red chili pepper between Asian people and Caucasian people hence they did not increase the dose [18]. In Asian women such as some Japanese women you can boost the fat burned after a high-fat meal significantly too by increasing the dose such as adding over 1 (one) tablespoon of red pepper powder [19].                                                                                                                                                                                     It was generally known for decades that cayenne pepper increases metabolic rate, but it was not generally known yet how it increased metabolic rate [20]. Now there are studies generally available showing that this class of compounds increases energy expenditure in human individuals with brown fat, but not in those without it, thus indicating that they increase expenditure straight only of the brown fat tissue. There are also all sorts of structurally similar flavor molecules in other foods like black pepper and ginger which could be expected to activate thermogenesis as well but have not been directly tested for this property yet [17].                                                                                                                                                 All these results thus suggest that the anti-obesity effects of pepper compounds are based on the heat-generating activity of recruited brown fat. Thus, repeated ingestion can kind of mimic the chronic effects of cold exposure in terms of brown fat burning property without us having to freeze ourselves [15]. As extra side note since spicy foods are not liked by everyone for their sensory burn and pain on our tongues, and sometimes in the stomach and further down in the intestines as well, that arginine-rich foods may also stimulate brown adipose tissue through a variety of mechanisms, meaning you could possibly for achieving the same result also be eating more seeds, nuts (real nuts so for example not peanuts and cashews), and beans such as soy beans [22].

> It could also potentially be helpful as nutrition for the immune system. This could be since in vitro, lignan glycosides isolated from capsicum pepper appear to have a strong scavenging activity against free radicals, which is a reason for why cayenne pepper may help the immune system by thus potentially in vivo increasing antioxidant activity [2].

Source references

[1] Li Q, Cui Y, Jin R, et al. Enjoyment of Spicy Flavor Enhances Central Salty-Taste Perception and Reduces Salt Intake and Blood Pressure. Hypertension. Dec 2017;70(6):1291-1299.  https://pubmed.ncbi.nlm.nih.gov/29089370/

[2] Lee DY, Lee DG, Cho JG, et al. Lignans from the fruits of the red pepper (Capsicum annuum L.) and their antioxidant effects. Arch Pharm Res. Oct 2009;32(10):1345-1349. https://pubmed.ncbi.nlm.nih.gov/19898795/  

[3] Bortolotti M, Porta S. Effect of red pepper on symptoms of irritable bowel syndrome: preliminary study. Dig Dis Sci. 2011 Nov;56(11):3288-95. doi: 10.1007/s10620-011-1740-9. Epub 2011 May 15. PMID: 21573941. https://pubmed.ncbi.nlm.nih.gov/21573941/ ; https://link.springer.com/article/10.1007/s10620-011-1740-9

[4] Geppetti P, Fusco BM, Marabini S, Maggi CA, Fanciullacci M, Sicuteri F. Secretion, pain and sneezing induced by the application of capsaicin to the nasal mucosa in man. Br J Pharmacol. 1988 Mar;93(3):509-14. doi: 10.1111/j.1476-5381.1988.tb10305.x. PMID: 3370386; PMCID: PMC1853845. https://pubmed.ncbi.nlm.nih.gov/3370386/ ; https://bpspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1476-5381.1988.tb10305.x?sid=nlm%3Apubmed ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1853845/

[5] Bortolotti M, Coccia G, Grossi G, Miglioli M. The treatment of functional dyspepsia with red pepper. Aliment Pharmacol Ther. 2002 Jun;16(6):1075-82. doi: 10.1046/j.1365-2036.2002.01280.x. PMID: 12030948. https://pubmed.ncbi.nlm.nih.gov/12030948/ ; https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2036.2002.01280.x?sid=nlm%3Apubmed

[6] Tack J, Coremans G, Janssens J. A risk-benefit assessment of cisapride in the treatment of gastrointestinal disorders. Drug Saf. 1995 Jun;12(6):384-92. doi: 10.2165/00002018-199512060-00004. PMID: 8527013. https://pubmed.ncbi.nlm.nih.gov/8527013/ ; https://link.springer.com/article/10.2165/00002018-199512060-00004

[7] PROPULSID: A Heartburn Drug, Now Linked to Children’s Deaths. By DAVID WILLMAN. Dec. 20, 2000 12 AM PT. https://www.latimes.com/nation/la-122001propulsid-story.html

[8] Ailani J, Young WB. The role of nerve blocks and botulinum toxin injections in the management of cluster headaches. Curr Pain Headache Rep. 2009 Apr;13(2):164-7. doi: 10.1007/s11916-009-0028-7. PMID: 19272284. https://pubmed.ncbi.nlm.nih.gov/19272284/

[9] Mearin F. Postinfectious functional gastrointestinal disorders. J Clin Gastroenterol. 2011 Aug;45 Suppl: S102-5. doi: 10.1097/MCG.0b013e31821fbf58. PMID: 21666422. https://pubmed.ncbi.nlm.nih.gov/21666422/https://journals.lww.com/jcge/Abstract/2011/08001/Postinfectious_Functional_Gastrointestinal.9.aspx

[10] CDC. 2011. Estimates of Foodborne Illness in the United States. https://www.cdc.gov/foodborneburden/2011-foodborne-estimates.html

[11] Nesbitt AD, Goadsby PJ. Cluster headache. BMJ. 2012 Apr 11;344:e2407. doi: 10.1136/bmj.e2407. PMID: 22496300. https://pubmed.ncbi.nlm.nih.gov/22496300/ ; https://www.bmj.com/content/344/bmj.e2407.long

[12] Fusco BM, Marabini S, Maggi CA, Fiore G, Geppetti P. Preventative effect of repeated nasal applications of capsaicin in cluster headache. Pain. 1994 Dec;59(3):321-325. doi: 10.1016/0304-3959(94)90017-5. PMID: 7708405.  https://pubmed.ncbi.nlm.nih.gov/7708405/ ; https://journals.lww.com/pain/Abstract/1994/12000/Preventative_effect_of_repeated_nasal_applications.1.aspx

[13] Sacks H, Symonds ME. Anatomical locations of human brown adipose tissue: functional relevance and implications in obesity and type 2 diabetes. Diabetes. 2013 Jun;62(6):1783-90. doi: 10.2337/db12-1430. PMID: 23704519; PMCID: PMC3661606. https://pubmed.ncbi.nlm.nih.gov/23704519/ ; https://diabetesjournals.org/diabetes/article/62/6/1783/15918/Anatomical-Locations-of-Human-Brown-Adipose ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661606/

[14] Yoneshiro T, Aita S, Matsushita M, Kameya T, Nakada K, Kawai Y, Saito M. Brown adipose tissue, whole-body energy expenditure, and thermogenesis in healthy adult men. Obesity (Silver Spring). 2011 Jan;19(1):13-6. doi: 10.1038/oby.2010.105. Epub 2010 May 6. PMID: 20448535. https://pubmed.ncbi.nlm.nih.gov/20448535/ ; https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2010.105

[15] Yoneshiro T, Aita S, Matsushita M, Kayahara T, Kameya T, Kawai Y, Iwanaga T, Saito M. Recruited brown adipose tissue as an antiobesity agent in humans. J Clin Invest. 2013 Aug;123(8):3404-8. doi: 10.1172/JCI67803. Epub 2013 Jul 15. PMID: 23867622; PMCID: PMC3726164. https://pubmed.ncbi.nlm.nih.gov/23867622/ ; https://www.jci.org/articles/view/67803 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726164/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726164/pdf/JCI67803.pdf

[16] Yoneshiro T, Aita S, Kawai Y, Iwanaga T, Saito M. Nonpungent capsaicin analogs (capsinoids) increase energy expenditure through the activation of brown adipose tissue in humans. Am J Clin Nutr. 2012 Apr;95(4):845-50. doi: 10.3945/ajcn.111.018606. Epub 2012 Feb 29. PMID: 22378725. https://pubmed.ncbi.nlm.nih.gov/22378725/ ; https://academic.oup.com/ajcn/article/95/4/845/4576740?login=false

[17] Saito M, Yoneshiro T. Capsinoids and related food ingredients activating brown fat thermogenesis and reducing body fat in humans. Curr Opin Lipidol. 2013 Feb;24(1):71-7. doi: 10.1097/MOL.0b013e32835a4f40. PMID: 23298960. https://pubmed.ncbi.nlm.nih.gov/23298960/ ; https://journals.lww.com/co-lipidology/Fulltext/2013/02000/Capsinoids_and_related_food_ingredients_activating.12.aspx

[18] Janssens PL, Hursel R, Martens EA, Westerterp-Plantenga MS. Acute effects of capsaicin on energy expenditure and fat oxidation in negative energy balance. PLoS One. 2013 Jul 2;8(7):e67786. doi: 10.1371/journal.pone.0067786. PMID: 23844093; PMCID: PMC3699483. https://pubmed.ncbi.nlm.nih.gov/23844093/ ; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0067786 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699483/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699483/pdf/pone.0067786.pdf

[19] Yoshioka M, St-Pierre S, Suzuki M, Tremblay A. Effects of red pepper added to high-fat and high-carbohydrate meals on energy metabolism and substrate utilization in Japanese women. Br J Nutr. 1998 Dec;80(6):503-10. doi: 10.1017/s0007114598001597. PMID: 10211048. https://pubmed.ncbi.nlm.nih.gov/10211048/ ; https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/effects-of-red-pepper-added-to-highfat-and-highcarbohydrate-meals-on-energy-metabolism-and-substrate-utilization-in-japanese-women/ECE5314AD06A5AE74AF974C2F72858E8

[20] Henry CJ, Emery B. Effect of spiced food on metabolic rate. Hum Nutr Clin Nutr. 1986 Mar;40(2):165-8. PMID: 3957721. https://pubmed.ncbi.nlm.nih.gov/3957721/

[21] Ludy MJ, Moore GE, Mattes RD. The effects of capsaicin and capsiate on energy balance: critical review and meta-analyses of studies in humans. Chem Senses. 2012 Feb;37(2):103-21. doi: 10.1093/chemse/bjr100. Epub 2011 Oct 29. PMID: 22038945; PMCID: PMC3257466. https://pubmed.ncbi.nlm.nih.gov/22038945/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3257466/ ; https://academic.oup.com/chemse/article/37/2/103/273510?login=false

[22] Wu Z, Satterfield MC, Bazer FW, Wu G. Regulation of brown adipose tissue development and white fat reduction by L-arginine. Curr Opin Clin Nutr Metab Care. 2012 Nov;15(6):529-38. doi: 10.1097/MCO.0b013e3283595cff. PMID: 23075933. https://pubmed.ncbi.nlm.nih.gov/23075933/ ; https://journals.lww.com/co-clinicalnutrition/Abstract/2012/11000/Regulation_of_brown_adipose_tissue_development_and.4.aspx

 

Alfalfa medicago sativa continual meta-analysis

Alfalfa medicago sativa continue meta-analyse

Eindhoven

Datum van publicatie eerste versie: 13 februari 2022 | 12022_02-13 New Human Era NHE

Datum van publicatie laatste versie: 21 april 2022 | 12022_04-21 New Human Era NHE

Auteur: Rody Mens - r.w.mens@student.tue.nl

Samengesteld voor Nutritionfactsnederlands.nl, hetgeen een website is gewijd aan het onderzoek naar de impact van voeding op de gezondheid, gestart op de bevindingen van Dr. Michael Herschel Greger.

Citatie: Mens RW. 13 January 2022. Alfalfa medicago sativa continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/15/alfalfa-medicago-sativa-continual-meta-analysis ; https://www.researchgate.net/publication/358615213_Alfalfa_medicago_sativa_continual_meta-_analysis

Enkele kernwoorden: alfalfa medicago sativa, lucerne, mu-su, fabaceae, bonenfamilie, artritis, chronische artritis, salmonella, bean family, escherichia coli, e.coli, arthritis, chronic arthritis

Samenvatting: De kiemspruiten van de alfalfa medicago sativa kunnen momenteel mogelijk niet als gezond voedsel worden aangeraden, terwijl kiemspruiten van de broccoliplant dit mogelijk wel zijn en dus een gezonder alternatief kunnen zijn.

Alfalfa afbeelding verkregen via Faris Mohammed beschikbaar op https://unsplash.com/photos/_IKqe_kixso

Vrijwaring

Mijn vrijwaring op de service die mijn (wettelijke) aansprakelijkheid beperkt en daarmee de gebruiksvoorwaarden vaststelt voor de mate van mijn steun voor uw gebruik van de verstrekte informatie, welke vrijwaring ik heb geschreven om eventuele verkeerde interpretatie vooraf te dekken, of (exclusief of) validiteit in termen van onjuistheid of (inclusief of) onvolledigheid, onvolledigheid vanwege een lagere nauwkeurigheid terwijl ze een hoge precisie hebben, van uitspraken die datgeen zouden kunnen bevatten dat als waardevolle informatie kan worden beschouwd, die informatie die ik zo zorgvuldig als ik momenteel mogelijk kan samengesteld (aangezien ik deze bestanden blijf ontwikkelen, onderhouden en gebruiken om zowel de nauwkeurigheid als de precisie van de informatie te blijven verbeteren) en dus redelijkerwijs als betrouwbaar kan worden beschouwd door het gebruik van deze dergelijke specifiek geformuleerde verklaringen, luidt als volgt:

De informatie die volgt, hoewel zo zorgvuldig als ik momenteel mogelijk kan samengesteld, en dus redelijkerwijs als betrouwbaar kan worden beschouwd, is geschreven of (inclusief of) samengesteld door Rody Wick Mens en verstrekt dus gedeeld met de beste en meest eerlijke bedoelingen in het achterhoofd en daardoor betrouwbaar blijvend, is altijd nog steeds beperkt tot de persoonlijke interpretatie van de schrijver op dat moment, om welke reden het mogelijk in uw land van verblijf waarschijnlijk alleen te gebruiken is voor educatieve doeleinden en niet wettelijk gedefinieerd als "medisch advies" om welke reden geen aansprakelijkheid voor de interpretatie ervan, juistheid en volledigheid kan worden verleend aangezien ik wil benadrukken dat ik alleen verantwoordelijkheid neem, maar zonder wettelijke aansprakelijkheid, voor de uitspraken in wetenschappelijke artikelen over experimenteel onderzoek die ik expliciet zelf gedaan en gepubliceerd heb en terecht beschouw dat de interpretatie, juistheid en volledigheid van informatie die andere onderzoekers publiceren hun verantwoordelijkheid zonder wettelijke aansprakelijkheid is, hetgeen ook mijn integriteit bewaakt door met absolute wettige onafhankelijkheid de schrijver verdedigd en schadeloos stelt van alle schadeclaims en zo de lezer verantwoordelijk te houden voor zijn daden op basis van de verstrekte, aldus gedeelde informatie, aangezien het gebruik van deze informatie dus erkenning en aanvaarding van de geschriften beperkingen inhoudt die het gebruik ervan uitsluitend op eigen risico van de gebruiker stellen, aangezien de verstrekte informatie wordt verstrekt "zoals ze is" zonder verklaringen, garanties, voorwaarden en vrijwaringen van welke aard dan ook, expliciet of impliciet, en het daarom beter kan worden geadviseerd om altijd contact op te nemen met en het raadplegen van een arts die wettelijk gebonden is om een ​​professionele zorgverlener te zijn, welke arts waarschijnlijk ook door de overheid gemonopoliseerde wettelijke aansprakelijkheid heeft in uw land van verblijf, voordat u grote veranderingen aanbrengt in uw levensstijl, zoals veranderingen in dieet, lichaamsbeweging of (inclusief of) aanpassing van doseringen van aanvullende middelen (e.g., middelen waarvan veel mensen die middelen een ‘farmaceutisch middel’, ‘farmakon’, ‘medicijn’, ‘medicatie’, ‘drug, ‘remedie’ en ‘nutraceutica’ noemen, van welke categorie middelen ik denk dat mensen moeten oppassen voor mogelijke negatieve complicaties als gevolg van interacties met andere in persoonlijk gebruik genomen middelen) routine zodat de arts een persoon kan helpen met de overweging om veranderingen in levensstijl door te voeren die een persoon in hun persoonlijke specifieke situatie zou kunnen helpen, rekening houdend met de individuele lichamelijke condities, hetgeen betekent dat de verstrekte informatie niet bedoeld of geïmpliceerd is als een vervanging is voor wettelijk gedefinieerd "professioneel medisch advies", "professionele medische diagnose" of "professionele medische behandeling", en dat de informatie alleen bedoeld is om de informatie-uitwisselingsrelatie tussen artsen en patiënten aan te vullen, zonder de bedoeling, implicering noch de indruk te wekken een vervanging te zijn voor, omdat het geen wettig standbare arts-patiëntrelatie vormt, omdat ik denk dat het belangrijk is dat als en wanneer het absoluut noodzakelijk is, aangezien zieke mensen degenen moeten zijn die artsen bezoeken en vermoedelijk gezonde mensen niet (ermee rekening houdend dat ik het woord arts hier gebruik in een wettige, door de overheid gemonopoliseerde context en dus niet onderzoekers bedoel die mensen zou kunnen adviseren over preventieve gezondheidszorg, en ook omdat de meeste grote gezondheidsorganisaties het erover eens zijn dat er een risico bestaat op ernstige schade voor mensen bij het aangaan van een regelmatige arts-patiëntrelatie, en alle grote gezondheidsorganisaties zijn overeengekomen dat routinematige jaarlijkse controles voor gezonde volwassenen gestopt zouden moeten worden vanwege de reden dat het aangaan van een relatie met een arts de deur opent voor mensen om een ​​actieve patiënt te worden, hoe vaker ze hun arts zien, hoe groter de kans dat iemand wordt getest, hetgeen op zijn beurt weer leidt tot de grotere kans dat mensen worden voor beter of (exclusief of) slechter worden behandeld, welke toename van behandelingen het gevolg is van perverse prikkels die ontstaan in een met een vrijemarktsituatie vergelijken relatief laag competitief gemonopoliseerd gezondheidszorgsysteem van de overheid, en hoewel het op het eerste gezicht een goed idee lijkt, is een langdurige bekendheid met een patiënt zelden nodig om uitstekende zorg te verlenen in tijden van behoefte in een door de overheid gemonopoliseerd gezondheidszorgsysteem, maar in het geval van een voortdurend op vrije markt gebaseerde, op concurrentie gebaseerde verbetering van de gezondheidszorgsituatie, kan het zeker worden aanbevolen om hulp te zoeken bij een vertrouwde persoonlijke arts, omdat het ontwikkelen van een partnerschap met goede communicatie gericht op het verbeteren van de kwaliteit en tijd- hoeveelheid van je leven en dat in het geval dat je jezelf en degenen die je dierbaar zijn de best beschikbare persoonlijke behandeling wilt laten krijgen, hetgeen iets is dat ik denk dat iedereen zou moeten willen en welke prestatie de uren die nodig zijn om dit te bereiken het waarschijnlijk zeer zeker waard zijn), mensen diensten zoeken zoals het inwinnen van advies van een arts die hun lichamelijke conditie zou kunnen controleren tijdens het ondergaan van een voor de gezondheid significante levensstijl veranderingen en dus samenwerken, eventueel naar hetzelfde doel, in welke gesprekken ik het kan beamen en mensen kan aanmoedigen om artsen vragen te stellen over hun lichamelijke gesteldheid en de mogelijk effecten van deze veranderingen, waaronder bijvoorbeeld een relatief grote verandering in de voedingspraktijk, in welke gesprekken ik van mening ben dat artsen uw levensstijlkeuzes moeten accepteren (niet noodzakelijkerwijs respecteren) en niet moeten proberen deze te ondermijnen, zoals in het geval dat een bepaalde arts slechte gewoonten heeft dat er niet toe zouden moeten leiden dat die bepaalde arts ongezonde aanbevelingen geeft, en men zou op zoek moeten gaan naar een arts die oprecht geïnteresseerd is in en actief aanmoedigt dat iemand gezond word door betere zelfzorg doordat diegene meer actief betrokken wordt bij zijn eigen gezondheidszorg, waarvan dit ook artsen zijn die zeer goed geïnformeerd zijn en voortdurend leren over de zorg van een mens die bereid en in staat zijn om iemands huidige toestand en de mogelijke maatregelen die men kan nemen om zijn problemen te testen en te behandelen, en iemand die zich bewust inspant om het gebruik van medicijnen en operaties te vermijden en deze enkel als allerlaatste redmiddel gebruikt, en heeft een advocatiefunctie voor u als patiënt die bereid is om de patiënt de beste zorg te bieden in contact met specialisten in plaats van alleen maar de patiënt naar de specialistische zorg over te dragen, en is voorstander van het vragen van een tweede mening van andere artsen en onderzoekers (men zou moeten horen over alle beschikbare opties, samen met hun kosten, risico's en voordelen; en men moet bedenken dat men als patiënt de zorgconsument is en dus de klant welk gegeven betekent dat diegene altijd het laatste woord moet hebben bij alle beslissingen en dus ook het recht moet hebben om gewoon "nee" te zeggen, en dus mogelijk weigert de door een arts concluderende aanbevelingen te accepteren, maar niet noodzakelijkerwijs het gegeven advies negeert (e.g., over toezicht, toestemming en recept), aangezien de informatie moet worden gebruikt om een ​​breder beeld van het informatielandschap samen te stellen (negeer nooit professioneel medisch advies of (inclusief of) uitstel bij het zoeken ervan vanwege iets dat u in de teksten van de schrijvers leest; welke weigeringen zouden kunnen optreden wanneer een arts de klant niet voldoende overtuigende argumenten geeft, hetgeen zou kunnen betekenen dat de argumenten van de arts intern onjuist zijn), hetgeen mij tot het punt brengt dat alles in mijn geschriften dat als een mening kan worden gecategoriseerd, zal moeten worden beschouwd als mijn en dus enkel de persoonlijke mening van de schrijver.

 

Artikel: Alfalfa [English below]

De kiemspruiten (en mogelijk andere onderdelen) van de in relatief gematigde zones bloeiende korte het hele jaar bloeiende kruidenplant alfalfa medicago sativa (ook wel "lucerne" en "mu-su" genoemd in de traditionele Chinese geneeskunde nadat luzerne vanuit Perzië in China was geïntroduceerd) in te delen in de fabaceae-bonenfamilie (die luzerne zou kunnen worden verward met maar zou niet moet worden aangezien voor klaver welke kan worden gecategoriseerd als lid van dezelfde plantenfamilie) is een plant waarvan, volgens dokter Friso in een cursus die ik heb gevolgd aan de Cornell University, de meest voorkomende toepassingen in Chinese geneeskunde is als een versterkend kruid, en dus een kruid dat de gezondheid zou kunnen ondersteunen door het lichaam te voeden [1]. Dit kan zijn omdat de saponinen in alfalfa kunnen werken op het cardiovasculaire, zenuw- en spijsverteringsstelsel, waardoor het dan een behandeling voor het hele lichaam kan worden die wordt gebruikt om systemen in het lichaam te helpen herstellen naast het stimuleren van de algemene gezondheid en het welzijn [1].

Op dit moment kan ik luzerne echter niet aanbevelen, omdat het schadelijk kan zijn voor uw menselijk lichaam, omdat het een risico voor uw lichaam vormt voor voedselvergiftiging, mogelijk leidend tot bacteriële voedselvergiftiging door escherichia coli of (niet-exclusieve of) salmonellabacteriële voedselvergiftiging. Dit is waarom de overheidsdieetorganisatie van de verenigde staten van Amerika “America Dietetic Association ADA”, de overheidsorganisatie van de verenigde staten van America “Food and Drug Administration FDA” en de overheidsorganisatie van de verenigde staten van America “Centers for Disease Control CDC” het eten van alfalfaspruiten afraden ​​[3]. Als u eenmaal salmonella krijgt, kunt u de rest van uw leven last hebben van chronische artritis. Daarom heeft de de Centers for Disease Control CDC verordend dat u op dit moment geen voedsel met kiemgroenten zou moeten willen eten. Wanneer we dit probleem echter in context plaatsen, leidt de consumptie van de kiemspruiten tot ongeveer 100 (honderd) gevallen van salmonellavergiftiging in de Verenigde Staten van Amerika, te vergelijken met eieren die in hetzelfde jaar 118’000 gevallen van salmonellavergiftiging veroorzaakten. Maar op dezelfde manier verordent de Centers for Disease Control CDC niet "geen eieren eten", maar ze zeggen wel dat mensen voor de gezondheid beter geen rauwe en nog vloeibare eieren zouden kunnen eten. Maar zelfs gebakkenei of roerei neemt de salmonellabedreiging niet weg, omdat eieren hard moeten worden gekookt om de salmonellabacteriën significant aanzienlijk te doden. Evenzo, als we kiemspruiten zouden koken, zouden ze ook veilig zijn, maar dat zou mogelijk niet erg smakelijk zijn. Bovendien bleek uit een onderzoek naar de potentieel dodelijke escherichia coli 0157-bacteriën dat in rundvlees en alfalfaspruiten in de detailhandel ongeveer één op de 91 hamburgers en één op de 67 containers met alfalfaspruiten besmet kunnen zijn met deze bacteriën. Dus naast hamburgers kan ik ook alfalfaspruiten niet aanbevelen, zelfs alfalfaspruiten van eigen bodem worden niet aanbevolen, omdat de bacteriën ook aanwezig kunnen zijn in het luzernezaad zelf dat je in de winkel kunt kopen [4] waarvan zelfs de zaden weken in een bleekmiddeloplossing de veiligheid mogelijk niet kan garanderen, hetgeen niet het geval is voor het volgende levensvatbare meer nookloze zaadalternatief die ik wil presenteren als alternatief voor alfalfaspruiten (zaden). Hetgeen ik echter wel kan aanbevelen in plaats van alfalfaspruiten te gebruiken zijn broccolispruiten, dus als gezond alternatief voor luzernezaden kun je in plaats daarvan broccolizaden gebruiken die gemakkelijk zelf thuis te ontkiemen zijn. Broccolispruiten zijn ook mogelijk aanzienlijk nuttiger als voeding voor het immuunsysteem in termen van antivirale capaciteit vergeleken met alfalfaspruiten. De kruisbloemige broccolispruiten bleken in een onderzoek nuttig te zijn als voeding voor het immuunsysteem, aangezien het ongeveer 100 (honderd) keer effectiever bleek te zijn dan de niet-kruisbloemige alfalfaspruiten bij het verhogen van de virale "detox"-enzymexpressie, resulterend in het verminderen van meer influenzavirus-geïnduceerde markers van ontsteking, evenals het verminderen van de virale hoeveelheid van het influenzavirus die in het menselijk lichaam aanwezig was, waardoor het virale infectieuze vermogen aanzienlijk wordt verminderd dan in vergelijking met alfalfaspruiten in welk placebo dit minder het geval was [2].

Bronreferenties

[1] CALS156_course-transcript 2021

[2] Noah TL, Zhang H, Zhou H, Glista-Baker E, Müller L, Bauer RN, Meyer M, Murphy PC, Jones S, Letang B, Robinette C, Jaspers I. Effect of broccoli sprouts on nasal response to live attenuated influenza virus in smokers: a randomized, double-blind study. PLoS One. 2014 Jun 9;9(6): e98671. doi: 10.1371/journal.pone.0098671. Erratum in: PLoS One. 2014;9(9): e109513. PMID: 24910991; PMCID: PMC4049587. https://pubmed.ncbi.nlm.nih.gov/24910991/ ; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0098671 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049587/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049587/pdf/pone.0098671.pdf

[3] Centers for Disease Control and Prevention (CDC). Outbreak of Salmonella Serotype Saintpaul Infections Associated with Eating Alfalfa Sprouts --- United States, 2009. MMWR Morb Mortal Wkly Rep. 2009 May 15;58(18):500-3. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5818a4.htm Also an article published in on the American dietetic association website on 10 September 2007 titled “sprout safety”.

[4] Samadpour M, Barbour MW, Nguyen T, Cao TM, Buck F, Depavia GA, Mazengia E, Yang P, Alfi D, Lopes M, Stopforth JD. Incidence of enterohemorrhagic Escherichia coli, Escherichia coli O157, Salmonella, and Listeria monocytogenes in retail fresh ground beef, sprouts, and mushrooms. J Food Prot. 2006 Feb;69(2):441-3. doi: 10.4315/0362-028x-69.2.441. PMID: 16496591. https://pubmed.ncbi.nlm.nih.gov/16496591/ ; https://meridian.allenpress.com/jfp/article/69/2/441/171853/Incidence-of-Enterohemorrhagic-Escherichia-coli ; https://watermark.silverchair.com/0362-028x-69_2_441.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAt0wggLZBgkqhkiG9w0BBwagggLKMIICxgIBADCCAr8GCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMEosUgJdlYcWHqbIBAgEQgIICkHF0Nl5TqyT21YN9e97PSsLPbxZLdc-_Z7XIHqCtK1Ba9DZ1i16vv3WqLjSJl9JQYD6PO5ViAszl2_7gs8NGWJBaVOgieZ0xulB3zIII98py5thGTrHSO4Atdys0k1cXOiucZOR7cl1Inhp7okD35uiAUABbpntx-txjOlRjUBG_WXKXsWjPL080LLD4Q3oRBkCRUNTGHZldtuo_gtquVXyXG5u06R1ryvi3Q-ORo5KfeXtbpMXzz_R7OBzboPQm0waX-ax2VnWM_Dm4k3_r301bBy2c4qfYmQEXhAwTjPHS0NxAzphTnN0-ItPuWvE0dExtIv8wfi6xRieQcCpjZX7ZBB5gNn1kX_N3Sbao_Urydkz1fk2y9E7mbOqZfwDXhEHRhHyYERM7Ci1OlYluMUTqCN5KnyzVrIffhMWI8XSHmDQGDKSNtbckP_lO3nI2pcqBJmUrm_iDITXFlmGgaUgm24RXKczADYPBuJleNIaCL_21b93gg8bc0NgbQrOBN6X8TFWndohhfnykCMCC-Cl3YWrmVm70O2AfIYop4M9Lws-7pYeqzsZY78oX3t3sj5Lj0aeHHIJ9oXwEMnJH7A01NnQ4pqglitiemLg9h4d4ZOWoQfdh3vMzlx6uM81EXPcOOujpGC79OVYlaUBFfXbTurtk2Pnbn90sWMHzSplWn_I4sJTJNunZfXdnK_J2b0aNX6KM5TzOpzmdpWsJFxByXA8a2l6DB4JWPkbNR0Ju5jHKjR-xYsvUpWMh2wIiYlM541Rom6xMY1a_M4kGd7bRXrLEj5mAnH7tbVhXu9bLFnYxY-S0VMJAatw9UWfoR6Ykvneo4r-URCuj8HNV85lsGu4ajZ-3LEnZBmDB8Nfh

 Alfalfa medicago sativa continual meta-analysis

Eindhoven

Publication date first version: 13 February 2022 | 12022_02-13 New Human Era NHE

Publication date last version: 21 April 2022 | 12022_04-21 New Human Era NHE

Author: Rody Mens - r.w.mens@student.tue.nl

Compiled for Nutritionfactsnederlands.nl, which is a website dedicated to the exploration of the impact of nutrition on health, started upon the findings of Dr. Michael Herschel Greger.

Citation: Mens RW. 13 February 2022. Alfalfa medicago sativa continual meta-analysis; www.nutritionfactsnederlands.nl/videoscript/2022/2/15/alfalfa-medicago-sativa-continual-meta-analysis ; https://www.researchgate.net/publication/358615213_Alfalfa_medicago_sativa_continual_meta-_analysis  

Some keywords: alfalfa medicago sativa, lucerne, mu-su, fabaceae, bonenfamilie, artritis, chronische artritis, salmonella, bean family, escherichia coli, e.coli, arthritis, chronic arthritis

Summary: The sprouts of the alfalfa medicago sativa may not currently be recommended as a healthy food, while the sprouts of the broccoli plant may be and may therefore could be a healthier alternative.

Alfalfa picture provided by Faris Mohammed available at https://unsplash.com/photos/_IKqe_kixso

Disclaimer

My disclaimer on the service limiting my (lawful) liability, and thus establishing the terms of use for the extend of my support for your uses of the information given, which disclaimer I have written to prerequisitially cover any wrong interpretation, or (exclusive or) validity in terms of incorrectness or (inclusive or) incompleteness, incompleteness because of a lower accuracy while having a high precision, of statements that might contain of what might be considered valuable information, that which information I am trying to convey as diligently as I currently at the time possibly can composed (as I keep developing, maintaining and operating on these files to keep improving both the accuracy and the precision of the information) and thus reasonably believed to be reliable by the use of those such specifically formulated statements, reads as follows:

The information that follows, although as diligently as currently at the time possible composed, and thus reasonably believed to be reliable, written or (inclusive or) compiled by Rody Wick Mens and provided thus shared with the best and most honest intentions in mind staying trustworthy, is always still limited to the writers personal interpreter at that time, for which reason it is possibly in your country of staying probably only to be used for educational purposes and not legally defined as "medical advice" for which reason no liability for its interpretation, correctness and completeness can be granted as I want to emphasize that I only take responsibility, but without lawful liability, for the statements in scientific papers on experimental research that I have explicitly done and published myself, and rightfully regard that the interpretation, correctness and completeness of information that other researchers are publishing is their responsibility without lawful liability, which also safeguards my integrity with absolute lawful independence defending and indemnifying the writer harmless from any claims of harm and thus maintaining the reader to be responsible for its acts upon the provided thus shared information, as use of this information thus constitutes acknowledgement and acceptance of the writings limitations places the use of it solely at the user’s own risk as the information provided is provided “as is” without representations, warranties, conditions and indemnities of any kind, either express or implied, and it may therefore thus be better advised to always contact and consult a physician that is lawfully bonded to be able to be a professional health care provider which physician also probably may have government monopolized legal liability in your country of staying, before making any major changes to your lifestyle such as changes to diet, exercise, or (inclusive or) adjustment in dosages of supplemental substances (e.g., substances which a lot of people consider to be called a “pharmaceutical”, “pharmakon”, “medicine”, “medication”, “drug”, “remedy” and “nutraceutical”, of which category of substances I think people should be beware of possible negative complications due to interactions with other personal habitually used substances) routine such that the physician can help a person with the consideration of implementing lifestyle changes that might help a person in their personal specific situation taking into account the individual bodily conditions, meaning that the information given is not intended as nor implied to be a substitute for legally defined “professional medical advice”, “professional medical diagnosis” nor “professional medical treatment”, and that the information is only intended to complement the informational exchange relationship between physicians and patients while not intending, implying nor creating an impression to be a substitute for it as it does not constitute a lawful physician-patient relationship, because I think that it is important that if and when it is absolutely necessary, as sick people should be the ones visiting physicians and presumably healthy people should not (please note that I use the word physician here in lawful government monopolized context and thus not talking about a researchers which could advise people on preventative healthcare, and also since most major health organizations agree that there is the risk for serious harm for people in establishing a regular physician-patient relationship, and all major health organizations have agreed that routine annual checkups for healthy adults should be abandoned because of the reason that establishing a relationship with a physician opens the door for people to become an active patient the more they see their physicians which the more likely someone is to be tested which in turn leads to the more likely people are to be treated for either better or (exclusive or) worse which increase in treatments is because of bad incentives originating from a to a free market situation compared relatively low competitive governmental monopolized health care system, and although it might at first seem to be a good idea, a long-standing familiarity with a patient is rarely necessary in order to provide excellent care in times of need in a government monopolized healthcare system, however in the case of a constantly free market competition-based improving healthcare situation, seeking help from a trusted personal physician could definitely be recommended because developing a partnership with good communication focused on improving the quality and time-quantity of your life and in case of need if you want to get yourself and the ones dear to you the best available personalized treatment, it is something that I think anyone should want and which achievement is probably well worth the hours required in the search), people seek services such as obtaining advice from a physician who could monitor their bodily condition while undergoing health-significant lifestyle changes and thus working together, possibly towards the same goal, in which conversations I can encourage people to ask physicians any questions that one may have regarding their bodily condition and the possible effects of the changes, which for example include a relatively large change in dietary practices, in which conversations I am of opinion that physicians should accept (not necessarily respect) your lifestyle choices and not try to undermine them such as in the case that a certain physician has bad habits that should not have to lead to that certain physician giving unhealthy recommendations,  and one should look for a physician who is genuinely interested in and actively encouraging someone to become healthy through better self-care by that someone getting more actively involved in their own healthcare, of which these physicians are very knowledgeable and constantly learning about the care of a human being willing and able to clearly explain one’s present condition and the possible courses of action that one can take to test and treat one’s problems, and one who makes a conscious effort to avoid the use of medications and surgery only using these as a very last resort, and has an advocate function for you as patient willing to provide the patient with the best of care when in contact with specialists rather than just transferring the patient to the specialist care, and is in favor of second opinions of other physicians and researchers (one should hear about all of the available options along with their costs, risks, and advantages; and one should remember that as a patient one is the health care consumer and thus the customer which given should always grant that one the final say in all decisions and thus including the right to just say “No”, thus possibly refusing to accept a physicians concluding recommendations (e.g., on supervision, permission and prescription) but not necessarily disregarding the advice given as the information should be used to assemble a more broader picture of the landscape of information (never disregard professional medical advice or (inclusive or) delay in seeking it because of something you read in the writers’ texts; which refusals could be occurring when a physician does not provide convincing enough arguments to the customer which could potentially mean that the physicians arguments are internally flawed), which brings me to the point that anything in my writings that might be categorized as an opinion are to be considered my and thus the writer’s own personal views only.

 

Article: Alfalfa [Sources below]

The sprouts (and possibly other parts) of the in relatively temperate zones flourishing short perennial herb plant alfalfa medicago sativa (also called “lucerne”, and “mu-su” in traditional Chinese medicine after alfalfa was introduced to China from Persia) categorizable in the fabaceae bean family (which alfalfa could but should not be mistaken for clover which is categorizable as member of the same plant family) is a plant of which, according to doctor Friso in a course I attended at Cornell University, its most common uses in Chinese medicine is as a tonic herb, and thus one that could support health by nourishing the body [1]. This could be because the saponins contained in alfalfa may act on the cardiovascular, nervous, and digestive systems, which then could be making it a whole-body treatment that is used to help restore and invigorate systems in the body or to promote general health and well-being [1].

However, I currently cannot recommend alfalfa since it could be harmful for your human body because it poses a risk to your body of food poisoning possibly leading to escherichia coli bacterial or (non-exclusive or) salmonella bacterial food poisoning which is why the United States of America governmental Dietetic Association ADA, the United States of America governmental Food and Drug Administration FDA and the United States of America governmental Centers for Disease Control CDC do not recommend eating alfalfa sprouts [3]. From getting salmonella once you may suffer from chronic arthritis for the rest of your life which is why the Centers for Disease Control CDC has decreed not eating sprout foods. However, when putting this problem in context sprout consumption leads to about a 100 (hundred) cases in the United States of America USA of salmonella poisoning compare that to eggs though which caused 118’000 cases of salmonella poisoning in the same year. But in the same manner the Centers for Disease Control CDC does not decree “not eating eggs”, but they do say that for better health it is best not to eat raw and runny eggs. But even sunny side up baked or scrambled does not eliminate the salmonella threat since eggs have to be cooked hard to significantly kill off the salmonella bacteria. Similarly, if we boiled sprout foods, they would be safe too but that would possibly not be very appetizing. Furthermore, a study looking at the potentially deadly escherichia coli 0157 bacteria found that in retail beef and alfalfa sprouts about one out of every 91 burgers is and one about one in 67 alfalfa sprout containers could be contaminated with these bacteria. So, next to burgers I can also not recommend alfalfa sprouts, even homegrown alfalfa sprouts are not recommended since the bacteria could also be present in the alfalfa seed itself that you may buy at the store [4] of which even soaking the seeds in a bleach solution may not guarantee safety which is not the case for the following viable more nookless seed alternative I would like to present to alfalfa sprouts (seeds). What I can recommend however instead of using alfalfa sprouts are broccoli sprouts, thus as a healthy alternative to alfalfa you could use broccoli seeds instead which are easy to sprout at home yourself. Broccoli sprouts are also potentially significantly more helpful as nutrition for the immune system in terms of anti-viral capacity as alfalfa sprouts. The cruciferous broccoli sprouts showed in a study to be helpful as nutrition for the immune system since it showed to be about 100 (a hundred) times more effective than the non-cruciferous alfalfa sprouts in increasing viral “detox” enzyme expression resulting in reducing more influenza virus-induced markers of inflammation as well as reducing the influenza virus viral quantity which was present in the human body greatly diminishing the viral infectious capacity, than compared to alfalfa sprouts in which placebo this was less so the case [2].

Source references

[1] CALS156_course-transcript 2021

[2] Noah TL, Zhang H, Zhou H, Glista-Baker E, Müller L, Bauer RN, Meyer M, Murphy PC, Jones S, Letang B, Robinette C, Jaspers I. Effect of broccoli sprouts on nasal response to live attenuated influenza virus in smokers: a randomized, double-blind study. PLoS One. 2014 Jun 9;9(6): e98671. doi: 10.1371/journal.pone.0098671. Erratum in: PLoS One. 2014;9(9): e109513. PMID: 24910991; PMCID: PMC4049587. https://pubmed.ncbi.nlm.nih.gov/24910991/ ; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0098671 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049587/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049587/pdf/pone.0098671.pdf

[3] Centers for Disease Control and Prevention (CDC). Outbreak of Salmonella Serotype Saintpaul Infections Associated with Eating Alfalfa Sprouts --- United States, 2009. MMWR Morb Mortal Wkly Rep. 2009 May 15;58(18):500-3. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5818a4.htm Also an article published in on the American dietetic association website on 10 September 2007 titled “sprout safety”.

[4] Samadpour M, Barbour MW, Nguyen T, Cao TM, Buck F, Depavia GA, Mazengia E, Yang P, Alfi D, Lopes M, Stopforth JD. Incidence of enterohemorrhagic Escherichia coli, Escherichia coli O157, Salmonella, and Listeria monocytogenes in retail fresh ground beef, sprouts, and mushrooms. J Food Prot. 2006 Feb;69(2):441-3. doi: 10.4315/0362-028x-69.2.441. PMID: 16496591. https://pubmed.ncbi.nlm.nih.gov/16496591/ ; https://meridian.allenpress.com/jfp/article/69/2/441/171853/Incidence-of-Enterohemorrhagic-Escherichia-coli ; https://watermark.silverchair.com/0362-028x-69_2_441.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAt0wggLZBgkqhkiG9w0BBwagggLKMIICxgIBADCCAr8GCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMEosUgJdlYcWHqbIBAgEQgIICkHF0Nl5TqyT21YN9e97PSsLPbxZLdc-_Z7XIHqCtK1Ba9DZ1i16vv3WqLjSJl9JQYD6PO5ViAszl2_7gs8NGWJBaVOgieZ0xulB3zIII98py5thGTrHSO4Atdys0k1cXOiucZOR7cl1Inhp7okD35uiAUABbpntx-txjOlRjUBG_WXKXsWjPL080LLD4Q3oRBkCRUNTGHZldtuo_gtquVXyXG5u06R1ryvi3Q-ORo5KfeXtbpMXzz_R7OBzboPQm0waX-ax2VnWM_Dm4k3_r301bBy2c4qfYmQEXhAwTjPHS0NxAzphTnN0-ItPuWvE0dExtIv8wfi6xRieQcCpjZX7ZBB5gNn1kX_N3Sbao_Urydkz1fk2y9E7mbOqZfwDXhEHRhHyYERM7Ci1OlYluMUTqCN5KnyzVrIffhMWI8XSHmDQGDKSNtbckP_lO3nI2pcqBJmUrm_iDITXFlmGgaUgm24RXKczADYPBuJleNIaCL_21b93gg8bc0NgbQrOBN6X8TFWndohhfnykCMCC-Cl3YWrmVm70O2AfIYop4M9Lws-7pYeqzsZY78oX3t3sj5Lj0aeHHIJ9oXwEMnJH7A01NnQ4pqglitiemLg9h4d4ZOWoQfdh3vMzlx6uM81EXPcOOujpGC79OVYlaUBFfXbTurtk2Pnbn90sWMHzSplWn_I4sJTJNunZfXdnK_J2b0aNX6KM5TzOpzmdpWsJFxByXA8a2l6DB4JWPkbNR0Ju5jHKjR-xYsvUpWMh2wIiYlM541Rom6xMY1a_M4kGd7bRXrLEj5mAnH7tbVhXu9bLFnYxY-S0VMJAatw9UWfoR6Ykvneo4r-URCuj8HNV85lsGu4ajZ-3LEnZBmDB8Nfh

 

Assignment 156 Cornell

Assignment 156 Cornell

COURSE PROJECT

Boosting Immunity with Medicinal Plants

Instructions

In this project, you will connect information on how different types of plants affect the body and how they may be used to support or improve the functioning of particular body systems. First, you will choose plants that may provide protection from infections by helping the immune system or even directly affecting different types of pathogens. Then, you will examine some types of plants that may be useful in either preventing or treating cancer or in relieving the symptoms of existing cancer treatments. By completing this project, you will be better prepared to evaluate when and how these types of plants may be integrated into a personal health plan.

Except as indicated, use this document to record all your project work and responses to any questions. At a minimum you will need to turn in a digital copy of this document to your instructor as part of your project completion. You may also have additional supporting documents that you will need to submit. Your instructor will provide feedback to help you work through your findings

Note: Though your work will only be seen by those grading the course and will not be used or shared outside the course, you should take care to obscure any information you feel might be of a sensitive or confidential nature.

Complete each project part as you progress through the course. Wait to submit the project until all parts are complete. Begin your course project by completing Part One below. A submit button can be found on the final Course Project assignment page. Information about the grading rubric is available on any of the course project assignment pages online. Do not hesitate to contact your instructor if you have any questions about the project


 

Part One

Supporting the Immune System

The immune system is the body’s primary defense against invading organisms, but that doesn’t mean that it can’t benefit from the support of medicinal plants. In this module, you examined a variety of plants that can help to improve the functioning of the immune system, as well as act against some of the common parasites that can infect humans. For each of the questions below, demonstrate some key learnings from this course as you answer in the space provided, and, where appropriate, referring to plants that have been covered in the videos, readings, and other course documents.

1.    When would you recommend someone add an adaptogenic plant to their health care regimen?

In this course, an adaptogenic is conceptually defined as a natural substance that helps the body adapt to stress. Etymologically and operationally defined I would say an adaptogenic “adapt-o-gen-ic” is something that helps in the process of adaptation by changing the genetic expression thus expression of certain substances (e.g. the compounds known as proteins) that would be either beneficial, non-beneficial or (exclusive or) irrelevant for the body to thrive in the environment. In this operational definition it could or (exclusive or) could not help the body with dealing with stress, which stress is also non-defined yet however I would only use this word physically when thus describing forces i.e., the acceleration of massed objects (mass characterized objects). However, I doubt doctor Friso would use it in this way only as I think she might also like to use this term for the conceptually defined concept of “mental stresses”.

 

Concluding I would in my previously mentioned operational definition recommend adaptogenic plants to someone to help them with the treatment of diseases which could be illnesses. However, I thus do not like to use the term adaptogenic plant because every food has an influence on gene expression which having of this knowledge renders the term adoptogenic useless when not comparing certain substances. You could however use the term when one food product significantly more changes the gene expression activity (downregulating or (exclusive or) upregulating) of a certain substance such as a protein more than another food product would, hence you could then say the one product is significantly more adaptogenic in expression activity than another food product.

 

 

2.    Give three examples of adaptogenic plants used in traditional medicine and explain the mechanism of action for each.

In this course the following three examples of adaptogenic plants are given when adhering to the conceptual definition of doctor Friso.

 

Example 1 would be the at relatively high altitudes flourishing peruvian ginseng maca with binomial name lepidium meyenii which is categorizable as a member of the cabbage family (also called Brassicaceae family, Cruciferae family and cruciferous plant family) is possibly usable as:

> Its root is consumed in various ways, including as a vegetable and drunk as a tea [1].

> Maca roots are consumed cooked as a root vegetable, processed into flour for baking, in traditional medicine or as a dietary supplement [1].

> The whole root, root powder, and liquid extract have been used for centuries by the native people of the Andes [1].

> In traditional medicine, maca is used as an immune stimulant adaptogenic to treat menstrual irregularities, female hormonal imbalances, unwanted symptoms of menopause, to increase sexual performance for infertility and strength and stamina [1].

> Studies have shown that maca may help to increase libido and improve athletic performance. It may also affect some hormone levels in the blood [1].

> Maca seems to modulate an immune response as well as have adaptogenic properties [1].

> In vitro experiments have shown that extracts of maca exhibit estrogenic activity as well antidepressant-like effects [1].

Considering action mechanisms, the main compounds that are contained within this product are phenolics, flavonoids, glucosinolates that contain sulfur responsible for the pungent smell of Brassicaceae family members and glycosides.

Maca (Lepidium meyenii) contains the types of active compounds:

            > Maca (Lepidium meyenii) contains glucosinolates.

            > Maca (Lepidium meyenii) contains phenolics.

            > Maca (Lepidium meyenii) contains glycosides.

 

Considering negative effects, these include altered menstrual cycle, moodiness, cramps, gastritis, or insomnia [1].

Furthermore, maca extracts interact with anticoagulants and estrogens, so should not be taken by individuals with conditions which might be worsened by exposure of estrogen, including breast, ovarian, and uterine cancers [1].

Source references

[1] CALS156_course-transcript 2021

 

 

Example 2 would be the in hot wet areas and swampy soil (thus this plant can be found filling in the cracks in the pavement, lining wet ditches, and growing wildly around water pumps) flourishing gota kola plant (Gotu Kola derives from Sinhalese. “Gotu” meaning conical shape, and “Kola” meaning leaf, or the plant with a leaf of conical shape) bionomically named centella asiatica (also called brahmi, as Brahmi derives from “Brahman,” which translates into the energy of consciousness, the greatest of the great, and God-consciousness; Mandukaparni, Mandukaparni is the Sanskrit for “frog-leaved.”; and Tiger’s herb, the name "Tiger’s herb" is because it was believed that tigers would rub the plant to heal their wounds of which perhaps the legend retains some truth: the many terpenoids found in Centella asiatica have been associated with the management of dermatological conditions, including postoperative scarring.) is possibly usable as:

> the many terpenoids found in Centella asiatica have been associated with the management of dermatological conditions, including postoperative scarring [1].

> It is generally considered a whole-body tonic to increase longevity, improve cognitive function, and rejuvenate both the mind and the body [1].

> Gotu Kola has been used in traditional medicine as a replenishing herb for the nervous system to treat anxiety-related stress and various nervous disorders [1].

> it is described in the Shushruta Samhita and the Charaka Samhita, the two most authoritative ancient texts on Ayurvedic medicine, as a plant that can help to rejuvenate the body [1]. One passage says that it will “give a favorable turn to one’s fortune, impart a lotus-like bloom [to the cheeks] with perpetual youth, unparalleled intellectual faculties, and a life that would cover a period of three centuries of song and sunshine.”

> This plant has been a favorite of elephants for thousands of years and is believed to be linked to their famed long-term memories [1].

> The herb is also traditionally used in Tai-Chi to extend life [1].

> In Sri Lanka, there is a tale of a 10th-century king who claimed Gotu Kola provided the energy and stamina to satisfy his extensive harem [1].

> Gotu Kola is used by yogis in the Himalayas to develop the crown chakra and is used in tantric practices to prolong stamina [1].

> Both India and Africa have used this herb for generations to treat leprosy [1].

> In folklore, Centella asiatica is recognized as a powerful aphrodisiac used in love spells, in rituals to boost lifeforce, meditation, psychic practices, mental health, and concentration [1].

> Centella leaves are used in Indian, Burmese, and Sri Lankan cuisines and incorporated into a beverage in Thailand [1].

>In Sri Lanka, it is used to make “kola kenda,” which is like porridge [1].

            > The leaves of Gotu Kola (Centella asiatica) are used as an adaptogenic [1].

 

Source references

[1] CALS156_course-transcript 2021

 

 

Example 3 would be the vanilla-like flavored dried roots of the shrubby vine suma (also called "para tudo", which means "for all," because it has a reputation to cure all diseases; Brazilian ginseng, Pfaffia paniculate, Hebanthe eriantha) categorizable in the amaranthaceae family is possible usable for:

>it is described as 'adaptogenic' plant, meaning they are believed to help the body deal with stress, fatigue, and depression [1].

> the roots have been used as traditional medicine and tonic for centuries [1].

> The dry root has a vanilla-like flavor that can be made into a very flavorful tea, or the powder root can be sprinkled on food or beverage [1].

>It's also found as liquid herbal extract and capsules from powder root [1].

> Suma is a key healing plant among South and Central American herbalists [1].

> It is known as immunostimulant adaptogen and tonic used to treat fatigue and stress [1].

> Suma is also used as a treatment for cancer, diabetes, to stimulate appetite and circulation, and antispasmodic [1].

> Suma is sometimes applied directly to the skin for wounds and skin problems [1].

> Suma's primary uses are as an adaptogen and an immune system booster [1].

> Suma is considered safe for most people when it is taken by mouth for a short period of time [1].

 

The root contains many bioactive compounds including saponin, pfaffosides, glycosides, and terpenoids.

Considering negative effects, it can cause asthma symptoms if the root powder is inhaled. Because Suma is supposed to increase estrogen production, its use should be avoided in combination with estrogens.

Source references

[1] CALS156_course-transcript 2021

 

Example 4 would be the roots of the thick fleshy leaved (which is an evolutionary biological adaptation preferable for surviving in dry climates) in high altitudes of the northern hemisphere and relatively dry climate flourishing perennial flowering perennial rhodiola rosea (also called “golden root” and “hong jing tiang”) which is categorizable in the crassulaceae stonecrop family is possible usable for

>rhodiola is described as 'adaptogenic' plant, meaning they are believed to help the body deal with stress, fatigue, and depression [1].

>the roots are used in traditional medicine all over the world [1].

> It is generally considered an adaptogen, acting in a similar fashion as ginseng [1].

> In traditional medicine, Rhodiola root is prepared as a tea in the treatment of colds, anemia, fatigue, to enhance immune response, fertility, and sexual function [1].

> It is also available as tincture, capsule, or herbal supplements [1].

> Research suggests Rhodiola may support memory and focus, and help relieve symptoms of depression [1].

> Clinical trials have confirmed antidepressant activity of Rhodiola rosea roots and rhizomes in patients with mild to moderate depression [1].

> Rhodiola is used as an adaptogen and may also help to protect cells from damage, regulate heartbeat, and have the potential for improving learning and memory [1].

 

Considering the action mechanism, the roots of Rhodiola contain more than 140 known compounds, including terpenoids, phenolics, flavonoids, anthraquinones, and alkaloids. Its mechanism of action is partly attributed to the herb's ability to enhance the level of monoamines, including serotonin, dopamine, and norepinephrine in the brain.  

> parts of golden root (Rhodiola rosea) is used as an adaptogen:

            > The roots of golden root (Rhodiola rosea ) are used as an adaptogen.

 

>Rhodiola is possibly safe when taken short term. It might cause dizziness, dry mouth, or excessive saliva production. There isn't enough reliable information to know if Rhodiola is safe to use long term. Rhodiola might change how the body breaks down some medications. It interacts with medications changed by the liver, antidiabetic drugs, antihypertensive drugs, and medications for high blood pressure and immunosuppressants. Talk to your health care provider if taking any of these medications together with Rhodiola.

Source references

[1] CALS156_course-transcript 2021

 

 

Example 5 would be the small woody shrub siberian ginseng bionominally named eleutherococcus senticosus (and also called devil's bush) which is by their character categorizable in the araliaceae plant family (which thus is in the same family as “true ginseng”) is possible usable for:

>it is described as 'adaptogenic' plant, meaning they are believed to help the body deal with stress, fatigue, and depression [1].

>Siberian ginseng is primarily used in traditional medicine as adaptogen, and as a stimulant, increasing central nervous system function [1].

>Herbalists recommend the use of Siberian ginseng primarily as an adaptogen; a stimulant; an immune booster; an anti-inflammatory; to boost cognitive function; to help with diabetes; to boost athletic performance; reduce anxiety, stress, and fatigue; and for many other conditions. But there is no good scientific evidence supporting most of these claims [1].

>It might also contain chemicals that have activity against some bacteria and viruses [1].

Considering the mechanism of action, the main active compounds are phenolics, flavonoids, and triterpene glycosides. It contains many chemicals that affect the brain, immune system, and certain hormones which chemicals is what is believed to create the adaptogenic benefits.

Considering safety, rare side effects include nausea, diarrhea, and rash. In high doses it might cause nervousness and anxiety. Interactions are reported with alcohol, digoxin, lithium, medications changed by the liver, medications for diabetes, anticoagulant and antiplatelet drugs, and sedatives. Its use should be avoided or closely monitored in combination with these compounds.

Source references

[1] CALS156_course-transcript 2021

 

 

 

3.    Give three examples of plant-based remedies used in traditional medicine for their immune-stimulant properties, and explain the mechanism of action for each.

Example 1 would be the short-lived perennial in tropical regions growing vine plant gynostemma pentaphyllum (also called sweet divine, Jiaogulan, southern ginseng, sweet tea vine, and the herb of immortality which name is due to the possibly observed relatively long lifespan of those who consume it) categorizable in the gynostemma (about 90 species are categorizable this genus) categorizable in the cucurbitaceae family (also called the cucumber family since it is in the same family as the cucumber is categorizable in) is possibly usable for

                        >its leaves are used for tea [1].

            > it is used in capsules, extracts, and supplements [1].

> it is as an adaptogen, antioxidant, hypotensive, immunostimulant, whole-body tonic and vasodilator [1].

> Research mostly from China and Japan has confirmed some of the therapeutic properties of Jiaogulan tea [1].

>Jiaogulan is an adaptogen, an antioxidant whose chemical compounds, mainly saponin, have properties similar to that of ginseng [1].

> The herb tea is valued for immune stimulation, antioxidant protection, and cardiovascular benefit [1].

>the tea reduces the negative effects of stress and has a normalizing effect on blood pressure [1].

> It is said that daily use of the tea may help increase the metabolism of fats, and may be used in a successful weight loss program [1].

> People commonly use Jiaogulan by mouth to strengthen the immune system for high cholesterol, diabetes, fever, disease, obesity, and many other conditions, but there is no good scientific evidence supporting most of these uses [1].

> Jiaogulan contains chemicals that may stimulate the immune system, work as an antioxidant, help to reduce cholesterol levels and blood sugar levels in people with diabetes [1].

Considering the action modus is that the main active compounds are gypenosides, saponins, steroids, and flavonoids. And in terms of its key actions, it is considered an adaptogen, antioxidant, hypotensive, immunostimulant, whole-body tonic and vasodilator [1]. Jiaogulan is an adaptogen, an antioxidant whose chemical compounds, mainly saponin, have properties similar to that of ginseng [1].

In terms of negative effects, it is possibly safe when taken by mouth for short-term up to four months. In some people however, it may cause side effects such as severe nausea and increase bowel movement. Jiaogulan extracts interact with medications that decrease the immune system and with medications that slow blood clotting, so people should be cautious when combining these.

 

Source references

[1] CALS156_course-transcript 2021

 

 

 

Example 2 would be the at relatively high altitudes flourishing peruvian ginseng maca with binomial name lepidium meyenii which is categorizable as a member of the cabbage family (also called brassicaceae family, Cruciferae family and cruciferous plant family) is possibly usable as:

> Its root is consumed in various ways, including as a vegetable and drunk as a tea [1].

> Maca roots are consumed cooked as a root vegetable, processed into flour for baking, in traditional medicine or as a dietary supplement [1].

> The whole root, root powder, and liquid extract have been used for centuries by the native people of the Andes [1].

> In traditional medicine, maca is used as an immune stimulant adaptogenic to treat menstrual irregularities, female hormonal imbalances, unwanted symptoms of menopause, to increase sexual performance for infertility and strength and stamina [1].

> Studies have shown that maca may help to increase libido and improve athletic performance. It may also affect some hormone levels in the blood [1].

> Maca seems to modulate an immune response as well as have adaptogenic properties [1].

> In vitro experiments have shown that extracts of maca exhibit estrogenic activity as well antidepressant-like effects [1].

Considering action mechanisms, the main compounds that are contained within this product are phenolics, flavonoids, glucosinolates that contain sulfur responsible for the pungent smell of Brassicaceae family members and glycosides.

Maca (Lepidium meyenii) contains the types of active compounds:

            > Maca (Lepidium meyenii) contains glucosinolates.

            > Maca (Lepidium meyenii) contains phenolics.

            > Maca (Lepidium meyenii) contains glycosides.

 

Considering negative effects, these include altered menstrual cycle, moodiness, cramps, gastritis, or insomnia [1].

>Furthermore, maca extracts interact with anticoagulants and estrogens, so should not be taken by individuals with conditions which might be worsened by exposure of estrogen, including breast, ovarian, and uterine cancers [1].

Source references

[1] CALS156_course-transcript 2021

 

 

 

Example 3 would be the leaves, roots, and stems of the medium-sized annual plant green chireta bionominally named andrographis paniculate categorizable in the andrographis plant genus categorizable in the acanthaceae plant family (which is a large family of tropical herbs, shrubs, and vines) are possible usable as:

> The fresh and dried leaves or even the juice of the whole plant can be used as an immunobooster to treat colds, flu, fever, upper respiratory infections, liver disorders, and cases of general debility [1].

> Andrographis exhibits antibacterial, antihelminthic, antioxidant, anti-inflammatory, anticancer, antispasmodic, and immunostimulating properties [1].

> Either alone or in combination with other herbs, Andrographis has been shown to reduce duration and severity of upper respiratory infections, such as those associated with the common cold or the flu [1].

> Andrographis extract may benefit patients with ulcerative colitis [1].

> It also reduces symptoms of rheumatoid arthritis [1].

> Green chireta also seems to be able to prevent influenza viruses from binding to cells in the body [1].

> Andrographis extract demonstrated inhibition of the calcium channel in the muscles, which caused smooth muscle relaxation, decreased blood pressure and heart rate, and relaxed the uterus [1].

> Andrographolides also demonstrate anticancer effects in preclinical studies [1].

> Andrographis might cause the immune system to become more active [1].

Considering action mechanisms, it contains a variety of terpenoid lactones, primarily Andrographolide [1]. The Andrographolides found in green chireta exhibit anti-inflammatory and antioxidant activity. Therefore, it may activate an immune response by modulating cytokines, the signaling molecule of the immune system.

> However, patients should use caution before using the herb because it may interact with many drugs. Andrographis is likely safe when taken appropriately, but possibly unsafe when taken by mouth during pregnancy. Andrographis might cause the immune system to become more active, and this could increase the symptom of autoimmune disease, so it should be avoided by people with autoimmune diseases. It may interact moderately with medication for high blood pressure, immunosuppressants, and medication that slows blood clotting, like anticoagulants and antiplatelet drugs. Its use should be monitored when combined with all these medications.

Source references

[1] CALS156_course-transcript 2021

 

Example 4 would be the vanilla-like flavored dried roots of the shrubby vine suma (also called "para tudo", which means "for all," because it has a reputation to cure all diseases; Brazilian ginseng, Pfaffia paniculate, Hebanthe eriantha) categorizable in the amaranthaceae family is possible usable for:

>it is described as 'adaptogenic' plant, meaning they are believed to help the body deal with stress, fatigue, and depression [1].

> the roots have been used as traditional medicine and tonic for centuries [1].

> The dry root has a vanilla-like flavor that can be made into a very flavorful tea, or the powder root can be sprinkled on food or beverage [1].

>It's also found as liquid herbal extract and capsules from powder root [1].

> Suma is a key healing plant among South and Central American herbalists [1].

> It is known as immunostimulant adaptogen and tonic used to treat fatigue and stress [1].

> Suma is also used as a treatment for cancer, diabetes, to stimulate appetite and circulation, and antispasmodic [1].

> Suma is sometimes applied directly to the skin for wounds and skin problems [1].

> Suma's primary uses are as an adaptogen and an immune system booster [1].

> Suma is considered safe for most people when it is taken by mouth for a short period of time [1].

 

The root contains many bioactive compounds including saponin, pfaffosides, glycosides, and terpenoids.

Considering negative effects, it can cause asthma symptoms if the root powder is inhaled. Because Suma is supposed to increase estrogen production, its use should be avoided in combination with estrogens.

Source references

[1] CALS156_course-transcript 2021

 

Example 5 would be the roots of the thick fleshy leaved (which is an evolutionary biological adaptation preferable for surviving in dry climates) in high altitudes of the northern hemisphere and relatively dry climate flourishing perennial flowering perennial rhodiola rosea (also called “golden root” and “hong jing tiang”) which is categorizable in the crassulaceae stonecrop family is possible usable for

>rhodiola is described as 'adaptogenic' plant, meaning they are believed to help the body deal with stress, fatigue, and depression [1].

>the roots are used in traditional medicine all over the world [1].

> It is generally considered an adaptogen, acting in a similar fashion as ginseng [1].

> In traditional medicine, Rhodiola root is prepared as a tea in the treatment of colds, anemia, fatigue, to enhance immune response, fertility, and sexual function [1].

> It is also available as tincture, capsule, or herbal supplements [1].

> Research suggests Rhodiola may support memory and focus, and help relieve symptoms of depression [1].

> Clinical trials have confirmed antidepressant activity of Rhodiola rosea roots and rhizomes in patients with mild to moderate depression [1].

> Rhodiola is used as an adaptogen and may also help to protect cells from damage, regulate heartbeat, and have the potential for improving learning and memory [1].

 

Considering the action mechanism, the roots of Rhodiola contain more than 140 known compounds, including terpenoids, phenolics, flavonoids, anthraquinones, and alkaloids. Its mechanism of action is partly attributed to the herb's ability to enhance the level of monoamines, including serotonin, dopamine, and norepinephrine in the brain.  

> parts of golden root (Rhodiola rosea) is used as an adaptogen:

            > The roots of golden root (Rhodiola rosea ) are used as an adaptogen.

 

>Rhodiola is possibly safe when taken short term. It might cause dizziness, dry mouth, or excessive saliva production. There isn't enough reliable information to know if Rhodiola is safe to use long term. Rhodiola might change how the body breaks down some medications. It interacts with medications changed by the liver, antidiabetic drugs, antihypertensive drugs, and medications for high blood pressure and immunosuppressants. Talk to your health care provider if taking any of these medications together with Rhodiola.

Source references

[1] CALS156_course-transcript 2021

 

Example 6 would be the small woody shrub siberian ginseng bionominally named eleutherococcus senticosus (and also called devil's bush) which is by their character categorizable in the araliaceae plant family (which thus is in the same family as “true ginseng”) is possible usable for:

>it is described as 'adaptogenic' plant, meaning they are believed to help the body deal with stress, fatigue, and depression [1].

>Siberian ginseng is primarily used in traditional medicine as adaptogen, and as a stimulant, increasing central nervous system function [1].

>Herbalists recommend the use of Siberian ginseng primarily as an adaptogen; a stimulant; an immune booster; an anti-inflammatory; to boost cognitive function; to help with diabetes; to boost athletic performance; reduce anxiety, stress, and fatigue; and for many other conditions. But there is no good scientific evidence supporting most of these claims [1].

>It might also contain chemicals that have activity against some bacteria and viruses [1].

Considering the mechanism of action, the main active compounds are phenolics, flavonoids, and triterpene glycosides. It contains many chemicals that affect the brain, immune system, and certain hormones which chemicals is what is believed to create the adaptogenic benefits.

Considering safety, rare side effects include nausea, diarrhea, and rash. In high doses it might cause nervousness and anxiety. Interactions are reported with alcohol, digoxin, lithium, medications changed by the liver, medications for diabetes, anticoagulant and antiplatelet drugs, and sedatives. Its use should be avoided or closely monitored in combination with these compounds.

 

Source references

[1] CALS156_course-transcript 2021

 

 

 

4.    Give three examples of plant species used in traditional medicine to treat parasitic infections, and explain the mechanism of action for each.

Example 1 would be the medium height in the temperate regions of China growing annual plant artemisia annua (also called “sweet wormwood”, “sweet Annie”, “Qin Ghao” and “qinghao”) categorizable in the daisy asteraceae plant family is possible usable as:

>used like cinchona and Mamala as plant that help combat a number of parasitic diseases [1].

> Artemisia has been used in traditional Chinese medicine for more than 2,000 years to treat fever, including those caused by malaria, as well as inflammation and other types of infections and parasites [1].

> It is sometimes applied directly to the skin for bacterial or fungal infections and for joint, muscle, or nerve pain [1].

> In modern Western medicine, artemisinin and its derivatives are FDA-approved, antimalarial drugs [1].

> It is also under investigation as a possible drug for cancer treatment since laboratory studies have shown some effects [1].

Considering its mechanism of action, all of the above-ground parts are rich in terpenoids (such as artemisinin) and flavonoids which are used. It is not completely understood how artemisinin kills the plasmodium parasite cells. It may have multiple modes of action. It seems to destroy the outer membrane of plasmodium cells by formation of free radicals (and other reactive oxygen species), and by relatively indiscriminately binding and inactivating enzymes involved in many of the parasites' key biochemical pathways.

> Sweet wormwood (Artemisia annua) seems to have effects against plasmodium infection because 1) Sweet wormwood (Artemisia annua) seems to have effects against plasmodium infection because it disrupts the outer membrane of the parasite and 2) Sweet wormwood (Artemisia annua) seems to have effects against plasmodium infection because it interferes with the enzymes that the parasite uses.

Considering safety, it is possibly safe for most adults when taken by mouth. In some individuals, it can cause an allergic reaction. The tea of Sweet Annie might cause upset stomach and vomiting. Sweet Annie can interact with medications changed by the liver (including chemotherapeutic agents, etoposide, paclitaxel, vinblastine and vincristine, antifungals, glucocorticosteroids, and many others) and should not be used in combination with these medications.

 

Source references

[1] CALS156_course-transcript 2021

 

Example 2 would be the bark of the tree of the generally in tropical areas growing small tree plant mamala bionomially named homalanthus nutans is categorizable in the euphorbiaceae spurge plant family possible usable as:

>used like cinchona and Artemisia as plant that help combat a number of parasitic diseases [1].

> It contains components that scientists are discovering are useful in the fight against cancer and HIV [1].

>it is used by Samoan healers to treat hepatitis, jaundice, and yellow fever (an acute viral disease transmitted by impacted mosquitoes) [1].

> Research has indicated that the chemical from the bark, called prostratin, has strong antiviral activity [1].

> It has in-vitro activity against HIV and is currently in clinical trials for the treatment of HIV [1].

> Prostatin is also currently being investigated for therapeutic potential against other diseases including cancer and Alzheimer's disease [1].

Considering the action modus, the bark of the tree contains many terpenoids, including the terpenoid prostratin. Research shows that prostratin is a protein kinase C inhibitor and could flush viral reservoirs in latently infected T-cells. In other words, it could remove the infection hiding in the immune cells while preventing healthy cells from infection. Since it is a modulator of protein kinase C, also known as PKC, prostratin has the potential to be a treatment for cancer. In fact, PKC is a family of molecules that regulate growth factor response, such as proliferation and apoptosis in cells, and therefore target highly proliferative cells like cancer cells.

Considering safety, although prostratin in mamala tree extracts has long been used by traditional Samoan healers without their patients experiencing any significant side effects, taking purified prostratin can cause various undesirable effects including diarrhea, stomach pain, and others.

Furthermore, not much is known in terms of interaction. Mamala extract may interfere with over-the-counter antacids or acid-reducing agents, medication changed by the liver, and other medications.

Source references

[1] CALS156_course-transcript 2021

 

Example 3 would be the at relatively high altitudes growing tree plant cinchona officinalis Linnaeus (also called jesuit's bark which common name comes from the fact that the Jesuit missionaries brought the plant to Europe in the 1500s after learning about the healing properties from the native peoples, the Jesuit priests prepared a concoction made with the tree's bark and mixed it with clove and rose-leaf syrups and other dried plants; and called Peruvian bark, red bark, Jesuits' powder, and “Fever Tree” since Father Calancha, a priest living in South America, wrote in his book Chronicles of Moral Order of Saint Augustine in Peru that a concoction of the bark of the Fever Tree, using an amount weighing the same as two small silver coins, from the Loja region of Ecuador would cure malaria when drunk.”) is categorizable in the genus Cinchona (Linnaeus named the genus after the Countess of Chinchon. She was the wife of a viceroy of Peru, and she was treated with the bark in 1638) which is categorizable in the rubiaceae coffee family and is usable as:

> as a source of quinine (The word quinine comes from the Peruvian ghina or quina-quina) [1].

> Cinchona was used in traditional medicine for centuries by the Quechuas people of South America to reduce fever and as a muscle relaxant [1].

> The Quechuas people of South America mix the ground bark of cinchona trees with sweetened water to offset the bark's bitter taste, producing something resembling the taste of tonic water [1].

> In Western medicine, purified quinine and semi derivatives, such as chloroquine and mefloquine are used to treat malaria, fevers, and leg cramps caused by vascular spasm [1].

> Cinchona is also under investigation for cancer treatment since laboratory studies have shown some effects [1].

> Cinchona is used in eye lotions to numb pain, kill germs, and as an astringent [1].

> Cinchona extract is also applied to the skin for hemorrhoids, ulcers, stimulating hair growth, and managing varicose veins [1].

> In foods, quinine from cinchona is used as a bitter flavoring in tonic water and alcoholic beverages [1].

> Cinchona bark contains quinine, an FDA-approved medicine used to treat malaria [1].

> Cinchona also contains quinidine, which is a medicine used to treat heart palpitations and arrhythmias [1].

> has historically been a remedy for all forms of malaria [1].

> It was used by the Quechuas, the Cañari, and the Chimú indigenous communities of South America to reduce fever, treat malaria, and as a muscle relaxant [1].

> the Quechuas, the Cañari, and the Chimú indigenous communities of South America mixed the ground bark with sweetened water to counterbalance the bark's bitter taste, producing a drink similar in taste to tonic water.

>it is used to treat malaria. Malaria or “mal aria ” (“bad air” in Italian) was once even more widespread than it is now. It has killed millions of people in the 20th Century. According to the World Health Organization, almost half of the world’s population still lives in areas where the disease is transmitted. But in the 17th Century, the first cure for malaria finally arrived from the Andes. For three centuries, quinine was the only effective remedy for malaria. Because of the high demand for cinchona bark, people carelessly cut down the trees without replanting. In 1865 , even though the export of either trees or seeds was prohibited, Charles Ledger stole seeds of a relatively potent Bolivian species, now called Cinchona ledgeriana, and carried them to London. Shortly after that, the Dutch government bought some of the seeds and started cultivating cinchona trees on the island of Java to try to monopolize the world production of quinine. This is a historical case of biopiracy during European colonialism, which made European countries powerful economically and politically in the world scene. European nations never compensated the native people of South America for sharing their knowledge and natural resources.

Quinine, the main active compound in cinchona, is now chemically synthesized. Different chemical variants of quinine, called derivatives, such as chloroquine and mefloquine, are also used. The primary use of quinine is to treat malaria and its associated symptoms. We now know that malaria is caused by parasites that enter the blood through bites by infected mosquitoes. After maturing in the liver, the parasites enter the red blood cells, where they replicate, causing high fever and spreading throughout the body.

As mentioned earlier, quinine is the source of the bitter taste in tonic water. The drink gin and tonic was created in British colonial India when the British people would mix their medicinal quinine tonic with gin. At that time, British soldiers in tropical regions were often treated with quinine pills to prevent malaria. To disguise its bitter flavor, quinine was mixed with sweet sparkling water.

“Is Your Cocktail Making You Sick?” is the title of a 2017 New York Times article reporting a rare case where sudden allergic reactions can occur in individuals, causing anemia, intravascular coagulation, acute renal failure, liver toxicity, neurological abnormalities, and damage to other major organs as well. “This individual was on her death bed until one doctor recognized the similarity of symptoms.” Some people can develop severe allergies to quinine over time, a type of autoimmune response.

“…In some people, the quinine molecule can wedge itself into antibodies, altering them in a way that tremendously increases the tendency of the antibodies to harm the blood vessels… Moreover, since quinine use is often self-regulated or introduced in beverages and cocktails, patients may not mention it in response to direct questions about medication use, adding to diagnostic difficulty…The damaged vessels set off a cascade of destructive bleeding and clotting…There is no way to predict who might develop the allergy. But once people have one reaction, it is sure to happen again if they are exposed to quinine, so they have to avoid it for life. Even a minute amount can trigger a life-threatening reaction.”

The bark of the tree contains many alkaloids, including the alkaloid quinine. There are other plants that also produce quinine, but cinchona was the first one discovered. Cinchona bark contains quinine, an FDA-approved medicine used to treat malaria. It probably works by interfering with the growth of the parasites in the red blood cells of the human body and disrupting the parasites' reproduction. Cinchona also contains quinidine, which is a medicine used to treat heart palpitations and arrhythmias.

Considering negative effects, it (Cinchona) is probably unsafe in large quantities and can be deadly. Symptoms of overdose include ringing of the ears, headache, nausea, diarrhea, and vision disturbances. Cinchona can also cause bleeding and allergic reactions. Cinchona bark interacts with medications that slow blood clotting (such as anticoagulants and antiplatelets), with quinine and derivatives, quinidine, and many other medications, and should not be taken in combination with these compounds.

 

Source references

[1] CALS156_course-transcript 2021

 

 

 


 

5.    Select one plant species from the ‘Additional Plants to Help the Immune System’ tool that could be beneficial for an individual who has contracted a viral infection. Explain why you would recommend that particular plant, including the major safety considerations that the individual should be aware of and the mode of action of the compounds that have the beneficial effects. You should refer back to the ‘Resources for Evaluating Herbal Supplements’ tool from the first course in this series to find more information about the plants.

If I have to select a plant species from the ‘Additional Plants to Help the Immune System’ tool that could be beneficial for an individual who has contracted a viral infection it could be the flowering perennial plants in the astragalus genus (including the species such as e.g. astrolagus membranaceus (also known as “huang qi”, “yellow leader”, “yellow ladder” which name comes from the plant's brightly-colored roots, and astrolagus propinquus) categorizable in the fabaceae bean family are possible usable for:

> traditional Chinese medicine as it is considered prominent in traditional Chinese medicine [1].

> It is considered one of the 50 fundamental herbs in traditional Chinese medicine [1].

> Astragalus roots have being used in traditional Chinese medicine for centuries, similar to ginseng as a tonic for fatigue, lack of appetite, as an immunostimulant or adaptogen, a digestive, for cancer prevention, for longevity, and many other purposes [1].

> Astragalus roots are available as extracts, tea, capsules, and supplements [1].

> It is recommended by herbalists especially for strengthening the body against viral infections of the respiratory track because of its anti-inflammatory and antibacterial properties [1].

> It also seems to improve the heart through stimulation of interferon production in the body [1].

> Recent studies show that giving Astragalus intravenously or using Chinese herbal mixture containing astragalus might reduce side effects associated with chemotherapy treatment such as nausea, vomiting, and diarrhea, and it has helped cancer patients with weakened immune systems [1].

Considering mechanisms of action, the roots contain terpenoids and glycosides such as atragalocytes and flavonoids. It is recommended by herbalists especially for strengthening the body against viral infections of the respiratory track because of its anti-inflammatory and antibacterial properties. It also seems to improve the heart through stimulation of interferon production in the body.

Source references

[1] CALS156_course-transcript 2021

 

However, to add on it really depends on what virus and what the viral infection is like.

This is not specified for the plants in the additional plants tool and also not in the question of which I think it is of utmost importance to address because viruses are different meaning that they are not the same thing and thus a viral infection is not treatable with one simple solution but it should be carefully considered how to treat a certain specified viral infection of a certain viral in a certain area in a certain organism such as a human animal.

 

For example, for respiratory viral infections or preventative thereof I would like to share information about the kiwi fruit with you as I know it might also be helpful for the immune system. I put all the information I know so far about it in the following substantiated text:

Chinese gooseberry kiwifruit actinidia continual meta-analysis

Eindhoven

Publication date first version: 12 January 2022

Publication date last version: 13 January 2022

Author: Rody Mens - r.w.mens@student.tue.nl

Citation: Mens RW. 12 January 2022. Chinese gooseberry kiwi fruit actinidia continual meta-analysis; https://www.nutritionfactsnederlands.nl/videoscript/2022/1/12/kiwi-fruit ; https://www.researchgate.net/publication/357780798_kiwi_fruit_ENGLISH; https://www.researchgate.net/publication/357780908_Kiwi_fruit_Dutch

Some keywords: Chinese kruisbes; actinidia chinensis; Hort16A; Zespri gold; Actinidiaceae; luchtweginfecties; hoofdcongestie; keelpijn; congestie; DNA-schade; DNA-damage; prikkelbaredarmsyndroom; IBS; Chinese gooseberry; sore throat; head congestion; upper respiratory tract infection; sick; ziek; irritable bowel syndrome.

Summary: Chinese gooseberry kiwi fruit actinidia could possibly help as nutrition for immunity, as nutrition for the respiratory system, as nutrition for improving sleep, and as nutrition for the gastro-intestinal tract.

 

Kiwi fruit [SOURCES BELOW]

 

The Chinese gooseberry kiwi fruit actinidia (which is edible and recommended to eat with the skin on because just under the skin are most of the antioxidant phytonutrients, the golden kiwi discussed below is non-haired and smooth-skinned which makes this easier), especially the diploïd female yellow-brown colored golden kiwi fruit of the kiwi-fruit plant actinidia chinensis ‘Hort16A’ variety (also called Zespri gold) categorizable in the genus actinidia in the family actinidiaceae helps as nutrition for immunity and as nutrition for the respiratory system with the common cold flu-like symptoms because it extremely significantly improves immune system function reducing the severity and the duration of certain upper respiratory tract infection symptoms such as the severity and the duration of head congestion, and the duration of sore throat [1]. It also makes people significantly less susceptible to respiratory infections meaning not only significantly improving the symptoms of those that got sick, but fewer people on kiwi fruit get sick in the first place, as compared with the control group. Those in the banana control group who got an upper-respiratory-tract infection suffered for about 5 (five) days with a sore throat and congestion, compared to the kiwifruit eaters who felt better after just a day or 2 (two) [2].

 

It also helps as nutrition for sleep improvement because it significantly improves sleep onset, duration, and efficiency using both subjective and objective measurements [4].

 

It also helps as nutrition for immunity and as nutrition for cancer treatment because it significantly helps preventative against DNA damage because of the phytonutrient antioxidants it contains [5] and it furthermore also significantly helps against oxidative DNA damage by upregulating the production our DNA restorative repair enzymes [6].

 

It also significantly helps as nutrition for the gastro-intestinal tract with irritable bowel syndrome IBS from which on average about 10-20 [%] of people suffer. 2 (two) kiwifruits a day seem to significantly improve bowel function in people having irritable bowel syndrome with constipation by shortening colon transit time, increasing defecation frequency and improving bowel function without deleterious effects on psychological functioning which are prevalent with the use of tegaserod (also called zelnorm and zelmac) which was the most frequently prescribed means for irritable bowel until it was pulled from the market by the U.S.A. government’s FDA in 2007 out of concern it was killing people by increasing risk of heart attack and stroke [8].

However, care should be taken with consumption because kiwi allergy is a very prevalent allergy because on average about 1 (one) in 130 people may be allergic to kiwifruit, which may rank kiwis as the third-most common food allergen second only to milk and eggs [3].

 

Source references:

[1] Hunter DC, Skinner MA, Wolber FM, Booth CL, Loh JM, Wohlers M, Stevenson LM, Kruger MC. Consumption of gold kiwifruit reduces severity and duration of selected upper respiratory tract infection symptoms and increases plasma vitamin C concentration in healthy older adults. Br J Nutr. 2012 Oct;108(7):1235-45. doi: 10.1017/S0007114511006659. Epub 2011 Dec 15. PMID: 22172428. https://pubmed.ncbi.nlm.nih.gov/22172428/ ; https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/consumption-of-gold-kiwifruit-reduces-severity-and-duration-of-selected-upper-respiratory-tract-infection-symptoms-and-increases-plasma-vitamin-c-concentration-in-healthy-older-adults/21FADFCDA9B1CE84BF9FE2476B1A2AC4

[2] Skinner, M.A. (2012) "Wellness foods based on the health benefits of fruit: Gold kiwifruit for immune support and reducing symptoms of colds and influenza," Journal of Food and Drug Analysis: Vol. 20 : Iss. 1 , Article 29. Available at: https://doi.org/10.38212/2224-6614.2095

[3] Rancé F, Grandmottet X, Grandjean H. Prevalence and main characteristics of schoolchildren diagnosed with food allergies in France. Clin Exp Allergy. 2005 Feb;35(2):167-72. doi: 10.1111/j.1365-2222.2005.02162.x. PMID: 15725187. https://pubmed.ncbi.nlm.nih.gov/15725187/ ; https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2222.2005.02162.x

[4] Lin HH, Tsai PS, Fang SC, Liu JF. Effect of kiwifruit consumption on sleep quality in adults with sleep problems. Asia Pac J Clin Nutr. 2011;20(2):169-74. PMID: 21669584. https://pubmed.ncbi.nlm.nih.gov/21669584/ ; https://apjcn.nhri.org.tw/server/APJCN/20/2/169.pdf

[5] Collins AR, Harrington V, Drew J, Melvin R. Nutritional modulation of DNA repair in a human intervention study. Carcinogenesis. 2003 Mar; 24(3):511-5. https://watermark.silverchair.com/0240511.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAsswggLHBgkqhkiG9w0BBwagggK4MIICtAIBADCCAq0GCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMHiuzMTVd80SeRqfYAgEQgIICfllGeZG-KsZA4XPeMDx8VlhhNlGQKm2-FPD_dJ12g3I83NO_xNeI1P4O54_AZ50T01g_BTXaUvctyVOMcpRrspcVLnYLz8aGajO03U9vN5AiwiQubhmHixcKRhISTCeuGg7jsKo0t2GPbuMoLwtoWH1xjZWDF-ISr4NAPq1ILLUAMMIvHEGtHxvB8u2U0rbtIixZkpr9llgL4L5rKI2DBNMmSqLVbAnwmpJp6988lIgg622fvTbAk5C-yieH6NSMYOyoysFCBGODrFcsqEgO36jK2vmYitWG1NzL98-_1iePjCdJXcYdkw4bco1pEIXrzJUWYjH89zcTuvSINN2Ym3SRS08qXRDAdpcC335LmHmO-Kdcn3NXAaIuf7bWug1I-q7xUpLbjPHmvVwXbN6FEb0VHaXnQu1xxnxL_UMtza1POv9Dlu31v0nac7khV7AYiUPrPSXD6Nw9ZBpi2hqnYS9ln96RNzieO5Y3BYkHnTq0B5kdwPwaJKtFvJm9_vduObN1j4OoU1tYBwp2RsiAuj2llyj0L5MffUheMTu_5UR_3ENAbN5uhZZOn8FVZFdZOKW4NyCyxzc1i5cmR2JvvS5QnkAyCsS-c9tyPWuM9X_mcyCUTLSjja7yjSA4HZFPEzkwlsD63sqTTr9RsDNQ-WHq-7h1RgQxCN1sMLs42EpGvATUIW4_dSSUpD6oeQn4tP9o8HkAHX6DiiSa4IHEXnLdlRP2Ak7DMjad45944gDxSdD7HGl10p8-OLrb1BjzokxpYu3p4cH4gkB1CbXFugqaU-a2e70pzvRWJVrlxQWIG1IUwRP6up_01JK9xeIxa6EnjpeMfWR9WLieY17- 

[6] Bøhn SK, Myhrstad MC, Thoresen M, Holden M, Karlsen A, Tunheim SH, Erlund I, Svendsen M, Seljeflot I, Moskaug JO, Duttaroy AK, Laake P, Arnesen H, Tonstad S, Collins A, Drevon CA, Blomhoff R. Blood cell gene expression associated with cellular stress defense is modulated by antioxidant-rich food in a randomised controlled clinical trial of male smokers. BMC Med. 2010 Sep 16; 8:54. https://bmcmedicine.biomedcentral.com/track/pdf/10.1186/1741-7015-8-54.pdf

[7] Hammerle CW, Surawicz CM. Updates on treatment of irritable bowel syndrome. World J Gastroenterol. 2008 May 7; 14(17):2639-49. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2709043/pdf/WJG-14-2639.pdf

[8] Chang CC, Lin YT, Lu YT, Liu YS, Liu JF. Kiwifruit improves bowel function in patients with irritable bowel syndrome with constipation. Asia Pac J Clin Nutr. 2010;19(4):451-7. PMID: 21147704. https://pubmed.ncbi.nlm.nih.gov/21147704/ ; https://apjcn.nhri.org.tw/server/APJCN/19/4/451.pdf

 


 

Part Two

Preventing or Treating Cancer With Plants

One of the diseases that many people are concerned about are the many different types of cancers. However, as you examined the variety of plants in this module, you are now aware of how plant-based medicines can be used to both treat and potentially prevent this type of illness. The crossover from traditional medicine to western medicine is both well documented and continuing to expand. For each of the questions below, demonstrate some key learnings from this course as you answer in the space provided, and, where appropriate, referring to plants that have been covered in the videos, readings, and other course documents.

1.    Give three examples of plant species used in traditional medicine in cancer prevention and explain the mechanism of action for each.

Example 1 would be the leaves, roots, and stems of the medium-sized annual plant green chireta bionominally named andrographis paniculate categorizable in the andrographis plant genus categorizable in the acanthaceae plant family (which is a large family of tropical herbs, shrubs, and vines) are possible usable as:

> The fresh and dried leaves or even the juice of the whole plant can be used as an immunobooster to treat colds, flu, fever, upper respiratory infections, liver disorders, and cases of general debility [1].

> Andrographis exhibits antibacterial, antihelminthic, antioxidant, anti-inflammatory, anticancer, antispasmodic, and immunostimulating properties [1].

> Either alone or in combination with other herbs, Andrographis has been shown to reduce duration and severity of upper respiratory infections, such as those associated with the common cold or the flu [1].

> Andrographis extract may benefit patients with ulcerative colitis [1].

> It also reduces symptoms of rheumatoid arthritis [1].

> Green chireta also seems to be able to prevent influenza viruses from binding to cells in the body [1].

> Andrographis extract demonstrated inhibition of the calcium channel in the muscles, which caused smooth muscle relaxation, decreased blood pressure and heart rate, and relaxed the uterus [1].

> Andrographolides also demonstrate anticancer effects in preclinical studies [1].

> Andrographis might cause the immune system to become more active [1].

Considering action mechanisms, it contains a variety of terpenoid lactones, primarily Andrographolide [1]. The Andrographolides found in green chireta exhibit anti-inflammatory and antioxidant activity. Therefore, it may activate an immune response by modulating cytokines, the signaling molecule of the immune system.

> However, patients should use caution before using the herb because it may interact with many drugs. Andrographis is likely safe when taken appropriately, but possibly unsafe when taken by mouth during pregnancy. Andrographis might cause the immune system to become more active, and this could increase the symptom of autoimmune disease, so it should be avoided by people with autoimmune diseases. It may interact moderately with medication for high blood pressure, immunosuppressants, and medication that slows blood clotting, like anticoagulants and antiplatelet drugs. Its use should be monitored when combined with all these medications.

Source references

[1] CALS156_course-transcript 2021

 

Example 2 would be the vanilla-like flavored dried roots of the shrubby vine suma (also called "para tudo", which means "for all," because it has a reputation to cure all diseases; Brazilian ginseng, Pfaffia paniculate, Hebanthe eriantha) categorizable in the amaranthaceae family is possible usable for:

>it is described as 'adaptogenic' plant, meaning they are believed to help the body deal with stress, fatigue, and depression [1].

> the roots have been used as traditional medicine and tonic for centuries [1].

> The dry root has a vanilla-like flavor that can be made into a very flavorful tea, or the powder root can be sprinkled on food or beverage [1].

>It's also found as liquid herbal extract and capsules from powder root [1].

> Suma is a key healing plant among South and Central American herbalists [1].

> It is known as immunostimulant adaptogen and tonic used to treat fatigue and stress [1].

> Suma is also used as a treatment for cancer, diabetes, to stimulate appetite and circulation, and antispasmodic [1].

> Suma is sometimes applied directly to the skin for wounds and skin problems [1].

> Suma's primary uses are as an adaptogen and an immune system booster [1].

> Suma is considered safe for most people when it is taken by mouth for a short period of time [1].

 

The root contains many bioactive compounds including saponin, pfaffosides, glycosides, and terpenoids.

Considering negative effects, it can cause asthma symptoms if the root powder is inhaled. Because Suma is supposed to increase estrogen production, its use should be avoided in combination with estrogens.

Source references

[1] CALS156_course-transcript 2021

 

 

Example 3 would be the at relatively high altitudes growing tree plant cinchona officinalis Linnaeus (also called jesuit's bark which common name comes from the fact that the Jesuit missionaries brought the plant to Europe in the 1500s after learning about the healing properties from the native peoples, the Jesuit priests prepared a concoction made with the tree's bark and mixed it with clove and rose-leaf syrups and other dried plants; and called Peruvian bark, red bark, Jesuits' powder, and “Fever Tree” since Father Calancha, a priest living in South America, wrote in his book Chronicles of Moral Order of Saint Augustine in Peru that a concoction of the bark of the Fever Tree, using an amount weighing the same as two small silver coins, from the Loja region of Ecuador would cure malaria when drunk.”) is categorizable in the genus Cinchona (Linnaeus named the genus after the Countess of Chinchon. She was the wife of a viceroy of Peru, and she was treated with the bark in 1638) which is categorizable in the rubiaceae coffee family and is usable as:

> as a source of quinine (The word quinine comes from the Peruvian ghina or quina-quina) [1].

> Cinchona was used in traditional medicine for centuries by the Quechuas people of South America to reduce fever and as a muscle relaxant [1].

> The Quechuas people of South America mix the ground bark of cinchona trees with sweetened water to offset the bark's bitter taste, producing something resembling the taste of tonic water [1].

> In Western medicine, purified quinine and semi derivatives, such as chloroquine and mefloquine are used to treat malaria, fevers, and leg cramps caused by vascular spasm [1].

> Cinchona is also under investigation for cancer treatment since laboratory studies have shown some effects [1].

> Cinchona is used in eye lotions to numb pain, kill germs, and as an astringent [1].

> Cinchona extract is also applied to the skin for hemorrhoids, ulcers, stimulating hair growth, and managing varicose veins [1].

> In foods, quinine from cinchona is used as a bitter flavoring in tonic water and alcoholic beverages [1].

> Cinchona bark contains quinine, an FDA-approved medicine used to treat malaria [1].

> Cinchona also contains quinidine, which is a medicine used to treat heart palpitations and arrhythmias [1].

> has historically been a remedy for all forms of malaria [1].

> It was used by the Quechuas, the Cañari, and the Chimú indigenous communities of South America to reduce fever, treat malaria, and as a muscle relaxant [1].

> the Quechuas, the Cañari, and the Chimú indigenous communities of South America mixed the ground bark with sweetened water to counterbalance the bark's bitter taste, producing a drink similar in taste to tonic water.

>it is used to treat malaria. Malaria or “mal aria ” (“bad air” in Italian) was once even more widespread than it is now. It has killed millions of people in the 20th Century. According to the World Health Organization, almost half of the world’s population still lives in areas where the disease is transmitted. But in the 17th Century, the first cure for malaria finally arrived from the Andes. For three centuries, quinine was the only effective remedy for malaria. Because of the high demand for cinchona bark, people carelessly cut down the trees without replanting. In 1865 , even though the export of either trees or seeds was prohibited, Charles Ledger stole seeds of a relatively potent Bolivian species, now called Cinchona ledgeriana, and carried them to London. Shortly after that, the Dutch government bought some of the seeds and started cultivating cinchona trees on the island of Java to try to monopolize the world production of quinine. This is a historical case of biopiracy during European colonialism, which made European countries powerful economically and politically in the world scene. European nations never compensated the native people of South America for sharing their knowledge and natural resources.

Quinine, the main active compound in cinchona, is now chemically synthesized. Different chemical variants of quinine, called derivatives, such as chloroquine and mefloquine, are also used. The primary use of quinine is to treat malaria and its associated symptoms. We now know that malaria is caused by parasites that enter the blood through bites by infected mosquitoes. After maturing in the liver, the parasites enter the red blood cells, where they replicate, causing high fever and spreading throughout the body.

As mentioned earlier, quinine is the source of the bitter taste in tonic water. The drink gin and tonic was created in British colonial India when the British people would mix their medicinal quinine tonic with gin. At that time, British soldiers in tropical regions were often treated with quinine pills to prevent malaria. To disguise its bitter flavor, quinine was mixed with sweet sparkling water.

“Is Your Cocktail Making You Sick?” is the title of a 2017 New York Times article reporting a rare case where sudden allergic reactions can occur in individuals, causing anemia, intravascular coagulation, acute renal failure, liver toxicity, neurological abnormalities, and damage to other major organs as well. “This individual was on her death bed until one doctor recognized the similarity of symptoms.” Some people can develop severe allergies to quinine over time, a type of autoimmune response.

“…In some people, the quinine molecule can wedge itself into antibodies, altering them in a way that tremendously increases the tendency of the antibodies to harm the blood vessels… Moreover, since quinine use is often self-regulated or introduced in beverages and cocktails, patients may not mention it in response to direct questions about medication use, adding to diagnostic difficulty…The damaged vessels set off a cascade of destructive bleeding and clotting…There is no way to predict who might develop the allergy. But once people have one reaction, it is sure to happen again if they are exposed to quinine, so they have to avoid it for life. Even a minute amount can trigger a life-threatening reaction.”

The bark of the tree contains many alkaloids, including the alkaloid quinine. There are other plants that also produce quinine, but cinchona was the first one discovered. Cinchona bark contains quinine, an FDA-approved medicine used to treat malaria. It probably works by interfering with the growth of the parasites in the red blood cells of the human body and disrupting the parasites' reproduction. Cinchona also contains quinidine, which is a medicine used to treat heart palpitations and arrhythmias.

Considering negative effects, it (Cinchona) is probably unsafe in large quantities and can be deadly. Symptoms of overdose include ringing of the ears, headache, nausea, diarrhea, and vision disturbances. Cinchona can also cause bleeding and allergic reactions. Cinchona bark interacts with medications that slow blood clotting (such as anticoagulants and antiplatelets), with quinine and derivatives, quinidine, and many other medications, and should not be taken in combination with these compounds.

Source references

[1] CALS156_course-transcript 2021

 

Example 4 would be the medium height in the temperate regions of China growing annual plant artemisia annua (also called “sweet wormwood”, “sweet Annie”, “Qin Ghao” and “qinghao”) categorizable in the daisy asteraceae plant family is possible usable as:

>used like cinchona and Mamala as plant that help combat a number of parasitic diseases [1].

> Artemisia has been used in traditional Chinese medicine for more than 2,000 years to treat fever, including those caused by malaria, as well as inflammation and other types of infections and parasites [1].

> It is sometimes applied directly to the skin for bacterial or fungal infections and for joint, muscle, or nerve pain [1].

> In modern Western medicine, artemisinin and its derivatives are FDA-approved, antimalarial drugs [1].

> It is also under investigation as a possible drug for cancer treatment since laboratory studies have shown some effects [1].

Considering its mechanism of action, all of the above-ground parts are rich in terpenoids (such as artemisinin) and flavonoids which are used. It is not completely understood how artemisinin kills the plasmodium parasite cells. It may have multiple modes of action. It seems to destroy the outer membrane of plasmodium cells by formation of free radicals (and other reactive oxygen species), and by relatively indiscriminately binding and inactivating enzymes involved in many of the parasites' key biochemical pathways.

> Sweet wormwood (Artemisia annua) seems to have effects against plasmodium infection because 1) Sweet wormwood (Artemisia annua) seems to have effects against plasmodium infection because it disrupts the outer membrane of the parasite and 2) Sweet wormwood (Artemisia annua) seems to have effects against plasmodium infection because it interferes with the enzymes that the parasite uses.

Considering safety, it is possibly safe for most adults when taken by mouth. In some individuals, it can cause an allergic reaction. The tea of Sweet Annie might cause upset stomach and vomiting. Sweet Annie can interact with medications changed by the liver (including chemotherapeutic agents, etoposide, paclitaxel, vinblastine and vincristine, antifungals, glucocorticosteroids, and many others) and should not be used in combination with these medications.

Source references

[1] CALS156_course-transcript 2021

 

Example 5 would be the bark of the tree of the generally in tropical areas growing small tree plant mamala bionomially named homalanthus nutans is categorizable in the euphorbiaceae spurge plant family possible usable as:

>used like cinchona and Artemisia as plant that help combat a number of parasitic diseases [1].

> It contains components that scientists are discovering are useful in the fight against cancer and HIV [1].

>it is used by Samoan healers to treat hepatitis, jaundice, and yellow fever (an acute viral disease transmitted by impacted mosquitoes) [1].

> Research has indicated that the chemical from the bark, called prostratin, has strong antiviral activity [1].

> It has in-vitro activity against HIV and is currently in clinical trials for the treatment of HIV [1].

> Prostatin is also currently being investigated for therapeutic potential against other diseases including cancer and Alzheimer's disease [1].

Considering the action modus, the bark of the tree contains many terpenoids, including the terpenoid prostratin. Research shows that prostratin is a protein kinase C inhibitor and could flush viral reservoirs in latently infected T-cells. In other words, it could remove the infection hiding in the immune cells while preventing healthy cells from infection. Since it is a modulator of protein kinase C, also known as PKC, prostratin has the potential to be a treatment for cancer. In fact, PKC is a family of molecules that regulate growth factor response, such as proliferation and apoptosis in cells, and therefore target highly proliferative cells like cancer cells.

Considering safety, although prostratin in mamala tree extracts has long been used by traditional Samoan healers without their patients experiencing any significant side effects, taking purified prostratin can cause various undesirable effects including diarrhea, stomach pain, and others.

Furthermore, not much is known in terms of interaction. Mamala extract may interfere with over-the-counter antacids or acid-reducing agents, medication changed by the liver, and other medications.

Source references

[1] CALS156_course-transcript 2021

 

Example 6 would be the sprouts and other parts of the in relatively temperate zones flourishing short perennial herb plant alfalfa medicago sativa (also called “lucerne”, and “mu-su” in traditional Chinese medicine after alfalfa was introduced to China from Persia) categorizable in the fabaceae bean family (which alfalfa can but should not be mistaken for clover which is categorizable as member of the same plant family) are possible usable for:

            > it has qualities that may help prevent cancer [1].

            > Is currently in 2021 most commonly used as cattle fodder [1].

> It has been cultivated as livestock food since ancient times, probably originating in Iran, and spreading more widely during ancient Greece and Rome [1].

> In addition to be livestock food, the leaves, sprouts, and seeds are used “medicinally” [1].

> The sprouts are also a popular food in Asia [1].

> Alfalfa can be taken in capsults or eaten as fresh raw sprouts, after rinsing it thoroughly to remove mold [1].

>it is used as long ago as the Han Dynasty which is thus since more than 2000 years ago [1].

> Rather than being recommended as primary treatment for specific conditions, one of its most common uses in Chinese medicine is as a tonic herb, one that can support health by nourishing the body [1]. Because of this, it has been said to help in cancer prevention [1]. Evidence of its cancer preventive effects in humans is, however, not conclusive [1].

> The saponins contained in alfalfa act on the cardiovascular, nervous, and digestive systems, making it a whole body treatment that is used to help restore and invigorate systems in the body or to promote general health and well-being [1].

> Alfalfa is also of special interest to women because of its estrogenic activity [1].

> Alfalfa is believed to strengthen digestion and stimulate appetite, treat ulcers, diabetes, and high cholesterol, promote urination, relieve asthma and high fever, relieve menstrual disorders and increase lactation, and more [1].

Considering possible mechanisms of action, the main active compounds in alfalfa are glycosides saponins, estrogens, and phenolics. The saponins contained in alfalfa act on the cardiovascular, nervous, and digestive systems, making it a whole body treatment that is used to help restore and invigorate systems in the body or to promote general health and well-being [1].

Considering safety, because alfalfa is a source of phytoestrogen, grazing on alfalfa during breeding can cause temporary reduced fertility in sheep, similarly to red clover, which is also part of the Fabaceae family. Commonly reported negative effects of taking alfalfa include increase of fecal volume and defecation frequency, loose stools, diarrhea, abdominal discomfort, and intestinal gas. Due to high content of purines, alfalfa should be avoided in patients with gout. Because it's rich in phytoestrogens, it should not be consumed during pregnancy and nursing or in combination with estrogens or diuretics. Alfalfa may also increase serum urate and urea levels.

 

Source references

[1] CALS156_course-transcript 2021

However, considering alfalfa, if I look at if there is any strong scientific evidence for the traditional medicinal uses of a plant and at the potential issues, I do foresee with trying to validate the traditional uses the following points of concern:

The sprouts (and possibly other parts) of the in relatively temperate zones flourishing short perennial herb plant alfalfa medicago sativa (also called “lucerne”, and “mu-su” in traditional Chinese medicine after alfalfa was introduced to China from Persia) categorizable in the fabaceae bean family (which alfalfa can but should not be mistaken for clover which is categorizable as member of the same plant family) is a plant of which, according to doctor Friso, its most common uses in Chinese medicine is as a tonic herb, and thus one that can support health by nourishing the body [1]. This could be because the saponins contained in alfalfa may act on the cardiovascular, nervous, and digestive systems, which then could be making it a whole-body treatment that is used to help restore and invigorate systems in the body or to promote general health and well-being [1].

However, I currently cannot recommend alfalfa since it could be harmful for your human body because it poses a risk to your body of food poisoning possibly leading to escherichia coli bacterial or (non-exclusive or) salmonella bacterial food poisoning which is why the American Dietetic Association ADA, Food and Drug Administration FDA and Centers for Disease Control CDC do not recommend eating alfalfa sprouts [3]. From getting salmonella once you may suffer from chronic arthritis for the rest of your life which is why the Centers for Disease Control CDC has decreed not eating sprout foods. However, when putting this in context sprout consumption leads to about a 100 (hundred) cases in the United States of America USA of salmonella poisoning compare that to eggs though which caused 118’000 cases of salmonella poisoning in the same year. But in the same manner the Centers for Disease Control CDC does not decree “not eating eggs”, but they do say not to eat raw and runny eggs. But even sunny side up or scrambled does not eliminate the salmonella threat since eggs have to be cooked hard to significantly kill off the salmonella bacteria. Similarly, if we boiled sprout foods, they would be safe too but that would possibly not be very appetizing. Furthermore, a study looking at the potentially deadly escherichia coli 0157 bacteria found that in retail beef and alfalfa sprouts about one out of every 91 burgers is and one about one in 67 alfalfa sprout containers could be contaminated with these bacteria. So, next to burgers I can also not recommend alfalfa sprouts, even homegrown alfalfa sprouts are not recommended since the bacteria could also be present in the alfalfa seed itself that you may buy at the store [4] of which even soaking the seeds in a bleach solution may not guarantee safety which is not the case for the following viable more nookless seed alternative I would like to present to alfalfa sprouts (seeds). What I can recommend however instead of using alfalfa sprouts are broccoli sprouts, thus as a healthy alternative to alfalfa you could use broccoli seeds instead which are easy to sprout at home yourself. Broccoli sprouts are also significantly more helpful for the immune system in terms of anti-viral capacity as alfalfa sprouts. The cruciferous broccoli sprouts showed in a study to be helpful as nutrition for the immune system since it showed to be about 100 (a hundred) times more effective than the non-cruciferous alfalfa sprouts in increasing viral “detox” enzyme expression resulting in reducing more influenza virus-induced markers of inflammation as well as reducing the influenza virus viral quantity present in the human body greatly diminishing the viral infectious capacity, than compared to alfalfa sprouts in which placebo this was less so the case [2].

 

Source references

[1] CALS156_course-transcript 2021

[2] Noah TL, Zhang H, Zhou H, Glista-Baker E, Müller L, Bauer RN, Meyer M, Murphy PC, Jones S, Letang B, Robinette C, Jaspers I. Effect of broccoli sprouts on nasal response to live attenuated influenza virus in smokers: a randomized, double-blind study. PLoS One. 2014 Jun 9;9(6):e98671. doi: 10.1371/journal.pone.0098671. Erratum in: PLoS One. 2014;9(9):e109513. PMID: 24910991; PMCID: PMC4049587. https://pubmed.ncbi.nlm.nih.gov/24910991/ ; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0098671 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049587/ ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049587/pdf/pone.0098671.pdf

[3] Centers for Disease Control and Prevention (CDC). Outbreak of Salmonella Serotype Saintpaul Infections Associated with Eating Alfalfa Sprouts --- United States, 2009. MMWR Morb Mortal Wkly Rep. 2009 May 15;58(18):500-3. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5818a4.htm Also an article published in on the American dietetic association website on 10 september 2007 titled “sprout safety”.

[4] Samadpour M, Barbour MW, Nguyen T, Cao TM, Buck F, Depavia GA, Mazengia E, Yang P, Alfi D, Lopes M, Stopforth JD. Incidence of enterohemorrhagic Escherichia coli, Escherichia coli O157, Salmonella, and Listeria monocytogenes in retail fresh ground beef, sprouts, and mushrooms. J Food Prot. 2006 Feb;69(2):441-3. doi: 10.4315/0362-028x-69.2.441. PMID: 16496591. https://pubmed.ncbi.nlm.nih.gov/16496591/ ; https://meridian.allenpress.com/jfp/article/69/2/441/171853/Incidence-of-Enterohemorrhagic-Escherichia-coli ; https://watermark.silverchair.com/0362-028x-69_2_441.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAt0wggLZBgkqhkiG9w0BBwagggLKMIICxgIBADCCAr8GCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMEosUgJdlYcWHqbIBAgEQgIICkHF0Nl5TqyT21YN9e97PSsLPbxZLdc-_Z7XIHqCtK1Ba9DZ1i16vv3WqLjSJl9JQYD6PO5ViAszl2_7gs8NGWJBaVOgieZ0xulB3zIII98py5thGTrHSO4Atdys0k1cXOiucZOR7cl1Inhp7okD35uiAUABbpntx-txjOlRjUBG_WXKXsWjPL080LLD4Q3oRBkCRUNTGHZldtuo_gtquVXyXG5u06R1ryvi3Q-ORo5KfeXtbpMXzz_R7OBzboPQm0waX-ax2VnWM_Dm4k3_r301bBy2c4qfYmQEXhAwTjPHS0NxAzphTnN0-ItPuWvE0dExtIv8wfi6xRieQcCpjZX7ZBB5gNn1kX_N3Sbao_Urydkz1fk2y9E7mbOqZfwDXhEHRhHyYERM7Ci1OlYluMUTqCN5KnyzVrIffhMWI8XSHmDQGDKSNtbckP_lO3nI2pcqBJmUrm_iDITXFlmGgaUgm24RXKczADYPBuJleNIaCL_21b93gg8bc0NgbQrOBN6X8TFWndohhfnykCMCC-Cl3YWrmVm70O2AfIYop4M9Lws-7pYeqzsZY78oX3t3sj5Lj0aeHHIJ9oXwEMnJH7A01NnQ4pqglitiemLg9h4d4ZOWoQfdh3vMzlx6uM81EXPcOOujpGC79OVYlaUBFfXbTurtk2Pnbn90sWMHzSplWn_I4sJTJNunZfXdnK_J2b0aNX6KM5TzOpzmdpWsJFxByXA8a2l6DB4JWPkbNR0Ju5jHKjR-xYsvUpWMh2wIiYlM541Rom6xMY1a_M4kGd7bRXrLEj5mAnH7tbVhXu9bLFnYxY-S0VMJAatw9UWfoR6Ykvneo4r-URCuj8HNV85lsGu4ajZ-3LEnZBmDB8Nfh

 

Example 7 would be the species of evergreen shrub or (inclusive or) small tree tea plant camellia sinensis (and not to be confused with the melaleuca alternifolia plant called “the tea tree plant” which is used as source for tea tree oil) categorizable in the theaceae tea plant family is possible usable for:

> it is best known as the plant from which green tea, oolong tea, and black tea are produced [1].

            > it has qualities that may help prevent cancer [1].

> Most people are familiar with the tea plant for its leaf and leaf buds, which are used to make various beverage and teas, but they are also used as medicine [1].

>it is used since at least 4,000 years ago [1].

> In ancient China, tea was used as medicine, by chewing on the fresh leaf for their refreshing, invigorating, stimulants effect [1]. It took time to figure out how to properly dry and process the leaf to be able to brew it in water to make tea [1].

> Green tea is prepared by steaming leaves and drying them [1].

> Black tea and oolong tea involve processes in which the leaves are fermented, in case of black tea, or partially fermented, in the case of oolong tea, before drying [1].

> In traditional medicine, Camellia green tea is taken by mouth as an astringent to reduce symptoms of diarrhea and high level of cholesterol and other lipids in the blood [1].

> Camellia tea is also used to improve mental alertness and thinking, as body tonic, for diabetes, for low blood pressure, and as an antioxidant, anti-inflammatory, and many other purposes [1].

> It is available in form of tea, capsules, supplements, herbal extract or cream [1].

>Camellia extracts are also used in cosmetics for their antioxidant and astringent properties [1].

> Camellia leaves contain tannins, which are astringent, and antibacterial polyphenols, which are used in treating diarrhea [1].

> It may have cancer prevention or anti-cancer activity due to the polyphenol antioxidant content. Evidence of its cancer preventing effects in humans, however, is not conclusive [1].

> Camellia tea is also considered a body tonic, used to help restore and invigorate the body or to promote general health and well­being [1].

 

Considering the mechanism of action, the main active compounds in all types of tea are polyphenolics, including tannins and flavonoids, such as catechins, and alkaloids, including caffeine. Camellia leaves contain tannins, which are astringent, and antibacterial polyphenols, which are used in treating diarrhea.

It may have cancer prevention or anti-cancer activity due to the polyphenol antioxidant content. Evidence of its cancer preventing effects in humans, however, is not conclusive.

Considering safety, drinking Camellia green tea is likely safe for most healthy, harder when consumed in moderate amounts, up to about eight cups per day, but it can be unsafe when consumed in higher doses. In some people, green tea extract can cause stomach upset, constipation, and nervousness. Green tea extracts have been reported to cause liver and kidney problems, even failure, especially when taken in high doses in the form of herbal supplements. Green tea interacts with central nervous system stimulants, such as amphetamines, cocaine, ephedrine, caffeine, nicotine and theophylline, with antibiotics, birth control pills, estrogens, antidepressants, and medications that can harm the liver, such as Tylenol, anticoagulants, anti-platelets, and many more. Taking green tea along with these drugs might cause serious problems.

 

Source references

[1] CALS156_course-transcript 2021

 

Example 8 would be the ripe seeds of the in relatively temperate regions of the world flourishing annual or biennial herb milk thistle plant silybum marianum (also known as “carduus marianus”, and “Scotch thistle”) categorizable as a member of the asteraceae daisy plant family (the weblike pattern on the surfaces of the leaves distinguish milk thistle from its many thistle sister species) is possible usable for:

            > it has qualities that may help prevent cancer [1].

> It's ripe seeds have been used in traditional medicine for centuries and contains silymarin, a standardized complex extract mixture of polyphenolic bioactive molecules [1].

> Additionally, the roots and leaves can be used as food [1].

> In term of plant preparations, milk thistle seeds are made into powder, extract, tinctures, teas, and herbal supplements [1].

> It's used in cosmetics for its regenerative, antioxidant, and anti-inflammatory properties and to alleviate the effects of skin rashes [1].

> In traditional medicine, milk thistle is used for liver disorders, including liver damage caused by chemicals, alcohol, chemotherapy, as well as liver damage caused my mushroom poisoning, chronic inflammatory liver disease, cirrhosis of the liver, and chronic hepatitis [1].

> Some people apply milk thistle typically for skin damage caused by radiation or use it as an anti-inflammatory, astringent, immunostimulant, antioxidant, to promote general good health, and for cancer prevention [1].

> Milk thistle seeds might protect liver cells from toxic chemicals and drugs [1].

> The ripe seeds also seem to have blood sugar lowering, antioxidant and anti-inflammatory effects [1].

 

Considering action mechanisms, the ripe seeds have been used in traditional medicine for centuries and contains silymarin, a standardized complex extract mixture of polyphenolic bioactive molecules [1]. Silymarin probably works by neutralizing free radicals or other molecules that can cause DNA damage, and by activating important detoxifying enzymes.

Considering safety, when used topically and taken by mouth, milk thistle extract is likely safe for most people. In some cases, ingestion of milk thistle extracts has caused diarrhea, nausea, intestinal gas, and loss of appetite. Milk thistle interacts moderately with medications changed by the liver, estrogens, and medications used for lowering cholesterol, such as statins. People should be cautious with such combinations.

 

Source references

[1] CALS156_course-transcript 2021

 

Example 9 would be the hemi­parasitic (since it both produces its own food and also absorbs water and minerals from the tree that is growing on and it can grow on a variety of different trees) shrub European mistletoe plant viscum album categorizable in the santalaceae sandalwood family is possible usable for:

> Mistletoe is highly toxic, but its leaves and fruit contain elements that treat circulatory and respiratory problems [1].

> European mistletoe is highly poisonous to humans and accidentally eating its berry can cause death in human animals [1].

> It has been known since ancient times and was surrounded by many folk myths and legends symbolizing romance, fertility, and vitality [1].

> Mistletoe leaves are sometime used to flavor alcoholic beverages, and the berry, leaf, and stem also have been used for centuries to treat circulatory and respiratory problems [1].

> The use of mistletoe extract in the treatment of cancer originated with Rudolf Steiner [1]. Although laboratory and animal experiments have suggested a mistletoe extract may stimulate the immune system and kill some types of cancer cells, there is not enough evidence to validate its benefit to people with cancer [1].

> Preliminary studies in humans seems to show the mistletoe treatment may improve cancer symptoms and reduce side effects of cancer treatment [1].

> Several brand name of mistletoe extracts are available in Europe, often given by intravenous injection [1].

> In preclinical models, mistletoe has some anti-inflammation and anticancer effects [1].

> Mistletoe-induced immune stimulation may explain physical improvements that contribute to increased quality of life in cancer patients [1].

Considering mechanisms of action, it contains more than 20 different active compounds including flavonoids, glycosides, and terpenoids.

Considering safety, because of its high toxicity, its use can also be unsafe if not accurately monitored by a health care practitioner. European mistletoe is possibly safe when used by mouth in appropriate amounts, but likely unsafe when taken in larger doses. It can cause serious side effects including vomiting, diarrhea, cramping, and liver damage. Pregnant women should not consume mistletoe due to its uterine stimulant activity. European mistletoe can interact moderately with medications for high blood pressure or immunosuppressants, so its use should be monitored when taken in combination with these medications.

 

Source references

[1] CALS156_course-transcript 2021

 

Example 10 would be the roots and underground stems (also called rhizomes) of the relatively low-growing herbaceous perennial native to woodlands American mandrake plant podophyllum peltatum (also called mayapple) categorizable in the berberidaceae barberry family is possible usable for:

> Their roots and underground stems, or rhizome, are being used to make medicine for centuries by the “Native Americans” [1].

>the “Native Americans” collected these roots in the fall to treat constipation, rheumatism, liver disorder, for wart removal, and as laxative [1].

> Mayapple is currently being studied for its possible treatment of leukemia and other types of cancer [1].

> Podophyllotoxin, also known as a podofilox, and two of it's semi-derivatives, etoposide and teniposide, have shown promise in treating some type of cancers and are also used in western medicine as antiviral, antimicrobial agent, anthelmintics, purgatives, and antitumor agents [1].

> Podofilox stops replication of both cellular and viral DNA by binding to specific enzymes and can also prevent cell division of highly proliferating cancerous cell [1].

> Clinical evidence suggests that a single application of 25 percent [%] podophyllum resin can help heal wounds caused by hairy leukoplakia, manifesting with white patches on the tongue in people with weakened immune system, a pathology common in patients going through chemotherapy [1]. In this sense, it is used as cancer symptoms control drug.

> The fruit of the mayapple is edible in small amounts, but only when ripened and yellow.

>the fruit is sometimes made into jelly but is poisonous if eaten in large amounts.

 

Considering mechanisms of action, the main compound is Podophyllotoxin, which is a terpenoid lactone. Podophyllotoxin, also known as a podofilox, and two of it's semi-derivatives, etoposide and teniposide, have shown promise in treating some type of cancers and are also used in western medicine as antiviral, antimicrobial agent, anthelmintics, purgatives, and antitumor agents. Podofilox stops replication of both cellular and viral DNA by binding to specific enzymes and can also prevent cell division of highly proliferating cancerous cell.

> Podophyllotoxin, extracted from the mayapple (Podophyllum peltatum), may help to treat cancer by having the effect that it interferes with DNA replication in the cancer cells.

 

Considering safety, the leaves and rhizome are poisonous if ingested, and may cause nausea, vomiting, hallucinations, paralysis, coma, liver and kidney problems, and even death. Podophyllotoxin extracts and active compounds can be found as ingredients in topical medicine, but are highly toxic if taken internally, causing central nervous system depression, enteritis, organ failure, and death. Podophyllum should not be used for self-treatment and during pregnancy because it can harm an unborn baby. In terms of interaction with other medications, not much is known. Theoretically, mayapple extract could interact with antiviral and antimitotic medications.

 

Source references

[1] CALS156_course-transcript 2021

 

Example 11 would be the flowering perennial plants in the astragalus genus (including the species such as e.g. astrolagus membranaceus (also known as “huang qi”, “yellow leader”, “yellow ladder” which name comes from the plant's brightly-colored roots, and astrolagus propinquus) categorizable in the fabaceae bean family are possible usable for:

> traditional Chinese medicine as it is considered prominent in traditional Chinese medicine [1].

> It is considered one of the 50 fundamental herbs in traditional Chinese medicine [1].

> Astragalus roots have being used in traditional Chinese medicine for centuries, similar to ginseng as a tonic for fatigue, lack of appetite, as an immunostimulant or adaptogen, a digestive, for cancer prevention, for longevity, and many other purposes [1].

> Astragalus roots are available as extracts, tea, capsules, and supplements [1].

> It is recommended by herbalists especially for strengthening the body against viral infections of the respiratory track because of its anti-inflammatory and antibacterial properties [1].

> It also seems to improve the heart through stimulation of interferon production in the body [1].

> Recent studies show that giving Astragalus intravenously or using Chinese herbal mixture containing astragalus might reduce side effects associated with chemotherapy treatment such as nausea, vomiting, and diarrhea, and it has helped cancer patients with weakened immune systems [1].

Considering mechanisms of action, the roots contain terpenoids and glycosides such as atragalocytes and flavonoids. It is recommended by herbalists especially for strengthening the body against viral infections of the respiratory track because of its anti-inflammatory and antibacterial properties. It also seems to improve the heart through stimulation of interferon production in the body.

Source references

[1] CALS156_course-transcript 2021

 

Example 12 would be the low-growing flowering plant madagascar periwinkle plant catharanthus roseus (also called rose periwinkle, rosy periwinkle, vinca, parwynke (old English name), joy of the ground, centocchio (italie) meaning hundred eyes, and in reference to its color and its use in magic it is also called “sorcerer's violet,” since it is used as favorite flower for making charms and love potions and to block evil spirits; and it is called “the flower of death” because of the ancient tradition of making it into garlands to place on the tombs of dead children; In Germany, it is the “flower of immortality”; In France, the periwinkle is considered an emblem of friendship) categorizable in the Apocynaceae dogbane family (which family also contains milkweed, oleander and many other plants with “toxic” and “medicinal” properties) is possible usable for:

            > ornamentally and “medicinally” [1].

            > The French also used it to treat menstrual problems [1].

> In the Caribbean, voodoo magic practitioners sew periwinkle leaves into the mattress to keep husband and wife forever in love and the home peaceful. They are sometimes combined with magnolia leaves, which also have a reputation for promoting faithfulness in love. The blue flowers of periwinkle are representative of spiritual peace and harmony [1].

> used as favorite flower for making charms and love potions and to block evil spirits [1].

> also used to make garlands [1].

> Compounds found in the Madagascar periwinkle have been approved by the US Food and Drug Administration as drugs involved in various forms of chemotherapy [1].

> It is grown both as an ornamental and as a medicinal plant [1].

> It's the source of the drugs vincristine and vinblastine, which are approved by the U.S. Food and Drug Administration and used in western medicine in chemotherapy against Hodgkin's disease, leukemia, malignant lymphoma, neuroblastoma, and other types of tumors [1].

> In addition, more than 70 different alkaloids have been isolated from the periwinkle [1].

> Usage can be traced back to Mesopotamia to 2600 before the common era, and all parts of the plant has been used as medicine [1].

> It was listed in the second century Roman Herbarium by Apuleius -in it, he stated that the herb was used against "devil sickness and demoniacal possession and against snakes and “wild beasts”" [1].

> Although it has serious safety concern for its toxicity, periwinkle has been used in traditional medicine all over the world for diabetes, cancer, as an immune stimulant [1].

> It is also used as a cough remedy, for ease in lung congestion, and as a diuretic [1].

> Some people apply periwinkle directly to the skin to stop bleeding, relive insect bites, wasp stings, for eye irritation, treat infections, and swelling or inflammation [1].

> Its usage dates back to ancient Mesopotamia, 2600 BCE. It was listed in the 2nd century

A.D. Roman Herbarium by Apuleius. In it, he stated that the herb was used against "devil sickness and demoniacal possessions and against snakes and wild beasts.” Apuleius also described the elaborate procedure necessary for harvesting the herb. The Greek physicians Dioscorides and Galen recommend the periwinkle to be consumed mixed into wine against the fluctuations of the belly [1].

> In Ayurvedic medicine, the poisonous extracts of its roots and shoots are used against many illnesses [1].

> Its extracts have been used in traditional Chinese medicine against many diseases, including diabetes, malaria, cough, kidney problems, and Hodgkin's lymphoma [1].

> In Madagascar, the bitter and astringent leaves are used to induce vomiting, and the roots are used as a purgative, depurative, and as toothache remedy [1].

> In Puerto Rico, Cuba, and Jamaica, it is used as eyewash in infants [1].

> Periwinkle flowers are used to treat asthma in the Bahamas [1].

> In South Africa and the West Indies, it is used to cure diabetes [1].

> Traditional uses in the Philippines include inducing abortion and treating stomach cramps [1].

> The periwinkle is used in malaria treatment in Vietnam [1].

> In Indonesia and China, it is used for menstrual complaints and dysmenorrhea [1].

> Since the periwinkle is native to the island of Madagascar, it has been part of the native population’s traditional medicine for centuries [1].

> In the 1950s, researchers from Eli Lilly Pharmaceuticals were led to the rosy periwinkle by shamans in Madagascar. The scientists identified two closely related drugs from the periwinkle extract, vincristine and vinblastine. The drugs were patented and used to treat leukemia, Hodgkin's lymphoma, and other types of cancers. In the 1990s, these two drugs combined generated sales of $100 million/year. Even though both the plant and the knowledge of its medicinal properties were obtained from Madagascar's people, Eli Lilly Pharmaceuticals does not share the revenue generated by these drugs with them [1]. This is another example of biopiracy, the bioprospecting that exploits plants and traditional knowledge by claiming patents to restrict the plant's general use.

> It is currently on the World Health Organization’s Essential Medicines List (EML) [1].

Considering the mechanism of action, vinblastine and vincristine, the two main alkaloids found in periwinkle extract, act as mitotic inhibitors. They prevent cells from undergoing mitosis or cell division, which causes mitotic arrest or cell deaths, preventing cancerous growth. Mitotic inhibitors are used in cancer treatment because cancer cells depend on rapid multiplication to be able to grow and then spread. Thus, cancer cells are more sensitive to inhibition of mitosis than normal cells.  More than 70 bioactive alkaloids have been isolated from the Madagascar periwinkle.

> the anti-cancer compound vinblastine, extracted from the Madagascar periwinkle, does affect the cells in the manner that Vinblastine interferes with mitosis (cell division), stopping cancer cells from replicating.

 

Considering safety, the plant as a whole is toxic and must be used very carefully. Its leaves, aerial parts, and roots retain very high toxicity if consumed orally. Madagascar periwinkle is unsafe when taken by mouth due to the presence of the poisonous vinca alkaloids. Madagascar periwinkle can cause side effects such as nausea, vomiting, hair loss, hearing loss, dizziness, bleeding, nerve problems, seizure, liver damage, or even death. It interacts with diuretics and coagulants and medicines used for diabetes, and its use should be strictly monitored by a health care professional.

Source references

[1] CALS156_course-transcript 2021

 

Example 13 would be the evergreen short narrow needled coniferous shrub or (non-exclusive or) tree yew plant categorizable in the genus taxus (The name "taxus" comes from the Greek word toxon which mean poison; of which genus there are around 30 species that are spread mainly over the Northern Hemisphere of the earth of which taxus species known as the "tree of death" are some of the most deadly trees known since with the exception of the fresh of the aril (aril = an extra seed-covering, typically colored and hairy or fleshy, e.g., the red fleshy cup around a yew seed), the seed-covering part that looks like a berry, all parts of the tree are toxic) categorizable in the taxacaea plant family is possible usable for:

> It is highly toxic, but its needles are also used for medicine, says Professor Friso [1].

> Its uses as poison and as medicine were known since ancient times and was mentioned in written records from Ancient Greece and Rome and was a sacred tree to the Celtic druids [1].

> Despite serious safety concerns, yew tree was used in traditional medicine, for example, a tea brewed from yew or ingestion of the needle for treating various illnesses such as worm infections, seizure, muscle and joint pain, and liver conditions [1].

> Healers also prescribed it for starting menstruation or causing abortion [1].

> Paclitaxel was originally extracted from the bark of the Pacific yew, or Taxus brevifolia, and the Canadian yew, Taxus canadensis. However, the yield was very low and that resulted in the death of the tree, as it was harvest from the bark. This led to concern about the destruction of the ancient yew forests. Yew became an endangered species in the mid 1980s. Scientists were able to isolate a precursor molecule from the needle of other species of yew, European yew, for example, instead of in the bark, and the final synthesis can be done in a chemistry lab. Thus, paclitaxel is now a semi-synthetic product and a sustainable product as well, since the leaves can be harvested without killing the tree. Both paclitaxel, sold under the brand name of Taxol, and related taxanes have shown activity against solid cancers, such as breast, ovarian, and pancreatic cancer, as well as melanoma and leukemia and are used in chemotherapy for the treatment of these types of cancers [1].

 

Considering the mechanism of action, the main active ingredient in yew are a mixture of terpenoids and alkaloids including paclitaxel (also called Taxol), an FDA approved drug used in chemotherapy.  Taxol and other related taxanes inhibit mitosis, or cell division. Stopping a cell during division will generally result in the cell dying. Chemotherapeutic drugs are usually designed to target rapidly dividing cells because sustained proliferation is a common feature of cancers.

>Paclitaxel = The anti-cancer compound that was originally extracted from yew tree (Taxus spp.) is paclitaxel.

 

Considering safety, the compounds in yew can affect various parts of the body including the nerves, heart, and muscles. Yew is likely unsafe for people based on the known toxicity. There are no current clinical uses of the plant extracts, only the isolated compounds in chemotherapy. Crude preparation of yew needles or bark should not be used because of the cardiac toxicity caused by taxanes. Consumption of yew in even small amounts causes cardiac issues resulting in deaths. It's quickly acting, and no antidote exists. Yew extract can interact with many medications including heart medication, antimitotic drugs, and many more.

Source references

[1] CALS156_course-transcript 2021

 

Example 14 would be the Chinese happy tree (which gets its name from its beauty and many “medicinal” properties hence it is called the "tree of joy" because of its beauty and many “medicinal” properties) bionomially named Camptotheca acuminata categorizable in the Cornaceae dogwood family is possible usable for:

            > The leaves, bark, and fruit all potentially have medicinal properties [1].

> The happy tree has been used in traditional Chinese medicine since antiquity to provide treatment for many illnesses including psoriasis, liver and stomach disorders, common cold, cancer, and leukemia [1].

> Although folk uses of Camptotheca have been traced back to many centuries, it was only in the early 1970's that the majority of Chinese doctors became to use his fruits, bark, and leaves to treat certain type of cancer and other diseases in hospitalized patients [1].

 

Considering the mechanism of action, the active compounds are several alkaloids, such as camptothecin and this is derivatives. This led to scientific study to determine if there actually was an anticancer compound. Pharmaceutical companies now use camptothecin as a prescription drug used in chemotherapy for the treatment of cancer. As a chemotherapeutic agent, camptothecin acts on the cell replication cycle in a similar manner to other anticancer drugs we have examined. By interrupting cell division, the rapid growth of cancer cells is stopped. These result in suppression of various types of cancer. Camptothecin has also been used as a template to develop semisynthetic derivatives, such as topotecan and irinotecan, which retain anticancer activity but have less severe side effects. These new compounds have also been approved by the FDA and are used to treat a variety of cancer, particularly those of colorectal and gynecological origin.

>Camptothecin, which was first identified in the Chinese happy tree (Camptotheca acuminata, which is now used to treat certain types of cancers is an alkaloid.

 

 

 

Considering safety, the Chinese happy tree is likely unsafe and poisonous for people to use. Crude preparations of this plant are not recommended. Poisoning is likely and may include tiredness, hair loss, nausea, vomiting, and death, in severe cases. Camptotheca extracts can interact with many medications including heart medication, antimitotic drugs, and many more.

 

Source references

[1] CALS156_course-transcript 2021

 

 

Example 15 would be turmeric which could be helpful in the case of multiple different types of cancer.

I have written an extensive article about it over here:

Turmeric curcumin curcuma longa Linnaeus continual meta-analysis

Eindhoven

Publication date first version: 17 January 2022

Publication date last version: 19 January 2022

Author: Rody Mens - r.w.mens@student.tue.nl

Citation: Mens RW. 17 January 2022. Turmeric curcumin curcuma longa Linnaeus continual meta-analysis; https://www.nutritionfactsnederlands.nl/videoscript/2022/1/17/kurkuma-alomvattend-artikel ;  https://www.researchgate.net/publication/357914622_Kurkuma_Dutch; https://www.researchgate.net/publication/357914530_turmeric_ENG

Some keywords: Indiase kurkuma; Indian turmeric; Chinese kurkuma; Chinese turmeric; zard-choobag; curcuma domestica; kurkuma; turmeryte; tarmaret; terra merita; kuṅkumam; kungumam; kumkuma; kukum; kunku; Kumkum; kunkuma; haldi; haridra; kuṅkumam; meritorious earth; Indiase saffraan; Indian saffron; curcumine; curcumin; kurkumin; kurkumine; zwarte peper; piper nigrum; black pepper; reumatoïde artritis; rheumatoid arthritis; RA; osteoarthritis; OA; artrose; niet-steroïde anti-inflammatoire geneesmiddelen; NSAIDS; non-steroidal anti-inflammatory drugs; systemische lupus erythematodes; lupus; SLE; India; DNA; DNA-damage; DNA-schade; DNA-mutaties; mutaties; mutations; DNA-mutations; multipel myeloom; MM; multiple myeloma; monoclonal gammopathy of undetermined significance; MGUS; monoklonale gammopathie van onbepaalde betekenis; adenomateuze polyposis; precancereuze laesies; precancerous laesions; plaveiselcelcarcinoom; inflammatoire darm ziekte; IBD; colitis ulcerosa; UC; CU; IBD-UC; neurodegenerative diseases; neurodegeneratieve ziekten; Alzheimer; AD; dementia; dementia; conjunctivitis; roze oog; pink eye; uveitis; idiopathische inflammatoire orbitale pseudo-tumoren; non-Hodgkin-lymfoom; non-Hodgkin-lymphoma; prediabetisch; prediabetic; diabetes mellitus; diabetes mellitus type 2; baarmoederfibromen; UF; fibroids; vleesbomen; galblaaspijn; gallbladder pain.

Summary: Turmeric curcumin curcuma longa Linnaeus could possibly help as nutrition for the joints, as nutrition for bones, as nutrition for immunity, as nutrition for the liver, as nutrition for the treatment of cancer, as nutrition for the gastro-intestinal tract, as nutrition for the brain, as nutrition for surgery recovery, as nutrition for the cardiovascular system, as nutrition for the reproductive system, as nutrition for the eyes and as nutrition against pain.

[Turmeric - SOURCES BELOW]

The pungent, bitter, astringent smelling brightly yellow-orange golden (the alleppey turmeric also called the Indian turmeric exemplars have a deep yellow to orange-yellow color) or (exclusive or) brown (the Chinese turmeric exemplars have typically a brownish color) or (exclusive or) red (which red color is created by combining dried turmeric with calcium hydroxide powder and when red it is also called “kunkum” and “kumkuma”) spice powder from the dried ginger-like vegetable but colored on the inside root stalks and the rhizomes of the perennial flowering herb plant living in tropical warm temperature areas and needing plenty of rainfalls to thrive commonly named turmeric which species name is curcuma longa linnaeus (also called “zard-choobag“, “curcuma domestica“, “kurkuma“, “turmeryte“, “tarmaret“, “terra merita“, “kuṅkumam“, “kungumam“, “kumkuma“, “kukum“, “kunku“, “kumkum“, “kunkuma“, “haldi“, “haridra“, “kuṅkumam“, “meritorious earth“, “Indiase saffraan“ and “Indian saffron“ since Marco Polo wrote a that it is a vegetable that has all the properties of true saffron as well as the smell and the color but yet it is not really saffron) categorizable in the plant genus curcuma (also called kurkuma which name may be derived from the Sanskrit “kuṅkuma” which is referring to both turmeric and saffron) in the ginger family zingiberaceae (and thus a relatively close relative of ginger) possibly because it contains the non-steroidal polyphenolic (because of the multiple chemically defined aromatic phenol rings) and multiple hydroxyl group (which aromatic phenol rings and hydroxyl groups give it its antioxidant property) containing the polar readily in water soluble potentially powerful antioxidant curcuminoid diferuloylmethane biologically active compound molecule turmeric curcumin (also called “curcumine”, “kurkumine” and “kurkumin”) that is contained and thus can be found in turmeric as it makes up of approximately 5 [%] of its mass [105] (for which a convenient useful pragmatic sidenote would be that curcumin’s blood serum level bioavailability by increased absorption in the colon can be synergistically potentially boosted thus increased up to 2’000 [%] in human animals when consuming it together with the black pepper piper nigrum that contains the compound peperine [1] which is responsible for about 5 [%] of its mass [106] and which is also responsible for the pungent flavor of pepper and also inhibits the livers metabolism mechanism to make substances water-soluble so they can be more easily excreted suppressing this mechanism leading to higher blood levels of bioavailability of curcumin as within an hour you can see a little bump in the level in the bloodstream of curcumin when the mechanism is unsuppressed because the liver is actively trying to get rid of it while compared to when also consuming peperine with the same amount of curcumin consumed the bioavailability shoots up to 2’000 [%] [1], which does not take much black pepper since a little pinch of 1/20 of a teaspoon is enough to considerably boost levels [107], which concomitant combination would work great in a curry recipe for example since the bioavailability of curcumin is normally very low and thus the nutritional value is poorer when not consumed with black pepper since just a tiny bit gets into our bloodstream after eating a nice curry unless we add some black pepper [1]; and another way to boost the absorption of curcumin is to consume it in the whole food turmeric root form (relatively fresh or dried as a powder) as compared to an extract because natural oils found in turmeric root and turmeric powder can enhance the bioavailability of curcumin 7 (seven) to 8 (eight) fold [107]; and when eaten together with a relatively large amount of fatty acid containing foods such as nuts, e.g. walnuts, almonds or pecans, also ensures increased bioavailability as curcumin can be directly absorbed into the bloodstream through the lymphatic system and thus thereby in part bypassing the liver [107]) which curcumin pigment also gives turmeric its brightly deep yellow to orange-yellow golden color which turmeric is possibly usable as

>Nutrition for joints and nutrition for bones because it could possibly help with the condition of arthritis such as osteoarthritis OA which characterizes itself by progressive destructional loss of cartilage and therefore leading to damaging bone also causing bone loss in joints caused by inflammation possibly leading to disability (e.g. pain in the kneecap of the knee from osteoarthritis, which osteoarthritis in more general terms is not just from excess wear and tear from added load on the joints because relatively non-weight-bearing joints, like the hands and wrists, can also be affected suggesting the link is not purely because of mechanical load), for which curcumin in the spice turmeric may work as well as, or even better than, anti-inflammatory drugs and painkillers used for the treatment because in a study of 50 patients suffering from mild-to-moderate knee osteoarthritis they were given either the best available medical treatment, which included control with anti-inflammatory drugs and painkillers, or the best available treatment along with some proprietary curcumin supplement in which they looked at a number of different outcome measures, including the so-called Karnosfsky scale used for evidence of the presence of disease (which scale goes up to a 100 which is normal, no complaints meaning no evidence of disease and down to zero, at which someone is dead) which resulted in the group with the added curcumin doing symptomatically significantly better, and were able to double their walking distance. The curcumin group was able to significantly decrease their drug use, significantly fewer negative side-effects, less swelling, less hospitalizations, and less other treatments needed [2]. Another study showed that it does not have to be some expensive proprietary formula because looking at the efficacy of turmeric extracts in patients with knee osteoarthritis in a hundred sufferers randomized to an ibuprofen group or group using concentrated turmeric extracts for 6 (six) weeks showed that the members in the curcumin group did as good as or even better than the ibuprofen group. This all the while ibuprofens can cause gastro-intestinal tract problems causing ulcerative bleeding by perforation of the intestines’ duodenum and stomach by ibuprofen eating right through our stomach wall which even happened to someone in the study as well [3]. This whereas turmeric does not have such side effects and can be potentially protective to a long list of diseases [4], it does however have some potential negative effects in people with specific conditions but more about that I have written below.

>It may also help as nutrition for joints and nutrition for bones for the arthritis condition rheumatoid arthritis RA which characterizes itself by progressive destructional loss of cartilage and therefore damaging bone also causing bone loss in joints caused by inflammation possibly leading to disability since curcumin has been proven to be more effective in alleviating pain from rheumatoid arthritis compared to the leading drug of choice. The efficacy of curcumin was first demonstrated years ago around 1980 in which a double-blind crossover study of curcumin versus the powerful anti-inflammatory in racehorses used phenylbutazone in which both drugs showed significant improvement in morning stiffness, walking time, joint swelling, with the complete absence of any side effects in the curcumin group [5] while phenylbutazone was pulled from the market 3 (three) years later for wiping out defunctionalizing some people’s immune systems, taking their lives killing them [6]. Another study showed that of 45 (forty-five) patients diagnosed with rheumatoid arthritis randomized into 3 (three) groups (curcumin, the standard of care drug, or both) that the primary endpoint was a reduction in disease activity, as well as a reduction in joint tenderness and swelling which in all 3 (three) groups got better, but the (2) two groups including curcumin showed the highest percentage of improvement significantly better than those in the drug group and demonstrating that curcumin alone was not only safe and effective, but was surprisingly more effective in alleviating pain compared to the leading drug of choice without any apparent adverse side effects with even curcumin appearing protective, given that there were more adverse reactions in the diclofenac sodium drug group than the combined drug and curcumin group [7]. In contrast to the nonsteroidal anti-inflammatory drugs NSAIDS, curcumin has no negative gastrointestinal effects and appeared to may even protect the lining of the stomach [8]. Curcumin does have some negative effects in people with specific conditions but more about that I have written below.  

>It may also help as nutrition for immunity for inflammatory conditions such as systemic lupus erythematosus (also called “SLE” and just “lupus”) in which possibly our immune system, often via producing antibodies, attacks the very nucleus of our cells attacking our DNA itself being able to potentially damage any organ area regional system which could result in a lot of different complications (and thus may be helpful as nutrition for a lot of body component systems), e.g. helpful as nutrition for the kidneys in lupus kidney nephritis (lupus kidney nephritis is also called LN and has different more specialized forms of description, e.g. glomerulonephritis) caused by inflammation (which inflammation is caused by the disease itself or (exclusive or) as a result of intense immunosuppressive drug toxicity or (exlusive or) a combination of both; of which drugs used could be chemotherapy drugs, e.g. the means cytoxan and cyclophosphamide, which can have life-threatening side effects which may include leukemia and bladder cancer and many women lose their hair and become permanently infertile [9]) in which case oral intake of turmeric could be helpful as nutrition for the cardiovascular system because it decreases cardiovascular system manifestation of nephritis such as proteinuria (which is functional spilling of protein in the urine), hematuria, and the systolic blood pressure in human animals suffering from relapsing or (exclusive or) refractory, i.e. untreatable, lupus kidney nephritis according to a randomized double-blind placebo-controlled study because in the control group, 3 (three) people got better, 3 (three) person’s condition got worse, and the rest pretty much stayed the same while in the turmeric group, 1 (one) got worse, 1 (one) stayed the same, but the rest all got better. In this study they took women with out-of-control lupus, and just had them take like ¼ (a quarter) teaspoon of turmeric with each meal for 3 (three) months [10] costing practically nothing compared to [$] 35’000 a year for 1 (one) of the latest lupus drugs which is the monoclonal antibody belimumab that inhibits B-lymphocyte stimulating protein [11].

>It may also help as nutrition for treatment of cancer as plant and fungi-based food products accomplish multitargeting of cancer causing aspects inexpensively and safely as compared to chemotherapy drugs which are increasingly more specific over development-time monotargeted therapies (or called pseudo-multitargeted when multiple chemotherapy drugs are combined) because studies indicate that in any given type of cancer, hundreds of different genes must be modified to change a normally functioning cell into a cancer cell thus although cancers are characterized by the multiple step dysregulation of cell signaling pathways, most current anticancer therapies involve only the modulation of a single target. Thus, certain plant- and fungi-based products may work or even work better than certain chemotherapy drugs but plant- and fungi based anticancer therapies has not been prioritized because drug companies are not usually able to secure a by threat of violence government monopoly inducing intellectual property rights to these products and the extracted compounds [12]. Looking at the potential of turmeric, epidemiological on population-based data from studies show that very significantly very much lower cancer rates by lower incidence of cancer (e.g., U.S. men get 23 times more prostate cancer, get between 8 (eight) and 14 times the rate of melanoma, 10 to 11 times more colorectal cancer, 9 (nine) times more endometrial cancer, 7 (seven) to 17 times more lung cancer, 7 (seven) to 8 (eight) times more bladder cancer, 5 (five) times more breast cancer, and 9 (nine) to 12 times more kidney cancer than men in India; which is hundreds of percent more breast cancer and thousands of percent more prostate cancer [14]) is achieved in other areas of the world, thus less prevalence of cancer in regions of the world where turmeric is relatively more heavily and more widely consumed via the diet such as in India, may be due to their relatively more plant-based spice-richer diet which often includes turmeric curcumin. This comparison with India is relevant because Indians account for 1/6 (one-sixth) of the world’s population, and have some of the highest spice consumption in the world, thus epidemiologic studies in this country have great potential for improving our understanding of the relationship between diet and cancer [13]. Of course, it may not be the spices as the study noted that several dietary factors may contribute to the lower overall rate of cancer in India of among them being a relatively lower intake of meat by a mostly plant-based diet in addition to the relatively high amount of intake of spices. This is significant because 40 (forty) percent of Indians are vegetarians, and even the ones that do eat meat do not eat a lot of meat, of which we could use the axiom that health is not only what you do not eat but also what you do eat. India is one of the largest producers and consumers of fresh fruits and vegetables and they eat a lot of pulses, meaning legumes such as beans, chickpeas, and lentils. Concluding it is probably not just turmeric because they eat a wide variety of spices, which group of products called spices constitute by mass the most antioxidant-packed class of foods in the world. Population studies cannot prove a correlation between dietary turmeric and decreased cancer risk, but it certainly inspired a bunch of research. So far, curcumin has been tested against a variety of human cancers, including colorectal cancer, pancreatic cancer, breast cancer, prostate cancer, multiple myeloma, lung cancer, and head-neck cancer, for both prevention and treatment [15].

It may help as nutrition for treatment of cancer as chemopreventive agent, i.e. a substance that may help prevent cancer (as opposed to chemotherapy agents, i.e. substances aimed at treating cancer thus substances that may help with treating cancer), because given its possible multiple mechanisms of action curcumin may help as nutrition for treatment of cancer and helpful as nutrition for the immune system as it may be classified as chemopreventive agent into all 3 (three) of the by these researchers acknowledged categorical-distanced different chemopreventive agent subgroups called the antiproliferative chemopreventive agents subgroup, the antioxidants chemopreventive agents subgroup, and the carcinogen-blocking chemopreventive agents subgroup [16]. Curcumin appears to play a role helping to block every stage of cancer transformation, proliferation, and invasion [16]. It may even help prevent carcinogens to even get to our cells [16]. An in vitro, i.e., in glass test tube or petri dish, study back investigated the effects of curcumin on the mutagenicity, i.e., the DNA-mutating ability, of several toxins after which they found that curcumin was an effective antimutagen against several mutagenic possibly cancerogenic, i.e., cancer-causing substances [17]. For in vivo, i.e., in people, studies it is not ethically just to take a group of people and expose them to carcinogens giving half of them a dosage of turmeric and then waiting to see what happens. You could wait until some toxic waste spill happens, e.g., by a nuclear accident, but otherwise you are not easily going to find people who would voluntarily expose themselves to carcinogens. But you can test on people who already voluntarily expose themselves to carcinogens, such as smokers. A lot of living organisms are encoded by DNA, so you could look at the number of DNA mutations that arise measuring urinary mutagens by using a person’s urine and bacterial strains. The research indicates that the urine of non-smokers caused far fewer DNA mutations, possibly because they have fewer toxic mutagenic compounds running through their system thus also not higher toxins concentrated pee. They tested nonsmokers against smokers both eating turmeric for 1 (one) month and saw no significant difference in the tested nonsmokers over time but in the smoking and turmeric consuming group they saw an increasingly more significant drop of mutagenic compounds in the urine with each consecutive teaspoon a day (but even eating turmeric for 1 (one) month, the mutagenesis of smoker pee exceeded that of nonsmokers) of just regular store-bought turmeric (so not some concentrated curcumin supplement) consumption, which indicates that dietary turmeric is an effective antimutagen. Thus, regular turmeric curcumin intake appears to significantly lower the DNA mutating ability of cancer-causing substances [18]. The pre-programmed planned suicidal “for the greater good of the rest of the body” cell death by self-destruction process for unhealthy cells to die naturally to make way for fresh cells called apoptosis (meaning falling away from as “ptosis” means “falling” and “apo” means “away from”) could be corrupted by cancer cells disabling this function causing them not to die when they are by your body planned supposed to, possibly by somehow turning off to this process related genes and thus compounds such as certain proteins expressed by these genes to perform that function causing these cancerous cells to continue to thrive and divide with potential of forming tumors and potentially spread throughout the body. Turmeric could be helpful as nutrition for treatment of cancer by regulating the reprogramming of and thus reactivating the self-destruct mechanism back into these apoptosis-corrupted cancer cells which could have disabled their own death receptors or when uncorrupted activating it in cancer cells by use of curcumin because it upregulates so-called death receptors in cancer cells that trigger the activation of the self-destruction sequence [19] as has been demonstrated as such that it may be helpful for human cells as nutrition for treatment of kidney cancer [21], as nutrition for treatment of skin cancer, as nutrition for treatment of nose cancer and as well as to be helpful as nutrition for treatment of throat cancer [22]. This could possibly take place via the so-called death receptor protein FAS which activates the FAS-associated death domain, along with other death receptors after which FADD then activates caspase-8, which in turn could ignite the previously corrupted self-death process or activate it in non-corrupted cancer cells killing the cells [20]. But via a certain process pathway it can also activate the (corrupted or non-corrupted) self-death process relatively more directly as has been shown such that it may be helpful as nutrition for treatment of lung cancer [24] and helpful as nutrition for treatment of colon cancer [23] possibly via activating so-called executioner enzyme caspases that, when activated, destroy the cancer cell from within by chopping up internal proteins left and right [25] also called a death by a thousand cuts [26]. There are also a lot of other possible ways curcumin can affect apoptosis because within this review paper listed different types of cancer cells curcumin can potentially kill showing that curcumin can kill a wide variety of tumor cell types through diverse mechanisms [19]. It is because curcumin can affect numerous mechanisms of cell death simultaneously (i.e., at the same time) making it potentially harder for cancer cells to avoid destruction making it is possible that cancer cells may not so easily develop resistance to a by curcumin-induced cell death like they could do to most chemotherapy against which cancer cells can develop resistance over time. Furthermore, it is also mentioned that curcumin seems to tend to leave normal non-cancerous beneficial cells to the human body alone for reasons that are according to the paper writing not yet fully understood but nonetheless making it an attractive candidate as nutrition for treatment of cancer [19].

It may help as nutrition for the immune system as nutrition for prevention against carcinogenesis (cancer development) and treatment of cancer as preventative for and as treatment against previous heavy metal exposure such as arsenic (e.g., as contamination of drinking water [40] of which as many as 1/10 (one in ten) in some parts of the country mentioned in the study will now go on to die from cancers caused by the arsenic exposure) which is considered a carcinogenic heavy metal thus being able to possibly induce cancer that possibly happens because it induces accumulation of free radicals that can damage our cells by damaging their DNA (having the ability of damaging DNA may also be called a bad form of being mutagenic) and it may also disrupt our body’s ability to repair our DNA once it is damaged next to also being able to kill our cells [38]. If the damage is caused by free radicals, we could probably diminish the damage by eating foods that eliminate free radicals such as the spice turmeric which contains the antioxidant pigment curcumin which could possibly help with both scavenging of free radicals as well as chelation of, i.e., binding up, heavy metals [39]. After the disastrous exposure of a large part of the population as mentioned in source [40] a study was launched of which 50 [%] of volunteers were randomly selected and prescribed curcumin capsules blended with a little black pepper while the other half were given a placebo and in addition a third group was added as control non-exposed to the heavy metal arsenic which control group amount of DNA damage does not change much remaining the same throughout the study remaining stable to use as a baseline and they also established a baseline for the arsenic-exposed groups by waiting for 3 (three) months before starting to induce the supplemental change in the study [41].  Then, for 3 (three) months, they proceeded to give them either curcumin and black pepper or (exclusive or) the placebo. Within the first month, you could see the curcumin working and by the third month the DNA damage in the curcumin-treated arsenic group was no worse than in those who had not been exposed to arsenic at all thus an extremely significant improvement, certainly as the arsenic-exposed placebo group stayed charted with about a little lower than the same amounts of DNA damage at the start of the study which could be explained by a very much slower filtering of the body of arsenic as compared to when turmeric curcumin is consumed. Thus, turmeric curcumin can regress DNA damage of heavy metal arsenic exposure and importantly they also undid the arsenic crippling of our DNA repair enzymes thus both help with preventing the damage and facilitating repair in the case of DNA damage already occurred [41].

It may also help as nutrition for treatment of cancer as it may help with prostate cancer since in a study of 199 men with prostate cancer in which they three times a day got either a placebo or a tablet containing 100 [mg] of whole powdered pomegranate (i.e. the whole fruit just with the water taken out) that comes out to be about 6 (six) pomegranate seeds’ worth a day which is about 1/100 of a pomegranate a day in which study they were trying to use synergistical effects (using the axiom “when you have two people eating the same number of servings of healthy foods then the one eating a greater variety probably eats healthier” which comes about the same as the axiom “smaller amounts of many phytochemicals may have a greater potential to exert beneficial effects on your body than larger amounts of fewer phytochemicals” which was used to maximize their chances of beating back the cancer in terms of protecting their DNA from free radical damage using introduced diversity by the supplement for two groups of people normally eating approximately the same amount of fruits and vegetables) by adding some powdered broccoli too, some powdered turmeric, and some powdered green tea concentrate in the supplement (which made the supplement like a fruit, a vegetable, spice and leaf all in once but in tiny amounts, about 1 (one) floret of broccoli a day, less than 1/8 (an eighth) teaspoon a day of turmeric, and about 1/6 (one-sixth) of a tea bag worth of green tea) which study showed that of the men with early-stage prostate cancer trying to avoid surgery the levels of prostate-specific antigens in the prostate-specific antigen (PSA) blood test rose nearly 50 [%] in the placebo group indicating the cancer continued to flourish, whereas in the pomegranate+broccoli+turmeric+green tea food supplement group the PSA levels did not rise anymore at all. And for those with more advanced disease (i.e., those that already had surgery or radiation, and trying to avoid chemotherapy) an about 70 [%] greater rise in the placebo group as compared to the supplement group which was enough to significantly delay some of the more toxic treatment meaning significant short-term (6 (six) months) favorable effects. The study concluded only short-term favorable effects because they only had enough money to run the study for 6 (six) months, because it was a non-commercial endeavor funded by charity meaning that long-term favorable effects could also exist but that the study stopped prematurely to possibly determine those possible long-term effects. This was also not a study by a supplement company, in fact, there was no supplement until the investigators made it up from scratch to test the chemical phytonutrient compounds for treatment of the disease in this study. Of course, now there is a supplement given the study’s extraordinary results, but the only reason the researchers put the foods in pill form was to match it with a placebo. This study thus tells us that a cancer patient, in this case a prostate cancer patient, is better off when eating curried broccoli whereafter fruit for dessert and a sip of some green tea [59]. Also is known that a completely plant-based diet may even shrink the tumor not just slow it down [60].

It may help as nutrition for treatment of cancer especially pancreatic cancer (which is among the most aggressive forms of human cancer with a very high mortality rate with a 5-year survival rate of only 3 [%] and an average survival of less than 6 (six) months, representing the fourth leading cause of cancer death in United States of America with an annual mortality of 32’000 dead) as turmeric was tested for treatment as there is desperate need for new treatment options as there are only a few FDA-approved therapies for it such as the use of gemcitabine and erlotinib which only produce some objective responses in less than 10 [%] of patients while also causing severe negative effects in the majority of patients [61].

Clinical research to test new treatments are split up into phases. Turmeric curcumin has passed a number of phase I trials just to make sure the treatment is safe by seeing how much you can give someone before it could become toxic. In fact, there was so little toxicity, the dosing was limited only by the number of pills that patients were willing to swallow [62]. Turmeric curcumin has also passed a phase II trial which is to see if it actually has any effect, which it did in 2 (two) of the 21 patients that were evaluated in which 1 (one) of whom had a 73 [%] tumor reduction [63]. Unfortunately for this person the effect was short-lived since that first lesion remained small but apparently a curcumin-resistant tumor close emerged, whereas the other patient showed slow improvement over a year with a stable disease situation for over 18 months. In fact, the only time their cancer markers bumped up was during a brief 3 (three) week stint where the curcumin supplementation was stopped, concluding that it does seem to help some patients with pancreatic cancer, and most importantly no negative effectual downsides of curcumin-related toxic effects up to doses of 8 (eight) grams a day as compared to the downsides that are present in the use of the medicinal drugs such as gemcitabine and erlotinib mentioned earlier [61]. Curcumin does have some negative effects in people with specific conditions but more about that I have written below. We however do not know what happens after eight grams of turmeric curcumin a day because no one was willing to take that many pills while they were willing to undergo on one of the nastiest chemotherapy regimens on the planet, they did not want to be inconvenienced with swallowing a lot of turmeric curcumin capsules [62].     

As of now the only sure way to beat pancreatic cancer is to avoid it by preventing it in the first place. A historical large 2010 study found that dietary fat of animal origin was associated with increased pancreatic cancer risk, but it was not known yet which animal fat is the worst for possibly helping to induce pancreatic cancer [64]. A study in 2013 could help with answering that question finding that poultry was the worst with a 72 [%] increased risk of pancreatic cancer for every 50 [g] of daily poultry consumption which is just like ¼ (a quarter) of a chicken breast [65]. The reason white meat came out worse than red meat may be because of the cooked meat carcinogens in chicken such as the heterocyclic amines that build up in grilled and baked chicken which mutagenic carcinogenic chemicals have been associated with doubling pancreatic cancer risk [66].

Other recent studies include one out of San Francisco, implicating the standard American diet and one out of Italy, concluding high consumption of meat and other animal products, as well as of refined carbs was associated with pancreatic cancer risk, whereas a diet rich in fruit and vegetables appeared to lower the risk of pancreatic cancer [67]. Eating meat may increase risk of pancreatic cancer, whereas eating fake meat has been found associated with significantly less risk. Those who eat plant-based meats like veggie burgers or veggie dogs three times or more a week have less than half the risk of fatal pancreatic cancer. Also legumes and dried fruit were found to be protective [68].

>It may also help as nutrition for treatment of cancer with cancer of the antibody-producing plasma cells also called multiple myeloma MM which is a disease almost always preceded by the asymptomatic (someone does not even know they have it until a doctor finds it incidentally, e.g. during routine blood work) precursor disease called monoclonal gammopathy of undetermined significance MGUS which MGUS is about one of the most common premalignant disorders with a prevalence of about 3 [%] in the older white general population [73] and about 2 to 3 (two to three) times that in African-American populations [74], which when progresses into to multiple myeloma means that you then have about 4 (four) years to live [73] which is why we need to find ways to treat MGUS early, before it turns into cancer. But no such treatment exists yet, rather, patients are just kind of placed in a holding pattern, with frequent checkups. Thus, if all you are going to do is watch and wait you might as well try out some dietary changes such as adding turmeric curcumin to your diet since it is relatively safe considering that it has been consumed as a dietary spice for centuries and it kills multiple myeloma cells since in a study was shown that when measuring the progression of the disease that is characterized by the rise in blood levels of paraprotein, which is made by MGUS and myeloma cells, about 1 in 3 (one in three) of the patients’ bodies positively responded to the curcumin dropping paraprotein levels whereas this was not the case in the placebo group [75]. These positive findings prompted them to commence a double-blind randomized control trial study in which they saw the same kind of positive biomarker response in both MGUS patients as well as those with so-called “smoldering” multiple myeloma, with which is meant an early stage of the disease multiple myeloma. These findings suggest that curcumin might have the potential to slow the disease process in patients delaying or preventing the progression of MGUS to multiple myeloma [76] but we do not know until longer larger studies are done.

The best way to deal with multiple myeloma is to not get it in the first place. In 2010 a study suggests that vegetarians have just ¼ (a quarter) the risk, i.e., 75 [%] less risk, of multiple myeloma compared to meat-eaters [77]. Even just working with chicken meat (e.g., in a chicken meat production facility) may double one’s risk of multiple myeloma, the underlying thinking being that cancers like leukemias, lymphomas, and myeloma may be induced by viral agents in both cattle as well as chickens which are so-called zoonotic (i.e., animal-to-human) oncogenic (i.e., cancer-causing) viruses. Beef, however, was not associated with multiple myeloma [78]. There are however some vegetarian foods we may want to avoid. Harvard reported a controversial link between diet soda and multiple myeloma implicating aspartame [79]. French fries and potato chips should not be the way we get our vegetables because there is also a link over there [80], nor should we probably pickle them because while the intake of shallots, garlic, soy foods, and green tea was significantly associated with a reduced risk of multiple myeloma, intake of pickled vegetables three times a week or more was associated with increased risk of multiple myeloma [81].

>It may also help as nutrition for treatment of cancer with treatment of colon cancer because it was shown in a study that those with high risk of colon cancer and those with colon cancer could reverse the progression of their disease by taking curcumin.

In a last-ditch attempt to save the lives of 15 (fifteen) patients with advanced colorectal cancer that did not respond to any of the standard chemotherapy agents and radiation, they started giving them a turmeric extract for 4 (four) months that appeared to help stall the disease in 1/3 (a third) of the patients, i.e. five out of fifteen, from the second month onwards of treatment suggesting turmeric may cause clinical benefit in at least some patients with advanced refractory colorectal cancer [82]. Now, if we were talking about some new kind of chemotherapy, and it only helped 1/3 (one in three) you would have to weigh that against negative chemotherapy effects such as losing your hair, sloughing of your gut, intractable vomiting, and maybe being bedridden. So, in a drug scenario a 1/3 (one-in-three) benefit may not sound particularly appealing, but when we are talking about a plant extract proven to be remarkably safe, even if it just helped 1/100 (one in a hundred), it would be worth considering. With no serious downsides, a 1/3 (one-in-three) benefit for end-stage cancer is pretty exciting.

Researchers at the Cleveland Clinic and Hopkins tested five years later two phytochemicals, i.e., curcumin (from turmeric) and quercetin (found in red onions and red wine), to see if colon cancer could be prevented in people with familial adenomatous polyposis which is a disease that runs in families in which you develop hundreds of polyps which will eventually turn into cancer (colon cancer forms from polyps) unless they have their colon prophylactically removed. So, they took 5 (five) such patients who already had their colons removed but still either had their rectum and/or a little intestinal pouch which were still packed with polyps, the patients started out between 5 (five) and 45 polyps each. And after 6 (six) months of curcumin and quercetin supplements they on average ended up with fewer than half the polyps, and the ones that they had shrunk half in size. In the study was also one patient, i.e., the patient called patient 1, who got rid of all their polyps by month three but then they seemed to come back which possibly happened because it turned out the patient stopped taking the supplements. So, they put them back on the phytonutrient supplements for another three months, and the polyps came back down all with virtually no adverse events and no blood test result abnormalities. Thus, by studying people at high risk for colon cancer, they were able to show noticeable positive effects within just months. But polyposis is a rare disease because of which they were only able to recruit 5 (five) people for the study [83].

Another five years later, researchers put 44 smokers on turmeric curcumin supplements alone for a month and measured changes in their colorectal aberrant crypt foci, which are things that may act like precursors to polyps which polyps may be the precursors to causing cancer. The study shows that after just one month there was a significant drop in the number of these aberrant crypt foci in the high-dose supplement group but no change in the low-dose group, without dose-limiting side effects other than that the stools in some participants did turn a bit yellow [84]. Curcumin does have some negative effects however in people with specific conditions but more about that I have written below.

>It may also help as nutrition for treatment of cancer cutting down on precancerous lesions, and even pre-precancerous lesions such as with treatment of bladder cancer and early-stage squamous cell carcinoma skin cancer (caused by arsenic exposure) and early-stage cervical cancer and precancerous lesions in the mouth and precancerous lesions in the stomach because it was shown in a study that people who just had bladder cancer taken out, or who have early-stage squamous cell carcinoma skin cancer (caused by arsenic exposure), or early-stage cervical cancer, or precancerous lesions in the mouth or precancerous lesions the stomach that in about ¼ (a quarter) of the patients the lesions started to get better as in ½ (one out of the two) bladder cancer survivors, 2/7 (two out of seven) precancerous mouth lesions, 1/6 (one out of six) precancerous stomach lesions, ¼ (one out of the four) early-stage cervical cancer cases, and 2/6 (two out of six) early-stage skin cancer, this by all of them without any noticeable negative effects [85].

>It may also help as nutrition for treatment of cancer of skin accessible cancers as topical agent since in a study in which researchers took turmeric from the store, subsequently made a tincture out of it whereafter drying it and putting it in vaseline, and then had cancer patients rub it on their cancer three times a day showed that in cancers such as in the mouth, breast (topical breast cancer since advanced breast cancer can ulcerate right through the skin), skin, and vulva in people with recurrent ulcerating tumors (in which surgery, radiation and chemotherapy did not work) that rubbing with a turmeric ointment produced a remarkable relief (as open cancers can stink, itch and ooze), with reduced exudate (exudate meaning a mass of cells and fluid that has seeped out of blood vessels or an organ, especially in inflammation) oozing, and with a reduction in smell in 90 [%] of the cases (even in extensively ulcerated cases of breast cancer), and a reduction in itching in almost all cases as well. For example, it relieved the “severe itching” in 2 (two) of the vulva cancer patients. Most of the lesions dried up, and in many cases this relief lasted for months all from just rubbing on some harmless spice turmeric [86].

>It may also help as nutrition for the immune system as prevention of cancer as turmeric was shown in vitro to be effective at reducing radiation damage thus being protective against radiation induced damage [87], but this study is all just on cells in vitro in a test tube not tested in vivo in actual human beings yet. You can find people who are voluntarily exposed to radiation you can test stuff on such as pilots [88], and also hospital workers that run the X-ray machines who have been found to suffer inordinate radiation exposure, leading to chromosomal damage as a result as compared to other hospital staff [89] and leading to higher levels of oxidative stress within their body [90]. Although X-rays can damage DNA directly, much of the damage is caused by the free radicals generated by the radiation [90] which is why for a study the researchers asked radiation staff to drink 2 (two) cups a day of lemon balm (an herbal tea known to have high levels of antioxidants) tea for a month resulting in the level of antioxidant enzymes in their bloodstream to go up, and the level of free radical damage going down which both lead in this research to the conclusion that oral administration of effective antioxidant foods such as lemon balm tea may be helpful for the protection of the radiology staff against radiation-induced oxidative stress improving the antioxidant defense system, especially enzymatic defense due to its antioxidant properties [92]. And if that is the reason then practically any plant should fit the bill, especially plants with high antioxidant molecules such as turmeric has curcumin which then also fits in this picture [91].

It may also be helpful for nutrition for treatment of cancer especially breast cancer since turmeric, like soy, may also suppress human fat cells and not only have an antiproliferative effect on cancer [94], but may prevent cancer metastases by inhibiting cancer cell invasion [95]. The main turmeric compound is even being considered as a leading treatment for multidrug-resistant breast cancer [96].

It may also be helpful as nutrition for the immune system as turmeric curcumin may help as an anti-inflammatory antioxidant which could be why it may also be helpful as nutrition for the gastro-intestinal tract as turmeric may help with the debilitating condition called inflammatory bowel disease (also called “IBD”) such as ulcerative colitis (also called “UC”, “CU”, “colitis ulcerosa” and “IBD-UC”), because a randomized double-blind placebo-controlled trial study found that when that when giving persons with this condition either turmeric curcumin along with their already used conventional anti-inflammatory drugs or (exclusive or) taking a placebo and their drugs, that in the placebo group 8 (eight) out of 39 relapsed (meaning their disease flared back up, one of the disease characteristics of this disease is that intensity of disease changes over time dependent on people’s lifestyles which why the relapse is happening the people, physicians and doctors themselves currently often poorly understand only signifying that it could relapse thus meaning it comes and goes, stopping the thought-process there), i.e. about 20 [%], while in the curcumin group statistically significant relatively fewer amount of only 2 (two) out of 43, i.e. about 5 (five) [%] relapsed as compared to the 20 [%] in the placebo-group. Furthermore, when relapsed or not, the overall conditional pleasantness of experiencing life because of their bodily health condition in the placebo group got increasingly worse over time while in the curcumin group the trending line got increasingly better over time, which was also more objectively, via a higher objective versus subjective measurement fraction, endoscopically found by visualizing the insides of their colons which gave a statistically significant improvement in the endoscopic index as well. The difference between 5 (five) [%] and 20 [%] was so big that the researchers wondered if something in the study went wrong such as e.g., even though patients were randomized to each group, maybe it was through some coincidence that the curcumin group just ended up being much healthier thus it being a different factor than curcumin that accounted for the results. Therefore, to filter out this potential effect they extended the study another 6 (six) months, but then put everyone in the placebo group stopping curcumin supplementation to everyone to see if the persons previously assigned the curcumin then started relapsing more too becoming just as bad as the placebo-group, which is exactly what happened which is that upon withdrawal of curcumin the relapse rate quickly paralleled that of patients treated initially with only a placebo concluding that curcumin seems to help for maintaining remission in patients with relatively quiescent ulcerative colitis [27]. This all the while turmeric does not induce the negative effects persons with ulcerative commonly suffer from by the in the majority of cases use of drugs every day for the rest of their lives (such as drugs that are commonly used for inflammatory bowel disease are e.g. sulfasalazine (SZ), mesalamine, corticosteroids, immunomodulators and remicade) which can add to disease complications such as most commonly nausea, vomiting, headaches, rash, fever, and inflammation of the liver, pancreas, and kidneys. As well as crippling their immune system and reducing or even eliminating fertility [28]. Curcumin does have some negative effects in people with specific conditions but more about that I have written below. 

It may also be helpful as nutrition for the brain as preventative means against neurodegenerative diseases since anti-inflammatory agents may reduce the risk of Alzheimer’s disease without the negative effects anti-inflammatory drug agents such as non-steroidal anti-inflammatory drugs (NSAIDs) have which could induce toxicity of the stomach, liver and kidney [33]. People populations who eat a lot of the spice turmeric may have the lowest reported prevalence, i.e., how many people with the disease are reported to be walking around, of dementia and Alzheimer’s such as is the case in rural India [34]. But this information may only be incorrectly indicative because in such a relatively impoverished area the people living there might not live very long which makes that you need to know more than just the prevalence but also the incidence of the disease, i.e., how many people are newly diagnosed with it every year, which reflects the true rate of disease occurrence. In rural Pennsylvania the incidence rate of Alzheimer’s disease for people over age 65 is such that 19 (nineteen) people in a thousand develop Alzheimer’s disease every year while in rural India, using the same diagnostic criteria, that same rate is 3 (three) in a thousand, confirming that they have among the lowest reported Alzheimer’s disease rates in the world [34]. According to the researchers the lower prevalence of Alzheimer’s in India is generally attributed to the turmeric consumption as a part of curry, and it is assumed that people who use turmeric regularly have a lower incidence of the disease [34]. Not assuming anything a study showed that of a thousand people tested those who consumed curry at least occasionally did do better on simple cognitive tests than those who did not, meaning those that often ate curry had only about ½ (half) the odds of showing cognitive impairment after adjusting for a wide variety of potential confounding factors suggesting that curry consumption may be associated with better cognitive performance [35]. Of course, it probably matters what is being curried (e.g., are we talking about chicken masala, or chana masala, i.e. with chickpeas instead of chicken), therefore it may be no coincidence that the country with among the lowest rates of Alzheimer’s disease has among the lowest rates of meat consumption with a significant percentage of Indians eating meat-free and egg-free diets [36]  which is correlated with Alzheimer’s disease since those who eat meat (red meat and/or white meat) appear between about 2 (two) to 3 (three) times more likely to become demented as compared to vegetarians with the longer one eats meat-free the lower the associated risk of getting dementia [37].

It may also be helpful as nutrition for the brain for the treatment of neurodegenerative diseases such as the psychological behavioral symptoms of dementia in persons with Alzheimer’s disease AD as a case series study with 3 (three) Alzheimer’s patients were treated with a teaspoon of turmeric a day, which comes out to a few dollar cent or euro cents, which statistically significantly improved their symptoms declining the negative symptoms along with the burden on their caregivers [29]. Case number 1 (one) is an 83-year-old woman which started losing her memory getting disoriented after which she started having problems taking care of herself, wandering aimlessly, and becoming incontinent. After the turmeric consumption adage to her diet though, her agitation, apathy, anxiety, and irritability were relieved, and she had less accidents. Furthermore, she began to laugh, sing, and knit again. After taking turmeric for more than a year she came to recognize her family again and now lives a peaceful life without any significant behavioral psychological symptom of dementia [29]. Case number 2 (two) was similar, but with hallucinations, delusions and depression, which appeared to be relieved by turmeric consumption. She began to recognize her family again and now lives in a peacefully serene manner. And the third case was similar as well, including an improvement in cognition [29].

However, using turmeric curcumin supplements rather than turmeric itself does not seem to work as 2 (two) trials failed to show a benefit [30, 31]. Concentrated into pill form at up to 40 times the dose, no evidence of efficacy was found. This could be because curcumin is just one of the hundreds of phytochemicals which are found in turmeric [32]. We do not get to see the results we saw in the 3 (three) case reports because either those cases studies were not scientifically valid enough or (exclusive or) because of the curcumin not working as an isolated dosage at all meaning that other components in turmeric other than curcumin are responsible for the effect which could be tested by isolating other components or (exclusive or) it could be a combination meaning that synergy might be at play meaning the whole food is greater than the sum of its parts and thus that a synergism significant effect of bioactive compounds is only noticeable when more compounds than the one compound curcumin is present and thus isolating different compounds is not going to give the desired effect thus a study is needed in which the whole turmeric is used. But it will be a while for such a study because it will be hard to find someone to finance such as study because you cannot governmentally monopolize the product with a patent for the spice meaning that you are not going to be able to charge more than the few dollar cents or euro cents a day as discussed previously, thus we are waiting on a philanthropical person and/or researchers to start such a study.

It may help as nutrition for surgery recovery and as nutrition against pain because it may help speed recovery after surgery since in a double-blind randomized placebo-controlled study of 50 human persons the efficacy of turmeric curcumin was tested in pain and postoperative fatigue (since turmeric has traditionally been used as a remedy for traumatic pain and fatigue) after laparoscopic cholecystectomy (which can take you out of going about your normal life for over a month), i.e. people getting their gallbladder removed, showing that of the fifty people that were cut into and given curcumin or (exclusive or) an identical looking placebo, in both cases alongside with so-called rescue analgesics, i.e. actual pain killers, to take if the pain became unbearable, that in the weeks following surgery, a very significant high possible value for drop in pain and fatigue measure scores (“probable” because it is hard to come up with objective measures of pain and fatigue) in the curcumin group was observed, with drug-wise the curcumin group was still in so much pain they were pain-induced forced to take 7 (seven) of the rescue painkillers while in the same time period, though the control group had to take 39 of the rescue painkillers thus can be concluded that curcumin is significantly successful for reducing pain [42].

It may help as nutrition for the immune system as treatment for inflammatory conditions such as eye inflammation and thus as nutrition for the eyes such as in the case of conjunctivitis (also called “pink eye”) since ophthalmologists in India found that eyedrops made from the spice turmeric seemed to work just as well as antibiotic eyedrops as the disease in all of the 25 persons who received the turmeric eye drops started subsiding from the third day onward and the disease in all the persons was beaten on the sixth day except the 2 (two) cases of kandu that remained even after the sixth day, compared to the 25 cases who received the drug soframycine which subsided from fourth day and complete relief took seven days, except in two cases for which the duration took 9 (nine) days [43].

In a different study in which researchers decided to give oral supplements of turmeric curcumin a try as nutrition for the eyes against more serious inflammatory eye diseases like to uveitis sufferers (often an autoimmune or infectious inflammation of the central structures in the eye), which disease blinds tens of thousands of Americans every year [47], for which lots of steroid drugs are used that knock down people’s immune systems also having a lot of negative effects on your body. The conditions of all the eighteen persons suffering from uveitis given turmeric curcumin alone improved leading the researchers to call its efficacy comparable to corticosteroid therapy, but without any of the negative effects [48].

A larger follow-up study was similarly encouraging showing that out of the 106 patients, all of which had a uveitis relapse in the year before starting curcumin, a year after using curcumin only 19 of them did. Altogether, the 106 patients (some with multiple relapses) relapsed 275 times in the year before curcumin treatment, but in the year on curcumin only a total of just 36 relapses happened [49].

It was also tested as nutrition for the eyes as treatment against idiopathic inflammatory orbital pseudo-tumors (idiopathic from the Greek “idios” as in “idiot” means the doctors at the time had no idea what caused it and “pathic” meaning disease so a disease which doctors do not know the cause of yet; “inflammatory” as in inflammation in the area; “orbital” is referring to the bony cavity that houses our eyeball; and pseudo-tumor as in not really a tumor but looking like what a tumor would probably have looked like; which disease called idiopathic inflammatory orbital pseudo-tumors is now generally attributed to low-grade non-Hodgkin’s lymphoma so it does actually appear to be a form of cancer thus turmeric curcumin also in this case possibly helping as nutrition for treatment of cancer [51]) which is a really serious eye inflammation condition [50]. In the study they decided to look at spice compounds such as turmeric curcumin because the available treatments such as steroids, radiation, and chemotherapy are so toxic resulting in harming the body. Initially all the patients in the study were put on steroids but had to stop them because they either did not work or (exclusive or) had to be withdrawn because of complications and the researchers also did not want to use radiation because they did not want to blind anyone. All the patients had such swelling that they could not move their eye as they normally would have been able to, so they tried the relatively cheap, relatively simple and relatively safe possibly solution of using turmeric curcumin with 4/5 (four out of the five), i.e. 80 [%], of the persons with the disease who completed the study having a full response meaning a complete recovery with no residual signs nor symptoms of the disease since complete regression of the eye dislocation (also called proptosis) and complete regression of the swelling occurred in all 5/5 (five out of five), 100 [%], of the patients, though one of the patients continued to suffer some residual effects [50].

Summarizing these studies, turmeric curcumin drops seem to work as treatment for mild, and serious and very serious eye inflammation conditions.

>It may help as nutrition for the cardiovascular system as improving the function of the inner lining of our blood vessels called the endothelium which functioning is sensitive to induced inflammation e.g., by oxidation (as in the operational definition sense) or free radicals which could lead to increased endothelial dysfunction which may set us up for cardiovascular diseases such as heart disease or a brain stroke. Researchers in Japan compared the endothelial benefits of 30 to 60 minutes of aerobic exercise a day to those consuming turmeric curcumin of about 1 (one) teaspoon a day for 8 (eight) weeks also adding a control group to the study that did neither of both. The group that did neither experienced no benefit, but the exercise group significantly boosted their endothelial function, and so did the curcumin group. The magnitude of the improvement achieved by curcumin treatment was comparably about the same to that obtained with the up to an hour a day of aerobic exercise, significantly improving endothelial function. Therefore, regular ingestion of curcumin could be a preventive measure against cardiovascular disease as in the study it was seemed effective in postmenopausal women thus effective as nutrition for the reproductive system. Furthermore, the results suggest that curcumin may be a potential alternative treatment for patients who are unable to exercise [52].

But ideally, we would do both because the combination of curcumin and exercise both may work even better than either alone since in a study was looked at central arterial hemodynamics (which if our endothelium is impaired stiffens our arteries making it harder for our heart to pump) comparing a placebo-group with a turmeric curcumin group, an exercise group and a group that consumed turmeric curcumin and exercised resulting in that blood pressure can be dropped down with either turmeric curcumin or (exclusive) exercise, but if you combine both your endothelial function works even better. They conclude that these findings suggest that regular endurance exercise combined with daily curcumin ingestion may reduce the pressure against which your heart has to fight to a greater extent than one or the other, so healthy eating and exertion for an improvement in function of our endothelium [53].

There is also this randomized controlled crossover trial looking at postprandial endothelial function in human animal males after turmeric curcumin via curry-dish consumption which significantly ameliorates postprandial flow-mediated dilation FMD and thus improves cardiovascular health through an improvement in endothelial function [54].

It may help as nutrition for the cardiovascular system as it may help persons with the condition called being prediabetic since a randomized double-blinded placebo-controlled trial study with people diagnosed with prediabetes was published in the “Journal of the American Diabetes Association” in which prediabetic persons were followed for 9 (nine) months giving half of them supplements of curcumin and the other half an identical looking placebo to see who ended up with diabetes showing that after those months’ time period that the turmeric curcumin extract may work as preventative means of type-2 diabetes since 16 [%] of subjects in the placebo group went on to get full-blown diabetes while in the curcumin group, taking equivalently about ¼ cup (which is about 37.5 grams) of turmeric a day, none got diabetes. Furthermore, the curcumin group saw a significant improvement in fasting blood sugars, glucose tolerance, hemoglobin A1C, insulin sensitivity, pancreatic insulin-producing beta-cell function (measured two different ways), and insulin sensitivity [55]. It is important to recognize that prediabetes is a disease in itself increasing the risk of death, cancer, heart disease, and vision loss meaning that it is not enough to just prevent progression to full-blown diabetes, but that prediabetes may be cured completely with a healthy plant-based diet [57, 58].

                Another study showed that it may help as nutrition for the cardiovascular system as it may help persons already having diabetes mellitus since they got the same beneficial effects as in the previously mentioned prediabetic study but then with at a fraction of the dose not using of about ¼ cup (which is about 37.5 grams) of turmeric a day but using only about 1 (a) teaspoon’s worth of turmeric (which is about 5 grams) a day which is doable through diet rather than using supplements. This study also suggests a purported mechanism of action which is that fat in the bloodstream may play an important role in the development of insulin resistance and thus ultimately the development of type 2 diabetes mellitus. Fatty acids may build up inside your muscle cells and gums up the workings thus limiting function by interfering with insulin signaling. The curcumin that these turmeric spice compounds may have is an anti-diabetic effect by decreasing fat levels in the bloodstream [56].

It may help as nutrition for the reproductive system for treatment of uterine fibroids UF (which fibroids are continually volumetrically growing increasing tissue size that could be a consequence of chronic inflammation within the body also since women with fibroids are more likely to eat more beef and ham and fewer fruits and green vegetables [69] and when the amount of free radicals exceeds the protective effects of (the conceptually defined definition of) antioxidants, oxidative damage will occur which has been implicated in a variety of disease states including gynecological conditions, such as fibroids of which is also known that if you collect fresh fibroids as well as normal uterine tissue from hysterectomy surgeries the fibroid cells have significantly fewer antioxidant enzymes for which could be concluded that more antioxidant rich foods might help with treatment of the condition [70]) as a randomized controlled clinical in vivo study introducing more antioxidants in the diet, albeit not turmeric curcumin in this study, which persons with this disease condition were randomized to green tea extract or a placebo for 4 (four) months of which in the placebo group fibroid volume increased 24 [%], however, those randomized to the green tea group showed a greatly significant reduction in total fibroid volume which fibroids shrunk almost 1/3 (a third) while the women also felt much better by a great decrease in symptom severity with consistent improvement and thus lessening of symptoms each month feeling better than the last as well while in the placebo group nothing much happened month after month [71]. Of the treatment group their blood counts got better too while the blood levels kept decreasing in the placebo group with all that continued excess blood loss every month, thus reversed blood counts in the green tea group significantly improving anemia because average blood flow significantly diminished also leading to a better period experience and this all without adverse effects [71]. So, not only results comparable in effect to those for the drugs that are commonly used without the negative effects but also comparable results to uterine artery embolization UFE too, which is where they try to cut the blood supply to the fibroid, while uterine artery embolization could lead to accidently cutting the blood supply to the rest of the uterus causing uterine necrosis which is one of many reported major complications, which also include death, not only of the fibroid but of the patient and other potential complications that may arise from accidently clogging off non-target arteries [72]. Concluding, that the relatively simple, relatively inexpensive, and relatively safe treatment of using high antioxidant rich foods consumption such as green tea and potentially turmeric curcumin without the negative side effects of the more invasive procedures such as surgery is potentially a better treatment option. Curcumin does have some negative effects however in people with specific conditions but more about that I have written below. 

It may also helpful for nutrition of the gastro-intestinal tract as preventative against gallbladder pain in people with gallstones (and possibly gallbladder cancer, see below) as preventative against gallstones by acting as a cholecystokinetic agent meaning it facilitates the pumping action of the gallbladder to keep the bile from stagnating as in this double-blind placebo-controlled crossover study they gave people a small dose of curcumin of about the amount found in ¼ (a quarter) teaspoon of turmeric, following the use of ultrasound with which they were able to visualize the gallbladder squeezing down in response with an average change in volume of about 29 [%] [100]. More optimally, you would want to squeeze it in half which is why they repeated the experiment with different doses [101] resulting in knowing that it took about 40 [milligrams] to get a 50 [%] contraction which is every day about 1/3 (a third) of a teaspoon turmeric. But if you already have a gallbladder obstruction such as a gall stone blocking your bile duct and you eat turmeric it makes your gallbladder squeeze down harder which could hurt a lot and this is probably the mechanism behind where the notification of the study possibly came from that said it could potentially trigger gallbladder pain in people with gallstones [97]. So, patients with biliary tract obstruction should be careful about consuming curcumin [30] but for everyone else these results suggest that curcumin can effectively induce the gallbladder to empty, and thereby reduce the risk of gallstone formation in the first place and ultimately perhaps even reducing the risk of gallbladder cancer [101].

 

It may also help as nutrition for the liver as it protects liver function [104].

 

Looking at safety, a safety note would be that it would be great if the turmeric itself is not contaminated with heavy metals such as lead as has happened in Bangladesh [44] and furthermore nearly ¼ (a quarter) of spices purchased in Boston were also contaminated with the same amount of the compound lead in them which makes it not just a matter of buying U.S. versus foreign brands as the lead levels were not found to be statistically significantly different [45]. This heavy metal exposure is something we care about because we care about the thereby possibly induced DNA damage, and we care about DNA damage (i.e., bad mutagenesis) because we care about cancer. If the beta-carotene levels in people are measured (beta-carotene is usable as a proxy for a healthier diet because of more fruit and vegetable intake being the way that you can get high levels of it in your blood thus by eating lots of healthy foods like greens and sweet potatoes) and then look at which persons exposed to arsenic who went on to develop cancer as compared to those who got exposed to the same amount of arsenic but did not get cancer results show that compared to those with low levels those with high levels of beta carotene in their blood had 99 [%], which is about a hundred times, lower odds of getting arsenic-induced cancer [46].

Another safety note for use would be that during chemotherapy there could potentially be a complication if turmeric is taken because chemotherapy works by inducing free radicals using those free radicals to kill cancer cells while turmeric contains antioxidants such as curcumins that have the antioxidant effect of eliminating free radicals. It is therefore not clear yet (at least for me) whether the treatment and therefore your body benefits if turmeric is consumed during chemotherapy treatment as it could potentially reduce the efficacy of the treatment as well [93].

A different safety note would be that you should not fall into the trap of “if it is so good for you why not take a lot of it?” meaning the more the better which is not actually the case even when not consuming some extract (but actually the whole food turmeric but just in large doses such as three grams) because unfortunately it turns out turmeric has too much oxalate to take that kind of daily dose which would increase our risk of kidney stones which means that we should be fine if we keep it under a teaspoon of turmeric a day which is way less than what would be the safety limit of cinnamon which is far less and maybe a negligible concern because more than 90 [%] of the turmeric oxalates are soluble versus less than 10 [%] of those from cinnamon [97]. Too much turmeric may increase the risk of kidney stones as turmeric is high in soluble oxalates which can bind to calcium and form insoluble calcium oxalate which is responsible for approximately 3/4 (three-quarters), i.e., 75 [%], of all kidney stones making that the consumption of even moderate amounts of turmeric would not be recommended for people with a tendency to form kidney stones. These persons should restrict the consumption of total dietary oxalate to less than 40 to 50 [mg/day] which means no more than at most 1 (a) teaspoon of turmeric [102]. Those e.g., with the arthritis disease gout are often at high risk for kidney stones and thus if their doctor wanted to treat gout inflammation with high-dose turmeric then that is where curcumin supplements might come into play because to reach high levels of curcumin in turmeric form would incur too much of an oxalate load risking the formation of kidney stones [103]. If one is prescribed a supplement the latest review recommends possible purchasing from Western suppliers that follow better recommended Good Manufacturing Practices, which may decrease the likelihood of buying an adulterated product [99].

 

Also, it should be noted that it is better to stick to the root and not some extract as if you combine both high-dose curcumin extract [99] with the earlier mentioned black pepper for that 2’000 [%] bioavailability boost that could be like consuming the equivalent of 29 cups of turmeric a day which kind of intake could bring peak blood levels up to around where you start seeing some significant DNA damage, in vitro at least [98]. So, just incorporating turmeric into our cooking may be better than taking curcumin supplements, especially stay off turmeric extracts during pregnancy as it is not yet enough understood what such extract high doses will do in both those humans during pregnancy (at least by me) [99].            

 

Another safety note will be that turmeric could potentially trigger gallbladder pain in people with gallstones [97]. Turmeric curcumin may help prevent gallstones by acting as a cholecystokinetic agent meaning it facilitates the pumping action of the gallbladder to keep the bile from stagnating as in this double-blind placebo-controlled crossover study, they gave people a small dose of curcumin, about the amount found in like ¼ (a quarter) teaspoon of turmeric, and using ultrasound were able to visualize the gallbladder squeezing down in response with an average change in volume of about 29 [%] [100]. Optimally, though, you would want to like squeeze it in which is why they repeated the experiment with different doses [101] resulting in knowing that it took about 40 [milligrams] to get a 50 [%] contraction which is about a third of a teaspoon of turmeric every day. But if you already have a gallbladder obstruction such as a gall stone blocking your bile duct and you eat turmeric it makes your gallbladder squeeze down hard which could hurt a lot as is probably the mechanism behind this notification of the study possibly came from that it could potentially trigger gallbladder pain in people with gallstones [97]. So, patients with biliary tract obstruction should be careful about consuming curcumin [30] but for everyone else these results suggest that curcumin can effectively induce the gallbladder to empty, and thereby reduce the chance and thus risk of gallstone formation in the first place and ultimately perhaps even gallbladder cancer [101].

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2.    Plant-based medicines can also be used to relieve the symptoms of cancer or relieve the symptoms of cancer treatment (e.g. chemotherapy). Give three examples of this type of effect, and explain the proposed mechanism of action for each.

Example 1 for relieving the symptoms of chemotherapy would be the flowering perennial plants in the astragalus genus (including the species such as e.g. astrolagus membranaceus (also known as “huang qi”, “yellow leader”, “yellow ladder” which name comes from the plant's brightly-colored roots, and astrolagus propinquus) categorizable in the fabaceae bean family are possible usable for:

> traditional Chinese medicine as it is considered prominent in traditional Chinese medicine [1].

> It is considered one of the 50 fundamental herbs in traditional Chinese medicine [1].

> Astragalus roots have being used in traditional Chinese medicine for centuries, similar to ginseng as a tonic for fatigue, lack of appetite, as an immunostimulant or adaptogen, a digestive, for cancer prevention, for longevity, and many other purposes [1].

> Astragalus roots are available as extracts, tea, capsules, and supplements [1].

> It is recommended by herbalists especially for strengthening the body against viral infections of the respiratory track because of its anti-inflammatory and antibacterial properties [1].

> It also seems to improve the heart through stimulation of interferon production in the body [1].

> Recent studies show that giving Astragalus intravenously or using Chinese herbal mixture containing astragalus might reduce side effects associated with chemotherapy treatment such as nausea, vomiting, and diarrhea, and it has helped cancer patients with weakened immune systems [1].

Considering mechanisms of action, the roots contain terpenoids and glycosides such as atragalocytes and flavonoids. It is recommended by herbalists especially for strengthening the body against viral infections of the respiratory track because of its anti-inflammatory and antibacterial properties. It also seems to improve the heart through stimulation of interferon production in the body.

 

Source references

[1] CALS156_course-transcript 2021

 

Example 2 for relieving the symptoms of chemotherapy would be the ripe seeds of the in relatively temperate regions of the world flourishing annual or biennial herb milk thistle plant silybum marianum (also known as “carduus marianus”, and “Scotch thistle”) categorizable as a member of the asteraceae daisy plant family (the weblike pattern on the surfaces of the leaves distinguish milk thistle from its many thistle sister species) is possible usable for:

            > it has qualities that may help prevent cancer [1].

> It's ripe seeds have been used in traditional medicine for centuries and contains silymarin, a standardized complex extract mixture of polyphenolic bioactive molecules [1].

> Additionally, the roots and leaves can be used as food [1].

> In term of plant preparations, milk thistle seeds are made into powder, extract, tinctures, teas, and herbal supplements [1].

> It's used in cosmetics for its regenerative, antioxidant, and anti-inflammatory properties and to alleviate the effects of skin rashes [1].

> In traditional medicine, milk thistle is used for liver disorders, including liver damage caused by chemicals, alcohol, chemotherapy, as well as liver damage caused my mushroom poisoning, chronic inflammatory liver disease, cirrhosis of the liver, and chronic hepatitis [1].

> Some people apply milk thistle typically for skin damage caused by radiation or use it as an anti-inflammatory, astringent, immunostimulant, antioxidant, to promote general good health, and for cancer prevention [1].

> Milk thistle seeds might protect liver cells from toxic chemicals and drugs [1].

> The ripe seeds also seem to have blood sugar lowering, antioxidant and anti-inflammatory effects [1].

 

Considering action mechanisms, the ripe seeds have been used in traditional medicine for centuries and contains silymarin, a standardized complex extract mixture of polyphenolic bioactive molecules [1]. Silymarin probably works by neutralizing free radicals or other molecules that can cause DNA damage, and by activating important detoxifying enzymes.

Considering safety, when used topically and taken by mouth, milk thistle extract is likely safe for most people. In some cases, ingestion of milk thistle extracts has caused diarrhea, nausea, intestinal gas, and loss of appetite. Milk thistle interacts moderately with medications changed by the liver, estrogens, and medications used for lowering cholesterol, such as statins. People should be cautious with such combinations.

 

 

[Source references

[1] CALS156_course-transcript 2021

 

 

3, a different example, a example to relieve the symptoms of cancer and treatment would be the hemi­parasitic (since it both produces its own food and also absorbs water and minerals from the tree that is growing on and it can grow on a variety of different trees) shrub European mistletoe plant viscum album categorizable in the santalaceae sandalwood family is possible usable for:

> Mistletoe is highly toxic, but its leaves and fruit contain elements that treat circulatory and respiratory problems [1].

> European mistletoe is highly poisonous to humans and accidentally eating its berry can cause death in human animals [1].

> It has been known since ancient times and was surrounded by many folk myths and legends symbolizing romance, fertility, and vitality [1].

> Mistletoe leaves are sometime used to flavor alcoholic beverages, and the berry, leaf, and stem also have been used for centuries to treat circulatory and respiratory problems [1].

> The use of mistletoe extract in the treatment of cancer originated with Rudolf Steiner [1]. Although laboratory and animal experiments have suggested a mistletoe extract may stimulate the immune system and kill some types of cancer cells, there is not enough evidence to validate its benefit to people with cancer [1].

> Preliminary studies in humans seems to show the mistletoe treatment may improve cancer symptoms and reduce side effects of cancer treatment [1].

> Several brand name of mistletoe extracts are available in Europe, often given by intravenous injection [1].

> In preclinical models, mistletoe has some anti-inflammation and anticancer effects [1].

> Mistletoe-induced immune stimulation may explain physical improvements that contribute to increased quality of life in cancer patients [1].

Considering mechanisms of action, it contains more than 20 different active compounds including flavonoids, glycosides, and terpenoids.

Considering safety, because of its high toxicity, its use can also be unsafe if not accurately monitored by a health care practitioner. European mistletoe is possibly safe when used by mouth in appropriate amounts, but likely unsafe when taken in larger doses. It can cause serious side effects including vomiting, diarrhea, cramping, and liver damage. Pregnant women should not consume mistletoe due to its uterine stimulant activity. European mistletoe can interact moderately with medications for high blood pressure or immunosuppressants, so its use should be monitored when taken in combination with these medications.

 

Source references

[1] CALS156_course-transcript 2021

 

4, a plant used for cancer symptom treatment drug control would be the roots and underground stems (also called rhizomes) of the relatively low-growing herbaceous perennial native to woodlands American mandrake plant podophyllum peltatum (also called mayapple) categorizable in the berberidaceae barberry family is possible usable for:

> Their roots and underground stems, or rhizome, are being used to make medicine for centuries by the “Native Americans” [1].

>the “Native Americans” collected these roots in the fall to treat constipation, rheumatism, liver disorder, for wart removal, and as laxative [1].

> Mayapple is currently being studied for its possible treatment of leukemia and other types of cancer [1].

> Podophyllotoxin, also known as a podofilox, and two of it's semi-derivatives, etoposide and teniposide, have shown promise in treating some type of cancers and are also used in western medicine as antiviral, antimicrobial agent, anthelmintics, purgatives, and antitumor agents [1].

> Podofilox stops replication of both cellular and viral DNA by binding to specific enzymes and can also prevent cell division of highly proliferating cancerous cell [1].

> Clinical evidence suggests that a single application of 25 percent [%] podophyllum resin can help heal wounds caused by hairy leukoplakia, manifesting with white patches on the tongue in people with weakened immune system, a pathology common in patients going through chemotherapy [1]. In this sense, it is used as cancer symptoms control drug.

> The fruit of the mayapple is edible in small amounts, but only when ripened and yellow.

>the fruit is sometimes made into jelly but is poisonous if eaten in large amounts.

 

Considering mechanisms of action, the main compound is Podophyllotoxin, which is a terpenoid lactone. Podophyllotoxin, also known as a podofilox, and two of it's semi-derivatives, etoposide and teniposide, have shown promise in treating some type of cancers and are also used in western medicine as antiviral, antimicrobial agent, anthelmintics, purgatives, and antitumor agents. Podofilox stops replication of both cellular and viral DNA by binding to specific enzymes and can also prevent cell division of highly proliferating cancerous cell.

> Podophyllotoxin, extracted from the mayapple (Podophyllum peltatum), may help to treat cancer by having the effect that it interferes with DNA replication in the cancer cells.

 

Considering safety, the leaves and rhizome are poisonous if ingested, and may cause nausea, vomiting, hallucinations, paralysis, coma, liver and kidney problems, and even death. Podophyllotoxin extracts and active compounds can be found as ingredients in topical medicine, but are highly toxic if taken internally, causing central nervous system depression, enteritis, organ failure, and death. Podophyllum should not be used for self-treatment and during pregnancy because it can harm an unborn baby. In terms of interaction with other medications, not much is known. Theoretically, mayapple extract could interact with antiviral and antimitotic medications.

Source references

[1] CALS156_course-transcript 2021

 

 

 

3.    Give three examples of plant species used as the source of chemotherapeutic medicines to treat various types of cancers, and explain their mechanisms of action.

Example 1 would be the low-growing flowering plant madagascar periwinkle plant catharanthus roseus (also called rose periwinkle, rosy periwinkle, vinca, parwynke (old English name), joy of the ground, centocchio (italie) meaning hundred eyes, and in reference to its color and its use in magic it is also called “sorcerer's violet,” since it is used as favorite flower for making charms and love potions and to block evil spirits; and it is called “the flower of death” because of the ancient tradition of making it into garlands to place on the tombs of dead children; In Germany, it is the “flower of immortality”; In France, the periwinkle is considered an emblem of friendship) categorizable in the Apocynaceae dogbane family (which family also contains milkweed, oleander and many other plants with “toxic” and “medicinal” properties) is possible usable for:

            > ornamentally and “medicinally” [1].

            > The French also used it to treat menstrual problems [1].

> In the Caribbean, voodoo magic practitioners sew periwinkle leaves into the mattress to keep husband and wife forever in love and the home peaceful. They are sometimes combined with magnolia leaves, which also have a reputation for promoting faithfulness in love. The blue flowers of periwinkle are representative of spiritual peace and harmony [1].

> used as favorite flower for making charms and love potions and to block evil spirits [1].

> also used to make garlands [1].

> Compounds found in the Madagascar periwinkle have been approved by the US Food and Drug Administration as drugs involved in various forms of chemotherapy [1].

> It is grown both as an ornamental and as a medicinal plant [1].

> It's the source of the drugs vincristine and vinblastine, which are approved by the U.S. Food and Drug Administration and used in western medicine in chemotherapy against Hodgkin's disease, leukemia, malignant lymphoma, neuroblastoma, and other types of tumors [1].

> In addition, more than 70 different alkaloids have been isolated from the periwinkle [1].

> Usage can be traced back to Mesopotamia to 2600 before the common era, and all parts of the plant has been used as medicine [1].

> It was listed in the second century Roman Herbarium by Apuleius -in it, he stated that the herb was used against "devil sickness and demoniacal possession and against snakes and “wild beasts”" [1].

> Although it has serious safety concern for its toxicity, periwinkle has been used in traditional medicine all over the world for diabetes, cancer, as an immune stimulant [1].

> It is also used as a cough remedy, for ease in lung congestion, and as a diuretic [1].

> Some people apply periwinkle directly to the skin to stop bleeding, relive insect bites, wasp stings, for eye irritation, treat infections, and swelling or inflammation [1].

> Its usage dates back to ancient Mesopotamia, 2600 BCE. It was listed in the 2nd century

A.D. Roman Herbarium by Apuleius. In it, he stated that the herb was used against "devil sickness and demoniacal possessions and against snakes and wild beasts.” Apuleius also described the elaborate procedure necessary for harvesting the herb. The Greek physicians Dioscorides and Galen recommend the periwinkle to be consumed mixed into wine against the fluctuations of the belly [1].

> In Ayurvedic medicine, the poisonous extracts of its roots and shoots are used against many illnesses [1].

> Its extracts have been used in traditional Chinese medicine against many diseases, including diabetes, malaria, cough, kidney problems, and Hodgkin's lymphoma [1].

> In Madagascar, the bitter and astringent leaves are used to induce vomiting, and the roots are used as a purgative, depurative, and as toothache remedy [1].

> In Puerto Rico, Cuba, and Jamaica, it is used as eyewash in infants [1].

> Periwinkle flowers are used to treat asthma in the Bahamas [1].

> In South Africa and the West Indies, it is used to cure diabetes [1].

> Traditional uses in the Philippines include inducing abortion and treating stomach cramps [1].

> The periwinkle is used in malaria treatment in Vietnam [1].

> In Indonesia and China, it is used for menstrual complaints and dysmenorrhea [1].

> Since the periwinkle is native to the island of Madagascar, it has been part of the native population’s traditional medicine for centuries [1].

> In the 1950s, researchers from Eli Lilly Pharmaceuticals were led to the rosy periwinkle by shamans in Madagascar. The scientists identified two closely related drugs from the periwinkle extract, vincristine and vinblastine. The drugs were patented and used to treat leukemia, Hodgkin's lymphoma, and other types of cancers. In the 1990s, these two drugs combined generated sales of $100 million/year. Even though both the plant and the knowledge of its medicinal properties were obtained from Madagascar's people, Eli Lilly Pharmaceuticals does not share the revenue generated by these drugs with them [1]. This is another example of biopiracy, the bioprospecting that exploits plants and traditional knowledge by claiming patents to restrict the plant's general use.

> It is currently on the World Health Organization’s Essential Medicines List (EML) [1].

Considering the mechanism of action, vinblastine and vincristine, the two main alkaloids found in periwinkle extract, act as mitotic inhibitors. They prevent cells from undergoing mitosis or cell division, which causes mitotic arrest or cell deaths, preventing cancerous growth. Mitotic inhibitors are used in cancer treatment because cancer cells depend on rapid multiplication to be able to grow and then spread. Thus, cancer cells are more sensitive to inhibition of mitosis than normal cells.  More than 70 bioactive alkaloids have been isolated from the Madagascar periwinkle.

> the anti-cancer compound vinblastine, extracted from the Madagascar periwinkle, does affect the cells in the manner that Vinblastine interferes with mitosis (cell division), stopping cancer cells from replicating.

 

Considering safety, the plant as a whole is toxic and must be used very carefully. Its leaves, aerial parts, and roots retain very high toxicity if consumed orally. Madagascar periwinkle is unsafe when taken by mouth due to the presence of the poisonous vinca alkaloids. Madagascar periwinkle can cause side effects such as nausea, vomiting, hair loss, hearing loss, dizziness, bleeding, nerve problems, seizure, liver damage, or even death. It interacts with diuretics and coagulants and medicines used for diabetes, and its use should be strictly monitored by a health care professional.

 

 

 

Source references

[1] CALS156_course-transcript 2021

 

 

Example 2 would be the evergreen short narrow needled coniferous shrub or (non-exclusive or) tree yew plant categorizable in the genus taxus (The name "taxus" comes from the Greek word toxon which mean poison; of which genus there are around 30 species that are spread mainly over the Northern Hemisphere of the earth of which taxus species known as the "tree of death" are some of the most deadly trees known since with the exception of the fresh of the aril (aril = an extra seed-covering, typically colored and hairy or fleshy, e.g., the red fleshy cup around a yew seed), the seed-covering part that looks like a berry, all parts of the tree are toxic) categorizable in the taxacaea plant family is possible usable for:

> It is highly toxic, but its needles are also used for medicine, says Professor Friso [1].

> Its uses as poison and as medicine were known since ancient times and was mentioned in written records from Ancient Greece and Rome and was a sacred tree to the Celtic druids [1].

> Despite serious safety concerns, yew tree was used in traditional medicine, for example, a tea brewed from yew or ingestion of the needle for treating various illnesses such as worm infections, seizure, muscle and joint pain, and liver conditions [1].

> Healers also prescribed it for starting menstruation or causing abortion [1].

> Paclitaxel was originally extracted from the bark of the Pacific yew, or Taxus brevifolia, and the Canadian yew, Taxus canadensis. However, the yield was very low and that resulted in the death of the tree, as it was harvest from the bark. This led to concern about the destruction of the ancient yew forests. Yew became an endangered species in the mid 1980s. Scientists were able to isolate a precursor molecule from the needle of other species of yew, European yew, for example, instead of in the bark, and the final synthesis can be done in a chemistry lab. Thus, paclitaxel is now a semi-synthetic product and a sustainable product as well, since the leaves can be harvested without killing the tree. Both paclitaxel, sold under the brand name of Taxol, and related taxanes have shown activity against solid cancers, such as breast, ovarian, and pancreatic cancer, as well as melanoma and leukemia and are used in chemotherapy for the treatment of these types of cancers [1].

 

Considering the mechanism of action, the main active ingredient in yew are a mixture of terpenoids and alkaloids including paclitaxel (also called Taxol), an FDA approved drug used in chemotherapy.  Taxol and other related taxanes inhibit mitosis, or cell division. Stopping a cell during division will generally result in the cell dying. Chemotherapeutic drugs are usually designed to target rapidly dividing cells because sustained proliferation is a common feature of cancers.

>Paclitaxel = The anti-cancer compound that was originally extracted from yew tree (Taxus spp.) is paclitaxel.

 

Considering safety, the compounds in yew can affect various parts of the body including the nerves, heart, and muscles. Yew is likely unsafe for people based on the known toxicity. There are no current clinical uses of the plant extracts, only the isolated compounds in chemotherapy. Crude preparation of yew needles or bark should not be used because of the cardiac toxicity caused by taxanes. Consumption of yew in even small amounts causes cardiac issues resulting in deaths. It's quickly acting, and no antidote exists. Yew extract can interact with many medications including heart medication, antimitotic drugs, and many more.

 

 

 

Source references

[1] CALS156_course-transcript 2021

 

 

Example 3 would be the Chinese happy tree (which gets its name from its beauty and many “medicinal” properties hence it is called the "tree of joy" because of its beauty and many “medicinal” properties) bionomially named Camptotheca acuminata categorizable in the Cornaceae dogwood family is possible usable for:

            > The leaves, bark, and fruit all potentially have medicinal properties [1].

> The happy tree has been used in traditional Chinese medicine since antiquity to provide treatment for many illnesses including psoriasis, liver and stomach disorders, common cold, cancer, and leukemia [1].

> Although folk uses of Camptotheca have been traced back to many centuries, it was only in the early 1970's that the majority of Chinese doctors became to use his fruits, bark, and leaves to treat certain type of cancer and other diseases in hospitalized patients [1].

 

Considering the mechanism of action, the active compounds are several alkaloids, such as camptothecin and this is derivatives. This led to scientific study to determine if there actually was an anticancer compound. Pharmaceutical companies now use camptothecin as a prescription drug used in chemotherapy for the treatment of cancer. As a chemotherapeutic agent, camptothecin acts on the cell replication cycle in a similar manner to other anticancer drugs we have examined. By interrupting cell division, the rapid growth of cancer cells is stopped. These result in suppression of various types of cancer. Camptothecin has also been used as a template to develop semisynthetic derivatives, such as topotecan and irinotecan, which retain anticancer activity but have less severe side effects. These new compounds have also been approved by the FDA and are used to treat a variety of cancer, particularly those of colorectal and gynecological origin.

>Camptothecin, which was first identified in the Chinese happy tree (Camptotheca acuminata, which is now used to treat certain types of cancers is an alkaloid.

 

 

 

Considering safety, the Chinese happy tree is likely unsafe and poisonous for people to use. Crude preparations of this plant are not recommended. Poisoning is likely and may include tiredness, hair loss, nausea, vomiting, and death, in severe cases. Camptotheca extracts can interact with many medications including heart medication, antimitotic drugs, and many more.

 

 

 

Source references

[1] CALS156_course-transcript 2021

 

 

4.    You are working at the pediatric department of the emergency room. A six-year-old child comes in with symptoms of tiredness, nausea, vomiting, dizziness, and seizures. The parent found the child chewing on leaves from a plant in the backyard. What plant do you suspect that they consumed, and why?

The plant that I suspect is the Chinese happy tree since the symptoms of the child are

tiredness, nausea, vomiting, dizziness, and seizures

And the symptoms described characterizable to this tree by doctor Friso are

Tiredness, hair loss, nausea, vomiting, and death, in severe cases

 

So, tiredness does overlap, vomiting and nausea too and only seizures not but that might be what causes death in severe cases.

 

It is also the only plant in this whole module and in the additional plants tool that is according to doctor Friso able to induce tiredness sensations.

 

5.    Select one plant species from the ‘Additional Plants That May Treat or Prevent Cancer’ tool that could help relieve the symptoms of the treatment for an individual undergoing cancer treatment, for example the effects of chemotherapy or radiation therapy. Explain why you would recommend that particular plant, including the major safety considerations that the individual should be aware of and the mode of action of the compounds that have the beneficial effects. You should refer back to the ‘Resources for Evaluating Herbal Supplements’ tool from the first course in this series to find more information about the plants.

A plant species from the ‘Additional Plants That May Treat or Prevent Cancer’ tool that could help relieve the symptoms of the treatment for an individual undergoing cancer treatment, for example the effects of chemotherapy or radiation therapy would be

 

Example 1, the roots of the small woody shrub siberian ginseng bionominally named eleutherococcus senticosus (and also called devil's bush) which is by their character categorizable in the araliaceae plant family (which thus is in the same family as “true ginseng”) is possible usable for:

>it is described as 'adaptogenic' plant, meaning they are believed to help the body deal with stress, fatigue, and depression [1].

>Siberian ginseng is primarily used in traditional medicine as adaptogen, and as a stimulant, increasing central nervous system function [1].

>Herbalists recommend the use of Siberian ginseng primarily as an adaptogen; a stimulant; an immune booster; an anti-inflammatory; to boost cognitive function; to help with diabetes; to boost athletic performance; reduce anxiety, stress, and fatigue; and for many other conditions. But there is no good scientific evidence supporting most of these claims [1].

>It might also contain chemicals that have activity against some bacteria and viruses [1].

Considering the mechanism of action, the main active compounds are phenolics, flavonoids, and triterpene glycosides. It contains many chemicals that affect the brain, immune system, and certain hormones which chemicals is what is believed to create the adaptogenic benefits.

Considering safety, rare side effects include nausea, diarrhea, and rash. In high doses it might cause nervousness and anxiety. Interactions are reported with alcohol, digoxin, lithium, medications changed by the liver, medications for diabetes, anticoagulant and antiplatelet drugs, and sedatives. Its use should be avoided or closely monitored in combination with these compounds.

 

Example 2, the woody climbing vines with cat's claw-shaped (also called kattenklauw and katteklauw) thorns plants in the genus uncaria in the rubiaceae family (also called coffee family) include about 40 species of which the species uncaria tomentosa which are used as treatment to help regulate blood pressure [1].

>does not appear to be toxic, but it can cause gastrointestinal effects if taken improperly [1].

> used for regulating blood pressure [1].

> It has many active compounds including alkaloids, glycoside, terpenoids, sterols and saponines [1].

> The bark of the vine and/or the roots have been used in for centuries to treat hypertension, inflammation, arthritis, gastrointestinal disorder, as an immunostimulant and as antimicrobial. Furthermore, it has been marketed as a dietary supplement to treat chronic fatigue, parasite, hay fever, asthma, and cancer, as well as reducing the side effects of cancer treatment, improve liver function, and improve wound healing. However, most of these claims have not been validated by solid scientific data [1].

Although cat's claw contains chemicals that might stimulate the immune system and fight viruses and cancer, there is very little data to support this [1].

> When it comes to treating gastrointestinal disorders, laboratory studies suggest that cat's claw may reduce inflammation, but this has not been studied in humans [1].

>A study suggests that cat's claw may protect against abnormally low counts of white blood cell in patients receiving certain cancer treatments, improving the quality of life in those with advanced cancer [1].

>Cat's claw is possibly safe for most people when taken by mouth for the short-term. However, it can cause headache, dizziness, vomiting, and allergies in some people [1].

>It interacts with anticoagulants, antiretrovirals, medications for high blood pressure, immunosuppressants, and possibly other medications, so it should not be used in combination with these drugs [1].

Source references:

[1] CALS154_course-transcript 2021

 

 

However, I do not know in which extend they work in terms of antioxidant activity mechanisms on lessening the symptoms of cancer which could be a crucial component for considering using or (exclusive or) NOT using a certain type of plant.

Like I have written in the extensive article about turmeric which I have also placed above:

Turmeric curcumin curcuma longa Linnaeus continual meta-analysis

Eindhoven

Publication date first version: 17 January 2022

Publication date last version: 19 January 2022

Author: Rody Mens - r.w.mens@student.tue.nl

Citation: Mens RW. 17 January 2022. Turmeric curcumin curcuma longa Linnaeus continual meta-analysis; https://www.nutritionfactsnederlands.nl/videoscript/2022/1/17/kurkuma-alomvattend-artikel ;  https://www.researchgate.net/publication/357914622_Kurkuma_Dutch; https://www.researchgate.net/publication/357914530_turmeric_ENG

 

 

It becomes clear that for use during chemotherapy and radiotherapy there could potentially be a complication if the plant, e.g., in this case turmeric, is taken because chemotherapy works by inducing free radicals using those free radicals to kill cancer cells while turmeric contains antioxidants such as curcumins that have the antioxidant effect of eliminating free radicals. It is therefore not clear yet (at least for me) whether the treatment and therefore your body benefits if turmeric is consumed during chemotherapy treatment as it could potentially reduce the efficacy of the treatment as well [93].

And this statement I just made should be taken into account for all plants that one might ever consider during anti-cancer therapies such as chemotherapy and radiotherapy.

 

 

_______________________________________________________________
To submit this assignment, please refer to the instructions in the course.

Kurkuma alomvattend artikel

Kurkuma alomvattend artikel - laatste update 19 januari 2022 door Rody Mens

Turmeric curcumin curcuma longa Linnaeus continue meta-analyse

Eindhoven

Datum van publicatie eerste versie: 17 januari 2022 | 12022_01-17 New Human Era NHE

Datum van publicatie laatste versie: 21 april 2022 | 12022_04-21 New Human Era NHE

Auteur: Rody Mens - r.w.mens@student.tue.nl

Samengesteld voor Nutritionfactsnederlands.nl, hetgeen een website is gewijd aan het onderzoek naar de impact van voeding op de gezondheid, gestart op de bevindingen van Dr. Michael Herschel Greger.

Citatie: Mens RW. 17 January 2022. Turmeric curcumin curcuma longa Linnaeus continual meta-analysis; https://www.nutritionfactsnederlands.nl/videoscript/2022/1/17/kurkuma-alomvattend-artikel ;  https://www.researchgate.net/publication/357914622_Kurkuma_Dutch; https://www.researchgate.net/publication/357914530_turmeric_ENG

Enkele kernwoorden: Indiase kurkuma; Indian turmeric; Chinese kurkuma; Chinese turmeric; zard-choobag; curcuma domestica; kurkuma; turmeryte; tarmaret; terra merita; kuṅkumam; kungumam; kumkuma; kukum; kunku; Kumkum; kunkuma; haldi; haridra; kuṅkumam; meritorious earth; Indiase saffraan; Indian saffron; curcumine; curcumin; kurkumin; kurkumine; zwarte peper; piper nigrum; black pepper; reumatoïde artritis; rheumatoid arthritis; RA; osteoarthritis; OA; artrose; niet-steroïde anti-inflammatoire geneesmiddelen; NSAIDS; non-steroidal anti-inflammatory drugs; systemische lupus erythematodes; lupus; SLE; India; DNA; DNA-damage; DNA-schade; DNA-mutaties; mutaties; mutations; DNA-mutations; multipel myeloom; MM; multiple myeloma; monoclonal gammopathy of undetermined significance; MGUS; monoklonale gammopathie van onbepaalde betekenis; adenomateuze polyposis; precancereuze laesies; precancerous laesions; plaveiselcelcarcinoom; inflammatoire darm ziekte; IBD; colitis ulcerosa; UC; CU; IBD-UC; neurodegenerative diseases; neurodegeneratieve ziekten; Alzheimer; AD; dementia; dementia; conjunctivitis; roze oog; pink eye; uveitis; idiopathische inflammatoire orbitale pseudo-tumoren; non-Hodgkin-lymfoom; non-Hodgkin-lymphoma; prediabetisch; prediabetic; diabetes mellitus; diabetes mellitus type 2; baarmoederfibromen; UF; fibroids; vleesbomen; galblaaspijn; gallbladder pain.

Samenvatting: Turmeric curcumin curcuma longa Linnaeus kan mogelijk helpen als voeding voor gewrichten, als voeding voor botten, als voeding voor immuniteit, als voeding voor de lever, als voeding voor de behandeling van kanker, als voeding voor het spijsverteringskanaal, als voeding voor de hersenen, als voeding voor het herstel van een operatie, als voeding voor het cardiovasculaire systeem, als voeding voor het voortplantingssysteem, als voeding voor de ogen en als voeding tegen de pijn.

Kurkuma afbeelding verkregen via stevepb beschikbaar op https://pixabay.com/photos/turmeric-spice-curry-seasoning-3251560/

Vrijwaring

Mijn vrijwaring op de service die mijn (wettelijke) aansprakelijkheid beperkt en daarmee de gebruiksvoorwaarden vaststelt voor de mate van mijn steun voor uw gebruik van de verstrekte informatie, welke vrijwaring ik heb geschreven om eventuele verkeerde interpretatie vooraf te dekken, of (exclusief of) validiteit in termen van onjuistheid of (inclusief of) onvolledigheid, onvolledigheid vanwege een lagere nauwkeurigheid terwijl ze een hoge precisie hebben, van uitspraken die datgeen zouden kunnen bevatten dat als waardevolle informatie kan worden beschouwd, die informatie die ik zo zorgvuldig als ik momenteel mogelijk kan samengesteld (aangezien ik deze bestanden blijf ontwikkelen, onderhouden en gebruiken om zowel de nauwkeurigheid als de precisie van de informatie te blijven verbeteren) en dus redelijkerwijs als betrouwbaar kan worden beschouwd door het gebruik van deze dergelijke specifiek geformuleerde verklaringen, luidt als volgt:

De informatie die volgt, hoewel zo zorgvuldig als ik momenteel mogelijk kan samengesteld, en dus redelijkerwijs als betrouwbaar kan worden beschouwd, is geschreven of (inclusief of) samengesteld door Rody Wick Mens en verstrekt dus gedeeld met de beste en meest eerlijke bedoelingen in het achterhoofd en daardoor betrouwbaar blijvend, is altijd nog steeds beperkt tot de persoonlijke interpretatie van de schrijver op dat moment, om welke reden het mogelijk in uw land van verblijf waarschijnlijk alleen te gebruiken is voor educatieve doeleinden en niet wettelijk gedefinieerd als "medisch advies" om welke reden geen aansprakelijkheid voor de interpretatie ervan, juistheid en volledigheid kan worden verleend aangezien ik wil benadrukken dat ik alleen verantwoordelijkheid neem, maar zonder wettelijke aansprakelijkheid, voor de uitspraken in wetenschappelijke artikelen over experimenteel onderzoek die ik expliciet zelf gedaan en gepubliceerd heb en terecht beschouw dat de interpretatie, juistheid en volledigheid van informatie die andere onderzoekers publiceren hun verantwoordelijkheid zonder wettelijke aansprakelijkheid is, hetgeen ook mijn integriteit bewaakt door met absolute wettige onafhankelijkheid de schrijver verdedigd en schadeloos stelt van alle schadeclaims en zo de lezer verantwoordelijk te houden voor zijn daden op basis van de verstrekte, aldus gedeelde informatie, aangezien het gebruik van deze informatie dus erkenning en aanvaarding van de geschriften beperkingen inhoudt die het gebruik ervan uitsluitend op eigen risico van de gebruiker stellen, aangezien de verstrekte informatie wordt verstrekt "zoals ze is" zonder verklaringen, garanties, voorwaarden en vrijwaringen van welke aard dan ook, expliciet of impliciet, en het daarom beter kan worden geadviseerd om altijd contact op te nemen met en het raadplegen van een arts die wettelijk gebonden is om een ​​professionele zorgverlener te zijn, welke arts waarschijnlijk ook door de overheid gemonopoliseerde wettelijke aansprakelijkheid heeft in uw land van verblijf, voordat u grote veranderingen aanbrengt in uw levensstijl, zoals veranderingen in dieet, lichaamsbeweging of (inclusief of) aanpassing van doseringen van aanvullende middelen (e.g., middelen waarvan veel mensen die middelen een ‘farmaceutisch middel’, ‘farmakon’, ‘medicijn’, ‘medicatie’, ‘drug, ‘remedie’ en ‘nutraceutica’ noemen, van welke categorie middelen ik denk dat mensen moeten oppassen voor mogelijke negatieve complicaties als gevolg van interacties met andere in persoonlijk gebruik genomen middelen) routine zodat de arts een persoon kan helpen met de overweging om veranderingen in levensstijl door te voeren die een persoon in hun persoonlijke specifieke situatie zou kunnen helpen, rekening houdend met de individuele lichamelijke condities, hetgeen betekent dat de verstrekte informatie niet bedoeld of geïmpliceerd is als een vervanging is voor wettelijk gedefinieerd "professioneel medisch advies", "professionele medische diagnose" of "professionele medische behandeling", en dat de informatie alleen bedoeld is om de informatie-uitwisselingsrelatie tussen artsen en patiënten aan te vullen, zonder de bedoeling, implicering noch de indruk te wekken een vervanging te zijn voor, omdat het geen wettig standbare arts-patiëntrelatie vormt, omdat ik denk dat het belangrijk is dat als en wanneer het absoluut noodzakelijk is, aangezien zieke mensen degenen moeten zijn die artsen bezoeken en vermoedelijk gezonde mensen niet (ermee rekening houdend dat ik het woord arts hier gebruik in een wettige, door de overheid gemonopoliseerde context en dus niet onderzoekers bedoel die mensen zou kunnen adviseren over preventieve gezondheidszorg, en ook omdat de meeste grote gezondheidsorganisaties het erover eens zijn dat er een risico bestaat op ernstige schade voor mensen bij het aangaan van een regelmatige arts-patiëntrelatie, en alle grote gezondheidsorganisaties zijn overeengekomen dat routinematige jaarlijkse controles voor gezonde volwassenen gestopt zouden moeten worden vanwege de reden dat het aangaan van een relatie met een arts de deur opent voor mensen om een ​​actieve patiënt te worden, hoe vaker ze hun arts zien, hoe groter de kans dat iemand wordt getest, hetgeen op zijn beurt weer leidt tot de grotere kans dat mensen worden voor beter of (exclusief of) slechter worden behandeld, welke toename van behandelingen het gevolg is van perverse prikkels die ontstaan in een met een vrijemarktsituatie vergelijken relatief laag competitief gemonopoliseerd gezondheidszorgsysteem van de overheid, en hoewel het op het eerste gezicht een goed idee lijkt, is een langdurige bekendheid met een patiënt zelden nodig om uitstekende zorg te verlenen in tijden van behoefte in een door de overheid gemonopoliseerd gezondheidszorgsysteem, maar in het geval van een voortdurend op vrije markt gebaseerde, op concurrentie gebaseerde verbetering van de gezondheidszorgsituatie, kan het zeker worden aanbevolen om hulp te zoeken bij een vertrouwde persoonlijke arts, omdat het ontwikkelen van een partnerschap met goede communicatie gericht op het verbeteren van de kwaliteit en tijd- hoeveelheid van je leven en dat in het geval dat je jezelf en degenen die je dierbaar zijn de best beschikbare persoonlijke behandeling wilt laten krijgen, hetgeen iets is dat ik denk dat iedereen zou moeten willen en welke prestatie de uren die nodig zijn om dit te bereiken het waarschijnlijk zeer zeker waard zijn), mensen diensten zoeken zoals het inwinnen van advies van een arts die hun lichamelijke conditie zou kunnen controleren tijdens het ondergaan van een voor de gezondheid significante levensstijl veranderingen en dus samenwerken, eventueel naar hetzelfde doel, in welke gesprekken ik het kan beamen en mensen kan aanmoedigen om artsen vragen te stellen over hun lichamelijke gesteldheid en de mogelijk effecten van deze veranderingen, waaronder bijvoorbeeld een relatief grote verandering in de voedingspraktijk, in welke gesprekken ik van mening ben dat artsen uw levensstijlkeuzes moeten accepteren (niet noodzakelijkerwijs respecteren) en niet moeten proberen deze te ondermijnen, zoals in het geval dat een bepaalde arts slechte gewoonten heeft dat er niet toe zouden moeten leiden dat die bepaalde arts ongezonde aanbevelingen geeft, en men zou op zoek moeten gaan naar een arts die oprecht geïnteresseerd is in en actief aanmoedigt dat iemand gezond word door betere zelfzorg doordat diegene meer actief betrokken wordt bij zijn eigen gezondheidszorg, waarvan dit ook artsen zijn die zeer goed geïnformeerd zijn en voortdurend leren over de zorg van een mens die bereid en in staat zijn om iemands huidige toestand en de mogelijke maatregelen die men kan nemen om zijn problemen te testen en te behandelen, en iemand die zich bewust inspant om het gebruik van medicijnen en operaties te vermijden en deze enkel als allerlaatste redmiddel gebruikt, en heeft een advocatiefunctie voor u als patiënt die bereid is om de patiënt de beste zorg te bieden in contact met specialisten in plaats van alleen maar de patiënt naar de specialistische zorg over te dragen, en is voorstander van het vragen van een tweede mening van andere artsen en onderzoekers (men zou moeten horen over alle beschikbare opties, samen met hun kosten, risico's en voordelen; en men moet bedenken dat men als patiënt de zorgconsument is en dus de klant welk gegeven betekent dat diegene altijd het laatste woord moet hebben bij alle beslissingen en dus ook het recht moet hebben om gewoon "nee" te zeggen, en dus mogelijk weigert de door een arts concluderende aanbevelingen te accepteren, maar niet noodzakelijkerwijs het gegeven advies negeert (e.g., over toezicht, toestemming en recept), aangezien de informatie moet worden gebruikt om een ​​breder beeld van het informatielandschap samen te stellen (negeer nooit professioneel medisch advies of (inclusief of) uitstel bij het zoeken ervan vanwege iets dat u in de teksten van de schrijvers leest; welke weigeringen zouden kunnen optreden wanneer een arts de klant niet voldoende overtuigende argumenten geeft, hetgeen zou kunnen betekenen dat de argumenten van de arts intern onjuist zijn), hetgeen mij tot het punt brengt dat alles in mijn geschriften dat als een mening kan worden gecategoriseerd, zal moeten worden beschouwd als mijn en dus enkel de persoonlijke mening van de schrijver.

Artikel: Kurkuma [Turmeric - ENGLISH BELOW]

De prikkelende, bittere, neus-samentrekkend ruikende fel geeloranje gouden (de alleppey kurkuma ook wel de Indiase kurkuma exemplaren genoemd hebben een diepgele tot oranjegele kleur) of (exclusief of) bruin (de Chinese kurkuma exemplaren hebben een typisch bruinachtige kleur) of (exclusief of) rood (welke rode kleur ontstaat door gedroogde kurkuma te combineren met calciumhydroxide poeder en wanneer het rood is wordt het ook wel het “kunkum” en “kumkuma” genoemd) kruidenpoeder van de gedroogde gemberachtige groente maar aan de binnenkant gekleurde wortelstelen en de wortelstokken van de meerjarige bloeiende kruidenplant die leeft in gebieden met tropisch warme temperaturen en veel regen nodig heeft om te gedijen welke gewoonlijk kurkuma genoemd met de soortnaam curcuma longa linnaeus (ook wel “zard-choobag“, “curcuma domestica“, “kurkuma“, “turmeryte“, “tarmaret“, “terra merita“, “kuṅkumam“, “kungumam“, “kumkuma“, “kukum“, “kunku“, “kumkum“, “kunkuma“, “haldi“, “haridra“, “kuṅkumam“, “meritorious earth“, “Indiase saffraan“ en “Indian saffron“ omdat Marco Polo schreef dat het een groente is die alle eigenschappen heeft die echte saffraan ook heeft, waaronder de geur en de kleur, maar toch niet gelijk is aan echte saffraan) categoriseerbaar in het plantengeslacht curcuma (ook kurkuma genoemd, waarvan de naam kan zijn afgeleid van het Sanskriet "kuṅkuma" dat verwijst naar zowel kurkuma als saffraan) in de gemberfamilie zingiberaceae (en dus een relatief naaste verwant van gember) mogelijk omdat het de niet-steroïde polyfenolische (vanwege de meerdere chemisch gedefinieerde aromatische fenolringen) en de meervoudige hydroxylgroep (welke chemisch gedefinieerde aromatische fenolringen en meerdere hydroxylgroepen het zijn antioxiderende eigenschap geven) bevat het polair gemakkelijk in water oplosbaar potentieel krachtige antioxidant curcuminoïde diferuloylmethaan biologisch actieve verbinding molecuul kurkuma curcumine (ook wel “curcumin”, “kurkumine” en “kurkumin” genoemd) dat aanwezig is en dus kan worden gevonden in kurkuma, aangezien het ongeveer 5 [%] van zijn massa uitmaakt [105] (waarvoor een handige nuttige pragmatische kanttekening zou zijn dat de biologische beschikbaarheid van curcumine in het bloedserum door verhoogde absorptie in de dikke darm synergetisch potentieel kan worden versterkt en dus verhoogd tot 2’000 [%] bij menselijke dieren bij gepaarde consumptie samen met de zwarte peper piper nigrum die de verbinding peperine [1] bevat die verantwoordelijk is voor ongeveer 5 [%] van zijn massa [106] en tevens ook verantwoordelijk is voor de scherpe smaak van peper en het remt inhibiterend ook het metabolische vermogen van de lever om stoffen in water oplosbaar te maken zodat ze gemakkelijker kunnen worden uitgescheiden hetgeen leidt tot verhoging van het biologisch beschikbare niveau van curcumine in de bloedbaan omdat wanneer het mechanisme niet wordt onderdrukt de lever actief probeert om er vanaf te komen en je dus maar een relatief kleine piek in bloedbuis niveau van curcumine ziet terwijl vergeleken met wanneer gepaard ook peperine wordt geconsumeerd met dezelfde hoeveelheid curcumine de biologische beschikbaarheid omhoog schiet tot wel 2000 [%] [ 1], waarvoor niet veel zwarte peper nodig is, aangezien een klein snuifje van 1/20 van een theelepel genoeg is om het niveau aanzienlijk te verhogen [107], een combinatie die bijvoorbeeld uitstekend zou werken in een curryrecept, omdat de biologische beschikbaarheid van curcumine normaal gesproken erg laag is en daarom is de voedingswaarde lager als het niet wordt geconsumeerd met zwarte peper, aangezien er slechts een klein beetje in onze bloedbaan komt na het eten van een lekkere curry, tenzij we wat zwarte peper toevoegen [1]; en een andere manier om de opname van curcumine te stimuleren, is door het in de vorm van kurkumawortel te consumeren (relatief vers of gedroogd als poeder) in vergelijking met een extract, omdat natuurlijke oliën in kurkumawortel en kurkumapoeder de biologische beschikbaarheid van curcumine kunnen verbeteren met een verschil van (zeven) tot 8 (acht) keer hogere biologische beschikbaarheid [107]; en wanneer het samen gegeten wordt met een relatief grote hoeveelheid vetzuur bevattend voedsel zoals noten, e.g., walnoten, amandelen of pecannoten, zorgt dat ook voor een verhoogde biologische beschikbaarheid aangezien curcumine dan direct via het lymfestelsel in de bloedbaan kan worden opgenomen en daarbij dus gedeeltelijk de lever omzeilt [107]), dat curcuminepigment ook kurkuma zijn helder diepgele tot oranjegele gouden kleur geeft welke kurkuma mogelijk bruikbaar is als

> Voeding voor gewrichten en voeding voor botten, omdat het mogelijk kan helpen bij artritis zoals osteoarthritis OA (ook wel artrose genoemd) welke zichzelf karakteriseert door progressief vernietigend verlies van kraakbeen en daardoor leidend tot botbeschadiging, ook leidend tot botverlies in gewrichten veroorzaakt door ontsteking welke mogelijk ook leidt tot invaliditeit (e.g. pijn in de knieschijf van de knie door artrose, welke artrose in meer algemene termen niet enkel het gevolg is van overmatige slijtage door extra belasting van de gewrichten omdat relatief niet-dragende gewrichten, zoals de handen en polsen, ook kunnen worden aangetast hetgeen suggereert dat het verband niet puur is vanwege mechanische belasting), waarvoor curcumine in kurkuma even goed of zelfs beter kan werken dan ontstekingsremmende medicijnen en pijnstillers gebruikt voor de behandeling ervan, omdat in een onderzoek onder 50 patiënten met milde tot middelmatige knieartrose ze ofwel de best beschikbare medische behandeling kregen, waaronder bestrijding met ontstekingsremmende medicijnen en pijnstillers, danwel de best beschikbare behandeling samen met een curcumine-supplement waarin werd gekeken naar een aantal verschillende metingen, waaronder de zogenaamde Karnosfsky-schaal die wordt gebruikt voor bewijs om de aanwezigheid van ziekte vast te stellen (welke schaal oploopt tot 100, wat normaal is, geen klachten en geen bewijs van ziekte zou betekenen tot nul, waarbij iemand dood is) hetgeen resulteerde in dat de groep met de toegevoegde curcumine het symptomatisch significant beter deed, en zo hun loopafstand konden verdubbelen. De curcuminegroep was in staat om hun drugsgebruik significant te verminderen, significant minder slechte effecten, minder zwelling, minder ziekenhuisopnames en minder andere behandelingen als nodig geacht [2]. Een andere studie toonde aan dat het niet een of andere duur gepatenteerde formule hoeft te zijn, omdat kijkend naar de werkzaamheid van kurkuma-extracten bij patiënten met artrose in de knie bij honderd patiënten die gerandomiseerd waren in een ibuprofen groep of groeps die geconcentreerde kurkuma-extracten gedurende 6 (zes) weken gebruikt, bleek dat de leden van de curcumine-groep het even goed of zelfs beter deed dan de ibuprofen-groep. Dit terwijl ibuprofen maag-darmproblemen kan veroorzaken die ulceratieve bloedingen veroorzaken door perforatie van de twaalfvingerige darm en maag doordat ibuprofen dwars door onze maagwand kan eten, hetgeen zelfs ook iemand in het onderzoek overkwam [3]. Dit terwijl kurkuma dergelijke negatieve effecten niet heeft en potentieel beschermend kan zijn voor een lange lijst van ziekten [4], het heeft echter wel enkele potentiele negatieve effecten bij mensen met specifieke aandoeningen, maar daarover heb ik hieronder meer geschreven.

> Het kan ook helpen als voeding voor gewrichten en voeding voor botten voor de artritis aandoening reumatoïde artritis RA hetgeen zich karakteriseert door progressief vernietigend verlies van kraakbeen en daardoor schadelijk bot dat ook botverlies in gewrichten veroorzaakt door ontsteking hetgeen mogelijk leidt tot invaliditeit, aangezien is bewezen dat curcumine meer effectief is in het verlichten van pijn van reumatoïde artritis in vergelijking met het best beschikbare medicijn naar keuze. De werkzaamheid van curcumine werd jaren geleden voor het eerst aangetoond rond 1980, toen een dubbelblinde cross-over studie van curcumine versus de krachtige ontstekingsremmer gebruikt bij renpaarden fenylbutazon bij beide geneesmiddelen een significante verbetering lieten zien in ochtendstijfheid, wandeltijd, gewrichtszwelling, met de volledige afwezigheid van negatieve effecten in de curcumine-groep [5], terwijl fenylbutazon 3 (drie) jaar later van de markt werd gehaald omdat het het immuunsysteem van sommige mensen had gedefunctionaliseerd, waardoor ze hun leven hadden verloren [6]. Een ander onderzoek toonde aan dat van 45 (vijfenveertig) patiënten bij wie diagnostisch de reumatoïde artritis werd gesteld, gerandomiseerd in 3 (drie) groepen (curcumine, het standaardgeneesmiddel of beide) dat onderaan de streep een vermindering van de ziekteactiviteit werd vastgesteld, evenals een vermindering van de gevoeligheid en zwelling en dus verbetering in alle 3 (drie) groepen, maar dat de (2) twee groepen welke curcumine consumptie bevatte de hoogste percentages significante verbetering vertoonden hetgeen beter was dan die in de medicijngroep hetgeen dus demonstreert dat curcumine niet alleen veilig en effectief was, maar ook verrassend effectiever in het verlichten van pijn in vergelijking met het beste medicijn naar keuze zonder enige duidelijke nadelige effecten, waarbij zelfs curcumine beschermend leek aangezien er meer negatieve effecten waren in de diclofenac-natrium geneesmiddelgroep dan de gecombineerde geneesmiddel- en curcuminegroep [7]. In tegenstelling tot de niet-steroïde anti-inflammatoire geneesmiddelen NSAIDS heeft curcumine geen negatieve gastro-intestinale effecten en lijkt het zelfs het slijmvlies van de maag te beschermen [8]. Curcumine kan wel wat negatieve effecten hebben bij mensen met specifieke aandoeningen, maar daarover heb ik hieronder meer geschreven.

> Het kan ook helpen als voeding voor immuniteit voor inflammatoire aandoeningen zoals systemische lupus erythematodes (ook wel "SLE" en gewoon "lupus" genoemd), waarbij het mogelijk het geval is dat ons immuunsysteem, vaak via het produceren van antilichamen, de kern van onze cellen aanvalt en zo ons DNA zelf mogelijk kan beschadigen en zo elk regionaal systeem van het orgaangebied kan beschadigen hetgeen kan leiden tot veel verschillende complicaties (en kan dus nuttig zijn als voeding voor veel lichaamsdeelsystemen), e.g. nuttig als voeding voor de nieren bij lupus niernefritis (lupus niernefritis wordt ook wel LN genoemd en heeft meer specifieke beschrijvende aanduidingen, e.g. glomerulonefritis) veroorzaakt door een ontsteking (welke ontsteking wordt veroorzaakt door de ziekte zelf of (exclusief of) als gevolg van intense immunosuppressieve geneesmiddeltoxiciteit of (exclusief of) een combinatie van beide; waarvan de gebruikte geneesmiddelen chemotherapie kunnen zijn, e.g. de middelen cytoxan en cyclofosfamide, die levensbedreigende effecten kunnen hebben, waaronder mogelijk leukemie en blaaskanker en veel vrouwen hun haar verliezen en worden permanent onvruchtbaar [9]) in welk geval orale inname van kurkuma nuttig kan zijn als voeding voor het cardiovasculaire systeem, omdat het de manifestatie van nefritis in het cardiovasculaire systeem vermindert, zoals proteïnurie (hetgeen het functioneel morsen van proteinen in de urine is), hematurie en de systolische bloeddruk bij menselijke dieren die lijden aan terugkerende of (exclusieve of) refractaire, dat wil zeggen onbehandelbare, lupus nier nefritis volgens een gerandomiseerde dubbele-blind placebogecontroleerd onderzoek omdat in de controlegroep 3 (drie) mensen beter werden, de toestand van 3 (drie) personen verslechterde en de rest vrijwel hetzelfde bleef terwijl in de kurkumagroep 1 (één) verslechterde, 1 (één) bleef hetzelfde, maar de rest werd allemaal beter. In dit onderzoek namen ze vrouwen met uit de hand gelopen lupus, en lieten ze deze 3 (drie) maandenlang ongeveer ¼ (een kwart) theelepel kurkuma bij elke maaltijd nemen [10], hetgeen praktisch niets kostte vergeleken met [$] 35.000 per jaar voor 1 (een) van de nieuwste lupusmedicijnen welke het monoklonale antilichaam belimumab is dat B-lymfocyten stimulerend eiwit remt [11].

> Het kan ook helpen als voeding voor de behandeling van kanker, aangezien voedingsproducten van planten en schimmels goedkoop en veilig meerdere kankerverwekkende doelen treffen in vergelijking met chemotherapiemedicijnen die steeds specifieker zijn gedurende de ontwikkelingstijd van eendoellige therapieën (of pseudo-meerdoellig genoemd wanneer meerdere chemotherapiemedicijnen worden gecombineerd) omdat onderzoeken in de richting wijzen dat bij elk type kanker honderden verschillende genen moeten worden aangepast om een ​​normaal functionerende cel in een kankercel te veranderen, dus hoewel kankers worden gekenmerkt door de in meerdere stappen ontregeling van celsignaleringsroutes, de meeste huidige antikankertherapieën omvatten enkel de modulatie van een enkel doelwit. Dus bepaalde op planten en schimmels gebaseerde producten zouden kunnen werken of zelfs beter werken dan bepaalde chemotherapiemedicijnen, echter op planten en schimmels gebaseerde antikankertherapieën hebben geen prioriteit gekregen omdat farmaceutische bedrijven gewoonlijk niet in staat zijn om dan door de dreiging van geweld een overheid monopolie te verkrijgen dat intellectueel eigendomsrechten induceert op deze producten en de geëxtraheerde verbindingen [12]. Als we kijken naar de potentie van kurkuma, blijkt uit epidemiologische op populatie gebaseerde gegevens uit onderzoeken dat de kankercijfers zeer significant veel lager zijn door een lagere incidentie van kanker (mannen in de VS krijgen bijvoorbeeld 23 keer meer prostaatkanker, krijgen tussen 8 (acht) en 14 keer zo vaak melanomen, 10 tot 11 keer meer darmkanker, 9 (negen) keer meer endometriumkanker, 7 (zeven) tot 17 keer meer longkanker, 7 (zeven) tot 8 (acht) keer meer blaaskanker, 5 (vijf) keer meer borstkanker en 9 (negen) tot 12 keer meer nierkanker dan mannen in India; dat is honderden procent meer borstkanker en duizenden procent meer prostaatkanker [14]) mogelijk zijn in andere gebieden van de wereld, dus minder prevalentie van kanker in regio's van de wereld waar kurkuma relatief meer en op grotere schaal wordt geconsumeerd via het dieet, zoals in India, kan te wijten zijn aan hun relatief meer op planten gebaseerde, kruidenrijkere dieet, dat vaak kurkuma curcumine bevat. Deze vergelijking met India is relevant omdat Indiërs 1/6 (een zesde) van de wereldbevolking uitmaken en een van de hoogste specerijenconsumptie ter wereld hebben, waardoor epidemiologische studies in dit land dus een groot potentieel hebben om ons begrip van de relatie tussen voeding en kanker beter te kunnen begrijpen [13]. Het kunnen natuurlijk niet alleen de kruiden zijn, aangezien de studie opmerkte dat verschillende voedingsfactoren kunnen bijdragen aan het algemeen lagere percentage kanker in India, waaronder de relatief lagere vleesconsumptie door een relatief veel meer plantaardig dieet, naast de relatief hoge hoeveelheid inname van kruiden. Dit is bijzonder omdat 40 (veertig) procent van de Indiërs vegetariërs zijn, en zelfs degenen die wel vlees eten, eten niet veel vlees, waarbij we het axioma naar voren kunnen halen dat gezondheid niet alleen is wat je niet eet, maar ook wat je wel eet. India is een van de grootste producenten en consumenten van verse groenten en fruit en ze eten veel peulvruchten, e.g. peulvruchten zoals bonen, kikkererwten en linzen. De conclusie is dat het mogelijk niet alleen kurkuma is, omdat ze een grote verscheidenheid aan kruiden eten, waar de groep van producten die kruiden worden genoemd gemiddeld de meest antioxidantrijke klasse van voedingsmiddelen ter wereld vormen. Bevolkingsstudies kunnen geen verband aantonen tussen kurkuma in de voeding en een verminderd risico op kanker, maar het inspireerde zeker een heleboel onderzoek. Tot nu toe is curcumine getest tegen een verscheidenheid aan menselijke kankers, waaronder colorectale kanker, pancreaskanker, borstkanker, prostaatkanker, multipel myeloom, longkanker en hoofd-halskanker, zowel voor preventie als voor behandeling [15].

> Het kan helpen als voeding voor de behandeling van kanker als chemopreventieve middel, i.e. een stof die kanker kan helpen voorkomen (in tegenstelling tot chemotherapiemiddelen, i.e. stoffen die gericht zijn op de behandeling van kanker en dus stoffen die kunnen helpen bij de behandeling van kanker), omdat het, gezien zijn mogelijke meerdere mechanistische werking zou curcumine kunnen helpen als voeding voor de behandeling van kanker en nuttig als voeding voor het immuunsysteem, aangezien het kan worden geclassificeerd als chemopreventieve middel in alle 3 (drie) van de door deze onderzoekers erkende categorisch op afstand staande verschillende subgroepen van chemopreventieve middelen, die de antiproliferatieve chemopreventieve middelen subgroep, de antioxidanten chemopreventieve middelen subgroep, en de carcinogeen-blokkerende chemopreventieve middelen subgroep worden genoemd [16]. Curcumine lijkt een rol te spelen bij het blokkeren van elke fase van de transformatie, proliferatie en invasie van kanker [16]. Het kan mogelijk zelfs helpen te voorkomen dat kankerverwekkende stoffen onze cellen bereiken [16]. Een in vitro, i.e., in glazen reageerbuis of petrischaaltje, onderzoek onderzocht de effecten van curcumine op de mutageniteit, i.e. het DNA-muterend vermogen, van verschillende toxines, waarna ze ontdekten dat curcumine een effectief antimutageen was tegen verschillende mogelijk kankerverwekkende mutagenen, i.e. kankerverwekkende stoffen [17]. Voor in vivo, i.e. bij mensen, studies is het echter niet ethisch om een ​​groep mensen te nemen en ze bloot te stellen aan kankerverwekkende stoffen, en dan vervolgens de helft van hen een dosis kurkuma te geven en dan te wachten om te zien wat er gebeurt. Je zou wel kunnen wachten tot er een of andere verspilling van giftig afval plaatsvindt, bijvoorbeeld door een nucleair ongeval, maar anders zul je niet gemakkelijk mensen vinden die zichzelf vrijwillig zouden blootstellen aan kankerverwekkende stoffen. Maar je kunt wel testen op mensen die zich al vrijwillig blootstellen aan kankerverwekkende stoffen, zoals rokers. Veel levende organismen worden gecodeerd door DNA, dus je zou kunnen kijken naar het aantal DNA-mutaties dat ontstaat bij het meten van mutagene stoffen in de urine door gebruik te maken van iemands urine en bacteriestammen. Uit het onderzoek blijkt dat de urine van niet-rokers veel minder DNA-mutaties veroorzaakte, mogelijk omdat er minder toxische mutagene stoffen door hun systeem lopen en dus ook een minder hoger toxine geconcentreerde plas. Ze testten niet-rokers tegen rokers die beide kurkuma aten gedurende 1 (één) maand en zagen dat er over de tijd geen significant verschil was in de geteste niet-rokers, maar in de rokende en kurkuma consumerende groep zagen ze een steeds grotere daling van mutagene stoffen in de urine met elke achtereenvolgende theelepel per dag (maar zelfs als je gedurende 1 (één) maand kurkuma eet, overtreft de mutagenese van rokersplas die van niet-rokers) van gewoon in de winkel gekochte kurkuma (dus niet een geconcentreerd curcumine-supplement), hetgeen aangeeft dat kurkuma in de voeding een effectieve antimutageen is. Dus regelmatige inname van kurkuma curcumine lijkt dus het DNA-muterende vermogen van kankerverwekkende stoffen significant te verlagen [18]. De voorgeprogrammeerde geplande zelfmoord "voor het grotere goed van de rest van het lichaam" celdood door zelfvernietigingsproces voor ongezonde cellen om op natuurlijke wijze te sterven om plaats te maken voor verse cellen genaamd apoptose (wat betekent wegvallen van omdat “ptosis” betekent “vallen” en “apo” betekent “weg van”) kan worden beschadigd door kankercellen die zo deze functie uitschakelen waardoor ze niet sterven op het moment dat door uw lichaam gepland wordt, mogelijk door op de een of andere manier aan dit proces gerelateerde genen uit te schakelen en dus verbindingen zoals bepaalde proteïnen die door deze genen tot expressie worden gebracht om die functie uitvoeren waardoor deze kankercellen blijven gedijen en zich blijven delen met het potentieel om tumoren te vormen en zich mogelijk door het lichaam te verspreiden. Kurkuma zou nuttig kunnen zijn als voeding voor de behandeling van kanker door het reguleren van de herprogrammering van en dus het reactiveren van het zelfvernietigingsmechanisme in deze door apoptose aangetaste kankercellen die hun eigen doodsreceptoren uitschakelen hadden kunnen hebben of, wanneer ze niet beschadigd waren het in kankercellen door gebruik van curcumine te activeren omdat het zogenaamde doodsreceptoren in kankercellen opreguleert en zo die de zelfvernietigingssequentie activeert [19] zoals is aangetoond zodat het nuttig kan zijn voor menselijke cellen als voeding voor de behandeling van nierkanker [21], als voeding voor de behandeling van huidkanker, als voeding voor de behandeling van neuskanker en ook als voeding voor de behandeling van keelkanker [22]. Dit zou mogelijk kunnen gebeuren via het zogenaamde doodsreceptor proteïne FAS dat het FAS-geassocieerde doodsdomein activeert, samen met andere doodsreceptoren, waarna FADD vervolgens caspase-8 activeert, hetgeen op zijn beurt het eerder gecorrupteerde zelfdoodproces zou kunnen doen activeren of in niet-gecorrupteerde kankercellen dit proces te activeren om de kankercellen te doden [20]. Maar via een bepaald procespad kan het ook het (corrupte of niet-corrupte) zelfdoodproces relatief directer activeren zoals is aangetoond zodat het nuttig kan zijn als voeding voor de behandeling van longkanker [24] en nuttig als voeding voor de behandeling van darmkanker [23] mogelijk via het activeren van zogenaamde executerende beul-enzym caspases die, wanneer geactiveerd, de kankercel van binnenuit vernietigen door interne proteïnen links en rechts in stukken te hakken [25] ook wel een dood door duizend sneden genoemd [26]. Er zijn ook veel andere mogelijke manieren waarop curcumine apoptose kan beïnvloeden omdat in dit overzichtsartikel verschillende soorten kankercellen worden vermeld die curcumine mogelijk kan doden, hetgeen aantoont dat curcumine een breed scala aan tumorceltypen kan doden via verscheidene mechanismen [19]. Het is omdat curcumine verschillende mechanismen van celdood simultaan (i.e., tegelijkertijd) kan beïnvloeden, waardoor het voor kankercellen mogelijk moeilijker wordt om vernietiging te voorkomen, waardoor het mogelijk is dat kankercellen niet zo gemakkelijk resistentie ontwikkelen tegen een door curcumine geïnduceerde celdood zoals ze zouden kunnen doen voor de meeste chemotherapie waartegen kankercellen in de loop van de tijd resistentie kunnen ontwikkelen. Verder wordt ook vermeld dat curcumine de neiging heeft om normale niet-kankerachtige gunstige cellen voor het menselijk lichaam niet aan te tasten om redenen die volgens de papieren nog niet volledig worden begrepen, maar het desalniettemin een aantrekkelijke kandidaat maakt als voeding voor de behandeling van kanker [19].

> Het kan helpen als voeding voor het immuunsysteem als voeding voor preventie tegen carcinogenese (ontwikkeling van kanker) en behandeling van kanker als preventief voor en als behandeling tegen eerdere blootstelling aan zware metalen zoals arseen (e.g., als verontreiniging van drinkwater [40] waarvan maar liefst 1/10 (één op de tien) in sommige delen van het land dat in de studie wordt genoemd nu zal overlijden aan kankers veroorzaakt door blootstelling aan arseen), hetgeen wordt beschouwd als een kankerverwekkend zwaar metaal, waardoor het mogelijk kanker kan veroorzaken dat mogelijk optreedt doordat een ophoping van vrije radicalen plaats kan vinden die onze cellen kunnen beschadigen door hun DNA te beschadigen (het in staat zijn van het beschadigen van DNA kan ook een slechte vorm van mutageen worden genoemd) en het kan ook het vermogen van ons lichaam om ons DNA te repareren verstoren als het eenmaal beschadigd is naast het instaat zijn van het doden van onze cellen [38]. Als de schade wordt veroorzaakt door vrije radicalen zouden we de schade waarschijnlijk kunnen verminderen door voedsel te eten dat vrije radicalen verwijdert zoals het kruid kurkuma, dat het antioxidantpigment curcumine bevat dat mogelijk kan helpen bij zowel het opruimen van vrije radicalen als chelateren van, i.e., het inbinden van, zware metalen [39]. Na de rampzalige blootstelling van een groot deel van de bevolking zoals vermeld in bron [40] werd een onderzoek gestart waarbij 50 [%] van de vrijwilligers willekeurig werden geselecteerd en curcuminecapsules vermengd met een beetje zwarte peper werden voorgeschreven terwijl de andere helft een placebo kreeg en daarnaast werd een derde groep toegevoegd als controle die niet is blootgesteld aan het zware metaal arseen, waarvan de hoeveelheid DNA-schade in de controlegroep niet veel verandert en hetzelfde gedurende het onderzoek stabiel blijft om als basislijn te gebruiken en ze stelden ook een basislijn vast voor de aan arseen blootgestelde groepen door 3 (drie) maanden te wachten voordat ze de aanvullende verandering van de curcumine met zwarte peper of een placebo in het onderzoek introduceerder [41]. Daarna gaven ze gedurende 3 (drie) maanden het supplement van curcumine en zwarte peper of (exclusief of) de placebo. Binnen de eerste maand kon je de curcumine aan het werk zien en tegen de derde maand was de DNA-schade in de met curcumine behandelde arseengroep niet erger dan bij degenen die helemaal niet waren blootgesteld aan het arseen, dus een extreem significante verbetering, zeker omdat de aan arseen blootgestelde placebogroep met ongeveer iets minder dan dezelfde hoeveelheden DNA-schade als aan het begin van het onderzoek bleef, hetgeen zou kunnen worden verklaard door een veel langzamere filtering van het lichaam van arseen in vergelijking met wanneer kurkuma curcumine wordt geconsumeerd. Kurkuma curcumine kan dus de DNA-schade van blootstelling aan zware metalen zoals arseen verminderen en, belangrijker nog, het kan ook de arseenverlamming van onze DNA-reparatie-enzymen ongedaan maken, dus zowel helpen bij het voorkomen van de schade als het vergemakkelijken van reparatie in het geval van reeds opgetreden DNA-schade [41].

> Het kan ook helpen als voeding voor de behandeling van kanker, aangezien het kan helpen bij prostaatkanker omdat in een onderzoek onder 199 mannen met prostaatkanker deze driemaal daags ofwel een placebo danwel een tablet met 100 [mg] hele granaatappelpoeder (i.e., de hele vrucht alleen met het water eruit) dat neerkomt op ongeveer 6 (zes) granaatappelpitjes per dag, hetgeen ongeveer 1/100 van een granaatappel per dag is, in welke studie ze probeerden synergetische effecten te gebruiken (met behulp van het axioma "wanneer twee mensen hetzelfde aantal porties gezond voedsel eten dan eet degene die een grotere variëteit eet waarschijnlijk gezonder", wat ongeveer hetzelfde is als het axioma "kleinere hoeveelheden van meer verschillende fytochemicaliën kunnen een groter potentieel hebben om gunstige effecten uit te oefenen voor je lichaam dan grotere hoeveelheden van minder fytochemicaliën", dat werd gebruikt om hun kansen om de kanker terug te dringen in termen van bescherming van hun DNA tegen schade door vrije radicalen met behulp van geïntroduceerde diversiteit door het supplement voor twee groepen mensen die normaal ongeveer dezelfde hoeveelheid fruit en groenten eten) door ook wat broccolipoeder, wat kurkumapoeder en wat poedervormig groene theeconcentraat aan het supplement toe te voegen (waardoor het supplement als een vrucht, een groente, als kruiden en als blad in één functioneerde, maar in kleine hoeveelheden waarvan ongeveer 1 (een) bloem/floret broccoli per dag, minder dan 1/8 (een achtste) theelepel kurkuma per dag en ongeveer 1/6 (een zesde) van een theezakje groene thee) waaruit bleek dat van de groepen mannen met een vroeg stadium van prostaatkanker die een operatie probeerden te vermijden de niveaus van prostaatspecifieke antigenen in het prostaatspecifieke antigeen (PSA)-bloedonderzoek met bijna 50 [%] stegen in de placebogroep, wat aangeeft dat de kanker bleef groeien, terwijl in de granaatappel+broccoli+kurkuma+groene thee voedingssupplementgroep de PSA-spiegels helemaal niet meer stegen. En voor degenen met een meer gevorderde ziekte (i.e., diegenen die al een operatie of bestraling hadden ondergaan en chemotherapie probeerden te vermijden) een ongeveer 70 [%] grotere stijging in de placebogroep in vergelijking met de supplementengroep, hetgeen voldoende was om enkele meer toxische behandelingen op te schoren hetgeen significante korte termijn (6 (zes) maanden) gunstige effecten betekent. De studie concludeerde enkel gunstige effecten op korte termijn omdat ze maar genoeg geld hadden om het onderzoek 6 (zes) maanden te laten lopen, omdat het een niet-commerciële onderneming was die werd gefinancierd door liefdadigheidsinstellingen, hetgeen inhield dat er ook gunstige effecten op lange termijn konden zijn, maar dat het onderzoek voortijdig werd stopgezet om te kunnen bepalen welke effecten op lange termijn mogelijk zijn. Dit was ook geen onderzoek door een supplementenbedrijf, in feite was er geen supplement totdat de onderzoekers het zelf helemaal verzonnen om de chemische fytonutrient verbindingen voor de behandeling van de ziekte in dit onderzoek te testen. Natuurlijk is er nu een supplement gezien de buitengewone resultaten van het onderzoek, maar de enige reden waarom de onderzoekers het voedsel in pilvorm maakte was om het te matchen met een placebo. Deze studie leert ons dus dat een kankerpatiënt, in dit geval een prostaatkankerpatiënt, beter af is bij het eten van broccolicurry met daarna fruit als toetje en een slokje groene thee [59]. Ook is bekend dat een volledig plantaardig dieet de tumor zelfs kan doen krimpen en niet alleen vertragen [60].

> Het kan helpen als voeding voor de behandeling van kanker, met name alvleesklierkanker (een van de meest agressieve vormen van kanker bij de mens met een zeer hoog sterftecijfer met een 5-jaarsoverleving van slechts 3 [%] en een gemiddelde overleving van minder dan 6 (zes) maanden, hetgeen momenteel de vierde grootste doodsoorzaak is in de Verenigde Staten van Amerika met een jaarlijkse mortaliteit van 32.000 doden) aangezien kurkuma werd getest voor behandeling omdat er dringend behoefte is aan nieuwe behandelingsopties aangezien slechts een paar door de FDA goedgekeurd therapieën ervoor zijn, zoals het gebruik van gemcitabine en erlotinib die alleen objectief iets van werking hebben bij minder dan 10 [%] van de patiënten, terwijl ze ook ernstige negatieve effecten veroorzaken bij de meerderheid van de patiënten [61].

Klinisch onderzoek om nieuwe behandelingen te testen is opgedeeld in fasen. Kurkuma curcumine heeft een aantal fase I-onderzoeken doorstaan ​​om er zeker van te zijn dat de behandeling veilig is door te kijken hoeveel je iemand kunt geven voordat het giftig zou kunnen worden. In feite was er zo weinig toxiciteit dat de dosering enkel werd beperkt door het aantal pillen dat patiënten bereid waren te slikken [62]. Kurkuma curcumine heeft ook een fase II-onderzoek doorstaan ​​​​om te zien of het daadwerkelijk enig effect heeft hetgeen het geval was bij 2 (twee) van de 21 patiënten die werden geëvalueerd, van wie er 1 (één) een tumorreductie van 73 [%] had [63]. Helaas voor deze persoon was het effect van korte duur aangezien die eerste laesie klein bleef, maar er blijkbaar een curcumine-resistente tumor dichtbij ontstond, terwijl de andere patiënt gedurende een jaar langzame verbetering liet zien met een stabiele ziektesituatie voor meer dan 18 maanden. In feite was de enige keer dat hun kankermarkers omhooggingen was tijdens een korte periode van 3 (drie) weken waarin de curcumine suppletie werd gestopt, concluderende dat het sommige patiënten met alvleesklierkanker lijkt te helpen, en vooral belangrijk is dat er geen negatieve effecten van curcumine-gerelateerde toxische effecten tot doses van 8 (acht) gram per dag zijn in vergelijking met de nadelen die aanwezig zijn bij het gebruik van de eerder genoemde geneesmiddelen zoals gemcitabine en erlotinib [61]. Curcumine kan wel wat negatieve effecten hebben bij mensen met specifieke aandoeningen, maar daarover heb ik hieronder meer geschreven. We weten echter niet wat er gebeurt na 8 (acht) [gram] kurkuma curcumine per dag, omdat niemand bereid was zoveel pillen te slikken terwijl ze wel bereid waren om een ​​van de smerigste chemotherapieregimes ter wereld te volgen wilden ze niet veel turmeric curcumin capsules slikken [62].

Op dit moment is de enige zekere manier om alvleesklierkanker te verslaan het in de eerste plaats te ontlopen door het te voorkomen. Een historisch groot onderzoek uit 2010 wees uit dat voedingsvet van dierlijke oorsprong geassocieerd was met een verhoogd risico op alvleesklierkanker, maar het was nog niet bekend welk dierlijk vet het ergst is om alvleesklierkanker mogelijk helpen te veroorzaken [64]. Een onderzoek uit 2013 zou kunnen helpen bij het beantwoorden van die vraag, waaruit bleek dat pluimvee het ergst was met een 72 [%] verhoogd risico op alvleesklierkanker voor elke 50 [g] dagelijkse pluimveeconsumptie, hetgeen overeenkomt met ¼ (een kwart) van een kippenborst [65]. De reden waarom wit vlees slechter uit de test kwam dan rood vlees kan zijn vanwege de kankerverwekkende stoffen van gekookt vlees in kip zoals de heterocyclische amines die zich ophopen in gegrilde en gebakken kip, welke mutagene kankerverwekkende chemicaliën in verband zijn gebracht met een verdubbeling van het risico op alvleesklierkanker [66].

Andere recente studies omvatten er een uit San Francisco, waarbij het standaard Amerikaanse dieet betrokken is, en een uit Italië, concluderende dat een hoge consumptie van vlees en andere dierlijke producten, evenals van geraffineerde koolhydraten, in verband werden gebracht met het risico op alvleesklierkanker, terwijl een dieet rijk aan fruit en groenten het risico op alvleesklierkanker bleek te verlagen [67]. Het eten van vlees kan het risico op alvleesklierkanker verhogen, terwijl het eten van nepvlees geassocieerd is met aanzienlijk minder risico. Degenen die drie keer of meer per week plantaardig vlees eten, zoals vegetarische hamburgers of vegetarische hotdogs, hebben minder dan de helft van het risico op fatale alvleesklierkanker. Ook peulvruchten en gedroogd fruit bleken beschermend te zijn [68].

> Het kan ook helpen als voeding voor de behandeling van kanker bij van kanker van de antilichaamproducerende plasmacellen, ook wel multipel myeloom MM genoemd, een ziekte die bijna altijd wordt voorafgegaan door de asymptomatische (iemand weet niet eens dat diegene het heeft totdat een dokter het incidenteel vindt, e.g. tijdens routinematig bloedonderzoek) voorloperziekte genaamd monoklonale gammopathie van onbepaalde betekenis (also called monoclonal gammopathy of undetermined significance MGUS) welke MGUS ongeveer een van de meest voorkomende premalignale aandoeningen is met een prevalentie van over het algemeen ongeveer 3 [%] in de oudere blanke bevolking [73] en ongeveer 2 tot 3 (twee tot drie) keer dat bij Afro-Amerikaanse populaties [74], hetgeen wanneer het zich ontwikkelt tot multipel myeloom betekent dat je nog ongeveer 4 (vier) jaar te leven hebt [73] waarom we dus manieren moeten vinden om MGUS vroeg te behandelen, voordat het kanker wordt. Maar een dergelijke behandeling bestaat nog niet, patiënten worden eerder in een soort wachtpatroon geplaatst, met frequente controles. Dus als je alleen maar toekijkt en wacht, kun je net zo goed wat veranderingen in je dieet proberen, zoals het toevoegen van kurkuma curcumine aan je dieet, hetgeen het relatief veilig is aangezien het al eeuwenlang als voedingskruid wordt geconsumeerd en het  multipele myeloomcellen dood aangezien in een onderzoek is aangetoond dat bij het meten van de progressie van de ziekte hetgeen zich karakteriseert door de stijging van de bloedspiegels van paraproteïne, hetgeen wordt gemaakt door MGUS en myeloomcellen, ongeveer 1 op de 3 (een op de drie) van de lichamen van patiënten positief op de curcumine reageerde waarbij paraproteïnespiegels terwijl daalde terwijl dit niet het geval was in de placebogroep [75]. Deze positieve bevindingen waren voor hen aanleiding om een ​​dubbelblinde gerandomiseerde controlestudie te starten waarin ze dezelfde soort positieve biomarkerrespons zagen bij zowel MGUS-patiënten als bij patiënten met zogenaamd "smeulend" multipel myeloom, waarmee een vroeg stadium van de ziekte multipel myeloom wordt bedoeld. Deze bevindingen suggereren dat curcumine de potentie heeft om het ziekteproces bij patiënten te vertragen of de progressie van MGUS naar multipel myeloom te voorkomen [76], maar dit weten we nog niet zeker totdat er grotere onderzoeken zijn gedaan.

De beste manier om multipel myeloom tegen te gaan, is door het niet te krijgen. In 2010 suggereerde een studie dat vegetariërs slechts ¼ (een kwart) risico lopen, i.e. 75 [%] minder risico lopen, op multipel myeloom in vergelijking tot vleeseters [77]. Zelfs het werken met kippenvlees (e.g., in een productiefaciliteit voor kippenvlees) kan het risico op multipel myeloom verdubbelen, met de achterliggende gedachte dat kankers zoals leukemieën, lymfomen en myeloom kunnen worden veroorzaakt door virale agentia bij zowel runderen als kippen hetgeen zoönotische (i.e. dier-naar-mens) oncogenen (i.e. kankerverwekkende) virussen worden genoemd. Rundvlees was echter niet geassocieerd met multipel myeloom [78]. Er zijn echter enkele vegetarische voedingsmiddelen die we misschien willen vermijden. Harvard rapporteerde een controversieel verband tussen light frisdrank en multipel myeloom waarbij aspartaam ​​betrokken was [79]. Frieten en chips zouden niet de manier moeten zijn waarop we onze groenten krijgen want daar is ook een link [80], en we moeten ze waarschijnlijk ook niet inmaken omdat terwijl de inname van sjalotten, knoflook, sojaproducten en groene thee significant geassocieerd was met een verminderd risico op multipel myeloom, was de inname van ingemaakte groenten drie keer per week of meer geassocieerd met een verhoogd risico op multiple myeloom [81].

> Het kan ook helpen als voeding voor de behandeling van kanker bij de behandeling van darmkanker, omdat in een onderzoek is aangetoond dat mensen met een hoog risico op darmkanker en mensen met darmkanker de progressie van hun ziekte kunnen omkeren door curcumine te nemen. In een laatste poging om het leven te redden van 15 (vijftien) patiënten met gevorderde colorectale kanker die niet reageerden op een van de standaard chemotherapiemiddelen en bestraling, begonnen ze hen gedurende 4 (vier) maanden een kurkuma-extract te geven dat leek te helpen de ziekte te vertragen bij 1/3 (een derde) van de patiënten, i.e., vijf van de vijftien, vanaf de tweede maand van de behandeling, hetgeen suggereert dat kurkuma klinisch voordeel kan opleveren bij ten minste enkele patiënten met gevorderde refractaire colorectale kanker [82]. Als we het hadden over een nieuw soort chemotherapie, en het hielp maar 1/3 (een op de drie), dan zou je dat moeten afwegen tegen de negatieve werkingen van de chemotherapie zoals haarverlies, vervelling van je darmen, hardnekkig braken, en misschien bedlegerig zijn. Dus in een drugsscenario klinkt een voordeel van 1/3 (een op de drie) misschien niet bijzonder aantrekkelijk, maar als we het hebben over een plantenextract waarvan bewezen is dat het opmerkelijk veilig is, zelfs als het maar 1/100 (één op de honderd) zou helpen, zou dit het overwegen waard zijn. Zonder ernstige nadelen is een voordeel van 1/3 (een op de drie) voor kanker in het eindstadium behoorlijk fascinerend.

Onderzoekers van de Cleveland Clinic en Hopkins testten vijf jaar later twee fotochemicaliën, namelijk curcumine (uit kurkuma) en quercetine (te vinden in rode uien en rode wijn), om te zien of darmkanker voorkomen kon worden bij mensen met familiaire adenomateuze polyposis, dat een ziekte is die voorkomt in families waarin je honderden poliepen ontwikkelt die uiteindelijk tot kanker zullen leiden (darmkanker ontstaat uit poliepen) tenzij de dikke darm profylactisch wordt verwijderd. Dus namen ze 5 (vijf) van dergelijke patiënten bij wie de dikke darm al was verwijderd maar nog steeds ofwel hun rectum en/of een klein darmzakje hadden dat nog steeds vol met poliepen zat, de patienten begonnen tussen 5 (vijf) en 45 poliepen elk. En na 6 (zes) maanden curcumine- en quercetine-supplementen hadden ze gemiddeld nog minder dan de helft van de poliepen, en degenen die ze hadden waren gehalveerd in omvangsgrootte. In het onderzoek zat ook één patiënt, i.e. de patient die patiënt 1 werd genoemd, die tegen maand drie al zijn poliepen kwijt was, echter bleken deze plots terug te komen, hetgeen mogelijk gebeurde omdat bleek dat de patiënt stopte met het innemen van de supplementen. Dus gaven ze deze nog drie maanden de fytonutriëntensupplementen waardoor de poliepen weer verdwenen, allemaal met vrijwel geen negatieve effecten en zonder abnormale bloedtestresultaten. Dus door mensen met een hoog risico op darmkanker te bestuderen, konden ze binnen slechts enkele maanden merkbare positieve effecten laten zien. Maar polyposis is een zeldzame ziekte waardoor ze slechts 5 (vijf) mensen konden rekruteren voor het onderzoek [83].

Nog eens vijf jaar later gaven onderzoekers 44 rokers een maand lang enkel kurkuma-curcumine-supplementen en maten ze veranderingen in hun colorectale afwijkende cryptfoci, hetgeen dingen zijn die kunnen werken als voorlopers van poliepen, welke poliepen de voorlopers kunnen zijn van het veroorzaken van kanker. De studie toont aan dat er al na een maand een significante daling was in het aantal van deze afwijkende crypt-foci in de groep met hoge doses supplementen, maar vond geen verandering in de groep met lage doses, dit alles zonder dosisbeperkende negatieve effecten anders dan dat de ontlasting in sommige deelnemers een beetje geel werd [84]. Curcumine heeft echter enkele negatieve effecten bij mensen met specifieke aandoeningen, maar daarover heb ik hieronder meer geschreven.

> Het zou ook kunnen helpen als voeding voor de behandeling van kanker, het verminderen van precancereuze laesies, en zelfs pre-precancereuze laesies zoals bij de behandeling van blaaskanker en in een vroeg stadium zijnde plaveiselcelcarcinoom huidkanker (veroorzaakt door blootstelling aan arseen) en een in een vroeg stadium zijnde baarmoederhalskanker en precancereuze laesies in de mond en precancereuze laesies in de maag omdat in een onderzoek is aangetoond dat mensen die net blaaskanker hebben gehad, of die in een vroeg stadium zijn van plaveiselcelcarcinoom huidkanker (veroorzaakt door blootstelling aan arseen), of in een vroeg stadium zijn van baarmoederhalskanker, of die precancereuze laesies in de mond hebben of precancereuze laesies in de maag hebben dat bij ongeveer ¼ (een kwart) van de patiënten de laesies begonnen beter te worden als bij ½ (een op de twee) overlevenden van blaaskanker, 2/7 (twee van de zeven) precancereuze mondlaesies, 1/6 (een op de zes) precancereuze maaglaesies, ¼ (een op de vier) gevallen van baarmoederhalskanker in een vroeg stadium en 2/6 (twee op de zes) gevallen van huidkanker in een vroeg stadium, dit bij hen allemaal zonder enkele merkbare negatieve effecten [85].

> Het kan ook helpen als voeding voor de behandeling van kanker van huid toegankelijke kankers als oppervlaktesmeermiddel aangezien onderzoekers in een onderzoek met uit de winkel gehaalde kurkuma, er vervolgens een tinctuur van maakten waarna droogden en het in vaseline deden, en het vervolgens aan kankerpatiënten gaven om het driemaal per dag op hun kanker in te wrijven, toonde aan dat bij kankers zoals in de mond, borst (oppervlakkige borstkanker aangezien borstkanker in een gevorderd stadium door de huid kan zweren), huid en vulva bij mensen met terugkerende ulcererende tumoren (waarbij chirurgie, bestraling en chemotherapie niet werkte) dat wrijven met een kurkumazalf een opmerkelijke verlichting gaf (omdat open kankers kunnen stinken, jeuken en sijpelen), met verminderd exsudaat (exsudaat betekent een massa cellen en vloeistof die uit bloedvaten of een orgaan komen sijpelen, vooral in het geval van ontstekingen) sijpelen, en met een vermindering van de geur in 90 [%] van de gevallen (zelfs in uitgebreid zwerende gevallen van borstkanker), hetgeen ook in bijna alle gevallen een vermindering van jeuk veroorzaakte. Het resulteerde bijvoorbeeld in het verlichten van de "ernstige jeuk" bij 2 (twee) van de vulvakankerpatiënten. De meeste laesies droogden op, en in veel gevallen duurde deze verlichting maandenlang, allemaal door gewoon wat onschadelijke kurkuma in te wrijven [86].

> Het kan ook helpen als voeding voor het immuunsysteem als preventie van kanker, aangezien in vitro is aangetoond dat kurkuma effectief is in het verminderen van stralingsschade en dus stralingsbescherming is tegen straling geïnduceerde schade [87], maar deze studie is enkel in vitro op cellen in een reageerbuis en dus nog niet getest in vivo in echte mensen. Je kunt mensen vinden die vrijwillig worden blootgesteld aan straling waarop je zou kunnen testen, zoals piloten [88], en ook ziekenhuismedewerkers die de röntgenapparaten bedienen waarvan is vastgesteld dat ze aan buitensporige blootstelling aan straling lijden, hetgeen leidt tot chromosomale schade vergeleken met aan ander ziekenhuispersoneel [89] en hetgeen leidt tot hogere niveaus van oxidatieve stress in hun lichaam [90]. Hoewel röntgenstralen DNA direct kunnen beschadigen, wordt veel van de schade veroorzaakt door de vrije radicalen die door de straling worden gegenereerd [90] hetgeen de reden is waarom de onderzoekers voor een onderzoek aan stralingspersoneel vroegen om 2 (twee) kopjes per dag citroenmelisse thee (een kruidenthee waarvan bekend is dat deze een hoog gehalte aan antioxidanten bevat) gedurende een maand te nuttigen, waardoor het niveau van antioxidante enzymen in hun bloedbaan stijgt en het niveau van schade door vrije radicalen daalt, hetgeen in dit onderzoek leidde tot de conclusie dat orale toediening van effectieve antioxidante voedingsmiddelen zoals citroenmelissethee nuttig kan zijn voor de bescherming van het radiologiepersoneel tegen door straling veroorzaakte oxidatieve stress door een verbetering in het antioxidantafweersysteem, met name enzymatische verdediging vanwege de antioxiderende eigenschappen [92]. En als dat de reden is, dan zou vrijwel elke plant moeten passen, vooral planten met een relatief hoge concentratie antioxidantmoleculen zoals kurkuma curcumine heeft, hetgeen dan ook in dit plaatje past [91].

> Het kan ook nuttig zijn als voeding voor de behandeling van kanker, met name borstkanker, aangezien kurkuma, net als soja, ook menselijke vetcellen kan onderdrukken en niet alleen een antiproliferatief effect heeft op kanker [94], maar ook kankermetastasen kan voorkomen door de invasie van kankercellen te remmen [95]. De belangrijkste kurkumaverbinding wordt zelfs beschouwd als een toonaangevende behandeling voor multiresistente borstkanker [96].

Het kan ook nuttig zijn als voeding voor het immuunsysteem, aangezien kurkuma curcumine kan helpen als een ontstekingsremmende antioxidant hetgeen de reden kan zijn waarom het ook nuttig kan zijn als voeding voor het maag-darmkanaal, aangezien kurkuma kan helpen bij de slopende aandoening die inflammatoire darm ziekte wordt genoemd (ook wel “IBD” genoemd) zoals colitis ulcerosa (ook wel “UC”, “CU”, en “IBD-UC” genoemd), omdat uit een gerandomiseerde dubbelblinde placebogecontroleerde studie bleek dat wanneer personen met deze aandoening ofwel kurkuma curcumine met hun reeds gebruikte conventionele anti-inflammatoire geneesmiddelen danwel een placebo en hun geneesmiddelen namen, dat in de placebogroep 8 (acht) van de 39 recidiveerden (hetgeen betekent dat hun ziekte weer oplaaide, een van de ziektekenmerken van deze ziekte is dat de intensiteit van de ziekte in de loop van de tijd verandert, afhankelijk van de levensstijl van mensen, waarvan de reden waardoor de ziekte weer op kan laaien momenteel vaak erg slecht begrepen wordt door de mensen, artsen en doktoren zelf, en dus dat ze enkel weten dat het zou kunnen terugkomen, dus dat het komt en gaat, en dat daar het denkproces wordt stopgezet), i.e., ongeveer 20 [%], terwijl in de curcumine-groep statistisch significant relatief minder groot aantal van slechts 2 (twee) van de 43, dat wil zeggen ongeveer 5 (vijf) [%] recidiveerden in vergelijking met de 20 [%] in de placebogroep. Bovendien, of ze nou een terugval hadden of niet, werd de conditionele aangenaamheid van het ervaren van leven vanwege hun lichamelijke gezondheidstoestand in de placebogroep in de loop van de tijd steeds slechter, terwijl in de curcumine-groep de trendlijn in de loop van de tijd steeds beter werd over de tijd, hetgeen ook objectiever via een hogere objectieve versus subjectieve meetfractie, endoscopisch gevonden door de binnenkant van hun dikke darm te visualiseren, hetgeen ook een statistisch significante verbetering opleverde in de endoscopische index. Het verschil tussen 5 (vijf) [%] en 20 [%] was zo groot dat de onderzoekers zich afvroegen of iets in het onderzoek mis was gegaan zoals e.g. hoewel patiënten gerandomiseerd waren in elke groep, misschien dat het misschien door een toevalligheid kwam dat de curcumine-groep veel gezonder eindigde en dat het dus factor anders dan curcumine was die verantwoordelijk was voor de resultaten. Om dit mogelijke effect eruit te filteren verlengden ze de studie daarom nog eens 6 (zes) maanden, maar stopte dan iedereen in de placebogroep door iedereen te laten stoppen met curcumine-suppletie om te zien of de gezondheid van de personen die eerder de curcumine hadden gekregen, dan ook weer terug begonnen terug te vallen om te kijken of dit net zo erg werd als de placebogroep, hetgeen precies is wat er gebeurde wat is dat bij het staken van curcumine het terugvalpercentage snel parallel liep met dat van patiënten die aanvankelijk met alleen een placebo werden behandeld, waaruit dus de conclusie zou kunnen worden getrokken dat curcumine lijkt te helpen bij het handhaven van remissie bij patiënten met relatief rustige colitis ulcerosa [27]. Dit terwijl kurkuma niet de negatieve effecten veroorzaakt waar mensen met ulcera gewoonlijk last van hebben doordat de meeste mensen met deze ziekte de rest van hun leven elke dag medicijnen gebruiken (zoals medicijnen die vaak worden gebruikt voor inflammatoire darmaandoeningen, e.g., sulfasalazine (SZ), mesalamine, corticosteroïden, immunomodulatoren en remicade) die kunnen bijdragen aan ziektecomplicaties zoals misselijkheid, braken, hoofdpijn, huiduitslag, koorts en ontsteking van de lever, pancreas en nieren. Evenals het verlammen van hun immuunsysteem en het verminderen of zelfs elimineren van de vruchtbaarheid [28]. Curcumine kan wel wat negatieve effecten hebben bij mensen met specifieke aandoeningen, maar daarover heb ik hieronder meer geschreven.

> Het kan ook nuttig zijn als voeding voor de hersenen als preventief middel tegen neurodegeneratieve ziekten, aangezien ontstekingsremmende middelen het risico op de ziekte van Alzheimer kunnen verminderen zonder de negatieve effecten van ontstekingsremmende geneesmiddelen zoals niet-steroïde anti-inflammatoire geneesmiddelen (NSAID's) hebben welke maag-, lever- en niertoxiciteit zouden kunnen veroorzaken [33]. Mensenpopulaties die veel kurkumakruiden eten hebben mogelijk de laagste gerapporteerde prevalentie, i.e. hoeveel mensen die met de ziekte rondlopen die wordt gerapporteerd, van dementie en de ziekte van Alzheimer, zoals het geval is op het platteland van India [34]. Maar deze informatie kan alleen een onjuiste indicatie zijn omdat de mensen die daar in zo'n relatief verarmd gebied wonen misschien niet erg lang leven, waardoor je meer moet weten dan alleen de prevalentie en dus ook de incidentie van de ziekte, i.e. hoeveel nieuwe mensen worden er elk jaar gediagnostiseerd met het krijgen van de ziekte, hetgeen de werkelijke snelheid van het voorkomen van ziekten weerspiegelt. Op het platteland van Pennsylvania is de incidentie van de ziekte van Alzheimer voor 65-plussers zo dat 19 (negentien) op de duizend mensen elk jaar de ziekte van Alzheimer ontwikkelen, terwijl op het platteland van India datzelfde percentage 3 (drie) op duizend is, hetgeen bevestigt dat ze tot de laagste gerapporteerde ziektecijfers voor de ziekte van Alzheimer ter wereld behoren [34]. Volgens de onderzoekers wordt de lagere prevalentie van Alzheimer in India over het algemeen toegeschreven aan de consumptie van kurkuma als onderdeel van curry, en wordt aangenomen dat mensen die regelmatig kurkuma gebruiken een lagere incidentie van de ziekte hebben [34]. Zonder aannamen te doen, toonde een onderzoek aan dat van de duizend geteste mensen degenen die af en toe curry aten het beter deden op eenvoudige cognitieve tests dan degenen die dat niet deden, hetgeen neer kwam op dat de mensen die vaker curry aten slechts ongeveer ½ (de helft) van de kans hadden om cognitieve stoornissen te vertonen na correctie voor een breed scala aan potentiële verstorende (i.e. confouding) factoren het suggesteerd dat curry-consumptie geassocieerd kan zijn met betere cognitieve prestaties [35]. Natuurlijk maakt het waarschijnlijk uit wat er gecurryd wordt (hebben we het bijvoorbeeld over kip masala of chana masala, i.e. met gebruik vna kikkererwten in plaats van kip), daarom kan het mogelijk geen toeval zijn dat het land met een van de laagste percentages van de ziekte van Alzheimer ook een van de laagste percentages vleesconsumptie heeft met een significant percentage Indiërs dat vlees- en eivrije eet [36], hetgeen gecorreleerd is met de ziekte van Alzheimer, aangezien degenen die vlees eten (rood vlees en/of wit vlees) tussen ongeveer 2 (twee) tot 3 (drie) keer meer kans hebben om dement te worden in vergelijking met vegetariërs met des te langer men vleesvrij eet des te lager het bijbehorende risico op het verkrijgen van dementie [37].

> Het kan ook nuttig zijn als voeding voor de hersenen voor de behandeling van neurodegeneratieve ziekten, zoals de psychologische gedragssymptomen van dementie bij personen met de ziekte van Alzheimer AD, aangezien in een casusreeksstudie met 3 (drie) Alzheimerpatiënten deze werden behandeld met een theelepel kurkuma per dag, wat neerkomt op een paar dollarcent of eurocent, die hun symptomen aanzienlijk en dus statistisch significant verbeterde, waardoor de negatieve symptomen werden verminderd, samen met de belasting van hun verzorgers [29]. Casus nummer 1 (één) is een 83-jarige vrouw die haar geheugen begon te verliezen en gedesoriënteerd raakte, waarna ze problemen kreeg zodat ze niet goed meer voor zichzelf kon zorgen, doelloos rond ging dwalen en incontinent werd. Na het toevoegen van het gebruik van kurkuma aan haar dieet werden echter haar onrustigheid, apathie, angst en prikkelbaarheid verlicht en had ze minder ongelukken. Verder begon ze weer te lachen, zingen en breien. Na meer dan een jaar kurkuma te hebben gebruikt, begon ze haar familie weer te herkennen en leeft ze nu een vredig leven zonder een significant gedragspsychologisch symptoom van dementie [29]. Geval nummer 2 (twee) was vergelijkbaar, maar met hallucinaties, wanen en depressie, die verlicht leken te worden door de consumptie van kurkuma. Ze begon haar familie weer te herkennen en leeft nu op een vredig rustige wijze. En het derde geval was ook vergelijkbaar, inclusief een verbetering van de cognitie [29].  

Het gebruik van kurkuma-curcumine supplementen in plaats van kurkuma zelf lijkt echter niet te werken, aangezien 2 (twee) onderzoeken geen voordeel lieten zien [30, 31]. Bij een geconcentreerde pilvorm van tot 40 keer de dosis werd geen bewijs van werkzaamheid gevonden. Dit kan zijn omdat curcumine slechts een van de honderden fytochemicaliën is die in kurkuma kan worden aangetroffen [32]. We krijgen de resultaten die we zagen in de 3 (drie) casusrapporten niet te zien omdat ofwel die casusstudies niet wetenschappelijk valide genoeg waren of (exclusieve of) omdat de curcumine helemaal niet werkt als een geïsoleerde dosering, hetgeen betekent dat andere componenten anders dan de curcumine in kurkuma verantwoordelijk zijn voor het effect hetgeen kan worden getest door andere componenten te isoleren of (exclusief of) het kan een combinatie zijn, hetgeen betekent dat er synergie in het spel kan zijn, hetgeen betekent dat het hele voedsel beter is dan de som der delen en dus dat een significant effect door synergie van bioactieve onderdelen enkel merkbaar is als er meer verbindingen dan de ene verbinding curcumine aanwezig zijn en dus dat het isoleren van verschillende verbindingen niet het gewenste effect zal geven, waarvoor om dit te bepalen een onderzoek nodig is waarin het geheel kurkuma wordt gebruikt. Maar het zal een tijdje duren voor zo’n studie gedaan wordt omdat het moeilijk zal zijn om iemand te vinden om zo'n studie te financieren, omdat je het product niet door de overheid kunt monopoliseren met een patent op het kruid, hetgeen betekent dat je niet meer kunt vragen dan de paar dollarcent of eurocent per dag als eerder besproken, dus we kunnen enkel wachten we op een filantropisch persoon en/of onderzoekers om zo'n onderzoek te starten.

> Het zou kunnen helpen als voeding voor het herstel van een operatie en als voeding tegen de pijn, omdat het mogelijk het herstelproces na een operatie zou kunnen helpen versnellen aangezien in een dubbelblind gerandomiseerd placebogecontroleerde studie van 50 mensen de werkzaamheid van kurkuma curcumine bij pijn en postoperatieve vermoeidheid (aangezien kurkuma van oudsher wordt gebruikt als een remedie voor traumatische pijn en vermoeidheid) na laparoscopische cholecystectomie (waardoor u meer dan een maand niet meer uw normale leven zou kunnen leiden), i.e. mensen die hun galblaas laten verwijderen, is getest waaruit blijkt dat van de vijftig mensen die werden gesneden en curcumine of (exclusief of) een identiek ogende placebo namen, in beide gevallen samen met zogenaamde reddingsanalgetica, i.e. echte pijnstillers, om te nemen als de pijn ondraaglijk wordt, dat in de weken na de operatie een zeer significant hoge waarschijnlijke waardedaling in pijn- en vermoeidheidsscores (“waarschijnlijke” omdat het moeilijk is om objectieve metingen van pijn en vermoeidheid te bedenken) in de curcuminegroep werd waargenomen, met gelet op het medicijngebruik dat de curcumine groep nog steeds zoveel pijn had dat ze door pijn werden gedwongen om 7 (zeven) van de reddingspijnstillers in dezelfde tijdsperiode te nemen, daar waar de controlegroep in dezelfde tijdsperiode 39 van de reddingspijnstillers moest nemen, waardoor geconcludeerd kan worden dat de pijn aanzienlijk werd verminderd door gebruik van curucumin [42].

> Het kan helpen als voeding voor het immuunsysteem als behandeling voor ontstekingsaandoeningen zoals oogontsteking en dus als voeding voor de ogen zoals in het geval van conjunctivitis (ook wel "roze oog" genoemd), aangezien oogartsen in India ontdekten dat oogdruppels gemaakt van het kruid kurkuma net zo goed leek te werken als antibiotische oogdruppels, aangezien de ziekte in alle van de 25 personen die de kurkuma-oogdruppels kregen vanaf de derde dag af begonnen ​​te nemen en ze allen op de zesde dag verdwenen waren behalve de 2 (twee) gevallen van kandu die ook na de zesde dag overbleven, in vergelijking tot de 25 gevallen die het medicijn soframycine kregen waarbij allen vanaf de vierde dag begonnen af te nemen volledige verlichting zeven dagen duurde, behalve in twee gevallen waarbij de duur 9 (negen) dagen was [43].

In een ander onderzoek besloten onderzoekers om orale supplementen van kurkuma curcumine te proberen als voeding voor de ogen tegen meer ernstige inflammatoire oogziekten zoals uveïtis-patiënten (vaak een auto-immuun- of infectieuze ontsteking van de centrale structuren in het oog), welke ziekte tientallen duizenden Amerikanen per jaar verblindt [47], waarvoor veel steroïde medicijnen worden gebruikt die het immuunsysteem van mensen omver werpen, hetgeen ook veel negatieve effecten op je lichaam heeft. De omstandigheden van alle achttien personen die aan uveïtis leden welke enkel kurkuma curcumine toegediend kregen verbeterden, waardoor de onderzoekers de werkzaamheid ervan vergelijkbaar noemden met therapie met corticosteroïden, maar dan zonder enige van de negatieve effecten [48].

Een grotere follow-upstudie was eveneens bemoedigend omdat deze aantoonde dat van de 106 patiënten, die allemaal een uveïtis-terugval hadden gehad in het jaar voordat met curcumine werd gestart, dat een jaar na het gebruik van curcumine dit er slechts nog maar 19 waren. In totaal kregen de 106 patiënten (sommige met meerdere recidieven) 275 keer een terugval in het jaar vóór de curcuminebehandeling, maar in het jaar met curcumine kregen in totaal slechts 36 recidieven [49].

Het werd ook getest als voeding voor de ogen als behandeling tegen idiopathische inflammatoire orbitale pseudo-tumoren (idiopathisch van het Griekse "idios" zoals in "idiot" betekent dat de artsen destijds geen idee hadden wat de oorzaak was en “pathisch” betekent ziekte, dus een ziekte waarvan artsen de oorzaak nog niet weten; “inflammatoire” als in een ontstekings in het gebied; “orbitaal” verwijst naar de benige holte die onze oogbol huisvest; en pseudo-tumor zoals in niet echt een tumor maar er zo uit ziet als hoe een tumor er waarschijnlijk uit zou hebben gezien; welke ziekte genaamd idiopathische inflammatoire orbitale pseudo-tumoren nu algemeen wordt toegeschreven aan lage gradatie van het non-Hodgkin-lymfoom, dus het blijkt in feite een vorm van kanker te zijn, dus kurkuma curcumine kan in dit geval ook helpen als voeding voor de behandeling van kanker [51]), hetgeen een zeer ernstige oogontsteking is [50]. In de studie besloten ze te kijken naar kruidenverbindingen zoals kurkuma curcumine omdat de beschikbare behandelingen zoals steroïden, bestraling en chemotherapie zo giftig zijn dat ze schadelijk zijn voor het lichaam. Aanvankelijk kregen alle patiënten in de studie steroïden maar moesten ze stoppen omdat ze ofwel niet werkten of (exclusief) moesten worden teruggetrokken vanwege complicaties en de onderzoekers wilde ook geen straling gebruiken omdat ze niemand wilde verblinden. Alle patiënten hadden zo'n zwelling dat ze hun oog niet zo konden bewegen als dat ze normaalgesproken zouden hebben kunnen doen, dus probeerden ze de relatief goedkope, relatief eenvoudige en relatief veilige oplossing om kurkuma curcumine te gebruiken met 4/5 (vier van de vijf), i.e. 80 [%], van de personen met de ziekte die de studie voltooiden een volledige respons hadden, hetgeen betekent een volledig herstel zonder resterende tekenen of symptomen van de ziekte sinds volledige regressie van de oogdislocatie (ook wel proptosis genoemd) en volledige regressie zwelling trad in alle 5/5 (vijf van de vijf), 100 [%], van de patiënten op, hoewel een van de patiënten enkele restverschijnselen bleef houden [50]. Samenvattend lijken volgens deze onderzoeken kurkuma-curcumine-druppels te werken als behandeling voor milde, en ernstige en zeer ernstige oogontstekingsaandoeningen.

> Het kan mogelijk nuttig zijn als voeding voor het immuunsysteem en als voeding tegen kanker. Een groep onderzoekers van de universiteit van Florida in Gainesville en de staatsuniversiteit van Pennsylvania zette een vrij elegant experiment op. Het is relatief meer algemeen bekend dat kruiden en specerijen enkele van de hoogste concentraties aan antioxidantactiviteit hebben, maar dat is vaak alleen getest in vitro in een reageerbuis. Voordat we kunnen vragen of een kruid of (exclusief of) specerij gezondheidsvoordelen heeft, moet eerst worden vastgesteld of het biologisch beschikbaar is in het menselijk lichaam. Dit is voor zover ik weet tot nu toe nooit gedaan totdat de resultaten van deze onderzoeksstudie werden gepubliceerd. De onderzoekers hadden de gemakkelijke weg kunnen kiezen en gewoon de verandering in antioxidantenniveau in iemands bloedbaan voor en na consumptie kunnen meten, maar de veronderstelling dat het verschijnen van antioxidantactiviteit in het bloed een indicatie is van biologische beschikbaarheid heeft een belangrijke nadeligheid, namelijk dat er misschien meer wordt geabsorbeerd dan we denken, maar dat komt niet naar voren in antioxidanttesten omdat het wordt gebonden aan e.g., bloedsomloop circulerende eiwitten en bloedsomloop circulerende of (exclusieve of) niet-bloedstroom circulerende cellen, om welke reden de onderzoekers andere fysiologische veranderingen probeerden te meten in de bloed in plaats van een anti-oxidant test te doen. De onderzoekers waren geïnteresseerd in de vraag of geabsorbeerde verbindingen in staat zouden zijn om witte bloedcellen te beschermen tegen een oxidatieve ontstekingsbeschadiging en dus of het de strengen van ons DNA zou beschermen tegen breken wanneer ze worden geconfronteerd met vrije radicalen. De onderzoekers vroegen zich ook af of de consumptie van kruiden en specerijen cellulaire ontstekingsreacties zouden kunnen veranderen in de aanwezigheid van een fysiologisch relevante ontstekingsbron. Hetgeen de onderzoekers deden is groepen van meerdere personen elk een week lang verschillende soorten kruiden laten eten. Lettend op de hoeveelheden, dan waren deze zo ingesteld dat de hoeveelheden die de proefpersonen consumeerden gebaseerd waren op de gebruikelijke consumptieniveaus in daadwerkelijk voedsel en dus een weerspiegeling van de hoeveelheden die mensen af ​​en toe daadwerkelijk zouden kunnen eten, de oreganogroep kreeg bijvoorbeeld ½ (een halve) theelepel per dag hetgeen een hoeveelheid is welke mensen vaak toevoegen aan hun maaltijden die oregano bevatten. De onderzoekers gebruikten dus geen relatief grote doseringen zoals in sommige pillen het geval is, maar ze gebruiken juist de hoeveelheden die bijvoorbeeld spaghettisaus, pompoentaart en kerriesaus lekker laten smaken. Aan het einde van de week namen de onderzoekers bloed af van de mensen die die week zwarte peper aan hun dieet hadden toegevoegd en vergeleken de effecten van hun bloed met de effecten van het bloed van de mensen op e.g., cayennepeper, of (exclusief of) kaneel, of (exclusief of) kruidnagel, of (exclusief of) komijn. In dit onderzoek hadden de onderzoekers ongeveer 10 (tien) verschillende groepen mensen geconstrueerd die ongeveer 10 (tien) verschillende kruiden aten. Vervolgens druppelden de onderzoekers het bloedplasma, hetgeen de vloeibare fractie van menselijk bloed is, op menselijke witte bloedcellen in een petrischaal die was blootgesteld aan een ontstekingsbron. De onderzoekers wilden echt iets ontstekingsremmends gebruiken, dus kozen ze geoxideerd cholesterol, vergelijkbaar met hetgeen je in je bloedbaan zou krijgen na het eten van iets zoals gebakken kip. Dus prikten ze de witte bloedcellen met geoxideerd cholesterol en maten vervolgens hoeveel tumornecrosefactor TNF de cellen als reactie op de ontstekingsbron produceerden. Tumornecrosefactor is een krachtige inflammatoire cytokine die berucht is vanwege de rol die het speelt bij auto-immuunaanvallen, zoals inflammatoire darmaandoeningen. Er zijn medicijnen die hetzelfde kunnen doen [111]. Tumornecrosefactoren zijn zulke belangrijke mediatoren van ontstekingen en ontstekingsgerelateerde ziekten dat er deze TNF-blokkerende geneesmiddelen op de markt zijn voor de behandeling van ontstekingsziekten zoals osteoartritis, inflammatoire darmaandoeningen, psoriasis, spondylitis ankylopoetica, welke geneesmiddelen samen meer dan $ 20 miljard (dat is ongeveer "18 miljard euro") per jaar opleveren, omdat farmaceutische bedrijven mensen $ 15.000 tot $ 20.000 (dat is ongeveer "14 tot 20 duizend euro") per jaar vragen voor het medicijn, terwijl deze medicijnen ook een zwarte label-waarschuwing dragen die aangeeft dat er zware negatieve effecten kunnen optreden, dit omdat de medicijnen zaken als kanker en hartfalen kunnen veroorzaken [111]. Was er maar een goedkopere, veiligere oplossing. Curcumine, het gele pigment in kurkuma, is een specerij die goedkoper en veiliger is en er zijn aanwijzingen dat het in vivo ex vitro kan helpen, dus het kan ook mogelijk buiten een reageerbuis werken bij alle ziekten waarvoor momenteel TNF-blokkers worden gebruikt. En dus, aangezien de kosten van de gezondheidszorg en veiligheid zulke grote problemen zijn, kan dit gouden kruid, kurkuma, helpen bij het bieden van een oplossing voor deze voorgenoemde problemen. Dit is dus een mijlpaalstudie die het vermogen van verschillende kruiden om ontstekingen te onderdrukken vergelijkt, en vergeleek daarnaast ook hun vermogen om DNA te beschermen, hetgeen resulteerde in de conclusie dat kruidnagel, gember, rozemarijn en kurkuma de ontstekingsreactie significant konden onderdrukken in termen van TNF-activiteit [108]. Als we kijken naar de effecten van DNA-bescherming, dan kan bij het nemen van een weefselmonster van een gemiddelde persoon ongeveer 7 [%] van hun cellen DNA-schade vertonen in de zin van daadwerkelijke breuken in de strengen van hun DNA kunnen teweegbrengen, en als u die cellen injecteerd met vrije radicalen die extra stress veroorzaken, dan kan dat aantal zelfs worden verhoogd tot 10 [%] [108]. Maar als de persoon al een week gember eet, daalt dat tot slechts 8 [%] [108]. Cellen in weefsel van iemand die geen kruiden en specerijen had gegeten, bleken kwetsbaarder te zijn voor DNA-schade door oxidatieve stress dan iemand die gember in zijn dieet heeft opgenomen, waardoor het die schade met 25 [%] kan verminderen, hetgeen ook kan gelden voor rozemarijn [108]. Als je naar kurkuma kijkt, kan het de DNA-schade met zelfs 50 [%] halveren. Het is belangrijk op te merken dat de onderzoekers niet de kruiden zelf op deze menselijke witte bloedcellen druppelden, maar het bloed van degenen die de kruiden aten, dus het is niet alleen het mengen van kurkuma met cellen in een petrischaaltje, dit is daadwerkelijk een vergelijking van hetgeen er gebeurt wanneer je de cellen van kruideneters versus de cellen van niet-kruideneters blootstelt aan vrije radicalen en de DNA-fractuurpercentages telt [108]. Het geeft dus weer wat er kan gebeuren als cellen in ons lichaam worden blootgesteld aan de niveaus van kruiden die in onze bloedbaan circuleren na normale dagelijkse consumptie. Niet alleen werkte de kurkuma aanzienlijk beter dan gember en rozemarijn, maar ook in een aanzienlijk kleinere dosis, aangezien dit ongeveer 4/3 (een-en-een-derde) theelepels gember en rozemarijn per dag vergelijkt met praktisch slechts een snufje kurkuma dat ongeveer 1/8 (een achtste) theelepel kurkuma per dag was, hetgeen aantoont hoe krachtig kurkuma is als verbinding voor het beheersen van DNA-schade [108]. Als je alleen DNA-breuken in de cellen van mensen meetelt voor en na een week kruiden zonder de insertie van vrije radicalen, dan is er geen significante intrinsieke bescherming te zien in de gember- en rozemarijngroep, maar de kurkumagroep bleek de DNA-schade toch met de helft te verminderen [108]. Dit kan zijn omdat de curcumineverbinding in kurkuma niet alleen zelf een antioxidant is, maar ook de activiteit van de antioxidant enzymen van ons lichaam verhoogt, zoals catalase, waarvan catalase een van de meest actieve enzymen van het lichaam is, waarbij elk enzym in staat is om meerdere 10^6 (miljoenen) vrije radicalen per seconde te ontgiften [109]. Wanneer je het equivalent van ongeveer ¾ (driekwart) theelepel kurkuma per dag consumeert, kan de activiteit van dit enzym in onze bloedbaan met 75 [%] [109] worden gestimuleerd. Belangrijk om op te merken is dat dit effect specifiek werd gevonden voor hittebehandelde kurkuma waarop de onderzoekers testten omdat in de praktijk veel kruiden en specerijen pas na het koken worden geconsumeerd [109]. De onderzoekers testten zowel kurkuma als oregano in zowel rauwe als gekookte vormen en in termen van DNA-schade en de resultaten van rauwe kurkuma bereikten geen statistisch significant verschil, hoewel het tegenovergestelde werd gevonden voor de ontstekingsremmende effecten die concludeerden dat we het misschien het beste beide kunen eten, dus rauw en gekookt, voor verschillende voordelige effecten [109]. Praktische aanbevelingen voor het gemakkelijker toevoegen van meer curcumine aan het voedingspatroon zou kunnen zijn om kurkuma toe te voegen aan zoete gerechten die kaneel en gember bevatten [110].

> Het kan ook mogelijk helpen als voeding voor het cardiovasculaire systeem, omdat het de functie verbetert van de binnenbekleding van onze bloedvaten, het endotheel genaamd waarvan de werking gevoelig is voor geïnduceerde ontsteking e.g., door oxidatie (zoals in de operationele definitie) of vrije radicalen die kunnen leiden tot een verhoogde endotheeldisfunctie die ervoor kan zorgen dat we gemakkelijker hart- en vaatziekten zoals hartaandoeningen of een herseninfarct kunnen oplopen. Onderzoekers in Japan vergeleken de endotheliale voordelen van 30 tot 60 minuten aërobe oefening per dag met die van de consumptie van kurkuma curcumine van ongeveer 1 (een) theelepel per dag gedurende 8 (acht) weken, aan welk onderzoek ook een controlegroep werd toegevoegd welke geen van beide deed. De groep die geen van beide deed ervaarde geen voordelen, maar de lichamelijke oefengroep verbeterde hun endotheelfunctie aanzienlijk hetgeen ook het geval was bij de curcuminegroep. De hoogte van de verbetering die werd bereikt door de behandeling met curcumine was vergelijkbaar met die verkregen door maximaal een uur per dag aan aerobe training te doen, waardoor de endotheelfunctie aanzienlijk statistisch significant verbeterde. Daarom zou regelmatige inname van curcumine een preventieve maatregel kunnen zijn tegen hart- en vaatziekten, aangezien het in het onderzoek effectief was gebleken bij postmenopauzale vrouwen en dus effectief was als voeding voor het voortplantingssysteem. Bovendien suggereren de resultaten dat curcumine een mogelijke alternatieve behandeling kan zijn voor patiënten die niet in staat zijn om lichamelijk te oefenen [52].

Maar idealiter zouden we beide doen, omdat de combinatie van curcumine en lichaamsbeweging beide zelfs beter zou kunnen werken dan elk afzonderlijk, aangezien in een onderzoek werd gekeken naar de centrale arteriële hemodynamiek (die als ons endotheel is aangetast onze slagaders doet verstijven waardoor het moeilijker wordt voor ons hart om te pompen) het vergelijken van een placebogroep met een kurkuma curcuminegroep, een oefengroep en een groep die kurkuma curcumine consumeerde en oefeningen deed waardoor in beide gevallen de bloeddruk kan worden verlaagd met kurkuma curcumine of (exclusieve) lichaamsbeweging, maar als u beide combineert kunt u uw endotheelfunctie nog beter laten werken. Ze concluderen dat deze bevindingen suggereren dat regelmatige uithoudingsoefeningen in combinatie met dagelijkse inname van curcumine de druk waartegen je hart moet vechten in grotere mate dan enkel met het ene of enkel met het andere doen vermindert kan worden, dus gezond eten en inspanning voor een verbetering van functie van ons endotheel [53].

Er is ook deze gerandomiseerde gecontroleerde cross-over-studie waarin wordt gekeken naar de postprandiale endotheelfunctie bij mannelijke dieren na consumptie van kurkuma curcumine via curry-gerechten, die de postprandiale flow-gemedieerde dilatatie (ook wel flow-mediated dilation FMD genoemd) aanzienlijk verbetert en dus de cardiovasculaire gezondheid verbetert door de endotheelfunctie te verbeteren [54].

> Het kan ook mogelijk helpen als voeding voor het cardiovasculaire systeem aangezien het personen kan helpen met de aandoening die pre-diabetisch wordt genoemd, dit omdat een gerandomiseerde dubbelblinde placebogecontroleerde studie met mensen met de diagnose prediabetes werd gepubliceerd in de “Journal of the American Diabetes Association” in welke studie prediabetische personen voor 9 (negen) maanden werden gevolgd waarbij de helft van hen curcuminesupplementen en de andere helft een identiek ogende placebo kreeg om te zien wie diabetes kreeg na die maanden waaruit bleek dat kurkuma curcumine extract kan werken als preventief middel voor type-2 diabetes sinds 16 [%] van de proefpersonen in de placebogroep vervolgens volledige diabetes kreeg terwijl in de curcuminegroep, die ongeveer ¼ kopje (dat is ongeveer 37,5 gram) kurkuma per dag innam, niemand diabetes kreeg. Verder zag de curcuminegroep een significante verbetering in nuchtere bloedsuikers, glucosetolerantie, hemoglobine A1C, insulinegevoeligheid, pancreas insulineproducerende bètacelfunctie (op twee verschillende meetmanieren benaderd) en insulinegevoeligheid [55]. Het is belangrijk om te erkennen dat prediabetes een ziekte op zich is die het risico op overlijden, kanker, hartaandoeningen en verlies van gezichtsvermogen verhoogt, hetgeen betekent dat het niet voldoende is om de progressie naar volledige diabetes te voorkomen, maar dat prediabetes volledig kan worden genezen met een gezond plantaardig dieet [57, 58].

Een andere studie toonde aan dat het mogelijk kan helpen als voeding voor het cardiovasculaire systeem, aangezien het mensen kan helpen die al diabetes mellitus hebben omdat ze dezelfde gunstige effecten kregen als in de eerder genoemde prediabetici studie, maar dan slechts met een fractie van de dosis van die ongeveer ¼ kopje (dat is ongeveer 37,5 gram) kurkuma per dag, maar met slechts ongeveer 1 (een) theelepel kurkuma (dat is ongeveer 5 gram) per dag, hetgeen mogelijk is via een dieetinname in plaats van supplementen te gebruiken. Deze studie suggereert ook een beweerd werkingsmechanisme, namelijk dat vet in de bloedbaan een belangrijke rol kan spelen bij de ontwikkeling van insulineresistentie en dus uiteindelijk de ontwikkeling van type 2-diabetes mellitus. Vetzuren kunnen zich ophopen in uw spiercellen en het tandvlees aantasten, waardoor de functie wordt beperkt doordat de insulinesignalering wordt verstoord. Door de curcumine verbindingen kunnen kurkumakruiden dus een anti-diabetisch effect hebben door het vetgehalte in de bloedbaan te verlagen [56].

> Het kan ook mogelijk helpen als voeding voor het voortplantingssysteem voor de behandeling van baarmoederfibromen UF (welke vleesbomen voortdurend in volume groeien hetgeen het weefsel toe laat nemen in omvang dat een gevolg kan zijn van chronische ontsteking in het lichaam, ook omdat vrouwen met vleesbomen meer kans hebben om meer rundvlees en ham te eten en minder fruit en groene groenten [69] en wanneer de hoeveelheid vrije radicalen de beschermende effecten van (de conceptueel gedefinieerde definitie van) antioxidanten overschrijdt, zal oxidatieve schade optreden die betrokken is bij een verscheidenheid aan ziektetoestanden, waaronder gynaecologische aandoeningen, zoals vleesbomen waarvan ook bekend is dat als je zowel verse vleesbomen als normaal baarmoederweefsel van hysterectomie-operaties verzamelt, de vleesboomcellen aanzienlijk minder antioxidant enzymen bevatten, waaruit zou kunnen worden geconcludeerd dat meer antioxidantrijk voedsel zou kunnen helpen bij de behandeling van de aandoening [70]) omdat een gerandomiseerde gecontroleerde klinische in vivo studie waarin meer antioxidanten in de voeding werden geïntroduceerd, zij het niet turmeric curcumine in deze studie, waarbij personen met deze ziekte gedurende 4 (vier) maanden werden gerandomiseerd naar groene thee-extract of een placebo, waarvan in de placebogroep het vleesboomvolume met 24 [%] toenam, maar degenen die waren gerandomiseerd naar de groene theegroep vertoonden een aanzienlijk significante vermindering van het totale vleesboomvolume waarbij de vleesnomen met bijna 1/3 (een derde) krompen, terwijl de vrouwen zich ook veel beter voelden door een grote afname van de ernst van de symptomen met een continue verbetering en dus elke voorbijgaande maand een vermindering van de symptomen zich iedere maand beter voelende dan de vorige en dit terwijl in de placebogroep er maand na maand niet veel gebeurde [71]. Van de behandelingsgroep werden hun bloedwaarden ook beter, dit terwijl de bloedwaarden in de placebogroep bleven dalen met al dat overtollige bloedverlies elke maand, dus een observatie waarbij het bloedbeeld werd omgekeerd in de groene theegroep en verbeterde de bloedarmoede aanzienlijk omdat de gemiddelde bloeduitstroom aanzienlijk verminderde hetgeen ook leidde tot een prettigere menstruatie en dit allemaal zonder nadelige effecten te ervaren [71]. Dus niet alleen resultaten die qua effect vergelijkbaar zijn met die van de medicijnen die gewoonlijk worden gebruikt zonder de negatieve effecten, maar ook vergelijkbare resultaten als vergeleken met baarmoederslagaderembolisatie UFE, waarbij ze proberen de bloedtoevoer naar de vleesboom te verminderen, terwijl baarmoederslagaderembolisatie zou kunnen leiden tot het per ongeluk afsnijden van de bloedtoevoer naar de rest van de baarmoeder hetgeen baarmoedernecrose veroorzaakt en een van de vele gemelde ernstige complicaties is, waaronder ook doodgaan, niet alleen van de vleesboom maar van de patiënt en andere mogelijke complicaties die kunnen ontstaan ​​door het per ongeluk verstoppen van bloedbuizen [72]. De conclusie is dat de relatief eenvoudige, relatief goedkope en relatief veilige behandeling van het gebruik van voedsel dat rijk is aan antioxidanten, zoals groene thee en potentieel dus ook kurkuma-curcumine zonder de negatieve effecten van de meer invasieve procedures zoals chirurgie, mogelijk een betere behandelingsoptie is. Curcumine heeft echter enkele negatieve effecten bij mensen met specifieke aandoeningen, maar daarover heb ik hieronder meer geschreven.

> Het kan ook nuttig zijn voor de voeding van het maag-darmkanaal als preventief middel tegen galblaaspijn bij mensen met galstenen (en mogelijk galblaaskanker, zie hieronder) als preventief middel tegen galstenen te werken als een cholecystokinetisch middel, hetgeen betekent dat het de pompwerking van de galblaas vergemakkelijkt dat helpt te voorkomen dat de gal stagneerde, zoals in deze dubbelblinde placebo-gecontroleerde cross-over studie waarin ze mensen een kleine dosis curcumine gaven van ongeveer de hoeveelheid gevonden in ¼ (een kwart) theelepel kurkuma, waarna ze met behulp van echografie als reactie de galblaas naar beneden konden zien knijpen met een gemiddelde verandering in volume van ongeveer 29 [%] [100]. In een optimaler geval zou je het echter het liefst in tweeën willen knijpen hetgeen reden gaf voor herhalen van het experiment met verschillende dosissen [101], hetgeen resulteerde in de wetenschap dat het ongeveer 40 [milligram] kostte om een ​​contractie van 50 [%] te krijgen, wat per dag ongeveer 1/3 (een derde) van een theelepel kurkuma is. Maar als je al een galblaasobstructie hebt, zoals een galsteen die je galkanaal blokkeert en je eet kurkuma, dan knijpt je galblaas harder naar beneden, hetgeen veel pijn kan doen en dat dit waarschijnlijk het mechanisme is dat achter de melding van het onderzoek schuilgaat waarbij werd gezegd dat mogelijk galblaaspijn zou kunnen veroorzaken bij mensen met galstenen [97]. Patiënten met galwegobstructie moeten dus voorzichtig zijn met het consumeren van curcumine [30], maar voor alle anderen suggereren deze resultaten dat curcumine de galblaas effectief kan laten legen en daardoor het risico op galsteenvorming in de eerste plaats en uiteindelijk misschien zelfs de kans op galblaaskanker kan verminderen [101].

> Het kan ook helpen als voeding voor de lever omdat het de leverfunctie beschermt [104].

> Praktische aanbevelingen voor het gemakkelijker toevoegen van meer curcumine aan het voedingspatroon zou kunnen zijn om kurkuma toe te voegen aan zoete gerechten die kaneel en gember bevatten [110].

> Wat veiligheid betreft, zou een veiligheidsopmerking kunnen zijn dat het geweldig zou zijn als de kurkuma zelf niet is verontreinigd met zware metalen zoals lood zoals is gebeurd in Bangladesh [44] en verder is bijna ¼ (een kwart) van de in Boston gekochte specerijen ook gecontamineerd dezelfde hoeveelheid lood erin hetgeen het dus niet alleen een kwestie maakt van Amerikaanse versus buitenlandse merken kopen, aangezien de loodniveaus niet statistisch significant anders bleken te zijn [45]. Deze blootstelling aan zware metalen is waar we om geven omdat we om de daardoor mogelijk veroorzaakte DNA-schade geven, en we geven om DNA-schade (d.w.z. slechte mutagenese) omdat we om kanker geven. Wanneer de bèta-caroteenspiegels bij mensen gemeten worden (bètacaroteen is bruikbaar als een indicatie voor een gezonder dieet vanwege meer fruit- en groenteconsumptie hetgeen de manier is waarop hogere niveaus in het bloed verkregen kunnen worden, dus door veel gezond voedsel te eten zoals groenten en zoete aardappelen) en dan kijkt naar de mensen blootgesteld aan arseen die vervolgens kanker kregen als vergeleken met degenen die werden blootgesteld aan dezelfde hoeveelheid arseen maar geen kanker kregen, dan blijkt uit de resultaten dat vergeleken met degenen met lage niveaus degenen met hoge niveaus van bèta-caroteen in hun bloed 99 [%], hetgeen ongeveer honderd keer, minder kans hebben om arseen geïnduceerde kanker te krijgen [46].

Een andere veiligheidsopmerking voor gebruik zou zijn dat er tijdens chemotherapie mogelijk een complicatie kan optreden wanneer kurkuma wordt ingenomen, dit omdat chemotherapie werkt door vrije radicalen te induceren welke vrije radicalen gebruikt worden om kankercellen te doden, terwijl kurkuma antioxidanten bevat, zoals curcumines, die de antioxiderende werking hebben van het elimineren van vrije radicalen. Het is daarom nog niet duidelijk (althans voor mij) of de behandeling en dus uw lichaam er baat bij heeft als kurkuma wordt geconsumeerd tijdens chemotherapiebehandeling, omdat dit mogelijk ook de werkzaamheid van de behandeling zou kunnen verminderen [93].

Een andere veiligheidswaarschuwing zou zijn dat je niet in de val moet trappen van "als het zo goed voor je is, waarom zou je er dan niet veel van nemen?" hetgeen betekent hoe meer hoe beter, wat eigenlijk niet het geval is, zelfs als je geen extract consumeert (maar dus eigenlijk het hele voedsel kurkuma alleen dan in een grote dosis zoals drie gram) omdat helaas blijkt dat kurkuma te veel oxalaat bevat om dat soorthoeveelheid dagelijks in te nemen omdat die dosis ons risico op nierstenen zou kunnen vergroten, hetgeen betekent dat het goed zou zijn als we het onder een theelepel kurkuma per dag houden, hetgeen veel minder is dan de veiligheidslimiet van kaneel, die van veel minder en mogelijk zelfs verwaarloosbaar belang is omdat meer dan 90 [%] van de kurkuma-oxalaten oplosbaar zijn vergeleken met minder dan 10 [%] van die uit kaneel [97]. Te veel kurkuma zou het risico op nierstenen kunnen verhogen, aangezien kurkuma veel oplosbare oxalaten bevat die zich aan calcium kunnen binden en onoplosbaar calciumoxalaat kunnen vormen, dat verantwoordelijk is voor ongeveer ¾  (driekwart), i.e., 75 [%], van alle nierstenen, waardoor de consumptie van zelfs matige hoeveelheden kurkuma niet kan worden aanbevolen voor mensen met een neiging om nierstenen te vormen. Deze personen dienen de consumptie van totaal oxalaat in de voeding te beperken tot minder dan 40 tot 50 [mg/dag], dat wil zeggen niet meer dan 1 (een) theelepel kurkuma [102]. Degenen die bijvoorbeeld de artritis ziekte jicht hebben lopen vaak een hoog risico op nierstenen en dus als bij hen hun arts jichtontsteking wil behandelen met een hoge dosis kurkuma, dan is dat waar curcuminesupplementen een rol kunnen spelen, omdat het bereiken van hoge niveaus van curcumine in de vorm van kurkuma een te hoge oxalaatbelasting zou veroorzaken, waardoor de vorming van nierstenen zou kunnen plaatsvinden [103]. Als iemand een supplement krijgt voorgeschreven, beveelt de laatste recensie aan om mogelijk liever te kopen bij westerse leveranciers die aanbevolen Good Manufacturing Practices volgen, omdat dat de kans op het kopen van een vervalst product kan verkleinen [99].

Ook moet worden opgemerkt dat het beter is om bij de wortel te blijven en niet een of ander extract omdat als je zowel een hooggedoseerd curcumine-extract [99] combineert met de eerder genoemde zwarte peper voor die 2.000 [%] biologische beschikbaarheidsboost dat het dan zou kunnen dat je het equivalent van 29 kopjes kurkuma per dag consumeert, welke hoogte van inname de piekbloedspiegels zou kunnen verhogen tot rond waar je enige significante DNA-schade zou kunnen beginnen te zien, tenminste in vitro [98]. Dus het is misschien beter om kurkuma via onze voeding op te nemen dan curcumine-supplementen te nemen, vooral is het daarbij belangrijk om kurkuma-extracten te vermijden tijdens de zwangerschap, omdat het nog niet voldoende bekend is (althans door mij) wat een dergelijk extract met hoge dosis zal doen bij de beide mensen gedurende zwangerschap [99].

Een andere veiligheidsopmerking is dat kurkuma mogelijk galblaaspijn kan veroorzaken bij mensen met galstenen [97]. Kurkuma curcumine kan galstenen helpen voorkomen door als preventief middel tegen galstenen te werken als een cholecystokinetisch middel, hetgeen betekent dat het de pompwerking van de galblaas vergemakkelijkt dat helpt te voorkomen dat de gal stagneerde, zoals in deze dubbelblinde placebo-gecontroleerde cross-over studie waarin ze mensen een kleine dosis curcumine gaven van ongeveer de hoeveelheid gevonden in ¼ (een kwart) theelepel kurkuma, waarna ze met behulp van echografie als reactie de galblaas naar beneden konden zien knijpen met een gemiddelde verandering in volume van ongeveer 29 [%] [100]. In een optimaler geval zou je het echter het liefst in tweeën willen knijpen hetgeen reden gaf voor herhalen van het experiment met verschillende dosissen [101], hetgeen resulteerde in de wetenschap dat het ongeveer 40 [milligram] kostte om een ​​contractie van 50 [%] te krijgen, wat per dag ongeveer 1/3 (een derde) van een theelepel kurkuma is. Maar als je al een galblaasobstructie hebt, zoals een galsteen die je galkanaal blokkeert en je eet kurkuma, dan knijpt je galblaas harder naar beneden, hetgeen veel pijn kan doen en dat dit waarschijnlijk het mechanisme is dat achter de melding van het onderzoek schuilgaat waarbij werd gezegd dat mogelijk galblaaspijn zou kunnen veroorzaken bij mensen met galstenen [97]. Patiënten met galwegobstructie moeten dus voorzichtig zijn met het consumeren van curcumine [30], maar voor alle anderen suggereren deze resultaten dat curcumine de galblaas effectief kan laten legen en daardoor het risico op galsteenvorming in de eerste plaats en uiteindelijk misschien zelfs de kans op galblaaskanker kan verminderen [101].

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 Turmeric curcumin curcuma longa Linnaeus continual meta-analysis

Eindhoven

Publication date first version: 17 January 2022 | 12022_01-17 New Human Era NHE

Publication date last version: 21 April 2022 | 12022_04-21 New Human Era NHE

Author: Rody Mens - r.w.mens@student.tue.nl

Compiled for Nutritionfactsnederlands.nl, which is a website dedicated to the exploration of the impact of nutrition on health, started upon the findings of Dr. Michael Herschel Greger.

Citation: Mens RW. 17 January 2022. Turmeric curcumin curcuma longa Linnaeus continual meta-analysis; https://www.nutritionfactsnederlands.nl/videoscript/2022/1/17/kurkuma-alomvattend-artikel ;  https://www.researchgate.net/publication/357914622_Kurkuma_Dutch; https://www.researchgate.net/publication/357914530_turmeric_ENG

Some keywords: Indiase kurkuma; Indian turmeric; Chinese kurkuma; Chinese turmeric; zard-choobag; curcuma domestica; kurkuma; turmeryte; tarmaret; terra merita; kuṅkumam; kungumam; kumkuma; kukum; kunku; Kumkum; kunkuma; haldi; haridra; kuṅkumam; meritorious earth; Indiase saffraan; Indian saffron; curcumine; curcumin; kurkumin; kurkumine; zwarte peper; piper nigrum; black pepper; reumatoïde artritis; rheumatoid arthritis; RA; osteoarthritis; OA; artrose; niet-steroïde anti-inflammatoire geneesmiddelen; NSAIDS; non-steroidal anti-inflammatory drugs; systemische lupus erythematodes; lupus; SLE; India; DNA; DNA-damage; DNA-schade; DNA-mutaties; mutaties; mutations; DNA-mutations; multipel myeloom; MM; multiple myeloma; monoclonal gammopathy of undetermined significance; MGUS; monoklonale gammopathie van onbepaalde betekenis; adenomateuze polyposis; precancereuze laesies; precancerous laesions; plaveiselcelcarcinoom; inflammatoire darm ziekte; IBD; colitis ulcerosa; UC; CU; IBD-UC; neurodegenerative diseases; neurodegeneratieve ziekten; Alzheimer; AD; dementia; dementia; conjunctivitis; roze oog; pink eye; uveitis; idiopathische inflammatoire orbitale pseudo-tumoren; non-Hodgkin-lymfoom; non-Hodgkin-lymphoma; prediabetisch; prediabetic; diabetes mellitus; diabetes mellitus type 2; baarmoederfibromen; UF; fibroids; vleesbomen; galblaaspijn; gallbladder pain.

Summary: Turmeric curcumin curcuma longa Linnaeus could possibly help as nutrition for the joints, as nutrition for bones, as nutrition for immunity, as nutrition for the liver, as nutrition for the treatment of cancer, as nutrition for the gastro-intestinal tract, as nutrition for the brain, as nutrition for surgery recovery, as nutrition for the cardiovascular system, as nutrition for the reproductive system, as nutrition for the eyes and as nutrition against pain.

Turmeric picture provided by stevepb available at https://pixabay.com/photos/turmeric-spice-curry-seasoning-3251560/

Disclaimer

My disclaimer on the service limiting my (lawful) liability, and thus establishing the terms of use for the extend of my support for your uses of the information given, which disclaimer I have written to prerequisitially cover any wrong interpretation, or (exclusive or) validity in terms of incorrectness or (inclusive or) incompleteness, incompleteness because of a lower accuracy while having a high precision, of statements that might contain of what might be considered valuable information, that which information I am trying to convey as diligently as I currently at the time possibly can composed (as I keep developing, maintaining and operating on these files to keep improving both the accuracy and the precision of the information) and thus reasonably believed to be reliable by the use of those such specifically formulated statements, reads as follows:

The information that follows, although as diligently as currently at the time possible composed, and thus reasonably believed to be reliable, written or (inclusive or) compiled by Rody Wick Mens and provided thus shared with the best and most honest intentions in mind staying trustworthy, is always still limited to the writers personal interpreter at that time, for which reason it is possibly in your country of staying probably only to be used for educational purposes and not legally defined as "medical advice" for which reason no liability for its interpretation, correctness and completeness can be granted as I want to emphasize that I only take responsibility, but without lawful liability, for the statements in scientific papers on experimental research that I have explicitly done and published myself, and rightfully regard that the interpretation, correctness and completeness of information that other researchers are publishing is their responsibility without lawful liability, which also safeguards my integrity with absolute lawful independence defending and indemnifying the writer harmless from any claims of harm and thus maintaining the reader to be responsible for its acts upon the provided thus shared information, as use of this information thus constitutes acknowledgement and acceptance of the writings limitations places the use of it solely at the user’s own risk as the information provided is provided “as is” without representations, warranties, conditions and indemnities of any kind, either express or implied, and it may therefore thus be better advised to always contact and consult a physician that is lawfully bonded to be able to be a professional health care provider which physician also probably may have government monopolized legal liability in your country of staying, before making any major changes to your lifestyle such as changes to diet, exercise, or (inclusive or) adjustment in dosages of supplemental substances (e.g., substances which a lot of people consider to be called a “pharmaceutical”, “pharmakon”, “medicine”, “medication”, “drug”, “remedy” and “nutraceutical”, of which category of substances I think people should be beware of possible negative complications due to interactions with other personal habitually used substances) routine such that the physician can help a person with the consideration of implementing lifestyle changes that might help a person in their personal specific situation taking into account the individual bodily conditions, meaning that the information given is not intended as nor implied to be a substitute for legally defined “professional medical advice”, “professional medical diagnosis” nor “professional medical treatment”, and that the information is only intended to complement the informational exchange relationship between physicians and patients while not intending, implying nor creating an impression to be a substitute for it as it does not constitute a lawful physician-patient relationship, because I think that it is important that if and when it is absolutely necessary, as sick people should be the ones visiting physicians and presumably healthy people should not (please note that I use the word physician here in lawful government monopolized context and thus not talking about a researchers which could advise people on preventative healthcare, and also since most major health organizations agree that there is the risk for serious harm for people in establishing a regular physician-patient relationship, and all major health organizations have agreed that routine annual checkups for healthy adults should be abandoned because of the reason that establishing a relationship with a physician opens the door for people to become an active patient the more they see their physicians which the more likely someone is to be tested which in turn leads to the more likely people are to be treated for either better or (exclusive or) worse which increase in treatments is because of bad incentives originating from a to a free market situation compared relatively low competitive governmental monopolized health care system, and although it might at first seem to be a good idea, a long-standing familiarity with a patient is rarely necessary in order to provide excellent care in times of need in a government monopolized healthcare system, however in the case of a constantly free market competition-based improving healthcare situation, seeking help from a trusted personal physician could definitely be recommended because developing a partnership with good communication focused on improving the quality and time-quantity of your life and in case of need if you want to get yourself and the ones dear to you the best available personalized treatment, it is something that I think anyone should want and which achievement is probably well worth the hours required in the search), people seek services such as obtaining advice from a physician who could monitor their bodily condition while undergoing health-significant lifestyle changes and thus working together, possibly towards the same goal, in which conversations I can encourage people to ask physicians any questions that one may have regarding their bodily condition and the possible effects of the changes, which for example include a relatively large change in dietary practices, in which conversations I am of opinion that physicians should accept (not necessarily respect) your lifestyle choices and not try to undermine them such as in the case that a certain physician has bad habits that should not have to lead to that certain physician giving unhealthy recommendations,  and one should look for a physician who is genuinely interested in and actively encouraging someone to become healthy through better self-care by that someone getting more actively involved in their own healthcare, of which these physicians are very knowledgeable and constantly learning about the care of a human being willing and able to clearly explain one’s present condition and the possible courses of action that one can take to test and treat one’s problems, and one who makes a conscious effort to avoid the use of medications and surgery only using these as a very last resort, and has an advocate function for you as patient willing to provide the patient with the best of care when in contact with specialists rather than just transferring the patient to the specialist care, and is in favor of second opinions of other physicians and researchers (one should hear about all of the available options along with their costs, risks, and advantages; and one should remember that as a patient one is the health care consumer and thus the customer which given should always grant that one the final say in all decisions and thus including the right to just say “No”, thus possibly refusing to accept a physicians concluding recommendations (e.g., on supervision, permission and prescription) but not necessarily disregarding the advice given as the information should be used to assemble a more broader picture of the landscape of information (never disregard professional medical advice or (inclusive or) delay in seeking it because of something you read in the writers’ texts; which refusals could be occurring when a physician does not provide convincing enough arguments to the customer which could potentially mean that the physicians arguments are internally flawed), which brings me to the point that anything in my writings that might be categorized as an opinion are to be considered my and thus the writer’s own personal views only.

 

Article: Turmeric [SOURCES BELOW]

The pungent, bitter, astringent smelling brightly yellow-orange golden (the alleppey turmeric also called the Indian turmeric exemplars have a deep yellow to orange-yellow color) or (exclusive or) brown (the Chinese turmeric exemplars have typically a brownish color) or (exclusive or) red (which red color is created by combining dried turmeric with calcium hydroxide powder and when red it is also called “kunkum” and “kumkuma”) spice powder from the dried ginger-like vegetable but colored on the inside root stalks and the rhizomes of the perennial flowering herb plant living in tropical warm temperature areas and needing plenty of rainfalls to thrive commonly named turmeric which species name is curcuma longa linnaeus (also called “zard-choobag“, “curcuma domestica“, “kurkuma“, “turmeryte“, “tarmaret“, “terra merita“, “kuṅkumam“, “kungumam“, “kumkuma“, “kukum“, “kunku“, “kumkum“, “kunkuma“, “haldi“, “haridra“, “kuṅkumam“, “meritorious earth“, “Indiase saffraan“ and “Indian saffron“ since Marco Polo wrote a that it is a vegetable that has all the properties of true saffron as well as the smell and the color but yet it is not really saffron) categorizable in the plant genus curcuma (also called kurkuma which name may be derived from the Sanskrit “kuṅkuma” which is referring to both turmeric and saffron) in the ginger family zingiberaceae (and thus a relatively close relative of ginger) possibly because it contains the non-steroidal polyphenolic (because of the multiple chemically defined aromatic phenol rings) and multiple hydroxyl group (which aromatic phenol rings and hydroxyl groups give it its antioxidant property) containing the polar readily in water soluble potentially powerful antioxidant curcuminoid diferuloylmethane biologically active compound molecule turmeric curcumin (also called “curcumine”, “kurkumine” and “kurkumin”) that is contained and thus can be found in turmeric as it makes up of approximately 5 [%] of its mass [105] (for which a convenient useful pragmatic sidenote would be that curcumin’s blood serum level bioavailability by increased absorption in the colon can be synergistically potentially boosted thus increased up to 2’000 [%] in human animals when consuming it together with the black pepper piper nigrum that contains the compound peperine [1] which is responsible for about 5 [%] of its mass [106] and which is also responsible for the pungent flavor of pepper and also inhibits the livers metabolism mechanism to make substances water-soluble so they can be more easily excreted suppressing this mechanism leading to higher blood levels of bioavailability of curcumin as within an hour you can see a little bump in the level in the bloodstream of curcumin when the mechanism is unsuppressed because the liver is actively trying to get rid of it while compared to when also consuming peperine with the same amount of curcumin consumed the bioavailability shoots up to 2’000 [%] [1], which does not take much black pepper since a little pinch of 1/20 of a teaspoon is enough to considerably boost levels [107], which concomitant combination would work great in a curry recipe for example since the bioavailability of curcumin is normally very low and thus the nutritional value is poorer when not consumed with black pepper since just a tiny bit gets into our bloodstream after eating a nice curry unless we add some black pepper [1]; and another way to boost the absorption of curcumin is to consume it in the whole food turmeric root form (relatively fresh or dried as a powder) as compared to an extract because natural oils found in turmeric root and turmeric powder can enhance the bioavailability of curcumin 7 (seven) to 8 (eight) fold [107]; and when eaten together with a relatively large amount of fatty acid containing foods such as nuts, e.g. walnuts, almonds or pecans, also ensures increased bioavailability as curcumin can be directly absorbed into the bloodstream through the lymphatic system and thus thereby in part bypassing the liver [107]) which curcumin pigment also gives turmeric its brightly deep yellow to orange-yellow golden color which turmeric is possibly usable as

> Nutrition for joints and nutrition for bones because it could possibly help with the condition of arthritis such as osteoarthritis OA which characterizes itself by progressive destructional loss of cartilage and therefore leading to damaging bone also causing bone loss in joints caused by inflammation possibly leading to disability (e.g. pain in the kneecap of the knee from osteoarthritis, which osteoarthritis in more general terms is not just from excess wear and tear from added load on the joints because relatively non-weight-bearing joints, like the hands and wrists, can also be affected suggesting the link is not purely because of mechanical load), for which curcumin in the spice turmeric may work as well as, or even better than, anti-inflammatory drugs and painkillers used for the treatment because in a study of 50 patients suffering from mild-to-moderate knee osteoarthritis they were given either the best available medical treatment, which included control with anti-inflammatory drugs and painkillers, or the best available treatment along with some proprietary curcumin supplement in which they looked at a number of different outcome measures, including the so-called Karnosfsky scale used for evidence of the presence of disease (which scale goes up to a 100 which is normal, no complaints meaning no evidence of disease and down to zero, at which someone is dead) which resulted in the group with the added curcumin doing symptomatically significantly better, and were able to double their walking distance. The curcumin group was able to significantly decrease their drug use, significantly fewer negative side-effects, less swelling, less hospitalizations, and less other treatments needed [2]. Another study showed that it does not have to be some expensive proprietary formula because looking at the efficacy of turmeric extracts in patients with knee osteoarthritis in a hundred sufferers randomized to an ibuprofen group or group using concentrated turmeric extracts for 6 (six) weeks showed that the members in the curcumin group did as good as or even better than the ibuprofen group. This all the while ibuprofens can cause gastro-intestinal tract problems causing ulcerative bleeding by perforation of the intestines’ duodenum and stomach by ibuprofen eating right through our stomach wall which even happened to someone in the study as well [3]. This whereas turmeric does not have such negative effects and can be potentially protective to a long list of diseases [4], it does however have some potential negative effects in people with specific conditions but more about that I have written below.

> It may also help as nutrition for joints and nutrition for bones for the arthritis condition rheumatoid arthritis RA which characterizes itself by progressive destructional loss of cartilage and therefore damaging bone also causing bone loss in joints caused by inflammation possibly leading to disability since curcumin has been proven to be more effective in alleviating pain from rheumatoid arthritis compared to the leading drug of choice. The efficacy of curcumin was first demonstrated years ago around 1980 in which a double-blind crossover study of curcumin versus the powerful anti-inflammatory in racehorses used phenylbutazone in which both drugs showed significant improvement in morning stiffness, walking time, joint swelling, with the complete absence of any negative effects in the curcumin group [5] while phenylbutazone was pulled from the market 3 (three) years later for wiping out defunctionalizing some people’s immune systems, taking their lives killing them [6]. Another study showed that of 45 (forty-five) patients diagnosed with rheumatoid arthritis randomized into 3 (three) groups (curcumin, the standard of care drug, or both) that the primary endpoint was a reduction in disease activity, as well as a reduction in joint tenderness and swelling which in all 3 (three) groups got better, but the (2) two groups including curcumin showed the highest percentage of improvement significantly better than those in the drug group and demonstrating that curcumin alone was not only safe and effective, but was surprisingly more effective in alleviating pain compared to the leading drug of choice without any apparent adverse negative effects with even curcumin appearing protective, given that there were more adverse reactions in the diclofenac sodium drug group than the combined drug and curcumin group [7]. In contrast to the nonsteroidal anti-inflammatory drugs NSAIDS, curcumin has no negative gastrointestinal effects and appeared to may even protect the lining of the stomach [8]. Curcumin does have some negative effects in people with specific conditions but more about that I have written below.  

> It may also help as nutrition for immunity for inflammatory conditions such as systemic lupus erythematosus (also called “SLE” and just “lupus”) in which possibly our immune system, often via producing antibodies, attacks the very nucleus of our cells attacking our DNA itself being able to potentially damage any organ area regional system which could result in a lot of different complications (and thus may be helpful as nutrition for a lot of body component systems), e.g. helpful as nutrition for the kidneys in lupus kidney nephritis (lupus kidney nephritis is also called LN and has different more specialized forms of description, e.g. glomerulonephritis) caused by inflammation (which inflammation is caused by the disease itself or (exclusive or) as a result of intense immunosuppressive drug toxicity or (exlusive or) a combination of both; of which drugs used could be chemotherapy drugs, e.g. the means cytoxan and cyclophosphamide, which can have life-threatening negative effects which may include leukemia and bladder cancer and many women lose their hair and become permanently infertile [9]) in which case oral intake of turmeric could be helpful as nutrition for the cardiovascular system because it decreases cardiovascular system manifestation of nephritis such as proteinuria (which is functional spilling of protein in the urine), hematuria, and the systolic blood pressure in human animals suffering from relapsing or (exclusive or) refractory, i.e. untreatable, lupus kidney nephritis according to a randomized double-blind placebo-controlled study because in the control group, 3 (three) people got better, 3 (three) person’s condition got worse, and the rest pretty much stayed the same while in the turmeric group, 1 (one) got worse, 1 (one) stayed the same, but the rest all got better. In this study they took women with out-of-control lupus, and just had them take like ¼ (a quarter) teaspoon of turmeric with each meal for 3 (three) months [10] costing practically nothing compared to [$] 35’000 a year for 1 (one) of the latest lupus drugs which is the monoclonal antibody belimumab that inhibits B-lymphocyte stimulating protein [11].

> It may also help as nutrition for treatment of cancer as plant and fungi-based food products accomplish multitargeting of cancer causing aspects inexpensively and safely as compared to chemotherapy drugs which are increasingly more specific over development-time monotargeted therapies (or called pseudo-multitargeted when multiple chemotherapy drugs are combined) because studies indicate that in any given type of cancer, hundreds of different genes must be modified to change a normally functioning cell into a cancer cell thus although cancers are characterized by the multiple step dysregulation of cell signaling pathways, most current anticancer therapies involve only the modulation of a single target. Thus, certain plant- and fungi-based products may work or even work better than certain chemotherapy drugs but plant- and fungi based anticancer therapies has not been prioritized because drug companies are not usually able to secure a by threat of violence government monopoly inducing intellectual property rights to these products and the extracted compounds [12]. Looking at the potential of turmeric, epidemiological on population-based data from studies show that very significantly very much lower cancer rates by lower incidence of cancer (e.g., U.S. men get 23 times more prostate cancer, get between 8 (eight) and 14 times the rate of melanoma, 10 to 11 times more colorectal cancer, 9 (nine) times more endometrial cancer, 7 (seven) to 17 times more lung cancer, 7 (seven) to 8 (eight) times more bladder cancer, 5 (five) times more breast cancer, and 9 (nine) to 12 times more kidney cancer than men in India; which is hundreds of percent more breast cancer and thousands of percent more prostate cancer [14]) is achieved in other areas of the world, thus less prevalence of cancer in regions of the world where turmeric is relatively more heavily and more widely consumed via the diet such as in India, may be due to their relatively more plant-based spice-richer diet which often includes turmeric curcumin. This comparison with India is relevant because Indians account for 1/6 (one-sixth) of the world’s population, and have some of the highest spice consumption in the world, thus epidemiologic studies in this country have great potential for improving our understanding of the relationship between diet and cancer [13]. Of course, it may not be the spices as the study noted that several dietary factors may contribute to the lower overall rate of cancer in India of among them being a relatively lower intake of meat by a mostly plant-based diet in addition to the relatively high amount of intake of spices. This is significant because 40 (forty) percent of Indians are vegetarians, and even the ones that do eat meat do not eat a lot of meat, of which we could use the axiom that health is not only what you do not eat but also what you do eat. India is one of the largest producers and consumers of fresh fruits and vegetables and they eat a lot of pulses, meaning legumes such as beans, chickpeas, and lentils. Concluding it is probably not just turmeric because they eat a wide variety of spices, which group of products called spices constitute by mass the most antioxidant-packed class of foods in the world. Population studies cannot prove a correlation between dietary turmeric and decreased cancer risk, but it certainly inspired a bunch of research. So far, curcumin has been tested against a variety of human cancers, including colorectal cancer, pancreatic cancer, breast cancer, prostate cancer, multiple myeloma, lung cancer, and head-neck cancer, for both prevention and treatment [15].

> It may help as nutrition for treatment of cancer as chemopreventive agent, i.e. a substance that may help prevent cancer (as opposed to chemotherapy agents, i.e. substances aimed at treating cancer thus substances that may help with treating cancer), because given its possible multiple mechanisms of action curcumin may help as nutrition for treatment of cancer and helpful as nutrition for the immune system as it may be classified as chemopreventive agent into all 3 (three) of the by these researchers acknowledged categorical-distanced different chemopreventive agent subgroups called the antiproliferative chemopreventive agents subgroup, the antioxidants chemopreventive agents subgroup, and the carcinogen-blocking chemopreventive agents subgroup [16]. Curcumin appears to play a role helping to block every stage of cancer transformation, proliferation, and invasion [16]. It may even help prevent carcinogens to even get to our cells [16]. An in vitro, i.e., in glass test tube or petri dish, study back investigated the effects of curcumin on the mutagenicity, i.e., the DNA-mutating ability, of several toxins after which they found that curcumin was an effective antimutagen against several mutagenic possibly cancerogenic, i.e., cancer-causing substances [17]. For in vivo, i.e., in people, studies it is not ethically just to take a group of people and expose them to carcinogens giving half of them a dosage of turmeric and then waiting to see what happens. You could wait until some toxic waste spill happens, e.g., by a nuclear accident, but otherwise you are not easily going to find people who would voluntarily expose themselves to carcinogens. But you can test on people who already voluntarily expose themselves to carcinogens, such as smokers. A lot of living organisms are encoded by DNA, so you could look at the number of DNA mutations that arise measuring urinary mutagens by using a person’s urine and bacterial strains. The research indicates that the urine of non-smokers caused far fewer DNA mutations, possibly because they have fewer toxic mutagenic compounds running through their system thus also not higher toxins concentrated pee. They tested nonsmokers against smokers both eating turmeric for 1 (one) month and saw no significant difference in the tested nonsmokers over time but in the smoking and turmeric consuming group they saw an increasingly more significant drop of mutagenic compounds in the urine with each consecutive teaspoon a day (but even eating turmeric for 1 (one) month, the mutagenesis of smoker pee exceeded that of nonsmokers) of just regular store-bought turmeric (so not some concentrated curcumin supplement) consumption, which indicates that dietary turmeric is an effective antimutagen. Thus, regular turmeric curcumin intake appears to significantly lower the DNA mutating ability of cancer-causing substances [18]. The pre-programmed planned suicidal “for the greater good of the rest of the body” cell death by self-destruction process for unhealthy cells to die naturally to make way for fresh cells called apoptosis (meaning falling away from as “ptosis” means “falling” and “apo” means “away from”) could be corrupted by cancer cells disabling this function causing them not to die when they are by your body planned supposed to, possibly by somehow turning off to this process related genes and thus compounds such as certain proteins expressed by these genes to perform that function causing these cancerous cells to continue to thrive and divide with potential of forming tumors and potentially spread throughout the body. Turmeric could be helpful as nutrition for treatment of cancer by regulating the reprogramming of and thus reactivating the self-destruct mechanism back into these apoptosis-corrupted cancer cells which could have disabled their own death receptors or when uncorrupted activating it in cancer cells by use of curcumin because it upregulates so-called death receptors in cancer cells that trigger the activation of the self-destruction sequence [19] as has been demonstrated as such that it may be helpful for human cells as nutrition for treatment of kidney cancer [21], as nutrition for treatment of skin cancer, as nutrition for treatment of nose cancer and as well as to be helpful as nutrition for treatment of throat cancer [22]. This could possibly take place via the so-called death receptor protein FAS which activates the FAS-associated death domain, along with other death receptors after which FADD then activates caspase-8, which in turn could ignite the previously corrupted self-death process or activate it in non-corrupted cancer cells killing the cells [20]. But via a certain process pathway it can also activate the (corrupted or non-corrupted) self-death process relatively more directly as has been shown such that it may be helpful as nutrition for treatment of lung cancer [24] and helpful as nutrition for treatment of colon cancer [23] possibly via activating so-called executioner enzyme caspases that, when activated, destroy the cancer cell from within by chopping up internal proteins left and right [25] also called a death by a thousand cuts [26]. There are also a lot of other possible ways curcumin can affect apoptosis because within this review paper listed different types of cancer cells curcumin can potentially kill showing that curcumin can kill a wide variety of tumor cell types through diverse mechanisms [19]. It is because curcumin can affect numerous mechanisms of cell death simultaneously (i.e., at the same time) making it potentially harder for cancer cells to avoid destruction making it is possible that cancer cells may not so easily develop resistance to a by curcumin-induced cell death like they could do to most chemotherapy against which cancer cells can develop resistance over time. Furthermore, it is also mentioned that curcumin seems to tend to leave normal non-cancerous beneficial cells to the human body alone for reasons that are according to the paper writing not yet fully understood but nonetheless making it an attractive candidate as nutrition for treatment of cancer [19].

> It may help as nutrition for the immune system as nutrition for prevention against carcinogenesis (cancer development) and treatment of cancer as preventative for and as treatment against previous heavy metal exposure such as arsenic (e.g., as contamination of drinking water [40] of which as many as 1/10 (one in ten) in some parts of the country mentioned in the study will now go on to die from cancers caused by the arsenic exposure) which is considered a carcinogenic heavy metal thus being able to possibly induce cancer that possibly happens because it induces accumulation of free radicals that can damage our cells by damaging their DNA (having the ability of damaging DNA may also be called a bad form of being mutagenic) and it may also disrupt our body’s ability to repair our DNA once it is damaged next to also being able to kill our cells [38]. If the damage is caused by free radicals, we could probably diminish the damage by eating foods that eliminate free radicals such as the spice turmeric which contains the antioxidant pigment curcumin which could possibly help with both scavenging of free radicals as well as chelation of, i.e., binding up, heavy metals [39]. After the disastrous exposure of a large part of the population as mentioned in source [40] a study was launched of which 50 [%] of volunteers were randomly selected and prescribed curcumin capsules blended with a little black pepper while the other half were given a placebo and in addition a third group was added as control non-exposed to the heavy metal arsenic which control group amount of DNA damage does not change much remaining the same throughout the study remaining stable to use as a baseline and they also established a baseline for the arsenic-exposed groups by waiting for 3 (three) months before starting to induce the supplemental change in the study [41].  Then, for 3 (three) months, they proceeded to give them either curcumin and black pepper or (exclusive or) the placebo. Within the first month, you could see the curcumin working and by the third month the DNA damage in the curcumin-treated arsenic group was no worse than in those who had not been exposed to arsenic at all thus an extremely significant improvement, certainly as the arsenic-exposed placebo group stayed charted with about a little lower than the same amounts of DNA damage at the start of the study which could be explained by a very much slower filtering of the body of arsenic as compared to when turmeric curcumin is consumed. Thus, turmeric curcumin can regress DNA damage of heavy metal arsenic exposure and importantly they also undid the arsenic crippling of our DNA repair enzymes thus both help with preventing the damage and facilitating repair in the case of DNA damage already occurred [41].

> It may also help as nutrition for treatment of cancer as it may help with prostate cancer since in a study of 199 men with prostate cancer in which they three times a day got either a placebo or a tablet containing 100 [mg] of whole powdered pomegranate (i.e. the whole fruit just with the water taken out) that comes out to be about 6 (six) pomegranate seeds’ worth a day which is about 1/100 of a pomegranate a day in which study they were trying to use synergistical effects (using the axiom “when you have two people eating the same number of servings of healthy foods then the one eating a greater variety probably eats healthier” which comes about the same as the axiom “smaller amounts of many phytochemicals may have a greater potential to exert beneficial effects on your body than larger amounts of fewer phytochemicals” which was used to maximize their chances of beating back the cancer in terms of protecting their DNA from free radical damage using introduced diversity by the supplement for two groups of people normally eating approximately the same amount of fruits and vegetables) by adding some powdered broccoli too, some powdered turmeric, and some powdered green tea concentrate in the supplement (which made the supplement like a fruit, a vegetable, spice and leaf all in once but in tiny amounts, about 1 (one) floret of broccoli a day, less than 1/8 (an eighth) teaspoon a day of turmeric, and about 1/6 (one-sixth) of a tea bag worth of green tea) which study showed that of the men with early-stage prostate cancer trying to avoid surgery the levels of prostate-specific antigens in the prostate-specific antigen (PSA) blood test rose nearly 50 [%] in the placebo group indicating the cancer continued to flourish, whereas in the pomegranate+broccoli+turmeric+green tea food supplement group the PSA levels did not rise anymore at all. And for those with more advanced disease (i.e., those that already had surgery or radiation, and trying to avoid chemotherapy) an about 70 [%] greater rise in the placebo group as compared to the supplement group which was enough to significantly delay some of the more toxic treatment meaning significant short-term (6 (six) months) favorable effects. The study concluded only short-term favorable effects because they only had enough money to run the study for 6 (six) months, because it was a non-commercial endeavor funded by charity meaning that long-term favorable effects could also exist but that the study stopped prematurely to possibly determine those possible long-term effects. This was also not a study by a supplement company, in fact, there was no supplement until the investigators made it up from scratch to test the chemical phytonutrient compounds for treatment of the disease in this study. Of course, now there is a supplement given the study’s extraordinary results, but the only reason the researchers put the foods in pill form was to match it with a placebo. This study thus tells us that a cancer patient, in this case a prostate cancer patient, is better off when eating curried broccoli whereafter fruit for dessert and a sip of some green tea [59]. Also is known that a completely plant-based diet may even shrink the tumor not just slow it down [60].

> It may help as nutrition for treatment of cancer especially pancreatic cancer (which is among the most aggressive forms of human cancer with a very high mortality rate with a 5-year survival rate of only 3 [%] and an average survival of less than 6 (six) months, representing the fourth leading cause of cancer death in United States of America with an annual mortality of 32’000 dead) as turmeric was tested for treatment as there is desperate need for new treatment options as there are only a few FDA-approved therapies for it such as the use of gemcitabine and erlotinib which only produce some objective responses in less than 10 [%] of patients while also causing severe negative effects in the majority of patients [61].

Clinical research to test new treatments are split up into phases. Turmeric curcumin has passed several phase I trials just to make sure the treatment is safe by seeing how much you can give someone before it could become toxic. In fact, there was so little toxicity, the dosing was limited only by the number of pills that patients were willing to swallow [62]. Turmeric curcumin has also passed a phase II trial which is to see if it actually has any effect, which it did in 2 (two) of the 21 patients that were evaluated in which 1 (one) of whom had a 73 [%] tumor reduction [63]. Unfortunately for this person the effect was short-lived since that first lesion remained small but apparently a curcumin-resistant tumor close emerged, whereas the other patient showed slow improvement over a year with a stable disease situation for over 18 months. In fact, the only time their cancer markers bumped up was during a brief 3 (three) week stint where the curcumin supplementation was stopped, concluding that it does seem to help some patients with pancreatic cancer, and most importantly no negative effectual downsides of curcumin-related toxic effects up to doses of 8 (eight) grams a day as compared to the downsides that are present in the use of the medicinal drugs such as gemcitabine and erlotinib mentioned earlier [61]. Curcumin does have some negative effects in people with specific conditions but more about that I have written below. We however do not know what happens after eight grams of turmeric curcumin a day because no one was willing to take that many pills while they were willing to undergo on one of the nastiest chemotherapy regimens on the planet, they did not want to be inconvenienced with swallowing a lot of turmeric curcumin capsules [62].     

As of now the only sure way to beat pancreatic cancer is to avoid it by preventing it in the first place. A historical large 2010 study found that dietary fat of animal origin was associated with increased pancreatic cancer risk, but it was not known yet which animal fat is the worst for possibly helping to induce pancreatic cancer [64]. A study in 2013 could help with answering that question finding that poultry was the worst with a 72 [%] increased risk of pancreatic cancer for every 50 [g] of daily poultry consumption which is just like ¼ (a quarter) of a chicken breast [65]. The reason white meat came out worse than red meat may be because of the cooked meat carcinogens in chicken such as the heterocyclic amines that build up in grilled and baked chicken which mutagenic carcinogenic chemicals have been associated with doubling pancreatic cancer risk [66].

Other recent studies include one out of San Francisco, implicating the standard American diet and one out of Italy, concluding high consumption of meat and other animal products, as well as of refined carbs was associated with pancreatic cancer risk, whereas a diet rich in fruit and vegetables appeared to lower the risk of pancreatic cancer [67]. Eating meat may increase risk of pancreatic cancer, whereas eating fake meat has been found associated with significantly less risk. Those who eat plant-based meats like veggie burgers or veggie dogs three times or more a week have less than half the risk of fatal pancreatic cancer. Also, legumes and dried fruit were found to be protective [68].

> It may also help as nutrition for treatment of cancer with cancer of the antibody-producing plasma cells also called multiple myeloma MM which is a disease almost always preceded by the asymptomatic (someone does not even know they have it until a doctor finds it incidentally, e.g. during routine blood work) precursor disease called monoclonal gammopathy of undetermined significance MGUS which MGUS is about one of the most common premalignant disorders with a prevalence of about 3 [%] in the older white general population [73] and about 2 to 3 (two to three) times that in African-American populations [74], which when progresses into to multiple myeloma means that you then have about 4 (four) years to live [73] which is why we need to find ways to treat MGUS early, before it turns into cancer. But no such treatment exists yet, rather, patients are just kind of placed in a holding pattern, with frequent checkups. Thus, if all you are going to do is watch and wait you might as well try out some dietary changes such as adding turmeric curcumin to your diet since it is relatively safe considering that it has been consumed as a dietary spice for centuries and it kills multiple myeloma cells since in a study was shown that when measuring the progression of the disease that is characterized by the rise in blood levels of paraprotein, which is made by MGUS and myeloma cells, about 1 in 3 (one in three) of the patients’ bodies positively responded to the curcumin dropping paraprotein levels whereas this was not the case in the placebo group [75]. These positive findings prompted them to commence a double-blind randomized control trial study in which they saw the same kind of positive biomarker response in both MGUS patients as well as those with so-called “smoldering” multiple myeloma, with which is meant an early stage of the disease multiple myeloma. These findings suggest that curcumin might have the potential to slow the disease process in patients delaying or preventing the progression of MGUS to multiple myeloma [76] but we do not know until longer larger studies are done.

The best way to deal with multiple myeloma is to not get it in the first place. In 2010 a study suggests that vegetarians have just ¼ (a quarter) the risk, i.e., 75 [%] less risk, of multiple myeloma compared to meat-eaters [77]. Even just working with chicken meat (e.g., in a chicken meat production facility) may double one’s risk of multiple myeloma, the underlying thinking being that those cancers like leukemias, lymphomas, and myeloma may be induced by viral agents in both cattle as well as chickens which are so-called zoonotic (i.e., animal-to-human) oncogenic (i.e., cancer-causing) viruses. Beef, however, was not associated with multiple myeloma [78]. There are however some vegetarian foods we may want to avoid. Harvard reported a controversial link between diet soda and multiple myeloma implicating aspartame [79]. French fries and potato chips should not be the way we get our vegetables because there is also a link over there [80], nor should we probably pickle them because while the intake of shallots, garlic, soy foods, and green tea was significantly associated with a reduced risk of multiple myeloma, intake of pickled vegetables three times a week or more was associated with increased risk of multiple myeloma [81].

> It may also help as nutrition for treatment of cancer with treatment of colon cancer because it was shown in a study that those with high risk of colon cancer and those with colon cancer could reverse the progression of their disease by taking curcumin.

In a last-ditch attempt to save the lives of 15 (fifteen) patients with advanced colorectal cancer that did not respond to any of the standard chemotherapy agents and radiation, they started giving them a turmeric extract for 4 (four) months that appeared to help stall the disease in 1/3 (a third) of the patients, i.e. five out of fifteen, from the second month onwards of treatment suggesting turmeric may cause clinical benefit in at least some patients with advanced refractory colorectal cancer [82]. Now, if we were talking about some new kind of chemotherapy, and it only helped 1/3 (one in three) you would have to weigh that against negative chemotherapy effects such as losing your hair, sloughing of your gut, intractable vomiting, and maybe being bedridden. So, in a drug scenario a 1/3 (one-in-three) benefit may not sound particularly appealing, but when we are talking about a plant extract proven to be remarkably safe, even if it just helped 1/100 (one in a hundred), it would be worth considering. With no serious downsides, a 1/3 (one-in-three) benefit for end-stage cancer is pretty exciting.

Researchers at the Cleveland Clinic and Hopkins tested five years later two phytochemicals, i.e., curcumin (from turmeric) and quercetin (found in red onions and red wine), to see if colon cancer could be prevented in people with familial adenomatous polyposis which is a disease that runs in families in which you develop hundreds of polyps which will eventually turn into cancer (colon cancer forms from polyps) unless they have their colon prophylactically removed. So, they took 5 (five) such patients who already had their colons removed but still either had their rectum and/or a little intestinal pouch which were still packed with polyps, the patients started out between 5 (five) and 45 polyps each. And after 6 (six) months of curcumin and quercetin supplements they on average ended up with fewer than half the polyps, and the ones that they had shrunk half in size. In the study was also one patient, i.e., the patient called patient 1, who got rid of all their polyps by month three but then they seemed to come back which possibly happened because it turned out the patient stopped taking the supplements. So, they put them back on the phytonutrient supplements for another three months, and the polyps came back down all with virtually no adverse events and no blood test result abnormalities. Thus, by studying people at high risk for colon cancer, they were able to show noticeable positive effects within just months. But polyposis is a rare disease because of which they were only able to recruit 5 (five) people for the study [83].

Another five years later, researchers put 44 smokers on turmeric curcumin supplements alone for a month and measured changes in their colorectal aberrant crypt foci, which are things that may act like precursors to polyps which polyps may be the precursors to causing cancer. The study shows that after just one month there was a significant drop in the number of these aberrant crypt foci in the high-dose supplement group but no change in the low-dose group, without dose-limiting negative effects other than that the stools in some participants did turn a bit yellow [84]. Curcumin does have some negative effects however in people with specific conditions but more about that I have written below.

> It may also help as nutrition for treatment of cancer cutting down on precancerous lesions, and even pre-precancerous lesions such as with treatment of bladder cancer and early-stage squamous cell carcinoma skin cancer (caused by arsenic exposure) and early-stage cervical cancer and precancerous lesions in the mouth and precancerous lesions in the stomach because it was shown in a study that people who just had bladder cancer taken out, or who have early-stage squamous cell carcinoma skin cancer (caused by arsenic exposure), or early-stage cervical cancer, or precancerous lesions in the mouth or precancerous lesions the stomach that in about ¼ (a quarter) of the patients the lesions started to get better as in ½ (one out of the two) bladder cancer survivors, 2/7 (two out of seven) precancerous mouth lesions, 1/6 (one out of six) precancerous stomach lesions, ¼ (one out of the four) early-stage cervical cancer cases, and 2/6 (two out of six) early-stage skin cancer, this by all of them without any noticeable negative effects [85].

> It may also help as nutrition for treatment of cancer of skin accessible cancers as topical agent since in a study in which researchers took turmeric from the store, subsequently made a tincture out of it whereafter drying it and putting it in Vaseline, and then had cancer patients rub it on their cancer three times a day showed that in cancers such as in the mouth, breast (topical breast cancer since advanced breast cancer can ulcerate right through the skin), skin, and vulva in people with recurrent ulcerating tumors (in which surgery, radiation and chemotherapy did not work) that rubbing with a turmeric ointment produced a remarkable relief (as open cancers can stink, itch and ooze), with reduced exudate (exudate meaning a mass of cells and fluid that has seeped out of blood vessels or an organ, especially in inflammation) oozing, and with a reduction in smell in 90 [%] of the cases (even in extensively ulcerated cases of breast cancer), and a reduction in itching in almost all cases as well. For example, it relieved the “severe itching” in 2 (two) of the vulva cancer patients. Most of the lesions dried up, and in many cases this relief lasted for months all from just rubbing on some harmless spice turmeric [86].

> It may also help as nutrition for the immune system as prevention of cancer as turmeric was shown in vitro to be effective at reducing radiation damage thus being protective against radiation induced damage [87], but this study is all just on cells in vitro in a test tube not tested in vivo in actual human beings yet. You can find people who are voluntarily exposed to radiation you can test stuff on such as pilots [88], and also hospital workers that run the X-ray machines who have been found to suffer inordinate radiation exposure, leading to chromosomal damage as a result as compared to other hospital staff [89] and leading to higher levels of oxidative stress within their body [90]. Although X-rays can damage DNA directly, much of the damage is caused by the free radicals generated by the radiation [90] which is why for a study the researchers asked radiation staff to drink 2 (two) cups a day of lemon balm (an herbal tea known to have high levels of antioxidants) tea for a month resulting in the level of antioxidant enzymes in their bloodstream to go up, and the level of free radical damage going down which both lead in this research to the conclusion that oral administration of effective antioxidant foods such as lemon balm tea may be helpful for the protection of the radiology staff against radiation-induced oxidative stress improving the antioxidant defense system, especially enzymatic defense due to its antioxidant properties [92]. And if that is the reason then practically any plant should fit the bill, especially plants with a relatively high concentration of antioxidant molecules such as turmeric curcumin which then also fits in this picture [91].

> It may also be helpful for nutrition for treatment of cancer especially breast cancer since turmeric, like soy, may also suppress human fat cells and not only have an antiproliferative effect on cancer [94], but may prevent cancer metastases by inhibiting cancer cell invasion [95]. The main turmeric compound is even being considered as a leading treatment for multidrug-resistant breast cancer [96].

> It may also be helpful as nutrition for the immune system as turmeric curcumin may help as an anti-inflammatory antioxidant which could be why it may also be helpful as nutrition for the gastro-intestinal tract as turmeric may help with the debilitating condition called inflammatory bowel disease (also called “IBD”) such as ulcerative colitis (also called “UC”, “CU”, “colitis ulcerosa” and “IBD-UC”), because a randomized double-blind placebo-controlled trial study found that when that when giving persons with this condition either turmeric curcumin along with their already used conventional anti-inflammatory drugs or (exclusive or) taking a placebo and their drugs, that in the placebo group 8 (eight) out of 39 relapsed (meaning their disease flared back up, one of the disease characteristics of this disease is that intensity of disease changes over time dependent on people’s lifestyles which why the relapse is happening the people, physicians and doctors themselves currently often poorly understand only signifying that it could relapse thus meaning it comes and goes, stopping the thought-process there), i.e. about 20 [%], while in the curcumin group statistically significant relatively fewer amount of only 2 (two) out of 43, i.e. about 5 (five) [%] relapsed as compared to the 20 [%] in the placebo-group. Furthermore, when relapsed or not, the overall conditional pleasantness of experiencing life because of their bodily health condition in the placebo group got increasingly worse over time while in the curcumin group the trending line got increasingly better over time, which was also more objectively, via a higher objective versus subjective measurement fraction, endoscopically found by visualizing the insides of their colons which gave a statistically significant improvement in the endoscopic index as well. The difference between 5 (five) [%] and 20 [%] was so big that the researchers wondered if something in the study went wrong such as e.g., even though patients were randomized to each group, maybe it was through some coincidence that the curcumin group just ended up being much healthier thus it being a different factor than curcumin that accounted for the results. Therefore, to filter out this potential effect they extended the study another 6 (six) months, but then put everyone in the placebo group stopping curcumin supplementation to everyone to see if the persons previously assigned the curcumin then started relapsing more too becoming just as bad as the placebo-group, which is exactly what happened which is that upon withdrawal of curcumin the relapse rate quickly paralleled that of patients treated initially with only a placebo concluding that curcumin seems to help for maintaining remission in patients with relatively quiescent ulcerative colitis [27]. This all the while turmeric does not induce the negative effects persons with ulcerative commonly suffer from by the in the majority of cases use of drugs every day for the rest of their lives (such as drugs that are commonly used for inflammatory bowel disease are e.g. sulfasalazine (SZ), mesalamine, corticosteroids, immunomodulators and remicade) which can add to disease complications such as most commonly nausea, vomiting, headaches, rash, fever, and inflammation of the liver, pancreas, and kidneys. As well as crippling their immune system and reducing or even eliminating fertility [28]. Curcumin does have some negative effects in people with specific conditions but more about that I have written below. 

> It may also be helpful as nutrition for the brain as preventative means against neurodegenerative diseases since anti-inflammatory agents may reduce the risk of Alzheimer’s disease without the negative effects anti-inflammatory drug agents such as non-steroidal anti-inflammatory drugs (NSAIDs) have which could induce toxicity of the stomach, liver and kidney [33]. People populations who eat a lot of the spice turmeric may have the lowest reported prevalence, i.e., how many people with the disease are reported to be walking around, of dementia and Alzheimer’s such as is the case in rural India [34]. But this information may only be incorrectly indicative because in such a relatively impoverished area the people living there might not live very long which makes that you need to know more than just the prevalence but also the incidence of the disease, i.e., how many people are newly diagnosed with it every year, which reflects the true rate of disease occurrence. In rural Pennsylvania the incidence rate of Alzheimer’s disease for people over age 65 is such that 19 (nineteen) people in a thousand develop Alzheimer’s disease every year while in rural India, using the same diagnostic criteria, that same rate is 3 (three) in a thousand, confirming that they have among the lowest reported Alzheimer’s disease rates in the world [34]. According to the researchers the lower prevalence of Alzheimer’s in India is generally attributed to the turmeric consumption as a part of curry, and it is assumed that people who use turmeric regularly have a lower incidence of the disease [34]. Not assuming anything a study showed that of a thousand people tested those who consumed curry at least occasionally did do better on simple cognitive tests than those who did not, meaning those that often ate curry had only about ½ (half) the odds of showing cognitive impairment after adjusting for a wide variety of potential confounding factors suggesting that curry consumption may be associated with better cognitive performance [35]. Of course, it probably matters what is being curried (e.g., are we talking about chicken masala, or chana masala, i.e. with chickpeas instead of chicken), therefore it may be no coincidence that the country with among the lowest rates of Alzheimer’s disease has among the lowest rates of meat consumption with a significant percentage of Indians eating meat-free and egg-free diets [36]  which is correlated with Alzheimer’s disease since those who eat meat (red meat and/or white meat) appear between about 2 (two) to 3 (three) times more likely to become demented as compared to vegetarians with the longer one eats meat-free the lower the associated risk of getting dementia [37].

> It may also be helpful as nutrition for the brain for the treatment of neurodegenerative diseases such as the psychological behavioral symptoms of dementia in persons with Alzheimer’s disease AD as a case series study with 3 (three) Alzheimer’s patients were treated with a teaspoon of turmeric a day, which comes out to a few dollar cent or euro cents, which statistically significantly improved their symptoms declining the negative symptoms along with the burden on their caregivers [29]. Case number 1 (one) is an 83-year-old woman which started losing her memory getting disoriented after which she started having problems taking care of herself, wandering aimlessly, and becoming incontinent. After the turmeric consumption adage to her diet though, her agitation, apathy, anxiety, and irritability were relieved, and she had less accidents. Furthermore, she began to laugh, sing, and knit again. After taking turmeric for more than a year she came to recognize her family again and now lives a peaceful life without any significant behavioral psychological symptom of dementia [29]. Case number 2 (two) was similar, but with hallucinations, delusions, and depression, which appeared to be relieved by turmeric consumption. She began to recognize her family again and now lives in a peacefully serene manner. And the third case was similar as well, including an improvement in cognition [29].

However, using turmeric curcumin supplements rather than turmeric itself does not seem to work as 2 (two) trials failed to show a benefit [30, 31]. Concentrated into pill form at up to 40 times the dose, no evidence of efficacy was found. This could be because curcumin is just one of the hundreds of phytochemicals which are found in turmeric [32]. We do not get to see the results we saw in the 3 (three) case reports because either those cases studies were not scientifically valid enough or (exclusive or) because of the curcumin not working as an isolated dosage at all meaning that other components in turmeric other than curcumin are responsible for the effect which could be tested by isolating other components or (exclusive or) it could be a combination meaning that synergy might be at play meaning the whole food is greater than the sum of its parts and thus that a synergism significant effect of bioactive compounds is only noticeable when more compounds than the one compound curcumin is present and thus isolating different compounds is not going to give the desired effect thus a study is needed in which the whole turmeric is used. But it will be a while for such a study because it will be hard to find someone to finance such as study because you cannot governmentally monopolize the product with a patent for the spice meaning that you are not going to be able to charge more than the few dollar cents or euro cents a day as discussed previously, thus we are waiting on a philanthropical person and/or researchers to start such a study.

> It may help as nutrition for surgery recovery and as nutrition against pain because it may help speed recovery after surgery since in a double-blind randomized placebo-controlled study of 50 human persons the efficacy of turmeric curcumin was tested in pain and postoperative fatigue (since turmeric has traditionally been used as a remedy for traumatic pain and fatigue) after laparoscopic cholecystectomy (which can take you out of going about your normal life for over a month), i.e. people getting their gallbladder removed, showing that of the fifty people that were cut into and given curcumin or (exclusive or) an identical looking placebo, in both cases alongside with so-called rescue analgesics, i.e. actual pain killers, to take if the pain became unbearable, that in the weeks following surgery, a very significant high possible value for drop in pain and fatigue measure scores (“probable” because it is hard to come up with objective measures of pain and fatigue) in the curcumin group was observed, with drug-wise the curcumin group was still in so much pain they were pain-induced forced to take 7 (seven) of the rescue painkillers while in the same time period, though the control group had to take 39 of the rescue painkillers thus can be concluded that curcumin is significantly successful for reducing pain [42].

> It may help as nutrition for the immune system as treatment for inflammatory conditions such as eye inflammation and thus as nutrition for the eyes such as in the case of conjunctivitis (also called “pink eye”) since ophthalmologists in India found that eyedrops made from the spice turmeric seemed to work just as well as antibiotic eyedrops as the disease in all of the 25 persons who received the turmeric eye drops started subsiding from the third day onward and the disease in all the persons was beaten on the sixth day except the 2 (two) cases of kandu that remained even after the sixth day, compared to the 25 cases who received the drug soframycine which subsided from fourth day and complete relief took seven days, except in two cases for which the duration took 9 (nine) days [43].

In a different study in which researchers decided to give oral supplements of turmeric curcumin a try as nutrition for the eyes against more serious inflammatory eye diseases like to uveitis sufferers (often an autoimmune or infectious inflammation of the central structures in the eye), which disease blinds tens of thousands of Americans every year [47], for which lots of steroid drugs are used that knock down people’s immune systems also having a lot of negative effects on your body. The conditions of all the eighteen persons suffering from uveitis given turmeric curcumin alone improved leading the researchers to call its efficacy comparable to corticosteroid therapy, but without any of the negative effects [48].

A larger follow-up study was similarly encouraging showing that out of the 106 patients, all of which had a uveitis relapse in the year before starting curcumin, a year after using curcumin only 19 of them did. Altogether, the 106 patients (some with multiple relapses) relapsed 275 times in the year before curcumin treatment, but in the year on curcumin only a total of just 36 relapses happened [49].

It was also tested as nutrition for the eyes as treatment against idiopathic inflammatory orbital pseudo-tumors (idiopathic from the Greek “idios” as in “idiot” means the doctors at the time had no idea what caused it and “pathic” meaning disease so a disease which doctors do not know the cause of yet; “inflammatory” as in inflammation in the area; “orbital” is referring to the bony cavity that houses our eyeball; and pseudo-tumor as in not really a tumor but looking like what a tumor would probably have looked like; which disease called idiopathic inflammatory orbital pseudo-tumors is now generally attributed to low-grade non-Hodgkin’s lymphoma so it does actually appear to be a form of cancer thus turmeric curcumin also in this case possibly helping as nutrition for treatment of cancer [51]) which is a really serious eye inflammation condition [50]. In the study they decided to look at spice compounds such as turmeric curcumin because the available treatments such as steroids, radiation, and chemotherapy are so toxic resulting in harming the body. Initially all the patients in the study were put on steroids but had to stop them because they either did not work or (exclusive or) had to be withdrawn because of complications and the researchers also did not want to use radiation because they did not want to blind anyone. All the patients had such swelling that they could not move their eye as they normally would have been able to, so they tried the relatively cheap, relatively simple and relatively safe possibly solution of using turmeric curcumin with 4/5 (four out of the five), i.e. 80 [%], of the persons with the disease who completed the study having a full response meaning a complete recovery with no residual signs nor symptoms of the disease since complete regression of the eye dislocation (also called proptosis) and complete regression of the swelling occurred in all 5/5 (five out of five), 100 [%], of the patients, though one of the patients continued to suffer some residual effects [50].

Summarizing these studies, turmeric curcumin drops seem to work as treatment for mild, and serious and very serious eye inflammation conditions.

> It may be helpful as nutrition for the immune system and nutrition against cancer. A group of researchers at the university of Florida in Gainesville and the Pennsylvania state university set up a quite elegant experiment. It is relatively more generally known that herbs and spices have some of the greatest antioxidant activity concentrations, but that is often only in vitro in a test tube. Before we can ask if an herb or (exclusive or) spice has health benefits, it is first necessary to determine whether it is bioavailable in the human body. This has as far as to my knowledge never been done until the results of this research study were published. The researchers could have gone the easy route and just measured the change in antioxidant level in one’s bloodstream before and after consumption, but the assumption that the appearance of antioxidant activity in the blood is an indication of bioavailability has an important weakness which is that maybe more gets absorbed than we think but that does not show up on antioxidant tests because it gets bound to e.g., blood stream circulating proteins and bloodstream circulating or (exclusive or) non-bloodstream circulating cells, for which reason the researchers attempted to instead measure other physiological changes in the blood instead of doing an anti-oxidant test. The researchers were interested in whether absorbed compounds would be able to protect white blood cells from an oxidative inflammatory injury and thus whether it would protect the strands of our DNA from breaking when confronted by free radicals. The researchers also wondered if the consumption of herbs and spices might alter cellular inflammatory responses in the presence of a physiologically relevant inflammatory source. What the researchers did is having groups of multiple persons eating different types of spices for a week. Considering the amounts, it was such that the quantities that study subjects consumed was based on the usual levels of consumption in actual food reflecting quantities people might actually eat once in a while, e.g., the oregano group was given ½ (a half) teaspoon a day which is an amount people may commonly add to their meals including oregano. So, the researchers did not use relatively large doses as which is the case in some pills, but they used just the amounts that e.g., make spaghetti sauce, pumpkin pie, and curry sauce taste good. At the end of the week the researchers drew blood from the people they had adding black pepper to their diets that week and compared the effects of their blood to the effects of the blood of the people e.g., on cayenne, or (exclusive or) cinnamon, or (exclusive or) cloves, or (exclusive or) cumin. In this study the researchers had constructed about 10 (ten) different groups of people eating about 10 (ten) different spices. Then, the researchers dripped the blood plasma, which is the liquid fraction of human blood, onto human white blood cells in a petri dish that had been exposed to an inflammatory source. The researchers wanted to pick something really inflammatory so they chose oxidized cholesterol which is like what you would get in your bloodstream after eating something like fried chicken. So, they jabbed the white blood cells with oxidized cholesterol, and then measured how much tumour necrose factor TNF the cells produced in response to the inflammatory source. Tumor necrose factor is a powerful inflammatory cytokine infamous for the role it plays in autoimmune attacks, like inflammatory bowel disease. There are drugs that can do the same thing [111]. Tumor necrosis factors are such major mediators of inflammation and inflammation-related diseases that there are these TNF-blocking drugs on the market for the treatment of inflammatory diseases—like osteoarthritis, inflammatory bowel disease, psoriasis, ankylosing spondylitis which drugs collectively rake in more than $20 billion (which is about “18 miljard euro”) a year, because drug companies charge people $15,000 to $20,000 (which is about “14 tot 20 duizend euro”) a year for the drug while these drugs also carry a black label warning indicating risk of massive negative effects, since the drugs can cause things like cancer and heart failure [111]. If only there were a cheaper, safer solution. Curcumin which is the yellow pigment in turmeric is a spice that is cheaper, safer and there is evidence that it may help in vivo ex vitro thus it can be helpful out of a test tube in all the diseases for which TNF blockers are currently being used. And so, with health care costs and safety being such major issues, this golden spice, turmeric, may help provide the solution for these aforementioned problems. This is thus landmark study comparing the ability of different spices to suppress inflammation and also compared their ability to protect DNA which resulted in the conclusion that cloves, ginger, rosemary, and turmeric were able to significantly stifle the inflammatory response in terms of TNF activity [108]. Looking into DNA protection protection effects, then when taking a tissue sample from an average person, about 7 [%] of their cells may show evidence of DNA damage in the sense of actual being able to cause breaks in the strands of their DNA, and if you blast those cells with free radicals causing additional stress then that number can be brought up to even 10 [%] [73]. But if the person had been eating ginger for a week that drops to just 8 [%] [73]. Cells in tissue from someone who had not been eating any herbs and spices was shown to be more vulnerable to DNA damage from oxidative stress than someone who has included ginger into their diet resulting in that it may lessen that damage by 25 [%] which may also be true for rosemary [108]. Looking at turmeric it may cut DNA damage even by 50 [%] thus in half. It is important to note that the researchers were not dripping the spices themselves on these human white blood cells, but the blood of those who ate the spices, so it is not just mixing turmeric with cells in some petri dish, this is really comparing what happens when you expose the cells of spice-eaters versus the cells of non-spice-eaters to free radicals and count the DNA fracture rates [108]. It thus represents what might happen when cells in our body are exposed to the levels of spices that circulate in our bloodstream after normal daily consumption. Not only did the turmeric work significantly better than ginger and rosemary, but also at a significantly smaller dose since this is comparing about 4/3 (one-and-a-third) teaspoons a day of ginger and rosemary to practically just a pinch of turmeric which was about 1/8 (an eighth) of a teaspoon of turmeric a day, showing how powerful turmeric is as compound for managing DNA damage [108].  If you just count DNA breaks in people’s cells before and after a week of spices without the free radical blast then no significant intrinsic protection can be seen in the ginger and rosemary groups, but the turmeric group still appeared to reduce DNA damage by half [108]. This may be because the curcumin compound in turmeric is not just itself an antioxidant but also boosts the activity of our bodies’ antioxidant enzymes such as catalase of which catalase is one of the most active enzymes of the body with each one enzyme being able to detoxify multiple 10^6 (millions) of free radicals per second [109]. When you consume the equivalent of about ¾ (three-quarters) of a teaspoon of turmeric a day then the activity of this enzyme in our bloodstream can get boosted by 75 [%] [109]. Important to note is that this effect was found specifically for heat-treated turmeric for which the researchers tested because in practice many herbs and spices are only consumed after cooking [109]. The researchers tested both turmeric and oregano in both raw and cooked forms and in terms of DNA damage the results from raw turmeric did not reach a statistically significant difference, though the opposite was found for the anti-inflammatory effects concluding that maybe we should eat it both ways, thus raw and cooked, for different benefits [109]. Practical recommendations for an easier way of adding curcumin to the diet might be to add turmeric to sweet dishes containing cinnamon and ginger [110].

> It may help as nutrition for the cardiovascular system as improving the function of the inner lining of our blood vessels called the endothelium which functioning is sensitive to induced inflammation e.g., by oxidation (as in the operational definition sense) or free radicals which could lead to increased endothelial dysfunction which may set us up for cardiovascular diseases such as heart disease or a brain stroke. Researchers in Japan compared the endothelial benefits of 30 to 60 minutes of aerobic exercise a day to those consuming turmeric curcumin of about 1 (one) teaspoon a day for 8 (eight) weeks also adding a control group to the study that did neither of both. The group that did neither experienced no benefit, but the exercise group significantly boosted their endothelial function, and so did the curcumin group. The magnitude of the improvement achieved by curcumin treatment was comparably about the same to that obtained with the up to an hour a day of aerobic exercise, significantly improving endothelial function. Therefore, regular ingestion of curcumin could be a preventive measure against cardiovascular disease as in the study it was seemed effective in postmenopausal women thus effective as nutrition for the reproductive system. Furthermore, the results suggest that curcumin may be a potential alternative treatment for patients who are unable to exercise [52].

But ideally, we would do both because the combination of curcumin and exercise both may work even better than either alone since in a study was looked at central arterial hemodynamics (which if our endothelium is impaired stiffens our arteries making it harder for our heart to pump) comparing a placebo-group with a turmeric curcumin group, an exercise group and a group that consumed turmeric curcumin and exercised resulting in that blood pressure can be dropped down with either turmeric curcumin or (exclusive) exercise, but if you combine both your endothelial function works even better. They conclude that these findings suggest that regular endurance exercise combined with daily curcumin ingestion may reduce the pressure against which your heart has to fight to a greater extent than one or the other, so healthy eating and exertion for an improvement in function of our endothelium [53].

There is also this randomized controlled crossover trial looking at postprandial endothelial function in human animal males after turmeric curcumin via curry-dish consumption which significantly ameliorates postprandial flow-mediated dilation FMD and thus improves cardiovascular health through an improvement in endothelial function [54].

> It may help as nutrition for the cardiovascular system as it may help persons with the condition called being prediabetic since a randomized double-blinded placebo-controlled trial study with people diagnosed with prediabetes was published in the “Journal of the American Diabetes Association” in which prediabetic persons were followed for 9 (nine) months giving half of them supplements of curcumin and the other half an identical looking placebo to see who ended up with diabetes showing that after those months’ time period that the turmeric curcumin extract may work as preventative means of type-2 diabetes since 16 [%] of subjects in the placebo group went on to get full-blown diabetes while in the curcumin group, taking equivalently about ¼ cup (which is about 37.5 grams) of turmeric a day, none got diabetes. Furthermore, the curcumin group saw a significant improvement in fasting blood sugars, glucose tolerance, hemoglobin A1C, insulin sensitivity, pancreatic insulin-producing beta-cell function (measured two different ways), and insulin sensitivity [55]. It is important to recognize that prediabetes is a disease in itself increasing the risk of death, cancer, heart disease, and vision loss meaning that it is not enough to just prevent progression to full-blown diabetes, but that prediabetes may be cured completely with a healthy plant-based diet [57, 58].

                Another study showed that it may help as nutrition for the cardiovascular system as it may help persons already having diabetes mellitus since they got the same beneficial effects as in the previously mentioned prediabetic study but then with at a fraction of the dose not using of about ¼ cup (which is about 37.5 grams) of turmeric a day but using only about 1 (a) teaspoon’s worth of turmeric (which is about 5 grams) a day which is doable through diet rather than using supplements. This study also suggests a purported mechanism of action which is that fat in the bloodstream may play an important role in the development of insulin resistance and thus ultimately the development of type 2 diabetes mellitus. Fatty acids may build up inside your muscle cells and gums up the workings thus limiting function by interfering with insulin signaling. The curcumin that these turmeric spice compounds contain may thus have an anti-diabetic effect by decreasing fat levels in the bloodstream [56].

> It may help as nutrition for the reproductive system for treatment of uterine fibroids UF (which fibroids are continually volumetrically growing increasing tissue size that could be a consequence of chronic inflammation within the body also since women with fibroids are more likely to eat more beef and ham and fewer fruits and green vegetables [69] and when the amount of free radicals exceeds the protective effects of (the conceptually defined definition of) antioxidants, oxidative damage will occur which has been implicated in a variety of disease states including gynecological conditions, such as fibroids of which is also known that if you collect fresh fibroids as well as normal uterine tissue from hysterectomy surgeries the fibroid cells have significantly fewer antioxidant enzymes for which could be concluded that more antioxidant rich foods might help with treatment of the condition [70]) as a randomized controlled clinical in vivo study introducing more antioxidants in the diet, albeit not turmeric curcumin in this study, which persons with this disease condition were randomized to green tea extract or a placebo for 4 (four) months of which in the placebo group fibroid volume increased 24 [%], however, those randomized to the green tea group showed a greatly significant reduction in total fibroid volume which fibroids shrunk almost 1/3 (a third) while the women also felt much better by a great decrease in symptom severity with consistent improvement and thus lessening of symptoms each month feeling better than the last as well while in the placebo group nothing much happened month after month [71]. Of the treatment group their blood counts got better too while the blood levels kept decreasing in the placebo group with all that continued excess blood loss every month, thus reversed blood counts in the green tea group significantly improving anemia because average blood flow significantly diminished also leading to a better period experience and this all without adverse effects [71]. So, not only results comparable in effect to those for the drugs that are commonly used without the negative effects but also comparable results to uterine artery embolization UFE too, which is where they try to cut the blood supply to the fibroid, while uterine artery embolization could lead to accidently cutting the blood supply to the rest of the uterus causing uterine necrosis which is one of many reported major complications, which also include death, not only of the fibroid but of the patient and other potential complications that may arise from accidently clogging off non-target arteries [72]. Concluding, that the relatively simple, relatively inexpensive, and relatively safe treatment of using high antioxidant rich foods consumption such as green tea and potentially turmeric curcumin without the negative effects of the more invasive procedures such as surgery is potentially a better treatment option. Curcumin does have some negative effects however in people with specific conditions but more about that I have written below. 

> It may also helpful for nutrition of the gastro-intestinal tract as preventative against gallbladder pain in people with gallstones (and possibly gallbladder cancer, see below) as preventative against gallstones by acting as a cholecystokinetic agent meaning it facilitates the pumping action of the gallbladder to keep the bile from stagnating as in this double-blind placebo-controlled crossover study they gave people a small dose of curcumin of about the amount found in ¼ (a quarter) teaspoon of turmeric, following the use of ultrasound with which they were able to visualize the gallbladder squeezing down in response with an average change in volume of about 29 [%] [100]. More optimally, you would want to squeeze it in half which is why they repeated the experiment with different doses [101] resulting in knowing that it took about 40 [milligrams] to get a 50 [%] contraction which is every day about 1/3 (a third) of a teaspoon turmeric. But if you already have a gallbladder obstruction such as a gall stone blocking your bile duct and you eat turmeric it makes your gallbladder squeeze down harder which could hurt a lot and this is probably the mechanism behind where the notification of the study possibly came from that said it could potentially trigger gallbladder pain in people with gallstones [97]. So, patients with biliary tract obstruction should be careful about consuming curcumin [30] but for everyone else these results suggest that curcumin can effectively induce the gallbladder to empty, and thereby reduce the risk of gallstone formation in the first place and ultimately perhaps even reducing the risk of gallbladder cancer [101].

> It may also help as nutrition for the liver as it protects liver function [104].

>Practical recommendations for an easier way of adding curcumin to the diet might be to add turmeric to sweet dishes containing cinnamon and ginger [110].

> Looking at safety, a safety note would be that it would be great if the turmeric itself is not contaminated with heavy metals such as lead as has happened in Bangladesh [44] and furthermore nearly ¼ (a quarter) of spices purchased in Boston were also contaminated with the same amount of the compound lead in them which makes it not just a matter of buying U.S. versus foreign brands as the lead levels were not found to be statistically significantly different [45]. This heavy metal exposure is something we care about because we care about the thereby possibly induced DNA damage, and we care about DNA damage (i.e., bad mutagenesis) because we care about cancer. If the beta-carotene levels in people are measured (beta-carotene is usable as a proxy for a healthier diet because of more fruit and vegetable intake being the way that you can get high levels of it in your blood thus by eating lots of healthy foods like greens and sweet potatoes) and then look at which persons exposed to arsenic who went on to develop cancer as compared to those who got exposed to the same amount of arsenic but did not get cancer results show that compared to those with low levels those with high levels of beta carotene in their blood had 99 [%], which is about a hundred times, lower odds of getting arsenic-induced cancer [46].

Another safety note for use would be that during chemotherapy there could potentially be a complication if turmeric is taken because chemotherapy works by inducing free radicals using those free radicals to kill cancer cells while turmeric contains antioxidants such as curcumins that have the antioxidant effect of eliminating free radicals. It is therefore not clear yet (at least for me) whether the treatment and therefore your body benefits if turmeric is consumed during chemotherapy treatment as it could potentially reduce the efficacy of the treatment as well [93].

A different safety note would be that you should not fall into the trap of “if it is so good for you why not take a lot of it?” meaning the more the better which is not actually the case even when not consuming some extract (but actually the whole food turmeric but just in large doses such as three grams) because unfortunately it turns out turmeric has too much oxalate to take that kind of daily dose which would increase our risk of kidney stones which means that we should be fine if we keep it under a teaspoon of turmeric a day which is way less than what would be the safety limit of cinnamon which is far less and maybe a negligible concern because more than 90 [%] of the turmeric oxalates are soluble versus less than 10 [%] of those from cinnamon [97]. Too much turmeric may increase the risk of kidney stones as turmeric is high in soluble oxalates which can bind to calcium and form insoluble calcium oxalate which is responsible for approximately 3/4 (three-quarters), i.e., 75 [%], of all kidney stones making that the consumption of even moderate amounts of turmeric would not be recommended for people with a tendency to form kidney stones. These persons should restrict the consumption of total dietary oxalate to less than 40 to 50 [mg/day] which means no more than at most 1 (a) teaspoon of turmeric [102]. Those e.g., with the arthritis disease gout are often at high risk for kidney stones and thus if their doctor wanted to treat gout inflammation with high-dose turmeric then that is where curcumin supplements might come into play because to reach high levels of curcumin in turmeric form would incur too much of an oxalate load risking the formation of kidney stones [103]. If one is prescribed a supplement the latest review recommends possible purchasing from Western suppliers that follow better recommended Good Manufacturing Practices, which may decrease the likelihood of buying an adulterated product [99].

 

Also, it should be noted that it is better to stick to the root and not some extract as if you combine both high-dose curcumin extract [99] with the earlier mentioned black pepper for that 2’000 [%] bioavailability boost that could be like consuming the equivalent of 29 cups of turmeric a day which kind of intake could bring peak blood levels up to around where you start seeing some significant DNA damage, in vitro at least [98]. So, just incorporating turmeric into our cooking may be better than taking curcumin supplements, especially stay off turmeric extracts during pregnancy as it is not yet enough understood what such extract high doses will do in both those humans during pregnancy (at least by me) [99].            

Another safety note will be that turmeric could potentially trigger gallbladder pain in people with gallstones [97]. Turmeric curcumin may help prevent gallstones by acting as a cholecystokinetic agent meaning it facilitates the pumping action of the gallbladder to keep the bile from stagnating as in this double-blind placebo-controlled crossover study, they gave people a small dose of curcumin, about the amount found in like ¼ (a quarter) teaspoon of turmeric, and using ultrasound were able to visualize the gallbladder squeezing down in response with an average change in volume of about 29 [%] [100]. Optimally, though, you would want to like squeeze it in which is why they repeated the experiment with different doses [101] resulting in knowing that it took about 40 [milligrams] to get a 50 [%] contraction which is about a third of a teaspoon of turmeric every day. But if you already have a gallbladder obstruction such as a gall stone blocking your bile duct and you eat turmeric it makes your gallbladder squeeze down hard which could hurt a lot as is probably the mechanism behind this notification of the study possibly came from that it could potentially trigger gallbladder pain in people with gallstones [97]. So, patients with biliary tract obstruction should be careful about consuming curcumin [30] but for everyone else these results suggest that curcumin can effectively induce the gallbladder to empty, and thereby reduce the chance and thus risk of gallstone formation in the first place and ultimately perhaps even gallbladder cancer [101].

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