Serum Potassium and Diabetic Nephropathy

Dietary Minerals are the group of minerals essential for our body to sustain normal functions and physical health.
In General, potassium is a very essential mineral to the human body for maintaining to build proteins and muscle, break down carbohydrates, maintain normal body growth and normal heart electricity, etc.
The Normal serum potassium is 3.5 to 5.5 mEq/L. The total body potassium is lower in females and in older patients, serum potassium concentration is independent of sex and age.
Diabetic Nephropathy is a progressive kidney disease caused by disease of the blood vessels in the kidney glomeruli in diabetics.

The benefits
Angiotensin,  a peptide hormone with function to cause vasoconstriction and a subsequent increase in blood pressure. Its inhibitors and angiotensin receptor blockers such as lisinopril (80 mg) were randomized to spironolactone (25 mg daily), losartan (100 mg daily) prescibed in conventional medicine for treating diabetic nephropathy may be distribute more safe depending to the levels of serum potassium after intake of the medicine.  In a blinded, randomized, three-arm placebo-controlled clinical trial, 80 participants with diabetic nephropathy taking lisinopril (80 mg) were randomized to spironolactone (25 mg daily), losartan (100 mg daily), or placebo (trial dates from July of 2003 to December of 2006), researcher suggested that a  better understanding of extrarenal potassium homeostasis will provide an opportunity to use this drug more safely in patients with diabetic nephropathy as well as other patient populations.



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Reference
(1) Potassium Handling with Dual Renin-Angiotensin System Inhibition in Diabetic Nephropathy by Van Buren PN, Adams-Huet B, Nguyen M, Molina C, Toto RD.(PubMed)

(2) Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Chapter 195, Serum Potassium by Asghar Rastegar.

Herbal Cascara Sagrada and cancer

Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc., effect.

Cancer is a class of diseases in which a group of cells growing and multiplying disordered and uncontrollable way in our body, have become progressively worse and damaged other healthy tissues, sometimes spreads to other organs in the body via lymph or blood and results may be in death.

The ingredients
Beside the main compound of anthraquinones, otyher compounds include anthraquinone glycosides, (emodin, frangulin, iso-emodin, aloe-emodin, and chrysophanol), rhein, aloin, malic acid, tannic acid, cascarosides A, B, C, and D, and hydroxy anthracene derivatives (HAD), etc.

The benefits
Emodin (1,3,8-trihydroxy-6-methylanthraquinone) is an anthraquinone derivative originally isolated from Rheum officinale Baill known in research community for decades to possess anticancer properties. In the study to examine the effects of emodin on P2X7R(The adenosine 5'-triphosphate (ATP)-gated Ca(2+)-permeable channel P2X7 receptor )-dependent Ca(2+) signaling, extracellular matrix degradation, showed that emodin inhibits human cancer cell invasiveness by specifically antagonizing the P2X7R. Others in the evaluation of natural anthracene-derived compounds as antimitotic agents, showed that  anthraquinones possess promising anti-mitotic activity and may have the potential to be lead compounds for the development of a new class of multifaceted natural anticancer/antimitotic agents.

The Side effects
1. Cascara Sagrada can be liver toxic.
2. It may cause Postal hypertension
Cascara sagrada (CS) has been associated with the development of cholestatic hepatitis, complicated by portal hypertension.
3. Fresh cut, dried bark may cause vomiting and diarrhea.
4. It may allergic effect.
5. Etc.
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References
1. Anthraquinone emodin inhibits human cancer cell invasiveness by antagonizing P2X7 receptors.

Jelassi B, Anchelin M, Chamouton J, Cayuela ML, Clarysse L, Li J, Goré J, Jiang LH, Roger S.(PubMed)

2. Evaluation of natural anthracene-derived compounds as antimitotic agents by Badria FA, Ibrahim AS.(PubMed)
3. [Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].[Article in Danish]" by Jacobsen C, Semb S, Kromann-Andersen H(PubMed)
4. "Cascara sagrada-induced intrahepatic cholestasis causing portal hypertension: case report and review of herbal hepatotoxicity" by Nadir A, Reddy D, Van Thiel DH.(PubMed)
5. "Occupational respiratory allergic disease induced by Passiflora alata and Rhamnus purshiana" by Giavina-Bianchi PF Jr, Castro FF, Machado ML, Duarte AJ.(PubMed)

Herbal Butterbur and Antioxidant activity

Butterbur, found in wet, marshy, damp land, including wetland, riverside, forest, etc., is a creeping underground plant, genus Petasites of 15 -20 species, belonging to the family Asteraceae, native to Northern Hemisphere. It has been used in herbal medicne used as an pain reliever in digestive system, including stomach, bile ducts, and duodenum, etc.
A free radical is any atom or molecule that has a single unpaired electron in an outer shell and highly reactive to react with other cell, which in turn, causes oxidative damage to the enzymes, other protein, unsaturated fatty acid, phospho-lipids, DNA and RNA, etc., leading to aging of the organisms, as a result of widespread damage due to set of a chain reaction auto-catalytically after attacking the lipid bilayers of the cell walls. Free radicals oxidative effects can damage to skin and speed up the skin aging process.

The Ingredients
The chemical constituents of Butterbur include Petioles, petasitene and pethybrene,  quercetin 3-O-beta-D-glucoside, quercetin 3-O-beta-D-6''-O-acetylglucoside, and rutin, caffeic acid, alkaloids, S-petasin and iso-S-petasin, etc.

The benefits 
Methanol extracts from leaves and roots of Petasites japonicus was identified to possess antioxidant activities without prior purification of compounds from plant tissues of P. japonicus. Other study of the  chemical composition of the essential oil of Petasites albus showed the essential oil and euparinto of the herb exhibit a moderate antioxidant activity by using the 2,2-diphenyl-1-picrylhydrazyl radical scavenging assay. Bakkenolides of Petasites tricholobus also exhibited significant neuroprotective and antioxidant activities and may be used as potential agent in treating neuro-related diseases.

Side effects
1. Butterbur may be liver-toxic to liver and cause cancer due to the presence of pyrrolizidine alkaloids(a)
2. If you are pregnant please do not use Butterbur with out the permission of the related special field specialist
3. Allergic effect to certain people who are allergic to ragweed, marigold, daisy, etc.
4. Overdoses may cause indigestion, headache, nausea, vomiting, diarrhea, etc.
5. Etc.


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References
(1) Rapid identification and evaluation of antioxidant compounds from extracts of Petasites japonicus by hyphenated-HPLC techniques by Kim SM, Kang SW, Jeon JS, Jung YJ, Kim CY, Pan CH, Um BH.(PubMed)
(2) Chemical composition and antioxidant activity of the essential oil of aerial parts of Petasites albus from Iran: a good natural source of euparin by Mohammadi M, Yousefi M, Habibi Z, Dastan D.(PubMed)
(3) Bakkenolides from Petasites tricholobus and their neuroprotective effects related to antioxidant activities by Wang YL, Li RP, Guo ML, Zhang G, Zhang N, Ma YL.(PubMed)

Herbal Butcher's broom and varicose veins

Butcher's broom is a low evergreen shrub, a species of Ruscus aculeatus, belonging to the family Asparagaceae, native to Eurasia.It has been used in herbal medicine to treat reduce inflammation, Peripheral vascular disease, Hemorrhoids Bronchial asthma, Varicose veins, Hypotension, Jaundice, functional disorders of the heart, kidney disorder, venotonic and anti-oedematous properties, etc..
Varicose veins is a condition of which the veins have become enlarged and twisted

The Ingredients
It contains rutin, sitosterol, sparteine, spirostanol saponins, steroidal sapogenins, sterols, stigmasterol, sulfated steroidal saponins, sweet broom, tetracosanoic acid, triterpenes, triterpines, tyramine, etc.

The benefits
Surgery, includes injection/compression sclerotherapy and surgical stripping or ligation or both always is the first recommendation for patients with varicose disease. Ruscus aculeatus has been found to relieve the symptoms of  pain, and expensive complications of varicose veins by improving microcirculation, capillary flow, and vascular tone, and to strengthen the connective tissue. Other study suggested that venotropic agents from plant extract probably exert effects by way of multiple receptor and non-receptor mediated events as  the differential distribution of alpha adrenergic receptors on greater saphenous veins from non-varicose patients compared to those with primary varicose disease.

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Side effects
1. Do not use if you are pregnant with out permission of related field specialist, as Sparteine may increase uterine contraction
2. Do not use Butcher's broom if you are taking any form of monoamine oxidaseinhibitor
3. Use as direction and do not overdose
4. Etc.
 
References
(1) Hemorrhoids and varicose veins: a review of treatment options by MacKay D.(PubMed)
(2) Selecting a treatment for primary varicose veins by Tremblay J, Lewis EW, Allen PT.(PubMed)
(3) Pharmacological assessment of adrenergic receptors in human varicose veins by Miller VM, Rud KS, Gloviczki P.(PubMed)

Herbal Burdock and Hepatoprotective effects

Burdock is plant in the group of biennial thistles, genus Arctium, belonging to the family Asteraceae, native to the Euro. It has been used over thousand of years in Chins and other traditional herbal medicine as a diuretic, diaphoretic, and a blood purifying agent and to treat wounds and infections stomach ulcers and other digestive problems.
Hepatoprotective effects is defined as a protection of liver against damage caused by vary sources, including virus.

The ingredients
It contains carbonated water, sugar,, manloid colourings, phosphoric acid, citric acid and a good amount of dietary fiber, calcium, potassium, and amino acids and chemicals compounds of guaianolide, arctinone, arctinal, methyl arctate，11-tridecadien-3，5，7，9-tetraynde-hydrocostus lactone，dehydrodihydrocostus lactone, 3-octenoic acid, 3-hexenoic acid etc.


The benefits
Actium lappa Linne (burdock)  treatments of liver damage induced by carbon tetrachloride (CCl(4)) in rat  could be alleviated with 1 and 7 days, as the herb exerted its hepatoprotective effects attribute to its antioxidative activity, which decreases the oxidative stress of hepatocytes, or to other unknown protective mechanism(s). The root of Arctium lappa Linne (A. lappa) in other study also protect the liver cells from CCl4 or acetaminophen-induced liver damages through its its antioxidative effect on hepatocytes, hence eliminating the deleterious effects of toxic metabolites from CCl4 or acetaminophen.

The Side effects
1. Overdose can be poisoning and may lead to symptoms of acute poisoning include phenothiazines, tricyclic antidepressants, and antihistamines.
2. It may cause dermatitis and allergic/inflammatory responses to certain people with contact as a result of lactones which the plant produces.
3. Do not use burdock if you are pregnant or breast feeding.
4. Etc.


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References
(1) Hepatoprotective effects of Arctium lappa Linne on liver injuries induced by chronic ethanol consumption and potentiated by carbon tetrachloride by Lin SC, Lin CH, Lin CC, Lin YH, Chen CF, Chen IC, Wang LY.(PubMed)
(2) Hepatoprotective effects of Arctium lappa on carbon tetrachloride- and acetaminophen-induced liver damage by Lin SC, Chung TC, Lin CC, Ueng TH, Lin YH, Lin SY, Wang LY.(PubMed)

Aloe vera gel (AVG) and Polycystic Ovarian Syndrome (PCOs)

Polycystic Ovarian Syndrome is defined as endocrinologic diseases caused by undeveloped follicles clumping on the ovaries that interferes with the function of the normal ovaries as resulting of enlarged ovaries, leading to hormone imbalance( excessive androgen), resulting in male pattern hair development, acne,irregular period or absence of period, weight gain and effecting fertility. It effects over 5% of women population or 1 in 20 women.
Aloe Vera is species of succulent plant in the genus Aloe, belonging to the Family Xanthorrhoeaceae, native to Sudan. It has become very popular for commercial cultivation due to its health benefits. Aloe vera has been used in herbal medicine in treating many kinds of disease, including wound, burn healing, minor skin infections, sebaceous cysts, diabetes, and elevated of cholesterol, etc. It is also one of many popular herb studied in scientific ways with some conflicted results.

The effects
In the view if certain side effects of several classes of pharmacological agents have been used to manage dyslipidemia in women with Polycystic Ovarian Syndrome (PCOs), some researchers have been studied through the altyernative nmedicine with an aim to find a better treatment with less or no side effects. Aloe vera gel (AVG), has found to be effective in reduction in plasma triglyceride and LDL cholesterol levels, with an increase in HDL cholesterol, reversion of abnormal estrous cyclicity, glucose intolerance, and lipid metabolizing enzyme activities. Others in the study of the same but in comparison with Letrozole, showed  Aloe vera restored the estrus cyclicity, glucose sensitivity, and steroidogenic activity. Treatment combined with Letrozole  prevented the development of the PCO phenotype. These results showed a positive anti-hyperlipidemic effects and may be used in managing PCOS associated metabolic complication and restoring the ovarian steroid status.

The Side effects 1. High amount of vitamin K may reduce the effectiveness of anticogulation medicine
2. Causing additive effects for women who are under estrogen replacement therapy or taking the oral contraceptive pill.
3. It may cause stomach upset and diarrhea
4. The herb may induce lupus erythematosu due to its chemical constituent L-canavanine.



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References
(1) Aloe barbadensis Mill. formulation restores lipid profile to normal in a letrozole-induced polycystic ovarian syndrome rat model by Desai BN, Maharjan RH, Nampoothiri LP.(PubMed)
(2) Effect of Aloe barbadensis Mill. formulation on Letrozole induced polycystic ovarian syndrome rat model by Maharjan R, Nagar PS, Nampoothiri L.(PubMed)
(3) Drug-induced lupus: an update by Vasoo S.(PubMed)

Berberine and Polycystic Ovarian Syndrome (PCOs)

Polycystic Ovarian Syndrome is defined as endocrinologic diseases caused by undeveloped follicles clumping on the ovaries that interferes with the function of the normal ovaries as resulting of enlarged ovaries, leading to hormone imbalance( excessive androgen), resulting in male pattern hair development, acne,irregular period or absence of period, weight gain and effecting fertility. It effects over 5% of women population or 1 in 20 women.
Berberine, is a phytochemical found in the group of protoberberine group of isoquinoline alkaloids,  in many herbal plants including Oregon grape, barberry,  turmeric, goldenseal, etc.

The effects
Polycystic ovary syndrome (PCOS) is characterized of metabolic disorder associated with insulin resistance (IR). Herbal medicine has been studied throughout research community to find a little or no effect treatment with some successes. Berberine, a chemical constituent found in many herbs, has exerted its health benefits by improving improved some of the metabolic and hormonal derangements in a group of Eighty-nine subjects with PCOS and IR treated Chinese women with PCOS. When compare to metformin (MET), the phytochemical Berberine  showed decrease in waist circumference and waist-to-hip ratio, fasting plasma glucose, fasting insulin, homeostasis model assessment for IR, area under the curve of insulin, cholesterol and triglycerides as well as increase in high-density lipoprotein cholesterol and sex hormone-binding. Other in the study of the same but in combination with Letrozole, showed the effectiveness of berberine in lowering  blood sugar levels in db/db mice and exerting anti-dyslipidemia in human. These results indicated that berberine may be considered a potential source in treating Polycystic Ovarian Syndrome (PCOs).

The side effects
1. Bernerine may cause toxicity and reduced fetus weight
2. Do use berberine if you are pregnant or breastfeeding women and newborns.



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References
(1) A clinical study on the short-term effect of berberine in comparison to metformin on the metabolic characteristics of women with polycystic ovary syndrome by Wei W, Zhao H, Wang A by Sui M, Liang K, Deng H, Ma Y, Zhang Y, Zhang H, Guan Y.(PubMed)
(2) Effect of Berberine on Hormonal and Metabolic Features in Obese Women With Polycystic Ovary Syndrome (PCOS)14:32 EST 15th January 2014 | BioPortfolio
(3) Developmental toxicity evaluation of berberine in rats and mice by Jahnke GD, Price CJ, Marr MC, Myers CB, George JD.(PubMed)