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Medical Forum / Diseases and Disorders / Asthma / January 2005

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A question for Bob

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Joy - 09 Jan 2005 20:09 GMT
What if anything does "pharmaceutical grade" add to a supplement's
desirability other than a marketing slant?

Joy
testy - 10 Jan 2005 01:43 GMT
I'm not Bob but my friend's doctor told him that he never recommends generic
drugs because the tolerances for error are higher.  For example, the drug he
was referring to, in particular, was Paxil.  If brand name or maybe even
"pharmaceutical grade" Paxil is standardized at 25% of the active ingredient
(I'm just throwing around numbers here) then generic equivalents are
permitted to fluctuate by plus or minus 5%.  Again, I'm just throwing out
numbers to illustrate the point his doctor was trying to make.

But that's just one doctor and I've never heard this before.  Maybe someone
else can confirm/refute?
00doc - 10 Jan 2005 02:57 GMT
> I'm not Bob but my friend's doctor told him that he never
> recommends
[quoted text clipped - 15 lines]
> before.  Maybe
> someone else can confirm/refute?

With a few exceptions (usually drugs with narrow
"therapeutic windows" like seizure meds and thyroid
medication) drugs have to have 90% of what the label says
they have. This is true for brand named drugs and generics.
This is usually measured by directly measuring how much
chemical is in the pill and by measuring serum
concentrations in a few volunteers - usually with just one
dose. So things are much better than your friend's doc
suggests and usually generics are just as good and much
lower priced. Often the company that makes the brand name
also competes in the generic market by selling the identical
product with different labelling (that way they get you
comming and going).

All of that is not to say that there is never an issue with
generics. There is a lot more to making the drug than just
getting the right amount in the pill. The different
manufacturing processes can lead to different contaminants
and fillers. Also, sometimes a molecule can take more than
one shape that is still classified the same according to the
chemists. This seems to be more of an issue with a few
drugs.

To answer Joy's question: My guess is that most of the
places you are seeing "pharmaceutical grade" in supplements
it is just marketting gibberish wih no real agreed upon
meaning. The exception would be chemicals that can be used
both in industry/laboratory chemistry and medicine where a
higher purity level is needed for human use. DMSO being one
example off the top of my head (and I am not sure there are
many others).

Signature

00doc

Alison Chaiken - 10 Jan 2005 03:21 GMT
CBI writes:
>To answer Joy's question: My guess is that most of the places you are
>seeing "pharmaceutical grade" in supplements it is just marketting
[quoted text clipped - 3 lines]
>being one example off the top of my head (and I am not sure there are
>many others).

I would guess that just about every inert ingredient found in drugs
(and many of the active ones) could be ordered from the Sigma-Aldrich
website in 98% pure form.  Take a look for yourself at
http://www.sigmaaldrich.com/   98% pure sounds pretty good until you
realize that the other 2% could be almost anything.

Signature

Alison Chaiken            "From:" address above is valid.
(650) 236-2231 [daytime]    http://www.wsrcc.com/alison/
Nil tibi scribo quidem, quod non prius ipse probassem. -- Heraclius

Joy - 10 Jan 2005 05:16 GMT
> CBI writes:
> >To answer Joy's question: My guess is that most of the places you are
[quoted text clipped - 10 lines]
> http://www.sigmaaldrich.com/   98% pure sounds pretty good until you
> realize that the other 2% could be almost anything.

I am in a quagmire here of supplement claims. The particular supplement in
question is supposed to be better if it is made in Japan for some
reason...............

I am not convinced, but I hate to be accused of being close minded.

Joy
NorthShoreCEO@aol.com - 10 Jan 2005 12:22 GMT
> I am in a quagmire here of supplement claims. The particular supplement in
> question is supposed to be better if it is made in Japan for some
[quoted text clipped - 3 lines]
>
> Joy

Well, I'm probably one of the more open minded here, but I agree that
it's probably all marketing nonsense.  I hate the tactics of some
companies...particularly supplement manufacturers that will quote a
Mayo study in their ads - as if their company or supplement had
anything to do with the study OR Mayo.  Very misleading.

At any rate, I find a good source for supplement information is both
JAMA and the University of MD Medical Center's website, which you can
find here:

http://www.umm.edu/altmed/index.html

The caveat is that you should scroll to the bottom and take a look at
their references, and then do some additional research on your own.
Most, but not all, of the studies they refer to are legitimate studies
published in medical journals, but I still think it's wise to read
through the study yourself.
Joy - 10 Jan 2005 17:09 GMT
> Well, I'm probably one of the more open minded here, but I agree that
> it's probably all marketing nonsense.  I hate the tactics of some
[quoted text clipped - 13 lines]
> published in medical journals, but I still think it's wise to read
> through the study yourself.

Thanks Maureen,

I have seen that particular site before. It really is a good one,
particularly because it takes into the interactions with other drugs.

Joy
Joy - 10 Jan 2005 05:12 GMT
> > I'm not Bob but my friend's doctor told him that he never
> > recommends
[quoted text clipped - 47 lines]
> example off the top of my head (and I am not sure there are
> many others).

Thanks. That is what I suspected. A marketing tool.

Joy
Bob - 10 Jan 2005 14:50 GMT
>What if anything does "pharmaceutical grade" add to a supplement's
>desirability other than a marketing slant?
>
>Joy

It is sometimes difficult to verify a supplement company's claims
about the purity or potency of their products.  Therefore, I am
suspect of this pitch used to market supplements, especially if the
proof of their quality control is not forthcoming when you call the
company and ask for/about it.  

Most reputable supplement companies I work with have been around
awhile and are happy to share their manufacturing/purifying test
results with me.  For example, the Omega-3 salmon oil I take is
regularly tested (using AOAC international protocols) for potency and
purity by an independent, FDA registered laboratory and found to be
free of detectable levels of mercury, lead, PCB's and some other
contaminants.  Interesting note: The company does not market this
product as "pharmaceutical grade."  Personally, I trust the test
results from the lab far more than some "buzz word" marketing bullet
in an ad.

Ask them to prove it to you.

 
Joy - 10 Jan 2005 17:11 GMT
> It is sometimes difficult to verify a supplement company's claims
> about the purity or potency of their products.  Therefore, I am
[quoted text clipped - 14 lines]
>
> Ask them to prove it to you.

Thanks Bob,

I figured if you hadn't heard of it, it was a come on. Have you ever heard
that Q10 is better if it is from Japan?

Joy
Bob - 10 Jan 2005 17:46 GMT
>> It is sometimes difficult to verify a supplement company's claims
>> about the purity or potency of their products.  Therefore, I am
[quoted text clipped - 21 lines]
>
>Joy

O boy, you picked a hot one there (CoQ10).  Japan is the source of
most CoQ10 that is eventually sold in its raw form to supplement
manufacturers.  (They make it through a fermenting process using the
stem and root of the tobacco plant). The demand for the stuff is
really growing, so I've been told.  China has begun developing a
synthetic form, which I wouldn't trust, but that's just me.  

The price of CoQ10 has almost doubled in the last few months.  Now the
question is, does a shortage actually exist or are we being fed the
old marketing line of "scarcity?"  Coca Cola did that with their
Classic Coke scam, remember?  Take away what you like and then bring
it back after the demand goes up.  

Who knows, maybe next they will come out with Coke-Q-10;
"pharmaceutical grade," of course...

If you want some Joy, email me and I'll have some shipped to you from
the manufacturer at my cost, if it is cheaper than what you can find.
Joy - 10 Jan 2005 19:15 GMT
> >> It is sometimes difficult to verify a supplement company's claims
> >> about the purity or potency of their products.  Therefore, I am
[quoted text clipped - 40 lines]
> If you want some Joy, email me and I'll have some shipped to you from
> the manufacturer at my cost, if it is cheaper than what you can find.

Bob,

This is what I ordered the last time (wow, I hope your cost is less).

Healthy Origins
Payment Information:

Product        Quantity        Price         Total
__________________________________________________
CoQ10 100 mg 150SG
                     1       $53.30        $53.30
__________________________________________________
                           Subtotal:       $53.30
                           Shipping:        $4.95
                                Tax:        $0.00
                      ___________________________
                              Total:       $58.25

I am using them in an efficacy test of CoQ10 for one of my kids who has
Cyclic Vomiting Syndrome and it seems to be working. One of the people in
the test decided Healthy Origins was a good choice because she avoids soy
and Vit E (for reasons I don't really know) and that brand met all her
criteria.  I just followed her advice. She also told us the gel caps are
better than the pills and that the CoQ10 should come from Japan.
Eventually, she talked Healthy Origins into giving those involved in the
test a break on the cost, but I ordered mine before she obtained that
agreement and it has now expired.  So,yes ! thanks for the offer since he
will be on these for years it  now appears. Let me know if you can get it
for much less cost, although I insist on picking up my share (although I
love getting discounts, I will pay my cost).
jjcontact@nospamhotmail.com

You know what to do about the address.  : )

Joy
NorthShoreCEO@aol.com - 22 Jan 2005 22:05 GMT
Joy, I just found this, although I don't know if it will have
information on the supplement you're referring to:

http://www.consumerlab.com/index.asp

It was actually linked on one of the lymphoma sites I'm now
frequenting.
Joy - 23 Jan 2005 00:47 GMT
Thanks Maureen,

I am pretty sure that Q10 is the answer at this point and I only have to
locate a cheap but reliable source. He missed another cycle since starting
back. Interesting isn't it this supplement worked? I am so lucky to have an
opened minded Pediatric GI.

Joy
> Joy, I just found this, although I don't know if it will have
> information on the supplement you're referring to:
[quoted text clipped - 3 lines]
> It was actually linked on one of the lymphoma sites I'm now
> frequenting.
 
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