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Medical Forum / Diseases and Disorders / Diabetes / March 2006

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Turmeric question

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Nomad - 28 Mar 2006 14:10 GMT
I was advised to add turmeric to my diet.
Does it help / hurt a T2?
What is the best way to use it?
I have the powder.....not the capsules.

TIA
Alan S - 28 Mar 2006 15:11 GMT
>I was advised to add turmeric to my diet.
>Does it help / hurt a T2?
>What is the best way to use it?
>I have the powder.....not the capsules.
>
>TIA

I add it as a spice to stir-fries and add it to various
other spices/ingredients to make curries (cummin, cloves,
cinnamon, ground coriander, ginger, garlic etc).

Sometimes I add a pinch to a beaten egg when making an
omelette, or to a gravy when making a stew.

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

Everything in Moderation - Except Laughter.

Harold Groot - 28 Mar 2006 15:16 GMT
>I was advised to add turmeric to my diet.
>Does it help / hurt a T2?
>What is the best way to use it?
>I have the powder.....not the capsules.
>TIA

I have read several articles that suggest that turmeric can help a T2,
but this should perhaps be taken with a grain of lite salt.  <g>

You can also find several articles that suggest cinnamon can help.
When the cinnamon advice was tested and reported by people here it was
all over the map.  It helped some people.  It had no effect on some
people.  Some people got worse.  The only sound advice on cinnamon was
that you had to try it for yourself and measure, measure, measure how
it affected YOUR blood sugar.  Then continue it if it helped,
otherwise not.

I think the same can be said for turmeric.  See how it affects YOU by
repeated testing, then decide for yourself if it is worth continuing.
The main property of the active ingredient with respect to diabetes
(curcumin) is as an anti-inflamation agent.  Inflamation seems tied to
insulin resistance.  Reducing overall inflamation reduces insulin
resistance, making your body better able to make use of the insulin
you produce. That's the theory, anyway.  We haven't had enough people
in this group report on using turmeric to give you an overall success
rate.

As for use - turmeric is often used in curry dishes.  Undoubtedly
people with more experience cooking can tell you about other uses. If
you don't care for the taste, you could get empty gelatin capsules
from a health food store and fill them up.
Nicky - 28 Mar 2006 21:44 GMT
> I have read several articles that suggest that turmeric can help a T2,
> but this should perhaps be taken with a grain of lite salt.  <g>

No - black pepper, they're synergistic : )

Nicky.

Signature

A1c 10.5/5.4/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Chakolate - 28 Mar 2006 21:49 GMT
"Nicky" <ukc802466929@btconnect.com> wrote in news:48tlh4FlvdfrU1
@individual.net:

>> I have read several articles that suggest that turmeric can help a T2,
>> but this should perhaps be taken with a grain of lite salt.  <g>
>
> No - black pepper, they're synergistic : )
>
> Nicky.

I've heard that before, but I've forgotten in what way they're
synergistic.  Do you have any cites or other information you could share?

Chak

Signature

Our scientific power has outrun our spiritual power. We have guided
missiles and misguided men.
 --Martin Luther King Jr.

Nicky - 28 Mar 2006 22:27 GMT
> "Nicky" <ukc802466929@btconnect.com> wrote in news:48tlh4FlvdfrU1
> @individual.net:
[quoted text clipped - 8 lines]
> I've heard that before, but I've forgotten in what way they're
> synergistic.  Do you have any cites or other information you could share?

Not really - this from a post Alan made a while back:
" Two interesting snippets that stuck in my memory (but not
their sources) were that the quantity of turmeric didn't
matter a lot as long as you had some, and that adding a dash
of cracked pepper had a symbiotic effect. "

And one of Quentin's:
" It occurred to me as I was strolling around Farmers' Market that
turmeric belongs with a trio of other spices; garlic, ginger, garlic
and freshly ground black pepper.

Ginger has other compounds that anti-inflammatory besides the
curcuminoids. Black pepper aids the absorption of the curcuminoids
from turmeric and ginger.
"

Oh! Yes, I do - I've just found one of Matti's posts. Thanks, Google Desktop
: )

Nicky.

Well, piperine does help the absorption of curcumin in turmeric and EGCG in
green tea:

Shoba G, Joy D, Joseph T, Majeed M, Rajendran R, Srinivas PS.
Influence of piperine on the pharmacokinetics of curcumin in animals and
human volunteers.
Planta Med. 1998 May;64(4):353-6.
PMID: 9619120 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&list_uids=9
619120&dopt=Abstract
>

Lambert JD, Hong J, Kim DH, Mishin VM, Yang CS.
Piperine enhances the bioavailability of the tea polyphenol
(-)-epigallocatechin-3-gallate in mice.
J Nutr. 2004 Aug;134(8):1948-52.
PMID: 15284381 [PubMed - indexed for MEDLINE]
<http://www.nutrition.org/cgi/content/full/134/8/1948>

But these good news come with the caution: piperine may also enhance the
absorption of some drugs and potentiate their effects. Its effects in this
are similar to those of grapefruit juice. They both inhibit P-glycoprotein
and cytochrome P450 enzyme CYP3A4.

References:

Bhardwaj RK, Glaeser H, Becquemont L, Klotz U, Gupta SK, Fromm MF.
Piperine, a major constituent of black pepper, inhibits human P-glycoprotein
and CYP3A4.
J Pharmacol Exp Ther. 2002 Aug;302(2):645-50.
PMID: 12130727 [PubMed - indexed for MEDLINE]
<http://jpet.aspetjournals.org/cgi/content/full/302/2/645>

Flanagan D.
Understanding the grapefruit-drug interaction.
Gen Dent. 2005 Jul-Aug;53(4):282-5; quiz 286.
PMID: 16158798 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra
ct&list_uids=16158798
>

"Grapefruit components inhibit CYP3A4 drug oxidation and P-glycoprotein
transportation, allowing more systemic drug bioavailability."

Zhou S, Lim LY, Chowbay B.
Herbal modulation of P-glycoprotein.
Drug Metab Rev. 2004 Feb;36(1):57-104. Review.
PMID: 15072439 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra
ct&list_uids=15072439
>

Delgoda R, Westlake AC.
Herbal interactions involving cytochrome p450 enzymes: a mini review.
Toxicol Rev. 2004;23(4):239-49. Review.
PMID: 15898829 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra
ct&list_uids=15898829
>

So piperine and grapefruit inhibit both the drug transporter P-glycoprotein,
which blocks the absorption in the gut, and the intestinal cytochrome P-450
3A4 system (specifically: CYP3A4 - mediated drug metabolism), which is
responsible for the first-pass metabolism of many medications. In other
words piperine and grapefruit may potentiate the effects of drugs, whose
absorption may be blocked by P-glycoprotein, and which are metabolized with
the help of CYP3A4 enzyme. This inhibition happens in the small intestine,
so more of the drug will stay intact and get absorbed.

If you use some medication, don't take piperine or piperine containing
curcumin supplement within several hours before or after taking the
medication, unless you are absolutely sure that it has no interaction with
piperine. And consult the doctor, who prescribed the drug, before even
considering taking piperine containing supplements. Having said that,
piperine (and grapefruit) is a natural substance and ethnic groups
using considerable amount of pepper in their cooking, will almost always
have a certain amount of piperine or its metabolites in their intestine and
serum, which may affect the effect of drugs they are using.

Links about P-glycoprotein and cytochrome P450 system:

P-glycoprotein
<http://www.mhc.com/PGP/PgpMain.HTML>:

"What are P-glycoproteins? P-glycoproteins are part of a
larger family of efflux transporters found in the gut,
gonads, kidneys, biliary system, brain and other organs.
They appear to have developed as a mechanism to protect
the body from harmful substances. Using ATP as an energy
source, they transport certain hydrophobic substances in
the following directions:

* into the gut
* out of the brain
* into urine
* into bile
* out of the gonads
* out of other organs

PGPs play a large role in the distribution and
elimination of many clinically important therapeutic
substances.. Prescription and OTC drugs, foods and
substances made by the body may be inhibitors and/or
inducers of these transporters. Some drugs like
cyclosporin are both substrates and inhibitors of PGP,
other drugs like nifedipine are inhibitors only and some
drugs like digoxin are only substrates.

Since PGPs block absorption in the gut, they should be
considered part of the "first-pass effect". In fact, they
can "set up" or act as "gatekeepers" for later P450
cytochrome actions. If one drug is a substrate of both
PGP and CYP3A4 (both found in close proximity in the
intestinal wall), and a second drug is added that is an
inhibitor of both PGP and CYP 3A4 (e.g., ketoconazole,
erythromycin, mibefradil), then the first drug will be
allowed in increased amounts. Since CYP3A4 is inhibited,
levels of unmetabolized drug will enter the blood. The
effect of PGP blockade is to "open the gates" so that the
later actions of CYP3A4 inhibition will be increased."

CYTOCHROME P450
<http://www.medhelp.org/glossary2/new/gls_1530.htm>

Clinically significant drug interactions
What you need to know before writing prescriptions
Michael D. Johnson, PharmD; Gary Newkirk, MD; John R. White Jr, PharmD
VOL 105 / NO 2 / FEBRUARY 1999 / POSTGRADUATE MEDICINE
http://www.postgradmed.com/issues/1999/02_99/johnson.htm

Cytochrome P450
<http://www.anaesthetist.com/physiol/basics/metabol/cyp/cyp.htm>

Overview of Drug Interactions
http://www.uspharmacist.com/oldformat.asp?url=newlook/files/feat/mar00drugintera
ctions.htm


Cytochrome P450 3A Subfamily drug interactions
http://www.uspharmacist.com/oldformat.asp?url=newlook/files/feat/acf2ed6.htm

The Cytochrome P450 Enzymes
<http://www.ama-assn.org/special/hiv/newsline/briefing/cytochro.htm>

Drug-Interactions.com
<http://medicine.iupui.edu/flockhart/>

Cytochrome P450
<http://www.mall-net.com/mcs/p450.html>

Cytochrome P450 Enzymes
<http://home.earthlink.net/~cpardee/>

Cytochrome P450 Homepage
<http://drnelson.utmem.edu/CytochromeP450.html>

Cytochrome P450 isoform-specific in vitro methods to predict drug metabolism
and interactions
Päivi Taavitsainen
Department of Pharmacology and Toxicology, University of Oulu
Academic Dissertation to be presented with the assent of the Faculty of
Medicine, University of Oulu, for public discussion in the Auditorium of the
Department of Pharmacology and Toxicology, on February 24th, 2001, at 12
noon.
<http://herkules.oulu.fi/isbn9514259009/>

Signature

Matti Narkia

Chakolate - 29 Mar 2006 05:02 GMT
"Nicky" <ukc802466929@btconnect.com> wrote in news:48to2tFkksthU1
@individual.net:

> Ginger has other compounds that anti-inflammatory besides the
> curcuminoids. Black pepper aids the absorption of the curcuminoids
> from turmeric and ginger.

<snip volumes of info>

Wow, that's a lot.  Thanks!

Chak

Signature

Our scientific power has outrun our spiritual power. We have guided
missiles and misguided men.
 --Martin Luther King Jr.

Quentin Grady - 29 Mar 2006 07:35 GMT
This post not CC'd by email
On Tue, 28 Mar 2006 14:16:20 GMT, quester@infionline.net (Harold
Groot) wrote:

>>I was advised to add turmeric to my diet.
>>Does it help / hurt a T2?
[quoted text clipped - 4 lines]
>I have read several articles that suggest that turmeric can help a T2,
>but this should perhaps be taken with a grain of lite salt.  <g>

G'day G'day Harold,

 You post puzzles me.  I have no idea what articles you have read.
Please give at least two sites to support your wild generalisation.
Your conclusion could be quite logical but appear to be based on some
limited premise.

For starters "help" is completely undefined in your statement.

Do you mean reduce blood sugar levels?  If you are then it is possible
to make some sense of your wild and sweeping generalisation.

Turmeric is a powerful anti-inflammatory and silent inflammatory
disease is one aspect of T2 diabetes that is often not fully addressed
but needs to be.  

>You can also find several articles that suggest cinnamon can help.
>When the cinnamon advice was tested and reported by people here it was
[quoted text clipped - 3 lines]
>it affected YOUR blood sugar.  Then continue it if it helped,
>otherwise not.

OK, it seem you making an argument by analogy.  I often use analogies
for teaching purposes.  I can that, that is your intention here also.
Though the similar situation with cinnamon may have suggested to you
that a similar situation could exist with turmeric, if is not proof.

There is some research suggesting cinnamon has some efficacy as an
antihyperglycemic substance.  The research on cinnamon is rather
limited and appears to me to be very hyped.  Your description of the
results reported by posters on asd is IMHO accurate.  It is very much,
YMMV.

What I think it really important here as an aid to gauging the
validity of various research results is to look a
http://scholar.google.com and compare the number of hits one gets for
cinnamon and turmeric with various diabetic relevant strings.  

OK, I using the approach that made Google millions.  

IMHO the potential of cinnamon has been picked up on by relatively few
researchers compared to turmeric.  The research on turmeric goes on
and on and on because other scientists believe in its efficacy.

>I think the same can be said for turmeric.  See how it affects YOU by
>repeated testing, then decide for yourself if it is worth continuing.

This will ONLY test if it affects blood glucose. Elevated blood
glucose is one symptom of T2 diabetes. There are for instance
dysfunctions in lipid metabolism. There are dysfunctions in the
predominant fuel used by the heart. The list goes on.

>The main property of the active ingredient with respect to diabetes
>(curcumin) is as an anti-inflamation agent.  Inflamation seems tied to
>insulin resistance.  Reducing overall inflamation reduces insulin
>resistance, making your body better able to make use of the insulin
>you produce. That's the theory, anyway.  

That is one hypothesis. I don't know whose hypothesis it is but it
addresses only one aspect of being T2. Another aspect is the creation
of amyloid plaque. Turmeric is a powerful inhibitor of amyloid plaque
formation. It is thought to be one reason why areas of the world
associated with low levels of Alzheimer's disease are often those
where turmeric is grown and eaten almost as a vegetable.

>We haven't had enough people in this group report on using turmeric
> to give you an overall success rate.
[quoted text clipped - 3 lines]
>you don't care for the taste, you could get empty gelatin capsules
>from a health food store and fill them up.

The turmeric used in cooking has about 5% curcuminoids. The powder
used in tablets is standardized to have 95% curcuminoids. That is
nineteen times as concentrated as in the powder blended into curry
powder.

Best wishes,

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Quentin Grady - 29 Mar 2006 10:12 GMT
This post not CC'd by email
On Tue, 28 Mar 2006 14:16:20 GMT, quester@infionline.net (Harold
Groot) wrote:

>>I was advised to add turmeric to my diet.
>>Does it help / hurt a T2?
[quoted text clipped - 4 lines]
>I have read several articles that suggest that turmeric can help a T2,
>but this should perhaps be taken with a grain of lite salt.  <g>

G'day G'day Harold,

I wish to apologize for my rather grumpy previous response to your
post.  What I should have said was that even if turmeric has NO
benefit what so ever in respect to lowering blood glucose, it has IMHO
much relevance to T2 diabetics in reducing the risks associated with

1. Cataract formation.

2. Silent inflammatory disease, an important factor in coronary
vascular disease.

3. A syndrome whose name I've forgotten that affects co-ordination of
the fingers in diabetics

4. Amyloid plaque formation found in Alzheimer's disease ... where
people forget the names of various syndromes <grin> and the pancreas
in people with T2

5. A few other things to found at.
http://www.umm.edu/altmed/ConsHerbs/Turmericch.html

Best wishes,

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Amy - 29 Mar 2006 12:22 GMT
Hello Quentin, I hope this finds you feeling well.

Just a remark in passing... sometimes it seems that the very mention of
the word "supplements" brings a very negative response here.  I've seen
accusations of spamming here, for example (which may or may not be
true) as soon as the word appears.  I imagine this promotes some
confusion for those who are unfamiliar with the subject and it must be
difficult for some to discern which are indeed relevant to diabetes.

There is, as I'm sure you know, a huge bank of knowledge, historically,
regarding herbal substances and their efficaciousness.  For one thing,
there are the ancient ayurvedic practices, and, here in the UK, for
example, many tried and tested safe remedies which are hundreds of
years old.  Nearby where I live there is an Elizabethan garden of
herbal remedies and a research herbarium.  We take certain things such
as aspirin for granted, which is derived from a plant source.
Similarly, metformin was (although I believe it's produced
synthetically these days) originally derived from French lilac flowers
:-)   And so on.

I realise that double-blind studies are the order of the day here  ;-)
but I do think that people's anecdotal experiences are useful to hear
as well.

Ultimately, of course, people have to make up their own minds.

Thanks, as ever, for your informative posts.

(P.S. I can recommend Gingko biloba for the memory problem  :-)  Also
excellent for circulation)

Best wishes,
Amy
Quentin Grady - 29 Mar 2006 13:37 GMT
This post not CC'd by email
On 29 Mar 2006 03:22:11 -0800, "Amy" <tesselate@googlemail.com>
wrote:

>Hello Quentin, I hope this finds you feeling well.
>
>Just a remark in passing... sometimes it seems that the very mention of
>the word "supplements" brings a very negative response here.

G'day G'day Amy,

Yes. Sometimes you could sell the froth and foam to a fire brigade.

There are many reasons.  Here are some.

1.  Supplements in many countries are governed by different
regulations from medicines and sometimes even food.  They slip through
the cracks as it were.

2.  Supplements are often sold with exalted claims for their efficacy
based on less than a handful of scientific studies.  If you go to
http://scholar.google.com and enter your favourite supplement as a
search string you will find hits. Some will be for adverse reactions
associated with their use.  Some will be for limited trials or rodent
studies.  IMHO the important thing is that for many of them you will
notice that the research is dated.  There was a spurt of interest and
then nothing. Somehow the early zeal died.  Other researchers did not
buy into the supplements being particularly efficacious and didn't
waste time on them.  I'm not telling you what you will find. It will
depend on what supplement you decide to follow up.  The exercise will
help develop discrimination on what to believe.

3.  Many naturally occurring substances eg lutein, lycopene etc have
undoubted efficacy. Notice that I said naturally occurring substances,
not supplements.  For reasons that are too numerous for me to spend
time on typing up tonight so often the naturally occurring form in
food works. The supplements do NOT.  In some cases I haven't the
slightest idea why the supplement forms don't work, all I know is that
they don't.  IMHO it is a better bet to buy quality food than to buy
lower quality food and attempt to redress the lack of quality with
supplementation.

> I've seen
>accusations of spamming here, for example (which may or may not be
>true) as soon as the word appears.  

If you say so, my guess is it happened. Amy, I don't remember and
aren't particularly interested.  In New Zealand when I was a kid we
had a saying, "Today's headline news, tomorrows fish and chip
wrapper."

The people who maintain the respect of others around here forget the
comments of the few people who delight in foaming at the mouth and get
on with the central purpose of the group.

>I imagine this promotes some
>confusion for those who are unfamiliar with the subject and it must be
[quoted text clipped - 7 lines]
>herbal remedies and a research herbarium.  We take certain things such
>as aspirin for granted, which is derived from a plant source.

Today I gave a lecture on teaching people who have Asperger's
syndrome.  I like my Asperger's syndrome students. They are normal and
different all at the same time.  They turn up on time and never over
run their time with one last question.  OK, its late and I'm rambling
a bit.  The point is what one learns from teaching such students is
immediately applicable to teaching normal people.  There is no need
here to debate the whole issue of ancient ayurvedic practices and
other CONCEPTS.  We need only look at one specific EXAMPLE and let
others figure out the generalisation for themselves.

OK. Let's look a little more closely at the "asprin" is from a plant
source.  That's true depending on how we use the word "derived". It
does not mean we should trust herbal medicines. In fact it implies
exactly the opposite.  Asprin is a DERIVATIVE of substances found in
willow. The DERIVATIVE is called acetyl salicylic acid.  The
derivative was manufactured to avoid problems with stomach ulceration.
As most people know it wasn't entirely successful. It is better though
than the raw material.

http://starryskies.com/articles/dln/1-01/asprin.html

It could be that they have this bit of chemistry wrong.
If so you will find the cites and put me right.

>Similarly, metformin was (although I believe it's produced
>synthetically these days) originally derived from French lilac flowers
>:-)   And so on.

>I realise that double-blind studies are the order of the day here  ;-)

They are because people want to live.

>but I do think that people's anecdotal experiences are useful to hear
>as well.

Care to share your anecdotal evidence on eating French lilac flowers?

1.  Did you find the amount of active ingredient varied from season to
season?  When was it most effective?  When was it least effective?

2.  How did you decide on how to make a necessary adjustments

3.  What did you do in the off season when there were no flowers.

>Ultimately, of course, people have to make up their own minds.

I'm sure they will.  That is what I like most about people on asd.
People here are for the most part are highly successful.  There is a
reason. IMHO it is because they use discernment and choose courses of
action more wisely that the general feral crowd of T2 diabetics.

>Thanks, as ever, for your informative posts.

Thanks. I'm glad you have found them informative.  You might not be
thanking me tonight but on reflection you may come to treasure this
post more than any other.  After all it up to you as an adult to be
responsible for the decisions you make and perhaps my response tonight
will have helped you rethink something your thought had been thought
through to a final conclusion.

>(P.S. I can recommend Gingko biloba for the memory problem  :-)  Also
>excellent for circulation)
>
>Best wishes,
>Amy

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Amy - 29 Mar 2006 14:34 GMT
Hello again Quentin,

I think you perhaps misread the intention of my post.  It does not
matter.  Just to clarify, I was making the point that metformin is
essentially a plant-derived substance, i.e., effectively, a herbal
remedy.

"G. [Galega] officinalis (Goat's rue; French lilac; Italian fitch) is
rich in guanidine. The plant's long-recognized hypoglycemic
properties led eventually to the synthesis of the biguanide compound
metformin."

from:

http://www.jci.org/cgi/content/full/108/8/1105

All the best to you.
Amy
Quentin Grady - 29 Mar 2006 22:18 GMT
This post not CC'd by email
On 29 Mar 2006 05:34:43 -0800, "Amy" <tesselate@googlemail.com>
wrote:

>Hello again Quentin,
>
>I think you perhaps misread the intention of my post.

G'day G'day Amy,

  That could be so.  I'm sure you had and still have a positive
intention in posting.  This is a little like a scientific experiment.
It is easier to be clear as a reader about what your attentions
weren't than exactly what they were.  Obviously you weren't spamming
etc.  

That leaves a number of positive intentions eg inviting an open
discussion about supplements in general or hypothesizing that the same
substances that are found in modern drugs are found in herbal remedies
so they should be equally acceptable.

You can see how open the discussion is to misinterpretations of
intention.  For instance you may be putting supplements and herbal
remedies in the same basket. I don't.  This morning I took several
supplements for inflammation, notably turmeric standardised to 95%
curcuminoids, some MSM and a 500 mg tablet of bromelain.  A week ago I
had one hell of a rash in response to the generic form of Voltarin.
The anti-inflammatory was prescribed to help me with two fractured
vertebrae.  The vertebrae were fractured as a result of passing out
due to a side effect of Norflex, a drug given to reduce muscle spasm.
Put simply, I have good reason to be aware of the side effects
inherent in mainstream pharmaceuticals and not to regard them as a
panacea.  

> It does not matter.  

If your intent was to open up a discussion on supplements in general
then we have a long way to go.

>Just to clarify, I was making the point that metformin is
>essentially a plant-derived substance, i.e., effectively, a herbal
[quoted text clipped - 4 lines]
>properties led eventually to the synthesis of the biguanide compound
>metformin."

OK, I am little puzzled.  Something doesn't strike me as entirely
congruent here.  Goat's rue is available over the counter in New
Zealand. Most pharmacies stock it on one of their lower shelves.
People buy it because of its reputation for helping blokes get a hard
on.  Now if the biguanide compound is the same as guanidine in Goat's
rue then I personally would have expected to have witnessed a host of
blokes posting here with very broad grins.  I haven't.  

Am I to assume the metformin in inferior to the Goat's rue?
Am I to assume you take Goat's rue, purely for medicinal purposes?

If you are not taking either Goat's rue or metformin then this
conversation has entered a very strange place that I feel
uncomfortable with.  As I see asd it is like a life raft in a sea of
potential complications.  We place our trust in one another because we
know we would share a common fate if we get it wrong.  What though if
one person really wasn't dependent on the supplies in the life raft
and was advocating various courses of action they themselves were not
dependent on.  You can see that, that person and more particularly
their opinions would be treated with some distrust.

>from:
>
>http://www.jci.org/cgi/content/full/108/8/1105
>
>All the best to you.
>Amy

Best wishes,
Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Amy - 29 Mar 2006 23:56 GMT
Dear Quentin, I posted with two very simple, ordinary ideas which I
will restate:

1.  When a poster uses the word "supplement" or "herb" this should not
automatically render them The Enemy and a target for attack.

2.  Many common medicines, such as metformin, are derived from
herbs/flowers/etc.

That's all I was saying.  Yes, I do take metformin, but that was not
really my point.  And, for obvious reasons, I really wouldn't know
about blokes, Goat's rue, and the desirable effect, so to speak  :-)
...although I am intrigued, if it is indeed the same plant.

I was not attempting to open up a huge discussion at all, although I
would be more than interested if there were one.  I am not particularly
advocating any specific herbs or supplements.  And I have no idea what
I've said which could possibly arouse suspicion or distrust.

More importantly:  I am very sorry to read about your fractures and
also the bad reactions to pharmaceuticals.  I sincerely hope that they
heal quickly.  

With best wishes,
Amy
Quentin Grady - 30 Mar 2006 08:42 GMT
This post not CC'd by email
On 29 Mar 2006 14:56:01 -0800, "Amy" <tesselate@googlemail.com>
wrote:

>Dear Quentin, I posted with two very simple, ordinary ideas which I
>will restate:

G'day G'day Ami,

Sometimes restating helps.

>1.  When a poster uses the word "supplement" or "herb" this should not
>automatically render them The Enemy and a target for attack.

That's cool with me.  Some people do respond that way.  I don't.  The
post that originated this subthread was addressed to me.  My position
is pretty simple.  Medicine, diet, exercise, supplements and herbs to
name a few things have to be dealt with in a specific instance by
instance methodology.  Pharmaceuticals sometimes are beneficial and
sometimes disastrous.  The same could said of exercise and so on.

>2.  Many common medicines, such as metformin, are derived from
>herbs/flowers/etc.

This is about the only area where we have any conflict.  The sticking
point is the word "derived."  Is there any benefit in my restating
what I have already restated twice, that derivation has lead to the
active ingredients found in the herbs/flowers/etc being modified to
form SAFER compounds.

>That's all I was saying.  Yes, I do take metformin, but that was not
>really my point.  

Thank you. IMHO you establish my point. When push comes to shove most
people choose the lower risk associated with standardised DERIVATIVES
of compounds found in herbs/flowers/etc than to take the original
herbs/flowers/etc.  Some people wouldn't even be aware of the origins
of the many pharmaceutical drugs. You are. You know which
herb/flowers/etc the original chemicals are to be found.  Even so you
choose the pharmaceutical version of the drug.  IMHO that is sensible
though a little puzzling given your philosophical position.

>And, for obvious reasons, I really wouldn't know
>about blokes, Goat's rue, and the desirable effect, so to speak  :-)
>...although I am intrigued, if it is indeed the same plant.

Actually it seems I am in error.  It would have injected some humour
into the thread if I hadn't been but it seems I am. The one the blokes
buy is Horny Goat Weed (Epimedium Sagggitatum)

The herb you were referring to is Goat's Rue (Galega Officinalis).
http://www.thehealthierlife.co.uk/article/2843/goats-rue.html

>I was not attempting to open up a huge discussion at all, although I
>would be more than interested if there were one.  I am not particularly
>advocating any specific herbs or supplements.  And I have no idea what
>I've said which could possibly arouse suspicion or distrust.

You appear to advocating herbs for some philosophical reason relating
to people having choice, yet actually take the derivative chemical (a
different chemical) produced pharmaceutically.  To me there is an
incongruency between what you are saying and what you are doing that I
don't yet fully understand.  It is probably unimportant.  

My take of the situation is that once we strip our positions of words,
the decisions we live by are most likely very similar.  We both use
some supplements and some pharmaceuticals.  I might be more reluctant
to use herbs/flowers etc than you but the difference is probably not
significant if your choice concerning metformin is representative.

If you feel like commenting on it that is fine.    

>More importantly:  I am very sorry to read about your fractures and
>also the bad reactions to pharmaceuticals.  I sincerely hope that they
>heal quickly.  

Thank you. Pain has been a faithful companion for several weeks now
though not a pleasant one.  Adjustments were made to include changes
in break through medication and to add Voltarin (an anti-inflammatory
which fortunately has been stopped.)  I have just begun using
bromelain as an anti-inflammatory.  I seem a little better today but
that might well be a coincidence.

>With best wishes,
>Amy

And best wishes to you.

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Amy - 30 Mar 2006 21:39 GMT
Hello Quentin,

I think, to be honest, my only concern throughout this discussion has
been that you may be interpreting my comments in such a way as to
misrepresent me.  So, just to be clear:  I am neither a herbalist nor
an expert in herbal medicine.  I do not hold strong views, either for
or against, regarding pharmaceuticals vs. herbal remedies.  My only
statement throughout has been that, historically and presently, there
is a certain amount of interplay between the two, and that there is a
wealth of knowledge regarding the medicinal properties of herbs which
(imho) should not be dismissed out of hand.

I also have no dispute with your definition of "derivative" and, if you
refer to my first post, you will find, regarding metformin, that I
said:

"metformin was (although I believe it's produced synthetically these
days) originally derived from French lilac flowers "

Note:  synthetically;  *originally* derived

Therefore we are not disagreeing at all.

--------------------
You wrote:

"You appear to advocating herbs for some philosophical reason relating
to people having choice, yet actually take the derivative chemical (a
different chemical) produced pharmaceutically.  To me there is an
incongruency between what you are saying and what you are doing that I
don't yet fully understand.  It is probably unimportant.
My take of the situation is that once we strip our positions of words,
the decisions we live by are most likely very similar.  We both use
some supplements and some pharmaceuticals.  I might be more reluctant
to use herbs/flowers etc than you but the difference is probably not
significant if your choice concerning metformin is representative."
--------------------------------

I am not advocating herbs per se.   Even if I were, I would not see
this as a philosophical position.  It would simply be a matter of
choice.  All I am advocating, with regard to this group, is that when
someone posts their personal experience with herbs or supplements, that
the poster is not treated to derision, or worse.  That was not, and is
not, intended as a personal comment to you, but as a general comment.

There is no incongruity in what I am saying, because I haven't made,
and won't make, any claims.  As to the question in your mind regarding
me, metformin and its herbal alternative, thank you for the link. While
I am interested to know of the existence of a herbal alternative, it is
not something I would pursue at present, given that I have only been
taking metformin for two months.  In any case, regarding metformin, any
comment I would make would necessarily have to be pending HbA1c
results.   In short, I don't consider myself to be a candidate for
experimenting with herbal alternatives as a means of treatment.  As you
rightly point out, that is my choice.

So... are we clear?  I really really hope so  :-)

I hope that the bromelain is effective for you.

Take care, Quentin.

Best wishes,
Amy
Quentin Grady - 31 Mar 2006 07:07 GMT
This post not CC'd by email
On 30 Mar 2006 12:39:19 -0800, "Amy" <tesselate@googlemail.com>
wrote:

>Hello Quentin,
>
>I think, to be honest, my only concern throughout this discussion has
>been that you may be interpreting my comments in such a way as to
>misrepresent me.

G'day G'day Ami,

I hope not.  

> So, just to be clear:  I am neither a herbalist nor an expert in
>herbal medicine.  

I haven't ever thought that you were.

>I do not hold strong views, either for
>or against, regarding pharmaceuticals vs. herbal remedies.  

You haven't used any words that suggests you held strong views on the
matter.

>My only
>statement throughout has been that, historically and presently, there
>is a certain amount of interplay between the two, and that there is a
>wealth of knowledge regarding the medicinal properties of herbs which
>(imho) should not be dismissed out of hand.

I'm fine with that.  There seems to be no reason to dismiss such
information out of hand or to accept it without the same close
scrutiny that is given to any other medicinal approach current today.

>I also have no dispute with your definition of "derivative" and, if you
>refer to my first post, you will find, regarding metformin, that I
[quoted text clipped - 6 lines]
>
>Therefore we are not disagreeing at all.

Oh. That might well be the wellspring of continued of discussion.
As you point out in another post the chemical in French lilac flowers
is NOT the same compound as found in metformin.  True it is a related
compound.  As I have pointed out the salicylic acid found in willow
and some other plants does have analgesic properties.  The chemists
produced a NEW chemical from salicylic acid called acetyl salicylic
acid which also had analgesic properties.  There was an enormous
difference between the raw salicylic acid and its derivative. The
salicylic acid caused mouth ulcers.  The acetyl salicylic acid did
not.  Some people who do hold strong views about the superiority of
"natural" remedies allege that the herbal forms are without side
effects while forms manufactured by the pharmaceutical industry have
side effects.  

You didn't make such statements.  

It is one reason I don't consider you as holding strong views on the
matter etc even if you may have thought that I did.

Since the thread was public it behooved me to make clear a general
position on the matter.  Although it has not as yet registered, I have
been helping you, by discussing the relevant matters in a moderate
manner. This was a pre-emptive maneuver to ensure the discussion that
you would like to have occurring could take place.  If had not jumped
in and put the issues on the table there was a risk that the sharks
who leap at words like Herbal Remedies and Supplements would have
responded in a manner that would have meant the discussion would not
have taken place.

Salicylic acid and acetyl salicylic acid can both be synthesised.

Salicylic acid regardless of whether it is crystallized out of willow
sap or synthetically manufactured will be salicylic acid and it will
cause mouth ulcers as well as being an analgesic.

Acetyl salicylic acid is mostly synthesized and has less problems with
causing ulceration.

>--------------------
>You wrote:
[quoted text clipped - 16 lines]
>someone posts their personal experience with herbs or supplements, that
>the poster is not treated to derision, or worse.  

That hasn't happened with me.  It happens.  I decided to be proactive
and see what would materialize if we had a conversation where it
didn't happen.

>That was not, and is
>not, intended as a personal comment to you, but as a general comment.

I accept that, that is the case.

>There is no incongruity in what I am saying, because I haven't made,
>and won't make, any claims.  As to the question in your mind regarding
[quoted text clipped - 6 lines]
>experimenting with herbal alternatives as a means of treatment.  As you
>rightly point out, that is my choice.

I agree it is your choice, just as it is mine.  
We share a view which isn't entirely common on asd.  

The purpose of the discussion from my side was to support you in
making wise choices.  My chief concern was that you might be using the
phrase "derived from" without recognising that it means "chemically
altered"  Soap for instance is derived from lard. Lard is a reactant,
soap is one of the products of the chemical reaction when lard is
cooked up with sodium hydroxide (caustic soda)

It isn't a good argument for suggesting an equal choice exists between
bathing with lard and with soap or for that matter caustic soda and
with soap.  

Lard may appeal as more natural but there is no justification whatever
in thinking it would be as good a saponification agent as soap on
account of soap being derived from lard.  

>So... are we clear?  I really really hope so  :-)

So do I.  Even if it is not, please write to me privately.  
IMHO by now we are probably boring the socks of most readers.

>I hope that the bromelain is effective for you.

Thanks.  It might well be.  
The situation is complicated by other factors so I am uncertain.

>Take care, Quentin.
>
>Best wishes,
>Amy

And best wishes to you,

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Amy - 31 Mar 2006 22:41 GMT
Thank you, Quentin.
I do understand all that you are saying.
I would just like to put something up here which I happened to read
today and like very much, by way of conclusion.
It's a trifle long, but hopefully, and for any other readers also, it
won't be too boring  :-)

Best wishes to you, and all here,
Amy

"... And finally, and above all, let it be remembered by both parties,
and indeed by controversialists on all subjects, that every speculative
error which boasts a multitude of advocates, has its golden as well as
its dark side; that there is always some Truth connected with it, the
exclusive attention to which has misled the Understanding [...]. Let it
be remembered, that no Assailant of an Error can reasonably hope to be
listened to by its Advocates, who has not proved to them that he has
seen the disputed subject in the same point of view, and is capable of
contemplating it with the same feelings as themselves: (for why should
we abandon a cause at the persuasions of one who is ignorant of the
reasons which have attached us to it?) Let it be remembered, that to
write, however ably, merely to convince those who are already
convinced, displays but the courage of a boaster; and in any subject to
rail against the evil before we have enquired for the good, and to
exasperate the passions of those who think with us, by caricaturing the
opinions and blackening the motives of our antagonists, is to make the
Understanding the pander of the passions."

Samuel Taylor Coleridge

(excerpt from "The Friend")
 
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