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UMN Stress & Energy Support

A special enszyme formula combined with phyto-therapeutic herbs and vitamins to support the body’s recovery from stressful times and to preserve, protect and replenish energy reserves.

see Stress & Fatigue

Ingredients:

1. Schizandra Berries  120 mg
2. Siberian Ginseng Root  
120 mg
3. Ashwagandha (root powder)  
80 mg
4. Ginko Biloba 50:1 Extract
  80 mg
5. American Ginseng Root  
60 mg
6. Coenzyme Q10  
5000 mcg
7. Thiamine B-1  
10 mg
8. Riboflavin B-2 
 4 mg
9. Niacin B-3  
20 mg
10. Pantothenic Acid B-5  
10 mg
11. Pyridoxine B-6  
10mg
12. Cyanocobalamin B-12  
20 mcg
13. Folic Acid
  400 mcg
14. Biotin  
100 mcg

Enzyme Delivery System:
15. Lipase  
108.28 LU
16. Cellulase  
340.20CU
17. Amylase  
802.76 DU
18. Protease  
1330.52 HUT


Background Information:
What Is Stress?
What Causes Stress?
What Are The Symptoms Of Stress?
Do Nutritional Deficiencies Cause Stress?
How is Illness Related to Stress?
Which Physical Symptoms Are Caused By Stress?

UMN Stress & Energy Support Ingredient Rationale:

1. Schizandra Berries

Used For / Claims: Schizandra, an adaptogenic herb, has been used traditionally for alleviating exhaustion caused by stress, for increasing resistance to disease and stress, and promoting energy in the body. "Adaptogen" implies that a substance can act to strengthen the body and increasing general resistance. Adaptogens help the body remain vital and healthy by affecting the energy cells of the brain, muscles, liver, kidneys, and nerves, energizing them and allowing them to function properly even in stressful environments or conditions. Adaptogens work by bringing the body into balance regardless of if a person is nervous and anxious or fatigued and low energy. Adaptogens have the special ability to bring either or both conditions to a balanced ‘middle ground’.

Schizandra possesses the following properties:

· Anticonvulsant
· Antidepressant
· Antifatigue
· Anti-inflammatory
· Antioxidant
· Antitussive
· Tranquilizing

Schizandra is used for:

· Improving aerobic capacity
· Improving blood sugar levels
· Improving blood pressure levels
· Improving cellular energy
· Improving concentration
· Improving coordination
· Improving endurance
· Improving energy levels
· Improving immune system function
· Improving kidney health
· Improving liver health
· Improving mental function
· Improving mood
· Improving muscular activity
· Improving physical performance and endurance
· Improving the body’s response to various stress factors
· Improving vision
· Reducing aging
· Reducing high cholesterol levels
· Reducing motion sickness
· Reducing symptoms of premenstrual syndrome (PMS)


Dosage/Safety: To improve mental and physical performance, schizandra extract has been recommended at doses up to 2 grams per day. Schizandra, is safe if used appropriately, causing only minor digestive upsets in some people when used in larger amounts.

References:

Upton R, ed. Schisandra Berry: Analytical, quality control, and therapeutic monograph. Santa Cruz, CA: American Herbal Pharmacopoeia 1999;1-25.

Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.

Ko KM, Ip SP, Poon MK, Wu SS, Che CT, Ng KH, Kong YC. Effect of a lignan-enriched fructus schisandrae extract on hepatic glutathione status in rats: protection against carbon tetrachloride toxicity. Planta Med. 1995 Apr;61(2):134-7.

Molokovskii DS, Davydov VV, Tiulenev VV., The action of adaptogenic plant preparations in experimental alloxan diabetes. Probl Endokrinol (Mosk). 1989 Nov-Dec;35(6):82-7.

Li PC, Poon KT, Ko KM. Schisandra chinensis-dependent myocardial protective action of sheng-mai-san in rats. Am J Chin Med. 1996;24(3-4):255-62.

Lee IS, Jung KY, Oh SR, et al. Structure-activity relationships of lignans from Schisandra chinensis as platelet activating antagonists. Biol Pharm Bull 1999 ;22(3): 265-7.

Liu KT, Lesca P. Pharmacological properties of Dibenzo[a,c]cyclooctene derivatives isolated from Fructus Schizandrae Chinensis III. Inhibitory effects on carbon tetrachloride-induced lipid peroxidation, metabolism and covalent binding of carbon tetrachloride to lipids. Chem Biol Interact. 1982 Jul 15;41(1):39-47.

Sosnova TL, Golubev VV, Plekhanova NA, Afanas'ev AN., Stimulating effects of eleuterococcus and Chinese schizandra used for prevention of visual fatigue during work connected with color discrimination. Gig Sanit. 1984 Dec;(12):7-9.

Liu KT, Lesca P. Pharmacological properties of dibenzo[a,c]cyclooctene derivatives isolated from Fructus Schizandrae chinensis. I. Interaction with rat liver cytochrome P-450 and inhibition of xenobiotic metabolism and mutagenicity. Chem Biol Interact. 1982 Apr;39(3):301-14.

Hikino H, Kiso Y, Taguchi H, Ikeya Y., Antihepatotoxic actions of lignoids from Schizandra chinensis fruits. Planta Med. 1984 Jun;50(3):213-8.

Yan-yong C, Zeng-bao S, Lian-niang L. Studies of Fructus schizandrae. IV. Isolation and determination of the active compounds (in lowering high SGPT levels) of Schizandra chinensis Baill. Sci Sin. 1976 Mar-Apr;19(2):276-90.

2. Siberian Ginseng Root

Used For / Claims: Siberian ginseng is an adaptogenic herb, used for increasing resistance to environmental stress factors. "Adaptogen" implies that a substance can act to strengthen the body and increasing general resistance. Adaptogens help the body remain vital and healthy by affecting the energy cells of the brain, muscles, liver, kidneys, and nerves, energizing them and allowing them to function properly even in stressful environments or conditions. Adaptogens work by bringing the body into balance regardless of if a person is nervous and anxious or fatigued and low energy. Adaptogens have the special ability to bring either or both conditions to a balanced ‘middle ground’.

Siberian Ginseng Root is used for:

· Alzheimer's disease
· Atherosclerosis
· Attention deficit-hyperactivity disorder (ADHD)
· Bronchitis
· Chronic fatigue syndrome
· Combating fatigue
· Diabetes
· Fibromyalgia
· Insomnia
· Improving athletic performance
· Increasing male and female fertility and reducing male impotence
· Increasing resistance to colds and flus
· Normalizing high or low blood pressure
· Preventing stress-related illnesses
· Relieving menstrual disorders and menopausal symptoms
· Restoring energy
· Rheumatic heart disease
· Rheumatoid arthritis
· Stimulating appetite
· Stimulating the immune system


Dosage/Safety:
Siberian ginseng extract has been safely recommended in doses of 400 mg per day in numerous studies. If people take higher than normal doses, they may experience anxiety, slight drowsiness, irritability, and melancholy.

WARNING: Siberian ginseng should be used cautiously or avoided by people diagnosed with cardiovascular conditions including; atherosclerotic or rheumatic heart disease, as use can cause hypertension palpitations, and/or tachycardia.

References:

Davydov M, Krikorian AD. Eleutherococcus senticosus (Rupr. & Maxim.) Maxim. (Araliaceae) as an adaptogen: a closer look. J Ethnopharmacol 2000;72(3):345-393.

Glatthaar-Saalmuller B, Sacher F, Esperester A. Antiviral activity of an extract derived from roots of Eleutherococcus senticosus. Antiviral Res 2001;50:223-8.

Vogler BK, Pittler MH, Ernst E. The efficacy of ginseng. A systemic review of randomized clinical trials. Eur J Clin Pharmacol 1999;55:567-75.

Hartz AJ, Bentler S, Noyes R, Hoehns J, Logemann C, Sinift S, Butani Y, Wang W, Brake K, Ernst M, Kautzman H., Randomized controlled trial of Siberian ginseng for chronic fatigue. Psychol Med. 2004 Jan;34(1):51-61.

Shang SY, Ma YS, Wang SS. [Effect of eleutherosides on ventricular late potential with coronary heart disease and myocarditis]. [Article in Chinese] Zhong Xi Yi Jie He Za Zhi 1991;11:280-1, 261.

Baranov AI. Medicinal uses of ginseng and related plants in the Soviet Union: recent trends in the Soviet literature. J Ethnopharmacol 1982;6:339-53.

Smerzer KD, Gretebeck PJ. Effect of radix Acanthopanax senticosus on submaximal running peformance. Med Sci Sports Excerc 1998;30 Suppl:S278.

Arushanian EB, Baida OA, Mastiagin SS, Popova AP, Shikina IB., Effect of eleutherococcus on short-term memory and visual perception in healthy humans. Eksp Klin Farmakol. 2003 Sep-Oct;66(5):10-3.

Asano K, Takahashi T, Miyashita M, et al. Effect of Eleutherococcus senticosus extract on human physical working capacity. Planta Med 1986;(3):175-7.

Rogala E, Skopinska-Rozewska E, Sawicka T, Sommer E, Prosinska J, Drozd J., The influence of Eleuterococcus senticosus on cellular and humoral immunological response of mice. Pol J Vet Sci. 2003;6(3 Suppl):37-9.

Dowling EA, Redondo DR, Branch JD, et al. Effect of Eleutherococcus senticosus on submaximal and maximal exercise performance. Med Sci Sports Exerc 1996;28:482-9.

Drozd J, Sawicka T, Prosinska J., Estimation of humoral activity of Eleutherococcus senticosus. Acta Pol Pharm. 2002 Sep-Oct;59(5):395-401.

Szolomicki S, Samochowiec L, Wojcicki J, Drozdzik M. The influence of active components of Eleutherococcus senticosus on cellular defense and physical fitness in man. Phytother Res 2000;14:30-5.

Kropotov AV, Kolodnyak OL, Koldaev VM., Effects of Siberian ginseng extract and ipriflavone on the development of glucocorticoid-induced osteoporosis. Bull Exp Biol Med. 2002 Mar;133(3):252-4.

Shen ML, Zhai SK, Chen HL, Immunomopharmacological effects of polysaccharides from Acanthopanax senticosus on experimental animals. Int J Immunopharmacol 1991;13:549-54.

Hou JP., The chemical constituents of ginseng plants. Comp Med East West. 1977 Summer;5(2):123-45.

Eschbach LF, Webster MJ, Boyd JC, et al. The effect of siberian ginseng (Eleutherococcus senticosus) on substrate utilization and performance. Int J Sport Nutr Exerc Metab 2000;10:444-51.


3. Ashwagandha (root powder)

Used For / Claims: For over 2,000 years, Ashwagandha has been used in the Indian medical system known as Ayurveda. Ashwagandha has been used in numerous ways; as an analgesic, antipyretic, antioxidant, diuretic, anti-inflammatory agent, hypotensive, sedative, rejuvenating tonic, and as an adaptogen. "Adaptogen" implies that a substance can act to strengthen the body and increasing general resistance. Adaptogens help the body remain vital and healthy by affecting the energy cells of the brain, muscles, liver, kidneys, and nerves, energizing them and allowing them to function properly even in stressful environments or conditions. Adaptogens work by bringing the body into balance regardless of if a person is nervous and anxious or fatigued and low energy. Adaptogens have the special ability to bring either or both conditions to a balanced ‘middle ground’. Nutritionists often refer to Ashwagandha as "Ayurvedic ginseng" because of its ability to increase energy, strength, and stamina, and for its ability to combat stress.

Ashwagandha is used for:

· Anxiety
· Arthritis
· Asthma
· Back pain
· Bronchitis
· Cancer
· Diabetes
· Fatigue
· Gastrointestinal disorders
· Improving cognitive function
· Infertility in men and women
· Insomnia
· Liver disease
· Menstrual disorders
· Modulating the immune system
· Pain
· Reducing the effects of aging
· Rheumatoid arthritis
· Sedation
· Stress


Dosage/Safety: Orally, ashwagandha is well tolerated at doses up to 6 grams per day. Large doses may cause some people gastrointestinal upsets, and/or diarrhea.


References:


Panda S, Kar A. Evidence for free radical scavenging activity of Ashwagandha root powder in mice. Indian J Physiol Pharmacol. 1997 Oct;41(4):424-6.

Mishra LC, Singh BB, Dagenais S. Scientific basis for the therapeutic use of Withania somnifera (ashwagandha): a review. Altern.Med Rev. 2000;5:334-46.

Agarwal R, Diwanay S, Patki P, Patwardhan B. Studies on immunomodulatory activity of Withania somnifera (Ashwagandha) extracts in experimental immune inflammation. J Ethnopharmacol. 1999 Oct;67(1):27-35.

Ziauddin M, Phansalkar N, Patki P, Diwanay S, Patwardhan B. Studies on the immunomodulatory effects of Ashwagandha. J Ethnopharmacol. 1996 Feb;50(2):69-76.

Akbarsha MA, Vijendrakumar S, Kadalmani B, Girija R, Faridha A. Curative property of Withania somnifera Dunal root in the context of carbendazim-induced histopathological changes in the liver and kidney of rat. Phytomedicine. 2000 Dec;7(6):499-507.

Bhattacharya SK, Satyan KS, Ghosal S. Antioxidant activity of glycowithanolides from Withania somnifera. Indian J Exp Biol 1997; 35(3):236-9.

Bhattacharya SK, Bhattacharya A, Sairam K, Ghosal S. Anxiolytic-antidepressant activity of Withania somnifera glycowithanolides: an experimental study. Phytomedicine. 2000 Dec;7(6):463-9.

Archana R, Namasivayam A. Antistressor effect of Withania somnifera. J Ethnopharmacol 1999;64(1):91-3.

Devi PU. Withania somnifera Dunal (Ashwagandha): potential plant source of a promising drug for cancer chemotherapy and radiosensitization. Indian J Exp Biol. 1996 Oct;34(10):927-32.

Upton R, ed. Ashwagandha Root (Withania somnifera): Analytical, quality control, and therapuetic monograph. Santa Cruz, CA: American Herbal Pharmacopoeia 2000:1-25.

Dhuley JN. Adaptogenic and cardioprotective action of ashwagandha in rats and frogs. J Ethnopharmacol. 2000 Apr;70(1):57-63.

Davis L, Kuttan G. Effect of Withania somnifera on cyclophosphamide-induced urotoxicity. Cancer Lett 2000;148:9-17.

Dhuley JN. Effect of ashwagandha on lipid peroxidation in stress-induced animals. J Ethnopharmacol. 1998 Mar;60(2):173-8.

4. Ginko biloba Extract

Used For / Claims: Ginko biloba
With a long history in traditional Chinese medicine, Ginko biloba has benefits as a memory-enhancing herb. Studies indicate that Ginko biloba has beneficial effects on the circulatory and central nervous systems, and as an antioxidant.

Ginko biloba has been shown to improve:
· The utilization of oxygen
· Circulation of blood to the brain
· Systemic blood flow
· Neurotransmitter functions
· Memory performance
· Learning capacity

Ginko biloba is used for:
· Allergy
· Anxiety
· Asthma
· Attention deficit-hyperactivity disorder (ADHD);
· Bronchitis
· Cardiovascular disease
· Central nervous system disorders
· Cerebro-vascular insufficiency
· Dementia
· Depression, and numerous cognitive disorders secondary to depression
· Diabetic retinopathy
· Dizziness
· Circulatory disorders
· Headache
· Hearing loss
· Improving gallbladder function
· Improving liver function
· Intermittent claudication
· Memory loss
· Mood disturbances
· Poor concentration
· Premenstrual syndrome (PMS)
· Raynaud’s disease
· Reducing aging
· Ringing in the ears (tinnitus)
· Sexual dysfunction
· Stress

Dosage/Safety: Orally, Ginko biloba is well tolerated at doses up to 240 mg per day. Large doses may cause some people gastrointestinal upsets, headache, dizziness, palpitations, and/or constipation.

WARNING: Ginkgo is known to decrease platelet aggregation, thin the blood, and increase the risk of bleeding. Ginkgo should be used cautiously or avoided by people using aspirin and/or other blood thinning medications.


References:

Warburton DM. Clinical psychopharmacology of Ginkgo biloba extract. Presse Med. 1986 Sep 25;15(31):1595-604.

Diamond BJ, Shiflett SC, Feiwel N, et al. Ginkgo biloba extract: mechanisms and clinical indications. Arch Phys Med Rehabil 2000;81:668-78.

Solomon PR, et al. Ginkgo for memory enhancement: a randomized controlled trial. JAMA 2002;288:835-40.

Kang BJ, Lee SJ, Kim MD, Cho MJ. A placebo-controlled, double-blind trial of Ginkgo biloba for antidepressant-induced sexual dysfunction. Hum Psychopharmacol 2002;17:279-84.

Taillandier J, Ammar A, Rabourdin JP, Ribeyre JP, Pichon J, Niddam S, Pierart H. Treatment of cerebral aging disorders with Ginkgo biloba extract. A longitudinal multicenter double-blind drug vs. placebo study. Presse Med. 1986 Sep 25;15(31):1583-7.

Lister RE. An open, pilot study to evaluate the potential benefits of coenzyme Q10 combined with Ginkgo biloba extract in fibromyalgia syndrome. J Int Med Res 2002;30:195-99.

Quaranta L, Bettelli S, Uva MG, et al. Effect of Ginkgo biloba extract on preexisting visual field damage in normal tension glaucoma. Ophthalmology 2003;110:359-62.

Kennedy DO, Scholey AB, Wesnes KA. The dose-dependent cognitive effects of acute administration of Ginkgo biloba to healthy young volunteers. Psychopharmacology (Berl) 2000;151:416-23.

Fowler JS, Wang GJ, Volkow ND, Logan J, Franceschi D, Franceschi M, MacGregor R, Shea C, Garza V, Liu N, Ding YS. Evidence that gingko biloba extract does not inhibit MAO A and B in living human brain. Life Sci. 2000 Jan 21;66(9):PL141-6.

Mazzanti G, Mascellino MT, Battinelli L, Coluccia D, et al. Antimicrobial investigation of semipurified fractions of Ginkgo biloba leaves. J Ethnopharmacol 2000;71:83-8.

Van Dongen MC, et al. The efficacy of ginkgo for elderly people with dementia and age-associated memory impairment: new results of a randomized clinical trial. J Am Geriatr Soc 2000;48:1183-94.

Wesnes KA, Ward T, McGinty A, Petrini O. The memory enhancing effects of a Ginkgo biloba/Panax ginseng combination in healthy middle-aged volunteers. Psychopharmacology (Berl) 2000;152:353-61.

Semlitsch HV, Anderer P, Saletu B, Binder GA, Decker KA. Cognitive psychophysiology in nootropic drug research: effects of Ginkgo biloba on event-related potentials (P300) in age-associated memory impairment. Pharmacopsychiatry. 1995 Jul;28(4):134-42.

Daba MH, et al. Effects of L-carnitine and Ginkgo biloba extract (EGb 761) in experimental bleomycin-induced lung fibrosis. Pharmacol Res 2002;45:461-6.

Polich J, Gloria R. Cognitive effects of a Ginkgo biloba/vinpocetine compound in normal adults: systematic assessment of perception, attention and memory. Hum Psychopharmacol 2001;16:409-16.

Kennedy DO, Scholey AB, Wesnes KA. Modulation of cognition and mood following administration of single doses of Ginkgo biloba, ginseng, and a ginkgo/ginseng combination to healthy young adults. Physiol Behav 2002;75:739-51.

Saponaro A. Modifications of the rheogram of cranial retinal vessels following administration of ginkgo-biloba. Minerva Med. 1973 Nov 7;64(79 Suppl):4194-8.

Evans JR. Ginkgo biloba extract for age-related macular degeneration. Cochrane Database Syst Rev 2000;CD001775.

Racagni G, Brunello N, Paoletti R. Neuromediator changes during cerebral aging. The effect of Ginkgo biloba extract. Presse Med. 1986 Sep 25;15(31):1488-90.

Lyon MR, Cline JC, Totosy de Zepetnek J, et al. Effect of the herbal extract combination Panax quinquefolium and Ginkgo biloba on attention-deficit hyperactivity disorder: a pilot study. J Psychiatry Neurosci 2001;26:221-8.
Raabe A, Raabe M, Ihm P. Therapeutic follow-up using automatic perimetry in chronic cerebroretinal ischemia in elderly patients. Prospective double-blind study with graduated dose ginkgo biloba treatment. Klin Monatsbl Augenheilkd. 1991 Dec;199(6):432-8.

Roncin JP, Schwartz F, D'Arbigny P. Ginkgo biloba (EGb 761) in control of acute mountain sickness and vascular reactivity to cold exposure. Aviat Space Environ Med 1996;67:445-52.
Pidoux B. Effects of Ginkgo biloba extract on functional brain activity.. An assessment of clinical and experimental studies. Presse Med. 1986 Sep 25;15(31):1588-91.
Perry EK, Pickering AT, Wang WW, Houghton PJ, Perry NS. Medicinal plants and Alzheimer's disease: from ethnobotany to phytotherapy. J Pharm Pharmacol. 1999 May;51(5):527-34.

Bastianetto S, Ramassamy C, Dore S, et al. The ginkgo biloba extract (EGb 761) protects hippocampal neurons against cell death induced by beta-amyloid. Eur J Neurosci 2000;12:1882-90.

Massoni G, Piovella C, Fratti L. Effects on microcirculation of Ginkgo-biloba in elderly people. G Gerontol. 1972 May;20(5):444-50.

Mix JA, Crews WD. A double-blind, placebo-controlled, randomized trial of Ginkgo biloba extract EGb 761 in a sample of cognitively intact older adults: neuropsychological findings. Hum Psychopharmacol 2002;17:267-277.

Koltringer P, Eber O, Klima G, Rothlauer W, Wakonig P, Langsteger W, Lind P. Microcirculation in parenteral Ginkgo biloba extract therapy. Wien Klin Wochenschr. 1989 Mar 17;101(6):198-200.

Le Bars PL, et al. A 26-week analysis of a double-blind, placebo controlled trial of the ginkgo biloba extract Egb 761 in dementia. Dement Geriatr Cogn Disorder 2000;11:230-7.

Perry EK, Pickering AT, Wang WW, Houghton P, Perry NS. Medicinal plants and Alzheimer's disease: Integrating ethnobotanical and contemporary scientific evidence. J Altern Complement Med. 1998 Winter;4(4):419-28.

Lingaerde O, Foreland AR, Magnusson A. Can winter depression be prevented by Ginkgo biloba extract? A placebo-controlled trial. Acta Psychiatr Scand 1999;100:62-6.

Kleijnen J, Knipschild P. Ginkgo biloba. Lancet. 1992 Nov 7;340(8828):1136-9.

Ivaniv OP. The results of using different forms of a Ginkgo biloba extract (EGb 761) in the combined treatment of patients with circulatory encephalopathy. Lik Sprava. 1998 Dec;(8):123-8.

LeBars, PL, et al. A placebo-controlled, double-blind, randomized trial of an extract of ginkgo biloba for dementia. JAMA 1997;278:1327-32.

Hofferberth B. The effect of Ginkgo biloba extract on neurophysiological and psychometric measurement results in patients with psychotic organic brain syndrome. A double-blind study against placebo. Arzneimittelforschung. 1989 Aug;39(8):918-22.

Solomon PR, Adams F, Silver A, et al. Ginkgo for memory enhancement: a randomized controlled trial. JAMA 2002;288:835-40.

Itil TM, Eralp E, Ahmed I, Kunitz A, Itil KZ. The pharmacological effects of ginkgo biloba, a plant extract, on the brain of dementia patients in comparison with tacrine. Psychopharmacol Bull. 1998;34(3):391-7.

Haguenauer JP, Cantenot F, Koskas H, Pierart H. [Treatment of equilibrium disorders with Ginkgo biloba extract. A multicenter, double-blind drug vs. placebo study]. Presse Med 1986;15:1569-72.

Hannequin D, Thibert A, Vaschalde Y. Development of a model to study the anti-edema properties of Ginkgo biloba extract. Presse Med. 1986 Sep 25;15(31):1575-6.

Holgers KM, Axelsson A, Pringle I. Ginkgo biloba extract for the treatment of tinnitus. Audiol 1994;33:85-92.

Hemmer R, Tzavellas O. On cerebral effect of plant preparation from Ginkgo biloba. Arzneimittelforschung. 1967 Apr;17(4):491-3.

Evans JR. Ginkgo biloba extract for age-related macular degeneration. Cochrane Database Syst Rev 2000;CD001775.

Garg RK, Nag D, Agrawal A. A double blind placebo controlled trial of ginkgo biloba extract in acute cerebral ischaemia. J Assoc Physicians India. 1995 Nov;43(11):760-3.

Kanowski, S. et al. Proof of efficacy of the ginkgo biloba extract EGb 761 in outpatients suffering from mild to moderate primary degenerative dementia of the Alzheimer type or multi-infract dementia. Pharmacopsychiatry 1996;29:47-56.

Rigney U, Kimber S, Hindmarch I. The effects of acute doses of standardized Ginkgo biloba extract on memory and psychomotor performance in volunteers. Phytother Res 1999;13:408-15.
Pittler MH, Ernst E. Ginkgo biloba extract for the treatment of intermittent claudication: a meta-analysis of randomized trials. Am J Med 2000,108:276-81.

Allard M. Treatment of the disorders of aging with Ginkgo biloba extract. From pharmacology to clinical medicine. Presse Med. 1986 Sep 25;15(31):1540-5.

Li AL, Shi YD, Landsmann B, et al. Hemorheology and walking of peripheral arterial occlusive diseases patients during treatment with Ginkgo biloba extract. Chung Kuo Yao Li Hsueh Pao 1998;19:417-21.

Diamond BJ, Shiflett SC, Feiwel N, Matheis RJ, Noskin O, Richards JA, Schoenberger NE. Ginkgo biloba extract: mechanisms and clinical indications. Arch Phys Med Rehabil. 2000 May;81(5):668-78.

Kudolo GB. The effect of 3-month ingestion of Ginkgo biloba extract on pancreatic beta-cell function in response to glucose loading in normal glucose tolerant individuals. J Clin Pharmacol 2000;40:647-54.

5. American Ginseng Root

Used For / Claims: American Ginseng Root is an adaptogen. An adaptogen is defined as a therapeutic and restorative tonic that imparts a “balancing” effect on the body. Adaptogens help the body remain vital and healthy by affecting the energy cells of the brain, muscles, liver, kidneys, and nerves, energizing them and allowing them to function properly even in stressful environments or conditions. Adaptogens work by bringing the body into balance regardless of if a person is nervous and anxious or fatigued and low energy. Adaptogens have the special ability to bring either or both conditions to a balanced ‘middle ground’.

American Ginseng Root is used for:

· Anemia
· Atherosclerosis
· Attention deficit-hyperactivity disorder (ADHD)
· Bleeding disorders
· Blood disorders
· Cancer prevention & treatment
· Diabetes
· Dizziness
· Enhancing athletic performance
· Enhancing cognitive function
· Enhancing immune system function
· Enhancing memory
· Enhancing resistance to environmental stress factors
· Enhancing strength and stamina
· Headache
· Health maintenance
· Improving digestion
· Insomnia
· Impotence
· Loss of appetite
· Neuralgia
· Reducing blood sugar levels
· Relieving stress
· Rheumatism
· Stimulating effects
· Tonic for well-being

Dosage/Safety: Orally, American ginseng has been recommended at doses up to 6 grams per day. No specific adverse reactions have been reported with use of American ginseng.

References:

Vuksan V, et al. American ginseng (Panax quinquefolius L) reduces postprandial glycemia in nondiabetic subjects and subjects with type 2 diabetes mellitus. Arch Intern Med 2000;160:1009-13.

Luo P, Wang L. Peripheral blood mononuclear cell production of TNF-alpha in response to North American ginseng stimulation. [Abstract] Alt Ther 2001;7:S21.

Shin HR, et al. The cancer-preventive potential of Panax ginseng: a review of human and experimental evidence. Cancer Causes Control 2000;11:565-76.

Vuksan V, Stavro MP, Sievenpiper JL, et al. Similar postprandial glycemic reductions with escalation of dose and administration time of American ginseng in type 2 diabetes. Diabetes Care 2000;23:1221-6.

Attele AS, Wu JA, Yuan CS. Ginseng pharmacology: multiple constituents and multiple actions. Biochem Pharmacol 1999;58:1685-93.

Vuksan V, Sievenpiper JL, Koo VY, et al. American ginseng (Panax quinquefolius L) reduces postprandial glycemia in nondiabetic subjects and subjects with type 2 diabetes mellitus. Arch Intern Med 2000;160:1009-13.

Chen SE. American ginseng. III. Pharmacokinetics of ginsenosides in the rabbit. Eur J Drug Metab Pharmacokinet 1980;5:161-8.

Vuksan V, et al. American ginseng (Panax quinquefolius L.) attenuates postprandial glycemia in a time-dependent but not dose-dependent manner in healthy individuals. Am J Clin Nutr 2001;73:753-8.

Brinker F. Herb Contraindications and Drug Interactions, 3rd ed. Sandy (OR): Eclectic Medical Publications; 2001.

Vuksan V, et al. American ginseng improves glycemia in individuals with normal glucose tolerance: effect of dose and time escalation. J Am Coll Nutr 2000;6:738-44.

Scaglione F, Cattaneo G, Alessandria M, Cogo R. Efficacy and safety of the standardized Ginseng extract G115 for potentiating vaccination against the influenza syndrome and protection against the common cold. Drugs Exp Clin Res 1996;22:65-72.

Amato P, Christophe S, Mellon PL. Estrogenic activity of herbs commonly used as remedies for menopausal symptoms. Menopause 2002;9:145-50.

Duda RB, Zhong Y, Navas V, et al. American ginseng and breast cancer therapeutic agents synergistically inhibit MCF-7 breast cancer cell growth. J Surg Oncol 1999;72(4):230-9.

Assinewe VA, et al. Extractable polysaccharides of Panax quinquefolius L. (North American ginseng) root stmulate TNFalpha production by alveolar macrophages. Phytomedicine 2002;9:398-404.


6. Coenzyme Q10

Used For / Claims: Coenzyme Q10 is fat-soluble nutrient that acts similar to a vitamin. It is utilized in every cell of the body. The organs containing the highest levels of Coenzyme Q10 are the heart, liver, kidneys, and muscles. It is necessary for the production of vital cellular energy, which is essential for every single process of life.

Coenzyme Q10’s primary functions include:

· Antioxidant protection against free radical oxidation
· Stabilizer of cellular and tissue membranes
· Inhibiting lipid peroxidation in cell membranes and LDL cholesterol
· Protecting DNA and proteins from oxidative damage
· Essential coenzyme in numerous metabolic pathways
· Essential coenzyme in the electron transport chain
· Co-factor for the production of adenosine triphosphate (ATP)

Coenzyme Q-10 is used for:

· Angina and arrhythmias
· Anti-aging benefits
· Cellular energy production
· Congestive heart failure (CHF)
· Chronic fatigue syndrome (CFS)
· Diabetes
· Fibromyalgia
· Healthy heart function
· Healthy vascular function
· Healthy immune system
· HIV/AIDS
· Huntington's disease
· Improving exercise tolerance
· Maintaining healthy homocysteine levels
· Maintaining healthy blood pressure levels
· Male infertility
· Migraine headache
· Muscular dystrophy
· Parkinson's disease
· Periodontal disease
· Preventing "statin"-induced myopathy
· Providing antioxidant protection to cholesterol
· Reducing memory loss

Dosage/Safety: Dosage/Safety: Coenzyme Q-10 has been recommended at doses up to 1200 mg per day, and is very safe when used orally and appropriately. In studies lasting up to 30 months, there have been no reports of significant side effects or toxicity.


References:

Crane FL. Biochemical functions of coenzyme Q10. J Am Coll Nutr 2001;20:591-8.

Bertelli A, Ronca G. Carnitine and coenzyme Q10: biochemical properties and functions, synergism and complementary action. Int J Tissue React 1990;12:183-6.

Langsjoen PH, Langsjoen AM. Overview of the use of CoQ10 in cardiovascular disease. Biofactors. 1999;9(2-4):273-84.

Weis M, Mortensen SA, Rassing MR, et al. Bioavailability of four oral coenzyme Q10 formulations in healthy volunteers. Mol Aspects Med 1994;15:s273-80.

Yamamoto Y, Yamashita S. Plasma ratio of ubiquinol and ubiquinone as a marker of oxidative stress. Mol Aspects Med. 1997;18 Suppl:S79-84.

Fuke C, Krikorian SA, Couris RR. Coenzyme Q10: a review of essential functions and clinical trials. US Pharmacist 2000;25:28-41.

Overvad K, Diamant B, Holm L, Holmer G, Mortensen SA, Stender S. Coenzyme Q10 in health and disease. Eur J Clin Nutr. 1999 Oct;53(10):764-70.

Dallner G, Sindelar PJ. Regulation of ubiquinone metabolism. Free Radic Biol Med 2000;29:285-94.

Hanaki Y, Sugiyama S, Ozawa T, et al. Coenzyme Q10 and coronary artery disease. Clin Investig 1993;71:112-5.


Mortensen SA. Coenzyme Q10 as an adjunctive therapy in patients with congestive heart failure. JACC 2000;36:304-5.

Khatta M. The effect of coenzyme Q10 in patients with congestive heart failure. Ann Intern Med 2000;132:636-40.

Baggio E, Gandini R, Plauncher AC, et al. Italian multicenter study on the safety and efficacy of coenzyme Q10 as adjunctive therapy in heart failure. CoQ10 Drug Surveillance Investigators. Mol Aspects Med 1994;15 Suppl:S287-94.

Greenberg S, Frishman WH. Co-enzyme Q10: a new drug for cardiovascular disease. J Clin Pharmacol 1990;30:596-608.

Sinatra ST. Coenzyme Q10: a vital therapeutic nutrient for the heart with special application in congestive heart failure. Conn Med. 1997 Nov;61(11):707-11.

Hofman-Bang C, Rehnqvist N, Swedberg K, et al. Coenzyme Q10 as an adjunctive treatment of congestive heart failure. J Card Fail 1995;1:101-7.

Oda T. Recovery of the systolic time intervals by coenzyme Q10 in patients with a load-induced cardiac dysfunction. Mol Aspects Med. 1997;18 Suppl:S153-8.

Soja AM, Mortensen SA. Treatment of congestive heart failure with coenzyme Q10 illuminated by meta-analyses of clinical trials. Mol Aspects Med 1997;18:S159-68.

Sinatra ST. Refractory congestive heart failure successfully managed with high dose coenzyme Q10 administration. Mol Aspects Med. 1997;18 Suppl:S299-305.

7. Thiamine B-1

Used For / Claims: Required for energy production, especially converting carbohydrates into glucose, but also used to process fats and proteins. Essential for healthy nervous system and muscle function, including the heart muscle.

Dosage/Safety: Thiamine, when used appropriately, is very safe. Current optimum daily allowance (ODA) is 10-100 mg.

References:


Bender DA. Optimum nutrition: thiamin, biotin and pantothenate. Proc Nutr Soc. 1999;58(2):427-433.

Webster MJ. Physiological and performance responses to supplementation with thiamin and pantothenic acid derivatives. Eur J Appl Physiol Occup Physiol 1998;77:486-91.

Rodriguez-Martin JL, Qizilbash N, Lopez-Arrieta JM. Thiamine for Alzheimer's disease (Cochrane Review). Cochrane Database Syst Rev. 2001;2:CD001498.

Suzuki M, Itokawa Y. Effects of thiamine supplementation on exercise-induced fatigue. Metab Brain Dis. 1996 Mar;11(1):95-106.

Pfitzenmeyer P, Guilland JC, d'Athis P, et al. Thiamine status of elderly patients with cardiac failure including the effects of supplementattion. Int J Vitam Nutr Res 1994;64(2):113-8.

Food and Nutrition Board, Institute of Medicine. Thiamin. Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B-6, Vitamin B-12, Pantothenic Acid, Biotin, and Choline. Washington D.C.: National Academy Press; 1998:58-86.

Manore MM. Effect of physical activity on thiamine, riboflavin, and vitamin B-6 requirements. Am J Clin Nutr. 2000 Aug;72(2 Suppl):598S-606S.

Botez MI, Botez T, Ross-Chouinard A, Lalonde R. Thiamine and folate treatment of chronic epileptic patients: a controlled study with the Wechsler IQ scale. Epilepsy Res 1993;16:157-63.

Wilkinson TJ, Hanger HC, George PM, Sainsbury R. Is thiamine deficiency in elderly people related to age or co-morbidity? Age Ageing. 2000;29(2):111-116.

Shimon I, Almog S, Vered Z, et al. Improved left ventricular function after thiamine supplementation in patients with congestive heart failure receiving long-term furosemide therapy. Am J Med 1995;98(5):485-90.

8. Riboflavin B-2

Used For / Claims: Required for red blood cell formation, nervous system function, and energy production. Assists in the breakdown and utilization of carbohydrates, fats and proteins. Involved in regenerating glutathione, a cellular protector against free-radical damage. May improve vision and help protect against cataracts.

Dosage/Safety: Riboflavin, when used appropriately, is very safe. Current optimum daily allowance (ODA) is 10-100 mg.

References:

Yates AA, Schlicker SA, Suitor CW. Dietary reference intakes: The new basis for recommendations for calcium and related nutrients, B vitamins, and choline. J Am Diet Assoc 1998;98:699-706.

Jacques PF, Kalmbach R, Bagley PJ, et al. The relationship between riboflavin and plasma total homocysteine in the Framingham Offspring cohort is influenced by folate status and the C677T transition in the methylenetetrahydrofolate reductase gene. J Nutr. 2002;132(2):283-288.

McCormick DB. Two interconnected B vitamins: riboflavin and pyridoxine. Physiol Rev. 1989;69(4):1170-1198.

Roe DA, Bogusz S, Sheu J, et al. Factors affecting riboflavin requirements of oral contraceptive users and non-users. Am J Clin Nutr 1982;35:495-501.

Soares MJ, Satyanarayana K, Bamji MS, Jacob CM, Ramana YV, Rao SS. The effect of exercise on the riboflavin status of adult men.

Schoenen J, Jacquy J, Lenaerts M. Effectiveness of high-dose riboflavin in migraine prophylaxis. A randomized controlled trial. Neurology. 1998;50(2):466-470.


Manore MM. Effect of physical activity on thiamine, riboflavin, and vitamin B-6 requirements. Am J Clin Nutr. 2000 Aug;72(2 Suppl):598S-606S.


Zempleni J, Galloway JR, McCormick DB. Pharmacokinetics of orally and intravenously administered riboflavin in healthy humans. Am J Clin Nutr. 1996;63(1):54-66.


Rokitzki L, Sagredos A, Keck E, Sauer B, Keul J. Assessment of vitamin B2 status in performance athletes of various types of sports. J Nutr Sci Vitaminol (Tokyo). 1994 Feb;40(1):11-22.

Madigan SM, Tracey F, McNulty H, et al. Riboflavin and vitamin B-6 intakes and status and biochemical response to riboflavin supplementation in free-living elderly people. Am J Clin Nutr. 1998;68(2):389-395.

9. Niacin B-3

Used For / Claims: Required for energy production. Assists in the breakdown and utilization of carbohydrates, fats and proteins. Aids in the functioning of the nervous system. Involved in the regulation of blood sugar. Acts as a vasodilator, widening blood vessels and increasing blood flow.

Dosage/Safety: Niacin, when used appropriately, is very safe. Current optimum daily allowance (ODA) is 10-200 mg.

References:

Food and Nutrition Board, Institute of Medicine. Niacin. Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B-6, Vitamin B-12, Pantothenic Acid, Biotin, and Choline. Washington, D.C.: National Academy Press; 1998:123-149.

Cummings JH, Macfarlane G. Role of intestinal bacteria in nutrient metabolism. J Parenter Enteral Nutr 1997;21(6):357-65.

Morgan JM, Capuzzi DM, Guyton JR. A new extended-release niacin (Niaspan): efficacy, tolerability, and safety in hypercholesterolemic patients. Am J Cardiol. 1998 Dec 17;82(12A):29U-34U.

Knopp RH. Evaluating niacin in its various forms. Am J Cardiol. 2000;86(12A):51L-56L.


Greenbaum CJ, Kahn SE, Palmer JP. Nicotinamide's effects on glucose metabolism in subjects at risk for IDDM. Diabetes 1996;45:1631-4.

Schuna AA. Safe use of niacin. Am J Health Syst Pharm. 1997 Dec 15;54(24):2803.

Canner PL, Berge KG, Wenger NK, et al. Fifteen year mortality in Coronary Drug Project patients: long-term benefit with niacin. J Am Coll Cardiol. 1986;8(6):1245-1255.


Pozzilli P, Browne PD, Kolb H. Meta-analysis of nicotinamide treatment in patients with recent-onset IDDM. The Nicotinamide Trialists. Diabetes Care 1996;19:1357-63.

Guyton JR, Goldberg AC, Kreisberg RA, Sprecher DL, Superko HR, O'Connor CM. Effectiveness of once-nightly dosing of extended-release niacin alone and in combination for hypercholesterolemia. Am J Cardiol. 1998 Sep 15;82(6):737-43.

Schatz DA, Bingley PJ. Update on major trials for the prevention of type 1 diabetes mellitus: the American Diabetes Prevention Trial (DPT-1) and the European Nicotinamide Diabetes Intervention Trial (ENDIT). J Pediatr Endocrinol Metab. 2001;14 Suppl 1:619-622.

Philipp CS, Cisar LA, Saidi P, Kostis JB. Effect of niacin supplementation on fibrinogen levels in patients with peripheral vascular disease. Am J Cardiol. 1998 Sep 1;82(5):697-9, A9.

Gale EA. Theory and practice of nicotinamide trials in pre-type 1 diabetes. J Pediatr Endocrinol Metab 1996;9:375-9.

Thomas VL, Gropper SS. Effect of chromium nicotinic acid supplementation on selected cardiovascular disease risk factors. Biol Trace Elem Res. 1996 Dec;55(3):297-305.

American Society of Health-System Pharmacists. ASHP Therapeutic Position Statement on the safe use of niacin in the management of dyslipidemias. Am J Health Syst Pharm 1997;54:2815-9.

Jacobson EL. Niacin deficiency and cancer in women. J Am Coll Nutr. 1993;12(4):412-416.
Canner PL, Berge KG, Wenger NK, et al. Fifteen year mortality in Coronary Drug Project patients: long-term benefit with niacin. J Am Coll Cardiol 1986;8:1245-55.

Hale PJ, Nattrass M. The short-term effect of nicotinic acid on intermediary metabolism in insulin-dependent diabetes mellitus. Ann Clin Biochem. 1991 Jan;28 ( Pt 1):39-43.

10. Pantothenic Acid B-5

Used For / Claims: Required for the release of energy from carbohydrates, fats, and protein, plus the manufacture of adrenal hormones and red blood cells. Also involved in fatty acid synthesis.

Dosage/Safety: Pantothenic Acid, when used appropriately, is very safe. Current optimum daily allowance (ODA) is 25-100 mg.

References:

Yates AA, Schlicker SA, Suitor CW. Dietary reference intakes: The new basis for recommendations for calcium and related nutrients, B vitamins, and choline. J Am Diet Assoc 1998;98:699-706.

Tahiliani AG, Beinlich CJ. Pantothenic acid in health and disease. Vitam Horm. 1991;46:165-228.

Webster MJ. Physiological and performance responses to supplementation with thiamin and pantothenic acid derivatives. Eur J Appl Physiol Occup Physiol 1998;77:486-91.

Fry PC, Fox HM, Tao HG. Metabolic response to a pantothenic acid deficient diet in humans. J Nutr Sci Vitaminol (Tokyo). 1976;22(4):339-346.

Brenner A. The effects of megadoses of selected B complex vitamins on children with hyperkinesis: controlled studies with long-term follow-up. J Learn Disabil 1982;15:258-64.

Gaddi A, Descovich GC, Noseda G, et al. Controlled evaluation of pantethine, a natural hypolipidemic compound, in patients with different forms of hyperlipoproteinemia. Atherosclerosis. 1984;50(1):73-83.

Food and Nutrition Board, Institute of Medicine. Pantothenic acid. Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B-6, Vitamin B-12, Pantothenic Acid, Biotin, and Choline. Washington, D.C.: National Academy Press; 1998:357-373.

Bender DA. Optimum nutrition: thiamin, biotin and pantothenate. Proc Nutr Soc. 1999;58(2):427-433.


11. Pyridoxine B-6

Used For / Claims: Primarily involved in protein metabolism. Required for neurotransmitter synthesis. Pyridoxine plays a vital role in the multiplication of all cells, synthesis of hemoglobin (part of red blood cells) and white blood cells (part of the immune system). Helps maintain healthy homocysteine levels, which promotes heart health.

Dosage/Safety: Pyridoxine, when used appropriately, is very safe. Current optimum daily allowance (ODA) is 25-100 mg.

References:

Ribaya-Mercado JD, Russell RM, Sahyoun N, Morrow FD, Gershoff SN. Vitamin B-6 requirements of elderly men and women. J Nutr. 1991;121(7):1062-1074.

Ellis JM, Folkers K, Levy M, et al. Response of vitamin B-6 deficiency and the carpal tunnel syndrome to pyridoxine. Proc Natl Acad Sci U S A 1982;79:7494-8.

Keniston RC, Nathan PA, Leklem JE, Lockwood RS. Vitamin B6, vitamin C, and carpal tunnel syndrome. A cross-sectional study of 441 adults. J Occup Environ Med 1997;39:949-59.

Turner SL, Bechtel GA. Homocysteine and the heart. Adv Nurse Pract. 1999 Mar;7(3):71-3.
Keniston RC, Nathan PA, Leklem JE, Lockwood RS. Vitamin B6, vitamin C, and carpal tunnel syndrome. A cross-sectional study of 441 adults. J Occup Environ Med. 1997;39(10):949-959.

Warren CJ. What is homocysteine? Am J Nurs. 1999 Oct;99(10):39-41.

Selhub J, Jacques PF, Bosotm AG, et al. Relationship between plasma homocysteine and vitamin status in the Framingham study population. Impact of folic acid fortification. Publ Health Rev 2000;28:117-45.

Selhub J, Bagley LC, Miller J, Rosenberg IH. B vitamins, homocysteine, and neurocognitive function in the elderly. Am J Clin Nutr. 2000;71(2):614S-620S.

Ubbink JB. Vitamin nutrition status and homocysteine: an atherogenic risk factor. Nutr Rev. 1994 Nov;52(11):383-7.

Jewell D, Young G. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev. 2002(1):CD000145.

Rimm EB, Willett WC, Hu FB, et al. Folate and vitamin B6 from diet and supplements in relation to risk of coronary heart disease among women. JAMA. 1998;279(5):359-364.

Clarke R, Armitage J. Vitamin supplements and cardiovascular risk: review of the randomized trials of homocysteine-lowering vitamin supplements. Semin Thromb Hemost 2000;26:341-8.

Vermaak WJ, Barnard HC, Potgieter GM, Theron HD. Vitamin B6 and coronary artery disease. Epidemiological observations and case studies. Atherosclerosis. 1987 Feb;63(2-3):235-8.

Wyatt KM, Dimmock PW, Jones PW, Shaughn O'Brien PM. Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: systematic review. Bmj. 1999;318(7195):1375-1381.

De Souza MC, Walker AF, Robinson PA, Bolland K. A synergistic effect of a daily supplement for 1 month of 200 mg magnesium plus 50 mg vitamin B6 for the relief of anxiety-related premenstrual symptoms: a randomized, double-blind, crossover study. J Womens Health Gend Based Med 2000;9:131-9.

Willis R, Anthony M, Sun L, Honse Y, Qiao G. Clinical implications of the correlation between coenzyme Q10 and vitamin B6 status. Biofactors. 1999;9(2-4):359-63.

Riggs KM, Spiro A, 3rd, Tucker K, Rush D. Relations of vitamin B-12, vitamin B-6, folate, and homocysteine to cognitive performance in the Normative Aging Study. Am J Clin Nutr. 1996;63(3):306-314.

Goldenberg RM, Girone JA. Oral pyridoxine in the prevention of oxalate kidney stones. Am J Nephrol 1996;16:552-3.

12. Cyanocobalamin B-12

Used For / Claims: Functions in Folic Acid metabolism. Required for healthy functioning of the nervous system (i.e. synthesis of myelin sheaths that insulate nerve fibers), DNA and red blood cell synthesis, and immune function. Helps maintain healthy homocysteine levels, which promote heart health. Cyanocobalamin also aids in fatty acid utilization for energy.

Dosage/Safety: Cyanocobalamin, when used appropriately, is very safe. Current optimum daily allowance (ODA) is 200-400 mcg.


References:

Baik HW, Russell RM. Vitamin B12 deficiency in the elderly. Annu Rev Nutr. 1999;19:357-377.

Lindenbaum J, Rosenberg IH, Wilson PW, et al. Prevalence of cobalamin deficiency in the Framingham elderly population. Am J Clin Nutr 1994;60:2-11.

Novy MA. Are strict vegetarians at risk of vitamin B12 deficiency? Cleve Clin J Med. 2000 Feb;67(2):87-8.

Food and Nutrition Board, Institute of Medicine. Vitamin B12. Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B-6, Vitamin B-12, Pantothenic Acid, Biotin, and Choline. Washington D.C.: National Academy Press; 1998:306-356.

Gomes-Trolin C, Gottfries CG, Regland B, Oreland L. Influence of vitamin B12 on brain methionine adenosyltransferase activity in senile dementia of the Alzheimer's type. J Neural Transm Gen Sect. 1996;103(7):861-72.

Stabler SP, Lindenbaum J, Allen RH. Vitamin B-12 deficiency in the elderly: current dilemmas. Am J Clin Nutr. 1997;66(4):741-749.

Sudo K, Tashiro K. Cerebral white matter lesions associated with vitamin B12 deficiency. Neurology. 1998 Jul;51(1):325-6.

Penninx BW, Guralnik JM, Ferrucci L, et al. Vitamin B(12) deficiency and depression in physically disabled older women: epidemiologic evidence from the Women's Health and Aging Study. Am J Psychiatry 2000;157:715-21.

Hassing L, Wahlin A, Winblad B, Backman L. Further evidence on the effects of vitamin B12 and folate levels on episodic memory functioning: a population-based study of healthy very old adults. Biol Psychiatry. 1999 Jun 1;45(11):1472-80.

Penninx BW, Guralnik JM, Ferrucci L, Fried LP, Allen RH, Stabler SP. Vitamin B(12) deficiency and depression in physically disabled older women: epidemiologic evidence from the Women's Health and Aging Study. Am J Psychiatry. 2000;157(5):715-721. (PubMed)

Houston DK, Johnson MA, Nozza RJ, Gunter EW, Shea KJ, Cutler GM, Edmonds JT. Age-related hearing loss, vitamin B-12, and folate in elderly women. Am J Clin Nutr. 1999 Mar;69(3):564-71.

Seshadri S, Beiser A, Selhub J, et al. Plasma homocysteine as a risk factor for dementia and Alzheimer's disease. N Engl J Med. 2002;346(7):476-483.

Schnyder G, Roffi M, Flammer Y, et al. Effect of homocysteine-lowering therapy with folic acid, vitamin B12, and vitamin B6 on clinical outcome after percutaneous coronary intervention. The Swiss Heart Study: A randomized controlled trial. JAMA 2002;288:973-9.

Loew D, Wanitschke R, Schroedter A. Studies on vitamin B12 status in the elderly--prophylactic and therapeutic consequences. Int J Vitam Nutr Res. 1999 May;69(3):228-33.

Werbach MR. Nutritional strategies for treating chronic fatigue syndrome. Altern Med Rev 2000;5:93-108.

Homocysteine Lowering Trialists' Collaboration. Lowering blood homocysteine with folic acid based supplements: meta-analysis of randomised trials. Homocysteine Lowering Trialists' Collaboration. BMJ. 1998;316(7135):894-898.

Clarke R, Armitage J. Vitamin supplements and cardiovascular risk: review of the randomized trials of homocysteine-lowering vitamin supplements. Semin Thromb Hemost 2000;26:341-8.

Lovblad K, Ramelli G, Remonda L, Nirkko AC, Ozdoba C, Schroth G. Retardation of myelination due to dietary vitamin B12 deficiency: cranial MRI findings. Pediatr Radiol. 1997 Feb;27(2):155-8.

Carpentier JL, Bury J, Luyckx A, et al. Vitamin B12 and folic acid serum levels in diabetics under various therapeutic regimens. Diabete Metab 1976;2:187-90.

Wu K, Helzlsouer KJ, Comstock GW, Hoffman SC, Nadeau MR, Selhub J. A prospective study on folate, B12, and pyridoxal 5'-phosphate (B6) and breast cancer. Cancer Epidemiol Biomarkers Prev. 1999;8(3):209-217.

Wahlin A, Hill RD, Winblad B, Backman L. Effects of serum vitamin B12 and folate status on episodic memory performance in very old age: a population-based study. Psychol Aging. 1996 Sep;11(3):487-96.

13. Folic Acid

Used For / Claims: Required for DNA synthesis, healthy cell division and replication, formation of the iron containing protein (heme) in hemoglobin (a component of red blood cells), and synthesis of neurotransmitters. Helps reduce the risk of neural tube birth defects. Helps maintain healthy homocysteine levels, which promote heart health.

Dosage/Safety: Folic Acid, when used appropriately, is very safe. Current optimum daily allowance (ODA) is 400-800 mcg.

References:

Werler MM, Louik C, Mitchell AA. Achieving a public health recommendation for preventing neural tube defects with folic acid. Am J Public Health. 1999 Nov;89(11):1637-40.

Elkin AC, Higham J. Folic acid supplements are more effective than increased dietary folate intake in elevating serum folate levels. BJOG. 2000 Feb;107(2):285-9.

Tolmunen T, Voutilainen S, Hintikka J, et al. Dietary folate and depressive symptoms are associated in middle-aged Finnish men. J Nutr 2003;133:3233-6.

Cortes F, Hirsch S, de la Maza MP. The importance of folic acid in current medicine. Rev Med Chil. 2000 Feb;128(2):213-20.

Tiemeier H, van Tuijl HR, Hofman A, et al. Vitamin B12, folate, and homocysteine in depression: the Rotterdam Study. Am J Psychiatry 2002;159:2099-101.

Williams CN. Should folic acid supplementation be used to reduce the risk of cancer in ulcerative colitis? Can J Gastroenterol. 1999 Nov;13(9):715-6.

Bunout D, Garrido A, Suazo M, Kauffman R, Venegas P, de la Maza P, Petermann M, Hirsch S. Effects of supplementation with folic acid and antioxidant vitamins on homocysteine levels and LDL oxidation in coronary patients. Nutrition. 2000 Feb;16(2):107-10.

van der Griend R, Haas FJ, Biesma DH, et al. Combination of low-dose folic acid and pyridoxine for treatment of hyperhomocysteinaemia in patients with premature arterial disease and their relatives. Atherosclerosis 1999;143:177-83.

Kim YI. Folate and cancer prevention: a new medical application of folate beyond hyperhomocysteinemia and neural tube defects. Nutr Rev. 1999 Oct;57(10):314-21.

Schnyder G, Roffi M, Flammer Y, et al. Effect of homocysteine-lowering therapy with folic acid, vitamin B12, and vitamin B6 on clinical outcome after percutaneous coronary intervention. The Swiss Heart Study: A randomized controlled trial. JAMA 2002;288:973-9.

Lashner BA, Heidenreich PA, Su GL, et al. Effect of folate supplementation on the incidence of dysplasia and cancer in chronic ulcerative colitis. Gastroenterol 1989;97:255-9.

Willett WC. A prospective study of folate intake and the risk of breast cancer. JAMA. 1999 May 5;281(17):1632-7.

Shrubsole MJ, Jin F, Dai Q, et al. Dietary folate intake and breast cancer risk: results from the Shanghai Breast Cancer Study. Cancer Res 2001;61:7136-41.

Alter HJ, Zvaifler NJ, Rath CE. Interrelationship of rheumatoid arthritis, folic acid and aspirin. Blood 1971;38:405-16.

Carmody BJ, Arora S, Avena R, Cosby K, Sidawy AN. Folic acid inhibits homocysteine-induced proliferation of human arterial smooth muscle cells. J Vasc Surg. 1999 Dec;30(6):1121-8.

Voutilainen S, Rissanen TH, Virtanen J, et al. Low dietary folate intake is associated with an excess incidence of acute coronary events. Circulation 2001;103:2674-80.

14. Biotin

Used For / Claims: Functions in energy metabolism. Involved in the utilization of glucose as well as the breakdown and utilization of fatty acids. Required for the manufacture and utilization of amino acids, synthesis of fatty acids, utilization of B-vitamins, cell growth, and cell replication. Helps promote strong nails, and healthy hair and skin.

Dosage/Safety: Biotin, when used appropriately, is very safe. Current optimum daily allowance (ODA) is 100-500 mcg


References:

Said HM. Biotin: the forgotten vitamin. Am J Clin Nutr. 2002;75:179-80.

Food and Nutrition Board, Institute of Medicine. Biotin. Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B-6, Vitamin B-12, Pantothenic Acid, Biotin, and Choline. Washington, D.C.: National Academy Press; 1998:374-389.

Zempleni J, Mock DM. Bioavailability of biotin given orally to humans in pharmacologic doses. Am J Clin Nutr 1999;69:504-8.

Zempleni J, Mock DM. Marginal biotin deficiency is teratogenic. Proc Soc Exp Biol Med. 2000;223(1):14-21.

Hochman LG, Scher RK, Meyerson MS. Brittle nails: response to daily biotin supplementation. Cutis 1993;51:303-5.

Said HM, Ortiz A, McCloud E, Dyer D, Moyer MP, Rubin S. Biotin uptake by human colonic epithelial NCM460 cells: a carrier-mediated process shared with pantothenic acid. Am J Physiol. 1998;275(5 Pt 1):C1365-1371.

Bonjour JP. Biotin in human nutrition. Ann N Y Acad Sci 1985;447:97-104

(Koutsikos D, Agroyannis B, Tzanatos-Exarchou H. Biotin for diabetic peripheral neuropathy. Biomed.Pharmacother. 1990;44:511-4.

Pabuccuoglu A, Aydogdu S, Bas M. Serum biotinidase activity in children with chronic liver disease and its clinical significance. J Pediatr Gastroenterol Nutr. 2002;34(1):59-62.

Keipert JA. Oral use of biotin in seborrhoeic dermatitis of infancy: a controlled trial. Med J Aust. 1976;1:584-5.

Mock DM. Biotin status: which are valid indicators and how do we know? J Nutr. 1999;129(2S Suppl):498S-503S.

Hochman LG, Scher RK, Meyerson MS. Brittle nails: response to daily biotin supplementation. Cutis 1993;51:303-5.


Improved bioavailability of the ingredients contained in the UMN Tranquility/Sleep Support formula is accomplished by addition of the following digestive enzymes to each capsule. After opening in the stomach, the ingredients are hydrolyzed and pre-digested by the enzymes, reducing the particle size of the nutrients and improving their absorbability into the blood stream.

15. Lipase.

Lipase is a digestive enzyme secreted into the digestive tract from the pancrease, or taken form plant sources, that catalyzes the breakdown of fats into individual fatty acids that can then be absorbed into the bloodstream as nutrients.

16. Cellulase.

An enzyme that breaks down cellulose to cellobiose, a sugar composed of two glucose units. The human body does not make cellulase, it must come from plant sources.

17. Amylase.

Amylase is a digestive enzyme found in saliva and pancreatic juice and parts of plants, which digest various starches into more simple sugars. Alpha amylase breaks the alpha-1,4-glucosidic bonds of starch to yield oligosaccharides.

18. Protease.

Protease refers to a group of enzymes used to hydrolyze proteins. They are also called proteolytic enzymes or proteinases. Proteolytic enzymes break the peptide bonds in proteins to liberate the amino acids needed by the body.


What Is Stress?
Stress is the reaction of the body to any stimulus or interference that disturbs mental or physical health or normal functioning. Stress is caused by illness, pain, emotional upset, or by external circumstances such as losing a job, or the death of a spouse or family member. In today’s society, stress affects everyone. The body cannot differentiate between ‘positive’ and ‘negative’ stress. Even happy events, such as a wedding or awards presentation can be very stressful to the body. The body does not seem to differentiate between whether a stress is emotional, financial, nutritional, biochemical or environmental. All stresses take their toll.

What Causes Stress?
Causes of stress include acute or chronic illness or allergic reactions, biochemical or glandular imbalances in the body, nutritional deficiencies (especially mineral and B vitamin deficiencies), poor diet (junk food), drug and alcohol abuse, nerve damage, hypoglycemia, lack of rest or sleep, environmental pollution, overcrowding, unemployment, poverty, marital and social problems. These internal and external imbalances and stress factors are all contributing factors to the ‘total stress load’ of the body.

What Are The Symptoms Of Stress?
Common symptoms of stress include anxiety, bad breath, body odor, and cardiovascular conditions, depression, fatigue, high blood pressure, indigestion and stomach upset, insomnia, muscle tension or spasm, pre-menstrual syndrome and menstrual disorders, and weight loss or gain (anxiety eating).

Do Nutritional Deficiencies Cause Stress?
Yes. One of the greatest general stresses you can place on the body is nutritional deficiencies. They force the body into a balancing act where it must constantly be redirecting energy. This leaves the ‘human machine’ running in a limited capacity, waiting for a breakdown.

Factors that increase nutritional needs and contribute to stress and disease:

a. Lack of exercise, clean air, and pure water.
b. Depletion of minerals (caused by consuming sugar and commercial foods).
c. Exposure to pesticides, herbicides, and other human-made chemicals.
d. Use of antibiotics, corticosteroids, and immune suppressing prescription drugs.
e. Use of other prescription or recreational drugs, alcohol, or tobacco.
f. Consumption of excess sugar, oils, fats, or refined foods.
g. Lack of enzymes (caused by consuming mainly cooked, refined, processed food).
h. Leaky Gut Syndrome (too large food particles getting into bloodstream).
i. Poor digestion and/or assimilation of nutrients.
j. Increased emotional and environmental stresses.
k. Individual and unique biochemical needs.

How is Illness Related to Stress?
A certain amount of stress in our lives is considered normal, however, prolonged bouts of stress can lead to fatigue, exhaustion, minor illness, immune suppression, and finally chronic degenerative conditions in the body. Chronic stress negatively affects the immune system. A high percentage of people with allergies have adrenal gland stress and/or exhaustion.

Which Physical Symptoms Are Caused By Stress?
The body is designed to handle some stress, whether it is physical or mental. It is long term stress that causes the body to break down. Many people attribute their stress-related symptoms to “nerves,” and, in fact, stress first affects the parts of the body that are related to stress: the nervous system, especially through the digestive and intestinal systems, and the adrenal and thyroid glands (hormone producing glands). Initial symptoms of stress related digestive disorders may be headaches and neck ache or back pain. Other health conditions precipitated by stress include colitis, diarrhea, digestive disorders, dizziness, hair loss, high blood pressure, impotence and lack of sexual interest, irritability, loss of appetite, nervous and anxiety disorders, obsessive-compulsive behaviors, skin conditions, TMJ syndromes (jaw pain and clicking), and ulcers.

   


These statements have not been evaluated by the Food and Drug Administration.
These statements and/or products are not intended to diagnose, treat, cure or prevent any disease.

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