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Top Stories 27th
Annual Convention (7/25/08)
Convention
Lecture Legislation Journal
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The President's Corner By: Dr. Donald Hayhurst, President Emeritus Tremendous Success In The Naturopathic Profession Dear Member, As Thanksgiving has passed, and we now approach Christmas and the New Year, it is the time of year to reflect, to give thanks, and express hope for the future. Even though the entire world appears to be a mess, there is a lot to be thankful for. We have had tremendous success in the naturopathic profession, killing all bills that gave any hint of the naturopath being a primary care physician. They are not primary care physicians and to masquerade as such is an insult to intelligent people everywhere. If you want to be a primary care physician and practice naturopathic "medicine", become a medical doctor, or an osteopath and top it off with an ND degree. Just because National and Bastyr graduates travel around the country touting their services as primary care, doesn’t make it real. It’s merely a psychosis they must overcome. In the State of California where a bill was passed, the National, Bastyr, and Southwest people are nothing more than naturopaths. The traditional naturopath can continue to practice, and call themselves a doctor. In reality, this bill may be scraped during the next legislative session. The new governor Arnold Schwarzenegger has put on hold all legislative acts that Former Governor Gray Davis signed in the final hours. He also campaigned hard against "special interest" legislation. We all know SB907 was nothing more than a "special interest" bill paid for by Stephen Bing, Hollywood millionaire, and worthless to the citizens of California. And the beat goes on! In closing let me urge all of you to be thankful for life in this country. It may not always be perfect, but in my opinion, it far exceeds any other country around the world. Please say a special prayer for our service men and women, our Commander in Chief, and all those involved in supporting our freedom in America.
Food Antioxidants are Superior By: Robert J Thiel, Ph.D., Naturopath
Abstract: Although many people take isolated nutrients as antioxidant supplements, they may not be getting the benefits they hope for. While isolated nutrients have powerful antioxidant abilities in vitro, they rarely have significant antioxidant benefits in vivo. High antioxidant containing foods have proven benefit in humans (in vivo) and high antioxidant effects in vitro as well. High antioxidant containing plants and other herbs are recommended for those interested in obtaining true antioxidant benefits.
Introduction We live in a world where free radicals can come from many sources and contribute to deterioration of health. "Sources of free radicals include pollutants, drugs, metal ions, radiation, high intakes of polyunsaturated fatty acids, strenuous exercise, mitochondrial dysfunction and smoking. These may result in damage to membrane lipids, proteins, nucleic acids and carbohydrates, which can result in cancer, neurological diseases, lung diseases, diabetes, vascular diseases, autoimmune diseases, aging and eye diseases" [1]. Antioxidants can inhibit oxidation by giving away an oxygen molecule without requiring much energy. Oxidation is the addition of oxygen or the removal of hydrogen and can be caused by free radicals. An antioxidant can slow down or even stop the chain reaction of oxidation by giving away an electron without changing its stability. Many believe that since real antioxidants can prevent free radical damage, that perhaps aging and various chronic conditions can, to some degree, be slowed down through the consumption of isolated antioxidant nutrients. Is this belief correct? It is true that free radical damage to the skin contributes greatly to the aged appearance of the skin [2]. It is true that the consumption of high antioxidant containing foods is associated with a decreased risk of cancer and cardiovascular disease [3]. It is true that the consumption of high amounts of antioxidant containing foods is correlated with reduced risk of Alzheimer's [4]. "Epidemiological studies have shown that consumption of fruits and vegetables is associated with reduced risk of chronic diseases. Increased consumption of fruits and vegetables containing high levels of phytochemicals has been recommended to prevent chronic diseases related to oxidative stress in the human body" [5]. Yet, it is also true that every large clinical trial, which has used isolated antioxidant supplements, has failed to show benefit for cancer and cardiovascular disease [6,7]. It is also true that in a recent trial, "The intake of {ISOLATED} vitamin C, beta-carotene and vitamin E supplements was not significantly associated with the risk of Alzheimer's disease" [8]. "In two recent observational studies, higher dietary intakes of antioxidants {FOOD}, especially {FOOD} vitamin E, were found to be associated with a lower risk of Alzheimer's disease. Neither study showed that supplemental {ISOLATED} vitamin E and vitamin C reduced the risk of Alzheimer's disease. These findings suggest the involvement of other nutritional factors that may be involved in the reduced risk" [9]. (Note: Any words in this paper contained within {} are supplied by this investigator for clarification.)
Food vs. Isolated Form Nutrients It should be understood that some have who have concluded that antioxidant vitamins have little positive effect in vivo have normally failed to do is to realize that the chemical forms of antioxidants used in these trials are often not quite the same as the form found in food. Food antioxidants, be they vitamins, minerals, or concentrated herbs are superior to the commonly sold non-foods (note only officially recognized vitamins/minerals are listed on the next page):
Food Nutrient Compared to USP Vitamin/Mineral Salt Betacarotene Provides much greater betacarotene diversity in blood [10] Vitamin C 3.20 times more antioxidant effect [11] Vitamin E Up to 7.02 times better retained [12] Selenium 17.60 times more antioxidant effect [13] Zinc 6.46 times more absorbed into blood [14] Many have erroneously concluded that taking many times the quantity of isolated antioxidants will give the same effect as consuming food antioxidants. However, the differences are more than absorption or antioxidant effectiveness. Most isolated 'antioxidant' nutrients are chemically and structurally different from those found in foods and do not have the same effect in the human body. "Beta-carotene has been found to have antioxidant effect in vitro… Whether {ISOLATED} beta-carotene has significant antioxidant effect in vivo is unclear" [15]. Carrots, a food high in betacarotene, do have high antioxidant ability [5,15]. Natural betacarotene, as found in foods, is composed of both all-trans and 9-cis isomers, while synthetic betacarotene is all-trans isomers [16]. Carrots, yellow and green leafy vegetables, and turmeric contain natural betacarotene along with multiple carotenoids. Natural betacarotene was found to significantly decrease serum conjugated diene levels for children exposed to high levels of irradiation, though it is not known if synthetic betacarotene would provide similar benefits [16]. Regarding isolated betacarotene, "The data presented provide convincing evidence of the harmful properties of this compound if given alone to smokers, or to individuals exposed to environmental carcinogens, as a micronutrient supplement" [7]. "The three beta-carotene intervention trials: the Beta Carotene and Retinol Efficacy Trial (CARET), Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study (ATBC), and Physician's Health Study (PHS) have all pointed to a lack of effect of synthetic beta-carotene in decreasing cardiovascular disease or cancer risk in well-nourished populations. The potential contribution of beta-carotene supplementation to increased risk of lung cancer in smokers has been raised as a significant concern. The safety of synthetic beta-carotene supplements and the role of isomeric forms of beta-carotene (synthetic all-trans versus "natural" cis-trans isomeric mixtures)… have become topics of debate in the scientific and medical communities" [17]. Now, although the consumption of both synthetic betacarotene and food betacarotene raise serum vitamin A levels about the same, this obscures the fact that synthetic betacarotene tends to mainly increase serums all-trans betacarotene, while food betacarotene increases other forms as well [18]. It is possible that synthetic betacarotene can negatively affect vitamin E's antioxidant ability as a clinical study found, "These results support earlier findings for the protective effect of a-tocopherol against LDL oxidation, and suggest that beta-carotene participates as a prooxidant in the oxidative degradation of LDL under these conditions. Since high levels of alpha-tocopherol did not mitigate the prooxidative effect of beta-carotene, these result indicate that increased LDL beta-carotene may cancel the protective qualities of alpha-tocopherol" [19]. In a consumer-directed publication, Stephen Sinatra (M.D.) observes, "Research has shown that high doses of synthetic beta-carotene-the kind found in many popular brands-may actually increase your risk for lung cancer. Because at high levels it can become prooxidative-exactly the opposite of what you want…I've seen harmful effects (such as serious vision loss) in people who have taken up to 80,000 IU of beta-carotene per day. The bottom line is: Less is more when it comes to beta-carotene. To be safe I recommend between 12,500 and 25,000 IU of beta-carotene per day from food sources such as carrots" [20]. Vitamin C in foods exists in at least two distinguishable forms with accompanying food factors [21]. Yet, regular ascorbic acid as well as mineral ascorbates are too incomplete to be properly called vitamin C as they do not contain both forms (i.e., they lack DHAA) and the accompanying food factors [21]! Foods contain both natural forms of vitamin C [21]! Also, foods containing vitamin C are normally less acidic than ascorbic acid. In vitro studies found that the oxidative reductive potential of food vitamin C was greater than so-called 'natural vitamin C with bioflavonoids' and much greater than isolated ascorbic acid [22]. Why is that so important? Because while antioxidants can stop free radical damage, only those substances with proper oxidative reductive potential can actually 'clean up' the damage that the free radicals cause. Although ascorbic acid has strong antioxidant effects in vitro, it is even possible isolated ascorbic acid has no in vivo antioxidant effects because "Despite epidemiological and some experimental studies, it has not been possible to show conclusively that higher than anti-scorbutic intake of {SYNTHETIC} vitamin C has antioxidant clinical benefit… {ISOLATED} Vitamin C may be a weak antioxidant in vivo, or its antioxidant actions may have no physiological role, or its role may be small. The oxidative hypothesis is unproven" [23]. Why should people take supplemental synthetic ascorbic acid when it is NOT been proven to have antioxidant effects in humans? On the other hand, high vitamin C containing foods do have proven in vitro and in vivo antioxidant effects [24]. "Cross sectional and longitudinal studies show that the occurrence of cardiovascular disease and cancer is inversely related to vitamin C intake…the protective effects seen in these studies are attributable to fruit and vegetable {FOOD} intake…In general, beneficial effects of supplemental {SYNTHETIC} vitamin C have been noted in small studies, while large well controlled studies have failed to show benefit" [23]. The other quantitative is that in humans, "Plasma is completely saturated in doses of 400 mg and higher daily producing a steady-state plasma concentration of 80 mM…Tissues, however, saturate before plasma" [23]. Food vitamin C is more slowly absorbed than isolated ascorbic acid and it keeps plasma vitamin C levels higher for a longer period of time than ascorbic acid [11,13,14]. De-emphasizing vitamin C containing foods by attempting to consume higher quantities of isolated ascorbic acid simply will not have the effects on plasma vitamin C levels, ORP, ORAC, or other health aspects that many consumers of isolated ascorbic acid hope it will [11,13,14,23]. So-called 'natural' ascorbic acid is made by fermenting refined sugar into sorbitol, then hydrogenating it until it turns into sorbose, then acetone (commonly referred to as nail polish remover) is added to break the molecular bonds which creates ascorbic acid [25]! How 'natural' is that? While it is true that ascorbic acid has certain proven health benefits, no matter how much isolated ascorbic acid one takes orally: 1) It will never saturate plasma and/or tissue vitamin C levels significantly more than can be obtained by consuming sufficient vitamin C containing foods. 2) It will never have negative ORP, thus can never 'clean-up' oxidative damage like food vitamin C can. 3) It will not be retained in the body as long as food vitamin C. 4) It will never contain DHAA (the other 'half' of vitamin C) or the promoting food factors. 5) It will never have the same effect on health issues, such as aging and cardiovascular disease as high vitamin C foods can. 6) It will not ever be absorbed, retained, or utilized the way food vitamin C is. 7) It will always be a synthetic. Although vitamin C, "can readily donate electrons to quench a variety of reactive free radical and oxidative species and is easily returned to its reduced state", simply taking ascorbic acid C with two or three different antioxidants is not enough. Why? Because all free radical and oxidative substances do not get neutralized by all antioxidants. Vitamin E "as found in foods is [d]-alpha tocopherol, whereas chemical synthesis produces a mixture of eight epimers" [26]. Natural vitamin E has recently been renamed to be called RRR-alpha-tocopherol whereas the synthetic has now been renamed to all-rac-alpha-tocopherol, though supplement labels rarely make this clear; on supplement labels d-alpha-tocopherol is generally 'natural', whereas dl-alpha-tocopherol is synthetic [26]. All acetate forms of vitamin E are synthetic. "The antioxidant function of vitamin E cannot be fulfilled by just any antioxidant" [27]. Natural RRR-alpha-tocopherol, which is found in food, has 1.7 - 4.0 times the free radical scavenging strength of the other tocopherols [27]. RRR-alpha tocopherol has 3 times the biological activity of the alpha-tocotrienol form, and synthetic vitamin E simply does not have the same biologic activity of natural vitamin E (some synthetic forms have only 2% of the biological activity of RRR-alpha-tocopherol) [27]. The biologic activity of vitamin E is based on its ability to reverse specific vitamin E-deficiency symptoms [27], therefore it is a scientific fact that, overall, synthetic vitamin E has less ability to correct vitamin E deficiencies than food vitamin E. There is an interesting reason for this, which is that the body regulates plasma vitamin E through a specific liver alpha-tocopherol transfer protein, whereas it has no such protein for other vitamin E forms [27]. Or in other words, the liver produces a protein to handle vitamin E found in Food, but not for the synthetic forms! Food vitamin E has been found to be 2.6 times more retained in the liver than the isolated natural form [14]. Based on combining two studies, it has been reported that food vitamin E appears to be 7.02 times more retained by the body than synthetic vitamin E [12]--this may be because the body attempts to rid itself of synthetic forms as quickly as possible [28]. Vitamin E has been shown to reduce the risk of various cancers, coronary heart disease, cataract formation, and even air pollution [27,29]. It also is believed it may slow the aging process and decrease exercise-induced oxidative stress [27,29]. Artificial fats seem to increase the need for vitamin E [30]. Vitamin E content is highest in oils such as soy, but is also relatively high in avocados (4.31 i.u. each) [31]. High dose isolated vitamin E can have pro-oxidant effects [32]. Jerome Block (M.D.) reports, "My research of the literature and my patients supports that this {ISOLATED} vitamin E supplement by itself does not supply adequate antioxidant protection…If one takes the {ISOLATED} commercial form of vitamin E…there is evidence that the effect of the antioxidant is not present…vitamin E found in foods is much more effective than the single alpha-tocopherol supplements… Although vitamin E has an excellent safety record, studies show that alpha-tocopherol alone…has been pro-oxidant rather than antioxidant" [33]. Selenium is a mineral with antioxidant abilities and is also "a necessary mineral for the production of antioxidants in the body" [23]. The three most common forms of selenium in supplements are sodium selenite, seleniomethionine, and food selenium. The predominant form of selenium found in the body and in food selenium is selenocysteine [34]. An animal study concluded that food selenium was 3 times less toxic than sodium selenite [35]; this seems to be consistent with human research [24]. Other research suggests that food selenium is 2.26 times more retained in the liver than sodium selenite [36]. Food selenium (which is normally a specially grown yeast food) should not be confused with yeasts which have been simply fortified with sodium selenite, which can be quite toxic [34,35]. An in vitro study found that food selenium had 17.6 times the antioxidant effect than did seleniomethionine [13]. One study found that food selenium was 123.01 more effective than selenium methionine in preventing nonenzymatic glycation in diabetics [37]--glycation end-products tend to also accumulate in the brains of those who develop Alzheimer's or similar forms of dementia [38]. It has been reported that food selenium seems to reduce toxicity associated with cisplatin chemotherapy [39]. Sodium selenite is not a food, but is the result of combining sodium hydroxide and selenious acid; sodium selenite is commonly used to remove green color from glass during glass manufacturing [40]. Why would anyone want to take that as part of their antioxidant supplement? Zinc is an important component of superoxide dismutase (see below). "Dietary zinc has potent antioxidant and anti-inflammatory properties" [41]. Additionally, "Poor zinc nutrition may be an important risk factor in oxidant release and the development of DNA damage and cancer. Approximately 10% of the United States population ingests <50% of the recommended daily allowance for zinc, a cofactor in proteins involved in antioxidant defenses, electron transport, DNA repair and p53 protein expression" [42]. High zinc-containing foods include wheat bran, beef, miso, spinach, mushrooms, alfalfa sprouts, brewer's yeast, turkey, lamb, bean sprouts, tofu, and to a lessor degree in whole wheat bread [43] (shellfish also contains zinc, but this researcher cannot recommend that as a source). Zinc in unleavened whole wheat bread is less bioavailable than zinc in whole wheat bread leavened with yeast [44]; enzymatically-processed food grade yeast seems to contain some of the most bioavailable food zinc. Perhaps this may help explain why zinc in Saccharomocyes cerevisiae has been the food form of zinc most often compared to (and repeatedly been shown to be superior to) zinc in mineral salt forms [14, 45].
Superoxide Dismutase Superoxide dismutase (S.O.D.) is naturally found in foods such as nutritional yeast and barley green. It is not considered to be an essential nutrient, nor is it an herb (though it does exist in plants). However, S.O.D. "is one of the most important enzymes that functions as a cellular antioxidant...The absence of this enzyme is lethal" [46]. Although S.O.D. (like glutathione, lipoic acid, etc.) is not a vitamin/mineral it is listed here separately because it may be the single most important antioxidant (it is possible that some other antioxidant will take over that role, but more studies appear to have been published about S.O.D. than possibly any other non-vitamin, non-mineral antioxidant). "It protects intracellular components from oxidative damage, converting the superoxide ion to hydrogen peroxide" [47]. S.O.D. appears to be able to prevent activation of "phospholipase A2 and proanoid synthesis by scavenging free radicals, thereby reducing lipid peroxidation products" [48]. It is a powerful free radical scavenger, which has been clinically shown to protect the brain, heart, liver, lungs, kidneys, skin, muscles, penis, nerves, and spinal cord from ischemic injury [48]. S.O.D. has been shown to inhibit articular tissue damage associated with osteoarthritis [49], decreases lipid peroxidation in damaged skin cells [50], protect against late radiation-induced tissue injury [51], improves clinical symptoms associated with Bechet's syndrome [52], helps protect the retina [53], helps protect against iron toxicity [54], inhibits vasogenic brain edema after brain injury [55], increases flu survival rates in mice [56], plays a role in bacterial defense [57], helps normalize blood pressure [58,59] helpful for cardiovascular problems [48,60,61], reduces LDL oxidation involved in atherosclerosis [61], is reduced in Alzheimer's patients [62], improves sperm motility [63], and even helped patients with TMJ who did not respond to traditional therapy [64]; there over a thousand recent (within the last 5 years) peer-reviewed papers on S.O.D. High levels of S.O.D. have been associated with reduced growth of Candida albicans [65]. It is often sold in a "purified" version (from animal products) as an antiaging product [42]; S.O.D. seems to have "antiaging" properties [48]. Ingestion of polyethylene glycol-conjugated superoxide dismutase is not as effective as CuZn (copper/zinc) superoxide dismutase [66,67]. CuZn superoxide dismutase, along with Mn superoxide dismutase [68] exists naturally, in foods such as nutritional yeast (Saccharomyces cerevisiae).
Antioxidant Herbs There are many antioxidant plants and other herbs. All antioxidants in plants and herbs exist in their natural food forms, hence (unless isolated) are true antioxidants. The following list is not exhaustive (and intentionally does not include green tea as the caffeine it contains is a problem for some): Barley Grass Concentrate contains a variety of antioxidant substances, including natural S.O.D. (see Superoxide dismutase earlier in this paper) which is also able scavenge reactive oxygen species [69,70]. "Research at the University of California Davis has demonstrated that a flavonoid in barley grass known as 2-0-glycosylisovitexin (2-0-GIV) is a potent antioxidant which is more powerful than other antioxidants in protecting against fat oxidation (lipid peroxidation) in human cells' [71]. Others state, "the major flavonoid antioxidants in young green barley leaves are in fact the flavone-C-glycosides, saponarin and lutonarin" [72]. Barley grass (like wheat grass and other green plants) also contains chlorophyll, which has antioxidant ability [15]. Carrots provide betacarotene (see Betacarotene earlier in this paper) and other antioxidant carotenoids. Carrots also contain "xanthophyll, a very powerful anticancer phytochemical" [71]. Carrots are one the vegetables with high total antioxidant activity [5]. Citrus Fruits, which are common in Western diets, contain a variety of antioxidants such as flavonoids [15] and food vitamin C (see Vitamin C above). Citrus fruits have been shown to have significant antioxidants in vivo (and in vitro) [5]. Pink grapefruit is a source of lycopene (as are tomatoes) [15]. The peel and pulp of citrus has more of the flavonoid hesperidian than the juice [15]. Eleuthro Root, which was formerly called Siberian Ginseng, is an adaptagen, which means that it helps the body deal with various forms of stress [73]. It has been found to have "strong antioxidant against scavenging on DPPH free radical and also ethyl acetate fractionation exhibited high antilipid peroxidative activities. In the cytotoxic effects were evaluated on seven human cancer cell lines, the values of 50% growth inhibition (GI(50)) were mostly below 30 microg/ml for crude extracts to be considered as significantly active" [74]. A Russian study found that it had strong antioxidant abilities [75]. Ginger Root has constituents with antioxidant effects and can improve peripheral circulation [73]. Specifically it has at least "four shogaols that protect IMR32 human neuroblastoma and normal human umbilical vein endothelial cells from beta-amyloid (25 - 35) insult at EC50 = 4.5 - 81 microM" [76]. Ginger is one of the plants that contain the most antioxidants [77]. Ginkgo Leaf contains about 40 different bioflavonoids, including proanthocyanidins (see Grape Seed/Skin extract below) and quercetin, that "act as free radical scavengers" [73]. "Quercitin is a phenolic antioxidant that and has been shown to inhibit lipid peroxidation" in vitro, but it may need food substances to be an effective antioxidant in vivo [15]. "Cerebral insufficiency many cause anxiety and stress, memory, concentration, and mood impairment, and hearing disorders, all of which may benefit from ginkgo therapy" [73]. "Recent studies conducted with various molecular, cellular and whole animal models have revealed that leaf extracts of Ginkgo biloba may have anticancer (chemopreventive) properties that are related to their antioxidant, anti-angiogenic and gene-regulatory actions. The antioxidant and associated anti-lipoperoxidative effects of Ginkgo extracts appear to involve both their flavonoid and terpenoid constituents…In humans, Ginkgo extracts inhibit the formation of radiation-induced (chromosome-damaging) clastogenic factors and ultraviolet light-induced oxidative stress - effects that may also be associated with anticancer activity. Flavonoid and terpenoid constituents of Ginkgo extracts may act in a complementary manner to inhibit several carcinogenesis-related processes, and therefore the total extracts may be required for producing optimal effects" [78]. Ginkgo biloba extracts, "could reduce cytokine-stimulated endothelial adhesiveness by downregulating intracellular reactive oxygen species formation, nuclear factor-kappaB and activator protein 1 activation, and adhesion molecule expression in HAECs, supporting the notion that the natural compound Ginkgo biloba may have potential implications in clinical atherosclerosis disease" [79]. Grape Seed/Skin Extract contains a variety of antioxidant substances and is over 90% proanthocyanidins, which are a type of bioflavonoid with powerful free radical fighting ability [73]. "Oligomeric proanthocyanidins, naturally occurring antioxidants widely available in fruits, vegetables, nuts, seeds, flowers and bark, have been reported to possess a broad spectrum of biological, pharmacological and therapeutic activities against free radicals and oxidative stress. We have assessed the concentration- or dose-dependent free radical scavenging ability of a novel IH636 grape seed proanthocyanidin extract (GSPE) both in vitro and in vivo models, and compared the free radical scavenging ability of GSPE with {ISOLATED} vitamins C, E and beta-carotene. These experiments demonstrated that GSPE is highly bioavailable and provides significantly greater protection against free radicals and free radical-induced lipid peroxidation and DNA damage than vitamins C, E and beta-carotene. Oxidative tissue damage was determined by lipid peroxidation and DNA fragmentation, while apoptotic cell death was assessed by flow cytometry. GSPE provided significantly better protection as compared to vitamins C and E, singly and in combination. GSPE also demonstrated excellent protection against acetaminophen overdose-induced liver and kidney damage by regulating bcl-X(L) gene, DNA damage and presumably by reducing oxidative stress. GSPE demonstrated excellent protection against myocardial ischemia-reperfusion injury and myocardial infarction in rats. GSPE was also shown to upregulate bcl(2) gene and downregulate the oncogene c-myc. Topical application of GSPE enhances sun protection factor in human volunteers, as well as supplementation of GSPE ameliorates chronic pancreatitis in humans. These results demonstrate that GSPE provides excellent protection against oxidative stress and free radical-mediated tissue injury" [80]-it should be noted that this study compared against isolated (non-food) vitamins and isolated betacarotene. Interestingly it is believed that "grape-skin extract may have a sparing effect on vitamin C" in human plasma [81]. Grape seeds, but mainly grape skin, contains resveratrol which has antioxidant abilities and may be "associated with a reduced incidence of cardiovascular disease and a reduced incidence of cancer" [15]. Resveratrol is prized by many for its anti-aging properties and "has recently been found to possess glutathione-sparing activity" [15]. Kudzu Root contains a powerful antioxidants, including an isoflavone known as puerarin [82]. "Kudzu was found to be an effective adsorbent for basic dye colour removal" [83]. Kudzu and puerarin are being investigated for their apparent ability to suppress alcohol desire for alcoholics [84]; it is also being investigated for its ability to glucose control for diabetics. One study found that kudzu in crude form appears to have greater antioxidant effects than isolated puerarin [85]. Milk Thistle Seed contains silymarin, which is a polyphenolic antioxidant flavonoid [17]. "Silymarin is an antihepatotoxic substance isolated from fruits of Silybum marianum. Possibly due to their antioxidant and membrane stabilizing properties, the compounds have been shown to protect different organs and cells against a number of insults" [86]. Silybinin is a component of silymarin and has been shown to reduce lipid peroxidation [87]. Furthermore, "silibinin inhibits the growth of human prostate cancer cells (PCA) both in vitro and in vivo" [88]. Rosemary Leaf contains flavonoid antioxidants [71] and can "increase detoxification of carcinogens" in certain instances [73]. It contains such flavonoids as cirismarin, diosmin, hesperidin, homoplantiginin, and phegopolin [89]. Topically, rosemary is used to promote wound healing and as an analgesic for myalgias and neuralgias [89]. Saccharomyces cerevisiae, also known as nutritional yeast, contains antioxidants such as S.O.D. (see above) and glutathione (actually most isolated glutathione comes from fermented yeast [15]). Certain food antioxidant nutrients grown in Saccharomyces cerevisiae, such as zinc and selenium have been shown to have higher antioxidant effects and/or better absorption than the isolated mineral salt versions that are commonly sold [13,14,35,43,45]. Saccharomyces cerevisiae also naturally contains protein chaperones, which are essential for mineral absorption. Saccharomyces cerevisiae also stimulates phagocytosis [89]. The bioavailability of coenzyme q10 (a substance with antioxidant properties) is enhanced when it is in a media containing Saccharomyces cerevisiae [90]. Schisandra Fruit "has pronounced liver protective effects" [73] and strong antioxidant activity [91]. Schisandra contains at least 9 dibenzocyclooctene lignans, "Seven of the 9 lignans (1 mM) inhibited iron/cysteine-induced lipid peroxidation (malondialdehyde, MDA, formation)…The actions of the 7 lignans were much more potent than vitamin E at the same concentration of 1 mM. Among the lignans, schisanhenol was the most active one. This compound also prevented the decrease of membrane fluidity of liver microsomes induced by iron/cysteine. The results indicated that seven of the lignans such as schisanhenol have anti-oxidant activities" [91]. Tomatoes are a source of lycopene [15] and food vitamin C [21]. "Lycopene is a member of the carotenoid family…[and] is responsible for the red color of red tomatoes" [15]. "In vitro studies have demonstrated that lycopene has the highest antioxidant activity of all the carotenoids" [15]. Yet, it does not seem to have the same effect in vivo as tomatoes themselves do. One recent study that compared tomatoes to isolated lycopene found that tomatoes inhibited prostate carcinogenesis but that lycopene did not [92]. Turmeric Root contains curcuminoids which have antioxidant and cancer-inhibiting properties [73]. Many "laboratory studies have identified a number of different molecules involved in inflammation that are inhibited by curcumin including phospholipase, lipooxygenase, cyclooxygenase 2, leukotrienes, thromboxane, prostaglandins, nitric oxide, collagenase, elastase, hyaluronidase, monocyte chemoattractant protein-1 (MCP-1), interferon-inducible protein, tumor necrosis factor (TNF), and interleukin-12 (IL-12)" [93]. Water Thyme is one of the most mineral-dense foods and contains nutritional antioxidants, including vitamin C (see Vitamin C above) and chlorophyll. It is sometimes included in food antioxidant formulas.
Conclusion Herbs and plants containing antioxidants offer unique benefits, which have not been synthetically duplicated. Actually, no matter how much synthetic vitamins or industrially-processed rock 'nutrients' one takes orally, they will: 1) Never be a truly complete nutrient source. 2) Never replace all the functions of food/herbal vitamins and minerals. 3) Always be unnatural substances to the body. 4) Always strain the body by requiring that it detoxify or somehow dispose of their unnatural structures/chemicals. 5) Never be utilized, absorbed, and retained the same as food/herbal nutrients. 6) Not be able to prevent advanced protein glycation end-product formation the same as food/herbal nutrients. 7) NEVER BE ABLE TO HAVE THE PROVEN ANTIOXIDANT EFFECTS THE SAME AS FOOD NUTRIENTS. 8) Always be industrial products. 9) Always be composed of petroleum-derivatives, hydrogenated sugars, and/or industrially-processed rocks. 10) Never build optimal health the same as food nutrients. The standards of naturopathy agreed to in 1947 (at the Golden Jubilee Congress) included the statements, "Naturopathy does not make use of synthetic or inorganic vitamins...Naturopathy makes use of the healing properties of...natural foods, organic vitamins" [94]. Even back in the 1940s, professionals interested in natural health recognized the value of food, over non-food, vitamins. Although many studies have demonstrated that isolated nutrients such as betacarotene, ascorbic acid, and alpha-tocopherol do have significant antioxidant effects in test tubes (in vitro), more recent research has raised serious questions as to whether these chemical isolates have significant antioxidant effects in humans (in vivo) [15,23,33]. Furthermore, in 1999 the Nobel prize for medicine was awarded to Gunter Blobel who discovered that nutritional minerals need protein chaperones for absorption. Such protein chaperones do not exist in mineral salt forms which are commonly included in 'antioxidant' or multivitamin formulas. Protein chaperones do, of course, exist in foods such as Saccharomyces cerevisiae [95,96]. While it is known that diets focused on foods high in antioxidants can help prevent cancers [3], synthetic antioxidants appear to be so ineffective that they may actually increase cancer risk [6]. Additionally, regarding cancer and other diseases, "The available evidence points to the benefits of food-derived antioxidants, but more evidence is needed before {ISOLATED} antioxidant…supplementation can be routinely recommended" [97]. "A predominantly plant-based diet reduces the risk for development of several chronic diseases. It is often assumed that antioxidants contribute to this protection, but results from intervention trials with single antioxidants administered as supplements quite consistently do not support any benefit. Because dietary plants contain several hundred different antioxidants" [77], it makes sense to consume food antioxidants and not individual, isolated ones. Although some scientists think isolated nutrients have questionable and even negative effects, "It is doubtful that antioxidant-rich foods would have a negative impact on brain aging" [9]-or anything else for that matter. Humans are supposed to eat foods and not consume isolated USP nutrients (even if they are called 'natural' and even if they are called 'antioxidants'). Since all free radical and oxidative substances do not get neutralized by all antioxidants, it makes sense to consume a variety of plants and/or antioxidant containing herbs-plants which contain hundreds of antioxidant compounds [15,77,89]. "Unfortunately, a single purified substance will not always have the same antioxidant activity, nor provide the same clinical benefits as…combinations occurring in natural extracts" [98]. Some of these 'purified' substances have been shown to sometimes have pro-oxidant instead of antioxidant effects [19,20,32,33]. Why would anyone want to take isolated 'antioxidants' instead of foods or those antioxidant formulas which are only composed of 100% food?
Questions & Answers About SB907 The following are the answers to some frequently asked questions about SB907: Q: Who needs to get the naturopathic license required under SB907? A: Only those naturopaths representing themselves as trained to include minor surgery or prescription drugs in their practice need to be licensed. Q: How does the new SB907 effect MY practice? A: It does not effect your practice in California. You continue to practice just as you did under SB577. You must be sure your clients know you practice naturopathy not allopathy Q: What about my stationary, business cards, and yellow page ad, etc.? A: You can not use the Dr. designation however you can use N.D. as long as you stipulate "not required to be licensed in the state of California" or "not licensed in the state of California" Q: When does SB907 take effect? A: Technically it was to take effect 01-01-04 but Governor Schwarzenegger has put a 6 month hold on all bills signed by Gray Davis in his last days as Governor. It may never go into effect due to budgetary problems and the shady way in which it was enacted. Q: What does it mean to the consumer seeking naturopathic help in California? A: It means the public will be confused about naturopathy. Is it natural? Is it non-invasive? They will also be in danger of being treated by one of those allopathic wannabes, unaware that they are neither well trained as naturopaths or allopaths. Q: Is there anything I can do? A: Yes, you should contact your new governor and inform him that SB907 is special interest legislation paid for by Hollywood movie producer Stephen Bing without regard for the citizens of California. It should be noted that Stephen Bing was quoted in the media as saying he had $3 million ready to recall Governor Schwarzenegger. Contact information for Govenor Schwarzenegger: Governor Arnold Schwarzenegger If you have any questions about SB907 please mail them to: ANMA, P.O. Box 96273, Las Vegas, NV, 89193
ANMA Embroidered White, Black,
& Navy Polo Shirts ANMA Members, As you may already know, ANMA began offering embroidered polo shirts earlier last year. What you probably don’t know, is that we now offer the polo shirts in three different colors (White, Black, & Navy Blue). The navy polo shirts have the exact the same quality has the original white polos with the metal buttons. The original white polo shirts, as I’ve said before look absolutely beautiful, and now you can add another color to your selection. I promise you will be very pleased with these polo shirts. ANMA offers nothing but the best quality to its valued members. I guarantee that every order will be processed and mailed as quickly as possible. All shirts will be shipped Priority Mail to ensure speedy delivery. ANMA can offer these polo shirts to members for only $26.00 plus shipping and handling. The sizes we have range from small to triple extra large. If you would like a 2xl or 3xl, please add $1.00 and $2.00 respectively. In addition, ANMA now has black tote bags with our logo embroidered on the side. The tote bags cost $15.00 and shipping is provided free of charge (tote bags only). If you have any questions or want to place an order, e-mail me at: gregorywest@anma.com or call Julie Morgan at (702) 897-7053 or mail to ANMA, P.O. Box 96273, Las Vegas, NV 89193. Thanks for all of your support. Sincerely,
Licensing Vs. Certification By: Dr. Lawrence Wilson
LICENSING A license is a permission to do something that otherwise is forbidden. In most cases, a license is required or mandatory for engaging in that activity. For instance, a drivers license is considered mandatory to drive a car on the public roads. An exception is that a house may be built by someone who is not a licensed contractor. A license is given by the government, and is a government privilege. It therefore presumes that the activity in question is a privilege, not a right. The privilege may be bestowed by the federal, state or local government. A license involves the police power of the state. That is, if one violates the licensing law, either by acting without a license, or failing to uphold the rules governing the license privilege, one is subject to prosecution under the civil or criminal laws of the governing body. The purpose of licensing, whether admitted or not, is to restrict entry and control a profession or activity.
CERTIFICATION Certification is a statement or declaration that one has completed a course of study, passed an examination, or otherwise met specified criteria for certification. Certification is not a permission to act, but rather a statement of completion or qualification. Certification is a private matter, issued by a private organization. It does not involve the police power of the state, and is not a state privilege. Certification is based on the premise that there is a right to work. Certification only provides the consumer with more information about a practitioner. It also gives practitioners a way to increase their competency through a course of study and exams, and to advertise or inform others of their completion of this course of study. The purpose of certification is mainly to set standards, educate practitioners and inform the public. It may, however, be used to control entry if combined with state laws. See the section below on 'combinations'.
REGISTRATION Registration is similar to certification. Dietitians, for example, are registered in most states. The registering organization, the American Dietetic Association, is a private group. The government is not involved. Information in this chapter regarding certification applies to registration as well.
IMPLICATIONS OF Licensing presumes that an activity is forbidden until it is permitted through a license. Certification presumes that an activity is permitted by right. It presumes a right to work. This means that one is not automatically provided with a job. Rather it means that one cannot be denied the opportunity to seek work. Licensing increases the power of the government. The powers to decide whom to consult for services shifts from the consumer to a government licensing board. By the same degree to which it empowers the government, licensing decreases the power of the individual consumer. Certification empowers the consumer, not the government. Licensing restricts entry into a particular field of activity. Certification does not restrict entry at all. It merely informs and distinguishes those who have completed courses or examinations pertaining to a field of work. Licensing provides a method of strict control of the behavior of those in particular field of activity. If the licensees do not follow prescribed rules, they risk loss of the ability to work at all. Certification may be used for control. However, it is more limited. If those who are certified do not follow certain rules, certification may be withdrawn. However, they may still practice their trade, albeit without certification.
COMBINATIONS Certain groups, such as the acupuncturists, have a national certifying agency. Many wish that state governments would pass laws stating that only acupuncturists certified by this national group are allowed to practice. This amounts to a license. It restricts who can practice, it involves the police power of the state, and it takes away the power of choice from the consumer. The national organization basically becomes the licensing board in a shared private/government agreement. With this arrangement, the private certifying group will lose power to the government. For if the government does not like what the private group is doing, they will repeal their state law. I hope the acupuncturists reading this text see the folly of involving the government to limit the practice of acupuncture.
SUMMARY The definitions, features and implications of licensing and certification are summarized below for quick reference:
LICENSING • A permission to perform an activity. • Generally is mandatory to perform the activity • Involves the police power of the government. • Presumes that working in the particular field of activity is a privilege. Establishment of licensing shifts the activity from a right to privilege. • The privilege is given and may be withdrawn at any time by the issuing agency. • Increases the power of government, and reduces the power of the individual consumer. • The purpose is to restrict entry and strictly control the profession or activity.
CERTIFICATION • A statement of completion or meeting a standard. • Voluntary. • Does not involve the police power of the state. • Presumes that working the field is a right. • Certification may be withdrawn at any time by the issuing agency. However, this does not stop one from working. • Preserves and enhances the power of the individual consumer to decide upon the practitioner of his choice. • The purpose is mainly to inform and educate. Note: ANMCAB accrediting activities are now conducted by the American Naturopathic Medical Accreditation Board (ANMAB). For more information, please go to www.anmab.org.
A Call For Validated Research Papers Dealing With Alternative/Naturopathic Health Care ANMA members and other health care professionals are invited to submit an article or case study to be featured in the ANMA Monitor. Your research must be submitted according to the following standards: The ANMA Monitor is published quarterly by ANMA, P.O. Box 96273, Las Vegas, Nevada 89193 (702) 897-7053. Deadlines for articles and advertisements are Nov. 20, Feb. 20, May 20, August 20. Please submit articles typed on 8 1/2 X 11 sheet of paper and/or on a IBM compatible 3.5" disk. Articles may also be e-mailed to webmaster@anma.com. The editor reserves the right to edit any portion of an article before publishing. The editor also reserves the right to refuse advertising or articles which he deems inappropriate for this publication. We appreciate those who have already sent in articles. Take advantage of this opportunity to be in print!
The views and opinions expressed in this online newsletter are not necessarily those of the American Naturopathic Medical Association, its officers or its members, nor are they necessarily in accordance or agreement with its policies. |
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