Dear Colleagues;
We hope you all are well during these challenging times. We just finished teaching a successful seminar in AZ. It was a joy to spend time with some of the naturopathic students there and see the next upcoming generation of AK physicians. Noah and I will be speaking (zoom session) at the QN Homecoming on November 18th. For more information go to https://3tnkuygr.pages.infusionsoft.net/
After that we still have our in office seminars here on Maui if anyone would like to take them and we hope to be teaching in Atlanta the spring of 2022.
As many of you know besides my practice and teaching responsibilities, I also do quality control for Supreme Nutrition products, making sure the raw materials we purchase do not only pass government inspection for microbes, heavy metals, etc.; but also pass my kinesiological testing for efficacy etc. We are coming out with a new product this month.
NEW PRODUCT
Cat’s Claw Supreme (Supreme Nutrition Products 1-800-922-1744, supremenutritionproducts.com)
Cat’s claw, also known as Uncaria Tomentosa, is a woody vine that is native to Central and South America particularly in the Amazonian Rainforest. It has been used for medicinal purposes for centuries dating back to the Inca Civilization. Indigenous shamans say it is a bridge and balancer between the physical and spiritual worlds and is considered the most sacred herb. The herb is rich in alkaloids, terpenoids and flavonoids, which contributes to its historical use to help a wide range of symptoms and conditions. These conditions traditionally include but are not limited to arthritis, cardiac issues, Alzheimer’s, cancer, diverticulitis, ulcers, colitis, gastritis, leaky gut, hemorrhoids, and a variety of infections (viral, fungal, bacteria, parasitic and spirochetes).
The following are the most common modern uses of Cat’s claw:
1. Cat’s claw is one of the most potent antimicrobials in nature. It has demonstrated its strong effects against Lyme (1) and co-infections (babesia, bartonella), viruses (especially EBV and the herpes family) (2)(3), bacteria (Staph, Strep, Enterobacteria.) (4), fungus (chronic Candida infections) (5), and parasites. It is for this reason that we view it as a broad spectrum antimicrobial. This is one of the properties that gives it its reputation as an immune stimulant along with it increasing WBCs and NK cells. One of the NK cells that it increases is known as CD 57, which is known to be deficient in Lyme Disease. Due to the herbs antibacterial properties, PANDAS is a condition that many functional medicine doctors have been using cat’s claw for along with tooth infections and UTIs. A recent study from 2021 also showed that cat’s claw inhibited the release of SARS-COV-2 infectious particles and reduced the cytopathic effect caused by the virus (6).
2. The uses for different types of inflammatory bowel conditions like Crohns, IBS and UC most likely stem from the positive effect cat’s claw has on inflammatory markers like NF-KB. Cat’s claw has shown potent antioxidant properties and the ability to turn down NF-KB in studies (16). Interesting to note is that the herb also inhibited LPS induced iNOS gene expression and nitrite formation.
3. Many studies have shown the effectiveness of Cat’s claw on osteoarthritis and Rheumatoid arthritis. This is not only due to the NF-KB being inhibited but also IL-1, IL-4, IL-17 and TNF-alpha (7). A 2001 study with 45 subjects suffering from osteoarthritis allowed researchers to conclude “pain associated with activity, medical and pain assessment scored were significantly reduced within the first week of therapy” (8).
4. More recently, studies have been done and show the herbs ability to combat certain forms of cancer. The most studied have been breast cancer and leukemia. The British Journal of Hematology felt that the alkaloids pteropodine and uncarine F were especially impressive in the leukemia studies (9). A more recent study in 2015 also founds that cat’s claw can be extremely beneficial by improving quality of life and fatigue levels in advanced cancer patients (10).
5. The cardiac health benefits stem from the alkaloid, hirsutine, which acts as a natural calcium channel blocker helping people regulate their blood pressure (11). Cat’s claw also inhibits platelet aggregation and blood clot formation ultimately inhibiting plaque formation and blood clots in the heart, blood vessels and brain (12).
6. DNA repair has been one of the more recent interests in cat’s claw. A 2001 study showed significant improvement in DNA repair for people who had undergone chemotherapy (13). Furthermore, a 2006 study showed that cat’s claw should be considered as a natural sunscreen due to the ability to repair UV light damaged skin cells (14).
7. Cat’s claw shows promise in diabetes as it improves insulin sensitivity (15).
One big controversy to clarify is the buzz around the TOAs (tetracyclic oxindole alkaloids) and POAs (pentacyclic alkaloid) in cat’s claw. The claim is that TOAs disrupt the function of the nervous system and down regulate the POAs. However, master herbalists have disproven this claim. One says that the study that all of this was based on isolated only two of the five naturally occurring TOAs in cat’s claw. This led to the two TOAs extract amount far exceeding the levels that are found in the plant in its natural form and way unnaturally potentized due to the purification process. This was also done in vitro only and never in humans. On the contrary, the overwhelming majority of research in the last 25 years has been using the whole plant, which has never demonstrated the claim of the TOAs down regulating the POAs. In fact, “This naturally occurring POA-TOA-containing herb has been successfully used for a very long time by these indigenous peoples to enhance immune activity. Additionally, the herb has been successfully used in clinical practice with thousands of people for over half a century in South America to enhance immune response. The herb itself, without any fiddling around, will work exceptionally well, especially for Lyme disease” (17).
In conclusion, cat’s claw should be view as a potent antimicrobial that can help against chronic infections that patients have been struggling to overcome. This, along with the powerful anti-inflammatory and immune boosting properties that the herb possesses, should be a great addition to your patient’s protocols.
Dosage – 1-2 caps 3x daily
Contraindications – pregnant and nursing females. Caution with high blood pressure meds and blood thinners.
1. https://pubmed.ncbi.nlm.nih.gov/32154254/
2. https://pubmed.ncbi.nlm.nih.gov/11804547/
3. https://pubmed.ncbi.nlm.nih.gov/24447975/
4. https://pubmed.ncbi.nlm.nih.gov/17426895/
5. https://pubmed.ncbi.nlm.nih.gov/20881342/
6. https://pubmed.ncbi.nlm.nih.gov/33680061/
7. https://pubmed.ncbi.nlm.nih.gov/22846434/
8. https://pubmed.ncbi.nlm.nih.gov/11603848/
9. https://pubmed.ncbi.nlm.nih.gov/16445836/
10. https://pubmed.ncbi.nlm.nih.gov/25495394/
11. https://pubmed.ncbi.nlm.nih.gov/1798789/
12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3210006/
13. https://pubmed.ncbi.nlm.nih.gov/11515717/
14. https://pubmed.ncbi.nlm.nih.gov/16521105/
15. https://pubmed.ncbi.nlm.nih.gov/21718770/
16. https://pubmed.ncbi.nlm.nih.gov/19995599/
The use of Stearates in supplementation
I was talking to a supplement company owner recently who uses stearic acid and magnesium stearate in their products. They sent me research about it. One of the articles is quoted below. The part I found most interesting is the use of hydrogenated cottonseed oil (or animal fat which I assume is non organic). This is one reason Supreme Nutrition only uses the herb itself, with no other additives (the additives make the product easier and faster to encapsulate thus saving the company much money).
Praveen Hiremath, ... Vivek Agrahari, in Handbook of Pharmaceutical Wet Granulation, 2019
2.6.1 Stearic Acid
Stearic acid is a saturated monobasic acid with 18 carbon-chain lengths. It is synthesized by the hydrolysis of animal fat or from hydrogenation of cottonseed or vegetable oil. Commercial stearic acid is a mixture of stearic acid with palmitic and myristic acid. Depending on the ratio of the stearic to palmitic acid, it can vary from macrocrystalline (45:55 w/w) to microcrystalline (between 50:50 and 90:10 w/w) structure (Li & Wu, 2014). Stearic acid polymorphic forms A, B, and C (most stable) are made using different organic solvents and crystallization conditions (Garti, Wellner, & Sarig, 1980). Thermal studies indicated that stearic acid from different suppliers showed little batch-to-batch or manufacturer-to-manufacturer variability (Garti et al., 1980; Inaoka, Kobayashi, Okada, & Sato, 1988).
Because of its lower surface area, stearic acid is used at 1%–3% w/w concentration. Because magnesium stearate at a concentration of 0.25% w/w is reported to soften the tablets made with pregelatinized starch and potentially affects tablet strength and dissolution, stearic acid is the preferred lubricant for pregelatinized starch. The starch undergoes plastic deformation during tableting and therefore has higher sensitivity to the concentration of magnesium stearate. Also, as reported by Fouda et al., although magnesium stearate accelerated the degradation of aspirin, stearic acid can protect drugs (aspirin) against degradation (Fouda, Mady, & El-Azab, 1998). In addition, stearic acid also can play a role in the polymorphic phase transformation of drugs, which subsequently resulted in a slowing down of the dissolution of tablets (Wang, Davidovich, et al., 2010). Tablet dissolution was slow because of the transformation of polymorphic forms (Form II to Form I) of the drug, facilitated by stearic acid (Wang, Davidovich, et al., 2010).