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SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= Encyclopedia of Dietary Supplements Encyclopedia of Dietary Supplements SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= Editorial Advisory Board Editorial Advisory Board StephenBarnes RobertM.Russell StephenBarnes RobertM.Russell DepartmentofPharmacologyandToxicology,Universityof OfficeofDietarySupplements,NationalInstitutesofHealth, DepartmentofPharmacologyandToxicology,Universityof OfficeofDietarySupplements,NationalInstitutesofHealth, AlabamaatBirmingham,Birmingham,Alabama, Bethesda,Maryland,andJeanMayerUSDAHuman AlabamaatBirmingham,Birmingham,Alabama, Bethesda,Maryland,andJeanMayerUSDAHuman U.S.A. NutritionResearchCenteronAging,TuftsUniversity, U.S.A. NutritionResearchCenteronAging,TuftsUniversity, Boston,Massachusetts,U.S.A. Boston,Massachusetts,U.S.A. JohnH.CardellinaII JohnH.CardellinaII ReevesGroupConsultations,Walkersville,Maryland, NoelW.Solomons ReevesGroupConsultations,Walkersville,Maryland, NoelW.Solomons U.S.A. CenterforStudiesofSensoryImpairment,Aging,and U.S.A. CenterforStudiesofSensoryImpairment,Aging,and Metabolism(CeSSIAM),GuatemalaCity,Guatemala Metabolism(CeSSIAM),GuatemalaCity,Guatemala NormanH.Farnsworth NormanH.Farnsworth UIC/NIHCenterforBotanicalDietarySupplementsResearch RoyUpton UIC/NIHCenterforBotanicalDietarySupplementsResearch RoyUpton (cid:1) (cid:1) forWomen’sHealth,ProgramforCollaborativeResearchinthe AmericanHerbalPharmacopoeiaR,ScottsValley,California, forWomen’sHealth,ProgramforCollaborativeResearchinthe AmericanHerbalPharmacopoeiaR,ScottsValley,California, PharmaceuticalSciences,CollegeofPharmacy,Universityof U.S.A. PharmaceuticalSciences,CollegeofPharmacy,Universityof U.S.A. IllinoisatChicago,Chicago,Illinois,U.S.A. IllinoisatChicago,Chicago,Illinois,U.S.A. StevenH.Zeisel StevenH.Zeisel DonaldB.McCormick Director,NutritionResearchInstitute,andDirector,Nutrition DonaldB.McCormick Director,NutritionResearchInstitute,andDirector,Nutrition DepartmentofBiochemistry,SchoolofMedicine,andProgram andObesityResearchCenter,UNCGillingsSchoolofPublic DepartmentofBiochemistry,SchoolofMedicine,andProgram andObesityResearchCenter,UNCGillingsSchoolofPublic inNutritionandHealthSciences,DivisionofBiological Health,UniversityofNorthCarolina,ChapelHill,North inNutritionandHealthSciences,DivisionofBiological Health,UniversityofNorthCarolina,ChapelHill,North Sciences,EmoryUniversity,Atlanta,Georgia,U.S.A. Carolina,U.S.A. Sciences,EmoryUniversity,Atlanta,Georgia,U.S.A. Carolina,U.S.A. SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= Encyclopedia of Dietary Supplements Encyclopedia of Dietary Supplements Second Edition Second Edition Editedby Editedby Paul M. Coates Paul M. Coates Director,OfficeofDietarySupplements Director,OfficeofDietarySupplements NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. Joseph M. Betz Joseph M. Betz OfficeofDietarySupplements OfficeofDietarySupplements NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. Marc R. Blackman Marc R. Blackman ResearchService,VeteransAffairsMedicalCenter ResearchService,VeteransAffairsMedicalCenter Washington,D.C.,U.S.A. Washington,D.C.,U.S.A. DepartmentsofMedicine,GeorgeWashingtonUniversity DepartmentsofMedicine,GeorgeWashingtonUniversity JohnsHopkinsUniversityandUniversityofMarylandSchoolsofMedicine JohnsHopkinsUniversityandUniversityofMarylandSchoolsofMedicine Gordon M. Cragg Gordon M. Cragg NIHSpecialVolunteer,NaturalProductsBranch NIHSpecialVolunteer,NaturalProductsBranch DevelopmentalTherapeuticsProgram DevelopmentalTherapeuticsProgram DivisionofCancerTreatmentandDiagnosis DivisionofCancerTreatmentandDiagnosis NationalCancerInstitute,NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. NationalCancerInstitute,NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. Mark Levine Mark Levine MolecularandClinicalNutritionSection MolecularandClinicalNutritionSection DigestiveDiseasesBranch DigestiveDiseasesBranch NationalInstituteofDiabetesandDigestiveandKidneyDiseases NationalInstituteofDiabetesandDigestiveandKidneyDiseases NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. Joel Moss Joel Moss TranslationalMedicineBranch TranslationalMedicineBranch NationalHeart,Lung,andBloodInstitute NationalHeart,Lung,andBloodInstitute NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. NationalInstitutesofHealth,Bethesda,Maryland,U.S.A. Jeffrey D. White Jeffrey D. White Director,OfficeofCancerComplementaryandAlternativeMedicine Director,OfficeofCancerComplementaryandAlternativeMedicine DivisionofCancerTreatmentandDiagnosis DivisionofCancerTreatmentandDiagnosis NationalCancerInstitute,NationalInstitutesofHealth NationalCancerInstitute,NationalInstitutesofHealth Bethesda,Maryland,U.S.A. Bethesda,Maryland,U.S.A. SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= Firstpublishedin2005byMarcelDekker,NewYork,NY. Firstpublishedin2005byMarcelDekker,NewYork,NY. Thiseditionpublishedin2010byInformaHealthcare,TelephoneHouse,69-77PaulStreet,London Thiseditionpublishedin2010byInformaHealthcare,TelephoneHouse,69-77PaulStreet,London EC2A4LQ,UK. EC2A4LQ,UK. SimultaneouslypublishedintheUSAbyInformaHealthcare,52VanderbiltAvenue,7thfloor,New SimultaneouslypublishedintheUSAbyInformaHealthcare,52VanderbiltAvenue,7thfloor,New York,NY10017,USA. York,NY10017,USA. (cid:1)c 2010InformaUKLtd,exceptasotherwiseindicated. (cid:1)c 2010InformaUKLtd,exceptasotherwiseindicated. NoclaimtooriginalU.S.Governmentworks. NoclaimtooriginalU.S.Governmentworks. 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PrintedandboundintheUnitedKingdom PrintedandboundintheUnitedKingdom SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= Preface Preface Welcome to the second edition of Encyclopedia of Dietary Giventhelargenumberofdietarysupplementprod- Welcome to the second edition of Encyclopedia of Dietary Giventhelargenumberofdietarysupplementprod- Supplements,reflectingthecombinedeffortsofmorethan ucts in commerce, this book covers only a small frac- Supplements,reflectingthecombinedeffortsofmorethan ucts in commerce, this book covers only a small frac- 100 authors from 13 countries on 97 topics. Response to tion of them, with selection based primarily on the fre- 100 authors from 13 countries on 97 topics. Response to tion of them, with selection based primarily on the fre- thefirstedition,publishedin2005andthensupplemented quencyoftheiruseandtheavailabilityofasufficientsci- thefirstedition,publishedin2005andthensupplemented quencyoftheiruseandtheavailabilityofasufficientsci- byaseriesofonlinechapters,promptedustoreviseand ence base to discuss their efficacy and safety. It is clear byaseriesofonlinechapters,promptedustoreviseand ence base to discuss their efficacy and safety. It is clear expand the Encyclopedia. There has been considerable that the level of scientific information available differs expand the Encyclopedia. There has been considerable that the level of scientific information available differs expansioninresearchonmanydietarysupplementsand markedly among the various entries. For many ingredi- expansioninresearchonmanydietarysupplementsand markedly among the various entries. For many ingredi- their ingredients. We expect that this Encyclopedia will ents,thechemistryandphysiology,preclinicalandclinical their ingredients. We expect that this Encyclopedia will ents,thechemistryandphysiology,preclinicalandclinical continue to be a valuable reference for students and re- information,andmechanismofactionarewellknown.For continue to be a valuable reference for students and re- information,andmechanismofactionarewellknown.For searchers in physiology and chemistry, for health care others,bycontrast,someormanypiecesofthesedataare searchers in physiology and chemistry, for health care others,bycontrast,someormanypiecesofthesedataare providers, and for consumers who are interested in un- missing. The preparation of some commercial products providers, and for consumers who are interested in un- missing. The preparation of some commercial products derstandingthekindofsciencethatis—orisnot—behind is of high quality and follows good agricultural, labo- derstandingthekindofsciencethatis—orisnot—behind is of high quality and follows good agricultural, labo- theclaimsthataremadefordietarysupplementsthatare ratory, and manufacturing practices. Again, by contrast, theclaimsthataremadefordietarysupplementsthatare ratory, and manufacturing practices. Again, by contrast, sold throughout the world, where standards of govern- the preparations for others have not been reliable, mak- sold throughout the world, where standards of govern- the preparations for others have not been reliable, mak- ment regulation differ from country to country. In the ing them subject to high variability in content and pos- ment regulation differ from country to country. In the ing them subject to high variability in content and pos- United States, sales of products in the dietary supple- siblecontamination.Asdietarysupplementusebecomes United States, sales of products in the dietary supple- siblecontamination.Asdietarysupplementusebecomes ment market approached $25 billion in 2009. Their form morewidespread,therearegrowingconcernsaboutsafety ment market approached $25 billion in 2009. Their form morewidespread,therearegrowingconcernsaboutsafety and their labeling are regulated by the Food and Drug of some ingredients, including possible harmful interac- and their labeling are regulated by the Food and Drug of some ingredients, including possible harmful interac- Administration(FDA)asaresultoflegislationpassedin tionsbetweensupplementsandprescribeddrugs.When Administration(FDA)asaresultoflegislationpassedin tionsbetweensupplementsandprescribeddrugs.When 1994 called the Dietary Supplement Health and Educa- known, this information is included in the chapters of 1994 called the Dietary Supplement Health and Educa- known, this information is included in the chapters of tion Act (DSHEA). The dietary supplement category in this book. These issues should form the basis for future tion Act (DSHEA). The dietary supplement category in this book. These issues should form the basis for future the United States includes vitamins, minerals, and other research. the United States includes vitamins, minerals, and other research. ingredientsthatarefoundinfoods,aswellasingredients The field of dietary supplements is a rich one, and ingredientsthatarefoundinfoods,aswellasingredients The field of dietary supplements is a rich one, and not ordinarily found in foods—such as extracts of herbs thesciencerelatedtothislargeclassofingredientsisex- not ordinarily found in foods—such as extracts of herbs thesciencerelatedtothislargeclassofingredientsisex- andothernaturalproducts—thatareusedbyconsumers panding all the time. All the chapters that appeared in andothernaturalproducts—thatareusedbyconsumers panding all the time. All the chapters that appeared in for their potential health-promoting, disease-preventing, the first edition have been revised and updated for this for their potential health-promoting, disease-preventing, the first edition have been revised and updated for this orperformance-enhancingproperties.Manyoftheseare edition.Inadditiontoprovidingtheseupdatedchapters, orperformance-enhancingproperties.Manyoftheseare edition.Inadditiontoprovidingtheseupdatedchapters, representedinthechaptersofthisbook. we have included 12 additional chapters on topics not representedinthechaptersofthisbook. we have included 12 additional chapters on topics not The Encyclopedia is not just for consumers in the previously covered, reflecting the emergence of dietary The Encyclopedia is not just for consumers in the previously covered, reflecting the emergence of dietary U.S.market,althoughweacknowledgethattheterm“di- supplementsinthemarketplace,aswellasthesciencebe- U.S.market,althoughweacknowledgethattheterm“di- supplementsinthemarketplace,aswellasthesciencebe- etary supplements” is an American expression. We are hindthem.Thereisalsoanewchapteronthechallengesof etary supplements” is an American expression. We are hindthem.Thereisalsoanewchapteronthechallengesof notawareofanyothersingletermthatdescribesallofthe dietarysupplementresearch.Additionalchangesinvolve notawareofanyothersingletermthatdescribesallofthe dietarysupplementresearch.Additionalchangesinvolve substancesthatwewishtoincludeinthisEncyclopedia, gatheringseveralrelatedchaptersunder“umbrella”top- substancesthatwewishtoincludeinthisEncyclopedia, gatheringseveralrelatedchaptersunder“umbrella”top- althoughtermssuchasfoodsupplements,nutritionalsup- ics:CarotenoidsandPolyphenols.Twoofthechaptersinthis althoughtermssuchasfoodsupplements,nutritionalsup- ics:CarotenoidsandPolyphenols.Twoofthechaptersinthis plements,ornaturalhealthproductshavebeenappliedas edition of the Encyclopedia, on Ephedra and Androstene- plements,ornaturalhealthproductshavebeenappliedas edition of the Encyclopedia, on Ephedra and Androstene- well.Sometimestheclaimsforbenefitofspecificproducts dione, were commissioned before their status as dietary well.Sometimestheclaimsforbenefitofspecificproducts dione, were commissioned before their status as dietary are borne out by well-documented scientific studies. In supplements in the U.S. market was changed. In 2004, are borne out by well-documented scientific studies. In supplements in the U.S. market was changed. In 2004, other cases, they are not, or the science to support their the FDA banned ephedra-containing products from the other cases, they are not, or the science to support their the FDA banned ephedra-containing products from the useisstillatanearlystage.Enthusiasmfortheirusemay dietary supplement market in the United States. Also in useisstillatanearlystage.Enthusiasmfortheirusemay dietary supplement market in the United States. Also in bebasedonpopularlegendoronlongstandingpatterns 2004, the FDA issued warning letters to companies then bebasedonpopularlegendoronlongstandingpatterns 2004, the FDA issued warning letters to companies then ofuseintraditionalhealingsystems.Inthisbook,wehope marketingproductscontainingandrostenedione;thereg- ofuseintraditionalhealingsystems.Inthisbook,wehope marketingproductscontainingandrostenedione;thereg- thatreaderswillbeabletoexaminethetypesofevidence ulatory status of these products as dietary supplements thatreaderswillbeabletoexaminethetypesofevidence ulatory status of these products as dietary supplements thathavebeenusedtosupportclaimsofbenefitandsafety. has therefore changed. Nevertheless, until recently, both thathavebeenusedtosupportclaimsofbenefitandsafety. has therefore changed. Nevertheless, until recently, both The goal of this book is to provide readers with ephedraandandrostenedionewerewidelyconsumedin The goal of this book is to provide readers with ephedraandandrostenedionewerewidelyconsumedin comprehensive,yetaccessible,informationonthecurrent theUnitedStates.Wefelt,therefore,thatdiscussionofthe comprehensive,yetaccessible,informationonthecurrent theUnitedStates.Wefelt,therefore,thatdiscussionofthe stateofscienceforindividualsupplementingredientsor scienceoftheseingredientswasimportant.Thechapters stateofscienceforindividualsupplementingredientsor scienceoftheseingredientswasimportant.Thechapters extracts. To this end, each entry reviews basic informa- havebeenupdatedtoreflectthenewregulatorystatusof extracts. To this end, each entry reviews basic informa- havebeenupdatedtoreflectthenewregulatorystatusof tion available about the ingredient including, where ap- theseingredients. tion available about the ingredient including, where ap- theseingredients. plicable,itschemistryandfunctions,beforedetailingthe Where possible and applicable, chapter names for plicable,itschemistryandfunctions,beforedetailingthe Where possible and applicable, chapter names for preclinical and clinical literature. Articles conclude with botanical ingredients have been adapted to conform to preclinical and clinical literature. Articles conclude with botanical ingredients have been adapted to conform to referencestotherelevantliterature. thestandardizedcommonnamesintheAmericanHerbal referencestotherelevantliterature. thestandardizedcommonnamesintheAmericanHerbal v v SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= vi Preface vi Preface Products Association’s Herbs of Commerce, Second Edi- Finally,wewishtoemphasizethattheinclusionof Products Association’s Herbs of Commerce, Second Edi- Finally,wewishtoemphasizethattheinclusionof tion(2000).Theacceptedscientificnames(withauthority) chaptersonparticulardietarysupplementsinthisEncy- tion(2000).Theacceptedscientificnames(withauthority) chaptersonparticulardietarysupplementsinthisEncy- andadditionalsynonymsmaybefoundintheindividual clopediadoesnotimplythatweendorsethem. andadditionalsynonymsmaybefoundintheindividual clopediadoesnotimplythatweendorsethem. chapters. chapters. Weexpressourthankstotheauthorsoftheindivid- PaulM.Coates Weexpressourthankstotheauthorsoftheindivid- PaulM.Coates ualchapters.Thisisachallengingandsomewhatcontro- JosephM.Betz ualchapters.Thisisachallengingandsomewhatcontro- JosephM.Betz versial field, but we believe that our authors have pro- MarcR.Blackman versial field, but we believe that our authors have pro- MarcR.Blackman vided a balanced and current view of the literature. We GordonM.Cragg vided a balanced and current view of the literature. We GordonM.Cragg alsoacknowledgewithgratitudethehardworkandguid- MarkLevine alsoacknowledgewithgratitudethehardworkandguid- MarkLevine ance of Informa Healthcare’s editorial staff, particularly JoelMoss ance of Informa Healthcare’s editorial staff, particularly JoelMoss theprojecteditor,TimothyDeWerff. JeffreyD.White theprojecteditor,TimothyDeWerff. JeffreyD.White SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= Contents Contents Preface .... v L-Carnitine,Acetyl-L-Carnitine,and Preface .... v L-Carnitine,Acetyl-L-Carnitine,and Contributors .... x Propionyl-L-Carnitine 107 Contributors .... x Propionyl-L-Carnitine 107 TheChallengesofDietarySupplementResearchand CharlesJ.Rebouche TheChallengesofDietarySupplementResearchand CharlesJ.Rebouche ConsiderationsforFutureStudies .... xvi ConsiderationsforFutureStudies .... xvi β-Carotene 115 β-Carotene 115 S-Adenosylmethionine 1 ElizabethJ.JohnsonandRobertM.Russell S-Adenosylmethionine 1 ElizabethJ.JohnsonandRobertM.Russell Jose´ M.MatoandShellyC.Lu Jose´ M.MatoandShellyC.Lu CarotenoidsOverview 121 CarotenoidsOverview 121 AloeVera 7 ElizabethJ.JohnsonandRobertM.Russell AloeVera 7 ElizabethJ.JohnsonandRobertM.Russell SantiagoRodriguez,StevenDentali,and SantiagoRodriguez,StevenDentali,and DevonPowell CascaraSagrada 124 DevonPowell CascaraSagrada 124 KapilK.SoniandGailB.Mahady KapilK.SoniandGailB.Mahady Androstenedione 15 Androstenedione 15 BenjaminZ.Leder ChasteTree 129 BenjaminZ.Leder ChasteTree 129 GailB.Mahady,JoannaL.Michel,andKapilK.Soni GailB.Mahady,JoannaL.Michel,andKapilK.Soni L-Arginine 21 L-Arginine 21 MauroMaccario,GuglielmoBeccuti,ValentinaGasco, Choline 136 MauroMaccario,GuglielmoBeccuti,ValentinaGasco, Choline 136 MariangelaSeardo,GianlucaAimaretti,Emanuela StevenH.Zeisel MariangelaSeardo,GianlucaAimaretti,Emanuela StevenH.Zeisel Arvat,FabioLanfranco,andEzioGhigo Arvat,FabioLanfranco,andEzioGhigo ChondroitinSulfate 144 ChondroitinSulfate 144 Astragalus 29 KarlaL.MillerandDanielO.Clegg Astragalus 29 KarlaL.MillerandDanielO.Clegg RoyUpton RoyUpton Chromium 149 Chromium 149 Bilberry 37 RichardA.AndersonandWilliamT.Cefalu Bilberry 37 RichardA.AndersonandWilliamT.Cefalu MarilynBarrett MarilynBarrett CoenzymeQ 157 CoenzymeQ 157 10 10 Biotin 43 GustavDallnerandRolandStocker Biotin 43 GustavDallnerandRolandStocker DonaldM.Mock DonaldM.Mock ConjugatedLinoleicAcid 166 ConjugatedLinoleicAcid 166 BitterOrange 52 KristinaB.Martinez,ArionJ.Kennedy,and BitterOrange 52 KristinaB.Martinez,ArionJ.Kennedy,and SteffanyHaaz,K.Y.Williams,KevinR.Fontaine,and MichaelK.McIntosh SteffanyHaaz,K.Y.Williams,KevinR.Fontaine,and MichaelK.McIntosh DavidB.Allison DavidB.Allison Copper 175 Copper 175 BlackCohosh 60 LeslieM.Klevay BlackCohosh 60 LeslieM.Klevay DanielS.Fabricant,ElizabethC.Krause,and DanielS.Fabricant,ElizabethC.Krause,and NormanR.Farnsworth Cordyceps 185 NormanR.Farnsworth Cordyceps 185 JohnHolliday,MattCleaver,MojcaTajnik,JosephM. JohnHolliday,MattCleaver,MojcaTajnik,JosephM. Blue-GreenAlgae(Cyanobacteria) 75 Cerecedes,andSolomonP.Wasser Blue-GreenAlgae(Cyanobacteria) 75 Cerecedes,andSolomonP.Wasser WayneW.CarmichaelandMaryStukenbergwith WayneW.CarmichaelandMaryStukenbergwith JosephM.Betz Cranberry 193 JosephM.Betz Cranberry 193 MargueriteA.Klein MargueriteA.Klein Boron 82 Boron 82 CurtissHunt Creatine 202 CurtissHunt Creatine 202 G.S.Salomons,C.Jakobs,andM.Wyss G.S.Salomons,C.Jakobs,andM.Wyss Caffeine 90 Caffeine 90 HarrisR.Lieberman,ChristinaE.Carvey,and DongQuai 208 HarrisR.Lieberman,ChristinaE.Carvey,and DongQuai 208 LaurenA.Thompson RoyUpton LaurenA.Thompson RoyUpton Calcium 101 Dehydroepiandrosterone 217 Calcium 101 Dehydroepiandrosterone 217 RobertP.Heaney SalvatoreAlesci,IriniManoli,andMarcR.Blackman RobertP.Heaney SalvatoreAlesci,IriniManoli,andMarcR.Blackman vii vii SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= viii Contents viii Contents EchinaceaSpecies 226 Hawthorn 411 EchinaceaSpecies 226 Hawthorn 411 RudolfBauerandKarinWoelkart EgonKoch,WernerR.Busse,WiltrudJuretzek,and RudolfBauerandKarinWoelkart EgonKoch,WernerR.Busse,WiltrudJuretzek,and VitaliChevts VitaliChevts Elderberry 235 Elderberry 235 MadeleineMumcuoglu,DanielSafirman,and 5-Hydroxytryptophan 423 MadeleineMumcuoglu,DanielSafirman,and 5-Hydroxytryptophan 423 MinaFerne PedroDelCorral,KathrynS.King,andKarelPacak MinaFerne PedroDelCorral,KathrynS.King,andKarelPacak Eleuthero 241 Iron 432 Eleuthero 241 Iron 432 JosefA.Brinckmann LauraE.Murray-KolbandJohnBeard JosefA.Brinckmann LauraE.Murray-KolbandJohnBeard Ephedra 250 Isoflavones 439 Ephedra 250 Isoflavones 439 AnneL.ThurnwithJosephM.Betz MarkMessina AnneL.ThurnwithJosephM.Betz MarkMessina EveningPrimrose 256 Isothiocyanates 450 EveningPrimrose 256 Isothiocyanates 450 FereidoonShahidiandHomanMiraliakbari ElizabethH.JefferyandAnna-SigridKeck FereidoonShahidiandHomanMiraliakbari ElizabethH.JefferyandAnna-SigridKeck Feverfew 267 Kava 459 Feverfew 267 Kava 459 DennisV.C.Awang MichaelJ.Balick,KatherineHerrera,and DennisV.C.Awang MichaelJ.Balick,KatherineHerrera,and StevenM.Musser StevenM.Musser Flaxseed 274 Flaxseed 274 LilianU.ThompsonandJulieK.Mason LactobacilliandBifidobacteria 469 LilianU.ThompsonandJulieK.Mason LactobacilliandBifidobacteria 469 LindaC.Duffy,StephenSporn,PatriciaHibberd, LindaC.Duffy,StephenSporn,PatriciaHibberd, Folate 288 CarolPontzer,GloriaSolano-Aguilar,SusanV.Lynch, Folate 288 CarolPontzer,GloriaSolano-Aguilar,SusanV.Lynch, PamelaBagleyandBarryShane andCrystalMcDade-Ngutter PamelaBagleyandBarryShane andCrystalMcDade-Ngutter FrenchMaritimePine 298 Licorice 479 FrenchMaritimePine 298 Licorice 479 PeterJ.Rohdewald DecioArmanini,CristinaFiore,JensBielenberg,and PeterJ.Rohdewald DecioArmanini,CristinaFiore,JensBielenberg,and EugenioRagazzi EugenioRagazzi Garcinia 307 Garcinia 307 FrankGreenway α-LipoicAcid/ThiocticAcid 487 FrankGreenway α-LipoicAcid/ThiocticAcid 487 DonaldB.McCormick DonaldB.McCormick Garlic 314 Garlic 314 J.A.Milner Lutein 493 J.A.Milner Lutein 493 JohnPaulSanGiovanni,EmilyY.Chew,and JohnPaulSanGiovanni,EmilyY.Chew,and Ginger 325 ElizabethJ.Johnson Ginger 325 ElizabethJ.Johnson TieraonaLowDog TieraonaLowDog Lycopene 504 Lycopene 504 Ginkgo 332 RachelKopec,StevenJ.Schwartz,andCraigHadley Ginkgo 332 RachelKopec,StevenJ.Schwartz,andCraigHadley KristianStrømgaard,StineB.Vogensen,JosephSteet, KristianStrømgaard,StineB.Vogensen,JosephSteet, andKojiNakanishi Maca 518 andKojiNakanishi Maca 518 IliasMuhammad,JianpingZhao,andIkhlasA.Khan IliasMuhammad,JianpingZhao,andIkhlasA.Khan Ginseng,American 339 Ginseng,American 339 Chong-ZhiWangandChun-SuYuan Magnesium 527 Chong-ZhiWangandChun-SuYuan Magnesium 527 RobertK.Rude RobertK.Rude Ginseng,Asian 348 Ginseng,Asian 348 LeeJiaandFabioSoldati Melatonin 538 LeeJiaandFabioSoldati Melatonin 538 AmnonBrzezinskiandRichardJ.Wurtman AmnonBrzezinskiandRichardJ.Wurtman Glucosamine 363 Glucosamine 363 KarlaL.MillerandDanielO.Clegg MilkThistle 550 KarlaL.MillerandDanielO.Clegg MilkThistle 550 ElenaLadas,DavidJ.Kroll,andKaraM.Kelly ElenaLadas,DavidJ.Kroll,andKaraM.Kelly Glutamine 370 Glutamine 370 StevenF.Abcouwer Niacin 562 StevenF.Abcouwer Niacin 562 ChristelleBourgeoisandJoelMoss ChristelleBourgeoisandJoelMoss Goldenseal 379 Goldenseal 379 DennisJ.McKennaandGregoryA.Plotnikoff Noni 570 DennisJ.McKennaandGregoryA.Plotnikoff Noni 570 AlisonD.Pawlus,Bao-NingSu,YeDeng,and AlisonD.Pawlus,Bao-NingSu,YeDeng,and GrapeSeedExtract 391 A.DouglasKinghorn GrapeSeedExtract 391 A.DouglasKinghorn DallasL.Clouatre,ChithanKandaswami,and DallasL.Clouatre,ChithanKandaswami,and KevinM.Connolly Omega-3FattyAcids 577 KevinM.Connolly Omega-3FattyAcids 577 WilliamS.Harris WilliamS.Harris GreenTeaPolyphenols 402 GreenTeaPolyphenols 402 ShengminSang,JoshuaD.Lambert,Chi-TangHo,and ShengminSang,JoshuaD.Lambert,Chi-TangHo,and ChungS.Yang ChungS.Yang SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= Contents ix Contents ix Omega-6FattyAcids 587 St.John’sWort 727 Omega-6FattyAcids 587 St.John’sWort 727 WilliamL.SmithandBillLands JerryM.Cott WilliamL.SmithandBillLands JerryM.Cott PancreaticEnzymes 598 Taurine 738 PancreaticEnzymes 598 Taurine 738 NareshSundaresan,UnwanaobongNseyo,and RobinJ.Marles,ValerieA.Assinewe,JuliaA.Fogg, NareshSundaresan,UnwanaobongNseyo,and RobinJ.Marles,ValerieA.Assinewe,JuliaA.Fogg, JoelMoss MiloszKaczmarek,andMichaelC.W.Sek JoelMoss MiloszKaczmarek,andMichaelC.W.Sek PantothenicAcid 604 Thiamin 748 PantothenicAcid 604 Thiamin 748 LawrenceSweetman HamidM.Said LawrenceSweetman HamidM.Said Paud’Arco 612 Turmeric 754 Paud’Arco 612 Turmeric 754 MemoryP.F.Elvin-LewisandWalterH.Lewis JanetL.Funk MemoryP.F.Elvin-LewisandWalterH.Lewis JanetL.Funk Phosphorus 626 Valerian 766 Phosphorus 626 Valerian 766 JohnJ.B.AndersonandSanfordC.Garner DennisV.C.Awang JohnJ.B.AndersonandSanfordC.Garner DennisV.C.Awang PolyphenolsOverview 632 VitaminA 778 PolyphenolsOverview 632 VitaminA 778 NavindraP.Seeram A.CatharineRoss NavindraP.Seeram A.CatharineRoss Proanthocyanidins 635 VitaminB 792 Proanthocyanidins 635 VitaminB 792 6 6 CatherineKwik-Uribe,RebeccaRobbins,and JamesE.Leklem CatherineKwik-Uribe,RebeccaRobbins,and JamesE.Leklem GaryBeecher GaryBeecher VitaminB 812 VitaminB 812 12 12 Pygeum 650 LindsayH.Allen Pygeum 650 LindsayH.Allen Franc¸oisG.BrackmanandAlanEdgarwith Franc¸oisG.BrackmanandAlanEdgarwith PaulM.Coates VitaminC 821 PaulM.Coates VitaminC 821 SebastianPadayatty,MichaelGrahamEspey,and SebastianPadayatty,MichaelGrahamEspey,and Quercetin 656 MarkLevine Quercetin 656 MarkLevine JaeB.Park JaeB.Park VitaminD 832 VitaminD 832 RedClover 665 PatsyBrannon,MaryFrancesPicciano,and RedClover 665 PatsyBrannon,MaryFrancesPicciano,and ElizabethC.Krause,NancyL.Booth,ColleenE. MichelleK.McGuire ElizabethC.Krause,NancyL.Booth,ColleenE. MichelleK.McGuire Piersen,andNormanR.Farnsworth Piersen,andNormanR.Farnsworth VitaminE 841 VitaminE 841 Reishi 680 MaretG.Traber Reishi 680 MaretG.Traber SolomonP.Wasser SolomonP.Wasser VitaminK 851 VitaminK 851 Riboflavin 691 J.W.Suttie Riboflavin 691 J.W.Suttie RichardS.Rivlin RichardS.Rivlin Yohimbe 861 Yohimbe 861 SawPalmetto 700 JosephM.Betz SawPalmetto 700 JosephM.Betz EdwardM.CroomandMichaelChan EdwardM.CroomandMichaelChan Zinc 869 Zinc 869 Selenium 711 CarolynS.ChungandJanetC.King Selenium 711 CarolynS.ChungandJanetC.King RogerA.Sunde RogerA.Sunde Index .... 877 Index .... 877 Shiitake 719 Shiitake 719 SolomonP.Wasser SolomonP.Wasser SPH SPH SPH SPH fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= fm IHBK067-Coates June3,2010 10:54 Trim:11in×8.5in Series:8.5×11tight CharCount= Contributors Contributors StevenF.Abcouwer DepartmentsofSurgery,Cellular GuglielmoBeccuti DivisionofEndocrinology, StevenF.Abcouwer DepartmentsofSurgery,Cellular GuglielmoBeccuti DivisionofEndocrinology, andMolecularPhysiology,andOphthalmology,Penn DiabetesandMetabolism,DepartmentofInternal andMolecularPhysiology,andOphthalmology,Penn DiabetesandMetabolism,DepartmentofInternal StateUniversityCollegeofMedicine,MiltonS.Hershey Medicine,UniversityofTurin,Turin,Italy StateUniversityCollegeofMedicine,MiltonS.Hershey Medicine,UniversityofTurin,Turin,Italy MedicalCenter,Hershey,Pennsylvania,U.S.A. MedicalCenter,Hershey,Pennsylvania,U.S.A. GaryBeecher Consultant,Lothian,Maryland,U.S.A. GaryBeecher Consultant,Lothian,Maryland,U.S.A. GianlucaAimaretti DivisionofEndocrinology, GianlucaAimaretti DivisionofEndocrinology, JosephM.Betz OfficeofDietarySupplements, JosephM.Betz OfficeofDietarySupplements, DiabetesandMetabolism,DepartmentofInternal DiabetesandMetabolism,DepartmentofInternal NationalInstitutesofHealth,Bethesda,Maryland, NationalInstitutesofHealth,Bethesda,Maryland, Medicine,UniversityofTurin,Turin,Italy Medicine,UniversityofTurin,Turin,Italy U.S.A. U.S.A. SalvatoreAlesci DiscoveryTranslationalMedicine, SalvatoreAlesci DiscoveryTranslationalMedicine, JensBielenberg DepartmentofMedicalandSurgical JensBielenberg DepartmentofMedicalandSurgical Pfizer,Collegeville,Pennsylvania,U.S.A. Pfizer,Collegeville,Pennsylvania,U.S.A. Sciences,UniversityofPadua,Padua,Italy Sciences,UniversityofPadua,Padua,Italy LindsayH.Allen UnitedStatesDepartmentof LindsayH.Allen UnitedStatesDepartmentof MarcR.Blackman ResearchService,VeteransAffairs MarcR.Blackman ResearchService,VeteransAffairs Agriculture,AgriculturalResearchService—Western Agriculture,AgriculturalResearchService—Western MedicalCenter,Washington,D.C.,U.S.A.,and MedicalCenter,Washington,D.C.,U.S.A.,and HumanNutritionResearchCenter,Davis,California, HumanNutritionResearchCenter,Davis,California, DepartmentsofMedicine,GeorgeWashington DepartmentsofMedicine,GeorgeWashington U.S.A. U.S.A. University,JohnsHopkinsUniversity,andUniversityof University,JohnsHopkinsUniversity,andUniversityof DavidB.Allison DepartmentofBiostatistics/Nutrition MarylandSchoolsofMedicine DavidB.Allison DepartmentofBiostatistics/Nutrition MarylandSchoolsofMedicine ObesityResearchCenter,TheUniversityofAlabamaat ObesityResearchCenter,TheUniversityofAlabamaat NancyL.Booth SpherixConsulting,Inc,Bethesda, NancyL.Booth SpherixConsulting,Inc,Bethesda, Birmingham,Birmingham,Alabama,U.S.A. Birmingham,Birmingham,Alabama,U.S.A. Maryland,U.S.A. Maryland,U.S.A. JohnJ.B.Anderson SchoolsofPublicHealthand JohnJ.B.Anderson SchoolsofPublicHealthand ChristelleBourgeois MaxF.PerutzLaboratories, ChristelleBourgeois MaxF.PerutzLaboratories, Medicine,UniversityofNorthCarolina,ChapelHill, Medicine,UniversityofNorthCarolina,ChapelHill, InstituteofMedicalBiochemistry,MedicalUniversityof InstituteofMedicalBiochemistry,MedicalUniversityof NorthCarolina,U.S.A. NorthCarolina,U.S.A. Vienna,Vienna,Austria Vienna,Vienna,Austria RichardA.Anderson Diet,Genomics,and RichardA.Anderson Diet,Genomics,and Franc¸oisG.Brackman FournierPharma,Garches, Franc¸oisG.Brackman FournierPharma,Garches, ImmunologyLaboratory,BeltsvilleHumanNutrition ImmunologyLaboratory,BeltsvilleHumanNutrition France France ResearchCenter,Beltsville,Maryland,U.S.A. ResearchCenter,Beltsville,Maryland,U.S.A. PatsyBrannon DivisionofNutritionalSciences, PatsyBrannon DivisionofNutritionalSciences, DecioArmanini DepartmentofMedicalandSurgical DecioArmanini DepartmentofMedicalandSurgical CornellUniversity,Ithaca,NewYork,U.S.A. CornellUniversity,Ithaca,NewYork,U.S.A. Sciences,UniversityofPadua,Padua,Italy Sciences,UniversityofPadua,Padua,Italy JosefA.Brinckmann TraditionalMedicinals, JosefA.Brinckmann TraditionalMedicinals, EmanuelaArvat DivisionofEndocrinology,Diabetes EmanuelaArvat DivisionofEndocrinology,Diabetes Sebastopol,California,U.S.A. Sebastopol,California,U.S.A. andMetabolism,DepartmentofInternalMedicine, andMetabolism,DepartmentofInternalMedicine, UniversityofTurin,Turin,Italy AmnonBrzezinski DepartmentofObstetricsand UniversityofTurin,Turin,Italy AmnonBrzezinski DepartmentofObstetricsand Gynecology,TheHebrewUniversity–HadassahMedical Gynecology,TheHebrewUniversity–HadassahMedical ValerieA.Assinewe NaturalHealthProducts ValerieA.Assinewe NaturalHealthProducts School,Jerusalem,Israel School,Jerusalem,Israel Directorate,HealthCanada,Ottawa,Ontario,Canada Directorate,HealthCanada,Ottawa,Ontario,Canada WernerR.Busse Dr.WillmarSchwabeGmbH&Co. WernerR.Busse Dr.WillmarSchwabeGmbH&Co. DennisV.C.Awang MediPlantConsultingServices, DennisV.C.Awang MediPlantConsultingServices, KG,Karlsruhe,Germany KG,Karlsruhe,Germany WhiteRock,BritishColumbia,Canada WhiteRock,BritishColumbia,Canada WayneW.Carmichael DepartmentofBiological WayneW.Carmichael DepartmentofBiological PamelaBagley BiomedicalLibraries,Dartmouth PamelaBagley BiomedicalLibraries,Dartmouth Sciences,WrightStateUniversity,Dayton,Ohio,U.S.A. Sciences,WrightStateUniversity,Dayton,Ohio,U.S.A. College,Hanover,NewHampshire,U.S.A. College,Hanover,NewHampshire,U.S.A. ChristinaE.Carvey MilitaryNutritionDivision,U.S. ChristinaE.Carvey MilitaryNutritionDivision,U.S. MichaelJ.Balick InstituteofEconomicBotany,The MichaelJ.Balick InstituteofEconomicBotany,The ArmyResearchInstituteofEnvironmentalMedicine, ArmyResearchInstituteofEnvironmentalMedicine, NewYorkBotanicalGarden,Bronx,NewYork,U.S.A. NewYorkBotanicalGarden,Bronx,NewYork,U.S.A. Natick,Massachusetts,U.S.A. Natick,Massachusetts,U.S.A. MarilynBarrett PharmacognosyConsulting,Mill MarilynBarrett PharmacognosyConsulting,Mill WilliamT.Cefalu PenningtonBiomedicalResearch WilliamT.Cefalu PenningtonBiomedicalResearch Valley,California,U.S.A. Valley,California,U.S.A. Center,LouisianaStateUniversity,BatonRouge, Center,LouisianaStateUniversity,BatonRouge, RudolfBauer InstituteofPharmaceuticalSciences, Louisiana,U.S.A. RudolfBauer InstituteofPharmaceuticalSciences, Louisiana,U.S.A. DepartmentofPharmacognosy,Karl-Franzens- DepartmentofPharmacognosy,Karl-Franzens- JosephM.Cerecedes MycoverseUnlimitedInc., JosephM.Cerecedes MycoverseUnlimitedInc., UniversityGraz,Graz,Austria UniversityGraz,Graz,Austria Ashland,Oregon,U.S.A. Ashland,Oregon,U.S.A. JohnBeard DepartmentofNutritionalSciences, JohnBeard DepartmentofNutritionalSciences, MichaelChan BritishColumbiaInstituteof MichaelChan BritishColumbiaInstituteof ThePennsylvaniaStateUniversity,UniversityPark, ThePennsylvaniaStateUniversity,UniversityPark, Technology,Burnaby,BritishColumbia,Canada Technology,Burnaby,BritishColumbia,Canada Pennsylvania,U.S.A.(Deceased). Pennsylvania,U.S.A.(Deceased). x x

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