|
Oral
- dextran sulfate,
- pentosane polysulfate,
- chondroitin sulfate and
- heparin sulfate
- glucosamine 6-sulfate
(Note: Pasteurization of milk is done to prevent transmission of diseases
like bovine tuberculosis from cows to people. Consumption of raw milk should be
only from a dairy cow certified by a veterinarian to be free of any
transmissible disease. Two states, California and I believe Vermont allow for
the public sale of Certified Organic Raw Milk.) Glucosamine 6-sulfate found to
have significant anti-HIV activity. Basgasra et al of the Jefferson Medical
College in Philadelphia, PA found that sulfated polysaccharides and one sulfated
monosaccharide, glucosamine 6-sulfate, have significant anti-HIV activity (1).
The authors discussed previous research that found that 4 sulfated
polysaccharides: dextran sulfate, pentosane polysulfate, chondroitin sulfate and
heparin sulfate, had anti-HIV activity. Basgasra tested these using 4 different
assays to measure anti-HIV activity and concluded that “only sulfated
polysaccharides and one sulfated monosaccharide, glucosamine 6-sulfate, have
significant anti HIV-1 activity.”
http://www.publishedresearch.com/GFS/index.html
wakame seaweed for sulphated polysaccharide good for oral, maybe also good for
topical.
Elderberry formula activates healthy
immune system
A small study concluded that Sambucol, a proprietary standardized extract of
black elderberry (Sambucus nigra), stimulates the healthy immune system
by increasing production of inflammatory cytokines. Cytokine production was
measured using monocytes derived from the blood of 12 healthy volunteers, which
were incubated with four different Sambucol products: Sambucol Black Elderberry
Extract, Sambucol Black Elderberry Syrup, Sambucol Immune System, and Sambucol
for Kids. Of the four products tested for immune-stimulating activity, Sambucol
Black Elderberry Extract demonstrated the most significant effect on cytokine
production. The most dramatic increase observed was in production of TNF-a. Barak
V, Halperin T, Kalickman I. The effect of Sambucol, a black elderberry-based,
natural product, on the production of human cytokines: I. inflammatory
cytokines. Eur Cytokine Netw 2001; 12(2): 290-296.
Echinacea combination formula effective against common
cold
A randomized, double-blind, placebo-controlled study involving 263 people
showed than a proprietary herbal formula was significantly more effective than
placebo in relieving cold symptoms. The herb formula used was Esberitox® N,
manufactured by Schaper & Brummer GmbH & Co. of Salxgitter, Germany.
Esberitox N is an alcohol extract containing Echinacea purpurea and E.
pallida root, wild indigo (Baptisia tinctoria) root, and white cedar
(Thuja occidentalis) leaf. Patients took the formula (three tablets three
times daily) or placebo for seven to nine days. During treatment, the patients
recorded the severity of 18 different cold symptoms. Results showed that
treatment with Esberitox N improved all major cold symptoms. Treatment response
was seen as early as day 3 for people taking Esberitox N (18.4 percent vs. no
response for placebo); response increased by day 5 to 55.4 percent for Esberitox
N patients, compared with about 28 percent for placebo. Best results were seen
in people who started treatment with the Esberitox N early, before symptoms
peaked. Henneicke-von Zepelin HH, Hentschel C, Schnitker J, et al. Efficacy
and safety of a fixed combination phytomedicine in the treatment of the common
cold (acute viral respiratory tract infection): results of a randomised, double
blind, placebo controlled, multicentre study. Current Medical Research and
Opinion 1999; 15(3): 214-227.
Two consecutive randomized, double-blind clinical trials concluded that a
fixed combination of Andrographis paniculata and Siberian ginseng (eleuthero,
Eleutherococcus senticosus) was significantly more effective than placebo
in relieving symptoms of cold or flu. In the first trial (a pilot study of 46
subjects) the total symptom score showed a tendency toward improvement, while in
the second (a larger, phase III clinical study involving 179 participants),
highly significant improvement was seen in both total symptom and total
diagnosis scores in people taking the herbal formula. For the pilot trial,
subjects were treated for a minimum of three and a maximum of eight days; in the
phase III trial, subjects took the herbal formula for exactly three days.
Results were assessed by both participants and physicians. In both studies,
throat symptoms demonstrated the most significant improvement. Melchior J,
Spasov AA, Ostrovkij OV, et al. Double-blind, placebo-controlled pilot and phase
III study of activity of standardized Andrographis paniculata Herba Nees
extract fixed combination (Kan jang) in the treatment of uncomplicated
upper-respiratory tract infection. Phytomedicine 2000; 7(5): 341-350.
Journal
Articles:
GFS, a Preparation of
Tasmanian Undaria Pinnatifida is Associated with Healing and Inhibition of
Reactivation of Herpes.
|
Results
Patient study.
In total, seven cases of HSV-1, five cases of HSV-2, three of active
Herpes zoster (one chicken pox, two shingles) and two of EBV were
assessed. Results are presented in tables 1A and 1 B.
Active infection- table 1A
All fifteen patients with active herpetic viral infections experienced
relief from symptoms. No adverse side effects were noted during the
study.
Two patients (subjects 4A 5 A) with noncompliant dosage regimes
resolved infections in normal time, but noted no spread of lesions (as
occurred during previous outbreaks). Reduction in lesion severity and
rapid clearance were noted in two patients (subjects 6A,7A), and pain
reduction as compared to previous events was noted by two patients
(subjects 2A,14A). Two females with genital HSV-2 had persistent
lesions which resolved during the course of treatment (subjects
8A,10A).
In two cases of diagnosed EBV, one clear at four and the other by ten
days. In the latter patient a chronic sinus condition also cleared
(subjects 11A,12A)
Over ten days, faster drying of zoster lesions and increased speed of
normal cycle as compared to previous outbreaks was noted by a male
patient (subject 14) although no reduction in pain was reported. In an
adult male suffering primary zoster (chicken pox) lesions of whole
body (subject 15), pain reduction and rapid healing of lesions were
noted.
Latent infections –table 1B
All six patients on maintenance doses noted inhibition of further
outbreaks of infection. No adverse side effects were noted during the
study.
HSV-1 outbreaks were inhibited in two patients taking a maintenance
dose over three months and two years respectively (subject 1B and 2B).
Low grade HSV-1 associated keratoconjunctivitis in the former patient
was also inhibited
GFS ingestion correlated with inhibition of a previously persistent
HSV-2 infection for three months in subject 4B. In this patient, the
infection was ACV resistant and outbreaks had been apparent on a two
weekly basis for over a year.
HSV-2 outbreaks at the genital site were inhibited in two other female
patients whilst taking a maintenance dose of two capsules per day, for
one month (subjects 5,6 B).
Low grade persistent Herpes zoster (shingles) lesions of the whole
torso were inhibited for two months in an elderly patient whilst
maintaining a dose of four capsules per day (3B).
|
GFS, a Preparation of Tasmanian
Undaria Pinnatifida is Associated with Healing and Inhibition of Reactivation of
Herpes.
|
C) In vitro effects on HSV
Herpes viruses were assessed for infectivity of human fibroblasts
cells in vitro. Inhibition by GFS extract was noted as shown in
table 2.
D) T cell stimulation in vitro
GFS extract was assessed for effects on whole human T cell preparation
in vitro. After incubation with GFS extract or mitogens PHA and
ConA, for 72 hours the relative uptake of chromium was assessed as a
measure of mitogenicity. The lowest concentration of GFS extract
tested (25mcg/ml) exerted a four fold mitogenic effect on T cells,
over 50% of the mitogenic potency of the known mitogens PHA (six fold)
and ConA (seven fold). Paradoxically, increased concentrations of the
whole extract showed decreasing effects on mitogenic activity. This
may be accounted for by the increasing physical inhibition due to
increased viscosity in the culture media, or the increasing
concentration of unidentified inhibitory components present in the
extract. Results are shown in Figure 1.
Additional studies illustrated little effect on NK cell activity and
no effects on L929 fibroblast growth over 24 or 72 hours (results not
shown). There was no bacterial contamination of the GFS (results not
shown), thus the presence of bacterial lipopolysaccharides (which may
also act as mitogens) was ruled out.
Discussion
This study was carried out to assess the effects of GFS in patient
studies and in vitro.
GFS was ingested by patients suffering active or latent herpes
infections. Results indicated firstly, increased rate of healing, and
secondly, inhibition of outbreaks in cases of HSV-1, HSV-2, ACV
resistant HSV-2, and zoster. There were no adverse side effects noted,
and GFS was well tolerated by all subjects. Reduced pain levels were
noted in some cases, which may be a result of the increased rate of
healing.
A particularly noteworthy result in this study was inhibition of an
ACV resistant case of HSV-2. HSV-2 is a sexually transmitted disease
of increasing incidence (4). In part, this is due to the fact that
partner transmission may occur during asymptomatic shedding (4) or
unrecognised minor outbreaks. Suppressive therapies such as ACV have
been tested for their ability to inhibit shedding (18). However, for
long-term use, non toxic alternatives such as GFS may be preferred by
patients, who perceive long term conventional drug use as detrimental.
In addition, GFS may reduce the generation of resistant strains which
arise
through prolonged use of drugs such as ACV.
GFS extract potently inhibited HSV infection of human cells, and
stimulated human T cell proliferation in vitro, suggesting that
these mechanisms may be relevant to the observed clinical response.
Further research into GFS inhibition of HSV in vitro has been
undertaken, indicating that inhibition of clinical ACV resistant
strains by GFS and a partially purified galactofucan sulphate extract
occur with respectively with IC50s of 8 and 2 mcg/ml (HSVI) and 4 and
0.5mcg/ml(HSV2) (19). These results concur with observations by Muto et
al (20) on inhibition of HIV infection in vitro by Undaria
extracts. HIV is another coated virus that uses similar cell surface
receptors for entry, and is inhibited by polyanions (9).
|
|
Human T cell proliferation in vitro observed here concurs with
observations by Shan et al (16). Cytotoxic T cells play a
prominent role in the immune response in the local environment of HSV-2
infections (21), and have been shown to be key elements of immune
defence against HSV-I and other viruses (22,23). Thus the observed T
cell mitogenic effect caused by GFS in vitro may be related to
enhanced immunity in vivo.
Ingestion of GFS may inhibit viral infection of mucosal surfaces of the
gut simply by its presence in the gut lumen. Sulphated molecules with
similarities to sulphated galactofucan, such as dermatan sulphate have
been shown to be present in plasma after oral ingestion (24).
Macromolecules are known to pass through the gut into plasma and into
lymph via the extensive gut lymphoid system (25) where they may affect
immune function. The gut lymphoid system or ‘GALT’ comprises Peyers
patches and gut cryptopatches where different types of T cells and other
immune cells participate in uptake or contact with gut contents. T cell
uptake or contact with GFS by either Peyers patch or gut cryptopatch
dwelling cells may result in the proliferative response noted here in
vitro. However, immune indicators were not measured in this study.
Whilst further research is called for, the results obtained in this
study show that ingestion of GFS is associated with resolution, reduced
pain and outbreak inhibition of Herpes virus infections. Studies
regarding uptake, immunostimulation and anti-viral effects of GFS are in
progress.
Conclusions
The rise in nucleic acid inhibitor resistant strains of HSV-2, and the
need for non aggressive anti-viral therapies, indicates a role for
alternative therapeutic routes such as that demonstrated here for GFS.
Ingestion of GFS has inhibitory effects on reactivation of HSV and
positively affects the resolution of active Herpes infections. GFS has
inhibitory effects on Herpes infectivity in vitro and a T cell
mitogenic effect in vitro.
The mechanism of inhibition of Herpes infections is likely to be, in
part, mediated by galactofucan present in the GFS.
Acknowledgements
Marine Resources Pty Ltd supplied GFS for this study. Thanks to C
Trambas (University of Tasmania) for data on T cell mitogenicity.
Declaration of competing interests
Charles Dragar, Russell Cooper, Ken Thompson, John Godwin, Kate Elliot
have no declared interests. JH Fitton is a research scientist of Marine
Biomedical Research Tasmania Australia.
|
Eleuthero improves lipid metabolism, physical fitness, and
immune function
A Polish study in healthy volunteers showed that eleuthero (Eleutherococcus
senticosus) was more effective than echinacea in improving parameters of
cardiovascular health, fitness, and immune function after 30 days of treatment.
The 50 study participants were randomly divided into two groups and treated with
the eleuthero preparation Taigutan (a 1:1 ethanol extract at a dose of 25 drops
three times daily) or the echinacea product Echinacin Madaus (40 drops three
times daily) for 30 days. The eleuthero group had statistically significant
reductions in levels of total cholesterol, low density lipoprotein (LDL)
cholesterol, free fatty acids, triglycerides, and glucose compared with the
echinacea group. There was also a statistically significant difference in immune
system function among those taking eleuthero, as demonstrated by tests of
phagocytic activity and spontaneous blastic transformation of lymphocytes, but
only insignificant changes in numbers of lymphocytes able to stimulate cytokine
production. In addition, spirometric tests of physical fitness were performed on
20 randomly selected participants. Those taking eleuthero showed statistically
significant increases in maximal oxygen uptake after 30 days of treatment,
compared with no change in the echinacea group. Szolomicki S, Samchowiec L, Wójcicki,
et al. The influence of active components of Eleutherococcus on cellular
defense and phyisical fitness in man. Phytotherapy Research 2000; 14:
30-35.
kakkon-to
Kakkon-to is one of the representative traditional herb medicines (Kampo
formulae) and has been used historically for the treatment of infectious
diseases in China and Japan. The efficacy of this preparation was
characterised using a cutaneous herpes simplex virus type 1 (HSV-1) infection
in mice as a model for human viral infection. Kakkon-to at a dose
corresponding to human use reduced significantly the mortality of
HSV-1-infected mice and localised skin lesions. Delayed type hypersensitivity
(DTH) response to HSV-1 antigen was significantly stronger in treated mice
than in untreated mice. Kakkon-to did not inhibit the growth of HSV-1 in
vitro. Natural killer cell activity, natural cytotoxic killer cell activity,
and the population of T-cell subsets in spleen cells of infected mice were not
affected by the drug. Kakkon-to did not augment interferon induction and
anti-HSV-1 antibody production, nor increased cytokine levels such as
interleukin-1 alpha, interleukin-2, interferon-gamma, and tumour necrosis
factor-alpha in sera of infected mice. Thus, Kakkon-to induced strong DTH to
HSV-1 in infected mice, which may have caused localisation of skin lesions and
reduction in the mortality of treated mice.
Efficacy of kakkon-to, a traditional herb medicine, in
herpes simplex virus type 1 infection in mice. Nagasaka K, Kurokawa M, Imakita
M, Terasawa K, Shiraki K Department of Japanese Oriental Medicine, Toyama
Medical and Pharmaceutical University, Japan.
Rhus
javanica
Rhus javanica, a medicinal herb, has been shown to exhibit
oral therapeutic anti-herpes simplex virus (HSV) activity in mice. We purified
two major anti-HSV compounds, moronic acid and betulonic acid, from the herbal
extract by extraction with ethyl acetate at pH 10 followed by chromatographic
separations and examined their anti-HSV activity in vitro and in vivo. Moronic
acid was quantitatively a major anti-HSV compound in the ethyl acetate-soluble
fraction. The effective concentrations for 50% plaque reduction of moronic
acid and betulonic acid for wild-type HSV type 1 (HSV-1) were 3.9 and 2.6
microgram/ml, respectively. The therapeutic index of moronic acid (10.3-16.3)
was larger than that of betulonic acid (6.2). Susceptibility of aciclovir-phosphonoacetic acid-resistant HSV-1, thymidine kinase-deficient
HSV-1, and wild-type HSV type 2 to moronic acid was similar to that of the
wild-type HSV-1. When this compound was administered orally to mice infected
cutaneously with HSV-1 three times daily, it significantly retarded the
development of skin lesions and/or prolonged the mean survival times of
infected mice without toxicity compared with the control. Moronic acid
suppressed virus yields in the brain more efficiently than those in the skin.
This was consistent with the prolongation of mean survival times. Thus,
moronic acid was purified as a major anti-HSV compound from the herbal extract
of Rhus javanica. Mode of the anti-HSV activity was different from that of
ACV. Moronic acid showed oral therapeutic efficacy in HSV-infected mice and
possessed novel anti-HSV activity that was consistent with that of the
extract.
J Pharmacol Exp Ther 1999 Apr;289(1):72-8 Anti-herpes
simplex virus activity of moronic acid purified from Rhus javanica in vitro
and in vivo. Kurokawa M, Basnet P, Ohsugi M, Hozumi T, Kadota S, Namba T,
Kawana T, Shiraki K Department of Virology, Toyama Medical and Pharmaceutical
University, Sugitani, Toyama, Japan.
According to laboratory research, an extract from elderberry leaves, combined
with St. John’s wort and soapwort, inhibits the herpes simplex virus.
Serkedjieva J, Manolova N, Zgorniak-Nowosielska I, et al.
Antiviral activity of the infusion (SHS-174) from flowers of Sambucus nigra L.,
aerial parts of Hypericum perforatum L., and roots of Saponaria officinalis L.
against influenza and herpes simplex viruses. Phytother Res 1990;4:97–100
Elderberry has good clinical research as a viral fighter.
Prophylactic efficacy of traditional herbal medicines
for long term prophylactic use oral ingestion
geum japonicum thunb (g. japonicum)
rhus javanica L. (r. javanica)
syzygium aromaticum (s. aromaticum
Terminalia chebula retzus (t. chebula)
are all poten anti hsv1
herbal extracts were prepared as hot water extracts from 4 dried traditional herbal medicines
g.japonicum (whole plant)
r javanica (gall)
s. aromaticum (flower bud)
t. chebula (fruit)
as described previously. briefly, the dried materials were boiled under refulx and the aqueous extracts were filtered and lyophilized. the lyophilized extract was suspended in distilled water at 20 mg/ml and boiled for 10 min. Agter centrifugation at 3000 rpm for 15 min, the supernatant was used for administration to mice.
the dose is 750 mg/kgday of herbal extract.
acrobat file
Enzymatic Therapy Esberitox contains two forms of echinacea
plus baptisia and thuja. It stimulates a broad spectrum of immune system
factors.
Enzymatic Therapy Herpalyn combines a 70:1 concentration of
Melissa with 1% allantoin, a healing cell proliferant as a topical cream for herpes
simplex cold sore outbreaks.
Gaia Echinacea Supreme is an anti-viral and secretory immune
booster
Gaia Echinacea/Goldenseal Supreme and /Propolis
throat Spray are strong natural antibiotics.
Gaia Lomatium Supreme is a strong anti-viral immune system
builder.
Gaia Astragalus Supreme activates cellular immunity.
Gaia Bloodroot/Celandine Supreme contains chemicals that
target retro-viruses by inhibiting the reverse transcriptase enzyme.
Gaia Reishi Buplerum Supreme strongly inhibits retro-viruses
as well as reverse-transcriptase enzyme.
| UNDERSTANDING THE
VIRAL PROBLEM |
|
by Bob Haanio,Ph.D., Bio
Nu Research |
| |
Home
/ About Us / Products
/ Prices / Buy-START
OF MANA VIRA--
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see
Polysaccharide Reference
Anti
tumor effects of Corilis vericolor
Pencillium,
a polysaccharide
Meningococcal
Polysaccharide Vaccine
Success
of Salmonella Polysaccharide Vaccine
Polysaccharide
vaccine for children
Greater
the polysaccharide size more immunity response
Polysaccharide
protects from staph
Virology
Structure
of Polysaccharides
|
At one time it was believed that many virus
infections, following the subsidence of the acute infection or clinical
syndrome, were effectively "neutralized by the immune system and
"eliminated". In the face of mounting evidence to the contrary,
however, one has to admit that this scheme rarely if ever operates in
nature. The vast majority of virus infections persist in one form or
another after the acute stage of the infection. The immune system may
serve to control the dissemination of the virus, but in some cases at
least it probably also helps to force the virus into persistence.
It is important to understand how and where viruses persist in the body,
how they are controlled, and to what extent they change their properties
during persistence. It must also be recognized that the state of
persistence will be determined by nature of the virus itself and host
factors such as the type of tissue and immune status.
This issue is relevant to the use of antivirals since, during persistence,
some viral genes might be expressed, giving rise to potential targets. But
the persistently infected cell may not be as easy to treat or reach as an
infected cell situated within a relatively homogeneous population of
susceptible cells in culture.
Persistent infections may be classified as latent infection, chronic
infection, and slow infection. A latent infection is one in which no
infectious virus can be detected but in which the viral genome is dormant
without expressing genetic activity or is expressing some or all genes.
This state was recognized only by using apparently uninfected tissue in
vitro, where a virus sometimes emerged after incubation or by
immunosuppressing apparently uninfected animals, with the same result.
Recently it has been possible to identify viral DNA, RNA, and proteins
directly in tissues by hybridization and immunological techniques. It has
become clear that latent viruses are probably ubiquitous, regardless of
the presence of an overt disease.
In contrast, a chronic infection is one in which the infectious virus is
continuously produced, which implies persistent replication. The level of
replication may be barely detectable or substantial.
The third type of persistent infection are considered slow because the
manifestations of disease require a long incubation period.
It should be noted that latent and chronic infections may or may not be
accompanied by disease, whereas slow infections have only been recognized
by an associated disease.
The classic example of a latent virus infection is herpes simplex virus.
Herpes Simplex Virus (HSV) initially produces an acute infection in the
mouth or on the lips, which is self limiting and is followed by
transmission of virons along nerve fibers from the skin to an accessible
ganglion. The virus then becomes latent in neurons and possible also in
glial cells. In this state viral genes may be quiescent. The ganglion is
evidently a common site for latency, since studies have shown the presence
of nonreplicating viral DNA tissue. An infected neuron is an attractive
site for a virus, since these cells do not usually divide in adults and
should be relatively protected from immune surveillance. However
proponents of this concept suggest that some virons intermittently travel
back down the nerve fibers to the skin where they renew their replication
if the conditions are appropriate. Static concept proponents maintain that
the virus remains within the ganglion until the reactivation stimulus.
Additional hypotheses, in which virus is alleged to reside continuously or
intermittently in the epithelium, have been proposed.
In either case it is clear that, in response to various stimuli, virus
replication at the skin can recur, with the result that a cold sore
erupts. It is not known whether the virus initially replicates in the
ganglion in response to the stimulus, and then travels to the skin, or if
replication follows transmission down the nerve fiber. A substantial
fraction of the population has recurrent cold sores, and some individuals
suffer frequent reactivations. A more serious syndrome is keratitis, the
ocular form of recurrent HSV disease, in which the cornea is the site of
infection.
The basic situation can be mimicked in animal models such as mice, guinea
pigs, and rabbits, and it is clear that other ganglia can serve as sites
of latency, depending upon the site of the original infection. Thus, there
is nothing unique about the trigeminal ganglion. Its use by HSV is solely
a reflection of the fact that many peripheral nerves from the facial skin
pass into or through this ganglion. Probably other ganglia are also
involved, and the virus may well gain access to the brain and establish
latency there.
Many other DNA viruses can establish latent infections in animals or
cultured cells, and these commonly persist as integrated viral genes, in
which the DNA has become essentially a part of the host genome. The best
studies examples of latent infections which rely on integration are the
retroviruses. Many of these were originally discovered accidentally as a
result of various manipulations of animals or cell cultures. They commonly
persist in the proviral DNA form for the lifetime of the host and some can
be transmitted vertically through germ-line cells, whereas others can be
transmitted horizontally across the placenta or through milk.
Latent infections by RNA viruses have been difficult to obtain, although
several examples are known which consist of replicating nucleocapsids
without infectious virus production; measles virus and other
paramyxoviruses have a tendency to persist in this fashion, although some
investigators might consider these as examples of chronic infection.
Among the chronic virus infections, cytomegaloviruses CMV are widespread
throughout the vertebrates, in which they commonly persist as lifelong
infections. They illustrate well the folly of trying to categorize
persistent infections, since it is evident that they can exist as either
true latent infections or as chronic infections, depending on the
circumstances. In fact they probably exist simultaneously in both states
in different cells or tissues.
Many other examples of chronic virus infections of human and veterinary
concern could be cited. Some of them represent situations resembling CMV
infections, in which virus is continually shed from certain tissues in a
fashion controlled or modulated by various host factors, including immune
system components. It addition, elsewhere in the animal, the same virus
may be partially or completely repressed in terms or viral gene
expression, giving rise to latent infections.
An extreme case of variable regulation of gene expression is exemplified
by Epstein-Barr virus (EBV), which is known to exist in clonally derived
B-lymphoblasts in one of several possible states expression different
groups of viral genes. At one end of the spectrum the viral genome may
only express one or a few genes and resultant antigens, while in other
cell clones from different individuals several antigens are expressed and
viral DNA may replicate. In the extreme case a few clones even produce
infectious virions. The cell populations are heterogeneous however in that
a few cells may exist at a different level of control from the others.
Furthermore the degree of expression can be influenced by extrinsic
factors known to modulate gene expression.
Thus, any factor which can modulate expression is likely to exert an
effect on cells containing DNA and RNA viruses. Since these factors
themselves are subject to fluctuation in the body, the exact status of the
viral genome may frequently change.
Among the fish and reptilian viruses are several good examples of
persistent infections, In fact, the majority of these viruses were
discovered as a result of reactivating them. Probably the best example is
the infectious pancreatic necrosis virus (IPNV), a birnavirus found in
many aquatic animal species from shellfish to teleosts. The initial
interaction between this virus and a nonimmune fish population invariably
leads to fatalities, and survivors become lifelong carriers. The infection
is clearly chronic since infectious virus is continuously excreted in the
feces for years.
A slow infection is defined as one in which the incubation period is
protracted and consequently clinical symptoms require a long period of
time, usually years, in order to manifest. These infections are
conveniently divided into those caused by conventional viruses, and those
caused by unconventional virus-like agents, the exact nature of which is
not yet clear.
The conventional viruses that fall into this group are not intrinsically
slow, since they characteristically display normal growth cycles in
laboratory conditions and some of them produce common acute infections in
their natural hosts. Examples include measles, virus, rubella virus, and
the JC papovavirus, all of which have been implicated in rare progressive
CNS disorders in humans. The prerequisite appears to be the establishment
of persistent infection following an inconspicuous acute infection, and
possibly host-determined factors, so that pathology or immunopathology in
specific areas of the brain results. In this type of infection it is
difficult to envisage antiviral therapy, and vaccination might not prove
successful.
Examples of unconventional virus-like agents are the so-called prions, the
exact nature of which is presently under intensive investigation. An
important feature of prions is the complete absence of immune responses
and inflammatory reactions, which implies that the agent is not recognized
as "foreign". This is important to consider when designing
therapeutic measures. Viroids, infectious nucleic acids, are fairly common
infections in the plant world; but it is not yet known if such entities
also occur in animals. The recognition of subviral infectious agents
however promises to provide a new set of problems for those concerned with
control measures.
Return to top
THE START OF
MANA VIRA
Konig and Dustmann, in "Naturwissenschaften"
1985, evaluated proven therapeutic phenolic compounds for antiherpes virus
and antimicrobial activity. Several phenolic derivatives showed clearly
that this class compound was quite potent against the replication of HSV.
Then in 1986 "Pharmazie" had documented studies that again
evaluated the phenolic preparations for activity against several
retroviruses. The compound dramatically decreased the viral activity. An
oxidized phenol polymer was incubated with the Rauscher leukemia virus
before inoculating the virus into the mice, there was a significant
decrease in spleen weight compared with mice receiving the untreated
virus. The replication of the virus was reduced, but not abolished. In
1988, Heitzmann and Schultze, "Zeitschrift fur Phytotherapie",
an independent study showed that this class of polyphenolic substances
demonstrated potent antiviral qualities. Additionally in 1991, "Arzneipflanzenkunde"
, H. Haas clearly established that it not only inhibited herpes simplex
virus type 1, which causes cold sores, but also the herpes simplex type 2
virus, which causes gential lesions.
It is well known in the world of plant science that many plants are
susceptible to fungus, viral, bacterial infections, or exotic diseases for
which their are no cures. Yet there are certain kinds of plants that are
totally disease-free. For many years scientists have been investigating
why certain plants in this world are naturally disease-free. Bio Nu
Research after several years of research with established chemists and
microbiologists has identified and successfully captured an active
component (polyphenol) that exhibits this disease-free quality. Bio Nu
formulated this ingredient into Mana Polysaccharide.
Mana Polysaccharide is a trademarked phytomedicinal containing
specifically derived polysaccharides and polyphenols. Bio Nu Research
developed a specialized extraction process for removing a polyphenol
component from plants that give it's disease-free properties. Then this
polyphenol's elements are separated through another trademarked process
resulting in a safe consumable product. Because of well documented
scientific studies revealing the potent qualities of polysaccharides'
healthy effects, the new polyphenol is then effectively combined with
specific complex polysaccharides (D-mannose and (-glucan).
This new finished ingredient is mixed with a special blend of natural
ingredients proven to restore health and vitality. The final constituents
create a new kind of product called Mana-Vira.
Though small in statistical trials, it was important to quantify the
relevance of this blend to humans. Individuals suffering from cold or flu
like symptoms were either given Mana Vira or a placebo, in an uncontrolled
double blind study. Test was begun within 24 hours of the onset of
symptoms and was continued for 7 days. Eighty percent of the individuals
receiving Mana Vira became symptom free in two days to three days. Those
individuals using the placebo did not recover for ten days.
|
Quercetin
What does it do? Quercetin
belongs to a class of water-soluble plant pigments called bioflavonoids.
Quercetin acts as an antihistamine and has anti-inflammatory activity. As an antioxidant,
it protects LDL cholesterol (the “bad” cholesterol) from becoming damaged.
Cardiologists believe that damage to LDL cholesterol is an underlying cause of
heart disease. Quercetin blocks an enzyme that leads to accumulation of sorbitol,
which has been linked to nerve, eye, and kidney damage in those with diabetes.
Where is it found? Quercetin can
be found in onions, apples, and black tea. Smaller amounts are found in leafy
green vegetables and beans.
In what conditions might quercetin
be supportive?
Who is likely to be deficient? No
clear deficiency of quercetin has been established.
How much should I take? Common
supplemental intake of quercetin is 400 mg two to three times per day.
Are there any side effects or
interactions? No clear toxicity has been identified. Early quercetin
research suggested that large amounts of quercetin could cause cancer in
animals,1
but current research either finds no effect on cancer risk2
or protection from cancer.3
4
Since bioflavonoids help protect and
potentiate vitamin C,
quercetin is often taken with vitamin C.
References:
1. Ishikawa M, Oikawa T, Hosokawa M, et al.
Enhancing effect of quercetin on 3-methylcholanthrene carcinogenesis in C57B1/6
mice. Neoplasma 1985;43:435-41.
2. Hertog MGL, Feskens EJM, Hollman PCH,
et al. Dietary flavonoids and cancer risk in the Zutphen elderly study. Nutr
Cancer 1994;22:175-84.
3. Castillo MH, Perkins E, Campbell JH, et
al. The effects of the bioflavonoid quercetin on squamous cell carcinoma of head
and neck origin. Am J Surg 1989;351-5.
4. Stavric B. Quercetin in our diet: from
potent mutagen to probably anticarcinogen. Clin Biochem 1994;27:245-8.
[http://www.vitaminevi.com/copyright.htm]
Enzymes in the treatment of chronic degenerative
diseases and other disorders.
By Tony Manolis Ph.D. D.Sc. DABCC
-
Enzymes general variety and functions.
-
Digestive enzymes
-
Plant enzymes and what they do and how they differ
from animal enzymes.
-
Do enzymes cross the gut wall and get into the
blood stream
-
Enzymes in the treatment of chronic degenerative
diseases and other disorders
-
Arthritides and treatment with enzymes:
polyarthritis, ankylosing spondylitis, rheumatoid arthritis
-
Gynecological Diseases: adnexal diseases,
mastopathy, lymphadema in breast cancer patients, endometriosis
-
Herpes zoster
-
Multiple sclerosis
-
Traumatology (Hematomas, Edema subsequent to bone
fracture, sprains and soft tissue inflammation)
-
Posology of enzymes in various conditions
-
Contra-indications
-
Final Thoughts
Enzymes general Variety and Functions
There are nearly 3,000 enzymes in the human body involved
with a wide variety of functions. There are 6 groups of enzymes. The ones we are
concerned about in therapy fall into the following group:
Hydrolases
Enzyme function depends on temperature, pH, ionic
strength and relative concentration of various cations (metal ions) and anions.
The strength of an enzyme is given by its activity. Weight of an enzyme is not
nearly as important as its activity. Activity is measured by the rate at which
an enzyme acts on a substance (substrate) to either convert it into another
product or break it down.The activity per unit weight is known as the specific
activity. Obviously the higher the specific activity the purer the enzyme
preparation. Low specific activities for a given enzyme are due to two causes:
Enzyme and digestion
Insufficient enzyme production leads to maldigestion,
resulting in impaired nutrient absorption and digestive problems. Commonly
encountered symptoms are flatulence and digestive disturbances: constipation or
steatorrhea (fatty diarrhea) depending on the predominant enzyme deficiency.
Deficient enzyme production is found in the following conditions:
-
Aging: An 85-year-old produces up to 30 times less
amylase than an 18-year-old does.
-
Stress: Far less enzyme production occurs in
long-standing stress.
-
Damage to the intestinal wall. This can be caused
by inflammatory bowel disease, which is commonly triggered and further
aggravated by autoimmune disease.
-
Glandular insufficiency, due to pancreatic or
hepatic damage.
DIGESTIVE ENZYMES
|
enzyme
|
substrate
|
|
a-amylase
|
carbohydrate
|
|
Pepsin
|
proteins
|
|
Trypsin
|
proteins
|
|
Chymotrypsin
|
proteins
|
|
Pancreatin
|
trypsin, chymotrypsin, lipase and a-amylase
|
|
Lactase
|
lactose
|
|
Maltase
|
maltose and maltotriose
|
|
Lactase
|
lactose
|
|
Sucrase
|
sucrose
|
|
Cellulase
|
cellulose [Has β- linkages]
|
DO ENZYMES CROSS THE GUT WALL AND ENTER THE
BLOODSTREAM?
This is one of the most fundamental questions facing any
enzyme therapy for systemic treatment. Research shows that intact
macromolecules are absorbed into the blood stream. Penetration takes place
via the transcellular route because close fit of GI tract cells does not allow
paracellular passage. Enzymes are absorbed in the luminal membrane and are
phagocytosed. The absorbed material fuse with lysosomes. Some large molecules
escape breakdown and are extruded into the blood stream.
Efficiency of passage of enzymes from the lumen into the
interstitium is very high in the epithelium covering Peyer’s patches and other
lymphoid tissue. In these regions the follicle -associated epithelial cells or
“m” cells (from microfolds) convey macromolecules in both directions.
Hydrolases are taken up and transferred without functional loss into the
circulation. Enzymes can be reabsorbed intact by the pancreas. This is known as
the enteropancreatic circulation.
In infants it is well known that IgA molecules are taken
up from the mother’s milk and transferred into the infant’s blood, from
which the child derives much of its early immunity. In fact the gut of infants
is quite “leaky” although this leakiness is reduced in adults it is never
lost but persists throughout life.
ENZYMES IN THE TREATMENT OF AUTOIMMUNE DISEASES
Enzymes that act as immunomodulators either in the lumen
of the gut or enter the blood stream do so by virtue of their capacity to act as
catalysts in the breakdown of immune complexes. Immune complexes are mainly of a
protein nature (with some carbohydrate). By breaking down these immune complexes
the primary cause of inflammation is removed. Immune complexes cause
inflammation by triggering a complicated series of reactions, which are mediated
through the complement system.
Inflammatory auto-immune diseases for which enzyme
therapy has been used.
Results of 8 weeks of enzyme therapy compared to a
placebo treated group after 8 weeks (Uffelman et. Al.)
Comparison of Results Obtained after 6 Months Gold
Therapy or Oral Enzymes on 51 Rheumatoid Arthritis Patients (Klein et al.)
RHEUMATOID ARTHRITIS: ENZYME THERAPY OF ACTIVE
ARTHRITIS
Adapted from results of Gallachi et al in a small study
of 10 patients.
90% showed a clear improvement after 6 weeks.
|
Symptom
|
Before treatment
|
After 6 weeks of treatment
|
|
Spontaneous pain
|
1.9
|
0.8
|
|
Pain when immobile
|
1.9
|
0.8
|
|
Pain on movement
|
2.8
|
1.2
|
|
Pressure pain
|
2.8
|
1.2
|
Rheumatoid tests were negative at the end of the
treatment.
Tests performed: Waaler-Rose test, latex test.
ANKYLOSING SPONDYLITIS (BEKHTEREV’S ARTHRITIS)
A double blind study was performed by Klaus-Michael
Goebel.
Half of the patients were placed on indomethicin and half
on enzyme therapy.
Those on indomethicin had substantially more rapid pain
reduction than those on enzymes in the first four months.
After the first four months those on the enzyme therapy
suffered less pain as time went on than those on indomethicin.
Furthermore the pain reduction lasted for a longer time,
even when enzyme therapy was discontinued. There was also for many patients
improved lumbar spine mobility.
Lab. Tests
There was continuous reduction in immune complex disease
in the enzyme treated group, which was detectable after four weeks.
In contrast the indomethicin treated group was found to
have increasing circulating immune-complex concentrations.
GYNECOLOGICAL DISEASES
Used for:
Much of the clinical research in this field has been
conducted by Dittmar.
ADNEXAL DISEASES
Symptoms: Pain, Vaginal Discharge (Parabiotic Flora),
Scars, Adhesions, and Degeneration of Affected Organs (Ovaries), Menstrual Cycle
Disturbances, which lead ultimately to sterility.
Drugs, which are used to treat adnexitis, have serious
side effects.
Of 56 patients with adnexitis: half were treated with
enzymes and half treated with placebo.
Generally there was complete improvement in the group
treated with enzymes, and no change in the placebo treated group.
During the acute phase antibiotics may be required.
BENIGN CYSTS OF THE BREAST
Studies by F. W. Dittmar
A double blind study was undertaken on 96 patients.
Protocol: 48 treated with enzyme therapy, 48 treated with
placebo.
Results of the study were analyzed after 6 weeks.
Results:
-
Placebo group: There was no change in complaints.
No change in size and number of benign cysts.
-
Enzyme-treated group: Considerable improvement, in
patients symptoms and reduction in the size of the cysts.
BREAST TUMOURS
Research by Dittmar, Ottokar, von Rokitansky
Von Rokitansky uses topical injections of enzymes as well
as oral enzymes in his treatment of patients.
In non-pregnant females with advanced cancer he uses high
doses of vitamin a (200,000 i.u.)
The patients are then treated by oral enzyme for one week
each month for a number of years
Clinical results on 305 patients treated by this regime
and followed for more than 10 years:
STAGE OF BREAST CANCER
|
Stage of breast cancer
|
10 Year survival (%)
|
|
Stage I
|
85
|
|
Stage II
|
75
|
LYMPHADEMA IN BREAST CANCER PATIENTS
After surgery many patients may develop axillary
inflammation due to damaged lymph vessels. There is also plasma protein loss.
Loss of plasma proteins and their inefficient lymphatic reabsorption leads to
edema.
In these patients, the lymphadema may be prevented with
enzyme therapy.
|
Group
|
Percentage developing lymphadema within 2 years of suregery
|
|
Enzyme-treated group
|
4.5
|
|
Group not treated with Enzymes
|
26
|
The clinical study carried out by Dr. Wolgang Scheef
(Bonn)
ENDOMETRIOSIS
May lead to dysmenorrhea, and sterility. It occurs most
frequently in women between the ages of 30 and 50. It is presently treated most
commonly by hormonal therapy.
Use of oral enzymes provides a faster resolution of
endometrial foci.
Used by Dr. Dittmar (Starnberg).
TREATMENT OF HERPES ZOSTER WITH ENZYME THERAPY
Clinical studies by M. W. Kleine (Planegg) and H. Jäger
(München)
|
Progression of Herpes Zoster
|
|
Incubation period
|
7-14 days
|
|
Promodal stages
|
occasional
|
|
Pain
|
very frequent
|
|
Vesicular eruption (blister) stages
|
|
|
Outbraek
|
2-3 days
|
|
Pustulation
|
2-7 days
|
|
Incrustion stages
|
|
|
Beginning
|
5-10 days
|
|
Conclusion
|
10 days
|
|
Resolution (frequently healing with scarring
|
2-4 weeks
|
Dorrer (1964)
If oral enzyme therapy is commenced within 24 hours of
the first appearance of blisters the pain ceased within 3 days and the blisters
formed scabs much faster than normal.
No patient had neuralgia, which is frequently very
severe.
Bartsch (1968) found enzyme therapy to be the most
effective treatment for herpes zoster.
PRECAUTIONS IN TREATMENT OF HERPES ZOSTER
It is important to initiate therapy as soon as possible,
since longer periods of pain and other symptoms occur if therapy is delayed.
Kleine (1987 and 1990)
Oral acyclovar was compared with oral enzyme therapy in a
double blind study.
RESULTS:
Both had equal efficacy in the reduction of length and
severity of herpes zoster.
However enzyme therapy prevented the neuralgia, which
acyclovar did not.
MULTIPLE SCLEROSIS
|
TYPE OF MS
|
RESULTS
|
|
|
|
|
|
Substantial improvement
|
Stabilization
|
Therapy discontinued 1
|
Deterioration2
|
|
Chronic Progressive Development (107)
|
45
|
26
|
24
|
12
|
|
Intermittent Progression (43)
|
35
|
8
|
|
|
1.Treatment terminated because insurance ran out.
2. All these patients had been treated by an
immunosuppressive drug (azathioprine).
The treatment also required the patient to follow a diet
with a high proportion of raw food and fat intake to be limited to only
polyunsaturated fatty acids.
The Clinical Studies were conducted by Dr. Neuhoffer, who
has MS herself, and are published in Hufeland Journal 2, 47-50, 1986 and the
International Multiple Sclerosis Conference, Rome, September 14-17, 1988
ENZYMES IN THE TREATMENT OF INJURIES
Enzymes have an important role in the healing of
injuries. Basically, their role is the breakdown of injured or inflamed tissue,
which can then be replaced with new healthy tissue.
Orally administered enzymes are absorbable through the
gut wall to enter the blood stream, and can accelerate the healing process by
increasing the rate at which damaged and inflamed tissue is broken down.
Orally administered enzymes have been used in the
treatment of a variety of injuries:
Most of the clinical studies on oral enzyme therapy have
been conducted in Europe. In general, oral enzyme administration as soon as
possible after the injury, resulted in faster reduction of inflammation and pain
and a more rapid return to mobilization of the joint, (if involved).
Below are tabulated some studies showing the effect of
oral enzyme administration on a variety of traumas (injuries and surgery).*
| Study of effect of oral enzyme
administration on hematoma disappearance |
| Treatment Modality |
Good Therapeutic results
|
| Anti-inflammatory Enzyme Mix |
76% |
| Placebo |
14% |
| Study of effect of oral enzyme
administration on hematoma disappearance in karate fighters |
| Treatment Modality |
Number of days required for disappearance of Hematoma
|
| Anti-inflammatory Enzyme Mix |
7 |
| Placebo |
16 |
|
Subsidence of edema in patients after removal
of meniscus of the knee joint
|
|
Treatment Modality
|
Number of Days Taken for Subsidence of Edema
|
|
Anti-inflammatory Enzyme Mix
|
8
|
Placebo
|
24
|
* Adapted from *Enzymes: The fountain of Life, D. A.
Lopez, R. M. Williams and M. Miehlke, The Neville Press, Charlston, SC, 29401,
1994
PHLEBITIS
Below are tabulated some results in the treatment of
phlebitis using enzyme therapy.
|
Result
|
Percentage of Patients
|
| Free of symptoms |
56 |
| Improvement |
29 |
| Minimal or no Improvement |
13 |
Max Wolf (1972) Number of Patients: 347
|
Result
|
Percentage of Patients
|
| Symptom-free or very good improvement |
41 |
| Noticeable Improvement |
53 |
| No change |
6 |
H. Denck, Municipal Hospital of Vienna. Treatment length
8 weeks
|
Result
|
Percentage of Patients
|
| Symptom-free |
31 |
| Improvement |
62 |
| No change |
7 |
K. Maehder, multi-centre study on 216 patients.
“Enzyme therapy is not confined to those vein
disorders, which have already reached the chronic stage. The preventive value of
this method of treatment is even greater, since it makes it possible to reduce
the chances of these disorders occurring as we age.”
H. Mahr (Bad Dürrheim, Germany) “ it is possible to
successfully treat high-risk patients (smokers, those with improper or
imbalanced diets, or exposed to toxins or stress) prophylactically with enzymes
to prevent venous disorders.”
In the Western world up to 60% of the population has vein
disorders.
POSOLOGY OF ENZYMES IN VARIOUS CONDITIONS
|
Condition
|
Daily Dosage (capsules)
|
|
Rheumatology
|
|
| Chronic Poly Arthritis |
20 |
| Active Arthritis |
4 x 7 |
| Extra-Articular Arthritis |
30 |
| Extra-Articular Rheumatism |
4 x 6 |
|
Traumatology
|
|
| Experimental Induced Hematomas |
3 x 10 |
| Prophylaxis Against Karate Injuries |
3 x 5 |
| Meniscus Operations |
30 |
| Ankle Sprains |
3 x 10 |
| Dental Surgery |
4 x 5 |
|
Gynecological and Urological Conditions
|
|
| Adnexitis |
2 x 5 |
| Prostatitis |
3 x 5 |
| Mastopathy |
2 x 10 |
| Post-Thrombotic Syndrome |
3 x 5 |
| Secondary Lymphodema Mastectomy |
2 x 10 |
As a rule of thumb a dose of 5 capsules 3 times a day may
be used between meals.
These doses are given for information purposes only and
not to advocate treatment for any medical condition.
CONTRA-INDICATIONS
Do not use protease-containing enzyme preparation, if the
patient has one or more of the following conditions: severe gastritis, ulcers,
or inflammatory bowel disease.
If a patient has any of these conditions, it is
preferable to treat first with a mucilaginous preparation with bioflavonoids (or
other anti-inflammatory substance) and a non-protease containing enzyme formula
until the condition has healed. This could take one to several months.
If high protease containing are used in these conditions
the patient may complain of burning sensation or GI discomfort.
Stop treatment until the condition has healed.
FINAL THOUGHTS
“INTERESTINGLY ENOUGH, SUCH PREPARATIONS AS THE ENZYME
THERAPEUTIC AGENTS ARE ALWAYS APPLIED IN CIRCUMSTANCES WHEN ALL OTHER FORMS OF
MAINSTREAM MEDICAL TREATMENT HAS FAILED. THIS SEEMS TO BE DUE TO A CERTAIN
BELIEF IN MIRACLES, COMBINED WITH A GOODLY HELPING OF SCEPTICISM: “IF IT
DOESN’T WORK WE’RE NO WORSE OFF-IT’S ONLY WHAT WE EXPECTED.” MIRACLES
ARE RARE, UNFORTUNATELY.”
“ON THIS BASIS, SYSTEMIC ENZYME THERAPY IS A HIGHLY
EFFECTIVE FORM OF TREATMENT WITH FEW SIDE-EFFECTS, WHICH SHOULD HAVE A FIRMLY
ESTABLISHED PLACE IN THE RANGE OF TREATMENT PRACTISED EVEN -OR PERHAPS RATHER
ESPECIALLY - BY THE MAINSTREAM DOCTORS, AND WITH WHICH WE CAN COME CLOSE TO THE
PRINCIPLE OF MEDICINE: HELP WITHOUT HARM.”
Editorial of Allgemeinmedizin, (1990, 19: 119-124)
M.w. Kleine and W. Vogler
REFERENCES
M. W. Kleine and W. Vogler, Allgemeinmedizin, (19 (4),
1990 - the whole supplement is devoted to enzyme therapy); F. W. Dittmar, Enzyme
Therapy in Gynecology, Allgemeinmedizin, 19 (4), 158-159, 1990; F. W. Dittmar,
Enzyme Therapy in Inflammatory Pelvic Disease, The Medical World, 37, 562-565,
1986; K. Uffelmann, W. Vogler, C. Fruth, The Use of Proteolytic Enzymes in
Extra-Articular Rheumatism, Allgemeinmedizin, 19 (4), 151, 1990; H. D. Rahn, M.
Kilic, The Action of Hydrolytic Enzymes in Traumatology - Results after Two
Prospective Randomized Double Blind Studies, Allgemeinmedizin, 19 (4), 183-197
(1990); H. Reinbold, K. Maehder, The Biological Alternative in the Treatment of
Inflammatory Rheumatic Diseases, Zeitschr fur Allgemeinmedizin, 57, 2397-2402,
1981; K. Maeder, Enzyme Treatment in Diseases of the Veins, Die Arztpraxis, 2,
1978; E. J.Menzel, S. Rungel, Enzymes as Immunomodulators, Allgemeinmedizin, 19
(4), 140-143, 1990.
BOOKS AND SUPPLEMENTARY READING
D.A Lopez, R.M. Williams and M. Miehlke, Enzymes- The
Fountain of Youth, Neville Press, 1994, (Contains many references to
peer-reviewed medical literature); Enzyme Nutrition: The Food Enzyme Concept, E.
Howell, Avery Publishing Group, 1985; Food Enzymes: The Missing Link to Radiant
Health, H. Santillo, Hohm Press, 1987.
|
Materials provided on these pages are
for educational purposes only, and not intended to diagnose, treat, cure
or prevent any disease. Please consult with your health care provider.
All 21st Century products ship from the U.S. Whole Prices for
Health Care Providers.
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