Guest guest Posted December 9, 2003 Report Share Posted December 9, 2003 Mon, 8 Dec 2003 17:14:59 -0500 HSI Research Team Unring the Bell Unring the Bell Health Sciences Institute e-Alert December 8, 2003 ************************************************************** Dear Reader, Last year I told you about a widely reported study that found ginkgo biloba extract (GBE) to be ineffective in enhancing memory or cognitive functions. Many news reports treated that research as if it were the last word on ginkgo, in spite of the fact that a casual look at the details revealed the obvious flaws in the study. But flaws or no flaws, once the headlines announced that GBE didn't provide any benefits, the bell was rung. They say you can't unring the bell, but the unringing has begun with a new study that makes it clear that the obituaries for ginkgo biloba were premature. ---------------------------- That was then ---------------------------- As I told you in the e-Alert " No Thanks for the Memories " (8/26/02), the most glaring problem with the earlier ginkgo study was the fact that it only lasted six weeks; not nearly enough time to sufficiently judge the effectiveness of an herbal supplement. In that study, researchers at Williams College in Williamstown, MA, tested 230 men and women, all over the age of 60. Half the group received 40 mg of GBE 3 times per day, and the other half received a placebo. Before, during, and after the trial period, a series of tests were conducted to measure changes in memory, attention and concentration. Researchers concluded that, " ginkgo provides no measurable benefit in memory or related cognitive function to adults with healthy cognitive function. " But that's simply an unfair generalization for such a short study. Especially given the fact that the subjects received only 120 mg of GBE per day. Most herbalists and medical professionals who use alternative treatments agree that the recommended daily dosage of 120 mg of ginkgo biloba is too low. Many suggest that the dosage should be 240 mg or more per day. So if you designed a study that used a higher dosage for a much longer period of time, what do you suppose the result might be? If you guessed, " a measurable benefit in memory or related cognitive function, " you're right. ---------------------------- All in your head ---------------------------- Last month, researchers at the UCLA Neuropsychiatric Institute presented the results of their ginkgo biloba study at the annual meeting of the Society of Neuroscience. Their trial had its own drawback - the size; only ten subjects were recruited. But the study had two outstanding strengths: the dosage and the duration. Whereas most previous ginkgo studies ran twelve weeks or less, the UCLA study lasted a full six months, giving the supplement every advantage to create a positive effect. And instead of the standard recommendation of 120 mgs per day, the UCLA researchers gave four of their ten subjects 240 mg per day. The other six received a placebo. None of the subjects suffered from dementia, but prior to the study all reported mild memory loss associated with aging. The average age of the participants was around 60. The UCLA team tracked the effects of the ginkgo supplements in two ways. Before and after the trial period, subjects were given cognitive tests. Each subject also underwent magnetic resonance imaging as well as positron emission tomography to track metabolic changes in the brain. At the conclusion of the trial, the ginkgo subjects showed a significant improvement in verbal recall tests compared to the placebo group. The two groups didn't differ significantly in brain metabolism changes, although those who showed an improvement in verbal recall tests also experienced an increase in glucose metabolism in the part of the brain that processes visual perceptions related to memory. ---------------------------- Buyer beware ---------------------------- In their report, the UCLA researchers noted that they had used the highest grade of ginkgo biloba available. They didn't reveal a brand name, but they made the point that the quality of ginkgo supplements has been shown to vary widely. This isn't the only concern when you're doing research to decide on a GBE supplement. As I mentioned in another e-Alert, ginkgo biloba contains a toxic compound called ginkgolic acid which may cause gastrointestinal problems, headaches, and skin irritations for some users. It's generally accepted that 5 ppm is a safe maximum level for this acid. But some manufacturers don't list ginkgolic acid on their labels, so be sure to read content labels carefully. In a discussion about ginkgo biloba on the HSI Forum, a member named Jeanette had this to say: " As an herbalist, I support the therapeutic use of herbs, but I also emphasize to anyone who will listen that it is important to get competent guidance in the taking of herbs for serious, complicated disorders, and when taking them for a long time. " And I couldn't agree more. As I've pointed out many times, the effects of all herbal supplements and botanicals should be treated with the same caution you would give to any pharmaceutical. So while this new ginkgo research is both promising and very welcome, those who decide to give GBE a try should do so with care. ************************************************************** To start receiving your own copy of the HSI e-Alert, visit http://www.hsibaltimore.com/ealert/freecopy.html Or forward this e-mail to a friend so they can sign-up to receive their own copy of the HSI e-Alert. ************************************************************** ... and another thing A jug of wine and thou... but hold the bread. Unless you own a bakery, you may not have noticed that sales of bread products have dropped about 40 percent within the past year. The reason? Well, bakers and bread manufacturers are blaming the growing popularity of low-carbohydrate diets. And this new trend isn't just hitting bakers; pasta, bagel and beer sales have also dipped. Earlier this year the Tortilla Industry Association hosted a meeting called " An Industry in Crisis: The High-Protein, Low-Carb Diet and its Effects on the Tortilla Industry. " Mamasita! A similar meeting has been scheduled by the National Bread Leadership Council to brainstorm ideas on how to coax the U.S. public into putting bread back on the table. But some enterprising bakers aren't waiting around for a think-tank report. Adjusting to the changing market demands, low-carb breads are now popping up on grocery store shelves. A spokesman for a Georgia bakery reports that a new, reduced-carbohydrate bread has already proven to be their most successful product. Needless to say, if you find yourself in the company of bakers, a mention of " Atkins " might be met with a frosty silence. So perhaps the lowest blow of all for those who bake or sell bread for a living is the fact that one of the popular new low-carb breads is produced by none other than Atkins Nutritionals. According to the Atkins web site, Atkins Bread uses wheat proteins instead of flour. The result is a bread slice with only 3 net carbohydrates per slice, compared to 20 grams of carbs in a traditional slice of bread. That's what you call knowing which side your bread is buttered on. To Your Good Health, Jenny Thompson Health Sciences Institute ************************************************************** Sources: " The Effects of Ginkgo Biloba on Cognitive and Cerebral Metabolic Function in Age-Associated Memory Impairment " Society for Neuroscience 33rd Annual Meeting, abstractsonline.com " Longer Trial Finds Ginkgo Supplements Improve Memory " NutraIngredients.com, 11/17/03, nutraingredients.com " UCLA Researchers Find Ginkgo Biloba May Help Improve Memory " University of California - Los Angeles Press Release, 11/10/03, eurekalert.org " Ginkgo for Memory Enhancement " The Journal of the American Medical Association 2002;288:835-840. " Study Suggests Ginkgo Ineffective Memory Enhancer " Reuters Health, 8/20/02, reutershealth.com " Breadmakers Feel Pain From Atkins Diet " David Sharp, Associated Press, 11/8/03, " Atkins Nutritionals, Inc. Removes Biggest Hurdle for Controlled Carbohydrate Followers by Introducing Atkins Bread " 2/4/02, atkins.com Copyright ©1997-2003 by www.hsibaltimore.com, L.L.C. 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