All posts by jtrister

Key Components of the Elbow Joint literature review by Jon Trister MD

Key Components of the Elbow Joint

Bones: Humerus, Ulna, Radius 

Ligaments:

Ligaments are tough connective tissues that stabilize the elbow by connecting bones to bones. The primary ligaments of the elbow include:

  • Medial (Ulnar) Collateral Ligament (MCL): Provides stability on the inner side of the elbow, resisting valgus forces.
  • Lateral (Radial) Collateral Ligament (LCL): Stabilizes the outer side of the elbow, resisting varus forces.
  • Annular Ligament: Encircles the radial head, holding it against the ulna and allowing smooth rotation during pronation and supination.
  • Joint Capsule: A fibrous capsule reinforced by ligaments that encloses the elbow joint and contains synovial fluid for lubrication.

Tendons

  • Biceps Tendon: Attaches the biceps muscle to the radius, enabling flexion and forearm supination.
  • Triceps Tendon: Connects the triceps muscle to the ulna, enabling extension of the elbow.
  • Forearm Muscle Tendons: Attach to the medial and lateral epicondyles of the humerus.

Muscles

Muscles crossing the elbow provide dynamic stability and enable movement:

  • Biceps Brachii: Facilitates flexion and supination.
  • Triceps Brachii: Enables extension.
  • Forearm Flexors (e.g., Flexor Carpi Ulnaris): Attach to the medial epicondyle, aiding in wrist flexion.
  • Forearm Extensors (e.g., Extensor Carpi Radialis Brevis): Attach to the lateral epicondyle, aiding in wrist extension.

Synergy Between Ligaments, Tendons, and Muscles

  1. Stabilization:
    • Ligaments act as static stabilizers, maintaining joint congruency and preventing excessive motion. For example, collateral ligaments resist side-to-side instability during activities like throwing or lifting.
    • Muscles serve as dynamic stabilizers, contracting to counteract external forces. For instance, forearm muscles stabilize the elbow during gripping or lifting tasks.
  2. Movement Coordination:
  3. Tendons transmit muscular forces to bones, enabling precise movements such as flexion, extension, pronation, and supination. The biceps tendon works with the biceps muscle for bending and rotating the arm, while the triceps tendon facilitates straightening
  4. Stress Dissipation:
  5. The enthesis plays a important  role in dissipating mechanical stress. This reduces wear on individual structures during repetitive or high-stress activities such as throwing or lifting.
  6. Load Sharing:
  7. Structures like tendons and ligaments often merge or overlap at their attachment sites. For example, components of the lateral collateral ligament complex share loads with adjacent tendons like those of the extensor muscles.During dynamic activities like pitching or racquet sports, specific muscle groups (e.g., forearm flexors) activate to counteract valgus stress on ligaments like the MCL. This synergy minimizes strain on static stabilizers while maintaining joint integrity.

Clinical Implications

In summary, ligaments provide static stability while tendons and muscles dynamically control movement at the elbow joint. Their synergy ensures a balance between mobility and stability, enabling efficient function during complex activities while protecting against injury.

Supinator Muscle  and Ligaments in the elbow: functional synergy

The supinator muscle and the ligaments of the elbow joint work in functional synergy to enable and stabilize forearm supination, a key movement that rotates the palm upward. This coordination involves both dynamic and static elements, ensuring effective motion while maintaining joint integrity.

Supinator Muscle and Its Role

The supinator muscle is a spiral-shaped muscle located in the posterior forearm. It wraps around the proximal radius and is primarily responsible for forearm supination. Unlike the biceps brachii, which also assists in supination but requires a flexed elbow, the supinator can perform this action regardless of elbow position. It originates from multiple structures around the elbow, including:

  • Lateral epicondyle of the humerus
  • Radial collateral ligament
  • Annular ligament
  • Supinator crest of the ulna

Its insertion on the proximal radius allows it to rotate the radius laterally during supination. The muscle is innervated by the deep branch of the radial nerve (posterior interosseous nerve) and is most active during slow or unresisted supination, while the biceps brachii takes over during forceful or resisted movements.

Ligaments, Lateral elbow:

Several ligaments in the elbow joint contribute to stability during supination:

  • Annular Ligament: Encircles the radial head, securing it against the ulna while allowing rotational movement. This ligament provides a stable axis for the radius to rotate during pronation and supination.
  • Jaap van der Wal, a Dutch anatomist, provided a unique perspective on the anatomy of the annular radial ligament. According to his observations, the so-called “annular ligament” is not an independent structure as traditionally described in anatomy. Instead, Van der Wal argued that it is an integrated part of the aponeurotic connective tissue layer through which the fibers of the supinator muscle insert into the lateral epicondyle of the humerus. He suggested that most collagenous fibers in the proximal lateral cubital region are interposed between skeletal tissue and muscle fascicles, making it difficult to identify separate ligamentous entities such as the annular ligament or even the radial collateral ligament as distinct structures.
  • Van der Wal’s connective tissue-focused dissections highlighted how these anatomical components are interconnected within the lateral ligamentous complex of the elbow. This perspective challenges traditional anatomical descriptions and underscores the functional integration of ligaments, muscles, and connective tissues in this region. His work sheds light on how these structures collectively contribute to elbow stability rather than functioning as isolated components
  • Radial Collateral Ligament: Works with the annular ligament to stabilize lateral elbow structures and prevent excessive varus forces.
  • Quadrate Ligament: Located distal to the annular ligament, it limits excessive supination and helps maintain alignment between the radial head and ulna.

Functional Synergy

  1. Stabilization During Supination:
    • The annular ligament anchors the radial head, ensuring smooth rotation within the radial notch of the ulna.
    • The radial collateral ligament supports lateral stability, preventing dislocation or misalignment during rotational movements.
  2. Force Transmission:
  3. The supinator muscle generates rotational force on the radius for forearm supination. Its attachment to ligaments like the annular ligament integrates muscle action with ligamentous stability, ensuring efficient motion without compromising joint integrity.
  4. Load Sharing:
  5. The close anatomical relationship between the supinator muscle and ligaments like the annular ligament allows these structures to share mechanical loads. For instance, parts of the supinator originate from or are embedded in collagenous tissue associated with these ligaments, creating a functional unit that stabilizes and moves the joint simultaneously.
  6. Prevention of Excessive Motion:
  7. Ligaments such as the quadrate ligament act as passive restraints against excessive rotational forces, complementing the dynamic control provided by muscles like the supinator.
  8. Developmental Interplay:
  9. During fetal development, parts of the supinator muscle are closely integrated with collagenous tissue forming ligaments like the annular ligament. This suggests a developmental synergy where muscle contraction may influence ligament formation, although excessive ligament growth can impair some muscle fibers.

Clinical Relevance

The interplay between these structures highlights their importance in maintaining elbow function:

  • Injuries to ligaments (e.g., annular ligament tears) or nerve compression affecting the supinator can impair forearm rotation.
  • Conditions like “pulled elbow” (radial head subluxation) involve entrapment of structures such as the annular ligament and may disrupt normal synergy between muscles and ligaments.
  • Rehabilitation often focuses on restoring both dynamic (muscle) and static (ligament) stability to ensure proper joint mechanics.

In summary, the supinator muscle works synergistically with elbow ligaments to facilitate controlled forearm supination while stabilizing joint structures. This collaboration ensures smooth movement and protects against injury during complex rotational tasks.

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Immune support by Renata Trister DO

Orange Peel Tea for Immune Support
During these uncertain times, supporting your immune system and the microbiome is important. You can drink this tea throughout the day and swish it around your mouth (unsweetened) to support the oral and gut microbiome.
Ingredients:
Orange or any citrus peel (from 4-5 fruits)1/4 Onion1 inch Ginger2-3 Sprigs of Rosemary2 tsp Whole Cloves2-3 Star Anise1-2 tbs Fennel seeds
8-10 cups water. Bring to a boil & simmer for 20 minutes (or up to an hour)
Keep in mind that you don’t have to have every single ingredient.  There is no way to do this wrong.  A simple tea of citrus peel is helpful.  The other ingredients can be rotated.  The goal is to use what you have on hand and get lots of polyphenols from these plants.  Boiling these plants in water helps get the nutrients out.  You can use a vegetable peeler to peel the citrus and save the peels in a bowl as you go in your fridge.  Once you have enough, you can make tea.  If you are having digestive issues, prioritize the ginger and fennel after the citrus peel.  The onion provides quercetin, a flavonoid, useful for immune support, and is very antimicrobial.  You don’t taste it in the tea, but it provides benefits.  The spices all function to support the gut flora.  Star anise contains shikimic acid and is used as a base material for the production of Tamiflu.

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Tensegrity and immunology part 2. Jon Trister MD

Cellular components of the organs and tissues, vascular and neurological structures are parts of tensegrity arrangement; Microbiome is an equal part of this ecosystem. Tensegrity is influenced by the microbiome. At the same time, mechanical properties of the connective tissue will influence microbiome composition and pathogenicity.

Cellular components of the organs and tissues, vascular and neurological structures are suspended in the tensegrity network and actually part of this network. Their form and function regulated by mechanical properties of the ecosystem they reside (Pre-stress).

Pre-stress  is  influenced by  microbiome and microbiome is regulated by pre-stress.

 Microbiota are ecological communities of commensal

symbiotic and pathogenic microorganisms

 found in and on all multicellular organisms. Microbiota includes bacteria, archaea, protists, fungi and viruses. Microbiota have a  crucial role for immunologic, hormonal and metabolic

 homeostasis of their host. The synonymous term microbiome describes either the collective genomes of the microorganisms that reside in an environmental niche or the microorganisms themselves

Microbiome  persist in nearly every human body site, including tissue and blood. The genomes of these microbes continually interact with the human genome in order to regulate host metabolism.

Many components of this microbiome are capable of both commensal and pathogenic activity. This activity is determined by environment they reside (viscoelasticity -pre-stress): immunological cells responsible for innate and adaptive responses. They are additionally able to persist in both “acute” and chronic forms. Inflammatory conditions historically studied separately (autoimmune, neurological and malignant) are now repeatedly tied to a common trend: imbalance or dysbiosis of these microbial ecosystems.

Collective activity of the microbiome that drives inflammatory processes via complex microbe-microbe and host-microbe interactions. Many microbes survive as polymicrobial entities in order to evade the immune response. Pathogens in these communities alter their gene expression in ways that promote community-wide virulence. Other microbes persist inside the cells of the immune system (Cell Wall Deficient bacteria -CWD), where they directly interfere with host transcription, translation, and DNA repair mechanisms. The numerous proteins and metabolites expressed by these pathogens further dysregulate human gene expression in a manner that promotes imbalance and immunosuppression. Molecular mimicry, or homology between host and microbial proteins, complicates the nature of this interference. When taken together, these microbe-microbe and host-microbe interactions are capable of driving the large-scale failure of human metabolism characteristic of many different inflammatory conditions.

Microbiota are “ecological communities of commensalsymbiotic and pathogenic microorganisms” found in and on all multicellular organisms. Microbiota includes bacteria, archaea, protists, fungi and viruses. Microbiota have been found to be crucial for immunologic, hormonal and metabolic homeostasis of their host. The synonymous term microbiome describes either the collective genomes of the microorganisms that reside in an environmental niche or the microorganisms themselves

Microbiome  persist in nearly every human body site, including tissue and blood. The genomes of these microbes continually interact with the human genome in order to regulate host metabolism.

Many components of this microbiome are capable of both commensal and pathogenic activity. They are additionally able to persist in both “acute” and chronic forms. Inflammatory conditions historically studied separately (autoimmune, neurological and malignant) are now repeatedly tied to a common trend: imbalance or dysbiosis of these microbial ecosystems.The collective activity of the microbiome that drives inflammatory processes via complex microbe-microbe and host-microbe interactions. Many microbes survive as polymicrobial entities in order to evade the immune response. Pathogens in these communities alter their gene expression in ways that promote community-wide virulence. Other microbes persist inside the cells of the immune system, where they directly interfere with host transcription, translation, and DNA repair mechanisms. The numerous proteins and metabolites expressed by these pathogens further dysregulate human gene expression in a manner that promotes imbalance and immunosuppression. Molecular mimicry, or homology between host and microbial proteins, complicates the nature of this interference. When taken together, these microbe-microbe and host-microbe interactions are capable of driving the large-scale failure of human metabolism characteristic of many different inflammatory conditions. (Amy D Proal)

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Tensegrity and Immunology.Part 1

Mechanical properties of the skin are changed with time. Altered pre-stress changes first defenses of the immune system-physical barriers-Epidermis and dermal layers of the skin. Reduced functional capacity and increased susceptibility of the skin with development of dermatoses such as dry skin, itching, ulcers, dis-pigmentation,  wrinkles, fungal infections, as well as benign and malignant tumors are the most common skin conditions in aged population. In turn altered appearance, dry skin, chronic wounds, and other conditions decrease general health and reduce the likelihood for healthy and active aging. Ability of the skin to carry out multiple and wide-ranging roles is very closely related to its structure, which is composed of an outer epidermis overlying an inner dermis, separated by a basement membrane.

Relevant Histology:

Stratum Corneum

Stratum Granulosum

Stratum Spinosum

Stratum Basale

Skin perform barrier function for invaders:

Physical barriers: terminally differentiated epidermal keratinocytes. 

Biochemical barriers: acidic, hydrolipidic nature of the skin, as a result of sweat, sebum, lipids, and antimicrobial peptides (AMPs).Any changes in lipid composition and epidermal differentiation lead to a disturbed skin barrier, which plays a role in the pathogenesis of several immune-mediated skin  pathologies, such as atopic dermatitis and ichthyosis vulgaris .

The epidermis is a host to keratinocytes, melanocytes and immune cells such as Langerhans cells (LCs) and T lymphocytes, nerve-ending cells (Merkel cells).The dermis is composed of an upper papillary (stratum papillare) and lower reticular (stratum reticulare) dermis containing thin and thick collagen fibers, respectively. The collagen fibers offer a mechanical barrier as well as a structural environment  in which to host blood vessels and many immune cells such as dermal dendritic cells (DDCs), ab T cells, gd T cells, natural killer (NK) cells, B cells, mast cells, and macrophages can perform their function.

More recently, it was proposed a sentinel role in health and disease for a spectrum of skin-resident cells ( with keratinocytes involved in sensing pathogens and danger signals, migratory DCs capable of initiating a diverse range of immune responses, and tissue-resident memory T (Trm) cells performing crucial effector functions.

Skin-associated lymphoid tissue (SALT) participates in  trafficking of immune cells between the skin, draining lymph nodes (LNs), and the peripheral circulation (Streilein, 1983).

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Updates from CDC as of 3/29/2020:

  • There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).
  • The best way to prevent illness is to avoid being exposed to this virus.
  • The virus is thought to spread mainly from person-to-person.
    • Between people who are in close contact with one another (within about 6 feet).
    • Through respiratory droplets produced when an infected person coughs or sneezes.
  • These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

Take steps to protect yourself

Clean your hands often

  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.

Avoid close contact

Take steps to protect other

Stay home if you’re sick

Cover coughs and sneezes

  • Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
  • Throw used tissues in the trash.
  • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

Wear a facemask if you are sick

  • If you are sick: You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a facemask if they enter your room. Learn what to do if you are sick.
  • If you are NOT sick: You do not need to wear a facemask unless you are caring for someone who is sick (and they are not able to wear a facemask). Facemasks may be in short supply and they should be saved for caregivers.

Clean and disinfect

  • Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
  • If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.

To disinfect:

Most common EPA-registered household disinfectants will work. Use disinfectants appropriate for the surface.

Options include:

  • Diluting your household bleach.
  • To make a bleach solution, mix:
    • 5 tablespoons (1/3rd cup) bleach per gallon of water
    • OR
    • 4 teaspoons bleach per quart of water
  • Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted. 
  • Alcohol solutions.
    Ensure solution has at least 70% alcohol.
  • Other common EPA-registered household disinfectants. 
  • Products with EPA-approved emerging viral pathogens pdf icon
    [7 pages]external icon
     claims are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).
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The Benefits of Spirulina.Renata Trister DO

The Benefits of Spirulina

Renata Trister DO

Spirulina is a blue green microalgae that grows in waters of subtropical climates.  It is a type of cyanobacteria (cyano – blue pigment) that can be consumed as a superfood.   Spirulina is has countless uses as a supplement for maintaining good health and preventing diseases. This is because it contains a plentiful supply of many important nutrients and antioxidants, including protein, complex carbohydrates, iron, and vitamins A and K, as well as B complex. It’s also rich in chlorophyll, fatty and nucleic acids, and lipids. Spirulina is rich in gamma-linoleic acid, or GLA, a compound found in breast milk that helps develop healthier babies.   In fact it is often referred to as “Nature’s Multivitamin”.    This is a breakdown of some of spirulina’s most significant benefits and nutrient composition. 

Beta-Carotene

Spirulina contains powerful carotenoids such as best-carotene and yellow xanthophyll. It is one of the richest beta-carotene foods. The beta-carotene found in spirulina is ten times more concentrated than in carrots.

Iron

Spirulina is rich in iron, magnesium and trace minerals and is easier to absorb than iron supplements. And without the common side effects of iron supplementation.  Ten grams of spirulina can supply up to 70% of the minimum daily requirements for iron.

Protein

About 60% of Spirulina’s dry weight is protein, which in the form it comes in within spirulina, is essential for growth and cell regeneration.

Gut Flora

Spirulina suppresses bad bacteria like E. coli and stimulates beneficial flora like lactobacillus and bifidobactria in the digestive tract to promote healthy digestion and proper bowel function.

Healthy flora is one of the foundations of good health. It increases the body’s ability to absorb nutrients from the foods we eat and helps protect against infection.

Detoxifier

Spirulina has a completely unique composition of phytonutrients, including chlorophyll, phycocyanin and polysaccharides, that can help to purge toxins from the body. In 1994, a Russian Patent was awarded for spirulina, deeming it a medical food for reducing allergic reactions from radiation sickness. This was a result of 270 children in Chernobyl consuming five grams a day for 45 days. Radionuclides were lowered by 50% and allergic sensitivities were normalized.

Cardiometabolic Benefits

Spirulina has been demonstrated to have cardiometabolic benefits – improving glycemic, lipid and blood pressure parameters.  In a double-blind placebo controlled trial, overweight patients with hypertension were randomly allocated to receive 2g of Hawaiian spirulina daily for 3 months.    The subjects that received spirulina exhibited a reduction in systolic blood pressure and some reduction in BMI (Body Mass Index).    

Lipids

Spirulina also has a favorable effect on cholesterol.

A meta-analysis also showed that spirulina reduced plasma concentrations of total cholesterol, LDL and triglycerides. 

Skin

Spirulina contains Vitamin E, selenium and tyrosine, which are all known for their powerful anti-aging effects.  The antioxidants present in spirulina can aid in skin healing and support.

Quick Tip:

Adding 1-2 teaspoons of spirulina to your daily diet can be very beneficial.  Try adding some to your smoothie or simply sprinkle a teaspoon into coconut water.

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Natural Support For The Flu Season by Renata Trister DO

Natural Support For The Flu Season

Renata Trister DO

The flu, or influenza, is a viral illness that affects the respiratory tract including your nose, throat, lungs and bronchi. Mild cases of the flu can be confused with the common cold, however, the flu usually causes a more serious illness. Although it’s tempting to rely solely on natural remedies, the flu can be very serious, and one should always talk with a qualified healthcare provider if you think you may have the flu. Completely avoiding getting sick during the flu season ay be unrealistic, but there are ways to support your body naturally.  The goal is to have a recovery plan and good sign of health is the recovery process itself.

Healing Herbs & Supplements

There are a variety of powerful supplements you can use as weapons against a flu virus.

Olive leaf is great for anyone who is starting to feel sick and noticing flu-like symptoms.

Echinacea and goldenseal are two supplements to incorporate when you are fighting a flu. Echinacea has been used for immune system support for hundreds of years.

Oregano is a great herb for flu viruses.  Oregano oil is very powerful and should only be used short-term.

Elderberry syrup is another incredible flu-fighting supplement.

Elderberry (Sambucus nigra) is a herb that has a long history of use as a folk remedy for colds, sinus infections, and the flu. In preliminary lab studies, elderberry extracts have been found to fight off viruses. Researchers believe that anthocyanins, compounds found naturally in elderberries, may be the active component that strengthens the immune system and blocks the flu virus from sticking to our cells.

Propolis can be a powerful immune system support and can be great supplements to take if you start to feel the beginnings of a flu arise.

All different kinds of teas can provide benefits for someone suffering with flu symptoms. Steeping a strong cup of rose hips tea and adding in ample lemon juice can be particularly powerful and incredible for sore throats.  Rosehips provide a great source of bioavailable Vitamin C. A simple lemon, honey & ginger tea provides soothing minerals to support you while you are healing.

Lots of rest & sleep.  Sleep can help us immensely, it is very important for healing.

Hydration & lots of fluids. This is critical. Hydration allows the body to flush viral toxins out of the body and to keep the mucus thinned out. Staying away from heavy cooked foods is also helpful so that you don’t use up too much energy on digestion, which can instead be focused on healing.

Healing Foods & Recipes

Healing Broth

This healing broth is great while fighting off a flu. This healing broth can be nourishing, supportive, and help keep you from picking up any unwanted virus. Thus its useful to have all winter.

4 carrots, chopped or 1 sweet potato, cubed

2 stalks of celery, roughly chopped

2 onions, sliced

1 cup parsley, finely chopped

1 cup of shiitake mushrooms, fresh or dried (optional)

2 tomatoes, chopped (optional)

1 bulb of garlic (about 6-8 cloves), minced

1 inch of fresh ginger root

1 inch of fresh turmeric root

8 cups of water

Optional: Chili peppers or red pepper flakes

Place all the ingredients in a pot and bring to a boil. Turn heat down to low and allow to simmer for about an hour. Strain for a light soothing drink or leave the veggies in to enjoy as a light healing soup.

Congee

This simple rice soup is easily digested and assimilated, it harmonizes the digestion and is extremely nourishing.

1 cup rice, 1 garlic clove, 3 inch piece of ginger, 6 cups water.         

Combine the rice, ginger, garlic and water in a large saucepan. Stir well. Cover and cook on low heat for approximately 1.5 hours until the rice is very soft and the congee has thickened.

Turmeric Ginger Garlic Orange Juice Shot

This is a powerful combination of flu fighting ingredients

2 oranges, 2 garlic cloves, 2 inch piece of turmeric, 2 inch piece of ginger

Run the ingredients through a juicer.  Drink like a shot.  This is a very powerful preparation.

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Natural Herbal Support for Type 2 Diabetes

Natural Herbal Support for Type 2 Diabetes

Renata Trister DO

Herbal supplements have been studied as supportive treatments for type 2 diabetes.

Type 2 diabetes affects more than 20 million Americans.  It is a growing epidemic that is now very common and even seen in children. When someone has type 2 diabetes, it needs to be controlled through managing blood sugar levels. Diet and exercise are most important.

Herbal Supplements for Type 2 Diabetes

Several herbal supplements show promise in supporting type 2 diabetes.

Curcumin

The compound curcumin, which is found in the spice turmeric, has been shown to both boost blood sugar control and help prevent the disease. In a nine-month study of 240 adults with pre-diabetes, those who took curcumin capsules completely avoided developing diabetes while a sixth of patients in the placebo group did.

Ginseng

Ginseng has been used as a traditional medicine for more than 2,000 years. Studies suggest that both Asian and American ginseng may help lower blood sugar in people with diabetes. One study found that extract from the ginseng berry was able to normalize blood sugar and improve insulin sensitivity in mice.

Fenugreek

Benefits of fenugreek for diabetes have been demonstrated in both animal and human trials. In one study of 25 people with type 2 diabetes, fenugreek was found to have a significant effect on controlling blood sugar.

Cinnamomum verum  (true cinnamon)

Consuming about half a teaspoon of this variety of cinnamon daily can result in significant improvement in blood sugar, cholesterol, and triglyceride levels in people with type 2 diabetes.

Aloe Vera

This plant has been used for thousands of years for its healing properties. Some studies suggest that the juice from the aloe vera plant can help lower blood sugar in people with types 2 diabetes.  Aloe is available in juice form and can also be purchased fresh.  The fresh leaves can be peeled and added to smoothies. 

Milk thistle

This flowering herb is found around the Mediterranean See.  Its active component is called silybinin. Milk thistle may reduce insulin resistance in people with type 2 diabetes who also have liver disease.

Holy basil (Tulsi)

This herb is commonly used in India as a traditional medicine for diabetes. Studies in animals suggest that holy basil may increase the secretion of insulin. A controlled trial of holy basil in people with type 2 diabetes showed a positive effect on fasting blood sugar and on blood sugar following a meal.

Gymnema

Gymnema has been used in traditional medicine as a treatment for diabetes. The Hindi name for this herb translates to “destroyer of sugar.”

Modern pharmacological research seems to support this traditional wisdom. Compounds extracted from gymnema have been shown to reduce the absorption of sugar from the intestinal tract and boost insulin production, all of which could help lower blood sugar. Furthermore, an active component of gymnema called gymnemic acid binds to the taste receptors on your tongue that perceive sweetness. As a result, it makes sweet things taste a lot less sweet.  Animal testing confirms that gymnema reduces blood glucose levels.

Healing Foods 
Changing the diet is vital to managing Type 2 Diabetes.  Eliminating processed foods, oils and sugars is critical, not only for diabetics, but for everyone.

Wild blueberries, papayas, blackberries, and raspberries are top fruits to eat if you have type 2 diabetes. Vegetables to focus on include spinach, celery, sprouts, kale, and asparagus. These foods help detoxify the liver, strengthen glucose levels, support the pancreas, boost the adrenal glands, and stabilize insulin.

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Non-pharmacological management of hypertension.By Renata Trister DO

Natural Remedies For Hypertension

Renata Trister DO

Millions of adults around the world deal with hypertension or high blood pressure. Hypertension can be successfully managed through lifestyle modifications, medications, and natural remedies. Most people with hypertension experience improvement with prescription treatment and some may require more than one prescription medication to reach optimal blood pressure.   Dietary modifications, exercise and smoking cessation are critical to managing hypertension, with or without the use of medication.  Reducing alcohol and caffeine consumption as well as stress management are also important.

Herbal Remedies

Ginkgo Biloba – Ginkgo biloba can thin the blood while dilating your blood vessels, which allow the blood to circulate more easily, according to the University of Maryland Medical Center. This popular herb is also high in important antioxidants, which are known to lower blood pressure.

Hawthorn – Hawthorn supports the overall health of your cardiovascular system by strengthening the walls of the heart. This herb is a tonic for heart tissue.

Cinnamon – Specifically, Ceylon Cinnamon. Studies show that consuming cinnamon every day lowers blood pressure in those with diabetes.

Cat’s Claw – Traditional Chinese medicine has used cat’s claw to treat high blood pressure as well as neurological problems. Studies show that it can help reduce your blood pressure by acting on the calcium channels inside cells.

Celery – Chinese medicine has used celery seed for hundreds of years to treat high blood pressure, but juicing the entire plant has the same action. Celery is a known diuretic, which might be why it lowers blood pressure so effectively.

Black Cumin Seeds – Or Nigella seeds. Daily use of black cumin seed extract for 2 months may have a blood pressure-lowering effect in patients with mild hypertension according to studies. It also helps reduce LDL cholesterol levels, which is further beneficial for cardiac health.

Flax Seed – Rich in omega-3 fatty acids and Alpha-linoleic acid (ALA), which is the natural precursor of the cardio-protective long-chain n-3 fatty acids, flaxseeds protect heart health by reducing serum cholesterol, stabilizing blood pressure, and improving glucose tolerance. It’s also a potent antioxidant and so easy to add to any dish. According to research published in the European Journal of Clinical Nutrition, dietary supplementation with flaxseed oil (8d/day) lowers blood pressure. Another study found that there’s a significant reduction in both Systolic BP and Diastolic BP following supplementation with various flaxseed products. Since whole flaxseeds can pass virtually undigested through the human body, flaxseeds need to be freshly ground for best effect. Add 30 grams of freshly ground flaxseeds to your daily routine.

Recommended Foods for Heart Health (containing Antioxidants)

Cherries

Apricots

Oranges –Calcium protects the nervous system, Vitamin C

Wild blueberries (you can find these in the frozen section)

Raspberries

Blackberries

Mangos

Papayas

Watermelon

Zucchini

Broccoli

Asparagus

Kale

Artichokes

Pomegranate

Squash

Celery –contains bioavailable mineral salts –critical for everything in the body –fuel for the heart. Mineral salts conduct electricity. Magnesium. Potassium. Sodium.

Omega 3’s from Walnuts, hemp seeds, flax seeds, and chia seeds.

Additional supplements for the heart

Curcumin

Resveratrol

Magnesium Glycinate

CoQ10

Barley Grass Juice Powder

Hawthorne Berry Tea

Rosehip Tea

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