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marylin monroe
Showing posts with label hairloss. Show all posts
Showing posts with label hairloss. Show all posts

Fit Kids = Smart Kids, Creatine & Muscle Repair, Epigenetic Transfer From one Leg to Another. Plus: Fat Effects of Anti-Psychotics, Larger Muscle = Greater CNS Impact, Rhodiola a Natural Opiate, Hawthorn for More & Thicker Hair

It's never too early for your first push-up ;-)
"10" is this week's SuppVersity figure of the week. Ten as in "ten push-ups" which is the mean number of push-ups the 12 year-old boys and girls from the Coe study you can read about in one of the items of today's news mash-up aka "On Short Notice". I am honestly not yet sure what to make of it, it's not as bad as what I had expected based on a couple of observations I have made as of late, but it still goes to show you that you cannot take the most fundamental feats of physical fitness for granted, when it comes to pre-/peri-pubertal kids in today's sedentary society.

Now, while I am still trying to make up my mind I would suggest we take a look at the actual outcomes of the study. The 10 push-ups were after all only part of the subject characteristics and not the reason Coe et al. actually conducted their study.

Fit Kids are smart kids - Strength and cardio both matter!

You can hardly start your career as a physical culturist too early, there are simply way too many benefits from giving your body the nutrients and the exercise it needs and therefore it is actually not surprising that conclusion of a recently published paper in the Journal of Sports Medicine and Physical Fitness reads:
"Students with the highest fitness level performed better on standardized tests and students with the lowest fitness level performed lower in class grades" (Coe. 2012)
Interestingly enough, this effect was associated with both cardiorespiratory fitness and strength, which brings us back to yesterday's news about the PGC-1 alpha isoforms (read the comments as well) and the detailed follow up I just decided to post on the whole matter, tomorrow.
Figure 1: Spearman rank correlations and achievements cores in terms of grades (0:min, 80:max), test scores (% of max) and combined (% of mean of all kids; data based on Coe. 2012)
Since this is the first study of its kind to investigate all five established parameters of health-related fitness (HFR), it should also be mentioned that body composition, flexibility and muscular endurance did not show the same statistically significant correlations the scientists observed for cardiorespiratory endurance and muscle strength in the kids (52% boy, 48% girls; all from the same age group ~12 years). Now, it would be nice if the people who design the curricula would keep that in mind, when they add junk after junk to the syllabus and regard sports and being active as an unnecessary diversion from the constant intellectual drills.

Creatine can do much, but it can't accelerate skeletal muscle repair after a workout 

The results of a recent study from the Department of Kinesiology and Physical Education at the Wilfrid Laurier University in Canada (McKinnon. 2012) , in the course of which  a total of 27 male (n = 15) and female (n = 12) participants between the ages of 18-24 completed an experimental training protocol with either
  • 2x creatine monohydrate (20g) and a carbohydrate supplement (20g) in order to blend consistency and taste (CREA),
  • 2x 40 g of maltodextrin only in 500mL of water (MALTO), or
  • no supplementation at all (control)  
The supplement was consumed over a 5-day period (check out the "Pharmacokinetics of Creatine" posts and you will learn that this dosage regimen is an unnecessary overkill - even if you insist on "loading") after which the participants participated in a baseline strength test that was followed by a muscle-damaging protocol that consisted of maximal force eccentric contractions:
Suggested read: "Creatine a Proven Non-Anabolic Agent: It's the Increase in Training Intensity that Will Give You the Hypertrophic Edge (read full story)
"Subjects performed 60 maximal eccentric contractions that were divided into 6 sets of 10 repetitions, with a 45 second rest period between repetitions.  The velocity of eccentric contractions was varied between sets (2 at 75°/sec, 2 at 90°/sec, and 2 at 120°/sec). This protocol has been used in previous studies and has been shown to be an effective means of inducing skeletal muscle damage (Cooke et al., 2009). The researchers also provided verbal encouragement to the subjects to help maintain maximal effort throughout the protocol." (McKinnon. 2012)
After adequate rest, the first of 5 post-tests was conducted. The results (figure 2) clearly show that despite the overall greater force recovery in the creatine group, the relative rebound after an allegedly higher drop was seen in the MALTO group while it was minimal in the no-supplement group.
Figure 2: Force recovery and muscle soreness at 0h, 24h, 48h, 72h, 96h in the control, maltodextrin and creatine groups subsequent to a 5-day suppelemtation regimen (nothing,  2x 20g crea + 2x20g malto, or 2x40g malto (McKinnon. 2012)
Overall the scientists are yet still right, when they say that "creatine supplementation failed to significantly influence indices elbow flexor muscle damage or rate of muscle recovery following eccentric muscle contractions." After all, there were no statistically significant differences between either the muscle force loss and rate of recovery or muscle soreness (small figure in figure 2) between the groups - and it is unlikely that this would change after the initial 96h of recovery.

Additional suggested reads:
  • DHEA Blunts Muscle Damage During 5 Days of Combined Endurance, Strength and HIIT Training in Young Men (read more)
  • Speed Up Your Regeneration and Propel Your Gains by Taking a HOT Bath Bath 2-Days Before Arduous Workouts (read more)
  • Overtraining, Inflammation, Insufficient Repair: Scientists Shed Some More Light on the Counterproductive Triad of Ups & Downs in Testosterone, IL-6, IL-10, COX II & Co (read more)
Ah, I almost forget to mention, you see that the mean isometric peak torque is not even back up to 100% after 96h, right? Remember that whenever you decide that it would be a good idea to do "yet another set of forced reps". It is possible that the seasoned strength training veteran you are, you recover faster than the subjects in the study at hand who had not trained for at least 4 months, but it stands out of question that eccentric forced reps will increase the time you need to regenerate, let alone to see what we are all striving for, i.e. super-compensation effects (see suggested links on the right for more on "doing too much" and faster recuperation after workouts).

Working out one leg changes genes in the other leg as well 

The progress research in the area of epigenetics, i.e. the changes of gene methylation and thus activity in response to nutrition, exercise and other variables you can easily control is actually amazing. With the recent publication of a study into what you may call epi-genetic cross-reactivity further contributing to our insights into the relations of the local and system epigenetic effects of exercise and their respective metabolic downstream effect (Catoire. 2012).
Figure 3: Graphical summary of the study design and selected results (Catoire. 2012)
As you can see in my graphical mini-summary of the study design (top) and outcomes (middle + bottom) in figure 3 there was a whole lot going on... and that despite the fact that I did already spare you a complete page with font 10 lists of genes that changed (you do have the numbers, I guess that shall suffice) and paired them in groups. What's funny is that, when it's all said and done, this does yet again tie in to yesterday's news on PGC-1 alpha 4 - how? Well, let's hear (or read), what the scientists have to say in the discussion of their results:
"Many of the observed exercise-induced changes in gene expression are likely part of an acute stress response related to disturbances in homeostasis elicited by exercise. The most highly induced genes in the exercising leg were all members of the NR4A family, a subgroup of orphan receptors within the nuclear receptor superfamily. NR4A1 and NR4A3 have been reported to be upregulated shortly after acute exercise and during recovery in rat, pig, and human [24], and this upregulation likely occurs locally by contractile stimuli. This finding was confirmed by our study in which we observed an upregulation of NR4As in the exercising, but not in the non-exercising leg. NR4A transcription factors are also known to be induced by adrenaline and noradrenaline. Circulating adrenalin and noradrenalin levels were increased in our study but must exert only a minor effect as NR4As were exclusively induced in the exercising leg,. [...] NR4A1 and 3 are thought to play a key role in regulating energy metabolism and early adaptation. [...] The results may imply that NR4A family might play an important role in the regulation of metabolic responses after exercise." (Catoire. 2012)
The study at hand does thus add yet another puzzle piece to the image of the crossroads of the endocrine (from one tissue to the other) and intracrine (in this case in the exercised muscle) effects of energy and metabolic changes on the one hand and muscular contraction and local stress, on the other hand. As closely interwoven as they are, we are now - thanks to the novel gene essays - able to see through the complex network, understand what exercise does to our physiology and can then, in the next step, come up with ways to modulate these effects for our own benefit.

It is clear that this is not going to be easy and the presence of two "mutants" among the 12 relatively old  study participants (52 year; "old" only for studies like this, of course!) suggests that any cookie cuter solutions are probably about to fail. I mean, if you have got two guys out of twelve where the overall magnitude of gene expression changes in the exercising and non-exercising leg were very similar, it is more than likely that you would see these and other anomalies very frequently; and each of them would have to be considered if you wanted to design he optimal workout (nutrition and supplementation) regimen for an individual (good news for personal trainers, if you know what you are doing, no sciency compendium is ever going to replace you ;-)

In rehab, doctors and therapists use the neurological stimulation a stiff leg receives, when you move the other while looking into a mirror that fools you into believing that the stiff leg would be moving as well.
In that it does not even really matter, whether the observed anomalies were actually due to genetic differences or, as the scientists suspect simply the result of unconsciously performed isometric contractions in of the non-exercising leg. The ensuing neuronal activation could have brought about similar effects as they are observed (and intended) during mirror therapy (see image on the right), where an involuntary neural stimulation of the muscles in a stiff leg occurs, when the mirror fools you into believing that you actually just moved your stiff leg, or other body part, when it was in fact only the counter-lateral limb that moved (note: one of the latest reviews of the literature says about its efficacy in stroke rehab would facilitate the recovery of "motor function, activities of daily living and pain" and could be recommended "at least as an adjunct to normal rehabilitation for patients after stroke"; cf. Thieme. 2012).

With the effects of neural stimulation, which has already been shown to induce gene expression changes via increased calcium concentrations in the skeletal muscle as well as via other mechanisms (Long. 2007; Kanzleiter. 2009; Chin. 2010, we do thus have a third player in the epigenetic / protein regulatory exercise orchestrate that does now consist of a metabolic, a contractile / stress mediated and a neuronal component. As far as skeletal muscle hypertrophy is concerned, the local expression does still appear to be the major determinant of adaptation and thus growth - to train your left leg only expecting that the other will grow due to "bystander effects" is therefore almost as hilarious as skipping leg day with the lame excuse that your legs would grow from training your biceps ;-)

On ultra short notice

With that I'll call it a day as far as the detailed posts are concerned and invite you to come back tomorrow, when I am going to pick up on this discussion in a detailed post on the Roa study on PGC-1 alpha 4, muscle growth, myofiber composition, strength development, workouts and the whole megillah. For the time being here is a bunch of unsorted other things I considered newsworthy:
  • Anti-psychotics increase lipid synthesis by depressing it!? What sounds totally counterintuitive, is actually the main message of an editorial to the latest issue of the Journal of Lipid Research, in which Skreede, Steen & Ferno argue that a paper by Canfrán-Duque et al. clearly suggests that the obesity and hypercholesterolemic effects of 2nd generation anti-psychotics such as clozapine, risperidone, and ziprasidone are brought about by the counter-regulatory upregulation of cellular lipogenesis in response to their suppressive effect on cholesterol synthesis. (Skreede. 2012)
  • The greater the muscle group you work, the larger the impact on the central nervous system will be (Rossmann. 2012) -- In the end everybody will know that intuitive, back and leg days are the hardest and most taxing to the whole system. Based on a trial involving eight young men who performed exhaustive large (cycling – BIKE) and small (knee extensor – KE) muscle mass dynamic exercises at 85% of the modality-specific maximal workload, scientists from Salt Lake City did now provide further experimental evidence that supports the notion that the CNS tolerates a greater magnitude of peripheral fatigue and likely a greater intramuscular metabolic disturbance when the pertinent afferent signaling comes from small vs. large muscle groups . 
  • Rhodiola Rosea turns out to be an opiate (Lee. 2012).-- In a recent study scientists from the Chi-Mei Medical Center in Yong Kang, Tainan City, Taiwan were able to show that the popular but questionable (as far as the significance of its effects are concerned) adaptogen rhodiala decreased the systolic blood pressure of spontaneously hypertensive rats. Intriguingly the effect was blunted by the administration of the selective opioid μ-receptor antagonist, cyprodime, but not by naloxonazine, an antagonist specific to opioid μ1-receptor, which suggests that a direct effect on the opiate receptor. Moreover, the level of mood enhancing and relaxing beta-endorphins rose in both wild type and hypertensive rodents (with the effect being more pronounced in the latter)
  • Chinese hawthorn for the hair, not the heart (Shin. 2012) -- I guess if you hear hawthorn or Crataegus you will probably think of its purported beneficial effects on heart health. Now if the results from a recent rodent study are applicable to humans, as well, you will soon have to establish a novel neuronal connection between (Chinese) hawthorn and your scalp, or rather the hair on your scalp . With its beneficial effects on the initiation of the anagen phase in mice in teloge and the ensuing increase in skin color, thickness of the hair shafts, and density (number and size) of the hair. Oral C. pinnatifida extract (at a human equivalent dose of ~320mg/day) could soon be all the rage among men and women who fear for their superb head of hair.
I think this is enough for today. There is a life beyond the SuppVersity not for you, of course, but for me - so while you head over to the SuppVersity facebook page for even more news, I am going to enjoy Saturday night ;-)

    References:
    • Canfrán-Duque, A., M. Casado, Ó. Pastor, J. Sánchez-Wandelmer, G. Peña, M. Lerma, P. Mariscal, P. Bracher, M. Lasunción, and R. Busto. Atypical antipsychotics alter cholesterol and fatty acid metabolism in vitro. J Lipid Res. 2012 [in press]
    • Catoire M, Mensink M, Boekschoten MV, Hangelbroek R, Müller M, et al.  Pronounced Effects of Acute Endurance Exercise on Gene Expression in Resting and Exercising Human Skeletal Muscle. PLoS ONE 7. 2012; 11: e51066.
    • Chin ER. Intracellular Ca2+ signaling in skeletal muscle: decoding a complex message. Exerc Sport Sci Rev. 2010 Apr;38(2):76-85. 
    • Coe DP, Pivarnik JM, Womack CJ, Reeves MJ, Malina RM. Health-related fitness and academic achievement in middle school students. J Sports Med Phys Fitness. 2012 Dec;52(6):654-60. 
    • Kanzleiter T, Wilks D, Preston E, Ye J, Frangioudakis G, Cooney GJ. Regulation of the nuclear hormone receptor nur77 in muscle: influence of exercise-activated pathways in vitro and obesity in vivo. Biochim Biophys Acta. 2009 Aug;1792(8):777-82. 
    • Lee WJ, Chung HH, Cheng YZ, Lin HJ, Cheng JT. Rhodiola-Water Extract Induces β-endorphin Secretion to Lower Blood Pressure in Spontaneously Hypertensive Rats. Phytother Res. 2012 Nov 28.
    • Long YC, Glund S, Garcia-Roves PM, Zierath JR. Calcineurin regulates skeletal muscle metabolism via coordinated changes in gene expression. J Biol Chem. 2007 Jan 19;282(3):1607-14.
    • Rossman MJ, Venturelli M, McDaniel J, Amann M, Richardson RS. Muscle mass and peripheral fatigue: a potential role for afferent feedback? Acta Physiol (Oxf). 2012 Dec;206(4):242-50. 
    • Shin HS, Lee JM, Park SY, Yang JE, Kim JH, Yi TH. Hair Growth Activity of Crataegus pinnatifida on C57BL/6 Mouse Model. Phytother Res. 2012 Nov 12.
    • Skrede J, Steen VM, Ferno J. Antipsychotic-induced increase in lipid biosynthesis: activation through inhibition? Journal of Lipid Research. December 7, 2012 [Epub ahead of print] 
    • Thieme H, Mehrholz J, Pohl M, Behrens J, Dohle C. Mirror therapy for improving motor function after stroke. Cochrane Database Syst Rev. 2012 Mar 14;3:CD008449.

    Androgen Threesome: BPA Exposure & Free Testosterone in Men. TRT Good For the Prostate. DHT, Allopecia (Hair Loss) & Monascus Fermentation. Plus: Mycotoxins in GCB Supps

    Coffee and green coffee bean extracts are by no means the only way by which you are exposed to mycotoxins. Corn, for example, is likewise a favorite for the toxic mold. The same goes for almost all other grains. Common routes of exposure are, amongst others cereals, breads, wines, and even mils and meats (of swine ad turkey, not chicken; Duarte. 2010)
    36%, 32%, 10%, and 16% these are the SuppVersity Figures of the week and the percentages of green coffee bean supplements (remember the chlorogenic acid news in Thursday's installment of the Science Round-Up) that were contaminated with Ochratoxin A, ochratoxin B, fumonisin B1 and mycophenolic acid, respectively.
    "Mycotoxins occurred in the following concentration ranges: ochratoxin A: 2.7–136.9 µg/kg, ochratoxin B: 3.5–20.2 µg/kg, fumonisin B1: 110.0–415.0 µg/kg, mycophenolic acid: 43.1–395.0 µg/kg." (Vaclavi. 2013)
    These poisonous substances are produced by fungi that form during (inproper) storage and are suspected to inhibit protein synthesis, damage macrophage systems, inhibit particle clearance of the lung, and increase sensitivity to bacterial endotoxins... ah, I almost forgot ochratoxins also wreak havoc on your hormones (Frizzell. 2013).

    So far for the bad news, now the good one: According to the researchers calculations even with most contaminated of the 50 products they the average consumer who adheres to the suggested dosing protocol will still be well within the tolerable weekly intake (TWI) of 120 ng/kg body weight per week and tolerable daily intake (TDI) of 2000 ng/kg body weight per day for ochratoxin A and fumonisin B1, respectively (these values were estimated by the EU Scientific Committee on Food (SCF) and the European Food Safety Authority (EFSA) - corresponding values of the "well-meaning" FDA or any other US government agencies are - as usual - not available).

    Let's get to our androgen threesome

    • SuppVersity readers know: Tea is not only good for your prostate (learn more), it can also help you lose weight (read more)
      Testosterone replacement improves prostate issues (Ko. 2013) -- Contrary to what common "wisdom" will tell you scientists from the Yeungnam University College of Medicine in Korea can tell you that the 17 out of  46 patients who suffered from lower urinary tract symptom before they underwent TRT using intramuscular injection of 3 months bases injection of testosterone 1,000 mg undecanoate over a year achieved significant improvements (decrements) on the International Prostate Symptom Score (IPSS).

      Needless to say that "[d]uring the median follow up of 15.1 months, no patients experienced urinary retention, BPH-related surgery, or admission for urinary tract infection".
    • BPA and low testosterone, you better know what to look at (Zhou. 2013) -- Talking about testosterone, there is finally some relatively reliable human data on the effects of BPA exposure on the hormone levels in men.
      Figure 1: Relative difference in free androgen index (FAI), androstenedione (AD), free testosterone (FT), SHBG, inhibin (INB), prolactin (PRL), follicle stimulating hormone (FSH), estrogen (E2) an total testosterone (T);  comparing the men with to the men without workplace exposure in the Zhou study
      As you can see in figure 1 the effects would go unnoticed, if you do not test for free hormones, but just checked the amount of total testosterone. How you can recognize that from the data? Well, the figures above the bars are the p-values. All that are >0.5 would suggest that this effect is statistically non-significant, so that every study not looking at things like the free androgen index (FAI) or the free testosterone levels (FT) will miss the 15% and 10% reduced levels of the latter and conclude: That it does not make a difference, if your serum contains 3.198 or 0.276mg/L as it was the case in the exposed and non-exposed subjects in this study from the Shanxi Medical University, because BPA won't harm you anyway.
    • The fermented solution to all problems androgen?  (Chiu. 2013) Monascus bacteria that is used to ferment red mold rice, a traditional spice that is consumed throughout Asia could prevent androgenetic alopecia, benign prostate hyperplasia and prostate cancer.
      Figure 2: Changes in testosterone an DHT mice on TRT (control) w/w-out 0.2 & 0.5% Monascus extract in chow, corresponding images of the stained slices from the prostate and hair loss compared to standard treatment with finasteride (Chiu. 2013)
      The results of a recent study from the Department of Environmental and Occupational Health at the National Cheng Kung University Medical College clearly suggest that the way in which a monascus extract suppressed baldness in male B6CBAF1/j mice 
        Learn how to modulate DHT/T naturally.
      • decreased PSA levels  
      The effect was dose-dependent and was observed with 0.5-3% of the extract in the rodent diets. While it is not unlikely that the results will translate into human studies, it should be obvious that at least for the >0.5% doses, supplementation will be necessary.

      Irrespective of these latest study results, previous research indicates that Monascus-fermented products have many functional secondary metabolites, including monacolin K, citrinin, ankaflavin, and monascin and these have been shown to possess anti-inflammatory, antioxidative, cholesterol-lowering effect, and antitumor activities. Probably all of you will be familiar with at least one of them: Red Yeast Rice, the natural statin. And if you are not into spices or extracts, there are also other foods and even wines that are fermented with Monascus.

    That's it for today: I know ladies, with today's focus on the male hormones, I owe you (big time?). But don't worry, there are also a couple of Facebook News, you may be interested in
    • Suggested read: "Carbohydrate Shortage in Paleo Land" (read more)
      "Oldie but goldie: T3, rt3 and carbohydrate intake in hyper- and eucaloric scenarios - Something worth considering for those constantly battling low T3 an high rT3 levels (read more)
    • Omnipresence of "healthy" Subway sandwiches correlates w/ obesity rates - "Countries with the highest density of Subway restaurants such as the USA (7.52 per 100,000) and Canada (7.43 per 100,000) also tend to have a higher prevalence of obesity in both men (31.3% and 23.2%, respectively) and women (33.2% and 22.9%, respectively)." (read more)
    • Understanding the neurological side effects of statin drugs - US scientists observed unusual swellings within neurons, which the team has termed the "beads-on-a-string" effect (read more)
    • DHEA supplementation at 25gm/day to restore female fertility - A recent study from Turkey would suggest that this could actually work (read more)
    If that's still not enough, come back tomorrow for another serving of the latest news from the realms of exercise, nutrition and health sciences, here at the SuppVersity! In the mean time, enjoy your weekend, everone!
      References:
      • Chiu HW, Chen MH, Fang WH, Hung CM, Chen YL, Wu MD, Yuan GF, Wu MJ, Wang YJ. Preventive effects of monascus on androgen-related diseases: androgenetic alopecia, benign prostatic hyperplasia, and prostate cancer. J Agric Food Chem. 2013 May 8;61(18):4379-86.  
      • Duarte SC, Pena A, Lino CM. Ochratoxin a in Portugal: a review to assess human exposure. Toxins (Basel). 2010 Jun;2(6):1225-49. doi: 10.3390/toxins2061225. Epub 2010 Jun 1. Review. 
      • Frizzell C, Verhaegen S, Ropstad E, Elliott CT, Connolly L. Endocrine disrupting effects of ochratoxin A at the level of nuclear receptor activation and steroidogenesis. Toxicol Lett. 2013 Mar 13;217(3):243-50.  
      • Ko YH, Moon du G, Moon KH. Testosterone replacement alone for testosterone deficiency syndrome improves moderate lower urinary tract symptoms: one year follow-up. World J Mens Health. 2013 Apr;31(1):47-52.
      • Vaclavik L, Vaclavikova M, Begley TH, Krynitsky AJ, Rader JI. Determination of Multiple Mycotoxins in Dietary Supplements Containing Green Coffee Bean Extracts Using Ultrahigh-Performance Liquid Chromatography–Tandem Mass Spectrometry (UHPLC-MS/MS). Journal of Agricultural and Food Chemistry. May 2013 [ahead of print].
      • Zhou Q, Miao M, Ran M, Ding L, Bai L, Wu T, Yuan W, Gao E, Wang J, Li G, Li DK. Serum bisphenol-A concentration and sex hormone levels in men. Fertil Steril. 2013 May 4.

      Now Its Official: Propecia Drug Finasteride Kills Male Libido Permanently

      Image 1: Chemical structure of finasteride
      Other than the FDA some European medicine and health care agencies, such as the Swedish Medical Products Agency and the Medicines and Healthcare Products Regulatory Agency of the United Kingdom already had the guts to declare in their patient informations that "persistence of erectile dysfunction after discontinuation of treatment with Propecia has been reported in post-marketing use." While this was obviously no reason for the all-mighty FDA to correct or re-evaluate their own documents, two it did intrigue Michael S. Irwig and Swapna Kolukula, two US scientists from Washington and Baltimore, respectively.

      In their study (Irwig. 2011), the scientists conducted standardized interviews with 71 otherwise healthy men (age: 21–46y), who experienced permanent (>3 months) sexual side effects after temporary use of Finasteride. Their reports are staggering:
      94% developed low libido, 92% developed erectile dysfunction, 92% developed decreased arousal, and 69% developed problems with orgasm. The mean number of sexual episodes per month dropped and the total sexual dysfunction score increased for before and after finasteride use according to the Arizona Sexual Experience Scale (P < 0.0001 for both).
      These sexual side effects occurred after a "mean duration of finasteride use [of] 28 months" and they were persistent up to the interview date. For the study population this meant that they had already been suffering 40 months, on average, when the interviews took place; and chances are that many of them will suffer the consequences of an insufficient (or should I say incompetent or corrupted?) drug approval process and consequent indoctrination of medical practitioners for the rest of their lives.

      Note: After receiving some critical feedback via facebook, I feel that it is necessary to point out that the result of the study may not be misinterpreted as "Every Finasteride user will experience persistent decreases in libido, erectile disfunction etc.", but as "In those percentage of Finasteride users, where such side effects occur, they can potentially be permanent." So the news is neither that Finasteride will cause these effects in each and every user, nor that it may cause such side effects (that is in fact mentioned in the package insert, I suppose), but that IF side effects occur, it is possible that they are persistent.

      Problems with High or Low DHT? Use Rice or Safflower to Inhibit and Sorghum to Promote 5-Alpha Reductase!

      Image 1: High or too low DHT levels? Nature has the cure for both. Lower your DHT levels with rice bran or safflower flower extracts or raise it with a crude extract from Sorghum bicolor seeds.
      Hairloss for men, and even more so for women, is certainly one of the nastiest side effects of either naturally or artificially induced hormonal disturbances. And while the vilification of DHT as the #1 inducer of male pattern baldness and a potential cause of female hair loss may be overblown, it is a well-established fact that (over-)expression of DHT, or rather a high / over-activity of the 5a-reductase enzyme which converts testosterone to the ~10x more potent androgen dihydrotestosterone will, over time, lead to a shrinkage and gradual disappearance of affected hair follicles. In that, it is noteworthy that similar to the carcinogenic effects estrogen exerts on female (and male) breast tissue, it is mostly the local and not so much the systemic reduction of testosterone to DHT, or, in the case of estrogen, the "aromatization" of testosterone into estrogen, which causes the problems.

      In view of the fact that DHT appears to play a role in the etiology of prostate cancer, as well the results of test-tube studies on the effects of rice and safflower extracts on the 5a reductase in human DU-145 prostate cells Warintorn Ruksiriwanich and his colleagues present in their latest paper in The Journal of Supercritical Fluids, could well hold the key to natural alternatives to the currently available pharmacological 5a-reductase inhibitors finasteride and dustasteride (Rukisiriwanich. 2011).

      Rice and safflower extracts are potent 5a-reductase inhibitors

      In their initial experiment the researchers had determined that of the 10 edible plant crude extracts they had prepared by either supercritical carbon dioxide fluid (scCO2) low temperature treatment or ethanolic maceration, the rice (Oryza Sativa L.) and the Safflower (Carthamus tinctorus L.) which had been prepared by the scCO2 method yielded the largest amount of unsaturated fatty acids (cf. figure 1):
      Figure 1: Fatty acid composition (left) and total polyphenol content (right) of the ten edible plant extracts after scCO2 processing (data adapted from Rukisiriwanich. 2011).
      The sorghum (Sorghum bicolor L.) extract took a close third place, but lacked the gamma-linoleic acid (GLA) content which sets the rice and the safflower extracts apart from peanuts, soybeans, flax, lotus, sesame, and, obviously, corn. The sunflower extract, on the other hand, had the highest total phenolic content, but lacked the "essential" polyunsaturated fatty acids, of which we are going to see that they are the driving forces behind the 5ar inhibition both the rice, as well as the safflower extracts exerted on the prostate cells upon incubation at 0.1mg/ml (cf. figure 2):
      Figure 2: 5a-reductase activity of essential fatty acids, pharmacological agents and rice, safflower and sorghum extracts and respective fractions (data adapted from Rukisiriwanich. 2011).
      If you scrutinize the results in figure 2, you will notice that further processing (fractions #1 to #4; intended to produce an even more concentrated and thusly more potent extract) did not improve the inhibitory effect of the crude rice extract and profoundly reduced the anti-5ar activity of the safflower extract. In view of the fact that, at the given dosage of 0.1mg/ml the crude rice and safflower were more potent than their pharmacological rivals, dustasteride and finasteride, this is yet another item to be added to my never-ending list of evidence for the genuine truth behind my favorite saying: Nature knows best!

      Image 2: If you look like this, you better go
      get some sorghum bicolor extract, right away ;-)
      Sorghum increases 5a-reductase by more than 50%!

      Moreover, nature appears to be similarly aware of the fact that ridicolously low levels of the male hormone par excellence are likewise undesirable for men - pseudohermaphroditism, an extreme case of which you can see in image 2 is one of the common consquences of low / lack of 5ar in men (cf. Sinnecker. 1996). I mean how else would you explain that she invented Sorghum bicolor, a grass species that originated in northern Africa, and is now cultivated widely in tropical and subtropical regions turns out to increase 5a-reductase activity by at least 54%?

      How does this work? I mean is there finasteride in rice?

      These astonishing results raise the question what exactly is responsible for these non-negligible effects of the plant extracts. To answer this question the scientists performed one of their "dreaded" correlation analysis (you know that is what the American Heart Health Association sponsors to then confuse correlation with causation and tell us that cholesterol causes heart disease ;-) and came up with a whole bunch of highly correlated variables (Pearson coefficients >0.9). Of the 10 tested variables, the linoleic and total unsaturated fatty acid content of the crude rice, as well as the same ingredients in fraction #3 of the crude rice extract were yet the only ones which showed a significant (p < 0.05, crude extract) and highly significant correlation (p < 0.01, fraction #3) with the 5ar activity of the respective compounds.

      The fact that these statistical shenanigans did not yield significant correlations for any of the ingredients of the crude safflower extract and its inhibitory effect  (which by the way was within one standard deviation identical to the one of the rice extract!) on 5a-reductase makes me question the validity, or I should say "significance" *rofl* of this analysis. After all, their own analysis, as well as previous studies (e.g. Pham. 2002) clearly show that on a mg/ml base gamma linoleic acid (GLA) is a much more potent inhibitor of 5a-reductase activity than linoleic acid... but hey, why even bother? I mean, if nature knows best, anyway, let's just trust her and rely on the crude extracts - or should I say "nature's proprietary blends". I guess, if Oryza sativa bran or Carthamus tinctorus flower extracts prevent your hair from falling out and your prostate from carcinogenic growth, or a crude extract from Sorghum bicolor seeds effectively restores your virility, you probably won't care if it was the LA, the GLA or whatever else nature has packed into the bran, flower and seeds that was responsible for these effects - the only caveat is in vivo human data is still lacking ;-/