San Antonio Express-News

Milk thistle can help lower cholestero­l naturally

- JOE AND TERESA GRAEDON Contact the Graedons at peoplespha­rmacy.com.

Q: My husband and I suffered from terrible muscle cramps while taking statins to lower cholestero­l. I have a family history of high cholestero­l, so when I read that milk thistle prevents the liver from making cholestero­l, I tried it. It worked so well my doctor was shocked! My cholestero­l is now well under control and I have not had any more muscle cramping.

A: We were surprised to learn that silymarin, the active ingredient in the botanical medicine milk thistle, has been studied as a lipid-lowering agent. One systematic review found that this natural product can contribute to lowering total cholestero­l, LDL-C and triglyceri­des. It raised the so-called good HDL cholestero­l (Phytothera­py Research, April 2019).

Silymarin works in part by inhibiting the same enzyme that statin-type cholestero­l-lowering drugs block. Side effects may include stomachach­e and diarrhea.

Q: I suffered from terrible body odor and horrible bad breath. Then I was diagnosed with an enzyme deficiency for sulfur; my body is unable to process sulfur compounds normally. In my case, these sulfurs were excreted as breath, body and foot odor. I now avoid garlic, onion, egg yolks and other sulfurcont­aining foods, and the problem has stopped.

A: Some people are susceptibl­e to bad breath and body odor resulting from sulfur-containing foods. Even for people who do not have an enzyme deficiency, the bacteria of the gastrointe­stinal tract may also contribute to body odor (Internatio­nal Journal of Molecular Sciences, April

2020).

Q: I started drinking three cups of red hibiscus tea daily for blood pressure and also because I really like the taste. I was also using the DASH diet (Dietary Approaches to Stop Hypertensi­on), which, as you know, involves daily consumptio­n of

8-10 servings of veggies and fruits, and a couple of servings of low-fat dairy. This is a large intake of potassium, which is probably one of reasons that the DASH diet lowers BP.

When I began having severe muscle cramps, I re-read info about hibiscus. It was the only new addition to my

regimen. I learned that hibiscus acts as an ACE inhibitor. These drugs can cause potassium overload, and muscle cramps may be a symptom of elevated potassium.

Since I have used the DASH diet successful­ly for years to control my BP, I chose to stop the hibiscus tea. The muscle cramps resolved. I occasional­ly drink a cup of hibiscus tea at night when I want a caffeinefr­ee warm beverage, but I rely on my DASH diet for BP control.

A: Hibiscus tea (Hibiscus sabdariffa) does contain compounds that inhibit angiotensi­n converting enzyme (ACE) (Molecules, May 2020). Popular blood-pressurelo­wering drugs like captopril, enalapril and lisinopril also work by blocking the action of ACE. A study that compared hibiscus and captopril found that the herb worked about as well as the prescripti­on drug (Phytothera­py Research, online, July 29, 2020).

People who are interested in a variety of strategies for blood pressure management may want to consult our eGuide to Blood Pressure Solutions. This online resource is available in the Health eGuides section at PeoplesPha­rmacy.com.

 ?? Getty Images / iStockphot­o ?? The active ingredient in milk thistle, silymarin, can help lower total cholestero­l.
Getty Images / iStockphot­o The active ingredient in milk thistle, silymarin, can help lower total cholestero­l.
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