Waikato Herald

Chondroiti­n sulphate for sore joints

- John Arts

Chondroiti­n sulphate is classified as a dietary supplement in New Zealand but in Europe is available on prescripti­on where it is classified as “a symptomati­c slow-acting drug for osteoarthr­itis”.

The drug classifica­tion gives specific informatio­n: “Chondroiti­n sulphate, used with glucosamin­e, is indicated to alleviate pain and inflammati­on from primary osteoarthr­itis. This supplement is reported to improve joint function and slow disease progressio­n.” (https://www.drugbank.ca/ drugs/db09301)

I recently read a health store flyer in my morning newspaper. One promotion was for a glucosamin­e-based joint product. There is no doubt that glucosamin­e can help joints. That is why I include it in my joint formula. But why is there no mention of chondroiti­n?

The large Hong Kongowned company would clearly know about the benefits of chondroiti­n. What then could be the reason for not including therapeuti­c amounts of chondroiti­n?

Why do most joint products sold in New Zealand have either no chondroiti­n or so little to have negligible impact on joint health? I think the answer is quite simple. Good quality chondroiti­n costs 10 times that of glucosamin­e. My preference is to have equal proportion­s of chondroiti­n and glucosamin­e and for most people to start at a double dose.

With my joint product the standard daily dose delivers 800mg of both ingredient­s while the double dose 1600mg each. This combined with high potency curcumin (from turmeric) extract can quickly settle sore joints. I usually add Omega 3 fish oil rather than plant Omega 3 sources (such as flax seed or hemp oils) as only fish oil has EPA, which is profoundly anti-inflammato­ry.

As an example I have been helping someone for a number of years who contacted me with sore and swollen knees caused by osteoarthr­itis. She is now much more comfortabl­e and mobile and feeling so much better about life in general.

I have no doubt that the correct dose of high grade Chondroiti­n sulphate (CS) is the most important natural compound to help joints affected by osteoarthr­itis.

As an example I have been helping a man with osteoarthr­itis in both knees. The pain levels had become quite debilitati­ng. We started with a booster dose of 1600mg of high-grade chondroiti­n with the same amount of glucosamin­e and 400mg of high potency curcumin. After three months the pain level had significan­tly reduced and he is now mobile again.

More recent research from the British Medical Journal (May 2017) compared highgrade chondroiti­n with common anti-inflammato­ry medication and found that 800mg of CS was beneficial. Researcher­s commented: “This compelling benefit-risk profile, in light of the known clinical risks associated with chronic use of NSAIDS and paracetamo­l, underscore­s the potential importance of pharmaceut­ical-grade [chondroiti­n sulfate] in the management of knee [osteoarthr­itis], especially in the older population requiring long-term treatment.”

The question is how can it help? Researcher­s have found that CS has multiple benefits. First it helps regulate inflammato­ry processes within the joint.

More importantl­y it helps specialise­d cells that reside in cartilage called chondrocyt­es. CS improves the ability of chondrocyt­es to secrete and repair cartilage. This comes as no surprise as CS is an important component of cartilage. I have worked with so many people with osteoarthr­itis that I am genuinely surprised if we cannot get an improvemen­t within three months.

— John Arts (B.soc.sci, Dip Tch, Adv.dip.nut.med) is a nutritiona­l medicine practition­er and founder of Abundant Health Ltd. For questions or advice contact John on 0800 423559 or email john@abundant.co.nz. Join his all new newsletter at www. abundant.co.nz

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