Daily Breeze (Torrance)

Supplement that reduces inflammati­on needs study

- Dr. Keith Roach Columnist — N.H. — L. Contact Dr. Roach at ToYourGood­Health@ med.cornell.edu.

DEAR DR. ROACH » I have a friend with multiple health problems, mostly digestive and throat, who has recently discovered the supplement astaxanthi­n through his treatment with a nutritioni­st. He is extremely optimistic that this supplement is his ticket to better health. He said it was developed by a biochemica­l engineer. As a doctor, would you recommend this for your patients? He says it is a powerful antioxidan­t and reduces inflammati­on. He also believes it will destroy any cancer cells.

DEAR READER » Astaxanthi­n is a naturally occurring pigment related to vitamin A that was first isolated from a lobster in 1938. It indeed has both anti-inflammato­ry and antioxidan­t properties. It has been used as a coloring agent in salmon and is also naturally found in salmon. Most astaxanthi­n sold commercial­ly is synthesize­d from petroleum products.

As a supplement, astaxanthi­n has been best studied to treat and prevent skin damage from aging. Multiple small studies have shown that it can improve skin appearance and function when used orally or topically. There is some evidence it can reduce DNA damage from ultraviole­t light.

The ability to reduce the type of damage that may ultimately lead to skin cancer is a far cry from the ability to “destroy any cancer cell.” There is no secret or hidden cure to cancer.

The Food and Drug Administra­tion categorize­s astaxanthi­n “generally regarded as safe.” As I have often said, since supplement­s are not tightly regulated in the United States, you must rely on the manufactur­er providing you with what they say they are, and there have been many, many instances where that has not been the case (in general, not about astaxanthi­n in particular).

Being conservati­ve, I would say this supplement has potential, but I can't recommend it until it has been better studied.

DEAR DR. ROACH » My hair is falling out. What can be done about it? I take biotin and saw palmetto, but it hasn't stopped the hair loss. The older a lady gets, the more the hair falls out!

By Russell Myers

DEAR READER » I have learned not to underestim­ate the psychologi­cal effects of hair loss in women. Female pattern hair loss is a common problem affecting older women. The diagnosis can be made for certain by your regular doctor or a dermatolog­ist after an exam. The most common pattern is thinning of the hair, often initially in the midline and worse on the top of the scalp (vertex). There are other causes of hair loss, so it is important to get a correct diagnosis in order to choose the right treatment.

I have not seen much success with overthe-counter supplement­s. Topical minoxidil (Rogaine) is the most common treatment, but I have started to try very low-dose oral minoxidil in some of my women patients. Spironolac­tone (a blood pressure medicine that also blocks testostero­ne receptors) and finasterid­e (used in men both for enlarged prostate and for male pattern hair loss) are also used by experts in women. It takes months to see if these are working.

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DILBERT: By Scott Adams

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