Exclusive: Athletes and fitness warriors are at high risk of inadvertently consuming drugs that are banned in sport and that could be putting their life at risk if they use protein shakes or other sports supplements.
Australians have died after using these products which often contain secret ingredients not listed on the labels, others have needed organ transplants.
And a University of Queensland expert says it is “highly possible” athletes like Shayna Jack could have inadvertently consumed banned drugs in a sports supplement if it was not tested before consumption.
A 2018 a study of teens in Greece who purchased sports supplements on the internet found one in 10 had banned substances including selective androgen receptor modulators (SARM), the type of drug Jack tested positive for, University Queensland doping expert Dr Betul Sekendiz said.
The Australian Sports Anti-Doping Authority has issued repeated warnings to athletes about the risks of using these supplements.
And in the last seven years the nation’s medicines regulator has twice banned supplements containing the stimulants DMBA and DHMA and DMAA.
The Therapeutic Goods Administration warned the chemicals were “toxic” and were associated with high blood pressure, psychiatric disorders, bleeding in the brain and stroke.
A 2016 study by Life Science Company found one in five sports supplements for sale in Australia contained substances banned in sport including steroids that were not declared on their labels.
The most common substance found in the supplements was the stimulant 1,3-dimethylbutylamine (also known as AMP Citrate) which was identified in seven products.
This substance allows the lungs to take in more oxygen and if detected in an athlete’s urine sample could see them face up to a four year ban from sport.
WORLD ANTI-DOPING AGENCY’S LIST OF BANNED SUBSTANCES:
The testing also found anabolic steroids in various sports supplements available for sale in Australian stores.
It is common for people trying to build muscle to purchase products from overseas over the internet.
In 2017 a major review of studies around the world published in the journal Nutrients found between 12 and 58 per cent of supplements contained substances banned by the World Anti- Doping Agency.
“Non-intentional doping is a point to take into account before establishing a supplementation program,” the study said.
“Athletes and coaches must be aware of the problems related to the use of any contaminated supplement and should pay special attention before choosing a supplement, informing themselves fully and confirming the guarantees offered by the supplement,” the authors said.
Dr Sekendiz said Australians were taking great risks using sports supplements.
“It’s a worldwide issue that these products have been found to have substances banned by WADA,” she said.
Consumers who wanted to check whether the product they were using could be at risk could as to have it tested by HASTA or Informed Sport and Informed Choice organisation which carry out chemical analyses of products, she said.
“Consumers should look for the logo of these organisations on a product to ensure its safety,” she said.
THE RISKS OF TAKING SPORTS SUPPLEMENTS
2017 Australian mum Megan Hefford, a 27 year bodybuilder, died in August because a rare disorder prevented her body from breaking down her high protein diet which included protein supplements.
2016 Matthew Whitby from WA needed an emergency liver transplant after taking a protein powder containing green tea extract and a supplement with garcinia cambogia – a tropical fruit used in weight-loss supplements.
2016 National organ donor registries show since 2011 six Australians have had organ transplants after herbal supplements including those used by body builders destroyed their organs.
2015 A New England Journal Medicine study in 2015 found over 23,000 emergency department presentations in the US each year were linked to dietary supplements.
2015 British Journal of Cancer study found muscle building supplements were linked with an increased risk of germ cell testicular cancer.
2013 A British coroner found 30 year old runner Clare Squires died during the London Marathon after taking a supplement containing DMAA which in combination with extreme physical exertion, caused acute cardiac failure, which resulted in her death.
2013 The US FDA reported 72 cases of acute non-viral hepatitis linked to people using OxyElite Pro and Versa-1 which it found was adulterated with aegeline an unknown dietary ingredient.
Nearly 8 in 10 women and 7 in 10 men in the U.S. take dietary supplements, says Trisha Sugarek MacDonald, BS, MS, sr. director of RD/national educator, Bluebonnet Nutrition Corporation. Needs change throughout our lifespan, and while there’s no one-size-fits all approach (making it key that each individual consult a healthcare professional), we asked the experts to give an overview of some main concerns that affect both men and women throughout the years, and the nutritional support that can help keep us feeling forever young.
For women
Taking a broad look at what’s trending for women, Vincent Tricarico, VP, Contract Manufacturing, NutraScience Labs, notes: “With respect to women’s health, we’ve found that brand owners are focusing on creating high-quality sleep support products, stress reduction products, and formulations that address gut health. Additionally, we’ve noticed that beauty from within is a surging category right now—collagen is absolutely huge. We’ve also recently worked with a few high profile brands that have created new products intended to reduce bloating and boost metabolism.” Read on for a closer look at top interests and needs for women’s health.
20s and 30s
“When women are young and in their 20s/30s, they are typically immersed in their education or in the early stages of their careers,” says Sugarek MacDonald. “These women are focused on being healthy, maintaining a healthy weight and some may even be considering starting a family.” In terms of supplements, she adds, these women may gravitate towards a daily multivitamin and mineral formula. Bluebonnet offers Ladies’ ONE Whole Food-Based Multiple, a one-a-day with coenzyme forms of the B vitamins, plus Albion chelated minerals, an organic whole food vegetable blend and a plant-sourced enzyme blend. The multiple also contains extracts from ashwagandha, red raspberry, cranberry, tart cherry, cinnamon and rose hips (to help address menstrual symptoms, support urinary tract health, and help manage blood sugar levels within the normal range), as well as garcinia cambogia (to support healthy weight management when combined with proper diet and exercise).
One issue women deal with throughout their lives: Stress, says David Winston RH(AHG), founder and formulator at Herbalist Alchemist. “Adaptogens and nervines which help enhance the body’s stress response play a role in many of my formulas. Depending on the underlying issues, different combinations of adaptogens, nervines, anxiolytics, nootropics or restorative tonics are chosen to specifically address common mental and emotional problems.”
For women in their 20s and 30s, Winston continues, there can be a hormonal component. “Herbalists will combine herbs that address conditions from different angles but also work well together. For stress with a hormonal component, I use a formula which we call Women’s Calmpound, the most prominent ingredient is Chaste Tree, along with the nervines Motherwort, Skullcap, Blue Vervain, and a small amount of the powerful herb Pulsatilla. It is specific for PMS-induced anxiety, irritability, nervousness and mild depression.”
In addition to feeling ageless, women want to look ageless. “In their 20s and 30s, having good hair, skin and nails has supported a multi-billion dollar beauty industry for women, but these physical characteristics reflect inner health,” points out Winston. “Osteoherb, our encapsulated formula to support healthy bone structure, also helps strengthen hair and nails.”
Another major player in the beauty-from-within category: collagen. Samantha Ford, director of business development, AIDP, Inc., notes that after age 25 skin begins to lose elasticity. “The youthful qualities of the skin will deteriorate rapidly, unless action is taken to support your skin’s intrinsic defense system. The process of skin aging is both intrinsic and extrinsic. Intrinsic aging is due to genetic and hormonal processes. Extrinsic aging is caused by external factors such as smoking, UV radiation and pollution. Extrinsic and intrinsic aging reduce the number and the quality of collagen fibers. They also reduce the skin’s elasticity and uniformity.”
Collagen I is the most abundant collagen of the human body, Ford adds—but levels fall (they can drop by as much as 30% by the age of 45), resulting in wrinkles, fine lines, and dry skin. AIDP offers Naticol, a natural source of Type I collagen peptides. “Human clinical studies have shown that regular intake of Naticol Fish collagen peptides improves skin moisture and elasticity and reduces wrinkles,” Ford says. “Naticol has clinically demonstrated its role as an ingredient in anti-aging applications.”
Also of benefit for younger women: Bergstrom Nutrition is pursuing female-specific research based on the results of a yet unpublished study on OptiMSM performed at UC-Davis, shares Tim Hammond, VP of sales and marketing, Bergstrom Nutrition/OptiMSM. ”The surge of estrogen in the period around ovulation decreases the stiffness and cross-linking of collagen, which in turn leads to ligament laxity. Women are 4 to 6 times more likely to rupture an ACL than men participating in the same sport and it is highly likely estrogen and its effects on ligaments may be a contributing factor. The initial research suggests MSM increases collagen cross-linking in engineered human ligaments treated with high estrogen. The results demonstrate OptiMSM might completely reverse the negative effects of estrogen on ligament mechanics. The current follow-up clinical study focuses on determining the effect of OptiMSM on knee laxity changes through the menstrual cycle in young, active women.”
Reproductive health is another central focus. “If I only had one herb to choose for the female reproductive system, it would be Chaste Tree or Shatavari,” says Winston. “But the ability to combine them with other herbs allows one to make a formula more specific for different age groups.” For those in their 20s and 30s, he says, the focus is on balancing a woman’s hormonal system during childbearing years using the nervine Motherwort, uterine tonifier Raspberry leaf, blood builder Processed Rehmannia, Dong Quai, Ginger and Chaste Tree—herbs found in the company’s Women’s Formula. And to provide support for menstrual cramps, Winston suggests a combo of the antispasmodics Black Haw, Roman Chamomile and Wild Yam with the herbal analgesics Cyperus, Corydalis and Jamaica Dogwood, as found in the company’s Full Moon Women’s Anti-Spasmodic.
Choline is another nutrient young women may want to consider: Research conducted at Cornell University (using supplemental choline provided by Balchem, makers of VitaCholine) suggests choline intake during pregnancy, particularly in the last trimester, helps women achieve optimal cognitive benefits for their children.
And after pregnancy: Poor bladder control is relatively common—especially after childbirth and increasing with age, says Dr. Tracey Seipel, N.D., CEO/founder, Seipel Group. “Urinary incontinence affects 25% of reproductive age women.” For up to 70% of American women (the highest prevalence globally, she says), stress urinary incontinence occurs for one to four years after childbirth, with pelvic floor muscle weakening as a result of prolonged excessive strain during pregnancy and childbirth. “These women do not get warning of the bladder accident that occurs with coughing, laughing, jumping and sneezing. Bladder control may improve with time for some women and then recur with increasing frequency with age.”
Dr. Seipel adds that multiple trials have been conducted to confirm the effectiveness of Seipel Group’s Urox ingredient, a patented 3-herbal combination of the Ayurvedic Crateva nurvala, Equisetum arvense and the Japanese/Chinese Lindera aggregata. Results of the latest trial, she shares, showed that over two months of use, total average day frequency returned to normal, urinary urgency was reduced by 60%, there was close to a halving of nocturia (getting up to go at night) and a 60% reduction in urinary incontinence (both stress and urgency). What’s more, 75% of Urox users reduced their pad usage to one or less per day and 23% of participants reported they were fully continent by two months. All Urox users, Dr. Seipel continues, showed improvement in quality of life—and results were seen in as little as two weeks.
One more to consider: “Because women in their 20s and 30s are at a higher risk for urinary tract infections (UTI), it’s smart to be proactive with a targeted blend of probiotics and cranberry like that found in our Kyo-Dophilus Cranberry+ Probiotic,” says Jay Levy, director of sales, Wakunaga of America. “Studies show that cranberries possess anti-adhesion properties that prevent harmful E. coli bacteria from adhering to the cells within a woman’s urinary tract. Adding a probiotic helps protect against the transfer of pathogenic bacteria from the intestine to the urinary tract. Combining a concentrated source of cranberry with probiotics into one convenient supplement is an easy way to sidestep a future UTI.”
40s, 50s and beyond
As women mature, Sugarek MacDonald says, they may start to consider taking products to support specific structure-function applications in the body. “Women, for instance, in their 40s may become interested in products that fit their individual needs and busy lives. Products for managing stress levels, supporting healthy sleep patterns, and possibly helping to turn back the hands of time.” Bluebonnet’s Targeted Choice Stress Relief Vegetable Capsules, she says, are a great adjunct to help keep stress levels in check.
Between family, career, and social obligations, 40-somethings often find themselves feeling more stressed and spent, adds Levy. “Instead of reaching for that mid-afternoon latte or candy bar to make it through the day, a healthier option is a green drink.” Kyo-Green Greens Blend Energy is rich in barley and wheat grasses, FOS, chlorella, and kelp, he shares, adding that the product provides a nutritious alternative to caffeinated drinks or sugar-laden energy bars, giving women a healthier way to power up.
On the herbal front for stress, Winston says, “In their 40s and later years, as women take on more responsibilities—in their careers, for aging parents and other stressful issues—and the resultant anxiety and emotional lability has become more intense, they need greater support. I mix the nervines Motherwort flowering tops, milky Oat seed, Bacopa, and Blue Vervain with calming Chinese Polygala, hence the name Tension Relief. This formula has anxiolytic, nervine and nootropic effects.”
Women transitioning into their 50s+ often worry about maintaining vitality so they can be active with their kids and grandkids well into their senior years, says Sugarek MacDonald. “Providing the right nutrients to counteract the negative effects of aging is typically their number one goal but women also want the extras to help support menopause, bone health and cardiovascular needs. So, in addition to supplying complete nutritional support for women in their prime, Bluebonnet’s Choice Multiples Ageless Choice For Women 50+ Caplets also incorporates pomegranate, tomato extract and coenzyme Q10 into this innovative multiple for women over 50 to help support her aging heart.” The formula also delivers antioxidants, vitamins C, E and beta-carotene, as well as a special blend of turmeric, elderberry, marigold, green, white and black tea extracts, as well as glucosamine and MSM to help maintain the fluidity of motion and the normal rate of repair of healthy joints, and acetyl-L-carnitine, ginkgo biloba extract and phosphatidylserine to maintain healthy brain function, and extracts from dong quai, black cohosh, red clover and flax lignans to help mediate hormonal health issues.
Once women hit 50, says Levy: “Everyday digestive ailments like dyspepsia, gas, and heartburn can make life uncomfortable and occasionally embarrassing. A daily dose of digestive enzymes plus probiotics can help to prevent these gastrointestinal issues while also fostering good gut health. Kyo-Dophilus Enzyme+ Probiotic combines four key digestive enzymes with three powerful probiotics to support optimal digestion and a healthy microbiome.”
And when menopause strikes: “Because both combined hormone replacement therapy or estrogen alone have been shown to increase the risk of stroke, blood clots, and heart attack, many women are seeking natural alternatives to relieve hot flashes and other menopausal symptoms,” Levy notes. “Studies show that herbs and botanicals rich in isoflavones can support healthy estrogen levels and may help reduce menopausal symptoms. These include black cohosh, soy isoflavones, wild yam, and chasteberry—all of which are found at clinically effective levels in Kyolic Estro-Logic.”
As women’s female reproductive organs mature, adds Winston, impaired circulation and other uterine function irregularities can be supported again with Chaste Tree and adding Dong Quai for increased circulation and liver and bowel excretion, Saw Palmetto (to relieve pelvic fullness), Chinese Peony, and Shepherd’s Purse and Cinnamon to address passive bleeding—the company’s Uterine Tonic delivers these herbs.
Another concern for women that can increase with each passing birthday: Bone loss. “Usually, men and women have the same bone loss speed in mid-life,” says Ford. “However, women can lose up to 20% or more of their bone in the five years after menopause.” And while low bone density is often thought of as a concern for the older population, Ford adds, it can strike at any age. “It is known that, in human bone, calcium builds bone density and collagen builds the framework for calcium to attach. Collagen plays an essential role in improving bone flexibility. Thus, even the strongest bones can crack or break without collagen. Although the body produces collagen naturally, its production diminishes as we age. As a patented collagen and calcium combination, KoACT has been designed to improve bone strength by addressing the bone organic matrix. It provides calcium and collagen through a unique process that models natural bone structure. The result is a synergistic effect of both nutrients into the bones, creating superior bone strength.
Also critical, per Ford: “K2 MK-7 helps to transfer calcium into the bone and is needed to activate a protein that deposits that calcium in the bone. It plays a huge role in bone formation alongside calcium, vitamin D and other minerals. An added benefit, K2 MK-7 has an indirect cardiovascular benefit as it directs free calcium away from the arteries to help maintain a healthy circulation.” AIDP offers a protected, microencapsulated form of K2 MK-7, K2 Vital Delta.
Brain health is top of mind for many. “Shrinking brain volume begins after age 25 when brain growth peaks,” says Ford. “Research suggests this shrinkage equates to roughly 5% per decade after 40 years of age, which accelerates to an even greater degree after age 70. As the brain ages, it loses efficiency due to loss of neurons and reduced synaptic density and plasticity. The result is declining cognitive function over time. Cognitive health covers a range of conditions including memory loss, stress or anxiety management, phobias, sleep issues and other degenerative conditions.” All of these, she says, are controlled by the health of the brain.
Magnesium plays a role in many brain and nervous system functions; Ford notes that AIDP’s Magtein (Magnesium l-threonate) has been shown to effectively raise the brain’s magnesium levels, which leads to enhanced learning abilities, working memory and short and long-term memory. “Magtein supplementation led to significant improvements in a composite score of a series of cognitive tests that assessed: Executive Function, Working Memory, Episodic Memory Attention. Magtein intake led to 10% improvement in a clinical assessment of executive function. This improvement is equivalent to a 9 year reduction in ‘brain age’ after 12 weeks of supplementation.”
“As women continue to age,” Winston says, “nootropics or tonics for mind and memory that increase cerebral circulation help with calm focus. Clarity Compound blends nootropics Gotu Kola and Bacopa with the circulatory support of Gingko, and adds in the adaptogenic Schisandra with the uplifting nervine Lemon Balm.”
Bladder issues also impact 50% of post-menopausal women, and 50%-75% of women in nursing homes, says Dr. Seipel. She notes that bladder issues are associated with shame and remain underreported with most sufferers having to modify their lifestyle and manage with adult diapers and padded underwear, significantly reducing self-esteem and quality of life. And while it is already a large category, with 400 million people globally and more than 60 million Americans, Dr. Seipel points out that it will increase in relevance with our aging population. (See above for details on the science from Seipel Group that can help.)
For Men
Taking a broad look at what’s trending, Tricarico says, “On the men’s health side of things, pre- and post-workout products remain popular, but brands are starting to get really creative as it relates to the flavors they’re coming out with. We’re also starting to see nerve support products that contain B vitamins grow in popularity.” Another surging category, according to Tricarico: Eye health; he notes that products with lutein and bilberry are really popular with consumers (go here for more on eye health). “Last, but not least,” Tricarico adds, “brands are contacting us about formulating cognitive support and cellular energy products.” Read on for more insights on men’s health.
20s and 30s
“Practicing healthy habits while a man is in his 20s and 30s can help reduce the risk of major diseases later in life,” Levy says. “Along with adopting a whole foods diet, including a daily multi-strain probiotic can support a healthy microbiome. Choosing a probiotic that offers a diverse community of beneficial bacteria, including L. gasseri, B. bifidum, B. longum, B. infantis, B. breve, and L.rhamnosus, promotes both strong digestive and immune health. These strains can be found in Kyo-Dophilus Multi 9.”
Men in their 20s and 30s tend to focus on their physical activity and performance needs, says Sugarek MacDonald. “These younger men tend to gravitate towards a daily multivitamin and mineral formula, like Bluebonnet’s Men’s ONE Whole Food-Based Multiple that is a one-a-day, male multiple formulated with coenzyme forms of the B vitamins, plus Albion chelated minerals—in addition to an organic whole food vegetable blend, a plant-sourced enzyme blend, as well as extracts like ashwagandha, saw palmetto, pumpkin seed, broccoli, stinging nettle, rhodiola and American/panax ginseng extracts to help support male stamina and prostate health.”
40s, 50s and beyond
As men transition into their 40s, they start to require additional support for structure-function related issues, such as those associated with bone/joints and heart health, says Sugarek MacDonald. A top seller for Bluebonnet: Targeted Choice Joint Support Targeted Choice Pain Inflammation, each of which deliver wholesome ingredients that are necessary for healthy ligaments, connective tissues and joints, and also provide temporary relief from pain caused by physical overexertion, she says. “By employing the right nutrients, the body will be able to repair and maintain cells and tissues for optimal joint health and collagen synthesis that is also required for bone support.”
For an aging population, loss of muscle strength and lean mass is another concern. Enter protein. “Plant proteins appeal to those interested in reducing animal protein consumption but also to special diets of vegans and vegetarians,” Ford says. “There are a wide variety of plant proteins that can be grown in numerous types of conditions. AIDP offers RisaPro, PeasiPro, pumpkin-seed, hemp and many other plant proteins, some of which are available in organic forms.”
In their 50s, Sugarek MacDonald says, “They may prefer a daily multiple with higher levels of certain nutrients like those found in Bluebonnet’s Choice Multiples Age-Less Choice for Men 50+ Caplets.” It contains pomegranate, tomato extract and coenzyme Q10 to support heart health, as well as antioxidants, vitamins C, E and beta-carotene and extracts from turmeric, elderberry, marigold, green, white and black teas to combat the ravaging effects of free radicals caused by a lifetime of stress, pollution, smoking, drinking and processed fast foods. “Additionally, scientifically researched ingredients like saw palmetto, rhodiola, stinging nettle and quercetin have been integrated into the formula to help them maintain the health of their prostate, a growing concern for maturing men,” she explains. “In an effort to help men in their prime stay physically active, mobile and mentally healthy and alert, glucosamine and MSM were included to support joint health, as well as acetyl-L-carnitine, ginkgo biloba extract and phosphatidylserine, which not only increases oxygen to the brain but also facilitates communication between the brain cells for enhanced focus and memory.”
Prostate problems typically become more prevalent, too, Levy notes, adding that research shows the risk of benign prostatic hyperplasia (BPH) increases during a man’s 40s. “When the prostate is enlarged, extra pressure is put on the urethra—the tube that carries urine from the bladder and out of the body—causing a small amount of urine to remain in the bladder. Because of this, those affected may often feel the need to urinate more frequently or more urgently, especially at night. Several key herbs and nutrients, found in our Kyolic Prosta-Logic product, have been shown to reduce the risk of an enlarged prostate and support overall prostate health. These include aged garlic extract, saw palmetto, pygeum, and pumpkin seed oil extract, as well as zinc and lycopene.”
Sexual problems and a loss of vitality can be triggered by prostate issues, reduced testosterone levels, and other factors, Levy adds. “Certain nutrients known as secretagogues have been found to act as testosterone precursors and improve sexual function and vitality. These ingredients include zinc, selenium, codonopsis lanceolata root, l-citruline, maca, tribulus terrestris, and longjack, which can all be found in our Lucky 7 supplement.”
Herbs can help maintain vitality as men mature into their 40s and 50s, agrees Winston. “Herbs are not a replacement for Viagra; they don’t work the same way, but they do strengthen the underlying system, which is a healthier way for men to address sexual health,” says Winston, who has been working as a clinical herbalist for 43 years. “That is the context in which we market this category. Many issues men face including stress, drug side effects, and lifestyle choices impact allover health, including reproductive function. Today more men want to maintain an active lifestyle as they age. If they get the right kind of support, they can.”
What is the right support? According to Winston: “As a general tonic for the male reproductive system, in my Men’s Adapt formula I combine adaptogens Ashwagandha and Red Ginseng to normalize the endocrine, nervous and immune functions. Both herbs have reputations for strengthening male reproductive function, especially in tired, overworked and stressed-out men. I add Cynomorium and Epimedium to help with lack of libido and increase sexual functioning. And Maca is a nutritive tonic that supports healthy male sexual functioning.”
Addressing urinary concerns, Dr. Seipel says, “Since around 2000, there has been a significant paradigm shift in the approach to male lower urinary tract symptoms (LUTS) as our knowledge of LUTS has expanded. In 2001, the International Continence Society categorized the term overactive bladder (OAB) to describe the increasingly more prevalent symptom picture of urinary urgency, with or without day frequency, night frequency and incontinence due to urgency, or not reaching the toilet in time.”
Men often attribute their LUTS to the prostate, Dr. Seipel says, but this is only half the story: “Male urinary symptoms of difficulty emptying/voiding—such as hesitancy, intermittency, weak stream, dribbling and feeling that the bladder hasn’t fully emptied—are likely symptoms due to prostate enlargement.” She adds that the symptom of nocturia (getting out of bed at night for the toilet) is the most bothersome symptom, and may be due to the prostate but may equally be due to a bladder storage problem of overactive bladder (OAB). Symptoms of OAB also include increased urinary urgency, frequency and accidents if the toilet isn’t reached in time, she says.
“A male LUTS approach that focuses only on the prostate, neglecting the bladder, is inadequate with the current knowledge of bladder involvement,” Dr. Seipel maintains. “This also explains why many men find their prostate formula does not provide the complete array of results they were expecting.” To that end, Seipel Group developed Prorox herbal formula specifically to target the bladder and prostate for a comprehensive approach to male LUTS, she explains. “Prorox combines the bladder-supportive benefits of the clinically researched Urox formula with a premium quality saw palmetto for the 5-alpha reductase enzyme benefits in blocking excessive androgen production and the resultant prostate enlargement. Prorox further supports the prostate with additional prostate-specific nutrients of Tomato with lycopene, zinc, selenium and vitamin D3.”
For later in life: “I’ve worked clinically with many men facing life changes, such as retirement and aging issues, who often find themselves feeling isolated, anxious, angry, impatient or disillusioned,” says Winston. “The working title for the formula I developed for this was ‘Grumpy Old Man’ formula, but my staff talked me into the name Men’s Midlife Tonic.” The formula combines Milky Oat seed (Winston says this is a great nerve trophorestorative), Ashwagandha (a calming adaptogen that Winston says helps enhances testosterone production, plus helps elevate mood and offers a mild anxiolytic activity), Mimosa Bark (another mood elevator) and Black Cohosh and Pulsatilla root (both used for hormonal depression). Of course the formula also features saw palmetto. Winston explains that this herb helps inhibit conversion of testosterone to dihydrotestosterone (DHT), which contributes to symptoms.
Strategies to increase sales
Go condition-specific: “Highlighting products specific to men’s and women’s health issues at shelf level can help customers sort through the multitude of generalized condition-specific supplements on store shelves,” says Levy. Winston and Ford agree that this is the way to go with supplements. Winston adds, “Condition specific sections are helpful for people seeking new products. Because many herbal formulas can address several conditions and genders, don’t hesitate to have them in more than one place.”
Cross merchandise. Sugarek MacDonald advises renovating the women’s and men’s department, making them attractive, interactive and informative for the consumer. Using the men’s section as an example, she suggests: “Cross merchandise, ‘men’s health’ products on an end cap combining dietary supplements, packaged foods, books and possibly fitness cookbooks for men’s health.” And add signage relating to a men’s health– Sugarek MacDonald suggests the Men’s Health Network (MHN) Flyer, noting that MHN is a national non-profit organization whose mission is to reach men and their families where they live, work, play, and pray with health prevention messages and tools, screening programs, educational materials, advocacy opportunities, and patient navigation.
Sub-categorize: Sugarek MacDonald recommends selecting wide-ranging and appropriate targeted supplements for each category (mens and womens) and then dividing the product sections into subcategories. Using men as an example,create subcategories formulas for: maintaining prostate health (e.g., saw palmetto, zinc, vitamin C); maintaining muscle health (e.g., whey protein isolates, BCAAs, and nucleotides); maintaining healthy cholesterol levels (e.g., CholesteRice, red yeast rice, policosanol, pantethine and plant sterols); providing general heart health and antioxidant support (e.g., CoQ10 – Ubiquinol or Ubiquinone, vitamin D3, Omega-3 fish oil, flax oil, vitamin E, magnesium and arginine); maintaining a healthy weight (e.g., CLA, chromium etc.)
Seek out “white space” areas: “It is important for brand managers to identify and capture the opportunity in ‘white space’ areas,” says Dr. Seipel. “Bladder control, for men and women, is the current white space.” That said, she adds, “Those affected by LUTS and poor bladder control are often reluctant to start the conversation and may search for discreet online or direct mail purchasing methods. However, store owners can offer an invaluable service by starting the conversation and making their customers aware of the natural bladder control products they offer.”
Beware product redundancy. “Focus on one particular men’s health subcategory or pick 3 popular items across the men’s health categories for an overall male health approach and then rotate on a monthly basis,” Sugarek MacDonald suggests.
Offer support materials: “A well-informed staff and targeted educational material available to customers at the checkout counter, as well as during health fairs and other in-store promotional events, can enhance both customer education and successful merchandising,” says Levy. “Wakunaga provides retailers with a wealth of information, both on our web site and via in-depth fact sheets. We also reach out to consumers directly through educational articles and booklets. These materials are available to retailers free of charge as part of our customer education efforts.” WF
Ketosis, a natural process that happens in the body, occurs in the liver where ketones are produced to be used as energy. This process is augmented when you take on a low-carb high-fat diet. Carbs produce glucose and insulin in the liver.
This carb reduction forces your body to rely on fats for its main energy source instead of glucose — thee process known as ketosis. Some keto diet benefits includes
Glucose is the easiest molecule for your body to convert and use as energy so that it will be chosen over any other energy source and insulin is produced to process the glucose in your bloodstream by taking it around the body.
Adopting Keto Diet
Research has shown that adopting this low-carb, high-fat diet can promote fat loss and even improve certain conditions such as type 2 diabetes and cognitive decline.
In a keto diet food percentages are:
fat: 70%-80%
protein: 20%
Carbs: 5%
When in a day you consume less than 50 grams of carbs, your body will later run out of fuel (blood sugar). This typically takes 3 to 4 days. Then you’ll start to break down protein and fat for energy, which can make you lose weight. This is the process that naturally occurs in the body called ketosis.
There are some great metabolic changes initially with this diet. Shredding excess weight improves, such as insulin resistance, high blood pressure, and elevated cholesterol and triglycerides. It is true that fat oxidation does increase due to the body adapting to the higher dietary fat intake. However, fat oxidation and losing body fat are two different processes. When fat oxidation is higher it does not necessarily mean that there will be a reduction in body fat. Overall calorie intake and calorie burn will be the main determinant in fat loss.
When you deprive your body of carbohydrates, which are the main fuel source for people, you’re also depriving your body of its ability to keep glycogen stores filled up.
Keto Supplements
These are known to aid ketogenic dieters. Ketone supplements are not anything new for 2019, but they have been increasing in popularity over the past couple of years. Popular talk show host Dr Oz, has featured these supplements in numerous segments on his talk show. Revealing how ketones can help individuals in losing weight.
Main Ingredients in Keto Pure Diet
BHB;– It is an amazing and primary ingredient in every keto based product. This ingredient plays an important role in operating ketosis process. Without this ingredient every keto based product is useless.
Raspberry ketones;– These ketones are helpful in cutting down excess fatty layers. It also increases the metabolic weight in order to improve fat burning process.
Garcinia cambogia;– This ingredient is so popular in improving the metabolism system. It includes HCA that helps to control on eating habits. In fact, it is also responsible for slim and healthy body.
Keto Pure Diet Ingredients contains Beta-hydroxybutyrate. BHB is the first substrate that kicks the metabolic state of ketosis resulting in energy.
Keto Pure Diet Claims and Warrants
Everything has a disclaimer to it, so nothing has been fully tested in clinical trials. But the organization explains the importance of the keto diet and argues that users on their supplement can expect to experience dramatic weight loss. However, with the absence of definitive and dedicated studies on this particular supplement, these claims are difficult to corroborate.
Keto Pure Diet Conclusion
While the listing for Keto Pure Diet has a high number of positive reviews, its hard for us to say these are all legit product reviewers. Some may be, some may not be.
The organization requests fairly cheap prices for their supplement compared to others on the internet. As always consumers who try these supplements are encouraged to review the product online, so that they can add to the existing research-base for keto supplement products and companies.
Update Incoming!
We will try and email the Keto Pure Diet support team to find out more information and bring transparency to this ketone weight loss supplement. Be sure to check back on our website for updated information on Keto Pure Diet.
This is one more post on Laravel 5.8 with Datatables and in this post we will cover How can we implement Laravel Datatables Individual Column Searching using Ajax. In some of our previous post, we have already covered topic like how to add custom search filter in Laravel Datatables and How to make D...
The PHP team is glad to announce the third and last beta release of PHP 7.4: PHP 7.4.0beta4. This continues the PHP 7.4 release cycle, the rough outline of which is specified in the PHP Wiki. For source downloads of PHP 7.4.0beta4 please visit the download page. Please carefully test this version an...
Some Laracon US 2019 videos are now available on YouTube for your viewing pleasure (seriously, these are some fantastic talks). Along with videos, the community now has access to thousands of photos of the event as well!
The post Talks and Photos ...
Maintaining a fit and active lifestyle are factors that can influence one’s body weight, self-esteem, and fitness levels. Nonetheless, for many men and women, the efforts that they put into their health routine does not always translate to results. One way to potentially enhance results is to add a supplement to one’s lifestyle. With the right formula, men and women can get the full support that they need to achieve their goals. With that, this review would like to introduce a new formula called KetoGen4.
About KetoGen4
KetoGen4 is a product developed by New U Life, and it comes in the form of a potent and powerful powdered beverage mix. The product is ideal for those who adhere to the ketogenic diet, which requires users to reduce carb intake and to increase healthy fats. In doing so, the body enters a state of ketosis, in which it burns fat for energy. This keto beverage helps prompt ketosis, making their ketogenic diet efforts potentially more effective. With this product, users may be able to experience the full benefits of the ketogenic diet more effectively.
How Does KetoGen4 Work?
Before adding any supplement to one’s lifestyle, it is important to understand how the product works. This way, users can make the right decision for their needs. In this case, the supplement features exogenous ketones, which means that the ketones come in pill form, and three proprietary blends of ingredients that help to transition one’s system into a longer state of ketosis. Keep in mind that as a supplement, there are no guarantees of its effectiveness. Rather, the formula’s impact varies on a case by case basis and also depends upon how well users incorporate the product into their lifestyle.
The Potential Benefits of KetoGen4
There are a number of benefits associated with KetoGen4. Here are the main advantages of the product so that users know what to look forward to:
The main ingredients in this product include coffee fruit, La-carnitine tartrate, betaine, and bacopa monniera powder. A few other ingredients, which make up the blends in the formula, are spinach, broccoli, kale, chlorella powder, lactase, lipase, and a range of mushroom powders. There are other ingredients as well, which are listed on the packaging.
Summary
Overall, those who are looking for a potent and powerful ketogenic formula may want to consider KetoGen4 for their needs. Those who opt for the formula can either subscribe at a price of $119.99, or they can do a single purchase without the subscription for $139.99. Either way, users should read the terms and conditions associated with the purchase so that they make an informed decision.
Many people eager to lose weight are unaware about the fact that some slimming pills can cause serious side effects to their health. And unfortunately, youngsters are ready to take on the risk of slimming pills at the cost of their health. But it should be known that, slimming pills are proven to be effective in only about ten percent of the cases in the long run, as it needs to be accompanied with strict diet control and regular exercise.
While you are on a treatment process with slimming pills, it makes you reduce a few kilos of weight and most probably you regain that once the treatment is stopped. Slimming pills can be divided into three groups: licensed pharmaceutical drugs, prescribed by medical doctors, unlicensed pharmaceutical drugs available at pharmacies or private slimming clinics and natural slimming products sold at the pharmacies or sold online. The side effects on the heartlBP, gastrointestinal system and liver are most important and should be taken into consideration while using slimming pills. Orlistat (Olisat 60/120), Rasva (contains KiOnutrime-Cs) and Obicure Plus (contains multiple natural ingredients) are available at the pharmacies besides a number of Ayurvedic weight loss preparations in various forms whose compositions are not even known. It can be risky to take, as it is not backed by research.
Avoid combining two different groups of slimming medications,
Do not combine laxatives and diuretics to other slimming pills.
Do not over dose with laxatives or diuretics, it can be dangerous.
If you notice any unusual symptom or symptoms see your doctor immediately.
Obicure Plus
This product is a combination of extracts of garcinia cambogia, caralluma fimbriata, ginger, green tea, and piperine extract. It helps in reducing the appetite and increase thermogenesis. Garcinia cambogia extract ¡s a fat burner and caralluma fimbriata is an appetite suppressant.
Side Effects
It can cause gastric irritation and nausea
One should not exceed the dose.
It should not be used during pregnancy and lactation.
Lipozene (Glucomannan)
This is a high fibre product which swells and forms an indigestible gel by absorbing water, giving one a fuller feeling in the stomach. People buy this product online for weight loss and its effectiveness is variable but generally less than expectations.
Side Effects
Allergic reactions like rash/hives and itching
Severe crampy abdominal pain (can be avoided by slowly increasing fibre intake).
Diarrhoea – can be severe
Blockage of food pipe or intestine may occur in some people requiring urgent hospitalization (hence capsule form is preferred).
Rasva claims to help weight loss by the process of fat binding from the intestine. The full ingredients list is not provided for the product, but the fat binding capabilities are said to be the results of the active ingredient called chitosan. Chitosan has been the subject of preliminary trials with mixed results. Due to a lack of research, the side effects of this product are not fully known. However, this drug is known to cause nausea, vomiting, diarrhoea and abdominal pain. Those with the following digestive disorders should avoid this medicine.
Side Effects
Inflammatory diseases of the gastrointestinal tract
Acid reflux disease
Gastritis
Peptic/duodenal ulcers
Diverticulitis
Signs of bowel obstruction or severe constipation
Gastroparesis
Herbal Preparations
Many preparations are available but some of them may not be safe as one can never be very sure about their exact composition and doses. Excess doses can cause stomach irritation (gastritis) with nausea, vomiting and diarrhoea.
Laxatives/Diuretics
Laxatives/diuretics are available over the counter and often used for instant weight loss. Laxatives stimulate bowel movement which can lead to bowel disease and dependence in the long run. The bacteria in the gut changes and fails to protect the gut walls. Phenolphthalein as a laxative should not be used at all. Excess diuretics can cause dehydration, fatigue and electrolyte imbalance.
Slimming pills are proven to be effective in only about ten per cent of the cases in the long run
Orlistat
The side effects are temporary and likely to lessen as one continues to take this tablet. But the side effects will worsen it you consume more fats. It works by reducing absorption of fats from the intestine. Patients should take a multivitamin containing fat-soluble vitamins apart from the orlistat dose, or a vitamins deficiency will develop.
Side Effects
Oily or fatty orange coloured stools; oily spotting in the undergarments.
Gas with an oily discharge, increase in bowel movements.
Loose stools or you may feel an urgent need to defecate with incontinence at times.