![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by TenMan on November 30, 2004, at 0:58:19
Larry, in your opinion do you think that there would be a significant interaction between testosterone therapy (the patch form) and St. Johns Wort due to hepatic enzyme induction?
Thanks much.
Posted by Larry Hoover on November 30, 2004, at 12:07:26
In reply to Larry-question about St. Johns Wort interaction, posted by TenMan on November 30, 2004, at 0:58:19
> Larry, in your opinion do you think that there would be a significant interaction between testosterone therapy (the patch form) and St. Johns Wort due to hepatic enzyme induction?
>
> Thanks much.SJW would reduce the effectiveness of testosterone supps, but I don't think the reduction would be dramatic. Testosterone is mostly bound while circulating in blood, which is to say, it attaches to carrier proteins. Free testosterone only has a half-life of something like twenty minutes, so the big thing is to pump up the bound testosterone levels. Reducing the free half-life from twenty minutes, to say fifteen minutes, is probably not going to be a big deal because the patches supply such a large dose (relative to pre-supplemented testicular output).
Milk thistle inhibits 3A4. Topamax induces it. These things go on all the time, and no one is much the wiser.
Lar
Posted by tealady on November 30, 2004, at 14:05:34
In reply to Re: Larry-question about St. Johns Wort interaction » TenMan, posted by Larry Hoover on November 30, 2004, at 12:07:26
> > Larry, in your opinion do you think that there would be a significant interaction between testosterone therapy (the patch form) and St. Johns Wort due to hepatic enzyme induction?
> >
> > Thanks much.
>
> SJW would reduce the effectiveness of testosterone supps, but I don't think the reduction would be dramatic. Testosterone is mostly bound while circulating in blood, which is to say, it attaches to carrier proteins. Free testosterone only has a half-life of something like twenty minutes, so the big thing is to pump up the bound testosterone levels. Reducing the free half-life from twenty minutes, to say fifteen minutes, is probably not going to be a big deal because the patches supply such a large dose (relative to pre-supplemented testicular output).
>
> Milk thistle inhibits 3A4. Topamax induces it. These things go on all the time, and no one is much the wiser.
>
> Lar
Hi Lar ..on milk thistle inhibiting 3A4.
I guess that's a liver enzyme?
What does it do? (if you know offhand) and what has this got to do with IL-6?
I've just started taking milk thistle(Solgar) this week to hopefully support my liver.Thanks, Jan
Posted by TenMan on November 30, 2004, at 16:41:28
In reply to Re: Larry-question about St. Johns Wort interaction » TenMan, posted by Larry Hoover on November 30, 2004, at 12:07:26
Thanks for the quick reply Larry. I guess I'll go ahead and give the St. Johns Wort a shot. It's the only anti-depressant that has never effected my sex drive and the testosterone alone is not cutting it.
Thanks again.
Posted by Larry Hoover on December 10, 2004, at 11:10:05
In reply to Re: Larry-question about St. Johns Wort interaction » Larry Hoover, posted by tealady on November 30, 2004, at 14:05:34
> > Lar
> Hi Lar ..on milk thistle inhibiting 3A4.
> I guess that's a liver enzyme?
> What does it do? (if you know offhand) and what has this got to do with IL-6?
> I've just started taking milk thistle(Solgar) this week to hopefully support my liver.
>
> Thanks, JanIL-6 also inhibits the liver enzyme 3A4. Milk thistle stimulates production of IL-1 and IL-6, and TNF-alpha.
Planta Med. 2003 Jan;69(1):44-9.
Physiological responses of a natural antioxidant flavonoid mixture, silymarin, in BALB/c mice: III. Silymarin inhibits T-lymphocyte function at low doses but stimulates inflammatory processes at high doses.Johnson VJ, He Q, Osuchowski MF, Sharma RP.
Department of Physiology and Pharmacology, College of Veterinary Medicine, The University of Georgia, Athens, GA 30602-7389, USA.
Silymarin is a mixture of bioactive flavonoids isolated from Milk Thistle (Silybum marianum). Crude extracts from this plant have been used for centuries as a natural remedy and silymarin is now effectively used in the treatment of inflammatory liver toxicity and disease in humans. In vitro studies show that silymarin can inhibit the production and damage caused by tumor necrosis factor alpha (TNFalpha) and is a potent antioxidant both in vitro and in vivo. Such findings suggest silymarin may impact the immune system but little information exists following in vivo exposure. Therefore, we tested the hypothesis that exposure to silymarin will modulate the inflammatory immune response. Male BABL/c mice (6/group) were treated intraperitoneally once daily for five days with 0, 10, 50 or 250 mg/kg of silymarin. Silymarin exposure did not produce any signs of overt toxicity or any changes in relative organ weights. Flow cytometric examination of splenic lymphocyte populations showed that the absolute number of CD3+ T-lymphocytes was reduced in the 10 and 50 mg/kg groups although significance was evident only in the 10 mg/kg group. Concomitant decreases in CD4+ and CD8+ T-cell populations were observed but only the CD4+ population in mice treated with 10 mg/kg of silymarin was significantly different from control. Functional examination of secondary lymphoid cells revealed that phytohemagglutinin-induced T-lymphocyte proliferation was increased in the lowest dose group only. B-lymphocyte blastogenesis induced by lipopolysaccharide was increased following exposure to 10 and 50 mg/kg of silymarin. Similarly, expression of TNFalpha, inducible nitric oxide synthase, IL-1beta and IL-6 mRNA were increased dose-dependently. The expression of IL-2 and IL-4 were reduced in mice treated with 10 and 50 mg/kg of silymarin although only the 10 mg/kg group was significantly different from control. The results indicate that in vivo parenteral exposure to silymarin results in suppression of T-lymphocyte function at low doses and stimulation of inflammatory processes at higher doses. Further studies investigating the effects of silymarin on the immune system are warranted.
Lar
This is the end of the thread.
Psycho-Babble Alternative | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.