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RE: re: hot flushes

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Hi Eirwen

I personally never use oestrogenic herbs after a hormone-dependant tumour

but remember a conversation with Alison Denham where she assured me that

that was exactly the thing to do, as they would block oestrogen receptors

and I'm sure that's valid. however, as tamoxifen does precisely that they

would have no effect anyway. so as long as she's on tamoxifen you won't be

doing any damage, just wasting herbs inappropriately. i always use leonurus

in the prescription ,usually with good effect but would be extremely worried

at the prospect of using belladonna for flushes - sledgehammers and nuts

(well, ovaries). i reserve such plants for emergencies.

is she actually sweating or just overheating? sweating cools. remember

asclepias can induce sweating where it ought to be happenning and isn't.

what are her kidneys doing? is she drinking enough? check that she isn't eg

taking freezing cold showers like a lot of women do - they make flushes much

worse by stimulating the circulation where you want to calm it. sitting with

the feet in a bucket of tepid water can be far more effective. and no

curries!

on the subject of phyto oestrogens, can anyone explain to me why soya is

contraindicated in hypothyroid? i've never actually seen any written

references to this but it seems to be in the consciousness. the best i can

come up with is the phyto oestrogen idea as hypothyroid > oestrogen overload

*in premenopausal women*. what about the rest of us, then? and again,

surely it would help in those women by blocking receptors?...

love, nnexx

====================================================

nne Last BA MNIMH

Consultant Medical Herbalist

Monmouth Herbal Clinic

Tel: 01600 719497

www.mariannelast.co.uk

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Hi,

Although I have never used Atropa in this way, I seem to remember it being

used to dry up bad sweats in the menopause (rather than flushes). I think

the dose was quite low (2ml (herba) /week???)

I find a mix of borage verbena and carduus works a treat for flushes, all of

which I would consider safe with tamoxifen.....

I seem to recall there being some interesting debate in the archives about

the use of oestrogenic herbs in cases like this. May be worth a search - I

think the 'jury was out' on wether to avoid them or use them.

What about Trifolium specifically indicated in breast cancer?

Jean

re: hot flushes

> I remember Acott in a lecture about Materia Medica,

> mentioning the use of Atropa for intractable hot flashes. Don't

> recall dosage or specific circumstances ( could look it up if need

> be) and this info may not even be applicable to the patient

> mentioned but there you go...

>

> BTW- Still not receiving the list directly via email and would like

> to. Graham- have you returned from vacation yet??

> Thanks-

> MNIMH AHG

> VT USA

>

>

>

>

> List Owner

>

>

>

> Graham White, MNIMH

>

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Chemo or surgical related hot flashes are generally a lot more intense than

regular menopause. I have found that chemo induced hot flashes respond best

to cimicifuga, but in rather large doses - at least initially. That goes

for men as well as women. SJW is not a good idea with tamoxifen because CYP

3A4 clears the active tamoxifen metabolite which is produced from tamoxifen

which is a prodrug by CYP 2D6.

FWIW, Red clover in its " standardized " form is a high isoflavone preparation

mostly derived from chickpeas and other legumes, it has little to do with

trifolium flowers the traditional remedy. These isoflavones can however be

added to chemo induced hot flash formula and are also aromatase inhibiting,

which may be additionally relevant regards peripheral estrogen formation.

jonathan

>

> Reply-To: ukherbal-list

> Date: Fri, 20 Aug 2004 20:39:46 +0100

> To: <ukherbal-list >

> Subject: Re: re: hot flushes

>

> Hi,

> Although I have never used Atropa in this way, I seem to remember it being

> used to dry up bad sweats in the menopause (rather than flushes). I think

> the dose was quite low (2ml (herba) /week???)

>

> I find a mix of borage verbena and carduus works a treat for flushes, all of

> which I would consider safe with tamoxifen.....

>

> I seem to recall there being some interesting debate in the archives about

> the use of oestrogenic herbs in cases like this. May be worth a search - I

> think the 'jury was out' on wether to avoid them or use them.

>

> What about Trifolium specifically indicated in breast cancer?

>

> Jean

>

> re: hot flushes

>

>

>> I remember Acott in a lecture about Materia Medica,

>> mentioning the use of Atropa for intractable hot flashes. Don't

>> recall dosage or specific circumstances ( could look it up if need

>> be) and this info may not even be applicable to the patient

>> mentioned but there you go...

>>

>> BTW- Still not receiving the list directly via email and would like

>> to. Graham- have you returned from vacation yet??

>> Thanks-

>> MNIMH AHG

>> VT USA

>>

>>

>>

>>

>> List Owner

>>

>>

>>

>> Graham White, MNIMH

>>

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Men.....Please clarify.

An/A Herbalist

p.s....SJW....FWIW...what we talking about???

p.p.s. 'little to do with red clover'...same chemicals a.i. (i.e., aint it).

p.p.p.s. I'm lost.

p.p.p.p.s. smile

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Stuart,

Androgen ablation therapy (for hormone sensitive prostate cancer) causes

most patients to experience fairly severe hot flashes.

SJW = St 's Wort

FWIW = for what its worth

Red clover flowers - have almost no isoflavone content.

Red clover leaves have more, but a lot less than beans like soy.

The flowers are " official " and the traditional alterative remedy

Promensil, and related commercial standardized europhytopharmaceutical

products sold as " red clover " are in fact concentrated isoflavone preps

derived from assorted legumes, mostly chickpea/garbanzo and soya bean.

j

>

> Reply-To: ukherbal-list

> Date: Sat, 21 Aug 2004 00:15:33 +0100

> To: <ukherbal-list >

> Subject: Re: re: hot flushes

>

>

> Men.....Please clarify.

> An/A Herbalist

>

> p.s....SJW....FWIW...what we talking about???

>

> p.p.s. 'little to do with red clover'...same chemicals a.i. (i.e., aint it).

>

>

> p.p.p.s. I'm lost.

>

> p.p.p.p.s. smile

>

>

>

>

>

> List Owner

>

>

>

> Graham White, MNIMH

>

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Dear nne, I was in the process of looking something up and opened your

e-mail with the other hand so to speak, multitasking and there at the top of

the page that I am reading is the following " The phytosterols in soy beans

and soy products inhibit thyroid function and therefore overall metabolism,

they are implicated in breast cancer and are high in anti-trysin, the factor

which inhibits the digestion of protein consumed in the meal. They are also

associated with brain shrinkage. Soy is also high in phytates which bind

zinc, calcium and iron. Ref. Fallon. S. Nourishing Traditions p44, 185, 468.

Hope this is useful Allshorn

RE: re: hot flushes

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So, ...

Are you saying that we should or should NOT recommend soya products for hot

flashes/flushes in the diet, or rather use standardized extracts of

Trifolium? From one recent contribution, it seems that soy has more

negative aspects than positive... and is becoming quite confusing to me now.

Are there any standards or " rules of thumb " on soy use? I have a friend who

is breast feeding her 5 month old, and supplements with soy formula. Will

this (according to the recent chat group entry on soy) then compete with

protein absorption and have detrimental effects on the metabolism of mother

and baby? Is it truly shown to increase risks of breast cancer? Shouldn't

phytoestrogens have a competitive binding relationship with other estrogens

to receptor sites, thus producing a " weaker " estrogenic response than

xenoestrogens/synthetic estrogens/excess natural estrogens??

All feedback is welcome, Jon and Others...

Tami

NJ USA

re: hot flushes

> >

> >

> >> I remember Acott in a lecture about Materia Medica,

> >> mentioning the use of Atropa for intractable hot flashes. Don't

> >> recall dosage or specific circumstances ( could look it up if need

> >> be) and this info may not even be applicable to the patient

> >> mentioned but there you go...

> >>

> >> BTW- Still not receiving the list directly via email and would like

> >> to. Graham- have you returned from vacation yet??

> >> Thanks-

> >> MNIMH AHG

> >> VT USA

> >>

> >>

> >>

> >>

> >> List Owner

> >>

> >>

> >>

> >> Graham White, MNIMH

> >>

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Hi Tami,

I am afraid I Don't know if I can say anything very helpful. The soy debate

is huge. Unfortunately there is a lot of dogma and big industry bucks

fuelling it, and from that point of view I am right behind Sally Fallon who

has made it a bit of a personal crusade to highlight some of the problems.

There are in fact very few hard and fast recommendations backed by evidence

that it is possible to make without dispute. That means , as usual, falling

back on traditional guidelines. .

Two key factors always contextualise the argument - 1. The preparation. 2.

The patient.

Regards preparations, my 2 cents is pretty much the Fallon position...that

most soy products, including tofu, and especially soy milk, are highly

processed industrial foods, they are allergenic, and should be avoided in

general. GMO is also a problem, especially in this country - thanks to

Monsanto. Phytates and antihyroid issues are certainly considerations, but

secondary to the fact that soy products are predominantly a GMO industrial

artificial food, not much different from spray -on at the end of the day.

The way to go with soy foods is traditional preparations ie organic

fermented, miso, tempeh, tamari etc, much as OG yogurt/kefir is preferable

to milk. And in small amounts. I would never recommend feeding an infant

soy, until way past weaning, and then introduce it like other known

allergens such as wheat and dairy, ie very slowly in minute amounts to test

the water.

Soy infant formula is a product from the minds of mad scientists employed

by the processed food industry which is pretty much the same as big pharma

and did not come from human mothers, and I would advise your friend to stop

it without delay - just my opinion:)

I never use isoflavone rich supplements outside of cancer treatments.

Regular hot flashes are usually pretty susceptible to teas of

hops/yarrow/hawthorn. Leonurus etc.

With reproductive cancers you have to account for whether the patient was

pre or post menopausal at diagnosis, the receptor status, the treatment they

have had, and propose to have, and their future goals.

I personally only use soy /standardized red clover ( high isoflavone eg

promensil) in post menopausal women undergoing adjuvant therapy with

tamoxifen (or aromatase inhibitors femara, arimidex etc), and then because

it appears to synergise with these agents in reducing peripheral estrogen

formation. In these cases I use soy in the form of concentrated isoflavone

dietary supplements, not dietary intake. I would not use it for hot flashes

(cimicfuga works), and would not use it in premenopausal breast cancer.

I do use red clover flowers a lot in cancer , especially breast cancer,

however as far as I am concerned this has nothing to do with

phyto-estrogenic effects of isoflavones but is a long standing traditional

alterative element in approaching cancer challenges with herbal medicine.

In terms of chemo-prevention, small amounts of fermented OG soy are fine ,

but prevention of breast cancer is a another huge subject, and certainly

cannot be reduced to " eat more soy " or not. Taking 200 micrograms of

selenium everyday would be a lot better preventative measure than eating

soyburgers.

Many of the " phytoestrogenic " molecules have anticancer effects that are

nothing to do with whether they bind weakly to alpha or beta estrogen

receptors, eg beta sitosterol. The cancer challenge is a very specific

context, and often in one in which " all bets are off " , where herbs and

micronutrients can often be used in specific ways that are not appropriate

to other contexts. Anyway - don't know if that clarifies anything or further

muddies the waters.

jonathan

>

> Reply-To: ukherbal-list

> Date: Sat, 21 Aug 2004 12:26:14 -0400

> To: <ukherbal-list >

> Subject: Re: re: hot flushes

>

> So, ...

> Are you saying that we should or should NOT recommend soya products for hot

> flashes/flushes in the diet, or rather use standardized extracts of

> Trifolium? From one recent contribution, it seems that soy has more

> negative aspects than positive... and is becoming quite confusing to me now.

> Are there any standards or " rules of thumb " on soy use? I have a friend who

> is breast feeding her 5 month old, and supplements with soy formula. Will

> this (according to the recent chat group entry on soy) then compete with

> protein absorption and have detrimental effects on the metabolism of mother

> and baby? Is it truly shown to increase risks of breast cancer? Shouldn't

> phytoestrogens have a competitive binding relationship with other estrogens

> to receptor sites, thus producing a " weaker " estrogenic response than

> xenoestrogens/synthetic estrogens/excess natural estrogens??

> All feedback is welcome, Jon and Others...

> Tami

> NJ USA

> re: hot flushes

>>>

>>>

>>>> I remember Acott in a lecture about Materia Medica,

>>>> mentioning the use of Atropa for intractable hot flashes. Don't

>>>> recall dosage or specific circumstances ( could look it up if need

>>>> be) and this info may not even be applicable to the patient

>>>> mentioned but there you go...

>>>>

>>>> BTW- Still not receiving the list directly via email and would like

>>>> to. Graham- have you returned from vacation yet??

>>>> Thanks-

>>>> MNIMH AHG

>>>> VT USA

>>>>

>>>>

>>>>

>>>>

>>>> List Owner

>>>>

>>>>

>>>>

>>>> Graham White, MNIMH

>>>>

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Thanks , I was dreading having to expand further on the earlier

comment on soy products. All I can add is that the experience of the people

I am working with is very much along the lines you outline and soy, except

in its very traditional usages is not good news. Where it has been

introduced to the Gerson patients I've worked with there has been visible

growth of tumor tissue so clinical experience there has not been good.

My son who lives in South Korea has also commented on how different

traditional products are to the ones we can obtain in the west. Along those

lines the diet, both in what is eaten and also how much also seems to be key

to low levels of breast cancer in these countries, not just the use of Soya.

No scientific papers to back up his comment and only case studies from the

doctors but I have to admit I prefer that to alternative sources mentioned

in your first paragraph because its first hand experience rather than

speculative laboratory work.

Allshorn

Re: re: hot flushes

Hi Tami,

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Hi,

Just a thought - would Stellaria act to stop hut flushes? I have used

it for hot rashes with good result (as a refrigerant.

Stina

citerar nne Last :

>

> Hi Eirwen

> I personally never use oestrogenic herbs after a hormone-dependant

tumour

> but remember a conversation with Alison Denham where she assured me

that

> that was exactly the thing to do, as they would block oestrogen

receptors

> and I'm sure that's valid. however, as tamoxifen does precisely that

they

> would have no effect anyway. so as long as she's on tamoxifen you

won't be

> doing any damage, just wasting herbs inappropriately. i always use

leonurus

> in the prescription ,usually with good effect but would be extremely

> worried

> at the prospect of using belladonna for flushes - sledgehammers and

nuts

> (well, ovaries). i reserve such plants for emergencies.

> is she actually sweating or just overheating? sweating cools.

remember

> asclepias can induce sweating where it ought to be happenning and

isn't.

> what are her kidneys doing? is she drinking enough? check that she

isn't

> eg

> taking freezing cold showers like a lot of women do - they make

flushes

> much

> worse by stimulating the circulation where you want to calm it.

sitting

> with

> the feet in a bucket of tepid water can be far more effective. and no

> curries!

>

> on the subject of phyto oestrogens, can anyone explain to me why

soya is

> contraindicated in hypothyroid? i've never actually seen any written

> references to this but it seems to be in the consciousness. the

best i can

> come up with is the phyto oestrogen idea as hypothyroid > oestrogen

> overload

> *in premenopausal women*. what about the rest of us, then? and

again,

> surely it would help in those women by blocking receptors?...

> love, nnexx

>

>

> ====================================================

> nne Last BA MNIMH

> Consultant Medical Herbalist

> Monmouth Herbal Clinic

> Tel: 01600 719497

> www.mariannelast.co.uk

>

>

>

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