sharing what was published today in Arthritis Today E-newsletter. Not endorsing anything inparticular, just sharing w those who are seeking alternative treatments By Brenda Goodman Many people with arthritis want to try natural medicine, but they don’t know where to begin. James McKoy, MD, chief of rheumatology at Kaiser Permanente in Honolulu, who is a member of Arthritis Today’s medical advisory board, put together some notes on the way that he prescribes mind-body medicine for his patients. But he cautions that supplements used without necessary lifestyle changes are not magic bullets. “There is no one or two miracle supplements for anything,” Dr. McKoy says. “In order to effect a change in health outcome, a patients must change their thoughts, attitude and beliefs,” he adds. In addition to prescribing supplements, Mr. McKoy also counsels his patients to make other lifestyle adjustments, such as establishing a daily exercise program, getting optimal amounts of sleep, and making sure to drink enough water. Additionally, he recommends a diet rich in fruits and vegetables and low in animal products, which he says can lower acid levels in the body. A diet that raises acid levels, he says, can contribute to inflammation. “It’s not just about pouring drugs or supplements down someone’s throat,” he says. Before you add these supplements, or any others, to your treatment regimen, however, be sure to clear it with your own doctor. Natural medicines contain potent chemicals that can interact with prescription and over-the-counter drugs. __________________________________________________________ Dr. McKoy’s Supplements for Osteoarthritis __________________________________________________________ Glucosamine sulfate – 1,500 mg twice a day for three months and then maintenance of 1,500 daily. “I do not use chondroitin sulfate,” Dr. McKoy says. “I don’t think it helps that much and adds to the cost.” SAMe – 400 mg three times daily. Vitamin D3 – 2,000 IU a day. A good multivitamin with minerals – Once daily. The supplement should contain 40 mg of zinc, 1 mg of copper and 6 mg of boron. Fish Oil – At least 3 grams (or 3,000 mg) daily, 1 gram taken with each meal. Boswellia – 400 mg three times daily Cat’s Claw – 60 mg three times a day, to relieve pain Kaprex* (A proprietary blend of hops, oleanolic acid and rosemary) – 1 tab three times daily Acupuncture – Two to four times weekly until acute symptoms resolve and then maintenance of once a month, if patients can afford it. __________________________________________________________ Dr. McKoy’s Supplements for Rheumatoid Arthritis __________________________________________________________ Ginger – Fresh ginger root incorporated into the diet, or ginger extract 100 to 200 mg three times daily. Multivitamin with minerals – Once daily. The supplement should contain 40 mg of zinc, 1 mg of copper and 6 mg of boron. Fish Oil – Two grams (or 2,000 mg) with each meal Flaxseed – One tablespoon flaxseed meal daily. Digestive Enzymes (pancreatin/bromelain, etc) – Follow dosing instructions on the bottle. SAMe – 400 mg three times daily. Curcumin/Tumeric – 400 mg three times daily Vitamin D3 – 2,000 IU daily Boswellia – 400 mg three times daily Cat’s claw – 60 mg three times daily Kaprex* (A proprietary blend of hops, oleanolic acid and rosemary) – One tablet three times daily. __________________________________________________________ Dr. McKoy’s Supplements for Fibromyalgia __________________________________________________________ Multivitamin with minerals – Once daily. The supplement should contain 40 mg of zinc, 1 mg of copper and 6 mg of boron. B Complex – One pill containing 5,000 to 10,000 micro grams of vitamin B12, daily Vitamin D3 – 2,000 IU daily Calcium– 1,000 mg daily Magnesium – 400 mg to 1,000 mg a daily SAMe (S-adenosyl-L-methionine) – 400 mg three times daily Vitamin C– 500 mg three times daily Kaprex* (A proprietary blend of hops, oleanolic acid and rosemary) – 1 tablet 3 times a day NADH (reduced nicotinomide adenine dinucleotide) – 5 mg a day, for energy CoQ-10 (coenzyme Q10) – 200mg a day, for energy Fish Oil – 1 gram (or 1,000 mg) with each meal *A note about Kaprex from Dr. McKoy: Research suggests that components of hops, such as reduced isoalpha acids, may inhibit the formation of inflammation-causing prostaglandins. Oleanolic acid is derived from olive leaf extract. Research indicates that it may support joint health as a pain reliever as well as protect against potential damage to your stomach lining. Rosemary leaf extract stimulates circulation and eases pain by increasing your blood supply. Kaprex is manufactured by a company called Metagenics and may be purchased online.