Showing posts with label Supplements. Show all posts
Showing posts with label Supplements. Show all posts

Vitamins and supplements

"... some trials suggest that micronutrient supplementation in amounts that exceed the recommended dietary allowance (RDA)—eg, high doses of beta carotene, folic acid, vitamin E, or selenium—may have harmful effects, including increased mortality, cancer, and hemorrhagic stroke."

Pre-workout supplements

Here are a few common ingredients found in pre-workout products and how they function in your body:
  • Caffeine – Research indicates caffeine has a positive benefit for improved athletic performance. Caffeine is shown to increase your metabolic rate, improve endurance levels, and resistance to fatigue. It also stimulates the central nervous system (CNS), improving your brain function for a more productive and effective workout. For best results, caffeine doses are recommended to be tailored to each individual and consumed in low to moderate doses (~3-6 mg/kg of body weight). Unfortunately, pre-workout products often exceed the caffeine levels suggested leaving you unable to control what is considered your best dose. Many athletes are now turning to black coffee as a better way to control caffeine intake and improve their exercise performance.
  • Creatine – The most popular bodybuilding supplement backed by independent studies and research. Creatine is made from amino acids and concentrated in your muscle tissues. The primary role of creatine is supplying energy to your cells and maintaining cellular balance. It enhances athletic performance by increasing ATP (adenosine tri-phosphate) used during quick bursts of energy like sprinting or weightlifting. According to a review of over 80 studies published in the Journal of the International Society of Sports Nutrition, creatine supplementation was effective for muscle growth, increased strength, and improved performance in high-intensity interval training (HIIT). The recommended standard effective daily dose of creatine is 5 grams loaded over time, cycled, and best taken as an individual supplement.
  • Arginine – This essential amino acid is part of the branch-chained amino acid group and necessary for producing protein. Arginine is also used to create nitric oxide, a compound that relaxes your blood vessels for better blood flow and oxygen exchange. There is also a possible health benefit for those suffering from heart problems or hypertension. Little scientific evidence is available to support claims promoting improved athletic performance or increased functional capacity in athletic individuals. More research is needed to evaluate the role of arginine supplementation on exercise performance.
  • β-alanine – Also known as beta-alanine, this is a naturally occurring amino acid produced in your liver. It’s also acquired through consuming foods like poultry and meats, and supplementation. β-alanine helps increase carnosine in your muscle tissue improving cellular function. Beta-alanine supplementation has been shown to delay the onset of neuromuscular fatigue and enhance athletic performance. Dosing of β-alanine will differ per person because of the potential for adverse effects including paraesthesia (tingling) for example. Because pre-workout products combine ingredients without having to disclose the levels of each one eliminates your ability to dial back the dose if you do experience negative side effects. More research is needed to determine the effects of beta-alanine on strength and endurance performance lasting longer than 25 minutes according to a position stand published in the Journal of the International Society of Sports Nutrition.
  • Taurine – One of the most abundant amino acids in the brain, retina, muscle tissue, and organs throughout the body. Taurine has a wide variety of functions in the central nervous system (CNS) and helps with human development. It’s naturally occurring in your body but also obtained by eating animal and fish protein. You will find taurine included in most energy drinks and it can be purchased as a supplement. Taurine functions as a neurotransmitter in the brain, stabilizes cell membranes, and regulates the transport of essential nutrients throughout your body. Although taurine has many important metabolic roles, there appears to be conflicting evidence to support any claims of improved athletic performance. Evidently, ingesting taurine and caffeine together—a typical occurrence with pre-workout products—actually increases muscle fatigue according to research published in the Journal of Strength and Conditioning.
  • Phosphates – Phosphates include alkalinizing agents like sodium bicarbonate, sodium citrate, and phosphate salts. Phosphates help with cell structure, energy transport, and numerous other functions essential to your health. They appear to improve athletic performance by neutralizing the acids that build up in muscle during exercise. Most mineral supplements seem to be safe in small doses and used short-term, but can have adverse effects if taken in higher doses. Individuals suffering from kidney problems and prone to kidney stones are advised not to supplement with phosphates without consulting their physician. Other common adverse side effects may include stomach upset, bloating, and nausea.
  • Guarana – A plant common to Brazil producing seeds used for a variety of health reasons. Guarana functions as a stimulant and contains twice the amount of caffeine found in coffee beans. Guarana is said to improve athletic performance, increase mental focus, and decrease muscle fatigue. Some research indicates lower doses of guarana (75mg) to have a more positive effect on physical output without concern for toxicity than higher doses. Caffeine has been shown to enhance your workouts at lower concentration levels and, unfortunately, pre-workout products eliminate your ability to reduce the intake.
  • Betaine – An amino acid shown to improve body composition and promote muscle growth. Betaine is found in many foods including spinach, beets, and whole grains. It works in the body by maintaining liver function, detoxification, and cellular functioning. Betaine also helps your body process fats. A small study on betaine supplementation did show betaine supplementation improved body composition, muscle size, and work capacity.
  • Nitrates – A compound found in numerous foods and abundant in leafy greens, vegetables, and beetroot. After consuming a nitrate-rich food, your body converts it to nitrite and further uses it to make nitric oxide. Nitric oxide has an important role in regulating your metabolic and vascular functions. During exercise, nitric oxide is said to increase blood flow, improve lung function, and strengthen muscle contraction. Many athletes are supplementing with beetroot juice to improve cardiorespiratory endurance and athletic performance.

Effects on Exercise Performance and Muscle Strength

Pre-workout products do heighten your exercise performance, but that is really due to the caffeine content and not necessarily the supplement. You may be wasting your money and better off drinking a cup or two of black coffee prior to working out, especially since many supplement ingredients are more effective taken alone and not together in a mystery proprietary blend. The following studies have examined the effectiveness of pre-workout supplements on athletic performance and muscle strength:
  • A study published in the American Journal of Health-System Pharmacy indicated insufficient evidence is available for combination pre-workout products as being effective for performance enhancement. Stand-alone ingredients like caffeine did show some ergogenic benefit with improved reaction time, energy, and mental focus during physical training. The safety of these products may also be a concern as individuals may consume larger than the recommended amounts.
  • Research published in the Journal of the International Society of Sports Nutritionexamined if pre-workout products increased the amount of blood in muscle tissue during exercise. Increased blood flow would provide better oxygen levels to working muscles in an effort to improve performance. Results indicated pre-workout supplements didn’t really improve exercise performance. The only time blood flow to the muscle showed a significant increase was post-workout and only following an 80 percent exercise load condition. More research is required to determine which situations and athletes may benefit from using pre-workout supplementation.
  • Research published in the International Journal of Medical Sciences examined the effects of pre-workout supplements on lean mass, athletic performance, and exercise experience. The participants reported feeling more energy and better concentration during their workout compared to those taking a placebo. However, no evidence of improved body composition or exercise performance was reported.
  • Another study published in the Journal of the International Society of Sports Nutrition investigated how pre-workout supplements with or without synephrine would affect training responses during exercise in resistance-trained men. Synephrine is a compound extracted from bitter orange fruit with potent metabolism boosting effects. Results suggest pre-workout supplementation may benefit cognitive function and exercise performance during a workout, but further research is required.

Are we now wasting our money somewhere else?

Deciding what to eat for dinner can be mind-bending. How do we keep track of the ever-evolving recommendations for what to put on, and leave off, the plate? Red meat might cause cancer! But don't replace it with tofu—soy concoctions might be carcinogenic, too! Don't even try to figure out where carbs stand this week. And the verdict on coffee, chocolate, and alcohol changes faster than you can order a mocha martini.
Vitamins—with their promise to bridge the gap between the nutrients our bodies need and those they get—have always seemed reassuringly simple: Just pop a multivitamin and let your body soak in those extra nutrients. But not any longer. During the past few years, study after study has raised doubts about what, if any, good vitamins actually do a body. They could even pose some real medical risks.
Half of all American adults take some sort of nutritional supplement. But research on a wide variety of patient populations and medical conditions has failed to find much evidence that multivitamins, the most commonly used of the lot, prevent major chronic diseases in healthy people. The most recent knockcame this spring, when a study of more than 160,000 post-menopausal women, published in the Archives of Internal Medicine, found that the all-in-one pills did not prevent cancer, heart attacks, or strokes and did not reduce overall mortality.
Individual vitamins and minerals haven't fared much better under scientific scrutinywith research debunking some of the reputed benefits of vitamin B6, calcium, niacin, and others. In 2006, the National Institutes of Health convened an independent panel of experts to evaluate the evidence that vitamins could prevent chronic disease. The scientists ultimately issued a report stating that studies "do not provide strong evidence for beneficial health-related effects of supplements taken singly, in pairs, or in combinations."
The news on antioxidants, the darlings of the vitamin menagerie, is even more troubling. These compounds, which include vitamins A, C, and E, selenium, beta carotene, and folate, fight free radicals, unstable compounds thought to damage cells and contribute to aging. But not only do antioxidant supplements fail toprotect against heart disease, stroke, and cancer; they actually increase the risk of death, according to a 2007 analysis of research on more than 232,000 people, published in the Journal of the American Medical Association, as well as other studies.
Exactly why they might increase mortality is unclear, but doctors at prominent research institutions—including New York's Memorial Sloan-Kettering Cancer Center and Seattle's Fred Hutchinson Cancer Research Center—have highlighted some unsettling connections between supplemental antioxidants and an increased risk of a variety of cancers. Popping certain kinds of antioxidant pills can feed latent cancers growing in the body, for instance, and reduce the effectiveness of chemotherapy. These observations make a certain intuitive sense, since vitamins and minerals play an important role in the replication of healthy cells—why shouldn't they be doing the same for cancerous cells? (Feeding mice a diet poor in antioxidants, on the other hand, can actually help shrink their brain tumors.) Scientists are also beginning to suspect that the body may actually need free radicals—which help kill cancer cells, ensure optimal immune function, and regulate blood sugar, among other things—so we shouldn't necessarily be mopping them all up.
The list of worrisome findings goes on, but it doesn't seem to have put a dent in the $25 billion supplement industry. Sales are not only robust but rising in the United States. Doctors still recommend multivitamins as part of basic preventative care. Despite the demonstrated risk, as many as 80 percent of cancer survivors swallow a daily dose, according to a study published in the Journal of Clinical Oncology in 2008.
Vitamins have a powerful psychological hold over us. As precautionary health measures go, supplements are easy. Compare the two seconds required to swallow a pill with the constant vigilance necessary to exercise and eat right. And the fact that vitamins are available without a prescription makes them seem safe—even though it probably makes them less so, since they're not regulated by the FDA as drugs, and manufacturers are not required to prove that they're effective at treating disease. *
But the risk-benefit calculus has changed. We know more about the risks, and it's clear that there's also less potential benefit. During the early 20th century, diseases like scurvy and rickets were common until researchers began to isolate compounds in food—which became known as vitamins—that could altogether cure these ailments. It must have been remarkable to see devastating diseases alleviated with common foodstuffs.
During an era when many people legitimately had nutritional deficiencies, placing your bets on a multi might have been reasonable. But today, of course, actual deficiencies are much less common. Our salt, milk, flour, juice, cereal, and more are all fortified with extra nutrients, and a 2009 study published in the Archives of Pediatrics and Adolescent Medicine suggests that most of the kids who end up taking vitamins in the United States today don't actually need them.
If vitamins are useful for anything, it's probably for tapping into our old friend the placebo effect.In a 2008 survey, 38 percent of doctors confessed to recommending vitamins because they believed the pills could promote health purely through the power of positive expectations. Consider a famous 1975 study designed to probe whether vitamin C supplements alleviated colds better than a placebo, an inert lactose tabletIt turned out that it didn't matter much which pill the subjects were actually taking.What mattered was what they thought they were getting: Those who believed they were taking vitamin C had fewer and milder cases of the sniffles than those who believed they were just swallowing lactose.That would be reason enough to pop a supplement—there are worse things than deceiving yourself into better health—if it weren't for the emerging evidence that the pills might be capable of causing real harm.
That's not to say that vitamins aren't important. Vitamins are critical to all sorts of bodily functions, and we have to get them through diet because our bodies can't make them on their own. The Office of Dietary Supplements at the NIH recommends that we get certain levels of a variety of kinds of vitamins, and that recommendation is sound. But encouraging us to get a complete suite of vitamins is not the same as suggesting that we get them by popping a pill.
In fact, the reports littering the ODS site seem to converge upon the same point: There is some good news for supplements, but it's extremely limited.The 2006 NIH panel, for instance, concluded that postmenopausal women should probably take calcium and vitamin D to safeguard their bones; that pregnant women should keep taking folate; and that adults with age-related macular degeneration, an eye disease, should take a combination of antioxidants and zinc. But beyond that, the panel's strongest recommendation was that scientists conduct further research on the risks and benefits of vitamins.For every study that turns up disconcerting vitamin side effects, there seem to be two more that conclude that we simply don't know enough yet about supplements to make evidence-based recommendations.
Until we do, we should stop treating supplements like health candy and more like prescription meds, to be used only when there's a demonstrated need. Doctors should create individualized regimes, tailored to a particular patient's deficiencies. As for the rest of us, we can put the pills back on the shelf and save our cash for one of those martinis.

Correction, Jan. 8, 2010: This article originally and incorrectly stated that vitamin supplements are not regulated at all by the FDA. (Return  to the corrected sentence.)

Reduce your stroke risk

Important Note: Vitamins Can Interfere with Medication and Create Complications!

The purpose of this article is to inform you of vitamins that can help promote health and wellbeing.
We ABSOLUTELY recommend running new supplements by your doctor first because they can interfere with any medication you’re taking.
For example, ginko biloba is an herb that is widely used to help prevent ischemic stroke because it’s a natural blood thinner. Meaning, complications can arise if you’re already on blood thinning medication.
Be safe and be sure to run everything by your doctor. We cannot stress this enough!
Now, onto the top 3 vitamins.

1. Coenzyme Q10 (CoQ10)

CoQ10 is powerful antioxidant that helps protect your tissues from the damage that toxic molecules, also known as free radicals, cause. Bodily stress caused by these free radicals is believed to play a role in many diseases, including cardiovascular disease, a precursor to stroke.
Supplementation with CoQ10 can reduce your risk of developing cardiovascular disease and therefore reduce your risk of a second stroke. Also, low CoQ10 levels have been associated with greater tissue damage to the brain during stroke.
CoQ10 can be found in most liver organs like heart, liver, and kidney… But if you’re not too keen on organ meats (and if you’re not, we don’t blame you) then you can also find smaller amounts of CoQ10 in spinach, broccoli, and cauliflower.

2. Vitamin B3 (Niacin)

This one is simple: Vitamin B3 can help you recover brain function after stroke. Sweet! And if that isn’t reason enough to love this B vitamin, it also helps boost ‘good’ cholesterol levels, which are typically very low in stroke survivors.
You can find vitamin B3 in tuna, chicken, turkey, and salmon. For some meatless options, you can also find vitamin B3 in peanuts and brown rice – just in lesser quantities.

3. Fish Oil

Fish oil is a great source of EPA and DHA – two omega-3 fatty acids that are excellent for a healthy brain.
Fish oil can help you in two ways.
First, fish oil can help lower elevated triglyceride levels, which are a stroke risk factor. Second, the DHA in fish oil helps promote healthy brain function.
This makes fish oil helpful for both stroke prevention and stroke recovery. Score!

Other Important Vitamins (and One Non-Vitamin)

Update: This article has become one of most popular! As a thank you for taking the time to read our blog, we added some honorable mentions.
Other important vitamins that can help boost stroke recovery are:
Omega 3’s are essential for healthy brain function because they’re an essential fat and, well, your brain is made of 60% fat! Vitamin B12 plays a strong role in both brain and nerve health while vitamin D plays a strong role in brain and muscular health.
Vitamin C can help boost your stroke prevention efforts – and your immune system!
Probiotics are interesting because they aren’t a vitamin or a mineral. Instead, probiotics are bacteria that comprise your microbiome, which consists of 100 trillion little microbes that live inside your gut. Your microbiome has a nervous system of it’s own called the enteric nervous system where it communicates with your brain through the gut-brain axis.
When this communication is impaired, all sorts of health problems can arise, including depression and impaired brain function.
It’s a thick topic and a recent discovery, so refer to this series for more information.

How to Get These Vitamins without Spending Tons of Extra Money

As you can see, many vitamins and nutrients play a vital role in protecting your health – and it can seem a little overwhelming. If you’re not too keen on going out and buying all these supplements, there’s actually a better alternative:

Know your risk - and reduce it!

Know the Risks

A big part of preventing a stroke is being aware of your own stroke risks. Some of the main factors that increase your risk of stroke include:
  • Family history
  • Advancing age
  • High blood pressure (over 140/90 mm Hg)
  • Diabetes
  • Obesity and physical inactivity
  • Arterial disease (the presence of plaque, determined by objective testing)
  • Atrial fibrillation (A-fib)
  • Valvular heart disease
  • Tobacco use and excess alcohol
  • History of mini-strokes
  • Use of illegal drugs, such as cocaine and methamphetamine, which can cause blood vessel spasm and stroke even on the first use
  • Elevated CRP, homocysteine, fibrinogen, and Lp(a), which indicate inflammation
  • Less than 30mg/dL HDL cholesterol
While a few of these risk factors are out of your control, most can be addressed with the diet, diagnostic, supplementation, and lifestyle advice that follows.

Eat Right

Stroke prevention is squarely centered on a heart-healthy diet, because foods that are good for your heart are also good for your brain. No doubt, you already know the basics of such an eating plan:
  • Maximize your intake of organic fruits and vegetables, fish, and chicken for all the health-boosting antioxidants and healthful fats they contain.
  • Minimize your intake of sugar and refined carbohydrates, not only to keep your weight in check but also because these are largely ignored sources of arterial inflammation.
In particular, however, potassium and magnesium deficiencies – which are quite common – can cause cardiac arrhythmias, including A-fib, a risk factor for stroke. Magnesium is found in green leafy vegetables and whole grains. Potassium-rich foods include figs, bananas, raisins, and avocados, as well as potatoes, yogurt, and whole grains.
A major Harvard study in 1998 of male health professionals identified potassium, magnesium, and fiber (found in whole grains) as significant anti-stroke factors, so it makes sense to eat a diet rich in all three nutrients. And if you have healthy kidneys, getting as much as 4 grams of potassium per day from food and supplements offers major stroke-prevention benefits. But note that I do not ordinarily recommend taking supplemental potassium for elderly patients with kidney impairment (unless monitored by a physician), because the kidneys may have trouble processing it, and that could harm cardiac function.

Take the Tests

Arterial disease is usually not limited to one area, such as a specific coronary artery. Instead, damage there often means you have problems elsewhere, possibly in the head and neck as well. So getting regular cardiac checkups is a crucial step in preventing stroke.
As part of your cardiac evaluation, ask your doctor to listen to your carotid arteries with a stethoscope. If sounds of obstruction are present, get an ultrasound analysis called carotid imaging. The carotids are the main vessels on each side of the neck that carry oxygen-rich blood from the aorta and heart into the brain. Ultrasonic images can identify plaque formation or abnormal thickening of the arterial tissue, both signs of atherosclerosis. Without imaging proof, a doctor will be unlikely to know the extent of carotid disease, since there are often no symptoms. The first symptom could be a full-blown stroke.

Stop the Clots

When it comes right down to it, clots cause strokes.
Clots form for many reasons and both people with and without cardiovascular disease can develop thick, clot-disposed blood due to toxins, pollution, stress, and inflammation. But those with A-fib are at an increased risk for clot formation.
A-fib is a common arrhythmia resulting from irregular electrical stimulation of the heart's two upper chambers, the atria. The aging process and leaky heart valves are main causes. High blood pressure, coronary artery disease, alcoholism, and elevated thyroid function can also contribute. In this condition, particularly if persistent, the risk of forming clots increases significantly. Clots can then spill out of the heart, into the aorta, and up into brain. A-fib creates a five-fold higher risk of stroke. About a third of strokes over the age of 65 are associated with A-fib.
For years doctors have treated A-fib with Coumadin, a proven blood thinner that saves lives. I, too, have always regarded Coumadin as a key to clot and stroke prevention that is critical for the majority of chronic A-fib patients with some structural heart disease and risk factors such as elevated inflammatory markers, positive family history, high blood pressure, past cardiac events, diabetes, leaky heart valves, previous heart failure, and a dilated (enlarged) left ventricle. Recently, however, new blood-thinning drugs have become available.
Although I have no clinical experience using them, I have studied Predaxa, the most popular of the new arrivals. In the case of Predaxa, I strongly advise any elderly patient taking it to discuss with their doctor the possibility taking less than the standard dosage because of the risk of bleeding that has been associated with that amount.
People with occasional A-fib episodes who have a small left atrium may not need Coumadin and can often be stabilized with more natural blood thinners.
Such natural blood thinners for clot prevention that you should talk to your doctor about include:
  • Fish or squid oil (1 to 2 g daily)
  • Garlic (1 to 2 g daily in capsule form)
  • Nattokinase (100 mg daily)
  • Bromelain, an enzyme derived from pineapple (600 mg daily)
  • Aspirin (1 baby aspirin daily)
Just remember that patients who have persistent A-fib and are taking a pharmaceutical blood thinner need to be cautious about trying additional natural blood-thinning remedies because of the potential for compounded blood thinning that might cause bleeding.
One additional blood-thinning option for a select population is statin drugs. Statins have an anti-inflammatory effect, thin the blood, and make red blood cells more slippery. But because of their major side effects, I only recommend statins as an option for middle-aged men up to 75 with heart disease, low HDL, and who are not diabetic. For this group of people, the benefits outweigh the risks. However, do not take any statins if you have a history of microbleeding in the brain.

Supplement for Success

Natural blood thinners that boost clot prevention are just one type of supplement that can help you sidestep stroke. In fact, there is some new and extremely exciting research conducted by Ohio State researchers and led by Chandan Sen, Ph.D., documenting the striking neuroprotection and stroke-prevention properties of a member of the vitamin E family called alpha tocotrienol.
In one particularly notable 2011 experiment, Dr. Sen and his team found significant differences in stroke-induced canines given either a supplement high in alpha and other tocotrienols or a corn oil placebo for 10 weeks. The tocotrienols significantly reduced brain lesions and loss of white matter fiber connectivity while improving cerebrovascular collateral circulation in the area of the lesion. The results have paved the way for a clinical trial with humans at high risk for stroke funded by the Malaysian Government and the U.S. National Institutes of Health.
Alpha tocotrienol research is truly exciting. I have never come across any medication or supplement before with this much promise for impacting ischemia in the brain and, therefore, I recommend supplementing with 50 to 100 mg daily. Right now, however, finding an alpha tocotrienol supplement can be quite difficult. I am working with my own product-development team on such a product and hope to have one to offer within a year. In the meantime, ask at your health food store for broad-spectrum tocotrienol, hopefully containing mostly alpha, or try LifeExtension's Super-Absorbable Tocotrienols product.
In addition to alpha tocotrienol, there are a number of other supplements that can help support stroke prevention, including:
  • CoQ10 (100 to 200 mg daily)
  • L-carnitine (1 to 2 g daily, either as a broad-spectrum form or acetyl-l-carnitine)
  • D-ribose (5 to 15 g daily, in divided doses)
  • Magnesium (400 to 800 mg daily)
  • Hawthorn berry (500 mg, two to three times daily)
  • Vitamin C (at least 1 g, daily) and vitamin D (at least 1,000 IUs, daily). These two key nutrients, along with potassium, magnesium, and other minerals, are contained in my new ElectrolytePLUS Cardio drink.

Live the Lifestyle

The things you do – or don't do – on a daily basis can have a big impact on whether or not you ever experience a stroke. So making some modifications in your lifestyle are key to stroke prevention.
One particularly powerful lifestyle intervention to consider is Earthing. Connecting your body to the Earth's natural, gentle electrical energy by either going barefoot outside or sitting or lying on special conductive devices is a surprisingly powerful way to help thin blood, improve the anti-clotting properties of red blood cells, moderate arrhythmias, normalize blood pressure, and boost circulation – all of which are important in preventing stroke. I began reporting on the amazing benefits of Earthing in the June 2010 newsletter. Earthing was also the subject of a study I published recently in the Journal of Alternative and Complementary Medicine.
If you take a pharmaceutical blood thinner, however, do not use any Earthing product until you consult with your physician. There is the potential for excessive blood thinning. You'll need to monitor your INR closely and, with your doctor, consider lowering your medication dosage. To find Earthing sheets, mats, or bands, contact my staff at 800-228-1507 or go to grounded.com(link is external).
Other lifestyle components that can play a role in stroke prevention include:
  • Exercise. It is important to be active and accumulate at least 30 minutes of moderate-level exercise most days of the week.
  • Sunshine. Get at least 20 minutes of mid-day sun as often as possible to boost your vitamin D stores.
  • Smoking. It doubles the risk of stroke because it reduces oxygen in the blood, causes the heart to work harder, promotes clots, and damages arterial tissue. So just quit.
  • Drinking. Excessive alcohol intake is a risk factor for stroke, so drink moderately.
  • Stress. Stress is a major cause of hypertension, which, in turn, is a major stroke risk factor. So work to reduce your stress level. Try meditation, yoga, or tai-chi.

References

Howard VJ, Kissela BM. How do we know if we are making progress in reducing the public health burden of stroke? Stroke. 2012;43(8):2033–2034.
Ascherio A, et al. Intake of potassium, magnesium, calcium, and fiber and risk of stroke among US men. Circulation. 1998;98(12):1198–1204.
Rink C, Sen CK, et al. Tocotrienol vitamin E protects against preclinical canine ischemic stroke by inducing arteriogenesis. J Cereb Blood Flow & Metab. 2011; 31(11):2218–2230
Chevalier G, Sinatra ST, et al. Earthing (grounding) the human body reduces blood viscosity – a major factor in cardiovascular disease. J Alt Complement Med. 2012 Jul 3. [Epub ahead of print.]

5 ways to lower stroke risk

Eat More Citrus


Women who consumed the most citrus were less likely to have an ischemic (clot-related) stroke than women who consumed the least, according to data from the well-known Nurses’ Health Study, reported in the journal Stroke. The researchers attributed the benefit to compounds in citrus called flavanones, which may reduce inflammation and improve blood vessel function. Other substances in citrus, including potassium, may also play a role.

Stroke risk and supplements

Question:
Which supplements reduce the risk of stroke? Which increase the risk of stroke?

Answer:
Certain supplements have been shown to reduce the risk of stroke, while others may increase that risk. In addition, certain nutrients from foods may reduce the risk of stroke — although the benefit does not necessarily carry over to those nutrients when obtained from supplements, as discussed below. Also be aware that some supplements may increase the risk of stroke, as noted below.

Keep in mind that there are different causes of stroke. The most common type of stroke, called ischemic stroke, occurs when blood flow to a part of the brain is blocked, either by a blood clot or plaque build-up in arteries (atherosclerosis), depriving the brain of oxygen. The second, less common, type of stroke is hemorrhagic stroke, which occurs when a blood vessel inside the brain leaks blood or ruptures, creating pressure which damages brain cells. Risk factors for stroke include high blood pressurediabeteshigh cholesterol, atherosclerosis, atrial fibrillation, heart failure, and carotid artery disease (build up of plaque in the main artery in the neck which carries blood to the brain). Lack of physical exercise and being overweight, frequent use of NSAIDS (such as ibuprofen), stress and depression also increase the risk of stroke.

Supplements that may reduce the risk of stroke: (Use the links for more details such as dose.)

Getting a certain amount of vitamin D per day from food and/or supplements may reduce the risk of ischemic and hemorrhagic stroke in men, but this benefit has not been shown in women.

Folic acid (vitamin B-9) supplementation may decrease the risk of stroke in people who have very low or deficient levels of folic acid. However, be aware that there are risks associated with getting too much folate, and current supplement labels may mislead you to consume more folate than you need or is safe for you. It's also important to note that consuming high doses of other B vitamins from supplements, such as B-6 and B-12, may increase the risk of stroke, as well as heart attack and death, in people with diabetes who also have advanced kidney disease.

Nattokinase supplements may decrease blood-clotting factors in the blood, however, there are no published clinical studies in people showing that these supplements reduce the risk of blood clots (which, as discussed above, can cause ischemic stroke).

A daily dose of NAC (N-acetyl cysteine) was found to reduce the incidence of cardiovascular events, including ischemic stroke and heart attack, by 40% compared to placebo in people with end-state renal failure.

As discussed in the Encyclopedia article about Strokes, several other supplements, such as policosanol, vinpocetine and glycine have been proposed to help reduce the risk or improve recovery from stroke, although the evidence for these is not strong.

Be aware that taking a daily multivitamin has not been found to reduce the risk of stroke.

Foods that may reduce the risk of stroke:

The following types of foods may reduce the risk of stroke — although the substances in these foods have not been shown to provide the same benefit when given as supplements.

Higher intakes of calcium from foods are associated with a reduced risk of coronary artery calcification (a form of atherosclerosis), while the use of calcium supplements is associated with an increased risk.

Higher intakes of vitamin K2 from foods are also associated with a reduced risk of coronary calcification — while this benefit has not been shown from vitamin K supplements.

Eating fish has been associated with a 6% to 12% lower risk of ischemic and hemorrhagic stroke, depending on how many servings of fish per week were consumed. However, taking fish oil supplements has not been found to have the same benefit.

Getting more magnesium from your food can help reduce the risk of stroke: One study found that people who consumed more magnesium per day than average had an 8% lower risk of strokes of any kind and a 9% lower risk of ischemic stroke. However, this does not mean that magnesium supplements necessarily have the same risk-lowering effect.

In men and women at high risk for cardiovascular disease, consuming a certain amount of extra-virgin olive oil daily, as part of a Mediterranean diet was found to reduce the risk of ischemic and hemorrhagic stroke, heart attack and death by 30%.

In observational studies, drinking several cups of green tea per day was found to reduce the risk of ischemic stroke by up to 21%.

Supplements that may increase the risk of stroke:

There is concern choline from supplements and foods can increase the risk of stroke. However, a specific form of choline may help to improve recovery from stroke.

People who have had a stroke or are at risk for a stroke, should not take Ginkgo biloba.

Be aware that a case of hemorrhagic stroke associated with the consumption of a popular energy drink has been reported.

Also, be careful if you choose to use a weight loss supplement — the FDA has issued many warnings about weight loss supplements found to contain undeclared sibutramine, a drug which can substantially increase blood pressure and pulse rate in some individuals, and may present a significant risk for people with a history of stroke (Scroll down to the "Warnings" section here for a list of some of these products).
 


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B12 and strokes

Feb. 20, 2009 (San Diego) -- High doses of B vitamins may help prevent stroke in high-risk people, new research suggests.
The finding comes from the Heart Outcomes Prevention Evaluation 2 trial of more than 5,500 men and women with heart disease. Participants were assigned to a daily regimen of either B vitamins or placebo pills for five years.
Results showed that people who took the vitamins were 25% less likely to suffer a stroke over the study period than those who took placebo.
People younger than 70, those not taking cholesterol-lowering statin drugs or blood thinners, and those living in regions without folic acid food fortification appeared to gain the greatest benefit.
But taking vitamins did not have any effect on the severity of stroke or any associated disabilities, says researcher Gustavo Saposnik, MD, of the University of Toronto.
He presented the findings at the International Stroke Conference 2009.

B Vitamins Lower Homocysteine

B vitamins lower blood levels of a compound called homocysteine. The risk of heart disease and stroke is increased when a person has high bloodlevels of homocysteine, so it follows that taking B vitamins to lower homocysteine levels would improve outcomes.
But until now, researchers have had little success trying to show that.
Study after study has failed to show that B vitamins prevent heart disease or stroke, says ASA spokesman Larry B. Goldstein, MD, director of the Duke Stroke Center at Duke University, in Durham, N.C.
"We need to sift through all the studies and try to figure out why the results are conflicting," he tells WebMD. Until then, Goldstein does not recommend taking vitamins to prevent cardiovascular disease.
Saposnik says he thinks his study is the first to "use an adequate dose" of vitamin B12 to lower homocysteine and stroke levels. The daily vitamin regimen in the new study involved 2.5 milligrams of folic acid, 50 milligrams of vitamin B6, and 1 milligram of vitamin B12 -- far more than most people get in their diets.
Still, Saposnik agrees with Goldstein that further study is needed before any firm conclusions can be drawn.

Stroke risk and supplements

There are many natural ways to reduce the risk for a stroke. Many doctors are not aware of these alternative remedies.

A Stroke can come in two major forms: 

1) A blood clot in a blood vessel in the brain which reduces or stops blood flow to parts of the brain


2) A hemorrhage or bleeding in brain tissue.


When blood flow to the brain is disrupted by a stroke, brain cells can die or be damaged from lack of oxygen. Brain cells can also be damaged if bleeding occurs in or around the brain. The resulting neurologic problems are called cerebrovascular disorders because of the brain (cerebrum) and blood vessel (vascular) involvement.

Prevention of strokes - risk factors

Have a healthy diet, increase intake of fruits, vegetables, fish and certain herbs such as garlic. Eating oranges and other citrus fruits may help reduce stroke risk, perhaps due to compounds called flavanones. A Western diet rich in red meat, white flour and sugar increases the risk. Those with a higher intake of fiber have a reduced risk.


   J Nutr Health Aging. 2013. Garlic intake is an independent predictor of endothelial function in patients with ischemic stroke. Daily garlic intake is an independent predictor of endothelial function in patients with ISS and may play a role in the secondary prevention of atherosclerotic events.


Try to reduce your body weight if you are overweight. Excess weight increases stroke risk and the heavier a person is, the greater their risk. Eating right before going to sleep also raises the risk. 


Reduce hypertension naturally with diet, foods, and certain herbal pills.
Reduce cholesterol level with diet and supplements
Reduce or eliminate smoking
Reduce alcohol intake.
Have adequate fluid intake. Patients who are clinically dehydrated when they present with ischemic stroke are more likely to worsen over the next few days.


Aspirin is a much more cost-effective way to treat patients at risk of having a second heart attack or stroke than the new drug Plavix (clopidogrel). A daily baby aspirin, or even two or three times a week, is often recommended by doctors to help prevent heart attacks or stroke, but for people over 70 years old the benefits may be offset by bleeding risks. So, aspirin is best reserved for those younger than age 70 or 65. If you take fish oils and ginkgo, or other dietary supplements that reduce the risk for blood clots, you may need to take aspirin less often.


Women using low-dose oral contraceptives are at an increased risk for a heart attack or stroke while taking the pill -- however the risk is reduced or disappears after discontinuation.
Reduce stress as much as possible. Any type of stress, including job stress, can make it more likely. Stress at work is a cause that most people do not consider.


Reduce the use of NSAIDs, non-steroidal anti-inflammatory drugs.
Supplements or herbs that may be helpful to prevent stroke


Discuss with your doctor before making any changes to your regimen. Do not use natural blood thinners if you have had 
a hemorrhagic stroke. 


Findings suggest that increased folic acid, vitamin B12, and vitamin E, C intake may be associated with decreased risk of stroke. Int J Preventive Med. 2013. B Vitamins and Antioxidants Intake is Negatively Correlated with Risk of Stroke in Iran.

Carnosine supplement use 

Amino Acids. 2016. Physiological and therapeutic effects of carnosine on cardiometabolic risk and disease. Obesity, type 2 diabetes (T2DM) and cardiovascular disease (CVD) are the most common preventable causes of morbidity and mortality worldwide. Carnosine (β-alanyl-L-histidine) is a dipeptide with anti-inflammatory, antioxidant, anti-glycation, anti-ischaemic and chelating roles and is available as an over-the-counter food supplement. Animal evidence suggests that carnosine may offer many promising therapeutic benefits for multiple chronic diseases due to these properties. Carnosine, traditionally used in exercise physiology to increase exercise performance, has potential preventative and therapeutic benefits in obesity, insulin resistance, T2DM and diabetic microvascular and macrovascular complications (CVD and stroke) as well as number of neurological and mental health conditions.

Fish oils help thin the blood and improve circulation. Those who are vegetarian could instead take 
DHA which comes from algae. Krill oil is another option.
Ginkgo biloba improves circulation and thins the blood. Limit dosage to 40 mg a few times a week.
Vinpocetine acts as a vasodilator and allow more oxygen to be available for brain tissue. Limit dosage to 5 mg a few times a week.
Magnesium mineral could be of benefit.
Multivitamins with Vitamins B6, B12, and Folic Acid


B Vitamins and stroke

A high-dose vitamin supplement may help reduce the risk of a second stroke, as well as death and cardiac events, according to a study published in the November 2005 issue of the journal Stroke. The supplement consisted of vitamins B9 (folate), B6, and B12, which are known to reduce blood levels of homocysteine -- an amino acid linked to heart disease. In a previous report from the Vitamin Intervention for Stroke Prevention (VISP) study group, the combined vitamin therapy did not reduce recurrent stroke and cardiac events, but it turned out that the trial included patients who were not likely to benefit from the treatment. The VISP trial included patients with deficiency of vitamin B12 who were unlikely to respond to our treatment, as well as patients with renal failure, who would not respond as well to vitamin therapy. When the scientists re-analyzed the results in a subgroup of 2,155 subjects deemed most likely to respond to treatment, the combined vitamin therapy did appear to have a beneficial effect on recurrence of stroke and cardiac events. Specifically, the team compared results of low-dose vitamin versus high-dose vitamin therapy and found that high-dose vitamin supplements reduced recurrent stroke, death and heart disease by 21 percent. When they subdivided patients by baseline levels of vitamin B12, thus identifying those with difficulties absorbing the vitamin, the differences between the low-dose and high-dose groups became greater. In the modern age in which grains are fortified with folate, the response to vitamin therapy for lowering homocysteine largely depends on B12 levels of the patients. Higher doses of B12, in addition to other therapies, will be required to reduce homocysteine, and thus to reduce stroke and the combined end point of stroke, death, and heart attack.

Ann Neurol. 2010. B-vitamins reduce the long-term risk of depression after stroke: The VITATOPS-DEP trial.Almeida OP, Marsh K, Alfonso H, Flicker L, Davis TM, Hankey GJ.School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, Perth, WA, Australia.

The consumption of certain B-vitamins through diet or supplementation decreases the total plasma concentration of homocysteine (tHcy) and may enhance response to standard antidepressant treatment. The purpose of this research was to determine if treatment with B-vitamins reduces the hazard of poststroke depression compared with placebo. Randomized, double-blind, placebo-controlled trial of tHcy-lowering treatment with daily folic acid (2 mg), vitamin B6 (25 mg), and vitamin B12 (0.5 mg) for 1 to 10.5 years in survivors of stroke. Long-term treatment of poststroke survivors with folic acid, B6, and B12 was associated with a reduction in the hazard of major depression in our patient population. If these findings can be validated externally, B-vitamin supplementation offers hope as an effective, safe, and affordable intervention to reduce the burden of poststroke depression.

In addition to its effects on homocysteine, an amino acid linked to heart disease, folic acid may protect against a certain type of stroke. Specifically, investigators found that folate, a B vitamin found in green leafy vegetables, fruits and dried beans, appears to lower the risk of hemorrhagic stroke, a stroke caused by bleeding in the brain.

Ginkgo biloba for stroke treatment and other nutrients

Extract from the leaves of the ginkgo tree offers promise to minimize brain damage caused by a stroke. Mice given daily doses of ginkgo biloba extract before having a stroke induced in the laboratory suffered only about half the damage as animals not given it. Mice that did not get ginkgo before a stroke but were given it five minutes after a stroke sustained nearly 60 percent less damage in the day after the stroke than those not given ginkgo. And mice given ginkgo 4 hours after a stroke had about a third less damage than those not given ginkgo. The researchers said ginkgo may offer the same benefits in people -- which would be particularly important because not much can be done to protect the brain after a stroke. Sylvain Dore of Johns Hopkins led the study. This was reported in the journal Stroke in 2008.


PLoS One. January 31 2014. Co-administration of resveratrol and lipoic acid, or their synthetic combination, enhances neuroprotection in a rat model of ischemia / reperfusion. These results demonstrate that combining subthreshold doses of resveratrol and LA prior to ischemia-reperfusion can provide significant neuroprotection likely resulting from concurrent effects on multiple pathways. This may present opportunities for addressing ischemia-induced damage in patients presenting with transient ischemic episodes.

Signs and symptoms

The most common stroke signs and symptoms include: 

   Sudden numbness, weakness, or paralysis of the face, arm or leg - usually on one side of the body
   Loss of speech, or trouble talking or understanding speech
   Sudden blurred, double or decreased vision
   Dizziness, loss of balance or loss of coordination
   Seizures, fainting or blacking out

How a stroke or transient ischemic attack affects the body depends on precisely where in the brain the blood supply was cut off or where bleeding occurred. Each area of the brain is served by specific blood vessels. For example, if a blood vessel in the area that controls the left leg's muscle movements becomes blocked, the leg will be weak or paralyzed. If the area that senses touch to the right arm is damaged, the right arm will lose feeling (sensation). The loss of function is greatest immediately after a stroke. However, some function is usually regained because, while some brain cells die, others are only injured and may recover.

Stroke - TIA

Insufficient blood supply to parts of the brain for brief periods causes transient ischemic attacks, temporary disturbances in brain function. Because the blood supply is restored quickly, brain tissue doesn't die, as it does in a stroke. A transient ischemic attack is often an early warning sign of a stroke.


Cause of Stroke

In Western countries, strokes are the most common cause of disabling neurologic damage. High blood pressure and atherosclerosis -- hardening of the arteries from fatty buildup -- are the major risk factors for strokes. The incidence of strokes has declined in recent decades, mainly because people are more aware of the importance of controlling high blood pressure and highcholesterol levels. 

Job stress can significantly increase the risk of stroke in men.

   With prescription drugs Vioxx and Bextra already pulled from the market, a study has raised disturbing questions about the heart safety of long-term use of over-the-counter pain relievers such as Advil, Motrin and Aleve. Smokers in Norway who took such drugs for at least six months had twice the risk of dying of a heart attack, stroke or other heart-related problem.
   Binge drinking more than triples a man's risk of dying from a stroke as published in the journal Stroke, September 2009.

   Atrial fibrillation (AF), the most common form of abnormal heart rhythm, increases the risk of stroke by several times.

   People who suffer with migraines headaches are more likely to suffer a stroke caused by a blood clot. American Journal of Medicine, online May 20, 2010.

   Downing a few drinks or contracting an infection such as the flu increases the short term risk.

   Heavy alcohol consumption in midlife shortens the time to a stroke event by several years.
   Living in high polluted areas increases the risk.

Eating fried fish is more common in "stroke belt" states than other states. Frying fish causes a loss of omega-3 fatty acids fatty acids. The stroke belt states include North Carolina, South Carolina, Georgia, Alabama, Mississippi, Tennessee, Arkansas, and Louisiana. People living in the stroke belt states are more like to have a this problem and to die from it than people living in other states. Neurology, 2010.

Hemorrhagic stroke

Many young adults who suffer bleeding in the brain, a type of stroke, have risk factors that could be modified,. This suggests that these strokes might often be preventable. Risk factors for bleeding stroke included high blood pressurediabetesmenopause, and current cigarette smoking. More than two alcoholic drinks per day, more than five caffeinated drinks per day, and caffeine in drugs were also associated with the risk of bleeding in the brain

Recovery from stroke

Stroke victims forced to use a weakened or partially paralyzed arm by having their working arm or hand restrained in a sling or mitt recover more quickly. In a study of 222 patients, those who underwent "constraint-induced" therapy within three to nine months of their strokes were more capable of performing an array of tasks in follow-up tests than those who were not forced to use their affected arm. Participants in the study were instructed to wear the restraint -- either a sling or a cumbersome mitt -- during waking hours for two weeks. They also underwent physical therapy for several hours on weekdays, during which they wore the restraint. Most had suffered an ischemic stroke, the most common type where blood flow is temporarily blocked to part of the brain.

The risk of a repeat stroke, which is more likely to be disabling or fatal than a first stroke, remains high long after the first episode unless major lifestyle and dietary changes are undertaken.

Risks and prognosis

Stroke patients have a significantly higher risk of fracturing a hip or thigh than people who have not had a stroke. One in four people who have a stroke will likely die within one year from any cause and about one in ten will have another one soon. The risks are higher for African-Americans compared to whites and increases with age and the number of other ailments a stroke patients has. Neurology, February 16, 2010.

Newly diagnosed cancer patients are at increased risk for stroke in the months after they find out they have the disease. And the risk is higher among those with more aggressive cancer.

Alternative to warfarin or Coumadin

A very good friend of ours who is male - 73 yrs old has had 2 strokes and was put on warfarin as a blood thinner to prevent the blood clots. He had bleeding on the brain due to the warfarin. He has now been told there is nothing they can do to stop the blood clots because blood thinners will cause bleeding. Is there any other supplement or natural alternative to help him deal with this? We live on Prince Edward Island in Canada (east coast).
    Some of the supplements listed on the blood clot page (see the top of the page) are an option if his doctor approves.
Screening for possible stroke - is carotid artery testing helpful?
Screening for asymptomatic carotid artery stenosis causes more harm than benefit. Only a small proportion of all disabling, unheralded strokes is due to carotid artery stenosis. Noninvasive screening tests (duplex ultrasonography, magnetic resonance angiography) are prone to false-positive results, resulting in unnecessary treatment. Invasive screening by digital subtraction angiography can cause serious side effects. The benefits of surgical treatment with carotid endarterectomy are minor.
Incidence
Stroke incidence has increased in young to middle-aged adults since 1993, while rates have actually declined in elderly people. Risk factors for stroke - diabetes, obesity, high blood pressure and cholesterol - are occurring at younger ages. Dr. Brett M. Kissela presented his group's findings today at the American Stroke Association's International Stroke Conference in San Antonio, Texas in Feb 2010.
Stroke research studies
The results of a large urban multiethnic study show that high fat and high sodium diets are both risk factors for stroke, investigators with the Northern Manhattan Study (NOMAS) report.
Within three months after experiencing a transient ischemic attack, commonly known as a mini stroke, more than 14 percent of people suffer a major stroke.

For seniors, eating tuna or fish that's been broiled or baked appears to lower stroke risk, but frying the catch of the day may increase it. Investigators found that people aged 65 and older who ordered frequent servings of tuna or other types of broiled or baked fish were up to 30 percent less likely than people who ate fish less than once per month to experience a stroke over a 12-year period.

A stroke that robbed a woman of her dreams may help pinpoint where and how dreams are born in the brain. Scientists found the stroke had damaged areas deep in the back half of the brain, which is involved in the visual processing of faces and landmarks. Writing in the Annals of Neurology, they said the finding suggests that this area was crucial for dreams.
Hormone replacement therapy (HRT) is associated with an increased risk of severe stroke. The results of individual trials have produced inconsistent results, explain Drs. Philip M. W. Bath and Laura J. Gray of the University of Nottingham, UK, in the British Medical Journal. Their goal therefore was to systematically review evidence from completed clinical trials analyzing the relationship between stroke and HRT. The team identified 28 trials that included nearly 40,000 women whose average age ranged from 55 to 71 years. The subjects were followed for about 1 to 7 years. The pooled data showed that, overall, the women who used hormone replacement had a 29 percent higher risk of stroke than those in comparison groups.
Eating dark chocolate may help lower blood pressure, boost normal responses to insulin to keep blood sugar levels down, and improve blood vessel function in patients with high blood pressure, according to new research findings. All of these effects would be expected to decrease the risk of heart attack and stroke. The report in the July, 2005 journal Hypertension is just the most recent to link dark chocolate with beneficial health effects. In an earlier study, consumption of the bittersweet candy reduced blood pressure and increased insulin sensitivity in healthy subjects.

More evidence that fish consumption reduces the chances of having a stroke comes from an analysis of results from several large studies. In fact, the findings suggest that the incidence of ischemic stroke might be significantly reduced by consuming fish as seldom as 1 to 3 times per month. Ischemic stroke refers to a blockage of blood supply to the brain, as opposed to hemorrhagic stroke, which is caused by bleeding in the brain.
Following a stroke, treatment with the anti-clotting drug Plavix (clopidogrel) can help prevent future strokes and heart attack. Plavix doesn't work any better when given with the blood-thinner aspirin and, in fact, the risk of bleeding complications is increased.

Prospective study of plasma carotenoids and tocopherols in relation to risk of ischemic stroke.

Stroke. 2004.

We conducted a prospective, nested case-control analysis among male physicians without diagnosed cardiovascular disease followed-up for up to 13 years in the Physicians' Health Study. Samples from 297 physicians with ischemic stroke were analyzed with paired controls, matched for age and smoking, for 5 major carotenoids (alpha- and beta-carotene, beta-cryptoxanthin, lutein, and lycopene), retinol, and alpha- and gamma-tocopherol. Baseline plasma levels of alpha-carotene and beta-carotene and lycopene tended to be inversely related to risk of ischemic stroke with an apparent threshold effect. As compared with men whose plasma levels were in the lowest quintile, the multivariate adjusted odds ratios (ORs) of ischemic stroke among men with levels in the second through fifth quintiles were 0.59 for alpha-carotene, 0.62 for beta-carotene, and 0.61 for lycopene. A tendency toward an inverse association was found for beta-cryptoxanthin, but the result was not statistically significant. No association was found for lutein, retinol, and tocopherols. Our data suggest that higher plasma levels of carotenoids, as markers of fruit and vegetable intake, are inversely related to risk of ischemic stroke and provide support for recommendations to consume fruits and vegetables regularly. stroke stroke of midnight stroke symptom sign of a stroke stroke prevention one stroke painting mini stroke.

Other supplements to consider

Inosine inhibits glutamate postsynaptic responses and reduces cerebral infarction.
Danshen used in China for stroke.


Stroke preventionStroke is one of the feared conditions in old age and fortunately much can be done to reduce the risk. For one, how a food is prepared can make a difference. Seniors eating tuna or fish that's been broiled or baked appears to lower stroke risk, but frying the catch of the day may increase it. Investigators found that people aged 65 and older who ordered frequent servings of tuna or other types of broiled or baked fish were up to 30 percent less likely than people who ate fish less than once per month to experience a stroke over a 12-year period. Diet has a strong influence on the stroke prevention. For instance, eating fresh fruits and vegetables reduces the risk. Nutrients that may play a role in stroke prevention include fish oils, ginkgo biloba and vinpocetine.