Dietary Supplements for Women

Question 1

What are the increased risks when associated with hormone therapy for menopause/ improvements

Answer 1

Coronary heart disease, stroke, pulmonary emboli, breast cancer/ less hipfracture and fewer colorectal cancers

Question 2

Which traditional chinese medicine is used, for what, how

Answer 2

Angelica sinensis, amenorrhea and dysmenorrhea, inhibits cox-2 (lessen inflammation)

Question 3

What drug-drug interactions should be known for angelica sinensis, how

Answer 3

Warfarin, inhibits platelet aggregation

Question 4

What is the number dietary supplement used by women

Answer 4

Black cohosh

Question 5

What menopausal symptoms is black cohosh used for

Answer 5

anxiety, depression, hot flashes, profuse sweating, insomnia, and vaginal atrophy

Question 6

What is the effective dose of estrogen black cohosh is associated with

Answer 6

0.625mg of conjugated estrogens

Question 7

What product of black cohosh is shown to work the best

Answer 7

Remifemen

Question 8

What is the adverse effects of black cohosh

Answer 8

Cytotoxic to muscle cells (myopathy/concnetration dependent), heptatoxicity

Question 9

What native american plant is used for the managment of menopausal symtoms, what is the best product of this extract

Answer 9

Red clover, promensil

Question 10

What is the dose for Red clover needed to gain an effect, best attribute at this dose, other improvements

Answer 10

80 mg/day, reduced hot flash frequency, increased BMD and reduced LDL but increased HDL

Question 11

What hormones are increased by red clover, consequences

Answer 11

Estradiol, testosterone, lutenizing hormone/ endometrial thickness

Question 12

T/F: Women with breast cancer should not take blck cohosh or red clover

Answer 12

True

Question 13

What happens when post menopausal women are given ginseng

Answer 13

Decreased anxiety scores and deucued cortisol/DHEA ratio showing a reduction in stress

Question 14

T/F: Ginseng dried root is better than ginseng extract at improving quality of life but not hot flashes

Answer 14

False: Ginseng extract is better for quality of life while the ginseng extract is better to treat hot flashes

Question 15

What dietary supplement comes from Central America

Answer 15

Maca

Question 16

What seed oil is good for PMS, best attribute, dose, other attribute

Answer 16

Evening primrose oil, treats breast pain, 3 grams a day, (antiinflammatory activity)

Question 17

T/F: Primrose oil must be taken for 3 cycles before effect is fully seen

Answer 17

True

Question 18

Caution of primrose oil

Answer 18

Bruising and anticoagulation

Question 19

Which native plant to india is used for PMS, what patient will it help most, shown effects

Answer 19

Chasteberry (vitex agnus castus), patient with corpus luteum insufficiency and/or excesss prolactin, reduces serum prolactin levels compared with placebo (dopamine agonist)

Question 20

which chasteberry product is most recommended

Answer 20

Femaprin

Question 21

What is the caution if using vitex agnus-castus

Answer 21

heavy menstuation, oral contraceptives (increases fertliity)

Question 22

T/F: Calcium supplements have shown to reduce PMS symptoms and should be taken at a dose of 1500 mg plus vit D 800 international units

Answer 22

True