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The Natural Connection
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The call came one cold, damp
December night from the Emergency Room. A middle-aged man had come complaining
of severe chest pain, and needed to be in the hospital. Not such an unusual
problem, for a corner of the Okefenokee with one of the highest rates of heart
disease in the nation. Except this patient was different. “It’s really strange,”
said the ER physician. “His heart seems to be just fine. The guy insists he
was poisoned!” The man on the gurney was
miserable to be sure. He alternately moaned, vomited, and cursed his friends.
“It’s that stuff they gave me to eat”, he said. “As soon as I swallowed
it I got sick”. “What was it?” I asked, “A casserole?” The patient cursed again and
looked towards his feet. “Swamp Wampee Root. For my Nature.
My buddy swears by it. Supposed to be an old Indian cure. He said it
would fix “trouble in the teepee”, but it sure worked the opposite on me!”
I nodded in sympathy. Another unsuspecting male laid low by the infamous Swamp
Wampee Nature Cure. I tried to cheer him up. At least it wasn’t a heart
attack. He was not amused. The wetlands plant Wampee (Peltandra
virginica), is high in oxalic acid—the compound found in many kidney
stones. Ingestion causes severe heartburn, vomiting, and sometimes bleeding
ulcers. As a group of nurses wheeled him to the Intensive Care unit for his
weekend stay, he loudly announced his plans for his “friends”, who were no
doubt by now sitting in front of their big screen TVs with a few cold beers,
laughing. Despite former Vice President
Bob Dole’s cheerful endorsement of Viagra, treatment of erectile dysfunction
is not something that most men find easy to discuss with their doctor. The high
price of Viagra, along with some of its problematic side effects, has generated
patient interest in herbal products and supplements that are advertised in
glorious glossy detail in the back of men’s magazines and in health food
stores. The most popular over the
counter products include L-Arginine, Yohimbine, and an herb named Epimedium,
also known curiously as Horny Goat Weed. Of the three, Arginine appears to be
the most effective, and best tolerated. A controlled trial showed response in
approximately one third of men who took 5,000 mg a day for six weeks. Its most
common side effect is mild stomach upset, but it can worsen heartburn as well. Yohimbine
is a natural substance derived from the bark of an African tree. While FDA
approved, yohimbine has numerous side effects when taken above the recommended
amount of 20 mg, including changes in blood pressure, rapid heart rate,
increased urination, and anxiety. It is felt to be marginally effective in some
men. No controlled studies have been
performed on Epimedium, also known as
Horny Goat Weed. It is sometimes sold in combination products that have not been
evaluated by the FDA for safety. It is unknown how many people purchase it
purely because of its name, or if it was called Ugotta Bnuts or some other such
name, if anyone would buy it at all. ConsumerLab.com
testing agency recently released its evaluation of 22 sexual enhancement
supplements with the usual findings that many over the counter products were
lacking in advertised ingredients, or were contaminated with various
unadvertised compounds. For instance, many “natural” supplements were found
to be spiked with the pharmaceutical sildenafil, the active ingredient in
Viagra. So,
gentlemen, before venturing too deep into the middle of the Swamp Wampee or
spending what’s left of your 401K on Horny Goat Weed, try to talk to your
doctor. You may also receive a free summary of the ConsumerLab test report, by
writing to The Natural Connection, c/o Pauline Bellecci MD, PO Box
777, Waycross, GA 31501, or contact us on-line at www.swampdocs.com. 11/24/02 |
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©2000-2003 Pauline M. Bellecci, MD
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