| | | Addictions | Current Smoker
 | GSE has been shown to provide better protection on factors such as lipid peroxidation (involved in atherosclerosis), DNA damage and cell death to a type of oral cells in culture than vitamins C and E, when exposed to tobacco extract. |
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Aging |
Premature/Signs of Aging
 | Oxidative stress is implicated in aging. Resveratrol demonstrates powerful antioxidant capabilities, with profound implications for human health. Scientists report that resveratrol inhibits the oxidation of dangerous low-density lipoprotein (LDL) and scavenges harmful hydroxyl radicals. Resveratrol also helps preserve levels of glutathione, one of the body’s most essential antioxidants. According to prominent resveratrol investigator Dr. Milos Sovak, “There is no question that resveratrol is one of the best free-radical scavengers and that it has many effects whose ramifications might affect not only longevity but also general health.” |
Alzheimer's Disease
 | Although unmodified resveratrol appears to have a weak bioavailability, several studies have clearly demonstrated the in vivo neuroprotective properties of the red wine-derived polyphenol, strongly supporting the notion that natural metabolites of resveratrol may have biological activities. Furthermore, recent findings have shed light on the potential role of resveratrol in transcription- and degradation-dependent anti-amyloidogenic mechanisms, suggesting that natural metabolites or potent synthetic analogues of resveratrol have a therapeutic potential in Alzheimer's Disease. |
Senile Dementia
 | The findings from a study, which was published online in the journal Neurotoxicology, agree with prior human epidemiology studies that associate frequent red wine consumption with a reduced risk of developing dementia. Resveratrol and other similar compounds called polyphenols, have long been thought to contribute to this beneficial effect. Resveratrol is a potent antioxidant that is also associated with numerous other health effects, including a reduced risk of cardiovascular disease. [Feng Y, X Wang, S Yang, Y Wang, X Zhang, X Du, X Sun, M Zhao, L Huang and R Liu. 2009. Resveratrol inhibits beta-amyloid oligomeric cytotoxicity but does not prevent oligomer formation. Neurotoxicology doi:10.1016 / j.neuro 2009.08.013.] |
Parkinson's Disease / Risk
 | Flavonoids, and in particular the proanthocyanidins (grape seed and pine bark extracts) should also be excellent candidates as Parkinson's disease preventers and retarders. Proanthocyanidins are water-soluble antioxidants that are stronger than vitamin C and which readily cross into the brain fluid. Clinical trials are, however, still required to support this hypothesis. |
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Circulation |
Hypertension
 | A study published in the October 2006 journal of Clinical and Applied Thrombosis/Hemostasis shows Pycnogenol® (pic-noj-en-all), an antioxidant plant extract from the bark of the French maritime pine tree reduced edema, a typical side-effect of antihypertensive medications, by 36 percent in patients taking these medications.
According to Dr. Gianni Belcaro, lead researcher of the study, more than 35 percent of patients taking antihypertensive medications are believed to suffer from edema as a side-effect. This happens because the antihypertensive medications cause blood vessels to dilate, which allows easier blood flow and thus lowers blood pressure. However, as a side-effect this causes blood to pool in the vessels of the lower legs. In result they stretch and liquid seeps into tissue causing swelling (edema). Hypertension is a serious risk factor for developing severe cardiovascular incidents some time in the future and thus the necessity for treatment justifies the development of edema as a side-effect.
Antihypertensive medications reduce pressure by inhibiting constriction of blood vessels. "The larger the blood vessel diameter, the easier blood will flow with less pressure," said Dr. Belcaro. "In order to avoid blood pooling in the lower legs and feet (edema), blood vessel diameters must adjust when a person changes positions from laying down to standing up. Results of this study show Pycnogenol to improve blood circulation, avoiding blood pools and reducing edema." |
Chronic Venous Insufficiency (CVI)
 | Women with CVI were assisted in combating the condition in a double blind French study that utilized 150mg of oligomeric proanthocyanidins (OPCs) daily. Positive results were also obtained in another French double blind research that increased the dosage to 300mg, with each dose being 100mgs. The effectiveness of the compound was evident in just four weeks of the treatment period and all the patients showed improvement. |
Varicose Veins
 | A double-blind study of 50 people with varicose veins of the legs found that doses of 150mg per day of OPCs were more effective in reducing symptoms and signs than another natural treatment: the bioflavonoid diosmin, widely used in Europe for this condition. [Gaz Med. 1985;92: pp.96-100]
A double-blind placebo-controlled study of 71 subjects with venous insufficiency found that grape seed OPCs, taken at a dose of 100mg 3 times daily, significantly improved major symptoms, including heaviness, swelling, and leg discomfort. [La Revue de Medecine. Aug/Sept.1981;no.27–28: pp.1793-1802] |
Phlebitis / Thrombophlebitis
 | One month of treatment with Pycnogenol (360mg per day reduced lower limb circumference and improved subjective symptoms better than horse chestnut seed extract in a study of 40 patients with diagnosed chronic venous insufficiency. [Phytother Res 2002;16(2): pp.1-5] |
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Hormones |
Elevated Insulin Levels
 | Research in mice demonstrated that the phytoalexin, resveratrol, can prevent or attenuate the diabetic (insulin resistant) condition. The investigators found that resveratrol activated one or more SIRT enzymes that eliminated a fat-associated inhibitor of insulin action (protein tyrosine phosphatase 1B). The net result of resveratrol’s action was to convert muscle, fat and liver tissue cells to an insulin-sensitive state. Subsequently, this allowed glucose to be removed from the blood, returning the tissues to energy homeostasis. [J. Cell Metabolism, October 2007; vol 6: pp 247-249]
The question remains as to whether the encouraging results obtained with animal and cell culture research will hold true for humans. |
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Lab Values |
Elevated Total Cholesterol
 | One month of treatment with Pycnogenol (360mg per day) reduced total and LDL-cholesterol levels, but had no effect on HDL-cholesterol levels, in a study of 40 patients with diagnosed chronic venous insufficiency. [Phytother Res 2002;16(2): pp.1-5]
Three months of using pycnogenol at 120mg per day improved erectile function and reduced total and LDL cholesterol levels in a double-blind, placebo-controlled study of 21 men with erectile dysfunction. [ Nutr Res 2003;23(9): pp.1189-98] |
Elevated LDL/HDL Ratio
 | See the link between Elevated Total Cholesterol and Grape Seed Extract. |
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Metabolic |
Meniere's Disease
 | Reports by doctors state that a combination of pycnogenol (pine bark extract) and shark liver oil may be useful in treating Meniere's Disease. |
Edema (Water Retention)
 | One month of treatment with Pycnogenol (360mg per day reduced lower limb circumference and improved subjective symptoms better than horse chestnut seed extract in a study of 40 patients with diagnosed chronic venous insufficiency. [Phytother Res 2002;16(2): pp.1-5]
A double-blind placebo-controlled study of 71 subjects with venous insufficiency found that grape seed OPCs, taken at a dose of 100mg 3 times daily, significantly improved major symptoms, including heaviness, swelling, and leg discomfort. [La Revue de Medecine. Aug/Sept.1981;no.27–28: pp.1793-1802]
A study published in the October 2006 journal of Clinical and Applied Thrombosis/Hemostasis shows Pycnogenol® (pic-noj-en-all), an antioxidant plant extract from the bark of the French maritime pine tree reduced edema, a typical side-effect of antihypertensive medications, by 36 percent in patients taking these medications.
According to Dr. Gianni Belcaro, lead researcher of the study, more than 35 percent of patients taking antihypertensive medications are believed to suffer from edema as a side-effect. This happens because the antihypertensive medications cause blood vessels to dilate, which allows easier blood flow and thus lowers blood pressure. However, as a side-effect this causes blood to pool in the vessels of the lower legs. In result they stretch and liquid seeps into tissue causing swelling (edema). Hypertension is a serious risk factor for developing severe cardiovascular incidents some time in the future and thus the necessity for treatment justifies the development of edema as a side-effect.
Antihypertensive medications reduce pressure by inhibiting constriction of blood vessels. "The larger the blood vessel diameter, the easier blood will flow with less pressure," said Dr. Belcaro. "In order to avoid blood pooling in the lower legs and feet (edema), blood vessel diameters must adjust when a person changes positions from laying down to standing up. Results of this study show Pycnogenol to improve blood circulation, avoiding blood pools and reducing edema." |
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Musculo-Skeletal |
Poor Musculoskeletal Health
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Nutrients |
Antioxidant Requirement / Oxidative Stress
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Organ Health |
Night Blindness
 | One interesting 6-week controlled (but not blinded) study evaluated the ability of grape seed OPCs to improve night vision in normal subjects. In this trial of 100 healthy volunteers, those who received 200 mg per day of OPCs showed improvements in night vision and glare recovery as compared to untreated subjects. [(English abstract) Bull Soc Ophtamol Fr. 1988;88: pp.173-174, 177-179] |
Fatty Liver
 | Researchers found that alcohol-fed mice given resveratrol had less fat in their livers and the fat broke down more quickly than alcohol-fed mice not give resveratrol. The researchers note that resveratrol has been shown to activate molecules that are also important in fat metabolism in the liver. Chronic alcohol abuse inhibits these molecules.
In this study, alcohol-fed mice treated with resveratrol also had enhanced activity of these molecules. "Collectively, these results demonstrate that resveratrol treatment protected against the development of alcoholic [fatty liver] in mice," they write.
The authors write that alcohol along with "concentrated resveratrol could be a more potent and efficient way" of getting the health benefits of resveratrol alone. [The American Journal of Physiology-Gastrointestinal and Liver Physiology, October 2008] |
Increased Risk of Diabetes ll
 | A study accepted for publication in Endocrinology, a journal of The Endocrine Society, shows that the brain plays a key role in mediating resveratrol's anti-diabetic actions, potentially paving the way for future orally-delivered diabetes medications that target the brain - for those who are interested. [ScienceDaily Oct. 9, 2009] |
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Risks |
Increased Risk of Coronary Disease / Heart Attack
 | Resveratrol may help guard against age-related decline in heart health, according to a 2008 study on middle-aged mice. Researchers examined more than 1,000 genes in the heart, all of which change in function as we age. But in mice fed low doses of resveratrol, that age-related change was thwarted by 92%.
Given these findings, the study's authors suggest that regular intake of resveratrol may serve as "a robust intervention in the retardation of cardiac aging." Of course, it's important to remember that research done on animals does not confirm equal efficacy in humans.
More research still has to be conducted to prove that resveratrol is the main factor in the reduction of heart disease seen in the French paradox. |
Increased Risk of Alzheimer's / Dementia
 | Although unmodified resveratrol appears to have a weak bioavailability, several studies have clearly demonstrated the in vivo neuroprotective properties of the red wine-derived polyphenol, strongly supporting the notion that natural metabolites of resveratrol may have biological activities. Furthermore, recent findings have shed light on the potential role of resveratrol in transcription- and degradation-dependent anti-amyloidogenic mechanisms, suggesting that natural metabolites or potent synthetic analogues of resveratrol have a therapeutic potential in Alzheimer's Disease. |
Cancer / Risk Reduction - General Measures
 | A number of studies have already revealed that eating fruit and vegetables helps to prevent cancer, and that this is likely due to the presence of proanthocyanidins. The authours, Shi and colleagues have already investigated this family of antioxidant compounds in apple peel and found it triggered cell death in cancer cells but not non-cancer cells.
Studies on grape seed extract have also suggested that it reduces breast tumors in rats and skin tumors in mice, and is active in a number of laboratory human cancer cell lines (such as skin, breast, colon, lung, stomach and prostate cancer cells), but until now nobody has investigated its effect on blood cancers.
Shi and colleagues used a commercially available grape seed extract and exposed leukemia cells to various concentrations of the extract for 12 and 24 hours, and also looked at what happened when leukemia cells were exposed to 50 µg/mL of the extract over various time intervals.
The results showed that exposure to grape seed extract resulted in dose and time-dependent increase in cancer cell apoptosis. They also discovered that the extract did not affect normal cells but they weren't able to determine why.
"This is a natural compound that appears to have relatively important properties," said Shi.
He and colleagues then examined the underlying mechanisms by which the grape seed extract caused the leukemia cells to commit suicide. They found that the extract had a strong effect on the activation of JNK, which led to the up-regulation of Cip/p21 (a CDK inhibitor which controls the cell cycle).
They double checked their finding by showing that the grape seed extract didn't work when used with an agent that blocked JNK: this was a pharmacologic approach. And using a genetic approach, they showed that silencing the JNK gene also disabled the grape seed extract's ability to trigger apoptosis.
Shi told the press that "These results could have implications for the incorporation of agents such as grape seed extract into prevention or treatment of hematological malignancies and possibly other cancers."
"What everyone seeks is an agent that has an effect on cancer cells but leaves normal cells alone, and this shows that grape seed extract fits into this category," he added.
Shi said these finding were not enough to warrant advising people to start eating lots of grapes, grape seeds, or grape skin in the hope they will avoid getting cancer. It's too early to say for sure that grape seed extract has this effect, even though the results are promising, he said. [1 January 2009, Clinical Cancer Research] |
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Skin-Hair-Nails |
Male Hair Loss
 | A mouse study has shown improved hair growth with the use of topical procyanidins (grape seed extract). [J Invest Dermatol 1999 Mar;112 (3): pp.310-6]
The active ingredients of Revivogen are natural compounds proven to inhibit of 5-alpha-reductase (the enzyme that produces DHT), block the androgen receptors and stimulate hair growth. These active ingredients include Gamma Linolenic acid (GLA), Alpha Linolenic acid (ALA), Linoleic Acid, Oleic Acid, Azaleic acid, Vitamin B6, Zinc, Saw Palmetto Extract, Beta-Sitosterol and Procyanidin Oligomers. |
Female Hair Loss
 | A mouse study has shown improved hair growth with the use of topical procyanidins (grape seed extract). [J Invest Dermatol 1999 Mar;112 (3): pp.310-6]
The active ingredients of Revivogen are natural compounds proven to inhibit of 5-alpha-reductase (the enzyme that produces DHT), block the androgen receptors and stimulate hair growth. These active ingredients include Gamma Linolenic acid (GLA), Alpha Linolenic acid (ALA), Linoleic Acid, Oleic Acid, Azaleic acid, Vitamin B6, Zinc, Saw Palmetto Extract, Beta-Sitosterol and Procyanidin Oligomers. |
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Uro-Genital |
Erectile Dysfunction (ED, Impotence)
 | Three months of using pycnogenol at 120mg per day improved erectile function and reduced total and LDL cholesterol levels in a double-blind, placebo-controlled study of 21 men with erectile dysfunction. [ Nutr Res 2003;23(9): pp.1189-98] |
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