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How many Adults in the US report taking an herbal product?
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1 in 5
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1 in 7
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1 in 3
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1 in 10
Frage 2
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What is the GRAS list, and how many products are on it?
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An FDA developed list - Generally Recognized as Safe; 250 herbals
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An FDA developed list - Generously Regulated and Sold; 400 herbals
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A DEA developed list - Get Regional as Supplied; 300 herbals
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A DEA developed list - Get Rich: A Scam; 500 herbals
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The Dietary Supplement health Education Act shifted the burden of proof for safety and efficacy to the DEA
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33-50% of modern drugs have botanical origins. Match the medication to the source.
digoxin: [blank_start]foxglove[blank_end]
morphine: [blank_start]poppies[blank_end]
aspirin: [blank_start]willow bark[blank_end]
tamoxifen: [blank_start]pacific yew tree[blank_end]
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foxglove
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poppies
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willow bark
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pacific yew tree
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An herb can be any part of a plant.
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Its easy to reproduce an herbal product.
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Herbs can be sold...
Frage 8
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What of the following is true about Echinacea
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Used for common cold treatment
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Safe with minimal side effects
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Long term use may suppress immunity
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All strains are equal
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Ginseng is on the GRAS list
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What of the following is TRUE about Ginseng?
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Not recommended for pregnant or lactating females
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Approved for use in children
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Avoid use with other stimulants or CV disease
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Siberian Ginseng contains no Ginseng
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Ginkgo is typically used for [blank_start]dementia[blank_end] and [blank_start]claudication[blank_end]
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dementia
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energy
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claudication
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clotting disorders
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Ginkgo is effective for improving cognitive function in elderly without dementia
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Ginkgo can improve pain-free walking distance in patients with claudication
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Ginkgo has a reported association with
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spontaneous bleeding
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shortness of breath
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slowed bowel function
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It's perfectly ok to use Ginkgo seeds medicinally.
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Garlic can be effective in any form
Frage 18
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Which of the following is true about Garlic?
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Can lower cholesterol 4-6%
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Can cause increased bleeding with use
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Considered safe by the FDA
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Side effects include GI problems, garlic breath, rare allergies and contact dermatitis
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St John's Wort is effective in moderate-severe depression
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What is true about St John's Wort?
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Peppermint can be used as a treatment for IBS
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What is true about ginger
Frage 23
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hot flashes
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lowering cholesterol
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nausea
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depression
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Its perfectly safe to use chamomile with any allergy
Frage 25
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Used as a sedative, anxiolytic, and intestinal spasms
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has the active ingredient Apigenin, which binds to the same receptors as benzos
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Considered safe by the FDA
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Uses verified by numerous studeis
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Both kava and valerian are used as sedative/relaxants
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Kava has been associated with
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severe hepatotoxicity
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renal failure
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contact dermatitis
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respiratory distress
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Some people get paradoxical effect with stimulation from valerian
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Avoid using kava and valerian ...
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Frage 31
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When do you used feverfew?
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for headaches
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in pregnancy
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in clotting disorders
Frage 32
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Saw Palmetto is best used for
Frage 33
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Passionflower can be used for
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Anxiety
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Insomnia
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menopause
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muscle relaxation
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nausea
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Biotin is vitamin B7
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Most biotin supplements contain far more than the daily recommended value
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Biotin can alter thyroid tests
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What is true about L-methylfolate
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Up to 70% of patients with depression may have genetic factor that limits the ability to convert folic acid/folate from mood to l-methylfolate
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N-acetylcycsteine...
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Vit D, L-lysine & L-arginie, Magnesium have unsubstantiated restuls
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Other avenues of treatment include
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Psychotherapy
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Bright light therapy
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Exercise
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Omega 3
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Netflix & margaritas
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Psychotherapy has well documented used for anxiety and depression
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Bright light therapy...
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Useful for SAD and "hibernation effects"
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has no established guidelines
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Can be from any light source
Frage 45
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has shown modest efficacy in MDD and BPD
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has shown reduction in risk for MS
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can cause toxicity in large doses
Frage 46
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When prescribing Omega 3, use caution in patients with High LDL, risk for bleeding, ventricular arrhythmia/tachycardia, and fish allergies
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[blank_start]Accupuncture[blank_end]: depression and anxiety
[blank_start]Tai Chi[blank_end]: depression, anxiety and stress reduction; fibromyalgia
[blank_start]Qui Gong[blank_end]: elderly depression and fibromyalgia
[blank_start]Massage & Aromatherapy[blank_end]: relaxation and stress control
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Accupuncture
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Tai Chi
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Qui Gong
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Massage & Aromatherapy
Frage 48
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Lavender activates which pathway, leading to decreased anxiety?