We have been doing business with the Mayway Corp. for over 25 years. In 1996 they established the Mayway Hebei Factory in Anguo,
China where they package and process herbs into their Plum Flower Brand. The herbs are
processed in GMP (Good Manufacturing Practice) facilities in Anguo China and are known for their high
quality. East Earth Trade Winds
owner, Michel Czehatowski, was invited to the inaugural tour their factory in April,
2011 and found that they had extremely high standards for quality and
production. Below are some pictures from the factory tour complements of
Worker's preparing herbs for slicing
Slicing Jie Geng by Hand A worker with his equipment Sorting Bai Zhi Ren Seeds
Filling bottles with extract powder
Tour of the extraction facility (M. Czehatowski is third from left)
Where it all starts. The herb farmer working in the fields.
Dr. Christine Horner writes the following about inflammation on her website:
Inflammation is a normal and important process created naturally by our bodies and serves an important role. It helps to get rid of unwanted bacteria, and other invaders. It also assists our bodies in cleaning up dead cells from trauma or infections. When inflammation rises to assist healing and then quietly quells when it is no longer needed, no harm is done. But, if the inflammation remains beyond its useful purpose and becomes "chronic" - meaning it stays as an ongoing process in our body over time - it turns into a lethal firestorm, breaking down cells and destroying the natural architectural boundaries of the body's tissues which makes it easier for tumors to invade and grow. Researchers have found that chronic inflammation not only plays a key role in the commencement and progression of many types of cancers, but it also fuels a wide variety of chronic disorders, including heart disease, arthritis and Alzheimer's disease.
One main reason why chronic inflammation can be so devastating to our health is because it doesn't act alone. It creates additional destructive ammunition: oxygen free radicals. The cells in our immune system use oxygen free radicals like cosmic ray guns to shoot bacteria and other offenders. In the presence of inflammation, these cells release showers of oxygen free radicals and excess oxygen free radicals can cause damage to DNA that can lead to cancer.
Certain foods and stress promote inflammation. Refined carbohydrates, sugar and certain fats (especially trans-fats) are some of the worst offenders. On the other hand, a diet rich in antioxidants found in fresh organically grown fruits and vegetables and omega-3 fatty acids reduces inflammation. Taking supplemental antioxidants and practicing stress reduction techniques are also very beneficial in preventing and reducing inflammation.
INFLAMMATION AND THE COX-2 ENZYME
There's another way to reduce inflammation. It involves blocking the activity of a key enzyme essential to the process of inflammation. The enzyme is called cyclo-oxygenase 2 or COX-2. A relatively new class of pharmaceutical anti-inflammatories targets the COX-2 enzyme and blocks it or inhibits it. Celebrex and Vioxx are two examples. But pharmaceutical medications, as you are probably aware, are hard on the body and create imbalances that result in potentially serious side effects. When reaching for COX-2 anti-inflammatories, the wisest choice is to choose those made by Nature. Herbal COX-2 inhibitors not only block the "evil" enzyme with equal force, but they also import a fantastic amount of extraordinary intelligence and balance into the body.
Natures COX-2 inhibiting pharmacy includes dozens of herbs. The standouts are green tea, turmeric, holy basil, rosemary, ginger, oregano, Scutellaria, barberry, and the Chinese herbs Hu Zhang and Chinese Goldenthread (Coptis).
Note: Turmeric (curcuma) is found in our Tung Shueh Pills.
References: See: Dr. Christine Horner (www.drchristinehorner.com)
Preparing Tea or Tinctures
A tea or decoction (Chinese "tang") is probably the most common way that herbs are used in China. A tea is an extract of the herb. Water acts as the solvent for the herbs and the heating process pulls or extracts the medicinal components of the herbs into the water. Once it is cooked you drink the tea. Teas are an effective way to use herbs as you can modify the formula to your particular needs and they are rapidly absorbed. This is a good way to use herbs if you don't mind the taste of the herbs or the time involved in preparation.
Here's how you make a tea: Measure four cups of water, add your herbs and bring to a boil. Boil vigorously for five minutes. Then turn down the heat and simmer for 25 minutes. There will be some evaporation in the process. Once the tea is cooked, drink one cup twice a day. You should have some left over for the next day. Refrigerate this. The tea could spoil if left out too long. The next day warm up the tea before drinking. Don't drink it cold. When the liquid is all used up add four more cups of water and repeat the cooking process. All herbs can be cooked twice. You should note that if you have a formula with a large number or volume of herbs, four cups of water may not be enough to cook it. In this case, fill your pot with water so that there is about one inch of liquid covering the herbs. Then cook the same way. When you cook herbs don't use aluminum. Nonmetallic pots are preferred, such as Corning ware or porcelain, however, if you don't have those a stainless steel pot will work. Most roots and rhizomes need to be cooked for the full 30 minutes. Some of the lighter materials such as Menthe (Mint) or Ephedra, need to be cooked a short time. Add them in the last ten minutes of cooking your formula.
Other common methods of making herbs include pills (wan); powders (san), elixirs (dan), syrups (gao); plasters (gao) and medicinal wines (jiu).
Tinctures and Alcohol Extracts
A tincture would be considered a medicinal wine. Keep in mind that what the Chinese call "wine" is very much stronger than what we call wine. Bai Jiu, which is a common wine in China is very potent and you drink it in very small glasses. To make a tincture, you need to buy a high proof alcoholic beverage, add the herbs and let them soak for two months minimum. The longer they soak, the better. Ideally you should agitate (shake) the container once a day. Once it is ready you drink a small amount daily or as needed. Good tonic herbs for soaking include, ginseng, antler, lycii, and carthami. You can use up to one pound of material per gallon of alcohol in a tincture. If you need ideas for formulas you should read A Handbook of Chinese Healing Herbs (code 41281). When you are preparing your formula you should place the herbs in a larger glass container like a Quart size canning jar or a gallon-size glass jar. Don't prepare tinctures in a plastic container.
People often confuse extracts and tinctures. Tinctures are made by soaking the herb in a high proof alcoholic beverage for several months. An alcohol extract is made by a similar process, however, heat is usually involved in making an extract and larger quantities of herbs are used to increase the concentration. Using low heat in the process pulls more of the medicinal components from the herbs in a reduced amount of time. However, don't try heating alcohol at home! Alcohol is flammable and heating it without the specialized containment equipment is extremely dangerous!
In manufactured products the Long Hay Flat brand extracts are very potent. You generally need to use only 5-20 drops of one of these products compared with the 20-30 drops most other brands recommend. The manufacture of these products uses a mixture of water and alcohol in a closed system. During the process the solvents (water and alcohol) continually wash finely ground herb material at a carefully maintained temperature for four days. It is a total extraction that delivers everything that was in the original herb, even substances not generally assimilable from tablets or other extracts. Depending on the formula being processed they use from five to eight pounds of herbs to produce a gallon of finished product. This is significantly more than the industry standard of four pounds of herb material per gallon.
There are a number of good books on using herbs but if you really want to get serious you should definitely get "Chinese Herbal Medicine: Materia Medica" (code: 46196) and "Chinese Herbal Medicine: Formulas and Strategies" (code: 47740). Both of these books are exceptional resources for learning about herbs. Another good book is "Japanese Herbal Medicine: The Healing Art of Kampo" (we know longer have this book available but you might be able to find it somewhere).
Making Dit Da Jow
A Dit Da Jow is an herbal formula (liniment) used for treating external injuries. They are commonly used in martial art training to speed up the healing of injuries or toughen the body. A common translation of the name "Dit Da Jow" is "Hit medicine" or Hit wine". There are many recipes that circulate in martial art circles. However, it is not always easy to find all the ingredients depending on the formula. Sometimes a formula will specify a toxic ingredient (e.g., Horse Coin) or other herbs that are not commonly available.
If you are interested in making your own liniment, here's a formula a simple, yet effective one you can use. We stock all the herbs in this formula in four ounce sizes which will give you enough to make several batches.
The formula is called "Chong's Dit Da Jow." Chong is a word meaning "having vim and vigor".
- Pseudoginseng Root (Tian Qi) 4 oz
- Angelica Sinensis (heads) 2 oz
- Sanguis Draconis 2 oz
- Homalomenae 2 oz
- Gummi Olibanum (frankincense) 2 oz
- Myrrha 2 oz
- Carthami 1 oz
- Cinnamon Bark 1 oz
Place the ingredients in a large glass gallon jar. (Note: We can provide you with this formula premeasured if you call or email us). Fill with alcohol. Use something with a high alcohol content like vodka. The higher proof the better. Remember to label this for external use only! Do not drink it and keep out of reach of children.
Let the herbs soak for a minimum of two months before you use it. Ideally you should agitate (shake) the bottle every day. Make sure you do it at least a couple of times a week though.
Since it takes a while to make this liniment you should start another batch about a week or two after the first. Then you'll have some more on hand when you use up the first bottle.
How to use: This formula is excellent to use for any kind of external injury. You don't have to be a martial artist to use it. It is perfect for bruises, muscle strains, pulled muscles, sprains or any other kind of injury related to work or sports. Apply it by pouring a small amount over the injured area and rub in. Do this several times, waiting a few minutes between applications to it to dry. For best results apply 2-3 times per day. You should find that your injuries will heal in about one-half to one-third of the normal time. The only contraindication would be not to apply to an area where the skin is broken.
If you are a martial artist and want to toughen your fists, arms or shins, you should apply this after your conditioning exercises. You will recuperate faster which will allow you to continue with your training.
Author/Acupuncturist Letha Hadady wrote a good article on Yunnan Baiyao. Follow this link to read it:
How to use a Ginseng Cooker
Ginseng is a fantastic herb to boost your energy. It is available in a wide variety of pills and extracts which are easy to take. However, if you want to be a little more of a purist you should use (or at least try) a ginseng cooker. This specially designed ceramic teapot has two lids-one flat inner lid and one curved lid on top. After filling with water and adding a root of ginseng, the cooker is used as a double boiler. it is placed in another pot with water reaching up to its handles. The water is brought to a boil which heats the water in the cooker. Simmer until the water in the outside pot has boiled half away-about 40 minutes. Tea prepared in this way is very rich as the medicinal elements normally lost by evaporation are retained. Please see our page on Supplies if you are interested in ordering a ginseng cooker.
If you don't find the ginseng cooker on our website call us. We usually have some in stock and will be glad to get you one.
Any drug, food, herb, or vitamin product can have adverse effects if it is not properly prepared or contaminated in some way. We try to ensure quality products by developing relationships with suppliers with good reputations. Below is a summary of information relating to product quality.
Preparations from China
It has been our experience to note that most of the Chinese herbal preparations that find themselves in the news as having dangerous or suspect ingredients come from Taiwan or Hong Kong. We are well aware of these products and avoid carrying them or selling them for the safety of our customers. Currently, most of our Chinese products from reputable factories in mainland China. A number of our most popular products are manufactured by Lanzhou Minshan Medicines Factory in Lanzhou, PRC, a subsidiary of Gansu Medicines & Health Products Import and Export Corporation which is a state-run, large scale import and export corporation that specializes in the export of Chinese herbs, Chinese patent medicines and herb extracts under the trademark "Tanglong". Lanzhou Minshan Medicines Factory has been issued a "Certificate of Commodity for Chinese Herb Medicine Export" by the Ministry of Chinese Medicines & Health. They have also received a certificate of GMP (Good Manufacturing Practice) Compliance from the GMP Audit & Licensing Section, Conformity Assessment Branch, Therapeutic Goods Administration (TGA). The TGA is part of the Australian Government Department of Health and Family Services. Australia is a signatory to the Pharmaceutical Inspection Convention (PIC). Most recently, samples of their products were submitted to the Department of Health Services, Food and Drug Branch MS-357 in Sacramento, CA which proclaimed that "None of the products submitted has any detectable pharmaceuticals, chemicals or heavy metals that exceed current regulations."
If you are still unsure of the safety of Chinese herbal preparations we can also special order products made by Sun Ten Laboratories which has been in business since 1946 or the Plum Flower brand. Both have excellent products and high manufacturing standards.
Bulk herbs that we sell are bought in small one pound packages and are not fumigated. We frequently check for infestation by bugs which indicate that the product has not been sprayed. Some herbs have been preserved with sulfites. Sulfites are added to foods to prevent discoloration and spoilage. They are commonly used in restaurants to preserve the freshness of salads. Other food sources include dried fruits, wine, some beers, and some soft drinks. Sulfites can cause some asthmatics to develop reactions which, depending on the person, may be severe. If you are sensitive to sulfites it is best to avoid the bulk herbs or you special order unsulphured herbs which are slightly more expensive. While some people don't like any type of preservatives we feel that the problems that may result from not preserving an herb properly far outweighs the risks of using sulfites.
California's Prop. 65 and Herbs
WARNING: All herbs and herbal products sold contain chemicals known to the State of California to cause cancer and /or birth defects or other reproductive harm. California's 1986 referendum Proposition 65, the Safe Drinking Water and Toxic Enforcement Act of 1986, will significantly impact the sale of herbal remedies, both by importers, wholesalers, retailers and health care practitioners. Prop. 65 requires, among other things, that products sold in California containing heavy metals above the Prop. 65 specified "safe harbor" level must contain a warning label. All herbs and herbal products that we sell may contain chemicals listed under Proposition 65. However, the Prop. 65 levels for each heavy metal are set very low, at 1/1000 of the known harmful level for pregnant women. This standard is many times below the standards set by both the United States and Australian Pharmacopoeias, guidelines used in the manufacturing of drugs and therapeutic goods. It is not uncommon for herbs, whether or not from China, to contain heavy metals. It is believed that these elements are in the soil where they are grown.
It is important to remember that it is not illegal in California to sell products with heavy metals above the Prop. 65 levels, but it is illegal to sell them without a warning. The warning must read:
WARNING: This product contains chemical known to the State of California to cause cancer and/or birth defects or other reproductive harm.
If you live in California you see this sign posted in the doors of supermarkets, convenience stores, gas stations, and endless other places. Thousands of consumer products are affected by this law. For example, sand (silica), which is commonly found on spinach in the Supermarket, is a chemical known to cause cancer under Prop 65.
Unfortunately, it does not matter that it is the opinion of many experts that the dosage levels set by the Pharmacopoeias are sufficient to protect individuals. Propostion 65 is the law in California and must be complied with. Proposition 65 also allows private individuals and entities to act as enforcers of the proposition, and for them and their lawyers to reap significant economic gain if they are successful. As the California Attorney General has not yet taken industry wide action, there is now a group of "bounty hunters" in California, some with with serious environmental concerns and many others just out for the money. Most people in the health food industry would prefer for the California Attorney General to initiate a industry wide enforcement, rather than allowing selected businesses to be sued by those who have an economic incentive to proceed. But this is lawful. A number of importers and wholesalers of herbal products have recently been sued for non-compliance with Propostion 65. It is likely that some of our products will contain Propostion 65 warning labels in the future as manufacturer's adapt to these rules. However, we feel that the products are safe. Interestingly enough, a company could sell the exact same products and not have the Prop. 65 warning if they operate outside of California. Proposition 65 is a California law. If you would like more information on Proposition 65 you can call the California Environmental Protection Agency (916) 445-6900. Information can also be found at their website: www.calepa.ca.gov.
Herb Substitutes for Hormone Replacement Therapy (HRT)
TimeMagazine reported (July 22, 2002) that the Women's Health Initiative (WHI) study has shown for the first time that taking estrogen and progestin together for more than a few years increases a woman's risk of developing potentially deadly cardiovascular problems and invasive breast cancer among other things. Thousands of women have been prescribed these hormones for menopausal complaints.
While the study indicates that these hormones still may be safe for short-term relief of menopausal symptoms, long term use is no longer recommended.
What's a woman to do?
Some of the symptoms of menopause, e.g., hot flashes, mood swings, night sweats, vaginal dryness, can be safely treated with herbal remedies.
We recommend using the Women's Precious (#45213) as the foundation formula to help balance the reproductive system. This is an ideal constitutional formula for women of any age and is safe for long-term use.
Symptoms of hot flashes, night sweats, or dryness can be addressed by combining Gentle Rejuvenator (#45205), which balances the kidney function and nourishes the essential fluids of the body. In some cases, the Chinese formula Zhi Bai Di Huang Wan (#15280) may be needed in addition to clear the heat from the body.
Mood swings may be helped with Soothing Balance (#45216) which regulates the Liver. A Liver imbalance is often responsible for PMS symptoms such as breast tenderness, bloating, and irritability.
All these products can be ordered on-line. Look for them in the Long Hay Flat section of our website: www.eastearthtrade.com If you have any further questions regarding the use of these products please email us. We'll be glad to help you.
Improving Athletic Endurance
Every serious athlete wants to extend the limits of his strength, speed, and overall performance. The foundation of someone's strength comes from eating well and getting proper exercise balanced by complete rest. Modern science has given us a number of products that enhance and improve the health of the human body. Some things like vitamins are relatively harmless while others such as steroids can have serious side effects which in the long run compromises a persons health.
There are many "natural herbal" supplements available too. Unfortunately, most are manufactured by companies that have little, if any, concept on how or why herbs should be used and combined. The result of marketing herbal products without knowledge has given a lot of bad press to the legitimate herbal industry. An example of lack of herbal knowledge in manufacturing can be seen in companies that market Ma-huang (ephedra) combined with guarana. This combination has been shown to have serious side-effects and should be avoided. You should also avoid any "energizing" product in which Ma-huang is the major component of the formula.
Fortunately, there are some companies that have the knowledge and expertise (and a conscience) to make excellent products. One of the best companies around is East Earth Herb, Inc (now AM Todd Botanicals) of Eugene, Oregon. They manufacture Jade Chinese Herbals. (Update: AM Todd no longer makes the Jade Chinese Herbals product line but we left the article online because you can still learn about herbs. EETW 5/2001)
One herbal supplement that gives consistent results to athletes is Jade Chinese Herbals "Stamina". Stamina is well-balanced, so the herbs long-term effects help increase the performance potential derived from inner strength gained by the organs, muscles, and nerves. Those who use Stamina find they can go the extra distance during intense workouts or competitions. However, it doesn't leave you feeling depleted or run-down by any after-effects. The herbs in Stamina nourish the basic activating qualities that give drive and movement to life. They also help to strengthen a person's will, breaking through the emotional restrictions from lack of assertiveness, or fear.
Looking for a modern equivalent of Stamina would lead you to steroids. There is no doubt that steroids are powerful but where does their power come from? From the perspective of Chinese medicine, steroids rob the energy (Qi) of the kidneys, spleen, heart, and liver. The strength of the internal organs is transferred to the large muscles. Thus, the negative effects of long-term steroid use observed by Western clinicians are due, according to Chines medicine, to the weakening of the energy (Qi) of the internal organs.
According to Chinese medicine, the root of the body's strength resides in its kidney function. In contrast to steroids, Stamina nourishes the energy (Qi) of the internal organs, especially in the kidney meridian, filling them with enduring energy and helping them to function at peak levels. Jade's Stamina is stronger than steroids and vitamins when the overall structure of the body is taken into account. The herbs go directly to the main bodily organs and fill them with long-lasting energy, enabling them to function at peak levels. Stamina is well balanced, so its extended effects are increased performance potential built on long-term strength in the organs, muscles, and nerves.
Central to Stamina are herbs that energize the kidney function. They nourish the basic activating and energizing qualities that give life drive and movement. Another way of describing these herbs is that they stimulate the fire that energizes life. They break through the restriction and immobility of an unassertive or weak will, paralyzing fear, or numbing cold, by strengthening the will. This formulation contains some of the most potent tonifying herb in Chinese medicine including Salvia, Lycii, Polygoni, Schisandrae, Eucommia, Ginseng, Astragali, Angelicae Sinesnsis, Atractylodis, Glycyrrhizae, and Deer Antler.
Tylenol and Liver Failure
Time magazine reported (Time, April 9, 2001) that the FDA was concerned with Tylenol. Their interest was triggered by a report by the University of Texas Southwestern Medical Center, where researchers tracked more than 300 cases of acute liver failure at 22 hospitals. It was found that 38% of these liver failures were associated with excessive acetaminophen use. In a second study 307 adults suffering from severe liver injury acetaminophen was linked to as many as 35% of the cases, most of them preventable. Acetaminophen produces toxic byproducts that are funneled to the liver-which end up working overtime to clear them out of the body. If you ingest too much acetaminophen, toxins can build up in the bloodstream and do serious damage.
Fortunately there are natural alternatives to acetaminophen. For pain there are a number of externally applied liniments that reduce swelling and alleviate pain. Internally, products such as Tung Shueh Pills work well. For headaches, we suggest trying Soothing Balance or the Chinese formula Xiao Yao Wan.
If you have questions on safe alternatives to acetaminophen or any other drugs, please write us and we'll try to suggest some alternative herbal remedies that may help.
What do we do for the flu?
The flu shouldn't be taken lightly but keep in mind that in 2003 the wrong type of flu vaccine was given to millions of people and in 2004 they ran out of vaccine. There was no increase in flu related deaths or increase in flu in general despite these major problems. However, for those with compromised immune systems or poor health general immune system tonics, like Reishi, are good, along with proper hygiene (washing hands) and at the first sign of illness one should use either Yinchiao or Ganmaoling.
In the book "Immune System and Chinese Herbs" by Pi-Kwang Tsung, Ph.D. (out-of-print) he states that the formula Xiao Chai Hu Tang (Minor Bupleurum Combination (order code: 50215) is the best selling formula in Japan to prevent common cold. The formula is an immunostimulant. Traditionally, this formula is used for the late stages of a cold when a cold lingers and you just are not getting over it.
We highly recommend Reishi + (code #45234) for boosting the immune system. Reishi+ is a concentrated Ganoderma extract. Everyone should use this during the cold season.
You can use Xiao Chai Hu Tangduring cold season if you feel you are in an area of high exposure to a lot of sick people, e.g., those who work with the public a lot, health care, retail, etc., or those that use mass transporation as a preventative. However, if you do come down with cold or flu symptoms switch to Yinchiao or Ganmaoling.
Things you should know about Herb and Drug Interactions
Many people take prescription and over-the-counter (OTC) drugs at one time or another. These drugs often have side-effects that you may or may not know about. In order to avoid potential problems or to insure that the herbs you are taking achieve the desired effect it is good to know a few things about herb/drug interactions. First of all, herbs and prescription drugs should not be taken at the same time. Because no one knows all the potential interactions it is best be cautious and to separate taking them by 2-3 hours to avoid any problems. Below we have listed some potential problems that may affect the results of the herbs you are taking.
Some prescription drugs and OTC drugs interfere with absorption which may decrease the effectiveness of the herbs you are using. For example, some drugs used to reduce cholesterol levels work by binding to fats so the fats can't be absorbed. If you are taking a formula that has seeds in it you may not receive the full medicinal effect because seeds have a high fat content and the fats will not be absorbed while taking these drugs. Some medication for stomach ulcers form a protective barrier on the stomach lining which inhibits absorption of what you are taking. Even over the counter anti acids such as Tums which neutralize stomach acids will decrease absorption. Once again, the herbs you take may not work as well as anticipated. Drugs for acid reflux or heartburn such as Prilosec (omeprazole) and Pravacid (lansoprazole) have a much longer lasting effect. If you are taking these medications you should take your herbs first thing in the morning, then take your medication one hour later or take the herbs 2-3 hours afterwards. If you have no effect from the herbs after 2-3 days you may need to increase the dosage.
Some prescription drugs such as Reglan (metoclopramide) stimulate the gastrointestinal (GI) tract. In this case, because of speeded up GI movement there is less time for the herbs to be absorbed. You may need to increase dosage 10-20% to get an effect.
Other drugs like Haldol (haloperidol) will slow down the intestinal motility. In this case someone may absorb too much of the herb so you should reduce the dosage of the herbs.
Drugs that inhibit liver enzymes such as Tagamet (cimetidine) or erythromycin may inhibit the absorption of herbs. Erythromycin is normally taken short term so it won't be as much of a problem but with Tagamet it will take several weeks to get the desired effect.
Coumadin is an anti-coagulant medication. Salvia has been shown to increase the effect of Coumadin. Herbs like Artemesiae argyi (mugwort) and Biota leaf may decrease the effect. If you are using Coumadin we recommend that you consult with your doctor before taking herbs.
Other noted herb-drug interactions are: St. John's Wort and anti-depressants. Wait two weeks before the end of using the drugs and starting St. John's Wort.
Be cautious with taking Garlic, ginkgo, ginger or Vitamin E with anticoagulants.
Don't take Kava and Valerian root with sedatives (alcohol, sleeping pills, etc)
Because of a potential negative interaction Xiao Chia Hu Tang (Minor Bupleurum Formula) should not be taken with interferon.
If you are taking any prescription medicines or over-the-counter medications you should check with your doctor, pharmacist, or PDR (Physician's Desk Reference) to see if there are any possible side-effects that may interfere with the herbs you are taking or if the herbs may interfere with the drugs you are taking. If you want to switch from using a prescription drug to herbal alternatives do so cautiously. We recommend having a doctor or licensed health professional supervise and advise on the transition.