Life’s Best Laid Plans…

I read something today that I kept thinking about with a little smile, so I put it together as a quote (because I was born in the days of notebooks and journals) and then made a meme (because hello, it’s 2018 and that’s what we do!). Basically, I wrote that when life doesn’t go the way you planned, throw your hands up and yell “PLOT TWIST” and then move on, making the most of the next ‘scene.’

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Is life a movie? Uh, no (but if it was, I’d pick a Hallmark Christmas movie house!). But a lot can be learned from that saying. For me anyway. And maybe for you? When I find myself feeling stressed, it is usually because I don’t want to accept the way things are happening. My control button is shaking and I want things to be the way I want them to be! So something I am always remembering, working on, and (usually! lol!) making progress on is practicing acceptance.

Imagine if you could accept life the way it happened and then you could work with what you have in front of you, or even make more opportunities to enhance what life has put before you… but what if you just… accepted it.wordswag_1509634030284.png

When I was in graduate school, I took a personality and career assessment in our “Career Counseling” course. While all the other students in the counseling room were getting nice, docile, therapist-y results, “You should be a counselor who wears outdated clothes and big, square glasses” … My results, however, stand out in my mind as rather unforgettable because I was the only one who didn’t get something like that.

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Want to know what mine was? Elvis. Yup, it turns out Elvis and I have the same exact personality style (and the same good looks 😉 ). I can’t remember all of the career suggestions because only one had anything to do with therapy. But I remember the first suggestion for my life’s work: To be a Cruise Line Director. (Can you even follow that up with another statement?) The other option I remember- because it actually had something to do with counseling- was to be an art therapist.

The cool thing was that my leadership skills, creativity and entertainment abilities came through strong. So with my Elvis personality, I took in the advice and did what I knew was my fit; I became a therapist- a really awesome, really real, interactive, introspective and fun therapist (and humble too, so humble hahah). You know, I say those things about my counseling but honestly it is not in a “full of myself” kind of way. I just know the depths of where I’ve been in life. And I know how great it is to live your life in ways you sort of maybe dared to dream but never thought possible!

I know that in every situation I went through in life, I always had 3 choices: Give in, give up or give it all you’ve got! I chose to do the hard but beautiful work of healing (because you can live in- and get used to- misery, if you want…) and God used it to equip me to be there for others; to help them find healing, freedom and empowerment too. And because of who I am, Little Ms. Elvis, I am real and fun. And it would be fair to say that I get extra-creative in my sessions as needed 🙂

I love what I do; it is so normal for my clients and I to burst  into laughter in the same session where we share heart-felt tears. I love watching my clients heal, to realize how worthwhile they are, to figure out what to do with all their emotions (which for most people, is one of the scariest words ever!) and to go after what they truly want in life- instead of doing what they think they “have” to do. FREEDOM! I love freedom. And seeing people grow in confidence; their posture changes, their voice tone changes and they are no longer scared to live life. EMPOWERED to live freely without stress, perfectionistic, people-pleasing, “have to”, “need to” and “shoulds” running through their minds. I love seeing relationships being restored back to health. I love it. I care for each and every client that walks through my door and I want the best for them. I can’t make anyone do the work of healing. I can’t make anyone put into action the desire of wanting more for their lives. But I can sit with them in their pain, walk with them through their healing and rejoice with them when they are where they want to be.

Want to know something kind of funny? Most everyone in that class who got the “typical counselor” career results… are not counselors. Turns out it wasn’t for them. Kind of ironic, huh?

And then there’s Elvis over here… who begins teaching natural classes because I found something real and amazing that has helped me and my family heal time and time again. And I want people to know about it. Not fall for gimmicks or lies, but to know the truth. But just like counseling, I can’t make anyone want to invest in themselves to feel better. I can only sit with them in their pain, walk with them through their healing and rejoice with them when they are where they want to be.

Now with this Elvis personality, you would think doing this TV show would have had me shaking my groove thang on national television or maybe hosting this year’s 2019 ball drop or something, but alas, my life is quite similar to where it was 2 years ago before I started doing the TV show, except I made a lot of wonderful friends and had a blast doing something I never even considered doing in my life!

I do not have plans to renew my contract but you never know if I pop in here or there just because I miss y’all. 🙂 I gave the Scouts almost 2 years to find me and make me a Super Star. if they’re that slow on their game, I may not want to contract with them anyway 😉  Maybe I just need some blue suede shoes? Do you think that would help? 🙂

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So… why in the world am I talking about all this? Eh, I don’t know. (Just kidding, though I do enjoy a good tangent … ).

I truly enjoy doing DIY. I don’t know if I ever want to do a big, DIY teaching class again. Who knows but right now, I do know that I am not through that place in the grief process of my close friend and DIY partner whom I met when she was an attendee at the very first class that I taught.

I do know that I am up to doing get togethers with a few of us friends making some natural DIY and sharing laughs and fun over coffee.  I want cozy and comfortable, where it feels like sitting on your best friend’s couch and shooting the breeze. Casual with some structure (so we can make our stuff lol) 🙂 My next one of these DIY gatherings is going to be January 26th at 11am. If you would like to attend, I would love to have you! Since the classes are smaller, just comment or message me and I will fill it up, first come, first serve. If this one fills before you get in, you will be the first one on the invite list for my next friend Diva dates! lol 🙂

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Oh, did I tell you that tomorrow is my last TV show? Sorry, it’s 1:30am, I’ve been travelling all day and though the family and I had a fabulous week, I feel like I could sleep for … awhile. 🙂 Anyway, watch it, okay? And tell the Scouts that this is their last chance to snag up Little Ms. Elvis because like all good things, I’m going, going, going, gone- and booking up fast for the New Year’s Eve Ball Drop! hahah

Love you guys. I’m not going anywhere, I just don’t feel that I should continue on with the TV show right now. I will still be doing classes, and providing natural support while posting who-knows-what to my page and my cool, new Etsy Shop. I have a new recipe book in there! And the Christmas Gift Making one! And if you all show me  that you love those, I will make you more! Go to http://www.etsy.com and the search bar “BobbiejoDIYDiva”

Oh! And I am opening my new counseling center (FB: Hurt Counseling Center) on Jan. 2ne (so once again to do that Ball drop… they really gotta be on their GAAAAME!) Look me up and please tell friends and family in need. I am doing sliding scale fees only so I hope to help many that may not be able for afford full fee- though it is 100% worth it for a peaceful state of mind, I understand that money… well, it does kind of grow on trees… but … it is still a tight commodity for most of us!!

I specialize in depression, anxiety, depression and relationships. I have worked with most all mental heath and co-occurring disorders though. I work predominately with adults and teens.

Stay in touch!

❤ Bobbie-jo Hurt, The One, The Only, Mason-Dixon DIY Diva, (side by side with my personality twin Elvis… which explains why I would rather go on Live TV in my jammies than fold my laundry… :))20768117_654792388062401_6344075442393846063_n

The Mason-Dixon DIY Diva: The Prequel.

Whenever I do an introduction of myself for a bio or a class, I always mention that I am also a mental health therapist. Then as Autumn was beginning to come to a close, I did a show on WSLS10 that I thought was imperative to get the information out: Getting help for depression. (Oh how I wish people could know how much better they could feel!!)

This blog could be titled, “The DIY Diva Starts her own Counseling Business” but it sounds a little long and boring. I don’t do boring; automatically puts me in nap mode 🙂

Here’s the scoop: I AM opening my own practice. I HAVE been working as a therapist the entire time I have been The Mason-Dixon DIY Diva. I LOVE helping people empower themselves. Love it. Am I still the DIY Diva? YES. Am I still a Therapist? YES. Nothing has changed… except I am opening my own practice 🙂 So… that is actually pretty exciting. Being a DIY Diva and doing a TV show is something I never envisioned that I would do- not even in my wildest dreams. Nope, not even then. And all those years ago when I was pursing my degrees, certifications, licensures, etc., I always said I didn’t want my own practice. (It is easier to work at someone else’s! LOL!) But here I am, with these doors swinging open, and I feel no fear for moving forward, only excitement to see where God takes this. I am along for the ride! 🙂

Hurt Counseling Center is the name of the new practice. My husband and I met in graduate school and he too has his degree in Professional Counseling, along with being a Certified Life Coach. He is in this venture with me and will be available for appointments as well. (And we may or may not have a few more fun surprises up our sleeve this year!)

We are officially opening our doors January 2nd, 2019, so now is the time to call or text for an appointment (540) 765-7881. My new office is located at: 402 Hershberger Road Roanoke VA. Below is a picture.

I specialize in depression, anxiety, addiction and relationship issues, though I have worked with most all mental health and co-occurring disorders. There is no shame to mental health. We don’t shame someone for diabetes or cancer, so why in the world would we do that for depression, anxiety, addiction, etc.? Our bodies need support. Our brains need support. The sooner we can accept this, the sooner we can get people finding out how much better they can feel. Did you know that you don’t have to live your life feeling blah, nonstop stressed, or miserable? Most people are so used to feeling crappy that they don’t even know there are alternatives to feeling how they do. If you feel stressed, overwhelmed, have thoughts that go-go-go and don’t seem to stop, feel completely lethargic, exhausted and don’t feel like you have the energy to do what you need to, or if you keep doing the same thing that you don’t want to be doing over and over and over and…. maybe you should come see me. From someone who is constantly working on becoming a better, healthier version of herself, I can honestly say that peace of mind and relief from all the mental pressure we put on ourselves is priceless. Healthy physical and mental health is immeasurable in a numerical value. I don’t know about you, but these are two areas I “spare no expense” in because they are the cornerstone to all we do.

I want counseling to be accessible to each and every brave person who is willing to come in and admit that things are not perfect and perhaps feeling a little stuck, down, overwhelmed, etc.. If you want to feel better, well, as they say on the Price is Right, “Come on down!” 🙂

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Life is Short

This is not the post I intended to write. I was going to jump on here and give you some Diva updates. But there is something else that came to me as I began to write and I know I must share this with you. (And you can edit this in your head if you want, my friends, but I do not have time right now to do so and I want to get this information out ASAP 🙂 )

I have had some heavy past few months. As you know from being a part of my life, a very close friend of mine is in her last days of life. She hasn’t even reached the age of 60 but it looks like her time is coming, whether I like it or not. We have spent the past months making big end-of-life decisions together and holding each other’s hands with our heads together sobbing, knowing that when she went off to Texas to an Assisted Living facility near her only family, that everything was our “last” together. The last hug was the hardest. For a short while after her move, she was able to send me a few lines via the internet here and there on how things were going but she was so exhausted that it would drain her. We knew we had to move her soon before she didn’t have it in her to physically ride across the country. It is so hard helplessly seeing the physical break down of her body. Her last message to me was that she finally gave in and allowed Hospice to come (my tough warrior was holding off until the very last minute and has been turning them down for a few months already). I called her the other day and knew it took everything in her to answer. It broke my heart to even smaller pieces, hearing her weak voice and her laughs at my silly life antics. The Evil has gotten into her brain again and she is having difficulty communicating. Her brother has been keeping me updated at this point. The thought is that she will not be seeing next month. Lord, help me. I am shaking and can barely see the screen through my tears.

Then I had another surprise. My niece who is 18 came over the other night, so excited to tell me about her first date. She was showing me the cute messages they were sending back and forth via FB messenger, etc. and we were pondering those fun teenage jitter questions like, “Is this a date?” …”Will he try to hold my hand… or kiss me?!”… “Will he buy the tickets?”… “Will we get our own popcorn or share one?” Her adorable excitement about this cute boy who likes her and thinks she’s awesome was creating those fun butterflies in her stomach that we all remember from days gone by.

This conversation got me to thinking about who I was dating at 18. Back in those days, we communicated by phone (GASP!), e-mail, or by making plans to get online (dial up) at the same time so we could talk on AIM (AOL Instant Messenger). 🙂 I still have my very first email address that my dad set up for me when I was 15 and I don’t delete anything from my email, because… what a waste of time 🙂  (I know, some of you are cringing right now. Sorry my Type A friends, love ya!).

I pulled up some emails from a boy I went out with when I was her age, and read her a few of our “flutter” messages such as him saying, “I miss you sooooooo much. T-7 hours [until we saw each other again] TTYL hun” … “Hey Shawty, I can’t wait to see you. In school today we ….” etc. etc. I bought a car while we were dating and named it after one of the things he would say to me, that I was “The Shizzle to his Nizzle.” (What does that even mean? LOL. Who cares! In 18 year old world, it was goose bumps!) I named my car Shizzle. Maybe it had something to do with his favorite candy being Skittles? haha who knows 🙂

After my niece went home and my own cute memories of innocence and excitement were flying back to me at rapid pace, I began to wonder what he was up to today. We hadn’t talked or even seen each other since we were 18. So of course I do what we do in today’s world: I typed his name into the FB search bar. The only thing that came up with his description was an obituary someone posted in 2012. No way, I thought, that can’t be him. With a sinking feeling in my gut, I opened the page. There was his picture right on top of the obituary. All the information listed matched that boy that I had many fond childhood memories with. We were the same age. But he died at age 25. 25!!! I reached out to some people that were mutual friends of ours (and set us up). I find out from his past best friend what happened as the pit in my stomach grows deeper. He took his own life.

I just sat there crying, with these ridiculous thoughts of wishing I could have done something; wishing I could have “fixed” someone I haven’t seen or talked to in 15 years.  As if we can help anyone who doesn’t reach out for it (and I have no idea on those details when it comes to him).

I have felt so blessed these past 10+ years of being in the counseling field, having the opportunity to help people find a way out of the dark by walking beside them in the deep pits of pain and hearing them- really hearing them. And showing them a process of how to get out of the pitch dark woods. My heart bursts every time I see another person in my office find healing, freedom, empowerment, peace in their minds and excitement for life again.

Sometimes I wish life could be more often like a Hallmark movie, you know? Here’s what my 18 year old boyfriend’s story would have looked like if I could rewrite it. We would be walking down the street and randomly run into each other. We would begin catching up and I would be able to pick up on his emotional state and would point him in the direction of help. And of course he would take the help with little resistance because it’s the Hallmark channel. He would find healing in the core of his being and from all the pain inside. He would be truly happy. He would marry a cute “girl next door” type that was sweet and kind. They would start Christmas morning by having an adorable, fluffy puppy with a red bow on, playing excitedly between the happy couple, while they sat in front of the tree, with their hand entwined, a look of love and contentment on their faces. And when we passed each other on the street, we would give each other a wave and a big, genuine smile because we both found true happiness in our lives.

In our Western world 1 out of every 4 people have depression or anxiety (and the other 3 are lying 🙂 ). But we put this stigma on it such as, we just need to be “strong enough….” HOG WASH! We need to have the courage (and it takes a lot to admit we need help!!!) to reach out and get our butts in counseling with a great therapist!

No one would EVER tell a diabetic that depends on insulin for their life survival that if only they were “strong enough” or just “shook it off” they wouldn’t need that medication… BULL HOGIE!!

We don’t tell Cancer patients that if they just tried harder …. ARE YOU KIDDING ME?!?!?

Mental illness is just as real as diabetes, cancer, broken bones and autoimmune disorders. And guess what? They are just as catastrophic because we receive the message that “just need to be stronger”… or that getting help is for the weak and getting help for this area of our lives is embarrassing… psssh, we women let doctors stick tools up our vaginas and men let doctors do the “cough and grab” on their gentlemen bits. And don’t even get me started on Colonoscopies… yes, if you can do those things, you can come TALK to someone about what’s going on emotionally.

Mental illness is just as debilitating as physical illness, just in other torturous ways. And the saddest part of all? They can both end in premature death. Pretending we have it all together, you know what that is? A death sentence. Get help. I don’t care if it is for a lump you want to pretend isn’t there of a feeling of hopelessness that you tell yourself is normal. Yeah, right.

My heart reaches out to you in this last statement: Get help. There are hotlines everywhere that can be found with a quick google search on your phone. Just call a random counselor. Or you know what? Just show up at the ER. Or a counseling office. I don’t care. JUST. GET. HELP. And don’t accept NO for an answer. If the person you turn to doesn’t have the expertise to realize what’s going on, don’t minimize what is happening inside. Go to the next professional.

You all know that my office is in Roanoke. I’m real, I’m fun and I’ve been through a lot so I may just be able understand more than you might initially think. I would be honored if you would let me walk with you down this dark road and travel together to happier times. Trust that it can get better. BECAUSE IT CAN.

Here is my office number 1-434-237-2655. It is a Lynchburg number but I am based in downtown Roanoke. And it doesn’t have to me that you see. I just want you to reach out to someone and don’t stop reaching out until you get what the help you need. You’re worth it.

Love and Hugs,

Bobbie-jo Hurt, The Mason-Dixon DIY Diva & Mental Health and Addictions Therapist, who truly, sincerely, cares about you.

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Bust Out of The Winter Blues

Winter is coming, the temperatures are dropping and so is the amount of daylight we receive each day. When I was a kid, my dad would come home from work into our Upstate New York living room, stomping the snow off his boots and taking off his layers of added warmth, and would say, “I feel like a Mole; I leave when its dark and I get home when its dark.” As a child this just produced giggles- thinking of my dad as a Mole 🙂  As an adult, I realize that this is the reality of many people. 😦

There are a lot of studies showing what produces the winter blues and the SAD effect in a percentage of the population. As a psychology-research-counselor person, I really enjoy them. But for the purpose of sharing tips on how to break out of the blues- probably not necessary to get into all of them 🙂 Please be sure to read the bottom of this blog though to discover a bit about the differences between the blues and depression! It could save a life-seriously. One is like having a small cut on your leg that needs some cleaning and a band-aid. The other is like having your limb hanging off and trying to convince yourself that it’s fine. BIG DIFFERENCE.

These tips are for the Blues Only. Here are some ways to shake out of that cabin-fever feeling:

  1. Sunlight! Get out during the brightest part of the day- for AT LEAST 10 minutes with bare skin so you can absorb that amazing Vitamin D! Good mood food!
  2. Exercise. 35 minutes/day for 5 days a week is recommended but just do what you can! If you can walk for 10 minutes at lunch, do it! Walk to the mail box, park farther away at the grocery store or coffee shop, etc. Endorphins come from exercise and those are feeeeel gooooooood chemicals for your brain! More Good Mood Food!
  3. Remember that you’re not really hibernating. This is my hardest one in the winter because it is waaaaaay too easy to cozy up with some tasty snacks and Christmas movies! However, too many simple carbs and too much sugar does not necessarily do a body – or a brain – good. Bummer, I know.  :/
  4. Happy music! This has been shown to uplift your mood and light up some feel good portions of your brain! My current favorite is “Grace Got You” by MercyMe. Check it out and tell me if you can keep your toe from tapping!
  5. Hydration! It is so common to overlook this in the winter because we don’t feel as thirsty. (And cocoa tastes better than water, amIright?!) But we must remember to nourish our body to keep the energy flowing! (And hello… winter dry skin? Water can help that too!)
  6. Plan a trip! Pick a fun destination and get to planning a fun time for you and your family- or just you! Whatever 😉 The point is to have something fun to look forward to! When you finish one, plan your next adventure!
  7. Herbal it up! Get yourself some Happy Teas that have organic ingredients like St. John’s Wort, Lemon Balm, Lemon Myrtle, etc. Make sure they are  the beneficial parts of the plant in there 😉
  8. Essential Oils! Gaaahhhh, such an overused word right now and you know what? It drives me crazy! All these crappy oil companies coming out of these unknown dingy underground tunnels, with greasy long hair and dirty chipped fingernails, putrid breath and holding out a bottle of “oil” from the sewage system and people are actually reaching for it. SMH. I can’t even. Get some good oils that aren’t so dang cheap and shady so they can actually help uplift your mood! Citrus oils, Lavender, and my BFF Frank are always good choices to soothe the soul!
  9. HELP OTHERS! I love this one. Probably because I “get my kicks” from helping others. You know what’s cool though? This is truly the pay-it-forward effect because not only does the giver receive feel good chemicals for doing the kind deed, but the people that witnessed it get a chemical boost too! Good deeds = Good moods 🙂
  10. Don’t be Scrollin’! Say what?! Yeah you heard me. Only get on social media for short, purposeful moments of time. Why? Well here’s the long and short of it- you get on social media, you post something. You know your cats the cutest, so it’s going to be a hit. You get a bunch of “likes” and tons of “hearts”. Woo, feel good chemical rush! Just like Pavlov’s dogs, we go back because we want the rush (the brain treat) again! But when you posted that awesome pic of your new haircut, barely anyone commented or “liked” it. Instant downer. Instead of feel good chemicals, how about feelings of insecurity, anxiety, etc.? Oh and let’s not forget that little comparison game that people like to play on social media. JUST. DON’T. You’re comparing someone’s highlight reel against your lowest moments. Yeah, that’s an idea for the trash can. There is a direct correlation between time on social media and depression. Interesting, isn’t it? … you gotta save yourself and look up and out at the rest of the world . There’s some really cool stuff out there. 🙂

Okay, I could go on but it is almost 1am and I need to go get my butt on tv in the morning so I should probably jump in bed! Say you’ll join me and give me a dopamine rush for the show, would ya? 😉 In all seriousness, knowing that you all like the show is the entire reason why I do it. I mean, it’s hard to stay in hibernation season when you get pulled in front of the camera! LOL!

**Notes on the Winter Blues vs. Depression: You NEED to be sure you are only experiencing the blah’s of weather changes and NOT something more serious, such as Seasonal Affective Disorder or any other type of depression/mental struggle. A big indicator for the blah’s is that you may feel down and a bit lethargic as the weather changes, but it DOES NOT STOP YOU from enjoying life. On the other hand, if you are becoming uninterested in things that you previously enjoyed, are breaking off planned appointments and get-togethers with friends, etc., and are experiencing feelings of hopelessness, despair, frequent periods of crying or anger, deep sadness that won’t go away, increase or decrease of sleep, appetite, etc. than it may be more than the winter doldrums. In these cases, I highly recommend a counselor. There are very high success rates of overcoming and handling feelings of depression by seeing a counselor. If you need a counselor, I have an office in the Roanoke, VA area (you can find my info on psychologytoday.com). If you are out of the area, you can use that same site to find someone nearby that is suited to what you need. Please keep in mind that if you are experiencing feelings of wanting to hurt yourself, someone else, are feeling unable to take care of yourself and/or those you are responsible for, contact 911 right away. Do not pass go, do not collect $100.00. Make the call.

Whether it’s the blues, depression, or any other feelings that just feel overwhelming, please know that it CAN get better. There is help. Just call up a licensed counselor and get in the office for your appointment ASAP.

Make this Fall and Winter the best yet 🙂 Come along with me, the best is yet to be…

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I don’t want to be a product of the “Me” generation

This thought has been nipping at my heels for awhile now. There are so many things that we think are “needs” when NEWS FLASH, they aren’t. Almost all of us in America live better than the Pharaoh’s did in ancient Egypt… let that sink in.

We think having to pass on a Starbucks means we’re paupers. Most of us have debt up the wazoo because we “needed” something. And of course I understand that there are true emergencies that can also put us in debt and in those instances, I am grateful that we can “charge it”.

I think of my Great Grandmother. She was born in 1911. She lived through the Great Depression. She worked day and night, saving every penny she could and never complained when she was exhausted with not much to show for it- that was just life. She always told me, “have a penny, save a penny.” But do I ever save a penny? Not really. I justify everything, thinking, well of course I “need” this… but do I?

My Great Grandmother worked so hard to provide for her family. She saved enough money to pay for multiple weddings and funerals in cash, as well as owned her home. She never drove, never had a license. She walked everywhere. She lived in a small little pink home with plastic all over the furniture and photographs. She preserved everything to make it last. She had a tiny stove. In fact, her whole house looked like a Barbie doll playhouse compared to what we live in today. She didn’t live beyond her means. In fact, she lived under them so that she could save for emergencies. She called it her “rainy day fund”. She didn’t have a closet overflowing with clothes or shoes and she didn’t waste anything. She, her husband and children did not go out to the movies or bowling for fun; they played cards at their small kitchen table and her kids read books from the library. My Great Grandmother even made her own card holders out of plastic food lids and a fastener in the center. She was the ultimate DIYer!

My husband’s Grandfather and Grandmother also lived in a humble home. Grandfather went to work and labored every day of the work week. Grandmother stayed home and took care of family and the house. There were no HGTV remodels. In fact, she didn’t even drive. It wasn’t because she was disempowered; it was because they were living within their means! They had one car and Grandfather took it to work. On the weekends, he would take his wife out to go peruse the town but they never got spend-happy. Grandfather and Grandmother saved all their lives and when retirement came, they decided to use ALL of their savings to build a big family home to grow old in with their only daughter and her family.

We live in that very home today. What a legacy to leave! There is so much to learn from the hardworking generations of the past. They weren’t frivolous. They didn’t have shoes to match every style and outfit and they didn’t order pizzas and buy subscriptions to Amazon Prime (guilty!) or Netflix.

I’m not saying any of this is wrong or right. What I am saying is that for me and my family, I want to go back to the basics. And it is going to be so stinking hard! I LOVE Starbucks! And Italian Restaurants! And Halo Cookie Dough ice cream! And movies! And going out on the town! And chocolate truffles! And Torrid!! And cute shoes! And ALL THE CLOTHES!  And books!!! Man do I love books! The list goes on and on because I LOVE BEING COMFORTABLE!! I love yum and fun!  I am always drawn toward glitz and glam and I DREAM of an HGTV home (the “after” not the “before” 🙂 ).

I think of organizations like World Help, Compassion International and the D. Gary Young Foundation, all with countless ways we can help those who TRULY “have not” . I am assured by trustworthy friends that have been onsite at all of these organizations and mission fields, that these are legitimate and 100% of all donations go straight to the people in need. If we don’t feed the starving and get people out of sex slavery, who will?

How often do we think beyond ourselves? And for how long? It’s sad, isn’t it? Most of the world still doesn’t have CLEAN DRINKING WATER (that’s right- they have muddy holes filled with animal poo and disease and they GET THEIR WATER from there because there are no other options. They try to “boil” it first but there are not many resources for them to have that “luxury”).

Yet here in America, people on government assistance have access to all the food, clean water, baby supplies, healthcare, help with electric bills and yes, even cell phones. We could split hairs and talk about what we think is working and what isn’t, but the point is, there is help from our country!

Did you know that most countries do not have those resources available for its people? Babies starve to death and die of preventable diseases while we scroll Facebook. That’s hard to hear, isn’t it? I sponsor a little boy who is 7 years old in Haiti named Dawens. He sent me a letter the other day talking about his home. It is made of blocks and has a piece of metal over the top. He is one of the blessed ones who gets food and education to get himself out of poverty because he has a sponsor in America helping him. He has hope and no price could ever be put on that.

We have all changed the channel when the “bleeding heart” commercials come on, asking people to sponsor a child and they show a hungry face with a bloated belly. We tell ourselves it’s a fraud or that we just don’t have the money (while sitting on furniture in a house with a roof and a remote in our hands). We tell ourselves whatever it takes to avoid feeling uncomfortable.

I am challenging myself as much as I am challenging you. What are your true needs? And what could we put aside to help others? Don’t fool yourself into thinking that life is all about you and your family and your comfort and your fun times. It’s not.

Don’t live inside the box of delusion or denial.

There is a world out there that needs us and if we won’t help, who will?

I don’t want to be a product of the “Me” generation. I want to be a product of selflessness. I want to forfeit my comforts to help others. I want to stop convincing myself that my needs are greater than your needs. I want to discontinue the story I tell myself that I don’t have enough money to ________ (fill in the blank) and that someone else will have to help those in need because I have too much _____________ (fill in the blank) to take care of. I don’t think I could ever be Mother Teresa. But I could say “no” to a few more luxuries to save the life of one more child in need.

You will leave this world one day. And you will find out that these few years on earth were supposed to be for much more than “building your Kingdom.” What short-sighted thinking we all fall for. “Just live for today”…. “Get yours”… “It’s all about me”… “I deserve”….

Yeah, whatever. Look beyond yourself. You may find that you feel a whole lot better when you’re not stuck on yourself. I know I do. We will never do this “perfectly”. But we can make progress everyday toward helping others in whatever way we can and making someone’s day a little brighter, simply by putting ourselves aside and thinking of others.

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Cancer… I Can’t Stop Thinking About It

All these people with cancer- friends, family… it’s breaking my heart on a most personal level and I know it is breaking yours too. We all know someone… I don’t know if it is 100% avoidable with all the radiation floating throughout our world and the hidden ingredients in our food and products. Labeling lies, false advertising, even the healthiest shoppers can unknowingly fall into some junk because of it.  “Organic” used to mean something important. Unfortunately, that word means less and less to me everyday. Companies interested in making money, not making a pure, healthy product, saw that they could charge more for the label and if you’ll follow this through to DC, you will find lobbyists and changes in what “organic” now means.

So many things in our food and in our products are linked to cancer and it’s still being sold and purchased liked candy in our stores (speaking of candy… huge linkage). Why? 1. We don’t know what we don’t know.

2. Affordability; yeah, we may know that the $20 bottle of shampoo is the best for us and will keep us the healthiest, but sometimes that price just isn’t feasible. But I promise you, we don’t “look smart” like one cheap shampoo company boasts, when we settle. No one looks smart when they settle for less than what’s best for them and their family. And lastly is:

3. We know and we JUST. DON’T. CARE. This one is the hardest for me to see, personally. We bury our heads in the sand because it is temporarily easier but the long term effects of that decision can be catastrophic. It’s the last one that breaks my heart the most.

If we don’t know, we can learn; if we don’t have the income, we can still find ways to live as healthily and affordably as possible. But if we don’t care? If we choose to ignore it because it is easier in the moment…. (or tastes better)….well, there is nothing that can be done for that person, except to keep loving them and hope for the best.

I get it. The junk in food makes the food taste way better. It does. That’s why companies use it- to sell more cheaply and get more sales. I get it. There is no tasty, healthy replacement for some of the foods we have grown to love because they don’t come from any natural source. These companies aren’t playing fair. 

It’s a lot of work to figure out what is and isn’t good for you, all the way down to your toothpaste and toenail polish. I get it. I do. “Ain’t nobody got time for that!”

And then another question comes to mind, “How do we know who is lying to us and who isn’t?” I totally see where the confusion lies. Advertisements and amazingly cute packaging consume us from all corners and it’s hard to believe that the list of ingredients doesn’t have to list the actual ingredients, right? I know. From someone who truly wants to believe the best in everyone, it is hard to hear about what is really happening because WHO WOULD DO THAT TO SOMEONE?! How do they sleep at night? Girlfriend, I have no idea. But I do know that there are thousands of chemicals in our food and toiletries that do not have to be listed on the “Ingredients” list in America.

This past week was an extremely hard week for me. And during this week, I fell off my farm-fresh, sunshiney. non-GMO wagon. And it tasted pretty good. I mean, I had one of those PB Squared Snickers… and some of those sugar-laden organic treats and… you know what? They all tasted pretty DANG amazing. But you know what else? I am paying for it with my health at this very moment. 

It started as a headache yesterday that just would not go away, no matter what I tried. Then overnight, it turned into a migraine that woke me out of my sleep. Then throughout the day, it hurt so bad I had to stay hidden in the dark with my eyes closed, etc. NOTHING would knock it out. And I still have it but it’s back to a just a bad headache again (thankfully). And you know what? Suddenly those unhealthy things that I chose taste like dust in comparison of how I have been feeling for almost 48 hours. My mood was way worse this week too. Tie together the up’s and down’s of sugar crashes and harmful chemicals that my body isn’t used to anymore, and it made for one crappy mood on top of an already difficult week.

The more detoxed you become from toxins, the quicker your body responds when they re-enter your system. Because it is foreign to our bodies and they actually don’t know how to process it. Because it’s not something natural that our body was created to recognize. Most of us don’t even realize how crappy we actually feel because we have accepted it as our normal. But what if it isn’t?

I’m just a normal person, guys. (In case you thought anything different! LOL!) I LOVE the taste of Reese’s (now switched for Justin’s brand) and I had to do A LOT of research to figure out why on God’s green earth  I would pay that much FOR A BOTTLE OF SHAMPOO!! All I am is somebody who- because I was getting sick from everyday products- took my head out of the sand and figured out what was happening. And now that I know, it would be nothing short of wrong to not tell you too. …Even though I keep kind of wondering if some major company is going to come by and pop my tires! LOL! (Which, granted, would seem far-fetched if this little fish in a big pond hadn’t already received a 6-page letter from a huge company trying to dish me an [ineffective] rebuttal).

Ok. Well. I have already written a ton today and I know most of us don’t enjoy reading huge blogs and just skim for the “good stuff”. 🙂 I will share in my next post and also in  my class this Saturday the most affordable and doable ways to make better choices in the land of things so tasty, they kill. So next time you eat something and think, “This is to die for”, ask yourself… is it really?

DUN DUN DUNNNNNN……. (but seriously)

 

From a Counselor’s Desk: The Secret to Motivating Yourself

This is how my husband won my heart. He traveled from Virginia (where we met) to Massachusetts where I was running a camp for the summer to see me – a 15+ hour drive. This was in 2008 when the economy was doing a plummet. He paid huge prices at the gas pump, tolls, housing, etc. And since the camp was in the middle of nowhere, he ended up staying at a campground- yes, camping so he could stay near where I was because there were no hotels!!! He had creative dates planned and though it was July and 100 degrees, that goof (<3)  wore the sweatshirt with the camp logo on it that I bought him all the way home But he got what he wanted – me! We were married 6 weeks later and will soon be celebrating year 10 of marriage.
Moral of the story? If you want it, you will do what it takes.

What is something in your life that feels impossible but you really, really desire?blog pic

I am practically positive that if I asked my husband right now what gave him the motivation to drive all the way to see me, when I left Virginia as his friend, he would tell me that he wanted that kiss LOL. But how was that motivation strong enough? As a counselor who loves CBT and Motivational Therapy, I am going to offer a few quick ways to motivate yourself to pursue your dreams.

  1. Believe you can. It ALL starts in the mind, my friend. It is said that motivation is like a shower, you need to do it daily. It is also an “inside job”- no one can do it for you.
  2. Envision it. This does not have to be some weird type of yoga-meets-meditation kind of thing lol. It can literally be you, on the elliptical or folding laundry, picturing in detail what it would be like to have the thing you desire. Use your imagination! Engage all 5 senses when you’re in there! How would it feel when you have it? What would you be wearing the day you receive this thing? Who would be with you when it happened? How do you see it coming together? Where are you when it happens? What does it look like there? What are you smelling? What are your emotions when this happens? What would you say to people? What would they say to you? How would your significant other, children, friends, family, pets, career, home life, etc. be affected by this change? What would your closest friends say about this change? How would life be different from here on out? …you get the picture… spread out this dream on the canvas of your mind. Paint it, photograph it, write it, sing it- whatever works for you!
  3. Vision Boards. In today’s day and age, this could simply be a Pinterest board that puts pictures to your dreams. For example, I could make a Pinterest board called, “Jo’s Trip to Hawaii” and then post in there pictures of the ocean, waterfalls, the landscapes, hula dancing, hiking trails, people sitting on the beach drinking a cold lemonade, etc. Then whenever you need some extra inspiration to keep earning the money to get there, open up that board and envision yourself on the beaches of Hawaii!
  4. DECIDE. Yup. It’s that simple. Make the decision that you are going to go after it. No matter what. Then, don’t provide yourself any other options. When there is a tough day, don’t start thinking about and romanticizing the idea of quitting. NO. You made that decision for a reason, so those types of thoughts are NOT ALLOWED. Change the channel of your mind and get to envisioning your dream and opening up that Pinterest board!
  5. Write. Yes. Write your dream down. Then write your goals. When you are finished with that, write the steps you plan to take in order to reach this goal. Because a dream without action is just a wish. And we are not wishing- we are pursuing.
  6. Try, try again. It is very rare to succeed the first time you try something. In fact, it is so unheard of that people listen to these Unicorn Life Stories in awe. So maybe we’re not a unicorn. So what? Why not be like Thomas Edison who has over 1,000 patents that belong to him and had at least that many attempts to create the light bulb? This was no easy feat. He didn’t wake up one morning, walk out the door to the lab and go home that evening with his light bulb. Some things things don’t come easy. And because of that we can more fully appreciate them- because we know all our hard work and sacrifice involved! Our founding fathers of America had to leave their family for YEARS AT A TIME, missing out on seeing their children grow and snuggling their wives at night for their dream of freedom. Imagine if they stopped. Imagine if they were like, ah man, I thought when I got here I would be a unicorn but since I’m not… I’m staying home.
  7. JUST DO IT. 🙂 (I probably have to write that this is a Nike slogan, since I’m sure they patented those 3 words. 🙂 ) If you would like a free pdf showing you an easy and effective way to use aromatherapy for goal setting and motivation, simply send quick text to (540) 765-7881 that says “goals pdf” ❤ Bobbie-jo

Is Summer Threatening Your Sanity? 5 Tips for a Serene Summer- Without Stressing Your Wallet!

We are officially into week 3 of summer vacation at the Hurt Household and my LEAST FAVORITE thing to hear my very blessed children say is, “I’m bored.” Did you know that if you make over $20,000 a year, you are in the top 10 income earners IN THE WORLD? And if you make over $30,000 a year, YOU ARE A TOP 5% INCOME EARNER IN THE WORLD?! So when it comes to things to do, hearing “I’m bored” gives this mommy one of those famous head spin, eye popping, mom moments. Because the fact is, there is PLENTY to do but sometimes our creativity falls in a rut. Let’s see if I can help you out 🙂  I have compiled my top 5 favorite idea to keep the kiddos busy and having fun, while YOU are still able to get stuff done!

  1. Let your kids help with the chores. I mean hey, they actually think we’re having fun doing them, so why not use this as a way to teach them good work ethics and responsibility? The chores they participate in with you is going to be something decided based on your individual child’s ability. For instance, my 4 year old likes to water the plants and feed the pets. And he likes to get the water himself. (Yes, typically that means I am mopping water off the floor 🙂 But when I weigh out what this is teaching him vs. my extra work, I view it as invaluable. My 4 year old likes to fold blankets (I think because there aren’t as many of those 🙂 ) and my 6 year old likes to fold all the washcloths and towels while I fold the other laundry. Sometimes we put on music (since they still think my music choices are cool)  and I also give the kids my ears to let them chatter away while we fold 🙂  (And if you’re wondering if those folded towels and blankets look good? Nope! But that’s why we have linen closets- put them in and shut the door!) 🙂
  2. Create incentives. Perhaps when they finish helping you fold the laundry then you all get to go swimming or run through the hose- whatever they love to do with you!
  3. Go to the library. (What is this lady talking about? It’s not 1992 anymore.) Yup, I totally get that. However, this resource is actually a GEM. Libraries aren’t just books anymore like when I was a kid (and it was still my favorite place to go!). Now they have places for kids to play with new and different toys, computer learning games that are somehow exotic to your child since it is different from what they have at home, new movies that they can rent AND books. It’s a kid paradise! Some of them even have playgrounds outside and coffee/snack shops inside. Man, we mommies are living the life! 🙂
  4. Take something ordinary and make it funHow?? Ok, so I know if you are following my blog, you are either already super creative or you would like to add more creativity into your life. How do I know this? Because I’m the DIY Diva- we make stuff- really cool and creative stuff. And I also know that you are smart. How do I know that? Because you took a minute to actually look into what today’s foods and products are doing to our bodies, our DNA (future generations), our families and our environment. So yeah, you are smart and creative. Pat yourself on  the back 🙂 As an example of taking something ordinary and making it fun, one of the things my boys love is when we go for a walk and we look for “fossils” and other cool finds (animal tracks, weird bugs, broken trees, different leaves, cool flowers, etc.). Tailor it to what your kids like! When I was a kid, I would watch the TV show Wishbone (anyone else???) and my sister and I would go outside with a notebook and a pen, pretending to solve mysteries- like the case of the missing cat (and we didn’t have a cat LOL). When you engage your imagination with the kids, anything is fun. The other day in the pool, the kids were having one of their “mama duck” days where they trail me around. So I made up a game. I was “Queen Stinky” and if they came over to my side they would become stinky! LOL! So my oldest went to the other side and was “Prince Smell Good” and I wasn’t allowed to bring my stinky self over there. My youngest decided to join the stinkies and was “Stinky Jr.” Ahhh serenity… I got to sit on float and relax a bit while my youngest was trying to sneak into the Clean Castle and every once in awhile I would pretend to try and sneak in too. The kids had a blast. I wore a smaller round Nemo float as my “crown” and grabbed a fun noodle as my “scepter” 🙂
  5. I know you have heard this before but our kids don’t want our presents as much as they want our PRESENCE. So how do we do that when us moms are all so busy? Whether we work solely from the home or from home and office, moms are swamped. So here’s how we do it: We create precious space. For instance, my kids knew that mommy was going to be in that pool, playing with them, but after the few hours in the pool, mommy was going to read a chapter of her book in the living room while they played a game on their own. I established this beforehand so it wasn’t a surprise when we came inside and they were totally good with it because they just had mommy all to themselves for the past 2 hours. Sometimes I will tell them that mommy has to do work until ______ time. But after that, we will ______. And then I write the time down so they can check it whenever they forget. 🙂 Of course they can come to me at any point because I work where they play, but they know to let mommy do her thing because after that they are going to do something super cool and awesome with mommy 🙂 PS. This won’t work with ages 0-3. At those ages, we are pretty much their person and they need us 24/7. To create a breather during those ages, get a coffee (through the drive through!) on your way home and go the long way when they are napping or relaxing in the car 🙂 And when they fall asleep on your lap when lounging on the recliner, try to leave something you enjoy nearby that you can do with one hand (I found the Kindle to be invaluable at the point, as turning pages was near impossible! Of course, it IS inevitable that the moment your child falls asleep, you will have to pee. Every time. 🙂 ) Also, forget about the laundry at those ages. Wash. Dry. Divide it up in baskets by person, unfolded, and call it a day. 😉  Even a mommy can only do so much and as the country song says, “You gotta know when to hold ’em [and] know when to fold ’em.” 🙂

    beach beautiful bridge carribean
    Photo by Nextvoyage on Pexels.com

What You Need to Know About The Natural World

 

My family jokingly calls me “Bill Nye the Science Guy” for good reason- I can appreciate some good research and more importantly, scientific evidence that leads to RESULTS. I love results! I love working in my “lab” and making all sorts of natural goodness and therefore I go by Bill, Bill Nye. 😉

Today as I am doing some CEU’s (continuing education units) for my state licenses, I am doing one called, “Herbal Medication: An Evidence-Based Review.” (Don’t shut me off yet- this is important- I promise!). I want to knock out these units, but it was more important for me to stop and talk to you guys for a minute. So do me a favor and just read it, ok? 🙂

The article discusses some extremely important things you need to know if you live, or want to live, a natural, “crunchy”, “granola”-ish lifestyle. It talks about what makes one natural health product different from another.  (Keep reading!) Here is why this is important: If you don’t know the quality of your product, you have no real way of knowing what you are taking into your body and/or how it may effect you based on what is or isn’t in the product!

So what’s your point, Bobbie-jo? Well my point is, if you are living naturally to avoid toxicity, you can’t just pick up something from a health store shop and think it is good for you just because it is there. It CAN hurt you.

Here is what the article says:
“The concentration of active ingredients in HMs [Herbal Medications], however, is affected by numerous factors, including [9,24,25,26]:

The correct identification of the botanical source
The presence of contaminants or substitution of the intended source for other plants of lower cost with potential toxicologic consequences
Growing conditions, including temperature, geography and time of harvest, and possible contamination with micro-organisms, heavy metals, pesticides, or prescription drugs
Collection of the appropriate plant part (e.g., leaves versus root)
Preparation of specimens (e.g., drying, grinding)
Laboratory processing (e.g., solvent used for extraction of active ingredients)
Storage
Formulation of the final product (e.g., liquid versus solid pill)
These processes vary considerably among manufacturers and influence product quality and concentration of active ingredients in the final product.”

Do you see how serious this is?? Especially if Joe Smohe from Idaho is making your products in his mom’s basement – and he could be!!!

Allow me to summarize in bold font: IF YOU DON’T KNOW WHAT YOU’RE USING AND FROM WHOM YOU ARE USING IT, YOU ARE PLAYING WITH FIRE.

To quote again from the article, “Toxicity may also occur as the result of adulteration in the composition of HMs. This may occur by contamination with toxic plants or molds due to improper selection or storage. Toxicity may also occur as the result of adulteration in the composition of HMs [Herbal Medications]. This may occur by contamination with toxic plants or molds due to improper selection or storage. Adulterations of the intended product may occur either accidentally or deliberately when unscrupulous suppliers replace the intended plant for a cheaper one.” (Emphasis added by me).

To summarize: Manufacturers are coming out of the wood work right now to capitalize on this natural living “trend” (and for many it is a trend). Such manufacturers are interested in making money, not making you healthy. They are treating your life like pocket change.  It is proven that many suppliers are doing this, so what I say, I say with love. You better hope to God that your product was put together by scientists and doctors in a legitimate lab; scientists and doctors with medical degrees, pharmaceutical and physiological training and integrity, who keep all their practices and procedures out in the open for the public to be aware of. You better hope your company tests and retests their product and then sends it to multiple 3rd party testers to verify the purity of their product. Don’t take their word for it on a FB ad or fancy wording on the back of the bottle- go to the source.

Oh Bobbie-jo, isn’t that extreme? … Well, I don’t know; how much do you like your life?

If you think the FDA is doing this checking for you in the natural field, you’re wrong. If you think most of these companies out there are doing it for you, you’re wrong. When shady suppliers pop up, all sorts of toxicity has been found – lots of heavy metals, mold, synthetic products AND SYNTHETIC DRUGS have been found and proven (by real studies- not snoops.com hahahah).

What I say, I truly say with love and care for everyone. I want to help people live their best lives possible, to empower people and to speak the truth with love into people’s lives.

I have researched many different herbal/wellness/natural companies. There is only one I trust. I trust them so much that I modified my career for the time being so that I can help you all. I have made my business natural living so that I can show you a way to avoid, to the best of our ability, the pitfalls of this “microwave it and make it fast and cheap!” society we live in. And do I get paid to help? Absolutely. I have to!  Just like in the counseling office, or teachers in the classroom, or police officers out protecting people. We have to eat to live and our families need a roof over their heads. Just like you get paid to do your job. There is no shame in providing for your family through a service or product you wholeheartedly believe in. Please don’t run blindly into the natural world. A lot of companies are dimming their lights so that you can’t immediately see what they are doing.

 “These examples illustrate the need for an increased public and professional awareness, the implementation of appropriate quality control and exhaustive testing of supplies, adherence by the manufacturers to good manufacturing practices, and selection of products manufactured by reputable companies.” (Bold emphasis was added by me- the rest is from the article 🙂 )

 

Not sharing the truth when I can- to me would be like seeing someone getting hurt and not rushing over to help. Just wrong.

Below are the hundreds of resources used by the article I referenced 😉

 

RESOURCES
MedWatch: The FDA Safety Information and Adverse Event Reporting Program
http://www.fda.gov/Safety/MedWatch
1-888-INFO-FDA
MedEffect Canada: Adverse Reaction and Medical Device Problem Reporting
http://www.hc-sc.gc.ca/dhp-mps/medeff/report-declaration/index-eng.php
1-866-234-2345
Natural Medicines Watch: Adverse Event Reporting Form
https://naturaldatabase.therapeuticresearch.com/nd/adverseevent.aspx
1-209-472-2244
Complete for Credit

Works Cited
1. National Center for Complementary and Integrative Health. What is Complementary and Alternative Medicine? Available at https://nccih.nih.gov/health/integrative-health. Last accessed June 6, 2016.
2. Health Canada. About Natural Health Product Regulation in Canada. Available at http://www.hc-sc.gc.ca/dhp-mps/prodnatur/about-apropos/index-eng.php. Last accessed June 6, 2016.
3. United States Congress, 103rd Congress. Dietary Supplement Health and Education Act of 1994: Public Law 103-417. Available at http://ods.od.nih.gov/about/dshea_wording.aspx. Last accessed June 6, 2016.
4. National Center for Complementary and Integrative Health. Use of Complementary Health Approaches in the U.S. Available at https://nccih.nih.gov/research/statistics/NHIS/2012/key-findings. Last accessed June 6, 2016.
5. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2008;(12):1-23.
6. Ipsos Reid. Natural Health Product Tracking Survey, 2010 Final Report. Available at http://epe.lac-bac.gc.ca/100/200/301/pwgsc-tpsgc/por-ef/health/2011/135-09/report.pdf. Last accessed June 6, 2016.
7. Chao MT, Wade C, Kronenberg F. Disclosure of complementary and alternative medicine to conventional medical providers: variation by race/ethnicity and type of CAM. J Natl Med Assoc. 2008;100(1):1341-1349.
8. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Adv Data. 2004;(343):1-19.
9. Robinson A, McGrail MR. Disclosure of CAM use to medical practitioners: a review of qualitative and quantitative studies. Complement Ther Med. 2004;12(2-3):90-98.
10. Eisenberg DM, Kessler RC, Van Rompay MI, et al. Perceptions about complementary therapies relative to conventional therapies among adults who use both: results from a national survey. Ann Intern Med. 2001;135:344-351.
11. Chan JM, Elkin EP, Silva SJ, Broering JM, Latini DM, Carroll PR. Total and specific complementary and alternative medicine use in a large cohort of men with prostate cancer. Urology. 2005;66(6):1223-1228.
12. Cooper EL. Drug discovery, CAM and natural products. Evid Based Complement Alternat Med. 2004;1(3):215-217.
13. Koehn FE, Carter GT. The evolving role of natural products in drug discovery. Nat Rev Drug Discov. 2005;4(3):206-220.
14. Kingston DGI. Modern natural products drug discovery and its relevance to biodiversity conservation. J Natl Prod. 2011;74(3): 496-511.
15. U.S. Food and Drug Administration. Food: Dietary Supplements. Available at http://www.fda.gov/Food/DietarySupplements/default.htm. Last accessed June 6, 2016.
16. U.S. Food and Drug Administration. Final Rule Declaring Dietary Supplements Containing Ephedrine Alkaloids Adulterated Because They Present an Unreasonable Risk; Small Entity Compliance Guide. Available at http://www.fda.gov/food/guidanceregulation/ucm072997.htm. Last accessed June 6, 2016.
17. Health Canada. Natural Health Products Regulations. Available at http://www.hc-sc.gc.ca/dhp-mps/prodnatur/about-apropos/index-eng.php. Last accessed June 6, 2016.
18. McHughes M, Timmermann BN. A review of the use of CAM therapy and the sources of accurate and reliable information.J Manag Care Pharm. 2005;11(8):695-703.
19. Brown CM, Barner JC, Shah S. Community pharmacists’ actions when patients use complementary and alternative therapies with medications. J Am Pharm Assoc. 2005;45(1):41-47.
20. Drug and Therapeutics Bulletin. Results of Drug and Therapeutics Bulletin (DTB) Survey on Herbal Medicines. Available at http://dtb.bmj.com/site/about/DTB_survey_on_herbal_medicines.pdf. Last accessed June 9, 2016.
21. Federation of State Medical Boards of the United States. Model Guidelines for the Use of Complementary and Alternative Therapies in Medical Practice. Available at http://www.fsmb.org/Media/Default/PDF/FSMB/Advocacy/2002_grpol_Complementary_Alternative_Therapies.pdf. Last accessed June 9, 2016.
22. Pachter LM. Culture and clinical care: folk illness beliefs and behaviors and their implications for health care delivery. JAMA. 1994;271(9):690-694.
23. U.S. Food and Drug Administration. Federal Register Final Rule: Current Good Manufacturing Practice in Manufacturing, Packaging, Labeling, or Holding Operations for Dietary Supplements. Available at https://www.gpo.gov/fdsys/pkg/FR-2007-06-25/html/07-3039.htm. Last accessed June 9, 2016.
24. Dreskin SC. A prescription drug packaged in China and sold as an ethnic remedy. JAMA. 2000;283(18):2393.
25. Ng TH, Chan YW, Yu YL, et al. Encephalopathy and neuropathy following ingestion of Chinese herbal broth containing podophyllin. J Neurol Sci. 1991;101(1):107-113.
26. Tomlinson B, Chan TY, Chan JC, Crichtley JA, But PP. Toxicity of complementary therapies: an eastern perspective. J ClinPharmacol. 2000;40(5):451-456.
27. Guengerich FP. Cytochrome P450, drugs, and diseases. Mol Interv. 2003;3(4):194-204.
28. Adler AJ, Holub BJ. Effect of garlic and fish-oil supplementation on serum lipid and lipoprotein concentrations in hypercholesterolemic men. Am J Clin Nutr. 1997;65(2):445-450.
29. Berthold HK, Sudhop T, von Bergmann K. Effect of a garlic oil preparation on serum lipoproteins and cholesterol metabolism: a randomized controlled trial. JAMA. 1998;279(23):1900-1902.
30. Lash JP, Cardoso LR, Mesler PM, Walczak DA, Pollak R. The effect of garlic on hypercholesterolemia in renal transplant patients. Transplant Proc. 1998;30(1):189-191.
31. Natural Medicines. Foods, Herbs, and Supplements. Available at https://naturalmedicines.therapeuticresearch.com/databases/food,-herbs-supplements.aspx. Last accessed June 9, 2016.
32. Zlotta AR, Teillac P, Raynaud JP, Schulman CC. Evaluation of male sexual function in patients with lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) treated with a phytotherapeutic agent (Permixon), Tamsulosin or Finasteride. Eur Urol. 2005;48(2):269-276.
33. Hare JT, Elliot DP. Grapefruit juice and potential drug interactions. Consult Pharm. 2003;18(5):466-472.
34. Madabushi R, Frank B, Drewelow B, Derendorf H, Butterweck V. Hyperforin in St. John’s wort drug interactions. Eur J Clin Pharmacol. 2006;62(3):225-233.
35. Ebadi MS. Food-drug interactions. In: Ebadi MS. Pharmacodynamic Basis of Herbal Medicine. Boca Raton, FL: CRC Press; 2001: 107-114.
36. Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine. 2000;7(4):273-282.
37. Meredith MJ. Herbal nutriceuticals: a primer for dentists and dental hygienists. J Contemp Dent Pract. 2001;2(2):1-24.
38. Ruschitzka F, Meier PJ, Turina M, Lüscher TF, Noll G. Acute heart transplant rejection due to Saint John’s wort. Lancet. 2000;355(9203):548-549.
39. Markowitz JS, Donovan JL, DeVane CL, et al. Effect of St. John’s wort on drug metabolism by induction of cytochrome P450 3A4 enzyme. JAMA. 2003;290(11):1500-1504.
40. Szegedi A, Kohnen R, Dienel A, Kieser M. Acute treatment of moderate to severe depression with hypericum extract WS 5570 (St. John’s wort): randomized controlled double-blind non-inferiority trial versus paroxetine. BMJ. 2005;330(7494):759.
41. Singh YN. Potential for interaction of kava and St. John’s wort with drugs. J Ethnopharmacol. 2005;100(1-2):108-113.
42. Yoshitake T, Iizuka R, Yoshitake S, et al. Hypericum perforatum L. (St. John’s wort) preferentially increases extracellular dopamine levels in the rat prefrontral cortex. Br J Pharmacol. 2004;142(3):414-418.
43. Demott K. St. John’s wort tied to serotonin syndrome. Clin Psychiatry News. 1998;26(3):28-29.
44. Lança AJ. Adrenergic receptor agonists. In: Kalant H, Grant D, Mitchell J (eds). Principles of Medical Pharmacology. 7th ed. Toronto: Saunders Canada; 2007:137-155.
45. Lança AJ. Functional and neurochemical organization of the central nervous system. In: Kalant H, Grant D, Mitchell J (eds). Principles of Medical Pharmacology. 7th ed. Toronto, Canada: Saunders Canada; 2007: 187-210.
46. Warsh JJ, Li PP. Antidepressant and mood-stabilizing agents. In: Kalant H, Grant D, Mitchell J (eds). Principles of Medical Pharmacology. 7th ed. Toronto: Saunders Canada; 2007: 316-333.
47. Casper HH, Alstad AD, Tacke DB, Johnson LJ, Lloyd WE. Evaluation of vitamin K3 feed additive for prevention of sweet clover disease. J Vet Diagn Invest. 1989;1(2):116-119.
48. Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm. 2000;57(13):1221-1227.
49. Rotblatt M, Ziment I. Evidence-Based Herbal Medicine. Philadelphia, PA: Hanley & Belfus; 2002.
50. Koch E. Inhibition of platelet activating factor (PAF)-induced aggregation of human thrombocytes by ginkgolides: considerations on possible bleeding complications after oral intake of Ginkgo biloba extracts. Phytomedicine. 2005;12(1-2):10-16.
51. Izzo AA, Di Carlo G, Borrelli F, Ernst E. Cardiovascular pharmacotherapy and herbal medicines: the risk of drug interaction.Int J Cardiol. 2005;98(1):1-14.
52. Johnson J, Tanner A. Postmarketing surveillance: curriculum for the clinical pharmacologist. Part I: postmarketing surveillance within the continuum of the drug approval process. J Clin Pharmacol. 1993;33(10):904-911.
53. Stricker BH, Psaty BM. Detection, verification, and quantification of adverse drug reactions. BMJ. 2004;329(7456):44-47.
54. Natural Medicines. Frequently Asked Questions. Available at http://naturaldatabase.therapeuticresearch.com/content.aspx?page=faq&xsl=generic&popup=1. Last accessed June 17, 2016.
55. Lewis JH, Ahmed M, Shobassy A, Palese C. Drug-induced liver disease. Curr Opin Gastroenterol. 2006;22(3):223-233.
56. Castot A, Larrey D. Hepatitis observed during a treatment with a drug or a tea containing Wild Germander. Evaluation of 26 cases reported to the Regional Centers of Pharmacovigilance [Article in French]. Gastroenterol Clin Biol. 1992;16(12):916-922.
57. Laliberté L, Villeneuve JP. Hepatitis after the use of germander, an herbal remedy. CMAJ. 1996;154(11):1689-1692.
58. De Berardinis V, Moulis C, Maurice M, et al. Human microsomal epoxide hydrolase is the target of germander-induced autoantibodies on the surface of human hepatocytes. Mol Pharmacol. 2000;58(3):542-551.
59. Slifman NR, Obermeyer WR, Aloi BK, et al. Contamination of botanical dietary supplements by Digitalis lanata. N Engl J Med. 1998;339(12):806-811.
60. Nortier JL, Martinez MC, Schmeiser HH, et al. Urothelial carcinoma associated with the use of a Chinese herb (Aristocholia fangchi). N Engl J Med. 2000;342(23):1686-1692.
61. Keane FM, Munn SE, du Vivier AW, Taylor NF, Higgins EM. Analysis of Chinese herbal creams prescribed for dermatological conditions. BMJ. 1999;318(7183):563-564.
62. Bogusz MJ, al Tufail M, Hassan H. How natural are “natural herbal remedies”? A Saudi perspective. Adverse Drug React Toxicol Rev. 2002;21(4):219-229.
63. Wilt T, Ishani A, Mac Donald R. Serenoa repens for benign prostatic hyperplasia. Cochrane Database Syst Rev. 2002;(3):CD001423.
64. Lewith G, Verhoef M, Koithan M, Zick SM. Developing CAM research capacity for complementary medicine. Evid Based Complement Alternat Med. 2006;3(2):283-289.
65. American Society for Pharmacology and Experimental Therapeutics. FY 2016 Written Testimony Submitted by ASPET to LHHS. Available at https://www.aspet.org/FY_2016_Written_Testimony/. Last accessed June 9, 2016.
66. Melethil S. Proposed rule: current good manufacturing practice in manufacturing, packing, or holding dietary ingredients and dietary supplements. Life Sci. 2006;78(18):2049-2053.
67. Wolsko PM, Solondz DK, Phillips RS, Schachter SC, Eisenberg DM. Lack of herbal supplement characterization in published randomized controlled trials. Am J Med. 2005;118(10):1087-1093.
68. Draves AH, Walker SE. Determination of hypericin and pseudohypericin in pharmaceutical preparations by liquid chromatography with fluorescence detection. J Chromatogr B Biomed Sci Appl. 2000;749(1):57-66.
69. Krochmal R, Hardy M, Bowerman S, et al. Phytochemical assays of commercial botanical dietary supplements. Evid Based Complement Alternat Med. 2004;1(3):305-313.
70. Sander LC, Sharpless KE, Wise SA. Dietary supplement standard reference materials. Life Sci. 2006;78(18):2044-2048.
71. Srinivasan VS. Challenges and scientific issues in the standardization of botanical and their preparations. United States Pharmacopeia’s dietary supplement verification program: a public health program. Life Sci. 2006;78(18):2039-2043.
72. De Smet PA. Herbal medicine in Europe: relaxing regulatory standards. N Engl J Med. 2005;352(12):1176-1178.
73. Berges RR, Kassen A, Senge T. Treatment of symptomatic benign prostatic hyperplasia with beta-sitosterol: an 18 month follow-up. BJU Int. 2000;85(7):842-846.
74. Berges RR, Windeler J, Trampisch HJ, Senge T. Randomized, placebo-controlled, double-blind clinical trial of beta-sitosterol in patients with benign prostatic hyperplasia. Beta-sitosterol Study Group. Lancet. 1995;345(8964):1529-1532.
75. LexiComp Online. Available at http://online.lexi.com. Last accessed June 9, 2016.
76. Habib FK, Ross M, Ho CK, Lyons V, Chapman K. Serenoa repens (Permixon) inhibits the 5alpha-reductase activity of human prostate cancer cell lines without interfering with PSA expression. Int J Cancer. 2005;114(2):190-194.
77. Carraro JC, Raynaud JP, Koch G, et al. Comparison of phytotherapy (Permixon) with finasteride in the treatment of benign prostate hyperplasia: a randomized international study of 1,098 patients. Prostate. 1996;29(4):231-240.
78. Délos S, Carsol JL, Ghazarossian E, Raynaud JP, Martin PM. Testosterone metabolism in primary cultures of human prostate epithelial cells and fibroblast. J Steroid Biochem Mol Biol. 1995;55(3-4):375-383.
79. Ravenna L, Di Silverio F, Russo MA, et al. Effects of the lipidosterolic extract of Serenoa repens (Permixon) on human prostatic cell lines. Prostate. 1996;29(4):219-230.
80. Goepel M, Hecker U, Krege S, Rübben H, Michel MC. Saw palmetto extracts potently and noncompetitively inhibit human alpha1-adrenoceptors in vitro. Prostate. 1999;38(3):208-215.
81. Bayne CW, Ross M, Donnelly F, Habib FK. The selectivity and specificity of the actions of the lipido-sterolic extract of Serenoa repens (Permixon) on the prostrate. J Urol. 2000;164(3 pt 1):876-881.
82. Paubert-Braquet M, Mencia Huerta JM, Cousse H, Braquet P. Effect of the lipidic lipidosterolic extract of Serenoa repens (Permixon) on the ionophore A23187-stimulated production of leukotriene B4 (LTB4) from human polymorphonuclear neutrophils. Prostaglandins Leukot Essent Fatty Acids. 1997;57(3):299-304.
83. Vacherot F, Azzouz M, Gil-Diez-De-Medina S, et al. Induction of apoptosis and inhibition of cell proliferation by the lipido-sterolic extract of Serenoa repens (LSESr, Permixon) in benign prostatic hyperplasia. Prostate. 2000;45(3):259-266.
84. Tacklind J, MacDonald R, Rutks I, Wilt TJ. Serenoa repens for benign prostatic hyperplasia. Cochrane Database Syst Rev. 2009;(2):CD001423.
85. Tacklind J, Macdonald R, Rutks I, Stanke JU, Wilt TJ. Serenoa repens for benign prostatic hyperplasia. Cochrane Database Syst Rev. 2012;12:CD001423.
86. Boyle P, Robertson C, Lowe F, Roehrborn C. Meta-analysis of clinical trials of permixon in the treatment of symptomatic benign prostatic hyperplasia. Urology. 2000;55(4):533-539.
87. Boyle P, Robertson C, Lowe F, Roehrborn C. Updated meta-analysis of clinical trials of Serenoa repens extract in the treatment of symptomatic benign prostatic hyperplasia. BJU Int. 2004;93(6):751-756.
88. Debruyne F, Boyle P, Calais Da Silva F, et al. Evaluation of the clinical benefit of permixon and tamsulosin in severe BPH patients —PERMAL study subset analysis. Eur Urol. 2004;45(6):773-779.
89. Debruyne F, Koch G, Boyle P, et al. Comparison of a phytotherapeutic agent (Permixon) with an alpha-blocker (Tamsulosin) in the treatment of benign prostatic hyperplasia: a 1-year randomized international study. Eur Urol. 2002;41(5):497-506.
90. Djavan B, Fong YK, Chaudry A, et al. Progression delay in men with mild symptoms of bladder outlet obstruction: a comparative study of phytotherapy and watchful waiting. World J Urol. 2005;23(4):253-256.
91. Fong YK, Milani S, Djavan B. Role of phytotherapy in men with lower urinary tract symptoms. Cur Opin Urol. 2005;15(1):45-48.
92. Gerber GS. Saw palmetto for the treatment of men with lower urinary tract symptoms. J Urol. 2000;163(5):1408-1412.
93. Marks LS, Partin AW, Epstein JI, et al. Effects of a saw palmetto herbal blend in men with symptomatic benign prostatic hyperplasia. J Urol. 2000;163(5):1451-1456.
94. Bent S, Kane C, Shinohara K, et al. Saw palmetto for benign prostatic hyperplasia. N Engl J Med. 2006;354(6):557-566.
95. Gordon AE, Shaughnessy AF. Saw palmetto for prostate disorders. Am Fam Physician. 2003;67(6):1281-1283.
96. Slater MD, Lauer C, Gidley-Baird A, Barden JA. Markers for the development of early prostate cancer. J Pathol. 2003;199(3): 368-77.
97. Kaplan SA, Volpe MA, Te AE. A prospective, 1-year trial using saw palmetto versus finasteride in the treatment of category III prostatitis/chronic pelvic pain syndrome. J Urol. 2004;171(1):284-288.
98. Comhaire F, Mahmoud A. Preventing diseases of the prostate in the elderly using hormones and nutriceuticals. Aging Male. 2004;7(2):155-169.
99. Veltri RW, Marks LS, Miller MC, et al. Saw palmetto alters nuclear measurements reflecting DNA content in men with symptomatic BPH: evidence for a possible molecular mechanism. Urology. 2002;60(4):617-622.
100. Avins AL, Bent S, Staccone S, et al. A detailed safety assessment of a saw palmetto extract. Complement Ther Med. 2008;16(3): 147-154.
101. Cheema P, El-Mefty O, Jazieh AR. Intraoperative hemorrhage associated with the use of extract of saw palmetto herb: a case report and review of the literature. J Intern Med. 2001;250(2):167-169.
102. De Smet PA, Bonsel G, Van der Kuy A, et al. Introduction to the pharmacoeconomics of herbal medicines. Pharmacoeconomics. 2000;18(1):1-7.
103. Nathan P. The experimental and clinical pharmacology of St. John’s wort (Hypericum perforatum L.). Mol Psychiatry. 1999;4(4):333-338.
104. Chatterjee SS, Nöldner M, Koch E, Erdelmeier C. Antidepressant activity of Hypericum perforatum and hyperforin: the neglected possibility. Pharmacopsychiatry. 1998;31(suppl 1):7-15.
105. Laakmann G, Schüle C, Baghai T, Kieser M. St. John’s wort in mild to moderate depression: the relevance of hyperforin for the clinical efficacy. Pharmacopsychiatry. 1998;31(suppl 1):54-59.
106. Barnes J, Anderson LA, Phillipson JD. St. John’s wort (Hypericum perforatum L.): a review of its chemistry, pharmacology, and clinical properties. J Pharm Pharmacol. 2001;53(5):583-600.
107. Greeson JM, Sanford B, Monti DA. St. John’s wort (Hypericum perforatum): a review of current pharmacological, toxicological, and clinical literature. Psychopharmacology(Berl). 2001;153(4):402-414.
108. Kerb R, Brockmöller J, Staffeldt B, Ploch M, Roots I. Single-dose and steady-state pharmacokinetics of hypericin and pseudohypericin. Antimicrob Agents Chemoter. 1996;40(9):2087-2093.
109. Teufel-Meyer R, Gleitz J. Effect of long-term administration of Hypericum extracts on the affinity and density of central serotonergic 5-HT1 A and 5-HT2 A receptors. Pharmacopsychiatry. 1997;30(suppl 2):113-116.
110. Thompson C. Onset of action of antidepressants: results of different analyses. Hum Psychopharmacol. 2002;17(suppl 1):S27-S32.
111. Field HL, Monti DA, Greeson JM, Kunkel EJ. St. John’s wort. Int J Psychiatry Med. 2000;30(3):203-219.
112. Klemow KM, Bilbow E, Grasso D, Jones K, McDermott J, Pape E. Medicinal attributes of St. John’s wort (Hypericum perforatum). In: Packer L, Ong CN, Halliwell B (eds). Herbal and Traditional Medicine. Molecular Aspects of Health. New York, NY: Marcel Dekker Publisher; 2004: 757-780.
113. Schempp CM, Pelz K, Wittmer A, Schöpf E, Simon JC. Antibacterial activity of hyperforin from St. John’s wort, against multiresistant Staphylococcus aureus and gram-positive bacteria. Lancet. 1999;353(9170):2129.
114. Schempp CM, Windeck T, Hezel S, Simon JC. Topical treatment of atopic dermatitis with St. John’s wort cream: a randomized, placebo controlled, double blind half-side comparison. Phytomedicine. 2003;10(suppl 4):31-37.
115. Darbinian-Sarkissian N, Darbinyan A, Otte J, et al. p27(SJ), a novel protein in St. John’s wort, that suppresses expression of HIV-1 genome. Gene Ther. 2006;13(4):288-295.
116. Gulick RM, McAuliffe V, Holden-Wiltse J, et al. Phase I studies of hypericin, the active compound in St. John’s wort, as an antiretroviral agent in HIV-infected adults: AIDS Clinical Trials Group Protocols 150 and 258. Ann Intern Med. 1999;130(6):510-514.
117. Henderson L, Yue QY, Bergquist C, Gerden B, Arlett P. St. John’s wort (Hypericum perforatum): drug interactions and clinical outcomes. Br J Clin Pharmacol. 2002;54(4):349-356.
118. Fox FE, Niu Z, Tobia A, Rook AH. Photoactivated hypericin is an anti-proliferative agent that induces a high rate of apoptotic death of normal, transformed, and malignant T lymphocytes: implications for the treatment of cutaneous lymphoproliferative and inflammatory disorders. J Invest Dermatol. 1998;111(2):327-332.
119. Schempp CM, Müller KA, Winghofer B, Schöpf E, Simon JC. St. John’s wort (Hypericum perforatum L.): a plant with relevance for dermatology [Article in German]. Hautarzt. 2002;53(5):316-321.
120. Linde K, Mulrow CD, Berner M, Egger M. St. John’s wort for depression. Cochrane Database Syst Rev. 2005;(2):CD000448.
121. Hypericum Depression Trial Study Group. Effect of Hypericum perforatum (St. John’s wort) in major depressive disorder: a randomized controlled trial. JAMA. 2002;287(14):1807-1814.
122. Shelton RC, Keller MB, Gelenberg AJ, et al. Effectiveness of St. John’s wort in major depression: a randomized controlled trial. JAMA. 2001;285(15):1978-1986.
123. Linde K, Berner MM, Kriston L. St. John’s wort for major depression. Cochrane Database Syst Rev. 2008;(4):CD000448.
124. Ernst E. The risk-benefit profile of commonly used herbal therapies: ginkgo, St. John’s wort, ginseng, echinacea, saw palmetto, and kava. Ann Intern Med. 2002;136(1):42-53.
125. Lawvere S, Mahoney MC. St. John’s wort. Am Fam Physician. 2005;72(11):2249-2254.
126. Linde K, Ramirez G, Mulrow CD, Pauls A, Weidenhammer W, Melchart D. St. John’s wort for depression: an overview and meta-analysis of randomized clinical trials. BMJ. 1996;313(7052):253-258.
127. Stevinson C, Ernst E. Safety of Hypericum in patients with depression: a comparison with conventional antidepressants. CNSDrugs. 1999;11(2):125-132.
128. Brockmöller J, Reum T, Bauer S, Kerb R, Hübner WD, Roots I. Hypericin and pseudohypericin: pharmacokinetics and effects on photosensitivity in humans. Pharmacopsychiatry. 1997;30(suppl 2):94-101.
129. Schulz V. Incidence and clinical relevance of interactions and side-effects of Hypericum preparations [Article in German]. Praxis. 2000;89(50):2131-2140.
130. Philp RB. Herbal-Drug Interactions and Adverse Effects: An Evidence-Based Quick Reference Guide. New York, NY: McGraw-Hill Professional; 2003.
131. Moretti ME, Maxson A, Hanna F, Koren G. Evaluating the safety of St. John’s wort in human pregnancy. Reprod Toxicol. 2009;28(1):96-99.
132. Christen Y. Ginkgo biloba: from traditional medicine to molecular biology. In: Packer L, Ong CN, Halliwell B (eds). Herbal and Traditional Medicine: Molecular Aspects of Health. New York, NY: Marcel Dekker Publisher; 2004: 145-164.
133. Kajiyama Y, Fujii K, Takeuchi H, Manabe Y. Ginkgo seed poisoning. Pediatrics. 2002;109(2):325-327.
134. Bastianetto S, Ramassamy C, Doré S, Christen Y, Poirier J, Quirion R. The Ginkgo biloba extract (EGb761) protects hippocampal neurons against cell death induced by beta-amiloid. Eur J Neurosci. 2000;12(6):1882-1890.
135. Christen Y, Maixent JM. What is Ginkgo biloba extract EGb 761? An overview from molecular biology to clinical medicine.Cell Mol Biol. 2002;48(6):601-611.
136. Amri H, Drieu K, Papadopoulos V. Ex vivo regulation of adrenal cortical cell steroid and protein synthesis, in response to adrenocorticotropic hormone stimulation, by the Ginkgo biloba extract EGb 761 and isolated ginkgolide B. Endocrinology. 1997;138(12):5415-5426.
137. Huguet F, Tarrade T. Alpha 2-adrenoceptor changes during cerebral ageing: the effect of Ginkgo biloba extract. J Pharm Pharmacol. 1992;44(1):24-27.
138. Huguet F, Drieu K, Piriou A. Decreased cerebral 5-HT1A receptors during ageing: reversal by Ginkgo biloba extract (EGb 761).J Pharm Pharmacol. 1994;46(4):316-318.
139. Zhu L, Gao J, Wang Y, Zhao XN, Zhang ZX. Neuron degeneration induced by verapamil and attenuated by EGb761. J Basic Clin Physiol Pharmacol. 1997;8(4):301-314.
140. Itil TM, Eralp E, Ahmed I, Kunitz A, Itil KZ. The pharmacological effects of ginkgo biloba, a plant extract, on the brain of dementia patients in comparison with tacrine. Psychopharmacol Bull. 1998;34(3):391-397.
141. Kanowski S, Hoerr R. Ginkgo biloba extract EGb 761 in dementia: intent-to-treat analyses of a 24-week, multi-center, double-blind, placebo-controlled, randomized trial. Pharmacopsychiatry. 2003;36(6):297-303.
142. Kurz A, Van Baelen B. Ginkgo biloba compared with cholinesterase inhibitors in the treatment of dementia: a review based on meta-analyses by the Cochrane collaboration. Dement Geriatr Cogn Disord. 2004;18(2):217-226.
143. Evans JG, Wilcock G, Birks J. Evidence-based pharmacotherapy of Alzheimer’s disease. Int J Neuropsychopharmacol. 2004;7(3): 351-369.
144. Mix JA, Crews WD Jr. A double-blind, placebo-controlled, randomized trial of Ginkgo biloba extracft EGb 761 in a sample of cognitively intact older adults: neuropsychological findings. Hum Psychopharmacol. 2002;17(6):267-277.
145. Birks J, Grimley EV, Van Dongen M. Ginkgo biloba for cognitive impairment and dementia. Cochrane Database Syst Rev. 2002;(4):CD003120.
146. Birks J, Grimley EJ. Ginkgo biloba for cognitive impairment and dementia. Cochrane Database Syst Rev. 2007;(2):CD003120.
147. Birks J, Grimley EJ. Ginkgo biloba for cognitive impairment and dementia. Cochrane Database Syst Rev. 2009;(1):CD003120.
148. Hopfenmüller W. Evidence for a therapeutic effect of Ginkgo biloba special extract: meta-analysis of 11 clinical studies in patients with cerebrovascular insufficiency in old age. Arzneimittelforschung. 1994;44(9):1005-1013.
149. Kleijnen J, Knipschild P. Ginkgo biloba for cerebral insufficiency. Br J Clin Pharmacol. 1992;34(4):352-358.
150. Muir AH, Robb R, McLaren M, Daly F, Belch JJ. The use of ginkgo biloba in Raynaud’s disease: a double-blind placebo-controlled trial. Vasc Med. 2002;7(4):265-267.
151. Jacoby D, Mohler ER. Drug treatment in intermittent claudication. Drugs. 2004;64(15):1657-1670.
152. Gardner CD, Taylor-Piliae RE, Kiazand A, Nicholus J, Rigby AJ, Farquhar JW. Effect of Ginkgo biloba (EGb 761) on treadmill walking time among adults with peripheral artery disease: a randomized clinical trial. J Cardiopulm Rehabil Prev. 2008;28(4): 258-265.
153. Fessenden JM, Wittenborn W, Clarke L. Ginkgo biloba: a case report of herbal medicine and bleeding postoperatively from a laparoscopic cholecystectomy. Am Surg. 2001;67(1):33-35.
154. DeFeudis FV. Ginkgo Biloba Extract (EGb 761): From Chemistry to Clinic. Wiesbaden: Ullstein Medical; 1998.
155. Attele AS, Zhou YP, Xie JT, et al. Antidiabetic effects of Panax ginseng berry extract and the identification of an effective component. Diabetes. 2002;51(6):1851-1858.
156. Chung AS, Cho KJ, Park JD. Pharmacological and physiological effects of ginseng. In: Packer L, Ong CN, Halliwell B (eds).Herbal and Traditional Medicine: Molecular Aspects of Health. New York, NY: Marcel Dekker Publisher; 2004: 517-536.
157. Liu JP, Zhang M, Wang WY, Grimsgaard S. Chinese herbal medicines for type 2 diabetes mellitus. Cochrane Database Syst Rev. 2004;(3):CD003642.
158. Kudo K, Tachikawa H, Kashimoto T, Takahashi E. Properties of ginseng saponin inhibition of catecholamine secretion in bovine adrenal chromaffin cells. Eur J Pharmacol. 1998;341(2-3):139-144.
159. Vogler BK, Pittler MH, Ernst E. The efficacy of ginseng: a systematic review of randomized clinical trials. Eur J Clin Pharmacol. 1999;55(8):567-575.
160. Van Kampen J, Robertson H, Hagg T, Drobitch R. Neuroprotective actions of the ginseng extract G115 in two rodent models of Parkinson’s disease. Exp Neurol. 2003;184(1):521-529.
161. Vuksan V, Sievenpiper JL, Koo VY, et al. American ginseng (Panax quinquefolius L.) reduces postprandial glycemia in nondiabetic subjects and subjects with type 2 diabetes mellitus. Arch Intern Med. 2000;160(7):1009-1013.
162. Xie JT, Wu JA, Mehendale S, Aung HH, Yuan CS. Anti-hyperglycemic effect of the polysaccharides fraction from American ginseng berry extract in ob/ob mice. Phytomedicine. 2004;11(2-3):182-187.
163. Spinas GA, Laffranchi R, Francoys I, David I, Richter C, Reinecke M. The early phase of glucose-stimulated insulin secretion requires nitric oxide. Diabetologia. 1998;41(3):292-299.
164. Kim ND, Kang SY, Schini VB. Ginsenosides evoke endothelium-dependent vascular relaxation of the rat aorta. Gen Pharmacol. 1994;25(6):1071-1077.
165. Teng CM, Kuo SC, Ko FN, et al. Antiplatelet actions of panaxynol and ginsenosides isolated from ginseng. Biochim Biophys Acta. 1989;990(3):315-320.
166. Shin JY, Song JY, Yun YS, Yang HO, Rhee DK, Pyo S. Immunostimulating effects of acidic polysaccharides extract of Panax ginseng on macrophage function. Immunopharmacol Immunotoxicol. 2002;24(3):469-482.
167. Yuan CS, Wei G, Dey L, et al. Brief communication: American ginseng reduces warfarin’s effect in healthy patients: a randomized, controlled trial. Ann Intern Med. 2004;141(1):23-27.
168. Koren G, Randor S, Martin S, Danneman D. Maternal ginseng use associated with neonatal androgenization. JAMA. 1990;264(22):2866.
169. Awang DVC. Maternal use of ginseng and neonatal androgenization. JAMA. 1991;266(3):363.
170. Waller DP, Martin AM, Farnsworth NR, Awang DV. Lack of androgenicity of Siberian ginseng. JAMA. 1992;267(17):2329.
171. Vohra S, Johnston BC, Laycock KL, et al. Safety and tolerability of North American ginseng extract in the treatment of pediatric upper respiratory tract infection: a phase II randomized, controlled trial of 2 dosing schedules. Pediatrics. 2008;122(2):e402-e410.
172. Blumenthal M, Goldberg A, Brinckmann J. Herbal Medicine: Expanded Commission E Monographs. Newton, MA: Integrative Medicines Communications; 2000.
173. Schoop R, Klein P, Suter A, Johnston SL. Echinacea in the prevention of induced rhinovirus colds: a meta-analysis. Clin Ther. 2006;28(2):174-183.
174. Pellati F, Benvenuti S, Melegari M, Lasseigne T. Variability in the composition of anti-oxidant compounds in Echinacea species by HPLC. Phytochem Anal. 2005;16(2):77-85.
175. Müller-Jakic B, Breu W, Pröbstle A, Redl K, Greger H, Bauer R. In vitro inhibition of cyclooxygenase and 5-lypoxygenase by alkamides from Echinacea and Achillea species. Planta Med. 1994;60(1):37-40.
176. Hinz B, Woelkart K, Bauer R. Alkamides from Echinacea inhibit cyclooxygenase-2 activity in human neuroglioma cells. Biochem Biophys Res Commun. 2007;360(2):441-446.
177. Gilroy CM, Steiner JF, Byers T, Shapiro H, Georgian W. Echinacea and truth in labeling. Arch Intern Med. 2003;163(6):699-704.
178. Caruso TJ, Gwaltney JM Jr. Treatment of the common cold with echinacea: a structured review. Clin Infect Dis. 2005;40(6): 807-810.
179. Karsch-Völk M, Barrett B, Kiefer D, Bauer R, Ardjomand-Woelkart K, Linde K. Echinacea for preventing and treating the common cold. Cochrane Database Syst Rev. 2014;(2):CD000530.
180. Sperber SJ, Shah LP, Gilbert RD, Ritchey TW, Monto AS. Echinacea purpurea for prevention of experimental rhinovirus colds. Clin Infect Dis. 2004;38(10):1367-1371.
181. Turner RB, Bauer R, Woelkart K, Hulsey TC, Gangemi JD. An evaluation of Echinacea angustifolia in experimental rhinovirus infections. N Engl J Med. 2005;353(4):341-348.
182. Turner RB, Riker DK, Gangemi JD. Ineffectiveness of echinacea for prevention of experimental rhinovirus colds. Antimicrob Agents Chemother. 2000;44(6):1708-1709.
183. Taylor JA, Weber W, Standish L, et al. Efficacy and safety of echinacea in treating upper respiratory tract infections in children: a randomized controlled trial. JAMA. 2003;290(21):2824-2830.
184. Mullins RJ. Echinacea-associated anaphylaxis. Med J Aust. 1998;168(4):170-171.
185. Gallo M, Sarkar M, Au W, et al. Pregnancy outcomes following gestational exposure to echinacea: a prospective controlled study. Arch Intern Med. 2000;160(20):3141-3143.
186. Schulz V, Hänsel R, Tyler VE, Blumenthal M. Rational Phytotherapy: A Physician’s Guide to Herbal Medicine. 5th ed. New York, NY: Springer; 2004.
187. Holm E, Staedt U, Heep J, et al. The action profile of D,L-kavain: cerebral sites and sleep-wakefulness-rhythm in animals. [Article in German]. Arzneimittelforschung. 1991;41(7):673-683.
188. Kretzschmar R, Meyer HJ, Teschendorf HJ. Strychnine antagonistic potency of pyrone compounds of the kavaroot (Piper methysticum Forst.). Experientia. 1970;26(3):283-284.
189. Gleitz J, Beile A, Wilkens P, Ameri A, Peters T. Antithrombotic action of the kava pyrone (+)-kavain prepared from Piper methysticum on human platelets. Planta Med. 1997;63(1):27-30.
190. Pittler MH, Ernst E. Kava extract versus placebo for treating anxiety. Cochrane Database Syst Rev. 2003;(1):CD003383.
191. Boerner RJ, Sommer H, Berger W, Kuhn U, Schmidt U, Mannel M. Kava-Kava extract LI 150 is as effective as Opipramol and Buspirone in generalised anxiety disorder—an 8-week randomized, double-blind multi-centre clinical trial in 129 out-patients. Phytomedicine. 2003;10(suppl 4):38-49.
192. Bodin R, Schneider S, Rekkerth D, Spillane L, Kamali M. Rhabdomyolysis associated with kava ingestion. Am J Emerg Med. 2012; 30(4):635.e1-e3.
193. Spillane PK, Fisher DA, Currie BJ. Neurological manifestations of kava intoxication. Med J Aust. 1997;167(3):172-173.
194. U.S. Food and Drug Administration. Kava-Containing Dietary Supplements May Be Associated with Severe Liver Injury. Available at http://www.fda.gov/Food/ResourcesForYou/Consumers/ucm085482.htm. Last accessed June 15, 2016.
195. LaPorte E, Sarris J, Stough C, Scholey A. Neurocognitive effects of kava (Piper methysticum): a systematic review. Hum Psychopharmacol. 2011;26(2):102-111.
196. Bressler R. Herb-drug interactions: interactions between kava and prescription medications. Geriatrics. 2005;60(9):24-25.
197. Ang-Lee MK, Moss J, Yuan CS. Herbal medicines and perioperative care. JAMA. 2001;286(2):208-216.
198. Schulze J, Raasch W, Siegers CP. Toxicity of kava pyrones, drug safety precautions—a case study. Phytomedicine. 2003;10(Suppl 4):68-73.
199. Sarris J, Kavanagh DJ, Byrne G, Bone KM, Adams J, Deed G. The Kava Anxiety Depression Spectrum Study (KADSS): a randomized, placebo-controlled crossover trial using an aqueous extract of Piper methysticum. Psychopharmacology (Berl). 2009;205(3):399-407.
200. Mathews JM, Etheridge AS, Black SR. Inhibition of human cytochrome P450 activities by kava extract and kavalactones.Drug Metab Dispos. 2002;30(11):1153-1157.
201. Khanum F, Anilakumar KR, Viswanathan KR. Anticarcinogenic properties of garlic: a review. Crit Rev Food Sci Nutr. 2004;44(6):479-488.
202. Agarwal KC. Therapeutic actions of garlic constituents. Med Res Rev. 1996;16(1):111-124.
203. Liu L, Yeh YY. Inhibition of cholesterol biosynthesis by organosulfur compounds derived from garlic. Lipids. 2000;35(2):197-203.
204. Ariga T, Seki T. Antithrombotic and anticancer effects of garlic-derived sulfur compounds: a review. Biofactors. 2006;26(2):93-103.
205. Hosono T, Fukao T, Ogihara J, et al. Diallyl trisulfide suppresses the proliferation and induces apoptosis of human colon cancer cells through oxidative modification of beta-tubulin. J Biol Chem. 2005;280(50):41487-41493.
206. Sakamoto K, Lawson LD, Milner JA. Allyl sulfides from garlic suppress the in vitro proliferation of human A549 lung tumor cells. Nutr Cancer. 1997;29(2):152-156.
207. Li Y, Zhang J, Zhang L, Si M, Yin H, Li J. Diallyl trisulfide inhibits proliferation, invasion and angiogenesis of osteosarcoma cells by switching on suppressor micro RNAs and inactivating of Notch-1 signaling. Carcinogenesis. 2013;34(7):1601-1610.
208. Antony ML, Singh SV. Molecular mechanisms and targets of cancer chemoprevention by garlic-derived bioactive compound diallyl trisulfide. Indian J Exp Biol. 2011;49(11):805-816.
209. Silagy C, Neil A. Garlic as a lipid lowering agent––a meta-analysis. J R Coll Physicians Lond. 1994;28(1):39-45.
210. Warshafsky S, Kamer RS, Sivak SL. Effect of garlic on total serum cholesterol a meta-analysis. Ann Intern Med. 1993;119(7 Pt 1):599-605.
211. Stevinson C, Pittler MH, Ernst E. Garlic for treating hypercholesterolemia: a meta-analysis of randomized clinical trials. Ann Intern Med. 2000;133(6):420-429.
212. Ackermann RT, Mulrow CD, Ramirez G, Gardner CD, Morbidoni L, Lawrence VA. Garlic shows promise for improving some cardiovascular risk factors. Arch Intern Med. 2001;161(6):813-824.
213. Simons S, Wollersheim H, Thien T. A systematic review on the influence of trial quality on the effect of garlic on blood pressure. Neth J Med. 2009;67(6):212-219.
214. Siegel G, Klüssendorf D. The anti-atheroslerotic effect of Allium sativum: statistics re-evaluated. Atherosclerosis. 2000;150(2): 437-438.
215. Fleischauer AT, Arab L. Garlic and cancer: a critical review of the epidemiologic literature. J Nutr. 2001;131(3S):1032S-1040S.
216. Piscitelli SC, Burstein AH, Welden N, Gallicano KD, Falloon J. The effect of garlic supplements on the pharmacokinetics of saquinavir. Clin Infect Dis. 2002;34(2):234-238.
217. Dietz BM, Mahady GB, Pauli GF, Farnsworth NR. Valerian extract and valerenic acid are partial agonists of the 5-HT5a receptor in vitro. Brain Res Mol Brain Res. 2005;138(2):191-197.
218. Ortiz JG, Rassi N, Maldonado PM, González-Cabrera S, Ramos I. Commercial valerian interactions with [3H]Flunitrazepam and [3H]MK-801 binding to rat synaptic membranes. Phytother Res. 2006;20(9):794-798.
219. Thomas DR. 5-ht5A receptors as a therapeutic target. Pharmacol Ther. 2006;111(3):707-714.
220. Santos MS, Ferreira F, Cunha AP, Carvalho AP, Riberio CF, Macedo T. Synaptosomal GABA release as influenced by valerian root extract—involvement of the GABA carrier. Arch Int Pharmacodyn Ther. 1994;327(2):220-231.
221. Riedel E, Hänsel R, Ehrke G. Inhibition of gamma-aminobutyric acid catabolism by valerenic acid derivatives [Article in German]. Planta Med. 1982;46(12):219-220.
222. Murphy K, Kubin ZJ, Shepard JN, Ettinger RH. Valeriana officinalis root extracts have potent anxiolytic effects in laboratory rats. Phytomedicine. 2010;17(8-9):674-678.
223. Stevinson C, Ernst E. Valerian for insomnia: a systematic review of randomized clinical trials. Sleep Med. 2000;1(2):91-99.
224. Donath F, Quispe S, Diefenbach K, Maurer A, Fietze I, Roots I. Critical evaluation of the effect of valerian extract on sleep structure and sleep quality. Pharmacopsychiatry. 2000;33(2):47-53.
225. Garges HP, Varia I, Doraiswamy PM. Cardiac complications and delirium associated with valerian root withdrawal. JAMA. 1998;280(18):1566-1567.
226. Oxman AD, Flottorp S, Havelsrud K, et al. A televised, web-based randomized trial of an herbal remedy (valerian) for insomnia. PLoS One. 2007;2(10):e1040.
227. Koetter U, Schrader E, Kaufeler R, Brattstrom A. A randomized, double blind, placebo-controlled, prospective clinical study to demonstrate clinical efficacy of a fixed valerian hops extract combination (Ze 91019) in patients suffering from non-organic sleep disorder. Phytother Res. 2007;21(9):847-851.
228. Tang W, Eisenbrand G. Chinese Drugs of Plant Origin: Chemistry, Pharmacolgy, and Use in Traditional and Modern Medicine. New York, NY: Springer-Verlag; 1992.
229. Tan BKH, Zhang ACY. Andrographis paniculata and the cardiovascular system. In: Packer L, Ong CN, Halliwell B (eds). Herbal and Traditional Medicine: Molecular Aspects of Health. New York, NY: Marcel Dekker Publisher; 2004: 441-456.
230. Coon JT, Ernst E. Andrographis paniculata in the treatment of upper respiratory tract infections: a systematic review of safety and efficacy. Planta Med. 2004;70(4):293-298.
231. Poolsup N, Suthisisang C, Prathanturarug S, Asawamekin A, Chanchareon U. Andrographis paniculata in the symptomatic treatment of uncomplicated upper respiratory tract infection: systematic review of randomized controlled trials. J Clin Pharm Ther. 2004;29(1):37-45.
232. Cáceres DD, Hancke JL, Burgos RA, Sandberg F, Wikman GK. Use of visual analogue scale measurements (VAS) to assess the effectiveness of standardized Andrographis paniculata extract SHA-10 in reducing the symptoms of common cold: a randomized double blind-placebo study. Phytomedicine. 1999;6(4):217-223.
233. Saxena RC, Singh R, Kumar P, et al. A randomized double blind placebo controlled clinical evaluation of extract of Andrographis paniculata (KalmCold) in patients with uncomplicated upper respiratory tract infection. Phytomedicine. 2010;17(3-4):178-185.
234. Calabrese C, Berman SH, Babish JG, et al. A phase I trial of andrographolide in HIV positive patients and normal volunteers. Phytother Res. 2000;14(5):333-338.
235. Gabrielian ES, Shukarian AK, Goukasova GI, et al. A double blind, placebo-controlled study of Andrographis paniculata fixed combination Kan Jang in the treatment of acute upper respiratory tract infections including sinusitis. Phytomedicine. 2002;9(7):589-597.
236. Huntley A, Ernst E. Herbal medicines for asthma: a systematic review. Thorax. 2000;55(11):925-929.
237. Hofmann D, Hecker M, Völp A. Efficacy of dry extract of ivy leaves in children with bronchial asthma: a review of randomized controlled trials. Phytomedicine. 2003;10(2-3):213-220.
238. Hecker M, Runkel F, Voelp A. Treatment of chronic bronchitis with ivy leaf special extract––multicenter post-marketing surveillance study in 1,350 patients [Article in German]. Forsch Komplementarmed Klass Naturheilkd. 2002;9(2):77-84.
239. Fazio S, Pouso J, Dolinsky D, et al. Tolerance, safety and efficacy of Hedera helix extract in inflammatory bronchial diseases under clinical practice conditions: a prospective, open, multicentre postmarketing study in 9657 patients. Phytomedicine. 2009;16(1):17-24.
240. Gaillard Y, Blaise P, Darré A, Barbier T, Pépin G. An unusual case of death: suffocation caused by leaves of common ivy (Hedera helix). Detection of hederacoside C, alpha-hederin, and hederagenin by LC-EI/MS-MS. J Anal Toxicol. 2003;27(4):257-262.
241. Brinker F. Herb contraindications and drug interactions. J Altern Complemnt Med. 2002;8(2):215-217.
242. Gahche J, Bailey R, Burt V, et al. Dietary Supplement Use among U.S. Adults has Increased Since NHANES III (1988–1994). Available at http://www.cdc.gov/nchs/data/databriefs/db61.htm. Last accessed June 9, 2016.
243. Nahin RL, Barnes PM, Stussman BJ. Expenditures on complementary health approaches: United States, 2012. Natl Health Stat Report. 2016;95:1-11.
244. Bent S. Herbal medicine in the United States: review of efficacy, safety, and regulation. J Gen Intern Med. 2008;23(6):854-859.
245. Hulisz D, Duff C. Assisting seniors with insomnia: a comprehensive approach. US Pharmacist. 2009;34(6):38-43.
246. American Cancer Society. Complementary and Alternative Therapies for Advanced Cancer. Available at http://www.cancer.org/treatment/understandingyourdiagnosis/advancedcancer/advanced-cancer-cam. Last accessed June 9, 2016.
247. Herro E, Jacob SE. Mentha piperita (peppermint). Dermatitis. 2010;21(6):327-329.
248. Kligler B, Chaudhary S. Peppermint oil. Am Fam Physician. 2007;75(7):1027-1030.
249. Capello G, Spezzaferro M, Grossi L, Manzoli L, Marzio L. Peppermint oil (Mintoil) in the treatment of irritable bowel syndrome: a prospective double blind placebo-controlled randomized trial. Dig Liver Dis. 2007;39(6):530-536.
250. Merat S, Khalili S, Mostajabi P, Ghorbani A, Ansari R, Malekzadeh R. The effect of enteric-coated, delayed-release peppermint oil on irritable bowel syndrome. Dig Dis Sci. 2010;55(5):1385-1390.
251. Heimes K, Hauk F, Verspohl EJ. Mode of action of peppermint oil and (-)-menthol with respect to 5-HT3 receptor subtypes: binding studies, cation uptake by receptor channels and contraction of isolated rat ileum. Phytother Res. 2011;25(5):702-708.
252. Chang HY, Kelly EC, Lembo AJ. Current gut-directed therapies for irritable bowel syndrome. Curr Treat Options Gastroenterol. 2006;9(4):314-323.
253. Heimes K, Hauk F, Verspohl EJ. Mode of action of peppermint oil and (-)-menthol with respect to 5-HT3 receptor subtypes: binding studies, cation uptake by receptor channels and contraction of isolated rat ileum. Phytother Res. 2011;25(5):702-708.
254. Papathanasopoulos A, Rotondo A, Janssen P, et al. Effect of acute peppermint oil administration on gastric sensorimotor function and nutrient tolerance in health. Neurogastroenterol Motil. 2013;25(4):e263-e271.
255. Alam MS, Roy PK, Miah AR, et al. Efficacy of peppermint oil in diarrhea predominant IBS: a double blind randomized placebo-controlled study. Mymensingh Med J. 2013;22(1):27-30.
256. Grigoleit HG, Grigoleit P. Pharmacology and preclinical pharmacokinetics of peppermint oil. Phytomedicine. 2005;12(8):612-616.
257. Ruepert L, Quartero AO, de Wit NJ, van der Heijden GJ, Rubin G, Muris JWM. Bulking agents, antispasmodics, and antidepressants for the treatment of irritable bowel syndrome. Cochrane Database Syst Rev. 2011;8:CD003460.
258. Campo JV. Coping with ignorance: exploring pharmacologic management for pediatric functional abdominal pain. J Pediatr Gastroenterol Nutr. 2005;41(5):569-574.
259. May B, Köhler S, Schneider B. Efficacy and tolerability of a fixed combination of peppermint oil and caraway oil in patients suffering from functional dyspepsia. Aliment Pharmacol Ther. 2000;14(12):1671-1677.
260. Madisch A, Holtmann G, Mayr G, Vinson B, Hotz J. Treatment of functional dyspepsia with a herbal preparation: a double-blind, randomized, placebo-controlled, multicenter trial. Digestion. 2004;69(1):45-52.
261. Benner MH, Lee HJ. Anaphylactic reaction to chamomile tea. J Allergy Clin Immunol. 1973;52(5):307-308.
262. Ottillinger B, Storr M, Malfertheiner P, Allescher HD. STW 5 (Iberogast)—a safe and effective standard in the treatment of functional gastrointestinal disorders. Wien Med Wochenschr. 2013;163(3-4):65-72.
263. Asao T, Mochiki E, Suzuki H, et al. An easy method for the intraluminal administration of peppermint oil before colonoscopy and its effectiveness in reducing colonic spasm. Gastrointest Endosc. 2001;53(2):172-177.
264. Pimentel M, Bonorris GG, Chow EJ, Lin HC. Peppermint oil improves the manometric findings in diffuse esophageal spasm.J Clin Gastroenterol. 2001;33(1):27-31.
265. Hiki N, Kurosaka H, Tatsutomi Y, et al. Peppermint oil reduces gastric spasm during upper endoscopy: a randomized, double-blind, double-dummy controlled trial. Gastrointest Endosc. 2003;57(4):475-482.
266. Mizuno S, Kato K, Ono Y, et al. Oral peppermint oil is a useful antispasmodic for double-contrast barium meal examination.J Gastroenterol Hepatol. 2006;21(8):1297-1301.
267. Yamamoto N, Nakai Y, Sasahira N, et al. Efficacy of peppermint oil as an antispasmodic during endoscopic retrograde cholangiopancreatography. J Gastroenterol Hepatol. 2006;21(9):1394-1398.
268. Ding M, Leach M, Bradley H. The effectiveness and safety of ginger for pregnancy-induced nausea and vomiting: a systematic review. Women Birth. 2013;26(1):e26-e30.
269. Tamir S, Davidovich Z, Attal P, Eliashar R. Peppermint oil chemical burn. Otolaryngol Head Neck Surg. 2005;133(5):801-802.
270. Vermaat H, van Meurs T, Rustemeyer T, Bruynzeel DP, Kirtschig G. Vulval allergic contact dermatitis due to peppermint oil in herbal tea. Contact Dermatitis. 2008;58(6):364-365.
271. Madisch A, Holtmann G, Mayr G, Vinson B, Hotz J. Treatment of functional dyspepsia with a herbal preparation: a double-blind, randomized, placebo-controlled, multicenter trial. Digestion. 2004;69(1):45-52.
272. Nair B. Final report on the safety assessment of Mentha piperita (peppermint) oil, Mentha piperita (peppermint) leaf extract, Mentha piperita (peppermint) leaf, and Mentha piperita (peppermint) leaf water. Int J Toxicol. 2001;20(suppl 3):61-73.
273. Scientific Committee on Food. Opinion of the Scientific Committee on Food on Pulegone and Menthofuran. Available at http://ec.europa.eu/food/fs/sc/scf/out133_en.pdf. Last accessed June 9, 2016.
274. Tamir S, Davidovich Z, Attal P, Eliashar R. Peppermint oil chemical burn. Otolaryngol Head Neck Surg. 2005;133(5):801-802.
275. Micklefield G, Jung O, Greving I, May B. Effects of intraduodenal application of peppermint oil (WS(R) 1340) and caraway oil (WS(R) 1520) on gastroduodenal motility in healthy volunteers. Phytother Res. 2003;17(2):135-140.
276. Goerg KJ, Spilker T. Effect of peppermint oil and caraway oil on gastrointestinal motility in healthy volunteers: a pharmacodynamic study using simultaneous determination of gastric and gall-bladder emptying and orocaecal transit time. Aliment Pharmacol Ther. 2003;17(3):445-451.
277. Chrubasik S, Pittler MH, Roufogalis BD. Zingiberis rhizoma: a comprehensive review on the ginger effect and efficacy profiles. Phytomedicine. 2005;12(9):684-701.
278. Kraft K. Erkrankungen der Haut (II). Diseases of the skin: other eczema types, acne and pruritus. Z Phytotherapie. 2007;28(3):129-133.
279. Grzanna R, Lindmark L, Frondoza CG. Ginger: an herbal medicinal product with broad anti-inflammatory actions. J Med Food. 2005;8(2):125-132.
280. Casterline Cl. Allergy to chamomile tea. JAMA. 1980;4:330-331.
281. Kraft K. Erkrankungen der Haut (II). Z Phytotherapie. 2007;28(4):178-180.
282. Aggag ME, Yousef RT. Study of antimicrobial activity of chamomile oil. Planta Med. 1972;22:140-144.
283. Awad R, Levac D, Cybulska P, Merali Z, Trudeau VL, Arnason JT. Effects of traditionally used anxiolytic botanicals on enzymes of the gamma-aminobutyric acid (GABA) system. Can J Physiol Pharmacol. 2007;85(9):933-942.
284. Ross SM. An integrative approach to eczema (atopic dermatitis). Holist Nurs Pract. 2003;17:56-62.
285. Craker LE. Herb, Spices, and Medicinal Plants: Recent Advances in Botany, Horticulture, and Pharmacology. Vol 1. Phoenix, AZ: Oryx Press; 1986.
286. White B. Ginger: an overview. Am Fam Physician. 2007;75(11):1689-1691.
287. Carnat A, Carnat AP, Fraisse D, Ricoux L, Lamaison JL. The aromatic and polyphenolic composition of Roman camomile tea. Fitoterapia. 2004;75:32-38.
288. Mayo Clinic. Soy (Glycine max): Dosing. Available at http://www.mayoclinic.org/drugs-supplements/soy/dosing/hrb-20060012. Last accessed June 15, 2016.
289. National Toxicology Program. NTP Brief on Soy Infant Formula, September 16, 2010. Available at http://ntp.niehs.nih.gov/ntp/ohat/genistein-soy/soyformulaupdt/finalntpbriefsoyformula_9_20_2010.pdf. Last accessed June 9, 2016.
290. Krebs EE, Ensrud KE, MacDonald R, Wilt TJ. Phytoestrogens for treatment of menopausal symptoms: a systematic review. Obstet Gynecol. 2004;104(4):824-836.
291. Geller SE, Studee L. Botanical and dietary supplements for menopausal symptoms: what works, what does not. J Womens Health (Larchmt). 2005;14(7):634-649.
292. Lethaby AE, Brown J, Marjoribanks J, Kronenberg F, Roberts H, Eden J. Phytoestrogens for vasomotor menopausal symptoms. Cochrane Database Syst Rev. 2007;(4):CD001395.
293. Gerritsen M, Carley WW, Ranges GE, et al. Flavonoids inhibit cytokine-induced endothelial cell adhesion protein gene expression. Am J Pathol. 1995;147:278-292.
294. Sacks FM, Lichtenstein A, Van Horn L, Harris W, Kris-Etherton P, Winston M; American Heart Association Nutrition Committee. Soy protein, isoflavones, and cardiovascular health: an American Heart Association science advisory for professionals from the nutrition committee. Circulation. 2006;113(7):1034-1044.
295. Ma DF, Qin LQ, Wang PY, Katoh R. Soy isoflavone intake increases bone mineral density in the spine of menopausal women: meta-analysis of randomized controlled trials. Clin Nutr. 2008;27(1):57-64.
296. Wong WW, Lewis RD, Steinberg FM, et al. Soy isoflavone supplementation and bone mineral density in menopausal women: a 2-y multicenter clinical trial. Am J Clin Nutr. 2009;90(5):1433-1439.
297. Koukourakis GV, Kelekis N, Kouvaris J, Beli IK, Kouloulias VE. Therapeutics interventions with anti-inflammatory creams in post-radiation acute skin reactions: a systematic review of most important clinical trials. Recent Pat Inflamm Allergy Drug Discov. 2010;4(2):149-158.
298. Amsterdam JD, Shults J, Soeller I, Mao JJ, Rockwell K, Newberg AB. Chamomile (Matricaria recutita) may provide antidepressant activity in anxious, depressed humans: an exploratory study. Altern Ther Health Med. 2012;18(5):44-49.
299. Messina M, McCaskill-Stevens W, Lampe JW. Addressing the soy and breast cancer relationship: review, commentary, and workshop proceedings. J Natl Cancer Inst. 2006;98(18):1275-1284.
300. National Center for Complementary and Integrative Health. Herbs at a Glance: Soy. Available at https://nccih.nih.gov/health/soy/ataglance.htm. Last accessed June 17, 2016.
301. Anderson C, Lis-Balchin M, Kirk-Smith M. Evaluation of massage with essential oils on childhood atopic eczema. Phytother Res. 2000;14:452-456.
302. National Institutes of Health Office of Dietary Supplements. Dietary Supplements. Available at https://ods.od.nih.gov/factsheets/DietarySupplements-HealthProfessional/. Last accessed June 9, 2016.
303. U.S. Pharmacopeial Convention. USP Dietary Supplement Standards. Available at http://www.usp.org/dietary-supplements/overview. Last accessed June 9, 2016.
304. Tan MS, Yu JT, Tan CC, et al. Efficacy and adverse effects of ginkgo biloba for cognitive impairment and dementia: a systematic review and meta-analysis. J Alzheimers Dis. 2015;43(2):589-603.
305. Gui QF, Xu ZR, Xu KY, Yang YM. The efficacy of ginseng-related therapies in type 2 diabetes mellitus: an updated systematic review and meta-analysis. Medicine (Baltimore). 2016;95(6):e2584.
306. Guercio V, Galeone C, Turati F, La Vecchia C. Gastric cancer and allium vegetable intake: a critical review of the experimental and epidemiologic evidence. Nutr Cancer. 2014;66(5):757-773.
307. Raghu R, Lu KH, Sheen LY. Recent research progress on garlic (dà suàn) as a potential anticarcinogenic agent against major digestive cancers. J Tradit Complement Med. 2012;2(3):192-201.
308. Sarris J, Byrne GJ. A systematic review of insomnia and complementary medicine. Sleep Med Rev. 2011;15(2):99-106.
309. Gharib M, Samani LN, Panah ZE, Naseri M, Bahrani N, Kiani K. The effect of valeric on anxiety severity in women undergoing hysterosalpingography. Glob J Health Sci. 2015;7(3):358-363.
310. Borrelli F, Capasso R, Aviello G, Pittler MH, Izzo AA. Effectiveness and safety of ginger in the treatment of pregnancy-induced nausea and vomiting. Obstet Gynecol. 2005;105:849-856.
311. U.S. Food and Drug Administration. Statement from Susan Mayne, Ph.D., on Proposal to Revoke Health Claim that Soy Protein Reduces Risk of Heart Disease. Available at https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm582744.htm. Last accessed November 2, 2017.
Evidence-Based Practice Recommendations Citations
1. American Psychiatric Association. Practice Guideline for the Treatment of Patients with Major Depressive Disorder. 3rd ed. Arlington, VA: American Psychiatric Association; 2010. Summary retrieved from National Guideline Clearinghouse at http://www.guideline.gov/content.aspx?id=24158. Last accessed June 22, 2016.
2. Greenlee H, Balneaves LG, Carlson LE, et al. Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer. J Natl Cancer Inst Monographs. 2014;2014(50):346-358. Summary retrieved from National Guideline Clearinghouse at http://www.guideline.gov/content.aspx?id=49481. Last accessed June 22, 2016.
3. Snellman L, Adams W, Anderson G, et al. Diagnosis and Treatment of Respiratory Illness in Children and Adults. Bloomington, MN: Institute for Clinical Systems Improvement; 2013. Summary retrieved from National Guideline Clearinghouse at http://www.guidelines.gov/content.aspx?id=43792. Last accessed June 22, 2016.
4. Pittler MH, Ernst E. Kava extract for treating anxiety. Cochrane Database Syst Rev. 2003;(1):CD003383. Abstract available at http://www.cochrane.org/CD003383/DEPRESSN_kava-extract-for-treating-anxiety. Last accessed June 22, 2016.
5. Qaseem A, Fihn SD, Dallas P, et al. Management of stable ischemic heart disease: summary of a clinical practice guideline from the American College of Physicians/American College of Cardiology Foundation/American Heart Association/American Association for Thoracic Surgery/Preventive Cardiovascular Nurses Association/Society of Thoracic Surgeons. Ann Intern Med. 2012;157(10):735-743. Summary retrieved from National Guideline Clearinghouse at at http://www.guideline.gov/content.aspx?id=39254. Last accessed June 22, 2016.

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