How Do I Maintain a Healthy Immune System After Taking Antibiotics?

How Do I Maintain a Healthy Immune System After Taking Antibiotics?
How Do I Maintain a Healthy Immune System After Taking Antibiotics?

Even the healthiest body encounters challenges every now and then, and occasionally, antibiotics are needed to treat an infection. While they serve a very necessary purpose, antibiotics can also have some unwanted side effects, including upsetting your gut health and affecting your immune system.

So if you’re asking yourself, “How do I maintain a healthy immune system after antibiotics?” you’ve come to the right place.

In this article, we’ll discuss how antibiotics impact your body (both positively and negatively) and share four ways to promote healthy immune function after antibiotics.

How Antibiotics Affect Your Body

A healthy immune system helps fight off invasive bacteria that cause infections (bacterial infections). However, sometimes your body needs a little help. That’s where antibiotics come in.

Antibiotics are designed to do away with bacteria. They don’t treat viruses, but when it comes to fighting off a nasty infection caused by bacteria, they are quite effective, which is good news.

Decades ago, people died from infections that are easily treated with antibiotics now. But what you might not be aware of is that not all bacteria are bad.

Bacteria are living microorganisms, some good for your body and others not. For example, there are good bacteria in your gut that support digestion and your immune system.1

Antibiotics typically do a fantastic job of destroying the unwanted bacteria that cause infection in your body.

Here’s how: “Antibiotics work by disrupting bacterial cells in several ways, such as inhibiting the bacterium’s ability to build its cell wall, blocking its reproduction, or interfering with its ability to store and use energy.”2

The problem, however, is that they are also efficient at doing away with good bacteria in your digestive tract.

Antibiotics can cause side effects that are directly related to your digestive system. About one in 10 people who take antibiotics will have side effects such as temporary vomiting, nausea, diarrhea, indigestion, and more.3

All of that said, it’s clear that antibiotics are sometimes necessary.

But since they can also wipe out the good bacteria in your gut, which can impact immune function, after antibiotics you need to care for your digestive tract in order to sustain your immune system.

How to Maintain Your Immune System After Antibiotics

Since much of your immune system is dependent on your gut bacteria (or microbiome), maintaining your immune system after taking antibiotics is all about supporting your digestive tract function and microbiome health. This will, in turn, support your immune health.

Because all of your bodily systems are intricately connected, taking care of your body in general will also pay off when it comes to maintaining a healthy gut and healthy immune system. That means sleeping well at night, exercising, and managing stress.

But in addition to those wellness tips, there are a few specific ways that you can care for your gut after a round of antibiotics.

Eat Fermented Foods or Take Probiotics*

You may already be familiar with this step. Probiotics are beneficial living microorganisms. They can be found in fermented foods (such as those listed below) or taken in supplement form.

When you consume probiotics, these new beneficial microorganisms join the good bacteria you already have in your gut.

To help support your immune system, you can take high-quality probiotics in supplement form or increase your intake of the following delicious probiotic-rich foods:4*

  • Yogurt
  • Kefir
  • Kombucha
  • Sauerkraut
  • Pickles
  • Miso
  • Tempeh
  • Kimchi
  • Sourdough bread
  • Some cheeses

Take Prebiotics

We just talked about probiotics. Now we’re talking about prebiotics.

What’s the difference? Prebiotics are a type of fiber that nourishes your gut bacteria (probiotics). In other words, prebiotics are what the microorganisms in your gut feed on. Without prebiotics, the good bacteria in your gut can’t flourish.

Prebiotics are naturally found in foods such as asparagus, beets, garlic, onion, Jerusalem artichokes, wheat, honey, bananas, barley, tomatoes, rye, soy, milk, peas, beans, and others.5

However, they’re present in these foods only in low concentrations. That’s where prebiotic supplements come in.

Gaia Herbs Microbiome food

Gaia Herbs Microbiome Food is a plant-based prebiotic powder for digestive health made with beneficial herbs, including Larch, Acacia, Acerola, Fenugreek, Cinnamon, and Ginger.* With no added fillers, flavors, or sweeteners, you can feel good about what you’re putting in your body.

This powder is convenient to use and mixes easily in water. Adults should mix one teaspoon into four to six ounces of water and drink it daily between meals. You can gradually increase to one tablespoon per day for additional prebiotic support.*

Support a Calm Stomach*

When good bacteria are wiped out because of antibiotics, in addition to supporting the population of beneficial microorganisms, you also want to aid digestion and soothe your stomach. After all, it may not be at its best without those beneficial bugs.

Turn to Gaia Herbs GI Feel Good, a delicious tonic to help support a calm stomach and healthy GI tract.*

This formula is made with Chamomile, Fennel, Spearmint, Catnip, Ginger, and Lemon Balm, which is grown on our very own Certified Organic farm in the Blue Ridge Mountains of North Carolina.

We chose this 350-acre plot of land for its rich alluvial soil and amazing biodiversity. We grow 25 to 40 different herbs each year, nurturing and observing every plant that we cultivate, allowing it to flourish in the sun until the precise moment to harvest—when the active phytochemicals are at their peak.

We verify at every stage of the Gaia Herbs seed-to-shelf journey because you deserve to know exactly what’s in your herbal supplement.

As part of our commitment to transparency, we make it easy for you to discover the origin of all of the herbs in your formula; learn how they were grown, harvested, and extracted; and allow you to see validation of your product’s level of purity and potency.

Simply visit meetyourherbs.com, the world’s first herb traceability platform, and enter the ID number located on the back of your GI Feel Good liquid extract (or any Gaia Herbs product) to access this information and more.

To maintain a calm stomach, simply take 60 drops of GI Feel Good in a small amount of water three or four times a day.*

Gaia Herbs Gi Feel Good

Bitters can also help support a calm stomach.* They have been used for quite some time in countries like China, India, Europe, and the Americas.* In some places, bitters have been counted on for thousands of years.

Gaia Herbs Sweetish Bitters is a liquid extract that helps promote healthy digestion and is convenient for use at home, the office, or while traveling.*

Gaia Herbs Sweetish Bitters

Our supportive formula is made with Anise, Kelp, Brown Seaweed, Ginger, Cardamom, Fennel, and more.

To take advantage of the benefits of digestive bitters, simply put 60 drops of Sweetish Bitters in a small amount of water and drink it 15 to 20 minutes before a meal.

Discover Daily Immune Support*

Now that we’ve talked about four ways to maintain a healthy immune system after taking antibiotics, we want to leave you with some natural options for immune support.*

We recommend Astragalus root and traditional mushrooms, which can be found in the following immune-support products.

Everyday Immune Mushrooms & Herbs

Gaia Herbs Everyday Immune Mushrooms & Herbs contains a blend of organically grown mushrooms (including Chaga, Cordyceps, Maitake, and Reishi) and herbs designed to help sustain overall wellness.*

Adults should take one capsule twice a day and continue to use long term for the best results.*

Immune Mushroom Blend

For more year-round immune support from mushrooms, turn to our Immune Mushroom Blend, a mix of five potent immune mushrooms—Reishi, Cordyceps, Turkey Tail, Shiitake, and Chaga. The mushrooms are 100% organically grown and sustainably sourced. At 5x strength, you only need one capsule per day.*

Immune Shine™

If you prefer a powder that you can mix into smoothies or drinks, Gaia Herbs Immune Shine™ is a great option. This USDA Certified Organic powder combines all the benefits of mushrooms that support immune health with herbs traditionally used to maintain overall well-being.*

To benefit from the Astragalus, Maitake, Chaga, Black Elderberry, and Ginger in this supplement, simply mix one teaspoon of powder into a smoothie, dairy or non-dairy milk, or any other beverage of your choice and enjoy.*

 Gaia herbs immune shine

One last tip for the busy and stressed-out among us: Stress can tax the immune system over time, especially when it may be affected after a round of antibiotics.

For long-term immune support during stressful times, turn to Eleuthero and Ashwagandha.* These adaptogenic herbs can help your body cope with stress in a healthy way so you can stay feeling your best.*

Gaia Herbs offers many options for supporting a healthy immune system.* You can browse them here.

Probiotics and Prebiotics to Help Sustain Immune Health*

Antibiotics are a modern medical marvel that have saved millions of lives. The downside is that in addition to killing the bad, unwanted bacteria, antibiotics can also damage your good gut bacteria.

To maintain your immune system after antibiotics, you’ll want to take good care of your digestive system.

Follow the four tips we listed above: eat fermented foods or take probiotics, take prebiotics such as Gaia Herbs Microbiome Food, and keep your stomach calm with GI Feel Good and Sweetish Bitters. These tips and the supplements mentioned here can also help keep your digestive and immune systems functioning at their best.*

A healthy gut is essential to a healthy immune system. With just a bit of extra care, you can support your gut microbiome to help maintain your immune system after antibiotics.

REFERENCES:

1. Mary Cheung, MD, “6 Things You Should Know About Your Gut Bacteria,” The Well by Northwell, accessed April 18, 2021,
https://thewell.northwell.edu/well-informed/6-things-you-should-know-about-your-gut-bacteria.

2. “All About Antibiotics,” GI Society, accessed April 18, 2021,
https://badgut.org/information-centre/a-z-digestive-topics/all-about-antibiotics.

3. “Side Effects: Antibiotics,” NHS, accessed April 18, 2021,
https://www.nhs.uk/conditions/antibiotics/side-effects.

4. “How to Get More Probiotics,” Harvard Health Publishing, Harvard Medical School, updated August 24, 2020,
https://www.health.harvard.edu/staying-healthy/how-to-get-more-probiotics#.

5. Dorna Davani-Davari et al. “Prebiotics: Definition, Types, Sources, Mechanisms, and Clinical Applications,” Foods 8, no. 3 (March 2019): 92,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463098.

REFERENCES:

  • 1. Gustavo F. Gonzales, "Ethnobiology and Ethnopharmacology of Lepidium meyenii (Maca), a Plant from the Peruvian Highlands", Journal List Evid Based Complement Alternat Med v.2012; 2012 PMC3184420. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184420/
  • 2. Luis G Valerio Jr, Gustavo F Gonzales, "Toxicological aspects of the South American herbs cat's claw (Uncaria tomentosa) and Maca (Lepidium meyenii) : a critical synopsis", Toxicol Rev . 2005;24(1):11-35. doi: 10.2165/00139709-200524010-00002. PMID: 16042502. https://pubmed.ncbi.nlm.nih.gov/16042502/
  • 3. H. O. Meissner,1 P. Mrozikiewicz,2 T. Bobkiewicz-Kozlowska,3 A. Mscisz,2 B. Kedzia,2 A. Lowicka,2 H. Reich-Bilinska,4 W. Kapczynski,5 and I. Barchia6, "Hormone-Balancing Effect of Pre-Gelatinized Organic Maca (Lepidium peruvianum Chacon): (I) Biochemical and Pharmacodynamic Study on Maca using Clinical Laboratory Model on Ovariectomized Rats", Journal List Int J Biomed Sci v.2(3); 2006 Sep PMC3614604. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3614604/
  • 4. Eva Fries 1, Lucia Dettenborn, Clemens Kirschbaum, "The cortisol awakening response (CAR): facts and future directions", Int J Psychophysiol. 2009 Apr;72(1):67-73. doi: 10.1016/j.ijpsycho.2008.03.014.Epub 2008 Sep 30.. https://pubmed.ncbi.nlm.nih.gov/18854200/
  • 5. Nicolas C. Nicolaides 1, Alexandros N. Vgontzas 2, Ilia Kritikou 3, George Chrousos 4 Kenneth R Feingold 1, Bradley Anawalt 2, Alison Boyce 3, George Chrousos 4, Wouter W de Herder 5, Ketan Dhatariya 6, Kathleen Dungan 7, Jerome M Hershman 8, Johannes Hofland 9, Sanjay Kalra 10, Gregory Kaltsas 11, Christian Koch 12, Peter Kopp 13, Márta Korbonits 14, Christopher S Kovacs 15, Wendy Kuohung 16, Blandine Laferrère 17, Miles Levy 18, Elizabeth A McGee 19, Robert McLachlan 20, John E Morley 21, Maria New 22, Jonathan Purnell 23, Rakesh Sahay 24, Frederick Singer 25, Mark A Sperling 26, Constantine A Stratakis 27, Dace L Trence 28, Don P Wilson 29 , editors., "HPA Axis and Sleep", PMID: 25905298 Bookshelf ID: NBK279071. https://pubmed.ncbi.nlm.nih.gov/25905298/
  • 6. José Manuel Lozano Sánchez', Zoraida Axtle Serranol*, Julio Avilés Durán, Héctor Salvador Godoy Morales, Paola Berenice Merchand Álvarez, Ricardo Mera Mejía? Luis Felipe Montaño Estrada and Erika Patricia Rendón Huerta, "Peruvian Maca and Possible Impact on Fertility", Journal of Nutritional Health & Food Engineering. https://www.researchgate.net/profile/Jose-Manuel-Lozano-Sanchez/publication/317569911_Peruvian_Maca_and_Possible_Impact_on_Fertility/links/59494b03aca272a30c6cae11/Peruvian-Maca-and-Possible-Impact-on-Fertility.pdf
  • 7. A López-Fando 1, M P Gómez-Serranillos, I Iglesias, O Lock, U P Upamayta, M E Carretero, "Lepidium peruvianum chacon restores homeostasis impaired by restraint stress", Phytother Res . 2004 Jun;18(6):471-4. doi: 10.1002/ptr.1455.. https://pubmed.ncbi.nlm.nih.gov/15287072/
  • 8. Gustavo F. Gonzales *, "Ethnobiology and Ethnopharmacology of Lepidium meyenii (Maca), a Plant from the Peruvian Highlands", Evid Based Complement Alternat Med. 2012; 2012: 193496. Published online 2011 Oct 2. doi: 10.1155/2012/193496. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184420/
  • 9. José Manuel Lozano Sánchez', Zoraida Axtle Serranol*, Julio Avilés Durán, Héctor Salvador Godoy Morales, Paola Berenice Merchand Álvarez, Ricardo Mera Mejía? Luis Felipe Montaño Estrada and Erika Patricia Rendón Huerta, "Peruvian Maca and Possible Impact on Fertility", Journal of Nutritional Health & Food Engineering. https://www.researchgate.net/profile/Jose-Manuel-Lozano-Sanchez/publication/317569911_Peruvian_Maca_and_Possible_Impact_on_Fertility/links/59494b03aca272a30c6cae11/Peruvian-Maca-and-Possible-Impact-on-Fertility.pdf
  • 10. Maria Rosales-Hartshorn*, "Maca: Botanical Medicine from the Andes", Volume 1 : Issue 2 Article Ref. #: 1000AFTNSOJ1e001. https://www.openventio.org/Volume1-Issue2/Maca-Botanical-Medicine-from-the-Andes-AFTNSOJ-1-e001.pdf
  • 11. Natália da Silva Leitão Peres 1, Letícia Cabrera Parra Bortoluzzi, Leila Larisa Medeiros Marques, Maysa Formigoni, Renata Hernandez Barros Fuchs, Adriana Aparecida Droval, Flávia Aparecida Reitz Cardoso, "Medicinal effects of Peruvian maca (Lepidium meyenii): a review", Food Funct. 2020 Jan 29;11(1):83-92. doi: 10.1039/c9fo02732g.. https://pubmed.ncbi.nlm.nih.gov/31951246/
  • 12. Office of Communications, "How common is infertility?", Home- Health- A to Z List- Infertility and Fertility- About- How common is infertility?. https://www.nichd.nih.gov/health/topics/infertility/conditioninfo/common#f1
  • 13. ASRM, American Society for Reproductive Medicine., "In approximately 40 percent of infertile couples, the male partner is either the sole cause or a contributing cause of infertility", Home Infographic Gallery. https://www.reproductivefacts.org/resources/infographic-gallery/images/in-approximately-40-percent-of-infertile-couples-the-male-partner-is-either-the-sole-cause-or-a-contributing-cause-of-infertility/
  • 14. G F Gonzales 1, A Cordova, C Gonzales, A Chung, K Vega, A Villena, "Lepidium meyenii (Maca) improved semen parameters in adult men", Asian J Androl. 2001 Dec;3(4):301-3.. https://pubmed.ncbi.nlm.nih.gov/11753476/
  • 15. José Manuel Lozano Sánchez', Zoraida Axtle Serranol*, Julio Avilés Durán, Héctor Salvador Godoy Morales, Paola Berenice Merchand Álvarez, Ricardo Mera Mejía? Luis Felipe Montaño Estrada and Erika Patricia Rendón Huerta, "Peruvian Maca and Possible Impact on Fertility", DOI:10.15406/jnhfe.2017.06.00217. https://www.researchgate.net/publication/317569911_Peruvian_Maca_and_Possible_Impact_on_Fertility
  • 16. Daniel Nedresky; Gurdeep Singh., "Physiology, Luteinizing Hormone", Treasure Island (FL): StatPearls Publishing; 2022 Jan-.. https://www.ncbi.nlm.nih.gov/books/NBK539692/
  • 17. G F Gonzales 1, A Cordova, C Gonzales, A Chung, K Vega, A Villena, "Lepidium meyenii (Maca) improved semen parameters in adult men", Asian J Androl. 2001 Dec;3(4):301-3.. https://pubmed.ncbi.nlm.nih.gov/11753476/
  • 18. G F Gonzales, M Gasco, A Córdova, A Chung, J Rubio and L Villegas, "Effect of Lepidium meyenii (Maca) on spermatogenesis in male rats acutely exposed to high altitude (4340 m)", Instituto de Investigaciones de la Altura, and Departamento de Ciencias Biolo´gicas y Fisiolo´gicas Facultad de Ciencas y Filosofı´a, Universidad Peruana Cayetano Heredia, PO Box 1843, Lima, Peru (Requests for offprints should be addressed to G F Gonzales, Instituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, PO Box 1843, Lima, Peru; Email: iiad@upch.edu.pe). http://eplant.njau.edu.cn/maca/publication/Effect%20of%20Lepidium%20meyenii%20(Maca)%20on%20spermatogenesis%20in%20male%20rats%20acutely%20exposed%20to%20high%20altitude%20(4340%20m).pdf
  • 19. A López-Fando, M P Gómez-Serranillos, I Iglesias, O Lock, U P Upamayta, M E Carretero, "Lepidium peruvianum chacon restores homeostasis impaired by restraint stress", Phytother Res . 2004 Jun;18(6):471-4. doi: 10.1002/ptr.1455.. https://pubmed.ncbi.nlm.nih.gov/15287072/
  • 20. G. F. Gonzales,A. Córdova,K. Vega,A. Chung,A. Villena,C. Góñez,S. Castillo, "Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with serum testosterone levels in adult healthy men", Journal of Andrology. https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1439-0272.2002.00519.x
  • 21. Byung-Cheul Shin, Myeong Soo Lee, Eun Jin Yang, Hyun-Suk Lim, Edzard Ernst, "Maca (L. meyenii) for improving sexual function: a systematic review", BMC Complement Altern Med . 2010 Aug 6;10:44. doi: 10.1186/1472-6882-10-44.. https://pubmed.ncbi.nlm.nih.gov/20691074/
  • 22. José Manuel Lozano Sánchez, Zoraida Axtle, Julio Aviles, Héctor Salvador Godoy Morales, Paola Berenice Merchand Álvarez, Ricardo Mera Mejía, Luis Felipe Montaño Estrada, Erika Patricia Rendón Huerta, "Peruvian Maca and Possible Impact on Fertility", Journal of Nutritional Health & Food Engineering. https://www.researchgate.net/publication/317569911_Peruvian_Maca_and_Possible_Impact_on_Fertility
  • 23. Hongkang Zhu, Wenqian Xu, Ning Wang, Wenhao Jiang, Yuliang Cheng, Yahui Guo, Weirong Yao, Bin Hu, Peng Du and He Qian, "Anti-fatigue effect of Lepidium meyenii Walp. (Maca) on preventing mitochondria-mediated muscle damage and oxidative stress in vivo and vitro†", Journal of Food & Function. https://pubs.rsc.org/en/content/articlelanding/2021/fo/d1fo00383f/unauth
  • 24. Mark Stone, Alvin Ibarra, Marc Roller, Andrea Zangara, Emma Stevenson, "A pilot investigation into the effect of maca supplementation on physical activity and sexual desire in sportsmen", J Ethnopharmacol . 2009 Dec 10;126(3):574-6. doi: 10.1016/j.jep.2009.09.012. Epub 2009 Sep 23.. https://pubmed.ncbi.nlm.nih.gov/19781622/
  • 25. Gustavo F Gonzales, Sara Miranda, Jessica Nieto, Gilma Fernández, Sandra Yucra, Julio Rubio, Pedro Yi & Manuel Gasco, "Red maca (Lepidium meyenii) reduced prostate size in rats", Reprod Biol Endocrinol 3, 5 (2005). https://doi.org/10.1186/1477-7827-3-5. https://rbej.biomedcentral.com/articles/10.1186/1477-7827-3-5
  • 26. C Gonzales, J Leiva-Revilla, J Rubio, M Gasco, G F Gonzales, "Effect of red maca (Lepidium meyenii) on prostate zinc levels in rats with testosterone-induced prostatic hyperplasia", Andrologia . 2012 May;44 Suppl 1:362-9. doi: 10.1111/j.1439-0272.2011.01190.x. Epub 2011 Jul 18.. https://pubmed.ncbi.nlm.nih.gov/21762188/
  • 27. G. F. Gonzales,A. Córdova,K. Vega,A. Chung,A. Villena,C. Góñez,S. Castillo, "Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with serum testosterone levels in adult healthy men", Journal of Andrology. https://onlinelibrary.wiley.com/doi/full/10.1046/j.1439-0272.2002.00519.x
  • 28. Y Ohta, N Kawate, T Inaba, H Morii, K Takahashi, H Tamada, "Feeding hydroalcoholic extract powder of Lepidium meyenii (maca) enhances testicular gene expression of 3β-hydroxysteroid dehydrogenase in rats", Andrologia . 2017 Dec;49(10). doi: 10.1111/and.12792. Epub 2017 Mar 6.. https://pubmed.ncbi.nlm.nih.gov/28261840/
  • 29. Ángel Rodríguez-Huamán, Sandra Casimiro-Gonzales, Jorge Antonio Chávez-Pérez, Carla Gonzales-Arimborgo, Richard Cisneros-Fernández, Luis Ángel Aguilar-Mendoza, Gustavo F Gonzales, "Antioxidant and neuroprotector effect of Lepidium meyenii (maca) methanol leaf extract against 6-hydroxy dopamine (6-OHDA)-induced toxicity in PC12 cells", Toxicol Mech Methods . 2017 May;27(4):279-285. doi: 10.1080/15376516.2016.1275908. Epub 2017 Jan 8.. https://pubmed.ncbi.nlm.nih.gov/28007001/
  • 30. Bárbara Teixeira, António Marques, Cristina Ramos, Maria Carmo Serrano, Olívia Matos, Nuno R Neng, José Nogueira, Jorge M. A. Saraiva, Maria Leonor Nunes, "Chemical composition and bioactivity of different oregano (Origanum vulgare) extracts and essential oil", Journal of the Science of Food and Agriculture 93(11) DOI:10.1002/jsfa.6089. https://www.researchgate.net/publication/236104725_Chemical_composition_and_bioactivity_of_different_oregano_Origanum_vulgare_extracts_and_essential_oil
  • 31. Wesam Kooti, Zahra Hasanzadeh-Noohi, Naim Sharafi-Ahvazi, Majid Asadi-Samani, Damoon Ashtary-Larky, "Phytochemistry, pharmacology, and therapeutic uses of black seed (Nigella sativa)", Chin J Nat Med . 2016 Oct;14(10):732-745. doi: 10.1016/S1875-5364(16)30088-7. Epub 2016 Oct 31.. https://pubmed.ncbi.nlm.nih.gov/28236403/
  • 32. Łukasz Łuczaj & Wojciech M Szymański, "Wild vascular plants gathered for consumption in the Polish countryside: a review.", Journal of Ethnobiology and Ethnomedicine volume 3, Article number: 17 (2007). https://ethnobiomed.biomedcentral.com/articles/10.1186/1746-4269-3-17
  • 33. IKHLAS A. KHAN, EHAB A. ABOURASHED, "Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics.", John Wiley & Sons, Inc., Hoboken, New Jersey. https://naturalingredient.org/wp/wp-content/uploads/leungs-encyclopedia-of-common-natural-ingredients-3rd-edition.pdf
  • 34. Adom MB, Taher M, Mutalabisin MF, Amri MS, Abdul Kudos MB, Wan Sulaiman MWA, Sengupta P, Susanti D, "Chemical constituents and medical benefits of Plantago major.", Biomedecine & Pharmacotherapie, 10 Oct 2017, 96:348-360 DOI: 10.1016/j.biopha.2017.09.152 PMID: 29028587. https://europepmc.org/article/med/29028587#similar-articles
  • 35. ZOT Organic, "What is Licorice?", General Info. https://zotorganic.com/information/licorice/#:~:text=The%20plant%20is%20prized%20for,shrub%2C%20is%20officially%20a%20weed.
  • 36. Dalia Akramiene, Anatolijus Kondrotas, Janina Didziapetriene, Egidijus Kevelaitis, "Effects of beta-glucans on the immune system", Medicina (Kaunas) . 2007;43(8):597-606.. https://pubmed.ncbi.nlm.nih.gov/17895634/
  • 37. R C Rosen, "Prevalence and risk factors of sexual dysfunction in men and women", Curr Psychiatry Rep . 2000 Jun;2(3):189-95. doi: 10.1007/s11920-996-0006-2.. https://pubmed.ncbi.nlm.nih.gov/11122954/
  • 38. Natália da Silva Leitão Peres, Letícia Cabrera Parra Bortoluzzi, Leila Larisa Medeiros Marques, Maysa Formigoni, Renata Hernandez Barros Fuchs, Adriana Aparecida Droval, Flávia Aparecida Reitz Cardoso, "Medicinal effects of Peruvian maca (Lepidium meyenii): a review", Food Funct . 2020 Jan 29;11(1):83-92. doi: 10.1039/c9fo02732g.. https://pubmed.ncbi.nlm.nih.gov/31951246/
  • 39. Nicole A Brooks, Gisela Wilcox, Karen Z Walker, John F Ashton, Marc B Cox, Lily Stojanovska, "Beneficial effects of Lepidium meyenii (Maca) on psychological symptoms and measures of sexual dysfunction in postmenopausal women are not related to estrogen or androgen content", Menopause . 2008 Nov-Dec;15(6):1157-62. doi: 10.1097/gme.0b013e3181732953.. https://pubmed.ncbi.nlm.nih.gov/18784609/
  • 40. Maria Rosales-Hartshorn*, "Maca: Botanical Medicine from the Andes", Adv Food Technol Nutr Sci Open J. 2015; 1(2): e1-e6. doi: 10.17140/AFTNSOJ-1-e001. https://www.openventio.org/Volume1-Issue2/Maca-Botanical-Medicine-from-the-Andes-AFTNSOJ-1-e001.pdf
  • 41. Sánchez JML, Serrano ZA, Durán JA, Morales HSG, Álvarez PBM (2017), "Peruvian Maca and Possible Impact on Fertility", J Nutr Health Food Eng 6(5): 00217. DOI: 10.15406/jnhfe.2017.06.00217. https://www.researchgate.net/profile/Jose-Manuel-Lozano-Sanchez/publication/317569911_Peruvian_Maca_and_Possible_Impact_on_Fertility/links/59494b03aca272a30c6cae11/Peruvian-Maca-and-Possible-Impact-on-Fertility.pdf
  • 42. Leila Mazaheri Nia, Mina Iravani, Parvin Abedi, Bahman Cheraghian, "Effect of Zinc on Testosterone Levels and Sexual Function of Postmenopausal Women: A Randomized Controlled Trial", J Sex Marital Ther . 2021;47(8):804-813. doi: 10.1080/0092623X.2021.1957732. Epub 2021 Jul 27.. https://pubmed.ncbi.nlm.nih.gov/34311679/
  • 43. G. F. Gonzales,A. Córdova,K. Vega,A. Chung,A. Villena,C. Góñez,S. Castillo, "Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with serum testosterone levels in adult healthy men", Journal of Andrology. https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1439-0272.2002.00519.x
  • 44. Byung-Cheul Shin 1, Myeong Soo Lee, Eun Jin Yang, Hyun-Suk Lim, Edzard Ernst, "Maca (L. meyenii) for improving sexual function: a systematic review", BMC Complement Altern Med . 2010 Aug 6;10:44. doi: 10.1186/1472-6882-10-44.. https://pubmed.ncbi.nlm.nih.gov/20691074/
  • 45. Ghanbarali Raeis Jalali, Jamshid Roozbeh, Azam Mohammadzadeh, Maryam Sharifian, Mohammad Mahdi Sagheb, Alireza Hamidian Jahromi, Sanaz Shabani, Fariborz Ghaffarpasand, Raha Afshariani, "Impact of oral zinc therapy on the level of sex hormones in male patients on hemodialysis", Ren Fail . 2010 May;32(4):417-9. doi: 10.3109/08860221003706958.. https://pubmed.ncbi.nlm.nih.gov/20446777/
  • 46. Tahoora Shomali, Mahnaz Taherianfard, Maryam Dalvand, Fatemeh Namazi, "Effect of pharmacological doses of niacin on testicular structure and function in normal and diabetic rats", Andrologia . 2018 Dec;50(10):e13142. doi: 10.1111/and.13142. Epub 2018 Sep 6.. https://pubmed.ncbi.nlm.nih.gov/30191583/
  • 47. Gonzales G. F., Cordova A., Gonzales C., Chung A., Vega K., Villena A., "Lepidium meyenii (Maca) improved semen parameters in adult men.", Asian Journal of Andrology. 2001;3(4):301–303.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411442/#B19
  • 48. Bogani P., Simonini F., Iriti M., et al., "Lepidium meyenii (Maca) does not exert direct androgenic activities.", Journal of Ethnopharmacology. 2006;104(3):415–417. doi: 10.1016/j.jep.2005.09.028.. ncbi.nlm.nih.gov/pmc/articles/PMC4411442/#B27
  • 49. Gonzalez G. F., Córdova A., Vega K., Chung A., Villena A., Góñez C., "Effect of Lepidium meyenii (Maca), a root with aphrodisiac and fertility-enhancing propeties, on serum reproductive hormone levels in adult healthy men.", Journal of Endocrinology. 2003;176(1):163–168. doi: 10.1677/joe.0.1760163.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411442/#B28
  • 50. Christina M. Dording , * Pamela J. Schettler, Elizabeth D. Dalton, Susannah R. Parkin, Rosemary S. W. Walker, Kara B. Fehling, Maurizio Fava, and David Mischoulon, "A Double-Blind Placebo-Controlled Trial of Maca Root as Treatment for Antidepressant-Induced Sexual Dysfunction in Women", Journal List Evid Based Complement Alternat Med v.2015; 2015 PMC4411442. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411442/
  • 51. Srikugan L., Sankaralingam A., McGowan B., "First case report of testosterone assay-interference in a female taking maca (Lepidium meyenii) BMJ Case Reports.", 2011 doi: 10.1136/bcr.01.2011.3781.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411442/#B26
  • 52. Olivia Remes,Carol Brayne,Rianne van der Linde,Louise Lafortune, "A systematic review of reviews on the prevalence of anxiety disorders in adult populations", Journal of Brain and Behavior, 05 June 2016. https://onlinelibrary.wiley.com/doi/10.1002/brb3.497
  • 53. Rohit Verma, Yatan Pal Singh Balhara, and Chandra Shekhar Gupta, "Gender differences in stress response: Role of developmental and biological determinants", Journal List Ind Psychiatry J v.20(1); Jan-Jun 2011 PMC3425245. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3425245/
  • 54. Mohammad Hossein Mirjalili, Elisabeth Moyano, Mercedes Bonfill, Rosa M Cusido, Javier Palazón, "Steroidal lactones from Withania somnifera, an ancient plant for novel medicine", Molecules . 2009 Jul 3;14(7):2373-93.. https://pubmed.ncbi.nlm.nih.gov/19633611/
  • 55. R C Rosen, "Prevalence and risk factors of sexual dysfunction in men and women", Curr Psychiatry Rep . 2000 Jun;2(3):189-95. DOI: 10.1007/s11920-996-0006-2.. https://pubmed.ncbi.nlm.nih.gov/11122954/
  • 56. Swati Dongre, Deepak Langade, Sauvik Bhattacharyya, "Efficacy and Safety of Ashwagandha (Withania somnifera) Root Extract in Improving Sexual Function in Women: A Pilot Study", Biomed Res Int . 2015;2015:284154. doi: 10.1155/2015/284154.. https://pubmed.ncbi.nlm.nih.gov/26504795/
  • 57. UT NEWS, "Stress Hormone Blocks Testosterone’s Effects, Study Shows", Journal of Science and Technology. https://news.utexas.edu/2010/09/27/stress-hormone-blocks-testosterones-effects-study-shows/
  • 58. Rashad, N.M., Samir, G.M., "Prevalence, risks, and comorbidity of thyroid dysfunction: a cross-sectional epidemiological study", Egypt J Intern Med 31, 635–641 (2019). https://ejim.springeropen.com/articles/10.4103/ejim.ejim_22_19
  • 59. Cleveland Clinic, "Thyroid: What It Is, Function and Problems", Journal of Body Systems & Organs. https://my.clevelandclinic.org/health/body/23188-thyroid
  • 60. Sharma AK, Basu I, Singh S., "Efficacy and Safety of Ashwagandha Root Extract in Subclinical Hypothyroid Patients: A Double-Blind, Randomized Placebo-Controlled Trial", J Altern Complement Med. 2018 Mar;24(3):243-248. doi: 10.1089/acm.2017.0183. Epub 2017 Aug 22. PMID: 28829155.. https://pubmed.ncbi.nlm.nih.gov/28829155/
  • 61. Chandrasekhar K, Kapoor J, Anishetty S., "A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults", Indian J Psychol Med. 2012 Jul;34(3):255-62. doi: 10.4103/0253-7176.106022. PMID: 23439798; PMCID: PMC3573577.. https://pubmed.ncbi.nlm.nih.gov/23439798/
  • 62. Stephens MA, Wand G., "Stress and the HPA axis: role of glucocorticoids in alcohol dependence", Alcohol Res. 2012;34(4):468-83. PMID: 23584113; PMCID: PMC3860380.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860380/
  • 63. Centers for Disease Control and Prevention, "1 in 3 adults don’t get enough sleep", CDC.gov. https://www.cdc.gov/media/releases/2016/p0215-enough-sleep.html
  • 64. Centers for Disease Control and Prevention, "Sleep and Sleep Disorders", CDC.gov. https://www.cdc.gov/sleep/data_statistics.html
  • 65. Krishnan V, Collop NA., "Gender differences in sleep disorders", Curr Opin Pulm Med. 2006 Nov;12(6):383-9. doi: 10.1097/01.mcp.0000245705.69440.6a. PMID: 17053485.. https://pubmed.ncbi.nlm.nih.gov/17053485/
  • 66. Danielle Pacheco, Ealena Callender, "Women and Sleep", Sleep Foundation. https://www.sleepfoundation.org/women-sleep
  • 67. Langade D, Thakare V, Kanchi S, Kelgane S., "Clinical evaluation of the pharmacological impact of ashwagandha root extract on sleep in healthy volunteers and insomnia patients: A double-blind, randomized, parallel-group, placebo-controlled study", J Ethnopharmacol. 2021 Jan 10;264:113276. doi: 10.1016/j.jep.2020.113276. Epub 2020 Aug 17. PMID: 32818573.. https://pubmed.ncbi.nlm.nih.gov/32818573/
  • 68. Abhijit Deshpande, Nushafreen Irani, Ratna Balkrishnan, Irin Rosanna Benny, "A randomized, double blind, placebo controlled study to evaluate the effects of ashwagandha (Withania somnifera) extract on sleep quality in healthy adults", Sleep Medicine, Volume 72, 2020, Pages 28-36, ISSN 1389-9457,. https://www.sciencedirect.com/science/article/abs/pii/S1389945720301246
  • 69. Mahesh K. Kaushik, Sunil C. Kaul, Renu Wadhwa, Masashi Yanagisawa, Yoshihiro Urade, "Triethylene glycol, an active component of Ashwagandha (Withania somnifera) leaves, is responsible for sleep induction", plos.org DOI:10.1371/journal.pone.0172508. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172508#abstract0
  • 70. Auddy B, Hazra J, Mitra A, et al., "A standardized Withania Somnifera extract significantly reduces stress-related parameters in chronically stressed humans: a double-blind, randomized, placebo-controlled study", J Am Neutraceut Assoc 2008;11:50–6.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6750292/#R20
  • 71. Andrade C, Aswath A, Chaturvedi SK, et al., "A double-blind, placebo-controlled evaluation of the anxiolytic efficacy ff an ethanolic extract of withania somnifera", Indian J Psychiatry 2000;42:295–301.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6750292/#R18
  • 72. Fries E, Dettenborn L, Kirschbaum C., "The cortisol awakening response (CAR): facts and future directions", Int J Psychophysiol. 2009 Apr;72(1):67-73. doi: 10.1016/j.ijpsycho.2008.03.014. Epub 2008 Sep 30. PMID: 18854200.. https://pubmed.ncbi.nlm.nih.gov/18854200/
  • 73. Nicolas C. Nicolaides, Alexandros N. Vgontzas, Ilia Kritikou, George Chrousos Kenneth R Feingold, Bradley Anawalt, Alison Boyce, George Chrousos, Wouter W de Herder, Ketan Dhatariya, Kathleen Dungan, Jerome M Hershman, Johannes Hofland, Sanjay Kalra, Gregory Kaltsas, Christian Koch, Peter Kopp, Márta Korbonits, Christopher S Kovacs, Wendy Kuohung, Blandine Laferrère, Miles Levy, Elizabeth A McGee, Robert McLachlan, John E Morley, Maria New, Jonathan Purnell, Rakesh Sahay, Frederick Singer, Mark A Sperling, Constantine A Stratakis, Dace L Trence, Don P Wilson, "HPA Axis and Sleep", In: Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000. 2020 Nov 24. PMID: 25905298 Bookshelf ID: NBK279071. https://pubmed.ncbi.nlm.nih.gov/25905298/
  • 74. Bhattacharya SK, Bhattacharya A, Sairam K, Ghosal S., "Anxiolytic-antidepressant activity of Withania somnifera glycowithanolides: an experimental study", Phytomedicine. 2000 Dec;7(6):463-9. doi: 10.1016/S0944-7113(00)80030-6. PMID: 11194174.. https://pubmed.ncbi.nlm.nih.gov/11194174/
  • 75. Gopal S, Ajgaonkar A, Kanchi P, Kaundinya A, Thakare V, Chauhan S, Langade D., "Effect of an ashwagandha (Withania Somnifera) root extract on climacteric symptoms in women during perimenopause: A randomized, double-blind, placebo-controlled study", J Obstet Gynaecol Res. 2021 Dec;47(12):4414-4425. doi: 10.1111/jog.15030. Epub 2021 Sep 22. PMID: 34553463.. https://pubmed.ncbi.nlm.nih.gov/34553463/
  • 76. Chandrasekhar K, Kapoor J, Anishetty S., "A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults.", Indian J Psychol Med. 2012 Jul;34(3):255-62. doi: 10.4103/0253-7176.106022. PMID: 23439798; PMCID: PMC3573577.. https://pubmed.ncbi.nlm.nih.gov/23439798/
  • 77. Khedgikar V, Kushwaha P, Gautam J, Verma A, Changkija B, Kumar A, Sharma S, Nagar GK, Singh D, Trivedi PK, Sangwan NS, Mishra PR, Trivedi R., "Withaferin A: a proteasomal inhibitor promotes healing after injury and exerts anabolic effect on osteoporotic bone", Cell Death Dis. 2013 Aug 22;4(8):e778. doi: 10.1038/cddis.2013.294. PMID: 23969857; PMCID: PMC3763455.. https://pubmed.ncbi.nlm.nih.gov/23969857/
  • 78. Sandi C., "Stress and cognition", Wiley Interdiscip Rev Cogn Sci. 2013 May;4(3):245-261. doi: 10.1002/wcs.1222. Epub 2013 Jan 22. PMID: 26304203.. https://pubmed.ncbi.nlm.nih.gov/26304203/
  • 79. Killgore WD., "Effects of sleep deprivation on cognition", Prog Brain Res. 2010;185:105-29. doi: 10.1016/B978-0-444-53702-7.00007-5. PMID: 21075236.. https://pubmed.ncbi.nlm.nih.gov/21075236/
  • 80. Ali SA, Begum T, Reza F., "Hormonal Influences on Cognitive Function", Malays J Med Sci. 2018 Jul;25(4):31-41. doi: 10.21315/mjms2018.25.4.3. Epub 2018 Aug 30. PMID: 30914845; PMCID: PMC6422548.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422548/
  • 81. Choudhary D, Bhattacharyya S, Bose S., "Efficacy and Safety of Ashwagandha (Withania somnifera (L.) Dunal) Root Extract in Improving Memory and Cognitive Functions", J Diet Suppl. 2017 Nov 2;14(6):599-612. doi: 10.1080/19390211.2017.1284970. Epub 2017 Feb 21. PMID: 28471731.. https://pubmed.ncbi.nlm.nih.gov/28471731/
  • 82. Dar NJ, MuzamilAhmad., "Neurodegenerative diseases and Withania somnifera (L.): An update.", J Ethnopharmacol. 2020 Jun 28;256:112769. doi: 10.1016/j.jep.2020.112769. Epub 2020 Mar 30. PMID: 32240781.. https://pubmed.ncbi.nlm.nih.gov/32240781/
  • 83. Bonilla DA, Moreno Y, Gho C, Petro JL, Odriozola-Martínez A, Kreider RB., "Effects of Ashwagandha (Withania somnifera) on Physical Performance: Systematic Review and Bayesian Meta-Analysis", J Funct Morphol Kinesiol. 2021 Feb 11;6(1):20. doi: 10.3390/jfmk6010020. PMID: 33670194; PMCID: PMC8006238.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006238/
  • 84. GRAHAM BINDER, "Researchers with the College of AGNR study nutrient-packed microgreens", College of Agriculture & Natural Resources, September 6, 2012. https://agnr.umd.edu/news/mighty-microgreens
  • 85. GAO, "While Levels in Clothing Generally Appear to Be Low, Allergic Contact Dermatitis Is a Health Issue for Some People", United States Government Accountability Office, Report to Congressional Committees, August 2010. https://www.gao.gov/assets/gao-10-875.pdf
  • 86. Dongre S, Langade D, Bhattacharyya S., "Efficacy and Safety of Ashwagandha (Withania somnifera) Root Extract in Improving Sexual Function in Women: A Pilot Study.", Biomed Res Int. 2015;2015:284154. doi: 10.1155/2015/284154. Epub 2015 Oct 4. PMID: 26504795; PMCID: PMC4609357.. https://pubmed.ncbi.nlm.nih.gov/26504795/
  • 87. Chauhan, S, Srivastava, MK, Pathak, AK., "Effect of standardized root extract of ashwagandha (Withania somnifera) on well-being and sexual performance in adult males: a randomized controlled trial", Health Sci Rep. 2022; 5:e741. doi:10.1002/hsr2.741. https://onlinelibrary.wiley.com/doi/10.1002/hsr2.741
  • 88. Langade D, Thakare V, Kanchi S, Kelgane S., "Clinical evaluation of the pharmacological impact of ashwagandha root extract on sleep in healthy volunteers and insomnia patients: A double-blind, randomized, parallel-group, placebo-controlled study", J Ethnopharmacol. 2021 Jan 10;264:113276. doi: 10.1016/j.jep.2020.113276. Epub 2020 Aug 17. PMID: 32818573.. https://pubmed.ncbi.nlm.nih.gov/32818573/
  • 89. Abhijit Deshpande, Nushafreen Irani, Ratna Balkrishnan, Irin Rosanna Benny,, "A randomized, double blind, placebo controlled study to evaluate the effects of ashwagandha (Withania somnifera) extract on sleep quality in healthy adults,", Sleep Medicine, Volume 72, 2020, Pages 28-36, ISSN 1389-9457, https://doi.org/10.1016/j.sleep.2020.03.012.. https://www.sciencedirect.com/science/article/abs/pii/S1389945720301246
  • 90. Bhattacharya SK, Bhattacharya A, Sairam K, Ghosal S, "Anxiolytic-antidepressant activity of Withania somnifera glycowithanolides: an experimental study", Phytomedicine. 2000 Dec;7(6):463-9. doi: 10.1016/S0944-7113(00)80030-6. PMID: 11194174.. https://pubmed.ncbi.nlm.nih.gov/11194174/
  • 91. Rashad, N.M., Samir, G.M., "Prevalence, risks, and comorbidity of thyroid dysfunction: a cross-sectional epidemiological study", Egypt J Intern Med 31, 635–641 (2019). https://doi.org/10.4103/ejim.ejim_22_19. https://ejim.springeropen.com/articles/10.4103/ejim.ejim_22_19
  • 92. Durg S, Bavage S, Shivaram SB, "Withania somnifera (Indian ginseng) in diabetes mellitus: A systematic review and meta-analysis of scientific evidence from experimental research to clinical application", Phytother Res. 2020 May;34(5):1041-1059. doi: 10.1002/ptr.6589. Epub 2020 Jan 23. PMID: 31975514.. https://pubmed.ncbi.nlm.nih.gov/31975514/
  • 93. ASRM, American Society for Reproductive Medicine, "In approximately 40 percent of infertile couples, the male partner is either the sole cause or a contributing cause of infertility", Reproductivefacts.org/resources/infographic-gallery. https://www.reproductivefacts.org/resources/infographic-gallery/images/in-approximately-40-percent-of-infertile-couples-the-male-partner-is-either-the-sole-cause-or-a-contributing-cause-of-infertility/
  • 94. Tiwari S, Gupta SK, Pathak AK, "A double-blind, randomized, placebo-controlled trial on the effect of Ashwagandha (Withania somnifera dunal.) root extract in improving cardiorespiratory endurance and recovery in healthy athletic adults", J Ethnopharmacol. 2021 May 23;272:113929. doi: 10.1016/j.jep.2021.113929. Epub 2021 Feb 15. PMID: 33600918.. https://pubmed.ncbi.nlm.nih.gov/33600918/
  • 95. Chandrasekhar K, Kapoor J, Anishetty S, "A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults", Indian J Psychol Med. 2012 Jul;34(3):255-62. doi: 10.4103/0253-7176.106022. PMID: 23439798; PMCID: PMC3573577. https://pubmed.ncbi.nlm.nih.gov/23439798/
  • 96. Mirjalili MH, Moyano E, Bonfill M, Cusido RM, Palazón J, "Steroidal lactones from Withania somnifera, an ancient plant for novel medicine", Molecules. 2009 Jul 3;14(7):2373-93. doi: 10.3390/molecules14072373. PMID: 19633611; PMCID: PMC6255378. https://pubmed.ncbi.nlm.nih.gov/19633611/
  • 97. Carnegie Mellon University, "Stress Contributes To Range Of Chronic Diseases, Review Shows", ScienceDaily. ScienceDaily, 10 October 2007. https://www.sciencedaily.com/releases/2007/10/071009164122.htm
  • 98. Bremner JD, "Does stress damage the brain?", Biol Psychiatry. 1999 Apr 1;45(7):797-805. doi: 10.1016/s0006-3223(99)00009-8. PMID: 10202566. https://pubmed.ncbi.nlm.nih.gov/10202566/
  • 99. Kalmbach DA, Anderson JR, Drake CL, "The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders", J Sleep Res. 2018 Dec;27(6):e12710. doi: 10.1111/jsr.12710. Epub 2018 May 24. PMID: 29797753; PMCID: PMC7045300. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045300/
  • 100. National Institutes of Health, "Poor Sleep Linked With Higher Blood Sugar", newsinhealth.nih.gov/Health Capsule/ July 2022. https://newsinhealth.nih.gov/2020/07/poor-sleep-linked-higher-blood-sugar
  • 101. Winston D, Maimes S, "Adaptogens: Herbs for Strength, Stamina, and Stress Relief", Rochester: Inner Traditions/Bear & Co. Vol. 48. Rochester: Inner Traditions/Bear & Co; 2007; p. 53. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979308/#REF8
  • 102. Bhatnagar M, Sharma D, Salvi M, "Neuroprotective effects of Withania somnifera dunal.: A possible mechanism", Neurochem Res. 2009 Nov;34(11):1975-83. doi: 10.1007/s11064-009-9987-7. Epub 2009 May 15. PMID: 19444606. https://pubmed.ncbi.nlm.nih.gov/19444606/
  • 103. Salve J, Pate S, Debnath K, Langade D, "Adaptogenic and Anxiolytic Effects of Ashwagandha Root Extract in Healthy Adults: A Double-blind, Randomized, Placebo-controlled Clinical Study", Cureus. 2019 Dec 25;11(12):e6466. doi: 10.7759/cureus.6466. PMID: 32021735; PMCID: PMC6979308. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979308/
  • 104. Gopukumar, K.Thanawala, S. Somepalli, V. Rao Sathyanaryana, T. S. Thamatam, V.B. Chauhan, S., "Efficacy and Safety of Ashwagandha Root Extract on Cognitive Functions in Healthy, Stressed Adults: A Randomized, Double-Blind, Placebo-Controlled Study", Evidence-Based Complementary and Alternative Medicine/ Volume 2021/Article ID 8254344. https://www.hindawi.com/journals/ecam/2021/8254344/
  • 105. Choudhary D, Bhattacharyya S, Bose S., "Efficacy and Safety of Ashwagandha (Withania somnifera (L.) Dunal) Root Extract in Improving Memory and Cognitive Functions", J Diet Suppl. 2017 Nov 2;14(6):599-612. doi: 10.1080/19390211.2017.1284970. Epub 2017 Feb 21. PMID: 28471731. https://pubmed.ncbi.nlm.nih.gov/28471731/
  • 106. Dar NJ, MuzamilAhmad, "Neurodegenerative diseases and Withania somnifera (L.): An update", J Ethnopharmacol. 2020 Jun 28;256:112769. doi: 10.1016/j.jep.2020.112769. Epub 2020 Mar 30. PMID: 32240781. https://pubmed.ncbi.nlm.nih.gov/32240781/
  • 107. LULU XIE, HONGYI KANG, QIWU XU, MICHAEL J. CHEN, YONGHONG LIAO, MEENAKSHISUNDARAM THIYAGARAJAN, JOHN O’DONNELL, DANIEL J. CHRISTENSEN, CHARLES NICHOLSON, JEFFREY J. ILIFF, TAKAHIRO TAKANO, RASHID DEANE, AND MAIKEN NEDERGAARD, "Sleep Drives Metabolite Clearance from the Adult Brain", SCIENCE 18 Oct 2013 Vol 342, Issue 6156 pp. 373-377 DOI: 10.1126/science.1241224. https://www.science.org/doi/10.1126/science.1241224
  • 108. Bhatnagar M, Sharma D, Salvi M, "Neuroprotective effects of Withania somnifera dunal.: A possible mechanism", Neurochem Res. 2009 Nov;34(11):1975-83. doi: 10.1007/s11064-009-9987-7. Epub 2009 May 15. PMID: 19444606. https://pubmed.ncbi.nlm.nih.gov/19444606/
  • 109. Baker C, Kirby JB, O'Connor J, Lindsay KG, Hutchins A, Harris M, "The Perceived Impact of Ashwagandha on Stress, Sleep Quality, Energy, and Mental Clarity for College Students: Qualitative Analysis of a Double-Blind Randomized Control Trial", J Med Food. 2022 Aug 18. doi: 10.1089/jmf.2022.0042. Epub ahead of print. PMID: 35984870. https://pubmed.ncbi.nlm.nih.gov/35984870/
  • 110. Nayely Leyva-López, et al, "Essential Oils of Oregano: Biological Activity beyond Their Antimicrobial Properties", https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6152729/
  • 111. S. Santoya et al, "Supercritical carbon dioxide extraction of compounds with antimicrobial activity from Origanum vulgare L.: determination of optimal extraction parameters", https://pubmed.ncbi.nlm.nih.gov/16496578/
  • 112. Snigdha Sacena et al, "Evaluation of Systemic Oxidative Stress in Patients with Premature Canities and Correlation of Severity of Hair Graying with the Degree of Redox Imbalance", https://pubmed.ncbi.nlm.nih.gov/32549695/
  • 113. Yunes Panahi et al, "Rosemary oil vs minoxidil 2% for the treatment of androgenetic alopecia: a randomized comparative trial", https://pubmed.ncbi.nlm.nih.gov/25842469/
  • 114. Stephen C Barker & Phillip M Altman, "An ex vivo, assessor blind, randomised, parallel group, comparative efficacy trial of the ovicidal activity of three pediculicides after a single application - melaleuca oil and lavender oil, eucalyptus oil and lemon tea tree oil, and a "suffocation" pediculicide", https://bmcdermatol.biomedcentral.com/articles/10.1186/1471-5945-11-14
  • 115. C Hay et al, "Randomized trial of aromatherapy. Successful treatment for alopecia areata", https://pubmed.ncbi.nlm.nih.gov/9828867/
  • 116. "Synaptic Pruning", https://www.sciencedirect.com/topics/veterinary-science-and-veterinary-medicine/synaptic-pruning
  • 117. CeJpeK, K, "“Antioxidant Activity in Variously Prepared Elderberry Foods and Supplements.”", Czech J. Food Sci. Vol. 27, 2009, Special Issue. https://www.agriculturejournals.cz/publicFiles/07578.pdf
  • 118. Porter RS, Bode RF, "A Review of the Antiviral Properties of Black Elder (Sambucus nigra L.) Products", Phytother Res. 2017 Apr;31(4):533-554. doi: 10.1002/ptr.5782. Epub 2017 Feb 15. PMID: 28198157..
  • 119. Deepak Langade, Subodh Kanchi, Jaising Salve, Khokan Debnath, and Dhruv Ambegaokar, "Efficacy and Safety of Ashwagandha (Withania somnifera) Root Extract in Insomnia and Anxiety: A Double-blind, Randomized, Placebo-controlled Study", Cureus. 2019 Sep; 11(9): e5797. Published online 2019 Sep 28. doi: 10.7759/cureus.5797 PMCID: PMC6827862PMID: 31728244. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827862/
  • 120. Mohammad Hossein Mirjalili, Elisabeth Moyano, Mercedes Bonfill, Rosa M Cusido, Javier Palazón, "Steroidal lactones from Withania somnifera, an ancient plant for novel medicine", Molecules. 2009 Jul 3;14(7):2373-93. doi: 10.3390/molecules14072373.. https://pubmed.ncbi.nlm.nih.gov/19633611/
  • 121. Deepak Langade, Subodh Kanchi, Jaising Salve, Khokan Debnath, Dhruv Ambegaokar, "Efficacy and Safety of Ashwagandha (Withania somnifera) Root Extract in Insomnia and Anxiety: A Double-blind, Randomized, Placebo-controlled Study", Cureus . 2019 Sep 28;11(9):e5797. doi: 10.7759/cureus.5797.. https://pubmed.ncbi.nlm.nih.gov/31728244/
  • 122. Biswajit Auddy, PhD1; Jayaram Hazra, PhD2; Achintya Mitra, MD2; Bruce Abedon, PhD3; Shibnath Ghosal, PhD1, "A Standardized Withania Somnifera Extract Significantly Reduces Stress-Related Parameters in Chronically Stressed Humans: A Double-Blind, Randomized, Placebo-Controlled Study", JANA Vol 11, No.1 2008. https://blog.priceplow.com/wp-content/uploads/2014/08/withania_review.pdf
  • 123. K Chandrasekhar, Jyoti Kapoor, Sridhar Anishetty, "A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults", Indian J Psychol Med. 2012 Jul;34(3):255-62. doi: 10.4103/0253-7176.106022.. https://pubmed.ncbi.nlm.nih.gov/23439798/
  • 124. Deepak Langade, Vaishali Thakare, Subodh Kanchi, Sunil Kelgane, "Clinical evaluation of the pharmacological impact of ashwagandha root extract on sleep in healthy volunteers and insomnia patients: A double-blind, randomized, parallel-group, placebo-controlled study", Randomized Controlled Trial J Ethnopharmacol. 2021 Jan 10;264:113276.. https://pubmed.ncbi.nlm.nih.gov/32818573/
  • 125. Abhijit Deshpandea, Nushafreen Irania, Ratna BalkrishnanaIrin, Rosanna Bennyb, "A randomized, double blind, placebo controlled study to evaluate the effects of ashwagandha (Withania somnifera) extract on sleep quality in healthy adults", Sleep Medicine Volume 72, August 2020, Pages 28-36. https://www.sciencedirect.com/science/article/abs/pii/S1389945720301246
  • 126. Mahesh K. Kaushik ,Sunil C. Kaul, Renu Wadhwa,Masashi Yanagisawa, Yoshihiro Urade, "Triethylene glycol, an active component of Ashwagandha (Withania somnifera) leaves, is responsible for sleep induction", Published: February 16, 2017 https://doi.org/10.1371/journal.pone.0172508. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172508
  • 127. Mahesh K. Kaushik ,Sunil C. Kaul, Renu Wadhwa,Masashi Yanagisawa, Yoshihiro Urade, "Triethylene glycol, an active component of Ashwagandha (Withania somnifera) leaves, is responsible for sleep induction", Published: February 16, 2017 https://doi.org/10.1371/journal.pone.0172508. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172508
  • 128. Adrian L. Lopresti, PhD,a,b,∗ Stephen J. Smith, MA,a,b Hakeemudin Malvi, MBBS, MD,c and Rahul Kodgule, MBBSd, "An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract", Medicine (Baltimore). 2019 Sep; 98(37): e17186. Published online 2019 Sep 13. doi: 10.1097/MD.0000000000017186. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6750292/#R20
  • 129. Adrian L. Lopresti, PhD,a,b,∗ Stephen J. Smith, MA,a,b Hakeemudin Malvi, MBBS, MD,c and Rahul Kodgule, MBBSd, "An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract", Medicine (Baltimore). 2019 Sep; 98(37): e17186. Published online 2019 Sep 13. doi: 10.1097/MD.0000000000017186. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6750292/#R18
  • 130. Nicolas C. Nicolaides, Alexandros N. Vgontzas, Ilia Kritikou, George Chrousos Kenneth R Feingold, Bradley Anawalt, Alison Boyce, George Chrousos, Wouter W de Herder, Ketan Dhatariya, Kathleen Dungan, Jerome M Hershman, Johannes Hofland, Sanjay Kalra, Gregory Kaltsas, Christian Koch, Peter Kopp, Márta Korbonits, Christopher S Kovacs, Wendy Kuohung, Blandine Laferrère, Miles Levy, Elizabeth A McGee, Robert McLachlan, John E Morley, Maria New, Jonathan Purnell, Rakesh Sahay, Frederick Singer, Mark A Sperling, Constantine A Stratakis, Dace L Tren, Don P Wilson, editors., "HPA Axis and Sleep", In: Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000. 2020 Nov 24.. https://pubmed.ncbi.nlm.nih.gov/25905298/
  • 131. Eva Fries, Lucia Dettenborn, Clemens Kirschbaum, "The cortisol awakening response (CAR): facts and future directions", Int J Psychophysiol. 2009 Apr;72(1):67-73. doi: 10.1016/j.ijpsycho.2008.03.014. Epub 2008 Sep 30.. https://pubmed.ncbi.nlm.nih.gov/18854200/
  • 132. Nicolas C. Nicolaides, Alexandros N. Vgontzas, Ilia Kritikou, George Chrousos Kenneth R Feingold, Bradley Anawalt, Alison Boyce, George Chrousos, Wouter W de Herder, Ketan Dhatariya, Kathleen Dungan, Jerome M Hershman, Johannes Hofland, Sanjay Kalra, Gregory Kaltsas, Christian Koch, Peter Kopp, Márta Korbonits, Christopher S Kovacs, Wendy Kuohung, Blandine Laferrère, Miles Levy, Elizabeth A McGee, Robert McLachlan, John E Morley, Maria New, Jonathan Purnell, Rakesh Sahay, Frederick Singer, Mark A Sperling, Constantine A Stratakis, Dace L Tren, Don P Wilson, editors., "HPA Axis and Sleep", In: Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000. 2020 Nov 24.. https://pubmed.ncbi.nlm.nih.gov/25905298/
  • 133. Al Sunni A, Latif R., "Effects of chocolate intake on Perceived Stress; a Controlled Clinical Study", Int J Health Sci (Qassim). 2014 Oct;8(4):393-401. PMID: 25780358; PMCID: PMC4350893.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4350893/
  • 134. Steptoe A, Gibson EL, Vuononvirta R, Williams ED, Hamer M, Rycroft JA, Erusalimsky JD, Wardle J., "The effects of tea on psychophysiological stress responsivity and post-stress recovery: a randomised double-blind trial", Psychopharmacology (Berl). 2007 Jan;190(1):81-9. doi: 10.1007/s00213-006-0573-2. Epub 2006 Sep 30. PMID: 17013636. https://pubmed.ncbi.nlm.nih.gov/17013636/
  • 135. "Calm Kit", https://www.gaiaherbs.com/products/calm-kit
  • 136. Hussain J, Cohen M., "Clinical Effects of Regular Dry Sauna Bathing: A Systematic Review", Evid Based Complement Alternat Med. 2018 Apr 24;2018:1857413. doi: 10.1155/2018/1857413. PMID: 29849692; PMCID: PMC5941775.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941775/
  • 137. Statista Research Department, "Digital device addiction among users in the United States as of September 2022, by stress level", https://www.statista.com. https://www.statista.com/statistics/1343810/us-users-addiction-digital-devices-by-stress-level/
  • 138. Singh KV, Gautam R, Meena R, Nirala JP, Jha SK, Rajamani P., "Effect of mobile phone radiation on oxidative stress, inflammatory response, and contextual fear memory in Wistar rat", Environ Sci Pollut Res Int. 2020 Jun;27(16):19340-19351. doi: 10.1007/s11356-020-07916-z. Epub 2020 Mar 24. PMID: 32212071.. https://pubmed.ncbi.nlm.nih.gov/32212071/
  • 139. Eric Suni, "Technology in the Bedroom", https://www.sleepfoundation.org/bedroom-environment/technology-in-the-bedroom
  • 140. Barton J, Rogerson M, "The importance of greenspace for mental health", BJPsych Int. 2017 Nov 1;14(4):79-81. doi: 10.1192/s2056474000002051. PMID: 29093955; PMCID: PMC5663018.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663018/
  • 141. Lee MS, Lee J, Park BJ, Miyazaki Y., "Interaction with indoor plants may reduce psychological and physiological stress by suppressing autonomic nervous system activity in young adults: a randomized crossover study", J Physiol Anthropol. 2015 Apr 28;34(1):21. doi: 10.1186/s40101-015-0060-8. PMID: 25928639; PMCID: PMC4419447.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419447/
  • 142. Alexander Panossian, Georg Wikman, "Effects of Adaptogens on the Central Nervous System and the Molecular Mechanisms Associated with Their Stress—Protective Activity", Pharmaceuticals 2010, 3(1), 188-224; https://doi.org/10.3390/ph3010188. https://www.mdpi.com/1424-8247/3/1/188
  • 143. Mirjalili MH, Moyano E, Bonfill M, Cusido RM, Palazón J., "Steroidal lactones from Withania somnifera, an ancient plant for novel medicine.", Molecules. 2009 Jul 3;14(7):2373-93. doi: 10.3390/molecules14072373. PMID: 19633611; PMCID: PMC6255378.. https://pubmed.ncbi.nlm.nih.gov/19633611/
  • 144. Sanjaya Chauhan,Manoj K. Srivastava,Anklesh K. Pathak, "Effect of standardized root extract of ashwagandha (Withania somnifera) on well-being and sexual performance in adult males: A randomized controlled trial", 20 July 2022 https://doi.org/10.1002/hsr2.741. https://onlinelibrary.wiley.com/doi/10.1002/hsr2.741
  • 145. UT News, "Stress Hormone Blocks Testosterone’s Effects, Study Shows", The University of Texas at Austin. https://news.utexas.edu/2010/09/27/stress-hormone-blocks-testosterones-effects-study-shows/
  • 146. Centers for Disease Control and Prevention, "Data and Statistics", cdc.gov. https://www.cdc.gov/sleep/data_statistics.html
  • 147. Krishnan V, Collop NA, "Gender differences in sleep disorders", Curr Opin Pulm Med. 2006 Nov;12(6):383-9. doi: 10.1097/01.mcp.0000245705.69440.6a. PMID: 17053485.. https://pubmed.ncbi.nlm.nih.gov/17053485/
  • 148. Office of Communications, "How does inadequate sleep affect health?", National Institutes of Health. nichd.nih.gov/health/topics/sleep/conditioninfo/inadequate-sleep#
  • 149. Gorelick J, Rosenberg R, Smotrich A, Hanuš L, Bernstein N., "Hypoglycemic activity of withanolides and elicitated Withania somnifera", Phytochemistry. 2015 Aug;116:283-289. doi: 10.1016/j.phytochem.2015.02.029. Epub 2015 Mar 18. PMID: 25796090.. https://pubmed.ncbi.nlm.nih.gov/25796090/
  • 150. Ambiye VR, Langade D, Dongre S, Aptikar P, Kulkarni M, Dongre A, "Clinical Evaluation of the Spermatogenic Activity of the Root Extract of Ashwagandha (Withania somnifera) in Oligospermic Males: A Pilot Study.", Evid Based Complement Alternat Med. 2013;2013:571420. doi: 10.1155/2013/571420. Epub 2013 Nov 28. PMID: 24371462; PMCID: PMC3863556.. https://pubmed.ncbi.nlm.nih.gov/24371462/
  • 151. Lopresti AL, Drummond PD, Smith SJ., "A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha (Withania somnifera) in Aging, Overweight Males", American Journal of Men’s Health. 2019;13(2). doi:10.1177/1557988319835985. https://journals.sagepub.com/doi/full/10.1177/1557988319835985
  • 152. American Psychological Association, "Stress in America", APA.org. https://www.apa.org/news/press/releases/stress/2022/march-2022-survival-mode
  • 153. Aviva USA, "Aviva survey finds financial situation is top stressor for men and links stress levels to weight gain", https://www.aviva.com/newsroom/news-releases/2012/06/usa-aviva-survey-finds-financial-situation-is-top-stressor-for-men-and-links-stress-levels-to-weight-gain-16940/