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Ipriflavone Bone Support Complex
by Jim English
Osteoporosis is a systemic skeletal disease characterized
by low bone mass and accelerated deterioration of bone tissue. Affecting
more than 28 million Americans and an even greater number of Europeans,
the condition manifests itself primarily in the elderly and is more
likely to occur in women than in men. In fact, on average about
one elderly caucasian woman in two will suffer a bone fracture in
contrast to only one man in forty for the same age group. Caucasian
and Asian women are particularly affected, and up to 80% of all
women of Northern European descent are prone to developing the disease.
Conventional drug therapies treat osteoporosis by decreasing bone
resorption. At any given time, 5 to 10% of bone mass has been resorbed
but not replaced. By decreasing resorption of bone, a gain in bone
density of 5 to 10% is possible over a period of about 2 to 3 years.
Post-menopausal women with osteoporosis may benefit from hormonal
therapy using estrogen with progesterone. The estrogen retards bone
resorption and thus diminishes bone loss. This effect is most prominent
in the first years after menopause.
Other common drugs used to treat osteoporosis include:
- Alendronate, a biphosphonate, inhibits osteoclastic
(bone absorbing) activity. Alendronate can be effective in inhibiting
bone loss after menopause, particularly in women who cannot tolerate
estrogen therapy.
- Raloxifene, a selective estrogen receptor modulator
that may also replace estrogen therapy. Raloxifene can act in
concert with estrogen in bone to inhibit resorption and decrease
the risk for fractures.
- Calcitonin, a hormone that decreases bone resorption.
Calcitonin is expensive and must be taken by injection.
- Sodium fluoride, increases measured bone density
in vertebra, but seems to have no overall effectiveness in reducing
vertebral fracture.
Ipriflavone (7-isopropoxy iso-flavone) is a synthetic isoflavone
derivative that acts primarily to suppress bone resorption. Other
in vitro studies have shown that ipriflavone can stimulate osteoblasts
to form new bone. Unlike the bone-building drug treatments that
can produce serious side effects, the only reported side effect
from ingesting ipriflavone is an upset stomach in a small percentage
of the users.(1,2) This makes ipriflavone a powerful and safe agent
for preventing and treating osteoporosis.
Ipriflavone is a registered treatment for osteoporosis
in many European countries and Japan. It is used as an alternative
to hormone treatments for increasing bone mass and relieving the
pain of osteoporosis. It’s often used in conjunction with
low dosages of estrogen to increase their anti-osteoporotic effects.(3,4)
The research has also demonstrated that ipriflavone appears to produce
its strongest bone-building actions when given in conjunction with
other bone-supporting supplements.
Even though the discovery of ipriflavone dates back to the 1930s,
it was not produced in the laboratory until the 1970s. Animal studies,
which began in 1974, led to human studies being conducted in 1981.
During the 1980s and 1990s a number of randomized, double-blind,
placebo controlled studies demonstrated ipriflavone could prevent
or decrease the loss of bone mass in postmenopausal women.(5,7)
Other research studies have shown that taking
a daily dose of 600 mg of ipriflavone could increase bone density
by as much as 9% in three to nine months and cause a significant
reduction of fractures after two years of treatment. Since then,
close to 500 patients treated with ipriflavone in double-blind,
placebo controlled studies have noted significant gains of between
.5 to 7.1 percent in total body, forearm and vertebral bone mineral
density. Ipriflavone has also resulted in the relief of pain and
an increase in mobility.(8,9)
Researchers have shown that chemical structure of ipriflavone is
similar to the structure of estrogen. That explains why it mimics
the action of estrogen on preventing bone loss. Estrogens inhibit
bone-degrading osteoclast activity that causes bone resorption and
ipriflavone protects bone in a similar manner.(10,13)
Despite the ability of ipriflavone to augment
the activity of naturally occurring or administered estrogens, ipriflavone
does not have any estrogenic effects on the hypothalamus and pituitary
gland. It does not have the estrogenic actions of stimulating breast
and uterine tissue either.(14,15) These estrogenic actions may be
dangerous for postmenopausal women who are genetically prone to
female cancers. Ipriflavone simply improves the structure of bone
and prevents the loss of bone without any harmful side effects.
Researchers have compared the bone restoring effects of ipriflavone
with the FDA-approved osteoporosis treatment hormone Calcitonin.
The study found that ipriflavone had a greater ability to inhibit
the formation of osteoclasts and bone resorption, while simultaneously
stimulating the formation of osteoblasts to form new bone cells.(16,17)
Unlike calcitonin, ipriflavone was found to be free of serious side
effects.
Research shows that ipriflavone activates osteoblasts. When osteoblasts
are exposed to ipriflavone and its metabolites, the cellular process
of manufacturing bone-matrix proteins and bone-mineral deposition
is stimulated.
Clinical human trials have demonstrated significant
increase of bone density from ipriflavone treatment.(18,19) Furthermore,
the research indicates that the bone-building actions of ipriflavone
are more pronounced when ipriflavone is administered in conjunction
with several other bone-support nutrients: 1) calcium, 2) vitamin
D, and 3) vitamin K.
Ipriflavone has been shown to work with calcium supplements to help
maintain stronger bones. Ipriflavone improves calcium metabolism
in bone by fusing itself to specific binding sites in precursor
cells and mature osteoclasts, the cells that digest bone. As a result,
ipriflavone alters bone calcium flux and inhibits bone resorption.(24)
One two-year study evaluated ipriflavone’s
spinal bone-building effects in postmenopausal women with low vertebral
bone density. These women took either 200 mg of ipriflavone, three
times daily along with 1 gram of calcium, or only calcium and a
placebo. Following six months of ipriflavone-calcium supplementation,
spinal bone density increased 1.4 percent, a clinically significant
amount, In the control group taking the placebo, bone density decreased
overall by 1.2 percent after two years. Additionally, twenty women
enrolled in the placebo group who had recently become menopausal
experienced a 4.9% decrease in bone density after the second year.
This is most likely explained by the fact that the most rapid loss
of bone occurs within the first five years of menopause.(20)
Another group of scientists examined the ability
of ipriflavone to prevent bone loss occurring shortly after menopause.
Fifty-six postmenopausal women with low vertebral bone density received
either 200 mg of ipriflavone three times daily or a placebo. All
subjects also received 1,000 mg of elemental calcium daily. After
two years researchers noted that there was no loss in vertebral
bone density in the women receiving both ipriflavone and calcium,
while women taking only calcium experienced a 4.9% loss in bone
density.(21,23)
The most effective form of calcium to use with ipriflavone appears
to be Microcrystalline Hydroxyapatite (MCHC). MCHC is an extract
of whole bone that contains calcium, magnesium, zinc, silica, manganese,
and many other trace minerals in their natural ratios, as well as
residues of matrix, proteins, and glycosaminoglycans.
MCHC is the only form of calcium that has been shown to reconstruct
bone and restore bone loss when taken as a supplement. This makes
MCHC the ideal companion supplement to ipriflavone. In a study of
osteoporotic postmenopausal women with the complication of primary
biliary cirrhosis, MCHC not only reduced bone loss but it actually
increased cortical bone thickness. Those taking MCHC showed a 6.1%
increase in bone thickness. Conversely, calcium gluconate halted
the bone loss but did not restore it, and the group receiving no
supplementation continued to show accelerated loss of bone. Other
studies show that MCHC has a higher level of absorption and greater
bioavailability than either calcium gluconate or calcium carbonate.(25,28)
MCHC has other proven benefits on bone formation.
Elderly subjects taking MCHC experienced more rapid healing of fractures
when compared to the rate of healing in subjects who did not take
MCHC. MCHC has also been shown to dramatically reduce bone loss
in surgically induced postmenopausal women, and MCHC has been called
a valuable therapy in preventing osteoporosis in individuals with
rheumatoid arthritis.(29,30)
Vitamin D and its metabolites stimulate the absorption of calcium
from the gut and the resorption of calcium in bone. In fact, a deficiency
of vitamin D and a failure to metabolize vitamin D in the liver
are known factors in the development of osteoporosis. Ipriflavone
and vitamin D have been found to work synergistically to increase
bone mineral density. In research studies, a combination of vitamin
D3 and ipriflavone have shown superior bone building actions when
compared to taking ipriflavone alone. The combination regimen increased
bone mineral density over the entire length of the femur while the
administration of Vitamin D3 alone had no effect.
An 18-month study found that the combined regimen
of ipriflavone and vitamin D3 was effective in stopping postmenopausal
bone loss. The mean bone loss of the combined regimen group was
.33% versus 2.37% for the ipriflavone alone group, 1.15% for the
vitamin D3 alone group and and 3.70% for the control group. The
synergistic actions of ipriflavone and vitamin D regimen may be
the result of a direct effect of each agent on osteoblastic (bone
forming) cells.(31,32)
Ipriflavone and vitamin K’s actions on bone metabolism are
complementary. Vitamin K is needed to convert the inactive portion
of the bone protein osteocalcin to the active form that anchors
calcium in bone. Vitamin K also inhibits the resorptive actions
of mature osteoclasts while halting the formation of new osteoclasts.
Researchers have demonstrated that the inhibitory
effects of vitamin K on bone resorption are similar to those of
ipriflavone but operate through different mechanisms. As a result
the combination of vitamin K and ipriflavone has additive actions
in preventing bone resorption.(33)
For maximum benefits on rebuilding strong bones and in preventing
osteoporosis, a combination regimen of ipriflavone with vitamin
D , calcium MCHP, vitamin K and other bone-support agents that includes
magnesium is recommended. The same processes that result in osteoporosis
also lead to a loss of jaw bone in periodontal diseases. Therefore
it seems resaonable to speculate that ipriflavone would be of benefit
to those with periodontal disease just as it is for those suffering
from osteoporosis.
References
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