Dr. Virginia Loewenstine, CEO and medical director of Tristate Preventive Health, answers your questions
Q: Should I start using adaptogen supplements to help manage the stress on my body?
A: Stress management should be a top priority for every one of us! Stress to one person may not be stress to another, and it is crucial to have things in place to keep stress at a minimum. We all know coping with stress is important for maintaining our physical and mental health.
There are many effective ways to manage and reduce stress without resorting to pills or supplements. Some of these to consider are deep breathing and relaxation techniques, exercising regularly, maintaining a healthy diet, getting adequate sleep, practicing mindfulness and meditation, setting realistic goals, time management, social support, and many others. Talking with a counselor or your doctor can help, as well.
Adaptogen is class of herbs and substances that are believed to help the body adapt to stress and promote overall well-being. Examples include: ashwagandha, rhodiola, ginseng, and holy basil. These are commonly used in Ayurveda and traditional Chinese medicine.
However, the FDA only loosely regulates supplements, without the clinical trials for prescription or OTC medications to determine efficacy and safety. Most information is derived AFTER they have been on the market through the Dietary Supplement Health and Education Act (DSHEA).
The rule of medicine is always, “first do no harm.” Although adaptogens are generally considered safe, there are some medications and health conditions that can create potential harmful situations, and you should always consult your doctor before you start taking an adaptogen.
Ginseng and ashwagandha have mild blood-thinning properties and should not be taken with anticoagulants. Taking rhodiola with blood pressure medications can disrupt blood pressure regulation. Some adaptogens may have an impact on blood sugar. Astragalus, an adaptogen, can boost immunity and could block the effects of immunosuppression medications, such as steroids.
If you believe you would benefit from adaptogen and are already on medications to help with stress or depression, adaptogens may influence your mood or mental state, and not always in a good way. Use of adaptogens in pregnancy and breastfeeding has not been studied, and some individuals may be allergic to certain herbs and plants. Women with polycystic ovary syndrome (PCOS) or endometriosis may experience adverse effects on their hormone levels.
There is A LOT to consider when opting to try adaptogens to help manage stress. Proceed with caution, do your homework, and consult with your medical provider.
