Coleus forskohli
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What Studies of
Forskolin have Shown


Dr. John C. Lowe
 

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ForsLean Backordered. We regret to say that ForsLean is backordered. Adverse weather conditions in the part of the world where forskolin is grown has created a shortage. Sabinsa Corp tells us that enough forkolin to produce ForsLean probably will be available around the end of 2010 or the beginning of 2011. We are looking for another source of forskolin. If we find a one, we will make it available to our customers as soon as possible. June 27, 2010


ForsLean®
Dr. John C. Lowe

Backordered
The Recommended Dose of ForsLean

The recommended dose of ForsLean is 250 mg two times each day. If the 250 mg capsules contain 10% forskolin, 1 capsule early in the day and another later in the day is usually effective. If the 250 mg capsules contain 20% forskolin, 1 capsule each day is enough for most people. The typical daily dose of forskolin, then, is a total of 50 mg of forskoli.

How Much ForsLean would be Too Much?

ForsLean is the only brand of Coleus forskoli that researchers have independently tested for safety and toxicity. Two independent laboratories conducted tests with Wistar albino rats. The amount of ForsLean given orally that killed half the population of rats (called the "lethal dose" or "LD50") was more than 2000 mg/kg of body weight.

Researchers we call "toxicologists" calculate from lab-animal studies how much of a substance is likely to be a lethal dose for humans. To do this in the U.S., we take the person's weight in pounds and divide by 2.2 to get his or her weight in kilograms. Then we multiply this weight times the lethal dose for the lab animals. What we get is the estimated amount of the substance required to kill 50% of the humans who take it in excess.

Using this method indicates that for a person who weighs 150 lbs (68.18 kgs), the lethal dose of ForsLean would be 136,364 mg. This is 2,727 times the recommended daily dose. Obviously, this is a mountainous quantity compared to the recommended intake of ForsLean.

Continuation:
What Studies of Forskolin have Shown

Researchers are now conducting many studies of forskolin. We don't yet know the implications of many of the research findings. For example, investigators found that through an electrically-driven mechanism, forskolin increased the passage of chloride through the epithelial cells that line the GI track. The chloride then appears on the mucosal side of the GI tract.[12] This was a 1982 study, and I can't find follow up studies that indicate any physiological or health benefits of the chloride release. Nonetheless, the finding has been reported, and it may prove important in explaining findings of future studies.

Sabinsa's fat-loss studies. Sabinsa, the company that manufactures ForsLean, conducted two preliminary clinical trials to evaluate the effect of ForsLean on the body composition of overweight subjects.[18] In the first trial, four overweight female subjects took ForsLean orally for 12 weeks.

Each subject took one capsule of ForsLean twice each day. The capsules contained 250 mg of Coleus forskoli. The forskolin extract in the 250 mg of Coleus was 10%, which means that each capsule contained 25 mg forskolin. The researchers provided the subjects with information about a healthy diet and the benefits of regular exercise. A physician saw each subject at the beginning of the study and at four, eight, and 12 weeks.

By the end of the 12 week study, the subjects' average lean body mass had significantly increased by 7.2 pounds. Their percentage body fat had decreased by 2.9%. This reduction, however, wasn't statistically significant. The subjects had no significant changes in blood biochemistry, pulse rate, systolic blood pressure values, appetite, or energy levels.

In the second clinical trial by Sabinsa, six overweight female subjects took ForsLean (equivalent to 50 mg of forskolin) twice each day for 8 weeks. Physical activity, vital signs, body weight, and other body mass parameters were monitored during the course of the experiment.

During the eight week trial, the mean values for body weight and fat content significantly decreased. Lean body mass significantly increased. The treatment had no adverse  affect on the study subject, including the systolic/diastolic blood pressure or pulse rate. In fact, the researchers found a trend towards lower systolic/diastolic pressure. No

Two followup clinical trials of ForsLean are currently underway in the U.S. and Japan.

References

1. Lindner, E., Dohadwalla, A.N., and Bhattacharya, B.K.: Positive inotropic and blood pressure lowering activity of a diterpene derivative isolated from Coleus forskohli: Forskolin. Arzneimittelforschung, 28(2):284-9, 1978.

2. Inamdar, P.K., Dornauer, H., and de Souza, N.J.: GLC method for assay of forskolin, a novel positive inotropic and blood pressure-lowering agent. J. Pharm. Sci., 69(12):1449-1451, 1980.

3. Seamon, K.B. and Daly, J.W.: Forskolin: a unique diterpene activator of cyclic AMP-generating systems. J. Cyclic Nucleotide Res., 7(4):201-224, 1981.

4. Dubey, M.P., Srimal, R.C., Nityanand, S., et al.: Pharmacological studies on coleonol, a hypotensive diterpene from Coleus forskohlii. J. Ethnopharmacol., 3(1):1-13, 1981.

5. Metzger, H. and Lindner, E.: The positive inotropic-acting forskolin, a potent adenylate cyclase activator. Arzneimittelforschung, 31(8):1248-1250, 1981.

6. Seamon, K.B., Padgett, W., and Daly, J.W.: Forskolin: unique diterpene activator of adenylate cyclase in membranes and in intact cells. Proc. Natl. Acad. Sci. USA, 1981 Jun;78(6):3363-3367, 1981.

7. Seamon, K, and Daly, J.W.: Activation of adenylate cyclase by the diterpene forskolin does not require the guanine nucleotide regulatory protein. J. Biol. Chem., 256(19):9799-9801, 1981.

8. Rabe, C.S., Schneider, J., and McGee, R. Jr.: Enhancement of depolarization-dependent neurosecretion from PC12 cells by forskolin-induced elevation of cyclic AMP. J. Cyclic Nucleotide Res., 8(6):371-384, 1982.

9. Rabe, C.S., Schneider, J., and McGee, R. Jr.: Enhancement of depolarization-dependent neurosecretion from PC12 cells.  by forskolin-induced elevation of cyclic AMP.
J. Cyclic Nucleotide Res., 8(6):371-384, 1982.

10. Bartels, S.P., Lee, S.R., and Neufeld, A.H.: Forskolin stimulates cyclic AMP synthesis, lowers intraocular pressure and increases outflow facility in rabbits. Curr. Eye Res., 2(10):673-681, 1982-1983.

11. Yokochi, A., Itoh, H., Maruyama, J., et al.: Colforsin-induced vasodilation in chronic hypoxic pulmonary hypertension in rats. J. Anesth., Mar 19, 2010. [E-publication ahead of print version.]

12. Cuthbert, A.W. and Spayne, J.A.: Stimulation of sodium and of chloride transport in epithelia by forskolin. Br. J. Pharmacol., 76(1):33-35, 1982.

13. McMahon, K.K. and Schimmel, R.J.: Inhibition of forskolin activated adenylate cyclase in hamster adipocyte membranes with prostaglandin E1 and clonidine. J. Cyclic Nucleotide Res., 8(1):39-47, 1982.

14. Kobinger, W.: Central α-adrenergic system as targets for antihypertensive drugs. Rev. Physiol. Biochem. Pharmacol., 81:39-100, 1978.

15. Connor, H.E., Drew, G.M., and Finch, L.: Clonidine-induced potentiation of reflex vagal bradycardia in anesthetized cats. J. Pharm. Pharmacol., 34:22-26, 1982.

16. Berne, R.M. and Levy, M.N.: Principles of Physiology, St. Louis, C.V. Mosby Co., 1990.

17. Nichols, A.J. and Ruffolo, R.R., Jr.: Functions mediated by α-adrenoceptors. In α-Adrenoceptors: Molecular Biology, Biochemistry and Pharmacology. Basel, Karger, 1991.

18. http://www.sabinsa.com/2001_april.htm.
19. Ehlert, F.J., Sawyer, G.W., and Esqueda, E.E.: Contractile role of M2 and M3 muscarinic receptors in gastrointestinal smooth muscle. Life Sci., 64(6-7):387-394, 1999.

 

| What ForsLean Is | How Forskolin Works |
| What Studies Show| Benefits |
| How Much is Too Much | Recommended Dose |

What Studies have Shown. In 1978, researchers published a report[1] that forskolin lowered the blood pressure of dogs and cats. Forskolin lowered the animals' high blood pressure whether their hypertension was spontaneous (not caused by a known disorder) or caused by a kidney disorder (renal hypertension).

These researchers[1] noted that in previous studies, forskolin had increased the force of contraction of guinea pigs' hearts. In guinea pigs, dogs, and cats, forskolin had also increased both the rate and force of contraction of the left atrium (the small chamber of the heart that receives oxygenated blood from the lungs).

Of Special Importance to people who are hypothyroid or thyroid hormone resistant. Interestingly, beta-blockers didn't decrease these cardiac effects of forskolin.[1] This is important for people who are hypothyroid or thyroid hormone resistant. The reason is that too little thyroid hormone regulation results in a slowed-down physiological state akin to that produced by beta-blockers. As I noted in The Metabolic Treatment of Fibromyalgia, this slowed-down state in fact results from too few stimulatory beta-adrenergic receptors and too many inhibitory alpha-adrenergic receptors. The importance of the finding that forskolin increases the force and rate of heart contractions despite the inhibiting effects of beta-blockers is this: forskolin side-steps the metabolic slowdown from too little beta-adrenergic receptor stimulation of cells, as in hypothyroidism and thyroid hormone resistance. Forskolin speeds up the rate of chemical reactions in cells despite the metabolic slow-down. This strongly suggests that Dr. Richard Garrison was right—forskolin will probably provide much-needed metabolic drive in patients otherwise kept sick from hypometabolism due to the ineffectiveness of T4 replacement.

Rapid research-based understanding of forskolin. Within two years after the first important report on forskolin in 1978, pharmaceutical researchers were referring to forskolin as "blood-pressure lowering" agent. They also referred to it as a "positive inotropic" agent,[2] meaning that forskolin increases the heart's force of contraction.[3,4,6,7]

They noted that these effects of forskolin result from its strong activation of the enzyme adenylate cyclase in cells. Normally, hormones and neurotransmitters activate the enzyme when they bind to their receptors on the surfaces of cells. Researchers noted that forskolin activates the enzyme, as do hormones and neurotransmitters. But it does this independently of the hormones and neurotransmitters.

When forskolin activates the enzyme, it also greatly increases the production of cyclic-AMP in cells. In turn, the increased cyclic-AMP accelerates the cells' metabolic processes. The researchers pointed out, "Forskolin thus provides an invaluable tool for the investigation of the role of cyclic-AMP in physiological responses to hormones, both through its direct activation of adenylate cyclase and through its ability to potentiate hormonal activation of adenylate cyclase."[3]

Forskolin speeds up fat cells metabolism. In 1983, researchers found that forskolin activates the enzyme adenylate cyclase in the membranes of hamster "adipocytes" (fat cells).[13] They wrote that this showed that forskolin increases the metabolism of fat cells.

Of great importance to hypothyroid and thyroid hormone resistance patients.The fat cell researchers also found that forskolin's activation of the enzyme adenylate cyclase was inhibited by clonidine.[13] That clonidine inhibited forskolin's activation of adenylate cyclase is of great importance to hypothyroid and thyroid hormone resistant patients.

Clonodine is a drug that stimulates a type of receptor called the "alpha2-adrenergic receptors." This type of receptor inhibits metabolic processes in most cells. When these receptors are activated, they inhibit the sympathetic nervous system and energy metabolism in most cells. (The sympathetic system is the part of the nervous system that's activated by stress. When activated, sympathetic nerves increase their release of adrenaline and noradrenaline.) Because clonidine inhibits the sympathetic system, clinicians have prescribed it to reduce patients' high blood pressure.

People who are hypothyroid or thyroid hormone resistant have too many of the inhibiting alpha2-adrenergic receptors. As a result, their sympathetic nervous systems are harder to activate. As I pointed out in The Metabolic Treatment of Fibromyalgia, this is a major reason that hypothyroid and thyroid hormone resistance patients (and those with a diagnosis of fibromyalgia) have trouble exercising. It's also a reason they have abnormally slow heart rates ("bradycardia") and problematic low blood pressure.[14,15,16][17,pp.120-122]

The finding that clonidine inhibits forskolin's activation adenylate cyclase presents a challenging hypothesis to Dr. Garrison's idea that forskolin might benefit hypothyroid and thyroid hormone resistant patients. These patients' excess of inhibitory alpha-adrenergic receptors may effect them like clonidine would. The receptors, like clonidine, may inhibit forskolin from activating the enzyme. If so, forskolin may not have the fat-reducing effects it does in other people. Whether this is true or not we don't yet know. Finding out is a project I'll do in honor of Dr. Garrison. If forskolin doesn't work for them, or as well as it does for others, he would want to know. Truth meant as much to him as it does to me—and as much as it does to patients who need to know whether forskolin will or won't benefits them. Only by collecting feedback from patients who use ForsLean and from clinical trials will we know for sure.

Additional studies of forskolin. Cell researchers found[9] in working with lab cells (pheochromocytoma cells) that forskolin alone didn't increase the cells' release of noradrenaline and acetylcholine. But they found that forskolin amplified the release of these neurotransmitters in response to potassium exposure.

In 1981, researchers noted that coleonol (a compound isolated from forskolin) has been used in Aurvedic medicine for several medical conditions: heart diseases, spasmodic pain, painful urination, and convulsions.[4] They studied the pharmacological effects of coleonol and found that it lowered the blood pressure of anaesthetised cat and rats. The forskolin derivative had the same effects on spontaneously hypertensive rats. The anti-hypertensive effect resulted from the relaxation of the smooth muscle lining in blood vessels. (This smooth muscle relaxation in blood vessels is now well-established.[11,19])

The investigators also found that coleonol increase the force of contraction of the isolated hearts of rabbits and the intact hearts of cats.[4] Coleonol also had a generalized anti-spasmodic effect on the smooth muscle of the gastrointestinal tract in various species. "These results," the researchers wrote, "provide the rationale for the use of this plant in Aurvedic medicine."

In 1983, eye researchers reported the effects of forskolin on the pressure inside the eyeball (intraocular pressure) of rabbits.[10] They found that forskolin decreased intraocular pressure. They also found that forskolin almost doubled the outflow of fluid from the eye, reducing pressure within the aqueous humor. The researchers concluded that agents that directly activate the enzyme adenylate cyclase, such as forskolin, increase fluid outflow from the eye and reduce pressure inside the eyeball.

In 2010, researchers in a an anesthesiology and critical care department reported the effects of a forskolin derivative on rats with induced pulmonary hypertension. The derivative, colforsin, is a water-soluble compound. Like forskolin itself, colforsin directly activates adenylate cyclase. It thereby increases cyclic-AMP in the smooth muscles of blood vessels and relaxes them. The researchers found that colforsin was effective in countering adverse effects of the rats' pulmonary hypertension. They concluded, “The results suggest that colforsin could be effective in the treatment of [pulmonary hypertension].”[11]

Continued in right column

 

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