Glucosamine
has been used to ease joint pain by consumers for over 20 years and many
believe sincerely that it has been beneficial to them in terms of pain relief.
However over the period there have been literally many hundreds of trials with
glucosamine with varied results. In fact a recent major study in USA concluded
that there was little benefit to be gained from taking glucosamine. This blog
suggests the likely reasons for this variation in results and suggests how consumers
might maximise their chances of getting a positive result from taking
glucosamine for joint pain.
Glucosamine
is supplied in two main forms glucosamine sulphate and glucosamine
hydrochloride both sourced by hydrolysis of crustacean skeletons. In terms of
effectiveness there is little to choose between them. As the bulk of trial work
has been with the sulphate form, this is the form that I would recommend. The
only reason to use the hydrochloride form would be to reduce the sodium intake
if that were a worry to the consumer.
The
second point is the purity/concentration of the product. There are many 100’s
of large scale commercial bulk producers of glucosamine, the majority of them
being in Asia. They sell product of varying concentration and pricing to
supplement manufacturers with of course varying prices. In order to produce a
competitively priced product a supplement manufacturer may not use the best
quality base glucosamine. You need to buy from a trusted manufacturer and be
wary of very low priced product.
Next
the dose rate needs to be adequate and by adequate I believe you need to be
taking at least the commonly accepted rate of 1,500mg of 100% glucosamine. In
fact a dose rate of 2,000mg per day would be preferable. The product is
relatively safe and even higher dose rates are likely to show little in the way
of side effects. Only warnings are if you are a diabetic you need to monitor
the effects carefully when you start a glucosamine programme and if you are on
anti coagulants similarly monitor the effects. There should be none but some research
indicates there could be minor effects in the odd case.
Then
there is the formulation which in the vast majority of products is in a
capsule, often a large capsule. This is because over time the product tends to
break down in the liquid form, giving problems in stability with any liquid
formulation. However this can be overcome by formulating in a powder which is
then mixed with water at the appropriate dose rate at the time of usage. Pure
glucosamine is relatively very soluble if ground finely and easily mixed.
Taking in the liquid form enhances and increases the bio availability and
effectiveness of the product which is only in the 20% area with the dry product
in a capsule. As well it is an easier more pleasant method of ingestion as
compared to a bulky capsule.
Finally
there is the point of what else you take with the glucosamine as it can act in
synergy with quite a number of products. The most common of these is
Chrondroitin, another natural product that can have a positive effect on joint
pain. The two together give more benefit than either separately (a case of 2 +
2 = 5). Other products that can also work in synergy are Omega3, Collagen 2 and
at times a product called MSM.
So
to summarise these points
- Take Glucosamine Sulphate
- Make sure it is from high quality base product – trusted manufacturer
- Take adequate dose rate – suggest 2,000mg/day
- Ingest in a liquid form (recently dissolved powder)
- Look at also taking products that will act in synergy with glucosamine
If
you take heed of these points it is likely you will get a positive response, it
will not cure the condition but it may make it easier to live with and slow the
progression. In my experience some 80% will gain measurable relief.
Try
it for two months which is long enough for the effects to be seen, if you are
one of the 20% who see little effect, give it up. Surprisingly often when you
stop the pain comes back and you realise it was working.
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