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In Stock Products - NHS Chronic Pain


Additive-Free

Acai Resveratrol Omega 3 Capsules Maqui Berry Bilberry

Anti-aging

Anti-Aging Resveratrol Plus

Antioxidants

Acai Berry Acai Berry - Organic Acai Cleanse Acai Cleanse with Caralluma Acai Cleanse with Hoodia Acai Freeze Dried Acai Freeze Dried Powder Acai Powder 4:1 Extract Alpha Lipoic Acid Anti-Oxidant Coconut Oil Mangosteen Moringa Maqui Berry Pomegranate Resveratrol

Bariatric Nutrients

Bariatric Post-Op Vitamins Bariatric Pre-Op

B Vitamins

Anti Stress Balanced B Complex Balanced B Complex - Tablets Balanced B Complex Time Released - Tablets Balanced B Complex w/Vitamin C B-12 1000 B-12 B-12 Sublingual Mega B 500

Baby Boomer Vitamins

Baby Boomer Vitamin Pack

Blood Sugar Support

Blood Sugar Support Glucose Drink Shot

Brain Health

5 HTP Brain Power Ginkgo Biloba Mood Relief Formula Phosphotidylserine 500 mg Neuro -PS®

Children's Health

Children's Chewable Vitamins Children's Liquid Calcium

Diet Products

African Mango Belly Fat Reduction Body Cut and Tone (Ephedra Free) Body Slim (Ephedra Free) Body Slim w/Fucoxanthin Body Slim and Tone w/Fucoxanthin Body Slim Plus Body Slim Shake Carbohydrate Blocker Chá de bugre CLA 1000 mg CLA Safflower Corta Trim and Tone Fat Blocker Fucoxanthin Plus Hoodia Hoodia NHS Hoodia Cut and Tone Hoodia South African Plus HydroxSlim Slim Lipo Plus Water Pill

Drink Shots

Cram Night™ Glucose Drink Shot Joint Pain Relief Shot Liquid Energizer Shot Skinny Tea Sleep Shot, Non-Addictive

Energy Products

Caffeine Capsules Cram Night™ NHS Energizer Liquid Energizer Shot

Eye Health

Beta Carotene Bilberry Extract Eye Health Luetin Lycopene

Fat Burning Formulas

White Bean Extract

Fiber

Pure Fiber

Green Foods

Greens and Berries Greens and Berries Powder Green Food Plus

Heart Health

Chelsta-Care (Sytrinol) Co Q10 - 30 mg Co Q10 Plus - 30 mg (w/250 mg L-carnitine) Co Q10 - 50 mg Co Q10 - 60 mg
(w/Red Yeast Rice)
Co Q10 - 100 mg Co Q10 - 400 mg Co Q10 w/Flaxseed Co Q10 Super Energy Cod Liver Oil EPO Essential Oils 3-6-9 Evening Primrose Plus Evening Primrose Oil Krill Oil Odorless Garlic Omega 3 Omega 3 Plus Omega 3 1360 mg Omega Q (w/Co Q10) Organic Flax Seed Oil Red Yeast Capsules Ubiquinol

Immune Support

Immune Aid Immune Spray

Joint Support Formulas

Glucosamine 400/300 Glucosamine 500/400 Glucosamine Extra Strength Glucosamine w/Hyaluronic Acid Complex Hyaluronic Acid 1% 500 mg Joint Joint NHS Plus Joint Smoother w/Omega Joint Pain Relief Shot MSM 750 Shark Cartilage Shark Liver Oil

Liquid Vitamins

Calcium/Magnesium+D Daily Vitamin Daily Vitamin Plus Glucosamine

Liver Health

Curcumin Lecithin Complex Milk Thistle

Men's Health

Belly Fat Mood Elevating Complex for Men Colon Cleanser Plus Multivitamin Complex Prostate Plus Saw Palmetto 320 Testosterone Volumizer Yohimbe

Natural Heartburn Relief

Heartburn Relief

Nutri Cosmetics

Hair, Skin and Nail Sea Buckthorn Oil

Organic Supplements

Organic Soy Protein Powder, Vanilla Organic Soy Protein Powder, Chocolate Organic Greens Powder Organic High Lignan Flaxseed Oil Powder Organic High Lignan Flaxseed Oil 1000mg Organic High Lignan Flaxseed Oil 1200mg

Pain Relief Supplements

Curcumin C3™ Complex

Probiotics

Probiotics Adult Plus Probiotics Green Probiotics Junior

Protein

Single Ingredients

Acerola - Chewable Biotin 1000 Calcium Citrate Cascara Sagrada Chromium Piconolate Vitamin C - 500mg Vitamin C - 1000mg Vitamin C - Chewable Vitamin E - 400IU Vitamin E Natural - 400IU Vitamin E - 1000IU Vitamin E Natural - 1000IU Vitamin E + Selenium Vitamin K2

Sleep Formulas

Sleep Aid Sleep Shot

Skincare, Creams & Gels

Anti-aging Collagen Serum Breast Enhancement Cream Cellulite Formula Sea Buckthorn Oil

Specialty Products

Breast Enlargement Formula Cholest-Aid Collagen - Bovine Collagen - Type II DHEA - 25 mg DHEA - 50 mg Digestive Enzyme Goji Berry HGH Support (This product does not contain actual HGH) HGH Support Plus (This product does not contain actual HGH) HGH Support Spray (This product does not contain actual HGH) Herbal V Max Hyaluronic Acid Klamath Lake Blue Green Algae Maxa-Lotion for Men Melatonin Maximizer Noni

Sports Fitness Products

Acetyl L-Carnitine BCAA Creatine Monohydrate Creatine Monohydrate Powder Creafit Insured Vitamin Drink w/HMB L-Glutamine NO2 MAX NO2 Plus Pre Workout

Super Fruits

Tart Cherry

Vitamins & Minerals

Calcium 600 Calcium 600 with D Calcium with D Softgel Calcium/Magnesium Calcium/Magnesium Plus Cal/Mag Zinc with D Centra Vit Centra Vit Senior without Iron Coral Calcium Coral Calcium Plus Coral Calcium Powder Daily One Vitamin Daily One with Extra Calcium Life Force Plus One Daily Vitamin Selenium 100 mcg Vitamin D3 Vitamin D3 Dropper Vitamin D Softgels

Women's Health

Belly Fat Mood Elevating Complex for Women Folic Acid Hair, Skin and Nail Isoflavones 750 MenaSoy Plus NHS Vita Glow Pregnenolone Prenatal Vitamin Women's Daily One Women's Multi w/ Iron Women's V
Supplement Facts
Serving Size: 2 Capsules
Servings Per Container: 30
alt
Amt Per Serving % Daily Value
alt
Vitamin A (as Palmitate and Beta Carotene) 10,000 IU 200%
Vitamin C (Ascorbic Acid) 250 mg 417%
Vitamin E (dl-alpha tocopherol acetate) 100 IU 333%
Vitamin B1 (Thiamine HCL) 4 mg 267%
Vitamin B6 (Pyridoxine HCL) 4 mg 200%
Vitamin B12 (Cyanocobalamin) 1000 mcg 16667%
Proprietary Blend: Turmeric Extract 95% curcuminoids (root), Turmeric root, Cayenne Pepper (Capsicum
frutescens) (fruit), Ginger (root), Grape Seed Extract 95% proanthocyanidins, Omega-3 Fish Oil
900 mcg *
alt
Other Ingredients: Gelatin, Calcium Carbonate, Magnesium Stearate.
alt
*Daily Value Not Established
alt

NHS Chronic Pain

Vitamins That Relieve Pain

Vitamin B1 (thiamin) and benfotiamine
Some animal studies have shown a decrease in pain with a combination of vitamin B1, vitamin B6, and vitamin B12 (Franca DS et al 2001; Jurna I 1998; Wang ZB et al 2005). The fat-soluble form of vitamin B1, called benfotiamine, has been used effectively to treat alcoholic and diabetic neuropathies. The most marked pain relief from benfotiamine occurred in patients with diabetic neuropathy after only a 3-week trial period (Anisimova EI et al 2001; Haupt E et al 2005; Winkler G et al 1999).

Niacin
Niacin has been shown to increase joint mobility and decrease joint pain (Jonas WB et al 1996). Fifty years ago, researchers reported that high-dose niacinamide was beneficial in the treatment of osteoarthritis and rheumatoid arthritis (Kaufman W 1955). A more recent double-blind study confirms the efficacy of niacinamide in treating osteoarthritis (Jonas WB et al 1996).

Vitamin B6 (pyridoxine)
Studies show that vitamin B6 is effective in treating pain associated with headache and carpal tunnel syndrome. A study comparing amitriptyline (a tricyclic antidepressant used to treat pain) and vitamin B6 in the treatment of headache demonstrated equal effectiveness, with fewer side effects in those using vitamin B6 (Bernstein AL 1990). It is likely that vitamin B6 works to reduce pain by raising serotonin levels (Bernstein AL 1990). People who have chronic pain or headaches may have a serotonin deficiency (Bernstein AL 1990).

Vitamin B6 has a well-established record in the management of certain chronic pain syndromes. It may offer an alternative to surgery for carpal tunnel syndrome, which may be caused in part by a vitamin B6 deficiency (Aufiero E et al 2004; Ellis J et al 1981). A combination of B vitamins has also been demonstrated to allow a shorter course of treatment for people who have painful degenerative spinal diseases (Vetter G et al 1988). The painful response to thermal injury was inhibited by the combination of niacin, B6, and B12 in laboratory rats (Wang ZB et al 2005).

Many older people may be deficient in vitamin B6 either because of low intake, a higher requirement, or health problems that alter vitamin B6 levels (Mahan LK et al 1996). People who have multiple health problems have a higher risk of vitamin B6 deficiency (Mahan LK et al 1996). Up to 20 percent of women who take birth control pills have a deficiency in vitamin B6 (Mahan LK et al 1996).

Studies examining toxicity in long-term use of vitamin B6 found that adults using 100 to 150 mg daily for 5 to 10 years had minimal or no toxicity (Bernstein AL 1990).

Vitamin B12
A link between vitamin B12 levels and pain has been noted (Bernard MA et al 1998). Older individuals who have vitamin B12 deficiency experience more pain than those who have normal vitamin B12 levels (Bernard MA et al 1998).

In a study examining vitamin B12 and pain, patients with lower back pain received injections of vitamin B12 or placebo into muscle tissue. Patients treated with vitamin B12 reported a significant decrease in pain and disability, and used less acetaminophen, compared to placebo-treated patients. These findings are particularly interesting because there were no signs of nutritional deficiency (Mauro GL et al 2000). Vitamin B12 has also been used successfully to treat the pain of degenerative neuropathy (Sun Y et al 2005).

Many animal studies have demonstrated the reduced pain that occurs in response to combining vitamin B12 or B complex with conventional pharmaceuticals used to treat neuropathic or inflammatory pain (Caram-Salas NL et al 2004; Granados-Soto V et al 2004; Medina-Santillan R et al 2004; Reyes-Garcia G et al 2004; Rocha-Gonzalez HI et al 2004).
Vegetarians who completely avoid animal foods may develop vitamin B12 deficiency, which is linked to neuropathy; older people are also at risk because absorption decreases with age (Mahan LK et al 1996). Poor vitamin B12 status may cause painful neuropathy. On the other hand, in one study, a strict vegan diet rich in lactobacilli produced significant reduction in pain and other symptoms of rheumatoid arthritis, despite lower vitamin B12 levels (Nenonen MT et al 1998).

Vitamin C
Vitamin C, a versatile antioxidant, is another natural shield against pain (McAlindon TE et al 1996). One study found that pain and cartilage loss associated with knee osteoarthritis was reduced in people who had a high vitamin C intake (McAlindon TE et al 1996). Another study looking at the effects of 1000 mg daily of calcium ascorbate (a buffered vitamin C) taken for 14 days by 133 patients who had osteoarthritis found significant decrease in pain on the visual analog scale, as well as improved function of the joints compared to the placebo group (Jensen NH 2003).

Vitamin E
Vitamin E (tocopherol) blocks pain, enhances natural endorphin activity, and acts as an antioxidant (Kryzhanovskii GN et al 1988; Machtey I et al 1978). A study of women who had painful menstruation found that vitamin E reduced discomfort and increased endorphin levels (Kryzhanovskii GN et al 1988).

Vitamin E was tested for effectiveness against pain in a double-blind study involving 50 people who had primary degenerative osteoarthritis. Participants were given either vitamin E or placebo. After 6 weeks, the vitamin E group reported less pain while moving or at rest and less pain when joints were subjected to pressure (Blankenhorn G 1986).

In another test of vitamin E against osteoarthritis, 29 patients were given vitamin E for 10 days. The same 29 patients were then given only a placebo for the next 10 days (Machtey I et al 1978). When the patients were taking vitamin E, 52 percent reported relief from pain. Only 4 percent reported pain relief while taking the placebo (Machtey I et al 1978).

Herbs That May Relieve Pain

Capsaicin
Capsaicin, a chemical found in cayenne and other peppers, is a prime ingredient of over-the-counter and prescription analgesic ointments. Capsaicin works by stimulating the release of substance P from pain-receptor cells called C fibers. Prolonged exposure to capsaicin depletes the C fibers, making them incapable of transmitting painful stimuli. Capsaicin has been shown to reduce the pain of shingles, postherpetic neuralgia, osteoarthritis, and diabetic nerve pain (Deal CL et al 1991; Pfeifer MA et al 1993; Rains C et al 1995; Tandan R et al 1992). Rubbing capsaicin on the skin produces an immediate sensation of heat and a temporarily increased sensitivity to pain (hyperalgesia) as substance P is released (Ashkenazi A et al 2004). Thirty percent of patients discontinue using capsaicin because of these unpleasant, temporary side effects (Ashkenazi A et al 2004). These adverse effects typically disappear after the first week of treatment, so it is well worth sticking with the treatment to achieve the long-term pain relief that capsaicin can provide (Rains C et al 1995).

Curcumin
Curcumin is the active ingredient in turmeric root that adds color and flavor to curry and other foods. It has anti-inflammatory properties and has been used to combat the pain and swelling of arthritis (Lodha R et al 2000). Curcumin can inhibit the release of inflammatory mediators and inhibit the COX enzyme (Huang MT et al 1991; Joe B et al 1997). It may also work as an enkephalinase inhibitor (the enzyme that degrades natural endorphins), serving to increase levels of natural endorphins by slowing their destruction (Kita A et al 1997).

Ginger root
Ginger root has exhibited anti-inflammatory and analgesic effects and has also been used to treat headache, nausea, and vomiting. One component in ginger, called (6)-shogaol, has a capsaicin-like chemical structure and works to deplete stores of substance P (Onogi T et al 1992). Similar to NSAIDs, components in ginger can inhibit the COX enzyme, which reduces inflammation (Kiuchi F et al 1992). Clinical trials show that ginger can reduce the pain associated with arthritis (Srivastava KC et al 1992).

Proanthocyanidins
Proanthocyanidins possess extraordinary antioxidant properties that may be of value in reducing pain (Li WG et al 2001). Proanthocyanidins have shown analgesic and anti-inflammatory activity in mice (Subarnas A et al 2000). A small study found that grape seed proanthocyanidin extract reduced the frequency and intensity of abdominal pain associated with chronic pancreatitis (Banerjee B et al 2001). For chronic pain, 100 mg of proanthocyanidins can be taken twice daily for 4 to 6 months; then the dosage can be reduced by half.

Fatty Acid Nutrition and Pain

The omega-3 fatty acids have been found not only to protect against heart disease but also to reduce the inflammation and pain of rheumatoid arthritis. Studies show that patients with rheumatoid arthritis experience a decrease in joint stiffness and tenderness after 3 months of treatment with omega-3 fatty acids (Fortin PR et al 1995; Kremer JM et al 1985). Other studies have found that patients who consume fish oil were able to significantly reduce their intake of NSAIDs, compared with subjects in a control group (Lau CS et al 1993; Skoldstam L et al 1992).

Part of the effectiveness of omega-3 fatty acids may come from their ability to inhibit proinflammatory cytokines (such as TNF-alpha and IL-6) (James MJ et al 1997). For more information on reducing inflammation, see the chapter Inflammation.

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