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Botanical Name: Trifolium pratense

Red clover, a wild plant primarily used as grazing food for cattle and other livestock, has also been used medicinally to treat a wide array of conditions. These have included cancer, mastitis (inflammation of the breast), joint disorders, jaundice, bronchitis, spasmodic coughing, asthma, and skin inflammations, such as psoriasis and eczema. Red clover is thought to "purify" the blood by promoting urine and mucous production, improving circulation, and stimulating the secretion of bile. Recently, specific chemicals in red clover -- known as isoflavones -- have been isolated and tested for their effectiveness in treating a variety of conditions. Although isolated isoflavone products are very different from the whole herb, they have shown promise in the treatment of a number of conditions associated with menopause, such as hot flashes, cardiovascular health, and the bone loss associated with osteoporosis.
Red clover is a perennial herb that commonly grows wild in meadows throughout Europe and Asia, and has now been naturalized to grow in North America. The red flowers at the end of the branched stems are considered to be the source of its medicinal properties and are usually dried for therapeutic use.
Red clover is a source of many valuable nutrients including calcium, chromium, magnesium, niacin, phosphorus, potassium, thiamine, and vitamin C. Red clover is also considered to be one of the richest sources of isoflavones (water-soluble chemicals that act like estrogens and are found in many plants).

Cardiovascular Health

Menopause increases a woman's risk for developing cardiovascular disease. Supplementation with red clover isoflavones has been associated with a sizeable increase in high-density lipoprotein (HDL) cholesterol, or "good" cholesterol in pre- and postmenopausal women, leading some researchers to believe that these isoflavones may help protect against cardiovascular disease. Other studies, however, have refuted this finding. Interestingly, one recent study found that menopausal women taking red clover supplements experienced a significant improvement in arterial compliance (a measure of the strength and resilience of the arterial walls). Arterial compliance diminishes during menopause and may increase a woman's risk for heart disease.

Menopause

While not all studies are thoroughly convincing, several studies of a proprietary extract of red clover isoflavones suggest that it may significantly reduce hot flashes in menopausal women.

Osteoporosis

Menopause increases a woman's risk for developing osteoporosis (significant bone loss). Some studies suggest that a proprietary extract of red clover isoflavones may slow bone loss and even boost bone mineral density in pre- and perimenopausal women.

Cancer

The isoflavones isolated from red clover have been studied for their effectiveness in treating some forms of cancer. It is thought that the isoflavones prevent the proliferation of cancer cells and that they may even destroy cancer cells. Laboratory and animal studies have found that red clover isoflavones may protect against the growth of breast cancer cells. This is surprising because estrogens (and isoflavones have estrogenic properties) have generally been thought to stimulate the growth of breast cancer in women. Until further research has been conducted and more information is available, the use of red clover isoflavones or other red clover products should probably be avoided in women with a history of breast cancer.

Other Uses

Traditionally, red clover ointments have been applied to the skin to treat conditions such as psoriasis, eczema, and other rashes. Red clover also has a history of use as a cough remedy for children.
Red clover is available in a variety of preparations, including teas, tinctures, tablets, capsules, liquid extract, and extracts standardized to specific isoflavone contents. It can also be prepared as an ointment for topical application
Because of the estrogen-like properties in red clover isoflavones, women with a history of breast cancer should avoid red clover (some studies suggest that synthetic and/or natural estrogens may increase the risk of breast cancer). Red clover isoflavones should be used with caution, if at all, by people receiving hormone therapy (including birth control pills) containing estrogen, progesterone, androgen or any derivatives of these hormones. Because of the increased risk of bleeding associated with red clover, individuals taking blood-thinning medications (such as warfarin or aspirin) or blood-thinning herbs and supplements (such as ginkgo, ginger, garlic, and vitamin E) should avoid red clover.

An Anticancer Clover

When James Duke, Ph.D., an economic botanist and former U.S. Department of Agriculture researcher, tosses red clover sprouts into salads, he isn't seeking simply flavor or crunch. Red clover (Trifolium pratense) contains genistein, an anticancer compound that prevents new blood vessels from forming with in a tumor. (Genistein can also be found in soy, black beans and peanuts.) Since tumors rely on new blood vessels to grow, genistein effectively starves the cancer.

Clover Sprouts

Red clover is one of the world's oldest and most common natural cancer remedies. In fact, one study found that 33 cultures use the herb against the disease. However, it may create problems for certain cancer patients. For example, says Labriola, women being treated for breast cancer with the drug tamoxifen should avoid red clover because tamoxifen prevents estrogen from reaching a tumor, and phytoestrogenic compounds in red clover could undermine that action. In this case, it's possible red clover could feed, not starve, an estrogen-dependent breast tumor, Labriola warns. (Editor's Note: These same phytoestrogenic compounds can be helpful with menopausal symptoms in women who wish to naturally increase their estrogen levels.)

The scientific study of red clover is still new. Although its anticancer compounds make it an effective cancer-fighting food for some people, only further research will clarify red clover's future cancer treatment role (Cancer Research, vol. 48, no. 22).

An Extract from "In Concert Against Cancer",
October, 1998
By Willow Older




 

Supporting Research

Adlercreutz H, Bannwart C, Wahala K, et al. Inhibition of human aromatase by mammalian lignans and isoflavonoid phytoestrogens. J Steroid Biochem Molec Biol. 1993;44(2):147-153.

Baber R, Bligh PC, Fulcher G, Lieberman D, Nery L, Moreton T. The effect of an Isoflavone dietary supplement (P-081) on serum lipids, forearm bone density & endometrial thickness in post menopausal women [abstract]. Menopause. 1999a;6:326.

Baber RJ, Templeman C, Morton T, Kelly GE, West L. Randomized, placebo-controlled trial of an isoflavone supplement and menopausal symptoms in women. Climacteric. 1999b;2(2):85-92.

Bradley PR, ed. Red clover flower. In: British Herbal Compendium. Vol 1. Bournemouth, UK: British Herbal Medicine Association; 1992:183-184.

Cassady JM, Zennie TM, Young-Heum C, Ferin MA, Portuondo NE, Baird WM. Use of a mammalian cell culture benzo(a)pyrene metabolism assay for the detection of potential anticarcinogens from natural products: Inhibition of metabolism by biochanin A, an isoflavone from Trifolium pratense L. Cancer Res. 1988;48:6257-6261.

DerMarderosian A, Burnham TH, Short RM, et al, eds. Red clover monograph, a monograph in the series The Review of Natural Products. St. Louis, Mo: Facts and Comparisons; 2000.
Duke JA. Handbook of Phytochemical Constituents of GRAS Herbs and Other Economic Plants. Boca Raton, Fla: CRC Press; 1992:603-605.

Duke JA. CRC Handbook of Medicinal Herbs. Boca Raton, Fla: CRC Press, Inc.; 1985:488-489.

Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm. 2000;57(13):1221-1227.

Hoffman D. The New Holistic Herbal. Boston, Mass: Element Books Limited; 1990:227.

Howes JB, Sullivan D, Lai N. The effects of dietary supplementation with isoflavones from red clover on the lipoprotein profiles of postmenopausal women with mild to moderate hypercholesterolemia. Atherosclerosis. 2000;152(1):143-147.

Husband A. Red clover isoflavone supplements: safety and pharmacokinetics. Journal of the British Menopause Society. 2001;Supplement S1:4-7.

Jeri AR. The effect of isoflavones phytoestrogens in relieving hot flushes in Peruvian postmenopausal women. Paper presented at: 9th International Menopause Society World Congress on the Menopause; October 20, 1999; Yokahama, Japan.

Kuhn MA, Winston D. Herbal Therapy and Supplements. Philadelphia, Pa: Lippincott; 2001:273-277.

McGuffin M, Hobbs C, Upton R, Goldberg A. Botanical Safety Handbook. Boca Raton, Fla: CRC Press LLC; 1997: 117.

Nachtigall LE. Isoflavones in the management of menopause. Journal of the British Menopause Society. 2001;Supplement S1:8-12.

Nestel PJ, Pomeroy S, Kay S, et al. Isoflavones from red clover improve systemic arterial compliance but not plasma lipids in menopausal women. J Clin Endocrinol Metab. 1999;84(3):895-898.

New promensil study – cholesterol benefit. 2000a (October 31). Novogen news and announcements page. Novogen website. Available at: http://www.novogen.com. Accessed March 29, 2001.

Novogen anti-cancer drug enters phase I trials. 2000b (June 23). Novogen news and announcements page. Novogen website. Available at: http://www.novogen.com. Accessed March 29, 2001.

Novogen anti-cancer drug trials advance. 2000c (August 21). Novogen news and announcements page. Novogen website. Available at: http://www.novogen.com. Accessed March 29, 2001.

Managing menopause naturally. Promensil clinical monograph. 1999. Novogen website. Available at: http://www.novogen.com. Accessed April 11, 2001.

North American Menopause Society (NAMS). The role of isoflavones in menopausal health: consensus opinion of the North American Menopause Society. Menopause. 2000;7(4):215-229.

Pedersen M. Nutritional Herbology A Reference Guide to Herbs. Warsaw, Ind: Wendell W. Whitman Company; 1994;144-145.

Stephens FO. Phytoestrogens and prostate cancer: possible preventive role. MJA. 1997;167:138-140.

Woodside JV, Campbell MJ. Isoflavones and breast cancer. Journal of the British Menopause Society. 2001;Supplement S1:17-21.

Zava DT, Dollbaum CM, Blen M. Estrogen and progestin bioactivity of foods, herbs, and spices. Proc Soc Exp Biol Med. 1998;217(3):369-378.

http://www.healthandage.com/html/res/com/

ConsHerbs/RedCloverch.html

Red Clover: Better Than Soy?

Women seeking natural alternatives to hormone replacement therapy for relief of hot flashes, vaginal dryness, and other symptoms of menopause are turning more and more to phytoestrogens. Studies suggest that soy and other foods and herbs rich in these plant-based compounds may allay symptoms of menopause and perimenopause, prevent osteoporosis, and perhaps even lower the risk of breast and endometrial cancers.
"For a significant group of women this is a good alternative," says Charles Debrovner, M.D., an obstetrician and gynecologist in New York City. "Phytoestrogens can protect breasts, relieve hot flashes, and help vaginal lubrication, all without the downside of estrogen." Men may benefit, too. Preliminary studies suggest that phytoestrogens may lower cholesterol and possibly prevent the development of prostate cancer.

Lucky clover

One phytoestrogen product that Dr. Debrovner recommends to many of his patients is red clover, a legume in the same plant family as soy. Most of the studies on red clover have been sponsored by Novogen, a company that produces a red clover product called Promensil. The first U.S. study of Promensil was recently completed at Tufts University in Boston. In the uncontrolled pilot study, 16 patients with menopausal symptoms took Promensil daily for two to three months. After eight weeks, patients reported a 56% decrease in the mean number of hot flashes, as well as a decrease in the intensity of hot flashes and night sweats. The researchers concluded that Promensil is probably not as effective as estrogen but appears to be safe, producing no adverse effects.
Tori Hudson, N.D., of the National College of Naturopathic Medicine in Oregon, believes that red clover products such as Promensil are promising but that further research is needed. She notes that two other studies of the supplement showed no benefit, although a third study indicated promise for reducing the risk of heart disease in postmenopausal women who took the herb.

A bounty of phytoestrogens

The jury is still out on all the potential benefits of phytoestrogens and the best way to get them. Phytoestrogens come in many forms. The most potent are compounds called isoflavones, which are found in high concentrations in legumes, especially soy, as well as in red clover and other herbs.
Why red clover? Soy contains a variety of isoflavones, including two potent ones called genistein and daidzein. But red clover, in comparison, has two additional ones called formononetin and biochanin. Red clover also contains flavonoid compounds called coumestans, which some studies suggest have six times more estrogenlike activity than most isoflavones.
People in some 33 cultures use red clover to treat a range of ailments, including chest congestion, gout, eczema, psoriasis, swollen glands, and even venereal diseases such as syphilis. Though we wouldn't recommend red clover for all these complaints, it may be worth a try for symptoms of menopause.

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