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Coleus Forskohlii
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What is it?
Coleus forskohlii is part of the mint family of plants and has long been used in India, Thailand and parts of SE Asia as a spice as well as an ingredient in various Ayurvedic medicine concoctions for the treatment of heart ailments and stomach cramps. The roots of the plant are a natural source of forskolin, a compound that can increase cellular levels of cyclic Adenosine Mono-Phosphate (cAMP) – an effect that is theorized to influence many aspect of metabolism.
 
bulletClaims
   Promotes weight loss / fat loss    Increases lean body mass (muscle)        Improves emotional outlook / Relieves depression Reduces allergies / asthma (as an anti-histamine)
    Lowers blood pressure Treats muscle cramps / stomach cramps / menstrual cramps (as a muscle relaxer)      Treatment for glaucoma (by relieving intraocular pressure via eye drops)  
 
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Theory
The theory behind Coleus forskohlii as a dietary supplement is that its content of forskolin can be used to stimulate adenylate cyclase activity, which will increase cAMP levels in the fat cell, which will in turn activate another enzyme (hormone sensitive lipase) to start breaking down fat stores. The problem with this theory is that cAMP regulates the activity of hundreds of enzymes in each cell – and those enzymes can be quite different from cell to cell. For example, we know that in cell cultures (test tube studies), adding forskolin to fat cells will increase cAMP levels and stimulate lipolysis (breakdown of stored fat into fatty acids). Add that same forskolin to muscle cells, however, and the primary effect is to stimulate glycogenolysis (breakdown of stored glycogen into glucose units). Add forskolin to liver cells and you get a stimulation of gluconeogenesis (synthesis of blood glucose from amino acid precursors).
 
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Scientific Support
There are no published trials showing that the supplement promotes either weight loss or increased lean body mass, though writers for the company (Sabinsa) that markets the Coleus extract (ForsLean) have briefly alluded (in a Health Food industry publication) to an uncontrolled “trial” of 6 overweight women in whom 500mg of the supplement per day for 8 weeks caused a loss of body weight and fat, while lean mass increased. This data is completely useless to us, as there was no blinding of subjects or a placebo control group, so there is no way to determine whether or not the weight loss was due to the supplement (which is highly unlikely).
Most of the work conducted on the actions of forskolin have been confined to studying its actions in increasing cellular cAMP levels and the effects of cAMP on regulating various hormone/enzyme systems. There has been virtually no investigations of the effect of oral dosing of forskolin as a weight loss aid (or for any other health benefit in humans). There have been reports in humans of forskolin being effective in relieving the intraocular pressure of glaucoma when applied directly to the eyes (as an eyewash) and one case report suggesting that injected forskolin may help lower blood pressure in patinets with heart disease. Some small animal studies also suggest that forskolin may be useful in reducing blood pressure and reducing bronchial constriction in asthma (similar to asthma inhalers).
 
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Safety
Unknown, but could potentially cause adverse effects in people also taking anticoagulant medications (for “blood-thinning”) as well as those with low blood pressure or taking an anti-hypertensive medication (for high blood pressure). Children and pregnant or lactating women should avoid forskolin-containing supplements. Because forskolin is a drug with such extensive activities in virtually every cell in the body, Coleus forskohlii is not recommended for use as a dietary supplement, except under direct supervision by your personal physician.
 
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Value
The most heavily marketed Coleus/forskolin supplement is manufactured by Sabinsa as a patented (#5,804,596) ingredient for promoting weight loss (via fat breakdown) and increasing lean body mass. The Sabinsa extract is called “ForsLean” and is standardized to contain 10% forskolin. Several bodybuilding/weight loss supplements contain Coleus forskohlii extract at 20-300mg/day dosages (Ripped Fuel Extreme, and Ultimate Diet Fuel  from TwinLab, Triax II from Syntrax with prices ranging from $25-$29 for a 1-month supply).
 
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Dosage
Typical dosage recommendations are in the range of 100-300mg/day of a Coleus forskohlii extract (10-20% forskolin), taken in 2-3 divided doses (raw root powders may have only 0.2%-0.3% forskolin).
References
Arner P, Goldinger M, Marcus C, Engfeldt P. Effects of lipolytic and antilipolytic agents on glucose transport in human fat cells. Int J Obes. 1991 May;15(5):327-31.
Enoksson S, Blaak E, Arner P. Forskolin potentiates isoprenaline-induced glycerol output and local blood flow in human adipose tissue in vivo. Pharmacol Toxicol. 1997 Nov;81(5):214-8.
Greenway FL, Bray GA. Regional fat loss from the thigh in obese women after adrenergic modulation. Clin Ther. 1987;9(6):663-9.
Hellstrom L, Langin D, Reynisdottir S, Dauzats M, Arner P. Adipocyte lipolysis in normal weight subjects with obesity among first-degree relatives. Diabetologia. 1996 Aug;39(8):921-8.
Hellstrom L, Rossner S, Hagstrom-Toft E, Reynisdottir S. Lipolytic catecholamine resistance linked to alpha 2-adrenoceptor sensitivity--a metabolic predictor of weight loss in obese subjects. Int J Obes Relat Metab Disord. 1997 Apr;21(4):314-20.
Imbeault P, Prud'Homme D, Tremblay A, Despres JP, Mauriege P. Adipose tissue metabolism in young and middle-aged men after control for total body fatness. J Clin Endocrinol Metab. 2000 Jul;85(7):2455-62.
Imbeault P, Tremblay A, Despres J, Mauriege P. beta-adrenoceptor-stimulated lipolysis of subcutaneous abdominal adipocytes as a determinant of fat oxidation in obese men. Eur J Clin Invest. 2000 Apr;30(4):290-6.
Kaartinen JM, Kaar ML, Ohisalo JJ. Defective stimulation of adipocyte adenylate cyclase, blunted lipolysis, and obesity in pseudohypoparathyroidism 1a. Pediatr Res. 1994 May;35(5):594-7.
Large V, Arner P, Reynisdottir S, Grober J, Van Harmelen V, Holm C, Langin D. Hormone-sensitive lipase expression and activity in relation to lipolysis in human fat cells. J Lipid Res. 1998 Aug;39(8):1688-95.
Large V, Reynisdottir S, Eleborg L, van Harmelen V, Strommer L, Arner P. Lipolysis in human fat cells obtained under local and general anesthesia. Int J Obes Relat Metab Disord. 1997 Jan;21(1):78-82.
Lonnqvist F, Wennlund A, Arner P. Antilipolytic effects of insulin and adenylate cyclase inhibitors on isolated human fat cells. Int J Obes. 1989;13(2):137-46.
Martin LF, Klim CM, Vannucci SJ, Dixon LB, Landis JR, LaNoue KF. Alterations in adipocyte adenylate cyclase activity in morbidly obese and formerly morbidly obese humans. Surgery. 1990 Aug;108(2):228-34; discussion 234-5.
Mauriege P, Prud'homme D, Lemieux S, Tremblay A, Despres JP. Regional differences in adipose tissue lipolysis from lean and obese women: existence of postreceptor alterations. Am J Physiol. 1995 Aug;269(2 Pt 1):E341-50.
Mauriege P, Prud'Homme D, Marcotte M, Yoshioka M, Tremblay A, Despres JP. Regional differences in adipose tissue metabolism between sedentary and endurance-trained women. Am J Physiol. 1997 Sep;273(3 Pt 1):E497-506.15.     van Belle H. Is there a role for cAMP and adenyl cyclase? J Cardiovasc Pharmacol. 1985;7 Suppl 5:S28-32.
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