The European herb fenugreek has been used for centuries as a cooking spice and has been used in folk medicine for almost as long. The herb has been used in folk medicine in the treatment of boils, diabetes, cellulitis, and tuberculosis. Extracts of the seeds are used to flavor maple syrup substitutes. Fenugreek also has been used as an insect repellent. The seeds are rich in protein and the plant is grown as an animal forage. Following commercial extraction of diosgenin (which is used as a natural precursor in commercial steroid synthesis), the nitrogen and potassium-rich seed residue is used as an agricultural fertilizer.
Because there is no guarantee of strength, purity or safety of DHEA products (they are not usually regulated by the Food and Drug Administration), it’s important to read labels, do your research when buying supplements and follow directions. ( 11 ) The University of Maryland Medical Center advises that you try to purchase DHEA directly from a doctor in order to ensure it’s authentic and not contaminated. DHEA comes in capsule, tablet, chewing gum, sublingual (under the tongue) drop and topical (on the skin) cream form, but the type you’ll want to use depends on what you’re using it for. ( 12 )
The aim of this article is to bring less well recognised adverse effects of inhaled corticosteroids to the attention of prescribers. Whilst inhaled steroids have a more favourable side effect profile than systemic steroids, they are not free from adverse effects. The dose of inhaled steroids used should be carefully monitored, and kept at the lowest dose necessary to maintain adequate control of the patient’s disease process. Be particularly aware of the cumulative effect of co-prescribing various dose forms of corticosteroids (inhaled, intranasal, oral and topical preparations).