Dietrs for joints: side effects and contraindications
I. Introduction to the dietary supplement for joints: review and prevalence
Biologically active additives (dietary supplements) for joints have become extremely popular in recent decades, especially among the elderly and those who suffer from diseases of the musculoskeletal system. This popularity is determined by several factors, including aging population, an increase in the number of people involved in sports, and the growing desire for natural methods of maintaining health. Dietary supplements for joints are positioned as products that can relieve pain, reduce inflammation, improve mobility and slow down the progression of degenerative changes in the joints. However, despite the widespread and positive reviews, it is important to carefully study the potential side effects and contraindications associated with taking these additives.
The market presents a huge assortment of dietary supplements containing various active ingredients, such as glucosamine, chondroitin, hyaluronic acid, collagen, methyl sulfonylomethane (MSM), plant herbal extracts (for example, bosvellia, turmeric) and vitamins. These ingredients are claimed to have chondroprotective, anti -inflammatory and analgesic properties. However, the effectiveness of many dietary supplements has not been confirmed by convincing scientific research, and the regulation of the market of the baskets is less strict than the drug market, which creates the risk of poor -quality products or products with unproven efficiency.
The growing popularity of dietary supplements is also fueled by an active marketing campaign, which often exaggerates their benefits and minimizes risks. Consumers suffering from chronic joint pain often look for alternative treatment methods, especially if traditional medicines do not bring the desired relief or have undesirable side effects. As a result, many people begin to take dietary supplements without prior consultation with a doctor, which can lead to undesirable consequences.
In this article, we will examine in detail the most common dietary supplements for the joints, their alleged action mechanisms, confirmed and potential side effects, as well as contraindications for use. We will also discuss the importance of consulting with a doctor before starting to receive dietary supplements and the need to choose quality products from reliable manufacturers.
II. The main components of dietary supplements for the joints and their alleged action
The market for joints is saturated with various products, each of which contains a unique combination of active ingredients. Understanding the alleged mechanism of action of these components is crucial for assessing their potential efficiency and risks. Below we will consider the most common ingredients and their estimated effects on the joints:
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Glucosamine: This is an aminosaccharide, which is a natural component of cartilage. It is believed that glucosamine stimulates the synthesis of glycosaminoglycans (GAG), which are the main building blocks of cartilage. It is assumed that the intake of glucosamine can help restore the damaged cartilage, reduce pain and improve joint mobility. Glucosamine is usually available in two forms: glucosamine sulfate and glucosamine hydrochloride. The sulfate form is usually considered more effective.
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Chondroitin: This is another important component of cartilaginous fabric related to the GAG. Chondroitin has the ability to hold water in cartilage, which ensures its elasticity and resistance to loads. In addition, chondroitin can inhibit enzymes that destroy cartilage, such as matrix metalloproteinase (MMP). Like glucosamine, chondroitin is used to reduce pain, inflammation and slowing down the progression of osteoarthritis.
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Glucosamine and chondroitin (in combinations): The combination of glucosamine and chondroitin is one of the most popular compositions of dietary supplements for joints. It is assumed that these two components have a synergistic effect, enhancing the positive effect of each other on cartilage. However, clinical studies on assessing the effectiveness of a combination of glucosamine and chondroitin Dali Dali conflicting results.
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Hyaluronic acid: This is a natural component of the synovial fluid that lubricates the joints and ensures their smooth movement. Hyaluronic acid has high viscosity and elasticity, which allows it to amortize the loads and protect the cartilage from damage. Bades with hyaluronic acid can be taken orally or introduced directly into the joint in the form of injections. It is assumed that hyaluronic acid reduces pain, improves mobility and reduces inflammation in the joints.
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Collagen: This is the main structural protein of cartilage, bones, ligaments and tendons. Collagen provides the strength and elasticity of these tissues. Bades with collagen, as a rule, contain a hydrolyzed collagen, which is a collagen split into smaller peptides for better absorption. It is believed that the intake of collagen can stimulate the synthesis of its own collagen in the body, improving the structure and function of the joints. There are various types of collagen, and collagen type I, II and III are most important for joint health.
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Methyl sulfonylmetatan (MSM): This is an organic compound of sulfur, which is contained in various foods. MSM has anti -inflammatory and antioxidant properties. It is assumed that MSM can reduce pain, inflammation and improve joint mobility. In addition, MSM is involved in the synthesis of collagen and glycosaminoglycans, contributing to the restoration of cartilage.
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Boswellia serrata: This is a plant extract obtained from the resin of the Boswelli tree. Boswellia contains bosvelic acids that have pronounced anti -inflammatory properties. Bosvevel acids inhibit the 5-lipoxygenase enzyme (5-Lox), which is involved in the synthesis of leukotrienes, inflammation mediators. Bades with boswellia are used to reduce pain, inflammation and improve joint mobility in osteoarthritis and other inflammatory diseases.
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Kurkuma (Curcuma longa): This is a spice obtained from the roots of the turmeric plant. Turmeric contains curcumin, which has powerful anti -inflammatory, antioxidant and analgesic properties. Kurkumin suppresses the activity of various inflammatory molecules, such as cyclooxygenase-2 (COO-2) and a factor of tumor-alpha necrosis (FI-α). Bades with turmeric are used to relieve pain, reduce inflammation and improve joint mobility. To improve the absorption of curcumin, it is often combined with piperin, black pepper extract.
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Vitamin D: This is a fat -soluble vitamin that plays an important role in maintaining the health of bones and joints. Vitamin D helps the absorption of calcium necessary to strengthen bones. In addition, vitamin D has anti -inflammatory properties and can reduce joint pain. Vitamin D deficiency can lead to the development of osteoporosis and increased risk of fractures.
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Vitamin C: This is a water -soluble vitamin, which is a powerful antioxidant. Vitamin C is necessary for the synthesis of collagen, which ensures the strength and elasticity of cartilage. In addition, vitamin C protects joint cells from damage to free radicals.
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Omega-3 fatty acids: These are polyunsaturated fatty acids that have anti -inflammatory properties. Omega-3 fatty acids are found in fatty fish (for example, salmon, mackerel, sardines) and in vegetable oils (for example, linseed oil). Bades with omega-3 fatty acids can reduce pain, inflammation and improve joint mobility.
III. Side effects of dietary supplements for joints
Despite the fact that dietary supplements for joints are often positioned as safe and natural remedies, they can cause side effects. It is important to take into account that the regulation of the market of the baskets is less strict than the drug market, which can lead to the purchase of poor -quality products or products with undesirable additives. Below we will consider the most common side effects associated with taking dietary supplements for the joints:
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Gastrointestinal disorders: These are one of the most common side effects associated with taking dietary supplements for joints. These include nausea, vomiting, diarrhea, constipation, bloating, heartburn and abdominal pain. Glucosamine and chondroitin, in particular, can cause gastrointestinal disorders in some people. Reception of dietary supplements during eating can help reduce these side effects.
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Allergic reactions: Bad for joints can cause allergic reactions, especially in people with allergies to seafood (glucosamine is often obtained from crustacean shells). Symptoms of an allergic reaction may include leather rash, itching, urticaria, facial swelling, lips, tongue or throat, difficulty breathing and anaphylactic shock. If any symptoms of an allergic reaction appear, it is necessary to immediately stop taking the dietary supplement and seek medical help.
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Interaction with drugs: Dietary supplements for joints can interact with some drugs, changing their effectiveness or increasing the risk of side effects. For example, glucosamine and chondroitin can enhance the anticoagulant effect of warfarin, increasing the risk of bleeding. Turmeric can interact with blood thinning drugs such as aspirin and clopidogrel. It is important to consult a doctor before taking dietary supplements, especially if you take any medicine.
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Improving blood sugar: Glucosamine can increase blood sugar in people with diabetes or insulin resistance. People with diabetes need to control blood sugar when taking dietary supplements with glucosamine.
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Improving blood pressure: Some studies show that glucosamine can increase blood pressure in some people. People with hypertension need to control blood pressure when taking dietary supplements with glucosamine.
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Liver problems: In rare cases, the intake of dietary supplements for joints can lead to problems with the liver, such as an increase in the level of liver enzymes. People with liver diseases need to consult a doctor before taking dietary supplements.
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Headache: Some people may experience a headache when taking dietary supplements for joints. Usually a headache passes on its own after stopping dietary supplements.
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Fatigue: Some people may experience fatigue when taking dietary supplements for joints. Typically, fatigue passes on its own after stopping dietary supplements.
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Skin reactions: Some people can experience skin reactions, such as rash, itching and redness, when taking dietary supplements for joints. When skin reactions appear, it is necessary to stop taking the dietary supplement and consult a doctor.
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Influence on pregnancy and lactation: The safety of taking dietary supplement for joints during pregnancy and lactation has not been established. Pregnant and lactating women should avoid taking dietary supplements for joints or consult a doctor before taking them.
It is important to remember that side effects can vary depending on the individual characteristics of the body, dose of dietary supplement and the presence of concomitant diseases. When any side effects appear, it is necessary to stop taking the dietary supplement and consult a doctor.
IV. Contraindications to the use of dietary supplements for joints
Bad for joints, like any other biologically active additives or drugs, have certain contraindications for use. The presence of these contraindications means that dietary supplement may be dangerous to human health. Before taking dietary supplements for the joints, you must carefully read the list of contraindications and consult a doctor. Below we will consider the most common contraindications for the use of dietary supplements for the joints:
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Allergy or increased sensitivity to any of the components of the dietary supplement: This is the most basic and obvious contraindication. If a person has an allergy to any ingredient contained in the dietary supplement, his reception is strictly prohibited. As already mentioned, glucosamine is often obtained from crustacean shells, so people with allergies for seafood should avoid taking dietary supplements with glucosamine.
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Pregnancy and lactation period: The safety of taking dietary supplement for joints during pregnancy and lactation has not been established. The influence of active dietary supplements on the development of the fetus and the health of the baby has not been sufficiently studied. Therefore, pregnant and lactating women should avoid taking dietary supplements for joints or consult a doctor before taking them.
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Childhood: It is not recommended to give dietary supplements for joints to children and adolescents without prior consultation with a doctor. Safety and effectiveness of dietary supplements for joints in children have not been studied. In addition, children may have increased sensitivity to some components of dietary supplements.
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Severe kidney and liver diseases: People with severe diseases of the kidneys and liver need to be careful when taking dietary supplements for the joints. Some components of dietary supplements can provide an additional load on the kidneys and liver, which can worsen the state of health. Before taking dietary supplements, you need to consult a doctor.
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Blood coagulation and taking anticoagulants: Glucosamine and chondroitin can enhance the anticoagulant effect of warfarin and other drugs that thin the blood, increasing the risk of bleeding. People with blood coagulation or taking anticoagulants need to be particularly careful when taking dietary supplements for joints and regularly monitor blood coagulation.
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Diabetes sugar: Glucosamine can increase blood sugar in people with diabetes or insulin resistance. People with diabetes need to control the blood sugar when taking dietary supplements with glucosamine and adjust the dose of sugar -free drugs if necessary.
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Hypertension: Some studies show that glucosamine can increase blood pressure in some people. People with hypertension need to control blood pressure when taking dietary supplements with glucosamine.
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Individual intolerance: Some people may experience individual intolerance to certain components of dietary supplements, even if there are no known allergic reactions. Symptoms of individual intolerance can include gastrointestinal disorders, headache, skin rashes and other undesirable effects. If any symptoms of individual intolerance appear, it is necessary to stop taking dietary supplements and consult a doctor.
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Autoimmune diseases: People with autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus and Crohn’s disease should consult a doctor before taking dietary supplements for joints containing curcumin or boswiffe. These substances can affect the immune system and cause exacerbation of the disease.
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The upcoming operation: It is necessary to stop taking dietary supplements for the joints at least 1-2 weeks before the planned operation, since some components of dietary supplements can affect blood coagulation and increase the risk of bleeding during and after surgery.
It is important to emphasize that the list of contraindications is not exhaustive. Before you start taking dietary supplements for the joints, it is necessary to consult a doctor in order to exclude possible risks and make sure that the dietary supplement is safe in your specific case.
V. The interaction of dietary supplements for joints with drugs
The interaction between the dietary supplements for the joints and drugs is an important aspect that must be taken into account before taking dietary supplements. Some components of dietary supplements can interact with medicines by changing their effectiveness or increasing the risk of side effects. This can lead to undesirable health consequences. Therefore, if you take any medicine, be sure to consult a doctor before taking dietary supplements for the joints.
Below we will consider the most common interactions between the dietary supplements for joints and drugs:
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Anticoagulants (drugs that thinning blood): Glucosamine and chondroitin can enhance the anticoagulant effect of warfarin, clopidogrel, aspirin and other drugs that thin blood. This can lead to an increase in the risk of bleeding, especially in people who take anticoagulants in high doses or have other risk factors for bleeding. With the simultaneous administration of dietary supplements with glucosamine and chondroitin and anticoagulants, it is necessary to regularly control the blood coagulation (LTR) and adjust the dose of the anticoagulant if necessary. Turmeric also has anticoagulant properties and can enhance the effect of drugs that thin blood.
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Anti -aggregates (drugs that impede the formation of blood clots): Turmeric can interact with antiplatelet agents such as clopidogrel and aspirin, increasing the risk of bleeding. People taking anti -cargoes should be careful when taking dietary supplements with turmeric and consult a doctor.
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Sahabro -winning drugs: Glucosamine can increase blood sugar in people with diabetes or insulin resistance. This can reduce the effectiveness of sugar -lowering drugs, such as metformin, glibenclamide and insulin. People with diabetes need to control the blood sugar when taking dietary supplements with glucosamine and adjust the dose of sugar -free drugs if necessary.
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Antidepressants: Some studies show that Kurkumin can interact with some antidepressants, such as selective serotonin (SIOS) retreat inhibitors. This can lead to an increase in the risk of side effects, such as serotonin syndrome. People taking antidepressants should consult a doctor before taking dietary supplements with turmeric.
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Immunocationthretarite: Boswellia and turmeric can affect the immune system and interact with immunosuppressants such as cyclosporine and methotrexate. This can reduce the effectiveness of immunosuppressants or increase the risk of side effects. People taking immunosuppressants should consult a doctor before taking dietary supplements with Boswellia or turmeric.
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Drugs metabolized by cytochrome P450: Kurkumin can inhibit the activity of cytochrome P450 enzymes, which are involved in the metabolism of many drugs. This can change the concentration of these drugs in the blood and increase the risk of side effects. People taking drugs metabolized by cytochrome P450 should consult a doctor before taking dietary supplements with turmeric.
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Nonsteroidal anti -inflammatory drugs (NSAIDs): Simultaneous intake of dietary supplements with anti-inflammatory properties (for example, bosvellia, turmeric) and NSAIDs (for example, ibuprofen, diclofenac) can increase the risk of side effects from the gastrointestinal tract, such as ulcers and bleeding. Caution should be observed with the simultaneous use of these drugs.
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Antibiotics: Some studies show that Kurkumin can interact with some antibiotics, changing their effectiveness. People taking antibiotics should consult a doctor before taking dietary supplements with turmeric.
It is important to note that the list of possible interactions is not exhaustive. New interactions can be identified during further research. Therefore, it is extremely important to inform the doctor about all medicines and dietary supplements that you accept so that he can evaluate potential risks of interaction and give appropriate recommendations.
VI. The importance of consulting a doctor before taking dietary supplement for joints
Consultation with a doctor before taking the dietary supplement for joints is crucial for ensuring the safety and effectiveness of treatment. Although dietary supplements are often positioned as natural and safe means, they can have side effects and interact with drugs. The doctor can evaluate your health status, identify possible contraindications and give recommendations on the choice of a suitable dietary supplement, its dosage and duration of admission.
Here are a few reasons why consulting a doctor before taking dietary supplements for joints is so important:
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Diagnosis and determination of the cause of pain in the joints: Joint pain can be caused by various causes, including osteoarthritis, rheumatoid arthritis, gout, injuries and other diseases. The doctor will conduct an examination, prescribe the necessary tests and studies to establish an accurate diagnosis and determine the cause of pain. This will allow you to choose the most effective treatment method, which can include not only dietary supplements, but also drugs, physiotherapy and other methods.
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Identification of contraindications: As already noted, dietary supplements for joints have certain contraindications for use. The doctor will take into account your health status, the presence of concomitant diseases and the drugs taken to identify possible contraindications and exclude health risks.
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Prevention of drug interactions: Bades can interact with drugs by changing their effectiveness or increasing the risk of side effects. The doctor will take into account all the drugs that you take, and appreciate the potential risks of interaction with dietary supplements. He can adjust the dose of drugs or recommend another dietary supplement that does not interact with your medicines.
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The choice of the right dietary supplement: The market presents a huge assortment of dietary supplements for joints containing various active ingredients in different dosages. The doctor will help you choose the right dietary supplement, given your diagnosis, health status, individual characteristics of the body and possible contraindications. It will also help determine the optimal dosage and duration of dietary supplements.
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Assessment of dietary supplement efficiency and side effects monitoring: The doctor will monitor your health state during the use of Bad in order to evaluate its effectiveness and identify possible side effects. If dietary supplement does not bring the desired relief or causes side effects, the doctor can adjust the dose, replace dietary supplements or prescribe other treatment.
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Informing about potential risks and restrictions: The doctor will honestly tell you about potential risks and restrictions on the dietary supplements for the joints. He will explain that dietary supplements are not a replacement for drugs and cannot cure serious joint diseases. Bades can be useful as an addition to the main treatment, but their effectiveness can vary depending on the individual characteristics of the body.
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Recommendations for a change in lifestyle: The doctor can give recommendations on a change in lifestyle that will help improve the condition of your joints. These recommendations may include:
- Weight loss if you have overweight or obesity.
- Regular physical exercises aimed at strengthening muscles surrounding joints.
- Compliance with a healthy diet, rich in fruits, vegetables and whole grains.
- Avoiding smoking and drinking alcohol.
- The use of orthosis and other devices to protect the joints.
Consulting with a doctor will help you make a reasonable decision to take dietary supplement for joints and ensure the safety and effectiveness of treatment. Do not self -medicate and trust your health to professionals.
VII. Criteria for choosing high -quality dietary supplements for joints
The choice of high -quality dietary supplements for joints is an important step to ensure its effectiveness and safety. The dietary supplement market is not regulated enough, which creates a risk of acquiring low -quality products or products with unproven efficiency. Therefore, it is necessary to pay attention to certain criteria when choosing a dietary supplement.
Here are a few criteria that should be taken into account when choosing a high -quality dietary supplement for the joints:
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Manufacturer: Choose dietary supplements from famous and reliable manufacturers who have a good reputation in the market. Study reviews about the manufacturer on the Internet, check the availability of quality certificates and compliance with production standards. Avoid buying dietary supplements from unknown manufacturers or with a dubious reputation.
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Composition: Carefully study the composition of the dietary supplement. Make sure that it contains active ingredients in effective dosages. Pay attention to the form of active ingredients (for example, glucosamine sulfate is considered more effective than glucosamine hydrochloride). Avoid dietary supplements containing a large number of artificial additives, dyes and preservatives.
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Quality certificates: Choose dietary supplements that have quality certificates such as GMP (good manufacturing practice) or NSF International. These certificates confirm that the manufacturer complies with strict standards of production and quality control. The presence of a certificate does not guarantee dietary supplements, but indicates its quality and safety.
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Forter tests: Some manufacturers subject their dietary supplements to third -party tests to confirm their quality and purity. Look for dietary supplements that have passed third -party tests conducted by independent laboratories. The results of these tests are usually available on the manufacturer’s website or in the description of the product.
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Consumer reviews: Read consumer reviews about the dietary supplement to find out about their experience. Pay attention to the reviews regarding the effectiveness of the dietary supplement, its side effects and the general impression of the product. Do not rely on the reviews, but they can give you valuable information about the dietary supplement.
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Price: High -quality dietary supplements, as a rule, are more expensive than cheap analogues. Do not save on your health and choose the cheapest dietary supplements. However, high price does not always guarantee high quality. Compare dietary supplements from different manufacturers and select the optimal price ratio.
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Output form: Dietary supplements for joints are available in various forms of release, such as tablets, capsules, powders and liquids. Choose the form of release, which is most convenient for you. Capsules and tablets are usually easier to swallow, and powders can be added to drinks or food.
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Dosage: Follow the dosage recommendations indicated on the Bad package or this doctor. Do not exceed the recommended dose, as this can increase the risk of side effects.
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Best before date: Pay attention to the shelf life of the dietary supplement. Do not use dietary supplements with an expired shelf life, as they can be ineffective or even harmful to health.
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Package: Bad packaging should be sealed and protect the product from the effects of light and moisture. Check the integrity of the packaging before buying.
The choice of high -quality dietary supplements is a responsible process that requires careful study of the product and the manufacturer. Feel free to seek advice to a doctor or pharmacist to make the right choice.
VIII. Alternative methods of treating joint diseases
In addition to dietary supplements, there are many other methods of treating joint diseases that can be effective to relieve pain, reduce inflammation and improve mobility. The choice of treatment method depends on the cause of pain in the joints, the severity of the disease and the individual characteristics of the body. The doctor can develop an individual treatment plan that may include a combination of various methods.
Here are some alternative methods of treating joint diseases:
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Drug therapy:
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Nonsteroidal anti -inflammatory drugs (NSAIDs): NSAIDs, such as Ibuprofen, Diclofenac and Narksen, are a common method of treating pain and joint inflammation. However, prolonged use of NSAIDs can lead to side effects from the gastrointestinal tract, cardiovascular system and kidneys.
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Analgesics: Analgesics, such as paracetamol, can help relieve joint pain, but do not have anti -inflammatory properties.
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Corticosteroids: Corticosteroids, such as prednisone, have powerful anti -inflammatory properties and can be used to treat inflammatory joint diseases such as rheumatoid arthritis. However, prolonged use of corticosteroids can lead to serious side effects.
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Disease modifiers (DMARDS): Dmards, such as methotrexate, sulfasalazine and leflunomide, are used to treat rheumatoid arthritis and other autoimmune joint diseases. Dmards slows down the progression of the disease and reduce inflammation.
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Biological drugs: Biological preparations, such as FINI α and Interleukin-6 inhibitors, are more new drugs used to treat rheumatoid arthritis and other artimmune joint diseases. Biological drugs affect certain molecules involved in the inflammatory process.
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Physiotherapy: Physiotherapy plays an important role in the treatment of joint diseases. The physiotherapist can develop an individual exercise plan aimed at strengthening muscles surrounding joints, improving mobility and reducing pain. Physiotherapeutic methods may include:
- Exercises for stretching and strengthening muscles.
- Manual therapy.
- Electrical stimulation.
- Ultrasound.
- Heat and cold therapy.
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Rehabilitation: Rehabilitation can be useful for restoring joint function after an injury or operation. A rehabilitation program may include physiotherapy, labor therapy and other methods.
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Injections to the joint:
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Corticosteroids: Injections of corticosteroids in the joint can help reduce pain and inflammation. However, the effect of injections of corticosteroids is usually temporary.
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Hyaluronic acid: Injections of hyaluronic acid into the joint can help improve the lubrication of the joint and reduce the pain.
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Plasma enriched by platelets (PRP): PRP injections in the joint can help stimulate the restoration of cartilage.
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Surgical treatment: Surgical treatment may be necessary in severe cases of joint diseases, when other treatment methods do not help. Surgical methods may include:
- Arthroscopy: Arthroscopy is a minimum invasive surgical procedure that allows the doctor to examine
