Curcumin
Curcumin
About Curcumin
SETTING THE RECORD STRAIGHT
                 The skinny
                  on aor’s
                 free form
                  curcumin
             DISCLAIMER: The information in this publication is not intended or implied to be a substitute for professional medical advice, diagnosis,
             or treatment. All content, including text, graphics, images, and information is for general information purposes only. You are strongly
             encouraged to talk to a healthcare professional (naturopath, family physician, registered dietitian, pharmacist, etc.) about your interest
             in, questions about, or use of dietary supplements, and what is best for your overall health. Any mention in this publication of a specific
             brand name is not an endorsement of the product.
References ......................................................................................................................................................................................................... 30
                                                                                                                                                                                                                               3
Setting
The Record Straight
The Skinny on AOR’s Free Form Curcumin
Now that curcumin is the hottest thing since sliced bread, it’s time to set the record
straight, and get down to the nitty gritty science-based facts of what makes a truly
superior, effective curcumin formulation.
So, let’s take a few steps back and start at the              water and many fats. This means that it has a hard time
beginning. Curcumin—one of the active ingredients in          dissolving, making absorption exceptionally difficult.
turmeric root, is one of three bright pigments that give
turmeric its beautiful golden colour. As a whole, these       For example, when turmeric powder is added to
pigments are known as curcuminoids.                           water or pressed juice, you are often left with this
                                                              yellow sediment at the bottom of your glass, because
Traditionally, turmeric root has many medicinal uses: as      it has so much trouble dissolving. This results in
a digestive aid, preservative, and blood purifier, but it’s   poor bioavailability, which refers to how much of a
best known for its anti-inflammatory abilities. It’s also     substance is absorbed into the bloodstream.
widely recognized as a potent antioxidant.
                                                              Practitioners of Ayurveda figured this out quickly,
Unfortunately, turmeric’s success as an anti-inflammatory     and came up with ways to assist in absorption by
requires extremely high doses, because it’s insoluble in      slightly altering it. Turmeric was usually boiled or
                                                                                                                        5
FIGURE 1.                       heated before ingestion, or heated and          The first in a series of “altered” curcumin
                                suspended in a fat, such as clarified butter    formulations is standardized Curcumin-95.
Turmeric and                    or milk. While these noted methods are          Here, turmeric undergoes an extraction
its curcuminoids:
                                helpful at improving the medicinal benefits     process, where the curcumin is standardized
Turmeric Rhizome
(Curcuma longa L.),             of turmeric, they do little to increase the     from 2% to 95%. Although this produces a
Turmeric powder,                absorption of actual curcuminoids, the          stronger curcumin formulation, the buck
Curcuminoid extract.            substances mostly responsible for its           doesn’t just stop here. Granted, the higher
Turmeric’s 3 Curcuminoids:      anti-inflammatory activity. This is because     amount of curcumin is now concentrated
Curcumin, Demethoxycurcumin,    turmeric’s curcuminoids only make up            and therefore more potent, but the issue of
and Bis-demethoxycurcumin.      about 2-6% of the total content of the root.    absorbability/bioavailability has not been
                                Furthermore, because curcuminoids are           correctly addressed.
                                little “powerhouses”—particularly curcumin,
                                researchers wanted to find a way to increase    The human body is a complex organism that
                                their concentration for maximum benefit.        undergoes extremely finite processes each
                                These factors led the industry to create more   second. Many of these processes are governed
                                bioavailable curcumin formulas with a higher    by the liver—the metabolic centre. It is
                                concentration of curcuminoids.                  responsible for many things, most importantly
                                                                                detoxification. Simply put, the liver breaks
                                                                                                                                7
            samples taken from study participants! Unfortunately,        These formulas miss the mark with their claims to higher
            this practice generates manipulated test results, and        absorbability/bioavailability because they are producing
            does not accurately reflect the process curcumin             conjugated curcumin—not Free Form Curcumin,
            undergoes within the body. This has also led certain         regardless of how much better absorbed each formula
            companies to claim that the body naturally undergoes         is. So, although more curcumin is absorbed, it’s in a form
            this process at a site of inflammation, resulting in all     that is less active, and therefore less therapeutic, which
            curcumin formulas producing Free Form Curcumin. Not          inevitably results in a less effective product.
            only is this extremely unlikely, it has never been proven
            in humans regarding curcumin, and goes against the           So, what kind of curcumin do you want coursing
            laws of human biochemistry. However, this is not to say      through your veins? One that is “broken and chained,” or
            that many of the curcumin formulas on the market don’t       one that is whole and free to move around uninhibited?
            work. They do, and many have excellent ingredients           That said, let’s explore the truth about curcumin.
            and well-designed studies to boot; they’re just not as
            effective, fast acting and long lasting as their Free Form
            counter parts.
            Turmeric root, aka Curcuma longa L.                       agent in paint, and why it stains so easily. These
                                                                      pigments are truly unique and very special, seeing they
            is a Rhizome that belongs to the                          are mostly responsible for turmeric’s therapeutic activity.
            Zingiberaceae/Ginger Family. It has
                                                                      There are three active curcuminoids present in
            a long history dating back to 250 BCE                     turmeric: curcumin, demethoxycurcumin (DMC), and
            and is used primarily as a spice in most                  bis-demethoxycurcumin (BDMC), with curcumin being
                                                                      the most concentrated. It comprises approximately 2/3
            South/Pan Asian cuisine.                                  of total curcuminoids, while the other two comprise
                                                                      the remaining 1/3 (Nardo et al., 2011).
                                                                                          11
     Multiple areas that      Furthermore, studies suggest that curcumin acts on
                              multiple tissues in many diseases, including: cancer,
                              diabetes, cardiovascular disease, neurological diseases,
      curcumin has been       and rheumatoid arthritis (Gupta et al., 2012).
Cardiovascular disease
Infection
Inflammation
Lifestyle Factors
12    Neurological disease
The liver is the major organ responsible for metabolizing or        are only one side of a very complex coin when it comes to
breaking down substances. When something is ingested, it is         curcumin. When the whole picture is in view, we are able
normally absorbed into the bloodstream through the hepatic          to gain clarity into the present state of curcumin within our
portal vein. The first stop for this “portal blood” is the liver.   industry. What you might believe is a high quality, effective
Here, these substances have phase II enzyme groups known            product, might not be, and products with superior formulation
as glucuronide or sulphate added to them. This process is           are often highly misunderstood. However, once the process of
known as conjugation or biotransformation (hepatic first pass       biotransformation is better understood, it becomes clear that all
metabolism) and makes a substance extremely soluble. These          of curcumin’s benefits significantly increase when it retains its
newly formed metabolites are then carried to our kidneys and        Free Form. Thus, resulting in a highly potent, bio active product.
bowel and ready for excretion.
Curcumin — A Research-backed
Botanical Powerhouse
In more recent years, the anti-carcinogenic activity of curcumin both in prevention and treatment
has been studied in colon, bone marrow, breast (Liu et al., 2013), prostate, and lung cancer (Sharma
et al., 2001; Gomez-Bougie et al., 2015; Tieten et al., 2010; Tsai et al., 2015). While curcumin has been
established as safe and nontoxic at high doses in humans (Krishnakumar et al., 2015), how curcumin has
such a diverse range of medicinal effects is less understood.
Getting Curcumin
Into the Body
Understanding Bioavailability
    It is now clear that poor bioavailability   Trials have shown that low levels of curcumin are present
                                                in the blood samples of participants administered high
    limits curcumin’s use. With respect to      doses of curcumin (Anand et al., 2007). Some estimates
    the whole food approach in particular,      suggest that only about 2% of curcumin taken orally is
                                                transported via the blood to the tissues. Furthermore,
    large quantities of turmeric powder         Pan and colleagues showed that 99% of curcumin in the
    can be consumed and may not                 bloodstream is conjugated curcumin (Pan et al., 1999).
                                                Studies have shown that conjugated curcumin has
    result in beneficial concentrations of      significantly lower bioactivity as compared to Free Form
                                                Curcumin and is readily excreted by the kidneys (Ireson
    curcumin in the blood.
                                                et al., 2001; Pal et al., 2014; Shoji et al., 2014; Choudhary et
                                                al., 2015). Moreover, conjugated curcumin is also bulkier
                                                since it has a glucuronide or sulphate group attached,
                                                so less able to cross the lining of blood vessels and the
                                                blood brain barrier (BBB) (Krishnakumar et al., 2015).
                                                                                                                                             FIGURE 3.
       The curcumin conundrum: Because curcumin is insoluble in water, it has a hard time dissolving in the stomach. Furthermore, due to its acidic pH,
                        curcumin begins to clump and is largely unable to pass through the stomach lining into the bloodstream (Kharat et al., 2017).
RAPID BREAKDOWN:
Unfortunately, what does manage to escape this
ill-fated process, is readily broken down by the liver
through biotransformation.
                                                                                                                                                    15
Understanding
Different Types
of “Enhanced”
CURCUMIN
                                                                                                                            17
            An Overview of
            Bioavailable Curcumin
            Formulas
            Theracurmin™ is a nanosized curcumin formula made            Meriva® uses micelle technology to create a patented
            from a mixture of micronized curcumin and gum ghatti         Phytosome® complex of curcumin and lecithin
            solution. Theracurmin’s particle size is reduced via a       without altering the size of the curcumin particles. The
            wet mill grinding process and then dispersed using a         curcuminoids and lecithin are combined in a 1:2 ratio.
            high-pressure blending technique. This creates a colloidal   This improves curcumin’s stability in the slightly alkaline
            suspension that is highly water soluble.                     environment of the small intestine (pH 7-8), where the
                                                                         majority of curcumin absorption occurs.
            BCM-95® is a patented curcumin formula that combines
            curcumin and volatile agents in turmeric essential oil to    NovaSOL® is a micelle formulation that uses Tween-80
            increase bioavailability. The formula is also comprised      instead of lecithin and micronized curcumin to
            of lecithin and medium chain triglycerides to further        enhance bioavailability.
            assist in this process. Turmeric essential oil constitutes
            approximately 9% of the formulation.
           analysis. Talk about sneaky! Furthermore, the claim that        As mentioned, the liver—our master organ, governs most
           all curcumin is Free Form Curcumin is also in the vein          functions in the body and is responsible for the primary
           of fake news. The hypothesis that Beta-glucuronidase            metabolism of substances. This process is known as first
           is excreted at sites of inflammation and can therefore          pass metabolism. However, depending on the molecular
           de-conjugate curcumin at the site is just not sound.            structure of a substance, a secondary, intermediate process
           This idea goes against the laws of human biochemistry           known as enterocyte first pass metabolism comes into
           and has never been proven with curcumin in humans.              effect. When a substance has a high molecular weight
           For the sake of argument, however, let’s just say this          and is comprised of very specific lipids, such as fatty acids
           were true. If so, then how would Beta-glucuronidase             and phospholipids, it is taken up through the enterocytes
           know to only to liberate curcumin and not other                 (nutrient absorption cells) that line the small intestine. It
           hazardous substances that have been tagged for                  is then carried into the lymph system, which is how it is
           removal? If this process was actually natural in humans,        able to successfully evade rapid breakdown. Unlike the
           then would it not render the entire detoxification              portal blood, the intestinal lymph empties directly into the
           processes obsolete? If someone ingested a known                 primary circulation without first passing through the liver.
           carcinogen which was then logically conjugated for              Once in the lymph, it is transported directly to the heart.
           safe removal, and then de-conjugated again, would it            The heart will then pump this newly “enriched blood” to
           not create a rogue carcinogen?                                  sites of therapeutic activity such as the brain, lungs, tissues,
                                                                           etc. before it returns to the liver where it will eventually
           Moreover, would it not then just freely reign and               undergo metabolism. Longvida® was the first formulation
           immediately induce disease? Lastly, if all of this were         to successfully achieve this world-wide.
           indeed true, the “Free Form” created would have lost
           almost all of its therapeutic activity, seeing conjugated       Now, fast forward to 2015 where a ground breaking
           curcumin is much less bioactive than true Free Form             formula came to life, embodying the next step in Free
           (Shoji et al., 2014). Without having a legitimate leg to        Form Curcumin delivery.
           stand on, this nonsensical assumption seems like more           CurQfen® is comprised of fenugreek-curcumin
           for the sake of a fake argument, than anything else.            fibre complexes. These little whole food wonders,
           To date, there are only two formulas that yield true Free       not only tremendously enhance absorption and
           Form Curcumin: Longvida® and CurQfen®, and both                 bioavailability, they also successfully evade rapid
breakdown. Fenugreek is a highly branched, gum                   The answer is in how it evades rapid breakdown.
like fibre that is extremely sticky. Therefore, it allows        Because the complexes are so tightly wound, and the
a high concentration of sub-micronized curcumin to               fenugreek so highly branched, curcumin particles are
bind deep within the fibre. Here, it remains safe from           able to literally hide deep within the complex. This
digestive juices and can be readily absorbed by the gut          is also a result of the strong bonding between the
and then into the bloodstream. Because the nature and            fenugreek and curcumin. Furthermore, the fibre has a
structure of these complexes are so unique, they allow           hydrophobic (fat-loving) side that faces inward which is
for rapid, yet sustained release into the bloodstream.           strongly bound to the hydrophobic curcumin particles.
This is due to the tightly wound, sticky nature of the           Conversely, the fenugreek fibre also has a hydrophilic
water soluble fenugreek fibre, which adheres to the              (water-loving) side that faces outward in the direction
gut lining like a glue. This glue creates a slow, sustained      of the water molecules, making the complex more
release effect, because fibre naturally takes longer to          water soluble. Thus, it is this tightly weaved tapestry
break down in the digestive tract. Now you might be              that acts like a Trojan horse, as it carries its precious
wondering how exactly does it absorbs rapidly, if the            curcumin cargo right to and through liver, ensuring
glue creates a long lasting effect?                              they remain undetected during first pass metabolism!
                                                                                                                                             21
FIGURE 5.                              Pretty neat, right? Apart from fenugreek’s            on the tissue distribution kinetics of Free
                                       incredible ability to protect curcumin, the very      Form Curcumin, showing actual uptake of
Evading rapid breakdown:               fact it is a highly soluble, well tolerated, gentle   CurQfen® by target tissues. Moreover, due to
Methods of preserving
                                       fibre opens the doors to the potential healing        the fact it is a truly synergistic formula, studies
Curcumin’s “Free Form”.
                                       of a vast array of inflammatory bowel disorders.      have demonstrated positive effects with
Left: CurQfen® is taken up
                                                                                             anxiety, energy levels and depression due to
through primary circulation.           Unlike Longvida® which bypasses phase II
Due to its structure, it effectively
                                                                                             the presence of fenugreek (Kumar et al., 2016;
                                       enzymes by escaping to the lymph system,              Sudheeran et al., 2016). Lastly, several health
shields the curcumin from phase
II liver enzymes.
                                       this simple, food-based delivery method tricks        benefits are also attributed to fenugreek,
                                       the liver’s guard dogs as it passes by! In turn,      including maintaining healthy blood glucose
Right: Longvida® is taken up
through the enterocyte into
                                       this ensures the effective delivery of Free           and reducing elevated blood lipid levels
secondary circulation, i.e. lymph.     Form Curcumin to all tissues. Believe it or not,      (Sharma and Raghuram, 1990;
It’s carried to the heart and then     CurQfen® actually goes one step further with
the organs, effectively retaining      evidence proving bioaccessibility. In 2016,           Al-Habori and Raman 1998;
its Free Form. Because standard        Kumar and colleagues were able to prove that          Neelakantan et al., 2014).
curcumin doesn’t have the
                                       curcumin not only gets into the bloodstream
fenugreek shield, it goes through
the liver; wherein, most of it is      in its Free Form, it is able to penetrate and
conjugated and excreted.               saturate various organs and tissues within
                                       the body. This is the first study of its kind
                            SIDE EFFECTS
                            Most curcumin products have excellent safety
                            profiles, however, Schiborr (2014) reported
                            side-effects from the use of NovaSOL® within
                            a group of 23 human participants including:
                                                                             23
Delving
into The Science
Breaking Down Clinical Research
Now that we have fully explored the nitty gritty bits of Free Form Curcumin, it is
time to delve a bit deeper to a place where many do not like to go—The Research.
Although interfacing with clinical data can even make         This will inevitably skew what was actually measured
our heads spin at times, it’s important to have an            in sample blood, versus what is reported in the
understanding of what actually makes a good, viable           corresponding publication. Don’t forget about our little
study. Indeed, this is not very exciting per se, but will     friend Beta-glucuronidase either, seeing the use of this
allow you to see through any skewed marketing tactics         enzyme further skews results generating false values for
and make a truly informed decision.                           Free Form Curcumin. For the sake of accuracy, simple
                                                              honesty, and the varying potency of each form, it is
MEASUREMENTS:                                                 critical that all of the forms are clearly distinguished and
Unfortunately, many publications report the bioavailability   measured correctly. These details can be confirmed in
of curcuminin without actually distinguishing between         the materials and methods section of a study.
Free Form Curcumin, curcumin metabolites, and total
curcuminoids (curcumin, DMC, BDMC).
                                                                                                                             25
                 Here is a loose outline of what a “curcumin” study looks likes to help you
                 imagine the process:
The importance    1 	 A set dose of a curcumin is administered to human subjects once a day.
of specific       2 	 Blood samples are collected before curcumin is administered at very specific
                        intervals over the course of 24 hours.
variables is     •	   Cmax (Concentration maximum) is when a drug reaches its peak concentration in
                      the blood after administration. This is depicted by the highest point on a graph.
critical to a    •	   Tmax (Time maximum) is the time a substance takes to reach maximum
                      concentration.
well-designed    •	   AUC (Area Under the Curve) is the overall amount of a therapeutic agent in the
                      bloodstream after a dose. The AUC is dependent on the dose and the rate of
study.                elimination from the body.
                 Some other important keys to a well-designed study are: human subjects, the number
                 of subjects, and appropriate controlled variables.
                 The human league should be the only league when it comes to study subjects.
                 Although there is merit in animal studies, humans are not rats, mice, or any other kind
                 of animal. We have entirely different anatomy, physiology, and biochemistry. Thus,
                 data from a different species cannot accurately show what happens within humans
                 in all cases. This is why healthy human volunteers are used in bioavailability studies to
                 increase accuracy by removing factors such as disease, medication, smoking and other
                 lifestyle influences.
                 When it comes to sample size, the more the merrier. Although some studies with
                 smaller samples are still very well-designed and executed, it is even better when more
                 subjects are involved.
                 Larger sample sizes offer higher accuracy, seeing the result is demonstrated many more
                 times. This is a standard that all studies should strive for.
FIGURE 6.
FIGURE 7.
A plotted graph:
Comparison of Free Form Curcumin plasma
concentrations of various curcumin
formulations. Using accurate experimental
methodology, the above data shows the
concentration-time-point curve for major
curcumin formulas, measuring the levels of
Free Form Curcumin. A comparison of the
area under the curve (AUC) for CurQfen® and
Longvida® reveals that CurQfen® is 6.7x more
bioavailable than Longvida® at equivalent
doses. Because correct adjustments are
used, levels of Free Form Curcumin for other
formulations are difficult to detect.
                                                                                              27
The Next Step in
Curcumin Evolution
            With integrity informing every decision, we never settle     which is comprised of highly water soluble sugar chains
            for mediocrity by ensuring complacency never takes           known as polysaccharides. AOR prioritizes Free Form
            hold. Because if it were to do just that, evolution would    Curcumin only; thus, reporting 48x more bioavailability
            cease, and cutting-edge breakthroughs towards better         in its marketing material.
            medicine may never come to be. It is with this fierce
            dedication to continuous, diligent innovations, we           Kumar et al., (2016), also compared the ratio of Free Form
            always pave the way forward, rather than simply imitate      Curcumin to conjugated curcumin. Here, they reported
            by following others.                                         75% Free Form Curcumin and 25% conjugated curcumin
                                                                         in the plasma 5 hours after administration of CurQfen®
            Because curcumin has literally hit a glass ceiling in        (1000 mg). This exceedingly high concentration of Free
            terms of truly innovative delivery methods, AOR was          Form Curcumin suggests that the fenugreek-curcumin
            inspired to challenge this and make something unique.        complex effectively protects curcumin from rapid
            This brings us to the next step in curcumin evolution,       breakdown; thus, resulting in a fast acting, yet long
            Curcumin Ultra®.                                             lasting, highly potent effect.
            Comprised of two truly innovative raw materials:             While the conundrum of curcumin’s various solubility
            CurQfen®, and Turmacin®, Curcumin Ultra® offers              issues has been made clear, we have to take a step back
            the benefits of a more whole food, truly botanical           and remember that the South Asian population have been
            formula, while showing a significant increase in             using turmeric for thousands of years with effect. Indeed,
            bioavailability. This is due to the addition of Turmacin®,   not a therapeutic, drug like effect per se, but effective
nonetheless. Perhaps this has more to do with accessing       period. Osteoarthritis patients showed the greatest
the synergistic constituents of the whole root, as opposed    symptom improvement. This was measured by physical
to just curcuminoids, and isolated curcumin in many cases?    performance, questionnaires and clinician assessment
                                                              when given Turmacin® over time. Turmacin® was well-
Traditionally, turmeric root is boiled in water and/or milk   tolerated at high doses (Madhu et al., 2013).
before ingestion. With the former method, it is highly
unlikely it extracts any curcuminoids, seeing they are        As you can see, there is benefit to incorporating traditional
hydrophobic. Rather, this water extraction method             methods, while still adhering to an orthomolecular,
liberates water soluble components from turmeric, i.e.        targeted, therapeutic approach. Curcumin Ultra®
polysaccharides. Conversely, the latter method most           combines synergistic aspects of turmeric and a full
likely yields minimal amounts of curcuminoids, with a         spectrum of curcuminoids, while still providing the
possible increase if clarified butter is added—remember       highest Free Form Curcumin available on the market.
“fat loving”?
                                                              Now that we have finally set the record straight, it
The use of Turmacin® in osteoarthritic patients has           is clear how truly complex curcumin is biologically
shown promising results. In a randomized, single-blind,       speaking, and as the subject of research. However, now
placebo controlled trial, the effects of Turmacin® (1000      that we have taken this journey, we hope that everyone
mg/day) were compared to glucosamine sulfate (1500            can make a truly informed decision when choosing
mg/day), a combination of Turmacin® and glucosamine           a modern curcumin formulation. What do you want
(1500 mg/day), and placebo (800 mg/day) over a 42-day         coursing through your veins? The choice is yours.
                                                                                                                                      29
References
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