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Goji
Goji/Drug Interactions:
Antibiotics
Antibiotics: In vitro, the root bark from Lycium chinense Miller had antimicrobial activity against antibiotic-resistant bacterial strains, methicillin-resistant Staphylococcus aureus (MRSA), and human pathogenic fungi (
33
).
Anticoagulants and antiplatelets
Anticoagulants and antiplatelets: In case reports of individuals stabilized on warfarin, Lycium barbarum L. fruit elevated the international normalized ratio (INR) (
77
;
78
). A patient on warfarin presented to the hospital with an elevated INR, as well as symptoms of epistaxis, bruising, and rectal bleeding (
79
). The patient had recently consumed goji juice for four days, with no other dietary changes. The patient was treated with phytonadione, and goji juice and warfarin were discontinued, resulting in a decrease in the INR over two days.
Antidepressants: MAOIs
Antidepressants: MAOIs: In vitro, Lycium chinense inhibited MAO-B (
60
).
Antidiabetics
Antidiabetics: In animal research, Lycium barbarum decreased plasma glucose and 30-minute postprandial glucose levels (
16
;
15
;
20
;
50
).
Antifungals
Antifungals: In vitro, an ethyl acetate extract of the root bark of Lycium chinense Miller had an antifungal effect (
31
;
33
).
Antihypertensives
Antihypertensives: In animal research, Lycium constituents had antihypertensive effects (
17
). However, in human research, GoChiT lacked a statistically significant effect on systolic and diastolic blood pressure (
49
).
Antilipemics
Antilipemics: In animal research, Lycium barbarum decreased plasma cholesterol and plasma triglycerides (
16
;
20
).
Antineoplastics
Antineoplastics: In vitro and in animal research, Lycium barbarum had antineoplastic effects (
90
;
21
;
14
;
91
;
13
;
12
;
30
;
92
;
93
).
Antivirals
Antivirals: In vitro, Lycium fruit had antiviral activity (
94
).
Cardiovascular agents
Cardiovascular agents: In vitro, Lycium barbarum had cardioprotective activity (
54
).
Cognitive improvement agents
Cognitive improvement agents: In human research, GoChiT improved mental acuity (
87
).
Cytochrome P450-modifying agents
Cytochrome P450-modifying agents: In vitro, a tea of L. barbarum L. weakly inhibited S-warfarin metabolism by CYP2C9 (
77
).
Dermatologic agents
Dermatologic agents: In a case report, it was determined that goji was responsible for a pruriginous eruption on sun-exposed areas of the skin (
80
). In vitro, a combination of Himalayan actives including goji berries attenuated ultraviolet B (UVB)-induced cell apoptosis of skin organ epidermis and decreased TNF-alpha secretion (
95
). In human research, topical application reduced wrinkle depth (
95
).
Exercise agents
Exercise agents: In human research, L. barbarum increased VO2 (
48
).
Hepatotoxins
Hepatotoxins: In animal research, Lycium chinense Miller (Solanaceae) had hepatoprotective effects and decreased levels of serum aspartate and alanine aminotransferase (AST and ALT) and alkaline phosphatase (ALP) (
58
).
Hormonal agents
Hormonal agents: In vitro, Lycium barbarum regulated and increased the secretion of male sexual hormones (
3
).
Immunosuppressants
Immunosuppressants: In human research, results from available randomized controlled trials suggested that wolfberry alters immune response, such as enhancing the capacity to respond to antigenic challenge (
86
) and increasing the number of lymphocytes and levels of interleukin-2 and immunoglobulin G (
85
;
86
). In animal research, Lycium had immunostimulatory activity (
96
;
21
;
22
).
Insulin preparations
Insulin preparations: In animal research, Lycium barbarum significantly increased insulin sensitivity (
16
).
Interleukins
Interleukins: In patients with advanced cancer, Lycium barbarum polysaccharides administered in conjunction with LAK/IL-2 increased NK and LAK cell activity (
97
).
Ophthalmic agents
Ophthalmic agents: In human research, a combination product containing goji was found to improve xerophthalmia in postmenopausal women (
98
). In human research, Lacto-Wolfberry (a proprietary milk-based formulation of goji) prevented effects on pigmentation and soft drusen count in the macula in elderly subjects (
99
). In human research, GoChiT lacked a statistically significant effect on eye fatigue or vision (
49
).
Osteoporosis drugs
Osteoporosis drugs: In laboratory research, a water extract of Lycium chinense stimulated osteoblast proliferation and inhibited osteoclast formation (
63
).
Respiratory agents
Respiratory agents: In human research, GoChiT improved shortness of breath (
87
)
Sedatives
Sedatives: In human research, GoChiT improved the ease of awakening and sleep quality, as well as fatigue (
87
;
49
).
Weight loss agents
Weight loss agents: In a clinical trial of GoChiT fruit juice, the juice resulted in an increased reduction in waist circumference, but not a reduction in body weight, in subjects that were also exercising (
48
). In human research, GoChiT lacked a statistically significant effect on body weight, body mass index (BMI), and body fat (
49
).
Goji/Herb/Supplement Interactions:
Antibacterials
Antibacterials: In vitro, the root bark from Lycium chinense Miller had antimicrobial activity against antibiotic-resistant bacterial strains, methicillin-resistant Staphylococcus aureus (MRSA), and human pathogenic fungi (
33
).
Anticoagulants and antiplatelets
Anticoagulants and antiplatelets: In case reports of individuals stabilized on warfarin, Lycium barbarum L. fruit elevated the international normalized ratio (INR) (
77
;
78
). A patient on warfarin presented to the hospital with an elevated INR, as well as symptoms of epistaxis, bruising, and rectal bleeding (
79
). The patient had recently consumed goji juice for four days, with no other dietary changes. The patient was treated with phytonadione, and goji juice and warfarin were discontinued, resulting in a decrease in the INR over two days.
Antidepressants: MAOIs
Antidepressants: MAOIs: In vitro, Lycium chinense inhibited MAO-B (
60
).
Antifungals
Antifungals: In vitro, an ethyl acetate extract of the root bark of Lycium chinense Miller had an antifungal effect (
31
;
33
).
Antilipemics
Antilipemics: In animal research, Lycium barbarum decreased plasma cholesterol and plasma triglycerides (
16
;
20
).
Antineoplastics
Antineoplastics: In vitro and in animal research, Lycium barbarum had antineoplastic effects (
90
;
21
;
14
;
91
;
13
;
12
;
30
;
92
;
93
).
Antioxidants
Antioxidants: In human research, goji increased levels of superoxide dismutase (SOD) and glutathione peroxidase, and decreased levels of malondialdehyde (MDA) (
100
). In human research, Lacto-Wolfberry (a proprietary milk-based formulation of goji) increased plasma zeaxanthin levels and the antioxidant capacity (
99
). In animal research, wolfberry resulted in an increase in serum antioxidant activity (
92
).
Antivirals
Antivirals: In vitro, Lycium fruit had antiviral activity (
94
).
Cardiovascular agents
Cardiovascular agents: In vitro, Lycium barbarum had cardioprotective activity (
54
).
Cognitive improvement agents
Cognitive improvement agents: In human research, GoChiT improved mental acuity (
87
).
Cytochrome P450-modifying agents
Cytochrome P450-modifying agents: In vitro, a tea of L. barbarum L. weakly inhibited S-warfarin metabolism by CYP2C9 (
77
).
Dermatologic agents
Dermatologic agents: In a case report, it was determined that goji was responsible for a pruriginous eruption on sun-exposed areas of the skin (
80
). In vitro, a combination of Himalayan actives including goji berries attenuated UVB-induced cell apoptosis of skin organ epidermis and decreased TNF-alpha secretion (
95
). In human research, topical application reduced wrinkle depth (
95
).
Exercise agents
Exercise agents: In human research, L. barbarum increased VO2 (
48
).
Hepatotoxic herbs
Hepatotoxic herbs: In animal research, Lycium chinense Miller (Solanaceae) had hepatoprotective effects and decreased levels of serum aspartate and alanine aminotransferase (AST and ALT) and alkaline phosphatase (ALP) (
58
).
Hormonal herbs and supplements
Hormonal herbs and supplements: In vitro, Lycium barbarum regulated and increased the secretion of male sexual hormones (
3
).
Hypoglycemics
Hypoglycemics: In animal research, Lycium barbarum decreased plasma glucose and 30-minute postprandial glucose levels (
16
;
15
;
20
;
50
).
Hypotensives
Hypotensives: In animal research, Lycium constituents had antihypertensive effects (
17
). However, in human research, GoChiT lacked a statistically significant effect on systolic and diastolic blood pressure (
49
).
Immunostimulants
Immunostimulants: In human research, results from available randomized controlled trials suggested that wolfberry alters immune response, such as enhancing the capacity to respond to antigenic challenge (
86
) and increasing the number of lymphocytes and levels of interleukin-2 and immunoglobulin G (
85
;
86
). In animal research, Lycium had immunostimulatory activity (
96
;
21
;
22
).
Iron
Iron: In animal research, Lycium barbarum polysaccharides (LBP-4) increased the level of iron in muscle and bone (
89
).
Ophthalmic agents
Ophthalmic agents: In human research, a combination product containing goji was found to improve xerophthalmia in postmenopausal women (
98
). In human research, Lacto-Wolfberry (a proprietary milk-based formulation of goji) prevented effects on pigmentation and soft drusen count in the macula in elderly subjects (
99
). In human research, GoChiT lacked a statistically significant effect on eye fatigue or vision (
49
).
Osteoporosis agents
Osteoporosis agents: In laboratory research, a water extract of Lycium chinense stimulated osteoblast proliferation and inhibited osteoclast formation (
63
).
Respiratory agents
Respiratory agents: In human research, GoChiT improved shortness of breath (
87
)
Sedatives
Sedatives: In human research, GoChiT improved the ease of awakening and sleep quality, as well as fatigue (
87
;
49
).
Vitamin C
Vitamin C: The fruit of Lycium barbarum L. contains 0.5% of a novel stable precursor of ascorbic acid, which could theoretically increase serum ascorbic acid levels (
101
;
102
).
Weight loss agents
Weight loss agents: In a clinical trial of GoChiT fruit juice, the juice resulted in an increased reduction in waist circumference, but not a reduction in body weight, in subjects that were also exercising (
48
). In human research, GoChiT lacked a statistically significant effect on body weight, BMI, and body fat (
49
).
Zeaxanthin
Zeaxanthin: In healthy volunteers, goji increased plasma zeaxanthin levels (
103
;
104
;
99
;
7
).
Zinc
Zinc: In animal research, Lycium barbarum polysaccharides (LBP-4) increased the level of zinc in muscle and bone (
89
).
Goji/Food Interactions:
Iron-containing foods
Iron-containing foods: When fed to weanling mice, Lycium barbarum polysaccharides(LBP-4) enhanced the content of zinc and iron in pygal muscles and femora and reduced their body weight (
89
).
Vitamin C-containing foods
Vitamin C-containing foods: The fruit of Lycium barbarum L. contains 0.5% of a novel stable precursor of ascorbic acid, which could theoretically increase serum ascorbic acid levels (
101
;
102
).
Zinc-containing foods
Zinc-containing foods: In animal research, Lycium barbarum polysaccharides (LBP-4) increased the level of zinc in muscle and bone (
89
).
Goji/Lab Interactions:
Antibodies (serum)
Antibodies (serum): In animal research, Lycium increased serum IgA and IgG levels (
96
). In human research, results from available randomized controlled trials suggest that wolfberry alters immune response, such as increasing the number of lymphocytes and levels of interleukin-2 and immunoglobulin G (
85
;
86
)
Blood pressure
Blood pressure: In animal research, Lycium constituents had antihypertensive effects (
17
). However, in human research, GoChiT lacked a statistically significant effect on systolic and diastolic blood pressure (
49
).
Cytokines
Cytokines: In human research, results from available randomized controlled trials suggest that wolfberry alters immune response, such as increasing the number of lymphocytes and levels of interleukin-2 and immunoglobulin G (
85
). In animal research, wolfberry decreased IL-5 and GRO/KC (IL-8 rat homologue) (
92
).
INR
INR: In case reports of individuals stabilized on warfarin, Lycium barbarum L. fruit elevated the international normalized ratio (INR) (
77
;
78
;
79
).
Insulin
Insulin: In animal research, Lycium barbarum increased insulin sensitivity (
16
).
Lipid panel
Lipid panel: In animal research, Lycium barbarum decreased plasma cholesterol and plasma triglycerides (
16
;
20
).
Liver panel
Liver panel: In animal research, Lycium chinense Miller (Solanaceae) had hepatoprotective effects and decreased levels of serum aspartate and alanine aminotransferase (AST and ALT) and alkaline phosphatase (ALP) (
58
).
Platelet counts
Platelet counts: In chemotherapy-induced myelosuppressive and irradiated mice, Lycium barbarum polysaccharide enhanced peripheral platelet counts (
12
;
65
).
Red blood cell counts
Red blood cell counts: In chemotherapy-induced myelosuppressive and irradiated mice, Lycium barbarum polysaccharide enhanced peripheral red blood cell counts (
12
;
65
).
Serum ascorbic acid levels
Serum ascorbic acid levels: The fruit of Lycium barbarum L. contains 0.5% of a novel stable precursor of ascorbic acid, which could theoretically increase serum ascorbic acid levels (
101
;
102
).
Serum glucose levels
Serum glucose levels: In animal study, Lycium barbarum decreased plasma glucose and 30-minute postprandial glucose levels (
16
;
15
;
20
;
50
).
Serum hormone levels
Serum hormone levels: In vitro, Lycium barbarum regulated and increased secretion of male sexual hormones (
3
).
Serum levels of cytochrome P450-metabolized agents
Serum levels of cytochrome P450-metabolized agents: In vitro, a tea of L. barbarum L. weakly inhibited S-warfarin metabolism by CYP2C9 (
77
).
T cell counts
T cell counts: In animal research, Lycium barbarum polysaccharide significantly increased the numbers of CD4(+) and CD8(+) T cells (
22
). In human research, results from available randomized controlled trials suggest that wolfberry alters immune response, such as increasing the number of lymphocytes and levels of interleukin-2 and immunoglobulin G (
85
)
White blood cell counts
White blood cell counts: In irradiated mice, intraperitoneal Lycium chinense root increased leukocyte counts (
65
).
Zeaxanthin levels
Zeaxanthin levels: In healthy volunteers, goji increased plasma zeaxanthin levels (
103
;
104
;
99
;
7
).
Goji/Other Interactions:
Radiation therapy
Radiation therapy: In animal research, a combination of Lycium barbarum polysaccharide and radiation had radiosensitizing effects (
25
).