Products refresher training webinar, with Sophie Tully BSc MSc, Wednesday 29th January
In this training webinar, Education Manager Sophie Tully takes you through each of the therapeutic Igennus products and the key points for recommending them to clients to help refresh your memory, offering fresh research, understanding and clinical tools.
2. What is inflammation?
ā¢ The normal response of a tissue to injury
ā¢ Triggered by a number of causes including infection, invading
pathogens (such as bacteria or viruses), trauma or
compromised blood flow
ā¢ Three defined phases:
- Initiation
- Resolution
- Termination
3. Inflammatory response
Resoleomics - the process of inflammation resolution
Eicosanoid switch
Stop signal
Pro-inflammatory reduced
LTB4
PGE2
Anti-inflammatory increased
Time
Initiation
Resolution
Termination
4. The role of diet in modulating inflammation
Many modern food types are new in regard to human evolution
Triggers from chronic altered diet and psycho-emotional stress negatively
influence the resolution step of the inflammatory response
Failure to resolve inflammation increases susceptibility to the development
of chronic, low-grade, inflammation-based diseases due to the constant
activation of both the HPA-axis and innate immune system
Bosma-den Boer MM, van Wetten ML, Pruimboom L: Chronic inflammatory diseases are stimulated by current lifestyle: how
diet, stress levels and medication prevent our body from recovering. Nutrition & metabolism 2012, 9:32.
5.
6. The key to regulating inflammation is through the
modulation of eicosanoids:
ā» pro-inflammatory eicosanoids drive the immune and inflammatory
processes
ā» anti-inflammatory eicosanoids act to end the process through
resolution
Overproduction of pro-inflammatory products or reduced production
of anti-inflammatory products can result in continued production of
inflammatory products ā the hallmark of silent inflammation
7. The role of lipid mediators
ā¢ Pro-inflammatory lipid
arachidonic acid (AA)
ā¢ Anti-inflammatory/pro-resolving lipids
dihomo-gamma-linolenic acid (DGLA)
eicosapentaenoic acid (EPA)
docosahexaenoic acid (DHA)
ā¢ AA and EPA are the significant eicosanoid precursors
ā¢ AA to EPA ratio is a direct biomarker of inflammatory status
9. AA to EPA ratio is a direct measure of inflammation
By modifying diet we can influence the ratio of pro-inflammatory (from AA)
to anti-inflammatory eicosanoids (from EPA)
10. Conditions associated with a high AA to EPA ratio
ā¢
ā¢
ā¢
ā¢
ā¢
ā¢
ā¢
ā¢
ā¢
Depression
Bipolar disorder
Schizophrenia
Myalgic encephalomyelitis
Fibromyalgia
Chronic pain syndromes
Diabetes
Cardiovascular disease
Cancer
ā¢ Inflammatory disorders
ā¢ Inflammatory bowel disease:
(Crohnās disease, ulcerative colitis)
ā¢ Neurodevelopmental disorders:
(autism, dyslexia, dyspraxia, ADHD)
ā¢ Alzheimerās disease
ā¢ Huntingtonās disease
ā¢ Skin conditions:
(eczema, psoriasis, dermatitis)
11. Shifting the balance
ā» AA and EPA contents of cell membranes can be altered through consumption
of omega-3 EPA (marine products/marine oils)
ā» Changing the fatty acid composition of cell membranes affects
ā¢ changes in membrane structure
ā¢ products involved in immune function and the inflammatory cascade
ā¢ cell signalling
ā¢ gene expression and cell cycle
12. EPA as a therapeutic agent
ā» Cod liver oil benefits to health long established
ā» Key protective and beneficial aspects are the essential fatty
acids: EPA and DHA
ā» Only recently discovered, these two important EFAs have very
different roles within the body
ā» EPA = anti-inflammatory, immune function, neuron and brain
function support
ā» DHA = main structural fat for cells and brain development
13. EPA reduces the activity of AA in two ways
ā¢ EPA (but not DHA) is an inhibitor of the enzyme delta-5-desaturase
that produces AA
ā¢ EPA also competes with AA for the enzyme PLA2 necessary to release
AA from the membrane phospholipids
Therapeutically, fish oils are not all equal
15. PharmepaĀ®
Restore & Maintainā¢ anti-inflammatory protocol
Restore with
pure EPA
3-6 months
Introduce GLA
for long-term
maintenance
16. ā¢ Igennus is the only independent manufacturer
Step
of specialist Fatty 1: Restore UK. Based in
Acid in the
Cambridge the medical innovation hub for the
Pharmepa E-EPA 90 provides 1000 mg EPA with just
two easy-to-swallow capsules daily. This product
UK:
provides a loading dose of super strength EPA and is
Seven Seas for people whoPharma Germany with
Merck have never supplemented
ideal
or those who have taken a break from
Minami pure EPA EPA supplementation Canada
Atrium Pharma
omega-3
- Biocare
- Eskimo 3
- Equizen
Elder Pharma India
Bringwell Pharma Sweden
Vifor Pharma Swiss
17. ā¢ Igennus is theStep 2:independent manufacturer
only Maintain
Pharmepa E-EPA the UK. Based in
of specialist Fatty Acid in80 combines 80% ethyl-EPA
concentrate with GLA and
Cambridge the medicalprimrose oiltriterpenes from organic
innovation hub B5, D3the
for & E
virgin evening
and vitamins
UK:
This product balances and maintains the omega-6
Seven Seas omega-3 ratio and is suitableGermany use
Merck Pharma for long-term
to
Minami after supplementing PharmaEPA.
Atrium with pure Canada
Alternatively, long-term users of omega-3
Biocare supplements may Pharma and take step 2 as a
Elder skip step 1 India
Eskimo 3 maintenance supplement
Bringwell Pharma Sweden
- Equizen
Vifor Pharma Swiss
18. PharmepaĀ® Restore & Maintainā¢
Benefits summary
ā¢ Igennus is the only independent manufacturer
ļ¼ Allows high concentrations of EPA to be achieved
ļ¼ of specialist Fatty Acid in the UK. Based in
Maintains DHA levels:
ā¢ raises both the DHA levels DHA is needed) hub for the
CambridgeEPA andmedical(ifinnovationthus improving
indexā
UK:'omega-3DHA loss from cell membranes
ā¢ protects
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
Enhances mitochondrial function
- Seven Seas
Merck Pharma Germany
Maintains cell integrity including neuronal systems
- Minami
Atrium Pharma Canada
Counteracts inflammation/oxidative stress
Powerful antidepressant
- Biocare
Elder Pharma India
Improves immune function
- Eskimo 3
Bringwell Pharma Sweden
Prevents the death of healthy cells
Induces 'programmed cell death' of damaged, genetically mutated cells
- Equizen
Vifor Pharma Swiss
Improves cardiovascular function
20. Echiomega
ā¢ā¢ Igennus is theplantagineum
Derived from Echium only independent manufacturer
ā¢ of specialist Fatty Acid in the UK. Based in
Echium seed oil is a novel food approved
source of SDA and ALA
ā¢ Cambridge theEPA
SDA is the precursor to medical innovation hub for the
UK:
ā¢
ā¢
ā¢
ā¢
ā¢
25-30% of SDA converts to EPA Merck Pharma Germany
- Seven Seas
5-8% of ALA
- Minami
Atrium Pharma Canada
Echiomega is naturally rich in SDA
SDA directly increases cellular EPA levels
- Biocare
Elder Pharma India
Echium seed oil provides standalone health benefits
- Eskimo 3
- Equizen
Bringwell Pharma Sweden
Vifor Pharma Swiss
21. Echiomega
ā¢ Igennus is the only independent manufacturer
ļ¼ Provides the building blocks to restore optimum
of specialist Fatty Acid in the UK. Based in
omega-3 and omega-6 levels
ļ¼ Favourable omega-6 tothe medical innovation hub for the
omega-3
Cambridgeand GLA ratio of 1:1.8
ļ¼ Naturally high in SDA
UK:
ļ¼ Vegetarian precursor to EPA
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
Supports immune function
Merck Pharma Germany
Naturally - Seven Seas
anti-inflammatory
Supports - Minami health
cardiovascular
Atrium Pharma Canada
Lowers triglycerides
Early studies show enhanced glycaemic control
- Biocare
Elder Pharma India
and reduced atherosclerosis in animal models
- Eskimo 3
- Equizen
Bringwell Pharma Sweden
Vifor Pharma Swiss
25. Homocysteine ControlTM
ā¢ Igennus is the only independent manufacturer
folic acid, vitamin B6 and vitamin B12
of specialist Fatty Acid in the UK. Based in
formulated to prevent and the medical innovation hub for the
Cambridge reduce elevated
plasma homocysteine
UK:
slow-release delivery system
- Seven Seas
Merck Pharma Germany
most bioavailable forms of each ingredient
- Minami
Atrium Pharma Canada
ensures optimal blood plasma levels are
- Biocare
Elder Pharma India
maintained throughout the day
- Eskimo 3
Bringwell Pharma Sweden
- Equizen
Vifor Pharma Swiss
26. Homocysteine ControlTM
ā¢ Igennus is the only independent manufacturer
of specialist Fatty Acid in the UK. Based in
ļ¼ Highly bioavailable
Lowers homocysteine levels
Cambridge the medical innovation hubnutrients
for the
ļ¼ Easy-to-swallow tablets
Supports cardiovascular function
ļ¼ Split-dosing for optimal bioavailability
UK:
Supports healthy mood
ļ¼ Sustained-release tablets for
ļ¼
ļ¼
ļ¼
ļ¼ Supports methylation pathways
ļ¼ Supports neurotransmitter
metabolism
ļ¼ Supports red blood cell formation
ļ¼ Supports neurological function
ļ¼ Supports DNA and protein
synthesis
- Seven Seas
- Minami
- Biocare
- Eskimo 3
- Equizen
enhanced absorption &
Merck Pharma Germanyoptimal
tissue distribution
ļ¼ Offers benefits for cardiovascular
Atrium Pharmabrain function and mood
Canada
health,
balance
Elder Pharma India
Bringwell Pharma Sweden
Vifor Pharma Swiss
28. Role and benefits of a healthy methylation cycle
ļ¼ Neurotransmitter production:
o Mood
o Memory
o Learning
o Gut function
ļ¼ Antioxidant activity:
o Increased glutathione production
o Reduced free radical production
ļ¼ Cardioprotection:
o Reduced risk of cardiovascular disease and
stroke
ļ¼ Detoxification:
o Improved liver function
o Increased energy
o Improved sleep
ļ¼ Neuroprotection
ļ¼ Improves cell signalling
ļ¼ Anti-inflammatory
ļ¼ Normal cell cycle
ļ¼ Reduced risk of bone loss and fracture
ļ¼ Improved fertility
ļ¼ Anti-ageing
29. Therapeutic application for Homocysteine ControlTM
ļ¼ Cardiovascular disease
o Heart attack
o Stroke
o Vascular disease
o Atherosclerosis
ļ¼ Mood disorders
o Depression
o Schizophrenia
o Bipolar syndrome
ļ¼ Neurodegenerative diseases
o Huntingtonās disease
o Parkinsonās disease
o Alzheimerās disease
ļ¼ Neuromuscular diseases
o Muscular dystrophy
o Multiple sclerosis
ļ¼ Migraine
ļ¼ Cell cycle control
ļ¼ Diabetes
ļ¼ Liver disorders
ļ¼ Thyroid disease/low thyroid function
ļ¼ Infertility
ļ¼ Pregnancy complications
ļ¼ Macular degeneration
ļ¼ Chronic fatigue syndrome
32. NeurobalanceTM
ā¢ magnesium, zinc and vitamin B6
ā¢
ā¢
ā¢ Igennus is the only independent manufacturer
formulated to aid in normalFatty Acid in the UK. Based in
of specialist neurotransmitter
production and function
Cambridge the medical innovation hub for the
scientifically formulated supplement
UK:
ā¢ synergistic benefits to optimise the functioning of the
- Seven Seas
Merck Pharma
nervous system
ā¢
ā¢
Germany
- Minami
Atrium Pharma Canada
slow-release delivery system ensures optimal blood
- Biocare
Elder the
plasma nutrient levels are maintained throughout Pharma India
day
- Eskimo 3
Bringwell Pharma Sweden
most bioavailable forms of each ingredient
- Equizen
Vifor Pharma Swiss
33. NeurobalanceTM
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ā¢ Igennus is the only independent manufacturer
of specialist Fatty Acid in the UK. Based in
Cambridge
Supports neurotransmitter the medical innovation hub for the
ļ¼ Highly bioavailable nutrients
metabolism
ļ¼ Synergistic relationship between Mg
UK:
Supports neurological function
and B6
Supports hormone balance
Supports immune function
Supports DNA and protein synthesis
Aids in the production of sleep
modulators
ļ¼ Supports a healthy mood
ļ¼ Anti-anxiety benefits
- Seven Seas
- Minami
- Biocare
- Eskimo 3
- Equizen
ļ¼ Easy-to-swallow tablets
ļ¼ Split-dosing for optimal bioavailability
ļ¼ Sustained-release tablets for enhanced
absorption & optimal tissue distribution
ļ¼ Offers benefits for brain function and
mood balance
Merck Pharma Germany
Atrium Pharma Canada
Elder Pharma India
Bringwell Pharma Sweden
Vifor Pharma Swiss
36. Therapeutic application for Neurobalance
ļ¼
o
o
o
o
ļ¼
o
o
o
Neurodevelopmental disorders
Attention-deficit hyperactivity-disorder (ADHD)
Autistic spectrum disorders (ASD)
Dyspraxia
Dyslexia
Mood disorders
Depression
Schizophrenia
Bipolar syndrome
ļ¼
o
o
o
Neurodegenerative diseases
Huntingtonās disease
Parkinsonās disease
Alzheimerās disease
ļ¼ Womenās health
o Premenstrual syndrome
(PMS)
o Menopausal symptoms
39. VESIsorbĀ® Ubiquinol-QH
ā¢ VESIsorbĀ® Ubiquinol-QH
ā¢
ā¢
ā¢ Igennus is the only independent manufacturer
most bioavailable source of the activated form of
of specialist Fatty Acid in the UK. Based in
coenzyme Q10 (CoQ10)
Cambridge the medical innovation hub for the
patented VESIsorbĀ® delivery system provides
UK:
colloidal, highly solubilised ubiquinol
- Seven the water layer barrier in the gut
Merck Pharma Germany
ā¢ passes easily throughSeas
and into the bloodstream
- Minami
Atrium Pharma Canada
ā¢ unprecedented absorption
- Biocare
ā¢
ā¢
Elder Pharma India
- Eskimo 3
Bringwell Pharma Sweden
optimal blood CoQ10 levels
- Equizen
Vifor Pharma Swiss
1 a day provides therapeutic, sustained action
40. VESIsorbĀ® Ubiquinol-QH
ā¢ Igennus is the only independent manufacturer
of specialist Fatty Acid in the UK. Based in
ļ¼ Energy production
ļ¼ Patented VESIsorbĀ® delivery system
Cambridge the medical innovation hub for the
ļ¼ Antioxidant activity
ļ¼ Mimics natural intestinal transport
UK:
ļ¼ Cardioprotection
ļ¼ easily absorbed into the bloodstream for
ļ¼
ļ¼
ļ¼
ļ¼
Neuroprotection
Anti-inflammatory
Promotes thermogenesis
Cellular communication & gene
expression
ļ¼ Supports organ metabolism
ļ¼ Supports normal cell cycle
- Seven Seas
- Minami
- Biocare
- Eskimo 3
- Equizen
optimal tissue distribution
Pre-digested solubilised ubiquinol for faster
absorption
Reaches therapeutic plasma concentrations
Sustained action
Unprecedented bioavailability
1-a-day dosing
ļ¼
Merck Pharma Germany
Atrium Pharma Canada
ļ¼
Elder ļ¼
Pharma India
ļ¼
ļ¼
Bringwell Pharma Sweden
Vifor Pharma Swiss
41. Coenzyme Q10
ā¢ CoQ10 is a powerful, fat-soluble, vitamin-like substance
ā¢ Two main functions:
ā¢ Energy production ā cellular respiration
ā¢ Antioxidant/antioxidant recycling
ā¢
Two main forms
ā¢ Ubiquinone ā oxidised form
ā¢ Ubiquinol ā reduced form
ā¢ 96% of CoQ10 within the body is in the form of ubiquinol
ā¢ Ubiquinol is the active form of CoQ10
42. CoQ10 production and intake
ā¢ Endogenous CoQ10 synthesis is a complex multi-step process
ā¢ Tissue CoQ10 levels generally peak around the age of 20-30 and decline
with age
ā¢ The conversion of ubiquinone to ubiquinol also declines with age
ā¢ Majority of dietary CoQ10 is in the form of ubiquinone
ā¢ Found in foods such as fish, organ meats and germ of whole grains, the
average diet is estimated to provide approximately 10 mg/day of CoQ10
43. Ubiquinol deficiency alters mitochondria function and lowers
antioxidant status, leading to increased free radical generation
Inflammation
Lungs
Free radical
damage and
oxidative stress
Skin
Ageing
Cardiovascular
Brain
Immunity
45. ā¢ Absorption occurs in the small intestine directly into the lymphatic
system followed by absorption into the bloodstream
ā¢ Absorption is generally poor (large lipophilic molecule) and fat soluble
molecules must cross the āunstirredā water layer for effective uptake
ā¢ ~60% of oral supplements may be excreted via the faeces
ā¢ High variability with absorption depending on the dosage form
ā¢ Highest bioavailability when taken with lipid-containing food
46. VESIsorbĀ® technology
ā¢ The aqueous diffusion layer or 'unstirred' water layer adjacent to the intestinal
membrane has long been regarded as a potential barrier for intestinal absorption
of compounds, especially large fat-soluble molecules
ā¢ The task of naturally formed bile salt-mixed micelles, having a size <10 nm, is to
transport the lipophilic molecules through the aqueous environment of the
gastrointestinal tract and across the unstirred water layer to the absorptive
epithelium
ā¢ VESIsorbĀ® is a novel delivery technology that mimics this natural absorption
process to improve bioavailability of large lipophilic molecules
47. Plasma CoQ10 (mg/mL)
7.5
7
6.5
6
5.5
5
4.5
4
3.5
3
2.5
2
1.5
1
0.5
0
Cmax
VESIsorbĀ® delivered CoQ10 is
absorbed FASTER, reaching
concentrations that are STRONGER
and stay in the body LONGER than
generic delivery methods
Therapeutic level
VESIsorbĀ®
Tmax
Oil-based
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Time (hours)
120mg single dose of VESIsorbĀ® delivered CoQ10 reaches therapeutic levels within 2 hours, reaching maximum
blood plasma levels (6.89 mg/mL) (Cmax) within around 4 hours (Tmax)
In contrast, 120mg single dose of oil-based CoQ10 reaches maximum blood plasma levels (2.44 mg/mL) within 5
hours and fails to achieve therapeutic levels
VESIsorbĀ® increases the bioavailability of CoQ10 by 622%
48. VESIsorbĀ® Ubiquinol-QH
Nutritional information
Serving size: 1 capsule
Ubiquinol (Kaneka QH
TM
Amount per capsule
ā activated coenzyme Q10)
Vitamin E ( Ī±-tocopherol)
100 mg
6.7 mg Ī±-TE*
*56% EU RDA
Ingredients
Ubiquinol activated coenzyme Q10 (Kaneka-QHā¢); capsule shell (emulsifier: gelatine;
glycerol: colour: caramel); medium chain triglycerides; emulsifiers: non-ionic surfactant,
polyglycerol fatty acid esters; antioxidant: vitamin E.
49. Therapeutic applications for VESIsorbĀ® Ubiquinol-QH
ļ¼ Cardiovascular disease
o Cardiomyopathy
o Congestive heart failure
o Angina
o Arrhythmias
o Hypertension
o Atherosclerosis
ļ¼ Neurodegenerative diseases
o Huntingtonās disease
o Parkinsonās disease
o Alzheimerās disease
ļ¼ Neuromuscular diseases
ļ¼ Chronic fatigue syndrome
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
ļ¼
Statin-associated myopathy
Mitochondrial disease
Muscular dystrophy
Chronic fatigue conditions
Diabetes
Cell cycle regulation
Chronic obstructive pulmonary disease
Migraine
Immune disorders
HIV/AIDS
Periodontal disease
Male infertility
50. ā¢ Igennus is the www.igennus.com
only independent manufacturer
01223 421434
of specialist Fatty Acid in the UK. Based in
info@igennus.com
Cambridge the medical innovation hub for the
UK:
Sophie Tully
Nutrition education manager
- Seven Seas sophiet@igennus.com
Merck Pharma Germany
- Minami education@igennus.com
Atrium Pharma Canada
07908683174
- Biocare
Elder Pharma India
- Eskimo 3
Bringwell Pharma Sweden
- Equizen
Vifor Pharma Swiss
Editor's Notes
100,000 years ago
Betaine and homocysteineHomocysteine can be converted back to methionine independent of the The folate cycle via betaine and it is often considered alongside folic acid, vitamin B6 and vitamin B12 dietary intervention for managing homocysteineBetaine is, however, found widely in both plant and animals products and much of the body's betaine needs are actually met by choline oxidationHigh doses of 4ā6 g/d betaine required to induce a favourable outcome on homocysteine levels have been shown in several randomised, placebo-controlled studies to increase total cholesterol, LDL cholesterol, and triglyceridesThe adverse effects on blood lipids may therefore undo the potential benefits for cardiovascular health of betaine supplementation through homocysteine lowering