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DESCRIPTIONThere are more than 90 viruses that belong to a family of animal viruses called herpes virdae. Of this family of viruses, four are known to be important to humans. Varicella- zoster causes chicken pox and shingles; Epstein-Barr causes infectious mononucleosis; cytomegalovirus (CMV) often is carried without producing any symptoms, but can have devastating consequences for newborns and for people with compromised immune systems. This page addresses herpes simplex, which causes cold sores (fever blisters) and genital herpes.
There are two types of herpes simplex. Classically, Herpes simplex type I (HSV-1) typically causes a mouth and lip rash (cold sores) and skin eruptions. In later life, it may erupt into a form of shingles. It can also cause herpes keratitis, an inflammation of the cornea of the eye. If herpes repeatedly flares up in the eye, it can lead to scarring and loss of vision.
Between 20 and 40 percent of the population in the United States has cold sores cause by HSV-1. As many as twice that number have been infected with the virus but may never have the sores. That means that 40 to 80 percent of the population is infected with this virus.
Herpes simplex type II (HSV-2> is the most prevalent sexually transmitted disease in the United States. More than 30 million Americans (one out of every five to six persons over the age of 15) have the type II infection, though more than half never develop serious symptoms. Herpes is a virus infection of the genitals (this is the reason it is called genital herpes) transmitted by sexual relations (intercourse or oral sex). It can affect both sexes of sexually active persons and may involve the vagina, cervix, thighs, buttocks (sometimes) and penis. Genital herpes is often found in the presence of other sexually transmitted diseases. Over the last decade, it has become clear that either strain of this virus can cause either rash, though 75% of genital herpes is caused by HSV-2. This viral infection can range in severity from a silent infection to a serious inflammation of the liver with fever. It is especially dangerous to infants. A baby whose mother is infected can pick up the virus in the birth canal, creating a risk of brain damage, blindness, and death.
Both oral and genital herpes cause painful fluid-filled blisters that are highly infectious until they are completely healed, which can take up to three weeks. In oral herpes, sores usually appear within two to seven days after initial exposure to the virus. Recurrent eruptions are common. Some people are bothered by outbreaks once a year or less; others may get them every few weeks.
Once the virus enters the body, herpes viruses never leave. They live in nerve cells, where the immune system cannot find them, and they become active from time to time as the immune system is depressed. The virus may lie dormant for long periods of time, until illness, sun-exposure, fatigue, stress, or some other factor causes the virus to break out in open sores again. Fortunately, after a period of time, the virus seems to burn itself out. Outbreaks rarely appear after the age of fifty.
FREQUENT SIGNS AND SYMPTOMS
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Pain blisters, preceded by itching, mild to severe burning or irritation on the vaginal lips or penis. In women, the blisters develop in a matter of a few hours and may extend into the vagina to the cervix, around the rectum, clitoris, and urethra. There is often a watery discharge from the urethra and pain when urinating. In men, blisters break out on the penis, groin, and scrotum, often with urethral discharge and painful urination. Sometimes the penis and the foreskin swell. A man may also have tender, swollen, enlarged lymph nodes in the groin.
The first outbreak of genital herpes usually comes four to eight days after exposure to the virus. It may be so mild it isn't noticed, or it may cause itching and burning at the site of viral entry as well as painful sores that can last a week or more, plus a fever, headache, and other flu-like symptoms and a general ill feeling may be experienced. After a few days, the blisters rupture and leave painful shallow ulcers. These sores crust over and dry while healing. The process usually lasts 1 to 3 weeks. Usually, they leave no scars.
CAUSES
Usually caused by herpes type 2 virus (HSV-2). Herpes type 1 virus (HSV-1) causes common cold sores, which appear around the mouth, but can sometimes cause genital herpes.
Genital herpes is transmitted by a sexual partner who has active herpes lesions. Lesions may be on the genitals, hands, lips or mouth (including type 1 virus). Once transmitted, incubation period is 2 to 7 days. Sometimes, the infection can be acquired without any symptoms only to have a delayed outbreak.
RISK INCREASES WITH
Serious illness that has lowered resistance.
Use of immunosuppressive or anti cancer drugs.
Stress (increases susceptibility to primary infection or a recurrence). Stress may lead to diminished efficiency of the immune responses that usually suppress growth of the virus.
Smoking.
Other "triggers" that can cause a recurrence include genital trauma, menstruation, sunbathing, and existing infection of some other type.
PREVENTIVE MEASURES
Until recently, it was assumed that genital herpes could be transmitted only during a visible outbreak, but recent research appears to refute this theory. The only sure way to avoid genital herpes is to avoid sex, or to remain in a monogamous relationship with an uninfected partner. Also, although HSV-1 principally causes cold sores and eye infections and HSV-2 principally causes genital herpes, both type 1 and 2 can infect either the mouth or the genitals - or both. Oral sex can spread the virus from one place to another.
List of preventive measures:
Avoid sexual intercourse if either partner has blisters or sores.
Have the male use a condom during intercourse if either sex partner has inactive genital herpes (especially important if the infected partner has frequent recurrences).
Avoid oral sex with a partner who has cold sores on the mouth.
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If you are pregnant, tell your midwife or health care provider if you have had herpes or any genital lesions in the past. Precautions will be taken to prevent infection of the baby. This viral infection may occur in babies delivered through the birth canal of an infected woman resulting in a neonatal infection which often causes whole-body and brain infection in the baby. A cesarean delivery is usually recommended as a preventive measure when a woman has active lesions. It is rare that the newborn will contact the virus when a woman is not having an active outbreak at the time of the delivery and a vaginal delivery may be possible.
Avoid stress where possible (Very important!).
EXPECTED OUTCOME
Genital herpes is currently considered incurable, but symptoms and recurrence can be relieved with treatment.
During symptom-free periods, the virus returns to its dormant state. Symptoms recur when the virus is reactivated. Recurrent symptoms are not new infections.
The discomfort varies from person to person and from time to time in the same person. In most people, the first herpes infection is much more uncomfortable than following ones.
POSSIBLE COMPLICATIONS
Excess serum cholesterol sets the stage for atherosclerosis, but it may get a hand from certain herpes viruses, including HSV-1. According to researchers at Cornell University Medical Center in New York City, the virus induces arterial changes that promote blood clotting and cholesterol buildup.
A virus identified by the National Cancer Institute as the human B cell lymphotropic (HBLV) is believed to be a member of the herpes virus family and may also be a factor in fatigue.
Generalized disease and possibly death in persons who must take anti cancer drugs or immunosuppressive drugs.
Transmittal of life-threatening systemic herpes to a newborn infant from an infected mother.
Secondary bacterial infection.
If an eye becomes infected, see your health care provider at once. This virus can cause encephalitis, a brain inflammation.
TREATMENT MEDICAL DIAGNOSIS & TREATMENT
Diagnosis is usually determined by the appearance of the lesions, however, confirmation may be made by a laboratory study of fluid from the lesion.
Treatment is directed toward relieving symptoms, reducing recurrence pattern and preventing complications.
Genital herpes infections in women increase the risk of cervical cancer. Women with herpes should be conscientious about having a annual Pap smear and physical examination to rule out complications.
MEDICATION
Acyclovir (Zovirax) is an antiviral medication given in oral form (capsule) is often prescribed for treatment of initial episodes and management of recurrent genital herpes. It has been shown to relieve symptoms and reduce the severity and frequency of outbreaks. For some people, it may be prescribed to prevent an outbreak. A topical form (lotion) of acyclovir is available, but is not as effective. This drug is available by prescription only. The capsules are usually taken every four hours for ten days. Applying the lotion when an imminent outbreak is first sensed usually weakens the attack. In studies conducted by the National Institute of Health, taking 400 mg of acyclovir twice daily for four months reduced cold sore episodes by 52 percent, and when outbreaks did occur, the blisters healed approximately twice as fast as normal. Caution should be practiced if the drug is taken on a regular basis, however. When the drug is stopped, a "rebound" effect may result in a more serious outbreak than usual.
Some health care providers have used butylated hydroxytoluene (BHT) to treat herpes. This can have dangerous consequences, however, especially if taken on an empty stomach. Irritation and even perforation of the stomach can result. This treatment is not recommended for the treatment of herpes.
In a study on rabbits, a vaccine to protect the eyes against HSV-1 cut active infections in half.
Medication may produce unwanted, possibly serious, side effects and my not be totally effective in relieving or suppressing the outbreak of genital herpes or the contagious transmission of genital herpes to others.
Use mild pain killers, such as acetaminophen.
Tetrasil Skin Ointment may help some individuals. This is Tetrasilver Tetroxide (TsT) that was originally developed for and approved by the U.S. EPA as safe, non-toxic and effective method used in destroying a wide variety of pathogens commonly found in swimming pools. Tetrasil is intended for the cleansing, beautifying and moisturizing of the human body. See www.tetrasil.com for more information about this product.
HOLISTIC RECOMMENDATIONS
If you have active lesions, refrain from sex until the sores have completely healed. Do not have intercourse with a person with visible lesions of any kind.
If you are pregnant and know you have genital herpes, tell your midwife or health care provider. If an attack occurs late in pregnancy, your baby may have to be delivered by cesarean section to protect exposure during birth. If there are no lesions present, the risk to the baby is probably low.
Women should wear cotton underpants or pantyhose with a cotton crotch. Practice good genital hygiene - keep clean and dry.
To reduce pain during urination, women may urinate in a shower, or urinate through a tubular device, such as a toilet paper roll or plastic cup with the bottom cut out, or pour a cup of lukewarm water over the genitals while urinating.
To ease swelling and pain in the genital area, use ice packs.
Warm baths with a tablespoon of salt, Epsom salts, or baking soda added can ease some of the discomforts, such as itching and pain, caused by the blisters. After the bath, pat dry gently and keep the lesions dry.
Consider life-style changes to avoid emotional stress. Stress reduction is important. Get plenty of rest.
Research suggests that capsaicin may be able to prevent outbreaks of herpes fever blisters or genital lesions.
Dimethylsulfoxide (DMSO), a byproduct of wood processing, is a liquid that can be applied topically to relieve pain and promote the healing of herpes outbreaks. Note: Only DMSO from a health food store should be used. Commercial-grade DMSO found in hardware stores is not suitable for healing purposes. The use of DMSO may result in a garlicky body odor. This is temporary, and is not a cause for concern.
Isotretinoin, a derivative of vitamin A, has given dramatic results with herpes simplex infections.
DIET, HERBS, & NUTRITION
Avoid alcohol, processed foods, colas, white flour products, sugar, refined carbohydrates, coffee, and drugs to lessen the chance of an outbreak. Herbal teas are beneficial (see herbs), but all other teas should be avoided.
Drink steam-distilled water.
Eat the following in moderation during outbreaks: almonds, barley, cashews, cereals (grains), chicken, chocolate, corn, dairy products, meat, nuts and seeds, oats, and peanuts. These contain L-arginine, an amino acid that suppresses L-Lysine, the amino acid that retards virus growth.
Do not consume citrus fruits and juices while the virus is active.
Red Marine Algae: Current research information has shown that Red marine algae has strong antiviral properties and has proved effective when tested on the herpes virus. Red marine algae contains sulfated polysaccharides which enhance the immune system's antiviral response, inhibiting the virus. Red Marine Algae can be purchased from www.globalherbalsupplies.com or from selected health food stores and specialty shops. HERBS
Applying black walnut or goldenseal extract to the affected area may help.
Herpes treatment should include cayenne (capsicum), echinacea, myrrh, red clover, and St. Johnswort.
Tea tree oil is a powerful natural antiseptic. During a herpes outbreak, dab it on the affected area several times a day, either full strength or, if that is too strong, diluted with distilled water or cold-pressed vegetable oil. Do not get tea tree oil close to the eye area.
Goldenseal is a natural antibiotic. It can be taken in capsule or tea form. Caution: Do not take goldenseal internally on a daily basis for more than one week at a time, do not use it during pregnancy, and use with caution if you are allergic to ragweed.
Licorice root inhibits both the growth and cell-damaging effects of herpes simplex. If you are using licorice, increase your potassium intake. Caution: Do not use this herb on a daily basis for more than seven days in a row. Avoid it completely if you have high blood pressure.
Nutrients Supplement Suggested Dosage Comments Very Important L-Lysine 500-1,000 mg daily, on an empty stomach. Take with water or juice. Do not take with milk. Take with 50 mg vitamin B6 and 100 mg vitamin C for better absorption. When the amount of lysine present exceeds the amount of arginine, the growth of the herpes virus is inhibited. Caution: Do not take this supplement for longer than 6 months at a time. Oxy C-2 Gel from American Biologics Apply to affected areas as directed on label. A useful antiviral, antifungal, and bactericide. Vitamin A 50,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. Important for healing. Prevents spreading of infection. Use emulsion for easier assimilation and greater safety at higher doses. Vitamin B complex 50 mg 3 times daily, with meals. Combats the virus and helps to keep it from spreading. Also works with lysine to prevent outbreaks. Use hypoallergenic form. Vitamin C 5,000-10,000 mg daily, in divided doses. Needed to prevent sores and inhibit the growth of the virus. Use an esterified or buffered form. Plus
Bioflavonoids30-60 mg daily, in divided doses. Works with vitamin C. Zinc 50-100 mg daily. Do not exceed a total of 100 mg daily from all supplements. Boosts immune function and healing. For genital herpes, use a chelate form. For oral herpes, Use zinc gluconate lozenges. Important Acidophilus As directed on label, 3 times daily. Take on an empty stomach. Needed for the production of the B vitamins. Prevents overgrowth of harmful microorganisms in the intestines. Dioxychlor from American Biologics As directed on label. An important antiviral, antibacterial, and antifungal agent. Egg lecithin As directed on label. Helps control the virus. Essential fatty acids (primrose oil and salmon oil are good sources) As directed on label. Needed for cell protection. Garlic (Kyolic or Fresh) Kyolic: 3 capsules 3 times daily with meals.
Fresh: 3-4 cloves with meals 3 times daily.An immune system stimulant and a natural antibiotic. Superoxide dismutase (SOD) As directed on label. Reduces infection and speeds healing. A powerful free radical destroyer. Or
Cell Guard from Biotec FoodsAs directed on label. An antioxidant complex that contains SOD. Vitamin E 600 IU daily. Important in healing. Prevents spread of the infection. Use emulsion form for easier assimilation. Helpful Calcium
And
Magnesium1,500 mg daily.
750 mg daily.To relieve stress and anxiety. Use chelated forms. Dimethylglycine (DMG) (Aangamik DMG from FoodScience Labs) 2 tablets dissolved in the mouth twice daily. Enhances utilization of oxygen by tissue. Maitake
Or
Shiitake
Or
ReishiAs directed on label.
As directed on label.
As directed on label.Mushrooms that have immune-boosting and antiviral properties. Multivitamin & mineral complex As directed on label. All nutrients are needed for enhanced healing of all bodily tissues. Take a hypoallergenic form. Proteolytic enzymes As directed on label 2-3 times daily. Take between meals. Helps protect against infection, works on undigested food remaining in the colon. Caution: Do not give this supplement to a child. Raw thymus glandular 500 mg twice daily. Enhances immune function. Caution: Do not give this supplement to a child.
INFORMATION ABOUT LYSINE & ARGININE
With any disease or health condition an approach to improving diet and nutrition should be taken.
An appropriate diet high in lysine and low in arginine and vitamin supplements may be beneficial for those suffering from viral diseases, in particular the herpes virus.
Current research has shown that the amino acid, arginine, can aggravate herpes and bring on an outbreak.
Some foods high in arginine include nuts, chocolate and caffeine. If a food has a low lysine/arginine ratio and only a few milligrams of arginine in it, there is no reason to avoid it totally, unless it aggravates the situation further.
If you do have frequent herpes outbreaks, try cutting back or eliminating these foods from your diet and see if it helps to relieve your symptoms.
It has been found that the amino acid, Lysine, retards virus growth, so you should include in your diet foods high in Lysine and decrease the foods high in L-Arginine (an amino acid that supports the herpes virus).
Remember, try to balance everything you eat, e.g., if you eat foods high in Arginine, balance them with L-lysine foods or with Lysine/L-lysine tablets (500mg/day minimum). Lysine products can be purchased from www.globalherbalsupplies.com or from most health food stores and specialty shops.
High in Lysine Dietary sources: (Eat more of these or in moderation)
- beef
- brewer's yeast.
- cheese
- chicken
- dairy products
- eggs
- fish
- meat
- milk
- potatoes
- soybeans
- yogurt
High in Arginine Dietary sources: (Eat less of these)
- brown rice
- caffeine
- chocolate
- coconut
- nuts
- nut products
- oatmeal
- raisins
- seeds
- whole wheat bread
Click here for a detailed chart outlining L-Arginine and L-lysine ratios in foods.
L-Arginine is an amino acid that suppresses L-lysine.
Vitamin C foods should be increased in your regular dietary program, but citrus fruits and juices should be avoided while the virus is active.
Other Foods that should be avoided:
- processed foods
- sugar
- coffee
- chocolate
- cola drinks
All the above foods and beverages put stress on the immune system and should be avoided during outbreaks.
Highly acidic foods such as:
- citrus fruits
- tomatoes
- vinegar
Meat and dairy products are relatively high in arginine, and should be eaten in moderation or avoided during outbreaks:
- animal products
- foods high in sodium
Foods Ratio of Lysine to Arginine
Food Type Weight (gm) Lys (mg) Arg (mg) Ratio Lys/Arg Margarine 14.1 9 3 3.000 Plain Yogurt 227 706 237 2.979 Fruit Yogurt, low fat 227 810 272 2.978 Plain Yogurt, skim 227 1160 391 2.967 Plain Yogurt, lowfat 227 1060 359 2.953 Swiss Cheese 28 733 263 2.787 Gruyere Cheese 28 768 276 2.783 Edam Cheese 28 754 273 2.762 American Cheese Spread 28 427 155 2.755 Gouda Cheese 28 752 273 2.755 Whey, dry, sweet 7.5 77 28 2.750 Blue Cheese 28 526 202 2.604 Provolone Cheese 28 750 290 2.586 Papaya 454 76 30 2.533 Brie Cheese 28 525 208 2.524 Camembert Cheese 28 501 199 2.518 Parmesan Cheese 28 937 373 2.512 Parmesan Cheese, grated 5 192 77 2.494 Gjetost Cheese 28 231 93 2.484 Goat Milk 244 708 291 2.433 Brick Cheese 28 602 248 2.427 Muenster Cheese 28 606 250 2.424 Beets 136 72 30 2.400 Limburger Cheese 28 475 198 2.399 Tilsit Cheese 28 578 241 2.398 Port du salut Cheese 28 563 235 2.396 Processed Swiss Cheese 28 696 293 2.375 Cream Cheese 28 192 81 2.370 Mozzarella Cheese, parts 28 699 295 2.369 Processed American Cheese 28 623 263 2.369 Mozzarella Cheese 28 559 236 2.369 Neufchatel Cheese 28 253 107 2.364 Butter 14.1 9 4 2.250 Colby Cheese 28 561 254 2.209 Monterey Jack Cheese 28 578 262 2.206 Cheshire Cheese 28 551 250 2.204 Cheddar Cheese 28 588 267 2.202 Buttermilk 245 679 309 2.197 Skim Milk 245 663 302 2.195 Half and Half Cream 242 568 259 2.193 Sherbet 193 171 78 2.192 Condensed Milk, sweetened 306 1920 876 2.192 Chocolate Milk 250 629 287 2.192 Nonfat Milk, dry 120 3440 1570 2.191 Lowfat Milk, 2% 244 644 294 2.190 Evaporated Milk 126 681 311 2.190 Ice Cream 133 381 174 2.190 Whole Milk 244 637 291 2.189 Whole Milk, dry 128 2670 1220 2.189 Nonfat Milk, dry, instant 68 1890 864 2.188 Ice Milk 131 409 187 2.187 Whipping Cream, heavy 238 387 177 2.186 Evaporated Milk, skim 128 763 349 2.186 Whipping Cream, light 239 411 188 2.186 Ice Cream, rich 148 327 150 2.180 Mango 300 85 39 2.179 Whipped Cream, pressurize 60 152 70 2.171 Apricot 114 103 48 2.146 Coffee Cream 15 32 15 2.133 Apple 150 17 8 2.125 Ricotta Cheese 246 3290 1550 2.123 Ricotta Cheese, part skim 246 3320 1570 2.115 Pear, dried 175 116 56 2.071 Eggnog 254 758 378 2.005 Applesauce, unsweetened 244 24 12 2.000 Crabapple, slices 110 28 14 2.000 Loquat 16 2 1 2.000 Apple, dried 64 37 19 1.947 Pear 180 23 12 1.917 Apricot, dried 35 89 49 1.816 Cottage Cheese, creamed 210 2120 1190 1.782 Cottage Cheese, Lowfat 2% 226 2510 1410 1.780 Cottage Cheese, dry 145 2020 1140 1.772 Fig, dried 189 228 131 1.740 Fig 65 19 11 1.727 Human Milk 246 168 105 1.600 Avocado 272 189 119 1.588 Salmon 85 1550 1000 1.550 Swordfish 85 1550 1000 1.550 Haddock 85 1480 961 1.540 Smelt 85 1380 897 1.538 Snapper 85 1600 1040 1.538 Pollock 85 1520 989 1.537 Eel 85 1440 938 1.535 Catfish 85 1420 925 1.535 Anchovy, in oil, drained 20 531 346 1.535 Whitefish 85 1490 971 1.535 Tuna, in water 165 4480 2920 1.534 Cod 85 1390 906 1.534 Flat fish, flounder and sole 85 1470 959 1.533 Mackerel 85 1450 946 1.533 Shark 85 1640 1070 1.533 Carp 85 1390 907 1.533 Pike 85 1500 979 1.532 Herring 85 1400 914 1.532 Sardines, in oil, drained 24 542 354 1.531 Bass 85 1380 902 1.530 Perch 85 1450 948 1.530 Bluefish 85 1560 1020 1.529 Halibut 85 1620 1060 1.528 Tomato 123 41 27 1.519 Turnips 130 47 31 1.516 Tomato juice 243 54 36 1.500 Soybean sprouts 70 386 266 1.451 Canadian Style Bacon 454 7370 5100 1.445 Wild pheasant 371 7470 5240 1.426 Pork Spareribs 454 4730 3340 1.416 Tomato paste 262 282 200 1.410 Liver cheese 28 334 237 1.409 Chicken, dark meat, w/o skin 109 1860 1320 1.409 Chicken, light meat w/o skin 88 1730 1230 1.407 Chicken neck 79 298 212 1.406 Summer sausage 23 318 228 1.395 Pineapple 155 39 28 1.393 Pork leg 454 7550 5530 1.365 Pork loin chop 151 1950 1430 1.364 Pork Shoulder 454 7140 5240 1.363 Potato 150 190 140 1.357 Chicken breast 181 2500 1870 1.337 Cream of Mushroom soup 244 127 95 1.337 Turkey noodle soup 244 212 159 1.333 Celery 120 32 24 1.333 Chicken drumstick 110 1160 872 1.330 Potato, baking 202 283 214 1.322 Beef Flank steak 454 7270 5500 1.322 Chicken gumbo 244 161 122 1.320 Chicken noodle soup 241 219 166 1.319 Beef Round steak 454 7320 5550 1.319 Beef noodle soup 244 261 198 1.318 Vegetable w/beef soup 244 344 261 1.318 Cream of Asparagus soup 244 112 85 1.318 Porterhouse steak 454 6560 4980 1.317 Beef T-bone steak 454 6330 4810 1.316 Beef Sirloin steak 454 6880 5230 1.315 Knockwurst 68 634 482 1.315 Beef Rib roast 454 6050 4600 1.315 Beef Short ribs 454 5430 4130 1.315 Beef Chuck roast 454 6900 5250 1.314 Beef Tenderloin 454 6990 5320 1.314 Persimmon 200 55 42 1.310 Squash, summer 130 85 65 1.308 Chicken leg 231 2470 1890 1.307 Chicken, light meat 116 1920 1470 1.306 Ham, boneless 454 6750 5170 1.306 Chicken canned, boned 142 2500 1920 1.302 Turkey, dark meat 152 2620 2020 1.297 Cream of chicken soup 244 215 166 1.295 Chicken heart 6.1 79 61 1.295 Turkey, light meat 180 3540 2740 1.292 Bratwurst, ckd 85 910 706 1.289 Turkey, canned boned 142 3040 2360 1.288 Italian sausage, ckd 67 1020 792 1.288 Pork sausage 28 252 196 1.286 Wild quail 405 6660 5180 1.286 Chicken thigh 120 1310 1020 1.284 Chicken, dark meat 160 2150 1680 1.280 Goose, domesticated 320 4010 3150 1.273 Pork and beef sausage 13 141 111 1.270 Bologna, beef and pork 28 250 198 1.263 Peach, dried 130 151 120 1.258 Black bean soup 247 415 331 1.254 Bean w/ frankfurters soup 250 415 331 1.254 Peach 115 20 16 1.250 Corned Beef, brisket 454 5100 4100 1.244 Pastrami 28 375 302 1.242 Bologna, beef 28 254 205 1.239 Frankfurter, beef 45 389 314 1.239 Ground beef, regular 113 1560 1260 1.238 Cream of celery soup 244 73 59 1.237 Ground beef, lean 113 1670 1350 1.237 Chicken liver 32 35 352 1.236 Duck liver 44 624 505 1.236 Turkey liver 102 1540 1250 1.232 Mortadella 28 358 291 1.230 Goose liver 94 1160 943 1.230 Plum 5.5 90 74 1.216 Green beans 110 97 80 1.213 Chicken back 177 1090 900 1.211 Beef smoked, chopped 28 467 386 1.210 Pork Bacon 454 2900 2400 1.208 Beef, dried 28 673 557 1.208 Bratwurst 28 323 268 1.205 Polish sausage 28 315 262 1.202 Salami, hard 10 182 152 1.197 Bologna, pork 28 341 285 1.196 Chicken wing 90 698 585 1.193 Braunschweiger 28 258 217 1.189 Duck, domesticated 287 2610 2210 1.181 Lentil sprouts 77 548 470 1.166 Lettuce, romaine 56 58 50 1.160 Lettuce, iceberg 75 60 52 1.154 Caviar, black and red 16 293 254 1.154 Cauliflower 100 108 96 1.125 Vienna sausage 16 127 113 1.124 Liver 113 1570 1420 1.106 Guava 112 21 19 1.105 New England Clam Chowder 244 251 229 1.096 Cream of potato soup 244 83 76 1.092 Spinach 55 98 90 1.089 Kale 67 132 123 1.073 Chicken rice soup 241 251 234 1.073 Kielbasa 28 286 267 1.071 Frankfurter, beef and pork 45 407 382 1.065 Whole Egg 50 410 388 1.057 Egg White 33 206 195 1.056 Whole Egg, dried 5 155 147 1.054 Watermelon 160 99 94 1.053 Cabbage, chinese 70 62 59 1.051 Corn 154 210 200 1.050 Sweet potato 130 105 100 1.050 Turnip greens 55 54 52 1.038 Abalone 85 1090 1060 1.028 Oysters 84 444 433 1.025 Clams 180 1720 1680 1.024 Scallops 85 1060 1040 1.019 Banana 175 55 54 1.019 Asparagus 134 194 192 1.010 Oat flakes 48 583 579 1.007 Mayonnaise 185 1400 1400 1.000 Vegetarian vegetable soup 241 99 99 1.000 Beet greens 38 20 20 1.000 Endive 50 32 32 1.000 Leeks 124 97 97 1.000 Pumpkin 245 96 96 1.000 Shrimp 85 1500 1510 0.993 Crab 85 1350 1360 0.993 pea soup w/ham 253 696 703 0.990 Lima beans, cooked 170 765 775 0.987 Egg Yolk 17 189 193 0.979 Okra 100 82 84 0.976 Broccoli 88 124 128 0.969 Chicken gizzard 37 465 484 0.961 Strawberries 149 37 39 0.949 Collards 186 140 72 0.931 Minestrone soup 241 183 198 0.924 Carrots 110 44 48 0.917 Dates 83 50 55 0.909 Peppers, sweet 100 38 42 0.905 Radish 45 16 18 0.889 Watercress 104 172 200 0.860 Swiss chard 36 36 42 0.857 Eggplant 82 42 50 0.840 Tomato soup 244 51 61 0.836 Cabbage, common 70 40 48 0.833 Wheat germ 180 1330 1790 0.743 Peas, green 146 463 625 0.741 Brussels sprouts 88 130 178 0.730 Tangerine 116 27 37 0.730 Orange 180 62 85 0.729 Onions, green 100 4 6 0.667 Mushrooms 70 48 72 0.667 Cucumber 104 22 36 0.611 Wheat granules 28.4 101 169 0.598 Corn grits 242 68 114 0.596 Snails 85 1250 2100 0.595 Wheat, shredded 23.6 79 133 0.594 Wheat flakes 33 101 171 0.591 Cream of wheat 251 98 166 0.590 Pistachios, shelled 128 1640 2790 0.588 Corn, puffed 28.4 65 112 0.580 Wheat, puffed 12 49 85 0.576 Squash, winter 205 902 1590 0.567 Bran flakes 47 177 314 0.564 Elderberries 145 38 68 0.559 Plantain 148 89 160 0.556 Oats, puffed 28.4 175 320 0.547 Oatmeal 234 78 147 0.531 Cashews 160 246 470 0.523 Chestnuts, fresh 160 246 470 0.523 Rice, puffed 14 38 73 0.521 Yams 200 89 191 0.466 Pumpkin seeds & squash 140 2530 5570 0.454 Garlic 3 8 19 0.421 Macadamia nuts 134 434 1200 0.362 Blackberries 145 17 49 0.347 Blueberries 145 17 49 0.347 Onions, mature 160 90 262 0.344 Grapes, slip skin 153 13 42 0.310 Grapes, adherent skin 160 24 78 0.308 Peanuts 144 1450 5050 0.287 Peanut butter 15 176 613 0.287 Coconut, shredded 80 118 437 0.270 Almonds 142 946 3540 0.267 Rutabaga 140 55 207 0.266 Pecans 108 315 1190 0.265 Sesame seeds 150 1240 4990 0.248 Hickory nuts 15 70 298 0.235 Brazil nuts 140 757 3350 0.226 Tahini 15 82 378 0.217 Grape juice 253 25 119 0.210 Tangerine juice 247 17 84 0.202 Pine nuts 28 256 1330 0.192 Orange juice 248 22 117 0.188 Hazelnuts 135 459 2480 0.185 Walnuts 100 466 2520 0.185 Table supplied from: Agricultural Handbook, 1-23, U.S. Department of Agriculture.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
Any of the following occurs:
- You or a family member has symptoms of genital herpes.
- If you are pregnant, be sure to tell your midwife or health care provider if you have genital herpes. This is especially important as your due date approaches. If you have an active outbreak at the time of your labor, you may need to have a cesarean delivery to prevent spread of the disease to your baby.
- Symptoms don't improve in 1 week, despite treatment.
- Symptoms worsen, despite treatment.
- Unusual vaginal bleeding or swelling occurs.
- Fever returns during treatment or you become generally ill.
Additional information available from the
The Herpes Resource Center (HRC)
American Social Health Association
P.O. Box 13827
Research Triangle Park, NC 27709
(919) 361-8488
NHIC: HRC Website Information
HELPFUL WEBSITES & WEBPAGES
HRC Website
Viaderm.com: Non-prescription Medication for Herpes
Forces of Nature: Herpes Medication
MoonDragon's Health Information: Cold Sores
MoonDragon's Obgyn Information: Sexually Transmitted Diseases (STDs)
MoonDragon's Health Information: Shingles (Herpes Zoster)
MoonDragon's Obgyn Information: Genital Herpes
MoonDragon's Birthing Guidelines: Herpes
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch
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