DESCRIPTION

There 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.

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FREQUENT SIGNS AND SYMPTOMS

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.

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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.

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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.

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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.

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!).

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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.

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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.

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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.

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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.

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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 Bioflavonoids	30-60 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 Foods	As 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 Magnesium	1,500 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 Reishi	As 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

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Prescription for Nutritional Healing: The A-To-Z Guide To Supplements

-- by Phyllis A. Balch, James F. Balch

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