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TABLE OF CONTENTS | REFERENCES | GLOSSARY
Flaxseed
General Description
Flax (Linum usitatissimum) has been cultivated throughout the course of history and is still a major farm crop in Russia, Canada, and the northern plains of the United States. The flax plant has an erect stem that branches outward at the top, with pale green, spearhead-shaped leaves. Flax grows to a height of 20 inches and flowers from June through August, bearing small, light-blue flowers that wither quickly after opening in the morning. The mature plant produces a spherical pod that contains ten brown seeds, each approximately 1/4 inch long. The fibers of the plant are used to make linen. The seeds are pressed to extract flaxseed oil (also known as linseed oil), which is used to make linoleum and oil-based paints and is also consumed for health purposes. The health benefits of flaxseed oil are primarily attributed to its fatty acid profile. Flaxseed oil not only contains linoleic acid (an omega-6 essential fatty acid found in most vegetable oils), it is also a rich source of alpha linolenic acid, an omega-3 oil with many useful functions in the body. In addition to its essential fatty acid content, flaxseed oil contains unique compounds known as lignans. The two primary lignans in flaxseed are matairesinol and secoisolariciresinol-diglycoside. These compounds are converted by intestinal bacteria into the mammalian lignans enterodiol (from secoisolariciresinol-diglycoside) and enterolactone (from matairesinol). These lignans have weakly estrogenic and antiestrogenic activities and may play a role in estrogen-related health concerns such as menopause, PMS, and certain cancers.

Health applications

Primary functions
In the body, alpha-linolenic acid is converted into eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). These omega-3 oils are vital components of cellular membranes and are required for the production of many hormones and neurotransmitters. They are also involved in the production of compounds called prostaglandins, hormone-like substances that help regulate allergic reactions, inflammation, pain, swelling, blood pressure, and the functioning of the heart, the kidneys, and the digestive system. Prostaglandins are also important for blood clotting and the making of other hormones. Linoleic acid, the omega-6 fatty acid found in flaxseed oil, can be converted into three different fatty acids: gamma linolenic acid (GLA), dihomo-linoleic acid, and arachidonic acid. These fatty acids also play crucial roles in prostaglandin production.

Cardiovascular health
Flaxseed oil is gaining popularity as a natural way to promote cardiovascular health, and research indicates it may be beneficial in this area. Studies have shown that flaxseed oil can help lower total cholesterol and LDL cholesterol levels while improving HDL/LDL ratios.1-4 High total cholesterol and LDL levels are associated with increased risk for heart disease. Other studies indicate that flaxseed oil may help protect cardiovascular health by reducing the tendency of blood platelets to clump together, thereby promoting healthier blood flow.5

Inflammation
Because essential fatty acids are important for prostaglandin production, researchers have been investigating their involvement in inflammatory conditions. Different fatty acids are used to form different prostaglandins, some of which are inflammatory, some anti-inflammatory. Arachidonic acid is used to form inflammatory prostaglandins while DHA and EPA are involved in the formation anti-inflammatory compounds. Low levels of omega-3 oils have been observed in patients with inflammatory skin disorders like psoriasis6 and atopic eczema.7-8 High arachidonic acid levels are common in sufferers of rheumatic arthritis and other inflammatory disorders.9,10 Some research indicates that omega-3 fatty acids may play a role in the prevention11 and treatment12 of rheumatoid arthritis. However, most studies in this area have used fish oil, and the benefits of flaxseed oil in this area have not been established.

Cancer
Some preliminary studies have been conducted to investigate the potential of flax oil in cancer prevention. Low alpha-linolenic acid levels have been shown to contribute to the spread (metastasis) of breast cancer 13 and flaxseed oil has been shown to slow the growth and metastasis of cancers in laboratory animals.14,15 Research suggests that both the alpha-linolenic acid and lignan portions of flaxseed oil may exert anticancer activity at different stages of tumor development,15 however these effects have not been demonstrated in human subjects.

Dosage/toxicity
The amount of omega-3 oils needed in the body depends on the intake of other fats. The typical "Western" diet is high in omega-6 fatty acids and low in omega-3 oils. Many nutrition experts recommend one tablespoon of flaxseed oil per day, which can be added to salads or vegetables. The oil is also sold in softgel form, and many people find this form most convenient. Flaxseed oil should not be used in cooking because heat destroys alpha-linolenic acid. Flaxseed oil is very well tolerated, and no toxicity has been reported.


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