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Liposomal ™ High potency vitamin C using liposomal technology for superior absorption and delivery

Liposomal Vitamin C benefits: OVERVIEW • May help to reduce the severity Designs for Health’s Liposomal Vitamin CTM provides this key and duration of colds and flu foundational nutrient formulated with liposomal technology • Nutritional support for the immune for optimal absorption and bioavailability. Each 5 mL serving system (approximately 1 teaspoon) of this lemon flavoured formula • support provides 1000 mg vitamin C, as ascorbate. The 130 mg sodium per serving facilitates absorption of • Assists in the maintenance and repair vitamin C via sodium-dependent transporters. of connective tissue

KEY FEATURES: Immune system support immediately comes to mind when we think of vitamin C, but this nutrient has a host of roles in various tissues and systems beyond bolstering immune defences. As a cofactor for enzymes involved in the synthesis of serotonin and norepinephrine, adequate vitamin C levels may help individuals maintain a positive mental outlook and mount a healthy response to everyday stress. Its function in catecholamine synthesis may be why vitamin C has long been recognised as helping to support the adrenal glands. In fact, the adrenal glands contain one of the highest concentrations of vitamin C in the body (in both the cortex and medulla), underscoring that this nutrient is instrumental for far more than antioxidant effects.1 Vitamin C is required for function of the enzymes that transform the amino acids proline and lysine into hydroxyproline and hydroxylysine, key components for synthesis of collagen — including that which constitutes blood vessels — which underlies, in part, the crucial role of vitamin C in cardiovascular health, and explains why easy bruising and bleeding are signs of vitamin C deficiency. Vitamin C has long been considered as a requirement for biosynthesis of carnitine (from the amino acid lysine), which is needed for enzymatic transport of fatty acids into the mitochondria for subsequent oxidation and generation of ATP.2,3 This has been called into question,4 but nevertheless, while a multitude of factors affect metabolism and body weight, marginal vitamin C status may impair fat oxidation during submaximal exercise, and optimising vitamin C levels may facilitate fat loss.5,8 Finally, vitamin C’s antioxidant function is a hallmark of this nutrient. Vitamin C is a potent neutraliser of free radicals and helps to recycle vitamin E and glutathione. Increased levels of oxidative stress are associated with a wide array of chronic health issues. They are both a potential contributor to, and a downstream effect of conditions including but not limited to type-2 diabetes,7 Alzheimer’s disease,8 other neurodegenerative disorders,9 and frailty in aging individuals.10,11

© 2019 Designs for Health Pty Ltd FOR PROFESSIONAL REFERENCE ONLY designsforhealth.com.au Liposomal Vitamin C™ High potency vitamin C using liposomal technology for superior absorption and delivery

Liposomal Technology Many nutritionists argue the body’s need for vitamin C far surpasses the paltry RDA recommendations. Dr. Linus Pauling, who pioneered extensive research on vitamin C, believed optimal amounts exceed 2,000 mg daily, with even higher amounts potentially exerting a therapeutic effect in acute situations. Certain circumstances may necessitate a high dose of vitamin C, but high doses administered orally often lead to diarrhoea and other forms of GI discomfort, thus limiting the dose that can be given at one time. Intravenous vitamin C is an effective alternative, but this option may be logistically inconvenient and financially impractical for some individuals. Liposomal Vitamin C is an excellent solution to all of these obstacles. Liposomal delivery provides a well-tolerated, easily absorbed and highly bioavailable form of vitamin C without the unpleasant side-effects of high oral doses. Liposomal Vitamin C also offsets the decrease in absorption known to occur with increasing oral doses. In addition to enhanced absorption, nutrients delivered via liposomes enter the lymphatic circulation first, bypassing first-pass metabolism in the liver, thus increasing bioavailability.12 Because this product provides vitamin C as sodium ascorbate, individuals with gastrointestinal sensitivity may tolerate this buffered form better than regular ascorbic acid.

What are liposomes? Liposomes are spheres made of phospholipids — the primary building blocks of cell membranes. Owing to this structure, liposomes bond easily with cell membranes to facilitate intracellular delivery of their nutrient cargo. Thanks to this enhanced delivery and absorption, nutrients delivered in liposomal form at lower doses may have equal or greater efficacy than higher doses provided in forms that are less bioavailable. Designs for Health’s Liposomal Vitamin C employs liposome particles that are 50-100 nm in size, in contrast to 200-600 nm particles that are more commonly available from other manufacturers. The smaller sized particles result in increased oral and cellular uptake and faster transmucosal absorption in the mouth. In fact, it is recommended to hold the product in the mouth for 30 seconds before swallowing to take advantage of this effective route of absorption. Additionally, clearance of these particles from the bloodstream (via the liver and spleen) is inversely related to size: the smallest particles circulate the longest, increasing the likelihood of absorption at their target tissues. Note that the phospholipids used in this product are derived from sunflower lecithin (soy-free, non-GMO material).

Benefits of Liposomal Delivery > Superior absorption and intracellular delivery of nutrients. > Phospholipid structure allows for effective delivery of compounds with different carried within the same particle (e.g., water and lipid-soluble compounds). > Liposomes penetrate the blood-brain barrier, an obstacle for other various formulations. > While there is an opportunity for quick absorption in the mouth, liposomes also survive the acidic environment of the stomach, ensuring intestinal uptake and delivery to the lymphatic system. > Liquid liposomal formulations are convenient for those who prefer to swallow fewer pills; also allow for easy dosing.

© 2019 Designs for Health Pty Ltd FOR PROFESSIONAL REFERENCE ONLY designsforhealth.com.au Liposomal Vitamin C™ High potency vitamin C using liposomal technology for superior absorption and delivery

ACTIVE INGREDIENTS PER 5 mL (1 TEASPOON): EXCIPIENT INGREDIENTS PER SERVE:

Sodium ascorbate 1.275 g - Sunflower lecithin Equivalent to vitamin C 1 g - Purified water DOES NOT CONTAIN THE FOLLOWING: - Glycerol Gluten, dairy, lactose, seeds or nuts. - PACK SIZE: - Lemon oil 120 mL DIRECTIONS FOR USE:

Take 5 mL (approximately 1 teaspoon) and hold in mouth for 30 seconds before swallowing, or as directed by your healthcare professional. Best taken on an empty stomach or at least 10 minutes before meals.

Designed & packed in Australia from local and imported ingredients.

PRESCRIBING INFORMATION: > Due to ethanol this product is not recommended for use in pregnancy or lactation. > Do not exceed a daily intake of 200 mg of vitamin C in patients with haemochromatosis. > High doses of vitamin C may reduce the response to warfarin. Caution and monitoring is advised. > Medications that may lower vitamin C levels include Asprin and Corticosteroids. > Be aware of the tolerable upper limit (UL) for vitamin C is 2000 mg per day for pregnant and breastfeeding women over 19 years and 1800 mg for those pregnant women aged 14-18 years.

WARNINGS: > If symptoms persist, seek the advice of a healthcare professional. > Contains 12% ethanol & 130 mg of sodium per serve. > Should not be used in children under 2 years without medical advice.

HIGHLIGHTED PROPRIETARY/SPECIAL INGREDIENTS:

© 2019 Designs for Health Pty Ltd FOR PROFESSIONAL REFERENCE ONLY designsforhealth.com.au Liposomal Vitamin C™ High potency vitamin C using liposomal technology for superior absorption and delivery

REFERENCES 1. Patak P, Willenberg HS, Bornstein SR. Vitamin C is an important cofactor for both adrenal cortex and adrenal medulla. Endocr Res. 2004 Nov;30(4):871-5. 2. Rebouche CJ. Ascorbic acid and carnitine biosynthesis. Am J Clin Nutr. 1991 Dec;54(6 Suppl):1147S-1152S. 3. Strijbis K, Vaz FM, Distel B. Enzymology of the carnitine biosynthesis pathway. IUBMB Life. 2010 May;62(5):357-62. doi:10.1002/iub.323. 4. Furusawa H et al. Vitamin C is not essential for carnitine biosynthesis in vivo: verification in vitamin C-depleted senescence marker protein-30/gluconolactonase knockout mice. Biol Pharm Bull. 2008 Sep;31(9):1673-9. 5. Johnston CS, Corte C, Swan PD. Marginal vitamin C status is associated with reduced fat oxidation during submaximal exercise in young adults. Nutrition & Metabolism. 2006;3:35. doi:10.1186/1743-7075-3-35. 6. Johnston CS. Strategies for healthy weight loss: from vitamin C to the glycemic response. J Am Coll Nutr. 2005 Jun;24(3):158-65. 7. Rehman K, Akash MSH. Mechanism of Generation of Oxidative Stress and Pathophysiology of Type 2 Diabetes Mellitus: How Are They Interlinked? J Cell Biochem. 2017 Apr 29. doi: 10.1002/jcb.26097. 8. Aliev G et al., Oxidative stress mediated mitochondrial and vascular lesions as markers in the pathogenesis of Alzheimer disease. Curr Med Chem. 2014;21(19):2208-17. 9. Shukla V, Mishra SK, Pant HC. Oxidative Stress in Neurodegeneration. Advances in Pharmacological Sciences. 2011;2011:572634. doi:10.1155/2011/572634. 10. Liu CK, Lyass A, Larson MG, et al. Biomarkers of oxidative stress are associated with frailty: the Framingham Offspring Study. Age. 2016;38(1):1. doi:10.1007/s11357-015-9864-z. 11. Soysal P et al., Oxidative stress and frailty: A systematic review and synthesis of the best evidence. Maturitas. 2017 May;99:66-72. doi: 10.1016/j.maturitas.2017.01.006. 12. Ahn H, Park J-H. Liposomal delivery systems for intestinal lymphatic drug transport. Biomaterials Research. 2016;20:36. doi:10.1186/s40824-016-0083-1.

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