Interaction: Refresh(TM) and Insulin

Category: Powdered Beverages
Registration:

• registered under FDA
• unable to identify registration status in Malaysia

Content:

• Roasted barley, Asparagus, Shiitake mushroom, Reishi mushroom, Noni (Morinda Citrifolia) fruit, Cassia bark, Maltodextrin, Natural lemon flavor

Interactions:

Content	Interactions
Noni	Initial studies have shown some hypoglycaemic effects Medications for high blood pressure (ACE inhibitors, Potassium-sparing diuretics, ARBs) interacts with NONI Consuming noni juice along with these medications for high blood pressure might cause too much potassium in the blood Taking noni along with medication that might also harm the liver can increase the risk of liver damage Taking noni juice might decrease how well warfarin (Coumadin) works to slow blood clotting. This could increase the chance of blood clotting
Cassia Bark	There is inconsistent evidence on the effectiveness of cassia cinnamon for treating diabetes. Early research suggests that taking cassia cinnamon for about 6 six weeks might help control blood sugar in people with type 2 diabetes. Taking very large doses of cassia cinnamon might harm the liver, especially in people with existing liver disease or taking medications that might also harm the liver
Barley	Barley might decrease blood sugar by decreasing the absorption of sugars from food Barley contains a large amount of fiber. Fiber can decrease how much medicine the body absorbs
Asparagus	Asparagus might have an effect like a water pill or "diuretic."
Reishi Mushroom	Early research suggests that taking a specific reishi mushroom product (Ganopoly) daily for 12 weeks reduces hemoglobin but not blood sugar levels in people with type 2 diabetes might decrease blood pressure. Taking reishi mushroom along with medications for high blood pressure might cause your blood pressure to go too low High doses of reishi mushroom might slow blood clotting

Recommendations:

• as the amount of ingredients are unknown, it can be said that there would be a slight fluctuations in the blood sugar readings
• if taken, it is advisable to monitor blood sugar level closely for a short period to avoid hypoglycemic events 
• as the combination of products can be harmful to the liver, a long term monitoring of liver (and renal) profile is also recommended 

References:

1. http://www.eexcel.net/product-ingredients/#Refresh
2. http://www.webmd.com/vitamins-supplements/