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Let's Discuss: Sage- Issue #24

Weekly newsletter of Ancestral Herbiary
Let's Discuss: Sage- Issue #24
By Ifayomi Fasola • Issue #24 • View online

Family Labiataea
Part Used Leaves
Constituents Volatile oils, diterpenes, tannins, phenolic acids, bitters, flavonoids, resins, phytoestrogens.
Actions Antimicrobial, alterative, expectorant, diaphoretic, astringent, anhydrotic, antiseptic, bitter tonic, digestive, antiemetic, antioxidant, nervine, anticonvulsant, rejuvenative, diuretic, phytoestrogenic, vasodilator, cholagogue, caminative, antispasmodic, hypoglcaemic.
Immunity 
  • Sage is antibacterial, antiviral and anti-fungal and is excellent for acute and chronic infections, colds, flu, fevers, sore throats and chest infections. It is effective against Candida albicans, Herpes simplex and Influenza virus 2.¬†
  • With imunno-stimulating actions, sage is helpful in lowered immunity and autoimmune disease. Its antimicrobial action in the gut could be helpful in this respect.¬†
  • Sage was traditionally used for TB and other wasting diseases with profuse perspiration.¬†
  • Its antioxidant actions may explain its rejuvenative effects.¬†
Respiratory System
  • Decongestant, antimicrobial and expectorant, sage is excellent for the first signs of infections and helpful in sore throats, laryngitis, tonsillitis, catarrh, sinusitis, colds, coughs, bronchitis and chest infections including pneumonia.
Nervous System 
  • With its antioxidant and rejuvenative properties, sage acts as a brain tonic, protecting the nervous system again damage from free radicals and the aging process.¬†
  • It helps to protect against loss of memory and cognitive function associated with aging and to help prevent Alzheimer‚Äôs.¬†
  • Its nervine effect is helpful for anxiety, nervous exhaustion, depression and stress-related problems such as headaches and migraine.¬†
  • It decreases excessive salivation seen in Parkinson‚Äôs disease.¬†
Urinary System
  • As a diuretic, sage aids the elimination of toxins via the kidneys and is useful for arthritis and gout.
Digestion 
  • Sage improves appetite, digestion and absorption, particularly of fats. It can be used for a range of digestive problems including poor appetite, indigestion, nausea, halitosis, diarrhea and colitis.¬†
  • The antimicrobial actions help combat unfriendly microorganisms in the gut and resolve gut infections.¬†
  • The astringent tannins tighten a leaky gut. It can be used for worms and parasites.¬†
  • It relaxes tension and colic and relieves bloating and wind.¬†
  • Sage has a beneficial effect on the liver and pancreatic function and can be used for liver and gallbladder problems. It may be helpful in type 2 diabetes for lowering blood sugar levels.¬†
Reproductive System 
  • Sage is hormone balancing and antispasmodic, helpful for irregular, scanty and painful periods.
  • It is beneficial in menopausal problems including night sweats, hot flushes and insomnia.¬†
  • Its astringent tannins are helpful in reducing heavy periods and peri-menopausal flooding.¬†
  • It reduces excessive lactation.¬†
  • It is traditionally used to enhance fertility.¬†
Externally 
  • Sage makes an excellent antiseptic first-aid lotion for cuts, wounds, burns, sores, insect bites, skin problems, ulcers and sunburn.¬†
  • It is used as a gargle for sore throats, and a mouthwash for inflamed gums and ulcers.¬†
  • The leaves can be applied to a tooth to relieve pain.¬†
  • A poultice can be applied to sprains, swellings and ulcers.¬†
Cautions 
  • May be toxic in large dosages or over prolonged period. Avoid in pregnancy and breast feeding, and in epilepsy.
  • When taken by mouth: Sage is¬†LIKELY SAFE¬†in amounts typically used in foods.¬†
  • It is¬†POSSIBLY SAFE¬†when taken by mouth in medicinal amounts, for up to 4 months.¬†
But sage is POSSIBLY UNSAFE when taken by mouth in high doses or for a long time. Some species of sage, such as common sage (Salvia officinalis), contain a chemical called thujone. Thujone can be poisonous if you take too much. This chemical can cause seizures and damage the liver and nervous system. The amount of thujone varies with the species of sage, the time of harvest, growing conditions, and other factors.
Special Precautions and Warnings
Pregnancy and breast-feeding: 
  • Taking sage during pregnancy is¬†LIKELY UNSAFE¬†because of the possibility of consuming thujone, a chemical found in some sage. Thujone can bring on a woman‚Äôs menstrual period, and this could cause a miscarriage. Avoid sage if you are breast-feeding, too. There is some evidence that thujone might reduce the supply of mother‚Äôs milk.
Diabetes: 
  • Sage might lower blood sugar levels in people with diabetes. Watch for signs of low blood sugar (hypoglycemia) and monitor your blood sugar carefully if you have diabetes and use sage. The dose of your diabetes medications may need to be adjusted by your healthcare provider.
Hormone-sensitive condition such as breast cancer, uterine cancer, ovarian cancer, endometriosis, or uterine fibroids: 
  • Spanish sage (Salvia lavandulaefolia) might have the same effects as the female hormone estrogen. If you have any condition that might be made worse by exposure to estrogen, don‚Äôt use Spanish sage.
High blood pressure, low blood pressure: 
  • Spanish sage (Salvia lavandulaefolia) might increase blood pressure in some people with high blood pressure. On the other hand, common sage (Salvia officinalis) might lower blood pressure in people with blood pressure that is already low. Be sure to monitor your blood pressure.
Seizure disorders: 
  • One species of sage (Salvia officinalis) contains significant amounts of thujone, a chemical that can trigger seizures. If you have a seizure disorder, don‚Äôt take sage in amounts higher than those typically found in food.
Surgery: 
  • Common sage might affect blood sugar levels. There is a concern that it might interfere with blood sugar control during and after surgery. Stop using common sage as a medicine at least 2 weeks before a scheduled surgery.
Interactions
Moderate Interaction
Be cautious with this combination
Medications for diabetes (Anti-diabetes drugs) interacts with SAGE
Sage might decrease blood sugar. Diabetes medications are also used to lower blood sugar. Taking sage along with diabetes medications might cause your blood sugar to go too low. Monitor your blood sugar closely. The dose of your diabetes medication might need to be changed.
Some medications used for diabetes include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), chlorpropamide (Diabinese), glipizide (Glucotrol), tolbutamide (Orinase), and others.
Medications used to prevent seizures (Anticonvulsants) interacts with SAGE
Medications used to prevent seizures affect chemicals in the brain. Sage may also affect chemicals in the brain. By affecting chemicals in the brain, sage may decrease the effectiveness of medications used to prevent seizures.
Some medications used to prevent seizures include phenobarbital, primidone (Mysoline), valproic acid (Depakene), gabapentin (Neurontin), carbamazepine (Tegretol), phenytoin (Dilantin), and others.
Sedative medications (CNS depressants) interacts with SAGE
Sage might cause sleepiness and drowsiness. Medications that cause sleepiness are called sedatives. Taking sage along with sedative medications might cause too much sleepiness.
Some sedative medications include clonazepam (Klonopin), lorazepam (Ativan), phenobarbital (Donnatal), zolpidem (Ambien), and others.
Dosing
The following doses have been studied in scientific research:
BY MOUTH:
  • For Alzheimer disease: 1 gram of sage per day. A dose of sage extract, gradually increased over time to 2.5 mg three times daily, has also been used.
  • For diabetes: 500 mg of common sage extract has been used three times per day for 3 months.
  • For high cholesterol: 500 mg of common sage extract has been used three times per day for 2 or 3 months.
  • For symptoms of menopause: 300 mg of common sage extract has been used daily for 12 weeks. Also, 280 mg daily of a specific thujone-free common sage extract (Sage Menopause, Bioforce AG) has been used for 8 weeks.
REMEMBER!
This does NOT replace seeing a medical professional nor does it act as medical advice!
See you all next time!
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Ifayomi Fasola

I‚Äôm Iya Ifayomi! She/Her. Onisegun. Herbalist. Isese. Ifa, Egbe, & Olokun priestess. Rootworker. Mvskokxe. 2 headed. Bone Reader ūü¶ī Venmo:@ifayomifasola

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