{"title":"Neuroprotective effects of dietary inclusions of alligator pepper (<i>Aframomum melegueta</i>) and bastard melegueta (<i>Aframomum danielli</i>) seeds on scopolamine-induced amnesia in rats.","authors":"Odunayo M Agunloye, Esther A Olawuyi, Ganiyu Oboh","doi":"10.1515/jcim-2024-0450","DOIUrl":"10.1515/jcim-2024-0450","url":null,"abstract":"<p><strong>Objectives: </strong>Neurodegeneration continues to drive conditions of progressive cognitive decline from amnesia to severe dementia in different age groups. Despite, the availability of standard drugs, the need for multi-targeted interventions with no side-effects remains to be explored. Hence, this study evaluates the neuroprotective effects of <i>Aframomum melegueta</i> and <i>Aframomum danielli</i> seeds dietary inclusion on neurocognitive decline in scopolamine-administered male rats.</p><p><strong>Methods: </strong>Seven groups of experimental rats were studied for 14 days: normal rats (group 1), untreated scopolamine-administered rats (group 2), scopolamine-administered rats treated with donepezil (group 3), scopolamine-administered rats treated with dietary inclusions of 4 and 8 % <i>A. melegueta</i> (groups 4 and 5 respectively), and 4 and 8 % <i>A. danielli</i> (groups 6 and 7 respectively). Rats were trained with Morris water maze, pre-treated with the diets, and administered (I. P) scopolamine (3 mg/kg body weight from days 12-14). Memory functionality was evaluated using the maze test and hippocampal and cortical brain regions were analyzed biochemically.</p><p><strong>Results: </strong>Scopolamine administration impaired working memory, evidenced by increased escape latency and activities of neurodegenerative biomarkers in untreated rats. <i>A. melegueta</i> and <i>A. danielli</i> dietary inclusions significantly reduced escape latency, improved working memory, and restored key biomarkers, including acetylcholinesterase, butyrylcholinesterase, monoamine oxidase, and reactive oxygen species. Treated rats also exhibited elevated total thiol levels, and improved anti-inflammatory markers (IL-10).</p><p><strong>Conclusions: </strong>Both <i>A. melegueta</i> and <i>A. danielli</i> seeds showed improved neuroprotective effect in the brain of scopolamine-induced amnesia rats highlighting significant intervention against cognition. However, <i>A. melegueta</i> showed greater neuroprotective efficacy.</p>","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":"427-437"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Natural Health Products Research Society of Canada Natural Health Products and Cancer Mini-Symposium 2025.","authors":"","doi":"10.1515/jcim-2025-0200","DOIUrl":"10.1515/jcim-2025-0200","url":null,"abstract":"","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Huaccho-Rojas, Leonardo J Uribe-Cavero, Angie Diaz-Mejía, Mabel R Challapa-Mamani, Marisella Chumán-Sánchez, Oswaldo N Vite-Gutierrez, Jeremy Yauri-Mamani, Omar C Bellota-Segovia, Paula Regina Durand-Anahua, Yahaira M Mamani-Ticona, Zulema Mamani-Condori, Kelly Alarcon-Ore, Kevin Anthony Martínez-Solís, Jair Noé Navarro-Cahuaza, Dante M Quiñones-Laveriano, Martha Villar-López
{"title":"Traditional alternative and complementary medicine: a review of undergraduate courses and curricula in Peru.","authors":"Juan Huaccho-Rojas, Leonardo J Uribe-Cavero, Angie Diaz-Mejía, Mabel R Challapa-Mamani, Marisella Chumán-Sánchez, Oswaldo N Vite-Gutierrez, Jeremy Yauri-Mamani, Omar C Bellota-Segovia, Paula Regina Durand-Anahua, Yahaira M Mamani-Ticona, Zulema Mamani-Condori, Kelly Alarcon-Ore, Kevin Anthony Martínez-Solís, Jair Noé Navarro-Cahuaza, Dante M Quiñones-Laveriano, Martha Villar-López","doi":"10.1515/jcim-2024-0416","DOIUrl":"https://doi.org/10.1515/jcim-2024-0416","url":null,"abstract":"<p><strong>Background: </strong>Traditional, Alternative, and Complementary Medicine (T&CM) encompasses a variety of health practices that differ from the conventional medical system, including the use of medicinal herbs and complementary therapies. In Peru, these practices, particularly the use of therapeutic plants, are legally protected and commonly used for treating certain conditions. However, the lack of inclusion of T&CM in medical education puts these practices at risk of disappearing.</p><p><strong>Aim: </strong>To analyze the inclusion of T&CM courses in the curricula of medical schools in Peru to identify gaps and opportunities for improving medical education and ensuring comprehensive training for future healthcare professionals.</p><p><strong>Methods: </strong>A cross-sectional study was conducted by reviewing the curricula of 47 Peruvian medical schools. Data on the presence, structure, and content of T&CM courses were extracted and analyzed descriptively.</p><p><strong>Results: </strong>In 2024, 15 out of 47 Peruvian universities offering Human Medicine programs (31.9 %) included T&CM courses. Among them, 73 % were public institutions, and 53 % were located in coastal regions. The most common topics were Traditional Chinese Medicine (93.3 %), Traditional Peruvian Medicine (87 %), phytotherapy (93 %), and acupuncture (80 %). Course structure varied: 60 % of courses were elective, while 40 % were mandatory. Most universities (93 %) allocated 2-3 academic credits, and 80 % incorporated practical training, though structured field visits were rare (6.7 %). Additionally, 53 % of universities included research activities. The lack of standardized curricular guidelines led to variability in course content and depth across institutions.</p><p><strong>Conclusions: </strong>Few universities in Peru teach T&CM, highlighting a need to enhance medical education. Increasing T&CM topics in curricula and addressing information access disparities are crucial.</p>","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liliane Mireille Tchoumba Tchoumi, William Yousseu Nana, Gonzal Eric Tsafack, Stephanie Flore Nguemnang Djuichou, Melvine Dorelle Djomo Tchokote, Cécile Evodie Tonpouwo, Thierry Parfait Elomo Assomo, Marius Mbiantcha, Gilbert Ateufack
{"title":"Effect of aqueous and ethanolic extracts of <i>Dracaena arborea</i> (Dracaenaceae) on acetic acid-induced colitis in rats.","authors":"Liliane Mireille Tchoumba Tchoumi, William Yousseu Nana, Gonzal Eric Tsafack, Stephanie Flore Nguemnang Djuichou, Melvine Dorelle Djomo Tchokote, Cécile Evodie Tonpouwo, Thierry Parfait Elomo Assomo, Marius Mbiantcha, Gilbert Ateufack","doi":"10.1515/jcim-2025-0101","DOIUrl":"10.1515/jcim-2025-0101","url":null,"abstract":"<p><strong>Objectives: </strong>Ulcerative colitis, with a complex and poorly understood aetiology, is a chronic inflammatory disease of the colon. Current therapies present many side effects and lack efficiency. This study aimed to assess the healing properties of aqueous and ethanolic extracts from the roots of <i>Dracaena arborea</i> on ulcerative colitis induced in rats.</p><p><strong>Methods: </strong>Acetic acid (4 %) was injected (intrarectal) to induce colitis. Prednisolone (20 mg/kg), aqueous (500 mg/kg) and ethanolic (100 mg/kg) extracts were administered orally. Clinical parameters were measured through stool consistency, relative body mass, mass-to-length ratio, macroscopic alterations of the colon, and serum and haematological parameters. Oxidative stress markers (in both serum and tissue) and anti-inflammatory parameters were evaluated.</p><p><strong>Results: </strong>The results showed that both extracts significantly reduced diarrhea severity, ulcer scores, and prevented the reduction in the colon mass/length ratio. The aqueous and ethanolic extracts significantly increased red blood cell count and haematocrit percentage, as well significantly reducing white blood cell, lymphocyte, monocyte, and granulocyte counts. Regarding oxidative stress markers, in both serum and tissue, the extracts significantly reduced MDA concentrations while increasing GSH concentrations, SOD and catalase activities. The aqueous and ethanolic extracts also significantly reduced NO concentrations and MPO activity. Only the ethanolic extract significantly inhibited TNF-α, IL-6 and IL-1β production. Additionally, both extracts exhibited reparative effects on intestinal epithelium by activating tissue regeneration mechanisms.</p><p><strong>Conclusions: </strong>These findings suggest that <i>D. arborea</i> possessed anti-colitis effects in acetic acid-induced ulcerative colitis in rats.</p>","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":"438-450"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jordan Lembe Tonga, Michael Herman K Kamdem, Roland Nhouma Rebe, Edwin M Mmutlane, Maurice Fotsing Tagatsing, Emmanuel Yankep, Dieudonne Njamen, Stephane Zingue, Derek Tantoh Ndinteh
{"title":"Isojamaicin, one of the isoflavonoids from <i>Millettia griffoniana</i> Baill (Fabaceae) has anticancer effect on human prostate cancer cells.","authors":"Jordan Lembe Tonga, Michael Herman K Kamdem, Roland Nhouma Rebe, Edwin M Mmutlane, Maurice Fotsing Tagatsing, Emmanuel Yankep, Dieudonne Njamen, Stephane Zingue, Derek Tantoh Ndinteh","doi":"10.1515/jcim-2024-0322","DOIUrl":"10.1515/jcim-2024-0322","url":null,"abstract":"<p><strong>Objectives: </strong>The incidence of cancer, a second leading cause of death globally, continues to rise steadily, and could reach 28.4 million cases by 2040, if no action is taken. Prostate cancer, the second most common cancer in men globally following lung cancer, accounted for 1,414,259 new cases and led to 375,304 deaths in 2022. Chemotherapy and surgery remain the major treatments however, they are associated with side effects. In this study, the anticancer potentials of ten (10) isoflavonoids from <i>Millettia griffoniana</i> Bail was explored.</p><p><strong>Methods: </strong>Anti-cell growth (MTT), proliferative (CCK-8) and clonogenic effects of these isoflavonoids were investigated. Furthermore, the most potent compound (isojamaicin) was investigated for its potential to induce apoptosis, inhibit cell migration/invasion and cell adhesion.</p><p><strong>Results: </strong>Out of the 10 isoflavonoids isolated from <i>M. griffoniana</i>, isojamaicin significantly inhibited PC3 and LNCaP cell growth and proliferation in a concentration dependent manner. It also significantly (p<0.001) inhibited PC3 cell clone formation. It induced a potent (near 40 %) increment of apoptotic cell population in PC3 cells at both 30 and 60 μg/mL; which was followed by a notable increase in caspase-3 activity. Isojamaicin induced potent inhibition of PC3 cell invasion/migration and increased adhesion of PC3 cells to the extracellular matrix (collagen).</p><p><strong>Conclusions: </strong>This study provides an unprecedented report of the anti-prostate cancer potential of isojamaicin and its possible underlying mechanisms. It merits further <i>in vivo</i> research to support the <i>in vitro</i> findings.</p>","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":"451-462"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of evening primrose oil on treating painful diabetic neuropathy: a randomized, double-blind, clinical trial.","authors":"Ayub Gholami, Neda Koulaeinejad, Mehrali Rahimi","doi":"10.1515/jcim-2025-0054","DOIUrl":"10.1515/jcim-2025-0054","url":null,"abstract":"<p><strong>Objectives: </strong>Diabetic neuropathy results in chronic pain. Traditional treatments often offer limited relief, prompting the exploration of alternative therapies like Evening Primrose Oil (EPO). This study aimed to assess the efficacy of EPO in the treatment of painful diabetic neuropathy.</p><p><strong>Methods: </strong>In this interventional clinical trial, Patients were randomly assigned to three groups. Group A, consisted of 24 patients, received 1,000 mg of EPO soft gel capsules every 12 h. Group B, consisted of 21 patients, received 1,000 mg of EPO soft gel capsules daily. Group C, also with 21 patients, was divided so that half of the patients received placebo capsules daily and the other half every 12 h. After 4 weeks, patients returned, and questionnaires were completed. Statistical analysis of the data was conducted using SPSS version 25.</p><p><strong>Results: </strong>Groups A and B showed significant reductions in visual analog scale (VAS) pain scores, with Group A achieving the most improvement (mean pre-test: 5.96; post-test: 4.63). Analysis of covariance (ANCOVA) revealed significant differences in post-intervention scores (p<0.001) for VAS and Neuropathy total symptom score-6 (NTSS-6), indicating effective interventions. Treatment A was more effective than Treatment B for reducing pain (VAS mean difference= -0.52; p=0.044) and McGill Pain Questionnaire (MPQ) scores (mean difference= -9.56; p<0.001).</p><p><strong>Conclusions: </strong>EPO could serve as a valuable alternative therapy for managing painful diabetic neuropathy with fewer side effects than traditional treatments. Further research is warranted to validate these results and explore EPO treatment long-term efficacy and safety.</p>","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":"547-554"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Screening the Larvicidal effect of <i>Dawa-e-Hilteet</i> using Instar larvae.","authors":"Asiya Rashid, Ghulamuddin Sofi","doi":"10.1515/jcim-2024-0461","DOIUrl":"10.1515/jcim-2024-0461","url":null,"abstract":"<p><strong>Objectives: </strong>Mosquitoes are the most common vector for transmitting causative agents from an infectious source to a susceptible host. The key tool for preventing the spread of infection is vector control. Mosquito control is achieved by a variety of means, including personal protection, the use of synthetic insecticides, and so on. Mosquito resistance to chemical insecticides has resulted in mosquito control failure all over the world. This study was done to evaluate the mosquito larvicide effect of <i>Dawa-e-Hilteet</i> to develop an effective herbal alternative for mosquito control.</p><p><strong>Methods: </strong>Five different concentrations of <i>Dawa-e-Hilteet</i> in the range of 25-125 ppm were taken and subjected to bioassay against late third instar larvae of <i>Anopheles stephensi</i>. After 24 h, mortality response was observed and compared with Neem seeds extract. Log probit regression analysis was applied to the mortality data to calculate the median lethal concentrations LC50 and LC90 for the larvae subjected to the treatment.</p><p><strong>Results: </strong>91 % mortality in larvae of Female <i>A. stephensi</i> was recorded at 125 ppm of <i>Dawa-e-Hilteet</i>. The mortality percentage increased with the increase in concentration. Hydro alcoholic extract of <i>Dawa-e-Hilteet</i> revealed LC50 value at 66.799 ppm and LC90 value at 119.709 ppm.</p><p><strong>Conclusions: </strong><i>Dawa-e-Hilteet</i> extract exhibited larvicidal activity against late third instar larvae of Female <i>A. stephensi</i> and was found to be more potent than Neem extract.</p>","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":"463-470"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeremy Y Ng, Ioannis Dimitriou, Bala Pesala, Maki Kajiwara, Geetha Krishnan Gopalakrishna Pillai
{"title":"From ancient wisdom to modern practices: transformative potential of digital health innovations in advancing traditional medicine.","authors":"Jeremy Y Ng, Ioannis Dimitriou, Bala Pesala, Maki Kajiwara, Geetha Krishnan Gopalakrishna Pillai","doi":"10.1515/jcim-2025-0128","DOIUrl":"10.1515/jcim-2025-0128","url":null,"abstract":"","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":"209-212"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kumar Guru Mishra, Nabnita Patnaik, Nihar Ranjan Pradhan
{"title":"The effects of spilanthol (SA3X) supplementation on muscle size and strength in healthy men - a randomized parallel-group placebo-controlled trial.","authors":"Kumar Guru Mishra, Nabnita Patnaik, Nihar Ranjan Pradhan","doi":"10.1515/jcim-2024-0272","DOIUrl":"https://doi.org/10.1515/jcim-2024-0272","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the effects of daily spilanthol (SA3X) supplementation over three months on muscle metrics and hormonal profiles in healthy males.</p><p><strong>Methods: </strong>A total of 546 participants were randomized into SA3X or placebo groups, with or without structured exercise. Muscle size (mid-arm, chest, thigh circumference) and strength (bench-press, squatting) were measured pre- and post-intervention. Serum testosterone (total and free), estradiol, and SHBG levels were assessed.</p><p><strong>Results: </strong>Among the participants in the exercise groups, those given SA3X had significant increases than those given placebo in terms of muscle size - mid-arm muscle circumference (10.54 vs. 7.21 cm; p<0.05), chest circumference (15.23 vs. 10.82; p<0.05) and thigh circumference (change in quadriceps area, 12.84 vs. 9.01 cm; p<0.05) and significant increases in strength in the bench-press (85.01 vs. 65.09 kg, p<0.05) and squatting exercises (155.04 vs. 95.06 kg, p<0.05). The participants assigned to the SA3X-no-exercise group had significant increases in muscle size than those assigned to the placebo-no-exercise group (p<0.05). A significant increase was also observed in total and free testosterone levels in SA3X group as compared to placebo (p<0.05). No significant increase was seen in estradiol levels. No significant adverse effects were observed among the participants.</p><p><strong>Conclusions: </strong>SA3X supplementation significantly enhanced muscle size, strength, and testosterone levels in exercising participants compared to placebo, with additional benefits observed even without exercise.</p>","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of mangosteen as local drug delivery for improving periodontal health in adults with periodontitis: a systematic review and meta-analysis of randomized controlled trials.","authors":"Konathala Sv Ramesh, Koruprolu Ramalaxmi, Naga Vsg Sruthima, Pasupuleti Swetha, Budumuru Anil, Mettapalli PhaniKumar, Gurindapalli Nissi, Chennamsetti Sahithiprabha","doi":"10.1515/jcim-2024-0463","DOIUrl":"https://doi.org/10.1515/jcim-2024-0463","url":null,"abstract":"<p><p>Mangosteen (<i>Garcinia mangostana</i> L.) has garnered attention for its diverse health benefits, including antibacterial, antioxidant, anti-proliferative, anti-carcinogenic, and anti-inflammatory properties. These therapeutic effects play a central role in the pathophysiology of many conditions. Periodontal disease, a chronic inflammatory disorder of the tooth-supporting structures, is primarily caused by biofilm-forming bacteria. This systematic review focuses on the effectiveness of mangosteen in local drug delivery (LDD) for the management of periodontitis. An electronic search was conducted across multiple databases, including PubMed, LILACS, Web of Science, and Scopus. Cohen's Kappa coefficient was used to evaluate inter-rater agreement, and the risk of bias was assessed. A random-effects model and heterogeneity were examined using I<sup>2</sup> statistics, while funnel plots were used to detect publication bias. Clinical outcomes, including periodontal pocket depth (PPD) and clinical attachment level (CAL), were extracted from RCTs comparing Mangosteen LDD to placebo or conventional therapies. The analysis revealed a significant reduction in PPD (effect size = -1.08, 95 % CI: -1.40, -0.77) and CAL (effect size = -0.96, 95 % CI: -1.80, -0.13) in the mangosteen-treated group. These findings suggest that mangosteen gel as an LDD can offer substantial clinical benefits by reducing PPD and CAL, thereby improving overall periodontal health. PROSPERO registration link https://www.crd.york.ac.uk/PROSPERO/view/CRD42024618658.</p>","PeriodicalId":15556,"journal":{"name":"Journal of Complementary and Integrative Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}