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Worldwide, the use of botanicals is a key component of healthcare. In the era of patient-centered and evidence-based care, a solid knowledge of botanicals and other natural products, as well as additional components of integrative healthcare is essential for clinicians. This is especially true in primary care, where clinicians commonly work with diverse individuals, as well as with their families and communities. Recognition and understanding of an individual’s interest in the use of botanicals is important in particular, as many chronic conditions, for example, are related to lifestyle choices. The incorporation of botanicals, in addition to behavior changes, may better encourage a person’s engagement in their own healthcare. Many people routinely use botanicals and other natural products as part of one’s self-care for general health and wellness across their lifespan. Our focus in this book has been to go beyond this. In addition to briefly reviewing the background, pharmacognosy, dosing and product issues, and safety, the chapter authors review the published clinical trial data on the use of botanicals in common diseases and health conditions in humans and conclude with a brief summary of the clinical application. Of note, similar to prescription and nonprescription drugs, clinical trials with botanicals commonly have issues related to their study methodology and thus their resulting application to patient care. The chapter authors have selected what they consider to provide the best evidence evaluating safety and efficacy in humans, especially as an integrative therapy.
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