FIELD
OF THE INVENTION
The
average amount of body fat in the American male is 22 to 25%, and in
the American female, the average amount of fat is 33 to 35%. These
values are far above optimal values, which are 15 to 19% for 20-29
year old males and 19 to 23% for 20-29 year old females.
Corresponding values for 40-49 year olds are 17 to 21% and 21 to 25%,
respectively; and for 60 year olds, the corresponding values are 19
to 23% and 23 to 27%, respectively. In highly overweight individuals,
fat tissue can constitute up to 70% of body weight.
The
remaining percentage of body composition corresponds to the lean body
mass. Lean body mass is composed of muscle, vital organs, bone,
connective and other non-fatty tissues in the body, and most of the
body water. The body's metabolic rate is in direct proportion to the
amount of lean body mass. Therefore, considering the lean body mass
is important for any weight loss strategy.
The
overwhelming majority of weight control means do not take into
account the importance of maintaining or increasing the lean body
mass in the process of weight loss. In fact, regimens to decrease
body fat often contribute to the catabolic wasting of lean body mass.
Increased lean body mass regulates body metabolism and helps in
losing weight, as well as maintaining the accomplished weight
reduction. On the other hand, diminished lean body mass slows down
body metabolism and results in difficulties in maintaining an
appropriate, healthy body weight. Thus, an ideal weight management
approach should be to reduce body weight to acceptable levels by
restoring the optimal proportions of fat to lean body mass. By
maintaining or increasing the lean body mass while simultaneously
reducing body fat, the weight loss regimen would serve the general
purpose of improving the overall health of the individual.
Maintaining
or increasing the lean body mass (for example, skeletal muscles) is
one of the important considerations for any weight loss strategy
because lean body mass determines the rate of metabolism and the
body's thermogenic response to food, and food induced thermogenesis
and the metabolic rate, in turn, control body weight by an increase
in the catabolism of body fat. This is so because thermogenesis is
preferentially fueled by fatty acids derived from stores of body fat
and from food. In addition, a high rate of thermogenesis contributes
to more food being absorbed and to the preferential build-up of lean
body mass, rather than adipose tissue. As a result this invention
relates to methods and compositions for producing weight loss in
humans by burning fat, and increasing the buildup of lean body mass.
One
of the greatest problems confronting modem society in economically
successful countries today is obesity. Unfortunately, obesity brings
with it the conditions that are ripe for the more serious disease of
diabetes.

Among
the many possible solutions for treating obesity are formulations of
weight loss products that work with some of the basic biochemical
processes involved in fat metabolism. This process has been exploited
through pharmaceutical intervention at the neurocrine level as well
as at the level of fat cells themselves, or the way fat cells
metabolize fats in brown and white adipose tissue.
The
term thermogenisis has been coined to describe the process whereby
food intake is converted to body heat through the metabolic process
of caloric conversion. In obese people, certain metabolic defects
associated with the thermogenic process begin to appear. These
metabolic predisposition’s manifest in a number of identifiable
biochemical syndromes that can be attacked through therapeutic
intervention with agents that over-ride the cascade of events leading
to obesity.
One
of the more natural approaches to starting artificial thermogenisis,
that is, thermogenisis that is unrelated to food consumption, is the
use of plant derived substances. Many of these plant substance
contain ephedrine or ephedrine like compounds such as ma-haung or
ephedra. Ephedra is an herb that grows wild in parts of the western
United States. Ephedra contains ephedrine, an alkaloid that
stimulates the production of catecholamines such as norepinephrine.
Norepinephrine or noradrenaline is presumed to start the thermogenic
process by stimulating metabolism in fat cells via the neurocrine
axis that involves beta-adrenergic receptors. This in turn results in
lipolysis, or the liberation of fat in fat cells via an increase in
the basal metabolic rate. This pharmacological intervention results
in weight loss in lean, obese, and post-obese human subjectsand has
been demonstrated in clinical studies† (Dulloo,
A G & Miller D S,
Wrld Rev Nutr Diet 50: 1-56 ;1987).
BACKGROUND
OF THE INVENTION
It
is the object of the present invention to provide safer and more
effective weight-loss compositions that combine the anti-obesity
properties of eight types of metabolic formulations that involve
different biochemical aspects.
DETAILED
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The
Tight formula assists in providing control over the proportion of
body fat to lean body mass. The preferred embodiments assists in
causing body fat loss while building or maintaining lean body mass.
The preferred embodiments comprise: Caffeine Anhydrous, Green Tea
Extract, Synephrine, Sclareolide, Pure Guggulsterones Z & E,
Yohimbine, Vinpocetine, and Piperine (sold under the commercial and
Trademarked name of Bioperine).
PURE
E & Z GUGGLESTERONES

Guggul
(C. wightii) is distributed mainly in Gujarat and Rajasthan states of
India. It is cultivated for the oleo-gum resin, which has wide
application in allopathic, ayurvedic and unani system of medicine. E
and Z Guggulsterones are used as markers for standardization.
A
number of reviews and research papers have appeared in various
journals where the detailed chemistry of Guggul gum resin and its
pharmacological properties have been discussed.
Guggul,
the gum resin exudate from C. wightii is a complex mixture of
phytochemicals, diterpenoids, aliphatic esters, carbohydrates and a
variety of inorganic ions besides minor amount of sesamin and other
unidentified constituents.
A compound known as Z-Guggulsterone has been identified as having the
structural formula as identified in US Patent No. 6,113,949. The E-stereoisomer
has also been identified and these ketones are known hypolipemic and
antiplatelet aggregation agents. A process for the preparation of pharmacologically
active synthetic Z and E stereoisomeric mixture of Guggulsterones is
disclosed in EP0447,706 to Hamied. These compounds have also been isolated
from the exudate of a plant known as Commiphora mukul (Hook, ex stocks)
Engl. (syn. Balsamodendron mukul Hook) which is a small tree of the Burseraceae
family, endemic in the Indian peninsula. If the trunk is etched, the
plant emits a yellowish gummy exudate, which coagulates rapidly in the
form of stalactites having a balsamic smell. In the ancient Sanskrit,
this gum resin is called guggulu and is a product, which is still used
in Indian popular medicine. Recently, a lipophilic extract has been prepared
from this resin, this extract contains many classes of compounds, among
which lignans, terpenes and some keto-steroids, named Guggulsterones.
Hypolipidemic and platelet aggregation inhibiting activities are described
for this lipophilic extract, which is normally obtained by simple resin
extraction with ethyl acetate, or for Guggulsterone-Z and Guggulsterone-E,
whose components in the extract are normally titrated. In similar fashion,
Guggulsterones have also been found to be very effective in reducing
total cholesterol levels and LDL levels. Nityanand et al. report in "Clinical Trials With Gugulipid, A New Hyperlipidaemic Agent" J-Assoc-Physicians-India,
1989 May; 37(5): 323-8, a multi-center clinical trial with 205 patients
over a twelve (12) week period. A gugulipid dose of 500 mg twice daily
after eight (8) weeks showed a significant lowering in the serum cholesterol
(average 23.6%) and serum triglycerides (average 22.6%). The study also
used colfibrate as a comparative. The gugulipid average fall in serum
cholesterol and triglycerides was 11 and 16.8% respectively and with
colfibrate 10 and 21.6% respectively. The lipid lowering effect of both
substances became evident three (3) to four (4) weeks after start.
While
the prior art discloses the use of Guggulsterones to reduce blood
plasma lipid content and the use of phosphates to increase
triiodothyronine and increase resting metabolic rate, there is no
suggestion or disclosure of combining Z and E Guggulsterones with any
of the compounds more fully described in this formula, in order to
achieve a synergistic effect in weight control.
CAFFEINE

The term "caffeine" as used herein is intended to encompass not only caffeine
as the anhydrous powder, but any salt or derivative of caffeine or any compounded
mixture thereof-which is non-toxic, pharmaceutically acceptable when employed
as described herein.
Caffeine’s
structure, function and metabolic role is well characterized and
understood in the art. Specifically caffeine is a methylxanthine,
which has been directly linked to diuretic and respiratory stimulant
action. Caffeine affects the central nervous system, mainly the
cerebrum. Caffeine is found in coffee beans, tea, cola nuts, guarana,
cacao seeds, and mate.
The
chemical name for caffeine is 1,3,7-trimethylxanthine. Other common
methylxanthine stimulants include 1,3-dimethylxanthine (found in tea
and commonly called theophylline), and 3,7-dimethylxanthine (found in
cacao seeds and tea, and commonly called theobromine).
Products
containing caffeine are ubiquitous. A sampling of such products
includes coffees, teas, soft drinks, chocolate products, cold-relief
products, diet aids, various foods including puddings and, of course,
products specifically designed to keep people awake and alert.
GREEN
TEA EXTRACT (EGCG)

Green
tea has many mechanisms of action in stimulating weight loss. The
most important is probably the inhibition of
catechol-O-methyl-transferase (COMT) by EGCG [Chantre P, Lairon D,
2002]. COMT is the enzyme that breaks down norepinephrine (NE), one
of the body's most important lipolytic hormones. Caffeine also plays
a synergistic role by inhibiting phosophdiesterases (enzymes that
break down cAMP, which is further down the lipolytic pathway)
[McArdle NJ, Clifford MN, Ioannides C, 1999]. Although EGCG is the
most responsible, some flavanoids found in small amounts in green tea
such as quercetin and myricetin also inhibit COMT and may play a
minor role† [Dulloo
AG, Duret C, Rohrer D, Girardier, 1999]. Secondly, green tea decreases the
digestibility of dietary fat† [Chantre
P, Lairon D, 2002]. The proposed mechanism of action is inhibition of
both gastric and pancreatic lipase, which has been demonstrated in
vitro [Chantre P, Lairon D, 2002]. These enzymes both play major
roles in the digestion of fat, so when they are inhibited a smaller
proportion of fat is absorbed and a greater proportionexcreted. Green
tea is also a potent appetite suppressant. This can be partly
explained by the fact that it increases both NE and dopamine
[Yokogoshi H, Kobayashi M, Mochizuki M, 2002], but further mechanisms
of action have been hypothesized. Specifically, tea polyphenols have
been known to elevate levels of cholecystokinin (CCK) [Liao S, 2001],
a hormone which depresses food intake [Liao S, 2001]. It is not yet
known whether this plays a significant role in the action of green
tea, and one of the effects of elevated CCK is an increase in
pancreatic lipase, which is actually inhibited by green tea. It could
be that green tea simultaneously elevates CCK and decreases
pancreatic lipase, conferring the benefits of both appetite
suppression and decreased fat digestibility.
SYNEPHRINE

Synephrine
is derived from Citrus plants, and can be administered orally to
humans for the purpose of producing or maintaining weight loss as
well as improving the person's physical performance and increasing
the person's lean muscle mass. The Citrus materials, containing
synephrine, include those portions of the plant that are normally
considered waste or inedible, such as the leaves, peel and immature,
unripe fruit. The materials contain as least one of the alkaloids
from the group consisting of synephrine, hordenine, octopamine,
tyramine and N-methylamine. Two species, Citrus aurantium and Citrus
reticulata are particularly useful. The Citrus materials, and in this
particular embodiment synephrine extracted from the citrus materials
is used in conjunction with the compounds described herein for weight
loss and weight control, the burning of fat and the building of lean
body mass.
Thermogenesis
is a metabolic process consisting of the production of heat by the
organism, especially in the muscles and in the adipose tissues, using
as energy source the available fat deposits. High thermogenesis
allows body weight to decrease without significant variations in the
quantity of food intake. The levels of thermogenesis vary from
individual to individual, in a genetically predetermined way and for
this reason body weight also varies from individual to individual
regardless of the energetic limits set by the diet. The processes of
thermogenesis are managed by the adrenergic system, through beta-1,
beta-2 and beta-3-adrenergic receptors.
Accordingly,
the levels of thermogenesis can be altered with some adrenergic-like
substances (adrenergic or sympathomimetic) such as, for instance
synephrine, etc. Adrenergic-like compounds are not very active alone
in the activation of thermogenesis, and therefore, they are commonly
used together with stimulants, such as the methylxanthines: caffeine,
theophylline and theobromine, which have a synergistic action with
adrenergic substances.
The
adrenergic amines stimulate beta-receptors in a predominantly
indirect fashion thereby stimulating thermogenesis, increased
metabolic rate and lipolysis. Adrenergic amines have been shown to
have utility in regulating or treating weight problems. Still another
aspect of this formula is a method for promoting weight control,
weight loss, enhanced physical performance, and/or the addition of
lean muscle mass, which includes the step of administering to a
subject an effective amount of Sclareolide
SCLAREOLIDE

It
is well known in the art that Sclareolide, sometimes interchangeably
referred to as Fermented Sage Extract, is related to lipolysis in
isolated fat cells in vitro. The following relates to the use of
sclareolides and related compounds as selective activators of the
adenylyl cyclase system. It also relates to the use of sclareolide as
a probe to selectively activate second messenger pathways such as
cAMP. The biological mechanism for this action seems to be that
Sclareolide increases the levels of cyclic AMP (cAMP) or exerts
action similar to cAMP. The increase levels of cAMP in the tissues
correspond well to enhancing the thermogenic response to food. An
increase in the thermogenic response to food, in turn, improves
absorption of nutrients and their preferential incorporation into
lean body mass. Thus, the formation of lean body mass is promoted.
Our data indicates that sclareolide has similar potency than
forskolin, a well established adenylyl cyclase activator, at
interaction with ligand gated ion channels (Bensherif, M and Lukas,
R.L, 1991) reported forskolin use for the promotion of lean body
mass. Forskolin has also been shown to be effective for reversing
hypothermia or hypokinesia in mice depleted of presynaptic endogenous
monoamines by pretreatment with reserpine, .alpha.-methyl-p-tyrosine
and p-chlorophenylalanine, when the forskolin is co-administered† with
cyclic nucleotide analogs dibutyryl cAMP (dBcAMP), 8-bromo cAMP
(8-BrcAMP) and dibutyryl cGMP (dBcGMP). (Psychopharmacology 90
(1986), pp. 430-435) Forskolin increases the lean body mass by
stimulating the enzyme adenylate cyclase (AC), with a resulting
increase in the levels of cAMP. The mechanism of Forskohlin &
subsequently the cAMP agonist Sclareolide has been shown to work as
follows: 1.) stimulating noradrenaline released from the sympathetic
nerves to interact with beta-adrenergic receptors; this results in an
increase in AC (adenylate cyclase) enzyme, with a subsequent rise in
cAMP levels; cAMP stimulates the activity of a protein kinase which
phosphorylates a hormone-sensitive lipase (HSL) to produce the active
form of this enzyme; the lipase stimulates the release of fatty acids
from body adipose depots; the released fatty acids stimulate the
uncoupling process in the mitochondria, resulting in thermogenesis
and provision of fuel to increase thermogenesis; there is an increase
in T4 5' deiodinase, which activates the thermogenic thyroid hormone
T3; there is an increase in the beta-adrenergic dependent metabolic
functions, which leads to an increase in the lean body mass, i.e.,
activation of phosphorylase in skeletal muscles, insulin secretion,
and the synthesis and secretion of anabolic steroid hormones.
YOHIMBINE

Yohimbe
is a small evergreen tree native to Africa, and the scientific name
is Pausinystalia yohimbe. Chemically, Yohimbe bark contains a
substance called yohimbine, plus additional similar compounds, known
as indole alkaloids. Yohimbine is synthesized, and has been used as a
drug for many decades.
Yohimbine
is a potent naturally-occurring alpha-2 receptor antagonist.
Adrenergic lipolysis in human adipose tissue is regulated in a dual
nature by adrenoceptors. Most notably, activation of the beta-2 or
beta-3 subtype increases the process of lipolysis; while activation
of alpha-2 receptors diminishes it (fat cells appear to be the only
type of cells in the human body that exhibit such dual regulation by
adrenoceptors). Yohimbine blocks the messaging system that negatively
regulates lipolysis in human fat cells. It also strongly stimulates
the synaptic release of norepinephrine, an endogenous beta-agonist
extremely important to lipolysis. As such it serves a dual purpose,
both by blocking alpha-2 activation and increasing the level of
norepinephrine available to fat cells. Studies have furthermore shown
that in reasonable doses it does not act as a strong central nervous
system stimulant, so when used in direct accordance to this invention
it should not be a strong instigator of stimulant-related side
effects.
Studies
with yohimbine†,
in the form of yohimbine HCl, have shown that it is capable of increasing lipolysis
in humans after oral dosing, likely via both alpha-2 receptor antagonism and
increases in synaptic norephinephrine release (Eur J Clin Invest 1988;18:587-94).
In effect, it serves both beta stimulating and alpha blocking
properties, an ideal combination to stimulate fat loss. Of note, when
single doses as high as 21.6 mg (J Clin Pharmacol 1996;36:814-22), or
daily cumulative doses as high as 43.2 mg (J Urol 1995;141:1360-63),
were taken, the agent was well tolerated, and had no significant
impact on blood pressure or heart rate as would be expected of a
beta-agonist like ephedrine.
VINPOCETINE

Vincamine
is an alkaloid extracted from the Periwinkle plant. Vinpocetine is
produced by slightly altering the Vincamine molecule. Vinpocetine is
more technically referred to as "ethyl apovincaminate."Vincamine
and Vinpocetine have been widely researched and used clinically for
over 25 years†,
in disorders ranging from cerebral arteriosclerosis and senile dementia, to Meniere ’s disease, tinnitus, and
diabetic retinopathy. Research has gradually shown Vinpocetine to be
the superior Vinca alkaloid.
Some
of the metabolic roles of Vinpocetine’s, also refereed to as
Apovincaminic acid ethyl ester, is disclosed in U.S. Patent No.
4,035,370, issued July 12, 1977. This active agent, designated by its
generic name vinpocetine, previously has been reported to have
cerebral vasodilator activity and to have a desirable influence on
the cerebral vascular flow, a desirable influence on the heart
functions and to stimulate the metabolism of the cerebral tissues
(U.S. Patent No. 4,035,370).
Vinpocetine
has been shown to enhance oxygen and glucose uptake from blood by
brain neurons, and to increase neuronal ATP bio-energy production,
even under hypoxic (low oxygen) conditions. (Szobor A, Klein M.
Arzneimittelforschung 1976;26(10a):1984-9).
Both
animal experimental and human clinical research† have
shown ethyl apovincaminate (“vinpocetine”) to restore impaired brain
carbohydrate/ energy metabolism. (Comparative study of the effect of
ethyl apovincaminate and xantinol nicotinate in cerebrovascular
diseases. Immediate drug effects on the concentrations of
carbohydrate metabolites and electrolytes in blood and CSF.Vamosi B,
Molnar L, Demeter J, Tury F.Arzneimittelforschung
1976;26(10a):1980-4). This report illustrated the favorable use of
vinpocetine to increase carbohydrate metabolism, thus increasing
levels of available energy.
The
study† measured
a large number of blood and cerebrospinal fluid variables before and after
treatment, such as glucose, lactate, pyruvate, oxygen, pH, electrolyte levels,
etc. The study concluded that vinpocetine enhances both glycolytic and oxidative
reactions of glucose breakdown in the central nervous system (“CNS”).
The study further indicated that changes in the concentration of K
[potassium] and Mg [magnesium] may be considered a sign of recovery
of the energy metabolism of the nerve cells. The study also
demonstrated a superior clinical efficacy of vinpocetine over
Xanthinol Nicotinate.
Another
study reaffirmed the potential use of vinca alkaloids, namely
vinpocetine to increase metabolic rate. (Psychopharmacology (Berl)
1990;101(2):147-59). Specifically the study demonstrated that
vinpocetine increases mitochondria respiratory rate in mitochondria
suspensions, indicating that vinca alkaloids can increase the rate of
ATP synthesis. In addition, elevation of cortical cyclic AMP levels
may increase ATP availability and this may contribute to the
metabolic activity of vinpocetine
As
such, in one of the preferred embodiments of this formula, one of the
components used in the composition is a optimal amount of
vinpocetine.
BIOPERINE

Piper nigrum extract may be produced by the method of isolation of piperine
and the compound obtained in such manner is commercially available as "Bioperine.”
Documents† describing
ayurvedic medicine, which is well understood in the art as containing piperine
and piperine like substances, date back to the seventh century B.C. Trikatu
is a sanskrit word meaning three acrids, and refers to a combination of black
pepper (Piper nigrum Linn.), long pepper (Piper longum Linn.) and ginger (Zingiber
officinale Rosc.). In traditional ayurvedic medicine these compounds are essential
ingredients of many prescriptions and formulations used for a wide range of
diseases. Experimental evidence shows that the use of "trikatu", and its constituents individually as well
as collectively, enhance the bioavailability of a number of drugs. In those
studies carried out in animals as well as human volunteers, it was noted
that the active component is piperine. Piperine, or mixtures containing piperine,
have been shown to increase the efficacy, blood levels, and bioavailability
of a number of substances including ingredients of vasaka leaves (Bose, K.
G., (1928) Pharmacopeia India, Bose Laboratories, Calcutta), vasicine (Atal
et al., Journal of Ethnopharmacology, 4, 229-233 (1981)), spartein (Atal
et al., ibid), sulfadiazine (Atal et al., ibid), rifampicin (Zutshi, U. et
al. (1984) Journal of the Association of Physicians of India, 33, 223-224),
phenytoin (Bano et al., Planta Medica, 1987, pp. 568-569), pentobarbitone
(Majumdar, A. N. et al. (1990), Indian Journal of Experimental Biology, 28,
486-487), theophylline (Bano et al., Eur. J. Clin. Pharmacol. (1991) 41:615-617)
and propranolol (ibid). Bioavailability enhancement helps to lower dosage
levels and shorten cycle lengths.
The effect of piperine on the bioavailability of various other substances
has also been studied†.
The chronic oral administration of the agent propranolol is frequently rendered
difficult due to the fact that steady therapeutic levels of this substance
are not achieved or maintained. In addition, large doses are needed to be administered
for efficacy and this frequently causes side-effects. Piperine has been shown
to enhance the bioavailability of this substance. Propranolol administered
with piperine shows a significant increase in plasma levels of the substance,
presumably due to decrease in metabolism by the liver.
Similar results† have
been obtained with piperine and vasicine, theophylline, and phenytoin. Anyone
of piperine and vasicine, theophylline, and phenytoin are suitable for use
in the composition of the present invention. In one preferred embodiment, piperine
is utilized in the composition of the present invention. Piperine has clearly
been shown to play a role as a substance bioavailability enhancer. The combination
of piperine with tested medicines is effective primarily due to higher plasma
concentration and a longer stay of the substances in the body.
Several studies† indicate that piperine
may act primarily by non-specifically inhibiting the mixed function oxidases
systems. This slows down the process of metabolic biodegradation and enhances
the bioavailability of the substances it is taken with. In a detailed study
of the interaction of piperine with enzymatic drug biotransforming reactions
in jejunal epithelial cells and liver hepatocytes in vitro and in vivo, piperine
appears to be a non-specific inhibitor of drug metabolism. Such results led
the authors to speculate that piperine may find useful applications in successful
substance delivery (Atal et al., The Journal of Pharmacology and Experimental
Therapeutics, Vol. 232, pp. 258-262, 1985).
Piperine allows the extraction of additional nutritional value from less and
fewer foods, enhances systemic bioavailability of the essential nutrients,
which is applicable to increase absorption of nutrients and increase their
metabolic utilization. Piperine is believed to act by affecting various active
and passive transport mechanisms and by causing the increase for the substrate
demand due to enhanced metabolism at the cellular level. This latter mechanism
is triggered when piperine acts on the thermoregulation of the body, acting
directly or indirectly through activation of thermoreceptors, which results
in increased thermogenesis, or metabolic heat energy production and release. **
**Consult your physician before starting this or any weight loss regimen. Read the label and follow directions. Do not use Tight! if pregnant or nursing. Not for use by or sale to persons under 18 years of age. Must be combined with diet and exercise. These statements have not been evaluated by the Food and Drug Administration. This Product is not intended to diagnose, treat, cure or prevent any disease.
† These studies were performed at a different dosage than that in our product. The efficacy of this ingredient at the dosage level in our product has not been established in a clinical study and may not be equivalent.. Some of these studies were performed on animals and not humans. Because of differences between humans and animals and the difficulty in determining the equivalence of dosages administered to animals and humans, the results of animal studies may not be transferable to humans.