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One of the members of the group I'm going to Whitney with in August has stated, "I've been taking the Ginko for the past two weeks" and I've even read about people on this list taking Ginko leading up to thier trip.

Is Ginko a performance enhancer when Altitude is a factor? What does it eliminate, the loopiness, the headaches or other altitude effects? Will this hinder the bodies ability to recover on the flipside as you return to normal altitudes etc..
Most of the resources show Ginko as a memory enhancer.

(I'm looking for realistic scientific data, not something you read on the wall at Trader Joes or Henry's Marketplace)

Thanks for any info supplied

Joined: May 2003
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There was an actual human clinical trial conducted with ginko by the high altitude medicine group (a group of expert MD's in high altitude medicine) and they found it to be effective at treating AMS:

Ginko Biloba for the prevention of AMS

More work is being done in the use of herbal preparations to prevent AMS. In a recent double-blind, placebo-controlled study study, 40 volunteers who lived at 1400m (4,597 ft) were taken rapidly to 4300m (14,110 ft) and spent the night. Compared to those taking placebo, subjects taking ginko had half the incidence of AMS symptoms, and those on ginko who did become ill had far milder symptoms.
Protocol: ginko biloba 120 mg orally twice a day, starting 5 days prior to the ascent, and continuing at altitude.
Results: AMS defined as ESQ-III score > 0.7 and Lake Louise Score > 3
Subjects with AMS: 7 of 21 on ginko vs. 13 of 19 on placebo
Mean Lake Louise Scores 3.9±0.6 on ginko vs. 6.2±0.9 on placebo; mean ESQ-III scores 0.77±0.20 on ginko vs. 1.59±0.32 on placebo
Conclusion: Ginko biloba was effective at preventing AMS symptoms.


References
Maakestad K, Leadbetter G, Olson S, Hackett P. Ginko biloba reduces incidence and severity of acute mountain sickness.(Abstract) Proceedings Wilderness Medical Society Summer Conference, Park City, Utah. August 9-12, 2000.

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Thanks Sierra Sam!!!

Joined: Aug 2003
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I've definitely read a lot of positive info about using ginko, but another question arises. Is it ok to mix ginko with aspirin?

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Not sure about the asprin thing, but be aware that since Ginko is a blood thinner it will increase clotting time in the case of a serious injury.

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The problem I've always had with that ginko biloba study was that I could never verify for myself that it was a "good" study. I'm not trying to imply that it was poor study, but I've never been able to get a hold of the actual article to confirm for myself that it was properly carried out.

Just because it's a placebo-controlled double-blind study doesn't make it a good study. It's certainly a great step in the right direction, but not the only important thing in study design.

Some questions I've always had:
1) What was the patient population like? Did they verify that the two test groups were similar?
2) Were they evaluating populations with similar propensity for AMS? One of the tough things in carrying out AMS, HAPE, HACE, HAR, etc. studies is the fact that there are some folks who are 'prone' and those are the folks you need in your study.
3) What was the 'p' value between the two arms?

I've tried checking up the actual article but have been running into roadblocks when trying to get a copy of the original. Thanks anyway to Sierra Sam for posting the info that he did.

IMHO, until confirmatory studies are done, the jury is still out as to the usage of ginko as prophylaxis for AMS. Just my $0.02 ...

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here is my unscientifical personal experience: took ginko 3 weeks prior, no other drugs, very well hydrated, first time at altitude, drove from LA, had the afternoon and evening at Portal camp site, got up at 2am for a day hike: breathing hard at portal! completely floored by altitude at trail camp and had to stop. No pain but could only go 5 step before needing to stop to rest. At 12000' could not operate a camera! In reasonable shape at sea level (10k run in 53 min) No idea how bad it would have been (or the same?)with out Ginko! Marcus


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