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International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 177
ISSN 2250-3153
http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7728 www.ijsrp.org
Efficacy of Anti-Melanogenic and Anti-Ageing Properties
of Glutathione with Additional UV Protection and Skin
Whitening Benefits Led by the Combination of Oral
Polypodium as Whitevit Plus
Rana Neha *
, Mathur Shabla **
, Dr. Babbar Sandeep **
*
Pharmacist, Pure Natural Products Pvt. Ltd., Faridabad, India
**
Researcher, Pure Natural Products Pvt. Ltd., Faridabad, India
DOI: 10.29322/IJSRP.8.5.2018.p7728
http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7728
Abstract- Widespread concerns regarding the rise in prevalence
of skin cancer and the adverse effects of both acute and chronic
photo-damage due to exposure to UV rays, has led to various
modes of treatment. The latest development in this regard is the
findings about Glutathione and Polypodium dry extract as
potential treatment components for skin conditions. Glutathione
plays pivotal role in protecting cells against oxidative stress-
induced cellular damage and in detoxifying Xenobiotics and drug
metabolism. The added photo-protective effects of oral
Polypodium with its antioxidant, immunoregulatory and anti-
inflammatory properties aid also in prevention of chronic skin
damage, photoaging, and skin cancer led by UV exposure. Its
decreased levels are associated with the common features of
aging as well as of a wide range of pathological conditions,
including neurodegenerative disorders.
Index Terms- skin whitening, anti-melanogenic, tyrosinase
enzyme inhibitor, anti-aging, melanogenesis, oxidized
glutathione, topical glutathione, Polypodium , alpha lenoic acid ,
psoriasis,
I. GLUTATHIONE FUNCTION AND CELL DEATH
otably, Glutathione depletion and/or alterations in its
metabolism appear to be crucial in the onset of Parkinson's
disease. Despite the fact that it is required for cell survival, the
molecular mechanism that links Glutathione depletion to cell
death remains poorly understood. Recently, considerable
attention has been focused on a newly defined type of cell death:
iron-dependent cell death, also referred to as "ferroptosis".1
The
iron chelator deferoxamine nearly abolishes ferroptosis induced
by inhibiting Glutathione synthesis or Cystine uptake by the xCT
transporter. Deferoxamine preferentially abrogates the
intralysosomal accumulation of iron and inhibits oxidative stress-
induced lysosomal membrane permeabilization and cell death.
The use of Glutathione and a prodrug derived from it can be
useful, since the dysfunction of the Glutathione redox system
appears to cause a variety of diseases including
neurodegenerative disorders. We also review trials that have
been designed to cope with this difficulty; e.g. the use of
precursors such as N-acetyl cysteine and chemical modification
such as methylation.1
II. GLUTATHIONE INHIBITS TYROSINASE ENZYME
FUNCTION
Glutathione is present intracellularly in its reduced form
and plays an important role in various physiological functions. Its
skin-lightening effects result from direct as well as indirect
inhibition of the tyrosinase enzyme and switching from
eumelanin to phaeomelanin production. It is available in oral,
parenteral and topical forms.2
The tyrosinase enzyme is involved in the oxidation and
reduction process in the epidermis. These chemical reactions that
the enzyme catalyzes are of principal importance in the
melanogenesis process. The overproduction of melanin, come up
by the action of the tyrosinase, can cause different disorders in
the skin related to the hyperpigmentation.3
III. EFFICACY OF ORAL POLYPODIUM IN COMBINATION WITH
ALPHA LIPOIC ACID
Taken orally, Alpha Lipoic Acid (ALA), an antioxidant is
capable of regenerating other antioxidants, such as vitamin C and
E. It’s clear from the research that ALA is a potent antioxidant,
but it isn’t the only one; there are lots of great antioxidants for
skin like Polypodium.4
The extract of Polypodium is an oral
photo-protectant with strong anti-oxidative properties. Recent
studies to determine its chemical composition have shown 4-
hydroxycinnamic acid (p-coumaric), 3 methoxy-4-
hydroxycinnamic acid (ferulic), 3, 4-dihydroxycinnamic acid
(caffeic), 3-methoxy-4-hydroxybenzoic acid (vanillic) and 3-
caffeoilquinic acid (chlorogenic) to be among its major phenolic
components, of which ferulic and caffeic are the most powerful
antioxidants. These phenolic compounds contribute to the health
benefits afforded by this oral photo-protectant.4
Thus, the combination of Oral Polypodium and Alpha
Lipoic Acid with its anti-oxidative properties can be very
protective for the skin against UV impact and thereby the issues
arising from it.
N
International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 178
ISSN 2250-3153
http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7728 www.ijsrp.org
IV. EFFICACY OF GLUTATHIONE WITH VITAMIN C
Glutathione helps maintain the C vitamin and lower the
required intake by recycling it. The recycling occurs after the C
vitamin has neutralized a free radical by giving up an electron to
the free radical. GSH in turn gives up an electron to the C
molecule, returning it to work as an antioxidant.
One human trial led by C.S. Johnston at the Arizona State
University and published in the American Journal of Clinical
Nutrition in 1993 showed that vitamin C was able to elevate
glutathione levels in red blood cells by nearly 50% compared to
baseline after daily supplementation with 500 mg for 2 weeks.
Individual results among the participants of this study ranged
from modest 8% to significant 84%. It is important to note that a
high dose group that took 2,000 mg of vitamin C a day did not
exhibit better results than a 500 mg group.5
V. POLYPODIUM ON PSORIASIS
The fern Polypodium, has a clinically documented use in
the treatment of psoriasis.6
One of the inflammatory mediators
isolated in abnormally high quantities in the psoriatic skin is
leukotriene B4 (LTB4). It was tested in an in vitro model using
human leukocytes for its ability to inhibit the LTB4 formation.
The inhibition was found to be caused by the polyunsaturated
fatty acids (PUFAs) linoleic, linolenic and arachidonic acid. IC50
values were determined for the isolated acids and compared to a
group of closely related acids also commonly found in nature.
The IC50 values for most acids tested were of the same
magnitude (20-60 microM) except for arachidonic acid which
showed stimulatory activity and 8(R) hydroxylinoleic acid which
gave 30% inhibition with the highest dose tested (120 microM).
The amounts of PUFAs in different Polypodium extracts were
quantitatively analysed and it is concluded that the fatty acid
constituents of Polypodium may contribute to the clinical effects
of the extract.6
VI. TOPICAL GLUTATHIONE FOR SKIN WHITENING
Glutathione is a tripeptide consisting of cysteine, glycine,
and glutamate and functions as a major antioxidant. It is
synthesized endogenously in humans. Glutathione protects thiol
protein groups from oxidation and is involved in cellular
detoxification for maintenance of the cell environment.5
Reduced
glutathione (GSH) has a skin-whitening effect in humans through
its tyrosinase inhibitory activity and topical oxidized glutathione
GSSG is safe and effectively whitens the skin and improves skin
condition in healthy women.4
An experiment was carried to determine skin-whitening and
skin-condition effects of topical GSSG in healthy women.5
It was
found that the skin melanin index was significantly lower with
GSSG treatment than with placebo from the early weeks after the
start of the trial through to the end of the study period (at 10
weeks, P<0.001). In addition, in the latter half of the study period
GSSG-treated sites had significant increases in moisture content
of the stratum corneum, suppression of wrinkle formation, and
improvement in skin smoothness. There were no marked adverse
effects from GSSG application.5
VII. POLYPODIUM ON POLYMORPHIC LIGHT ERUPTION
Oral Polypodium treatment is beneficial for the prevention
of Polymorphic light eruption (PLE).7
A total of 35 patients with
long-standing PLE were included in an open, uncontrolled
bicenter study. PLE was induced by photo-provocation with
artificial UVB and UVA light, thereafter oral treatment with PL
was initiated. Two weeks later a second photo-provocation was
performed while the patients were still taking PL. Thirty patients
developed PLE lesions after repeated irradiation with UVA. Of
these, 18 patients also responded to UVB. After PL treatment, 9
(30%) and 5 (28%) patients, respectively, were unresponsive to
repeated UVA and UVB exposure. In the remaining patients, the
mean number of UVA and UVB irradiations required to elicit
PLE increased significantly.7
VIII. DOSAGE:
Orally administered Polypodium extract decreases UV-
mediated oxidative damage to DNA by enhancing the activity of
endogenous antioxidant systems responsible for blocking the
formation of reactive oxygen species. Its beneficial effects have
been attributed to the phenolic components of Polypodium
extract including chlorogenic acid, coumaric acid, vanillic acid,
and especially the potent oxidation inhibitors caffeic and ferulic.8
Our group reported that oral GSH administration (500 mg/d)
resulted in lightening of skin color, when given for 4 weeks.
IX. CONCLUSION
We demonstrated that GSSG application to the face
whitened the skin and improved skin condition in healthy
women. Further studies are needed in future to clarify the
mechanisms by which topical GSSG produces these skin
benefits9
and Polypodium dry extract 240mg with alpha lipoic
acid 50 mg taken twice daily for 60 days is safe and effective
means for reducing the damaging effects of ultraviolet radiation.
These agents which can be taken orally and has not been noted to
have serious adverse reactions, offers unique advantages in that
they can be given orally, thus avoiding patient resistance to
topically applied sunscreens.
International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 179
ISSN 2250-3153
http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7728 www.ijsrp.org
REFERENCES
[1] Application of Glutathione as Anti-Oxidative and Anti-Aging Drugs.
Homma T, Fujii J.
https://www.ncbi.nlm.nih.gov/pubmed/26467067
[2] Glutathione as a skin whitening agent: Facts, myths, evidence and
controversies. Sonthalia S, Daulatabad D, Sarkar R. Indian J Dermatol
Venereol Leprol. 2016 May-Jun;82(3):262-72.
https://www.ncbi.nlm.nih.gov/pubmed/27088927
[3] Tyrosinase enzyme: An overview on a pharmacological target. Casanola-
Martin GM, Le-Thi-Thu H, Marrero-Ponce Y, Castillo-Garit JA,
Torrens F, Rescigno A, Abad C, Khan MT Curr Top Med Chem.
2014;14(12):1494-501.
https://www.ncbi.nlm.nih.gov/pubmed/24853560
[4] Polypodium leucotomos extract: Antioxidant activity and disposition.
Gombau L, García F, Lahoz A, Fabre M, Roda-Navarro P, Majano P,
Alonso-Lebrero JL, Pivel JP, Castell JV, Gómez-Lechon MJ, González S.
https://www.ncbi.nlm.nih.gov/pubmed/16263237
[5] http://www.immunehealthscience.com/vitamin-C.html
[6] The fern Polypodium decumanum, used in the treatment of psoriasis, and its
fatty acid constituents as inhibitors of leukotriene B4 formation.
Vasänge-Tuominen M, Perera-Ivarsson P, Shen J, Bohlin L, Rolfsen W.
[7] Oral administration of a hydrophilic extract of Polypodium leucotomos for
the prevention of polymorphic light eruption. Tanew A, Radakovic S,
Gonzalez S, Venturini M, Calzavara-Pinton P.
https://www.ncbi.nlm.nih.gov/pubmed/21696853
[8] Safety and Efficacy of Oral Polypodium leucotomos Extract in Healthy
Adult Subjects. Mark S. Nestor, MD, PhD, corresponding author, Brian
Berman, MD, PhD, and Nicole Swenson, DO
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345929/
[9] Skin-whitening and skin-condition-improving effects of topical oxidized
glutathione: a double-blind and placebo-controlled clinical trial in healthy
women
Fumiko Watanabe, Erika Hashizume, Gertrude P Chan,and Ayako
Kamimura
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207440/
AUTHORS
First Author – Neha Rana, Pharmacist at & Production
Executive Purenatural Products Pvt. Ltd., Faridabad and
neha@purenaturals.life
Second Author – Shabla Mathur, Content-Researcher at
Purenatural Products Pvt. Ltd., Faridabad and
shabla@purenaturals.life
Correspondence Author – Dr. Sandeep Babbar- 9810317213,
drsandeepbabbar@gmail.com
Dr. Indu Taneja 9818590029 , drindu.taneja@gmail.com
Dr. Evita Taneja- 7024141251, Evita.taneja@gmail.com

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Efficacy of Anti-Melanogenic and Anti-Ageing Properties of Glutathione with Additional UV Protection and Skin Whitening Benefits Led by the Combination of Oral Polypodium as Whitevit Plus

  • 1. International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 177 ISSN 2250-3153 http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7728 www.ijsrp.org Efficacy of Anti-Melanogenic and Anti-Ageing Properties of Glutathione with Additional UV Protection and Skin Whitening Benefits Led by the Combination of Oral Polypodium as Whitevit Plus Rana Neha * , Mathur Shabla ** , Dr. Babbar Sandeep ** * Pharmacist, Pure Natural Products Pvt. Ltd., Faridabad, India ** Researcher, Pure Natural Products Pvt. Ltd., Faridabad, India DOI: 10.29322/IJSRP.8.5.2018.p7728 http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7728 Abstract- Widespread concerns regarding the rise in prevalence of skin cancer and the adverse effects of both acute and chronic photo-damage due to exposure to UV rays, has led to various modes of treatment. The latest development in this regard is the findings about Glutathione and Polypodium dry extract as potential treatment components for skin conditions. Glutathione plays pivotal role in protecting cells against oxidative stress- induced cellular damage and in detoxifying Xenobiotics and drug metabolism. The added photo-protective effects of oral Polypodium with its antioxidant, immunoregulatory and anti- inflammatory properties aid also in prevention of chronic skin damage, photoaging, and skin cancer led by UV exposure. Its decreased levels are associated with the common features of aging as well as of a wide range of pathological conditions, including neurodegenerative disorders. Index Terms- skin whitening, anti-melanogenic, tyrosinase enzyme inhibitor, anti-aging, melanogenesis, oxidized glutathione, topical glutathione, Polypodium , alpha lenoic acid , psoriasis, I. GLUTATHIONE FUNCTION AND CELL DEATH otably, Glutathione depletion and/or alterations in its metabolism appear to be crucial in the onset of Parkinson's disease. Despite the fact that it is required for cell survival, the molecular mechanism that links Glutathione depletion to cell death remains poorly understood. Recently, considerable attention has been focused on a newly defined type of cell death: iron-dependent cell death, also referred to as "ferroptosis".1 The iron chelator deferoxamine nearly abolishes ferroptosis induced by inhibiting Glutathione synthesis or Cystine uptake by the xCT transporter. Deferoxamine preferentially abrogates the intralysosomal accumulation of iron and inhibits oxidative stress- induced lysosomal membrane permeabilization and cell death. The use of Glutathione and a prodrug derived from it can be useful, since the dysfunction of the Glutathione redox system appears to cause a variety of diseases including neurodegenerative disorders. We also review trials that have been designed to cope with this difficulty; e.g. the use of precursors such as N-acetyl cysteine and chemical modification such as methylation.1 II. GLUTATHIONE INHIBITS TYROSINASE ENZYME FUNCTION Glutathione is present intracellularly in its reduced form and plays an important role in various physiological functions. Its skin-lightening effects result from direct as well as indirect inhibition of the tyrosinase enzyme and switching from eumelanin to phaeomelanin production. It is available in oral, parenteral and topical forms.2 The tyrosinase enzyme is involved in the oxidation and reduction process in the epidermis. These chemical reactions that the enzyme catalyzes are of principal importance in the melanogenesis process. The overproduction of melanin, come up by the action of the tyrosinase, can cause different disorders in the skin related to the hyperpigmentation.3 III. EFFICACY OF ORAL POLYPODIUM IN COMBINATION WITH ALPHA LIPOIC ACID Taken orally, Alpha Lipoic Acid (ALA), an antioxidant is capable of regenerating other antioxidants, such as vitamin C and E. It’s clear from the research that ALA is a potent antioxidant, but it isn’t the only one; there are lots of great antioxidants for skin like Polypodium.4 The extract of Polypodium is an oral photo-protectant with strong anti-oxidative properties. Recent studies to determine its chemical composition have shown 4- hydroxycinnamic acid (p-coumaric), 3 methoxy-4- hydroxycinnamic acid (ferulic), 3, 4-dihydroxycinnamic acid (caffeic), 3-methoxy-4-hydroxybenzoic acid (vanillic) and 3- caffeoilquinic acid (chlorogenic) to be among its major phenolic components, of which ferulic and caffeic are the most powerful antioxidants. These phenolic compounds contribute to the health benefits afforded by this oral photo-protectant.4 Thus, the combination of Oral Polypodium and Alpha Lipoic Acid with its anti-oxidative properties can be very protective for the skin against UV impact and thereby the issues arising from it. N
  • 2. International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 178 ISSN 2250-3153 http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7728 www.ijsrp.org IV. EFFICACY OF GLUTATHIONE WITH VITAMIN C Glutathione helps maintain the C vitamin and lower the required intake by recycling it. The recycling occurs after the C vitamin has neutralized a free radical by giving up an electron to the free radical. GSH in turn gives up an electron to the C molecule, returning it to work as an antioxidant. One human trial led by C.S. Johnston at the Arizona State University and published in the American Journal of Clinical Nutrition in 1993 showed that vitamin C was able to elevate glutathione levels in red blood cells by nearly 50% compared to baseline after daily supplementation with 500 mg for 2 weeks. Individual results among the participants of this study ranged from modest 8% to significant 84%. It is important to note that a high dose group that took 2,000 mg of vitamin C a day did not exhibit better results than a 500 mg group.5 V. POLYPODIUM ON PSORIASIS The fern Polypodium, has a clinically documented use in the treatment of psoriasis.6 One of the inflammatory mediators isolated in abnormally high quantities in the psoriatic skin is leukotriene B4 (LTB4). It was tested in an in vitro model using human leukocytes for its ability to inhibit the LTB4 formation. The inhibition was found to be caused by the polyunsaturated fatty acids (PUFAs) linoleic, linolenic and arachidonic acid. IC50 values were determined for the isolated acids and compared to a group of closely related acids also commonly found in nature. The IC50 values for most acids tested were of the same magnitude (20-60 microM) except for arachidonic acid which showed stimulatory activity and 8(R) hydroxylinoleic acid which gave 30% inhibition with the highest dose tested (120 microM). The amounts of PUFAs in different Polypodium extracts were quantitatively analysed and it is concluded that the fatty acid constituents of Polypodium may contribute to the clinical effects of the extract.6 VI. TOPICAL GLUTATHIONE FOR SKIN WHITENING Glutathione is a tripeptide consisting of cysteine, glycine, and glutamate and functions as a major antioxidant. It is synthesized endogenously in humans. Glutathione protects thiol protein groups from oxidation and is involved in cellular detoxification for maintenance of the cell environment.5 Reduced glutathione (GSH) has a skin-whitening effect in humans through its tyrosinase inhibitory activity and topical oxidized glutathione GSSG is safe and effectively whitens the skin and improves skin condition in healthy women.4 An experiment was carried to determine skin-whitening and skin-condition effects of topical GSSG in healthy women.5 It was found that the skin melanin index was significantly lower with GSSG treatment than with placebo from the early weeks after the start of the trial through to the end of the study period (at 10 weeks, P<0.001). In addition, in the latter half of the study period GSSG-treated sites had significant increases in moisture content of the stratum corneum, suppression of wrinkle formation, and improvement in skin smoothness. There were no marked adverse effects from GSSG application.5 VII. POLYPODIUM ON POLYMORPHIC LIGHT ERUPTION Oral Polypodium treatment is beneficial for the prevention of Polymorphic light eruption (PLE).7 A total of 35 patients with long-standing PLE were included in an open, uncontrolled bicenter study. PLE was induced by photo-provocation with artificial UVB and UVA light, thereafter oral treatment with PL was initiated. Two weeks later a second photo-provocation was performed while the patients were still taking PL. Thirty patients developed PLE lesions after repeated irradiation with UVA. Of these, 18 patients also responded to UVB. After PL treatment, 9 (30%) and 5 (28%) patients, respectively, were unresponsive to repeated UVA and UVB exposure. In the remaining patients, the mean number of UVA and UVB irradiations required to elicit PLE increased significantly.7 VIII. DOSAGE: Orally administered Polypodium extract decreases UV- mediated oxidative damage to DNA by enhancing the activity of endogenous antioxidant systems responsible for blocking the formation of reactive oxygen species. Its beneficial effects have been attributed to the phenolic components of Polypodium extract including chlorogenic acid, coumaric acid, vanillic acid, and especially the potent oxidation inhibitors caffeic and ferulic.8 Our group reported that oral GSH administration (500 mg/d) resulted in lightening of skin color, when given for 4 weeks. IX. CONCLUSION We demonstrated that GSSG application to the face whitened the skin and improved skin condition in healthy women. Further studies are needed in future to clarify the mechanisms by which topical GSSG produces these skin benefits9 and Polypodium dry extract 240mg with alpha lipoic acid 50 mg taken twice daily for 60 days is safe and effective means for reducing the damaging effects of ultraviolet radiation. These agents which can be taken orally and has not been noted to have serious adverse reactions, offers unique advantages in that they can be given orally, thus avoiding patient resistance to topically applied sunscreens.
  • 3. International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 179 ISSN 2250-3153 http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7728 www.ijsrp.org REFERENCES [1] Application of Glutathione as Anti-Oxidative and Anti-Aging Drugs. Homma T, Fujii J. https://www.ncbi.nlm.nih.gov/pubmed/26467067 [2] Glutathione as a skin whitening agent: Facts, myths, evidence and controversies. Sonthalia S, Daulatabad D, Sarkar R. Indian J Dermatol Venereol Leprol. 2016 May-Jun;82(3):262-72. https://www.ncbi.nlm.nih.gov/pubmed/27088927 [3] Tyrosinase enzyme: An overview on a pharmacological target. Casanola- Martin GM, Le-Thi-Thu H, Marrero-Ponce Y, Castillo-Garit JA, Torrens F, Rescigno A, Abad C, Khan MT Curr Top Med Chem. 2014;14(12):1494-501. https://www.ncbi.nlm.nih.gov/pubmed/24853560 [4] Polypodium leucotomos extract: Antioxidant activity and disposition. Gombau L, García F, Lahoz A, Fabre M, Roda-Navarro P, Majano P, Alonso-Lebrero JL, Pivel JP, Castell JV, Gómez-Lechon MJ, González S. https://www.ncbi.nlm.nih.gov/pubmed/16263237 [5] http://www.immunehealthscience.com/vitamin-C.html [6] The fern Polypodium decumanum, used in the treatment of psoriasis, and its fatty acid constituents as inhibitors of leukotriene B4 formation. Vasänge-Tuominen M, Perera-Ivarsson P, Shen J, Bohlin L, Rolfsen W. [7] Oral administration of a hydrophilic extract of Polypodium leucotomos for the prevention of polymorphic light eruption. Tanew A, Radakovic S, Gonzalez S, Venturini M, Calzavara-Pinton P. https://www.ncbi.nlm.nih.gov/pubmed/21696853 [8] Safety and Efficacy of Oral Polypodium leucotomos Extract in Healthy Adult Subjects. Mark S. Nestor, MD, PhD, corresponding author, Brian Berman, MD, PhD, and Nicole Swenson, DO https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345929/ [9] Skin-whitening and skin-condition-improving effects of topical oxidized glutathione: a double-blind and placebo-controlled clinical trial in healthy women Fumiko Watanabe, Erika Hashizume, Gertrude P Chan,and Ayako Kamimura https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207440/ AUTHORS First Author – Neha Rana, Pharmacist at & Production Executive Purenatural Products Pvt. Ltd., Faridabad and neha@purenaturals.life Second Author – Shabla Mathur, Content-Researcher at Purenatural Products Pvt. Ltd., Faridabad and shabla@purenaturals.life Correspondence Author – Dr. Sandeep Babbar- 9810317213, drsandeepbabbar@gmail.com Dr. Indu Taneja 9818590029 , drindu.taneja@gmail.com Dr. Evita Taneja- 7024141251, Evita.taneja@gmail.com