An ancient Chinese bark tonic with rich chemistry and a thin human record. Vessel relaxation, bone-cell effects and gut bacterial shifts appear in animals; one short controlled trial lowered blood pressure only at the higher dose. Inexpensive and easy to monitor, plausibly useful just above optimal pressure, but animal kidney strain and hormone signalling stay unresolved. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Home blood pressure | 110–120 / 70–75 mmHg | The only endpoint with human trial support |
| Standing systolic drop | Under 10 mmHg from seated | Detects excessive vasodilation before fainting |
| Estimated glomerular filtration rate | Above 90 mL/min/1.73 m2 | Tracks the rodent renal toxicity signal |
| Serum creatinine | 0.7–1.0 mg/dL for men, 0.6–0.9 for women | Direct input to filtration estimates |
| Urine albumin-to-creatinine ratio | Under 10 mg/g | Earliest signal of kidney filter damage |
| High-sensitivity C-reactive protein | Under 1.0 mg/L | The claimed anti-inflammatory target |
| Fasting glucose and HbA1c | 75–90 mg/dL; HbA1c 4.8–5.4% | Detects additive glucose lowering |
| Bone mineral density T-score | Above −1.0 | The bone claim's only hard endpoint |
| CTX and P1NP | Lower half of the reference range for CTX; no established target for P1NP, so track change from the individual's own baseline | Move within months, unlike density |
Cadence: Home blood pressure daily for two weeks, then twice weekly; kidney markers and glucose at three months, then every six to twelve months; lipids and inflammation at six months; bone density and turnover markers no sooner than twelve months apart.