Aug. 29--Dear Pharmacist,

I have such bad varicose veins in my legs that I hide them from my husband. I never wear shorts either. Are there vitamins that can make them disappear?

e_SEmD

T.G. Dallas

Answer:

Before taking supplements, visit a physician who specializes in vein diseases or "phlebology" because varicose veins may indicate bigger problems including heart disease, deep vein thrombosis or venous insufficiency.

Below are some natural supplements that are sold without prescription. Consult your physician, especially if you have kidney, liver or bleeding disorders or take medications that interact with grapefruit (citrus):

Hesperidin:

An antioxidant found in lemons and oranges that is also sold as a dietary supplement. Hesperidin can strengthen the blood vessel walls, which reduces swelling and easy bruising.

It's useful for hemorrhoids as well as leg varicosities. Hesperidin and its sisters rutin and quercetin are fabulous antioxidants so they do great housekeeping on your cells.

Diosmin:

This is derived from hesperidin and found in numerous over-the-counter vein and hemorrhoidal formulas. It's used widely in Europe and may improve circulation, reduce sensations of leg heaviness and prevent night cramps.

A few small studies have demonstrated a beneficial effect of diosmin, especially when combined with hesperidin.

Bromelain extract:

From pineapples, this supplement

helps to break down fibrin, which is what collects around the varicose veins causing lumps and bumps.

Horse chestnut extract:

The active ingredient in this herb is called "aescin" and it may block enzymes that would otherwise damage delicate capillary walls. Researchers think that it might reduce leg pain and swelling.

Other considerations for vein and circulatory health include B vitamins, rutin, Gotu Kola and Butcher's Broom.

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