• Allantoin, Amaranthaceae (family), beta-ecdysterone, beta-sitosterol, beta-sitosterol-beta-D-glucoside, Brazilian ginseng, butanolic extract, calcium, corango-açu (Portuguese - Brazil), copper, daucosterol, ecdysteroid glucosides, germanium, ginseng brasileiro (Portuguese - Brazil), glycosides, Gomphrena eriantha, Gomphrena paniculata, Hebanthe eriantha, Hebanthe paniculata, Iresine erianthos, Iresine paniculata, Iresine tenuis, iron, magnesium, mart, nortriterpenes, pantothenic acid, para toda, paratudo, pfaffia, Pfaffia eriantha, Pfaffia paniculata spp., pfaffic acid, pfaffosides (A-F), phosphorus, phytochemicals, plant sterols, polypodine B, potassium, ptersterone, rubidium, saponins, silica, sitosterol, stigmasterol, stigmasterol-3-o-beta-d-glucoside, stigmasterol-beta-D-glucoside, strontium, titanium, vitamin A, vitamin B1, vitamin B2, vitamin E, vitamin K, Xeraea paniculata, zinc.

• Suma is a large, shrubby, ground vine native to the Amazon basin and other tropical parts of South America. It has been used historically for various conditions, such as menstrual disorders and has also been used as a sexual enhancement agent, bodybuilding agent, and as a general tonic. According to early research, suma may have potential as an anticancer agent. Limited research suggests that suma may have hormonal effects and increase sexual performance.
• High-quality human trials supporting the effectiveness of suma for any condition in humans are currently lacking.

• Adaptogen, analgesic (pain relief), anemia, anti-inflammatory, anxiety, appetite stimulant, arthritis, blood circulation, blood disorders (sickle cell), bronchitis, cancer, chronic fatigue syndrome, diabetes, digestion, high blood pressure, high cholesterol, hormonal disorders, hyperglycemia (high blood sugar levels), immune enhancement, increased muscle mass, leukemia, libido (sexual desire), memory enhancement, menopause, premenstrual syndrome, rheumatoid arthritis, sexual dysfunction, stress, tonic, ulcers.

Adults (18 years and older)

• Suma has been taken by mouth as a capsule, decoction, extract, powder, root powder, or tea. At this time, there is no proven safe or effective dose for suma in adults.

Children (under 18 years old)

• There is no proven safe or effective dose for suma in children.

Allergies

• Avoid in individuals with a known allergy or sensitivity to suma, its constituents, or members of the Amaranthaceae family.

Side Effects and Warnings

• Reliable information regarding the safety and adverse effects of suma is currently lacking. Symptoms of asthma have been reported in a patient who worked in a plant that manufactured suma capsules. Suma may affect estrogen-related processes, such as menstruation.
• Use cautiously in patients with hormone-sensitive conditions, as suma may cause an increase in estrogen or testosterone production.
• Use cautiously in patients with heart conditions, as suma may cause chest pain.
• Use cautiously in patients with gastrointestinal disorders, as ingestion may cause mild gastrointestinal disturbances, including nausea and stomach cramping.
• Avoid in patients with known allergy or sensitivity to suma, its constituents, or members of the Amaranthaceae family.

Pregnancy and Breastfeeding

• There is currently a lack of available scientific evidence on the use of suma during pregnancy or breastfeeding.

Interactions with Drugs

• Suma may interact with antibiotics, anticancer agents, anti-inflammatory agents, cholesterol-lowering drugs, hormonal agents, or pain relievers.

Interactions with Herbs and Dietary Supplements

• Suma may interact with antibacterials, anticancer herbs and supplements, anti-inflammatory herbs and supplements, cholesterol-lowering herbs and supplements, hormonal herbs and supplements, or pain relievers.

• This information is based on a systematic review of scientific literature edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).

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