The invention teaches that supplementation with (-)-hydroxycitrate
constitutes a novel means of modulating the angiotensin-converting enzyme
(ACE)/renin-angiotensin-aldosterone system and is useful for preventing,
treating and ameliorating conditions involving the angiotensin-converting
enzyme (ACE)/renin-angiotensin-aldosterone system. The discovery that HCA
has angiotensin-converting enzyme (ACE)/renin-angiotensin-aldosterone
system-moderating effects allows for the creation of novel and more
efficacious approaches to preventing and ameliorating conditions that
arise from excessive ACE activity. These include cardiovascular diseases
in general, heart failure, ventricular remodeling, ejection fraction
issues, atrial fibrillation, and a wide variety of renal conditions.
Other health conditions discovered to be influenced by the
angiotensin-converting enzyme (ACE)/renin-angiotensin-aldosterone system
would similarly be expected to be influenced. It is yet a further
advantage of the present invention to provide a means--one that is
accompanied by few or no side effects--of maintaining such improved
status without resort to special diets. Furthermore, this discovery makes
possible the development of adjuvant modalities that can be used to
improve the results realized with other treatment compounds while at the
same time reducing the side effects normally found with such drugs. HCA
delivered in the form of its potassium salt is efficacious at a daily
dosage (bid or tid) of between 750 mg and 10 grams, preferably at a
dosage of between 3 and 6 grams for most individuals. A daily dosage
above 10 grams might prove desirable under some circumstances, such as
with extremely large or resistant individuals, but this level of intake
is not deemed necessary under normal conditions.