Results of this prospective clinical trial indicated that the use of lipiburn resulted in significant weight loss in both men and women when taken orally for 8 weeks period. Our earlier research indicated that Lipiburn increases the ability of human adipocytes to break down triglycerides into Glycerol and fatty acids through over expression of HSL [5]. HSL is under tight hormonal and neuronal control and was first described by Hahn et al [11]. Variations in HSL expression probably modulate the extent of adipose tissue lipolysis. HSL- stimulating hormones, like catecholamines, activate this enzyme through cAMP-dependent phosphorylation [4]. We demonstrated that Lipiburn activated the HSL through activation of the cAMP pathway [5]. Furthermore, our microarray analysis demonstrated a 7.6 fold increase in the Beta adrenergic receptors responsible for fat metabolism [5]. In the current study, participants continued to eat their normal diet and resumed their normal daily activities. Therefore, it is safe to say that the fat loss was due to over expression of the beta adrenergic receptors leading to significant increase in HSL levels expressed as a result of lipiburn intake.

Lipolysis leads to the release of Fatty acids which could provide an excellent source of energy. Such extra energy positively impacted quality of life measures in the sample (Table 2). The released Glycerol as a result of taking lipiburn is water soluble, hence, it was recommended in the current trial that volunteers drink two litres of water per day to flush out the released Glycerol. Clinically, men lost over 6 pounds and women lost 12 pounds in 8 weeks after taking 6 capsules/ day after meals (table 2). It is important to point out that none of the participants were instructed to go on a special diet or alter their existing daily exercise. Exercise increases the amount of HSL [12]. Intermittent fasting lowers glucose levels in the blood which reduces the released insulin levels. Insulin inhibits phosphorylation by hydrolysis of cAMP [13] pointing to a converse relationship between insulin and levels of HSL. Since participants of the current study were not instructed to adopt a special diet or a specific exercise protocol, then the fat loss experienced must be due to the Lipiburn intake.

Measurement of fat loss indicated 5.2% reduction and 6.95% reduction in body fat in men and women respectively (table 1). Confirming the importance of lipiburn in ultimately over expressing HSL. It is very promising and certainly warrants much larger clinical trial to note the significant reduction in fat mass being 11.5 pounds reduction in men and 14.91 pounds reduction in women ( table 1). In a clinical study on 10 healthy Korean volunteers the pharmacokinetics of Peony root extract were identified after oral intake of 3.4 grams daily. Only 0.2 nanogram was identified after 12 hours indicating total absorption and clearance [14]. Li et al., 2016 carried out a clinical trial to identify the safety and tolerability of PF after single and multiple intravenous injections [15]. The group reported that even at 9 grams concentration, PF was safe and no adverse effects were reported. Our data in conjunction with the above report point out to the fact that lipiburn is safe and effective supplement that leads to significant reduction in fat mass in both men and women (table 1). An additional value of Lipiburn is that it helps with a life style change. From my personal experience using Lipiburn, The steady reduction in fat mass motivated me to eat less, skip a second serving of desert and motivated me to start exercise and lead a much healthier life style.

This brings us to the effects of the released byproducts of all this broken down fat on quality of life. This study aimed to investigate if short term provision of LipiBurn improves functional status parameters. The impact of this nutritional supplement on quality of life is also examined. This includes patient's general well-being, restful sleep status, and self-perceived rate of exertion. Analysis of data from the questionnaire showed that the ability to Engage in Activities of Daily Living went from a base line of 3.5 (good) to 4.5 (excellent). Similarly rate of perceived exertion to meet daily activities went from 2 being poor to 4.5 indicating excellent performance. This apparent improvement of general performance could be in part due to the release of fatty acids as a result of breaking down triglycerides [5]. Furthermore, Ghayur et al, at McMaster University studied the cardiovascular and airway relaxant activities of peony root extract and demonstrated that PF extract possess cardio suppressant, vasodilatory, anti-platelet aggregation, and tracheal and airway relaxant activities [16]. Vasodilatation means more blood being delivered throughout the body which also means more oxygen being delivered. This could explain the perceived significant improvement in the ability to engage in daily activity ( table ). In 2008 my team reported a close association between Obesity and severity of Obstructive Sleep Apnea (17). It is possible that higher oxygen levels reported by Ghayer could be a contributing factor to the improvement in the restful sleep levels seen in the current clinical study [16]. In conclusion, Lipiburn supplement is safe and leads to significant fat reduction and weight loss in both men and women. It also provides extra energy through breaking down fat into the byproducts of fat being Glycerol and fatty acids. Lipiburn leads to a significant improvement in quality of life through improving several functional status parameters.