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Onderzoek naar de effecten van verschillende doseringen glycyrrhizine bij gezonde vrouwelijke vrijwilligersIn order to define a "no effect level" for glycyrrhizin, a double-blind, randomized controlled study was conducted in 39 healthy female volunteers. The volunteers took a daily dosage of either 0, 1, 2 or 4 mg glycyrrhizin per kg bodyweight for a period of 8 weeks. The dosages and the preference for female volunteers were based on a previous pilot study. The following parameters were studied: bodyweight, blood pressure, plasma electrolytes, 24 hour urinary excretion of electrolytes, plasma renin activity, plasma aldosterone concentration, plasma atrial natriuretic peptide concentration and plasma glycyrrhetic acid concentration. The participants kept a journal of complaints and diet. Effects were observed in the highest dosage group only (4 mg glycyrrhizin per kg bodyweight). These concerned volume expansion on the one hand and changes in plasma electrolyte concentration on the other. Volume expansion during intake of glycyrrhizin was indicated by suppression of the renin-angiotensin-aldosterone system and by weight gain. The changes in electrolyte concentration were a decline in plasma potassium concentration and a rise in plasma bicarbonate concentration during glycyrrhizin intake. Besides, the atrial natriuretic peptide concentration decreased after discontinuation of glycyrrhizin intake. The changes in electrolyte concentration concerned a decline in plasma potassium concentration and a rise in plasma bicarbonate concentration during glycyrrhizin intake. Based on this study, the "no effect level" for glycyrrhizin is concluded to be 2 mg per kg bodyweight.