I am working with a patient who has this condition among several others (small fiber neuropathy, suspicion of hypocomplementemic urticarial vasculitis- poor connective tissue). She is young , her liver disease is not advanced, though she does have a mild LFT elevation and subtle ultrasound imaging changes in liver architecture. Her iron store lab tests do not suggest overload. My feeling is that alcohol tincture would be appropriate so long as small amount but I am having a hard time finding resources to guide me as I cross check mineral content of many medicinal herbs to ensure I am not giving too much iron. While many minerals may not make it into a non-spagyric tincture, I don't know about if any signficant amounts of iron might come out in various herbal alcohol extracts. I am wondering how you might suggest I go about researching the herbs I would like to use so that I can feel comfortable an alcohol extract won't have high amounts of iron. If you also happen to have a good source for Indian Madder, I would be interested as well. Thanks -Steve

Regular tinctures do not have high iron levels even if the herbs does. Iron is not extracted effectively by water-alcohol menstuums. The more alcohol, the less soluble it is. I do not know of any research or resources on this topic, although there are lists of herbs that have high iron contents (but again that would be less an issue with a regular tincture), some herbs with high Iron include Ashwagandha, Nettle, Parsley. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4690087/pdf/nutrients-07-05535.pdf Perhaps Banyan or Organic India might have Indian Madder.