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Complementary Alternative Cardiovascular Medicine

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44 <strong>Alternative</strong> <strong>Cardiovascular</strong> <strong>Medicine</strong><br />

ing this result.” The study-specific effect estimates for stroke and CHD<br />

were too heterogeneous to allow for summarization.<br />

The authors clearly point out the limitations of their findings. When<br />

evaluating studies, they found that many failed to precisely identify the<br />

type of tea being used or consumed—studies referring to the test item<br />

simply as tea. This represents a significant problem with evaluating the<br />

evidence, because tea actually represents a heterogeneous group of beverages,<br />

which can include fermented black tea, half fermented oolongs,<br />

unfermented green tea, and sweetened or unsweetened ice tea and other<br />

distinct herbal teas. Also lacking in most studies was a description of<br />

how the tea was prepared, including steeping time and whether milk was<br />

added (98).<br />

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