Technical version --3/2016
Western high fructose diet
starting point for obesity, diabetes and the age related conditons associated
with the western diet.
4
Major Scams (by harm done (people and degree of harm, of course there are
exceptions)
Neuroleptics:
emotional/social disorders, pain,[1]
hypertension, COPD, premenstrual syndrome, muscle relaxant, nausea, Parkinson’s
disease, dementia, and other uses. Cardiovascular disease (hypercholesterolemia,
hypertension, arrhythmia, anticoagulants, plus invasive treatments.
Glucose
lowering drugs: type 2
diabetes, type 1 diabetes, prediabetes—best management is with low to very low carbohydrate
diet.
Cancer: To treat stage 1, 2, 3
cancers with chemotherapy after excision or x-ray. The poison shortens life
and can’t cure a
cancer if metastatic. Aspirin at 1 gram
a day turns up several systems which promote apoptosis of abnormal cells, and
in other ways. I wouldn’t harm my immune
system with chemo (of course there are exceptions). Remember that from the oncologist
“survival”
only means “live longer” and his evidence is on stage 4, terminal,
cancers. Average survival extension for the majority
of treatment of stage 4 is under 4 months. If it can't cure cancer, then it can't wipe out cancer cells that were missed
with surgery or x-rays.
[1] If
you sleep more and you are in a mental fog, your pain is less, thus an FDA
patent for that use.
Lesser ones: bisphosphonates (take estradiol with progesterone),
NSAIDS other than aspirin, protein pump
inhibitors (take tums).
Good
treated as bad or useless: antioxidants (vitamins A, C and E, CoQ10)
aspirin, hormone replacement therapy for men and women, salt,
sunshine
Very good:
Natural
hormone replacement therapy: starting in the 5th decade
for women of estradiol and progesterone and 6th for men testosterone
in sufficient dose from a compounding pharmacy as a lotion, and this should include
DHEA powder taken sublingually.[1]
Decline in hormones one major way that evolution hastens the death of the
elderly in the primitive village or town.
Natural replacement hormones lower significant the risk of dementia,
cancer, weight gain, cardiovascular disease, prevent osteoporosis, cognitive decline
(they are neurosteroids, made by the brain), and more.
Aspirin reduces
risk of
cancer by 50% or more, reduces risk of stage 1, 2, 3 cancer from becoming metastatic
by about 50%--no effect on stage 4,
Starving
cancer; fasting and ketogenic diet
[1] Remember
that pharma is in the business of treating illness, not creating wellness. With
the hormones and aspirin the does is too
weak, and with aspirin made weaker by enteric coating that delays absorption 5
hours on empty stomach and 8 with food for peak serum level, and the amount is
one-half absorbed is only one half. As
for estrogens, physicians have on their computer to add estriol , E3, which
blocks many of the benefits of E2 estradiol.
Useless touted as good
calcium supplements, low salt diet of low fat, eat less and move more. Exercise is good for health, but increases appetite.
Supposedly good advice, but evidence weak/contradictory:
avoid stress, probiotics for microbiome, vitamin D, and a
higher ratio of omega 3 to omega 6. All miracle foods and most supplements, especially the herbals.
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
ALL
of
these I would or am doing—this is my views based on extensive research and not
advice, at http://healthfully.org/rc/ For
you knowledge.
Don’t
confirm
Lord Bertrand Russell’s saying “People would rather die than think, and they
do.” He was jailed during WWI; he lived in
good health to be 98. One of the most
brilliant men of the last century and winner of 2 Noble Prizes.
Pharma’s
tobacco science:
major myths exposed by journal articles and scholarly books by
professors
This is a muckraking
article; I am not pandering to popular
beliefs!
Below is a short summary of such based upon my 9
years of full-time research of the academic and literature. At healthfully.org/rc,
.rl, and rh[1] are
my articles summation articles supported by embedded links to journal articles.
Over the last 14 years (as of 2017)
posted are over 1,000 abstracts and full articles on the healthfully site,
divided according to topics. There are
internal Google search engines pasted on each page, and a table of contents
page at /index.
Major
topics: metabolic syndrome, cardiovascular disease, cancer, dementia, &
mental illnesses
DISCLAIMER: As Ben Franklin said, we all keep our own
time; thus below is about what I would do; however, I
am not recommending others to violate clinical guidelines or their doctors’
recommendations.
Abbreviations:
AD Alzheimer’s disease, CAWD
conditions associated with the
Western diet, IR insulin resistance/resistant,
MeS metabolic syndrome NAFLD non-alcoholic
fatty liver
disease, NEJM New England Journal of
Medicine, ROS reactive oxygen
species, t2d type-two diabetes, Wiki
Wikipedia.
IT
is worse than most of you imagine since the business model of pharma re
clinical trials is to build in positive bias.
A quality 2008 study in the NEJM using the raw data for clinical trials to all the journal
articles on those trials (74 articles) found that bias averaged 32%--range 11
to 69%--for short version. This entails that
even the best of trials used in an independent of industry meta-study over
estimates the benefits and underestimates the side effects.
Western Diet causes
MeS, IR, Fatty Liver, Diabetes, Obesity
Because of the
health consequences, this is the only long
section
Metabolic
syndrome:[2] the 4 horsemen of the western high-fructose diet
are fatty liver, insulin resistance, weight gain, type-2 diabetes. They
lead to the age-related conditions that
are not found in aboriginal elderly peoples and others on their traditional
diet.
Industry
has us looking under the wrong trees. Metabolic
syndrome starts with the high sucrose diet, in which fructose damages the liver
by conversion into fat and glycation.
This leads to insulin resistance and inflammation in the liver. This
mucks-up the various regulatory systems
whose down-stream effects result in the conditions associated with the western
diet. The evidence for the role of fructose as the main cause is compelling.
Metabolic
Syndrome is associated with the
Western high fructose diet. About 20% of glucose
and all of fructose is transported into the liver. Fructose—a net 20 times
more reactive than glucose[3]--is
metabolized only in the liver. Our high fructose diet overloads the systems
that repair glycated proteins and their oxidized end products.[4] With a
high carb meal, the excess glucose causes fructose to be converted to fat in the liver by de novo
lipogenesis. Insulin also signals fat storage to promote
glucose metabolism; this gradually leads to a fatty liver (similar to that
caused by ethanol). There is very strong
evidence supporting the role of fructose; for example, in a trial in which young-healthy
volunteers were fed 40% of
calories from fructose; they within 2 weeks developed insulin resistance and
fatty liver. Prof.
Robert Lustig has done a sophisticated population study that controls for
confounding variables. His team found that only for sucrose
is
strongly causal to metabolic syndrome and thus obesity and diabetes—the same
type of population study done to prove that cigarettes cause lung cancer. This
one two punches of glycation
and fatty liver cells causes functional problems in the liver that leads to IR
in the hepatocytes. The liver plays a major role in controlling
blood sugar which is down regulated, and eventually this will lead to IR in the
myocytes and adipocytes as
they resist excess glucose uptake and thus become IR. Insulin also regulates
other hormones that are part of the weight-regulatory system, which predispose
the person to gain weight. The excess
fructose[5] and
the resulting IR are the main causes for nearly all the CAWD.
Those conditions, but cancer, are rare to extremely rare among the elderly
aboriginal and preindustrial peoples who consume their traditional diet. Wild
fruits--with few exceptions--are both
low in sugar and seasonal, thus their consumption of fructose is limited. A
second major healthful practice is their not
eating. While sleeping or
not eating, autophagy is turned
on, and when insulin remains low by not eating is extended. The conditions that
are extremely rare among
the elderly aboriginals:[6] insulin resistance, obesity, osteoarthritis, dementia,
and atherosclerosis with its comorbidities—cancer is about 80% lower. Their
major causes of death are infections, infectious diseases, parasites, trauma,
and pregnancy. The case for our dietary fructose as the starting cause
for CAWD is strong.
The information on the role of fructose
is
like the history concerning tobacco from the 1920s to present day: a general
silence from government regulatory
agencies, misinformation, and then actions well below what should be done in
the public’s interest. Thus we have a
dietary disaster, yet the funding for basic research is inadequate, research is
for drugs to mask symptom rather than on fixing a dietary problem by diet, the overall
information given the public and physicians is part of the problem (not its fix),
and effective legislation is lacking.
The four horsemen of metabolic syndrome
and
pharma’s tobacco science:
Insulin resistance (other
than its role in weight gain), it is considered relatively benign; however it is
the main cause of the diseases of Western society and these
conditions compared to the aborigines are significantly elevated. I suspect
that like those with type-2
diabetes and those people with IR also
have defective collagen, but to a lesser extent
(diabetics
have CAWD at about twice the
average). In the only study I know of
that compares an aboriginal people--the Kitavans to a western society--only 5%
of the Swedes had insulin level below that of the average Kitavan.[7] Current standards for IR are thus well above the ideal level of insulin; thus based on
Lindeberg’s work I estimate that over 80% of adults and 90% of seniors are IR.
This would explain why those who aren’t diabetic or overweight also have
the other CAWD though their serum
glucose is normal. I believe like with
diabetes those others with IR have
defective collagen and thus t heir CAWD;
but my extensive search of the literature has failed to find articles
addressing this nexus. Whatever the path
to illness, clearly IR is most significant.
Independent of the defective collagen
hypothesis is the causal factors relating to high fructose diet of high
levels of insulin, IGF-1,fatty liver, and glycation leading to ROS. To this
I would add as pathogenic: rancid
vegetable oils, sex hormones mimics,
sedatives (neuroleptic drugs),
statins, and polypharmacy as significant causes; and I left out refined
starches, stress, hypertension, and dyslipidemia. Materials supporting his list
are found at
healthfully.org/r (the letter “r” for posting after 2010).
Leptin resistance, elevated leptin; insulin
up regulates leptin thus
insulin resistance eventually causes leptin resistance. Leptin is a hormone
secreted by adipose
tissue which regulates appetite, metabolism & functions to restore fat
storage to its set level through reducing the rate of metabolism from 25% to
40% and increasing appetite. With
long-term excess weight, the normal weight is rest; thus making merely eat less
and exercise more futile. If
leptin-insulin system is working right, that person without efforts stays at
normal
weight—like the aborigines. Pharma profits from having
doctors focusing on lowering serum glucose and treating CODW; thus their ignorance
about the weight regulatory system and how
to fix it.
Obesity and weight gain: Having above established that that are high fructose western diet causes insulin
resistance, and that
insulin resistance causes fat storage, and with as little as 20 calories a day
stored as fat, that is sufficient to bring about obesity in 30 years. The issue
isn’t slough and gluttony, more
calories in than out, or other version of this paradigm, but what is causing
the imbalance, for which the answer is insulin resistance, and insulin
resistance is caused by the high sugar western diet which has brought about the
dis-regulation of the control of weight.
Ignoring the system is to blame the victim; biology rules. Obesity is
a sign of the underlying
condition, and not all obese are current insulin resistant—some have reversed
it.
Non-Alcoholic Fatty Liver Disease (NAFLD), gradually
in the liver on a high fructose diet glycation and the conversion of fructose
to fat (its only path) this causes insulin resistance in the liver (insulin
goes from pancreas first to the liver).
With insulin resistance there is a gradual increase in liver fat to
become the silent driver for the conditions of metabolic syndrome--a sick liver
has many health consequences including an increase in visceral fat--a sign of NAFLD. In 1999 it was
estimated by the NHANES study that 30% of adults
including 80% of the obese have NAFLD.
Grossly underestimated; ultrasound is the
most reliable test. Cleansing the liver is essential for good health—see
below.
TOFI -- thin on outside fat on inside People
whose weight is within the normal range, yet they have accumulated visceral
fat, and in particular a fatty liver and thus insulin resistance. Even for those
who maintain normal weight,
they can have IR and fatty liver and
thus CAWD, including diabetes.
Type-2 Diabetes, Pharma holds diabetes
is a
lifelong progressive disease and that their comorbidities are caused by high serum
glucose through glycation and its subsequent
oxidation (ROS), thus ideal treatment
is to keep glucose
low with drugs. They also hold that eating carbs (glucose) is necessary to
avoid low serum glucose caused by the drugs they are taking. A number of critics[8]
hold that it is much better to go on a very low carb diet and lower their need
for medication—the opposite of pharma’s recommendation and guidelines. This
ignores the facts that most of the treated diabetics have glucose levels below
those who are insulin resistant (about 80% of adults), yet the conditions associated
with diabetes are much higher than for those are just insulin resistant. The
high glucose with oxidative stress due to
glycation theory has several counter examples. “No major organization recommends universal screening
for
diabetes as there is no evidence that such a program improve outcomes [by
lowering glucose].[54][55]” Wikipedia. This
treating of symptoms instead of the
conditions is a common business practice
of pharma, like treating fever
instead of infection. Thy consequence is
that pharma frames the understanding of the diabetes and the search for
treatments to lower the sign, high glucose, rather than search for what has
gone with the weight regulatory system, how best to cleanse the liver and
pancreas of excess fat, and thereby cure tye-2 diabetes with diet.
Defective collagen, an example of the way
pharma
buries a fix. It took me 4 years of
full-time dietary research before I came across the role of collagen. Pharma
is happy selling drugs to lower
glucose than sell more drugs for the comorbidities associated with diabetes and
the drugs to treat diabetes. Type-2
diabetics have a significantly a low level of ascorbate in tissues that store it.[9] There is an issue with the function of ascorbate in the polyol pathway that produces collagens. Though the research is incomplete, it is
sufficient to support the conclusion that that defective and/or lack of new replacement
collagen plays the major role in the
comorbidities associated with diabetes.
And this hypothesis is made stronger by the down grading of the role of
glucose in glycation;[10]
moreover there is some evidence for the benefits from mega dose of ascorbate or myo-inositol. The extensive amount of research on collagen
during the golden era of medicine has dried up in the subsequent years. And
clinical trials of ascorbate supplement
are lacking.
Dietary fix for insulin resistance, type-2 diabetes, obesity, and fatty liver and TOFI. Pharma’s and food manufacturer’s fix is to
eat less, exercise more, and eat a low fat diet which by default is high carbs,
thus high insulin diet. This approach doesn’t
fix the mammalian weight-regulatory system because it doesn’t cure insulin
resistance, thus we have the yo-yo diets. On a caloric energy restricted diet,
sugars are reduces and carbs thus lowering insulin which lowers leptin, and low
leptin through the brain increases appetite, and to conserve ATP reduces the
rate of metabolism to conserve fat stores and this makes the person feel that
he needs to eat to restore energy—the biology behind the yo-yo diets. Type-2
diabetes is a dietary disease with a
dietary cure as is insulin resistance, and NAFLD.
For example, bariatric surgery
is able to cure
80% of the diabetics, and 51% at 12 year follow up. And it is not
because of extensive weight loss (as pharma maintains). Studies show that
most of these patients are
off their diabetic medications before significant weight loss, thus indicating
that the forced fasting is curative vector—not weight loss. Other studies have shown that fasting
and
for some the ketogenic diet the cures through metabolism of excess stored fat
in the liver, and for diabetics in the pancreas. Following surgery they are
on an extremely
low calorie, low insulin diet; their body metabolizes the excess fat in the
liver and pancreas which cures their diabetes and insulin resistance—excess
insulin increases fat storage.[11] The long-term cure rate would be higher if
those surgery patients had been warned of the rule of fructose and had a low
carb diet in the hospital and afterwards.
A small but growing group of physicians (Dr. Jason
Fung is among the best) are
now advocating fasting (both
intermittent and alternate day) and lowing carbs or a ketogenic diet. They have
been able to cure type-2 diabetes
and obesity by curing insulin resistance and fat storage in the liver and
pancreas.
Mediterranean diet is healthy because of
the high
consumption of olive oil; wrong, it is the low consumption of sugar. This is
part of the mountains of proposed causes
and fixes currently circulating. That
which explains what has gone wrong and the fixes are buried within the mountain
of social twaddle. Switching to a
Mediterranean diet won’t fix the fatty liver, insulin resistance, and diabetes,
thus what is offered as a fix, isn’t.
Good and
bad fats: “The type of fats in the diet are important, with saturated
fats and trans fatty
acids increasing the risk, and polyunsaturated and monounsaturated
fat decreasing the risk[26]” Wikipedia (contrary to the
mass of evidence, see rancid fats and saturated fats). The only way to sort out the
tobacco science is to question everything, and rely upon the modus
operandi. The modus operandi: Polyunsaturated
and to a lesser extent
monounsaturated fats because of their double bond(s) have free electrons which
is available for attachment to by reactive chemicals, which when in sufficient
amounts and occurring within cell walls, it becomes a healthy issue. Because
of oxidation, milk is high in
saturated fats.
The Dietary
Fix and in concise:
The question isn’t how can I lower my risk factor for CAWD to that
of those who live on Crete
(Mediterranean diet),[12]
but to lower it to the level of the Kitavans (footnote 5). This requires undoing
the damage done to our
complex weight regulatory system, and then not damaging it again by excessive
fructose.[13] The simple answer is fasting made more
effective with a low carb diet. To
learn more I highly recommend reading the
two books by Dr. Jason Fung and
watching his lectures on
YouTube. In a more concise
form then his books, you will find my dietary
advice and a longer version (my advice was arrived
at
prior to reading and watching his lectures).
It is easier not to eat than to
significantly reduce calories long term.
With reduce calories the body goes into the starvation mode, and through
the hormone leptin lowers metabolism from 25 to 40%, and this makes additional
weight loss unlikely and creates the feeling that to eat more will make the
diater feel better. With fasting the body burns fats, not conserve it, and
increases metabolism to promote searching for foods. It is as Dr. Fung
wrote in Obesity
Code, “It is more important not to eat than what you eat.” In
one clinical trial, skipping breakfast
resulted in a reduction of 539. An easy
start is to do intermittent fasting (skipping a meal) and progress into
alternate day fasting and thereby avoid the metabolic consequences of being in
the starvation mode.
Currently, there is a growing
interest in clarifying the roles of insulin resistance, hyperinsulinemia, Type
2 Diabetes Mellitus, and insulin degrading enzyme in the pathogenesis of AD,
and its associated neuronal cytoskeletal lesions and Aβ deposits in the brain
[1–11[1]
The earlier sections of my website don’t have the letter “‘r”.
Prof. Marcia Angell book
on bad pharma caused changed my outlook.
[2]
These items included are clearly a result of diet, while the inclusion by
pharma of hypertension and hyperlipidemia are based upon pharma’s tobacco
science which claims a dietary cause, and consequently excluded. See heading
on each in cardiovascular disease
section. I have chosen to develop this
section including insulin resistance because it answers the most significant issue
facing health care, that of the difference between those on a traditional ancient
diet, and those on a Western high fructose diet. [3] Net
meaning I have adjusted for the rate of clearance. Fructose is metabolized in
the liver after
glucose and it is cleared from the blood at half the rate of glucose. Some sources
give a glycation are of 7.5,
others at 10, thus my net 20 fold rate of glycation. [4]
This process of glycation occurs throughout the body and is causal for the
conditions most of the age related conditions--RAGE and
its list at
bottom of Wiki page. Pharma claims it to
be caused by high glucose (to promote drug sales,) but serum levels of fructose
are higher than glucose per unit of sucrose and it has a 10 fold higher rate of
glycation, and its rate of clearance is about half that of glucose from the
blood and liver, thus giving a net 20 times more glycation than glucose p er
unit of sucrose. The aboriginal peoples
on their traditional diet rarely get those conditions. Most average less than
20 grams a day of
sugar, all sources; the US averages
153 lbs. yearly (190 grams/day, USDA 1999) with half consuming more. Safe level
of fructose varies with age,
physical exertion, and genes. Prof.
Robert Lustig compares fructose to ethanol, and
considers less than 40 grams daily safe—see also link and also. [5]
Refined carbs alone are not enough to cause metabolic syndrome. A number of
primitive societies have a diet
high in easily digestible carbohydrates, such as the Polynesians. The Japanese
and Chinese consume up to 70% of
calories in the form of white rice and noodles, yet they those who did don’t
develop metabolic syndrome, not until sugar was introduced. The Japanese for
example consumed 14 grams of
day of sugar, mainly from vegetables.
Most misleading beliefs about food, diet, and lifestyle related to
health have directly or indirectly as a cause the industries that profit from
that belief. Refined carbs, gluten,
GMOs, chemicals, fats, cholesterol,
lifestyle, stress are examples of a misleading half-truth: a way of causing
cognitive dissonance
(confusion inaction). [6]
The best book on their lack of western diseases is Western
Diseases: their emergence and prevention, 1981, Trowell and
Burkitt. [7]
Results dependent on definition. A very
telling figure is on the Kitavans, Pacific Islanders who eat a traditional diet
with 70% of calories from carbohydrates.
In the study
of Dr. Lindeberg, he measured 196 Kitavans blood insulin
levels: “The average Kitavans had
insulin levels lower than 95% of Swedes.”
Dr. Jason Fung, The Obesity Code 2016,
p. 105. “Three
of four Kitavan males and females were daily smokers…. Whereas atherothrombotic
disorders were absent or rare” Linbeberg,
p. 1217. [8]
The most notable is Dr. Richard Bernstein, who in his
80s, is a living example of that approach. [9] A
number of tissues such as lymphocytes, kidneys, the brain and others store 50
to 100 times the serum level of ascorbate.
Serum levels measure current usage of ascorbate. Most mammals are a poor
model for low
ascorbate caused by diabetes since they have retained the ability to synthesize
it--exceptions are some primates and guinea pigs. [10] I shall within the next year go back and edit
earlier papers to include collagen and down grade the role of glycation and
rancid fats. [11]
Prior to bariatric surgery the effective treatment for the morbidly obese was
prolonged water fasting with some electrolytes and vitamins (no
protein)—apoptosis of adipocytes provides amino acids. Fast typical ran
a100 days or longer, the record is 382 days.
[12]
If the Mediterranean diet was low in sugar like the traditional Oriental the
risks would be much lower. [13]
This happens to about half of those who have bariatric surgery, which cures
about 80% of those with type-2 diabetes so that they are off their
medications. The food restriction allows
the body to metabolize the excess pancreatic fat that causes their
diabetes. However, the distains and
physicians not knowing the cause, give bad advice with its unfortunate
consequences.
|
|
rating.
You can use the internal Google search
engine to fine more journal articles.
^^^^^^^^^^^^^^^^^^^^^^^^^ This section is a work in
progress
Bad
drugs and grossly
over prescribed
Acetaminophen (Paracetamol, APAP): It is the most widely
sold over-the-counter drug for the relief of pain[1],
fever, and headaches. It is found in
over a 100 over-the-counter and prescription preparation (mostly opiates). As
a mild analgesic APAP’s inclusion n with
an opiate cannot be justified given its severe side effect of causing live
damage. The annual
percentage of potentially fatal acute liver failure (ALF) hospitalizations
caused by acetaminophen rose from 28 percent in 1998 to 51 percent in 2003. A
major cause is that acetaminophen is
indicated as APAP on most opiate prescriptions and the common use of the
over-the-counter Tylenol as a second drug for relieve of pain. In a well-designed
study it was found that
39% of those taking the recommended dosage of APAP had 3 to 8 times the upper
limit for ALT a marker for liver toxicity.
APAP in 2010 caused 56,000
emergency-room visits, 26,000 hospitalizations and 1,600 liver failures,
and this is based on a system designed to grossly underestimate the severity of
the problem. New FDA limits and
warning goes into effect
in 2014. A study of 205,487 children age
6-7 found that the use of APAP is associated with a 323% increase in the risk
of asthma. Four weeks of prenatal use of
APAP is associated with lower motor, cognitive development and more behavioral
problems when compared to a sibling by over 70% for each. Other study found
that APAP during pregnancy
was associated with hyperactivity (ADHD, another with failure to develop testes
(cryptorchidism), and a third with lower masculinization development. The medical
literature on liver toxicity goes
back to the 1960s. Pharma is very good
at controlinge information given to doctors and the public. . NSAIDs
but for aspirin. They have minimal
pain reduction effect, work well as an anti-inflammatory drug by reducing
inflammation, thus their affect upon pain is minor, as demonstrate by clinical
trials. Unfortunately they increase with
long-term usage the incidents of
heart attacks and strokes—from 50% to 400%.
This includes the block buster Celebrex which increases with long-term
usage risk 200%
. Alzheimer’s disease (AD) drugs do not affect the course of the
disease. Factoring in the side effects,
they are worse than a placebo. Downers
are often included in treatment of AD,
as if the patient needs more cognitive impairment. Avoid for AD Aricept (donepezil), tranquilizers, & Cognex (tacrine) and
all other drugs given to purportedly slow the progress of AD (they don’t)
or make the patient more manageable. Downers shorten life and increase signs
of
dementia. Acid reflux condition (heart
burn) should be treated with
over-the-counter antacids; avoid the prescription alternatives, especially protein
pump inhibitors which have rebound effect if stopped which increases heart
burn. There is a lack of long-term effective
drugs for COPD. Restless-leg syndrome
and many of the minor complaints that are listed in the Merck Manual, such as
fungal infection of the nails are best left unmedicated.
Antibiotics
(1)
need to take the full course of them.
BMJ study
showed no benefit, and it promotes antibiotic resistance, which can occur not
just in the bacteria causing the pathology, but other bacteria, and since
bacteria transfer DNA. 2) Resistance
to older antibiotics is common—most cases this has not
significantly occurred.
Healthful substances:
glutathione, myo- inositol , Vitamin e taken in a large dose as an
antioxidant
Influenza medications: Tamiflu and other
flu medications are junk. Pharma is very
good at making a drug not worth taking appear as safe and effective.
NSAIDs
long-term usages cause more harm than good, but for aspirin. They have minimal pain reduction effect, work
well as an anti-inflammatory drug by reducing inflammation, thus their affect
upon pain is minor, as demonstrate by clinical trials. Unfortunately they increase
with long-term usage the incidents of heart
attacks and strokes—from 50% to 400%.
This includes the block buster Celebrex which increases with long-term
usage risk 200%.
NSAIDs
Osteoporosis is not
prevented or ameliorated by calcium supplement since bone remodeling is
controlled my estradiol and testosterone, both of which as supplement in
sufficient dose causes positive remodeling.
2nd, an excess of calcium can contribute to atherosclerosis
and hypertension through being deposited
in the artery walls.
Protein Pump Inhibitors (PPI): Heart burn is not considered
pathological and thus is treated with protein pump inhibitors instead of the
cause H pylori. H. pylori are
associated with a 75% increased risk for MI.
PPI increase the risk of colon cancer, and continued
usages
of PPI after treatment to eradicate H. pylori increases risk 240%, NEJM 2017.
Protein
Pump
Inhibitors: One more example if the
physicians knew what time it is, they would not prescribe them. It is a drug
which results in millions of
early death. Among those I have
uncovered is about 40% increase in Alzheimer’s disease, and thus likely most or
all of the other neurodegenerative diseases with an idiopathic cause. Since
there are over 5 million Americans with
this disease and it is causal for about 40% of cases that is 2 million cases—based on 2 population
studies. It is causal for
osteoarthritis[2]--rate
unknown--as too for the intestinal conditions involving hostile bacteria
(Croon’s disease, diverticulitis,[3]
irritable bowel syndrome, inflammatory bowel disease, Crohn’s disease, and
others of the large and small intestines.
Other conditions include cardiovascular disease and kidney disease.
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
http://healthfully.org/rg/id4.htmlIs
it that bad??? Are doctors
dupes of the
pharmaceutical industry (pharma)? Are guidelines based upon junk science generated
by pharma? Are over half
the drugs not worth
their side effects? Is bias
in journal articles
the norm because pharma owns the raw data and thus writes up clinical trials to
promote sales, and thus exaggerate benfits and
hide side effects; this would entail that he evidence
base for drugs is broken?
Is the FDA a lap dog for pharma?
Obviously, the billions spent on advertising
are designed through product recognition to promote sales counter to the
evidence. The patent system entails that
in order to get a slice of the market, such as for statins, each major pharma
company makes me-to drugs and through junk science and marketing carves a niche
in the market, even when the drug is significantly inferior. To promote patented
drugs junk science is
done to show that older ones are inferior.
Moreover pharma funds and determines the class content of physicians’
continuing education classes. In a similar
way pharma controls the clinical guidelines.
Pharma provides an assortment of incentives for doctors
to be drug pushers. Like with
cigarettes, I watch people harm
themselves. But for you to make better
choices, it all starts with your recognition that pharma--like all
corporations--functions under profit-maximizing tobacco ethics. A number of
doctors have broken rank and
exposed the results of corporate tobacco ethics upon the field of medicine
including diet. I have created an
informative list of their lectures and documentaries with links
to YouTube.
^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Not covered by position papers but
for which I have posted journal articles.
Pharma’s mantra is safe and effective and new
and better.
Sugar and in particular its fructose is
considered as empty
calories. Rather the fructose in excess
overwhelms the cellular process for repair of glycation and the excess
production of fat that is stored in the liver.
This role of fructose causes insulin resistance and ultimately the age
related conditions associated with the western diet.
Low value surgeries
Stopping 5 low value
surgical procedures could save HNS … (71
low value surgeries). NEWS http://www.bmj.com/content/359/bmj.j5186?utm_medium=email&utm_campaign_name=201711313&utm_source=etoc_daily article published article in BJS http://onlinelibrary.wiley.com/doi/10.1002/bjs.10719/abstract;jsessionid=340DBF11B733BED666D79F3C5C32C38A.f04t02?systemMessage=Wiley+Online+Library+usage+report+download+page+will+be+unavailable+on+Friday+24th+November+2017+at+21%3A00+EST+%2F+02.00+GMT+%2F+10%3A00+SGT+%28Saturday+25th+Nov+for+SGT
Healthful
and bashed by
pharma
Aspirin, CoQ10,
Estradiol (HRT), Fasting, Niacin, Salt,
Saturated fats, Testosterone, Vitamin C, Vitamin E
Why I
cherry pick the articles of critics
There is a
fundamental conflict between maximizing profits and ideal medical treatments, Below
are some of the patterns of deception I
found in their medical journal articles.
It is the reason why I rely upon articles in leading journals that go
against the grain of what pharma’s promotes.
These critics have met the standards of evidence, and given the pressure
of pharma upon journals, I find my reliance justified.
First: Positive bias
in clinical trials is the norm. In the only case I know of this type, a study
was published in 2008 in the NEJM that compared the raw data on neuroleptic
drug to published articles & found positive bias averages 32%--in NEJM and. Four professors
compared the raw data submitted to the FDA--which they obtained through the
Freedom of Information Act—with the journal articles based on the subsequent published
clinical trials. In every one of the 74
articles there was scientific fraud; results were spun with positive of between
11% and 69%. Pharma’s goal is to market
drugs for the sake of maximizing profits, what I call tobacco ethics. The broken
regulatory systems of the FDA and
EMA permit it: the police are on the
take, and the legislative bodies want it that way. The EMA and FDA do not review
the journals to
compare pharma’s submission of clinical trials for patent approval with the
journal articles generated from them.
The EMA, FDA, and other regulatory bodies will not share the raw data with
researchers. This allows pharma to commit
scientific fraud that goes undetected (with rare exceptions). A second way to
tell if a drug works in the
real-world of health care would be to upon up the records of national health
services, military veteran administrations, insurance companies, and hospitals;
they aren’t. A third area of regulatory
collusion is in the reporting of side effects.
The forms filled out for side effects are sent to the manufacturer of
the drug for evaluation and summation of findings. This adds to the deception
worked in pharma’s
ran clinical trials to which pharma by design minimalizes and buries side
effects. Doctors are prescribing drugs
based on tobacco science. Prof. Ben Goldacre in
Bad Pharma,
makes the broken
evidence base the theme. I have
collected and posted my collection of journal articles, and then some more.
Second
I often rely upon older articles for two reasons, one before the pro-business
reforms of the mid 80s the management of clinical trials was in the main ran by
universities that did not have to sign away the rights to analysis of the raw
data and had a much freer hand in designing the trial. That the results differ
from the now off
patent drugs is a result of changes that have occurred with oversight and that
bias now is the norm. It is as Prof.
Goldacre laments, the evidence base for treatments is broken.
Third: Meta studies
are built upon biased
trials: they summarize the tobacco
science.
Fourth: side effects
are grossly underestimated: Pharma’s mantra is “safe and effective”. This mantra is repeated by the media, in
journal articles, medical textbooks, class to medical student, and to
physicians in the required Continuing Medical Education (CME) class that are
nearly always funded by pharma, and thus are in reality done to promote
drugs. Pharma is not in the education
business. The reporting of side effects
has been handed over by the FDA to the company marketing the drug. Pharma’s
clinical trials by design understate
side effects.
Fifth:
healthful popular interventions are
through tobacco science shown to be ineffective, and if possible harmful. Examples
are the use of 325 mg aspirin,
Atkins diet, and multiple grams of vitamin C and high doses of the other
antioxidant vitamins A and E. Others are
mostly ignored, such as CoQ10 and starving cancer with fasting and very low
carb diet.
Sixth,
pharma promoting a drug or supplement as first line, then when it fails to
work, to recommend drugs. Thus low salt
diet to lower hypertension and calcium supplement to improve bone density for
osteopenia.
Seventh,
Food manufacturers create cognitive dissonance through multiplying the claims
as what is healthful. The list of
miracle foods and super diets is long.
In this way the science behind the healthful is buried in a mountain of
half-truths and dead end fixes.
Eighth,
healthful, cheap fixes and drugs are recommended known that they are
ineffective. This creates in the patient
a desire to lower blood pressure with a low salt diet or strengthen their bones
with calcium supplements. When this
fails the doctor then reaches for the prescription pad.
Ninth,
basic research that won’t lead to drugs, use drugs that can’t be patented, use
drugs that or procedure that cures a condition that currently is chronic, a
non-drug treatment that is effective, and where promising research is not
further pursued. These threads
I research to see if there is
adequate merit to results contrary to pharma’s business model.
Eleven
Pharma follows their
pattern of treating a subgroup which
might or might not benefit from the outcome a patient would chose such as life
extension. Then pharma in their funded trials of low standards through positive
bias “shows” a large group of patients benefit. Then new guidelines written by
their KOLs extend treatment to the larger group. A classic example is the treatment
of
malignant hypertension with blood pressure drugs moderately lower the risk of a
stroke, or that of statins to lower cholesterol for homozygote familial
hypercholesterolemia to prevent ischemic events, and then extended to nearly
half the adult population, to a total cholesterol reading of total cholesterol
above 200 mg/dL as desirable to treat—see
Wikipedia for the complex
current standards.
Often
an alternative such as stress and the
stress hormones become the focus of research.
Tenth,
Some
of the assumption made are outgrowth of the pattern of evidence rather than
based upon journal articles. This is because
researchers are look under the wrong tree, and most are looking for drugs. It
is comparable to lack of articles on a
helio-centered solar system in 1542— Copernicus published his De revolutionibus
orbium coelestium in
1543.
Second
is studies done to show a healthful drug or supplement isn’t. Pharma is
in the business of treating
illness.
For
example pharma and thus corporate media have been going after opiates and
offering as replacement sedatives for mild and moderate pain—which of course
doesn’t reduce pain, just the awareness of the pain. And the sedatives
are more addicting than
opiates, which pharma vigorously denies, like once tobacco companies denying
that cigarettes cause cancer.
Every
major avenue has been tweaked for profits by pharma. Below is a list of areas
I have researched,
summarized my research and posted this summary, and also posted the journal
articles in support of my findings.
You’d be surprised at how many rocks of medicine are on a foundation of
tobacco slime.
^^^^^^^^^^^^
[1]
The mechanism for pain reduction is through the reduction of inflammation by
blocking only
50% of COX2 & COX1 enzymes and inhibiting the production of
prostaglandins (Goodman & Gilman’s pharmacology textbook 2007 edition, p.
693). This is why they are classified as
“mild analgesics” (G & G at 681).
Other claims as to medicinal use is at best only weekly supported.
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