The War Against Vitamin Therapy

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The War Against Vitamin Therapy

 

http://www.doctoryourself.com/hoffer_paradigm.html

 

© 1996 First published June 1996 in The Townsend Letter for Doctors and

Patients. Reprinted with permission.

 

" Dr. Klenner reported that patients given vitamin C would suffer no residual

defects from their polio. A controlled study in England on 70 children, half

given vitamin C and half given placebo showed that none of the treated cases

developed any paralysis. "

The Vitamin Paradigm Wars

Abram Hoffer, M.D, Ph.D.

I have been involved in megavitamin controversies from 1955 when with two

colleagues we [1] published our paper showing that niacin lowered total

cholesterol levels. This was quickly confirmed because Dr. W. B. Parsons, Jr[2]

.. It was easy to measure cholesterol levels. Dr Parsons is one of the most

knowledgeable and experienced internists in the use of niacin to lower

cholesterol levels. But after we[3] published a much more comprehensive paper

where we concluded: (1) that the addition of niacin or niacinamide in large

doses was therapeutic for acute and non deteriorated schizophrenics; (2) was not

therapeutic for chronic patients, our involvement in controversy became massive,

until today even though every study using the same type of patients, the same

methods and the same regimen, has corroborated our findings.

The conclusions reached by Dr. E. Cameron and Linus Pauling[4] on the beneficial

effect of ascorbic acid on the outcome of terminal cancer was just as forcefully

rejected by the cancer establishment. The main reason for the non acceptance of

the Vale of Leven's conclusions and for the non acceptance of our psychiatric

findings is very simple. We are just now beginning to emerge from the

vitamins-as-prevention paradigm into the vitamins-as-treatment paradigm.

Psychiatry is simply ten or more years behind the rest of the medical sciences.

The Five Stages of Vitamin Discovery and Use

Machlin[5] divided the history of the vitamins into five periods. The first

phase was present from 1500 B.C. to about 1900 A.D. when it was empirically

observed that certain foods prevented some diseases. Egyptians used liver to

prevent night blindness. Central American Indians used specially treated and

cooked corn to prevent pellagra for several thousand years.

The second period started about 1890 and continued until about 1910. During this

period the relationship between the lack of certain foods and disease became

established. Thus polished rice was proven to cause beri beri. Of course, if

brown rice had remained the staple food of the Japanese Navy there would have

been no problem and no discovery of thiamin as a vitamin. During the first

period it became recognized that altering the natural food supply would produce

disease. This lesson is still imperfectly understood by most modern societies.

The third phase from 1900 to 1948 was the golden age of vitamin discovery,

isolation and synthesis of vitamins. The fourth phase from 1933 began with the

first commercial synthesis of vitamin C and continues today. These four phases

comprise the vitamin-as-prevention paradigm. This paradigm became so firmly

established that only now is it beginning to weaken by the onslaught of new

information.

The fifth phase is the recognition of health effects beyond prevention and new

biochemical functions. It is the vitamin-as-treatment paradigm. It is beginning

to enter the medical profession, has not yet been accepted by the medical

schools which remain many years behind in the teaching of nutrition and is still

tightly held by dietitians and many nutritionists, especially those working for

institutions.

The introduction of this last phase is credited by Machlin to our paper in 1955

which showed that megadoses of nicotinic acid decreased total cholesterol, the

decrease being relatively greater the higher the initial blood level. He wrote,

" I somewhat arbitrarily started the fifth period with the report in 1955 of the

cholesterol-lowering effect of niacin, which is a well-accepted response of the

vitamin that has nothing to do with its coenzyme role and is a clear health

effect beyond preventing the deficiency disease pellagra " . I had concluded many

years ago that this early report would be one of the most important findings

which would take us into the modern paradigm. It is the first vitamin to be

approved for megadose use by FDA, for lowering cholesterol, but it could also be

used for any other indication including the schizophrenias.

The Vitamin-as-Prevention Paradigm

This paradigm is described by the following rules or beliefs:

1) That vitamins are catalysts and therefore are needed in very small doses

since they can be recycled almost indefinitely.

2)That they are needed only to prevent deficiency disease i.e. diseases caused

by a deficiency of these vitamins. Thiamin is needed to prevent beri beri,

nicotinic acid is needed to prevent pellagra and vitamin C is needed to prevent

scurvy.

It therefore follows that any use of vitamins which disobeys these rules is not

indicated and has by many medical societies been considered unethical practice

or malpractice. If they are needed only in small doses the use of large doses

must be forbidden. If they are used only to prevent disease, any use to treat

other disease must be forbidden.

For these reasons regulatory daily requirement were developed as a guide to

society and to the professions. They are invariably small doses based upon this

paradigm and upon very little real hard evidence of their practicality and

usefulness. The prevention paradigm adherents presented a hard and secure front

against those who would break its rules by enforcing the view that large doses

were never needed, that they were potentially dangerous (these dangers were

never clearly defined and related to dose level, and the height of sarcasm

thrown against vitamins-as-treatment physicians was that the only thing vitamins

would do is to enrich the urine and the waters into which that urine ran. Just a

few months ago a physician attacked some of my views in a popular medical

journal by claiming that the waters around Victoria must be rich in vitamin C.

If I had retorted I would have added that this is better than enriching them

with antibiotics, tranquilizers, antidepressants and the thousands of drugs

which now enrich the waters. A physician friend and colleague lost his medical

license in Saskatchewan. One of the charges against him was that he gave a

patient intravenous ascorbic acid. Another was that he diagnosed a patient

schizophrenic with the help of a test developed by Humphry Osmond and I called

the HOD[6] test. This is a very helpful perceptual test which yields probability

levels for the presence of schizophrenia.

Vitamin-as-Treatment Paradigm

This paradigm contains the following new rules, based upon a good deal of

evidence:

) That optimum doses should be used in both prevention and treatment and that

these doses vary from very small to very large, i.e. into the megavitamin range.

For example to prevent pellagra one needs about 10 milligrams of nicotinic acid

daily, but to prevent the symptoms of chronic pellagra from recurring one will

need close to 1000 mg daily. There is no optimum doses for the whole population.

It depends upon age, sex, type of illness, type of stress, i.e. upon the

individual. We will have to determine the optimum levels for schizophrenics, for

depressions, for the arthritides, for lupus, for cancer and so on. This is well

described by Roger Williams[7] in his classic works on biochemical

individuality.

) That vitamins may have activity which appears to be unrelated to their

properties as vitamins. This was a very difficult concept to accept but the

introduction of the word antioxidants struck a responsive chord and many

physicians who were terribly fearful of using vitamins had no compunction

against using the same vitamins an antioxidants. This fits in with the

increasingly popular view that hyper oxidation, the formation of free radicals,

is basic in the pathology of a large number of conditions including cancer,

senility and so on.

The Assault on the Vitamin-as-Prevention Paradigm

This began about 55 years ago with the report by the American pellagrologists

that chronic pellagra could not be treated except by very large doses of

nicotinic acid; they used 600 mg daily. It was also shown that dogs kept on the

pellagra- producing diet for a long time no longer responded to small doses of

this vitamin. They had become dependent and needed much larger doses.

The next assault on this paradigm arose from the classic studies of William

Kaufman[8] who reported in two books before 1950 the marked therapeutic benefit

to arthritics by giving them multigram doses of vitamin B-3 daily. But this

important work was ignored and hardly any physicians are aware it was ever done.

The next attack came from a different direction, from the work of Drs. Wilfred

and Evan Shute[9] of Ontario who showed that large doses of vitamin E given for

adequate periods of time were very helpful in treating coronary disease, burns,

and were useful in prevention. They were not ignored. They were almost destroyed

by a medical profession which was completely unaware of the importance of their

work, did not believe vitamin E was a vitamin and knew with absolute certainty

that their work was useless. The Shute Clinic, still in existence, treated over

30,000 patients from all over North America. The agenda of the few attempts to

repeat their work was to show how useless vitamin E was. Today the major

studies[10] which have confirmed this early work still consistently refuse to

acknowledge the prior work of these great pioneers, as if the idea had sprung

freshly minted from their own foreheads when they launched the Harvard Vitamin E

studies. Had the Shutes' findings been taken seriously in 1960, think of

enormous saving of human health, the enormous decrease in human misery and the

enormous financial saving over the past 35 years.

In the early Fifties, Dr. Fred Klenner began his work on megadoses of vitamin C.

He used doses up to 100 grams per day orally or intravenously. In clinical

reports he recorded the excellent response he saw when it was given in large

doses. He reported, for example, that patients given vitamin C would suffer no

residual defects from their polio. A controlled study in England on 70 children,

half given vitamin C and half given placebo showed that none of the treated

cases developed any paralysis while up to 20 percent of the untreated group

did[11] . This study was not published because the Salk Vaccine had just been

developed and no one was interested in vitamins. Dr. Klenner's work was ignored.

However, only after Linus Pauling entered the field with his classic report to

Science in 1968 did the use of megadoses of vitamins receive major world

attention. The public and a few scientists were immediately attracted to his

conclusions world wide, while the medical profession as a block dumped all over

him. Their main objection apparently was that he did not have an M.D. Dr.

Pauling became interested in vitamins about the time he had decided to retire.

He had won his second unshared Nobel Prize and was getting tired and frustrated

by the opposition to his work for peace. He had made a few powerful enemies

including Senator McCarthy of anti communist fame, and Joseph Stalin of

communist fame who considered his views on the atom directly opposed to

communist theory. At a meeting in New York in 1966, both Dr. Irwin Stone and I

met Dr. Pauling for the first time. Dr. Stone had assembled a large collection

of vitamin C papers (he hated the word vitamin C and preferred the more correct

term ascorbic acid). Dr. Stone first used the word megavitamin and the word

hypoascorbemia. He considered scurvy, not a deficiency disease, but a metabolic

error. I urged him to publish his review of ascorbic acid which he did several

years later[12] . Irwin heard Dr. Pauling state that he wished he could live

another 25 years because science was making so many interesting discoveries. Dr.

Stone wrote to him and told him he could achieve his goal if he would take

vitamin C in megadoses. Dr. Pauling tried it out, was convinced because he felt

so much better, and lived another 30 years.

The major impetus given by Linus Pauling to the megadose concept of vitamin C

stimulated by Irwin Stone has finally thrown this vitamin into public and

medical acceptance. Many years ago Linus Pauling concluded that people taking

ascorbic acid would live longer[13] . All the information we have about ascorbic

acid lead to this conclusion. It is therefore very helpful to actually see what

it can do in practice for the final test is the practical one - does it work? In

fact, it does. Dr. James Enstrom[14] , School of Public Health, University of

California at Los Angeles analyzed a ten year study of 11,348 people, aged 25 to

74. Men who consumed at least 300 mg of ascorbic acid suffered 41 percent fewer

deaths during that period compared with men who took only 50 mg, in their food.

They lived on the average 6 years longer. For women the results were not as

striking. This amount of ascorbic acid can not be obtained from the diet alone

and shows that supplements are essential. Had they used gram doses daily, I

think the results would have been more striking.

Dr. A.G. Brox[15] and colleagues at McGill University found that two grams of

ascorbic acid daily, successfully treated 7 out of 11 patients with idiopathic

thrombocytopenic purpura (ITP). They had all been sick more than two months and

had not responded to adrenocorticosteroids. Three had had splenectomies. Four

had failed additional treatment including the current usual treatments. Their

report had been rejected by the New England Journal of Medicine, I think,

because they were then involved in a dispute with Linus Pauling. They had

refused to advise him whether a rebuttal letter answering the Mayo cancer and

ascorbic acid studies he had submitted would be published until he threatened

them with legal action. Then they rejected it. I have one patient now with ITP

on ascorbic acid who has been well over five years, but only as long as she

remains on her ascorbic acid. If she discontinues it, her platelet count begins

to sink within a few weeks.

Linus Pauling[16] carried the orthomolecular concepts into the field of cancer

and again stirred up a hornets nest of hostility. For a good discussion of his

work see Hoffer[17] . But I am totally convinced he was correct. His many

scientific reports were very impressive. My studies with Pauling[18] on 660

cancer patients beginning in 1978 are confirmatory.

The first major attention to megadoses of vitamins followed our report of the

effect of nicotinic acid on cholesterol, not because we had reported it but

because it was promptly confirmed by the Mayo Clinic. I had been invited by the

Mayo Foundation to give them a series of lectures on schizophrenia. During a

dinner I told their chief of psychiatry about the effect of nicotinic acid on

cholesterol. He passed it on to the chief of medicine in the presence of his

senior resident Dr. W. B. Parsons Jr[19] . Dr Parsons is one of the preeminent

experts in the use of megadoses of nicotinic acid. The work was then taken up by

Dr. E. Boyle, then with the National Institute of Health, and later by the

Coronary Drug Study which eventually established nicotinic acid as the treatment

of choice for hypercholesterolemia. It is also by and large the cheapest and

safest.

During that time Humphry Osmond and I published our second book, " How To Live

With Schizophrenia " [20] . A California patient[21] had recovered on

orthomolecular treatment having failed the best California could offer over four

years. Her father was so grateful he decided to educate every physician in his

community. He did so by handing out copies of our book. One of them came into

the hands of a psychiatrist. Dr. Pauling and Ava visited her one afternoon, and

Dr. Pauling saw the book on her coffee table. He began to read it, borrowed it,

and finished it by morning. He went to bed still thinking of retiring and he

arose the next day determined that he would not and would enter this new field

of megavitamin therapy. He was intrigued by the large doses of vitamin B-3 we

were using with safety. This led to his Science report[22] and to his amazing

contribution to the theory of meganutrient therapy, in the use of vitamin C for

viral and other infections, for his very recent contribution to the cholesterol

problem and heart disease. Dr. Pauling made the greatest individual contribution

toward the overthrow of the old paradigm and its replacement by the newer, more

accurate, and useful one.

Megavitamin therapy was ignored by medicine at large and was vilified by

psychiatry. Only after Dr. Pauling entered the fray did the major profession

take notice, and then it too became very hostile and critical especially after

Dr. Pauling's first book on the common cold appeared. The National Institute of

Mental Health funded a study in New Jersey under the direction of Dr.

Wittenborn, a research psychologist. They had first approached a psychiatrist in

St. Louis, who agreed to do the study if I would be a consultant. So the NIMH

turned to New Jersey. The Wittenborn study was double blind and was an attempt

to repeat our original double blind controlled studies started a decade before.

Dr. Wittenborn in his first report found that there was no difference between

the placebo and the treated group. We had claimed that it worked best for early

or acute patients and did not by itself help the very chronic ones. The

Wittenborn[23] study was primarily on these chronic cases. Later Dr. Wittenborn

re-analyzed his results by pulling out the early cases as we had done, and in

his second report he showed that he got the same results that we had. His first

report was greeted with shouts of enthusiasm from NIMH and later by the American

Psychiatric Association when they did their task force report on Megavitamins

and Orthomolecular Psychiatry. His second report was greeted by a cold silence

and may have cost him any further support. His second paper was never referred

to by the critics of megavitamin therapy.

The American Psychiatric Association called Humphry Osmond and me before their

Committee on Ethics because I had published the California paper. After a

vigorous half-day debate over 20 years ago in Washington they told us they would

let us have their decision in a few weeks. We are still waiting. However, they

effectively killed interest in the use of vitamins for treating schizophrenia

when they issued their irresponsible and flawed report[24] . The APA bears major

responsibility for preventing the introduction of a treatment which would have

saved millions of patients from the ravages of chronic schizophrenia. Just as

the APA was once captured by psychoanalysis, it is now captured by

tranquilizers.

Folic acid is another safe water soluble vitamin. It has been used in doses up

to 15 mg daily. There has been a report that this dose caused gastrointestinal

disturbances but in another study with the same dose this was not seen. Most

patients do not need more than 5 mg. Recently it has been proven that women will

give birth to babies with spina bifida and similar neural tube defects (NTD)

much less frequently if they take supplemental folic acid, 1 mg per day. I

generally recommend 5 mg daily. Dr. Smithells[25] in 1982 showed that giving

pregnant women extra folic acid decreased the incidence of NTD's. Before that he

had measured the red cell folate and white cell vitamin C levels of mothers who

had babies with NTD's and found they were lower in both. It was thus known since

1981 that a multivitamin preparation containing folic acid would decrease the

birth of these damaged babies.

The immediate reaction to the original findings was one of strong disbelief and

hostility, and the establishment refused to advise women to take folic acid

until the requisite number of double blind experiments were done. At last they

are satisfied 11 years later, culminating with a report in J. American Med Ass

in 1989. Folic acid provided protection for most causes of the defect. Even in

women with a family history, the frequency of babies with the defects was more

than five times greater - 18 per 1000 against 3.5 per 1000, in women who did not

take the vitamin in the first six weeks of pregnancy. How many babies could have

been saved by such a simple solution? Even if the original findings had been

wrong, what harm would it have done to have advised them immediately about this

very important finding? I was astonished in 1981 at the vehemence of the

reaction by physicians and nutritionists, and I am still astonished. The recent

studies showed that folic acid decreased NTD's by 75 percent. If all the other

vitamins were used as well I am certain that figure would be closer to 100

percent.

I can not recall in the past 40 years a single female patient of mine on

vitamins giving birth to any child with a congenital defect. I have been able to

advise them all that they not only would not harm their developing baby by

taking vitamins, but that their chances of giving birth to a defective child

would be greatly diminished. I was frequently asked this by my patients who had

been told by their doctors that they must stop all their vitamins while

pregnant. They looked upon vitamins as toxic drugs. I am still asked the same

question for the same reason today.

However, governments can learn and respond. It is now official that pregnant

women should take extra folic acid in order to prevent spina bifida and other

birth defects. The U.S. Public Health Service has issued the following advisory:

" In order to reduce the frequency of NTD's (neural-tube defects) and their

resulting disability, the United States Public Health Service recommends that:

All women of childbearing age capable of becoming pregnant should consume 0.4 mg

of folic acid per day for the purpose of reducing their risk of having a

pregnancy affected with spina bifida or other NTD's " . This amount will not be

provided by most diets and requires supplementation. Apparently the US Public

Health Service is considering fortifying bread with folic acid. Folic acid is

destroyed by heat but some will survive.

In USA about 25,000 babies are born each year with spina bifida. In Canada it

has been estimated that each of these children will have cost about $40,000 by

the time they are 14 years of age. Giving women folic acid early in their

pregnancy would have avoided perhaps 3/4 of these births. Over ten years, while

the cautious scientists were discussing whether folic acid was safe enough and

was effective, 250,000 children were born at a total cost of 10 billion dollars

(over ten years). Folic acid for pennies per day could have saved the United

States public 7.5 billions dollars over this ten year period. The saving in

public health dollars will be enormous. The waste in this long delay is

inexcusable, since folic acid is totally safe and could have been given to all

pregnant women over ten years ago. This is the costs of inactivity, of the

conservative stance of the profession when it comes to the super safe vitamins.

Conclusion

The vitamins-as-treatment paradigm is developing very rapidly and will absorb

the vitamin-as-prevention paradigm which is no longer needed. Vitamins are

important nutrients which will be used in optimum doses, small or large, for

conditions which are responsive whether or not they are considered to be vitamin

deficiency diseases. Only the fossilized physicians who have been the most

powerful antagonists of the newer medicine still adhere to the old, totally

inadequate paradigm. But there are still physicians who question whether vitamin

B-3 is the correct treatment for pellagra. They will still promote their old

ideas and will bolster them by manufacturing toxicities. As a rule, when there

are no toxicities, it is simple to invent them, such as vitamin C causes kidney

stones, or damages the liver, or interferes with the treatment of diabetes and

so on. Every month I hear about new toxicities which totally surprise and

delight me because they indicate how imaginative my colleagues can be.

A. Hoffer, M.D, Ph.D.

Literature Cited

[1] Altschul R, Hoffer A & Stephen JD: Influence of Nicotinic Acid on Serum

Cholesterol in Man. Arch Biochem Biophys 54:558-559, 1955.

[2] Parsons WB Jr, Achor RWP, Berge KG, McKenzie BF & Barker NW: Changes in

Concentration of Blood Lipids Following Prolonged Administration of Nicotinic

Acid to Persons With Hypercholesterolemia: Preliminary Observations. Proc. Mayo

Clinic 31:377-390, 1956.

[3] Hoffer A, Osmond H, Callbeck MJ & Kahan I: Treatment of Schizophrenia with

Nicotinic Acid and Nicotinamide. J Clin Exper Psychopathol 18:131-158, 1957.

[4] Cameron E & Pauling L: Cancer and Vitamin C. W. W. Norton & Co. New York,

1979. Updated and Expanded Cancer and Vitamin C, E. Cameron and L. Pauling,

Camino Books, Inc., P.O. Box 59026, Phila., PA 19102, 1993.

[5] Machlin LJ: Introduction. Beyond Deficiency. New Views on the Function and

Health Effects of Vitamins. Annals, New York Academy of Sciences 669:1-6, 1992.

[6] Hoffer A, Kelm H & Osmond H: The Hoffer-Osmond Diagnostic Test. RE Krieger

Pub Co., Huntington, New York, 1975. Available from Behavior Science Press,

Institute for Social and Educational Research, 3710 Resource Dr., Tuscaloosa, AL

35401-7059.

[7] Williams RJ: Nutrition Against Disease, Pitman Publishing Co. New York,

1971.

Williams RJ: You Are Extraordinary. Random House, Inc. New York, 1967.

Williams RJ: Physicians Handbook of Nutritional Science, C. C. Thomas,

Springfield, IL, 1975.

[8] Kaufman W: Common Forms of Niacinamide Deficiency Disease: Aniacin Amidosis.

Yale University Press, New Haven, CT 1943.

Kaufman W: The Common Form of Joint Dysfunction: Its Incidence and Treatment.

E.L. Hildreth and Co., Brattelboro, 1949.

[9] Shute EV: The Heart and Vitamin E. The Shute Foundation for Medical

Research, London, Canada, 1969.

Shute WE & Taub HJ: Vitamin E for Ailing and Healthy Hearts. Pyramid House, New

York, 1969.

Shute WE: Vitamin E Book. Keats Publishing, New Canaan, CT, 1978.

[10] Stampfer MJ, Hennekens CH, Manson J, Colditz GA, Rosner B & Willett WC:

Vitamin E consumption and the risk of coronary disease in women. New England J.

Med. 328:1444-1449, 1993.

Rimm EB, Stampfer MJ, Ascherio A, Giovannucci E, Colditz GA & Willett WC:

Vitamin E consumption and the risk of coronary heart disease in men. New England

J Med 28:1450-1456, 1993.

[11] Gould, Jonathan: Private Communication to me in London, England, in 1954.

[Return to Paper]

[12] Stone I: The Healing Factor, Vitamin C Against Disease. Grosset and Dunlap,

New York, 1972.

[13] Pauling L: How To Live Longer and Feel Better. W. H. Freeman, New York,

1986.

[14] Enstrom JE, Kanim LE & Klein MA: Vitamin C Intake and Mortality among a

Sample of the United States Population. Epidemiology 3:194-202, 1992.

[15] Brox AG, Howson-Jan KJ & Fauser AA: Treatment of idiopathic

thrombocytopenic purpura with ascorbate. Br. J Haematology 70:341-344, 1988.

[16] Cameron E: Protocol for the use of vitamin C in the treatment of cancer.

Medical Hypothesis 36:190-194, 1991.

Cameron E & Campbell A: The orthomolecular treatment of cancer II. Clinical

trial of high-dose ascorbic supplements in advanced human cancer. Chemical-

Biological Interactions 9:285-315, 1974.

Cameron E & Campbell A: Innovation vs quality control: an " unpublishable "

clinical trial of supplemental ascorbate in incurable cancer. Medical Hypothesis

36:185-189, 1991.

Campbell A, Jack T & Cameron E: Reticulum cell sarcoma: two complete

" spontanous " ; regressions, in response to high-dose ascorbic acid therapy. A

report on subsequent progress. Oncology 48:495-497, 1991.

[17] Hoffer J: Nutrients as Biologic Response Modifiers. Adjuvant Nutrition in

Cancer Treatment. Ed. P. Quillin & R. M. Williams. 1992 Symposium Proceedings,

Cancer Treatment Research Foundation and American College of Nutrition, Cancer

Treatment Research Foundation, 3455 Salt Creek Lane, Suite 200, Arlington

Heights, IL

60005-1090, 1993

[18] Hoffer A & Pauling L: Hardin Jones Biostatistical Analysis of Mortality

Data for Cohorts of Cancer Patients with a Large Fraction Surviving at the

Termination of the Study and a Comparison of Survival Times of Cancer Patients

Receiving Large Regular Oral Doses of Vitamin C and Other Nutrients with Similar

Patients not Receiving those Doses. J Orthomolecular Medicine 5:143-154, 1990.

Hoffer A & Pauling L: Hardin Jones Biostatistical Analysis of Mortality Data for

a Second Set of Cohorts of Cancer Patients with a Large Fraction Surviving at

the Termination of the Study and a Comparison of Survival Times of Cancer

Patients Receiving Large Regular Oral Doses of Vitamin C and Other Nutrients

with Similar Patients Not Receiving These Doses. Journal of Orthomolecular

Medicine 8:1547-167, 1993.

Hoffer A: Orthomolecular Oncology. In, Adjuvant Nutrition in Cancer Treatment.

Ed. P. Quillin & R. Michael Williams, Cancer Treatment Research Foundation, 3455

Salt Creek Lane, Suite 200, Arlington Heights, IL 60005-1090, 1994.

[19] Parsons WB Jr: Clinical Alternatives Chap 8. In, Coronary Heart Disease.

The Dietary Sense and Nonsense. An Evaluation by Scientists. Ed. G.V. Mann,

Janus Publishing Company, London, England, pages 119-135, 1993.

[20] Hoffer A & Osmond H: How To Live With Schizophrenia. University Books, New

York, NY, 1966. Also published by Johnson, London, 1966. Written by Fannie

Kahan. New and Revised Edition, Citadel Press, New York, NY, 1992.

[21] Hoffer A: Five California Schizophrenics. J Schizophrenia 1:209-220, 1967.

[Return to Paper]

[22] Pauling L: Orthomolecular Psychiatry. Science 160:265- 271, 1968. [Return

to Paper]

[23] Wittenborn JR, Weber ESP & Brown M: Niacin in the long term treatment of

schizophrenia. Arch Gen Psychiatry 28:308-15, 1973. Wittenborn JR: A Search for

Responders to Niacin Supplementation. Arch Gen Psych 31:547-552, 1974. [Return

to Paper]

[24] Hoffer A & Osmond H: In Reply to The American Psychiatric Association Task

Force Report on Megavitamin and Orthomolecular Therapy in Psychiatry. Canadian

Schizophrenia Foundation, Regina, SK, now at 16 Florence Ave., Toronto, ON,

Canada M2N 1E9. August 1976.

[25] Smithells RW: Prevention of Neural Tube Defects by Vitamin Supplements. Ed.

John Dobbing, Academic Press, New York, 53-84, 1983.

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