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Thu, 8 Apr 2004 09:47:23 -0500

HSI - Jenny Thompson

One Star Rating

 

One Star Rating

 

Health Sciences Institute e-Alert

 

April 8, 2004

 

**************************************************************

 

Dear Member,

 

They're baaaack...

 

" They " are the editors of Consumer Reports (CR), and it

seems like every six months or so they come up with a

feature that seems specifically designed to get me all riled

up. Well... they've got me all riled up again with a

misguided cover story (May issue) that's loaded with what

seems to be reasonably good advice. And while this advice

does serve a purpose, it's also seriously off the mark in

several important details that everyone who takes

supplements should be aware of.

 

-----------------------------

Hamstringing

-----------------------------

 

The May CR cover headline blares: " Dangerous Supplements: 6

Could Cause Cancer, Kidney Failure, Liver Disease or Death. "

 

Sounds dire, doesn't it? Inside, the lead article gets

things underway with this headline: " Dangerous Supplements:

Still at Large. " In other words, the editors are equating

certain supplements with criminals roaming the countryside,

searching for someone to harm. And that basic mindset runs

through the entire feature.

 

Much of the article is devoted to a review of the FDA's

relationship to the supplement industry. This is a topic

that I've covered in great detail in several e-Alerts

(see " The Fix Is In " 7/22/03), so I'm not going to open that

large can of worms again here. But there is one quote that

stands out, and makes CR's position clear: " The agency

continues to be hamstrung by the 1994 Dietary Supplement

Health and Education Act (DSHEA). "

 

What they don't mention (or, more likely, just don't get) is

that the FDA is SUPPOSED to be hamstrung by DSHEA! The whole

point of DSHEA is to keep the FDA from meddling too deeply

with the dietary supplements that give consumers the freedom

to make their own healthcare choices. Saying the FDA is

hamstrung by DSHEA is like saying the Federal Aviation

Administration is hamstrung by the public's desire to fly.

 

-----------------------------

The sky is falling

-----------------------------

 

After outlining the reasons why the poor FDA is in such a

bind, the article gets to work detailing what they call

the " dirty dozen " supplements that are reputed to cause a

variety of health problems. I'm not going to defend the use

of these supplements, and I would recommend that they be

used with caution and only after consultation with a doctor.

But the inflammatory style CR uses to tick off the negative

aspects borders on a kind of hysteria. Run for your lives!

Dangerous supplements are at large!

 

The effect of course is to portray the entire supplement

industry as irresponsible and the products unsafe when the

fact is that only a very small percentage of supplements

ever cause any problems at all.

 

In a chart that describes the drawbacks with each one of

these dozen, you won't find any mention of the benefits of

any of the supplements. But you will find a listing of

reported hazards, such as " kidney failure " and " deaths

reported. " The sources of these details are not listed, so

we don't know any of the circumstances surrounding a patient

with a failed kidney - could the patient have had other

health problems that contributed? And " deaths reported " does

not mean " deaths confirmed. " And again, were there other

contributing factors? Were the supplements misused? Were

they combined with another supplement or a drug that made

them more potent? CR doesn't say. But the clear implication

is that we should simply trust the editors that these

supplements are apparently equal to poison.

 

-----------------------------

Not so fast...

-----------------------------

 

The worst offender on the list is Aristolochic acid (AA),

extracted from vines of a species of plant called

Aristolochia. CR calls this supplement a " powerful kidney

toxin " and notes that it may be carcinogenic when taken in

high doses. The dangers of AA are highlighted with reference

to a well-known incident in the early 1990s. More than 100

patrons in a Belgian weight-loss clinic suffered kidney

failure " after consuming Chinese herbs adulterated with

Aristolochia. "

 

What CR doesn't note is that this concoction of " Chinese

herbs " also contained drugs such as the stimulants

fenfluramine and diethylpropion. So was Aristolochia

responsible for these kidney problems, or was it simply an

unfortunate mix of herbs and drugs? In the several reports I

found about this incident, the conclusions are

inconsistent.

 

CR notes that, in spite of an FDA warning about

Aristolochia, their editors were able to purchase

Aristolochic acid easily on the Internet, and I'm sure they

were. But I was curious about what sort of availability such

a notorious product might have. So I Googled " Aristolochic

acid " and you know what I got? Warning after warning after

warning. No advertisements, just warnings. This is what you

might call " ground level regulation. " Anyone searching for

an AA product or looking for information about it before

taking such a product (which they certainly should do),

would clearly be forewarned by browsing through just the top

6 hits on the Google list.

 

-----------------------------

Upside down

-----------------------------

 

At the top of their article, the editors of CR state

that, " Most supplements are probably fairly benign. " But

that's a ridiculous understatement. Many supplements help

people live healthier lives by helping prevent chronic

diseases, healing joints, managing pain, and relieving

depression, to name just a few benefits. That's far from

benign. But when it comes to potential problems, CR doesn't

want you to believe supplements are benign at all. When

discussing the danger, supplements suddenly become

potentially " potent " toxins.

 

The obvious message here is that the benefits of supplements

are weak, but the dangers are powerful. Which is the truth

turned on its head.

 

-----------------------------

Rating the raters

-----------------------------

 

At HSI we support responsible supplement labeling and we

endorse only those manufacturers that label their products

accurately. We also urge anyone who is about to embark on a

new supplement regimen to consult with their doctor and then

do their own background research - ask questions, look for

testimonials and read available studies.

 

When you go to the Consumer Reports web site, at the bottom

of many of the pages you'll see this quote: " For complete

Rating and Recommendations of appliances, cars & trucks,

electronic gear, and much more... "

 

As always, I wish CR would stick to rating appliances, cars

& trucks, electronic gear... because when it comes to

healthcare, they continue to rate unsatisfactory in my book.

 

**************************************************************

To start receiving your own copy of the HSI e-Alert, visit:

http://www.hsibaltimore.com/ealert/freecopy.html

Or forward this e-mail to a friend so they can sign-up to

receive their own copy of the HSI e-Alert.

 

**************************************************************

 

... and another thing

 

What do you get when you cross Wayne Gretzky, Joe Montana

and Yogi Berra? You might be thinking a confusing hall of

fame or some new hot celebrity restaurant.

 

But in this case, Gretzky, Montana and Yogi are my dogs. And

everyone who's ever had a beloved dog companion will

understand when I say that G., M. and Y. are not " like

family " - they are family.

 

And apparently they're providing me with health benefits I

wasn't even aware of.

 

In recent research from the University of Missouri-Columbia

50 dog owners spent 15 to 40 minutes petting and playing

with their dogs. Both the humans and the dogs had their

blood pressure monitored every five minutes, and blood

samples were also taken before and after the test.

 

Among the researchers' findings:

 

* On average, the humans' blood pressure dropped by about 10

percent during the session

* Levels of serotonin, oxytocin and prolactin (hormones that

prompt a sense of well being) increased

* Levels of cortisol (known as a " stress hormone " ) decreased

* The dogs also experienced a drop in blood pressure

 

The MSNBC report of this research also cited a 1995

University of Maryland study of more than 390 subjects,

which found that dog owners who had heart attacks were eight

times more likely to survive the year that followed the

heart attack compared to people who had no dogs in their

home.

 

That's certainly worth a few yellow spots on the lawn.

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

**************************************************************

 

Sources:

" Dangerous Supplements: Still at Large " Consumer Reports,

May 2004, consumerreports.org

" Twelve Supplements You should Avoid " Consumer Reports, May

2004, consumerreports.org

" The Art and Law of Supplement Labels " Consumer Reports, May

2004, consumerreports.org

" What You Can Do " Consumer Reports, May 2004,

consumerreports.org

" Aristolochic Acid and Chinese Herbs " John K. Chen, Ph.D.,

acupuncture.com

" Puppy Love - It's Better Than You Think " Jane Weaver,

MSNBC, 4/2/04, msnbc.com

 

Copyright ©1997-2004 by www.hsibaltimore.com, L.L.C.

The e-Alert may not be posted on commercial sites without

written permission.

 

**************************************************************

Before you hit reply to send us a question or request,

please visit here

http://www.hsibaltimore.com/ealert/questions.html

 

**************************************************************

If you'd like to participate in the HSI Forum, search past

e-Alerts and products or you're an HSI member and would like

to search past articles, visit http://www.hsibaltimore.com

 

**************************************************************

 

 

 

 

 

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