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Wed, 30 Jun 2004 10:08:33 -0500

HSI - Jenny Thompson

Guinea Pig in a Poke

 

Guinea Pig in a Poke

 

Health Sciences Institute e-Alert

 

June 30, 2004

 

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

 

Dear Reader,

 

I have some troubling news for those of you who are giving

your guinea pigs high doses of vitamin C: They may be at

risk of developing knee osteoarthritis (OA), according to a

new study from the Duke University Medical Center.

 

If you're taking vitamin C in large doses yourself, however,

should you be concerned about your own knees?

 

Yes, say the Duke researchers. In their conclusion, they

write that the study outcome, " suggests that ascorbic acid

intake should not be supplemented above the currently

recommended dietary allowance (90 mg/day for men and 75

mg/day for women). "

 

That's YOU they're talking about, not your guinea pig. And

this " advice " is based on one guinea pig study, which

happens to contradict an earlier study.

 

And if you're thinking this sounds like a guinea pig in a

poke, you're absolutely right.

 

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

Game, set and match

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

 

Here are the basics on the Duke study, as reported in the

journal Arthritis & Rheumatism:

 

Over a period of eight months, a group of guinea pigs were

fed either low, medium, or high doses of ascorbic acid.

Those who received low and medium doses had no knee

problems. Perhaps they're now enjoying tennis and skydiving.

Meanwhile, the guinea pigs in the high dose group

experienced the activation of a protein called TGF-beta. And

because latent TGF-beta has been shown to be activated by

ascorbic acid, and because TGF-beta has been linked to " OA-

like changes, " an increase of cartilage collagen in the

guinea pigs was attributed to the highest dose of vitamin C.

 

The researchers note that their results are the exact

opposite of those in a previous ascorbic acid study that

found ascorbic acid to SLOW the progression of OA in guinea

pigs. Nevertheless, they still finish up their conclusions

with a recommendation that men and women should not exceed

the very low vitamin C RDA, set by the U.S. Department of

Agriculture.

 

Does that recommendation strike you as a little too easy?

And very premature?

 

Funny... that's how it strikes me too.

 

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

What a racquet!

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

 

Knowing that HSI Panelist Allan Spreen, M.D., regards

vitamin C as one of the most basic and useful nutrients you

can incorporate into your diet and supplement regimen, I

asked him if he had an opinion on this study. His response

nearly rattled the windows. In Dr. Spreen's own words:

 

" More propaganda from the drug world.

 

" First, the study is funded from 3 sources: the Arthritis

Foundation and the National Institutes of Health are two,

both of which are thoroughly controlled by the

pharmaceutical industry (in my opinion). I don't know the

source of the third grant's funding, but I assure you it

isn't a vitamin company.

 

" Second, it's already established that the same amount of

vitamin C DOES help osteoarthritis, so AT MOST nothing can

be determined until a 'tie-breaker' study helps settle the

issue (hopefully not one associated with drug companies, but

don't hold your breath).

 

" The conclusion is to stay with the RDA (90 milligrams for

men, 75 for women). What garbage, when drug companies

control the 'official' therapy line.

 

" If 'long term' high-dose C causes arthritis (any type), it

better hurry. I have as bad a set of knees as most anyone;

one operated on arthroscopically, and the other using the

older 'open' surgical technique, where they remove the

entire cartilage instead of just shaving out the inner

edge). I also have not taken LESS than 3,000 (up to 9,000)

milligrams of vitamin C daily for the last 30 years, and my

knees tolerate as much racquetball as my out-of-shape body

can take.

 

" However, that's anecdotal. The real evidence is the motive

of those funding the studies. Why would anyone care to try

disproving such a thesis as using a nutrient to treat

arthritis? It's just more of the same. "

 

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

Not right in the head

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

 

And under the heading of " Just more of the same " I have to

also sound off on one of my pet peeves: misleading

headlines.

 

Here's the headline that topped MSNBC's coverage of the Duke

study:

 

" Vitamin C May Worsen Arthritis, Study Finds "

 

That is so far off the mark it's ridiculous. Think of how

many people with arthritis may have seen that headline and

now believe that vitamin C might be bad for them.

 

Meanwhile, one week later, Reuters Health reported a UK

study with this headline:

 

" Vitamin C Rich Diet May Cut Arthritis Risk "

 

Quite a contrast, huh? And the studies provide quite a

contrast as well: The Duke study used guinea pigs, while the

UK study followed the diets and medical records of more than

200 HUMAN subjects for about seven years.

 

Like Dr. Spreen, my knees are not in the best shape.

Nevertheless, I'll take my chances with a " vitamin C rich

diet. "

 

As for my guinea pigs... that's another story.

 

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

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

 

Here's a pop quiz: Which of these two does not belong?

 

* alpha-linolenic acid

* alpha lipoic acid

 

An HSI member named Bob knows the answer: Alpha lipoic acid

doesn't belong. Or, more specifically, it didn't belong in

the e-Alert " Nutty Buddy " (6/8/04).

 

Bob writes: " Re: Blood sugar... You have confused alpha

linolenic acid with alpha lipoic acid (a totally different

substance). "

 

And Bob is absolutely right. Because even though their names

are similar, these are two very different supplements. But

they're also very useful, so this correction provides a

perfect opportunity to take a look at their strengths, as

well as their differences.

 

As I told you in the 6/8 e-Alert, alpha-linolenic acid

(which I should have designated as alpha-LNA, not ALA) is a

precursor of omega-3 fatty acids, and that alone is enough

to highly recommend it, knowing what we know about the

values of omega-3. Researchers at Pennsylvania State

University have shown that a diet rich in alpha-LNA promotes

blood vessel resiliency and may improve cholesterol levels.

 

Alpha LIPOIC acid, on the other hand, is an antioxidant that

can actually recycle vitamins C and E from their molecular

building blocks, and may help your body better utilize other

antioxidants such as glutathione and CoQ10 (migraine

patients, take note!).

 

In " Nutty Buddy " I told you that alpha lipoic acid has also

been shown to be a blood-sugar-lowering agent - which is

good for type 2 diabetics, and potentially bad for those who

suffer from hypoglycemia (low blood sugar). Alpha-LNA,

however, doesn't necessarily pose any risks for someone with

hypoglycemia. Nevertheless, you should consult with your

doctor before starting any new supplement regimen,

especially if you've been diagnosed with a specific health

problem.

 

And thanks, Bob.

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

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

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

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

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

receive their own copy of the HSI e-Alert.

 

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

 

Sources:

" Ascorbic Acid Increases the Severity of Spontaneous Knee

Osteoarthritis in a Guinea Pig Model " Arthritis &

Rheumatism, Vol. 50, No. 6, 6/3/04, interscience.wiley.com

" Vitamin C May Worsen Arthritis, Study Finds " Reuters

Health, 6/4/04, msnbc.com

" Vitamin C and the Risk of Developing Inflammatory

Polyarthritis: Prospective Nested Case-Control Study " Annals

of the Rheumatic Diseases, Vol. 63, No. 7, July 2004,

ncbi.nlm.nih.gov

" Vitamin C Rich Diet May Cut Arthritis Risk " Anthony J.

Brown, M.D., Reuters Health, 6/12/04, story.news.

 

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

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

written permission.

 

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

 

 

 

 

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