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" HSI - Jenny Thompson " <HSIResearch

 

HSI e-Alert - Get it Right!

Thu, 21 Apr 2005 06:59:00 -0400

HSI e-Alert - Get it Right!

 

Health Sciences Institute e-Alert

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

 

 

 

April 21, 2005

Dear Reader,

 

Too bad there's not an equivalent of a White House in the dietary

supplement world. If there was, the Press Secretary could schedule a

media briefing and finally, at long last, get everyone on the same

page concerning ephedra.

 

Here's how the briefing might go...

 

-----------

Word for word

-----------

 

Press Secretary: Before I take questions regarding last week's federal

court ruling that challenged the so-called " FDA ban of ephedra, " I'd

like to straighten out one important detail. For years now most of the

reporters here in the press pool have been using the wrong

terminology. As a result, the controversy surrounding ephedra has been

completely misrepresented. So starting today, I want everyone to get

it right. Pencils out? Okay. Write this down:

 

Ephedra is an herb that is reasonably safe when used in a balanced

formulation administered by experienced herbalists. And this may come

as a shock to some of you, but herbal ephedra has not been banned. In

2004 the FDA banned the sale of " dietary supplements containing

ephedrine alkaloids. "

 

Ephedrine is the active ingredient of ephedra. And " ephedrine

alkaloids " refers to the synthetic, hyped up version of ephedrine that

some manufacturers combine with caffeine (a potentially dangerous mix)

to produce super-charged weight loss supplements.

 

When ephedrine is not taken as directed, or taken by someone with a

history of heart problems, you're playing with fire at a gas pump. But

for most people, herbal ephedra is safe when taken as directed in the

treatment of asthma, common colds and other conditions that require

bronchial dilation.

 

So every time you write that " ephedra " has been banned you're getting

it wrong. Even worse, you're slandering ephedra. Ephedrine alkaloids

have been banned. Herbal ephedra is perfectly legal.

 

-----------

Q. & A.

-----------

 

Press Secretary: Okay, I'll take a few questions.

 

Reporter One: Uh...are you sure that ephedra hasn't been banned?

 

PS: Read my lips: NO! Do you guys do ANY research or do you just

reword press releases? Learn to use an Internet search engine for gosh

sakes. HealthDay News got it right. Mary Duenwald of the New York

Times got it right. It's not brain surgery.

 

Reporter Two: Would you comment on the decision last week by a federal

court in Utah that struck down the FDA ban of ephedra?

 

PS: (Pulling his hair.) Jumpin' Jupiter! Am I talking to myself here?

The court decision last week had NOTHING to do with herbal ephedra! In

a nutshell, here's what happened in Utah:

 

* Nutraceutical Corporation (a supplement manufacturer that once

offered an ephedrine product) filed a suit alleging that the FDA had

not proved that low doses of ephedrine-alkyloid supplements were

dangerous.

* Judge Tena Campbell of the US District Court of Utah agreed,

stating that the agency had not met the standard for banning low doses

of ephedrine-alkyloids (under 10 mg).

* Judge Campbell ordered the FDA to conduct a study that would

determine dose-dependent toxicology so the ban of ephedrine alkyloid

supplements can be set at a proven toxic level.

* A spokesperson for the Nutraceutical Corporation stated that the

FDA ban had been overturned.

* But an FDA spokesperson stated that the ban is still in effect

for higher doses (above 10 mg) of ephedrine products and added that

the agency is considering its options " with respect to next steps. "

* What does that mean? We'll have to wait for the FDA to figure

that out and get back to us.

 

-----------

Bring on the demon

-----------

 

Reporter Three: If ephedra has not been banned, why is the

complementary and alternative medicine community upset about the ban

on synthetic ephedrine?

 

PS: Good question. There are two reasons. First, as the federal

decision in Utah demonstrates, FDA officials have shown a willingness

to overstep their bounds when it comes to regulating dietary

supplements. And second: demonization of the word " ephedra. "

 

Because of the wide misuse of the word ephedra to refer to both herbal

ephedra and synthetic ephedrine, all the problems (including a number

of deaths) associated with synthetic ephedrine have been attributed to

ephedra. As the highly emotional case has been built against the use

of synthetic ephedrine, the generic use of the word " ephedra " has

become demonized, from the halls of Congress to the locker rooms of

professional sports franchises.

 

But herbal ephedra isn't banned, so why would an herbalist be upset?

Simple: Insurance premiums.

 

So many lawsuits have been launched against makers of synthetic

ephedrine products that insurance company executives have become

skittish. They hear the word " ephedra " and product liability insurance

premiums go through the roof, if they even offer coverage at all.

That's why many herbal suppliers and herbal formulators have

reluctantly stopped dealing in ephedra and ephedra formulas because

they can't meet the insurance demands. You could call it a " soft ban. "

 

Reporter One: So, you're saying that the reputation of herbal ephedra

has to unfairly bear the bad reputation of synthetic ephedrine

resulting in higher prices and meager supplies for consumers who need

the herb?

 

PS: Holy mackerel! You've got it!

 

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

 

 

....and another thing

 

The Amsler Grid may be your new best friend.

 

If you're over the age of 60, or you're a smoker, or your family has a

history of age-related macular degeneration (AMD), then you're in an

AMD high-risk group.

 

If you do fall into any of those high-risk categories there are two

steps you can take to lower your risk of this retina disorder that is

the major cause of eyesight loss in the elderly. First, read the

e-Alert " Keeping Watch " (4/12/05) to find out which antioxidant

supplements may significantly lower your risk. (You can find this and

other e-Alerts by searching the e-Alert archives on our web site at

hsibaltimore.com.)

 

Second, you can use a simple screening tool called the Amsler Grid,

which is used to indicate the early stages of AMD and other macular

diseases.

 

The Amsler Grid is a small square divided into a 400-unit grid with a

black dot at the center. There are many web sites on the Internet that

carry Amsler Grids that you can easily print out. To find a grid, just

enter " amsler grid " in any search engine and you'll find plenty of

sites to choose from.

 

After printing the grid, testing is very simple. Just hold the grid at

the distance you would normally use to read something. If you wear

reading glasses, wear them for this test. Then cover one eye and focus

on the center dot. Can you see all the corners and sides of the grid

box? Do any of the lines appear distorted or blurred? Are all the

squares the same size? Are any areas of the grid missing or dark?

 

After testing both eyes, if you answer yes to any of these questions

it's time to make an appointment with the eye doctor immediately. AMD

cannot be reversed, but when diagnosed its progression can sometimes

be slowed and in some cases completely stopped with proper treatment.

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

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

 

 

Sources:

 

" Ephedra Ban Lifted by U.S. District Judge " HealthDay News, 4/14/05,

healthday.com

" Nutraceutical May Resume Ephedra Sales After Court Overturns Ban "

NutraIngredients-USA.com, 4/18/05, nutraingredients-usa.com

" High-Dose Ephedra Pills Still Illegal, FDA Says " Reuters, 4/15/05,

reuters.com

" Despite FDA Ban, Ephedra Won't Go Away " Mary Duenwald, The New York

Times, 2/17/04, nytimes.com

 

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

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