supplements

I was going to write about this yesterday, but seeing a family of a child with terminal cancer seduced by the siren call of Stanislaw Burzynski and his antineoplaston quackery distracted me and I had to blog about it. It's actually an appropriate lead-in to this story, which was based on an announcement by the FDA that it was sending warning letters to 14 companies for selling products that they claimed were treatments for cancer: The U.S. Food and Drug Administration today posted warning letters addressed to 14 U.S.-based companies illegally selling more than 65 products that fraudulently…
A characteristic of real doctors and real health care providers is that they usually don’t sell the drugs and remedies that they recommend. Indeed, physicians are generally not allowed to in most states, as it’s considered a conflict of interest. Also, the Stark Law forbids physician self-referral, which is the referral of a patient to a medical facility in which that physician has a financial interest, be it ownership, investment, or a structured compensation arrangement. The reason why it’s considered unethical for physicians to sell the drugs or treatments they recommend or to self-refer…
To say that I, as a cancer surgeon, am not a fan of Ty Bollinger is a massive understatement. He’s not exactly one of my fans, either, but I view the hatred of a man like Bollinger directed at me as a badge of honor. Indeed, if a man like Bollinger didn’t detest me, I would view my efforts as a failure because I view him as a quack whose desperately deceptive film series The Truth About Cancer has been correctly dubbed untruthful about cancer by Harriet Hall and whose message has led cancer patients into rejecting conventional medicine in favor of treating deadly cancers with alternative…
So-called “alternative” medicine is made up of a hodge-podge of health care practices and treatments based on beliefs that are unscientific, pre-scientific, and pseudoscientific. These modalities include practices as diverse as homeopathy, traditional Chinese medicine, reflexology, reiki and other forms of “energy medicine” based on vitalism, chiropractic, and naturopathy, and that’s a short list of the quackery that falls under the rubric of the term “alternative medicine.” Unfortunately, this unscientific, pre-scientific, and pseudoscientific hodge-podge of treatments rooted in nonsense are…
Now that's what I'm talking about! Yesterday, the Justice Department announced criminal charges and lawsuits against the sellers of several supplements! This is the ort of thing that is long overdue—incredibly so, in fact. Before I get to this specific case, let's discuss a little background. One of the regular topics I write about, both on this blog and at my not-so-super-secret other group blog, is how supplement manufacturers take advantage of the lax regulation of dietary supplements in this country. It's a problem in our laws that we've had since the supplement industry and its lapdogs…
The overarching goal that proponents of so-called "complementary and alternative medicine" (CAM) or, as is becoming the preferred term, "integrative" medicine is the mainstreaming of the "unconventional" treatments that fall under the rubric of these two terms. Indeed, that's the very reason why they so insisted on the shift from calling it CAM to calling it "integrative medicine." Not being content with the subsidiary status as not quite "real" medicine" that the words "complementary" and "alternative" imply, they want their woo to be seen as full co-equals with scientific medicine, hence…
Now that we're solidly into 2015, it's a good time to check in on what the legislative priorities are going to be among various advocates of quackery and "health freedom" (but I repeat myself). There's a new Republican Congress, and a lot of chairmanships are going to be reshuffled, with various legislators finding themselves in control of important Congressional committees. Fortunately for us, one of the major promoters of "health freedom" (or, as I like to call it, the freedom of quacks from pesky government laws and regulations), has laid out exactly what its priorities are for 2015.…
After having returned from TAM, I was pumped up by how much interest was shown in the case of Stanislaw Burzynski. More importantly, I was heartened to learn while I was there that the Texas Medical Board had submitted an amended complaint against him containing 202 pages worth of charges. Sure, the descriptions of the violations Burzynski committed in the care of seven patients cited got a bit repetitive, but that’s Burzynski. His MO has been consistent for 37 years, the only change being that in 1997 he decided to use and abuse the clinical trial process as a means to an end, that end being…
After Dr. Oz's very bad week last week, it's wonderful to see John Oliver take on Dr. Oz in a very long segment on his show Last Week Tonight With John Oliver: Hilarious.
I almost feel sorry for "America's Quack," Dr. Mehmet Oz. Well, not really. Remember last week when I took note of an upcoming Senate hearing, specifically a hearing on weight loss scams in front of the Subcommittee on Consumer Protection, Product Safety, and Insurance, which is chaired by Senator Claire McCaskill (D-MO). At the time, I wasn't pleased, because I assumed that the reason Dr. Oz had been invited to testify was in order to bring some star power to the proceedings and get some television coverage, given that the rest of the witnesses consisted of representatives from government…
I've never made it much of a secret that I don't much like "America's doctor," Dr. Mehmet Oz. Just enter his name into the search box of this blog, and you'll find quite a few posts in which I deconstruct some bit of quackery that Dr. Oz has promoted on his show, be it his promotion of faith healing and even psychic medium quackery from the likes of John Edward and Theresa Caputo (a.k.a. the Long Island Medium, who was—surprise! surprise!—recently reported to be a fraud); his fear mongering over the non-existent link between cell phone radiation and cancer; regular promotional visits by über-…
Sometimes, when you're blogging, serendipity strikes. Sometimes this takes the form of having something appear related to something you just blogged about. Yesterday, I discussed one of the biggest supporters of quackery on the Internet, Mike Adams, a.k.a. the Health Ranger, proprietor of NaturalNews.com, one of the quackiest, if not the quackiest site, on the Internet, NaturalNews.com. This time around, I was simply using one of Adams' wonderfully incoherent defenses of alternative medicine thinking to demonstrate how much magical thinking exists at the core of alternative medicine and how…
I remember during medical school that more than one of my faculty used to have a regularly repeated crack that the only thing that taking vitamin supplements could do for you was to produce expensive pee. My first year in medical school was nearly thirty years ago now; so it's been a long time. During the nearly three decades since I first entered medical school, I have yet to see any evidence to persuade me otherwise. If you eat a well-rounded diet, you don't need vitamin supplementation. Of course, none of that stops the supplement manufacturers from trying to convince us that taking…
Well, wouldn't you know it? Mike Adams thinks he's an actual scientist! Regular readers are all too familiar with Mike Adams, a.k.a. The Health Ranger, arguably the most quacktastic site on the Internet. Sure, Joe Mercola is probably the most trafficked quackery site on the Internet, but, being number two (or number three or four, I'm not sure), Mike Adams definitely tries harder. In addition, Joe Mercola steers mostly clear of politics and non-medical pseudoscience. Sure, he promotes just as much quackery as Mike Adams does, if not more, but he doesn't delve into Tea Party-drenched New World…
That Dr. Mehmet Oz uses his show to promote quackery of the vilest sort is no longer in any doubt. I was reminded yet again of this last week when I caught a rerun of one of his shows from earlier this season, when he gazed in wonder at the tired old cold reading schtick used by all "psychic mediums" from time immemorial, long before the current crop of celebrity psychic mediums, such as John Edward, Sylvia Browne, and the "Long Island Medium" Theresa Caputo, discovered how much fame and fortune they could accrue by scamming the current generation of the credulous. Speaking of Theresa Caputo…
There's a phenomenon known as off-label prescribing. Basically, to prescribe something off-label is to prescribe it for an indication that is not FDA-approved but that is supported by considerable evidence. For example, it could involve using an FDA-approved drug for an indication that is not within its approval, for an unapproved age range (such as children), or at an unapproved dose or in an unapproved form. Although the FDA has the power to approve drugs for specific indications, it doesn't actually have the power to regulate the practice of medicine, which means that physicians can use…
In the wake of FRONTLINE's The Vaccine War, I was going to have a bit of fun with the reactions of the anti-vaccine fringe. After all, the spokescelebrity of the anti-vaccine movement, Jenny McCarthy, has posted yet another brain dead screed at--where else?--The Huffington Post. So has everybody's favorite pediatrician to the stars and apologist for the anti-vaccine movement, Dr. Jay Gordon. Both are incredibly target-rich environments, each worthy of its very own heapin', helpin' of not-so-Respectful Insolence. Truly, we have an embarrassment of riches here as far as blogging material…
If there's one law that (most) supporters of science-based medicine detest and would love to see repealed, it's the Dietary Supplement and Health Act of 1994 (DSHEA). The reason is that this law, arguably more than almost anything else, allowed for the proliferation of supplements and claims made for these supplements that aren't based in science. In essence, the DSHEA created a new class of regulated entity called dietary supplements. At the same time, it liberalized the rules for information and claims that the supplement manufacturers can transmit to the public and while at the same time…
We've spoken here every few months about so-called natural dietary supplements being adulterated with prescription drugs used for similar indications. The most common of these of late have been erectile dysfunction supplements which have been repeatedly found to contain the active compounds present in prescription E.D. products such as Viagra and Cialis. The latest public health advisory from the US FDA concerns what appears to be a much more serious case of adulterations, this time with steroids in body-building supplements marketed as containing "steroid-like" compounds: The FDA is…