Weird Medicine Healthcare for the Rest of Us

February 4, 2017

Dietary Supplements and Risk of Cause-Specific Death, Cardiovascular Disease, and Cancer

Filed under: Steve's Blog — Tags: , , , , — dr steve @ 2:19 pm

Here’s a nice article doing some actual SCIENCE on dietary supplements and health.  People ask me all the time, “do dietary supplements work?”  My first question is always “what do you want to accomplish?”  If you say,  “I want to take Vitamin D to prevent rickets,”  I’m all in!  If you say “I want to take Vitamin C to prevent the common cold,” I can’t find any decent data to support it.

So we have to define our endpoints (what do we want to accomplish) then study how various supplements help us reach those endpoints.  Sometimes, as in the case of “antioxidants,” the data may surprise and dismay us.  Other times, we may see a positive result and be able to make general statements about certain supplements.  Read this abstract and I’ll see you at the end for a brief analysis!  [Emphasis added below]

Dietary Supplements and Risk of Cause-Specific Death, Cardiovascular Disease, and Cancer: A Systematic Review and Meta-Analysis of Primary Prevention Trials1,2,3

Abstract

Our aim was to assess the efficacy of dietary supplements in the primary prevention of cause-specific death, cardiovascular disease (CVD), and cancer by using meta-analytical approaches. Electronic and hand searches were performed until August 2016. Inclusion criteria were as follows: 1) minimum intervention period of 12 mo; 2) primary prevention trials; 3) mean age >18 y; 4) interventions included vitamins, fatty acids, minerals, supplements containing combinations of vitamins and minerals, protein, fiber, prebiotics, and probiotics; and 5) primary outcome of all-cause mortality and secondary outcomes of mortality or incidence from CVD or cancer. Pooled effects across studies were estimated by using random-effects meta-analysis. Overall, 49 trials (69 reports) including 287,304 participants met the inclusion criteria. Thirty-two trials were judged as low risk–, 15 trials as moderate risk–, and 2 trials as high risk–of-bias studies.

Supplements containing vitamin E (RR: 0.88; 95% CI: 0.80, 0.96) significantly reduced cardiovascular mortality risk, whereas supplements with folic acid reduced the risk of CVD (RR: 0.81; 95% CI: 0.70, 0.94). Vitamins D, C, and K; selenium; zinc; magnesium; and eicosapentaenoic acid showed no significant risk reduction for any of the outcomes. On the contrary, vitamin A was linked to an increased cancer risk (RR: 1.16; 95% CI: 1.00, 1.35). Supplements with beta-carotene showed no significant effect; however, in the subgroup with betacarotene given singly, an increased risk of all-cause mortality by 6% (RR: 1.06; 95% CI: 1.02, 1.10) was observed. Taken together, we found insufficient evidence to support the use of dietary supplements in the primary prevention of cause-specific death, incidence of CVD, and incidence of cancer. The application of some supplements generated small beneficial effects; however, the heterogeneous types and doses of supplements limit the generalizability to the overall population.

So, given this meta-analysis, if you want to try to reduce your risk of cardiovascular disease, Now Foods Advanced Gamma E Complex, Soft-gels, 120-Count  and Nature Made Folic Acid 400mcg, 250 Tablets (Pack of 3) may be worth a shot. Otherwise, at least for the supplements and outcomes they measured, no other supplements provided a positive effect, and some made things worse (beta carotene and vitamin A, basically).

We’ll stay on this; we’re always looking for new evidence to make your (our) lives better!

 

yr obt svt,

 

Steve

September 30, 2013

An Open Letter to Dr. Steve

Filed under: Steve's Blog — Tags: , , , — dr steve @ 9:21 am

I got a note from a listener about his mom and her nightmarish foray into the medical system.  She had a mass that was removed and post surgery retained a lot of fluid (it’s called “third spacing“, feel free to Google it). Anyway, she was getting a bit of the ol’ “run around”, likely due to being told different things by different practitioners on her case (and there were many).  Anyway, I gave her and her son some information and support and moved on.   A week later I got this letter.  Sometimes we don’t know the impact we’re having on people.

I post this here only as a reminder to my employer that despite all the F-bombs and awful dick jokes and testicle-cheese questions, we actually sometimes do some good on this show.

An open letter to Dr. Steve,

It is with a very grateful heart that I write to thank you for all of your help. You have been a shining beacon throughout this entire process. Your insights, your knowledge, but mostly importantly your dedication to helping others has helped us all so very much. Thank you for helping my son, Benjamin, in the process of helping me.

Among the many lessons, gifts so to speak, in this journey has been: to try to discern truth, to take responsibility for one’s own treatment, to stand up for oneself, to be articulate and to question. It became evident near the end of my ordeal that to express compassion rather than condemnation and to give of oneself to others who struggle was an important stop on this trip. A smile and a laugh go a long way on a cancer floor of women battling to live. The number one lesson that I see is to let your light shine, share your gifts, give a hug, provide a laugh. Do it every moment of every day. Tell the truth as you see it. Listen for truth in all that you hear. Value your friends and family beyond anything that you can imagine. Appreciate every moment and always move forward.

Today came the good news that all of the biopsies were benign. But I was very sick last week, and we could have permanently damaged my kidneys, When asked about this, my surgeon today told me that nothing different could have been done. I knew that was not true. When he said that he was the doctor, how dare I question his judgement, I did not rise to the argument. I left that room at peace. I had spoken my truth, and I would live when others would not.

So there we are. The trip that started with lower abdominal pain late last winter is finally over. In the process, we have gotten to know you, Dr. Steve, and your wonderful work. This trip into the world of high-tech surgery and world-class hospitals was over. We will wait for the new one to begin. Perhaps it will be to the little town of Gallatin, Tennessee, to see one incredible man: Dr. Steve.

With fond best wishes and our forever thanks,

Anne M

August 5, 2011

August 5 2011 Podcast

Filed under: Podcast,Steve's Blog — Tags: , , , , , , — dr steve @ 11:55 pm

This was our second attempt at a LIVE show from the Weird Medicine studios and our first try with our own Ustream channel. Thanks to Anthony Cumia’s retweet on twitter, we set all kinds of records for listeners this night…a feat we’ll not repeat soon (unless we can convince Ant to retweet us again when we’re on).

The weird thing about this is that I was actually nervous going into this.  Knowing that there are real, live people listening and wanting to interact with us is way different than answering voicemails and doing a show to 4 people in the studio.  That someone will actually listen later to the show seems almost theoretical.  Doing it live is a different beast, but it is very exciting and extremely fun.

We’re ironing out the kinks…we’ll get better at this whole live podcast thing, I promise.

your pal,

 

Steve

(Check out the new Weird Medicine Shot Glasses at Cafe Press.  I bought 7.  Perhaps we’ll figure out a way to give a few away in the next week or so.  Stay tuned!)

July 30, 2011

Trevor W from Canada: “The Dr Steve AHHHHHH Song”

Filed under: Podcast,Steve's Blog — Tags: , , , , , — dr steve @ 11:16 pm

It is well known that I am hobbled by horrid vocal crutches. These came on late in life when I decided that I couldn’t utter something unless I “knew” it was “correct” (it’s a form of OCD) and my dumb brain is constantly searching for words that ensure that I’m not making statements beyond my knowledge. While my brain is frantically searching for the “right” words, my stupid mouth just opens up and “ahhhhhh” comes out along with “so anyway” and a few other annoying nuggets.

I’m pretty sure Trevor W got this from ONE show, and probably ONE answer to ONE question. It’s really quite embarrassing, but the boyz in studio got a kick out of making fun of me for a change. Now you can, too, thanks to the magic of feedburner and iTunes!

Enjoy!

your pal,

Steve

August 3, 2008

New Weird Medicine Addendum

Filed under: Podcast — Tags: , , , , , , , — dr steve @ 9:11 am

If you missed it on XM, this is the August 3rd “Weird Medicine Addendum”, a prerecorded podcast that answers questions brought up between “Weird Medicine” live shows.

We now hear that we’ll have the opportunity to do these monthly for awhile, so if you have any questions or want us to cover any particular topics email us or post them in the forum.  Alternately, visit my “weird medicine forum” on http://www.ronfez.net.

 If you have problems listening to the podcast with the embedded player, just click “download” and it should play normally.   We’re working on this issue.

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