A question I’m frequently asked is whether nutritional supplements actually produce meaningful results or whether they are, in effect, expensive placebos. The answer to that question isn’t nearly as simple as some would like. But as an old boss of mine used to say, “It is what it is”. In my opinion, supplements should to be viewed from a holistic perspective. In practical terms that means that you need to establish the relative merits of each product based on individual circumstances and requirements. By applying this criterion, the efficacy and safety profile of what you take is likely to improve. Read more »

I was listening recently to an interview with Dr. Richard Bernstein that was conducted by David Edelman of Diabetes Today. During the course of the interview David posed a few specific questions that I genuinely wanted to know the answers to: “What did you have for breakfast and for lunch?”. These aren’t exactly hard hitting inquiries or the kind of material that is likely to convert anyone to Dr. Bernstein’s philosophy for controlling blood sugar. But it does offer an intriguing glimpse into how a seasoned expert applies his own recommendations to his daily life. After all, isn’t that what we’d all like to know? How do we take the concepts and guidelines presented in books, magazines and websites, and incorporate them into our regular routines? One way to accomplish this is to replace damaging diet elements with healthier options. Read more »

Some alt-med experts are suspicious of mainstream medical publications such as the The New England Journal of Medicine (NEJM). They generally believe that such periodicals are firmly in the camp or even in the pocket of allopathic medicine. While there may be some truth to that, it’s also accurate to say that unbiased articles do occasionally appear in these same journals that are often criticized. Read the following quote and tell me if it sounds like it belongs in a publication whose primary purpose is to support the existing medical and pharmaceutical paradigm: “The current drug-labeling practice for adverse events is based on the implicit assumption that an accurate portrait of patients’ subjective experiences can be provided by clinicians’ documentation alone. Yet a substantial body of evidence contradicts this assumption, showing that clinicians systematically downgrade the severity of patients’ symptoms, that patients’ self-reports frequently capture side effects that clinicians miss, and that clinicians’ failure to note these symptoms results in the occurrence of preventable adverse events”. That quote is taken directly from a current analysis entitled, “The Missing Voice of Patients in Drug-Safety Reporting” which is presented in the March 10th online edition of the NEJM. Read more »

The other night I found myself at a local card room. I was sitting at a “No-Limit Texas Hold ‘em” table playing poker with a motley group of strangers. Poker isn’t your standard form of gambling. It does involve a certain measure of luck, but it mostly requires a particular set of observational and social skills. It so happens that these same skills can be extremely beneficial in parts of life that extend far beyond the confines of the felt table, the clattering chips and shuffling cards. About half way through the evening, a rather gruff looking gentleman took a seat at the table. He looked like the kind of guy you wouldn’t want to upset or even look at the wrong way. But if there’s one lesson that poker teaches you it’s that you should never entirely trust the obvious. So I began chatting with this biker-type fellow as he devoured an enormous ice cream sundae with plenty of peanuts on top. In the course of about 15 minutes, he revealed to me that was suffering from terminal cancer. He didn’t much care about dressing well or shaving because he didn’t expect to be around for much longer. Talk about a punch to the gut! Read more »

Certain foods tend to get a bad rap across the board. These so called “dietary offenders” generally fall into two camps: foods that are rich in cholesterol and saturated fat, and desserts, drinks or snacks that are abundant in simple carbohydrates. I can’t think of a good argument for sugar laden treats, but I do believe that many foods containing cholesterol and saturated fat are, in fact, healthy. This point of view is often shared by nutritionists and physicians who have adopted a low-carbohydrate philosophy. However, the vast majority of conventional doctors and nutrition advisors disagree. One of the reasons why I personally think that foods such as beef, eggs and pork can be healthful additions to the average diet is because they’re loaded with an essential nutrient known as choline. Read more »

It’s time to round up some nutritional odds and ends. I found three recent news items that didn’t seem to get much press coverage, but I thought you might still like to know about. Read more »