Oct
30
2021

Acetaminophen Damages the Fetus

Many women take acetaminophen when pregnant, but acetaminophen damages the fetus. It is important to realize that acetaminophen is a common over-the-counter pain reliever. In addition, it is also often combined with codeine as headache pills. Acetaminophen goes under these brand names: Tylenol, Tylenol Arthritis Pain, Tylenol Ext and Little Fevers Children’s Fever/Pain Reliever. The international name of acetaminophen is the name “paracetamol”.

An international group of 13 scientists are calling health care professionals to limit the use of acetaminophen in pregnant women. CNN reported about this under this link.

These scientists published an article in the medical journal Nature on the dangers of paracetamol use in pregnancy.  Specifically, they said that acetaminophen can alter fetal development, which includes reproductive, neurodevelopmental and urogenital disorders.

History of acetaminophen

The chemical name for acetaminophen is N-acetyl-p-aminophenol. Acetaminophen is simply a shortened version of that chemical name. It was introduced in the US in 1955 as Tylenol® and in the United Kingdom in 1956 under the brand name Panadol®. In particular, acetaminophen was recommended to control fevers and to help with pain control.

In the 1960’s the Swiss watch industry provided workers who complained of headaches freely with acetaminophen. With this in mind, within a few years studies showed that many of these women who took a lot of this medication developed kidney problems. This led to an increase of the creatinine level in the blood. The kidney damage from acetaminophen was dubbed “phenacetin kidneys”. Outside of the US acetaminophen has the name phenacetin. Many of these patients subsequently had to receive dialysis and later kidney transplants.

Acetaminophen toxicity

The recommended dose of acetaminophen is 650 mg to 1000 mg 4-6 times daily, not to exceed 4 grams/day. The therapeutic window for this drug is very narrow, because 7.5 grams per day to 10 grams per day are already toxic. For children the dose is 15 mg/kg every 6 hours to a maximum of 60 mg/kg per day.

The other known toxicity concerns liver function. This article about Tylenol toxicity explains this in more detail.

Many people do not know about the limit for the over-the-counter acetaminophen and take too much for a fever or a painful condition. Just because a drug is available over the counter does not mean that it is harmless. If you don’t watch for toxic levels, you could end up dead or find yourself waiting for a liver transplant.

New evidence that acetaminophen damages the fetus

91 scientists from Australia, Brazil, Canada, Europe, Israel, Scotland, the UK and US have signed a declaration. In it they ask pregnant women not to take acetaminophen “unless its use is medically indicated”. Among the reasons for the declaration is that acetaminophen certainly can cause neural tube defects and cardiovascular disorders in fetuses. Pediatrician Dr. Leonardo Trasande, director of environmental pediatrics at NYU Langone Health, did not partake in this research. He has done safety studies on acetaminophen and pointed out the similarity in chemical structure between acetaminophen and phthalates. Like phthalates acetaminophen disrupts the reproductive development in animals and humans.

Evidence for neurodevelopmental disruption

Dr. Shanna Swan, a professor of environmental medicine at the Icahn School of Medicine at Mount Sinai in New York said: “There’s enough evidence to find increased risk of undescended testicles and a shortening of the anogenital distance, which is a predictive of later decreased sperm count and decreased fertility. We also see impaired ovarian function which has consequences for later fertility, although females have been less studied.”

The conditions that relate to acetaminophen toxicity were attention deficit hyperactivity disorder (ADHD), behavior abnormalities and autism spectrum disorders. In addition, language delays, conduct disorders and decreased IQ were due to neurodevelopment disruption from acetaminophen toxicity.

Mechanism of action of acetaminophen and side effects

Acetaminophen has been on the market for over 60 years. But scientists still don’t know exactly how it acts in the body to help control pain and reduce fever. There is a consensus that acetaminophen acts on the central nervous system inhibiting the synthesis of prostaglandins. These biological compounds have a leading role in causing fever, pain and inflammation. But the scientific proof for this consensus is still outstanding.

Side effects

There are a multitude of side effects that can occur with the use of acetaminophen. Common side effects are hives, itching, swelling of the mouth and throat and tingling in the mouth or throat. Other side effects are swelling in the face or hands, breathing difficulties or chest tightness. Acetaminophen can cause a loss of appetite, nausea and vomiting. Severe stomach pain can be another symptom of acetaminophen side effects. As you can see from the above link there are many more known side effects of acetaminophen.

Acetaminophen Damages the Fetus

Acetaminophen Damages the Fetus

Conclusion

Acetaminophen (=paracetamol, phenacetin) is a popular over-the-counter fever and pain remedy. But a narrow therapeutic width can cause serious overdoses where both the liver and the kidneys suffer irreparable damage. When people unknowingly take too much acetaminophen, they enter into the toxic range. This can cause disability and death. Kidney damage from acetaminophen became known as “phenacetin kidneys” already in the 1960’s in female workers of the watch industry in Switzerland. They developed headaches from constantly working with magnifying glasses and had free access to acetaminophen provided by the employer. Later, in North America liver disease developed when patients overdosed with over-the-counter acetaminophen for fever and pain control.

Interruption of fetal development from exposure of the fetus to acetaminophen 

At the present time the focus is on newer findings of researchers. They noticed that exposure of pregnant women to acetaminophen damages the fetus. This results in undescended testicles and a shortening of the anogenital distance which is a predictive of later decreased sperm count and decreased fertility. These are findings for males. Findings in females are less studied at this point in time. Dr. Leonardo Trasande pointed out the similarity in chemical structure between acetaminophen and phthalates. Like phthalates acetaminophen disrupts the reproductive development in animals and humans. Patients should take acetaminophen only under supervision with doses that are safe. The old notion that acetaminophen would be safe in pregnancy is no longer true in light of the new medical findings. Any pregnant woman should discuss with her physician what she can safely take.

Apr
17
2021

Which are the Most and Least Contaminated Crops

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Farmers are spraying many crops with pesticides, so which are the most and least contaminated crops? Recently, the Environmental Working Group’s 2021 Shopper’s Guide to Pesticides in Produce was published. The various fruit and vegetables are also called the “dirty dozen”. You see from this readily that the most contaminated crops are strawberries, followed by spinach and kale, collard and mustard greens. Nectarines, apples and grapes are next followed by cherries, peaches and pears. The list is made complete by bell and hot peppers, celery and tomatoes.

Safety of food

This means that it is not safe to eat any of these fruit and vegetables from regular crops, as they are all contaminated by pesticides. It is advisable to exchange these crops and buy the organic version of each instead. This is easy to do, and I have done this for years. If you have a garden or access to a community garden, you can also grow some of them yourself.

What pesticides do in the body

People can acquire pesticides orally as contamination of crops. But people can absorb them as well by inhalation or through the skin. People affected by pesticides may complain about a sore throat, a cough, eye and skin irritation. They also may develop a headache, loss of consciousness, diarrhea, nausea and vomiting. In the worst case there can be profound weakness, seizures and death.

You may think:” Why worry? There is probably just a little bit left, and this surely will not harm me.” But make no mistake: many of the pesticides are hormone disruptors, and that “little bit” does matter!

Action of hormone disruptors

Hormone disruptors may have a molecular structure similar to estrogen. As a result, laboratory analysis may show smaller semen counts in males causing infertility.  Women can develop cysts in the ovaries, menstrual bleeding abnormalities and breast cancer. With pregnancy pesticides can cause early miscarriages. In addition, women can also have fertility problems as a result of hormone disruptors.

A French study showed that consumption of organic food reduces cancer risk

One way to find out what pesticides (insecticides) are doing to the body is to do a comparative study. In France researchers compared cancer rates between people who consumed organic food and others who ate regular food (treated with pesticides). Researchers recruited 68,946 French adults for the study. More than ¾ of the study population were women in their mid 40’s. Researchers divided these subjects into 4 groups depending on how many of 16 organic food groups they were consuming.

Details of the French study (organic food intake versus non-organic food intake)

First of all, the type of foods included fruit and vegetables, ready-to-eat meals, meat and fish, vegetable oils and condiments, dietary supplements and other products. Also, the investigators followed this population for an average of 4 ½ years. Finally, during that time 1,340 cancers developed. 459 breast cancers occurred, 180 prostate cancers, 135 skin cancers, 99 colorectal cancers and 47 non-Hodgkin lymphomas.

Those who ate the most organic food developed 25% less cancer on average. When it came to Hodgkin’s lymphoma, organic food consumers developed 73% less of it than people on regular food. Postmenopausal breast cancer was 21% less frequent among those who had the highest amount of organic food.

The least contaminated fruit and vegetables

The Environmental Working Group’s 2021 Shopper’s Guide for the least contaminated fruit and vegetables lists the following. Avocados, sweet corn, pineapples and onions. Papayas, frozen sweet peas, eggplant, asparagus, broccoli and cabbage are next. Finally, kiwifruit, cauliflower, mushrooms, honeydew and cantaloupe complete the list of the least contaminated crops. This means that you can buy these crops without concern whether or not you should buy the organic version. It is good to know what is acceptable and what you need to avoid by buying the organic version.

GMO foods and Roundup

It is interesting that there is no law in the US and in Canada that GMO foods should have a label that identifies crops with genetic modifications. This is changing rapidly as people realize that in many countries of Europe all GMO foods require labeling. Here is a publication that shows that the GMO labeling campaign is gaining momentum.

Genetically modified corn and soy contains the Bt toxin; it has been found in babies as mentioned in this article. Bt toxin damages the small bowel (the ileum) through Cry1Ab (the protein produced in genetically modified corn and soy). This in turn disables the absorption of vitamin B12. We know that this causes anemia. Historically the cause of pernicious anemia was due to a lack of vitamin B12 absorption.

Effects of Roundup

In a publication dated April 2013 Drs. Anthony Samsel and Stephanie Seneff discuss the effects of Roundup. They noticed that glyphosate inhibits the cytochrome P450 (CYP) enzymes in the liver. This is a crucial detoxification enzyme complex. When toxicity studies of glyphosate in mammals emerged, this was not common knowledge. The CYP enzymes in the liver are important to metabolize and eliminate estrogens and also help to detoxify xenobiotics, which are estrogen-like substances (residues from insecticides).

Glyphosate amplifies the effect of environmental toxins

Thus glyphosate (=” Roundup”) amplifies the damaging effect of environmental toxins and chemical residues from non-organic food that we eat. Researchers have shown a build-up of estrogens and xenoestrogens that are responsible for the development of many cancers (atypical Hodgkin’s lymphoma, breast cancer, prostate cancer, colon cancer etc.). Based on this data it makes sense to switch to as much organic food as you can afford. Organic food does not contain Roundup. For the sake of your health at least stay away from the “dirty dozen”!

Which are the Most and Least Contaminated Crops

Which are the Most and Least Contaminated Crops

Conclusion

The poisoning of the food chain is a real concern. As far as pesticides (insecticides) are concerned the Environmental Working Group’s Shopper’s Guide to Pesticides in Produce has been extremely useful. They publish a yearly guide of the “dirty dozen”, but also of the least contaminated fruit and vegetables. Regular crops with pesticide residues can cause infertility in both men and women. They also can cause early miscarriages in pregnant women. Generally speaking, they can cause headaches, loss of consciousness, diarrhea, nausea and vomiting. In the worst case there can be profound weakness, seizures and death. A French study showed that subjects on organic food developed 25% less cancer on average. When it came to Hodgkin’s lymphoma, organic food consumers developed 73% less of it than people on regular food. Postmenopausal breast cancer was 21% less frequent among those who had the highest amount of organic food.

The above contains parts from this blog.

Mar
06
2021

Plastics are Harmful to Babies’ Brains

Over the years research showed that plastics are harmful to babies’ brains. Companies that make plastic products use a chemical family of compounds, the phthalates. The reason is that they soften the plastic materials and in other instances harden them. February 18, 2021 a study appeared online by a commission that suggests to eliminate phthalates altogether.

CNN summarized the evidence of what phthalates do to the brain of the unborn late in pregnancy and in early childhood.

Exposure to phthalates

Phthalates are also called the “everywhere chemical”.  Researchers found them in food and personal care items, in the car and in the home. You find them in food packaging, older vinyl flooring, in detergents, clothing and shower curtains.  Phthalates are in rain and stain-resistant products, but also in hair spray, shampoos, soap and nail polish. They make fragrances last longer. Phthalates must be listed as part of the ingredient list except when they are in use for fragrances. In that instance the FDA allows up to 20% of the product content to consist of phthalates and the manufacturer can label them only as “fragrances”. This is still a big loophole.

Effects of phthalates on the young brain

The recent review of phthalates as neurotoxins has taken into consideration more than 30 studies on prenatal exposure. Different tests assessed cognitive development in young children. The strongest association between phthalate exposure and a decline in cognitive function was found with hyperactivity, emotional problems, delinquent behaviors, other signs of attention deficit disorders (ADHD), defiance and aggression. One study examined children from mothers who had high phthalate levels in their blood in the last trimester. The researchers compared these children to children from mothers whose phthalate levels were normal at the end of their pregnancy. The risk was 3-fold higher to develop ADHD in the children of mothers with high phthalate levels.

Another study showed that when women in the latter part of their pregnancy had higher phthalate levels, the children at the age of 7 were subsequently found to have an average IQ level 7 points less than controls.

Elimination of phthalates from the body

Unlike heavy metals that tend to accumulate in the body, the kidneys and the liver eliminate phthalates fast through urine and bile. Phthalates have much shorter biological half-lives compared to heavy metals that stay in the body for decades. David Bellinger is a professor of neurology and psychology at Boston Children’s Hospital. He said that once there is phthalate exposure to the baby’s brain in the womb, permanent damage sets in. The authors of the review paper call for a total ban of phthalates. This they say prevents high-risk people from getting exposure to products that harmed them in the past. The high-risk people are women of reproductive age, pregnant women, infants and children.

Manufacturer’s behavioral change

Lead author Stephanie Engel is a professor of epidemiology at the University of North Carolina. She is teaching at Chapel Hill Gillings School of Global Public Health. She said: “We’re exposed to multiple phthalates, and that mixture can come within a single product, but also across multiple products that people are exposed to in a day. The reality is that we need to think of phthalates as a class because that’s how people are exposed to them.” She added that it is possible to remove an entire class of phthalates. She went on to say that the industry is showing us already that it is possible to do that.

Products are appearing on the market that are phthalate-free

For instance, Apple has removed phthalates as a class from almost all products. CVS and Home Depot have removed phthalates from personal care and beauty products, household products and vinyl flooring.  Another success story was the removal of BPA (Bisphenol A) from baby bottles and sippy cups. The organization “angry moms” was responsible for this action. Professor Engel suggested that the public at large needs to show what they believe in by only buying products that do not contain phthalates. This economic engine will shift the balance and make manufacturers produce phthalate-free products.

Chemicals allowed in food and food packaging

There are over 10,000 chemicals that the FDA has allowed to be in food and food packaging. Now there is a petition in front of the FDA, that asks them to re-review interactions of various chemicals in food and food packaging. Plastics, phthalates, perfluoroalkyl substances and many other substances we need to consider to eliminate. A tablecloth or new carpet do not have to be totally stain repellent. And if you eat out and have leftover food you can bring along a clean glass container where your leftover food food goes in. This gets rid of another Styrofoam container or coated paper container. I mentioned toxins in the bathroom in this blog before.

Plastics are Harmful to Babies’ Brains

Plastics are Harmful to Babies’ Brains

Conclusion

Industries use phthalates a lot. It is a chemical group of substances that coat food containers, make plastic soft, are in use with vinyl flooring and many other applications. They are even present in personal care, beauty products and household products. The problem is that adults can eliminate these substances very quickly in urine and bile (in the stool). But the fetus and newborns are very sensitive with regard to their brain development. Young kidneys and young livers are slower to eliminate phthalates from the body.

Damage to the brain of the fetus late in pregnancy

A publication in the American Journal of Public Health (AJPH) has published an article on phthalates and other chemicals in our food chain and the environment. They pointed out that with exposure to phthalates in the late pregnancy leads to damage of the brain in the fetus. This leads to a permanent IQ loss, which a research group measured at the age of 7. A normal control group without exposure to phthalates in comparison to a group with exposure to phthalates showed a loss of 7 points on the IQ scale.

Some companies are starting to produce phthalate-free products

Fortunately, several manufacturers like Apple, CVS and Home Depot have started to produce items without phthalates. The consumer needs to show with their wallets that we will only buy phthalate-free products. This likely will turn the tide at the manufacturing level.

Sep
19
2020

Hair Style Products are Mostly Safe

A recent study concluded that hair style products are mostly safe when it comes to causing cancer. In the past there was some concern that the dyes for hair coloring could cause cancer. In a previous blog I mentioned that hair stylists are at a greater risk for developing bladder cancer.  But in customers who had their hair colored this was more difficult to prove. The new study reviewed by CNN was based on a large cohort of 117,200 female nurses at Brigham and Women’s Hospital in Boston.

These 30-55-year-old nurses were observed for 36 years. Detailed information about hair coloring was part of the study.

Results of the hair coloring study

Women with light and medium use of hair dyes did not develop non-melanoma skin cancers, hematopoietic cancers or squamous skin cancers. The same was true for bladder cancer, melanoma, estrogen receptor positive breast cancer, progesterone receptor positive breast cancer and hormone receptor positive breast cancer. Furthermore hair coloring did not cause brain cancer, colorectal cancer, kidney cancer and lung cancer. 5% of women who ever used hair dyes did develop basal cell skin cancer; there was a total of 22,560 basal cell cancers that occurred.

The BJM showed that women who colored their hair regularly (termed “cumulative dose”) developed 24%-31% more breast cancer. This breast cancer was estrogen negative breast cancer (31%) and progesterone negative breast cancer (24%). They also developed 24% more ovarian cancers and 17% colorectal cancer than controls who did not dye their hair. Myeloid leukemias were also more common in the heavy use hair coloring group with 29% and follicular lymphomas with 13%. Other forms of leukemia were not more frequent.

Discussion

50% to 80% of women and about 10% of men ages 40 and older are using hair dye regularly in the United States and Europe. The above cited cancer frequencies were based on women with dark hair and a cumulative dose of more than 200 applications of permanent hair dye. Translated into years of application of hair dye this means coloring your hair for 16 to 17 years, if you color your hair once a month. The study is very powerful due to the large number of women examined and the amazingly long time of 36 years of observation.

Heavy use, medium and light use of hair dyes

It is interesting to note that only the heavy use of hair dye resulted in a few significant cancer figures. The light use (1 to 99 times) and medium use (100 to 199 times) of hair dyes did hardly lead to any cancer. There were some exceptions where light use of hair dye led to 34% more bladder cancer and to 67% more follicular lymphomas. These were oddities, because the lighter use of hair dyes led to higher amounts of these cancers than medium and heavy use. This is not what the researchers expected.

Hodgkin’s lymphoma and breast cancer

Hodgkin’s lymphoma was about 3- to 5-fold more common in all hair coloring categories compared to non-use of hair dye. The authors discussed subgroups of women as well. They noticed that black women using permanent hair dye had a higher risk to develop breast cancer than white women who only had a borderline increased risk. Estrogen negative, progesterone negative and hormone negative breast cancer was more likely to be caused by heavy use of hair dyes.

No association between the following cancers and hair dye use

The present study could not find an association between ever using hair dye and the following. The study found no association with cutaneous squamous cell carcinoma, melanoma, ovarian cancer and colorectal cancer. In addition there also was no association with  kidney cancer, lung cancer, and brain cancer. But it found a slight increased risk (5%) of basal cell carcinoma.

The study contains no information regarding the specific ingredients in hair dye that are carcinogenic. In the US supervision of permanent hair dyes by the FDA is rather loose. This leaves the manufacturer mostly in charge regarding the composition of the hair dyes. This is different in Europe and in Japan. Here manufacturers removed several carcinogenic substances from hair dyes because of regulations by the local regulatory bodies. This could have a cancer-lowering effect in these countries.

Hair Style Products are Mostly Safe

Hair Style Products are Mostly Safe

Conclusion

This large study from the British Medical Journal, published Sept. 2, 2020 explains the relationship of cancer risk to permanent hair dyes. The study lasted 36 years and involved 117,200 female nurses. More than 96% of the women were Caucasians. This study showed that for most people who use permanent use hair dyes there is no association with most cancers. However, there was an association between a few cancers and the use of hair dyes. These were in 5% basal cell skin cancers. But breast cancer (31% estrogen receptor negative, 24% progesterone receptor negative), ovarian cancer (24%) and 17% colorectal cancer were among these too. There was also an increased risk of Hodgkin’s lymphoma.

Effect of screening by FDA regarding carcinogenic substances in hair dyes

All this data was based on the hair dyes used in the US. Supervision of permanent hair dyes by the FDA is rather loose, with the manufacturer being mostly in charge. This is different in Europe and in Japan. Here local regulatory bodies instructed manufacturers to remove several carcinogenic substances from hair dyes. This could have a cancer-lowering effect in these countries.

Mar
07
2020

Eat Right for a Long Life

Dr. Felice Gersh gave a talk at a conference in Las Vegas stressing the importance to eat right for a long life. This was at the 27th Annual World Congress on Anti-Aging Medicine in Las Vegas from Dec. 13 to 15th, 2019. The actual title of her presentation was “Nutrition for Longevity”.
Dr. Gersh has a fellowship in Integrative Medicine at the University of Arizona School of Medicine.

In the first place she pointed out that an anti-inflammatory diet consists of vegetables, fruits, nuts, whole grains, healthy oils like olive oil and fish. This is a modified Mediterranean diet. On the other hand, with a pro-inflammatory diet or Western diet, you eat high fat, cholesterol, lots of protein from red beef, high sugar, excessive salt and a lot of processed and fast-food.

Prevention of diseases

It is important to realize that for prevention of cardiovascular disease, cancer and degenerative diseases you need to eat fruits and vegetables, which contain important phytochemicals. They contain a wide variety of molecules, like carotenoids, vitamins and polyphenols. Another key point is that cruciferous vegetables (broccoli, Brussels sprouts, and kale) contain glucosinolates, which are sulfur-containing compounds. They protect you from cancer.

Vitamins and magnesium

It must be remembered that in order to strengthen the immune system and prevent hardening of the arteries (atherosclerosis) we need the following: omega-3 and omega-6 fatty acids, the enzyme Co-Q10, vitamin A, B complex, C, D, E, carotenoids, phytosterols, stilbenes and flavonoids. Another key point is that magnesium is extremely important. Many of our dietary habits have reduced magnesium intake to a minimum. Our soils are depleted of magnesium, it is no longer in drinking water, and it is absent in processed foods. However, magnesium is involved as a co-factor in more than 700 enzymatic reactions in our bodies. Magnesium is involved in heart contractions, is important to maintain our blood pressure and is important for glycemic control. It is also important for bone development and for DNA and RNA synthesis. Magnesium binds serotonin and dopamine to their receptors and plays a role in many more body functions.

Brassica vegetables

This group of vegetables consists of broccoli, cauliflower, green cabbage and Brussels sprouts. Notably, they have long been recognized to lower the risk of many cancers. The first thing to remember is that the active ingredients in them are glucosinolates and isothiocyanates. Certainly, food preparation has a lot of influence on maintaining beneficial substances in the brassica vegetables. To emphasize, finely shredded vegetables had a marked decline of their glucosinolate levels by 75% within only 6 hours. On the negative side, microwave cooking destroys 74% of glucosinolates, but on the positive side, storage in room air preserves almost all of the glucosinolates for 1 week. In addition, stir frying brassica also preserves the glucosinolates. This reference points out how fruit and vegetables can contribute to cancer prevention.

The gut microbiome

The Western diet leads to a change in the gut flora with Gram-negative bacteria taking over the healthy gut flora and disrupting the intestinal barrier. To emphasize, this result is called endotoxemia. Part of this is increased serum endotoxin, which mainly consists of lipopolysaccharides. Indeed, it causes gut inflammation and a breakdown of the gut barrier. When this happens, autoimmune antibodies are produced. To put it another way, the Western diet undermines your health. In a word, high fat foods and added sugars (refined carbohydrates) lead to increased Gram-negative bacteria and the disruption of the intestinal barrier.

An unhealthy diet causes disease

In the long run this causes autoimmune diseases, leads to higher heart attack rates and to diabetes. Healthy gut bacteria in fact help to digest fibre, which leads to three short-chain fatty acids: butyrate, acetate and propionate. For the most part, they are important as energy source, affect cardiometabolic health and appetite. On balance, butyrate also helps to maintain the blood brain barrier.

Importance of fiber

Higher fiber content in food leads to less cardiovascular disease, has positive effects on obesity and the metabolic syndrome. Fiber changes the microbiome in the gut, leads to less gut permeability and more short-chain fatty acids production.

The best diet

  • 60% to 70% complex carbohydrates are the foundation of a healthy diet. It consists of vegetables, green leafy and root vegetables, beans, legumes, whole grains and fruit.
  • Eat healthy fats from nuts, olives, seeds, krill or fish oil. Limit fat intake to 18 to 28% of your daily calorie intake. Avoid hydrogenated fats. Limit your saturated fatty acid intake. 85% chocolate is OK. Otherwise consume olive oil and omega-3 fatty acid containing foods (from seafood and fish).
  • Add about 12% of the daily calorie consumption as protein per day. Choose fish, seafood, lean cuts of chicken, only the occasional red meat (organic or grass-fed meat)
  • Eat lots of fiber, eat organic and minimally processed food. Limit sugar, fat and salt. Avoid antibiotics from the agricultural industry, sweeteners, gluten and excessive alcohol intake. Take a daily probiotic and eat probiotic food. Eat three meals a day, a big breakfast, a moderately-sized lunch and a small dinner. A fasting mimicking diet once per month for 5 days activates your longevity genes.

Eat Right for a Long Life

Eat Right for a Long Life

Conclusion

Dr. Felice Gersh gave a talk at a conference in Las Vegas. This was at the 27th Annual World Congress on Anti-Aging Medicine in Las Vegas from Dec. 13 to 15th, 2019. She said that we need to eat right for a long life. She gave a thorough outline of what to eat and what not to eat. It is important to note that she suggested to cut out additional refined sugar and processed food. The bacteria in the gut must be normal, or the gut barrier breaks down. This failure can cause autoimmune diseases. Eating lots of vegetables and fruit as well as fiber will help to keep your gut bacteria normal.

What foods to eat

A Mediterranean type diet gives you the right foods that you need for your health. Avoid the Standard American diet as it is unhealthy and kills the good gut bacteria. Brassica vegetables like broccoli, cauliflower, green cabbage and Brussels sprouts prevent the development of many cancers. Eat three meals a day, a big breakfast, a moderately-sized lunch and a small dinner. This fits best into the diurnal rhythm of your gut bacteria. Eat right for a long life!

 

Dec
14
2019

When Natural Substances Turn Into Poison

Although people increased the use of brain stimulating substances in the last 17 years, nobody paid attention to the situation, when natural substances turn into poison. The Center for Injury Research and Policy and the Ohio State University College of Medicine, both in Columbus, OH conducted a study. The researchers looked at the use of natural substances from 2000 to 2017. They noted that during this time marijuana had increased by 150% and there was a 64% increase of nutmeg use. Nutmeg contains the hallucinogenic substance myristicin, a potent mind-altering substance. There was a 4949% increase of kratom use, which comes from the leaves of a South American tree which have powerful mind-altering substances. The original study of the researchers was published here.

More hallucinogenic substances

Other natural substances came from Jimson weed, where the leaves and seeds contain natural substances that cause hallucinations and euphoria. It contains the chemicals atropine, hyoscyamine, and scopolamine. These interfere with the normal messenger molecule acetylcholine in the brain and in nerves. 21% of all toxic reactions between 2000 and 2107 were due to Jimson weed. Besides those, 16% of all toxic reactions came from magic mushrooms. There are other natural substances which are similar. They come from a shrub that grows in East Africa and southern Arabia. Khat contains the alkaloid cathinone, which is a stimulant. It causes excitement, loss of appetite, and euphoria.

More details about the different natural substances and their actions

Marijuana

Marijuana includes dried leaves, the stem, seeds and flowers of the Cannabis sativa or Cannabis indica plant. The mind-altering THC compounds are what people are seeking out. When a person smokes marijuana, the THC enters the blood through the lungs. The THC reaches the brain and causes a “high”. This can be associated with seeing brighter colors, get an altered sense of time, have hallucinations, delusions and in severe cases a psychosis. Marijuana peaks at different times depending on whether it is smoked or taken in as an edible. When smoked, the effect of marijuana is felt by the user within a few minutes. Ingested as edibles will take 30 minutes to one hour to show an effect, but it lasts a lot longer (3 to 4 hours). This is important to know, particularly if other agents including alcohol are combined with marijuana.

Nutmeg

Nutmeg is used in small amounts as a spice, typically ¼ to ½ teaspoon in a family dinner. However, when a person consumes 2 teaspoons or more of nutmeg, such as more than 10 mg, toxic symptoms occur. Symptoms from myristicin, the active substance in nutmeg, can be hallucinations, dizziness, confusion and seizures.

Kratom

Kratom is a tropical tree (Mitragyna speciosa), which is native in Southeast Asia. The leaves contain mind-altering compounds. At this time kratom is freely available on the Internet. There is no restriction in the US. But there are health concerns. Kratom has both opioid and stimulant effects on the brain. It produces sensations of pleasure, sedation and decreased pain. In small amounts people experience increased energy, sociability and alertness. There are a number of side effects: nausea, sweating, itchiness, dry mouth, increased urination, constipation, loss of appetite, hallucination and seizures. Kratom caused 8 of the 42 deaths reported by the Ohio State University College of Medicine, Columbus, OH study.

Jimson weed

The leaves and the seeds of Jimson weed are used by drug-seeking individuals. It causes hallucinations and euphoria, a heightened sense of well-being. It contains the chemicals atropine, hyoscyamine, and scopolamine. These interfere with acetylcholine, one of the major hormones in the brain and nerves. 15-100 grams of leaf and 15-25 grams of the seeds can be lethal. Children are more sensitive, so the lethal dose is much smaller for them. Jimson weed slows down the stomach emptying and also the activities of the large intestine leading to severe constipation. It can cause glaucoma and also rapid heartbeat. Urinary retention is also common.

Khat

Khat is a drug found in the wild East African shrub called Catha edulis. It contains a central nervous system stimulant, called cathinone. People living on the Arabian Peninsula are chewing the leaves of this plant. It is illegal in Canada and the US. In Ethiopia 30% of adolescent girls and 70% of the adolescent boys chew khat. The effect of khat is similar to the effect of a strong coffee. It has a stimulant effect like the coca plant that is used to make cocaine. It increases respirations, elevates blood pressure and leads to gum disease. This results in tooth decay. Ulcers and constipation occur more often. People on khat become more talkative, elated and euphoric. Some say that they have more imagination and are able to associate things better. From a medical point of view Khat causes constipation, hemorrhoids and impotence. Other symptoms are blurred vision, headaches and dizziness.

Kava kava

Piper methysticum, a plant native to the western Pacific Islands is from which kava kava is made. Kava kava relaxes you, but it has caused liver damage and is even responsible for a few deaths. It has been banned from many European countries and Canada. It is still available in the US. Some people take kava kava for sleeping problems, anxiety and restlessness. There are many more claims that kava kava is effective for other diseases, but research could not confirm those claims. Kava kava is detoxified in the liver, but in doing so there are profound interactions with other drugs that get detoxified in the liver. This liver toxicity has led to irreversible liver damage requiring a liver transplant. Several people have died because of liver failure.

Magic mushroom

Wild mushrooms, namely magic mushrooms that contain psilocybin are a popular way to get a high. Psilocybin is psychoactive and hallucinogenic. Psilocybin is classified as a Schedule I drug in the US, meaning that it is highly addictive, but has no currently accepted medical use for treating any medical condition. Magic mushrooms cause nausea, yawning, drowsiness, nervousness, panic, paranoia, hallucinations and psychosis.

Toxic side effects of natural substances reported to Poison Control

There were 67,369 calls to poison control centers in the United States between January 1, 2000 and December 31, 2017 regarding natural substances. This is when natural substances turn into poison. There were 41.4% from calls regarding older than 19-year-old individuals. 34.8% of calls to the poison control center was regarding the age group between 13- and 19-year olds. 46.9% of cases were due to marijuana, 21.1% of the calls to the poison control centers were due to anticholinergic plants, 15.6% were due to hallucinogenic mushrooms. In the age group of 3-19 years 47.8% called because of marihuana overdoses. Above the age of 19 it was 53.0% who overdosed on marijuana. In children less than 6 years of age 44.4% of toxic overdoses came from anticholinergic plants.

Deaths reported in the study

The study reported 42 deaths from 2000 to 2017. 8 deaths were due to kratom. 7 deaths among the 42 deaths occurred in people under the age of 18. 5 of the 42 deaths occurred in teenagers aged 13 to 19. Two of the deaths occurred in children under the age of 12. These were due to marijuana.   

Discussion

When reviewing the research of natural substances with the potential to cause addiction, it is important to see things in the right perspective.

Natural substances can be poisonous for you

Many people think that a natural substance, like a leaf from nature, should be trustworthy. But it is the chemicals that people swallow, inhale or chew that matter. Opium also comes from a “harmless” poppy seed. But opium is a powerful and addictive substance. All of the natural substances reviewed above contain potent mind-altering agents. This means that the natural substances are not safe.

Using SPECT scan to measure brain activity

None of the above-mentioned natural substances are harmless. They all attack the brain and interfere with the action of the natural brain hormones in the brain. This may be reversible for a few weeks, but eventually it leads to a chemical burn with permanent damage to the brain. This is when natural substances turn into poison. Dr. Daniel Amen, a psychiatrist has developed a scan that will depict changes in the brain in addicted persons. It is called the Single Photon Emission Computed Tomography or SPECT scan. This nuclear medicine scan measures blood circulation of the brain and brain activity. With prolonged use all of the natural substances show a decreased brain activity pattern on the SPECT scan.

Missing toxicity studies about natural substances

Armed with the SPECT scan as a tool and the knowledge that all of the reviewed “natural” substances have toxic effects on the brain makes one wonder how US citizens could willingly consume these substances for the past 17 years. It was probably a mix of curiosity, peer pressure and the fact that these natural substances were readily available, which made many people try them. There is very little research about toxicity in this field. This is only starting now. To my way of thinking this is another warning sign that people should stop their love-affair with mind-altering natural substances.

When Natural Substances Turn Into Poison

When Natural Substances Turn Into Poison

Conclusion

I have reviewed the thorny issue of natural substances and how they can turn into poisons. All of the substances reviewed affect brain function. This is why people experience hallucinations, elations and euphoria. But this is not real. It is due to the toxic effect of chemicals on the brain.Advertisements promote kava kava as a relaxing substance. But it can damage the liver and as a result several people have died. It is unknown to a large extent how these natural substances interact with other illicit drugs or with alcohol.

It is best to avoid consuming any of these natural substances. Anybody who consumes them is knowingly consuming a poison, and it means that the user will get into health problems…naturally!

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Sep
14
2019

Beware Of Arsenic In US Wines

A former wine industry employee warns to beware of arsenic in US wines. Recently wine testers detected that many California wines contain high amounts of arsenic. Here is a full list of wines where arsenic was found. Often it is the cheaper wines that have the highest arsenic content.

Trader Joe’s has a problem with three wines. The 2 dollar Zinfandel (“Two Buck Chuck)”, their “Menage a Trois Moscato” and “Franzia White Grenache” were too high in arsenic. They had 3-5 times the allowable amount of arsenic than the limit that is acceptable for drinking water.

The lawyers of a lawsuit against the wine industry think that the norm for arsenic content in wine should be the same as the one established for drinking water. However, the wine industry is defending itself saying that people drink more water than wine.

Arsenic in rice

In the past there were high arsenic levels in rice.  An investigation found the high levels of arsenic in rice linked to high levels of arsenic in soil. By and large high arsenic levels in rice come from inadvertent human poisoning. As explained in the Consumers Report high arsenic values were found in rice grown in these states: Arkansas, Louisiana, Missouri, and Texas. These are the same states, where farmers grew cotton in the past. The U.S. has been the world’s leading user of arsenic at that time. Since 1910 about 1.6 million tons of arsenic been in use for agricultural/industrial purposes. Half of this occurred since the mid-1960s. Although arsenic is banned as an insecticide since the 1980’s, residues from the decades of use still linger on in agricultural soil today. For decades arsenic compounds were used for decades in an attempt to combat the boll weevil beetle.

Arsenic in grape juice, apple juice and chicken meat

Arsenic containing insecticides are also in use in the fruit growing industry. This explains the presence of arsenic in grape juice and apple juice. Another source of contamination with arsenic compounds comes from chicken feed that the chicken farmer uses to promote growth. As a result arsenic will be in chicken meat. For this reason alone it is recommendable to eat organic chicken that is free of arsenic.

Keep in mind that brown rice has persistently tested higher in arsenic than white rice.

Beware of arsenic in US wines and in your food

We know for some time now that chicken raised in farms have arsenic in their meat because of the practice to feed arsenic compounds to promote growth. Arsenic is a carcinogen, and is causing many cancers. As the last link said, there is a great need to regulate the food industry and check for arsenic contamination of food in general as well.

How do wine growers introduce arsenic into wine?

There are several possibilities how wine could become contaminated with arsenic. The example of arsenic in rice taught us that old cotton fields where in the past arsenic containing pesticides were in use could be the source of arsenic in rice today. If wine is grown in similar soil that has contamination with arsenic , it likely could get into the grapes.

At this point there has not been an investigation into arsenic in wine. The fact that the majority of wines had high arsenic values makes me believe that the wine growers spray arsenic compounds onto the leaves and grapes of wine plants to treat for various pests.

Organic wine

Organic wine must have a certification by an independent third-party organization. This organization does annual audits on vineyards. The grapes they grow and the soil on which the vine plants grow have to all be examined. Strict standards apply and the organic winegrower has to comply with them to receive the organic certification. Not only is there supervision by the organic certification body, but also by the department of agriculture. The wine grower cannot sell wine as “organic”, if it is not certified.

If you want arsenic free wine, buy organic wine. Here is a brief description of what certified organic wine is.

What arsenic does to your body

Long-term exposure to low doses of arsenic can interrupt the way cells communicate and function. It can contribute to developing diabetes, cancer, vascular disease and lung disease. In addition, high levels of arsenic can cause skin cancer, bladder cancer, lung cancer and heart attacks. It is the inorganic arsenic compounds that are more toxic. This is what researchers found in water and unfortunately also in wine. Organic arsenic compounds as found in seafood are less toxic.

Beware Of Arsenic In US Wines

Beware Of Arsenic In US Wines

Conclusion

There are a lot of unanswered questions regarding arsenic in regular wines. In the US the limit for arsenic in drinking water is 10 parts per billion (ppb). Wines on average have 24 ppb of arsenic in it. A legal case is presently awaiting a trial. The issue is whether the arsenic limits in drinking water also apply to arsenic limits in wine. The wine industry is adamant that people drink more water than wine, so one could not compare the two. But the wine industry also wants to sell more wine.

You can switch to an organic wine, which by definition should have less arsenic in it. Arsenic can cause lung disease and various cancers (lung and kidneys). If you drink very little or moderately, you are fairly safe from toxic effects of arsenic. But this topic needs further evaluation, and caution is in order.

Aug
26
2017

Decreased Sperm Counts In Men

What do decreased sperm counts in men tell us about our world? A recent study has shown that over the past 40 years males in many centers that tested for sperm counts have lost 50% of the sperm count that was normal in the 1970’s. The question is, what could have caused this? Nobody has definite answers. But here are the factors that the Mayo Clinic lists for low sperm counts.

Medical causes of decreased sperm counts in men

  • A varicocele: A varicocele is dilatation of veins close to the testicles. It is presumed that this leads to a higher temperature inside the testicles and this causes a lowered sperm count and poor sperm quality.
  • Antisperm antibodies can cause infertility. Due to low sperm counts.
  • Infections in the testicles reduce sperm production. Gonorrhea and HIV infection are some of the common infections.
  • Some men develop retrograde ejaculation. With this the sperm enter the bladder on ejaculation instead of coming out from the tip of the penis. Alpha-blockers, a type of blood pressure medication can do this as a side effect. But there are also various health problems that can cause retrograde ejaculation like diabetes, surgery to the prostate, urethra and bladder. Spinal injuries can be also a cause of retrograde ejaculations. In many cases the sperm production in the testicles is still present and sperm could be sampled from there for artificial insemination.
  • Tumors of the pituitary gland can interfere with hormone production of testosterone and sperm counts will fall or stop. But other pituitary hormones, thyroid hormone and adrenal gland hormones are needed for fertility.
  • Chromosome defects like Klinefelter syndrome and others can be a cause of abnormal development of the male genitals with low or missing sperm production.
  • Celiac disease is a bowel disease that is due to gluten sensitivity. It causes low sperm counts and infertility, which responds to a gluten free diet. Sperm counts normalize with this diet.
  • There are medications that can decrease sperm production like chemotherapy, anabolic steroid use, antifungals and certain antibiotic medications and some ulcer medications.

Lifestyle causes leading to decreased sperm counts in men

Certain lifestyles and occupations can cause a man to have a decreased sperm count.

  • Drinking alcohol excessively can reduce testosterone production, which decreases sperm count.
  • Recreational drug use: steroids to increase muscle mass cause testicular atrophy and decreased sperm count. Cocaine and marihuana also decreases the sperm count.
  • Certain occupations like welding from exposure to heat and truck driving from prolonged sitting have been associated in some studies with infertility. But there are other studies that could not confirm this correlation.
  • Smoking: Men who smoke have lower sperm counts than men who don’t smoke.
  • Excessive weight: Obese men transform some of their testosterone into estrogen through the action of the enzyme aromatase, which is amply present in fat cells. This leads to low testosterone levels and low sperm counts.

Environmental causes of decreased sperm counts in men

The environment in terms of heat production around the scrotum or exposure to chemicals or ionizing radiation can lower sperm counts in men.

  • Heat around the testicles: studies do not all agree, but there is a tendency for low sperm counts when using saunas and hot tubs frequently. Sitting for longer times or using a laptop computer for longer periods can also increase the temperature of a man’s scrotum and lead to a low sperm count.
  • Exposure to heavy metals like lead, mercury and others can be the cause of infertility.
  • Exposure to radiation can reduce sperm production. With high doses of radiation sperm production may cease entirely. With lower radiation exposures sperm counts may be down for several years before they recover to normal.
  • Industrial chemicals: exposure to fumes from certain chemicals can lead to low sperm counts; benzenes, herbicides, pesticides, xylene, toluene, painting materials and organic solvents are on this list.

Recent study about decreased sperm counts in men as an indicator

We have now reviewed the major causes of low sperm counts in men. I like to revisit the recent sperm study I mentioned in the beginning of this blog. It is unlikely that men in North America, Europe and Australia would spontaneously produce less than 50% of the sperm than men 40 years earlier had produced. The next puzzling fact is that the study found normal sperm production in men in Africa, South America and Asia.

This points to epidemiological differences that reduce the sperm count in men in North America, Europe and Australia. In view of the multitude of possible causes it will require a task force that does a comparative study worldwide looking at exposure history, diets, social habits and other factors.

Fertility clinics are thriving because couples want children. With low sperm counts of males there is more infertility than there was in the past. Density gradient centrifugation is a reliable method of enriching sperm counts.

In the past a couple had no problem getting a successful pregnancy when they wanted it. Now couples often have to be assessed in a fertility clinic because of problems with regard to decreased sperm counts in men, which can cause infertility.

Decreased Sperm Counts In Men

Decreased Sperm Counts In Men

Conclusion

A new study has noticed that over the past 40 years many men have developed low sperm counts. This has caused significant problems with fertility among couples. Fertility clinics are busy trying to help these couples. Density gradient centrifugation has become a common technique to enrich sperm samples prior to artificial insemination. It is a puzzle why the recent study has found normal sperm counts in samples of men living in Africa, South America and Asia. In contrast men living in Europe, North America and Australia have 50% lower sperm counts. The reason may be multifactorial. It will require a team of experts to sort out this discrepancy and hopefully find an answer for men in Europe, North America and Australia to bring their sperm counts back to normal.

Aug
19
2017

No More Macaroni And Cheese

Two years ago Kraft’s was in the news and I said then “no more macaroni and cheese”.  At that time they promised to make macaroni and cheese more nutritious by removing artificial coloring and artificial flavors. Now they are in the news because industrial chemical phthalates have been found in almost every sample of cheese powder that is used to make macaroni and cheese.

Phthalates are powerful hormone-disrupting chemicals that are toxic to children and pregnant women. Most noteworthy, abnormal brain development and abnormalities of the reproductive system have a connection to prenatal exposure to phthalates. Potentially 725,000 American women of childbearing age are at risk. Should they get pregnant, their babies would be at the receiving end of toxic phthalates. In Europe new regulations about phthalates were introduced in 2011. In contrast, in North America the FDA has been negligent in enforcing legislation to keep the US population free of phthalates in their food.

Background information about phthalates

Phthalates are industrial chemicals that are widely used in cleaning agents like soaps, plastics, rubbers, inks, adhesives and fragrances. Phthalates in plastic materials increases the durability and longevity, but also the flexibility and transparency of plastic.

The Center for Disease Control and Prevention describes on its website how a large percentage of the population has phthalates in their urine. This proves that unsuspecting customers are ingesting phthalates, which potentially poses a tremendous challenge.

In Europe vigorous legislation is in place regarding phthalates. Should they more vigorously legislated in the US?

Effects of phthalates on body

It seems that males are more sensitive to the toxic effects of phthalates than females. Males experience testicular atrophy and shrinking of the prostate gland. The sperm count goes down, which can lead to infertility. Pregnant women are at risk of having babies with genetic defects due to exposure to phthalates. Many cosmetic products contain phthalates.  Due to lax FDA supervision there is no labeling on many cosmetics, yet they contain phthalates (lipsticks, make-up).

Apart from infertility issues phthalates are also responsible for allergies, some cases of obesity, asthma and breast cancer.

There are other clinical conditions that have been linked to phthalate exposure. Behavioral issues, autism spectrum disorder, type 2 diabetes, low IQ and neurodevelopmental issues. A lot of these problems could disappear with more awareness of the public, stricter labeling rules of the regulatory agencies and more responsibility shown by manufacturers.

Why nutritionists don’t like macaroni and cheese

Macaroni and cheese belongs into the group of junk foods. In the past it was artificial coloring and artificial flavors that were the concern. Now it came to light that phthalates have contaminated the fat-containing cheese from the packaging. The soft plastic cheese packages contain phthalates and they easily blend with fatty cheese, because phthalates are fat-soluble. This is the reason why I say: no more macaroni and cheese!

From a nutritional point of view macaronis are simply empty starch. The digestive process quickly turns it into sugar and causes a sugar peak in the blood. High blood sugar causes an insulin peak. Repeated insulin peaks show a connection to premature aging, obesity and type 2 diabetes.

Cheese in macaroni and cheese is the cheapest processed cheese. Here is a summary of what macaroni and cheese contains. In this recipe the cheese portion comes from processed cheddar cheese. But in many macaroni and cheese packages the cheese portion comes from of a mix of protein, fat and milk powder and this mix has nothing to do with cheese. It just tastes like cheese. But all of the cheese powder packages have in common that in 29 out of 30 of the packages tested phthalates were contained in the cheese powder.

The package included a plastic coating containing the phthalates. This leeched into the cheese powder, because phthalates are fat-soluble.

No More Macaroni And Cheese: Toxic “food” is non-food

The problem with macaroni and cheese in today’s society is that it is a form of processed food. The more food is processed, the higher the risk that there is a loss of valuable nutrients. Unfortunately with food processing there is the need to use a food container where the food is stored. But up to now nobody thought that the ubiquitous phthalates that keep the plastic material of the food container flexible and longer lasting could pose any threat to our health by leaking into fatty foods.

However, we did have problems with PBA’s not long ago; they were leaking from baby bottles into baby food. The solution was to abandon BPA bottles.

We have to rethink the whole scenario. As this link shows there are many other chemicals in plastic that can also be toxic.

We can work on the food side and avoid as much processed food as possible. Buy fresh ingredients that you bring home and store in your fridge. Avoid plastic bags. Use glass containers as they are safe (not leaking chemicals into food).

What can you do, if you want no more macaroni and cheese?

Stop buying macaroni and cheese as processed food. Buy ingredients to make them yourself at home. Here is a recipe of how to make macaroni and cheese: You may in the past have thought that it is much easier to just buy macaroni and cheese in the store. But this is where the phthalates come in. It is our laziness that allows food processors to slip chemicals into our food that could damage us; and some of these potentially harmful chemicals are phthalates. Phthalates probably slipped into our food unintentionally because they are so extremely fat-soluble that they get into the cheese part of macaroni and cheese.

If you want to eat macaroni and cheese, make it yourself as per the recipe provided with the link above.

But I went one step further. I have abandoned macaroni and cheese altogether. We don’t need the extra insulin response from the macaroni as we digest them. Next I also do not need the extra processed cheese, as the fats are not the healthiest. If I want some cheese, I can cut a few slices from an honest organic cheese that originates from organic milk from cows that were grazing on grass.

I like eating diversified food from many healthy sources.

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Conclusion

Sometimes we need to rethink the food that we eat. Do we want to eat macaroni and cheese, because it reminds us of how we grew up? When you hear that processed foods contain toxic phthalates, you may also say as I do: “No more macaroni and cheese!” As I mentioned, if you really want to eat it, cook it yourself from the basic, healthy ingredients. But I decided no more macaroni and cheese for me, because it is not that healthy. There are healthier foods that I’d rather eat instead.

If more of us would shun processed foods, then the food industry would have to adapt to the population’s healthier food habits and come up with healthier products. We also would significantly reduce our exposure to phthalates that find their way into the food chain from food containers. Rethink your food habits and perhaps one day you can agree with me: “I don’t want non-nutritious processed food! No more macaroni and cheese!”

Apr
08
2017

Breast Cancer Risks

Dr. David Zava, PhD gave a talk on breast cancer risks. His presentation took place at the 24th Annual World Congress on Anti-Aging Medicine (Dec. 9-11, 2016) in Las Vegas that I attended. The detailed title was: “The Role of Hormones, Essential Nutrients, Environmental Toxins, and Lifestyle Choices on Breast Cancer Risk”.

He pointed out that both estrogens and progesterone are safe hormones, as long as the doctor does not overdose them and keeps a hormone balance. Unfortunately many women in menopause have too much estrogen on board as the ovaries are still producing them, but there is a lack of progesterone, the moderating hormone that makes estrogen safe.

In the following I am summarizing Dr. Zava’s talk with regard to the essential messages, but leave away much of the highly technical detail of the presentation. This would dilute the message of this blog. I will include a few links for those who wish to read more details about the topic.

Balance between estrogen and progesterone

Most of her life a woman is used to cyclical hormone changes between estrogen and progesterone. When a woman no longer ovulates in premenopause and menopause there is a surplus of estrogen and a lack of progesterone. Having no ovulation means that there is no corpus luteum developing, which is where in the past progesterone production took place. This creates a disbalance where estrogen is dominating; it is called “estrogen dominance”.

This is a dangerous hormone disbalance, because the breast ducts experience a growth stimulus, but the modifying, calming effect of progesterone is missing. Mixed into this is that the stress hormone, cortisol also can make the effect of estrogen worse. On the other hand Dr. Zava showed slides from studies documenting replacement of missing progesterone with a skin progesterone cream (percutaneous bioidentical progesterone cream).

Progesterone concentration in breast lumps after progesterone cream applications

Plasma and breast tissue concentration of progesterone were measured in 40 premenstrual women. The diagnoses were breast lumps and the physicians arranged surgery for them. One group received progesterone cream treatment for 10 to 13 days; the other group was the placebo group. At the time of surgery the plasma (blood) values of progesterone were the same, but progesterone levels in breast tissue were more than 100-fold higher than the values from the placebo group who had received a neutral skin cream. The same experiment also showed that progesterone reduced the number of proliferating epithelial cells (experimental progesterone group). Estrogen on the other hand led to an increase of the number of proliferating epithelial cells (placebo group).

Progesterone cream applied to breasts of premenopausal women

Another example that Dr. Zava gave was a study where 25 mg of bioidentical progesterone cream applied directly to breasts of premenopausal women increased breast tissue progesterone 100-fold, while blood concentrations of progesterone remained the same. Again progesterone decreased the breast stimulation by estrogen of normal epithelium cells.

How to measure progesterone levels

Dr. Zava who runs the ZRT laboratory spent some time to explain how to measure progesterone in a physiological way. He said that these experiments and others that he also projected tell a clear story. Blood (serum) progesterone levels do not adequately reflect what tissue levels in a woman’s breasts are. On the other hand saliva hormone levels do give an accurate account of what breast tissue levels are like. A woman received 30 mg of topical progesterone application. She then had hourly progesterone levels in the serum and in the saliva done. The serum progesterone levels remained at around 2 ng/ml, while the saliva progesterone levels peaked 3 to 5 hours after the application. It reached 16 ng/ml in saliva, which also represents the breast tissue progesterone level.

Blood progesterone levels are unreliable

As a result, Dr. Zava said that the important lesson to learn from this is not to trust blood progesterone levels. Too many physicians fall into this trap and order too much progesterone cream, which leads to overdosing progesterone. In contrast, with salivary progesterone levels you see the physiological tissue levels, with blood tests you don’t. Dr. Zava said: avoid using venipuncture blood or urine in an attempt to interpret hormone test levels, as you will underestimate bio-potency and overdose the patient.

Historical failure of estrogen replacement therapy (ERT)

A review of breast cancer would not be complete without mentioning the Women’s Health Initiative (WHI). The U.S. National Institutes of Health (NIH) initiated this trial in 1991.

Researchers prematurely terminated Women’s Health initiative

The WHI ended suddenly in July 2002. The authors stated: “The overall health risks exceeded benefits from use of combined estrogen plus progestin for an average 5.2 year follow-up among healthy postmenopausal US women.” The study found a 41% increase in strokes, 29% increase in heart attacks, 26% increase in breast cancer, 22% increase in total cardiovascular disease, a doubling of blood clots. The recommendation made by this study was to discontinue PremPro.

Breast cancer in the Million Women Study from synthetic hormones

Another study that was mentioned was “Breast cancer and hormone-replacement therapy in the Million Women Study”.  In this study postmenopausal women received HRT with synthetic hormones, either estrogen alone or estrogen mixed with a progestin (in British English “progestagen”). After 5 years estrogen alone had a 30% increased risk of developing breast cancer. HRT with an estrogen-progestagen mix had a 100% increased risk of developing breast cancer.

Huge difference between bioidentical hormones and synthetic hormones

Unfortunately in both of these human experiments the researchers used the wrong hormone substances, namely synthetic estrogens and synthetic progestins. They are NOT identical with natural estrogens and progesterone that a woman’s body makes. As long as the hormones used for hormone replacement therapy are chemically identical to the natural hormones, the body will accept them as they fit the natural hormone receptors in the body. It is the misfit of synthetic hormones that blocks the estrogen receptors or the progesterone receptors. You can readily see from the illustrations of this link that there is a fine balance between the workings of these receptors and there is absolutely no room for patented side chains that Big Pharma introduced into synthetic HRT hormones.

Individualizing bioidentical hormone prescriptions based on blood tests

The other problem of both these studies was that every woman was getting the same dose of hormones and that nobody measured their estrogen blood or estrogen saliva hormone levels. In retrospect the regulatory agencies should never have allowed these “hormones” to hit the market.

Breast cancer develops in three stages

Dr. Zava explained that it common knowledge for some time that breast cancer develops by going through 3 stages.

  1. Initiation

First of all, damage to the DNA of one of the cells types in the breast is what starts the process in the development of breast cancer. This can be done by catechol estrogen-3,4-quinones as was shown by these researchers.

Aromatase inhibitors is useful to reduce estrogen in overweight or obese women where aromatase is present in fatty tissue. The reason obese women have more breast cancer is likely from the extra estrogen production from androgens. Aromatase converts these male hormones from the adrenal glands into estrogen.

Iodine/iodide alters gene expression, which reduces breast cancer development, but also slows down cell division in existing breast cancer. The authors suggested to use iodine/iodide supplements as adjuvant therapy in breast cancer treatment.

  1. Promotion

Furthermore, the next step is that something has to promote the DNA mutation into becoming part of a cancer cell. Estrogen quinones are dangerous estrogen metabolites. They can form from catechol estrogens (other metabolites of estrogen) by reactive oxygen species. But selenium, a trace mineral can interrupt the formation of estrogen quinones, which stops the breasts cancer promotion process. A study from the Klang Valley, Malaysia showed that selenium showed a dose-response effect with respect to prevention of breast cancer; the more selenium in the food, the less breast cancer occurred.

  1. Progression (includes invasion and metastases)

Finally, several factors can help the breast cancer cells to progress, grow bigger locally and eventually move into other areas of the body as metastases. Dr. Zava showed several slides where details of metabolic processes were shown and how changes in some of these would lead to progression of breast cancer. Estrogen excess is a common pathway to breast cancer. The key is to balance it with progesterone, supplements, remove anything that causes estrogen overproduction like obesity (via the aromatase pathway).

The fallacy of overdosing or underdosing

When estrogen is overdosed, it becomes aggressive as indicated before; it can initiate DNA mutations that can cause breast cancer. If it is under dosed, the lack of estrogen can cause heart attacks, strokes and osteoporosis. When estrogen is balanced with progesterone a postmenopausal woman feels best and she is protected from the negative effects of estrogen.

Measures that help prevent breast cancer

Supplement only with bioidentical hormones

When supplementing with bioidentical hormones, keep estrogen within physiological limits and don’t overdose. This can be measured through blood tests or saliva hormone tests. Your most important natural opponent of estrogen is progesterone, which is usually missing in menopause. Measure hormones using tests (progesterone only with saliva tests, estrogen either by blood tests or saliva tests). Don’t rely going by symptoms.

Progesterone to estrogen ratio

Keep the progesterone to estrogen ratio (Pg/E2) at an optimal range, which is in the 100- to 500-fold range. Measure the saliva hormone level of both progesterone and estrogen and calculate. Remember that progesterone serum levels are meaningless. The much higher progesterone level protects the postmenopausal woman from estrogen side effects. Here is a statement worth noting: “Until evidence is found to the contrary, bioidentical hormones remain the preferred method of HRT.” This was the conclusion of a study using bioidentical hormones, where the protection from breast cancer and heart attacks and strokes was also noted.

Eat more fiber containing foods and less beef

Increase fiber intake and reduce red meat consumption. This will eliminate conjugated steroid hormones in the stool. It also increases the sex hormone binding globulin in the blood, which limits the bioavailability of estrogens. Fiber absorbs bile toxins and removes them from the body.

Calcium supplement

Calcium-D-glucarate is a supplement that will decrease beta-glucuronidase. The estrogens were conjugated with the purpose to be eliminated, but beta-glucuronidase causes the conjugated estrogens to be reabsorbed.

Reduce breast cancer risk with probiotics

Probiotics likely stimulate the immune system and help reduce the risk of breast cancer.

No pollutants and toxic chemicals

Avoid toxins like petrochemical pollutants and toxic chemicals. Avoid trans fats. If toxic, heavy metals are present (arsenic, cadmium, lead, mercury) remove these. Some naturopaths use EDTA chelation to do this.

Other useful supplements

Supplements: sulforaphane (broccoli), EGCG (green tea), alpha-lipoic acid (antioxidant), cruciferous vegetables, resveratrol, selenium and iodide/iodine, N-acetyl cysteine-glutathione. All these supplements/nutrients will prevent estrogen to go to the “dark side”. The dark side is the formation of toxic 4-OH estrogen that could further be converted into catechol estrogen-3,4-quinones that can damage DNA and cause mutations.

Methylation of catechol estrogens

Increase methylation of catechol estrogens: vitamin B1, B6, B12 and folic acid. Methyl donors also are useful for this purpose: MSM (methylsulfonylmethane), SAMe, and Betaine.

Healthy lifestyle (diet , exercise) helps your immune system

Improve your diet (Mediterranean type), exercise moderately, reduce stress, and replace hormones in physiological doses as discussed under point 1 and 2.

Breast Cancer Risks

Breast Cancer Risks

Conclusion

Dr. David Zava, PhD gave an interesting talk at the 24th Annual World Congress on Anti-Aging Medicine (Dec. 9-11, 2016) in Las Vegas. Estrogens, when unopposed by enough progesterone, can cause mutations in breast tissue of women and cause breast cancer. He also reviewed two major clinical trials that utilized hormone replacement therapy (HRT). The problems with these were the synthetic estrogen hormones that caused breast cancer and the synthetic progestins that also behaved like estrogens (not like progesterone) and caused even more breast cancer. The lesson from this is that only bioidentical estrogens and progesterone work in hormone replacement for menopause. Also, the hormones balance each other as discussed under measures that help to prevent breast cancer. In addition there was a list of other useful supplements given that can be taken to reduce the danger of breast cancer.