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Cholesterol guidelines for converting healthy people into patients by Uffe Ravnskov, MD, PhD
The May 16 issue (2001) of the Journal of the American Medical Association an expert panel from the National Cholesterol Education Program has published new guidelines for "the detection, evaluation, and treatment of high blood cholesterol"Here come a few examples of the panel’s false statements.
As an argument for using cholesterol-lowering drugs the panel claims that twenty percent of patients with coronary heart disease have a new heart attack after ten years. But to reach that number any minor symptom without clinical significance is included.
Most people survive even a major heart attack, many with few or no symptoms after recovery. What matters is how many die and this is much less than twenty percent. The panel also recommends cholesterol-lowering drugs to all diabetics above 20, and to people with the metabolic syndrome. If you have at least three of the "risk factors" mentioned below, you are suffering from the metabolic syndrome:
Risk factor |
Limits according to the NCEP expert panel |
Abdominal obesity |
Waist
circumference above 88 cm in women; above 102 in men. |
High triglycerides |
150 mg/dl or more |
Low HDL |
Men
less than 40 mg/dl |
High blood pressure |
130/85 or higher |
High fasting blood sugar |
110 mg/dl or higher |
Test yourself and your family! I guess that using these limits, most of you "suffer" from the metabolic syndrome. And this new combination of risk factors, says the panel, conveys a similar risk for future heart disease as for people who already have coronary heart disease.
Luckily, it is not true. It is not true either, that cholesterol has a strong power to predict the risk of a heart attack in men above 65. In the 30 year follow-up of the Framingham population for instance, high cholesterol was not predictive at all after the age of forty-seven, and those whose cholesterol went down had the highest risk of having a heart attack! To cite the Framingham authors: ”For each 1 mg/dl drop of cholesterol there was an 11 % increase in coronary and total mortality (115).”
It
is not true either, that high cholesterol is a strong, independent
predictor for other individuals.
In
most studies of women and of patients who already have had a heart
attack, high cholesterol has little predictive power, if any at all.
In
a large study of Canadian men high cholesterol did not predict a heart
attack, not even after 12 years, and in Russia, low, not high
cholesterol level, is associated with future heart attacks (read
summary of paper)
Most
studies have shown that high cholesterol is a very weak risk factor or
no risk factor at all for old people; see for instance the paper by Schatz
et al., but there are many more. Considering that more than 90% of
all cardiovascular deaths occur in people above 60, this fact should
have stopped the cholesterol campaign years ago.
Also
interesting is the fact, that in some families with the highest
cholesterol levels ever seen in human beings, so-called familial
hypercholesterolemia, the individuals do not get a heart attack more
often than ordinary people, and they live just as long (read
the paper)
Taken
together such observations strongly suggest that high cholesterol is
only a risk marker, a factor that is secondary to the real cause of
coronary heart disease. It is just as logical to lower cholesterol to
prevent a heart attack, as to lower an elevated body temperature to
combat an underlying infection or cancer.
It
has also escaped the panel’s attention that the effect of the new
cholesterol-lowering drugs, the statins, goes beyond a lowering of
cholesterol. The question is whether their cholesterol-lowering effect
has any importance at all because the statins exert their effect whether
cholesterol goes down a little or whether it goes down very much.
No
doubt, the statins lower the risk of dying from a heart attack, at least
in patients who already have had one, but the size of the effect is
unimpressive. In one of the experiments for instance, the CARE trial, the
odds of escaping death from a heart attack in five years for a
patient with manifest heart disease was 94.3 %, which improved to 95.4 %
with statin treatment
For
healthy people with high cholesterol the effect is even smaller. The
WOSCOPS trial studied that category of people and here the figures were
98.4 % and 98.8 %, respectively.
In
the scientific papers and in the drug advertisements these small effects
are translated to relative effect. In the mentioned WOSCOPS trial for
instance, it is said that the mortality was lowered by 25 %, because the
difference between a mortality of 1.6 % in the control group and 1.2
% in the treatment group is 25 %.
When
presented with accurate statistics on the value of statins, almost all
my patients have rejected such treatment. To claim that the statins
dramatically reduce a persons risk for CHD, as was stated in the press
by Claude Lenfant, the director of the National Heart, Lung and Blood
Institute, is a misuse of the English language.
The
figures above do not take into account possible side effects of the
treatment. In most animal experiments the statins, as well as most other
cholesterol-lowering drugs, produce cancer (90),
and they may do it in human beings also.
In
one of the statin trials there were 13 cases of breast cancer in the
group treated vid pravastatin (Pravachol®), but only one
case in the untreated control group, a scaring fact that is never
mentioned in the advertisements or the guidelines.
It
is also an alarming fact that in one of the largest experiments, the
EXCEL trial, total mortality after just one year's treatment with
lovastatin (Mevacor®) was significantly higher among those
receiving statin treatment. Unfortunately (or happily?) the trial was
stopped before further observations could be made.
In
human beings the effects of cancer-producing chemicals are not seen
before the passage of decades. If the statins produce cancer in human
beings, their small positive effect may eventually be transformed to a
much larger negative one, because side effects usually appear in much
higher percentages than the small positive ones noted in the trials.
Whereas
possible serious side effects of the statins are hypothetical, those
from the previous cholesterol-lowering drugs, still recommended by the
panel, are real. Taking all experiments together, mortality from heart
disease after treatment with these drugs was unchanged and total
mortality increased, a fact that has given researchers outside the
National Cholesterol Education Program and the American Heart
Association much reason for concern.
The
panel’s dietary recommendations represent the seventh major change
since 1961. For instance, the original advice from the American Heart
Association to eat as much polyunsaturated fat as possible has been
reduced successively to the present “up to ten per cent”.
But
why this limit? Seven years ago the main author of the new guidelines,
Professor Scott Grundy, suggested an upper limit of only seven per cent,
because, as he argued, an excess of polyunsaturated fat is toxic
to the immune system and stimulates cancer growth in experimental
animals and may also provoke gall stones in human beings. These warnings
have never reached the public.
Furthermore,
the panel ignores that a recent systematic review of all studies
concerning the link between dietary fat and heart disease found no
evidence that a manipulation of dietary fat has any effect on the
development of atherosclerosis or cardiovascular disease (read
summary of the paper -this paper won the Skrabanek Award 1998).
For
instance, in a large number of studies, including the incredible number
of more than 150,000 individuals, none of them found the predicted
pattern of dietary fats in patients with heart disease.
No
supportive association has been found either between the fat consumption
pattern and the degree of atherosclerosis (arteriosclerosis) after
death.
Most
important, the mortality from heart disease and from all causes was
unchanged in nine trials with more radical changes of dietary fat than
ever suggested by the National Cholesterol Education Program, a result
that was confirmed recently in another review (read
the paper).
To
suggest that diabetic patients should obtain more than 50 percent of
their caloric intake from carbohydrates seems unusually bad advice.
Many
carbohydrates are quickly transformed into sugar inducing rapid changes
in blood sugar and insulin levels and thus stimulating a rapid
conversion of blood sugar to depot fat and chronic feelings of hunger.
Diabetic patients should eat more fat.
Is
it a coincidence that the Americans’ decreasing intake of fat during
the last decade has been followed by a steady increase of their mean
body weight and an epidemic increase of diabetes?
Instead
of preventing cardiovascular disease the new guidelines may increase the
mortality of other diseases, transform healthy individuals into unhappy
hypochondriacs obsessed with the chemical composition of their food and
their blood, reduce the income of producers of animal fat, undermine the
art of cuisine, destroy the joy of eating, and divert health care
money from the sick and the poor to the rich and the healthy. The only
winners are the drug and imitation food industry and the researchers
that they support.
Uffe
Ravnskov
MD, PhD, independent researcher
Spokesman for THINCS, The
International Network of Cholesterol Skeptics
A short edition of the above was sent to the editor
of JAMA. Read his answer.
If you lack the scientific evidence of something written above you will
find it in The Cholesterol
Myths
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don't forget to tell from where it comes
Published June 2, 2001; latest revision Oct 31, 2003
Protect Yourself from a “Food” Ingredient That Causes Nerve
Damage!
Food additives tricks your
tongue into thinking that it is getting something nutritious when it is
getting nothing at all except some very toxic substances.
Following the Second World
War food companies discovered monosodium glutamate (MSG), a food
ingredient the Japanese had invented in 1908 to enhance food flavors.
Unfortunately, MSG is extremely toxic, especially to your nervous system!
The fast food industry could not exist without MSG and other artificial
meat flavors to make their sauces and spice mixes. The sauces in
processed foods are basically MSG, water, thickeners and some caramel
coloring.
MSG tricks your tongue into thinking that it is getting something
nutritious when it is getting nothing at all except some very toxic
substances.
Almost all canned soups and stews contain MSG. Salad dressings,
Worcestershire sauce, rice mixes, dehydrated soups, all of these as well
as anything that has a meat-like taste has MSG in it.
Most processed vegetarian foods contain these flavorings. The list of
ingredients in vegetarian hamburgers, hot dogs, bacon, baloney, etc.,
often includes “hydrolyzed protein” (another name for MSG) and other
"natural" flavorings. Almost all soy-based foods contain large
amounts of MSG.
In 1957 scientists found that mice became blind and obese when given
MSG. In 1969, MSG was found to cause damage in specific regions of the
brain. Subsequent studies confirmed this.
MSG is a substance that has a toxic effect on nerves and the nervous system that causes a wide range of reactions, from temporary headaches to permanent brain damage.
We are experiencing today a huge increase in Alzheimer's, brain cancer, seizures, multiple sclerosis, and diseases of the nervous system. One of the chief contributors are these flavorings in our food.
Ninety-five percent of processed foods contain MSG!
In the late 1950’s it was added to baby food. After some congressional hearings on this subject, the baby food manufacturers stated they had taken it out of the baby food, but they didn't really remove it. They just called it by another name - “hydrolyzed protein”!
Anything that you buy that says "spices" or "natural flavors" contains MSG! The food industry avoids putting MSG on the label by putting MSG in spice mixes. Legally, if the mix is less than 50% MSG, manufacturers don't have to put it on the label.
The phrase "No MSG" on food labels has virtually disappeared. That's because MSG is in all the spice mixes.
This substance is so harmful to your body that you want to avoid all foods containing MSG!
To do this successfully you must take the time when shopping to read the ingredients labels on the foods you buy!
To help you to determine what foods actually contain MSG we have compiled a list of ingredients (in alphabetical order) that ALWAYS contain MSG!
Autolyzed plant protein
Autolyzed yeast
Calcium caseinate
Gelatin
Glutamate Textured protein
Glutamic acid
Hydrolyzed Plant Protein (HPP)
(any protein that is hydrolyzed)
Hydrolyzed protein
Hydrolyzed Vegetable Protein (HVP)
Monopotassium glutamate
Monosodium glutamate
MSG
Natural flavors
Sodium caseinate
Spices
Textured protein
Yeast extract
Yeast food
Yeast food nutrient
By eliminating as much MSG as possible from your diet, it will result in greatly improved health for you and your family, both now and in the future!
Study Found Toxin from GM Crops is Showing up in Human Blood
A new study is causing fresh doubts about the safety of genetically modified crops. The research found Bt toxin, which is present in many GM crops, in human blood.
Bt toxin makes crops toxic to pests, but it has been claimed that the toxin poses no danger to the environment and human health; the argument was that the protein breaks down in the human gut. But the presence of the toxin in human blood shows that this does not happen.
India Today reports:
“Scientists ... have detected the insecticidal protein ... circulating in the blood of pregnant as well as non-pregnant women. They have also detected the toxin in fetal blood, implying it could pass on to the next generation.”
Read fully story:
http://articles.mercola.com/sites/articles/archive/2011/05/31/study-found-toxin-from-gm-crops-is-showing-up-in-human-blood.aspx
To Your Health,
MCVitamins
www.mcvitamins.com