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Medical Forum / General / Cardiology / November 2006

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Sugar cane extract doesn't lower cholesterol

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listener - 25 Nov 2006 13:51 GMT
NEW YORK (Reuters Health) - A new study adds to growing evidence that an
extract from Cuban sugar cane does not help lower cholesterol levels.

A number of plant products work well for cutting cholesterol, such as
plant sterols used in margarine and other foods, Dr. Peter J. H. Jones,
Canada Research Chair in Nutrition and Functional Foods at the University
of Manitoba, Winnipeg, told Reuters Health. But it looks increasingly as
if Cuban sugar cane "policosanols" are not one of these products, he
said.

Jones and his colleague, Dr. Amira N. Kassis, had 21 healthy men and
women with high cholesterol eat 10 milligrams of policosanols daily or a
placebo for 28 days. After an additional 28-day "washout period," the
study participants were switched to placebo or policosanols.

Jones and Kassis found no effect of the policosanols on any measure of
participants' cholesterol.

While dozens of human and animal studies from one lab based in Cuba have
shown dramatic cholesterol-lowering effects approaching those of statins
for policosanols, studies done elsewhere have shown no effect, the
researchers note in their report in the American Journal of Clinical
Nutrition.

Proponents have suggested that perhaps only Cuban sugar cane extracts
will work, but Jones and Kassis used the same type employed by the Cuban
lab, as have other researchers recently, without seeing results.

It remains remotely possible that Cuban individuals have some sort of
genetic difference that makes them react differently to policosanols, or
that they eat so many policosanols in their normal diet that
supplementation with the extract has more of an effect than it would in
other people, Jones said.

The current study, Jones said, underscores the need for more scrutiny of
herbal product claims. The policosanol extract, he noted, is being sold
for a dollar a pill around the world.

SOURCE: American Journal of Clinical Nutrition, November 2006.
Juhana Harju - 25 Nov 2006 21:25 GMT
: NEW YORK (Reuters Health) - A new study adds to growing evidence that
: an extract from Cuban sugar cane does not help lower cholesterol
[quoted text clipped - 15 lines]
: Jones and Kassis found no effect of the policosanols on any measure of
: participants' cholesterol.

It is possible that the trial time is was too short. "Studies generally
found that it can take up to two months to notice benefits."

http://altmedicine.about.com/od/policosanol/a/policosanol.htm#

: While dozens of human and animal studies from one lab based in Cuba
: have shown dramatic cholesterol-lowering effects approaching those of
[quoted text clipped - 17 lines]
:
: SOURCE: American Journal of Clinical Nutrition, November 2006.

It is possible that the trial time is was too short. I have read that it can
take two months before the effect of policosanol is seen.

Signature

Juhana

listener - 25 Nov 2006 21:43 GMT
>: NEW YORK (Reuters Health) - A new study adds to growing evidence that
>: an extract from Cuban sugar cane does not help lower cholesterol
[quoted text clipped - 45 lines]
> It is possible that the trial time is was too short. I have read that it can
> take two months before the effect of policosanol is seen.

I tried it for 8 weeks with no effect.

With all talk around here that statin studies are bogus because they may
be pharma funded you would think that this comment (from your link)
screams "case closed":

"...almost all of the 80+ double-blind studies on sugarcane policosanol
were conducted by a single research group in Cuba that owns the
policosanol patent."

L.
Susan - 25 Nov 2006 22:25 GMT
> I tried it for 8 weeks with no effect.

I know lots of folks who've tried it with no effect.

Susan
Andrew B. Chung, MD/PhD - 25 Nov 2006 23:23 GMT
> > I tried it for 8 weeks with no effect.
>
> I know lots of folks who've tried it with no effect.

In my clinical experience, policosanol will not work in folks who are
overeating.

My guess is that there are less folks overeating in Cuba than at the
other centers where policosanol has been studied.

May GOD continue to help us with our needs, dear neighbor Susan whom I
love unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
capmack@shipper.com - 25 Nov 2006 23:49 GMT
"In my clinical experience, policosanol will not work in folks who are
overeating.

My guess is that there are less folks overeating in Cuba than at the
other centers where policosanol has been studied."

Do a medline for:

"Long-term effects of policosanol on obese patients with Type II
Hypercholesterolemia."

Once again we find confirmation of a poor grasp of current literature, a
non-scientific driven agenda which distorts the discussion, and a
continuing reason to safely ignore the source because the truth is not
in it.
Andrew B. Chung, MD/PhD - 26 Nov 2006 18:46 GMT
> "In my clinical experience, policosanol will not work in folks who are
> overeating.
[quoted text clipped - 6 lines]
> "Long-term effects of policosanol on obese patients with Type II
> Hypercholesterolemia."

http://tinyurl.com/yh2ug6

Here's the abstract:

Both hypercholesterolemia (HC) and obesity are coronary risk factors.
Clinical studies have shown the benefits of lowering elevated plasma
levels of low-density lipoprotein-cholesterol (LDL-C) on clinical
end-points. Policosanol is a cholesterol-lowering drug purified from
sugar cane wax with a therapeutic range from 5 to 20 mg/day. This
randomised, double-blinded, placebo-controlled study was undertaken to
investigate the long-term efficacy and safety of policosanol in obese
patients (BMI>or =30) with Type II hypercholesterolemia. After 5 weeks
on step one cholesterol-lowering diet, 129 patients were randomised to
policosanol 5 mg or placebo tablets taken once daily with the evening
meal for 3 years. Lipid profile variables, safety indicators, adverse
events (AE) and compliance with diet counselling and study medications
were assessed. Study patiens showed a high frequency of other coronary
risk factors, hypertension being the most common. Both groups were well
matched at randomisation. After one year on treatment, policosanol
significantly (p < 0.01 vs placebo) lowered serum LDL-C, the primary
efficacy variable (24.3 %) and total cholesterol (TC) (15.8 %), whereas
increased high-density lipoprotein-cholesterol (HDL-C) (21.9 %).
Changes of lipid variables in placebo were not significant. Treatment
effects were persistent, even slightly enhanced, during the trial. At
study completion, policosanol had lowered (p < 0.00001) LDL-C (31.8 %)
and TC (20.1 %), while markedly raised (p < 0.00001) HDL-C (24.6 %).
Thirty patients (18 placebo, 12 policosanol) discontinued the study: 15
(11 placebo, 4 policosanol) due to AE and 12 (9 placebo, 3 policosanol)
due to serious adverse events (SAE), most vascular. Policosanol was
safe and well tolerated, not impairing significantly any safety
indicator. Average body weight was slightly reduced over the study,
indicating a general acceptable compliance with dietary
recommendations, but policosanol did not show any drug effect on body
weight. Overall, 28 placebo and 26 policosanol patients reported some
mild or moderate AE during the study. It is concluded that policosanol
was effective for lowering cholesterol in obese patients with type II
hypercholesterolemia, being also safe and well tolerated.

**** End Abstract ****

Yes, the reduction is average body weight does mean that the obese
study subjects were eating less during the 3 year study period as per
the study design.

Many thanks, much praise, and all the glory to GOD for compelling you
to provide this citation to confirm what HE has led me to write despite
your intention to discredit.

Laus Deo !

> Once again we find confirmation of a poor grasp of current literature, a
> non-scientific driven agenda which distorts the discussion, and a
> continuing reason to safely ignore the source because the truth is not
> in it.

Actually, you are not safe opposing the truth, Who is LORD Jesus
Christ.

Simply see above.

May GOD continue to keep your heart beating (unless you choose unwisely
to curse HIM as did Sigmund Freud when he died in excruciating pain,
unsettling anxiety, and teeth gnashing panic) dear neighbor whom I love
unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
Art Deco - 26 Nov 2006 22:34 GMT
>> "In my clinical experience, policosanol will not work in folks who are
>> overeating.
[quoted text clipped - 12 lines]
>
>Both hypercholesterolemia (HC) and ob

Shuttup, spammer.
capmack@shipper.com - 26 Nov 2006 23:52 GMT
Follow this and see why this source is not to be relied upon for science
and medical advice, mr. chung offered his opinion:

>> "In my clinical experience, policosanol will not work in folks who are
>> overeating.
[quoted text clipped - 10 lines]
>
>Here's the abstract:

Good to see you come down from the mountain and attempt to do some real
science, but alas:

"Average body weight was slightly reduced over the study, indicating a
general acceptable compliance with dietary recommendations, but
policosanol
did not show any drug effect on body weight."

and:

"It is concluded that policosanol was effective for lowering cholesterol
in
obese patients with type II hypercholesterolemia, being also safe and
well
tolerated."

Mr. chung spins and twirls:

"Yes, the reduction is average body weight does mean that the obese
study
subjects were eating less during the 3 year study period as per the
study
design."

No as the above conclusions clearly say, and the truth is not in you.
Your grasp of the recent relevant literature is poor, you force
unwarrented conclusions based on non-scientific agenda goals, your
advice in this area can without hesitation be ignored, because the truth
is not in it.
Andrew B. Chung, MD/PhD - 27 Nov 2006 00:08 GMT
Nymshifting neighbor CoonSkin shrieked:
> Andrew, in the Holy Spirit, boldly wrote:
>
[quoted text clipped - 20 lines]
> policosanol
> did not show any drug effect on body weight."

**emphasis** added.

> and:
>
[quoted text clipped - 3 lines]
> well
> tolerated."

Actually, based on the study design, these would be obese patients who
have been compliant with instructions to lose weight.

> Andrew, in the Holy Spirit, boldly writes:
>
[quoted text clipped - 9 lines]
> advice in this area can without hesitation be ignored, because the truth
> is not in it.

See **emphasis** above.

Where there is weight reduction, there has not been overeating.

Overeating causes weight gain and not weight loss.

Truth is simple.

Bottomline: You remain consistently untruthful.

May GOD continue to keep your heart beating (unless you choose unwisely
to curse HIM) dear neighbor CoonSkin whom I love unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
Art Deco - 27 Nov 2006 00:32 GMT
>Nymshifting neighbor CoonSkin shrieked:

Can you be any bigger of a hypocrite, Chunk?  I think not.
capmack@shipper.com - 27 Nov 2006 00:54 GMT
Mr. chung offeres an ever weakening opinion:

"Actually, based on the study design, these would be obese patients who
have been compliant with instructions to lose weight."

Actually this is what happened:

"Average body weight was slightly reduced over the study"

"Slightly" is not significant when we arespeaking of "obese" folk, that
term taken usually to mean a bmi of > 30 where 25 is the upper number
for "normal".  Your original claim was "normal" people only saw results
with the substance, "slight" weight loss in "obese" subjects don't cut
it, smile.

I will consult the original paper in full if you think the numbers it
will no doubt detail will help you, smile.  Also happy to list the many
studies done using this substance wherein the bmi was often noted, if
you think that also will help you, smile.

Only more confirmation for seeing poor grasp of current literature in
this area, willingness to distort information in pursuit of
non-scientific goals, added reason to ignore the source because the
truth is not in it.
Andrew B. Chung, MD/PhD - 27 Nov 2006 01:07 GMT
Nymshifting neighbor (aka CoonSkin) wrote:
> Andrew, in the Holy Spirit, boldly wrote:
>
[quoted text clipped - 4 lines]
>
> "Average body weight was slightly reduced over the study"

Correct.  This does indicate an effort to eat less.

It remains my clinical experience that policosanol does not work in
folks that are not making an effort to eat less.

Like it or not, your cited reference supports my clinical experience to
your dismay.

All the praise and glory belongs to GOD, Whom I love with all my heart,
soul, mind, and strength.

Your embarrassing yourself is an adverse reaction to the awesome power
of intercessory prayers by the brethren of LORD Jesus Christ made to
our heavenly Father lifting up those like you who have been convicted
by the Holy Spirit:

http://HeartMDPhD.com/Convicts

May GOD continue to keep your heart beating (unless you unwisely choose
to curse HIM) dear neighbor CoonSkin whom I love unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
Art Deco - 27 Nov 2006 01:26 GMT
>Nymshifting neighbor (aka CoonSkin) wrote:

Hypocrite.

>> Andrew, in the Holy Spirit, boldly wrote:
>>
[quoted text clipped - 22 lines]
>
>http://redacted-kooklink

Still spamming your kooklink, Chunk?
capmack@shipper.com - 27 Nov 2006 01:44 GMT
> "Actually, based on the study design, these would be obese patients who
> have been compliant with instructions to lose weight."

> Actually this is what happened:
>
> "Average body weight was slightly reduced over the study"

"Correct.  This does indicate an effort to eat less.

It remains my clinical experience that policosanol does not work in
folks that are not making an effort to eat less.

Like it or not, your cited reference supports my clinical experience to
your dismay."

We start with obese people, bmi > 30 and a slight weight loss occurs,
meaning they remained obese at study end.  Your claim was that only
normal weight people found the substance effective, in other words your
claims not clinically seen.  In a desperate move you try now to say if
they try to lose weight it works, truth matters.

I'm happy for the truth to be seen repeatably that there can in the end
remain no possible confusion that:

Grasp of current literature in this area is poor, that willfull
distortions are made in pursuit of non-scientific agendas, that safely
ignoring the source is called for because the truth is not in it.
Andrew B. Chung, MD/PhD - 27 Nov 2006 02:53 GMT
Nymshifting neighbor (aka CoonSkin) wrote:
> > "Actually, based on the study design, these would be obese patients
> who
[quoted text clipped - 15 lines]
> meaning they remained obese at study end.  Your claim was that only
> normal weight people found the substance effective

No.

"In my clinical experience, policosanol will not work in folks who are
overeating."

Google archive citation:

http://groups.google.com/group/sci.med.cardiology/msg/11e730c8f083c93d?

The Google archives are not a friend to the untruthful.

Bottomline: You remain consistently untruthful.

If your intent is to deceive, GOD will judge you to be a liar.

May GOD continue to keep your heart beating (unless you unwisely choose
to curse HIM) dear neighbor CoonSkin whom I love unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
Art Deco - 27 Nov 2006 04:06 GMT
>Nymshifting neighbor (aka CoonSkin) wrote:

Hypocrite.
Andrew B. Chung, MD/PhD - 27 Nov 2006 04:17 GMT
> Andrew, in the Holy Spirit, boldly wrote:
>
> >Nymshifting neighbor (aka CoonSkin) wrote:
>
> Hypocrite.

Hiding behind multiple pseudonyms is not my style.

May GOD continue to keep your heart beating (unless you unwisely choose
to curse HIM) dear neighbor Art whom I love unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
Bookman - 27 Nov 2006 11:43 GMT
>>Nymshifting neighbor (aka CoonSkin) wrote:
>
>Hypocrite.

You expected something else from Wang Chung?  

ESL!

Signature

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capmack@shipper.com - 27 Nov 2006 15:06 GMT
> We start with obese people, bmi > 30 and a slight weight loss occurs,
> meaning they remained obese at study end.  Your claim was that only
> normal weight people found the substance effective

"No.

"In my clinical experience, policosanol will not work in folks who are
overeating.""

No, not clinically seen, but this rhetorical tap dancing behavior
frequently clinically seen in other disorders.

People who are obese, the tern used in the study, are overeating and the
substance was reported to work, your anecdotal observations not
clinically supported in science.  Leading as before to:

A poor grasp of the current literature on the subject, willfull
distortions in pursuit of a non-scientific agenda, all the more reason
to ignore the source because the truth is not in it.
Andrew B. Chung, MD/PhD - 27 Nov 2006 18:23 GMT
http://groups.google.com/group/sci.med.cardiology/msg/383fcc9d429f8b91?

> > We start with obese people, bmi > 30 and a slight weight loss occurs,
> > meaning they remained obese at study end.  Your claim was that only
[quoted text clipped - 15 lines]
> distortions in pursuit of a non-scientific agenda, all the more reason
> to ignore the source because the truth is not in it.
capmack@shipper.com - 27 Nov 2006 19:20 GMT
Mr. chung offered this:

Unable to answer, mr.  chung can only
offer:"
http://groups.google.com/group/sci.med.cardiology/msg/383fcc9d429f8b91?"

When he is defeated he posts links to other or previous versions of a
thread.  When he has nothing more original to add and realizes the
corner into which he has put himself he stutters with links.  Saving
paper face at any cost is extremely important among those things that
motivate him.  When losing on the science he stutters, confirming:

Poor grasp of recent literature in the area, willfull distortions in
pursuit of a non-scientific goal, rhetoric in place of reason and logic,
final confirmation to be at ease in ignoring the source because the
truth is not in it.
 
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