Medical Forum / Diseases and Disorders / Diabetes / November 2005
Folic Acid Supplements are a Health Hazard, John McDougall, MD: Murray 2005.11.01
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Rich Murray - 01 Nov 2005 08:38 GMT ***********************************************************
http://groups.yahoo.com/group/aspartameNM/message/1241 Folic Acid Supplements are a Health Hazard, John McDougall, MD: Murray 2005.11.01
http://www.drmcdougall.com/misc/2005nl/oct/051000folic.htm
The McDougall Newsletter, October 2005, Vol. 4, No. 10
Folic Acid Supplements are a Health Hazard
Stop Folic Acid Pills Now Limit Your Intake of Fortified Flour Products (in the USA) Don't Lower Your Homocysteine Levels with Supplements
Taking supplements with as little as 0.8 mg/day of folic acid has been shown to increase your risk of dying of heart disease and cancer, according to the results of the first large randomized treatment trial to carefully examine this issue. 1 [ 0.8 mg = 800 micrograms ]
The Norwegian Vitamin Trial (NORVIT) of 3,749 patients, who were followed for 3.5 years was designed to show the benefits of taking supplements - but the results were contrary to expectations.
Folic acid supplementation was found to lower homocysteine levels by 28%., but to increase relative risks of heart attack, stroke, and death by 20%, along with a more than a 30% increase in cancer. Those with the highest baseline homocysteine levels (13 umol/L or greater) suffered the most harm from taking supplements of folic acid.
Homocysteine Is Only a Risk Factor
Elevated levels of the amino acid homocysteine, found with a blood test, have been associated with many common diseases, including heart disease, strokes, venous thrombosis, dementia, and Alzheimer's disease. The commonly made, but incorrect, assumption is that these diseases are caused by elevated homocysteine in the body and the solution is to give medications (vitamin pills) to fix the problem.
However, homocysteine is not the problem. Elevated homocysteine is only a sign that the body is becoming diseased and at risk of a tragedy. We call this type of sign a "risk factor" - it predicts future risk, but it is not a disease in itself - no one dies of an elevated homocysteine level - most commonly, clogged heart arteries are the actual cause of death for those people showing this sign.
So what is the real meaning of this risk factor?
Homocysteine levels increase when people eat more meat and fewer vegetables. These same dietary habits cause other signs (risk factors) - indicating a higher chance of death and disability - to rise; like cholesterol, triglycerides, uric acid, blood sugar, lipoprotein a, C-reactive protein, blood pressure, and body weight. Fortunately, correcting the poor diet heals the underlying disease, and at the same time the risk factors show improvement.
Folic Acid Supplements Overload the Body
Consuming more than 0.2 mg of folic acid daily floods the bloodstream with this vitamin, overloading the metabolic capacities of the body, causing imbalances that increase the risk of heart disease and cancer. 2
Folic acid is a synthetic version of the natural vitamin, folate, found in plant foods. Folate from food is essential for good health.
Folic acid sold in capsules is a medication at best and a toxin at worst. When given in doses of 0.8 mg it will lower homocysteine by about 30% (3 to 4 umol/L). 3 Higher doses then 0.08 mg have no greater benefit for lowering blood levels of homocysteine.
Folic Acid Mandated for U.S. Cereal Products
January 1998 was the mandatory deadline for the fortification of grain products with folic acid in the United States. Folic acid was added to flours used to make bread, rolls, and crackers. Another hefty source of this supplement comes from enriched (vitamin-added) "ready-to-eat cereals."
Since 1998, folic acid intake has increased significantly in every segment of the U.S. population with the average additional intake of 0.22 mg/day. 3,4 Remember, as little is 0.2 mg causes overloads and imbalances with an increased risk of illness. A significant segment of the USA population is now consuming over 1 mg/day of folic acid daily - an amount found by the NORVIT study to increase the risk of heart disease and cancer.
Doctors Harm Patients with Supplements
Cardiologists are fond of recommending vitamin pills to treat elevated homocysteine in hopes of preventing further heart disease in their patients. One of the most commonly prescribed preparations is called Foltx - a combination of 2.5 mg of folic Acid, 25 mg of vitamin B6, and 2 mg of vitamin B12. A recent study showed a similar preparation reduced the homocysteine levels of patients with a history of stroke by 2 units (umol/L), but found no difference in risk of future strokes, heart attacks, or death compared to a control group. 5
Another recent study showing folic acid actually causes the heart arteries to close should cause doctors to mend their prescribing practices. After six months of supplementation in 636 heart patients with stents (stents are wire-mesh supports placed in the coronary arteries during angioplasty), the Folate After Coronary Intervention Trial found those patients taking folic acid had significantly more narrowing of the arteries, more artery closure (restenosis), and more major adverse cardiac events compared to those taking placebo - the exact opposite of what investigators had expected to find. 6,7 As expected, the homocysteine blood levels were reduced by the above treatment. The authors recommended that the routine administration of folate treatment not be advocated at the present time.
Even with all this condemning evidence, you can easily find experts (many working with vitamin companies) trying to convince the unaware buyer that high-dose folic acid supplementation - as much as 5 mg/day - will be good for their heart and blood vessels. 8
Appropriate Response to Homocysteine in Your Blood
The main motivation behind fortification of flours and taking supplemental vitamins has been to reduce the occurrence of serious birth defects, especially the occurrence of neural tube defects (NTDs). The effort seems to be working a little - since the onset of fortification there has been a 19% decrease in the incidence of NTDs. Unfortunately, these same widespread recommendations to take folic acid may be causing more heart disease and cancer. So, what to do?
All that money and effort now spent on supplementation with the hope of reducing birth defects, heart disease, and cancer should be directed towards educational programs to teach people to eat more legumes, vegetables, and fruits - the plentiful and safe sources of folic acid. (The name folic comes from the word foliage, which refers to plants.) When packaged in the plant, folic acid is never harmful and always beneficial. Further efforts should be made towards making sure all people have ready access to plant-foods.
Because of the overwhelming evidence that the vitamin supplements people are buying are a serious health hazard, I propose these products be labeled with bold warnings like: "Taking Vitamin E can raise your risk of dying," "Vitamin A (retinol) can damage your bones and cause birth defects," "Beta carotene may raise your risk of cancer," and "Folic acid causes heart disease."
All supplement packages should also tell people that vitamins and other nutrients are best obtained from healthy vegetable foods. For more information on the hazards of supplementation, please read from my newsletter archives the following:
August 2003: Plants, not Pills, for Vitamins and Minerals: www.nealhendrickson.com/mcdougall/030800puvitaminsandminerals.htm
November 2004: Vitamins Do Not Prevent Cancer and May Increase Likelihood of Death: How Supplements Can Make You Sicker www.nealhendrickson.com/mcdougall/2004nl/041100pufavorite5.htm
July 2005: Neither Aspirin Nor Vitamin E Will Save Women www.drmcdougall.com/misc/2005nl/july/050700fav5.htm
February 2004: Treating Homocysteine with Vitamins Fails www.nealhendrickson.com/mcdougall/040200pufavorite5.htm
References:
1) Bonaa KH. NORVIT: Randomized trial of homocysteine-lowering with B-vitamins for secondary prevention of cardiovascular disease after acute myocardial infarction. Program and Abstracts from the European Society of Cardiology Congress 2005; September 3-7, 2005; Stockholm, Sweden. Hot Line II.
2) Quinlivan EP, Gregory JF 3rd. Effect of food fortification on folic acid intake in the United States. Am J Clin Nutr. 2003 Jan; 77(1): 221-5.
3) Homocysteine Lowering Trailists Collaboration. Dose-dependent effects of folic acid on blood concentrations of homocysteine: a meta-analysis of the randomized trials. Am J Clin Nutr. 2005 Oct; 82(4): 806-812.
4) Choumenkovitch SF, Selhub J, Wilson PW, Rader JI, Rosenberg IH, Jacques PF. Folic acid intake from fortification in United States exceeds predictions. J Nutr. 2002 Sep; 132(9): 2792-8.
5) Toole JF . Lowering homocysteine in patients with ischemic stroke to prevent recurrent stroke, myocardial infarction, and death: the Vitamin Intervention for Stroke Prevention (VISP) randomized controlled trial. JAMA. 2004 Feb 4; 291(5): 565-75.
6) Lange H. Folate After Coronary Intervention Trial" (FACIT). www.accitalia.it/congress_centre/meeting_int/detail.asp?acr_trial=FACIT Lange H. The folate after coronary intervention trial (FACIT). Scientific presentation at the 52nd Annual Scientific Sessions of the American College of Cardiology, Chicago, March 30th, 2003.
7) Schnyder G, Roffi M, Flammer Y, et al. Effects of homocysteine-lowering therapy on restenosis after percutaneous coronary intervention for narrowings in small coronary arteries. Am J Cardiol 2003; 91: 1265-1269.
8) LifeExtension: www.lef.org/magazine/mag2005/mar2005_report_folic _01.htm?source=Google&key=folic_acid_supplements&WT.srch=1
You may subscribe to this free McDougall Newsletter at www.drmcdougall.com
Newsletter archive
2005 John McDougall All Rights Reserved ***********************************************************
Tuesday, November 1, 2005
Any unsuspected source of methanol, which the body always quickly and largely turns into formaldehyde and then formic acid, must be monitored, especially for high responsibility occupations, often with night shifts, such as pilots and nuclear reactor operators.
http://groups.yahoo.com/group/aspartameNM/message/1237 ubiquitous potent uncontrolled co-factors in nutrition research are formaldehyde from wood and tobacco smoke and many sources, including from methanol in dark wines and liquors, in pectins in fruits and vegetables, and in aspartame: Murray 2005.10.26
As a medical layman, I suggest that evidence mandates immediate exploration of the role of these ubiquitious, potent formaldehyde sources as co-factors in epidemiology, research, diagnosis, and treatment in a wide variety of disorders.
Folic acid, from fruits and vegetables, plays a role by powerfully protecting against methanol (formaldehyde) toxicity. Supplements are proven to be very unsafe sources.
Many common drugs, such as aspirin, interfere with folic acid, as do some mutations in relevant enzymes.
The majority of aspartame reactors are female.
In mutual service, Rich Murray ***********************************************************
Rich Murray, MA Room For All rmforall@comcast.net 505-501-2298 1943 Otowi Road Santa Fe, New Mexico 87505
http://groups.yahoo.com/group/aspartameNM/messages group with 146 members, 1,241 posts in a public, searchable archive http://RoomForAll.blogspot.com
Dark wines and liquors, as well as aspartame, provide similar levels of methanol, above 100 mg daily, for long-term heavy users, 2 L daily, about 6 cans.
Methanol is inevitably largely turned into formaldehyde, and thence largely into formic acid. It is the major cause of the dreaded symptoms of "next morning" hangover.
Fully 11% of aspartame is methanol -- 1,120 mg aspartame in 2 L diet soda, almost six 12-oz cans, gives 123 mg methanol (wood alcohol). If 30% of the methanol is turned into formaldehyde, the amount of formaldehyde, 37 mg, is 18.5 times the USA EPA limit for daily formaldehyde in drinking water, 2.0 mg in 2 L average daily drinking water. ***********************************************************
http://www.vrg.org/ The Vegetarian Resource Group vrg@vrg.org
http://www.vegsource.com extensive vegan information
http://www.drmcdougall.com practical, delicious healthy diet guidance
http://www.vegsource.com/articles/kradjian_milk.htm Robert Kradjian MD Discusses Milk
http://groups.yahoo.com/group/aspartameNM/message/971 Joel Fuhrman critique of Atkins diet in "Eat To Live": Murray 2003.03.01 rmforall
http://www.hyp.ac.uk/cash/index.htm Consensus Action on Salt and Health
What Rich Murray eats:
Avoid all products with aspartame and MSG. Substitute stevia (at health food stores).
Gradually reduce alcohol, caffeine (coffee, cocoa, and teas), meat, fish, eggs, milk, butter, and cheese, hydrogenated oils, trans fats, white bread, food additives and colors, sugar, high fructose corn syrup, fluoride, city water, salt and sodium ( < 1,000 mg daily ).
Enjoy organic rice, potatoes, vegetables, fruits, beans, garlic, tumeric, with modest use of soy products, walnuts, almonds, flax seeds, almond butter, sprouted grain breads, flax seed and olive oils, chili sauce, 4-8 1,000 mg fish oil capsules, and fill your jugs with deionized or distilled water. ***********************************************************
Simm Webb - 01 Nov 2005 14:38 GMT > *********************************************************** > > http://groups.yahoo.com/group/aspartameNM/message/1241 > Folic Acid Supplements are a Health Hazard, John McDougall, MD: > Murray 2005.11.01 If it's from him, then it is definitely a lie.
Wooly - 01 Nov 2005 15:20 GMT >If it's from him, then it is definitely a lie. Funny subject line. My OB/GYN was adamant that I start taking a folic acid supplement months before I planned to start trying to get pregnant. Some silly business about potential neural tube defects in the fetus and such...
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Reply to the list as I do not publish an email address to USENET. This practice has cut my spam by more than 95%. Of course, I did have to abandon a perfectly good email account...
BJ in Texas - 01 Nov 2005 16:39 GMT || Rich Murray wrote: ||| *********************************************************** [quoted text clipped - 4 lines] || || If it's from him, then it is definitely a lie. Hey, with Rich's track record it has to be kookiness.
 Signature "We reject the condescending notion that freedom will not grow in the Middle East, or that there is any region of the world that cannot support democracy." - Colin Powell, U. S. Secretary of State
Peanutjake - 01 Nov 2005 17:10 GMT Years ago the FDA prohibited the addition of Folic Acid to vitamin pills. This was done because the use of Folic Acid hides the presence of Pernicious Anemia, a very dangerous condition. More recently the FDA added back the Folic Acid to vitamin pills because lack of Folic Acid causes birth defects and other problems.
PJ
Cuz - 01 Nov 2005 17:29 GMT || Years ago the FDA prohibited the addition of Folic Acid to || vitamin pills. This was done because the use of Folic Acid [quoted text clipped - 4 lines] || || PJ Maybe that is Rich's problem, his mom avoided Folic Acid.. :-)
 Signature "The leading cause of death among fashion models is falling through street grates." -- Dave Barry
Nico Kadel-Garcia - 02 Nov 2005 01:00 GMT > || Years ago the FDA prohibited the addition of Folic Acid to > || vitamin pills. This was done because the use of Folic Acid [quoted text clipped - 6 lines] > > Maybe that is Rich's problem, his mom avoidedhe ic Acid.. :-)
No, I think she avoided her own species....
Vicki Beausoleil - 02 Nov 2005 02:30 GMT > > || Years ago the FDA prohibited the addition of Folic Acid to > > || vitamin pills. This was done because the use of Folic Acid [quoted text clipped - 9 lines] > > No, I think she avoided her own species.... He wasn't born - he was congealed.
Vicki
RK - 01 Nov 2005 17:32 GMT | Years ago the FDA prohibited the addition of Folic Acid to vitamin pills. | This was done because the use of Folic Acid hides the presence of Pernicious [quoted text clipped - 3 lines] | | PJ Oddly my last blood work showed I was seriously lacking Folic Acid but not Animic. I do take Folic Acid suppliments... haven't bothered me any.. don't know if they're helping either just yet.
RK
Quentin Grady - 01 Nov 2005 19:44 GMT This post not CC'd by email On Tue, 01 Nov 2005 08:38:57 -0500, Simm Webb <edvanhuffel@csx.net> wrote:
>> *********************************************************** >> [quoted text clipped - 3 lines] > >If it's from him, then it is definitely a lie. May I make the suggestion that it would better serve the needs of diabetics if we continue to discuss folic acid in a thread that wasn't discussing John McDougall. IMHO we need to thrash out fact from possible fiction created by wrongful interpretation in a less emotionally charged atmosphere.
G'day G'day Simm et al,
The annoying point is that a few of his interpretations which are presented as facts are most likely true as of themselves though quite probably not presenting the complete picture.
For instance it has been found that using high dose folic acid supplements by itself to lower homocysteine levels does not reduce the death rate. Using folic acid by itself has always struck me as dumb as it is well known the B group vitamins work synergistically. The more sensible path would seem to have been to use folic acid in lower doses in conjunction with Vit B6 and Vit B12. What the current situation is with regard to folic acid, B6 and B12 would need looking up the latest research. Where our lives depend on making such an assessment accurately IMHO it is better to rely on mainstream expert opinion or even our own collective opinion than on someone with known extreme agendas.
I haven't seen any dramatic warnings relating to folic acid coming through Medscape. For this and several other reasons I'm very skeptical about folic acid supplements raising cancer rates. One notable other reason is that some research done long ago showed folic acid supplements lowered the rate of bowel cancer. What is well known is that folks with a high vegetable and hence high folate intake tend to have low cancer rates.
Is this another instance where vitamin supplements even those regularly prescribed by mainstream medical authorities have gotten it wrong?
That is the point we need to thrash out without distraction.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Rich Murray - 02 Nov 2005 07:43 GMT *********************************************************** http://www.medpagetoday.com/PrimaryCare/AlternativeMedicine/tb/1674
ESC: Healthy Heart Helpers Get Buffeted at Cardiology Meeting By Peggy Peck, Managing Editor, MedPage Today Reviewed by Zalman S. Agus, MD; Emeritus Professor at the University of Pennsylvania School of Medicine. September 05, 2005 Also covered by: BBC News, Indianapolis Star, Newsday
MedPage Today Action Points
These studies found no benefit for vitamin B to prevent heart attacks.
Advise interested patients that according to this preliminary study homocysteine does not appear to be a reliable biomarker for cardiovascular risk.
Tell patients that while omega-3-fatty acid did not demonstrate a significant benefit for patients with implanted cardioverter defibrillators, there was no evidence that it is harmful.
These studies were published as an abstract and presented orally as late-breaking reports at a conference. These data and conclusions should be considered to be preliminary as they have not yet been reviewed and published in a peer-reviewed publication.
Review
STOCKHOLM, Sept. 5-High-dose vitamin B may do more harm than good for heart disease, and homocysteine, billed as a heart disease risk factor, isn't one after all, researchers reported here today.
"The homocysteine hypothesis is dead," declared Kaare Bonaa, M.D., of the University of Tromso in Trondheim, Norway. In terms of heart disease risk, "homocysteine is an innocent bystander," he said at the European Society of Cardiology Congress 2005.
And that wasn't the only bad news for believers in simple helpers in heart disease and prevention. Fish oil capsules did not reduce cardiac events in patients with implanted cardioverter defibrillators (ICDs), a team of Dutch researchers reported.
In the vitamin B-homocysteine arena, Dr. Bonaa and colleagues enrolled 3,749 myocardial infarction patients in the Norwegian Vitamin Trial (NORVIT). Patients were randomized to high dose vitamin B, high dose folic acid, or placebo for up to three years.
As expected the high doses of vitamin B lowered circulating homocysteine by 30%, but rather than decreasing heart attack risk, "there was a 20% increase in risk of cardiovascular events," Dr. Bonaa said.
In the past high levels of homocysteine have been associated with heart disease, but attempts to treat the patients by lowering levels of the hormone, especially with folic acid and other B vitamins, have had disappointing outcomes.
In NORVIT, the participants took doses of 40 mg of Vitamin B-6 or 0.8 mg of folic acid per day. Dr. Bonaa said that the doses are prescribed at that level in Europe and represent two tablets of the vitamins that are sold over-the-counter in the United States. [ 0.8 mg = 800 micrograms ]
He said that the risk of suffering heart attacks or strokes was no different if the patient was taking either vitamin or placebo. However, patients taking both vitamins had about a 20% increased risk of having a heart attack or stroke (P=0.029).
In addition there was a non-significant trend for an increased risk of cancer among those on the high doses of vitamins.
"The results of the NORVIT trial are important because they tell doctors that prescribing high doses of B vitamins will not prevent heart disease or stroke," Dr. Bonaa said. "B vitamins should be prescribed only to patients who have B-vitamin deficiency diseases."
He noted that in the trial measurements of homocysteine were made before and during treatment and showed that the vitamins dramatically reduced levels of homocysteine. However, the lowering effect did not translate into a clinical benefit.
Raymond Gibbons M.D., professor of medicine at the Mayo Clinic, who is president-elect of the American Heart Association, was not surprised by the negative results for vitamin B. "Taking something with no proven beneficial effect is a bad idea," he said.
He said that in addition to possible harm that could occur to the person taking such substances as vitamins, taking the substances "wastes resources and most patients can only take so many pills." Moreover, he boasted that in his career in cardiology, he has "never ordered a homocysteine test."
But others said it is too early to count out either vitamin B or homocysteine. For example, Lampros Michalis, M.D., of the University of Ioannina, Greece, who moderated a press conference where the study was discussed, said "every time we have tried to find a connection between homocysteine and lowering it with vitamins we never find anything. But it [homocysteine] is so appealing that a natural substance such as a vitamin that can reduce homocysteine levels that investigators will again try to see if there is a connection."
In the second study, which was also presented at today's late-breaking clinical trials session, researchers with the Study on Omega-3 Fatty acid and ventricular Arrhythmia (SOFA) reported that omega-3 fatty acids contained in fish oil capsules reduced arrhythmias by 15% in patients with implanted cardioverter defibrillators, as measured by the firing of the devices, but that reduction was not statistically significant.
Ingeborg Brouwer, Ph.D., project manager at the Wageningen Center for Food Sciences in The Netherlands, said, "The SOFA trial does not indicate a strong beneficial effect of n-3 polyunsaturated fatty acids from fish on life-threatening cardiac arrhythmia."
But she said that patients with a history of myocardial infarction "may still benefit from fish oil." Dr. Brouwer said that in investigating subgroups in the trial she noticed that patients who had a previous MI appeared to show a trend toward a protective effect (P=.086). She said that group of patients might be subjects for another trial.
But even if fish oil didn't help, she said the study confirmed that it doesn't hurt either.
The researchers enrolled 546 patients and randomized 273 subjects to receive fish oil while the other 273 received a common cooking oil with no known cardiac effects, Dr. Brouwer said. After 12 months of monitoring, 30% of the patients taking fish oil had experienced a heart attack or stroke compared with 33% of those taking the placebo oil. That difference was not significant (P=0.24).
Related articles:
Fish Oil Supplements May Be Risky to Defibrillator Patients AHA: Certain Types of Fish More Heart-Healthy Than White Fish Primary source: European Society of Cardiology Congress 2005
Source reference:
Hot Line II Bonaa K.H. "NORVIT: Randomized trial of homocysteine-lowering B-vitamins for secondary prevention of cardiovascular disease after acute myocardial infarction" Brouwer IA "SOFA: Study on Omega-3 Fatty acid and ventricular arrhythmia" ***********************************************************
Tuesday, November 1, 2005
Any unsuspected source of methanol, which the body always quickly and largely turns into formaldehyde and then formic acid, must be monitored, especially for high responsibility occupations, often with night shifts, such as pilots and nuclear reactor operators.
http://groups.yahoo.com/group/aspartameNM/message/1237 ubiquitous potent uncontrolled co-factors in nutrition research are formaldehyde from wood and tobacco smoke and many sources, including from methanol in dark wines and liquors, in pectins in fruits and vegetables, and in aspartame: Murray 2005.10.26
As a medical layman, I suggest that evidence mandates immediate exploration of the role of these ubiquitious, potent formaldehyde sources as co-factors in epidemiology, research, diagnosis, and treatment in a wide variety of disorders.
Folic acid, from fruits and vegetables, plays a role by powerfully protecting against methanol (formaldehyde) toxicity. Supplements are proven to be very unsafe sources.
Many common drugs, such as aspirin, interfere with folic acid, as do some mutations in relevant enzymes.
The majority of aspartame reactors are female.
In mutual service, Rich Murray ***********************************************************
Rich Murray, MA Room For All rmforall@comcast.net 505-501-2298 1943 Otowi Road Santa Fe, New Mexico 87505
http://groups.yahoo.com/group/aspartameNM/messages group with 146 members, 1,241 posts in a public, searchable archive http://RoomForAll.blogspot.com
Dark wines and liquors, as well as aspartame, provide similar levels of methanol, above 100 mg daily, for long-term heavy users, 2 L daily, about 6 cans.
Methanol is inevitably largely turned into formaldehyde, and thence largely into formic acid. It is the major cause of the dreaded symptoms of "next morning" hangover.
Fully 11% of aspartame is methanol -- 1,120 mg aspartame in 2 L diet soda, almost six 12-oz cans, gives 123 mg methanol (wood alcohol). If 30% of the methanol is turned into formaldehyde, the amount of formaldehyde, 37 mg, is 18.5 times the USA EPA limit for daily formaldehyde in drinking water, 2.0 mg in 2 L average daily drinking water. ***********************************************************
Tidsskr Nor Laegeforen. 2002 Aug 10; 122(18): 1783-7. Comment in: Tidsskr Nor Laegeforen. 2002 Aug 10;122(18):1765. Tidsskr Nor Laegeforen. 2002 Sep 30;122(23):2317. [An alternative hypothesis explaining the gender differences in risk of coronary heart disease] [Article in Norwegian] Bonaa KH. Hjertemedisinsk avdeling, St. Olavs Hospital, 7006 Trondheim. kbonaa@hotmail.com
One of the most interesting aspects of coronary heart disease epidemiology is the gender difference: in all age groups women have lower risk of myocardial infarction compared to men. Epidemiological observations and results of recent controlled clinical trials suggest that it is not oestrogen that protects women. In this paper an alternative hypothesis is suggested: Men are at increased risk of coronary death and myocardial infarction because they are more prone than women to develop lipid-loaded, unstable coronary atherosclerotic plaques. This may be caused by gender differences in plasma levels of high density lipoprotein cholesterol, which is influenced by the blood testosterone level. Publication Types: Review Review, Tutorial PMID: 12362689 ***********************************************************
> This post not CC'd by email > [quoted text clipped - 45 lines] > > Best wishes, ***********************************************************
Quentin Grady - 02 Nov 2005 09:39 GMT This post not CC'd by email On Wed, 02 Nov 2005 07:44:22 +1300, Quentin Grady <quentin@paradise.net.nz> wrote:
>For this and several other reasons I'm very >skeptical about folic acid supplements raising cancer rates. One >notable other reason is that some research done long ago showed folic >acid supplements lowered the rate of bowel cancer. What is well known >is that folks with a high vegetable and hence high folate intake tend >to have low cancer rates. For a tediously long but relatively easy read on the issues involving folic acid supplementation and cancer rates you might like the following.
http://www.ajcn.org/cgi/reprint/80/5/1123
The skinny is that folic acid supplementation reduces the rates of some cancers, some of them quite dramatically. HOWEVER and it is the big HOWEVER folic acid supplementation will support some existing cancers. This isn't exactly big news as folic acid blocking drugs are sometimes used to fight cancers.
The writer makes the suggestion that a similar situation might have explained the beta-carotene supplementation debacle with smokers. Smokers were more likely to have pre-existing cancers and the beta-carotene supplementation may have helped the cancers grow. Frankly I don't quite believe that is anything like the whole answer because the survival rate was higher amongst those smokers who had higher natural beta-carotene at the begriming of the study.
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
Quentin Grady - 02 Nov 2005 06:10 GMT This post not CC'd by email On Tue, 01 Nov 2005 08:38:57 -0500, Simm Webb <edvanhuffel@csx.net> wrote:
>> *********************************************************** >> [quoted text clipped - 3 lines] > >If it's from him, then it is definitely a lie. G'day G'day Folks,
I wish to make a clear distinction between Rich Murray and Dr John McDougall, MD because IMHO it is important.
Rich Murray pedals anti-aspartame propaganda and is widely regarded by most everyone as a kook.
Dr John McDougall is a quite different kettle of fish. He is a dietary researcher with affiliations to the Seventh Day Adventist church. Whether this influences his research perspective is a matter of conjecture. He advocates diets that appear to have 80% carbs by calories. That aligns him with folks like Pritikin (the father) who was and Ornish who is also a serious minded researcher.
If Rich Murray had been the original source of the conclusion that folic acid supplements were dangerous then I'd happily dismiss the claim as highly unlikely.
With Dr John McDougall as the original source instant dismissal seems less advisable. OK, Dr McDougall has his biases which would reasonably include promoting eating legumes and other vegetables. Attacking supplementing with folic acid, with or without Vit B6 and Vit 12 could be part and parcel of promoting a vegetarian diet. Put simply, the attack on folic acid supplementation could be nothing more than an attempt to dissuade folks from dodging the issue of not eating "enough" vegetables. Well it could be. Doesn't mean it has to be.
Personally I don't think Dr McDougall is quite that shallow ... close maybe. People sometimes get like that when they become imbued with a cause. There ARE reasons why it is preferable to get folate from vegetables where that is possible. For instance high dose folic acid supplementation doesn't reduce the death rate as expected.
Why bother to make this post?
Well, IMHO, Rich Murray is hijacking Dr McDougall's name for some purpose; perhaps to support the anti-aspartame cause, perhaps to give him credibility he (Rich Murray) doesn't deserve. Frankly I feel sorry for Dr McDougall. I cannot imagine for one moment that Dr McDougall gave Rich Murray permission to use his name for this promotion. I mean who could possible be so desperate to want to associate themselves with someone widely regarded as a kook except perhaps other aspartame kooks.
If I am wrong I'll overhaul my imagination. <grin>
Best wishes,
 Signature Quentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading."
http://homepages.paradise.net.nz/quentin
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