Re: Statins do NOT protect against Azlheimer's
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Re: Statins do NOT protect against Azlheimer's
| Don Kirkman | 14 Feb 2005 22:50 |
It seems to me I heard somewhere that Sharon Hope wrote in article <V_CdnazlqdORY5LfRVn-sg@comcast.com>:
>> It seems to me I heard somewhere that Sharon Hope wrote in article >> <ouqdnV_IyKZbNpPfRVn-gg@comcast.com>:
>>>Sorry, I understated from memory - It was from an article I read in March >>>of 2004, and the number was actually TWENTY PERCENT.
>> Well, you actually have used the 15% more than once over the past year >> or so.
>>>The quote:
>>>"She said that based on her experience and that of other doctors, 20% or >>>more of patients encounter some side effects."
>Yes, at http://www.jsonline.com/alive/news/mar04/217976.asp
>The article dated March 27, 2004 by John Fauber, "Doubts raised over drugs >for cholesterol - Side effects have included lost memory in some patients", [quoted text clipped - 6 lines] >patients. And many of those complications are minor and disappear if the >drug is discontinued or the dose lowered.
>But, "there are clinicians whose personal experience is substantially >different than what is reported in the trials," Golomb said.
>She said that based on her experience and that of other doctors, 20% or more >of patients encounter some side effects." Exactly what I pointed out; the 15% refers specifically to **cognitive** problems; two different things.
>> No, you have said (and Mercola says) the 15% you attribute to Golomb >> refers to cognitive disability; the 20%, equally poorly sourced (was >> Fauber quoting something Golomb wrote, was he reporting an interview, >> had he heard a lecture, was it really what she said?), says, as you >> quoted above, "encounter **some* side effects."
>You have made unsubstantiated allegations against Fauber here, stating with >no support that his article is "poorly sourced" and allegeing he "heard a >lecture"? First, I suggest you support your argument, second, I suggest you >take it up with Farber and the Milwaukee Journal Sentinal. It makes no >sense that you are complaining about this to me. I made no allegations, I pointed out that he gave no sources--that is, it's "poorly sourced." Nor did I allege that he "heard a lecture"; you need to distinguish between a question, which I asked, and an allegation.
>> Fauber seems to be relying on Mercola almost totally in that section >> although, as I quoted, Mercola actually wrote that Golomb said, "15 >> percent of statin patients develop some **cognitive** side effects." [My >> emphasis] In that part of his article Fauber seems to be paraphrasing >> and quoting Mercola (without attribution, a journalistic no-no).
>That would be a very neat trick, because Fauber's article is dated March 27, >2004, yet the Mercola article you are almost certain he based the quote upon >is dated FOUR MONTHS LATER, July 21, 2004. The mystery is easily solved; Mercola is an exact re-publication of an article by Sally Fallon and Mary G. Enig, PhD from the Weston A. Price Foundation in the Spring of 2004 (no exact date given); the article was posted to the Web in April. So both Mercola (literally quoting) and Fauber (paraphrasing, primarily) seem to rest on the same original source. This is indicated on Mercola's site, in a link which we both apparently missed.
[...]
>>>Informative interview with Dr. Golomb, including:
>> Nowhere does Fauber say his report was based on an interview, either by >> him or by a different interviewer. He simply begins quoting Golomb >> without further introduction. He almost certain owes that part of the >> article to Mercola's article.
>He also quotes without using the word "interview" the following: My point is that he never indicated the source or the nature of the source. I said that quite plainly and there should be no confusion.
>NOTE to Don: Why haven't you questioned this? Why is Mary Parks affirming >that the FDA is tracking statin cognitive problems from the "metabolic and >endocrine drug products division"? Why isn't NINDS (National Institutes of >Health's National Institute of Neurological Disorders and Stroke (NINDS)) >involved? Primarily because this particular discussion has been about your source for the 15% figure you continue to use. I'm still hoping someone will find a better source than a personal email referred to by a third party.
>You have the quotes in context in this email (previously you had the quotes ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ I haven't sent you or anyone else an email on this subject.
>in context at their respective URLs) - you can now make the determination >from the available information if they were the same problem or slightly [quoted text clipped - 3 lines] >that the information available at the time to make the determination may be >different at different times. But that is your choice. I am purely trying to establish what was actually said and written; there is a substantive and substantial difference between "[s]ide effects [that] included lost memory", "some side effects," "some cognitive side effects", and "cognitive damage," all terms that have been used in this thread and in the articles.
>Also, you are setting another acceptance criteria - "even if the numbers >were acceptable at face value" - since you set the bar, you are the only >one who can determine if someone has cleared your bar - that is totally >within your control. My point exactly.
>>>Considering that Dr. Golomb is the premier research authority on statins >>>in [quoted text clipped - 5 lines] >>>does >>>it give me any reason to doubt it.
>> Some source to support your acclaim for her as "premier research >> authority on statins in the world"? I find that a little unlikely for >> an Assistant Professor of Medicine and a Research Associate in >> Psychology, both beginning in 1998.
>You can find things to be likely or unlikely, again that is your personal >set of acceptance criteria.
>The NIH values Dr. Golomb's research, and has awarded her the only >multi-year study of non-cardiac endpoints of statins that I am aware of. >The popular press unerringly seeks her out for any statin adverse effects >information. In case you were unfamiliar with it, RAND, where she also does >research, is a think-tank that has impeccable credentials for world-class >research. I know what RAND is, since I applied there when I was about to leave graduate school; I'm not convinced that it has "impeccable" credentials but over the years it has been very good in most areas. Do they do medical research? What I've familiar with has been on social issues like crime or on defense and security issues.
RAND was founded by the military, and has always been heavily involved in defense and security issues; later they added domestic issues to their work. Their research in the area of health seems to be directed toward public health matters such as [street or illegal] drug policy.
"Areas of Research: Child policy, civil and criminal justice, education, environment and energy, health, international policy, labor markets, national security, population and regional studies, science and technology, social welfare and transportation, biological, agricultural and physical sciences, communications and information, economic issues, foreign relations, labor and human resource development, regional studies, social issues." http://www.nira.go.jp/ice/nwdtt/dat/1306.html
Her CV lists her as "Health Consultant, RAND: Aug 1996 -".
>Her CV is available for anyone to review at: >http://medicine.ucsd.edu/faculty/golomb/ Her CV has never been an issue, so you can stop repeating that.
>Note her current positions include: >a.. Assistant Professor of Medicine, U.C. San Diego April 1998- >Division of General Internal Medicine
>a.. Staff Physician, San Diego VA Medical Center Aug 1, 1996 - >Division of General Internal Medicine
>a.. Research Associate Professor, Dept. of Psychology, USC: Oct 1998- >Social Science Research Institute >University of Southern California
>a.. Health Consultant, RAND: Aug 1996 - Note that earlier I had quoted two of those, above.
>Get that? She is holding all these jobs simultaneously. I don't know about >you, but it makes me think about myself, "What have YOU done lately?" So just how much time does she spend at each, considering that two are in San Diego, one in midtown LA, and one in Santa Monica?
You didn't answer the actual question: where is evidence that she is the "premier research authority on statins in the world"?
 Signature Don "I do not feel obliged to believe that the same God who has endowed us with senses, reason, and intellect has intended us to forgo their use. --Galileo Galilei
|
| Sharon Hope | 14 Feb 2005 01:25 |
> It seems to me I heard somewhere that Sharon Hope wrote in article > <ouqdnV_IyKZbNpPfRVn-gg@comcast.com>: [quoted text clipped - 11 lines] > >>http://www.jsonline.com/alive/news/mar04/217976.asp Yes, at http://www.jsonline.com/alive/news/mar04/217976.asp
The article dated March 27, 2004 by John Fauber, "Doubts raised over drugs for cholesterol - Side effects have included lost memory in some patients", states ""If you believe the clinical trial data, the problems occur at very modest rates," said Beatrice Golomb, an assistant professor of family medicine at the University of California, San Diego, who is conducting two studies on statin side effects. Those trials generally report side effects in less than 1% to 2% of patients. And many of those complications are minor and disappear if the drug is discontinued or the dose lowered.
But, "there are clinicians whose personal experience is substantially different than what is reported in the trials," Golomb said.
She said that based on her experience and that of other doctors, 20% or more of patients encounter some side effects."
> No, you have said (and Mercola says) the 15% you attribute to Golomb > refers to cognitive disability; the 20%, equally poorly sourced (was > Fauber quoting something Golomb wrote, was he reporting an interview, > had he heard a lecture, was it really what she said?), says, as you > quoted above, "encounter **some* side effects." You have made unsubstantiated allegations against Fauber here, stating with no support that his article is "poorly sourced" and allegeing he "heard a lecture"? First, I suggest you support your argument, second, I suggest you take it up with Farber and the Milwaukee Journal Sentinal. It makes no sense that you are complaining about this to me.
> Fauber seems to be relying on Mercola almost totally in that section > although, as I quoted, Mercola actually wrote that Golomb said, "15 > percent of statin patients develop some **cognitive** side effects." [My > emphasis] In that part of his article Fauber seems to be paraphrasing > and quoting Mercola (without attribution, a journalistic no-no). That would be a very neat trick, because Fauber's article is dated March 27, 2004, yet the Mercola article you are almost certain he based the quote upon is dated FOUR MONTHS LATER, July 21, 2004.
If Fauber got the information from Mercola, maybe he has some hot tips on next week's stock market, too! Please be certain you ask and share them with us, when you take him to task about quoting without attribution from a Mercola article that was not published until four months after Fauber's article.
>>"Doubts raised over drugs for cholesterol - Side effects have included >>lost [quoted text clipped - 12 lines] > without further introduction. He almost certain owes that part of the > article to Mercola's article. He also quotes without using the word "interview" the following:
- Jeff Bryden, local man paralyzed by Lipitor - Dr. Sidney Wolfe of the advocacy group Public Citizen - Wendy Peltier, the associate professor of neurology at the Medical College who diagnosed Bryden, said she and other specialists at the college have seen between 30 and 50 patients with statin-related muscle problems in the past few years. - Duane Graveline, a retired doctor and astronaut, who suffered memory problems: "the memory problem was so bad that he wrote a book about it: "Lipitor, Thief of Memory,"" - Matthew Muldoon, an associate professor of medicine at the University of Pittsburgh School of Medicine, who said, "In memory tests and a test involving a complex maze, the statin users did not perform as well as those on the placebo. The difference was subtle but significant," and "We are obligated to do more extensive research because we are asking millions of people to take these drugs for the rest of their lives." - Parks, of the FDA, who said "the agency is aware of reports of cognitive problems among statin users and is monitoring the situation" also about Parks: "The FDA is looking into the status of Crestor and hopes to respond within 180 days, said Mary Parks, a physician and deputy director of the FDA's metabolic and endocrine drug products division."
NOTE to Don: Why haven't you questioned this? Why is Mary Parks affirming that the FDA is tracking statin cognitive problems from the "metabolic and endocrine drug products division"? Why isn't NINDS (National Institutes of Health's National Institute of Neurological Disorders and Stroke (NINDS)) involved?
> [...] > [quoted text clipped - 4 lines] > ISTM it's important to realize that the 20% and the 15% are not about > the same problem, even if the numbers were acceptable at face value. You have the quotes in context in this email (previously you had the quotes in context at their respective URLs) - you can now make the determination from the available information if they were the same problem or slightly different problems. Of course, things change quickly, and you are attempting to make precise decisions about quotes in popular media that were taken at different points in time, and you are making absolutely no mention that the information available at the time to make the determination may be different at different times. But that is your choice.
Also, you are setting another acceptance criteria - "even if the numbers were acceptable at face value" - since you set the bar, you are the only one who can determine if someone has cleared your bar - that is totally within your control. It is, also, within the control of each of us readers to make that determination for ourselves, so you needn't feel compelled to share your threshold for accepting at face value - we each have our own. (and we would also be judging your criteria - at face value or not, as we wish).
>>Considering that Dr. Golomb is the premier research authority on statins >>in [quoted text clipped - 10 lines] > an Assistant Professor of Medicine and a Research Associate in > Psychology, both beginning in 1998. You can find things to be likely or unlikely, again that is your personal set of acceptance criteria.
The NIH values Dr. Golomb's research, and has awarded her the only multi-year study of non-cardiac endpoints of statins that I am aware of. The popular press unerringly seeks her out for any statin adverse effects information. In case you were unfamiliar with it, RAND, where she also does research, is a think-tank that has impeccable credentials for world-class research.
Her CV is available for anyone to review at: http://medicine.ucsd.edu/faculty/golomb/
Note her current positions include: a.. Assistant Professor of Medicine, U.C. San Diego April 1998- Division of General Internal Medicine
a.. Staff Physician, San Diego VA Medical Center Aug 1, 1996 - Division of General Internal Medicine
a.. Research Associate Professor, Dept. of Psychology, USC: Oct 1998- Social Science Research Institute University of Southern California
a.. Health Consultant, RAND: Aug 1996 -
Get that? She is holding all these jobs simultaneously. I don't know about you, but it makes me think about myself, "What have YOU done lately?"
>>Sorry, I should have checked before posting - 20% is the number that >>appears in the article. > > But that is about a different kind and level of effects than the 15% you > have consistently used. There are many references to statin adverse effects now, far more than the 2 that existed in print when my husband's disabling constellation of conditions were first determined to from Lipitor, and that all statins had such advese effects.
Yes, Mercola does mention at http://www.mercola.com/2004/jul/21/statin_drugs.htm in his article "The Dangers of Statin Drugs: What You Haven't Been Told About Cholesterol-Lowering Medication, Part I, By Sally Fallon and Mary G. Enig, PhD" - This, by the way, can be reached from the TOC of his July 21, 2004 Issue #552 http://www.mercola.com/2004/jul/21/index.htm The article mentions the different statin drugs, how cholesterol is used in the body, then:
MUSCLE PAIN AND WEAKNESS (from statin drugs).
excerpt: "The most common side effect is muscle pain and weakness, a condition called rhabdomyolysis, most likely due to the depletion of Co-Q10, a nutrient that supports muscle function. Dr. Beatrice Golomb of San Diego, California is currently conducting a series of studies on statin side effects. The industry insists that only 2-3 percent of patients get muscle aches and cramps but in one study, Golomb found that 98 percent of patients taking Lipitor and one-third of the patients taking Mevachor (a lower-dose statin) suffered from muscle problems.3"
Mercola at http://www.mercola.com/2004/jul/24/statin_drugs.htm in his article "The Dangers of Statin Drugs: What You Haven't Been Told About Cholesterol-Lowering Medication, Part II, By Sally Fallon and Mary G. Enig, PhD" it mentions:
NEUROPATHY (from statin drugs)
excerpt: "According to the research of Dr. Golomb, nerve problems are a common side effect from statin use; patients who use statins for two or more years are at a four to 14-fold increased risk of developing idiopathic polyneuropathy compared to controls.11 She reports that in many cases, patients told her they had complained to their doctors about neurological problems, only to be assured that their symptoms could not be related to cholesterol-lowering medications. The damage is often irreversible. People who take large doses for a long time may be left with permanent nerve damage, even after they stop taking the drug."
Note it then mentions the too common problem of elderly hitting the gas rather than the brake and causing damage or mayhem, and relates it to peripheral neuropathy which makes it difficult for the person with neuropathy to detect the feeling of the pedal beneath his or her foot.
HEART FAILURE (from statin drugs)
excerpt: "Cardiologist Peter Langsjoen studied 20 patients with completely normal heart function. After six months on a low dose of 20 mg of Lipitor a day, two-thirds of the patients had abnormalities in the heart's filling phase, when the muscle fills with blood. According to Langsjoen, this malfunction is due to Co-Q10 depletion. Without Co-Q10, the cell's mitochondria are inhibited from producing energy, leading to muscle pain and weakness. The heart is especially susceptible because it uses so much energy.14
Co-Q10 depletion becomes more and more of a problem as the pharmaceutical industry encourages doctors to lower cholesterol levels in their patients by greater and greater amounts. Fifteen animal studies in six different animal species have documented statin-induced Co-Q10 depletion leading to decreased ATP production, increased injury from heart failure, skeletal muscle injury and increased mortality. Of the nine controlled trials on statin-induced Co-Q10 depletion in humans, eight showed significant Co-Q10 depletion leading to decline in left ventricular function and biochemical imbalances.15
Yet virtually all patients with heart failure are put on statin drugs, even if their cholesterol is already low. Of interest is a recent study indicating that patients with chronic heart failure benefit from having high levels of cholesterol rather than low. Researchers in Hull, UK followed 114 heart failure patients for at least 12 months.16 Survival was 78 percent at 12 months and 56 percent at 36 months.
They found that for every point of decrease in serum cholesterol, there was a 36 percent increase in the risk of death within three years. "
DIZZINESS (from statin drugs) includes the excerpted quote,
"According to Dr. Golumb, who notes that dizziness is a common adverse effect, the elderly may be particularly sensitive to drops in blood pressure.18"
COGNITIVE IMPAIRMENT (from statin drugs) includes the excerpted quote,
"Dr. Golomb has found that 15 percent of statin patients develop some cognitive side effects.22 "
CANCER (from statin drugs) includes the excerpted quote,
"In every study with rodents to date, statins have caused cancer.25 Why have we not seen such a dramatic correlation in human studies? Because cancer takes a long time to develop and most of the statin trials do not go on longer than two or three years. Still, in one trial, the CARE trial, breast cancer rates of those taking a statin went up 1500 percent.26 "
PANCREATIC ROT (from statin drugs) includes the excerpted quote,
"The medical literature contains several reports of pancreatitis in patients taking statins. "
DEPRESSION (from statin drugs) includes the excerpted quote,
"Numerous studies have linked low cholesterol with depression. One of the most recent found that women with low cholesterol are twice as likely to suffer from depression and anxiety. Researchers from Duke University Medical Center carried out personality trait measurements on 121 young women aged 18 to 27.30 They found that 39 percent of the women with low cholesterol levels scored high on personality traits that signaled proneness to depression, compared to 19 percent of women with normal or high levels of cholesterol. "
The article for the rest of part II and part III goes on to identify how the results of various drug trials fail to make the case for statins to be prescribed so widely:
"Recently published studies do not provide any more justification for the current campaign to put as many people as possible on statin drugs."
Mercola in the References, at http://www.mercola.com/2004/jul/21/statin_drugs_ref.htm , provides the reference from #22, Dr. Golomb's 15% quote in the COGNITIVE IMPAIRMENT section, as:
"22. Email communication, Beatrice Golomb, July 10, 2003."
The Mercola article is a quote of the article entitled, "The Weston A. Price Foundation, "The Dangers of Statin Drugs--What you Haven't Been Told About Cholesterol-Lowering Medicines" By Sally Fallon and Mary G. Enig, PhD http://www.westonaprice.org/moderndiseases/statin.html
This, too, addresses a full suite of statin adverse effects, and in one category of such adverse effects it says:
"Cognitive Impairment The November 2003 issue of Smart Money19 describes the case of Mike Hope, owner of a successful ophthalmologic supply company: "There's an awkward silence when you ask Mike Hope his age. He doesn't change the subject or stammer, or make a silly joke about how he stopped counting at 21. He simply doesn't remember. Ten seconds pass. Then 20. Finally an answer comes to him. 'I'm 56,' he says. Close, but not quite. 'I will be 56 this year.' Later, if you happen to ask him about the book he's reading, you'll hit another roadblock. He can't recall the title, the author or the plot." Statin use since 1998 has caused his speech and memory to fade. He was forced to close his business and went on Social Security 10 years early. Things improved when he discontinued Lipitor in 2002, but he is far from complete recovery-he still cannot sustain a conversation. What Lipitor did was turn Mike Hope into an old man when he was in the prime of life.
Cases like Mike's have shown up in the medical literature as well. An article in Pharmacotherapy, December 2003, for example, reports two cases of cognitive impairment associated with Lipitor and Zocor.20 Both patients suffered progressive cognitive decline that reversed completely within a month after discontinuation of the statins. A study conducted at the University of Pittsburgh showed that patients treated with statins for six months compared poorly with patients on a placebo in solving complex mazes, psychomotor skills and memory tests.21
Dr. Golomb has found that 15 percent of statin patients develop some cognitive side effects.22 The most harrowing involve global transient amnesia-complete memory loss for a brief or lengthy period-described by former astronaut Duane Graveline in his book Lipitor: Thief of Memory.23 Sufferers report baffling incidents involving complete loss of memory-arriving at a store and not remembering why they are there, unable to remember their name or the names of their loved ones, unable to find their way home in the car. These episodes occur suddenly and disappear just as suddenly. Graveline points out that we are all at risk when the general public is taking statins-do you want to be in an airplane when your pilot develops statin-induced amnesia?
While the pharmaceutical industry denies that statins can cause amnesia, memory loss has shown up in several statin trials. In a trial involving 2502 subjects, amnesia occurred in 7 receiving Lipitor; amnesia also occurred in 2 of 742 subjects during comparative trials with other statins. In addition, "abnormal thinking" was reported in 4 of the 2502 clinical trial subjects.24 The total recorded side effects was therefore 0.5 percent; a figure that likely under-represents the true frequency since memory loss was not specifically studied in these trials. "
As with the Mercola site, the http://www.westonaprice.org/moderndiseases/statin.html lists the footnote #22 as "22. Email communication, Beatrice Golomb, July 10, 2003." (And Dr. Graveline's book can now be purchased at http://www.spacedoc.net, BTW)
>>If you have further questions about what may have been left out of the >>article I suggest you contact the reporter. > > My questions are not about what the reporter wrote but about, first, > what he proves (rather little, IMO, given the lack of specific sourcing) > and, second, about your analysis and interpretation of the article. Again, if you have arguments about what Fauber "proves" address them to Fauber.
As to what my analysis and interpretation of the article might be, it will most certainly not be the same as yours. At the very least, our educational backgrounds and experience with statin adverse effects differ greatly.
For you to expect that your interpretation and analysis must be the same as mine is a bit sad. You owe it to yourself to draw your own conclusions. Believe me when I say that I make determinations, interpretations and analysis without concern about "but what would Don think of this?" I can respect you for calling into question some things, and I can agree that every article I read about statin side effects is far too superficial to help the millions who may be suffering harm right now, and I can share your frustration that the studies are not sufficiently illuminating about the side-effects, but my conclusions will often vary from yours - almost certainly.
I think that is a healthy situation, and hope you do, too!
Now, an assignment for someone: Grab all the percentages mentioned in all the quotes and make up some sort of table: Adverse effect, reported %age, reporter (i.e., quoted expert), date of report. That might be a useful and illuminating exercise, but one for which I don't have the time this evening.
Then, please share it with us. If it is useful, I may add it to the Statin Adverse Effects FAQ!
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| Don Kirkman | 13 Feb 2005 22:08 |
It seems to me I heard somewhere that Sharon Hope wrote in article <ouqdnV_IyKZbNpPfRVn-gg@comcast.com>:
>Sorry, I understated from memory - It was from an article I read in March >of 2004, and the number was actually TWENTY PERCENT. Well, you actually have used the 15% more than once over the past year or so.
>The quote:
>"She said that based on her experience and that of other doctors, 20% or >more of patients encounter some side effects."
>http://www.jsonline.com/alive/news/mar04/217976.asp No, you have said (and Mercola says) the 15% you attribute to Golomb refers to cognitive disability; the 20%, equally poorly sourced (was Fauber quoting something Golomb wrote, was he reporting an interview, had he heard a lecture, was it really what she said?), says, as you quoted above, "encounter **some* side effects."
Fauber seems to be relying on Mercola almost totally in that section although, as I quoted, Mercola actually wrote that Golomb said, "15 percent of statin patients develop some **cognitive** side effects." [My emphasis] In that part of his article Fauber seems to be paraphrasing and quoting Mercola (without attribution, a journalistic no-no).
>"Doubts raised over drugs for cholesterol - Side effects have included lost >memory in some patients" by John Fauber, March 27, 2004 - Milwaukee Journal >Sentinel JSOnline.
>The context:
>A local man who was overcome by Lipitor adverse effects.
>Informative interview with Dr. Golomb, including: Nowhere does Fauber say his report was based on an interview, either by him or by a different interviewer. He simply begins quoting Golomb without further introduction. He almost certain owes that part of the article to Mercola's article.
[...]
>As you will no doubt recall, this information is always followed by an >hysterical need by some to somehow minimize that 20% number because of an >overwhelming need for denial. ISTM it's important to realize that the 20% and the 15% are not about the same problem, even if the numbers were acceptable at face value.
>Considering that Dr. Golomb is the premier research authority on statins in >the world, and also is independent of pharm co funding and has absolutely no >reason to 'spin' anything, I take her at her word. Given that 100% of the >statin takers in my family have been drastically disabled for a number of >years due to Lipitor, the number does not surprise me in the least, nor does >it give me any reason to doubt it. Some source to support your acclaim for her as "premier research authority on statins in the world"? I find that a little unlikely for an Assistant Professor of Medicine and a Research Associate in Psychology, both beginning in 1998.
>Sorry, I should have checked before posting - 20% is the number that >appears in the article. But that is about a different kind and level of effects than the 15% you have consistently used.
>If you have further questions about what may have been left out of the >article I suggest you contact the reporter. My questions are not about what the reporter wrote but about, first, what he proves (rather little, IMO, given the lack of specific sourcing) and, second, about your analysis and interpretation of the article.
 Signature Don "I do not feel obliged to believe that the same God who has endowed us with senses, reason, and intellect has intended us to forgo their use. --Galileo Galilei
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| Sharon Hope | 13 Feb 2005 01:22 |
Sorry, I understated from memory - It was from an article I read in March of 2004, and the number was actually TWENTY PERCENT.
The quote:
"She said that based on her experience and that of other doctors, 20% or more of patients encounter some side effects."
http://www.jsonline.com/alive/news/mar04/217976.asp
"Doubts raised over drugs for cholesterol - Side effects have included lost memory in some patients" by John Fauber, March 27, 2004 - Milwaukee Journal Sentinel JSOnline.
The context:
A local man who was overcome by Lipitor adverse effects.
Informative interview with Dr. Golomb, including:
"If you believe the clinical trial data, the problems occur at very
modest rates," said Beatrice Golomb, an assistant professor of family
medicine at the University of California, San Diego, who is
conducting two studies on statin side effects.
Those trials generally report side effects in less than 1% to 2% of
patients. And many of those complications are minor and disappear if
the drug is discontinued or the dose lowered.
But, "there are clinicians whose personal experience is substantially
different than what is reported in the trials," Golomb said.
She said that based on her experience and that of other doctors, 20% or
more of patients encounter some side effects."
As you will no doubt recall, this information is always followed by an hysterical need by some to somehow minimize that 20% number because of an overwhelming need for denial.
Usually they start by demanding to know 20% of what population, and the information in the quote is what is available. So, they then begin fantasizing about wierd populations that would disprove the number.
Considering that Dr. Golomb is the premier research authority on statins in the world, and also is independent of pharm co funding and has absolutely no reason to 'spin' anything, I take her at her word. Given that 100% of the statin takers in my family have been drastically disabled for a number of years due to Lipitor, the number does not surprise me in the least, nor does it give me any reason to doubt it.
Given the denial rampant in the ng and the country, and the constan consistently repetitive stories of people who have been diagnosed with maladies like Alzheimer's that cannot improve, who were told by doctors that the statins could not possibly be involved, and who, upon halting the statins slowly did improve, thereby ruling out the diagnosis, the fact that the higher representation of adverse effects is higher is obvious.
Sorry, I should have checked before posting - 20% is the number that appears in the article.
If you have further questions about what may have been left out of the article I suggest you contact the reporter.
> It seems to me I heard somewhere that Sharon Hope wrote in article > <OZydnRY_JbN46pDfRVn-ow@comcast.com>: [quoted text clipped - 39 lines] > to the text and the context; if you know a published source for the 15% > please cite it or rephrase your position. |
| Don Kirkman | 13 Feb 2005 00:43 |
It seems to me I heard somewhere that Sharon Hope wrote in article <OZydnRY_JbN46pDfRVn-ow@comcast.com>:
[Re study purported to demonstrate statin-caused cognitive damage]
>Also, it still raises the questions:
>What protocol did they employ to determine that there were no instances of >statin cognitive damage? [quoted text clipped - 3 lines] >significant cognitive adverse effects (per Dr. Goloob >interviews), and Sharon, you continue to use that 15% figure (though now you have softened it to "5% to 15%"; what is the basis for that change?). I directed you to the Mercola page (which you said you hadn't known before though ISTR you had cited it yourself somewhat earlier)*.
On January 4 of this year I wrote:
[Start] To restate my point, it is not at all clear what Dr. Golomb's 15% figure is measuring. I didn't find it in reports of her publications or presentations I found in Google, and the only clear statement of that figure is "Dr. Golomb has found that 15 percent of statin patients develop some cognitive side effects.{22}" contained in a web page I believe you are familiar with, since it discusses your husband's case: http://www.mercola.com/2004/jul/24/statin_drugs.htm.
Reference 22 says in its entirety "22. Email communication, Beatrice Golomb, July 10, 2003." [End]
In short, that is still the only source I have been able to find for that 15% claim, which we had discussed nearly a year earlier than my January post. Perhaps you have a documented source for that figure?
It seems possible that Dr. Golomb has not used the figure publicly, and an email cannot be challenged or verified or interpreted without access to the text and the context; if you know a published source for the 15% please cite it or rephrase your position.
 Signature Don "I do not feel obliged to believe that the same God who has endowed us with senses, reason, and intellect has intended us to forgo their use. --Galileo Galilei
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| Sharon Hope | 12 Feb 2005 03:28 |
>>> Another misleading subject line..... >>> [quoted text clipped - 21 lines] > The study you quoted above, however, suggests that they could not reach a > conclusion either way. Well, they did say it wasn't worth spending more money on unless someone can get better results first:
"Studies with sufficient statistical power are needed to assess the effect of statin use on dementia risk, the authors note. "Until such research is able to demonstrate more promising results, however, we suggest that costly randomized trials of statins are premature."
BTW, one of the authors of this study also wrote this:
Sparks DL, Lopez J, Connor D, Sabbagh M, Seward J, Browne P; Alzheimer's Disease Cholesterol-Lowering Treatment Team; J Mol Neurosci. 2003;20(3):407-10.; "A position paper: based on observational data indicating an increased rate of altered blood chemistry requiring withdrawal from the Alzheimer's Disease Cholesterol-Lowering Treatment Trial (ADCLT);" Excerpt froom abstract: "There was no apparent correlation between the occurrence of withdrawal-AE incidence and lower body mass among the female AD trial subjects and, therefore, probably was not a dose-related resultant. This might indicate that cognitively intact elderly women at risk for heart disease and those with clinically documented AD should not be presumed to be pharmocodynamically equivalent."
Also, it still raises the questions:
What protocol did they employ to determine that there were no instances of statin cognitive damage?
And, given that: 1) 5% to 15% of statin users expected to have significant cognitive adverse effects (per Dr. Goloob interviews), and
2) nearly 100% expected to have mild cognitive adverse effects (per Dr. Muldoons studies), and
3) with the reports that adverse effects are more likely to occur in the elderly (per an associate in this study, DL Sparks,citation above), and
4) the findings that patients with Alz may be particularly susceptible to statins (per Algotsson A, Winblad B, citation below),
to what did they attribute the lack of statin cognitive adverse effects detected? Was the sample too small (i.e., 6 statin users with dementia in Wave 1 and 8 in Wave 2)?
Algotsson A, Winblad B. Dement Geriatr Cogn Disord. 2004;17(3):109-16. Epub 2004 Jan 20. "Patients with Alzheimer's disease may be particularly susceptible to adverse effects of statins." Excerpt from abstract: "They generally are well tolerated, but some adverse effects, probably due to antiproliferative and proapoptotic properties of the statins, are matters of concern. AD patients may be extrasusceptible to adverse effects of statins due to preexisting aberrations in signal transduction and energy metabolism in the neurons and a perturbed cholesterol metabolism in the brain."
> Bill >>> L. [quoted text clipped - 75 lines] >>>> >>>> SOURCE: Archives of General Psychiatry, February 2005. |
| Bill | 11 Feb 2005 07:04 |
>> Another misleading subject line..... >> [quoted text clipped - 17 lines] > period, while doctors were convinced to look the other way? I know several > personally. The study you quoted above, however, suggests that they could not reach a conclusion either way.
Bill
>> L. >> [quoted text clipped - 74 lines] >>> >>> SOURCE: Archives of General Psychiatry, February 2005. |
| Sharon Hope | 11 Feb 2005 04:33 |
> Another misleading subject line..... > [quoted text clipped - 4 lines] > Who wouldn't hope that there *might* be some benefit from statins against > this most debilitating disease, alzheimers? That hope is what this cruel hucksterism was based upon. Immediately upon the appearance of several popular media articles on statin causing devastating cognitive damage, the whisper campaign started. No less than 10 journal articles appeared asking the question, could statins prevent Alzheimer's?
That hope was what caused massive "amnesia" among doctors who had evidence of cognitive damage drowned out by the hype and false promise.
How many statin patients developed severe cognitive damage during that period, while doctors were convinced to look the other way? I know several personally.
> L. > [quoted text clipped - 74 lines] >> >> SOURCE: Archives of General Psychiatry, February 2005. |
| listener | 11 Feb 2005 03:08 |
Another misleading subject line.....
The article makes it clear that there are conflicting studies: some show no protection against dementia, others do. Obviously, much more research is needed.
Who wouldn't hope that there *might* be some benefit from statins against this most debilitating disease, alzheimers?
L.
> Many of us who have been exposed first-hand to the devastating > cognitive adverse effects of statins have been tremendously skeptical [quoted text clipped - 72 lines] > > SOURCE: Archives of General Psychiatry, February 2005. |
| Sharon Hope | 11 Feb 2005 02:58 |
Many of us who have been exposed first-hand to the devastating cognitive adverse effects of statins have been tremendously skeptical of the "Can statins prevent Alz?????" headlines, which appeared at a time that conveniently offset articles in the popular media that exposed the memory loss caused by statins.
We doubters also questioned how the studies would differentiate between Alz and statin-induced memory loss.
As it turns out, this latest study shows that statins do NOT prevent Alzheimer's:
Statins Don't Protect Against Dementia: Study http://today.reuters.co.uk/news/newsArticle.aspx?type=healthNews&storyID=2005-02 -10T211401Z_01_B371082_RTRIDST_0_HEALTH-STATINS-DEMENTIA-DC.XML Reuters.uk, UK - 5 hours ago NEW YORK (Reuters Health) - The use of cholesterol-lowering drugs belonging to the statin family, such as Lipitor or Pravacol, does not seem to have any effect ...
Statins Don't Protect Against Dementia: Study http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=7598600 Reuters - 5 hours ago NEW YORK (Reuters Health) - The use of cholesterol-lowering drugs belonging to the statin family, such as Lipitor or Pravacol, does not seem to have any effect ...
Statins Don't Protect Against Dementia: Study http://abcnews.go.com/Health/wireStory?id=488976 ABC News - 5 hours ago Feb 10, 2005 - NEW YORK (Reuters Health) - The use of cholesterol-lowering drugs belonging to the statin family, such as Lipitor or Pravacol, does not seem ...
Statins Don't Protect Against Dementia: Study Thu Feb 10, 2005 9:15 PM GMT
NEW YORK (Reuters Health) - The use of cholesterol-lowering drugs belonging to the statin family, such as Lipitor or Pravacol, does not seem to have any effect on the risk of dementia or Alzheimer's disease, according to findings from a new study.
This supports the results of another study, but run counter other study findings that have linked statin use with a reduced risk of dementia.
The current study involved elderly residents living in Cache County, Utah, who were evaluated for statin use and dementia between 1995 and 1997 and then again between 1998 and 2000.
Dr. John C. S. Breitner, from the VA Puget Sound Health Care System in Seattle, and colleagues report their findings in the Archives of General Psychiatry.
Of the 4,895 subjects evaluated at the initial assessment, 355 had dementia, including 200 with Alzheimer's disease. In this analysis, statin use was associated with a 56-percent reduction in risk of dementia.
During 3-year follow-up, 185 of 3308 at-risk survivors were diagnosed with dementia, including 104 with Alzheimer's disease. In this analysis, statin use at the start of the study or at follow-up had no effect on the risk of dementia or Alzheimer's disease.
One explanation for the different findings could be that after dementia sets in, patients may simply be less likely to use statins, along with other drugs.
Studies with sufficient statistical power are needed to assess the effect of statin use on dementia risk, the authors note. "Until such research is able to demonstrate more promising results, however, we suggest that costly randomized trials of statins are premature."
SOURCE: Archives of General Psychiatry, February 2005.
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