Articles & Research Abstracts Archives

acupuncture yin tangAcupuncture studies that try to fit in the standardized placebo controlled model of so called “Evidenced Based Medicine” is sometimes fruitless.  How do you really create an acupuncture placebo?   Many teams have come up with various options, but the fact is with all these placebo’s you are still doing some sort of treatment.    In the opinion of many the best way to to study acupuncture is to compare it to standard of care.   That can clearly show what acupuncture can and cannot do.

A recent well designed study did just that.  They compared using an SSRI for depression(n=48) vs. using the SSRI in addition to acupuncture (one group manual acupuncture(n=54) and one group electroacupuncture(n=58).  The acupuncture groups were found to be associated with a significantly greater improvement in symptoms (69.8% and 69.6%, respectively), as compared to SSRI alone (41.7%). In the SSRI only group, 22.9% of patients required an increase in dose, as compared to 5.7% and 8.9% in the manual acupuncture and electro-acupuncture groups. They also had a 4 week followup after treatment to compare how the treatment groups were doing and the acupuncture group continued to show significant improvement.

The authors of the study concluded: “Our study indicates that acupuncture can accelerate the clinical response to selective serotonin reuptake inhibitors (SSRIs) and prevent the aggravation of depression.

 

 

Cracking the Egg and Cholesterol Myth

cracked eggsI still have patients tell me they’re avoiding egg yolks because of the amount of cholesterol and the danger of heart disease. This is unfortunate, because egg yolks are very nutritious, and there is little evidence of any correlation between eggs and heart disease. A just released study has debunked the “eggs and cardiovascular risk” myth once again.  The unbiased non-egg industry authors conclude: “Higher consumption of eggs (up to one egg per day) is not associated with increased risk of coronary heart disease or stroke.”

The fact is that eating cholesterol does little to increase the level of cholesterol in your system; saturated fats are a more likely culprit. But both cholesterol and saturated fats are necessary in the diet. Every cell in the body is made up of cholesterol and phospholipids — both abundant in egg yolk — as well as saturated fat, which keeps the cell from collapsing in on itself.

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Is Sugar Affecting Your Immunity?

Below is an article I am re-posting here, but it is such a great article on sugar and immunity.  A New Jersey company BodyBio that does a lot of great work in lipid metabolism and also has outstanding supplements has a blog with some gems.  This is one of them that needs repeating…click here for the original article.

There is a metabolic difference between simple and complex carbohydrates.  The simple ones become glucose soon after they are eaten.  The complex ones take longer to turn into sugar and are less apt to spike insulin and cause energy crashes down the line.  But that isn’t the only difference between the two.

Almost forty years ago scientists had an interest in the relationship of diet to health, specifically of sugar intake to immunity.   But their curiosity went past simple sugar to include carbohydrates other than glucose.  The cells that are the backbone of the immune system are supposed to kill, swallow, and dispose of alien bodies, including bacteria, viruses and cancer cells.  Scientists at Loma Linda University in California examined the activity of neutrophilic phagocytes (cells that dissolve the enemy) after subjects ingested glucose, fructose, sucrose, honey, or orange juice and found that “…all significantly decreased the capacity of neutrophils to engulf bacteria…”  (Sanchez, Reeser, et al. 1973)  Looking more closely, the researchers also discovered that the greatest effects occurred within the first two hours after eating, but “…the effects last for at least 5 hours.”  (Ibid.)  If there is any promise, it’s that the effects can be undone by fasting from added sugars for the next two or three days.

At the start of the twentieth century, Americans consumed only about five pounds of sugar a year.  By the fifties, that had grown to almost 110 pounds a year, and to more than 152 by the year 2000.  Corn sweeteners account for 85 of those pounds.
(USDA Economic Research Service, http://www.usda.gov/factbook/chapter2.pdf )  America’s sweet tooth increased 39% between 1950 and 2000 as the use of corn sweetener octupled.

Although the cited study is decades old, its message is contemporary. HFCS began replacing sugar in soft drinks in the 1980’s, after it was portrayed by marketers as a healthful replacement for demon sugar.  It didn’t hurt the industry that it cost less, either.  The biological effects of sugar and HFCS are the same, however.  Neither has any food value—no vitamins, protein, minerals, antioxidants, or fiber—but they do displace the more nutritious elements of one’s diet, and we tend to consume more than we need to maintain our weight, so we gain.

Even though the number of calories from the glucose in a slice of bread or other starch is the same as that from table sugar (half fructose and half glucose), they are metabolized differently and have different effects on the body.  While fructose is metabolized by the liver, glucose is metabolized by every cell in the body.  When fructose reaches the liver, especially in liquid form (as in soda), it overwhelms the organ and is almost immediately converted to fat.  (Taubes. 2011)

Innate immunity is that which occurs as part of your natural makeup and defends you against infection by other organisms.  Short-term hyperglycemia, which might come from a pint of vanilla, has been found to affect all the major components of the innate immune system and to impair its ability to combat infection.  Reduced neutrophil activity, but not necessarily reduced neutrophil numbers, is one of several reactions to high sugar intake.  (Turina. 2005)  Way back in the early 1900’s, researchers noted a relationship between glucose levels and infection frequency among diabetes sufferers, but it wasn’t until the 1940’s that scientists found that diabetics’ white cells were sluggish. (Challem. 1997)  More recent study has corroborated the diabetes-infection connection, agreeing that neutrophil phagocytosis is impaired when glucose control is less than adequate.  (Lin. 2006)  Impaired immune activity is not limited to those with diabetes.  As soon as glucose goes up, immune function goes down.

Some folks think they’re doing themselves a favor by using artificial sweeteners.  Once the brain is fooled into thinking a sweet has been swallowed, it directs the pancreas to make insulin to carry the “sugar” to the cells for energy.  After the insulin finds out it’s been cheated of real sugar, it tells the body to eat in order to get some, and that creates artificial hunger, which causes weight increase from overeating.   Even environmental scientists have a concern with fake sweeteners in that they appear in the public’s drinking water after use.  You can guess how that works. (Mawhinney. 2011)

Mineral deficiencies, especially prevalent in a fast-food world, contribute to immune dysfunction by inhibiting all aspects of the system, from immune cell adherence to antibody activity.  Paramount among minerals is magnesium, which is part of both the innate and acquired immune responses.  (Tam. 2003)  Epidemiological studies have connected magnesium intake to decreased incidence of respiratory infections, and intravenous administration has shown effective in treating asthma. (PDR. 2000)  But sugar pushes magnesium—and other minerals—out of the body.  (Milne. 2000)  This will compromise not only immune function, but also bone integrity.  (Tjäderhane. 1998)

Zinc has been touted for its ability to shorten the duration of the common cold.  Like magnesium, zinc levels decrease with age, and even tiny deficiencies can have a large effect on immune health, particularly in the function of the thymus gland, which makes the T-cells of the immune system.  Zinc supplementation improves immune response in both the young and the old.  (Haase. 2009)  (Bogden. 2004)  (Bondestam. 1985)  All the microminerals, in fact, are needed in minute amounts for optimal growth and development…and physiology.  Low intakes suppress immune function by affecting T-cell and antibody response. Thus begins a cycle whereby infection prevents uptake of the minerals that could prevent infection in the first place.  Adequate intakes of selenium, zinc, copper, iron plus vitamins B6, folate, C, D, A, and E have been found to counteract potential damage by reactive oxygen species and to enhance immune function.  (Wintergest. 2007)

Who would have viewed something as sweet as sugar as being so hostile? It taste great to eat but has a nasty habit of pushing everything else out.

 

Components of Wheat ProteinWhen I use MRT blood test for food sensitivity testing sometimes it can be non-food items that are causing symptoms.  If the patient does not experience significant improvement in health after the first week of the MRT/LEAP diet then I instruct the patient to check ingredients in cosmetics, toothpaste, soap,  and skin cream.   It may be a hard concept to grasp, but sensitivities and allergies can be triggered via transdermal (through skin) route as one doesn’t necessarily have to ingest something to trigger an immune response. A recent interesting Japanese study demonstrates this point very well.

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Acupuncture Is A Cost-Effective Healthcare Option

Tapping in acupuncture needleThe lack of acupuncture coverage by insurance companies in Massachusetts at best disappointing.  Very few companies actually cover acupuncture treatments.  I know I save insurance companies  tens of thousands each year.  I have little doubt that my acupuncture colleagues in Massachusetts in total save insurance companies many millions.   We would save insurance companies more money if we weren’t a last resort.

How could I be so sure we are saving so much?  One metric is simply based on people telling me they need surgery.  Back, knee, intestinal, hip etc.   Many times after a series of acupuncture treatments people feel remarkably better.   If they underwent surgery those procedure are often at minimum $15,000 per procedure. ( typically much more).   If people came to us before getting an expensive MRI the cost effectiveness would be even further realized.

Many people are not interested in taking medications with side effects. It seems more and more people are waking up to the fact that mediation for chronic conditions only treats symptoms and does little to help the underlying issue. Acupuncture is one of many great modalities that can help correct chronic conditions that Western medicine where western medicine has little answers except medication or surgery.  Those answers can be very costly.

The review just released below demonstrates the cost effectiveness of acupuncture to back up my claim.

Acupunct Med. 2012 Dec;30(4):273-85.
A systematic review of cost-effectiveness analyses alongside randomised controlled trials of acupuncture.
Kim SY, Lee H, Chae Y, Park HJ, Lee H.
Abstract
OBJECTIVE: To summarise the evidence on the cost-effectiveness of acupuncture.

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Natural Solutions for Pregnancy Complications

Pregnancy is a critical time for smart dietary choices and proper nutritional support to improve the health of a baby.  But  pregnancy and childbirth in the opinion of many has become has become a pathology and medical procedure with excessive interventions that can negatively influence a mother and babies’ health.

Of course a small percentage of pregnancies require modern medical intervention in the forms of medications and potential surgeries.  Modern medicine has saved countless pregnant women and  newborn lives.  But I don’t agree with the unnecessary overuse of strong medicines or procedures that have little clinical evidence of safety and potential deleterious side effects when safer options are available. Read the rest of this entry

Acupuncture For Sleep Disorders

Sleep is not overrated!  Sleep is how our body restores itself.  Lack of sleep leads to inflammation and there is good data tying lack of sleep to many undesirable health consequences.

There can be many reasons why someone is not sleeping well. The typical patterns I see when someone complains of a not sleeping well or ‘insomnia’ is either:

  • A person cannot fall asleep.   Either their head is spinning with thoughts (“monkey mind”  心猿)  or they just feel wired and jittery.
  • A person wakes up after a few hours of sleep.  Often around 2 am for about 1-2 hours.
  • A person wakes up early in the morning feeling they haven’t had enough sleep, but cannot fall back asleep. (even though it is 4:00am).

Some sleep issues can stem from endocrine system and blood sugar dysregulation.  Some can be caused by anemia.  Some may stem from circumstantial life situations one is currently experiencing and causing a ‘Heart’ disturbance.  Certainly the sleep disorder is not from an Ambien deficiency.

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A recent Archives of Internal Medicine systematic review article of acupuncture randomized control trials (RCTs) found that acupuncture was more effective than what customary care for chronic pain.   The meta analysis examined 29 studies involving almost 18,000 adults.   The researchers concluded that acupuncture was more effective than customary medical treatments and slightly better than ‘sham’ acupuncture.

Here we have a meta analysis that looked at raw data from over 2 dozen studies and it showed that acupuncture is an effective treatment for back pain.  However the anti-alternative medicine folks are quick to pounce on the fact that real acupuncture over sham acupuncture only had about a 10% improvement in chronic pain scores.  In other words it wasn’t statistically significant.   The 5 senses only folks then claim acupuncture is just a placebo effect, which is a ridiculous argument in of itself for a few reasons:

  1. The sham group in this case is not ‘sham’, as in receiving no treatment.   “Sham” absolutely can trigger a physiological response.  As any acupuncturists will tell you the mere puncturing of the skin in needles at random points can bring about positive change in some.   Yes you don’t need to hit exact points in some people as they may respond to almost anything.
  2. Of course there is a ‘placebo’ effect in acupuncture treatments.  How can there not be?   The patient/practitioner relationship plays a significant role as shown by Ted Kaptchuk. But what is the ‘placebo effect’?    It is the mind bringing about a healing response.    If the goal is to make people feel better than that is a treatment!  Who cares how one gets there as long as they feel better.
  3. If it is just a placebo effect then how does one explain the numerous reports of improvement of health for animals?

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Important GMO Documentary Free until Sept 22nd

Besides acupuncture one of the big components of my practice is food hypersensitivities which can cause a myriad of symptoms that then drive up our health care costs because doctors are treating the symptoms with medication rather than the identifying the cause.  Food hypersensitivities are caused by immune system dysregulation where there is an inappropriate response to foods we eat that then in turn cause an inflammatory response.   This inflammatory response is the root of almost all modern diseases and ‘syndromes’.

There is unequivocal evidence that the genetically modified foods that are in our food supply are contributing to the increase in inflammatory diseases we see today.  This is especially true of intestinal diseases, asthma, allergies, and likely contributes in some way to the autism spectrum of diseases.   I will go out on a stretch and say I wouldn’t be surprised that in 10 or 15 years we find that all these new tick vector diseases and widespread insect diseases are in part because of the GMO crops that lay out in fields for animals,birds and insects to eat causing mutant genes to be expressed.

Jeffrey Smith the direction of the Institute for Responsible Technology has made a stellar film about GMOs.  It is available free for the next week.  Please take an hour to view it.   GMOs in our food supply must be stopped.

Please watch www.GeneticRouletteMovie.com

Yours In Health,

George Mandler

Licensed Acupuncturist

Licensed Dietitian

There was an insightful interview on NPR’s “Here and Now” regarding the corruption within the USDA organic standards.   Before the government took over labeling of the organic standards there was no big business involved.  It was only small farmers who held the spirit of the organic food movement.  Some states had their own labeling.   But now that the USDA is involved and big box stores are selling organics, not because they believe organic food is good for you, but in the name of profit, the ‘organic’ standard has become green washed.

 

 

Listen to the interview here:

http://hereandnow.wbur.org/2012/08/22/organic-food-eden

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