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General interest items edited by Janice Flahiff

Cardiovascular benefits of popular foods – some are quite good!

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From  A Clinician’s Guide for Trending Cardiovascular Nutrition Controversies: Part II

July 21, 2018 Posted by | Nutrition, Uncategorized | , , , , , , , , , , , , , , | Leave a comment

Behind the fetish of vitamin B12 shots

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From the 3 February 2013 post at KevinMD.com

The treatment of B12 deficiency, as has been established from studies done in the 1960s, is ORAL B12. That’s right. Pills. Injections of B12 are not necessary—oral supplements work well, even in pernicious anemia. They’re cheap and they work. I suppose a very rare patient, say one who has surgically lost most of their gut, could require injections. But the vast majority of people with genuine B12 deficiency can get all of the B12 they need through eating foods or swallowing supplements. No needles needed.

So why this fetish with injections? From the patient’s point of view, shots feel more like something important is going on. Placebos need rituals—with acupuncture, for instance, the elaborate ritual creates an illusion of effectiveness. And from the doctor’s point of view, injections reinforce dependence on the physician, creating visits and cash flow.

So: people seem to think they feel better with injections, and the doctor makes a little cash, and everyone’s happy. So what’s the harm in that?

I think it’s wrong to knowingly dispense placebos, even harmless ones. We doctors like to criticize the chiropractors and homeopaths. We point fingers. They’re the quacks. We’d better take a close look at what we’re doing, first. Our placebos are sometimes far more dangerous than theirs.

More importantly, people should be able to expect more from physicians…

 

Read the entire article here

February 7, 2013 Posted by | Nutrition | , , , , , | 2 Comments

   

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