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There is no such thing as alternative medicine
There’s only medicine that works and medicine that does not, writes Paul Offit.
If you want to sell an idea an opponent is helpful, especially if what you're selling cannot stand on its own merit. For example, homeopathy creator Samuel Hahnemann had trouble proving his provings offered anything beyond a placebo response. Given his reservations against the medical industry — many complaints were credible — he dubbed any treatment offered by the conventional system 'allopathic.'
Unfortunately for Hahnemann his philosophy — the less of an active ingredient remains the more powerful a remedy is (once you reach 13c on the homeopathic scale there is no longer any active ingredient left) — is nonsense. While today homeopaths still use 'allopathic' as a derogatory sleight against mainstream medicine, they're only shadowboxing an invisible enemy.
Alternative medicine, which includes homeopathy as well as vitamin and supplement companies and a number of other therapeutic modalities, is a $34 billion a year industry. While these companies enjoy the fruits of loose, and in many cases non-existent, regulations, their argument against allopaths is not the cry of the oppressed, but the desperate pleas of businesses concerned with their bottom lines.
Medicine is medicine. As pediatrician Paul Offit writes,
There's no such thing as conventional or alternative or complementary or integrative or holistic medicine. There's only medicine that works and medicine that does not.
This does not stop the irrational stream of unproven (or disproven) therapies arising from the holistic and wellness sphere. While pharmaceuticals and the companies producing them have their own problems, the rigorous standards of multiple trials, years of development and research, and millions of dollars spent are absent in the vitamin aisle of Whole Foods.
Yet many pharmaceuticals are based on similar or even the same botanical substances. At a public hearing on homeopathic product regulation on April 20, 2015, Adriane Fugh-Berman, an associate professor in Georgetown's Department of Pharmacology and Physiology, points out that homeopathic remedies “can contain snake venom, heavy metals, controlled substances, [and] glandular extracts" that would be considered dangerous if subject to federal regulation.
She points out that Guna Interleukin 12 is labeled for usage as a pain reliever and anti-inflammatory agent for autoimmune disorders. The remedy contains ingredients usually placed under intense scrutiny when used by pharmaceutical companies, but since the producer, Guna Interleukin Remedies, sidesteps regulation by utilizing the homeopathic loophole, consumers are ingesting potentially dangerous dosages.
When I asked the FDA why this oversight exists, press officer Lyndsay Meyer referred me to her agency's regulations, which refer to the “unique nature of these drug products." Thanks to an amendment in 1983, homeopathic drugs are exempt “from the requirement for laboratory determination of identity and strength of each active ingredient prior to release for distribution."
Hahnemann believed the less of a substance in the remedy, the stronger it is. Thus a partially diluted proving is not that strong while one containing no active ingredients is very powerful. Problem is, active ingredients matter. A recent report notes that one homeopathic teething pill resulted in more than 370 adverse reactions in children over a ten-year period.
This supposedly weak remedy is labeled 6X, meaning some of the active ingredients remains. One ingredient, Belladonna, is diluted at 12X (still active in mixture), which has a series of side effects, including GI infections and blockage, increased high blood pressure, and increased fever.
As Offit reports, 50 percent of Americans use alternative medicines while 10 percent give it to their children. While the FTC stepped in last year to plug a regulatory hole in homeopathic labeling, the legalese used by vitamin and supplement makers is confusing to consumers who read the large type on bottles and think their flu symptoms will be alleviated or, worse, that chelation cures cancer.
As health and wellness are wrapped into the fitness industry the science is only getting more confused. Just yesterday I walked by a center in Santa Monica that offers aerial silk and yoga classes, massage therapy, and IV vitamin drips. For $175 an hour you can have high doses of vitamin C, zinc, and lysine pumped into your bloodstream after Pilates, even though elevated levels of all three of those substances can cause numerous gastro-intestinal problems. Distrust in one doctor should not imply blind faith in another.
While supplements, vitamins, and superfoods are touted as cancer-fighting, antioxidant-boosting wonder drugs, the science is less enthusiastic. Offit writes,
Studies have now shown that people who take large quantities of vitamins and dietary supplements with antioxidant activity are more likely to have cancer and heart disease and die sooner.
Hahnemann helped inspire a holism movement championing Hippocratic philosophy during an important transition in medical history. The emergence of biochemistry, neuroscience, germ theory, disease specification, and molecular genetics made the invisible world visible. Widespread usage of antibiotics and vaccines offered humans an evolutionary thrust forward in biological knowledge. Suddenly a hostile planet became that much less daunting.
Yet a growing suspicion of corporate and political interests in the sixties inspired a new wave of holism that's gaining strength a half-century later. We're right to be wary of corporate agendas and political mismanagement when it comes to healthcare. Still, this does not excuse an entire industry pimping products with little to no scientific backing that's taking advantage of regulatory loopholes.
The reality is the most basic advice—move often and diversely; eat a balanced, whole foods diet — is boring in an age of immediate gratification. People would rather sprint with a wonder-pill than put their head down for a marathon, and too many charlatans are stepping in to pretend they've developed that pill.
As Offit concludes, there's a problem when we celebrate Suzanne Somers — a saleswoman and industry unto herself — while only occasionally acknowledging the groundbreaking work of Siddhartha Mukherjee, a biological scientist, physician, and Pulitzer Prize-winning author. There are many incredible men and woman devoted to finding medicine that works. The alternative is suffering, something many companies and hucksters willfully champion at a time when we can all use less of it.
Derek's next book, Whole Motion: Training Your Brain and Body For Optimal Health, will be published on 7/4/17 by Carrel/Skyhorse Publishing. He is based in Los Angeles. Stay in touch on Facebook and Twitter.
Evolution doesn't clean up after itself very well.
- An evolutionary biologist got people swapping ideas about our lingering vestigia.
- Basically, this is the stuff that served some evolutionary purpose at some point, but now is kind of, well, extra.
- Here are the six traits that inaugurated the fun.
The plica semilunaris<img class="rm-lazyloadable-image rm-shortcode" type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTA5NjgwMS9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTY3NDg5NTg1NX0.kdBYMvaEzvCiJjcLEPgnjII_KVtT9RMEwJFuXB68D8Q/img.png?width=980" id="59914" width="429" height="350" data-rm-shortcode-id="b11e4be64c5e1f58bf4417d8548bedc7" data-rm-shortcode-name="rebelmouse-image" />
The human eye in alarming detail. Image source: Henry Gray / Wikimedia commons<p>At the inner corner of our eyes, closest to the nasal ridge, is that little pink thing, which is probably what most of us call it, called the caruncula. Next to it is the plica semilunairs, and it's what's left of a third eyelid that used to — ready for this? — blink horizontally. It's supposed to have offered protection for our eyes, and some birds, reptiles, and fish have such a thing.</p>
Palmaris longus<img class="rm-lazyloadable-image rm-shortcode" type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTA5NjgwNy9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzMzQ1NjUwMn0.dVor41tO_NeLkGY9Tx46SwqhSVaA8HZQmQAp532xLxA/img.jpg?width=980" id="879be" width="1920" height="2560" data-rm-shortcode-id="4089a32ea9fbb1a0281db14332583ccd" data-rm-shortcode-name="rebelmouse-image" />
Palmaris longus muscle. Image source: Wikimedia commons<p> We don't have much need these days, at least most of us, to navigate from tree branch to tree branch. Still, about 86 percent of us still have the wrist muscle that used to help us do it. To see if you have it, place the back of you hand on a flat surface and touch your thumb to your pinkie. If you have a muscle that becomes visible in your wrist, that's the palmaris longus. If you don't, consider yourself more evolved (just joking).</p>
Darwin's tubercle<img class="rm-lazyloadable-image rm-shortcode" type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTA5NjgxMi9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY0ODUyNjA1MX0.8RuU-OSRf92wQpaPPJtvFreOVvicEwn39_jnbegiUOk/img.jpg?width=980" id="687a0" width="819" height="1072" data-rm-shortcode-id="ff5edf0a698e0681d11efde1d7872958" data-rm-shortcode-name="rebelmouse-image" />
Darwin's tubercle. Image source: Wikimedia commons<p> Yes, maybe the shell of you ear does feel like a dried apricot. Maybe not. But there's a ridge in that swirly structure that's a muscle which allowed us, at one point, to move our ears in the direction of interesting sounds. These days, we just turn our heads, but there it is.</p>
Goosebumps<img class="rm-lazyloadable-image rm-shortcode" type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTA5NzMxNC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyNzEyNTc2Nn0.aVMa5fsKgiabW5vkr7BOvm2pmNKbLJF_50bwvd4aRo4/img.jpg?width=980" id="d8420" width="1440" height="960" data-rm-shortcode-id="8827e55511c8c3aed8c36d21b6541dbd" data-rm-shortcode-name="rebelmouse-image" />
Goosebumps. Photo credit: Tyler Olson via Shutterstock<p>It's not entirely clear what purpose made goosebumps worth retaining evolutionarily, but there are two circumstances in which they appear: fear and cold. For fear, they may have been a way of making body hair stand up so we'd appear larger to predators, much the way a cat's tail puffs up — numerous creatures exaggerate their size when threatened. In the cold, they may have trapped additional heat for warmth.</p>
Tailbone<img class="rm-lazyloadable-image rm-shortcode" type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTA5NzMxNi9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY3MzQwMjc3N30.nBGAfc_O9sgyK_lOUo_MHzP1vK-9kJpohLlj9ax1P8s/img.jpg?width=980" id="9a2f6" width="1440" height="1440" data-rm-shortcode-id="4fe28368d2ed6a91a4c928d4254cc02a" data-rm-shortcode-name="rebelmouse-image" />
Image source: Decade3d-anatomy online via Shutterstock<p>Way back, we had tails that probably helped us balance upright, and was useful moving through trees. We still have the stump of one when we're embryos, from 4–6 weeks, and then the body mostly dissolves it during Weeks 6–8. What's left is the coccyx.</p>
The palmar grasp reflex<img class="rm-lazyloadable-image rm-shortcode" type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xOTA5NzMyMC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzNjY0MDY5NX0.OSwReKLmNZkbAS12-AvRaxgCM7zyukjQUaG4vmhxTtM/img.jpg?width=980" id="8804c" width="1440" height="960" data-rm-shortcode-id="67542ee1c5a85807b0a7e63399e44575" data-rm-shortcode-name="rebelmouse-image" />
Palmar reflex activated! Photo credit: Raul Luna on Flickr<p> You've probably seen how non-human primate babies grab onto their parents' hands to be carried around. We used to do this, too. So still, if you touch your finger to a baby's palm, or if you touch the sole of their foot, the palmar grasp reflex will cause the hand or foot to try and close around your finger.</p>
Other people's suggestions<p>Amir's followers dove right in, offering both cool and questionable additions to her list. </p>
Fangs?<blockquote class="twitter-tweet" data-conversation="none" data-lang="en"><p lang="en" dir="ltr">Lower mouth plate behind your teeth. Some have protruding bone under the skin which is a throw back to large fangs. Almost like an upsidedown Sabre Tooth.</p>— neil crud (@neilcrud66) <a href="https://twitter.com/neilcrud66/status/1085606005000601600?ref_src=twsrc%5Etfw">January 16, 2019</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
Hiccups<blockquote class="twitter-tweet" data-conversation="none" data-lang="en"><p lang="en" dir="ltr">Sure: <a href="https://t.co/DjMZB1XidG">https://t.co/DjMZB1XidG</a></p>— Stephen Roughley (@SteBobRoughley) <a href="https://twitter.com/SteBobRoughley/status/1085529239556968448?ref_src=twsrc%5Etfw">January 16, 2019</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
Hypnic jerk as you fall asleep<blockquote class="twitter-tweet" data-conversation="none" data-lang="en"><p lang="en" dir="ltr">What about when you “jump” just as you’re drifting off to sleep, I heard that was a reflex to prevent falling from heights.</p>— Bann face (@thebanns) <a href="https://twitter.com/thebanns/status/1085554171879788545?ref_src=twsrc%5Etfw">January 16, 2019</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script> <p> This thing, often called the "alpha jerk" as you drop into alpha sleep, is properly called the hypnic jerk,. It may actually be a carryover from our arboreal days. The <a href="https://www.livescience.com/39225-why-people-twitch-falling-asleep.html" target="_blank" data-vivaldi-spatnav-clickable="1">hypothesis</a> is that you suddenly jerk awake to avoid falling out of your tree.</p>
Nails screeching on a blackboard response?<blockquote class="twitter-tweet" data-conversation="none" data-lang="en"><p lang="en" dir="ltr">Everyone hate the sound of fingernails on a blackboard. It's _speculated_ that this is a vestigial wiring in our head, because the sound is similar to the shrill warning call of a chimp. <a href="https://t.co/ReyZBy6XNN">https://t.co/ReyZBy6XNN</a></p>— Pet Rock (@eclogiter) <a href="https://twitter.com/eclogiter/status/1085587006258888706?ref_src=twsrc%5Etfw">January 16, 2019</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
Ear hair<blockquote class="twitter-tweet" data-conversation="none" data-lang="en"><p lang="en" dir="ltr">Ok what is Hair in the ears for? I think cuz as we get older it filters out the BS.</p>— Sarah21 (@mimix3) <a href="https://twitter.com/mimix3/status/1085684393593561088?ref_src=twsrc%5Etfw">January 16, 2019</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
Nervous laughter<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">You may be onto something. Tooth-bearing with the jaw clenched is generally recognized as a signal of submission or non-threatening in primates. Involuntary smiling or laughing in tense situations might have signaled that you weren’t a threat.</p>— Jager Tusk (@JagerTusk) <a href="https://twitter.com/JagerTusk/status/1085316201104912384?ref_src=twsrc%5Etfw">January 15, 2019</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
Um, yipes.<blockquote class="twitter-tweet" data-conversation="none" data-lang="en"><p lang="en" dir="ltr">Sometimes it feels like my big toe should be on the side of my foot, was that ever a thing?</p>— B033? K@($ (@whimbrel17) <a href="https://twitter.com/whimbrel17/status/1085559016011563009?ref_src=twsrc%5Etfw">January 16, 2019</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
Context is everything.
The COVID-19 pandemic has introduced a number of new behaviours into daily routines, like physical distancing, mask-wearing and hand sanitizing. Meanwhile, many old behaviours such as attending events, eating out and seeing friends have been put on hold.
A new study looks at how images of coffee's origins affect the perception of its premiumness and quality.
- Images can affect how people perceive the quality of a product.
- In a new study, researchers show using virtual reality that images of farms positively influence the subjects' experience of coffee.
- The results provide insights on the psychology and power of marketing.