Goiter, goiter everywhere

The results of the recent Heart Scan Blog poll are in.

The question:

Do you used iodized salt?

The responses:

Yes, I use iodized salt every day
94 (28%)

Yes, I use iodized salt occasionally
56 (16%)

No, I do not use any iodized salt
41 (12%)

No, I use a non-iodized salt (sea salt, Kosher)
126 (37%)

No, I use a non- or low-sodium substitute
15 (4%)


Thanks for your responses.

If only 28% of people are regular users of iodized salt, that means that the remainder--72%--are at risk for iodine deficiency if they are not getting iodine from an alternative source, such as a multivitamin or multimineral.

Even the occasional users of salt can be at risk. The common perception is that occasional use is probably sufficient to provide iodine. This is probably not true and not just because of the lower quantity of ingestion. Occasional users of salt tend to have their salt canister on the shelf for extended periods. The iodine is then lost, since iodine is volatile. In fact, iodine is virtually undetectable four weeks after a package is opened.

In my office, now that I'm looking for them much more systematically and carefully, I am finding about 2 people with goiters every day. They are not the obvious grotesque goiters of the early 20th century (when quack therapies like the last post, the Golden Medical Discovery, were popular). The goiters I am detecting are small and spongy. Yesterday alone I found 5 people with goiters, one of them visible to the eye and very distressing to the patient.

It seems to me that iodine deficiency is more prevalent than I ever thought. It is also something that is so simple to remedy, though not by increasing salt intake. Kelp tablets--cheap, available--have been working quite well in the office population. My sense is that the Recommended Daily Allowance of 150 mcg per day for adults is low and that many benefit from greater quantities, e.g., 500 mcg. What is is the ideal dose? To my knowledge, nobody has yet generated that data.

Thyroid issues being relatively new to my thinking, I now find it incredible that endocrinologists and the American Thyroid Association are not broadcasting this problem at the top of their lungs. This issue needs to be brought to the top of everyone's attention, or else we'll have history repeating itself and have goiters and thyroid dysfunction galore.

For more on this topic, see the previous Heart Scan Blog post, "Help keep your family goiter free."

Comments (25) -

  • kris

    5/20/2009 1:36:55 PM |

    Here is the list of over 20 publications about iodine consumption, trials, findings etc. the normal intake may be between 6 to 12.5 mg. it depends on the individual. when i started taking iodine, i took 50 mg a day for a week before i felt any uneasiness. now one drop of lugol's iodine every second day and i can feel it. according to these studies some vitamins along with iodine play major role in coping with iodine.  
    http://www.optimox.com/pics/Iodine/opt_Research_I.shtml

  • Andrew

    5/20/2009 1:46:23 PM |

    What's your opinion of potassium salt?  I've been using an iodized mixture of sodium and potassium chloride lately, and it seems to be working well.

  • Anna

    5/20/2009 3:20:08 PM |

    I use sea salt that contains iodine naturally.  I also eat a little seaweed a couple of times a week.  Is this sufficient?  Who knows, I guess.  I definitely do not have any trace of a goiter.  I eat fish, too, and live on the East Coast, so I assume I'm okay.

  • StephenB

    5/20/2009 4:25:04 PM |

    The full text of the article "Iodine: deficiency and therapeutic considerations" (Altern Med Rev 13 (2): 116–27. PMID 18590348) published last year can be found here.

    From that article: "The safety of therapeutic doses of iodine above the established safe upper limit of 1 mg is evident in the lack of toxicity in the Japanese population that consumes 25 times the median intake of iodine consumption in the United States. Japan’s population suffers no demonstrable increased incidence of autoimmune thyroiditis or hypothyroidism."

    StephenB

  • Anna

    5/20/2009 7:12:55 PM |

    This is the second time in a week the volatility of iodine has come to my attention.  I'm wondering now about the iodine content in the dried kelp and sea vegetable I have in my cupboards.  Anyone have any idea how stable that iodine is?

  • Lena

    5/20/2009 9:49:59 PM |

    What do you reckon about "Celtic" salt (unprocessed sea salt)? I know there's a lot of websites out there granting it near-magical health properties, about which I am extremely skeptical, however it does have a notable amount of minerals in it (about 8% I believe) whereas regular salt is refined to 99.99% purity. So it seems if you switched to using that kind of salt in your diet (including avoiding processed food which uses pure salt) it may have some benefit. It does contain iodine naturally, too.

    I'm taking Lugol's solution too, about 10 drops a day. My iodine was measured at "<1" by the lab four months ago.

    Australian readers should note that Australian soil has an extremely low iodine content (it's official), so our food is unlikely to be a source of pretty much any iodine at all. A case where being a "localvore" won't help your health.

  • David

    5/20/2009 10:46:21 PM |

    I take Iosol iodine, which I get from iherb.com for $12 a bottle (http://bit.ly/6qLtp). Each drop has 1,830 mcg of iodine, and there are over 600 drops per bottle. Great price, and seems to be working well for me. My feet aren't nearly as cold as they used to be, and my usually low morning temperature has started increasing a bit, too.

  • k1wuk

    5/20/2009 11:11:47 PM |

    My sense is that goiter is the least of the problems with iodine deficiency.  Kris has pointed to the optimox link.  Optimox manufactures Iodoral which is iodine in convenient tablet form.  The liquid form, Lugol's Solution is available here: http://www.jcrows.com/iodine.html

    My sister began taking iodine supplements last year at my suggestion.  She had experienced 5 years of bad mammograms so she was delighted to have a flawless mammogram three months after starting iodine.  It seems that iodine is so important to the baby that breasts concentrate iodine as well as thyroid glands.  Fibrocystic breast disease seems to be the equivalent of goiter in breast tissue.

    She also reports better sleep, fresh moist skin, quicker reactions, more energy and most recently, iodine applied to poison ivy stopped the itch.  

    Dr Flechas reports here, http://iodine4health.com/disease/diabetes/flechas_diabetes.htm, that half of his diabetic patients are no longer diabetic when they get enough iodine.  The other half improve, needing less medication.  It seems to me that iodine should be the first step in treating diabetes of either form.

    Iodine deficiency is reported to be the number one preventable cause of mental retardation in the world.  Looking around, goiter is not the most visible evidence of iodine deficiency.

    Having read the papers at Optimox and others, iodine looks to be under appreciated and quite valuable.

  • Anonymous

    5/20/2009 11:20:12 PM |

    I cut out all salt from my 'nutritarian'-style diet a few weeks ago.  But as a result of reading this blog, I started taking 4 kelp tablets a day at about the same time. I'm thinking of taking even more tablets to try to help increase my low (according to the endocrinologists and this blog, not my doctor) thyroid numbers.

  • mongander

    5/21/2009 2:59:31 AM |

    I rarely use salt except when I make popcorn.  I do occasionally take an Iodoral and sometimes add a drop of aquarium Lugols iodine in my 7 gallon water jugs of thermal spring water.

    When I run in 90°+ weather I do take salt.  So far, at age 70, no goiter.

  • Anonymous

    5/21/2009 3:41:24 AM |

    You might want to let Michael Bloomberg know that cutting back on salt will increase iodine deficiency.  His health commissioner, Thomas Frieden, was picked to head the CDC.

  • Anonymous

    5/21/2009 1:07:58 PM |

    Remember to reduce bromine exposure which competes with iodine.

  • maxthedog

    5/21/2009 7:36:42 PM |

    Thanks for conducting the poll - very interesting.
    We use kosher and sea salt at home - about a year ago, this late realization (regarding iodine) led me to a bit of a panic, as my pregnant wife was nearing full term...  I was especially worried because I had been all along encouraging heavy broccoli consumption as well, and brassica vegetables are known to have goitrogenic properties (as do many other types of plants).  I then learned she was taking a multi-supplement that contained a fair amount of iodine. Whew.  Our 10 month old is doing great now, fortunately. Smile  
    We consume a fair amount of garlic and seafood as well, though I don't really know what the variance is when it comes to garlic's iodine content - presumably it depends quite a bit on the soil and water supply (Apparently, California garlic and broccoli assimilate a fair amount of selenium from the water used for irrigation, for instance).

  • Anna

    5/22/2009 12:28:23 AM |

    k1wuk,

    I'd love ot know if you have any more info on iodine and breast health.

  • Trinkwasser

    5/22/2009 1:23:41 PM |

    I checked the Lo-Salt I've been using since I decided I might not be getting enough potassium (a good guess as electrolytes came back spot on) and realise it is NOT iodised.

    Not a problem personally I suspect as I eat plenty of fish and shellfish but I'm now trialling various seaweeds, sea vegetables etc. Even without a deficiency these are tasty!

    Goiter is not common in the UK AFAIK, nowhere near as common as hypothyroid. However when young my father was hyperthyroid, which damaged his heart before being treated. Didn't stop the tough old goat from living into his eighties, but in retrospect I believe he may well have become hypothyroid in later life as a result of the operation (not diagnosed), and probably also became Type 2 (not diagnosed)in his last years.

    Probably wouldn't have lengthened his life but diagnosis and treatment would certainly have improved the quality a lot. All power to you for continuing your posts on these issues. They will suffice until Endocrine System SP1 is released.

  • kris

    5/22/2009 6:10:49 PM |

    Anna

    Here are few links to dr. david derry's answer to patients(in case you haven't found it your self). My wife had painted lugol's iodine externally for breast lumps, with unbelievable results only after applying it twice. she was having hard time sleeping on one side. her mother passed away few years ago with Breast cancer. just being extra careful now.
    http://thyroid.about.com/library/derry/bl1a.htm

    http://thyroid.about.com/library/derry/bl2a.htm

  • Leslie

    5/22/2009 9:54:39 PM |

    My endo told me to avoid iodine because it exacerbates goiter in hypothyroid.  Also, those of you who know nursing mothers, PLEASE be aware of this risk:

    from pubmed:
    1: Hypothyroidism in a breast-fed preterm infant resulting from maternal topical iodine exposure.
    Smith VC, Svoren BM, Wolfsdorf JI.
    Pediatr. 2006 Oct;149(4):566-7.
    PMID: 17011335 [PubMed - indexed for MEDLINE]

    2: Transient hypothyroidism in a breastfed infant after maternal use of iodoform gauze.
    L'Italien A, Starceski PJ, Dixit NM.
    J Pediatr Endocrinol Metab. 2004 Apr;17(4):665-7.
    PMID: 15198299 [PubMed - indexed for MEDLINE]

    3: Early childhood caries: an overview with reference to our experience in California.
    DenBesten P, Berkowitz R.
    J Calif Dent Assoc. 2003 Feb;31(2):139-43. Review.
    PMID: 12636318 [PubMed - indexed for MEDLINE]

    4: Transient neonatal hypothyroidism during breastfeeding after post-natal maternal topical iodine treatment.
    Casteels K, Pünt S, Brämswig J.
    Eur J Pediatr. 2000 Sep;159(9):716-7. No abstract available.
    PMID: 11014479 [PubMed - indexed for MEDLINE]

    5: [Iodine antiseptics are not harmless]
    Arena Ansotegui J, Emparanza Knörr JI.
    An Esp Pediatr. 2000 Jul;53(1):25-9. Review. Spanish.
    PMID: 10998400 [PubMed - indexed for MEDLINE]

    6: The newborn should be protected from dangerous transient induced hypothyroidism.
    López-Sastre JB, Rivas-Crespo MF.
    Acta Paediatr. 1995 Oct;84(10):1211. No abstract available.
    PMID: 8563243 [PubMed - indexed for MEDLINE]

    7: [Thyroid function disturbances in an infant following maternal topical use of polydine]
    Rakover Y, Adar H.
    Harefuah. 1989 May 10; 116(10):527-9. Hebrew.
    PMID: 2792927 [PubMed - indexed for MEDLINE]

    8: Topical iodine, breastfeeding, and neonatal hypothyroidism.
    Delange F, Chanoine JP, Abrassart C, Bourdoux P.
    Arch Dis Child. 1988 Jan;63(1):106-7. No abstract available.
    PMID: 3348642 [PubMed - indexed for MEDLINE]

  • kris

    5/23/2009 2:32:32 AM |

    Leslie.
    here is another study from the same site search. i just copied the whole paragraph.

    1: Public Health Nutr. 2007 Dec;10(12A):1600-1.Click here to read Links
        Iodine nutrition of pregnant and lactating women in Hong Kong, where intake is of borderline sufficiency.
        Kung AW.

        Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China.

        OBJECTIVE: To describe the iodine nutrition of pregnant and lactating women in Hong Kong, where intake is of borderline sufficiency.DESIGN: Review of cross-sectional and prospective studies.SETTING: China, Hong Kong Special Administrative Region (SAR).SUBJECTS: Pregnant and lactating women.RESULTS: Studies of pregnant women in Hong Kong SAR have revealed an increase in the urinary iodine (UI) concentration as pregnancy advances. A significant percentage of women had a sub-normal serum thyroid hormone concentration at full term. Although iodine is concentrated by the mammary gland, 19% of all mothers had low iodine concentrations in their breast milk. The moderate correlation between the concentrations of iodine in breast milk and urine suggests that an adequate maternal urinary iodine concentration cannot reliably indicate that an infant is getting enough iodine in breast milk. Therefore, some breast-fed infants may still be at risk of low iodine intake, and additional iodine supplements, other than salt iodisation, would be warranted in this population.CONCLUSIONS: The currently recommended intake of iodine through universal salt iodisation may not be adequate for pregnant and lactating women, and supplementation during pregnancy and lactation should be further considered in light of the latest recommendations.

    here is another one.

    1: J Am Coll Nutr. 2004 Apr;23(2):97-101.Click here to read Links
        Maternal thiocyanate and thyroid status during breast-feeding.
        Dorea JG.

        Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, Brazil.

        Cyanogenic glucosides are naturally present in plant foods especially in staple foods (cassava) consumed by millions of people in tropical countries. Most traditional processing methods are effective in detoxifying such goitrogens to safe levels of consumption. Nevertheless, residual cyanide (CN) is rapidly metabolized to thiocyanate (SCN) by existing metabolic pathways. There are concerns that goitrogens may reach the nursing infants through breast feeding or cow's milk based formulas. SCN adverse effects are commonly observed in relation to cigarette smoking. Breast-feeding is effective in protecting infants from anti-thyroid effects of eventual or habitual maternal exposure to CN exposure in food (cassava) or recreation habits (cigarette smoking). SCN goitrogenic effects occur secondary to iodine deficiency in special circumstances of high consumption of incomplete detoxified cassava and insufficient protein intake. Only during inadequate protein nutrition can SCN aggravate endemic iodine-deficient disorders (IDD).

    More and more one reads about these, more and more it becomes a muddy and confusing subject.
    despite the fact that we have all sorts of studies and experts to educate people, all it takes is few drug profit driven experts studies to confuse the less money spending route.
    Please read this
    "The Wolff-Chaikoff Effect"
    "crying wolf".
    http://www.optimox.com/pics/Iodine/IOD-04/IOD_04.html
    Please don't take me wrong. i am not trying to contradict the studies that you have posted here. i am merely trying to show as to what else is available out there.

  • TedHutchinson

    5/23/2009 9:10:04 AM |

    The Safe and Effective Implementation of Orthoiodosupplementation In Medical Practice

    This section had me laughing out loud. Much the same applies to the use of effective amounts of D3.
    Medicoiodophobes suffer from: A) a split personality which results in iodophobia within the orthoiodosupplementation range previously used safely and successfully in medical practice and iodophylia for megadoses of iodide (up to 12 gm/day); B) double standards, which render those physicians intolerant to the minor side effects of the inorganic forms and extremely tolerant to the severe side effects of the radioactive and organic forms; C) amnesia pertaining to the inorganic, non-radioactive forms when making therapeutic decisions; D) confusion, attributing the severe side effects of organic iodine-containing drugs to inorganic iodine/iodide; and E) an altered state of consciousness, allowing doublethink, doublespeak, and contradictory logic to become acceptable. Although the factors involved in medical iodophobia are still unknown, decreased cognition seems involved. Since low iodine intake is associated with intellectual impairment, deficiency of this essential element cannot be ruled out, and if present, would create a self-perpetuating phenomenon. Needless to say, medical iodophobia is contagious and can be transmitted to patients and other physicians (iatrogenic iodophobia). Medical iodophobia will remain a syndrome until the causes are discovered and effective therapy implemented. It is very likely however, that medical iodophobia will eventually be classified as an iodine-deficiency disease.

  • Anne

    5/23/2009 11:33:53 AM |

    My endo told me not to take iodine because he said living in the UK, it being an island, people here get enough iodine from their diets.

    He also said that because I eat a lot of fish (once or twice per day) that gives me additional iodine.

    He said some of his German patients take iodine against his wishes (must be a popular supplement among Germans), and if they are pregnant it's really bad for the fetus.

    Anne

  • kris

    5/23/2009 7:37:08 PM |

    Fish.
    according to Dr. david derry,"Fish of the great lakes still shows Goiter formation".
    http://books.google.ca/books?id=PVWOyP68OMsC&pg=PP1&dq=dr+david+derry&client=firefox-a#PPA6,M1
    So even fish's origin is important. apart from fluoride in the tooth paste and fluoride added municipal water which depletes us from iodine. never mind chlorine in the water and bromine in the food and many other goods around us, helps to deplete iodine.

  • Anna

    5/24/2009 7:10:45 PM |

    I wonder about the huge amount of food that is imported into the UK from distant locations One can't assume enough iodine universally throughout the UK based on UK soil content.

  • Anne

    5/25/2009 8:12:10 AM |

    Kris - you should eat sea fish and shell fish.

  • kris

    5/25/2009 7:03:50 PM |

    Anne,
    Thank you for your advise.
    now i am eating sea fish twice a week. but iodine is must for me. my mother's right side elbow and knee was in bad shape for 35 years. The knee joint was so bad that the joint would come off of it's position. we had to learn our to self to place it back. as usual, she went to many doctors but no help. she is vegetarian all her life. about six months ago she started applying lugol's iodine externally on the knee. she was applying religiously 3 times a day for 2 weeks on and one week off. at the end of the two weeks application, the knee would look like war zone. after about month and half, the knee starting to look like normal knee. now she is able to walk about mile and a half every day on the tread mill. she also been taking 3 drops a day internally too. i personally believe in more iodine than we can find in our the food.

  • Anonymous

    7/31/2009 2:43:32 AM |

    Anna:
    "Breast Cancer and Iodine" by Dr David M. Derry, Canada

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Heart Scan Frustration

Heart Scan Frustration

Ideally, you get a heart scan and your doctor sits down with you and provides a rational, insightful discussion on what the results mean.

Is heart attack in your future? If so, when? Are blockages present? What is the role of other tests like stress tests and heart catheterizations? Do CT coronary angiograms add any important information? What is the role of cholesterol? Can diet or nutritional supplements impact on heart scan score?

But what happens if you are unable to get the answers you desire? What if you get brusque responses, or your doctor just doesn't know? Or what if there is a clear conflict of interest or the possibility of financially-tainted advice? ("You need a heart catheterization right away or you'll die of a heart attack!")

One example of this process was posted by a frustrated Member of Track Your Plaque who found that answers were virtually unobtainable from his/her doctors:

I underwent a heart scan a few weeks ago, based on a recommendation from a doctor. I assumed that, since I was paying for it, and I requested it, the results would be fully explained to me.

Late on a Friday afternoon, the radiologist who intrepreted it called me and said I would be receiving a report, and so would the doctor. I asked that she explain them to me. She said their policy was to give the report to the doctor and let him explain them. She did say I was in the 90th percentile for my age--and that 10% had a worse score. I asked where do we go from here, and she said, if you're not having symptoms, maybe lifestyle changes, but YOUR DOCTOR will let you know. I asked for a copy of the films and reports, and was told YOUR DOCTOR can request them. I called back a little later and she was gone. It was starting to sink in that I must have a terrible score. In the meantime, I did what I should have done before I went for the scan---looked up information on the internet, and read about calcium scoring. This website [Track Your Plaque] hadn't showed up in my Google search, so a lot of the information was useless.

I did manage to get the score of 186, with the breakdown per artery from someone at the clinic, but only after I insisted I paid for the test, I have a right to the information. 'Course having a score per artery didn't really help---what did it mean? ie: if a 72, how did that correlate to any blockages? Was it a big lump...or spread along the wall throughout the artery.

I had an appt. the following Tuesday with THE DOCTOR---a very busy doctor. After an hour and 1/2 wait in a crowded waiting room, I got to see him. We discussed briefly another issue, and he started walking out. I followed him out and said I wanted my full l5 minutes of time allotted in their scheduling, which seemed to irritate him.

I followed him into his office and said, WHAT ABOUT THE HEART SCAN? What do the numbers mean? He responded that he didn't know, he'd have to see the films, but don't worry--you're probably ok, and I should get a thallium stress test anyway. He said he couldn't intrepret the numbers, or give an opinion on where the plaque was or how it was configured.

I then went to the interventional cardiologist that afternoon and the thallium stress test was scheduled. I asked about the HEART SCAN, and again, no acknowledgment. I asked if he would get the films and explain the results, and again no acknowledment as he was walking out the door.

After this lengthy saga.....MY QUESTION IS....since this is a test you can order yourself (literature at center made mention of the tests you can get without a doctors request)......WHO IS THEIR FIDUCIARY RESPONSIBILITY TO WHEN IT COMES TO EXPLAINING THE RESULTS?

I learned more on this website [Track Your Plaque], and the emailed book then I did dealing with two doctors and the center itself. Thinking back, there was nothing but a brochure on the test at the center. No "Track your Plaque" stuff.




Day 2
I called the scanning center and relayed my dilemma. I was put in touch with another radiologist--a very informative one, who appeared passionate about heart scans as a preventive test. He compared them to mammograms. He hadn't heard about the "Track Your Plaque" program but was going to check it out. He said people varied in their responses to the test results, as well as doctors/cardiologists as to the next step. (ie: lifestyle changes..the next test, etc). He seemed to feel blockages of more than 50% for many cardiologists would indicated angioplasty and stenting.

I'm going back to review the films with him later this week. He wasn't that concerned with the 101 reading on the right artery. The 72 on the left he had concerns with and indicated the CAT test [CT angiography] would offer more as far as how much was there, and approx. blockage, and could be a baseline to compare to in the future. He said some cardiologists would go right to angioplasty...some to a CAT which is more conservative...some might watch and encourage lifestyle changes. He said the Heart Scan doesn't show soft plaque. He also said the internist who referred me was one of only a few in the city that felt strongly about the heart scan---and probably used it to take further action via a referral, and just didn't have time to discuss it, with the way medicine is run these days.



This Member's frustrated post pretty much sums it up:

1) Doctors don't seem to have the time nor motivation to be bothered about offering advice that leads to prevention of disease.

2) The tendency is to always ask, "Are heart procedures necessary?", not "How did this happen?" or "What can we do about this to keep it from getting worse?" How about diet, supplements, and other tools to use at home?

The obvious uneasiness of the radiologist, the last physician this Member spoke with, can just as easily lead to boneheaded advice: Maybe getting a stent isn't such a bad idea. Maybe a CT angiogram is an absolute necessity.

I hear comments like this every day. It is the reason why I continue to plug away at this program and try to set things straight.

By the way, subscribers to our Track Your Plaque Newsletter just heard about our latest success story, Roy, who dropped his heart scan score over 500 points. If you are yet not a newsletter subscriber, click here.


Copyright 2008 William Davis, MD

Comments (4) -

  • Anonymous

    3/27/2008 12:23:00 AM |

    I wonder why this busy heart scan place doesn't make a movie about what each test score means, along with recommendations to correct abnormal scores. The patient could watch it before his follow up with the dr, then there'd be less questions using up busy doctors times.

    Each test segment could be recorded separately to make it easier on the dr in front of the camera, and for later on when different tests are added or removed from the heart scan, the movie could be re-compiled more easily with the different segments. Making movies on computers isn't nearly as difficult, or expensive, as a few years ago.

  • Anonymous

    3/27/2008 2:50:00 AM |

    Just wanted to say a rambling,  thanks for taking the time to write the blogs that you do and to have created the TYP web sight.  The program has made a difference for me, my family, and several friends who follow the TYP teachings.  

    In many ways you have a job that I used to say I wanted.  For many years I suffered from severe GI issues and was forced to go from doctor to doctor looking for a cure.  It was a miserable experience, as I was not only ill and tired, I also found myself all to often fighting doctors and nurses for information, and proper care.  
    I remember telling myself back then that if I ever found a cure for myself I was going to go back to college to try and become a doctor to help those with GI needs.  Not because I wanted to be a doctor, I didn't and now being close to 40 don't want to today, but because I knew what it was like to have GI issues, and what it was like to deal with the mainstream medical system.    

    You have a fan in me.  After what I had been through previous with hospitals, when I saw your TYP program it didn't take me long to realize what a wonderful system you have created.  I'm still surprised that as a doctor you are not afraid to recommend supplements.  After all the prescription drugs I had taken that helped very little and all to often had miserable side effects, if I have a choice I'd take natural supplements every time.  The only side effect I've had with them is feeling great.  No other doctor that I'd met was willing to recommend supplements even though i later figured out that fish oil was by far the best medicine for my gut issues.

    I enjoy promoting your proven to be successful heart program to others.  I don't know how successful I am at it, but want to see you succeed so do the little that I can.

  • moblogs

    3/27/2008 2:09:00 PM |

    I saw this today (British health site) and feel happy that the right path is being looked at: http://www.netdoctor.co.uk/interactive/news/theme_news_detail.php?id=18524357&tab_id=116

    On a non-heart note. I think England's (currently in America) Dr. Wakefield will one day get praise for outlining the MMR jab as a contributor to autism development. A D deficient body can't deal with mercury and severely D deficient bodies are now the norm with safe sun campaigns reached their peak in the mid 90s. What's more a D replete body may not need MMR...

  • Anonymous

    3/28/2008 6:17:00 AM |

    I can see where a testing center would be reluctant to share "Track Your Plaque" information since they serve a wide variety of doctors..cardiologists, and they don't want to step on their toes or interfere with their treatment plan.  

    The key is having a doctor--or better yet preventive cardiologist (how many of them are around?) that takes the necessary time to intrepret and counsel their patient on the significance of the heart scan, and makes alternatives available.  Of course that takes time...for some doctors it's easier to recommend the next test or referral and write out numerous prescriptions.  In my opinion, this is not good medicine and you should run as fast as you can from this type of fast medicine.

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