Supplement Mania!

Ever hear of "polypharmacy"? That's when someone takes too many medicines. People will have lists of 15-20 prescription medicines, for instance, with crazy interactions and oodles of side-effects.

Well, how about "poly-supplments"? That's when someone takes a large number of nutritional supplements.

Let me tell you about a 45 year old man I met.

In an effort to rid himself of risk for heart disease that he felt was likely shared with his family (brother and father diagnosed with heart attacks in their late 40s), Steve followed a program of nutritional supplementation. You name it, he took it: hawthorne, anti-oxidant mixtures, vitamins C, E, B-complex, saw palmetto, 7-keto DHEA, velvet deer antler, gingko biloba, policosanol, chronium picolinate, green tea, pine bark extract, St. John's Wort, CoEnzyme Q10, papain and other digestive enzymes...He became a distributor for a nutritional supplement company to allow him to afford his own extraordinary program.

To satisfy himself that he had indeed "cured" himself of heart disease, he got himself a CT heart scan. His score: 470, in th 99th percentile. Steve's heart attack risk based on this score was around 10% per year. High risk, no question.

For weeks after his scan, Steve admitted walking around in a daze, not knowing what to do. Years of telling himself that he had effectively dealt with his heart disease risk, now all down the drain.

When we met, I persuaded him that to think that this collection of supplements would reverse heart disease was magical thinking. We trimmed his list down to the essentials and got him on the right track.

Heart disease is controllable and reversible, but not this way. Don't fool yourself into thinking that some collection of supplements will be enough to stamp out your heart disease risk. Just like taking an antibiotic when you don't have an infection achieves nothing, so does taking the wrong supplements.

Comments (3) -

  • Frankie

    4/9/2006 9:11:00 PM |

    Did the 45 year old man have any additional tests other than the CT heart scan? Homocysteine ? Lp(a) ? CRP ? or a VAP to get an overall picture?

    What list of nutritional supplements  were kept in his regime?

    Any prescription meds added?

  • Dr. Davis

    4/9/2006 10:12:00 PM |

    The eventual program we devised for this man is based on the Track Your Plaque approach of:

    1) Identify all obvious and hidden causes of coronary plaque. My preferred method is lipoprotein testing via NMR (See www.Liposcience.com) He proved to have 7 previously unrecognized patterns, most notably small LDL and its associated abnormalities. See the www.trackyourplaque.com website for a description of our approach to lipoprotein testing and how to use it in a program of coronary plaque control.

    2) Supplements must include fish oil and vitamin D. Please also see the website for full description and rationale. Although much of the website is closed access for members, a great deal remains open content.

    3) Prescription medicines are always kept to a minimum but this man ended up with a statin drug because of a severely elevated LDL cholesterol. It's not our first choice but a necessary evil. Remember, this man was virtually certain to die or have a heart attack within the next several years.

  • Scott Miller

    11/2/2008 1:05:00 AM |

    First post on your blog, which I'm reading through from the first post (I've read you most recent 20 posts, too).

    The two supplements most responsible for reversing plaque are:

    o l-arginine (stunning success with this alone by several doctors -- complete removal).

    o pomegranate extract -- clinical trials on humans show a 30% plaque reduction in one year.

    There are several other very valuable supplements for plaque control, including vitamins D3, C, K2, and resveratrol, and IP-6 (a rice bran extract).

    I take all of these (90 supplements daily in my program--47 years old), and have totally clean pipes verified by several tests, including the relatively new Lp-PLA2 tests.  My 70-yr-old parents are on a similar program and have reduced their plaque levels to near zero.

    (Yes, I'm quite wealthy, and can afford these supps and tests.)

    Anyway, superb blog so far, and I've already recommended it with other major health forums where I am well-known, such as ImmInst.org (known as DukeNukem).

Loading
Accidental Health

Accidental Health


"I shall never have smallpox for I have had cowpox; I shall never
have an ugly pockmarked face."

Such was the idle comment made by a milkmaid to Edward Jenner in 1768 when Jenner was 19, a remark that later prompted his investigations into using isolates of cowpox injected into humans as the first vaccination against the devastations of the European epidemic of smallpox.

(A caricature of Jenner administering cowpox vaccine to people, causing them to sprout bovine appendages. Image courtesy Wikipedia and the Library of Congress.)

When I look back, something similar has happened here.

Although the Track Your Plaque program is intended to stop and reverse coronary plaque using the only available means of tracking coronary plaque, i.e., heart scans, an unintended panel of benefits follow:

--People lose weight, often dramatically
--People gain greater energy
--Thinking is clearer, emotions more stable
--Sleep is deeper
--Bone density increases
--Physical strength and coordination improve
--Winter blues dissipate
--Blood sugar drops dramatically
--Blood pressure drops

Cholesterol (lipid) panels also settle to values that most physicians deem impossible or impractical, given our target of 60:60:60, i.e., LDL 60 mg/dl or less, HDL 60 mg/dl or higher, triglycerides 60 mg/dl or less. And medications are not always necessary to achieve these values. (When I show these values to my colleagues, they declare them flukes, unobtainable only in select people with high doses of medications.)

I didn’t set out to find the next weight loss solution, nor the key to boundless energy. My goal was "simpler": create a program of heart health. I am, after all, a cardiologist.

I was so intently focused on achieving incremental improvements over the steps leading to heart disease prevention that I failed to recognize the profound phenomena that accompanied it: people were quicker, smarter, thinner, and healthier.

In other words, I believe that we have inadvertently created a program of super health and performance.

Ironically, most people don't want to talk about heart disease, let alone reversal of heart disease. They do want to talk about getting thinner, feeling more energetic, living longer, better cholesterol values, etc.

Perhaps there's a lesson in this.

Comments (2) -

  • Anonymous

    10/9/2008 1:05:00 AM |

    Dr. Davis:
    You are providing miraculous advice for people who have lost all hope for the medical profession and all hope for recovery from their ills.

    I come from a very long line of heart-attack/stroke victims. My entire family on my Dad's side has died (young and middle age) from heart related ailments. I myself had a stroke at age 46.

    Lying in bed in the hospital, thanking whatever gods came to my rescue that my mind seemed intact even though my body was not responding as well as I'd hoped, my priorities shifted. I had only one goal, to recover and find a way to become healthy again.

    It was a long road. The neurologist could give me no advice on diet. I started shunning all doctors and started researching and reading all I could on nutrition. I was sure it was nutrition. Once I discovered the low-carb community and implemented low-carbing in my life, I was saved. And the truth shall set you free and it did for me.

    Dr. Davis, you are a pioneer who saw that conventional methods were not working with your patients. You did not blindly turn your back on them and continue doing what almost every doctor was doing, you began your own truth-seeking journey.

    For this you stand with very few other doctors who did the right thing and I thank you. It is because of you and others like you that I am still alive.

  • Joe D. Goldstrich, MD, FACC

    10/9/2008 12:18:00 PM |

    Nathan Pritikin had a similar experience almost 50 years ago. He started his program to try to reverse heart disease and ended up naming his facility the "Pritikin Longevity Center" after seeing a wide range of dramatic health benefits. Pritikin's coronary arteries were free of plaque at his autopsy. Diet and exercise rule!!

Loading