(Lack of ) Quality of nutritional supplements

16. May 2007 William Davis (0)
In my last post, I blogged about how we must not confuse marketing with truth. They are often two different things.

A patient I saw today was absolutely convinced that his fish oil was the best available in the world: purer, uncontaminated by mercury or pesticides--"not like that other crap on the shelves." I asked him how he knew this. "They say so," he proudly declared.

Do you recognize this? He fell for the marketing. While there may be some truth in the manufacturer's claims, you can't believe it from the mouth of the manufacturer. True judgements about quality and purity have to come from an independent source like Consumer Reports, Consumer Lab, or the FDA.

But the FDA doesn't regulate the quality and purity of nutritional supplements. On the positive side, this has allowed supplement manufacturers to keep costs down, not having to navigate arcane and complex regulatory restrictions.

On the negative side, a fair number of supplement manufacturers get away with 1) producing supplements that fail to contain the stated amounts of ingredients, occasionally containing none of the essential ingredient(s), 2) contain contaminants like lead, and 3) make extravagant and often unfounded claims like "superior", "more effective", and "purer". (DHEA, for instance, is a particular landmine of poor quality. I recently suggested that a patient take DHEA; despite consistently taking 50 mg of a specific brand for several months, the blood level of DHEA-S didn't budge one bit--there was likely little or none in the capsule.)

The Fanatic Cook at http://fanaticcook.blogspot.com has posted some very insightful discussions on this issue and the proposed FDA regulations of supplements. They're worth perusing.

I really wish regulation weren't necessary and that the industry could have policed itself. But it clearly has failed and perhaps federal oversight is not such a bad thing, as long as the FDA regulations restrict themselves to oversight over quality and purity and not to efficacy. It's the efficacy regulation that could hogtie innovation in supplement development.
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Why are heart attacks still happening?

Why are heart attacks still happening?

4. March 2012 William Davis (10)
I'm a cardiologist. I see patients with heart disease in the form of coronary artery disease every day.

These are people who have undergone bypass surgery, received one or more stents or undergone other forms of angioplasty, have survived heart attacks or sudden cardiac death, or have high heart scan scores. In short, I see patients every day who are at high-risk for heart attack and death from heart disease.

But I see virtually no heart attacks. And nobody is dying from heart disease. (I'm referring to the people who follow the strategies I advocate, not the guy who thinks that smoking a pack of cigarettes a day is still okay, or the woman who thinks the diet is unnecessary because she's slender.)

Two high-profile deaths from heart attacks occurred this week:

Davy Jones--The iconic singer from the 1960s pop group, the Monkees, suffered sudden cardiac death after a large heart attack, just hours after experiencing chest pain.

Andrew Breitbart--The conservative blogger and controversy-generating media personality suffered what was believed to be sudden cardiac death while walking.

It's a darn shame and it shouldn't happen. The tools to identify the potential for heart attack are available, inexpensive, and simple. The strategies to reduce, even eliminate, risk are likewise available, inexpensive, and cultivate overall health.

The followers of the Track Your Plaque program who

1) get a heart scan that yields a coronary calcium score (for long-term tracking purposes)
2) identify the causes such as small LDL particles, lipoprotein(a), vitamin D deficiency, and thyroid dysfunction
3) correct the causes

enjoy virtual elimination of risk.
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Comments (10) -

  • Alexandra

    3/4/2012 1:02:04 PM |

    Just read this about Davy Jones:
    http://blog.sfgate.com/dailydish/2012/03/01/micky-dolenz-bewildered-by-davy-jones-death/

  • nina

    3/4/2012 9:30:09 PM |

    I saw some recent photos of Davy Jones and thought ''wheat belly''.  Sad, but avoidable.

  • PeteKl

    3/4/2012 11:00:30 PM |

    I don''t claim to entirely know the answer to this question, but I am willing to venture a guess to what might be part of the answer.  My suspicion is that in the end, for better or worse, most people value the opinions of their social group more than they value their health.  Currently Doctor, your recommendations are just too far from mainstream opinion and sadly will be ignored by all but the most thoughtful people.

    As anyone who has tried to modify their diet has probably discovered, the greatest challenge often isn''t dealing with cravings for a missing food.  Instead it is dealing with the social backlash to your lifestyle change from friends and family.  

    At first everyone is interested in knowing why you have made the change and they attempt to accommodate your choice.  However eventually they become annoyed as they realize the change you made is permanent.  I can''t tell you how many times I have heard some variation on the following when deciding where to eat with friends (usually given with a thinly veiled snide tone of voice):

    “I would really like to check out that new Italian restaurant, but Pete won''t eat pasta, so I guess we have to go back to the usual place.”

    It doesn''t matter how many times I tell people that I can always find something to eat no matter where we go.  Someone will still insist on making an issue of my dietary choices.  Things aren''t always this blatant, but it is frequent enough that I eventually start wondering whether I should change my eating habits or stop eating with friends.

    While dietary modifications elicit the most direct response, these types of responses seems to occur with almost any health related change.  If your friends and family aren''t themselves doing something or think the change is a dumb idea (no matter how flimsy the reasoning), most people will avoid making a change.  

    Even my own partner, whose father died suddenly of a heart attack last month and whose relatively young mother has been diagnosed with chronic heart failure ignores my suggestions (which are based on your recommendations).  He has asked me several times for advice that might help his mother and the response to my suggestions is always that it won''t work.

    I finally realized that he simply doesn''t want to challenge the rest of the family.  His older brother, a pharmaceutical representative, is viewed as the “expert” on family health issues and my partner refuses to butt heads with him despite what is at stake.  So I keep quiet and wish his mother the best.

    Much of this is understandable.  Humans are social animals and we have evolved to depend on our social group for survival.  On a savannah in Africa 50,000 years ago this made perfect sense.  But in a modern world of science and technology these natural social instincts are increasingly an obstacle to our health and many of us know it.

    Yet it still takes a strong, independent personality to ignore these impulses.  While I have been able to make a number of changes in my life based on your recommendations, it has still been difficult to consistently follow through.  

    Just a few days ago I was invited over to someone''s house to celebrate a birthday.  So what was on the menu?  Several wheat pizza''s, of course.  So did I tell the host that because of my heart problems I no longer eat wheat?  Sorry Doctor, I didn''t.  Instead I shut up, ate the pizza and  proceeded to raise my small LDL particle level for the next week (http://www.trackyourplaque.com/blog/2011/11/friday-is-my-bad-day.html).

  • Robert

    3/5/2012 7:42:48 PM |

    Since adopting a paleo/low carb diet in the last year, I am looking into getting an NMR lipoprofile test to get a baseline of how my particle count looks.  Under the section of treatment options on this particular site, the first line of start with eating right reads "Eat more whole grains, fruits and vegetables."  The very first thing listed is whole grains.  This is so frustrating to see on a site promoting a very useful tool in CVD risk evaluation.  I have read "wheat belly" and "track your plaque", both very good books.  I am also reading primal body, primal mind.  Heart disease runs heavily in my family and I''m pretty much going against what most people in my famliy do by following low carb/paleo eating habits.  I just dont understand why these larger blood test companies, even with all the evidence continuing to pile up, still suggest foods that will worsen the problem the tests are evaluating in the first place.  I guess you have to have confidence in the test they provide (NMR), but just ignore what they say are the best options for treating abnormalities of that test?

  • Dr. William Davis

    3/6/2012 3:47:32 AM |

    It is unbelievable, isn''t it, with all their insights?

    Give them time and they''ll catch on. In the meantime, ignore this nonsense, Robert.

  • Julie

    3/6/2012 6:40:58 AM |

    Dr. Davis,
    What would you recommend for someone who had recently one stent put in and is currently on a statin and plavix post -op?
    Is it necessary to take statins in this case? Any additional supplements etc.?

    Thank you in advance for your help!
    P.S. Loved your book!

  • Catherine

    3/7/2012 12:41:32 AM |

    Dr. Davis,
    Could you please consider changing your "categories" back to the old way you had them organized--single file, alphabetical and one type size? Although it may give a more creative look to the website, it is harder to find the material being sought. I send many new people to your site and they often complain about it.

  • Dr. William Davis

    3/10/2012 3:51:20 PM |

    Hi, Julie--

    This is precisely what the Track Your Plaque program is about.

    In a nutshell:

    1) Identify the causes specific to you, including lipoprotein abnormalties/lipoprotein(a)
    2) Supplement and normalize vitamin D and iodine/thyroid status
    3) Supplement omega-3 fatty acids
    4) Do the diet

  • The Worst Habits for Your Heart - Christian Forums

    5/30/2012 7:50:36 PM |

    [...] patients so that they avoid having a cardiac.   "Why are heart attacks still happening?"  Why are heart attacks still happening? | Track Your Plaque Blog     I’m a cardiologist. I see patients with heart disease in the form of coronary artery [...]

  • margaret

    5/25/2013 6:05:53 AM |

    Dr Davis
    Just found your interesting website.  I am trying to get my partner to cut out wheat (overweight, high chol and high BP).  Unfortunately, I can't find a doctor who conducts the tests you recommend.  Do you know of such in Australia (particularly Western Australia)?  

    Many thanks and I'll continue reading till we catch up down here!!

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Success--Slow but sure

Success--Slow but sure

12. October 2007 William Davis (5)
John is a gentleman.

At age 76, he continues to teach at a local college. He's a delight to talk to, having written several scholarly books on religious topics. He's a fountain of knowledge on religious history and the roots of faith.

John is one of those incurably optimistic people, always greeting me with a smile and a warm handshake. I can't help but linger for a hour or so to talk with John, unfortunately disrupting my office schedule miserably.

John is another Track Your Plaque success story. Though he didn't set any records in reduction of his heart scan score, he did it simply by adhering to the program over a period of two years, succeeding slowly but surely.

John's first heart scan score: 1190, a score that carries as much as a 25% annual risk for heart attack. Among the list of causes was an LDL cholesterol in the 170 mg/dl range, along with an LDL particle number that verified the accuracy of LDL.

Among John's suggested treatments was a statin drug, since I was not confident he could reduce LDL with diet and nutritional modifications sufficiently to safely reduce both LDL and his risk for heart attack. But he proved terribly intolerant to any dose of any statin, with incapacitating and strange side-effects, like head-to-toe itching, abdominal cramps and diarrhea. It was clear: John needed to do the program without benefit of a statin drug.

I therefore asked John to maximize all efforts that reduce LDL, 70% of which were small LDL paricles despite his very slender build. He used oat bran and ground flaxseed daily, raw nuts, a soy protein smoothie every morning, and eliminated wheat and other high-glycemic index foods (including the Oreos he loved to snack on). Because the mis-adventures with statin drugs wasted nearly a year, I asked John to undergo another heart scan. Score 2: 1383, a 16% increase.

I asked John to keep on going. Thankfully, he did manage to tolerate fish oil, niacin (though it required over a year just to get to a 1000 mg per day dose), and vitamin D. With all these efforts, he did reduce LDL to the 80-90 mg/dl range. Of course, John's unflagging optimism was crucial. He did express his occasional anxiety over his heart scan score, but dealt with it in a logical, philosophical way. He understood that there was no role for prophylactic stents or bypass, and he accepted that much of his program rested on his ability to adhere to the strategies we advised.

Another year later, a 3rd heart scan: 1210, a 12% reduction.

I'm very proud of John and his success. When you think about it, he succeeded in conquering heart disease with some very simple tools, minus statin drugs. It can be done, but requires consistency and patience--and an optimistic outlook.
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Comments (5) -

  • katkarma

    10/12/2007 6:37:00 PM |

    I try to follow your regimen of Fish Oil, Vitamin D, niacin and eat oat bran w/flax seeds also, but I use whey protein shakes in the morning because of the taste.   Is  this amount of soy really helping to lower LDL?  Is whey protein ok to use?

  • Dr. Davis

    10/13/2007 1:51:00 AM |

    Yes, I believe whey is fine.

    The LDL-reducing effect of soy is very modest, usually no more than 10 mg/dl. I like it because of the protein that permits low-glycemic index foods to be created with it. I also grew up with soy products since I was a kid and am very comfortable with its many forms.

  • wccaguy

    10/13/2007 2:17:00 AM |

    Just to follow up on katkarma's question...

    Is there any reason to use soy protein rather than whey protein other than that modest LDL lowering effect?

    Any reason not to use whey protein as a surrogate for soy protein?

  • Dr. Davis

    10/16/2007 10:52:00 PM |

    To my knowledge, whey protein is fine, though without direct effects on such things as LDL/small LDL.

  • Scott Parrish

    10/17/2007 1:09:00 PM |

    Kaayla Daniel, in her book "The Whole Soy Story," makes the best for avoiding soy unless fermented. Fermented options including natto, miso, tempeh, but NOT soy protein isolate, tofu, soy milk and other popular soy forms. Problems with soy include estrogenic activity, certain mineral absorption problems, thyroid problems, increased risk for certain cancers.

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Wheat one-liners

Wheat one-liners

26. November 2010 William Davis (22)
If you're having difficulty convincing a loved one or someone else that wheat should be eliminated from the human diet, here are some useful one-liners to use:

Wheat makes your boobs big.
(This is true. Priceless for women to use on their husbands.)

Wheat causes dementia.
(And confirmed on examination of brain tissue at autopsy. Yes, autopsy.)

Wheat makes you look pregnant.
(The visceral fat of a wheat belly does a darn good imitation of a near-term infant.)

The first sign of wheat intolerance can be wetting your pants.
(Cerebellar ataxia, i.e., destruction and atrophy of the cerebellum, caused by wheat leads to loss of coordination and bladder control. Average age of onset: 53 years old.)

White flour bad, whole grain better; just as Marlboros are bad, Salems are better.
(The flawed syllogism that led to the "eat more healthy whole grain" colossal blunder.)

Wheat is the only food with its very own mortality rate.
(Celiac disease, osteoporotic hip fractures, and the neurologic diseases triggered by wheat can be fatal.)

"Wheat" is no longer wheat; it's the dwarf mutant that came from genetics research in the 1960s.
(Over 99% of all wheat today comes from the 18-inch tall dwarf mutant.)

Wheat increases blood sugar higher than nearly all other foods.
(Higher than Milky Way bars, higher than Snickers bars, higher than table sugar.)


There you have it: A full arsenal of one-liners to shoot at your husband, wife, or friend when they roll their eyes at your refusal to consume this thing called "wheat."
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Comments (22) -

  • Anonymous

    11/26/2010 3:21:15 PM |

    Dr. Davis:

    As part of my low carb diet. When my family has pasta (2x per month or so) I have Dreamfields pasta which claims to "lock up" the carbs so they become indigestible. By testing, I know this does not cause a spike in my blood sugar like a normal pasta meal would. I have no wheat sensitivity at all that I can detect, but lately I've become concerned that this may still contribute to small particle LDL, even though it does not spike my blood sugar. Will I still have negative effects from eating this?  P.S. Sorry to be "Anonymous" but I'm not signed up for any of the other options.

  • Anonymous

    11/26/2010 3:53:36 PM |

    You need to test up to 5 hours after eating the pasta. It may be slowing, but not eliminating the spike

  • Lori Miller

    11/26/2010 4:07:33 PM |

    I find wheat to be an appetite stimulant, congesting, it leads to bloating, a few pounds of water weight gain, and a lot of crud on my teeth. If a slightly flatter chest is the price I have to pay to avoid all this, I call it a bargain.

  • Steve Cooksey

    11/26/2010 4:17:47 PM |

    ... but other than all those reasons....wheat's ok right? Cause we need fiber....right??

    LOL!!! I am a Type 2 Diabetic with normal blood sugar and CDE's have told me I should start eating grains.... for FIBER!

    I should take drugs & insulin ....for fiber...

    Thanks Dr. Davis!!!

  • Anand Srivastava

    11/26/2010 6:29:12 PM |

    So women who want big ones should eat wheat Wink. Just saying.

  • Anonymous

    11/26/2010 7:13:05 PM |

    "So women who want big ones should eat wheat Wink. Just saying."

    Didn't work for me!  I've had size A cup boobies before and after wheat.  I do have a nice, flat stomach now though so it was a net gain (loss actually)!

    I also got rid of allergies, skin problems, joint pains and other minor health complaints.

    To the person above eating Dreamfields pasta, it is still loaded with glutens, which cause a host of problems associated with wheat. It's not just the carb content of wheat that is bad.

  • Anonymous

    11/26/2010 7:17:13 PM |

    im a new persona after quiting wheat but doctor what are the usual minerals low in a person consuming wheat which they should supplement after stopping wheat... eg iron/iodine?

  • Dr. William Davis

    11/26/2010 8:41:01 PM |

    Hi, Anonymous--

    See Anonymous' response. It's right on.

    We've had mostly good experiences with the Dreamfields, though some have had modest increases in blood glucose.

  • Dr. William Davis

    11/26/2010 8:42:35 PM |

    Yet another Anonymous--

    Great question about the deficiencies that develop with wheat consumption.

    I'll cover that in an upcoming Heart Scan Blog post.

  • Ed

    11/26/2010 9:21:18 PM |

    As you say, "'Wheat' is no longer wheat".

    Here's a paper that shows varying wheat toxicity, as you observed with einkorn:

    "Natural variation in toxicity of wheat: potential for selection of nontoxic varieties for celiac disease patients."

    http://ukpmc.ac.uk/abstract/MED/16143119

    Different species and varieties, all (usually) called by the same name: not helpful for reality-based thinking.

  • Chris

    11/27/2010 1:34:46 AM |

    Robert DeNiro used Pasta to gain, what was it? 70lbs? for "raging Bull"
    ...worth an Oscar, I guess Smile

  • Eric Edberg

    11/27/2010 2:13:07 AM |

    "Wheat causes dementia."  What's the documentation for that?  I've read all over the place that the evidence for dementia causes, including dietary causes, is inconclusive.  (I also understand that big pharm would have us believe that the problem is insufficient levels of Namenda and Aricept, etc.)

    It's confusing.  My mother has significant dementia.  My dad had a huge belly, all sorts of diabetes complications, heart disease, etc., which killed him, but never developed dementia.  

    Anyway, enjoy your blog and am almost there on eliminating wheat from my diet.  

    Thanks!

  • Desia

    11/27/2010 2:17:22 AM |

    The first sign of wheat intolerance can be wetting your pants.
    (Cerebellar ataxia, i.e., destruction and atrophy of the cerebellum, caused by wheat leads to loss of coordination and bladder control. Average age of onset: 53 years old.)
    Where can I find more info on the above? I've been googling but cannot find something substantial.
    Thanks!

  • Dave

    11/27/2010 6:12:49 AM |

    I think it might be more catchy to think of "healthy whole grains" as the equivalent not of Salems but of "healthy low tar" cigarettes.

  • William Trumbower

    11/27/2010 12:06:29 PM |

    The increased visceral fat (wheat Belly) caused by the high wheat SAD does cause men to aromatize their testosterone to estradiol and get man-boobs, but in women it converts their estradiol to testosterone causing hair growth abnormalities etc.   The SAD causes men to look like women and women to look like men.

  • Dr. William Davis

    11/27/2010 1:50:41 PM |

    Hi, Eric--

    A clarification: I don't believe that I can argue that ALL dementia, or even most dementia, is caused by wheat. But the Mayo Clinic has published a study demonstrating that it has this potential. Nobody knows how common this is.


    Hi, Desia--

    Go to Pubmed.com and enter "cerebellar ataxia" and "gluten" and you will come up with the extensive work of Hadjivasilliou et al.


    Dr. Trumbower--

    Good to hear from you!

    Excellent distinction. I should have added: "Wheat makes women grow mustaches."

  • sr

    11/27/2010 4:09:37 PM |

    The new poster boy for the wheat industry:

    http://1.bp.blogspot.com/_gv9eOOyFf8Q/SAP0wrd5E6I/AAAAAAAAB0g/vht-QdRvPZQ/s1600-h/76e41476b9ecd0ed6e386edb0e9e0fccfb3b2b77.jpg

  • Desia

    11/27/2010 6:10:41 PM |

    Thanks for the reply Dr. Davis.

  • Paul

    11/27/2010 7:11:18 PM |

    I fell off the wagon this Thanksgiving.

    All my family and friends completely reject the very idea of wheat abstention. Although, I did succeed in convincing my mom to go LC for a little while. She lost eight lbs. and two 1/2 inches off her waist in two weeks. She fell off the wagon soon after and quickly regained the weight. She said she was going to "try it" again.

    This holiday I was asked to two Thanksgiving meals and the usual villains where there in abundance; breaded turkey stuffing, thick-starchy gravy, puffy white butter rolls, and a variety of pies drowned in sugar.

    After 31 straight months abstaining from all things wheat, starch, and sugar, I succumbed to the prodding of my hosts to fully participate in the carb filled feasts (although I did so only in small portions.)

    By the time I got home later that afternoon, I felt so lethargic and foggy all I wanted to do was lay down and go to sleep. If I didn't know any better, I would have sworn someone slipped me a drug, but I knew it was only a reaction to the carbs, especially after being (at or near) a ketogenic state for so long.

    Instead, I got the dumbbells out and did some heavy lunges, presses, and pull-ups and I quickly felt much better.

    I think the adoption of wheat in western societies is so accepted and so prolific, and even highly revered and dispensed as a health food by medical and dietary establishments, the war for minds and bodies (literally) against this enemy is going to involve very long arduous battles.

    Oh, and I'll think very hard when ever again my family or friends offer up a bowl of stuffing, gravy, or butter rolls.

  • Hans Keer

    11/28/2010 5:23:49 PM |

    Thanks for the ammunition doc. My experience however is that apart from my partner, children and closest friends, second line relatives and friends are not so willing to listen to this kind of advice. Fortunately a lot of blog readers and Facebook friends are very willing to pick up the information (in this case http://bit.ly/cyKHre) and do something with it.

  • Anonymous

    11/29/2010 5:20:10 PM |

    One minor modification to the Salems quip:  Healthy whole grains are the "light" cigarettes of our age!

  • Freida Pinto

    12/2/2010 12:24:49 PM |

    Very good analysis for the diet, family. Really good. Go natural...






    Freida Pinto

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