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Advanced Mediterranean Diet » Quackery

Archive for the ‘Quackery’ Category

Detox Detox Detox - Enough Already!

Wednesday, April 1st, 2009

Diet fads come and go, by definition.

Out of curiosity, I searched “detox weight loss” at Amazon.com and found the following book titles:

  • The Weekend Weight-Loss Plan: Detox, Shape Up and Feel Fabulous
  • Dr. Deal’s Delicious Detox Diet Weight Loss Wellness Lifestyle
  • Daniel’s Diet: The 10-day Detox and Weight Loss Plan
  • The 21-Day Detox Weight-Loss Plan: Lose Weight and Restore Your Health the Safe and Effective Way!
  • Rice Diet Solution - World-famous Low-sodium, Good-carb, Detox Diet For Quick And Lasting Weight
  • Collins Gem 48-Hour Detox: Quick-Fix Plans for Healthy Weight Loss
  • The Great American Detox Diet: 8 Weeks to Weight Loss and Well-Being
  • The Raw Food Detox Diet: The Five-Step Plan for Vibrant Health and Maximum Weight Loss
  • The Maker’s Diet for Weight Loss: 16-week strategy for burning fat, cleansing toxins, and living a healthier life!
  • The Fat Elimination and Detox Program (FED): A Holistic Approach to Disease Prevention and Weight Loss
  • The Great American Detox Diet: The Proven 8-week Programme for Weight Loss, Good Health and Well Being - As Featured in the Hit Movie “Super Size Me”
  • DETOX ! The Ultimate Guide to Detoxification! Fact, Fiction and Everything You Should Know to Detoxify Your Body the Right Way for Maximum Energy, Health and Weight Loss!
  • The Fast Track Detox Diet: Boost metabolism, get rid of fattening toxins, jump-start weight loss and keep the pounds off for good
  • 21 Pounds in 21 Days: The Martha’s Vineyard Diet Detox
  • Food Combining 2-Day Detox: Beat Weight Gain & Protect Your Health the All Natural Way
  • The Fast Track One-Day Detox Diet: Boost metabolism, get rid of fattening toxins, lose up to 8 pounds overnight and keep it off for good

Sixteen titles, four exclamation marks.  And that’s probably not all.

“Detox” peaked in 2006.

I give it another year, which is a good run for a gimmick.  Just wish I could predict the next blockbuster buzzword.

Steve Parker, M.D.

Update April 20, 2009

One more published this month:  Detox 4 Women: An All New Approach for a Sleek Body and Radiant Health in 4 Weeks! 

Informercial Superstar Kevin Trudeau Fined Over $37 Million for False Claims About Weight-Loss Book

Wednesday, January 28th, 2009

In October last year I blogged about the Federal Trade Commission’s judgment - over $5 million - against twice-convicted felon Kevin Trudeau.  He is the author of The Weight Loss Cure “They” Don’t Want You to Know About.

Who are “they”?  The Federal Trade Commission, apparently.

The FTC objected to Trudeau making false claims in his infomercials for the book.

On November 4, 2008, federal judge Robert W. Gettleman amended the judgment to $37,616,161, the amount consumers paid in response to the deceptive infomercials.

I always wondered how much money those infomercials could rake in.  That’s not pure profit, of course:  Trudeau had to pay for production costs, air time, etc.

What if he can’t pay the fine?  Jail time?

Don’t feel sorry for him.  His false claims were so egregious that the $37 million he collected from customers is tantamount to theft.  $19.95 at a time, plus shipping and handling.

Don’t be surprised if Turdeau cites this judgment as proof that the government and weight-loss industry have conspired to suppress his weight loss cure.

It warms my soul to know that there is indeed some justice in this life.  To the FTC and Judge Gettleman: thank you.

Steve Parker, M.D.

Reference:  January 15, 2009 FTC news release: Marketer Kevin Trudeau Violated Prior Court Order

To My Readers at Amazon.com, Regarding Spam

Monday, January 12th, 2009

This healthy lifestyle blog based on the Mediterranean diet is reproduced by syndication at Amazon.com.  To view it, click here.

Many of my blog posts show up at Amazon.com followed by long lists of hyperlinks to websites selling drugs or other products or services.  These links are not in the original posts and, as far as I know, I am not responsible for them.

Note that I do not endorse any of the products, services, or companies promoted by these hyperlinks.  I recommend you not click on them.

You can subscribe to the uncontaminated original blog by RSS.

I am working with Amazon to eliminate the problem.

  Steve Parker, M.D.

Update Jan. 15, 2009:  Spam appeared at the Amazon.com syndication today, three days after my original posting.  Please ignore and don’t click any hyperlinks that appear after this line.

Does Olive Oil Help With Weight Loss? [Shangri-La Diet Review]

Wednesday, December 3rd, 2008

A while back, I was listening to “talk radio” in my car and heard Dennis Prager say that olive oil helps to suppress appetite, leading to loss of excess weight.  I only caught the tail end of it, and let it go.  Evelyn Tribole, M.S., R.D. brought to my attention recently an article regarding hunger suppression by fatty foods, such as olive oil.  I found the time to research Prager’s statement. 

The olive oil/appetite suppression link seems to emanate from Seth Roberts, Ph.D., who was (and still is?) a psychology professor at the University of California - Berkeley.  He self-experimented with the theory that sugar water or olive oil taken on an empty stomach suppresses appetite naturally.  He stumbled upon his theory on a trip to France when he noticed that soft drinks unfamiliar to him seemed to suppress his appetite.  His theoretical underpinnings are based on rat studies, and on the idea - not his own - that our bodies have a weight set-point that mostly determines our weight. 

The set-point is like a thermostat that can be reset.  Set-point theory explains that after a spell of weight loss, we usually return to our previous heavy weight because that’s where the thermostat (set-point) is set.  We need to reset the thermostat.   How do you do that?  Drink either 1) one tbsp of extra light olive oil, or 2) one or two tbsp of fructose or sucrose (table sugar) in water, and do this not at mealtimes but at least one hour after meals, one to four times daily.  Don’t eat anything else at the time of the supplement, nor for one hour thereafter.  Total calorie content of these supplements is 100-400 calories per day.  You experiment to find the dose that suppresses your appetite.  And eat healthy meals of your choice.  Dr. Roberts says the extra light olive oil is better than the sugar.  Not extra virgin olive oil, which has too much flavor.   

The pure, unadulterated sweetness of sugar, and the near-tastelessness of the olive oil are important, according to Dr. Roberts.  They trick your weight set-point into resetting.  At least this is the theoretical framework he gave to Prager and TheDietChannel.com in 2006.  ABC News in 2005 reported he “suggests it works by suppressing a basic ‘caveman’ instinct from days when access to food was intermittent. The diet tricks the body from thinking it needs to eat every last bit of food before an impending famine.”  My sense is: If it works, it works, and the underlying mechanism is less important.    

Dr. Roberts easily lost 50 pounds with his method and wrote The Shangri-La Diet: The No Hunger Eat Anything Weight-Loss Plan to share with the world.  The blogosphere and the authors of Freakonomics helped spread the word rapidly.  In 2006, Dennis Prager allocated an entire hour of his show to Dr. Roberts, and volunteered that the olive oil indeed was suppressing his (Prager’s) appetite.  According to the book reviewers at Amazon.com, the Shangri-La Diet clearly works miraculously well for some, not at all for others.  You can find much more information and testimonials at www.sethroberts.net., perhaps enough that you don’t need to purchase the book if you want to give it a go.  Last I checked, the paperback was $3.99 plus shipping at Amazon.com.   

I’m not sure if this diet is a hoax or not.  It’s possible it is a social psychology experiment.  Maybe Dr. Roberts had a bet with someone that “anyone can write a popular diet book if they just use the formula.”  You can find the formula at www.sethroberts.net under “Reviews and Media.”   Listen to Dr. Roberts’ interview with Dennis Prager and decide for yourself.  He sounds earnest. 

I suspect it’s a hoax but, then again, Dr. Roberts may himself be a true believer.   What’s the evidence for hoaxiness?  The subtitle was my first clue: The No Hunger Eat Anything Weight-Loss Plan.  Legitimate, scrupulous doctors would be embarrassed to use that phrase.  The second clue is that Dr. Roberts seems to be a former contributor to Spy magazine.  This is precisely the sort of hoax the editors of Spy would concoct.  The third clue is that he uses just enough quasi-legitimate scientific theory and jargon to rope in many readers. 

[I know “hoaxiness” isn’t a word.  Neither was truthiness until Stephen Colbert coined it in 2006.]

I was particularly interested in the olive oil aspect of the Shangri-La Diet since olive oil is the predominant form of fat in the traditional healthy Mediterranean diet.  I searched PubMed.gov for scientific clinical studies in overweight humans showing that olive oil suppresses appetite and leads to weight loss.  I found none as of October 12, 2008.  Note that extra light olive oil is refined oil and has less of the healthy phytonutrients found in extra virgin olive oil. 

Dr. Roberts’ program, and its apparent success in some users, exemplifies the idea that losing excess weight is, in part, a matter of trial and error.  For example, the Atkins diet may work great for you, but not your next-door neighbor, who lost with Shangri-La, which didn’t work for your mother-in-law.  To some extent, weight-loss efforts are “an experiment of one.”  What works for you is partially based on genetics (idiosyncratic metabolic processes), personal preferences, early childhood experiences, financial resources, preparedness for change, personality type, etc.    However, two themes unify most people who have lost a significant amount of weight and kept it off long-term: 1) they don’t eat as much as in the past, and 2) they exercise more.  Look for these when you search for effective weight-loss programs.

The aforementioned article brought to my attention by Evelyn Tribole suggests how olive oil and other unsaturated fats could curb hunger.  Oleic acid, a prominent monounsaturated fatty acid in olive oil, is transformed into oleoylethanolamide (OEA) in the small intestine.  OEA then activates a brain circuit that gives you a feeling of fullness, reducing appetite, and potentially promoting weight loss.

A 2007 article in the Journal of Molecular Medicine exposes a genetic variation that seems to prevent high fat consumption from contributing to overweight.  Read about it at FuturePundit.com.  The gene variant may be found in 10-15% of the U.S. population.  Consumption of monounsaturated fats, as in olive and canola oil, almost seems to protect against overweight in people who carry this genetic variation.  I’m talking about single nucleotide polymorphisms of the apolipoprotein A5 gene, specifically, -1131T>C.  But you knew that, right?  Nutritional genomics may eventually allow us to customize our food intake to work best with our personal genetic make-up.

A number of people, including Dr. Roberts, swear by the Shangri-La Diet.  It works for them.  I don’t think most of them are lying.  Maybe they are in the subset of the population with the appropriate genetic variant.

It would be easy to design and execute an experiment on 100 subjects to test the efficacy of the Shangri-La Diet.  Until that’s done - and it probably never will be - you could inexpensively try the Shangri-La “experiment of one” on yourself.  From what I’ve read, you’ll know within the first week if you achieve the natural appetite suppression that substitutes for the willpower and discipline required by effective diets.  As always, get your personal physician’s OK first.  

If it is a hoax, I complement Dr. Roberts on his ingenuity.  His book was a bestseller in 2006.  For those he may have duped, it didn’t cost them much and probably caused no harm. 

Steve Parker, M.D.   

References:

Corella, Dolores, et al.  APOA5 gene variation modulates the effects of dietary fat intake on body mass index and obesity risk in the Framingham Heart Study.  Journal of Molecular Medicine, 85 (2007): 119-128.

Schwartz, Gary, et al.  The Lipid Messenger OEA Links Dietary Fat to Satiety, Cell Metabolism, 8 (2008): 281-288.  doi: 10.1016/j.cmet2008.08.005

Infomercial Superstar Kevin Trudeau Found In Contempt of Court - Part 2

Saturday, October 18th, 2008

In January this year, I blogged about twice-convicted felon Kevin Trudeau, the author of Weight Loss Cures “They” Don’t Want You To Know About.  In November, 2007, Trudeau was found in contempt of court for violating a 2004 injunction that forbid him from making false claims in infomercials.  The Court found that Trudeau had made false claims in his infomercial for the aforementioned book.

Almost a year later, the  (U.S.) Federal Trade Commission on October 6, 2008, announced Judge Robert Gittleman’s sanctions:

In his August [2008] ruling, the court banned Trudeau “or any person acting in concert with him, from participating in the production or publication of any informercial for any product, including books, in which Mr. Trudeau or any related entity has an interest, for a period of three years from the date of this order.”  The court oalso imposed a judgment against Trudeau of more than $5 million dollars [sic]

Then why am I still seeing his infomercials for another of his books, Debt Cures “They” Don’t Want You To Know About?

Trudeau’s hardcover weight-loss book continues to sell well at Amazon.com.  The Amazon website notes that the mass market paperback version will be available in December, 2008.

From the FTC’s news release:

The judge stated that “the Infomercial[s] falsely and intentionally led thousands (probably hundreds of thousands) of consumers to believe that the Weight Loss Book would describe an ‘easy,’  ’simple’ protocol that, once ‘finished’ would allow the consumer to ‘eat anything’ he or she wants.”

Caveat emptor, indeed, baby.

Steve Parker, M.D.

Additional Resources:

Weighing the Evidence in Diet Ads, from the Federal Trade Commission

Ridiculous Infomercial Reviews.  You’ll laugh out loud at these reviews of Kevin Trudeau, Extenze, ShamWow, Dual Action Cleanse, and your other favorites.

This Just In! New Pill Makes You Slender and Athletic!

Friday, August 1st, 2008

            . . . if you’re a mouse.

Let me check my calendar again . . .      No, it’s not April Fools Day.

I just heard Megyn Kelly on FOX News breathlessly describe a drug developed by researchers that turns overweight sedentary mice into sleek athletes, effortlessly.  The drug apparently turns on or off genes that alter metabolism.

As usual, an “expert” was interviewed - in this case an ER doctor (!) - who really didn’t know much more than that.  Lots of hemming and hawing, “this is all very preliminary … more studies are needed … it will be years before this comes to market …”

(I’m paraphrasing.  I have nothing against the doctor.  They were going to bring on somebody to say it, why not her?)

Do they really think we’re that stupid?  Are we?

I’ll tell you right now I expect nothing good to come out of this for humankind.  Either it won’t work in humans, or the original study can’t be replicated (remember “cold fusion”?), or the pill causes cancer, heart attacks, strokes, premature death, or whatever.

Remember, if it sounds too good to be true, it probably is . . .

. . . too good to be true.

Steve Parker, M.D.

Researchers Promise Cure of Overweight & Obesity Within 18 Months

Tuesday, April 1st, 2008

Researchers at a major university in Italy today announced the successful splice of an anti-obesity gene in to the mitochondrial DNA of a morbidly obese man.

The study’s 57-year-old subject, revealed only as “Luigi”, had tried and failed numerous weight-loss programs, including bariatric surgery.  He weighed 194 kilograms (427 pounds).  Stricken with heart failure and uncontrollable diabetes and hypertension, his doctors had given him only 6 months to live.  When researchers approached him with their highly experimental and risky idea a year ago, Luigi said, “What have I got to lose?”  Scientists had heretofore demonstrated the efficacy of their treatment only in mice.

The scientists injected the “skinny gene” into their human guinea pig a year ago.  The weight literally melted away effortlessly.  Luigi lost weight down to 72 kilograms (160 pounds) and stabilized there.  He eats whatever and as much as he wants.  “I feel like a 16-year-old again!  I’ve got a new lease on life!”

Lead investigator, Giovanni Panatella, Ph.D, explained that the human mitochondria generate all the energy needed to fuel our body’s metabolic processes.  Speaking through an interpreter, Dr. Panatella said, “The foreign gene we inserted into Luigi’s genetic code disinhibits the enzyme that acts as a governor on the energy-producing NADP-ATPase pathway in the mitochondria.  Obviously, Luigi couldn’t help but lose weight.  We ‘rev’d up his metabolism,’ in layman’s terms.”

Before his pioneering work in Italy, Dr. Panatella did advanced post-graduate studies in molecular biology at the University of California - Berkeley.

Surprisingly, the source of the spliced gene is from the insect, Carausius morosus, commonly known in the United States as a walking stick.  Why this unlikely source of a “skinny gene”?  The study’s chief co-investigator, Dr. Cristobal Donatella Colon, explained: “Think about it.  Have you ever seen a fat walking stick? Think some more… NOBODY has ever seen a fat walking stick.  It’s genetically impossible.”

Through painstaking work over years, the Italian team was able to isolate and replicate the “skinny” gene.  Colleagues at T-Gen, the Translational Genomics Institute in Phoenix, Arizona, worked with the Italians to insert the gene into Luigi’s DNA.

Panatella said that large-scale, multinational, phase-3 clinical studies begin next month, and results will be presented to various scientific conferences and regulatory bodies 6 months later.  In the United States, the Food and Drug Administration has long been criticized for the expense and length of time required to bring a new therapy to the marketplace.  Political pressure has been mounting to streamline the process.  Un-named sources at the FDA expect the new treatment will sail through the myriad oversight and peer-review committees.  Regulators are well aware of the huge burden of morbidity and mortality attributable to the epidemic of obesity.

The Italians and T-Gen are in preliminary negotiations with Wall-Mart to market the gene therapy through in-store pharmacies.  The gene is delivered with a simple intravenous injection taking only a few minutes.  Researchers expect only one injection will be needed.  Wall-Mart executives are not yet prepared to say if the “skinny gene” will be available on their popular $4 prescription program.

Dr. Walter Wilett, renowned nutrition researcher and head of Harvard University’s School of Pubic Health remarked, “This is the breakthrough the scientific community has been waiting decades for.  Dr. Panatella, can you say ‘Nobel Prize in Medicine.’?”  International prestige associated with the breakthrough is expected to swell the ranks of students and researchers at the University of Bologna, where Drs. Panatella and Colon are based.

News of the astounding scientific advance reached Wall Street early today.  Stock prices of NutriSysem, Jenny Craigg, and Weight Watcher dropped precipitously, 60% on average.  Analysts are dubious about long-term viablility of the companies.

A crestfallen Marie Osmund, who recently inked a multi-year, multi-million dollar contract as a NutriSysem spokesperson, asked, “What am I gonna do now?  I’ve already spent the money!”

Cornelia Atkins, widow of diet guru and best-selling author Robert G. Atkins, said, “If you’d like 800,000 paperback books, I’ll make you a sweet deal.  They make great fire-starters for your fireplace!”

Ima Goodfellow, spokesperson for The Center for Sciences in the Public Interest, was the only wet blanket.  “I’ve got some excess weight I’d like to lose, but I’m not so sure I want insect DNA injected into me.”

Stephen Parker, M.D., author of The Advanced Mediteranean Diet: Lose Weight, Feel Better, Last Longer    AdvancedMediteraneanDiet.com

References:

Panatella, G. and Colon, C.  Effects of Enzymatic Dis-Inhibition on NADP-ATPase Energy Generation by C. morosus gene locus br459 in the human mitochondrion.   International Journal of Hermuenetics and Genomics, 56 (2008): 266-281.

Happy April Fool’s Day!

Infomercial Superstar Found in Contempt of Court

Sunday, January 20th, 2008

Kevin Trudeau, author of The Weight Loss Cure “They” Don’t Want You to Know About, is in trouble with the law again.  The twice-convicted felon was banned in 2004 from using infomercials to sell most products except for books and other publications.  The exception required that he not make false claims in infomercials.  The 2004 settlement regarding false claims also required him to pay $2 million.

Informercials for the aforementioned book began running in 2006.  In the commercials, Trudeau claims that his weight-loss plan is easy, simple, and you can do it at home.  “When you’re done, eat whatever you want and you don’t gain weight back.”

In reality, the book describes a complicated system involving daily intramuscular injections of human chorionic gonadotrophin, a prescription drug not approved by the U.S. FDA for weight loss.  You will have great difficulty finding a U.S. physician willing to prescribe this.  The plan involves specialized cleanses and supplements.  One phase involves eating only 500 calories per day for 21 to 45 days, which is considered severe caloric restriction even for someone on a diet.  [Most people eat 1,500-2,5000 cal/day to maintain weight.]  Trudeau recommends 15 “colonics”  from a licensed colon therapist.  The book lists severe dietary prohibitions for life.

Trudeau’s felony convictions were in the 1990s: depositing bad checks, and credit card fraud.

On November 16, 2007, U.S. District Court Judge Robert W. Gettleman found Trudeau in comtempt of court for violating the 2004 injunction.

The book at hand has made it onto bestseller lists of the New York Times, the Wall Street Journal, and USA Today.  Even today it ranks as a high-volume seller at Amazon.com.

Go figure.

Steve Parker, M.D., author of The Advanced Mediterranean Diet: Lose Weight, Feel Better, Live Longer  www.AdvancedMediterraneanDiet.com

References:

FTC, plaintiff v. Kevin Trudeau et al, FTC news release 9/14/07

U.S. District Court for Northern District of Illinois, Eastern Division, File # 032 3064, Civil Actions # 03 C3904 and 98-C-0168.


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