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Health

Best of the Web: The Epidemic of Mental Illness: Why?

Cuckoo's Nest
© United Artists/PhotofestLan Fendors, Louise Fletcher, and Jack Nicholson in One Flew Over the Cuckoo's Nest, 1975
The Emperor's New Drugs: Exploding the Antidepressant Myth
by Irving Kirsch
Basic Books, 226 pp., $15.99 (paper)

Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America
by Robert Whitaker
Crown, 404 pp., $26.00

Unhinged: The Trouble With Psychiatry - A Doctor's Revelations About a Profession in Crisis
by Daniel Carlat
Free Press, 256 pp., $25.00

It seems that Americans are in the midst of a raging epidemic of mental illness, at least as judged by the increase in the numbers treated for it. The tally of those who are so disabled by mental disorders that they qualify for Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) increased nearly two and a half times between 1987 and 2007 - from one in 184 Americans to one in seventy-six. For children, the rise is even more startling - a thirty-five-fold increase in the same two decades. Mental illness is now the leading cause of disability in children, well ahead of physical disabilities like cerebral palsy or Down syndrome, for which the federal programs were created.

A large survey of randomly selected adults, sponsored by the National Institute of Mental Health (NIMH) and conducted between 2001 and 2003, found that an astonishing 46 percent met criteria established by the American Psychiatric Association (APA) for having had at least one mental illness within four broad categories at some time in their lives. The categories were "anxiety disorders," including, among other subcategories, phobias and post-traumatic stress disorder (PTSD); "mood disorders," including major depression and bipolar disorders; "impulse-control disorders," including various behavioral problems and attention-deficit/hyperactivity disorder (ADHD); and "substance use disorders," including alcohol and drug abuse. Most met criteria for more than one diagnosis. Of a subgroup affected within the previous year, a third were under treatment - up from a fifth in a similar survey ten years earlier.

Nowadays treatment by medical doctors nearly always means psychoactive drugs, that is, drugs that affect the mental state. In fact, most psychiatrists treat only with drugs, and refer patients to psychologists or social workers if they believe psychotherapy is also warranted. The shift from "talk therapy" to drugs as the dominant mode of treatment coincides with the emergence over the past four decades of the theory that mental illness is caused primarily by chemical imbalances in the brain that can be corrected by specific drugs. That theory became broadly accepted, by the media and the public as well as by the medical profession, after Prozac came to market in 1987 and was intensively promoted as a corrective for a deficiency of serotonin in the brain. The number of people treated for depression tripled in the following ten years, and about 10 percent of Americans over age six now take antidepressants. The increased use of drugs to treat psychosis is even more dramatic. The new generation of antipsychotics, such as Risperdal, Zyprexa, and Seroquel, has replaced cholesterol-lowering agents as the top-selling class of drugs in the US.

Bacon

Tips & tricks for starting (or restarting) low-carb Pt II

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In the last post we discussed ramping up the fat intake as the single best way to hurry the low-carb or keto adaptation along. I didn't mention it in the previous post, but another little secret is to keep an eye on the protein intake. Too much protein will prevent the shift into ketoses because the liver will convert some of the protein into glucose - this glucose will then be used first and slow down the ketogenic process. Which, if course, prompts the question, how much protein is too much? As long as you're getting your protein from meat, especially fatty cuts of meat, you're probably okay. If you go for the extremely lean cuts of meat, say, skinless chicken breasts, or if you are supplementing your diet with low-fat protein shakes, you could have a little more trouble low-carb adapting. If you're going the shake route, I would recommend you add some coconut oil to the shakes for a couple of reasons. First, you'll hasten the keto-adaptation, and, second, the fat in coconut oil will help remove the fat from your liver (which I'll discuss more later in this post).

As I said, you need to really crank up the fat intake to push yourself over the adaptation divide as quickly as possible. If you don't like fatty cuts of meat, you can add a little medium-chain triglycerides (MCT) to your diet. MCT are absorbed more like carbohydrates and are used quickly by the body. They are almost never incorporated into the fat cells, so they burn quickly, and any extra that might be hanging around are converted to ketones. So, MCT will drive the ketone production process. And so will coconut oil if you prefer that.

Comment: You can avoid the mistakes Dr Eades continues to make by cutting out coffee and alcohol altogether. Caffeine stimulates the pancreas and messes with blood sugar levels and can cause fat deposition in lumpy bumps. That's the hidden effect of coffee that you get even if you don't get an initial "reaction" to it. If you haven't read "Life Without Bread" and "The Vegetarian Myth", do so as soon as possible as everyone really needs to understand the science of how the body works in order to know how what you put in your mouth is actually affecting you.

As regards alcohol, this comes from sugar and its transformation requires the assistance of the fungi yeast. Consider this from Buzz: The Science and Lore of Alcohol and Caffeine:
"The process starts with glucose, which is the sugar both humans and yeast use to power their bodies. Like humans, yeast cells prefer to burn their glucose with oxygen to produce energy. But yeast cells sometimes find themselves in situations where oxygen is scarce - for instance, when they are trapped in the bottom of huge vats of grape juice. [...]

The details of that process are interesting in their own right, but all we're really concerned with here are those two shards remaining after the glucose is finally split. Those shards are molecules of ethanol.

The birth of alcohol via this inefficient splitting of glucose has one very salient consequence for humans: most of the chemical energy of the original glucose molecule remains bound up in the ethanol fragments. That energy equals calorics: about seven per gram - which works out to about a hundred calories in a standard drink from the alcohol alone.

Alcohol, in other words, is no diet drink.

Alcohol's origins also explain some facts about the alcohol content of some common drinks. Yeast cells struggling to survive under suffocating conditions quickly excrete the ethanol fragments because they are basically poisonous. Ethanol interferes with many of the reactions vital to the life of a cell. As a result, yeasts excrete ethanol, which slowly builds up in the surrounding liquid - exactly where the brewer or vintner wants it. Given an adequate amount of glucose, the ethanol content of a fermenting liquid rises until it reaches about 12 percent. At this point, it starts to back up inside the yeast cells because it can no longer diffuse across the cell wall. Unable to dispose of the poisonous waste, the yeasts shut down and become dormant.

All activity stops, including the production of new ethanol. This is the reason that most table wines have roughly a 12 percent alcohol content: that's as high as it can go before the yeasts throw in the towel. Some wines can achieve slightly higher values if they are unusually rich in glucose, but the only way to get significantly higher ethanol levels is by distillation."
And here's some perspective about the reputed benefits associated with moderate alcohol drinking, also from Buzz:
"With all this evidence suggesting that moderate consumption of wine - and probably other forms of alcohol as well - confers protection against heart disease, why isn't everyone reaching for their favorite bottle of cabernet? There are several reasons.

The French, while enjoying their much reduced rates of heart disease, develop liver disease at a rate that is roughly twice that of Americans (Dolnick 1990). In addition to taxing the liver, moderate drinking has been associated with a slightly increased risk of breast cancer and cancer of the bowel. And, of course, even a single shot of liquor consumed quickly can produce transient blood alcohol levels high enough to reduce reaction times and impair coordination, thus increasing the risk of accidents.

Second, advising abstainers to begin drinking could lead to increased alcoholism because it is not yet possible to predict who will succumb to alcohol's addictive potential. Other methods, such as losing weight and exercising, offer even greater benefits and have fewer associated risks."



Better Earth

In Defense of Nutritious, Delicious Grassfed Butter

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The domination of our government by the large agricultural industry has led to some of the most ignorant and ill-advised nutritional advice in the history of our planet. I thought the idiotic "food pyramid" with its emphasis on dead carbohydrates as the foundation of diet and its demonizing of healthy fats and protein was as bad as it was going to get.

I truly did underestimate our government. The replacement for the "food pyramid," "MyPlate," is even worse.

The first clue as to how bad this is comes when you look at the plate, at "choosemyplate.gov." The plate has sections for fruit, vegetables, grains, and protein. There is also a small circle labeled dairy. The text on the page informs us that the dairy should be 1% fat, or less. But there is no place for the most important food group, fats. To our government, fat is no longer a food.

I know that the most nutritious food ever discovered is the butter from grassfed animals. But where in "MyPlate" is the butter?

Bell

US - Arizona Death: Possible Connection to E.Coli Outbreak

More deadly than previous outbreaks, doctors say

The death of an Arizona patient could be linked to the deadly German E. coli epidemic that caused 29 deaths and sickened thousands, the Centers for Disease Control and Prevention reported on Thursday. The outbreak has alarmed doctors, who have never seen such an aggressive intestinal bacteria before.

U.S. health officials say the epidemic was more deadly than previous outbreaks because it combined dangerous characteristics of two different strains of the bacteria. The unusual combination of traits makes it more likely for infected people to develop a potentially fatal kidney complication called hemolytic uremic syndrome, or HUS, researchers said.

There are already five confirmed cases in the U.S., but the Arizona man would be the first death directly linked to the outbreak in Europe.

It has been confirmed that the man had recently visited Germany, according to a statement by the CDC.

His death is currently under investigation but health officials say he did have hemolytic uremic syndrome (kidney failure) similar to the hundreds of afflicted people in Europe.

The massive outbreak has sickened 3,601 people, including 815 with HUS, and killed 39, according to the Robert Koch Institute.

Ambulance

Pharmageddon: America's Top Selling Statins Cause Diabetes

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© drhyman.com
If all doctors followed the latest cholesterol treatment guidelines, and all their patients took their prescribed statin medication, there would be 3.5 million more diabetics in America. But wait! There is another pill (injection actually) that has been shown to reduce the risk of diabetes. And it's only about $50,000 per year per patient. Let's see 3.5 million times $50,000. What does that bring us to?

Pharmageddon!

We are stuck in an absurd cultural habit of thinking that medication will save us from lifestyle and social diseases.

Two separate studies in today's issue of the Journal of the American Medical Association (JAMA) underscore that we have come to the end of an era of being saved by medication. Antibiotics and vaccines were a huge advance in medicine in the 20th century. But the single pill for the single ill just doesn't work for 21st century chronic diseases like heart disease and diabetes.

Attention

Consequences of systematic poisoning? 350 million adults have diabetes: Study reveals the scale of global epidemic

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© Unknown
A major international study collating and analyzing worldwide data on diabetes since 1980 has found that the number of adults with the disease reached 347 million in 2008, more than double the number in 1980. The research, published today in The Lancet, reveals that the prevalence of diabetes has risen or at best remained unchanged in virtually every part of the world over the last three decades.

Diabetes occurs when the cells of the body are not able to take up sugar in the form of glucose. As a consequence, the amount of glucose in the blood is higher than normal. Over time, this raises the risk of heart disease and stroke, and can also cause damage to the kidneys, nerves and retinas. High blood glucose and diabetes are responsible for over three million deaths worldwide each year.

The new study found that between 1980 and 2008, the number of adults with diabetes rose from 153 million to 347 million. Seventy per cent of the rise was due to population growth and ageing, with the other 30 per cent due to higher prevalence. The proportion of adults with diabetes rose to 9.8 per cent of men and 9.2 per cent of women in 2008, compared with 8.3 per cent of men and 7.5 per cent of women in 1980.

The estimated number of diabetics was considerably higher than a previous study in 2009 which put the number worldwide at 285 million.

Ambulance

Deadly New Strain: Hong Kong confirms second scarlet fever death

Scarlet fever
© Kronawitter/Wikimedia CommonsStrawberry tongue from scarlet fever.

Hong Kong health authorities on Thursday confirmed that a five-year-old boy had died from scarlet fever, the second death in the southern Chinese city as dozens of new cases were reported.

The number of infections in the territory has soared above 500, according to health authorities, who said that more than 9,000 people had been infected in the Chinese mainland -- doubling the average figure in recent years.

Local scientists said the outbreak may be linked to a deadly new strain of the disease which could make it more contagious than before.

It was discovered by researchers at the University of Hong Kong and appears to be resistant to antibiotics traditionally used to fight the illness.

Mr. Potato

Potatoes New Villain in Fat Epidemic

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© expressionsofsoul.com
The villain of the obesity epidemic isn't cupcakes, fizzy drink or the Double Down - it's the humble potato, no matter which way you slice it.

A long-running Harvard University study has found that daily consumption of an extra serving of spuds - french fried, sliced into crispy chippies, mashed with butter and garlic, or simply boiled or baked - caused more weight gain than downing an extra can of sugary drink or eating an extra helping of red or processed meats.

After tracking the diet and lifestyle of more than 120,000 people from around the United States for at least 12 years, researchers calculated that participants gained about 360 grams a year. Their findings were published in the New England Journal of Medicine this week.

Comment: It's not just potatoes that are the culprit, but eating a diet high in carbohydrates. For more information on the link between carbohydrates and obesity read the review of Gary Taubes book Why We Get Fat and What to Do About It.


Info

More Details on the Mysterious German Microbe

E.coli
© unknownE.coli
Bit by bit, gene by gene, doctors and researchers in Germany and around the globe are cobbling together a profile of the microbe responsible for Europe's alarming outbreak of food poisoning.

Even as the grim toll climbed to 3,800 sick and 44 deaths, online articles in medical journals continue to shed light on the suspect bacteria known as E. coli O104:H4. And the authors appear to support the conclusion that the rare strain has properties that make it unusually toxic to its victims.

"Taken together, these data suggest that the pathogen in the current outbreak is exceptionally virulent," concluded a team of German doctors whose article was published online this week by the New England Journal of Medicine.

However, health authorities in the U.S. continued to cast doubt on the staggering statistics coming out of Germany. While the epidemic has undoubtedly been unusual, actual statistics depend on how health authorities define and diagnose illnesses, and how many less-severe cases may have gone unreported.

Either way, the latest papers affirm previous reports that the German E. coli strain has the pathogenic traits of two previously known strains -- a Shiga toxin similar to that of the more familiar E. coli O157:H7; and an ability to stack itself like bricks and cling to the interior surface of the intestine, thereby maximizing its ability to convey poison to its host.

Question

To Salt or Not to Salt, That is the Question

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© telling-secrets.blogspot.com
A new eight year long European study concludes that salt consumption is not dangerous and may in fact be beneficial. This is certainly contrary to advice from American Medical Association, American Heart Association and the Center for Disease Control and Prevention, which says higher sodium consumption can increase the risk of heart disease. It's not unusual to see differing opinions, but what are we ordinary folks to make of the controversy?

The study followed 3,681 middle-aged Europeans who did not have high blood pressure or heart disease at the start of the study. They were divided into three groups: low salt; moderate salt; and high salt consumption. There were 50 deaths in the low salt group, 24 in the moderate consumption group and only 10 in the high consumption group. In fact, the heart disease risk in the low consumption group was 56% higher in the low salt group. What they concluded was that the less salt the participants ate, the more likely they would die from heart disease.

Comment: For more information about salt consumption and the benefits of natural salts read the following articles: