Evenity for Osteoporosis

Hip and wrist fractures are a common result of osteoporosis. A new drug, Evenity, reduces the risk of vertebral fractures, but it doesn’t significantly reduce the risk of non-vertebral fractures. Other drugs do. Atypical fractures of the femur can occur with bisphosphonate drugs, but the benefits exceed the risk. Evenity reduces the risk of vertebral

Functional Medicine: Pseudoscientific Silliness

Language keeps changing. We used to call questionable remedies “folk medicine,” “fringe medicine,” or “quackery.” In the 1970s, the term “alternative medicine” was coined, an umbrella term for all treatments that were not supported by good enough evidence to have earned them a place in mainstream medicine. Then came “complementary and alternative medicine” (CAM), and

Politics, Science, and Health

Carl Sagan said, “We live in a society absolutely dependent on science and technology and yet have cleverly arranged things so that almost no one understands science and technology. That’s a clear prescription for disaster.” The beliefs that politicians hold affect legislation on public health, medical research, and medical care. If they don’t understand science, they

Evidence: “It Worked for My Aunt Tillie” Is Not Enough

Evidence means different things to different people. Even quacks and their victims claim to have evidence that their treatments work. Sometimes that evidence consists only of testimonials from satisfied customers or from personal experience. “I tried X and I got better.” “I know Y works because it cured my Aunt Tillie’s arthritis.” I had a

AAFP CME Program Succumbs to “Integrative Medicine”

For many years I have been using Continuing Medical Education (CME) programs offered by the American Academy of Family Physicians (AAFP). The FP Essentials program consists of a monthly monograph with a post-test that can be submitted electronically for 5 hours of CME credit. Over a 9-year cycle, a complete family medicine curriculum is covered

Andrew Weil/AAFP Article Rejected by Slate

  I was asked to write an article for Slate, the on-line magazine, about Andrew Weil’s selection as the keynote speaker for the 2012 AAFP annual scientific assembly. The science and health editor, Laura Helmuth, was initially enthusiastic about what I wrote, but eventually decided not to publish it. Here is the initial draft of my

Andrew Weil’s Seasonal Supplements

Dr. Andrew Weil has teamed with Innate Response Formulas to develop a series of seminars and a line of products for “seasonally appropriate integrative strategies.” Seasonal Therapeutics is a system for adjusting diet supplement recommendations according to the season of the year. To kick off the program, a one-day seminar was presented by Weil’s colleague

Integrative Medicine is the Butt of a Sokal-Type Hoax

In 1996, Alan Sokal got a bogus paper published in the journal Social Text. It was a parody full of meaningless statements in the jargon of postmodern philosophy and cultural studies. The editors couldn’t tell the difference between Sokal’s nonsense and the usual articles they publish. Now a British professor of medical education, Dr. John

Edzard Ernst Does It Again

Publishing one excellent book is an accomplishment; publishing two in one year is a truly outstanding achievement. In 2008 Edzard Ernst and Simon Singh published a landmark book Trick or Treatment: The Undeniable Facts About Alternative Medicine. I reviewed it on this blog last summer.  It is particularly important since Ernst is a former advocate

Andrew Weil: Harvard Hatched a Gullible Guru

Book review of Natural Health, Natural Medicine: The Complete Guide to Wellness and Self-care for Optimum Health. By Andrew Weil. Boston: Houghton Mifflin Co., 2004. ISBN 0-618-47903-1. 432 pp. Softcover, $14. Andrew Weil’s Natural Health, Natural Medicine is a dangerous book. The preface states: “All the information is consistent with the best scientific evidence currently available.”

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