A Book Too Dangerous to Read?

Book CoverThe Library Journal, which librarians read to decide what books to buy for their collections, announced last week that libraries should not carry the new book, The Vaccine-Friendly Plan: Dr. Paul’s Safe and Effective Approach to Immunity and Health, From Pregnancy Through Your Child’s Teen Years, which I co-authored with Jennifer Margulis Ph.D. investigative journalist and author of multiple books and an activist for children’s health and families rights.

 

Please read the post that my co-author has penned in response to this announcement. You can find it by following this link: https://healthimpactnews.com/2016/a-book-too-dangerous-to-read/

 

Paul Thomas, M.D.

 

PaulThomasDr. Paul Thomas, M.D., is a Dartmouth-trained pediatrician and a specialist in addiction medicine. He has over 13,000 children in his practice and over 196,000 subscribers on YouTube. His new book, The Vaccine-Friendly Plan, gives parents the information they need to help their children avoid toxins.

 

When Should I Introduce Gluten For My Baby? Delaying Gluten Exposure Until Age 2 Cuts Celiac Disease Risk in Half

Wheat2As a pediatrician, I’m counseling parents every day on when to start solids. We used to say to wait until 6 months as early introduction of food proteins increases allergies. We were 100% WRONG!  Introducing solids starting at 4 months significantly reduces allergies, even when it comes to peanuts as shown in this study here…

But when should we introduce gluten? I discussed this in a previous blog on this topic (found here… ) For those of you with a family history of celiac disease (a severe gluten-caused intestinal disorder), your risk of getting ill with celiac disease if you eat gluten (regardless of when you start) is about 5-12% by age 2-3 years, and 16-24% by 10 years age. If you never eat gluten, guess what your rate of celiac disease is? ZERO!

In the study, “Randomized feeding intervention in infants at high risk for celiac disease,” gluten triggered celiac disease in high risk children. You can read this study here…

The recent study, “Effects of Gluten Intake on Risk of Celiac Disease: a case-control study on a Swedish birth cohort,” showed that intake of gluten before age 2 years increased risk of developing celiac disease in high risk children (those with family histories or known genetic risk factors) 2-fold (more than doubles the risk). You can find and read that study here…

As percentages of children who have challenges with wheat increase, and numbers of those with frank celiac disease increase,e we need to re-think the use of wheat all together. Celiac disease is thought to affect 1 out of every 141 people in the USA (read here… ) and as high as 1 in 22 if you have a close relative with celiac (read more… ) We know that the numbers of people who are sensitive and not tolerating wheat are much higher. The condition is sometimes referred to as non-celiac gluten sensitivity (learn more here …)  and while there is raging debate in the literature about what that is and if it even exists, those of us who are looking for gluten issues when we have patients with GI or neurological, psychiatric, or skin disorders are finding that often the elimination of gluten is the key step in healing the condition.

This begs the question: Why are we forcing this protein on our children when it causes so much pain and misery to so many? I would have to answer: Money, Politics, and Tradition. We are all raised in the post-industrial revolution era. We are products of nations that transitioned from hunter-gathering people to those with agriculture. Grains allowed us to store food for the future, then, with our processing abilities, we are able to turn what was once a wholesome bread into delicious cake and cookies, pastries, and the like. Try walking past any festive occasion and avoid gluten! To make maters much worse, through hybridization and genetic engineering, we have changed wheat so much that I suspect our immune system sees it as a foreign invader. That certainly is the case for those with celiac disease, and it seems to be the case for those sensitive to wheat and gluten (wheat, barley, rye, spelt).

If your loved one cannot and should not drink alcohol, do we avoid having alcohol around them?  Of course we would. Why would we sabotage our loved one? The time may be upon us that we have gluten-free homes, and attend gluten-free parties and gatherings out of respect for those among us who suffer when they eat gluten. Radical? You bet!

 

Am I ready to make this commitment? Are you?

 

Dr. Paul

 

Eating Fruit and Non-Starchy Vegetables Helps Maintain a Good Weight

Fruit and VeggiesWhen you realize that a third of the US population is obese and two thirds of us are over weight and this is starting to affect our children as well, the time is now to pay attention to what we are eating and make the best choices possible. Most dietary guidelines recommend lots of fruits and vegetables.  Whether you are looking at the government’s food plate or the Harvard medical school food plate (found here… ) you will notice that there is little distinction being made about the type of vegetables you should eat. Many may recall the scandal of the school lunch programs that allow catsup and french fries to qualify as vegetables!

The study, “Changes in Intake of Fruits and Vegetables and Weight Change in United States Men and Women Followed for Up to 24 Years: Analysis from Three Prospective Cohort Studies,” (found here… )  looks at three large studies that followed adults over a 24 year period.

The findings are clear:

  • Eat more fruits and non-starchy vegetables
  • Eat less starchy vegetables (potatoes, peas, corn for example)
  • For best weight loss results, eat high fiber low glycemic index vegetables (greens as the perfect example).

 

I would add to this that it is clearly to your benefit to avoid processed foods (things in bags or boxes), sugar, and artificial sweeteners and to also get adequate exercise.

This article provides loads of data for those wanting to get the details. What was enlightening to me was the benefit from fruit, which universally seems to have benefited weight loss. The greatest benefit was, of course, from the high-fiber, low-glycemic index vegetables (kale & spinach anyone?)

 

Dr. Paul

 

 

 

 

Study on Risks of Testosterone Replacement Therapy with Advanced Age and Underlying Heart Disease

Healthy HeartA study published January 29th, 2014, “Increased Risk of Non-fatal Myocardial Infarction Following Testosterone Therapy Prescription in Men,” by Finkle Et. al. (you can read it here… ) was brilliant in methodology but the title is misleading.

What this huge study of over 55,000 men placed on testosterone actually found was that testosterone replacement therapy was actually protective (fewer heart attacks) for men under 55 and men under 65 who did not have prior history of heart disease.  For men over 65, this study shows an increased risk of heart attacks in the first 90 days after starting testosterone replacement therapy, with that risk increasing with age.  There was also increased risk for those men over 55 with prior heart disease.

I am seeing an increased number of young men suffering debilitating symptoms of lost libido, anxiety, fatigue, loss of energy, poor exercise tolerance, and inability to build muscle, many of whom have testosterone levels of an 80 year old man or even levels similar to those of women.  The cause of this is not completely understood, but we do know toxins such as endocrine disrupters (plastics, phthalates, pesticides, and herbicides) along with drugs of abuse (THC, alcohol, opiates, methamphetamine) have been known to lower testosterone levels in men.

While it is true that more and more prescriptions for testosterone are being written, it is also likely that many more younger men (under 55) who desperately need testosterone replacement, are not being properly evaluated or diagnosed. Many are being placed on antidepressants and anti-anxiety medications when in reality what they need is testosterone.

This is an important study, and should cause those physicians starting testosterone replacement therapy to use caution when treating men over 65 or those over 55 with underlying heart disease.

There are numerous studies showing the benefits of testosterone replacement therapy.

I list for you below links to many of the articles showing the health benefits of testosterone replacement therapy for those with low testosterone:

 

Testosterone Treatment and Mortality in Men with Low Testosterone Levels

Conclusions: In an observational cohort of men with low testosterone levels, testosterone treatment was associated with decreased mortality compared with no testosterone treatment.

 

Testosterone deficiency is associated with increased risk of mortality and testosterone replacement improves survival in men with type 2 diabetes

Conclusions: Low testosterone levels predict an increase in all-cause mortality during long-term follow-up. Testosterone replacement may improve survival in hypogonadal men with type 2 diabetes.

 

Endogenous Testosterone and Mortality Due to All Causes, Cardiovascular Disease, and Cancer in Men

European Prospective Investigation Into Cancer in Norfolk (EPIC-Norfolk) Prospective Population Study

Conclusions— In men, endogenous testosterone concentrations are inversely related to mortality due to cardiovascular disease and all causes. Low testosterone may be a predictive marker for those at high risk of cardiovascular disease.

 

Low free testosterone predicts mortality from cardiovascular disease but not other causes: the Health in Men Study

Conclusions: Low testosterone predicts mortality from CVD but is not associated with death from other causes. Prevention of androgen deficiency might improve cardiovascular outcomes

 

Hypogonadism as a risk factor for cardiovascular mortality in men: a meta-analytic study

Conclusions: Lower testosterone and higher E(2) levels correlate with increased risk of CVD and CV mortality. TRT in hypogonadism moderates metabolic components associated with CV risk.

 

Clinical review: Endogenous testosterone and mortality in men: a systematic review and meta-analysis

Conclusions: Low endogenous testosterone levels are associated with increased risk of all-cause and CVD death in community-based studies of men

 

Low serum testosterone, arterial stiffness and mortality in male haemodialysis patients

Conclusions: We showed that testosterone deficiency in male HD patients is associated with increased CVD and all-cause mortality and that increased arterial stiffness may be a possible mechanism explaining this association.

 

Testosterone deficiency syndrome (TDS) and the heart

 

Low serum testosterone and mortality in older men

Conclusions: Testosterone insufficiency in older men is associated with increased risk of death over the following 20 yr, independent of multiple risk factors and several preexisting health conditions.

 

Plasma total testosterone and incident cardiovascular events in hypertensive patients

Conclusions: Our results show that low plasma testosterone is associated with increased risk for a MACE (Major Adverse Cardiovascular Events) in hypertensive patients.

 

Low free testosterone is associated with heart failure mortality in older men referred for coronary angiography

Conclusions: Low levels of FT are independently associated with increased CHF mortality.

 

Relationship Between Low Levels of Anabolic Hormones and 6-Year Mortality in Older Men

Conclusions: Age-associated decline in anabolic hormone levels is a strong independent predictor of mortality in older men. Having multiple hormonal deficiencies rather than a deficiency in a single anabolic hormone is a robust biomarker of health status in older persons.

 

Testosterone: a metabolic hormone in health and disease

Clinical trials demonstrate that testosterone replacement therapy improves the insulin resistance found in these conditions as well as glycaemic control and also reduces body fat mass, in particular truncal adiposity, cholesterol and triglycerides

 

Association of Testosterone Therapy With Mortality, Myocardial Infarction, and Stroke in Men With Low Testosterone Levels

 

Dr. Paul

 

 

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