Vitamin C Interferes with Chemo? No, Says Orthomolecular Medicine News

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FOR IMMEDIATE RELEASE Orthomolecular Medicine News Service, October 7, 2008 

Chemotherapy Doesn’t Work, So Blame Vitamin C

(OMNS, October 7, 2008) When Memorial Sloan-Kettering Cancer Center announces that vitamin C may interfere with chemotherapy, the news media trumpet it far and wide. But before cancer patients throw away their vitamin C supplements, they need to know rest of the story.Most of the media dutifully reported the researchers’ claim that the equivalent of 2,000 mg of vitamin C “blunted the effectiveness of the chemotherapy drugs.” But only some of the media included a study author’s incredible statement that “If you take an oral dose even as low as 100 milligrams a day” even “that could be harmful” during chemotherapy (1)100 mg “could be harmful”? That’s the amount of vitamin C in a few glasses of orange juice. Something is very wrong here.First of all, this research involved mice with implanted cancerous tumors; it was not a trial on cancer patients. A mouse study is a long way from a human clinical trial. This obvious difference was conceded by the study authors. However, there is a more subtle, and probably much more important factor they did not consider: all mice make their own vitamin C. Indeed, mice make quite a lot. Adjusted for body weight, mice synthesize the human body weight equivalent of approximately 10,000 milligrams of vitamin C each day. (2) Incredibly, sick mice make even more. Mice given transplanted tumors become sick mice.Secondly, previous research has demonstrated that mice with cancer respond well to high-dose vitamin C therapy. One study found, “With an increase in the amount of ascorbic acid there is a highly significant decrease in the first-order rate constant for appearance of the first spontaneous mammary tumor. . . Striking differences were observed between the 0.076% ascorbic acid and the control groups, which synthesize the vitamin.” (3) Another study concluded that: “A pronounced effect of vitamin C in decreasing the incidence and delaying the onset of malignant lesions was observed with high statistical significance. By 20 weeks, approximately five times as many mice had developed serious lesions in the zero-ascorbate as in the high-ascorbate group.” (4) Interestingly enough, when this research was first publicized, the media discounted these findings saying that mouse studies were not particularly applicable to people.Thirdly, a mouse’s ability to make vitamin C, and a great deal of it, is an overlooked confounding factor that may well render the entire experiment invalid. If the Sloan-Kettering team had tried their experiment on Guinea pigs, their results might have been very different. Guinea pigs are more like human beings in that they cannot make their own vitamin C. As controls for comparison, the researchers also treated “no-added-vitamin C” mouse cancers with chemotherapy. Chemo worked just fine on those mice, by the researchers own admission. And each of those mice was internally synthesizing a body weight equivalent of 10,000 mg/day of vitamin C, even though given none supplementally.So how come 10,000 mg of vitamin C does not interfere with chemo treatment, and 2,000 mg - or even 100 mg - supposedly does?A sweeping recommendation warning cancer patients to not take supplemental vitamin C, not even 100 mg, is irresponsible. It is impossible to justify caution about taking 100 mg of vitamin C daily when your animal subjects made the equivalent of one hundred times that amount, and chemotherapy in them was still reported as effective. You cannot have it both ways. If a synthesized 10,000 mg of C does not interfere, there can be no real “interference” or “blunting” from a supplemental 2,000 mg. And most certainly not from 100 mg.The study did report tumor shrinkage, in both groups of mice receiving chemo. That is not surprising. Chemotherapy’s claimed success is based on tumor shrinkage. But tumor shrinkage, encouraging though it is, is not a reliable indicator of long-term cancer survival. As cancer research critic Philip Day puts it, many patients are “cured but dead” after five years, hardly a long-term survival. Day, noting that this is not because oncologists are not trying, explains the chemotherapy quandary: “You can be insincere, or you can be sincerely wrong.” (5)The Sloan-Kettering study team seems to have missed the essential point that vitamin C is not just an antioxidant. Inside cancer tumors, it also acts as a prooxidant, killing malignant cells. Comments Dr. Steve Hickey, of Manchester, UK: “Essentially, the paper seems to be rather misguided and shows a lack of understanding of the dual nature of vitamin C in tumors. Chemotherapy has been shown by over 40 years of clinical trials not to work in the majority of tumors, and its use is counterproductive.”Chemotherapy drugs have come and gone; the five year survival rate for cancer treated with chemo has remained virtually unchanged for decades. Unfortunately, just over 2% of all cancers respond to chemotherapy. Specifically, one scientific review concluded, “The overall contribution of curative and adjuvant cytotoxic chemotherapy to 5-year survival in adults was estimated to be 2.3% in Australia and 2.1% in the USA . . . chemotherapy only makes a minor contribution to cancer survival. To justify the continued funding and availability of drugs used in cytotoxic chemotherapy, a rigorous evaluation of the cost-effectiveness and impact on quality of life is urgently required.” (6)Perhaps this new, very well-publicized study results from an ever-growing realization that chemotherapy is largely ineffective, and the search is on for the reason why. Vitamin C should not be made the scapegoat.Vitamin C, in doses well over 100 mg/day, is known to help prevent cancer. (7) Nearly 30 years ago, a review concluded that “Many factors involved in host resistance to neoplasia are significantly dependent upon the availability of ascorbate.” (8) Beginning in the 1970s, many well-designed studies show that very large doses of vitamin C improve both quality and length of life for cancer patients since they invariably are “significantly depleted of ascorbic acid.” When given intravenous vitamin C, “The mean survival time is more than 4.2 times as great for the ascorbate subjects . . . This simple and safe form of medication is of definite value in the treatment of patients with advanced cancer.” (9) Additional clinical trials have confirmed this over the past several decades. (10)Even more importantly, recent research indicates that in high doses, vitamin C is selectively toxic to cancer cells. That means vitamin C can function very much like chemotherapy is supposed to, but without the severe side effects of chemotherapy. “A regimen of daily pharmacologic ascorbate treatment significantly decreased growth rates of ovarian, pancreatic, and glioblastoma tumors established in mice. Similar pharmacologic concentrations were readily achieved in humans given ascorbate intravenously.” (11)”Cautioning” the public to avoid taking any supplemental amount of vitamin C will decrease host resistance to cancer, increase the incidence of this dreaded disease, and shorten survival times. A cynic might say it will also create a larger market for chemotherapy.Is vitamin C a commercial competitor for chemo? To answer this, one needs to consider what appears to be serious conflict of interest at Sloan-Kettering. Bristol-Myers-Squibb makes chemotherapeutic drugs. According to a DEF 14A SEC filing of March 22, 2006, the Chairman of the Board of Bristol-Myers-Squibb is also a director of the Coca-Cola Company, and Honorary Chairman of Memorial Sloan-Kettering Cancer Center. (http://sec.edgar-online.com/2006/03/22/0001193125-06-060566/Section8.asp). A previous Bristol-Myers-Squibb Chairman of the Board was a director of the New York Times Company. He was also Vice Chairman of the Board of Overseers and the Board of Managers of Memorial Sloan-Kettering Cancer Center and Chairman of the Board of Managers of Sloan-Kettering Institute for Cancer Research. (http://www.secinfo.com/dsvrt.bC7.htm) Some sources say that there are even more Bristol-Myers-Squibb directors who have or held positions on the board at Memorial Sloan-Kettering Cancer Center. (12)Positive endorsements for vitamin C as a cancer fighter are not in the interests of any pharmaceutical company. Scaring the public away from vitamin C might be profitable. It appears that Sloan-Kettering is biased. So are media reports that attack vitamins.If the Sloan-Kettering study authors’ recommendations to not take 2,000 mg, or even 100 mg, of vitamin C are followed, there will definitely be an increase in the number of people that need chemotherapy.References:(1) Doheny K. Vitamin C and chemotherapy: bad combo? Supplementing with vitamin C may reduce effectiveness of chemotherapy drugs, study shows. WebMD Health News. http://www.webmd.com/cancer/news/20081001/vitamin-c-chemotherapy-bad-combo (2) Chatterjee IB, Majumder AK, Nandi BK, Subramanian N. Synthesis and some major functions of vitamin C in animals. Ann N Y Acad Sci. 1975 Sep 30;258:24-47. (3) Pauling L, Nixon JC, Stitt F et al. Effect of dietary ascorbic acid on the incidence of spontaneous mammary tumors in RIII mice. Proc Natl Acad Sci U S A. 1985 Aug;82(15):5185-9. (4) Pauling L. Effect of ascorbic acid on incidence of spontaneous mammary tumors and UV-light-induced skin tumors in mice. Am J Clin Nutr. 1991 Dec;54(6 Suppl):1252S-1255S. Read the full paper free of charge at http://www.ajcn.org/cgi/reprint/54/6/1252S (5) Day P. in the documentary film Food Matters, http://www.foodmatters.tv See also: Day P. Cancer: why we’re still dying to know the truth. Credence Publications, 1999. ISBN-10: 0953501248; SBN-13: 978-0953501243 (6) Morgan G, Ward R, Barton M. The contribution of cytotoxic chemotherapy to 5-year survival in adult malignancies. Clin Oncol (R Coll Radiol). 2004 Dec;16(8):549-60. (7) Enstrom JE, Kanim LE, Klein MA. Vitamin C intake and mortality among a sample of the United States population. Epidemiology. 1992 May;3(3):194-202. (8) Cameron E, Pauling L, Leibovitz B. Ascorbic acid and cancer: a review. Cancer Res. 1979 Mar;39(3):663-81. (9) Cameron E, Pauling L. Supplemental ascorbate in the supportive treatment of cancer: Prolongation of survival times in terminal human cancer. Proc Natl Acad Sci U S A. 1976 Oct;73(10):3685-9. Read the original paper athttp://profiles.nlm.nih.gov/MM/B/B/K/Z/_/mmbbkz.pdf (10) Murata A, Morishige F, and Yamaguchi H. Prolongation of survival times of terminal cancer patients by administration of large doses of ascorbate. International Journal of Vitamin and Nutrition Research Suppl., 23, 1982. p. 103-113. And: Null G, Robins H, Tanenbaum, M, and Jennings P. Vitamin C and the treatment of cancer: abstracts and commentary from the scientific literature. The Townsend Letter for Doctors and Patients, 1997. April/May. And: Vitamin C and cancer revisited. Proc Natl Acad Sci U S A. 2008 Aug 12;105(32):11037-8. Also: Riordan HD, Riordan NH, Jackson JA et al. Intravenous vitamin C as a chemotherapy agent: a report on clinical cases. Puerto Rico Health Sciences J, June 2004, 23(2): 115-118. (11) Chen Q, Espey MG, Sun AY et al. Pharmacologic doses of ascorbate act as a prooxidant and decrease growth of aggressive tumor xenografts in mice. Proc Natl Acad Sci U S A. 2008 Aug 12;105(32):11105-9. See also: Chen Q, Espey MG, Sun AY et al. Ascorbate in pharmacologic concentrations selectively generates ascorbate radical and hydrogen peroxide in extracellular fluid in vivo. Proc Natl Acad Sci U S A. 2007 May 22;104(21):8749-54. And: Chen Q, Espey MG, Krishna MC et al. Pharmacologic ascorbic acid concentrations selectively kill cancer cells: action as a pro-drug to deliver hydrogen peroxide to tissues. Proc Natl Acad Sci U S A. 2005 Sep 20;102(38):13604-9. And: Padayatty et al. Intravenously administered vitamin C as cancer therapy: three cases. Canadian Medical Association Journal, 2006. 174(7), March 28, p 937-942. http://www.cmaj.ca/! cgi/reprint/174/7/937. Also: Riordan NH et al. Intravenous ascorbate as a tumor cytotoxic chemotherapeutic agent. Medical Hypotheses, 1995. 44(3). p 207-213, March. (12) Moss R. Questioning Chemotherapy. Equinox Press, 1995. ISBN-10: 188102525X; ISBN-13: 978-1881025252. See also: The Cancer Industry. Equinox Press, 1996. ISBN-10: 1881025098; ISBN-13: 978-1881025092.For more information: Cameron E. and Pauling L. Cancer and vitamin C, revised edition. Philadelphia: Camino Books, 1993. Hickey S and Roberts H. Cancer: nutrition and survival. Lulu Press, 2005. ISBN: 141166339X. Hoffer A. Healing cancer: complementary vitamin and drug treatments. Ontario: CCNM Press, 2004. ISBN-10: 1897025114; ISBN-13: 978-1897025116. For free access to an online archive of peer-reviewed, full-text nutrition therapy papers: http://www.orthomed.org/jom/jomlist.htm or http://orthomolecular.org/library/jomNutritional Medicine is Orthomolecular MedicineOrthomolecular medicine uses safe, effective nutritional therapy to fight illness. For more information:http://www.orthomolecular.orgThe peer-reviewed Orthomolecular Medicine News Service is a non-profit and non-commercial informational resource.Editorial Review Board:Damien Downing, M.D. Harold D. Foster, Ph.D. Steve Hickey, Ph.D. Abram Hoffer, M.D., Ph.D. James A. Jackson, PhD Bo H. Jonsson, MD, Ph.D Thomas Levy, M.D., J.D. Erik Paterson, M.D. Gert E. Shuitemaker, Ph.D.Andrew W. Saul, Ph.D., Editor and contact person. Email: omns@orthomolecular.orgTo Subscribe at no charge: http://www.orthomolecular.org/subscribe.html

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Bruce Levine on How the Drug Industry Fails America

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Bruce Levine PhD talks about how the drug industry fails America.

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Drugs Overused in Dementia Patients

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The NY Times reports on how drugs are overused in dementia patients.  How about the bigger story–that there are no drugs that make any substantial difference in dementia, not a one, and yet we have PhosphatidylSerine, Acetyl-L-Carnitine, and GlyceroPhosphoCholine, three nutrients which have been found helpful in restoring the function of the senile brain, according to research in over 5,000 older adults. At a conference where I was lecturing, an attendee said that neurologists in her city didn’t like GlyceroPhosphoCholine. I said that’s like firemen not liking water–it’s irrelevant. It works, and it should be the front line therapy.Perhaps what is needed is a class-action lawsuit from dementia patients and their families to demand a higher standard of orthomolecular care. Not using therapeutic micronutrition with the aforementioned nutrients in light of available data should now be considered malpractice. 

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Does HIV Cause “AIDS”?

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There is a movement afoot which questions whether HIV is truly the cause of what we call “AIDS.”

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Potential Harm in Jane Brody Column

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Reporter Jane Brody says that there is potential harm in dietary supplements. With anything that has a powerful clinical effect, there is danger for misuse. But her strident overstating of the facts is at odds with reality. She writes:

“A form of substance abuse rampant in this country is rarely discussed publicly or privately. It involves abusing legally sold dietary supplemets - vitamins, minerals, herbals and homeopathic remedies — all of which can be sold over the counter without prior approval for safety and effectiveness.”

Not so.  You cannot sell something that is not safe. That is completely wrong, and a cheap shot.  The FDA will be on your doorstep.  What’s more, the supplement industry is regulated.But the bigger picture she is trying to paint is what is most distorting - that supplements either harm or do nothing.  Let’s look at recent research:

Carnitine supplements have been found to lower LDL cholesterol, raise HDL cholesterol, lower body fat levels, raise lean tissue levels, and decrease mental and physical fatigue in older adults, and these benefits have been replicated.  No drug has ever been shown to do that.  References: Carnitine has a myriad of benefits for older adultsCarnitine benefits centenarians.Vitamin D, at doses of 1100 IU per day, have been found to decrease the relative risk of cancer in women by 78%.  No drug can do that.  Vitamin D decreases cancer risk in women markedly. Vitamin D has has been found deficient in a large segment of the US population, and few foods have little if any vitamin D. Even women in sun-drenched Arizona are low in vitamin D.   Can any drug replace the power anti-cancer benefits of vitamin D? Can you get enough through your food without guzzling milk, which is associated with an increased risk to diabetes? No.

The documented, researched benefits of supplements are available for review in a vareity of online databases.

Ms. Brody says that salmon oil, ginkgo and turmeric taken together thin blood. She points out that when the supplements are stopped, the effect is reversed.  Also correct. What is exciting is that nutrients can be used to replace dangerous blood thinning medications, under proper supervision. What is a beneficial clinical effect is seen as a problem by Ms. Brody.

What about drug toxicity?  How about NSAIDS ability to dramatically increase the rates of kidney failureVioxx increasing mortality?  How about the one billion Merck has set aside to pay for Vioxx related lawsuits, which will eventually be charged to consumers in higher health care costs? And how about the fact that we prefer expensive drugs to inexpensive nutrient therapies is going to, according to the top accountant of the United States, going to bankrupt us by 2030?  David Walker, as head of the GAO, said that this high cost of health care is the greatest threat to American people and our way of life.

According to Jane Brody, nutrients and natural therapies are suspect. Drugs, by exclusion from her discussion, are therefore good, because they are more closely regulated. That’s because drugs are like guns: their dangers (and power) require that they be strictly regulated.

The true and most ominous danger of nutrients and natural therapies? Their ability to replace drugs and an entire industry. Their danger is economic, to an industry that is toxifying our bodies, our environment, and destroying our economy. So, Ms. Brody, and others in the drug-friendly media, are on the offensive.What is the most dangerous unregulated sector in our world? The 80,000 chemicals that are in our environment, which are in part responsible for the 23.5 million cases of autoimmune diseases in America today.  Let’s regulate these chemicals, and ask they be proven safe, like the Europeans are doing.  Otherwise, we’ll keep heading towards ever high levels of cancer and other toxicity related diseases.  Five new chemicals are released in America every day, and they do not have to be proven safe in humans.  And it is the very supplements Ms. Brody attacks that give us the best and only chance of detoxifying them before they do cause harm in our bodies.

So, when buying drugs, or standard medical therapies these days, the message is clear, both for your health and the health of the US economy: caveat emptor.

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Cholesterol Drugs May Cause Plaque Build Up

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Two widely prescribed cholesterol drugs may actually cause plaque to build up in arteries.

But, don’t worry.  The drug companies that make them will continue to promote them, according the New York Times.

I was worried there for a second the bottom line of drugs companies might be affected, which in turn might upset the Dow more.

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