A new study out of Australia looked at 26 different Traditional Chinese Medicine (TCM) products purchased from stores. They performed three types of analysis: heavy metal screening, toxicological analysis, and DNA sequencing. They found that 92% of the products tested had at least one type of contaminant.
This adds to a growing list of studies and revelations about how poorly the supplement industry is regulated, and raises further concerns about the overall quality of herbal and supplement products.
A 2008 study found that about 20% of ayurvedic herbal products contained heavy metal contamination, often at levels high enough to be toxic.
“Although we were able to authenticate almost half (48%) of the products, one-third of these also contained contaminants and or fillers not listed on the label. Product substitution occurred in 30/44 of the products tested and only 2/12 companies had products without any substitution, contamination or fillers.”
A 2014 study published in JAMA found that half of the product recalled by the FDA for being adulterated with banned drugs were dietary supplements, including up to one third of products purchased online. Further, when the FDA followed up they found that 6 months after they had issued a recall for adulterated supplements, two-thirds were still on the market and still contained the banned drugs.
Several years ago, during a lecture on Science-Based Medicine, I noted that if there were one medical pseudoscience that was vulnerable to extinction it was homeopathy. Homeopathy is perhaps the most obviously absurd medical pseudoscience. It is also widely studied, and has been clearly shown to not work. Further, there is a huge gap in the public understanding of what homeopathy is; it therefore seems plausible that the popularity of homeopathy can take a huge hit just by telling the public what it actually is.
Further, homeopathy is in a precarious regulatory position. Homeopathic products are presented and regulated as drugs, but clearly they are not, and they are also not supplements, herbal drugs, nutrition-based, or natural products. They are simply fraudulent drugs riding a wave of ignorance.
In the last few years homeopathy has had a rough time. While the industry is still growing, there are signs of clear trouble on the horizon. Let’s review:
Homeopathy is a 200 year old pre-scientific system of medicine based upon magical thinking. It is mostly based on two notions, the first of which is that like cures like. In other words, a substance that causes a symptom can cure that symptom in extremely low doses. There is no scientific basis for this, despite the desperate attempts by homeopaths to invoke vaccine-like analogies, or their new favorite, hormesis.
The second notion is that you make a remedy more powerful by diluting it to extreme degrees. People have fun making comparisons, such as the need to drink a solar-system’s worth of water to have a 50% chance of getting a single molecule of active ingredient. No problem, say the homeopaths, homeopathic potions contain the magical “essence” of what was previously diluted in them. It’s turtles all the way down.
It seems that the regulation of supplements, homeopathy, and “natural” products in Canada is as bad as the US. The Canadian Broadcasting Corporation (CBC, the equivalent of NPR and PBS in the US) recently conducted a demonstration of just how worthless and deceptive the regulations are.
They created a fake treatment called “Nighton” which they claimed treated fever, pain, and inflammation in children and infants. They then applied to the government for a Natural Product License. On the application they checked all the appropriate boxes and submitted as evidence copied pages from a 1902 homeopathic reference book. That was it. Five months later their fictitious product was approved as “safe and effective.”
What this means is that when the Canadian government approves a natural product as safe and effective, it is completely meaningless. It is essentially a license to lie to the public about a health product.
It is reasonable to assume that many if not most of the public, if they see a product on the pharmacy shelf with the label, “licensed as safe and effective for fever, pain, and inflammation,” with an official government issued product number, that some sort of testing and quality assurance was involved.
The situation is identical in the US. Companies can market homeopathy products or supplements without providing any evidence that the product is safe, and can even make health claims (as long as they don’t mention a specific disease by name) again without the need to provide any evidence. In essence, in the US or Canada a company can put anything in a pill or bottle (as long as it doesn’t contain an actual drug), then without any testing market their random assortment of vitamins, herbs, or just water (in the case of homeopathy) with specific health claims. Pharmacies are happy to sell these fake products side-by-side with real medicines.
This is nothing short of a scandal.
Gerson therapy is the name given to a regimen that claims to be able to cure even severe cases of cancer. The regimen consists of a special diet, coffee enemas, and various supplements. The regimen is named after Max Gerson (1881-1959), a German physician who emigrated to the United States in 1936 and practiced medicine in New York.
In 1977, Gerson’s daughter, Charlotte, co-founded the Gerson Institute, which oversees The Baja Nutri Care Clinic in Tijuana, Mexico. The clinic’s website has a very strange message on its front page for such a cheery, optimistic site: BNC reserves the right to refuse service to anyone, at anytime without notice for any reason. It is still illegal for a clinic to offer the Gerson treatment as a cancer cure in the U.S. Charlotte is not a medical doctor but she was given on-the-job training in her father’s clinic. She trains physicians in the Gerson method, lectures widely on the benefits of the therapy and the evil forces trying to suppress it, and has written a number of pamphlets centering on testimonials from various people who claim to have been cured of their cancer. She’s co-authored a book on the Gerson way and is joined in her endeavor by her son Howard Strauss. Howard has a degree in physics and has written a biography of his grandfather called Dr. Max Gerson: Healing the Hopeless. Mother and son believe that Howard’s wife was cured of cancer by Gerson therapy.*
Gerson says he started on the road to his regimen when his migraines went away after going on a vegetarian and salt-free diet. The diet in the regimen eventually came to include lots of juice from organic fruits and vegetables, and to exclude coffee, berries, nuts, dairy products, tap water; bottled, canned or processed foods; and cooking in aluminum pots and pans. The supplements came to include linseed oil, acidophilus-pepsin capsules, potassium solution, laetrile, Lugol’s solution (iodine/potassium iodine), thyroid tablets, niacin, pancreatic enzymes, royal-jelly capsules, castor oil, ozone enemas, vaccines, and vitamin B12 mixed with liver.* The liver injections were removed from the regimen after it became clear that it was making some people sick.*
Who was Max Gerson and why would anyone with cancer follow his advice of massive quantities of vegetable juice and daily coffee enemas? The second question is easy to answer. The therapy appeals to those who believe a “natural” cure exists for cancer and most other diseases but special interests (known in some circles as “they”) have suppressed these cures. It appeals to cancer patients who are extremely fearful of or violently opposed to surgery, radiation, or chemotherapy. It appeals to cancer patients who have been told that science-based medicine has no treatment for them and who are desperate to continue living. The first question requires a longer answer.