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Rosacea: More Than Skin Deep

Rosacea: More Than Skin Deep

Photo by Brodie Vissers from Burst

By Ben Fuchs | PharmacistBen
Rosacea is a distressing and psychologically debilitating skin condition that affects an astounding 16 million or 5 percent of Americans. If you believe recent reports from the National Rosacea Society (NRS), the figures may be even worse. In a Harvard Medical School study, NRS researchers found a prevalence rate for rosacea of 16 percent in Caucasian women and an overall rosacea incidence of nearly 10 percent ina total population that also included Hispanics, African-Americans, Asians, and Indians.

Rosacea, a Latin term that can be defined as “rose-colored”, shows up as redness on the cheeks and nasal area, although it sometimes involves oily skin, at which point it acquires the moniker “seborrhea”. In some especially unfortunate patients, blemishes and pustules can form and the skin around the nose can become thickened. Even more disturbing is rosacea that affects the eye, a condition that can result in ocular dryness, grittiness, and a burning sensation. Still, despite its appearance, rosacea is best thought of not as a skin or eye problem, but rather as a circulatory one. This should be obvious, as the dilated blood vessels that are the featured characteristic of the rosacea patient, are located, not on top of the skin, but rather in the blood vessels located in the deeper tissues below.

Still, dermatologists and estheticians, as well as their patients, address the surface of the skin as the main target of therapies to alleviate the distressing ruddiness of rosacea. If you go to a skin care professional to treat the condition, more than likely, you’re going to leave with a prescription or suggestion for a topical cream or lotion, most often an antibiotic and occasionally an anti-inflammatory steroid. Sometimes laser therapy is suggested and occasionally exfoliation and skin peels are used. Recently, a pharmaceutical company called Foamix announced, with great fanfare, the results of a study on a new product called FMX 103, that showed a “statistically significant” reduction in lesions and pustules of rosacea patients. FMX 103 is a patented foaming, retooled version of minocycline, an old-time antibiotic that has been used to treat various skin conditions for 50 years.

The problem with the use of topical treatments for rosacea is that they, like most medical interventions, do not deal with the causes of the condition. Because the disease involves internal biochemical breakdowns, not addressing these internal mechanisms that lead to the sur-face symptomology can have ramifications for the patient’s future health. Some non-dermatological health issues that can develop in the rosacea patient over time include allergies, respiratory diseases, gastroesophageal reflux disease (GERD), diabetes, urogenital diseases, and female hormone imbalances.  Other recent studies have found increased risks of inflammatory bowel disease and brain cancer. Recently, according to an article published in the journal “The Dermatologist”, researchers announced that individuals with rosacea are at greater risk for dementia and Alzheimer disease.

Because rosacea involves blood vessel dilation, a red flag indicator for blood-borne toxicity, the first place to look for a cause is the digestive tract. Unless substances are injected or otherwise enter into the circulation through the skin (as in through wounds or burns), the intestine is always the likely port of entry into the blood, as one of its major roles of the intestine is to effectively facilitate the movement of substances into the circulation. Significantly, as all rosacea pates know, the flushing that is associated with the condition can be dramatically increased by the ingestion of certain substances, including tea, coffee, alcohol, dairy, legumes, grains, and spicy meals.

Thus the most important anti-rosacea strategy is to look for digestive allergies or intolerances and eliminate problem foods. Caloric restriction and fasting can reduce the burden on the intestine and may also be helpful. Use probiotics and fermented foods to restore intestinal bacterial flora (interestingly, the anti-biotics so often used to address rosacea can have negatively impact gut bacteria). Because rosacea can be linked to low stomach acid, use apple cider vinegar, betaine HCL and perhaps prescribed hydrochloric acid drops (available through compounding pharmacies) before meals. Beginning meals with bitter substances like radishes, arugula or dandelion greens can improve secretion of digestive juices.

Other ideas for the rosacea patient:

Avoid refined sugars and carbs, they exacerbate inflammation and can stimulate the production of skin oils.

Because emotional stress can cause inflammation and induce vasodilation, use relaxation strategies, massage, deep breathing techniques and hot baths can be especially useful.

Hyperbaric oxygen therapy (HBOT), a procedure which utilizes a special chamber to drive high-pressure oxygen into the blood might help. Dr. Julian Whitaker, MD reported that one of his patients cleared up her rosacea after one HBOT session. According to a June 1972 article published in the British Journal of Dermatology, in 6 separate dermatological cases in which previous methods of therapy were unsatisfactory, HBOT treatment led to successful outcomes. Many hospitals have hyperbaric oxygen chambers that are available to the public and independent treatment centers can be found in most big cities.

Vitamin B2 (riboflavin) supplements may be helpful. A March 1943 paper published in the British Journal of Ophthalmology found that 32 of 36 patients dealing with rosacea of the eye “had prompt healing of the corneal lesions -usually within four days.”. Try 100-200 mg of riboflavin daily taken with the entire B-complex.

Posted by publisher in Health

Real Cholesterol Statistics Behind Statin Drugs

Real Cholesterol Statistics Behind Statin Drugs

By Ben Fuchs | PharmacistBen
What are the real cholesterol statistics behind statin drugs? While cholesterol is present in blocked arteries, it is not a cause of heart disease any more than flies buzzing around a garbage heap are responsible for the rotting refuse. But if you believe the notion that high cholesterol is a heart health challenge, that’s understandable and you’re in good company. Over 15 million Americans are on Cholesterol lowering drugs and the doctors at the National Institute of Health believe that another 20 million people should be on them, but aren’t. From consumer publications to television and radio advertising to internet websites, we find the medical “memescape” saturated with the misguided message that cholesterol is the cause of coronary artery disease and statin drugs are the savior that will protect humanity from the horrors of heart attacks.

According to the website “the peoplespharmacy.com“, current guidelines from heart experts insist that virtually every man over the age of 63 and every woman over 70 should be on statin-type cholesterol-lowering drugs, regardless of risk factors. Based on a study published in the May 2017 New England Journal of Medicine, which found that statin drug receiving patients were 1.2 percent less likely to have a heart attack than those on placebo, Dr. Salim Yusef, M.D., D.Phil., the study’s lead investigator and professor of medicine at McMaster University in Canada said “The study shows that we should be expanding whom we treat with statins.” He said, “Statins are effective and safe for anyone with an intermediate risk factor and people over the age of 55.”

Don’t fall for it! All drugs are by definition poisons. There are, by definition, no safe poisons. Statistics are numbers and susceptible to manipulation and interpretation. Statins, like all drugs, are poisons; they have to be detoxified by the liver, where they cost the body its precious nutritional resources, and that’s a fact.

According to Dr. David Diamond, a professor of molecular pharmacology at the University of South Florida, expert in cardiovascular disease, Dr. Uffe Ravnskov, it is a “statistical deception” that has been used to make innocent victims and duped doctors believe claims about statin drug’s effectiveness.

The supposed benefits of statins are based on a sneaky little statistical strategy called “relative risk reduction” which quote, “amplifies the trivial beneficial effects of statins,” according to Diamond and Ravnskov. This little drug company’s statistical trick works like this: The chance of having a heart attack over a 5 year period without taking statins is 2%. By taking statin drugs, users reduce that risk from 2% to 1%. The “relative risk reduction” is the percentage difference between using a statin drug (1%) and not using it (2%). Since a 1% risk reduction is half of 2%, they claim that statin drugs reduce heart attacks by a 50% reduction in risk. So, you might be told that a statin drug will reduce your risk of having a heart attack by 50%, when the actual reduction in risk is from 2 out of a hundred, to 1 out of a hundred. This practice involves some spurious sophistry that may sell drugs and persuade physicians into promoting them, but it does NOT help their patients.

Doctors Diamond and Ravnskov’s analysis examined 2 separate studies:

In one, called Jupiter Trial, the public and doctors were told of an actual reduction in heart attacks that was less than 1 percentage point but was somehow statistically manipulated to magically become a 54 percent reduction.

In another, the Anglo-Scandinavian Cardiac Outcomes Trial-Lipid Lowering Arm (ASCOT-LLA), a 1.1. percent improvement in patient outcomes with Lipitor. When presented to the public via medical journal advertising, this percentage was magically (i.e statistically) transformed to become a 36 percent cut in the risk of having a heart attack.

Here’s all you need to know about the flawed cholesterol hypothesis and statin-based prevention: While clearly statin drugs can suppress the body’s production of this unbelievably important molecule, which is very likely the most functional and important chemical in the body, statin drug’s benefits for preventing heart disease, if there are any, are negligible at best.

The statistical sophistry of statin-mania is why you have to be careful with clinical claims and why we have to use common sense: drugs are foreign to the body; they are poisons and must be detoxified. That is, pharmaceuticals are toxins and only a drug company, statistician or a doctor can somehow believe that number crunching is more important and health-relevant the biochemical logic.

If you’re dead set on lowering your cholesterol with pills, use Essential Fatty Acid supplements instead of statins. EFAs and their derivatives act like natural statin drugs, employing the same cholesterol-lowering mechanism as the synthetic pharmaceuticals, but without the side effects. In fact, instead of side effects, you’ll get side benefits and you may be able to reduce your dose of other drugs. According to researchers, writing in the October 2008 edition of the journal Lipids in Health and Disease, essential fatty acids can act like blood thinners, diuretics, anti-hypertensives, and ACE inhibitor drugs. According to the authors of the same article, they can have anti-inflammatory anti-arrhythmic benefits too. And, EFA’s benefit more than the cardiovascular system. Using Omega 3 and Omega 6 supplements can improve dry skin, eczema and acne, among other skin conditions, while improving post-surgical healing, building bones and helping support mental functioning, memory and mood.

Posted by Ben Fuchs in Health

Activated Charcoal for Detox, Food Poisoning & Hangovers

By Ben Fuchs | PharmacistBen

So what exactly is activated charcoal, the ancient healing substance that has become all the rage in the beauty and skin care business? Simply put, it’s burnt wood that has been magically transformed into a powerful poison filter that can reduce the absorption of drugs, chemicals, and other toxins, by up to 60%.

To make activated charcoal, wood is burnt in the absence of oxygen at extremely high temperatures, up to 1600 degrees Fahrenheit, to create a black substance called char. The net result is a type of material sometimes referred to as vegetable carbon, that is tremendously porous, with a remarkable surface area; two teaspoons full of activated charcoal has the surface area of an entire football field.

Activated Charcoal for Detox, Food Poisoning & Hangovers

By Self (en:User:Ravedave) [CC-BY-SA-3.0 or CC BY 2.5 ]

This amplification of porosity and surface area gives activated charcoal its amazing ability to ‘absorb’ toxins. Adsorption (with an “AD”) is a phenomenon whereby chemicals stick to a surface via chemical attraction. This distinguishes it from absorption (with an “AB”), which can be defined as the complete assimilation of one material into another, as water is into a sponge. Because of the tremendous increase in the surface area created by the activation process, activated charcoal can adsorb many times its weight in toxins. This makes the fine black powder incredibly valuable as an antidote for poisons, which readily adhere to the large surface area of the pores like paper clips to a magnet.

That’s why activated charcoal is considered a must-have in pharmacies, first aid kits and medicine cabinets around the world. And, it’s considered first-line treatment for accidental poisoning in most emergency rooms. Perhaps the most famous example of activated charcoal’s astounding anti-poison properties was the case of Professor Touery, who in 1831 drank 15 grams of strychnine (that is ten times the lethal dose) in front of his medical associates without issue simply because he mixed the deadly substance with activated charcoal.

According to a 2001 study published in the journal “Pediatrics”, activated charcoal can be an effective home treatment for accidental poisonings. In the study, researchers from the Kentucky Regional Poison Center found that poisoned patients who used activated charcoal at home before they got to an emergency room had significantly improved outcomes. The researchers concluded that intestinal detoxification “… at home using activated charcoal, in appropriate circumstances, may reduce the number of cases that require treatment in a health care facility”.

Personally, I keep a bottle of activated charcoal capsules in my medicine cabinet at home, and I had a ten-pound jar of it at my pharmacy for years. I’ve used it for food poisoning, to reduce unpleasant digestive symptoms like gas and bloating and for dealing with the stomach flu. It has also been recommended for accelerating recovery from a hangover after a night of too much celebration, although the recent literature suggests it may not be effective. Externally, you can make a paste with it – blend it with olive oil and perhaps a bit of bentonite and apply it to the affected area – and it can draw out infection or even spider venom.

Activated charcoal, as many cosmetic companies are discovering, can also be used cosmetically to great effect. A quick Google search for “activated charcoal in beauty products” reveals at least 26 different topical products that feature the fine black powder. It’s also found in shampoos, bath salts, deodorant and anti-fungal creams for athlete’s foot.

You can buy activated charcoal in most drug stores or online. It comes in capsule and tablet forms. You can also buy the straight powder, which is much more cost-effective, at around 20 -25 dollars a pound (100 capsules = around ¼ pound) although a little less convenient to use. A typical anti-poison dose is around 12 tablespoons of the power (15-30 capsules) dissolved into or taken with 3 or 4 glasses of water.

Did you know…
-Activated charcoal also makes a great tooth whitener. Simply sprinkle some on a wet toothbrush and scrub teeth for 2 to 3 minute. Make sure you rinse well, otherwise your tooth whitener will leave your teeth pretty black!
-You can add a teaspoonful of activated charcoal to some bentonite clay, mix in a cup or so of apple cider vinegar or aloe vera gel and water to make a paste and apply to blemishes as a spot treatment or to the entire face as an anti-acne mask.
-You can make a great detox cleanser by melting some coconut oil, add some activated charcoal and baking powder. Stir powders in gently as the coconut oil cools and use as a skin softener and purifier. Use a drop or two of lavender or tea tree oil to boost the anti-bacterial properties and add some aromatherapy benefits to your homemade coconut charcoal scrub.

Posted by Ben Fuchs in Health

Check Thyroid Health with the Basal Thermometer Test

By Ben Fuchs | PharmacistBen

One of the easiest and most effective ways to check for thyroid health is the ‘Basal Thermometer Test’ developed by Dr. Broda Barnes, one of the first physicians to recognize the importance of thyroid health when it comes to overall wellness. He wrote the classic book on hypothyroidism called “Hypothyroidism, The Unsuspected Illness” in the 1970’s, and he was of the opinion that numerous health issues including heart disease, cancer, depression, arthritis, diabetes, frequent colds or infections, tonsillitis, ear infections, PMS and other female health issues as well as skin disorders, were all caused by a poorly functioning thyroid. Barnes thought that hypothyroidism affected more than 40% of the American population, which was much higher than most doctors at the time. However, perspectives are changing as hypothyroidism is becoming more and more recognized as a health problem.

Thyroid Health

By Almonroth (Own work) [CC BY-SA 3.0]

The test, which is sometimes called the ‘Barnes Basal Thermometer Test’ is done by placing a thermometer in the armpit for 10 minutes, first thing in the morning. This is important. If you move around and start your day before testing, your results won’t be accurate, so you want to do the test as soon as you wake up, while you’re still in bed. Because temperature for women is a bit lower on the first day of menstruation, Barnes advised women on their periods to avoid testing themselves until their second or third day.

Personally, I would suggest women wait until they’re done with their periods entirely just to be sure. You want to test your armpit temperature for three consecutive days and then determine the average. According to Barnes, if you’re below normal body temperature, which is 97.8 degrees, this can be indicative of hypothyroidism, especially if you have other symptoms. On the other hand, a reading over 97.8 degrees, according to Barnes, could indicate hyperthyroidism, again, especially if there are other symptoms present.

If it turns out you’re suffering from hypothyroidism, and nearly 10 percent of Americans are, it’s unlikely that using iodine supplements will make much of a difference. I’m not saying that iodine is not an important mineral; iodine is important, particularly for glandular health and for the production of thyroid hormone. If you are blatantly deficient, you may notice some benefits, but most hypothyroid patients are not suffering from a lack of iodine. The same goes for thyroid hormone drugs (levothyroxine), which may or may not provide the hypothyroid body with a little hormone activity, but will not do anything to correct the condition.

Hypothyroidism is typically the result of digestive health issues, blood sugar problems and chronic stress (adrenal) gland activity. That means the best strategy for dealing with hypothyroidism is the same strategy used when dealing with any other health challenge:

#1 Work on digestive health (using digestive enzymes and apple cider vinegar with meals, eating fermented foods, using probiotics and eliminating problem foods).

#2 Stabilize blood sugar by eating less starchy and processed carbs (like cereal, as well as sweets and desserts), using supplements like selenium, sulfur, chromium, vanadium and the B-vitamins (among many others) and enjoying fiber-rich veggies with all meals.

#3 Focus on adrenal health with relaxation strategies and deep breathing, reduce sugar intake, and use nutritional supplementation including zinc, Vitamin C, the B-complex and magnesium. Progesterone cream may help, likewise pregnenolone and DHEA.

Posted by Ben Fuchs in Health

The Health of Hair Depends on Internal Nutrients. Hair is Dead!

By Ben Fuchs | PharmacistBen

The Health of Hair Depends on Internal Nutrients. Hair is dead!

(PharmacistBen) Hair is dead! By the time the skin appendage has left its hidden home and birthplace in the follicle, and becomes a visible strand of substance, it is nothing more than a hard shell. Because this shell is largely composed only of dead cells filled with protein, the same stuff that makes up human fingernails as well a horse hoofs and rhino horns, trying to enhance hair’s appearance and texture with topical products is like putting lipstick on a corpse. But that doesn’t mean we can’t try!

Throughout history luxurious locks have been honored as a sign of fertility, virility, overall vigor and well-being. Men and women around the world have used a wide range of materials to improve its appearance. From ingredients, like the olive oil infused dead lizards or boiled bulls blood (!) used by ancient Egyptians and Greeks, to the more sophisticated high tech chemicals with difficult to pronounce monikers, like “quaternary ammonium complexes” and “polysiloxanes”, all manner of substances synthetic, natural, benign and toxic have been applied to the tresses to encourage growth, shine, thickness and bounce among other desirable characteristics.

Hair is mostly made up of protein. That’s why the more popular hair care ingredients found in modern shampoos and conditioners are the chemically modified extracts of protein-rich grain and seeds. These derivatives purport to enter into the surface of the nonliving hair shaft to provide support and protection by filling in gaps and repairing microscopic defects. Most include an amino acid called “cysteine”. Cysteine contains a little piece of sulfur, the element that is responsible for hair’s resilience and strength. From a quantum chemistry perspective the electronic nature of sulfur makes it very magnetic. It holds on to things and doesn’t let them go, like a really powerful heavy duty magnet. This micro-magnetic grip creates hardness on the macro level. Thus defining cysteine’s role in strengthening the hair shaft (as well as bone, joints and cartilage).

There are various ways manufacturers can leverage the power of cysteine for their hair care products. While you’ll rarely see the actual amino itself listed on your product’s ingredient deck, what you will often find is some kind hydrolyzed protein. Whether it’s from wheat, barley, soy or some other plant product, these hydrolyzed proteins, which contain a significant amount of the hair hardening amino acid, can, theoretically at least, be released and delivered into the hair shaft as your shampoo or conditioner is being applied.

The major cysteine containing protein in the hair (and for that matter in nails and skin) is called “keratin” and oftentimes shampoos and conditioners manufacturers will include it as an ingredient in their formulations. L’Oréal, Jason and TRESemme among other companies all have hair products that feature keratin and there’s also hair styling products that have keratin in them. If you do a google search for keratin and shampoo, you’ll find over 5 million hits and if you just take a walk through the shampoo section at Walmart or your favorite grocery store you’ll find dozens of shampoos with names like Keranique and Keralique and Suave with keratin as well as keratin hair oils and keratin conditioners.

Do they work? Probably not. Remember, hair is dead and while keratin is composed of cysteine it isn’t going to be able do much to permanently change the quality of hair by simply applying it topically via a shampoo or conditioner. Keratin containing hair products are more about marketing and misinformation than actual keratin effects; at best keratin may soften hair a little bit by acting as a moisturizer. It’s possible that keratin may get deposited in the hair shaft allowing for a temporary strengthening effect, although that too is unlikely.

In the salon world hair stylists CAN make use of keratin and cysteine in a product called the Brazilian Blowout, which is basically a hair straightening treatment utilizing heat and cysteine that breaks and reforms the protein bonds in curly frizzy hair, turning it into smooth straight hair that can last for weeks. Previously most hair relaxers and straighteners simply used heat with a very harsh “alkalinizer” like lye and potassium hydroxide. As it turns out, by using cysteine, typically in in the form of keratin, Brazilian blowout and similar products manage to avoid the use of harsh chemicals and still achieve good hair straightening results. However in recent years it has come to the attention of the FDA and OSHA and other researchers that the Brazilian Blowout product actually achieved their fantastic results with formaldehyde, a not very pleasant carcinogenic chemical that’s used to preserve corpses. An OSHA study found 60 times the allowable level of Formaldehyde in one Brazilian blowout product, which comprised, at least according to OSHA, 12 % of the product. That’s a lot of formaldehyde! In any case whether or not there is formaldehyde in these kinds of products, hair straightening is by its very nature an aggressive procedure, because the hair’s natural cysteine bonds are so darn strong it takes really aggressive treatments to break them.

Ultimately, like everything else in the body, the health of hair depends on internal nutrients that are ingested, digested and delivered through the blood. That means eating cysteine is a way more important and better option for taking care of your tresses than applying it directly to your hair. Once a hair pokes out of a follicle on the head it is dead tissue. Now that’s not to say that nothing can be done with the appearance of the hair once it leaves the scalp. While it may not be living tissue, it is porous and can absorb certain materials from topical products to improve its appearance. But if your hair doesn’t seem to be healthy, if it’s limp or brittle and dry, you are probably dealing with an internal issue more than a topical hair issue.

Most importantly, hair structure depends on protein, especially the sulfur containing proteins found largely in animal foods, dairy (especially whey), eggs fish and meats. For vegetarians, beans and grains can provide sulfur proteins. Consider using digestive enzymes and apple cider vinegar with protein foods to help release the amino acids and make them more accessible to the hair making cells in the scalp. Using supplements like NAC (as a source of cysteine) and MSM (readily usable sulfur) as supplements can contribute to the pool or raw material for making hair, without violating vegetarian vows. Follicular health depends on Vitamin C, so make sure you’re eating lots of veggies and citrus fruits. You might want to think about supplementing with a gram or two on a daily basis. The B-vitamins, most especially biotin and pantothenic acid has historically been recognized as important for improving cellular energy. Because hair growth is typically rapid, improving the energy levels of follicular cells may provide significant benefits. No nutrient is more important for the hair than zinc, which not only stimulates its synthesis and growth inside the hair follicle, but also helps balance out the excess male hormones that are associated with hair thinning and loss. Zinc is also involved in hundreds of different biochemical reactions associated with health. Using 50mhg a day of the picolinate form (Zinc Picolinate) will not only keep hair healthy but can also provide general salutatory benefits for the whole body.

Posted by Ben Fuchs in Health