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Popular Remedies From: John Hellriegel (jhellrie@ubmedd.buffalo.edu) Fri Aug 30 00:08:27 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Hellriegel: "LPD and Progesterone" Previous message: Paul Prior MD: "Re: Norplant Failures" Popular Remedies Pat Sonnenstuhl wrote: “Also, there are several references geared to the consumers about alternatives to synthetic estrogen and progesterone. Several popular books are: Listening to Your Hormones, by Gillian Ford Screaming to be Heard by Dr. Elizabeth Lee Vliet What Your Doctor May Not Tell You About Menopause by Dr. John R. Lee Women's Bodies, Women's Wisdom by Dr.Christine Northrup.” I am naturally leery of remedies and treatments published in “popular books” and magazine articles because the author is protected by our “freedom of the press” and the treatments presented do not have to meet any criterion for effectiveness or reproducibility as articles do that are published in pear review journals. For example, there may be lots of estrogenic substance in yams but is it absorbed into the body and how does it interact with the estradiol receptors in various tissues? (Some substances are estrogenic in some tissues and anti-estrogenic in other tissues.) Are there trials demonstrating that the substance prevents osteoporosis and heart disease? Have I really helped my patient if I prescribe two yams daily as a preventative for osteoporosis when I have evidence that estradiol really works for that purpose? Would you prescribe chewing foxglove(sp) leaves or digoxin? There are lots of examples of “They say” it is a great therapy, but it turns out to be worthless or even harmful. I think that we really must utilize evidence based therapies whenever possible. As they say, it’s my 0.02. -- John Hellriegel, MD, PhD Next message: John Hellriegel: "LPD and Progesterone" Previous message: Paul Prior MD: "Re: Norplant Failures"

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