Archive for July, 2009

The Dangers of FDA Regulated/Approved Compounds vs. OTC Supplements or Homeopathic Drugs

Before a new FDA approved drug appears on the pharmacy shelf, it goes through a long process of testing that takes an average of 12 years.  It also costs about 350 million US dollars to move that new drug from the scientific laboratory to the consumer’s reach.  Once a company develops the new drug, it undergoes about three and a half years of laboratory testing before applying to the U.S. Food and Drug Administration (FDA) for further testing in humans.  This strict regulatory process can be grueling and financially taxing for a company eager to get its product to market.  Yet, having a mandated approval process offers consumers the reassurance of knowing that the non-prescription or prescription drug they have been encouraged to take has the FDA seal of approval, and therefore must be safe.  But, is it really safe?

Americans want to trust their doctors, the medical community and the government that the drugs they are taking for treating disease, relief of medical conditions and/or for pain management are going to give them significant benefits that outweigh any health concerns.  Unfortunately, there are often many associated risks with these drugs, and also many harmful side-effects that are later discovered after these drugs have gone through the lengthy, intensive FDA approval cycles…things that just are not manifested until released to the wider public.  Vioxx, a non-steroidal anti-inflammatory drug (NSAID), is an example of one of these drugs that resulted in disappointment, mistrust and in some cases, hysteria after the manufacturer, Merck pulled the drug off the shelves.  Marketed to treat osteoarthritis and acute pain conditions, Vioxx was approved by FDA in May 1999.  The drug gained widespread recognition with over 80 million people taking the prescription drug based on their physicians’ recommendations for relief of arthritis and other conditions causing chronic or acute pain.  In September 2004, Merck & Co. withdrew the drug from the market based on risks of heart attack and stroke.  This had a major impact on the medical field and the public since it was one of the most widely used drugs to be charged with causing serious health risks, especially after having had a market presence for five years.  Why was this health concern not detected or considered earlier in the FDA approval process?

More recent news involving Acetaminophen puts FDA and one of their “approved drugs” in the spotlight again, as well as the drug manufacturers who make Tylenol, Vicodin and Percocet, and other pain relief and cold medications with this harmful drug present in the ingredients.

As cited in a recent WSJ article by Melinda Beck, “Taking Pains with a Painkiller”, July 8, 2009, “This isn’t the first time the FDA has grappled with the acetaminophen problem. In 2002, an advisory panel recommended that over-the-counter products containing the drug be clearly labeled on the front of the package. But it took until December 2006 for the FDA to propose such a rule, and until April 2009 for it to go into effect.”   Meanwhile, acetaminophen has been linked to 56,000 emergency room visits, 26,000 hospitalizations and 458 deaths during the 1990s (stated by the FDA).  In 2007, a report from the Center for Disease Control and Prevention estimated that the pain relief medication was also the likely cause of 1,600 acute liver failures each year.  These statistics make it very difficult for the consumer, as well as manufacturers, to fully trust in the FDA approval process initially described above as being effective in determining safety.

What’s the alternative? There are natural supplement and homeopathy companies that deliver safe and highly effective over the counter (OTC) drugs for the same medical conditions and pain relief, minus the negative side-effects and health risks linked to FDA approved medications. They may not be government regulated, since such products are not currently required to receive FDA approval, but many follow best practices in safety and manufacturing, have received compliance under drug and supplement standards, and most of all, these more natural products aren’t killing people!  Some of the biggest advantages to those who have made the switch to natural/holistic supplements, is the low hassle of finding a solution to your ailment(s), without needing an insurance card or written prescription from a doctor’s office, and finally due to the ease of mind knowing that the substance you are ingesting is natural, rather than of synthetic compounds with levels of high-toxicity.

However, is this enough assurance for people who are familiar with the traditional protocol? There are many Americans spending billions of dollars annually on natural supplements and natural products known as an alternative to more common FDA approved drugs.  Still, some are concerned that there’s no guarantee that all of these “natural” alternatives are safe either.  The consumer should review the information on packaging regarding claims and ingredients and any drug interactions with other medications.  They also should investigate what type of safety and toxicity testing has been done by the manufacturer, and any QA / QC guidelines that are in place (i.e. quality assurance / quality control).

As FDA-regulated products continue to pop up in the news with harmful findings that have been discovered after-the-fact of approval, it’s a perfect time to consider safe, effective alternatives.  Many who have given up on the old standards due to health concerns or because they found that the common pain meds just didn’t work as well, are now happily pain free and/or content knowing they have choices of products that are non-toxic to the body and completely safe.

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1 comment July 17th, 2009

Is Lactic Acid Build-up Holding You Back From Performing Your Best? You might benefit from StayActiv.

If you are a competitive athlete, then you know what it’s like to push yourself to the limit.  When you do this, you then, in turn, tend to experience unpleasant soreness and muscle fatigue.  As they say, “no pain, no gain!” During strenuous exercises such as strength training, weight lifting, sprinting, or any other form of high-intensity and/or speed workout, the body demands elevated levels of energy.  However, our bodies are wired so that we can only sustain these extreme activities for short periods of time before we need to slow down, catch our breath and recharge our energy stores.  When the muscles are working hard during exercise, and there is limited supply of oxygen, lactic acid is produced at such a rapid rate that the tissue has difficulty processing it, and this results in lactic acid build-up.  This is where an athlete then experiences muscle fatigue and cramp-like pains.  Imagine if you were able to reduce lactic acid build-up during vigorous exercise, and the body could maintain intensity for longer periods of time before experiencing the burn, and/or feeling physically depleted?

Before considering this possibility, let’s look at how lactic acid build-up happens, and what’s called the “energy pathways” for exercise.  Having a better understanding of these energy pathways can also help an athlete put proper eating and training plans in place to improve his or her performance.  Diet is extremely important for the athlete since nutrients including carbohydrates, proteins and fats convert into energy in the form of adenosine triphosphate (ATP).  As foods are broken down in the body, they release energy in the form of ATP, and muscles contract.  Of course each nutrient has unique properties that determine how it gets converted to ATP, with carbohydrates as the main contributor to fueling moderate to high intensity forms of exercise, fats providing energy for low intensity activities for longer lengths of time, and finally proteins helping with muscle recovery and repair.  The body is not capable of storing ATP very well or for very long, and therefore it is necessary that we create this usable energy throughout exercise.

The two major energy pathways in which the body converts nutrients to energy are aerobic metabolism (with oxygen) and anaerobic metabolism (without oxygen).  During forms of exercise where the body has adequate fuel and oxygen, such as long distance running, biking and hiking, etc, muscle cells can contract continuously without experiencing fatigue.  This is when the body is receiving energy from aerobic metabolism.  It’s during quick, high-intensity work-outs that anaerobic metabolism is being utilized, and there is a limited supply of oxygen.  Lactic acid is a by-product of the anaerobic energy pathway, a process which provides energy to muscles by partially breaking down glucose without the need for oxygen.  Under these strenuous anaerobic conditions, the cells continue to produce waste (lactic acid) that cannot be absorbed and therefore accumulates in the muscles as build-up, and causes that muscle soreness and fatigue.  Since this pathway is short-lived, and the athlete can’t sustain the same level of intensity, he/she is forced to eventually ease off and rest to relieve symptoms of the lactic acid build-up by increasing oxygen intake through the aerobic pathway.  This is where the athlete experiences a metabolic threshold.  It is believed that our bodies go back and forth during exercise from aerobic to anaerobic metabolism in this threshold.

Many athletes have found creatine products such as CON-CRET to be beneficial in giving them the strength, endurance and muscle recovery that they need for their physically demanding workouts, but some are finding additional benefits in another supplement called StayActiv to help stave off the unpleasant and challenging side-effects of lactic acid build-up.  Offered as a natural alternative to NSAIDs, StayActiv is most known for its ability to provide pain relief and promote muscle recovery for athletes and people living active lifestyles.  But a study at the University of Nebraska has also shown that StayActiv supports a reduction in the build-up of lactic acid in muscles.  This study showed that after 2-hours of strenuous exercise, lactic acid levels were reduced by more than 50% with StayActiv usage.  The effects of StayActiv on lactic acid production appear to be a direct result of accelerated production of ATP for the cell which thereby allows maximum cell function and recovery.  So, why allow lactic acid build-up to hold you back, when you could have greater success with your sprints, reps and/or overall recovery? It’s worth a try, don’t you think?

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