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stopping statin
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Jim Chinnis
medicine forum Guru


Joined: 30 Apr 2005
Posts: 1030

PostPosted: Wed Jun 08, 2005 12:52 pm    Post subject: Re: stopping statin Reply with quote

"zee" <outrider@despammed.com> wrote in part:

Quote:


mmlevy46@hotmail.com wrote:
thanks for all the answers--and jim chinnis, thank you for the
references and explanations of same!



Jim Chinnis is our resident smart guy (and rounds that out with a lot
of 'nice guy' too). We're so lucky to have him here.

Zee

Hey, unfortunately, I can be as tough and ugly as anyone else. :-)

As to "smart," let me be clear:

No one here or elsewhere understands all the science and studies.
No one even comes close. Much of the research material is at least
partly impenetrable to most scientists, sometimes even to many
others in the same specialty as the research author.

That most assuredly includes me. I can interpret the clinical
trials and some of the other research. But I have no training in
medicine or cardiology.
--
Jim Chinnis Warrenton, Virginia, USA
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Rita
medicine forum Guru Wannabe


Joined: 06 Jun 2005
Posts: 180

PostPosted: Wed Jun 08, 2005 1:03 pm    Post subject: Re: stopping statin Reply with quote

On Wed, 08 Jun 2005 14:52:01 GMT, Jim Chinnis <jchinnis@SPAMalum.mit.edu>
wrote:


Quote:
No one here or elsewhere understands all the science and studies.
No one even comes close. Much of the research material is at least
partly impenetrable to most scientists, sometimes even to many
others in the same specialty as the research author.

Indeed. So while the group is interesting to read and one learns

something here and there, nothing here is "to take to the bank".
Some of the posters are quite fervid, and seem to feel the need
to convince others of their views more than others.

I'm doing web research on an eating plan to lower cholesterol,
and I'll tell you it ain't easy. There are so many
recommendations of "supplement with this", "supplement with
that".

I am changing my eating pattern and began with breakfast
today -- a small banana, oatbran with a handful of chopped
up almonds, some dried plums with soy milk. Dinner will be
black bean tostadas, brown rice, guacamole. Lunch is open
at the moment;) but I'm busily digging into the cook books
and making shopping lists and tagging recipes. And
continuing my web reseach. I'll forget the supplement
business for now. Except that I will buy one of the spreads
high in plant sterol used in the AMA reported study.

I'll ask my doc for a cholesterol screening soon and then I'll
be able to compare with another in say three months and see
how I am doing. Without Zocor. This is the first time I am
really serious about dietary changes to lower cholesterol.

I will eat some fish, but no meat or fowl. And substitute
soy for dairy. Perhaps an egg now and then in baking.
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Susan
medicine forum Guru


Joined: 05 May 2005
Posts: 932

PostPosted: Wed Jun 08, 2005 1:13 pm    Post subject: Re: stopping statin Reply with quote

x-no-archive: yes

Jim Chinnis wrote:

Quote:
Hey, unfortunately, I can be as tough and ugly as anyone else. Smile

OOOOH, I'm scared, I'm scared!! ;-P

Susan
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outrider
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1155

PostPosted: Wed Jun 08, 2005 1:35 pm    Post subject: Re: stopping statin Reply with quote

Rita wrote:
Quote:
On Wed, 08 Jun 2005 14:52:01 GMT, Jim Chinnis <jchinnis@SPAMalum.mit.edu
wrote:


No one here or elsewhere understands all the science and studies.
No one even comes close. Much of the research material is at least
partly impenetrable to most scientists, sometimes even to many
others in the same specialty as the research author.

Indeed. So while the group is interesting to read and one learns
something here and there, nothing here is "to take to the bank".
Some of the posters are quite fervid, and seem to feel the need
to convince others of their views more than others.

I'm doing web research on an eating plan to lower cholesterol,
and I'll tell you it ain't easy. There are so many
recommendations of "supplement with this", "supplement with
that".

I am changing my eating pattern and began with breakfast
today -- a small banana, oatbran with a handful of chopped
up almonds, some dried plums with soy milk. Dinner will be
black bean tostadas, brown rice, guacamole. Lunch is open
at the moment;) but I'm busily digging into the cook books
and making shopping lists and tagging recipes. And
continuing my web reseach. I'll forget the supplement
business for now. Except that I will buy one of the spreads
high in plant sterol used in the AMA reported study.

I'll ask my doc for a cholesterol screening soon and then I'll
be able to compare with another in say three months and see
how I am doing. Without Zocor. This is the first time I am
really serious about dietary changes to lower cholesterol.

I will eat some fish, but no meat or fowl. And substitute
soy for dairy. Perhaps an egg now and then in baking.


I listened to a very interesting program on CBC radio on this topic
just last night Rita. The topic for the program was heart health and
diet.It was one hour of interviews with Walter Willett and Kilmer
McCully, and others notably one of the later researchers with the
Framingham study. They all, to a person, refuted the Ancel Keys stance
on diet, and commented that in the 7 countries studies Keys had
actually studied 22 countries but disregarded the data which didn't fit
his hypothesis.

One of the comments made which surprised me was that high HDL is the
predictive lipid factor for women. If HDL was high, LDL was not a
factor. It proved over and over in an observational look at the
Framingham data. (I think it was Framingham. My notes are sketchy and
several studies were mentioned overall).

The program will have two more parts, of one hour duration each. Anyone
can listen online. Information here "The Heart of the Matter".

http://www.cbc.ca/ideas/

I can definitely speak with some authority on fervid posters who
disagree with another's point of view, having been singled out for it.
Fervid is when they disagree with you so rabidly that they send you
viruses traceable to a Pfizer registered computer.

Zee
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William Wagner
medicine forum Guru


Joined: 29 Apr 2005
Posts: 809

PostPosted: Wed Jun 08, 2005 1:48 pm    Post subject: Re: stopping statin Reply with quote

In article <822ea1p9dihvl31rnkdj92c6d8huulfrul@4ax.com>,
Rita <nitany_98@yahoo.com> wrote:

Quote:
On Wed, 08 Jun 2005 14:52:01 GMT, Jim Chinnis <jchinnis@SPAMalum.mit.edu
wrote:


No one here or elsewhere understands all the science and studies.
No one even comes close. Much of the research material is at least
partly impenetrable to most scientists, sometimes even to many
others in the same specialty as the research author.

Indeed. So while the group is interesting to read and one learns
something here and there, nothing here is "to take to the bank".
Some of the posters are quite fervid, and seem to feel the need
to convince others of their views more than others.

I'm doing web research on an eating plan to lower cholesterol,
and I'll tell you it ain't easy. There are so many
recommendations of "supplement with this", "supplement with
that".

I am changing my eating pattern and began with breakfast
today -- a small banana, oatbran with a handful of chopped
up almonds, some dried plums with soy milk. Dinner will be
black bean tostadas, brown rice, guacamole. Lunch is open
at the moment;) but I'm busily digging into the cook books
and making shopping lists and tagging recipes. And
continuing my web reseach. I'll forget the supplement
business for now. Except that I will buy one of the spreads
high in plant sterol used in the AMA reported study.

I'll ask my doc for a cholesterol screening soon and then I'll
be able to compare with another in say three months and see
how I am doing. Without Zocor. This is the first time I am
really serious about dietary changes to lower cholesterol.

I will eat some fish, but no meat or fowl. And substitute
soy for dairy. Perhaps an egg now and then in baking.

Perhaps a trip to your local library can add to our confusion. Check
out "Inflammation Nation" by Floyd H. Chilton.

ISBN 0-7432-6964-0

It did mine. Yet food choices based on this perspective looks
............. (You fill in the dots.)

Farmed Salmon bad wild Salmon good.

http://www.amazon.com/exec/obidos/search-handle-form/104-6652266-1419101

For reviews.

Granted the title could be snappier. Wink))



Bill

--
Garden in shade Zone 5 S Jersey USA
Long -75.0246 Lat 39.637876
"There are no significant bugs in our released software that any significant
number of users want fixed." Bill Gates
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Jim Chinnis
medicine forum Guru


Joined: 30 Apr 2005
Posts: 1030

PostPosted: Wed Jun 08, 2005 2:45 pm    Post subject: Re: stopping statin Reply with quote

Rita <nitany_98@yahoo.com> wrote in part:

Quote:
On Wed, 08 Jun 2005 14:52:01 GMT, Jim Chinnis <jchinnis@SPAMalum.mit.edu
wrote:


No one here or elsewhere understands all the science and studies.
No one even comes close. Much of the research material is at least
partly impenetrable to most scientists, sometimes even to many
others in the same specialty as the research author.

Indeed. So while the group is interesting to read and one learns
something here and there, nothing here is "to take to the bank".
Some of the posters are quite fervid, and seem to feel the need
to convince others of their views more than others.

I'm doing web research on an eating plan to lower cholesterol,
and I'll tell you it ain't easy. There are so many
recommendations of "supplement with this", "supplement with
that".

I am changing my eating pattern and began with breakfast
today -- a small banana, oatbran with a handful of chopped
up almonds, some dried plums with soy milk. Dinner will be
black bean tostadas, brown rice, guacamole. Lunch is open
at the moment;) but I'm busily digging into the cook books
and making shopping lists and tagging recipes. And
continuing my web reseach. I'll forget the supplement
business for now. Except that I will buy one of the spreads
high in plant sterol used in the AMA reported study.

I'll ask my doc for a cholesterol screening soon and then I'll
be able to compare with another in say three months and see
how I am doing. Without Zocor. This is the first time I am
really serious about dietary changes to lower cholesterol.

I will eat some fish, but no meat or fowl. And substitute
soy for dairy. Perhaps an egg now and then in baking.

I gave up on "web research" on diet and heart disease very
quickly. The information is often hearsay, biased, or wrong.
Unless you mean Medline. Medline is hard going, but gives a much
better picture.

Some of the conclusions I came away with right away:

Saturated fats are not all the same and have taken an unfair
pummeling. Refined and high glycemic load carbs are very bad.
Transfat is very bad. Higher fat in the diet can benefit at least
some people. Supplement with fish oil. Increase antioxidants,
polyphenols, catechins, etc. Lose weight. Exercise. Eat "whole"
foods.

It sounds like you are off to a good start. The better diet is
much tastier, especially after a bit of time on it.
--
Jim Chinnis Warrenton, Virginia, USA
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outrider
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1155

PostPosted: Wed Jun 08, 2005 3:10 pm    Post subject: Re: stopping statin Reply with quote

However, Jim;

I would remind you Medline was not a good source of information on HRT.
There *were* studies saying the accepted data was not right, but they
were buried by an avalanche of pharma backed studies, which still seems
to be the way Medline archives. .

Nor was Medline a good source for statins. Some information was there
about negative, but it was most often not available even in abstract.
And again, the volume of information was from the largest pharmas, and
backed research which overwhelmingly praised statins without any
mention of negative. It was biased. And it was wrong.

Vioxx? The same...Medline follows industry bias.

Even the Cochrane Collaboration takes some industry money. Will it
affect their findings? Who knows, but research on how gifts and
largesse affect physician prescribing indicate it may. In those
studies, physicians said they could not possibly be influenced, but
believed their colleagues could.

Pharma and industry think so too. Recently I posted an article about
pharma collecting prescribing data for all physicians. They aren't
doing this without purpose and proof that it works.

Catechins?

Zee
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outrider
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1155

PostPosted: Wed Jun 08, 2005 3:12 pm    Post subject: Re: stopping statin Reply with quote

Can you tell us more about the book William? I've not heard of it. I'm
very wary of these kinds of publications. Who is whatzisname? What is
his credibility to have this theory? And who is the publisher (often
tells the tale).
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Robert
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1700

PostPosted: Wed Jun 08, 2005 3:59 pm    Post subject: Re: stopping statin Reply with quote

"Jim Chinnis" <jchinnis@SPAMalum.mit.edu> wrote in message
news:tv0ea15qe2nfq9me0cn4ulsupqqcav4if4@4ax.com...
Quote:
"zee" <outrider@despammed.com> wrote in part:



mmlevy46@hotmail.com wrote:
thanks for all the answers--and jim chinnis, thank you for the
references and explanations of same!



Jim Chinnis is our resident smart guy (and rounds that out with a lot
of 'nice guy' too). We're so lucky to have him here.

Zee

Hey, unfortunately, I can be as tough and ugly as anyone else. :-)

As to "smart," let me be clear:

No one here or elsewhere understands all the science and studies.
No one even comes close. Much of the research material is at least
partly impenetrable to most scientists, sometimes even to many
others in the same specialty as the research author.

That most assuredly includes me. I can interpret the clinical
trials and some of the other research. But I have no training in
medicine or cardiology.
--
Jim Chinnis Warrenton, Virginia, USA

I thought that description sounded like a used car salesman.
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Robert
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1700

PostPosted: Wed Jun 08, 2005 4:12 pm    Post subject: Re: stopping statin Reply with quote

"Rita" <nitany_98@yahoo.com> wrote in message
news:822ea1p9dihvl31rnkdj92c6d8huulfrul@4ax.com...
Quote:
On Wed, 08 Jun 2005 14:52:01 GMT, Jim Chinnis <jchinnis@SPAMalum.mit.edu
wrote:


No one here or elsewhere understands all the science and studies.
No one even comes close. Much of the research material is at least
partly impenetrable to most scientists, sometimes even to many
others in the same specialty as the research author.

Indeed. So while the group is interesting to read and one learns
something here and there, nothing here is "to take to the bank".
Some of the posters are quite fervid, and seem to feel the need
to convince others of their views more than others.

Excellent point. I am not selling anything including ideas and don't feel
the need to convince anybody of anything. If I did I would be manipulative
and nice.
The fact is if someone were to misinterpret something I said and it caused
them to take actions having bad consequences then I frankly would feel bad.
Those with an agenda don't care about the individual as much as they do
about the agenda on both sides.
If I tell someone to stop taking statins for no real reason other than scare
tactics and he gets a heart attack then that would be bad. If the person
doesn't stop the statin in time because of side reactions and ends up with
damage then that is bad.
Critical values involve low and they involve high levels of anything.
I perform therapeutic drug testing and these drugs must be maintained within
a narrow range otherwise they can kill. That doesn't mean they are taken off
the market and never used by anyone.
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Robert
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1700

PostPosted: Wed Jun 08, 2005 4:17 pm    Post subject: Re: stopping statin Reply with quote

"zee" <outrider@despammed.com> wrote in message
news:1118244920.315221.136980@o13g2000cwo.googlegroups.com...
Quote:


Rita wrote:
On Wed, 08 Jun 2005 14:52:01 GMT, Jim Chinnis
jchinnis@SPAMalum.mit.edu
wrote:


No one here or elsewhere understands all the science and studies.
No one even comes close. Much of the research material is at least
partly impenetrable to most scientists, sometimes even to many
others in the same specialty as the research author.

Indeed. So while the group is interesting to read and one learns
something here and there, nothing here is "to take to the bank".
Some of the posters are quite fervid, and seem to feel the need
to convince others of their views more than others.

I'm doing web research on an eating plan to lower cholesterol,
and I'll tell you it ain't easy. There are so many
recommendations of "supplement with this", "supplement with
that".

I am changing my eating pattern and began with breakfast
today -- a small banana, oatbran with a handful of chopped
up almonds, some dried plums with soy milk. Dinner will be
black bean tostadas, brown rice, guacamole. Lunch is open
at the moment;) but I'm busily digging into the cook books
and making shopping lists and tagging recipes. And
continuing my web reseach. I'll forget the supplement
business for now. Except that I will buy one of the spreads
high in plant sterol used in the AMA reported study.

I'll ask my doc for a cholesterol screening soon and then I'll
be able to compare with another in say three months and see
how I am doing. Without Zocor. This is the first time I am
really serious about dietary changes to lower cholesterol.

I will eat some fish, but no meat or fowl. And substitute
soy for dairy. Perhaps an egg now and then in baking.


I listened to a very interesting program on CBC radio on this topic
just last night Rita. The topic for the program was heart health and
diet.It was one hour of interviews with Walter Willett and Kilmer
McCully, and others notably one of the later researchers with the
Framingham study. They all, to a person, refuted the Ancel Keys stance
on diet, and commented that in the 7 countries studies Keys had
actually studied 22 countries but disregarded the data which didn't fit
his hypothesis.

One of the comments made which surprised me was that high HDL is the
predictive lipid factor for women. If HDL was high, LDL was not a
factor. It proved over and over in an observational look at the
Framingham data. (I think it was Framingham. My notes are sketchy and
several studies were mentioned overall).

Common knowelge known by many. Nothing new there.
There are several issues there that is based on the intent of the studies,
men in younger years.

Quote:

The program will have two more parts, of one hour duration each. Anyone
can listen online. Information here "The Heart of the Matter".

http://www.cbc.ca/ideas/

I can definitely speak with some authority on fervid posters who
disagree with another's point of view, having been singled out for it.
Fervid is when they disagree with you so rabidly that they send you
viruses traceable to a Pfizer registered computer.

Zee
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Jim Chinnis
medicine forum Guru


Joined: 30 Apr 2005
Posts: 1030

PostPosted: Wed Jun 08, 2005 4:24 pm    Post subject: Re: stopping statin Reply with quote

"zee" <outrider@despammed.com> wrote in part:

Quote:


However, Jim;

I would remind you Medline was not a good source of information on HRT.
There *were* studies saying the accepted data was not right, but they
were buried by an avalanche of pharma backed studies, which still seems
to be the way Medline archives. .

Nor was Medline a good source for statins. Some information was there
about negative, but it was most often not available even in abstract.
And again, the volume of information was from the largest pharmas, and
backed research which overwhelmingly praised statins without any
mention of negative. It was biased. And it was wrong.

Vioxx? The same...Medline follows industry bias.

Even the Cochrane Collaboration takes some industry money. Will it
affect their findings? Who knows, but research on how gifts and
largesse affect physician prescribing indicate it may. In those
studies, physicians said they could not possibly be influenced, but
believed their colleagues could.

Pharma and industry think so too. Recently I posted an article about
pharma collecting prescribing data for all physicians. They aren't
doing this without purpose and proof that it works.

Catechins?

Zee

We were discussing an "eating plan" and where to research the
data. While big pharma no doubt is sometimes tied to big food
processors, Medline is, in my opinion, the best source of hard
data.

As to bias in research reporting, well, yeah. That's one reason I
said Medline was "hard going." Medline remains as close as most of
us can get to the actual research. It is better than derivative
sources, such as web pages with the writings of others, or
opinions in Usenet, including mine. But that assumes that the
reader is competent to read and understand the research in
Medline.
--
Jim Chinnis Warrenton, Virginia, USA
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outrider
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1155

PostPosted: Wed Jun 08, 2005 5:00 pm    Post subject: Re: stopping statin Reply with quote

Jim Chinnis wrote:
Quote:
"zee" <outrider@despammed.com> wrote in part:



However, Jim;

I would remind you Medline was not a good source of information on HRT.
There *were* studies saying the accepted data was not right, but they
were buried by an avalanche of pharma backed studies, which still seems
to be the way Medline archives. .

Nor was Medline a good source for statins. Some information was there
about negative, but it was most often not available even in abstract.
And again, the volume of information was from the largest pharmas, and
backed research which overwhelmingly praised statins without any
mention of negative. It was biased. And it was wrong.

Vioxx? The same...Medline follows industry bias.

Even the Cochrane Collaboration takes some industry money. Will it
affect their findings? Who knows, but research on how gifts and
largesse affect physician prescribing indicate it may. In those
studies, physicians said they could not possibly be influenced, but
believed their colleagues could.

Pharma and industry think so too. Recently I posted an article about
pharma collecting prescribing data for all physicians. They aren't
doing this without purpose and proof that it works.

Catechins?

Zee

We were discussing an "eating plan" and where to research the
data. While big pharma no doubt is sometimes tied to big food
processors, Medline is, in my opinion, the best source of hard
data.

As to bias in research reporting, well, yeah. That's one reason I
said Medline was "hard going." Medline remains as close as most of
us can get to the actual research. It is better than derivative
sources, such as web pages with the writings of others, or
opinions in Usenet, including mine. But that assumes that the
reader is competent to read and understand the research in
Medline.
--
Jim Chinnis Warrenton, Virginia, USA


We were discussing educating oneself on this issue of cardiovascualr
disease and taking charge of one's health, and the importance and
difficulty of same: food, diet, exercise and other lifestyle
modifications.

Everything is just someone's opinion, whether a collection of others
thoughts in the newspaper, or a conclusion published in Medline. It's
their opinion now, that from this data, such and such follows.

The problem comes about with thinking that any opinion is right;
because a scientist said so, or a physician said so. It's on Medline,
or the Cochrane Collaboration, and therefore, must be right. It is not
so. It is only information, and very liable to change before you can
blink. (HRT--with a rush to misinterpret data; Vioxx with a rush to
hide data).

The citations I give which are from veted sources (do you see me giving
Mercola?) are to be read with due consideration. But they are funneled
through my filter: they are *my* informed choices. The problem arises
with the idea that any one source is "it". You have an insider's view
of science publication. I have an insider's view of publication. The
information explosion is all about making the insider's view
transparent.

It's the consumer's right now to have it all. But we sometimes need
some help about how to get it, and knowledge about how *they* got it
and what theat means.

For the man and woman on the street, there is first their own or
someone else's experience, the latter usually from the popular press.
Then comes the library, the internet, learning how to understand
studies, learning who is motivated by what (follow the money, or ego),
and how does it apply to me?

Most of this consurmer searching and learning is based on being unhappy
with received wisdom. It is borne of disappointment, misunderstanding,
and mistake. And it is fascilated by the explosion of available
information. It's up to us to educate ourselves about the issues, but
also to learn how to educate ourselves in this new culture.

One can now find online several sites teaching one, in plain language,
how to understand medical studies. With the click of a mouse I can find
out how government is regulating (or not) my medications, how
pharmaceutical companies do business, and all that information that
just five or ten years ago was known only to insiders.

Everyone is playing catch-up here Jim. The insider knowledge doesn't
belong to any one person anymore. It's not just yours, or just mine.
And it's increasingly available to everyone, with all the good and bad
that brings.


Zee
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outrider
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1155

PostPosted: Wed Jun 08, 2005 5:09 pm    Post subject: Re: stopping statin Reply with quote

I am still waiting for you to give me citations substantiating the
potentially hurtful informatation you gave about Canada and Vioxx: ie)
Vioxx was available cheaply in Canada; and Canada rushed Vioxx to
market.

I would also like some substantiation for the information you gave out
about my cholesterol levels.





zee
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William Wagner
medicine forum Guru


Joined: 29 Apr 2005
Posts: 809

PostPosted: Wed Jun 08, 2005 5:33 pm    Post subject: Re: stopping statin Reply with quote

In article <1118250745.165609.42930@z14g2000cwz.googlegroups.com>,
"zee" <outrider@despammed.com> wrote:

Quote:
Can you tell us more about the book William? I've not heard of it. I'm
very wary of these kinds of publications. Who is whatzisname? What is
his credibility to have this theory? And who is the publisher (often
tells the tale).

Hi Zee

Fireside is the Publisher A registered trademark of Simon and
Schuster.

From the back cover


"Dr. Chilton is internationally recognized as one of the leaders in his
field. With more than one hundred publications in the leading journals,
most notably the Journal of Biological Chemistry, he is not one to
follow well-worn paths, Dr. Chilton has a tremendous capacity for
original thought and remarkable vision that is founded on a
comprehensive knowledge on biochemistry and solid, well-constructed
experimental data."

So says Jonathan P. Arm, M.D., associate director of the Allergy and
Immunology Training Program at Brigham and Women's Hospital, Harvard
Medical School.



"After twenty years of intensive research, Dr. Chilton is considered a
world expert in the family of fatty acids that regulate inflammation and
their quantitative manipulation by diet."

So says Bradley Undem, Ph.D. professor of medicine, John Hopkins
University School of Medicine


..........................


This book is different but makes sense. AA/EPA ratios and similar info
is not hard to understand but is so different from info I've come in
contact with before. Took me a few days to wade thru it with lots of
little notes to myself.

Cooking dinner with this info was easy to go to. More fish but kind of
fish really matter.


For example High = eat less low = eat last number to right from book


Food serving size Index value

Beef brain 100 g 450
Chicken legs 100 g 100
Beef Ribs 100 g 40
Hamburger 95% 100g 40

Atlantic Salmon farmed 100g 150
Atlantic Salmon Wild 100g 50
Shrimp fried 100g 20
White Tuna canned 100g 6
Squid 100 g 1

Cow's Milk 100g 0
Egg yoke 100g 340
Egg white 100g 140
Smelt 100g 4

--
I'm about here Long -75.0246 Lat 39.637876
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