Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
Read Now: Expert Opinions on HIV Cure Research
   
Ask the Experts About

Fatigue and AnemiaFatigue and Anemia
           
Rollover images to visit our other forums!
  
  • Email Email
  • Glossary Glossary


Its my birthday..please answer :) i know weird day to be asking!
Feb 14, 2009

Hey Dr. Bob...first off...awesome work on the site and to all the experts answering questions to help us out..really appreciate it..I have alot of problems with stress and im currently getting treatment for my adrenals..through a naturopathic doc...he has me taking DHEA and Pregnalone...to restore my adrenal function because these hormones are really low..will this effect any HIV testing that I do? Also...I used to be on immunosupresive drugs from rheumatism for 2 years but have stopped 8 months ago...will this effect anything as well...thank you..and yes it is my birtdahy i swear to god and on thebody.com...:) thanks again!

Response from Dr. Frascino

Hi Birthday Guy,

Although corticosteroids can have an immunosuppressive affect, the doses used by "naturopathic docs" are generally so miniscule they will not affect specific antibody production (or HIV test results). I also doubt they will affect your adrenal glands! Whatever you took for "rheumatism" eight months ago also would not affect an HIV test now. Finally, if you think you have a hormonal problem or problems with your adrenal glands, I would strongly urge you see an endocrinologist (an M.D. specializing in hormonal diseases) rather than a naturopathic practitioner. (See below.)

Finally: Happy Birthday to You!

Dr. Bob

Can I get HIV this way? Dec 31, 2003

I recenlty visted a Naturopathic doctor. He tested my blood type.

He did this by pricking my finger with a sterile lancet (I saw him remove the top)and I squeezed out a couple drops of blood. The doctor then placed a couple drops of a yellow liquid from a dropper and a couple of drops of a blue liquipd from a dropper on to a glass slide in 2 separate areas. I saw both bottles containing these liquids they were both open and about half full.

I then touched the liquids with my finger to get some blood mixed in to each liquid.

My question is could I get HIV or Hep from doing this? That is, my finger had the small poke in it and was bleeding and I touched my blood into these 2 liquids on the glass slide.

I am wondering cause I don't know if the glass slide was sterile or what exaclty was in the liquids I touched bleeding finger too.

Please advise.

Thanks Sean

Response from Dr. Frascino

Hello Sean,

My advice is to stay away from "doctors" who haven't been to medical school. What was this guy testing for and why? Your HIV/hepatitis risk is essentially nonexistent. So are your chances of getting useful help from most of these practitioners but that's just my personal opinion.

Stay well.

Dr. Bob

nuttritional suppliment sponsored treatment interruption Nov 3, 2004

dear sirs, my girlfriend would love to take a break from her meds she's doing well,undectable w/normal t cell.she's been on the meds for a little over 2 years,she was infected 3 or 4 years ago.I here boyfriend and alt therapy know it all am doing my homework,thus far I'm very encouraged by 2 sources of alt therapy a dr jon kaiser of sanfran(my girl fits his profile for treatment interruption and Mannatech which offers glyco-nutrients,items missing from our diet for proper cell function,please give me your opinion, thanks p

Response from Dr. Frascino

Hi Boyfriend,

I think it's probably better to refer to these treatments as "complimentary" rather than "alternative" therapies. It certainly should never be a question of one or the other, as the word "alternative" might imply. At best, these emerging, largely unproven treatments might "compliment" what we know works well in the treatment of HIV disease. I, for one, will never argue with success. If something "works," and doesn't cause harm, we should add it to our armamentarium against HIV, whether or not we know exactly how or why it works. However, that said, I'm also a realist and a scientist. Since these treatments, by and large, have not undergone rigorous clinical trials to prove either safety or efficacy, one must be extremely cautious about interpreting limited data to infer that these treatments are actually "proven to be effective." That usually is not the case, no matter how strong the advocate for those therapies may be.

Those of us living with HIV infection are currently taking (or will one day probably have to take) a significant number of potent medications to treat HIV and/or its complications. I, for one, take over 12,000 pills or powders per year to remain healthy. Sure, that number could be cut in half if you didn't count Viagra, but that's beside the point. No, of course I'm kidding. The 12,000+ is in reality a true number! The last thing I would want to do is add additional nonessential compounds to my mix. Also, there is the question of drug-drug interactions. "Poly-pharmacy" can be a major challenge when mixing these therapies. We've uncovered some bizarre and unanticipated interactions between not only prescription medications, but also between over-the-counter products as well for instance, St. John's Wort and garlic supplements reduce the effectiveness of certain HIV medications. Consequently, products that might seem "natural, naturopathic, or homeopathic" or whatever might actually wind up causing significant problems.

One of the most crucial things to remember is to make sure your girlfriend's HIV specialist is aware of all medicines, vitamins or other "products" that she is considering taking. Do not assume a product is harmless (or beneficial) just because you read something or were told so by someone not intimately involved or responsible for your girlfriend's medical care and health. Over the past two decades, I have witnessed an enormous number of "alternative/complimentary" therapies come and go. They often rely heavily on hype and hope, rather than science. I would be particularly wary of complimentary therapies proposed by someone who may be profiting from these therapies, i.e. selling books, vitamins, micronutrients, "immune boosters" and other products. You will notice that many of these products, by law, carry the following warning: "product xyz is not intended to diagnose, treat, cure or prevent any disease". So if these products are "not intended to diagnose, treat, cure or prevent any disease," what the hell are they suppose to do and why bother taking them?

Moving on to STIs (strategic treatment interruptions), the news from clinical trials has not been terribly encouraging. This is particularly true for those individuals with chronic HIV infection. There is ongoing debate as to whether or not STIs are even safe let alone therapeutically helpful. The latest study found that STI's are safer if a patient's CD4 count never dropped below 250 prior to HAART initiation.

I'd recommend you discuss all the therapeutic options open to your girlfriend with her HIV specialist before embarking on any path that might have a deleterious effect on her future health.

Good luck to you both!

Dr. Bob

can homeopathy medecine cause seroconversion Nov 30, 2008

hi doc ,,,,,,i am an indian guy had a protected sex with a pros ,,,,after that my guilt feelings are so intense that i did a hiv and std test at a free clinic after 44 days of the exposure . while that time i ws on homeopathy medecation . whith gods grace the test were negetive ,,,,the doctor said me its going to be negetive the nexxt time as well and recomended me a test after 3 months . can the 44 th day of testing give me little bit of assurance , i hope the results were not affected by homeopathy medication ,,,,i have become a big fan of you ,,,,,and have a pledge to donate for the cause after my 3 months test ,please answer .

Response from Dr. Frascino

Hi,

Two quick points:

1. "Protected" sex is indeed protected. Assuming the latex condom was used properly and did not break, your HIV-acquisition risk is essentially nonexistent.

2. Homeopathy would not affect the accuracy of HIV test results. In fact, homeopathy really doesn't affect anything, including illness! See below.

Thanks for your interest in the Robert James Frascino AIDS Foundation (www.concertedeffort.org).

Be well. Stay well.

Dr. Bob

me again-final test back (HOMEOPATHY) Nov 14, 2008

Hi Dr. Bob, I hope you had a wonderful ceremony and week. I promised I would let you know my results. My last email I told you that the DNA PCR was negative. This week today the Abbott's Realtime m2000 RNAPCR for M/N/O came back negative. Outside of 4 antibody HIV1/2 and these two tests, I don't know what else I can do to test for O/N groups, which is my concern, not group M or HIV2. I'm assuming even with the DNA PCR if there was the HIV1 virus it would should a load, regardless of the group or subtype? Still not sure the source of my symptoms, but I'm at a homeopath for both the yeast and anxiety and know that as best possible, technology has ruled out the presence of any HIV virus, regardless of the group. It will be some time for me to calm down again, this has been a tough year altogether, and the presence of symptoms still keeps in fresh in my mind constantly. I'm moving forward though and very relieved and trying to put it behind me. I thank you again so very much for your understanding, support and dedication as a doctor. I will pray for you and your partner-I hope you will have a continued wonderful life together.-Blessings, Julie (Jules)

Response from Dr. Frascino

Hi Jules,

More negative tests?! WOW, what a surprise! You are definitively, absolutely, conclusively and irrefutably HIV negative. How you chose to live with that reality is up to you.

I would advise against homeopathy. (See below.)

Dr. Bob

Homeopathy: The Ultimate Fake Stephen Barrett, M.D. Homeopathic "remedies" enjoy a unique status in the health marketplace: They are the only category of quack products legally marketable as drugs. This situation is the result of two circumstances. First, the 1938 Federal Food, Drug, and Cosmetic Act, which was shepherded through Congress by a homeopathic physician who was a senator, recognizes as drugs all substances included in the Homeopathic Pharmacopeia of the United States. Second, the FDA has not held homeopathic products to the same standards as other drugs. Today they are marketed in health-food stores, in pharmacies, in practitioner offices, by multilevel distributors, through the mail, and on the Internet. Basic Misbeliefs Samuel Hahnemann (1755-1843), a German physician, began formulating homeopathy's basic principles in the late 1700s. Hahnemann was justifiably distressed about bloodletting, leeching, purging, and other medical procedures of his day that did far more harm than good. Thinking that these treatments were intended to "balance the body's 'humors' by opposite effects," he developed his "law of similars"a notion that symptoms of disease can be cured by extremely small amounts of substances that produce similar symptoms in healthy people when administered in large amounts. The word "homeopathy" is derived from the Greek words homoios (similar) and pathos (suffering or disease).

Hahnemann and his early followers conducted "provings" in which they administered herbs, minerals, and other substances to healthy people, including themselves, and kept detailed records of what they observed. Later these records were compiled into lengthy reference books called materia medica, which are used to match a patient's symptoms with a "corresponding" drug.

Hahnemann declared that diseases represent a disturbance in the body's ability to heal itself and that only a small stimulus is needed to begin the healing process. He also claimed that chronic diseases were manifestations of a suppressed itch (psora), a kind of miasma or evil spirit. At first he used small doses of accepted medications. But later he used enormous dilutions and theorized that the smaller the dose, the more powerful the effecta notion commonly referred to as the "law of infinitesimals." That, of course, is just the opposite of the dose-response relationship that pharmacologists have demonstrated.

The basis for inclusion in the Homeopathic Pharmacopeia is not modern scientific testing, but homeopathic "provings" conducted during the 1800s and early 1900s. The current (ninth) edition describes how more than a thousand substances are prepared for homeopathic use. It does not identify the symptoms or diseases for which homeopathic products should be used; that is decided by the practitioner (or manufacturer). The fact that substances listed in the Homeopathic Pharmacopeia are legally recognized as "drugs" does not mean that either the law or the FDA recognizes them as effective.

Because homeopathic remedies were actually less dangerous than those of nineteenth-century medical orthodoxy, many medical practitioners began using them. At the turn of the twentieth century, homeopathy had about 14,000 practitioners and 22 schools in the United States. But as medical science and medical education advanced, homeopathy declined sharply in America, where its schools either closed or converted to modern methods. The last pure homeopathic school in this country closed during the 1920s [1].

Many homeopaths maintain that certain people have a special affinity to a particular remedy (their "constitutional remedy") and will respond to it for a variety of ailments. Such remedies can be prescribed according to the person's "constitutional type"named after the corresponding remedy in a manner resembling astrologic typing. The "Ignatia Type," for example, is said to be nervous and often tearful, and to dislike tobacco smoke. The typical "Pulsatilla" is a young woman, with blond or light-brown hair, blue eyes, and a delicate complexion, who is gentle, fearful, romantic, emotional, and friendly but shy. The "Nux Vomica Type" is said to be aggressive, bellicose, ambitious, and hyperactive. The "Sulfur Type" likes to be independent. And so on. Does this sound to you like a rational basis for diagnosis and treatment?

At Best, the "Remedies" Are Placebos Homeopathic products are made from minerals, botanical substances, and several other sources. If the original substance is soluble, one part is diluted with either nine or ninety-nine parts of distilled water and/or alcohol and shaken vigorously (succussed); if insoluble, it is finely ground and pulverized in similar proportions with powdered lactose (milk sugar). One part of the diluted medicine is then further diluted, and the process is repeated until the desired concentration is reached. Dilutions of 1 to 10 are designated by the Roman numeral X (1X = 1/10, 3X = 1/1,000, 6X = 1/1,000,000). Similarly, dilutions of 1 to 100 are designated by the Roman numeral C (1C = 1/100, 3C = 1/1,000,000, and so on). Most remedies today range from 6X to 30X, but products of 30C or more are marketed.

A 30X dilution means that the original substance has been diluted 1,000,000,000,000,000,000,000,000,000,000 times. Assuming that a cubic centimeter of water contains 15 drops, this number is greater than the number of drops of water that would fill a container more than 50 times the size of the Earth. Imagine placing a drop of red dye into such a container so that it disperses evenly. Homeopathy's "law of infinitesimals" is the equivalent of saying that any drop of water subsequently removed from that container will possess an essence of redness. Robert L. Park, Ph.D., a prominent physicist who is executive director of The American Physical Society, has noted that since the least amount of a substance in a solution is one molecule, a 30C solution would have to have at least one molecule of the original substance dissolved in a minimum of 1,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000 molecules of water. This would require a container more than 30,000,000,000 times the size of the Earth.

Oscillococcinum, a 200C product "for the relief of colds and flu-like symptoms," involves "dilutions" that are even more far-fetched. Its "active ingredient" is prepared by incubating small amounts of a freshly killed duck's liver and heart for 40 days. The resultant solution is then filtered, freeze-dried, rehydrated, repeatedly diluted, and impregnated into sugar granules. If a single molecule of the duck's heart or liver were to survive the dilution, its concentration would be 1 in 100200. This huge number, which has 400 zeroes, is vastly greater than the estimated number of molecules in the universe (about one googol, which is a 1 followed by 100 zeroes). In its February 17, 1997, issue, U.S. News & World Report noted that only one duck per year is needed to manufacture the product, which had total sales of $20 million in 1996. The magazine dubbed that unlucky bird "the $20-million duck."

Actually, the laws of chemistry state that there is a limit to the dilution that can be made without losing the original substance altogether. This limit, which is related to Avogadro's number, corresponds to homeopathic potencies of 12C or 24X (1 part in 1024). Hahnemann himself realized that there is virtually no chance that even one molecule of original substance would remain after extreme dilutions. But he believed that the vigorous shaking or pulverizing with each step of dilution leaves behind a "spirit-like" essence"no longer perceptible to the senses"which cures by reviving the body's "vital force." Modern proponents assert that even when the last molecule is gone, a "memory" of the substance is retained. This notion is unsubstantiated. Moreover, if it were true, every substance encountered by a molecule of water might imprint an "essence" that could exert powerful (and unpredictable) medicinal effects when ingested by a person.

Many proponents claim that homeopathic products resemble vaccines because both provide a small stimulus that triggers an immune response. This comparison is not valid. The amounts of active ingredients in vaccines are much greater and can be measured. Moreover, immunizations produce antibodies whose concentration in the blood can be measured, but high-dilution homeopathic products produce no measurable response. In addition, vaccines are used preventively, not for curing symptoms.

Stan Polanski, a physician assistant working in public health near Asheville, North Carolina, has provided additional insights:

Imagine how many compounds must be present, in quantities of a molecule or more, in every dose of a homeopathic drug. Even under the most scrupulously clean conditions, airborne dust in the manufacturing facility must carry thousands of different molecules of biological origin derived from local sources (bacteria, viruses, fungi, respiratory droplets, sloughed skin cells, insect feces) as well as distant ones (pollens, soil particles, products of combustion), along with mineral particles of terrestrial and even extraterrestrial origin (meteor dust). Similarly, the "inert" diluents used in the process must have their own library of microcontaminants.

The dilution/potentiation process in homeopathy involves a stepwise dilution carried to fantastic extremes, with "succussion" between each dilution. Succussion involves shaking or rapping the container a certain way. During the step-by-step dilution process, how is the emerging drug preparation supposed to know which of the countless substances in the container is the One that means business? How is it that thousands (millions?) of chemical compounds know that they are required to lay low, to just stand around while the Potent One is anointed to the status of Healer? That this scenario could lead to distinct products uniquely suited to treat particular illnesses is beyond implausible.

Thus, until homeopathy's apologists can supply a plausible (nonmagical) mechanism for the "potentiation"-through-dilution of precisely one of the many substances in each of their products, it is impossible to accept that they have correctly identified the active ingredients in their products. Any study claiming to demonstrate effectiveness of a homeopathic medication should be rejected out-of-hand unless it includes a list of all the substances present in concentrations equal to or greater than the purported active ingredient at every stage of the dilution process, along with a rationale for rejecting each of them as a suspect.

The process of "proving" through which homeopaths decided which medicine matches which symptom is no more sensible. Provings involved taking various substances recording every twitch, sneeze, ache or itch that occurred afterwardoften for several days. Homeopathy's followers take for granted that every sensation reported was caused by whatever substance was administered, and that extremely dilute doses of that substance would then be just the right thing to treat anyone with those specific symptoms. Dr. Park has noted that to expect to get even one molecule of the "medicinal" substance allegedly present in 30X pills, it would be necessary to take some two billion of them, which would total about a thousand tons of lactose plus whatever impurities the lactose contained.

Cell Salts Some homeopathic manufacturers market twelve highly diluted mineral products called "cell salts" or "tissue salts." These are claimed to be effective against a wide variety of diseases, including appendicitis (ruptured or not), baldness, deafness, insomnia, and worms. Their use is based on the notion that mineral deficiency is the basic cause of disease. However, many are so diluted that they could not correct a mineral deficiency even if one were present. Development of this approach is attributed to a nineteenth-century physician named W.H. Schuessler.

"Electrodiagnosis" Some physicians, dentists, and chiropractors use "electrodiagnostic" devices to help select the homeopathic remedies they prescribe. These practitioners claim they can determine the cause of any disease by detecting the "energy imbalance" causing the problem. Some also claim that the devices can detect whether someone is allergic or sensitive to foods, vitamins, and/or other substances. The procedure, called electroacupuncture according to Voll (EAV), electrodiagnosis, or electrodermal screening, was begun during the late 1950s by Reinhold Voll, M.D., a West German physician who developed the original device. Subsequent models include the Vega, Dermatron, Accupath 1000, and Interro.

Proponents claim these devices measure disturbances in the flow of "electro-magnetic energy" along the body's "acupuncture meridians." Actually, they are fancy galvanometers that measure electrical resistance of the patient's skin when touched by a probe. Each device contains a low-voltage source. One wire from the device goes to a brass cylinder covered by moist gauze, which the patient holds in one hand. A second wire is connected to a probe, which the operator touches to "acupuncture points" on the patient's foot or other hand. This completes a circuit, and the device registers the flow of current. The information is then relayed to a gauge that provides a numerical readout. The size of the number depends on how hard the probe is pressed against the patient's skin. Recent versions, such as the Interro make sounds and provide the readout on a computer screen. The treatment selected depends on the scope of the practitioner's practice and may include acupuncture, dietary change, and/or vitamin supplements, as well as homeopathic products. Regulatory agencies have seized several types of electroacupuncture devices but have not made a systematic effort to drive them from the marketplace.

For more information about these devices and pictures of some of them, click here. If you encounter such a device, please read this article and report the device to the practitioner's state licensing board, the state attorney general, the Federal Trade Commission, the FBI, the National Fraud Information Center, and any insurance company to which the practitioner submits claims that involve use of the device. For the addresses of these agencies, click here.

Unimpressive "Research" Since many homeopathic remedies contain no detectable amount of active ingredient, it is impossible to test whether they contain what their label says. Unlike most potent drugs, they have not been proven effective against disease by double-blind clinical testing. In fact, the vast majority of homeopathic products have never even been tested; proponents simply rely on "provings" to tell them what should work.

In 1990, an article in Review of Epidemiology analyzed 40 randomized trials that had compared homeopathic treatment with standard treatment, a placebo, or no treatment. The authors concluded that all but three of the trials had major flaws in their design and that only one of those three had reported a positive result. The authors concluded that there is no evidence that homeopathic treatment has any more value than a placebo [2].

In 1994, the journal Pediatrics published an article claiming that homeopathic treatment had been demonstrated to be effective against mild cases of diarrhea among Nicaraguan children [3]. The claim was based on findings that, on certain days, the "treated" group had fewer loose stools than the placebo group. However, Sampson and London noted: (1) the study used an unreliable and unproved diagnostic and therapeutic scheme, (2) there was no safeguard against product adulteration, (3) treatment selection was arbitrary, (4) the data were oddly grouped and contained errors and inconsistencies, (5) the results had questionable clinical significance, and (6) there was no public health significance because the only remedy needed for mild childhood diarrhea is adequate fluid intake to prevent or correct dehydration [4].

In 1995, Prescrire International, a French journal that evaluates pharmaceutical products, published a literature review that concluded:

As homeopathic treatments are generally used in conditions with variable outcome or showing spontaneous recovery (hence their placebo-responsiveness), these treatments are widely considered to have an effect in some patients. However, despite the large number of comparative trials carried out to date there is no evidence that homeopathy is any more effective than placebo therapy given in identical conditions.

In December 1996, a lengthy report was published by the Homoeopathic Medicine Research Group (HMRG), an expert panel convened by the Commission of the European Communities. The HMRG included homeopathic physician-researchers and experts in clinical research, clinical pharmacology, biostatistics, and clinical epidemiology. Its aim was to evaluate published and unpublished reports of controlled trials of homeopathic treatment. After examining 184 reports, the panelists concluded: (1) only 17 were designed and reported well enough to be worth considering; (2) in some of these trials, homeopathic approaches may have exerted a greater effect than a placebo or no treatment; and (3) the number of participants in these 17 trials was too small to draw any conclusions about the effectiveness of homeopathic treatment for any specific condition [5]. Simply put: Most homeopathic research is worthless, and no homeopathic product has been proven effective for any therapeutic purpose. The National Council Against Health Fraud has warned that "the sectarian nature of homeopathy raises serious questions about the trustworthiness of homeopathic researchers." [6]

In 1997, a London health authority decided to stop paying for homeopathic treatment after concluding that there was not enough evidence to support its use. The Lambeth, Southwark, and Lewisham Health Authority had been referring more than 500 patients per year to the Royal Homoeopathic Hospital in London. Public health doctors at the authority reviewed the published scientific literature as part of a general move toward purchasing only evidence-based treatments. The group concluded that many of the studies were methodologically flawed and that recent research produced by the Royal Homoeopathic Hospital contained no convincing evidence that homeopathy offered clinical benefit [7].

In 2007, another review team concluded that homeopathic provings have been so poorly designed that the data they have generated is not trustworthy [8].

Proponents trumpet the few "positive" studies as proof that "homeopathy works." Even if their results can be consistently reproduced (which seems unlikely), the most that the study of a single remedy for a single disease could prove is that the remedy is effective against that disease. It would not validate homeopathy's basic theories or prove that homeopathic treatment is useful for other diseases.

Placebo effects can be powerful, of course, but the potential benefit of relieving symptoms with placebos should be weighed against the harm that can result from relying uponand wasting money onineffective products. Spontaneous remission is also a factor in homeopathy's popularity. I believe that most people who credit a homeopathic product for their recovery would have fared equally well without it.

Homeopaths claim to provide care that is safer, gentler, "natural," and less expensive than conventional careand more concerned with prevention. However, homeopathic treatments prevent nothing, and many homeopathic leaders preach against immunization. Equally bad, a report on the National Center for Homeopathy's 1997 conference described how a homeopathic physician had suggested using homeopathic products to help prevent and treat coronary artery disease. According to the article, the speaker recommended various 30C and 200C products as alternatives to aspirin or cholesterol-lowering drugs, both of which are proven to reduce the incidence of heart attacks and strokes [9].

Illegal Marketing In a survey conducted in 1982, the FDA found some over-the-counter products being marketed for serious illnesses, including heart disease, kidney disorders, and cancer. An extract of tarantula was being purveyed for multiple sclerosis; an extract of cobra venom for cancer.

During 1988, the FDA took action against companies marketing "diet patches" with false claims that they could suppress appetite. The largest such company, Meditrend International, of San Diego, instructed users to place 1 or 2 drops of a "homeopathic appetite control solution" on a patch and wear it all day affixed to an "acupuncture point" on the wrist to "bioelectrically" suppress the appetite control center of the brain.

America's most blatant homeopathic marketer appears to be Biological Homeopathic Industries (BHI) of Albuquerque, New Mexico, which, in 1983, sent a 123-page catalog to 200,000 physicians nationwide. Its products included BHI Anticancer Stimulating, BHI Antivirus, BHI Stroke, and 50 other types of tablets claimed to be effective against serious diseases. In 1984, the FDA forced BHI to stop distributing several of the products and to tone down its claims for others. However, BHI has continued to make illegal claims. Its 1991 Physicians' Reference ("for use only by health care professionals") inappropriately recommended products for heart failure, syphilis, kidney failure, blurred vision, and many other serious conditions. The company's publishing arm issues the quarterly Biological Therapy: Journal of Natural Medicine, which regularly contains articles whose authors make questionable claims. An article in the April 1992 issue, for example, listed "indications" for using BHI and Heel products (distributed by BHI) for more than fifty conditionsincluding cancer, angina pectoris, and paralysis. And the October 1993 issue, devoted to the homeopathic treatment of children, includes an article recommending products for acute bacterial infections of the ear and tonsils. The article is described as selections from Heel seminars given in several cities by a Nevada homeopath who also served as medical editor of Biological Therapy. In 1993, Heel published a 500-page hardcover book describing how to use its products to treat about 450 conditions [10]. Twelve pages of the book cover "Neoplasia and neoplastic phases of disease." (Neoplasm is a medical term for tumor.) In March 1998, during an osteopathic convention in Las Vegas, Nevada, a Heel exhibitor distributed copies of the book when asked for detailed information on how to use Heel products. A 2000 edition is larger but does not have the neoplasia section [11].

Between October 1993 and September 1994, the FDA issued warning letters to four homeopathic manufacturers:

BHI was ordered to stop making claims that BHI Cold, which contained sulfur and pulsatilla, were effective against mumps, whooping cough, chronic respiratory diseases, herpes zoster, all viral infections, and measles. In addition, when combined with other BHI remedies, it had been illegally claimed to be effective against otitis, pleurisy, bronchitis or pneumonia, conjunctivitis, and tracheitis. Botanical Laboratories, Inc., which distributed Natra-Bio products, was ordered to stop claiming that BioAllers was a homeopathic remedy for reliving symptoms of allergy due to pollen, animal hair, dander, mold, yeast, and dust. The products were promoted as homeopathic even though some ingredients were not in the Homeopathic Pharmacopeia. L.B.L.-Bot.Bio.Hom.Corp, of Roosevelt, New York, was ordered to stop making false claims that products could prevent AIDS, reduce cholesterol, cure diabetes and other pancreas disorders, and cancerous blood disorders. Nutrition Express, of Houston, Texas, was warned that products it was marketing for the temporary relief of infection, minor liver disorders, lymphatic disorders, and menstrual discomforts were misbranded because their labels or labeling included statements that represented that the products were intended to be used for curing or preventing disease. Greater Regulation Is Needed As far as I can tell, the FDA has never recognized any homeopathic remedy as safe and effective for any medical purpose. In 1995, I filed a Freedom of Information Act request that stated:

I am interested in learning whether the FDA has: (1) received evidence that any homeopathic remedy, now marketed in this country, is effective against any disease or health problem; (2) concluded that any homeopathic product now marketed in the United States is effective against any health problem or condition; (3) concluded that homeopathic remedies are generally effective; or (4) concluded that homeopathic remedies are generally not effective. Please send me copies of all documents in your possession that pertain to these questions [12].

An official from the FDA Center for Drug Evaluation and Research replied that several dozen homeopathic products were approved many years ago, but these approvals were withdrawn by 1970 [13]. In other words, after 1970, no homeopathic remedy had FDA as "safe and effective" for its intended purpose. As far as I can tell, that statement is still true today.

If the FDA required homeopathic remedies to be proven effective in order to remain marketablethe standard it applies to other categories of drugshomeopathy would face extinction in the United States [14]. However, there is no indication that the agency is considering this. FDA officials regard homeopathy as relatively benign (compared, for example, to unsubstantiated products marketed for cancer and AIDS) and believe that other problems should get enforcement priority. If the FDA attacks homeopathy too vigorously, its proponents might even persuade a lobby-susceptible Congress to rescue them. Regardless of this risk, the FDA should not permit worthless products to be marketed with claims that they are effective. Nor should it continue to tolerate the presence of quack "electrodiagnostic" devices in the marketplace.

In 1994, 42 prominent critics of quackery and pseudoscience asked the agency to curb the sale of homeopathic products. The petition urges the FDA to initiate a rulemaking procedure to require that all over-the-counter (OTC) homeopathic drugs meet the same standards of safety and effectiveness as nonhomeopathic OTC drugs. It also asks for a public warning that although the FDA has permitted homeopathic remedies to be sold, it does not recognize them as effective. The FDA has not yet responded to the petition. However, on March 3, 1998, at a symposium sponsored by Good Housekeeping magazine, former FDA Commissioner David A. Kessler, M.D., J.D., acknowledged that homeopathic remedies do not work but that he did not attempt to ban them because he felt that Congress would not support a ban [15].

References Kaufman M. Homeopathy in America. Baltimore, 1971, The Johns Hopkins University Press. Hill C, Doyon F. Review of randomized trials of homeopathy. Review of Epidemiology 38:139-142, 1990. Jacob J and others. Treatment of childhood diarrhea with homeopathic medicine: a randomized clinical trial in Nicaragua. Pediatrics 93:719-725, 1994. Sampson W, London W. Analysis of homeopathic treatment of childhood diarrhea. Pediatrics 96:961-964, 1995. Homoeopathic Medicine Research Group. Report. Commission of the European Communities, December 1996. NCAHF Position Paper on Homeopathy. Loma Linda, Calif.: National Council Against Health Fraud, 1994. Wise, J. Health authority stops buying homoeopathy. British Medical Journal 314:1574, 1997. Dantas E. A systematic review of the quality of homeopathic pathogenetic trials published from 1945 to 1995. Homeopathy 96:4-16, 2007. Hauck KG. Homeopathy and coronary artery disease. Homeopathy Today 17(8):3, 1997. Biotherapeutic Index. Baden-Baden, Germany: Biologische Heilmittel Heel GmbH, 1993. Biotherapeutic Index, 5th revised English edition. Baden-Baden, Germany: Biologische Heilmittel GmbH, 2000. Barrett S. Letter to FDA Office of Freedom of Information, Feb 7, 1995. Davis H. Letter to Stephen Barrett, M.D., April 24, 1995. Pinco RG. Status of homeopathy in the United States: Important ominous developments. Memo to Willard Eldredge, president, American Association of Homeopathic Pharmacists, Jan 17, 1985. Kessler DA. Panel discussion on herbal dietary supplements. Consumer Safety Symposium on Dietary Supplements and Herbs, New York City, March 3, 1998.

boyfriend diagnosed HIV+ Feb 4, 2008

I'm aware of the many new products "out there" that can make HIV a livable condition, along the lines of Herpes and the cold, but knowing that you are a doctor, I dont trust modern medicine... I view them as little more than ways to make money without curing ANYTHING (noting that the last thing 'cured' was polio...)

He's on Norvir, Reyetaz, and one other I cant remember... and in a way I wish he would've thought about therapeutic herbs FIRST ( because from what I understand man made meds counteract Nature's bounty), because I've done research on DMG, Venus Fly Trap Extract, Yarrow, and of course, my favorite, oil of oregano, and it seems as if those herbs would do a hell of a job...without HALF the negatory side effects such as diarrhea. So, question one is... would it be better to try homeopathic meds first? Or should I bother asking a doctor anyway, considering I think most ( no offense..I've just been disheartened) MDs and PhDs are cahooting with the pharmaceutical community for kick backs --not cures?

Secondly...

I've always been a believer in herbal medicines.. I take oil of oregano for viral infections, not bacterial ones, i take garlic oil pills at night as a blood cleanser, drink plenty of green tea, exercise, and drink lots of water. I am familiar with how HIV works, but I'm troubled, because of the extent of my boyfriend and mine's relationship... the amount of intimacy involved, and the chance that I will become positive as well. In other words...

WHAT DO WE (or I for that matter) DO?? :( sincerely,

Vittoria Falconer

Response from Dr. Frascino

Hello Victoria,

I disagree with essentially all your assumptions and comments, so if your mind is already made up, you can probably stop reading here, but I hope you don't.

Disagreement #1: There are many new products "out there" that can make HIV a livable condition along the lines of herpes and the cold . . . ." From my over-quarter-of-a-century experience treating HIV/AIDS patients plus my 16 years of being personally "virally enhanced," I can assure you living with HIV/AIDS is nothing at all like herpes or the common cold, even with the significant advances we've made in the development of antiretroviral medications.

Disagreement #2: Not trusting "modern medicine." I'll bet you change your mind when you experience your first significant illness.

Disagreement #3: Medications "counteract Nature's bounty." Actually many modern medicines were developed from "Nature's Bounty" (plants). The possibility of drug-natural supplement interactions exists, as do drug-drug interactions and natural supplement-natural supplement interactions!

Disagreement #5: DMG, Venus Fly Trap Extract, Yarrow and, of course, your favorite oil of oregano would do "a hell of a job" treating HIV. Despite your "research," I must respectfully disagree. If your concoction really treated HIV effectively, do you think I would still be taking handfuls of potent antiretrovirals and coping with their side effects to stay alive? And how about Magic Johnson, would he choose to take potent HIV meds with side effects and toxicities if there really were a safer effective alternative?

Disagreement #5: Homeopathy. In my opinion homeopathy is not only ineffective in treating HIV/AIDS; it's completely ineffective in treating all other ailments as well. Large well conducted scientific studies have definitively proven that homeopathy is a completely ineffective treatment modality. The basic premise is quite ludicrous. Here it is: someone is administered tiny, tiny, tiny amounts of a substance that in larger doses would induce symptoms, like those caused by the illness. For example, if someone had the flu, a homeopathic remedy would be a tiny amount of something that would cause nausea. The substance is diluted in water to the point that it is "undetectable." The water is said to "remember" the substance. As it turns out, water's ability to "remember" is the same as its ability to speak French or do calculus.

Disagreement #6: MDs and PhDs are "cahooting" with the pharmaceutical for kickbacks, not cures. It is true some physicians and scientists work for pharmaceutical companies to help design and evaluate new medications, but to claim all or even most MDs work for kickbacks is both unsubstantiated and a bit paranoid.

Disagreement #7: "Believing" in herbal medicines. Medicine is a branch of science and based on scientific facts and principles. Belief systems belong in church. You can "believe" in the Holy Ghost or the Loch Ness Monster or the existence of "compassionate conservativism." These things can never be proven or disproven because they don't exist. However, the efficacy or lack of efficacy of oil of oregano for the treatment of viral infections is something that can be proved or disproved with scientific study. So whether you "believe" in it or not doesn't change the fact the reality that oil of oregano doesn't have any effect whatsoever in the treatment of viral illnesses, including HIV. My advice is that you save your oregano and garlic for a nice marinara sauce and reconsider your "beliefs" in modern medicine.

Finally to your question: "What do we (or I, for that matter) do?" It seems your boyfriend is being appropriately treated. You, on the other hand, have much to learn if you want to help your boyfriend cope with his new reality of being HIV positive. I suggest you begin by familiarizing yourself with the wealth of information on this Web site. Begin with the basic information that can be accessed under the "Quick Links" heading on The Body's homepage. You should also review the information in the archives relating to "magnetic couples."

Good luck.

Dr. Bob


Previous
URGENT CARE IMPORTANT!
Next
My pet

  
  • Email Email
  • Glossary Glossary


 
 
Advertisement




Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement