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	<title>Comments on: &#8220;Manufacturing Doubt&#8221;: Sir Cliff Richard weighs in on the Cochrane review.</title>
	<atom:link href="http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/</link>
	<description>Ben Goldacre&#039;s Bad Science column from the Guardian and more...</description>
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		<title>By: AK5</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-22593</link>
		<dc:creator>AK5</dc:creator>
		<pubDate>Tue, 14 Oct 2008 12:17:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-22593</guid>
		<description>I am a masters student in human nutrition and firmly believe in the effectiveness of SOME supplements, however, i also firmly believe that the results of the review were valid and reliable. This trial however does not confirm that supplements cant have benefits on mortality. It merely shows that some can be dangerous. I have studied the possible reasons for their harmful effects and would like to share some theories. Vitamin E supplements were likely to have increased mortality as the supplements used alpha-tocopherol alone, however, there are other tocopherols that seem to have different beneficial effects on health. However, they rely on the same enzymes for absorption and thus when only one is given in such large doses the others are not absorbed properly. (see study here http://grande.nal.usda.gov/ibids/index.php?mode2=detail&amp;origin=ibids_references&amp;therow=723903)
Therefore, by taking the supplement they are reducing a number of other benefits including anti-inflammatory properties of gamma tocopherol.
Beta Carotene appears to be related with increased mortality primarily in smokers, this may be due to transformation of this antioxidant into a carcinogen when formed with the compounds in smoke. (see http://www.ncbi.nlm.nih.gov/pubmed/10568335)
The findings of vitamin A are also unsurprising as most people have sufficient vit A stores and any excess cannot be stored and can act as a prooxidant.

Therefore, trials involving mixed tocopherol supplementation, beta carotene solely in non-smokers and not with vitamin A seem likely to give more favourable results and I would recommend anyone taking vitamin E to buy a mixed tocopherol form.</description>
		<content:encoded><![CDATA[<p>I am a masters student in human nutrition and firmly believe in the effectiveness of SOME supplements, however, i also firmly believe that the results of the review were valid and reliable. This trial however does not confirm that supplements cant have benefits on mortality. It merely shows that some can be dangerous. I have studied the possible reasons for their harmful effects and would like to share some theories. Vitamin E supplements were likely to have increased mortality as the supplements used alpha-tocopherol alone, however, there are other tocopherols that seem to have different beneficial effects on health. However, they rely on the same enzymes for absorption and thus when only one is given in such large doses the others are not absorbed properly. (see study here <a href="http://grande.nal.usda.gov/ibids/index.php?mode2=detail&amp;origin=ibids_references&amp;therow=723903)" rel="nofollow">http://grande.nal.usda.gov/ibids/index.php?mode2=detail&amp;origin=ibids_references&amp;therow=723903)</a><br />
Therefore, by taking the supplement they are reducing a number of other benefits including anti-inflammatory properties of gamma tocopherol.<br />
Beta Carotene appears to be related with increased mortality primarily in smokers, this may be due to transformation of this antioxidant into a carcinogen when formed with the compounds in smoke. (see <a href="http://www.ncbi.nlm.nih.gov/pubmed/10568335)" rel="nofollow">http://www.ncbi.nlm.nih.gov/pubmed/10568335)</a><br />
The findings of vitamin A are also unsurprising as most people have sufficient vit A stores and any excess cannot be stored and can act as a prooxidant.</p>
<p>Therefore, trials involving mixed tocopherol supplementation, beta carotene solely in non-smokers and not with vitamin A seem likely to give more favourable results and I would recommend anyone taking vitamin E to buy a mixed tocopherol form.</p>
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		<title>By: kiwitranslations</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20719</link>
		<dc:creator>kiwitranslations</dc:creator>
		<pubDate>Sun, 04 May 2008 08:46:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20719</guid>
		<description>I would like to know what Ben (and everyone else) thinks about the methods and conclusions of Ray Kurzweil and Terry Grossman. They advocate aggressive supplementation, which makes them suspect in the light of this conversation, but they make a big deal about basing it all on hard science, referencing medical studies for every point they make. The former of the two is highly accomplished in his own specialty (not medicine) and the latter is a medical professional. But how good is their science really? Is it bad science?

One other point, saying &quot;just eat a well-balanced diet&quot; really just begs the question: what is &quot;well-balanced?&quot; At the end of the day, whether it comes through conventional food or in the form of pills we still face the question of what quantities of various nutrients result in optimal health (if we are interested in achieving that).</description>
		<content:encoded><![CDATA[<p>I would like to know what Ben (and everyone else) thinks about the methods and conclusions of Ray Kurzweil and Terry Grossman. They advocate aggressive supplementation, which makes them suspect in the light of this conversation, but they make a big deal about basing it all on hard science, referencing medical studies for every point they make. The former of the two is highly accomplished in his own specialty (not medicine) and the latter is a medical professional. But how good is their science really? Is it bad science?</p>
<p>One other point, saying &#8220;just eat a well-balanced diet&#8221; really just begs the question: what is &#8220;well-balanced?&#8221; At the end of the day, whether it comes through conventional food or in the form of pills we still face the question of what quantities of various nutrients result in optimal health (if we are interested in achieving that).</p>
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		<title>By: Robert Carnegie</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20696</link>
		<dc:creator>Robert Carnegie</dc:creator>
		<pubDate>Fri, 02 May 2008 01:42:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20696</guid>
		<description>No deaths means quite a high count of people who didn&#039;t die. 
 How does this pooling work, though?  Do well-regulated studies have equal size groups, or different groups?  Do you Cochrane them by just adding eveyone together into bigger groups?

Can you program the Dymo label printer currently advertised to print thousands of labels saying &quot;Not a real doctor&quot;, to smuggle into your local shop selling &quot;Dr.&quot; Gillian McKeith products?  Bonus if you also make them say &quot;reduced&quot;, because arguably she is.  And I think the sell by date may apply.</description>
		<content:encoded><![CDATA[<p>No deaths means quite a high count of people who didn&#8217;t die.<br />
 How does this pooling work, though?  Do well-regulated studies have equal size groups, or different groups?  Do you Cochrane them by just adding eveyone together into bigger groups?</p>
<p>Can you program the Dymo label printer currently advertised to print thousands of labels saying &#8220;Not a real doctor&#8221;, to smuggle into your local shop selling &#8220;Dr.&#8221; Gillian McKeith products?  Bonus if you also make them say &#8220;reduced&#8221;, because arguably she is.  And I think the sell by date may apply.</p>
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		<title>By: used to be jdc</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20666</link>
		<dc:creator>used to be jdc</dc:creator>
		<pubDate>Thu, 01 May 2008 11:30:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20666</guid>
		<description>Maybe ask a dietitian Craig? If you are talking about taking supplements as &#039;insurance&#039;, Catherine Collins made a comment about vit supplements here: http://holfordwatch.info/about/#comment-2964 - but I don&#039;t imagine for a moment that a vitamin pill is going to make up for drinking too much, smoking too much and routinely forgetting to eat.
BDA food facts here: http://www.bda.uk.com/Downloads/November04foodfacts.pdf is written by Catherine Collins.</description>
		<content:encoded><![CDATA[<p>Maybe ask a dietitian Craig? If you are talking about taking supplements as &#8216;insurance&#8217;, Catherine Collins made a comment about vit supplements here: <a href="http://holfordwatch.info/about/#comment-2964" rel="nofollow">http://holfordwatch.info/about/#comment-2964</a> &#8211; but I don&#8217;t imagine for a moment that a vitamin pill is going to make up for drinking too much, smoking too much and routinely forgetting to eat.<br />
BDA food facts here: <a href="http://www.bda.uk.com/Downloads/November04foodfacts.pdf" rel="nofollow">http://www.bda.uk.com/Downloads/November04foodfacts.pdf</a> is written by Catherine Collins.</p>
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		<title>By: Craig</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20665</link>
		<dc:creator>Craig</dc:creator>
		<pubDate>Thu, 01 May 2008 04:44:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20665</guid>
		<description>The repeated conclusions of reputable vitamin supplement studies appear to be along the lines of &quot;so long as you&#039;re eating a balanced diet, don&#039;t bother...&quot;

However:  I don&#039;t eat a balanced diet.

Partly that&#039;s because I do a lot of bushwalking and long-haul motorcycle touring (where I&#039;m surviving on either instant noodles or dodgy roadhouse food for extended periods), but it&#039;s also partly &#039;cos I&#039;m a geeky science student who drinks too much, smokes too much and routinely forgets to eat.

So:  given that I don&#039;t have a nutritionally great diet, and that&#039;s unlikely to change anytime soon, is a daily multivitamin worth the money?  Or is it still going to be just providing value-added urine?</description>
		<content:encoded><![CDATA[<p>The repeated conclusions of reputable vitamin supplement studies appear to be along the lines of &#8220;so long as you&#8217;re eating a balanced diet, don&#8217;t bother&#8230;&#8221;</p>
<p>However:  I don&#8217;t eat a balanced diet.</p>
<p>Partly that&#8217;s because I do a lot of bushwalking and long-haul motorcycle touring (where I&#8217;m surviving on either instant noodles or dodgy roadhouse food for extended periods), but it&#8217;s also partly &#8216;cos I&#8217;m a geeky science student who drinks too much, smokes too much and routinely forgets to eat.</p>
<p>So:  given that I don&#8217;t have a nutritionally great diet, and that&#8217;s unlikely to change anytime soon, is a daily multivitamin worth the money?  Or is it still going to be just providing value-added urine?</p>
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		<title>By: Mister Jones</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20664</link>
		<dc:creator>Mister Jones</dc:creator>
		<pubDate>Wed, 30 Apr 2008 16:36:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20664</guid>
		<description>Love to take apart one of those QUANTUM XRROID CONCIOUSNESS INTERFACE QXCI boxes to see what&#039;s really inside.

http://www.bio-resonance.com/qxci.htm</description>
		<content:encoded><![CDATA[<p>Love to take apart one of those QUANTUM XRROID CONCIOUSNESS INTERFACE QXCI boxes to see what&#8217;s really inside.</p>
<p><a href="http://www.bio-resonance.com/qxci.htm" rel="nofollow">http://www.bio-resonance.com/qxci.htm</a></p>
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		<title>By: evidencebasedeating</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20663</link>
		<dc:creator>evidencebasedeating</dc:creator>
		<pubDate>Tue, 29 Apr 2008 22:04:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20663</guid>
		<description>hmmmmmm

plant mmmmmmmmmmmmmmm

mmmmmmmmmm</description>
		<content:encoded><![CDATA[<p>hmmmmmm</p>
<p>plant mmmmmmmmmmmmmmm</p>
<p>mmmmmmmmmm</p>
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		<title>By: Squander Two</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20658</link>
		<dc:creator>Squander Two</dc:creator>
		<pubDate>Tue, 29 Apr 2008 10:52:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20658</guid>
		<description>Dr Aust,

&lt;i&gt;&gt; ..anyone got any more suggestions? &lt;/i&gt;

Yep: he&#039;s a singer.  Regular exercising of facial muscles tends to keep the face a bit younger-looking.  See also Tina Turner.  Or compare Page to Plant.  And ignore Mick Jagger.</description>
		<content:encoded><![CDATA[<p>Dr Aust,</p>
<p><i>&gt; ..anyone got any more suggestions? </i></p>
<p>Yep: he&#8217;s a singer.  Regular exercising of facial muscles tends to keep the face a bit younger-looking.  See also Tina Turner.  Or compare Page to Plant.  And ignore Mick Jagger.</p>
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		<title>By: Dr Aust</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20654</link>
		<dc:creator>Dr Aust</dc:creator>
		<pubDate>Mon, 28 Apr 2008 16:52:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20654</guid>
		<description>The authors actually explain how they INCLUDED several studies in which death rate was reported AND was zero in ONE group (which could be either controls, or the vitamin-takers, as no upfront assumptions were made). That is, these studies WERE included, contrary to what all the vitamin industry PR flacks and celeb-idiots have been wheeled out to try to tell you.

Zero in BOTH groups gives you NO information from which you can estimate the DIFFERENCE in mortality rate plus/minus supplements in the &quot;populations&quot; from which the study group are derived. All you can say is &quot;overall death rate in the underlying populations from which these groups were derived  probably can&#039;t be greater than x%, as if it were bigger than this we would expect to have seen some deaths in a study this size&quot;.

This is the other side of what the stats people call &quot;power calculations&quot;. The studies w no death rates in either group are,as the stats lot say, &quot;underpowered&quot; for telling you anything useful about death rates, though they may have recorded other &quot;outcome measures&quot;.</description>
		<content:encoded><![CDATA[<p>The authors actually explain how they INCLUDED several studies in which death rate was reported AND was zero in ONE group (which could be either controls, or the vitamin-takers, as no upfront assumptions were made). That is, these studies WERE included, contrary to what all the vitamin industry PR flacks and celeb-idiots have been wheeled out to try to tell you.</p>
<p>Zero in BOTH groups gives you NO information from which you can estimate the DIFFERENCE in mortality rate plus/minus supplements in the &#8220;populations&#8221; from which the study group are derived. All you can say is &#8220;overall death rate in the underlying populations from which these groups were derived  probably can&#8217;t be greater than x%, as if it were bigger than this we would expect to have seen some deaths in a study this size&#8221;.</p>
<p>This is the other side of what the stats people call &#8220;power calculations&#8221;. The studies w no death rates in either group are,as the stats lot say, &#8220;underpowered&#8221; for telling you anything useful about death rates, though they may have recorded other &#8220;outcome measures&#8221;.</p>
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		<title>By: used to be jdc</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20653</link>
		<dc:creator>used to be jdc</dc:creator>
		<pubDate>Mon, 28 Apr 2008 15:37:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20653</guid>
		<description>Heh. The ANH has a shockingly bad press release on the Bjelakovic study which ends with an accusation framed as a question (hm, weaselly) - &lt;a href=&quot;http://www.alliance-natural-health.org/_docs/ANHwebsiteDoc_302.pdf&quot; rel=&quot;nofollow&quot;&gt;PDF&lt;/a&gt;.

The insinuation is that the Cochrane collaboration is &#039;under the influence of drug companies&#039; - which is really quite amusing given that one of the writers of the press release defending supplements was (at least until recently) employed by a firm selling food supplements (Ultralife). The other writer was working at Nutrition Associates Ltd - who offer medical advice and treatments based on nutrition and allergy principles, which can mean recommending tests using, e.g., Great Smokies Diagnostic Laboratory and YorkTest.</description>
		<content:encoded><![CDATA[<p>Heh. The ANH has a shockingly bad press release on the Bjelakovic study which ends with an accusation framed as a question (hm, weaselly) &#8211; <a href="http://www.alliance-natural-health.org/_docs/ANHwebsiteDoc_302.pdf" rel="nofollow">PDF</a>.</p>
<p>The insinuation is that the Cochrane collaboration is &#8216;under the influence of drug companies&#8217; &#8211; which is really quite amusing given that one of the writers of the press release defending supplements was (at least until recently) employed by a firm selling food supplements (Ultralife). The other writer was working at Nutrition Associates Ltd &#8211; who offer medical advice and treatments based on nutrition and allergy principles, which can mean recommending tests using, e.g., Great Smokies Diagnostic Laboratory and YorkTest.</p>
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		<title>By: Jamie Horder</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20652</link>
		<dc:creator>Jamie Horder</dc:creator>
		<pubDate>Mon, 28 Apr 2008 12:49:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20652</guid>
		<description>Robert : Zero is a measurement, but if you find that there are zero deaths in both the people who get vitamins, and the people who get placebo, this doesn&#039;t really tell you very much. In particular it means that you can&#039;t tell whether the vitamins reduce deaths, because you can&#039;t go lower than zero. So including these trials could actually make the analysis biased against vitamins...</description>
		<content:encoded><![CDATA[<p>Robert : Zero is a measurement, but if you find that there are zero deaths in both the people who get vitamins, and the people who get placebo, this doesn&#8217;t really tell you very much. In particular it means that you can&#8217;t tell whether the vitamins reduce deaths, because you can&#8217;t go lower than zero. So including these trials could actually make the analysis biased against vitamins&#8230;</p>
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		<title>By: CDavis</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20651</link>
		<dc:creator>CDavis</dc:creator>
		<pubDate>Mon, 28 Apr 2008 12:32:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20651</guid>
		<description>You and Cochrane et al neglected to mention it, but no doubt you&#039;ll make an exception for raw glucose - 20,000 Lucozade drinkers can&#039;t be wrong, can they?

Sporty types need &#039;energy&#039; - so *they* drink it, apparently. Therefore millions of couch-potatoes who wish they could look like sporty types drink it too, by the gigacalorie. Stands to reason.

CD</description>
		<content:encoded><![CDATA[<p>You and Cochrane et al neglected to mention it, but no doubt you&#8217;ll make an exception for raw glucose &#8211; 20,000 Lucozade drinkers can&#8217;t be wrong, can they?</p>
<p>Sporty types need &#8216;energy&#8217; &#8211; so *they* drink it, apparently. Therefore millions of couch-potatoes who wish they could look like sporty types drink it too, by the gigacalorie. Stands to reason.</p>
<p>CD</p>
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		<title>By: Moganero</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20650</link>
		<dc:creator>Moganero</dc:creator>
		<pubDate>Mon, 28 Apr 2008 09:18:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20650</guid>
		<description>A bit off topic, but I noticed that Holland and Barrett in Hanley, Stoke-on-Trent still has stickers on their shelves showing _Dr_ Gillian McKeith recommended some of their products.  They didn&#039;t seem to be in the slightest bit bothered when I mentioned it to them, but then maybe it helps them sell more.</description>
		<content:encoded><![CDATA[<p>A bit off topic, but I noticed that Holland and Barrett in Hanley, Stoke-on-Trent still has stickers on their shelves showing _Dr_ Gillian McKeith recommended some of their products.  They didn&#8217;t seem to be in the slightest bit bothered when I mentioned it to them, but then maybe it helps them sell more.</p>
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		<title>By: Robert Carnegie</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20648</link>
		<dc:creator>Robert Carnegie</dc:creator>
		<pubDate>Mon, 28 Apr 2008 00:37:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20648</guid>
		<description>Yes... are we saying that zero isn&#039;t a measurement?  I&#039;ll look at HolfordWatch.   ...On second thoughts, that&#039;s very wordy, I see.  Perhaps I&#039;ll abide in ignorance.

If there are studies that didn&#039;t keep count of people who did die, that&#039;s... surprising.</description>
		<content:encoded><![CDATA[<p>Yes&#8230; are we saying that zero isn&#8217;t a measurement?  I&#8217;ll look at HolfordWatch.   &#8230;On second thoughts, that&#8217;s very wordy, I see.  Perhaps I&#8217;ll abide in ignorance.</p>
<p>If there are studies that didn&#8217;t keep count of people who did die, that&#8217;s&#8230; surprising.</p>
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		<title>By: Dave Gould</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20647</link>
		<dc:creator>Dave Gould</dc:creator>
		<pubDate>Sun, 27 Apr 2008 23:07:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20647</guid>
		<description>The study authors believe that a death in a study does not bias the study towards or against vitamins.

One could propose the theory that vitamins are bad for most but good for for everyone else.

Another theory would be that people who correctly believed they were going to die both knew they weren&#039;t taking placebo and were much less likely to drop out of the studies.  There was a small difference between healthy and disease-based studies that might show this.

The other notable correlation found is that those studies which the authors could verify as being more scientific showed an even worse result for vitamins.

Furthermore, the authors included 4 studies without placebo controls and still couldn&#039;t find a benefit.

The increased mortality rate is so small that it&#039;s not worth paying attention to.

What hard to dispute here is that if megadose vitamins make the general population live longer, it&#039;s so tiny as for that effect to be discounted.

Mind you, the same can be said for nearly all medications.</description>
		<content:encoded><![CDATA[<p>The study authors believe that a death in a study does not bias the study towards or against vitamins.</p>
<p>One could propose the theory that vitamins are bad for most but good for for everyone else.</p>
<p>Another theory would be that people who correctly believed they were going to die both knew they weren&#8217;t taking placebo and were much less likely to drop out of the studies.  There was a small difference between healthy and disease-based studies that might show this.</p>
<p>The other notable correlation found is that those studies which the authors could verify as being more scientific showed an even worse result for vitamins.</p>
<p>Furthermore, the authors included 4 studies without placebo controls and still couldn&#8217;t find a benefit.</p>
<p>The increased mortality rate is so small that it&#8217;s not worth paying attention to.</p>
<p>What hard to dispute here is that if megadose vitamins make the general population live longer, it&#8217;s so tiny as for that effect to be discounted.</p>
<p>Mind you, the same can be said for nearly all medications.</p>
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		<title>By: perspix</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20646</link>
		<dc:creator>perspix</dc:creator>
		<pubDate>Sun, 27 Apr 2008 19:39:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20646</guid>
		<description>Robert C: I think &quot;Xrroid&quot; is an abbreviation of &quot;haemorrhoid&quot; so perhaps the Quantum Xrroid Consciousness Interface thingy is a device for connecting your mind to the consciousness of your arse-grapes.</description>
		<content:encoded><![CDATA[<p>Robert C: I think &#8220;Xrroid&#8221; is an abbreviation of &#8220;haemorrhoid&#8221; so perhaps the Quantum Xrroid Consciousness Interface thingy is a device for connecting your mind to the consciousness of your arse-grapes.</p>
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		<title>By: Dr Aust</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20645</link>
		<dc:creator>Dr Aust</dc:creator>
		<pubDate>Sun, 27 Apr 2008 19:06:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20645</guid>
		<description>Robert, re the trials with no deaths being excluded, we had a discn about this over at Holfordwatch &lt;a href=&quot;http://holfordwatch.info/2008/04/17/patrick-holford-and-contriving-a-controversy-the-cochrane-review-of-antioxidant-supplements/&quot; rel=&quot;nofollow&quot;&gt;here&lt;/a&gt;.

The basic point is that they mean that they excluded trials where there were no deaths in either the control or the supplement patient groups. If you are measuring and comparing death rate you need enough deaths to measure.</description>
		<content:encoded><![CDATA[<p>Robert, re the trials with no deaths being excluded, we had a discn about this over at Holfordwatch <a href="http://holfordwatch.info/2008/04/17/patrick-holford-and-contriving-a-controversy-the-cochrane-review-of-antioxidant-supplements/" rel="nofollow">here</a>.</p>
<p>The basic point is that they mean that they excluded trials where there were no deaths in either the control or the supplement patient groups. If you are measuring and comparing death rate you need enough deaths to measure.</p>
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		<title>By: Robert Carnegie</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20644</link>
		<dc:creator>Robert Carnegie</dc:creator>
		<pubDate>Sun, 27 Apr 2008 16:14:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20644</guid>
		<description>I don&#039;t understand the point that &quot;400 trials were excluded because there were no deaths in them.&quot;  I may as well cast the question naively as try to express the precise nature of my concern, so: doesn&#039;t picking only trials in which people die create a bias in which the therapy on trial appears to be associated with deaths?

I suppose also that it could be conceivably that antioxidants improve the quality of life whilst not making it less likely to end during a trial period, or even more likely.  For instance if the pill cures your disease but itself may kill you.  Perhaps that is covered by combining trials of healthy people and trials specifically of the sick.

Finally, what does &quot;Harley Street-ish&quot; mean, is it like off-Broadway, and where in the world do you find people to be impressed by a &quot;Quantum Xrroid Consciousness Interface&quot; instead of running, or hobbling, a metric mile upon hearing of the thing?</description>
		<content:encoded><![CDATA[<p>I don&#8217;t understand the point that &#8220;400 trials were excluded because there were no deaths in them.&#8221;  I may as well cast the question naively as try to express the precise nature of my concern, so: doesn&#8217;t picking only trials in which people die create a bias in which the therapy on trial appears to be associated with deaths?</p>
<p>I suppose also that it could be conceivably that antioxidants improve the quality of life whilst not making it less likely to end during a trial period, or even more likely.  For instance if the pill cures your disease but itself may kill you.  Perhaps that is covered by combining trials of healthy people and trials specifically of the sick.</p>
<p>Finally, what does &#8220;Harley Street-ish&#8221; mean, is it like off-Broadway, and where in the world do you find people to be impressed by a &#8220;Quantum Xrroid Consciousness Interface&#8221; instead of running, or hobbling, a metric mile upon hearing of the thing?</p>
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		<title>By: Jellytussle</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20642</link>
		<dc:creator>Jellytussle</dc:creator>
		<pubDate>Sun, 27 Apr 2008 09:23:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20642</guid>
		<description>&quot;

But more on that later.
#
Dr Aust said,

April 26, 2008 at 11:53 pm

Cliff Richard, I suspect, has many things that often help rich people to look “well preserved”:

1. Bags of money
2. Flunkies to do most things for him that ordinary mortals have to do themselves
3. His own tennis court, gym, swimming pool, chef etc etc
4. A top-notch cosmetic surgeon who does discreet and subtle work
5. Botox

..anyone got any more suggestions? I was also tempted to add “no children”
#
don_pedro said,

April 27, 2008 at 2:47 am

Dr Aust wrote:

..anyone got any more suggestions?

A portrait of the man, kept locked in the attic, relecting the wear and tear of sustained and depraved debauchery, so that he doesn’t have to.&quot;

I can confirm that this is true. It is a picture of Keith Richards.</description>
		<content:encoded><![CDATA[<p>&#8221;</p>
<p>But more on that later.<br />
#<br />
Dr Aust said,</p>
<p>April 26, 2008 at 11:53 pm</p>
<p>Cliff Richard, I suspect, has many things that often help rich people to look “well preserved”:</p>
<p>1. Bags of money<br />
2. Flunkies to do most things for him that ordinary mortals have to do themselves<br />
3. His own tennis court, gym, swimming pool, chef etc etc<br />
4. A top-notch cosmetic surgeon who does discreet and subtle work<br />
5. Botox</p>
<p>..anyone got any more suggestions? I was also tempted to add “no children”<br />
#<br />
don_pedro said,</p>
<p>April 27, 2008 at 2:47 am</p>
<p>Dr Aust wrote:</p>
<p>..anyone got any more suggestions?</p>
<p>A portrait of the man, kept locked in the attic, relecting the wear and tear of sustained and depraved debauchery, so that he doesn’t have to.&#8221;</p>
<p>I can confirm that this is true. It is a picture of Keith Richards.</p>
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		<title>By: ACH</title>
		<link>http://www.badscience.net/2008/04/cliff-richard-gloria-hunniford-carole-caplin-the-60bn-food-supplement-industry-and-the-quantum-xrroid-dude-refute-a-cochrane-meta-analysis/comment-page-1/#comment-20641</link>
		<dc:creator>ACH</dc:creator>
		<pubDate>Sun, 27 Apr 2008 08:56:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.badscience.net/?p=661#comment-20641</guid>
		<description>&quot;BioCare, the vitamin pill company Patrick Holford works for - and received £500,000 from in 2007 - is 30% owned by Elder Pharmaceuticals.&quot;

Didn&#039;t Holford say (on the infamous Radio 5 admission of more vested interest than Dr Gluud) that he got about a fifth of a drug rep&#039;s salary from Biocare?

Can someone please direct me to the pharma company that pays its reps £2.5 million. And a reference for a job with them!</description>
		<content:encoded><![CDATA[<p>&#8220;BioCare, the vitamin pill company Patrick Holford works for &#8211; and received £500,000 from in 2007 &#8211; is 30% owned by Elder Pharmaceuticals.&#8221;</p>
<p>Didn&#8217;t Holford say (on the infamous Radio 5 admission of more vested interest than Dr Gluud) that he got about a fifth of a drug rep&#8217;s salary from Biocare?</p>
<p>Can someone please direct me to the pharma company that pays its reps £2.5 million. And a reference for a job with them!</p>
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