Medical journal article reminds us of the fact that fruit juices very sugary indeed

In a meeting today, my companion asked me about my views on fruit and fruit juice. In short, my reply was that I think fruit is over-rated, and that fruit juice should generally be avoided. Many of the reasons for my ambivalence about fruit (and why much fruit is anything but some sort of nutritional […]

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Researchers pronouncing ‘statins are safe’ are undermined by their own observations

Listen to most ‘key opinion leaders’ talk about statins and you will hear soothing reassurances about their safety. Yet, my experience as a doctor suggests that adverse effects such as fatigue and muscle pain occur more commonly than ‘official statistics’ suggest. However, a study published this week claims to provide evidence that, for the most part, […]

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How good is the tool doctors use to predict who should be treated with statins?

Recently, the National Institute for Health and Care Excellence in the UK published a consultation document in which it suggests that the threshold for treating people with statins should be lowered. Currently, doctors are advised to consider treatment for individuals who are calculated to have 20 per cent or more risk of developing cardiovascular disease […]

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My take on the recent ‘high protein diet as bad a smoking’ study

There are reports of a study doing the round in the UK press this week that warn us that eating a protein-rich diet is ‘as bad for us a smoking’. See here and here for examples of stories appearing in the ‘respected’ broadsheets the Telegraph and Guardian respectively. Reading the headlines of these pieces gives […]

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Five things I do now that I didn’t do five years ago

I sometimes think that some people imagine I live some perfectly healthy existence. While my lifestyle might be tons better than it was when I was a young adult, say, at least some of my lifestyle habits vary a bit depending on things like environment (I travel quite a lot), workload and priorities. There is […]

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Article highlights the importance of ‘shared decision making’ when statins are being considered

On both sides of the Atlantic moves are afoot which will mean that many more individuals will be considered as good candidates for statin therapy. This will inevitably mean that more individuals are going to have the prospect of statin therapy raised by their doctors. In this situation, doctors can talk about ‘guidelines’ and ‘protocols’, […]

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I complain to NHS Choices website about its stance on carbs. 2 months later and still no response…

Back in December, I wrote a blog post about this article on the NHS Choices website. In short, I felt the ‘article’ put a very biased, unbalanced and potentially misleading case for carbohydrate in the diet. The day after writing the blog post, I decided I would make a formal complaint about the article to […]

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My interview and phone-in on BBC WM

On 14th February I was invited to talk to Adrian Goldberg at BBC West Midlands about weight control and a range of other topics raised by himself and listeners. Here’s a recording of the 30-minute item.

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Does mammography save lives? Not according to the latest study.

The common perception of mammography is that, by detecting breast cancer earlier than it would otherwise be, it saves women’s lives. However, there is quite some evidence to suggest that many women need to be screen for one life to be saved, and on top of this we have adverse effects such as over-diagnosis (the […]

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It’s about time some people were straight with the statistics on statins

Yesterday, the National Institute for Health and Care Excellence (NICE) published draft proposals concerning the use of statins for the prevention of cardiovascular disease. Previously, NICE advised doctors to recommend treatment in those with a calculated 10-year risk of cardiovascular disease of 20 per cent or more. Now, NICE is proposing that this threshold will […]

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