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Re: Health Canada warning EZETIMIBE

Started by Dr. Andrew B. Chung, MD/PhD · · Last activity · 10 posts · 356 views

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General fitness, health and nutrition
Published
10 February 2005
Last activity
11 February 2005
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Dr. Andrew B. Chung, MD/PhD
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  1. Zee said:


    Sbharrisatsignix.netcom.com said:
    Quoted message said:

    >Perhaps it is time for the medical community to reconsider that,

    if the body needs Cholesterol to make up 2/3 of the brain, and
    if the body needs Cholesterol to sheath the nerves, and
    if the body needs Cholesterol to make up steroids in the mitochondria
    of the
    muscle cells, and
    if the body needs Cholesterol to repair inflammation-induced damage


    to

    Quoted message said:

    the
    arteries,

    maybe, just maybe, the body needs Cholesterol. <<

    COMMENT:

    The medical community is well aware that the body needs cholesterol.
    The medical community is also aware than in countries where the


    average

    Quoted message said:

    total blood cholesterol is 150 or lower (it was something like 90 in
    rural China), there is next to no atherosclerosis, and a lot less
    stroke. Nor do these populations seem to pay for it by having their
    nerves, brain cells, and muscles fall apart. So whatever cholesterol


    we

    Quoted message said:

    need in our blood, it's less than that.

    I'd be rather suprised if Zetia proves to have the side effects of


    the

    Quoted message said:

    statins. All it does is return your blood levels of cholesterol to
    those that humans have lived with more millions of years.

    Now, the next question is where or not this will get rid of most
    atherosclerosis. I suspect it won't be nearly as effective as doing


    it

    Quoted message said:

    by calorie restriction and a high polyunsaturated diet (ie, what they
    eat in those countries where heart disease is rare). Obesity itself


    is

    Quoted message said:

    an inflammatory state, and some of atherosclerosis is caused by an
    inflammatory component, not just high blood cholesterol. Statins are
    antiinflammatory, and Zetia isn't. For that matter, the side effects


    of

    Quoted message said:

    statins are not due simply to their lowering of blood cholesterol,


    but

    Quoted message said:

    go in part to mechanisms much deeper.

    SBH

    The Chinese are many peoples. Just for a start do you mean the rice
    eaters of the south, or the wheat eaters of the north?

    Do you have some idea of just how much calorie restriction we should
    aim for? For example: I am 62, and 5 foot 2 and a bit. So my normal
    intake would be about 1500 a day, I think. What should I aim for? You
    must have data on this.

    Zee

    Ime, calorie counting is not useful in helping people eat less to lose
    weight.

    Reason: People are neither able to measure nor sense calories with
    enough accuracy to allow meaningful "counting."

    At His service,

    Andrew

    --
    Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist

    **
    Suggested Reading:
    (1) http://makeashorterlink.com/?L26062048
    (2) http://makeashorterlink.com/?O2F325D1A
    (3) http://makeashorterlink.com/?X1C62661A
    (4) http://makeashorterlink.com/?U1E13130A
    (5) http://makeashorterlink.com/?K6F72510A
    (6) http://makeashorterlink.com/?I24E5151A
    (7) http://makeashorterlink.com/?I22222129

  2. Dr. Andrew B. Chung, MD/PhD wrote:
    ::
    :: Ime, calorie counting is not useful in helping people eat less to
    :: lose weight.

    So, if true, calorie counting should not lead to weight loss, right?

    ::
    :: Reason: People are neither able to measure nor sense calories with
    :: enough accuracy to allow meaningful "counting."
    ::

    Uh-huh.

  3. Dr. Andrew B. Chung said:
    Zee said:


    Sbharrisatsignix.netcom.com said:

    >>Perhaps it is time for the medical community to reconsider


    that,

    Quoted message said:
    Quoted message said:
    Quoted message said:

    This is an interesting discussion between obviously knowledgeable
    individuals that the rest of us can't really follow since everyone but
    Dr. Chung is using relies to author. Is it possible to reply to the
    group please.

  4. X-No-Archive: yes

    "Roger Zoul" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Dr. Andrew B. Chung, MD/PhD wrote:
    ::
    :: Ime, calorie counting is not useful in helping people eat less to
    :: lose weight.

    So, if true, calorie counting should not lead to weight loss, right?

    ## He may be right since so few people STOP eating when they run out of
    calories (or points for WW followers) for the day. If everyone could stick
    to say 1100 or 1200 c. a day there would be little obesity.

    Quoted message said:

    :: Reason: People are neither able to measure nor sense calories with
    :: enough accuracy to allow meaningful "counting."

    ## To a point that's true, as 2 bananas or 2 pork chops may be different in
    size and calorie content. One chop may contain more fat then another or be
    an ounce heavier, bringing the calories up quite a bit.
    --
    Wysong
    Age 60. Height 5'6"
    Starting date: 1/8/05
    171/ 165 / 140 lb
    Starting date LC 7/01 at 207lbs
    Stopped losing on LC 11/01 at 165lbs
    ==========================================

  5. Fifo said:

    This is an interesting discussion between obviously knowledgeable
    individuals that the rest of us can't really follow since everyone


    but

    Quoted message said:

    Dr. Chung is using relies to author. Is it possible to reply to the
    group please.

    Better yet, let those interested go to the appropriate medical and
    fantasy (i.e., diet) groups, and stop cross-posting this to
    rec.food.cooking.

    -aem

  6. Wysong *~ wrote:
    :: X-No-Archive: yes
    ::
    :: "Roger Zoul" <[email hidden]> wrote in message
    :: news:[email hidden]...
    ::: Dr. Andrew B. Chung, MD/PhD wrote:
    :::::
    ::::: Ime, calorie counting is not useful in helping people eat less to
    ::::: lose weight.
    :::
    ::: So, if true, calorie counting should not lead to weight loss, right?
    ::
    :: ## He may be right since so few people STOP eating when they run
    :: out of calories (or points for WW followers) for the day. If
    :: everyone could stick to say 1100 or 1200 c. a day there would be
    :: little obesity.

    But he says the reason is because calorie counting is not accurate....not
    that people don't stop eating.
    I, for one, stop eating once I get the number I'm shooting for. As a
    result, I'm eating less and I'm also losing weight.

    ::
    ::::: Reason: People are neither able to measure nor sense calories with
    ::::: enough accuracy to allow meaningful "counting."
    ::
    :: ## To a point that's true, as 2 bananas or 2 pork chops may be
    :: different in size and calorie content. One chop may contain more
    :: fat then another or be an ounce heavier, bringing the calories up
    :: quite a bit. --

    One can account for weight. The differences in fat content are likely
    small, and if you use something like fitday, you can trim fat according to
    available selections.

    The only reason Chung thinks calorie counting doesn't work is because he is
    pushing his 2 pound diet. Perhaps you should try it.

    :: Wysong
    :: Age 60. Height 5'6"
    :: Starting date: 1/8/05
    :: 171/ 165 / 140 lb
    :: Starting date LC 7/01 at 207lbs
    :: Stopped losing on LC 11/01 at 165lbs
    :: ==========================================

  7. Hi,

    aem said:
    Fifo said:

    This is an interesting discussion between obviously knowledgeable
    individuals that the rest of us can't really follow since everyone


    but Dr. Chung is using relies to author. Is it possible to reply to

    Quoted message said:

    the group please.

    Better yet, let those interested go to the appropriate medical and
    fantasy (i.e., diet) groups, and stop cross-posting this to
    rec.food.cooking.

    Andrew Chung in sci.med.cardiology added the other groups. It's a bad
    habit with him, although the cooking group is a new target as far as I
    know. He usually hits the diet groups. The OP addressed it to
    sci.med.cardiology and sci.med only.

    Take care,
    Carmen from ASDLC
    --
    Please note change in Reply To address carmensrt <at> gmail <dot> com
    Hotmail isn't working and is being abandoned

  8. X-No-Archive: yes

    "Roger Zoul" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Wysong *~ wrote:
    :: X-No-Archive: yes
    ::
    :: "Roger Zoul" <[email hidden]> wrote in message
    :: news:[email hidden]...
    ::: Dr. Andrew B. Chung, MD/PhD wrote:
    :::::
    ::::: Ime, calorie counting is not useful in helping people eat less to
    ::::: lose weight.
    :::
    ::: So, if true, calorie counting should not lead to weight loss, right?
    ::
    :: ## He may be right since so few people STOP eating when they run
    :: out of calories (or points for WW followers) for the day. If
    :: everyone could stick to say 1100 or 1200 c. a day there would be
    :: little obesity.

    Quoted message said:

    But he says the reason is because calorie counting is not accurate....not
    that people don't stop eating.
    I, for one, stop eating once I get the number I'm shooting for. As a
    result, I'm eating less and I'm also losing weight.

    $$ I understand. My reply was badly worded. Sorry. It's difficult to get
    an accurate calorie count for everything on your plate due to factors
    mentioned above. One chop a little fattier or thicker than another. One
    chicken leg an ounce heavier than another, one banana an inch longer than
    another, etc. *BUT* people may weigh and measure everything and not be able
    to stop eating at X number of calories - if they still feel hungry or empty.
    It's a two prong problem. Their calorie counts may be off somewhat and
    other folks may not have the willpower to not eat that last small piece of
    steak in the kitchen. When I add up my food intake each day I have no way
    to be very accurate in calorie counting - all I hope for is to be within 100
    either way.

    Quoted message said:

    One can account for weight. The differences in fat content are likely
    small, and if you use something like fitday, you can trim fat according to
    available selections.

    $$ I tried Fitday when I started low-carb 2 years ago. Not everyone has
    the time and patience to spend on that website. I didn't find it helpful
    since I have no idea what the exact fat content of a certain slice of pork
    or turkey leg contained. Finding how many calories was in 3 oz. of peeled
    banana was also a problem. Unless they changed their format and are easier
    to use I hesitate to use that service again. Are those of us who don't
    like sites like Fitday going to hear how it's necessary to use such a thing?

    Quoted message said:

    The only reason Chung thinks calorie counting doesn't work is because he


    is

    Quoted message said:

    pushing his 2 pound diet. Perhaps you should try it.

    $$ Perhaps YOU should try it and save hours and hours and hours here on diet
    NGs and on Fitday.....
    --
    Wysong
    Age 60. Height 5'6"
    Starting date: 1/8/05
    171/ 165 / 140 lb
    Starting date LC 7/01 at 207lbs
    Stopped losing on LC 11/01 at 165lbs
    ==========================================

  9. Wysong *~ P@P said:

    X-No-Archive: yes

    "Roger Zoul" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Wysong *~ wrote:
    :: X-No-Archive: yes
    ::
    :: "Roger Zoul" <[email hidden]> wrote in message
    :: news:[email hidden]...
    ::: Dr. Andrew B. Chung, MD/PhD wrote:
    :::::
    ::::: Ime, calorie counting is not useful in helping people eat less
    ::::: to lose weight.
    :::
    ::: So, if true, calorie counting should not lead to weight loss,
    ::: right?
    ::
    :: ## He may be right since so few people STOP eating when they run
    :: out of calories (or points for WW followers) for the day. If
    :: everyone could stick to say 1100 or 1200 c. a day there would be
    :: little obesity.

    Quoted message said:

    But he says the reason is because calorie counting is not
    accurate....not that people don't stop eating.
    I, for one, stop eating once I get the number I'm shooting for. As a
    result, I'm eating less and I'm also losing weight.

    $$ I understand. My reply was badly worded. Sorry. It's difficult
    to get an accurate calorie count for everything on your plate due to
    factors mentioned above. One chop a little fattier or thicker than
    another. One chicken leg an ounce heavier than another, one banana
    an inch longer than another, etc.

    If you go by weight, you can minimize this variance.

    *BUT* people may weigh and measure

    Quoted message said:

    everything and not be able to stop eating at X number of calories -
    if they still feel hungry or empty.

    Two points. 1) if they can't stop eating it is not the fault of calorie
    counting - if weight loss doesn't follow, then they simply ate more calories
    then they need to to produce weight loss. 2) if they are still hungry, then
    perhaps they can eat more and still lose weight.

    It's a two prong problem. Their

    Quoted message said:

    calorie counts may be off somewhat and other folks may not have the
    willpower to not eat that last small piece of steak in the kitchen.

    Then they will suffer the same problems on Chung's 2PD.

    Quoted message said:

    When I add up my food intake each day I have no way to be very
    accurate in calorie counting - all I hope for is to be within 100
    either way.

    But if you find that you don't lose at 1500, decrease to 1400. If that
    doesn't work after a while, move to 1300. Weight loss will eventually
    start, if with slight errors in counting. What is harder to control with
    calorie counting is the rate of weight loss, and that is due to these
    inaccuracies. Also what's hard to figure we what your calorie expendature
    is, so since you never really know it, you just have to set your calorie
    intake so as to produce weight loss.

    My point is that even if calorie counting is not accurate, it can produce
    weight loss in those who really do it and make small changes upon feedback
    from the scale, over time.

    Quoted message said:


    Quoted message said:

    One can account for weight. The differences in fat content are
    likely small, and if you use something like fitday, you can trim fat
    according to available selections.

    $$ I tried Fitday when I started low-carb 2 years ago. Not everyone
    has the time and patience to spend on that website.

    Then they don't have time and patience to lose weight, or they can use some
    other method. Fitday for me only takes a few seconds to use.

    I didn't find it

    Quoted message said:

    helpful since I have no idea what the exact fat content of a certain
    slice of pork or turkey leg contained. Finding how many calories was
    in 3 oz. of peeled banana was also a problem. Unless they changed
    their format and are easier to use I hesitate to use that service
    again. Are those of us who don't like sites like Fitday going to
    hear how it's necessary to use such a thing?

    Fitday is simply one means to track calories. If you don't like it, no one
    is forcing you to use it.

    It is no wonder you couldn't achieve further weight loss. You cann't count
    carbs in veggies and now I find you can't track calories. Anyone who thinks
    you need to have the exact fat content in a pork chop to use calorie
    counting to lose weight simply hasn't the mental capacity to use calorie
    counting as a tool to lose weight.

    Quoted message said:


    Quoted message said:

    The only reason Chung thinks calorie counting doesn't work is
    because he


    is

    Quoted message said:

    pushing his 2 pound diet. Perhaps you should try it.

    $$ Perhaps YOU should try it and save hours and hours and hours here
    on diet NGs and on Fitday.....

    You really should consider Chung's 2PD, Wysong.

  10. Roger Zoul said:


    Wysong *~ P@P said:

    X-No-Archive: yes

    "Roger Zoul" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Wysong *~ wrote:
    :: X-No-Archive: yes
    ::
    :: "Roger Zoul" <[email hidden]> wrote in message
    :: news:[email hidden]...
    ::: Dr. Andrew B. Chung, MD/PhD wrote:
    :::::
    ::::: Ime, calorie counting is not useful in helping people eat less
    ::::: to lose weight.
    :::
    ::: So, if true, calorie counting should not lead to weight loss,
    ::: right?
    ::
    :: ## He may be right since so few people STOP eating when they run
    :: out of calories (or points for WW followers) for the day. If
    :: everyone could stick to say 1100 or 1200 c. a day there would be
    :: little obesity.

    Quoted message said:

    But he says the reason is because calorie counting is not
    accurate....not that people don't stop eating.
    I, for one, stop eating once I get the number I'm shooting for. As a
    result, I'm eating less and I'm also losing weight.

    $$ I understand. My reply was badly worded. Sorry. It's difficult
    to get an accurate calorie count for everything on your plate due to
    factors mentioned above. One chop a little fattier or thicker than
    another. One chicken leg an ounce heavier than another, one banana
    an inch longer than another, etc.

    If you go by weight, you can minimize this variance.

    Yes, the weight of the food is more useful than the calorie estimate.

    The former is sensed whereas the latter is not.

    Quoted message said:

    *BUT* people may weigh and measure

    Quoted message said:

    everything and not be able to stop eating at X number of calories -
    if they still feel hungry or empty.

    Two points. 1) if they can't stop eating it is not the fault of calorie
    counting - if weight loss doesn't follow, then they simply ate more calories
    then they need to to produce weight loss.

    Ime, hungry people tend to make more errors in estimating calories that
    favor surplus. This explains the failure that most people have with
    calorie counting as a method of monitoring intake amount.

    Quoted message said:

    2) if they are still hungry, then
    perhaps they can eat more and still lose weight.

    If they eat more, they will *not* lose weight.

    Quoted message said:

    It's a two prong problem. Their

    Quoted message said:

    calorie counts may be off somewhat and other folks may not have the
    willpower to not eat that last small piece of steak in the kitchen.

    The calorie counts tend to be more off as a function of increasing
    hunger.

    Quoted message said:

    Then they will suffer the same problems on Chung's 2PD.

    No. The food scale will not change measurements as a function of
    increasing hunger.

    Quoted message said:
    Quoted message said:

    When I add up my food intake each day I have no way to be very
    accurate in calorie counting - all I hope for is to be within 100
    either way.

    But if you find that you don't lose at 1500, decrease to 1400. If that
    doesn't work after a while, move to 1300. Weight loss will eventually
    start, if with slight errors in counting. What is harder to control with
    calorie counting is the rate of weight loss, and that is due to these
    inaccuracies. Also what's hard to figure we what your calorie expendature
    is, so since you never really know it, you just have to set your calorie
    intake so as to produce weight loss.

    Calorie estimates vary with the estimator from moment to moment as a
    function of hunger. This remains the reason for the failure of calorie
    counting.

    Quoted message said:

    My point is that even if calorie counting is not accurate, it can produce
    weight loss in those who really do it and make small changes upon feedback
    from the scale, over time.

    In my experience, calorie counting does not work for most people who try
    it. On the other hand, the 2PD Approach works for *everyone* who tries
    it with *zero* drop out.

    Quoted message said:
    Quoted message said:


    Quoted message said:

    One can account for weight. The differences in fat content are
    likely small, and if you use something like fitday, you can trim fat
    according to available selections.

    $$ I tried Fitday when I started low-carb 2 years ago. Not everyone
    has the time and patience to spend on that website.

    Then they don't have time and patience to lose weight, or they can use some
    other method.

    Enter the 2PD Approach:

    http://www.heartmdphd.com/wtloss.asp

    Quoted message said:

    Fitday for me only takes a few seconds to use.

    N=1

    Quoted message said:

    I didn't find it

    Quoted message said:

    helpful since I have no idea what the exact fat content of a certain
    slice of pork or turkey leg contained. Finding how many calories was
    in 3 oz. of peeled banana was also a problem. Unless they changed
    their format and are easier to use I hesitate to use that service
    again. Are those of us who don't like sites like Fitday going to
    hear how it's necessary to use such a thing?

    Fitday is simply one means to track calories. If you don't like it, no one
    is forcing you to use it.

    Nor is anyone forcing you to try the 2PD Approach.

    Quoted message said:

    It is no wonder you couldn't achieve further weight loss. You cann't count
    carbs in veggies and now I find you can't track calories. Anyone who thinks
    you need to have the exact fat content in a pork chop to use calorie
    counting to lose weight simply hasn't the mental capacity to use calorie
    counting as a tool to lose weight.

    It seems you choose to blame others for their lack of success with
    counting when the blame should be directed at the flawed method.

    Quoted message said:
    Quoted message said:


    Quoted message said:

    The only reason Chung thinks calorie counting doesn't work is
    because he


    is

    Quoted message said:

    pushing his 2 pound diet. Perhaps you should try it.

    $$ Perhaps YOU should try it and save hours and hours and hours here
    on diet NGs and on Fitday.....

    You really should consider Chung's 2PD, Wysong.

    That is a thoughtful and considerate suggestion, Roger.

    At His service,

    Andrew

    --
    Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist

    **
    Suggested Reading:
    (1) http://makeashorterlink.com/?L26062048
    (2) http://makeashorterlink.com/?O2F325D1A
    (3) http://makeashorterlink.com/?X1C62661A
    (4) http://makeashorterlink.com/?U1E13130A
    (5) http://makeashorterlink.com/?K6F72510A
    (6) http://makeashorterlink.com/?I24E5151A
    (7) http://makeashorterlink.com/?I22222129

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