yes, this is typical of how the health racket operates. However, the whole issue is moot on many levels, when you realize that we long since know in lifestyle medicine that the majority of chronic illnesses, which are the cash cows for big pharma are preventable or reversible with a lifestyle mediciine regime, including a whole foods, plant-based diet. See https://nutritionstudies.org, https://ijdrp.org/index.php/ijdrp, and https://lifestylemedicine.org
Thanks Roger. Lifestyle is a critical factor in health and I write about that often, but no matter how perfect your lifestyle is eventually we all age, become frail and ill, and then we die. Lifestyle can slow that down, but it cannot stop it. Medicine cannot stop it either, but we know now that proven, inexpensive medications are antioxidants that block the impact of changes in gene regulation and slow down the changes common to aging, chronic disease and death. It is not lifestyle or medicine. It is lifestyle and medicine. There is hard proof that combination dramatically slows chronic disease development and prolongs life by 8 years in diabetes over 21 years. I know of nothing else that has that proof.
Mar 8, 2023·edited Mar 8, 2023Liked by William H Bestermann Jr MD
I would suggest you read T Colin Campbell's The China Study, and his more recent book The Future of nutrition. For the most part the only supplements we ever need are B12 and D3. With proper #WFPB nutrition, se need nothing else. The motto is, live long, die short. Yes, eventually these bodies wear out. So when the time comes, hopefully it can be quick.. ;-) A friend of mine had a garbage truck back up over her. A bit messy, but it was quick. Plus the family could sue the garbage hauler to pay for the funeral, since she was in the middle of a pedestrian crossing when the truck ran over her.
As I recall Campbells book was shown to be not truthful and data was diddled in order to fit his hypothesis and agenda. There are a couple of interesting books taking this book apart on a deep level.
There has been all kinds of criticism, but none of it that I am aware of has withstood the test of time, and today, it is quite evident that all of Lifestyle Medicine revolves around the Campbell model of nutrition.
Most of the critics have been MD or diet types, I am not aware of any with the same regorous scientific foundations. For the rest, I go more by the results I see with patients than the critiques from various diet gurus.
I am unaware of the Campbell model of nutrition and yet many of my patients lose weight and keep it off. I also go by what I see in patients and all of lifestyle medicine definitely does not revolve around the Campbell model. I told patients they were too fat from eating food that combined fat, salt, sugar and processed carbs to make the food addictive. Two thirds of my patients lost weight and kept it off. Four lost over 100 pounds. In order to lose weight for good, just change what you eat. That is as rigorous as it gets
In the casual sense you are right, no doubt, because "Lifestyle Medicine," has become a generic term, but in the narrow technical sense of ACLM (https://lifestylemedicine.org), the nutritional component certainly goes back to Campbell and The China Study, as do all the major players in that domain, including Dean Ornish, Caldwell Esselstyn, Michael Greger, John Campbell, and many others..
Thanks Janet. That is important information. I think that is a good point to say again that I have no predetermined hypothesis or agenda. I have no advertisements or other conflicts of interest. I have been so intrigued by the new science of chronic disease that I am guessing I have spent 25 years and 25000 hours trying to understand it and now I am explaining it while still learning. I am merely translating the science. I make every effort to present facts and truth.
We agree. Nutrition is critical. New science helps us understand how diet and exercise prolong healthy life. Certain medications impact the same epigenetics and molecular biology. We can be healthier, longer now. Again, it is not either or. It is the best of both in combination.
A reader from France (André Wenker) tells me that Ozempic costs $85 a pen there. You would use one pen a week. That is $340 a month. Here it is $900 a month. We pay almost three times as much for this drug as the French. That is because we don't negotiate drug prices.
A national review board also gives very specific guidance on where Ozemic use makes sense.
OZEMPIC IN FRANCE
The medical service rendered by OZEMPIC (semaglutide) is moderate in triple therapy in combination
with metformin and insulin. (Notice of 23/03/2022 SMR and ASMR re-evaluation)
The medical service rendered by OZEMPIC (semaglutide) is :
- Insufficient to justify reimbursement by national solidarity :
- as monotherapy
- in dual therapy in combination with a sulfonamide,
- in dual therapy in combination with a basal insulin
- in triple therapy in combination with a basal insulin and metformin. " (Notice of 21/07/2021 SMR and
ASMR re-evaluation)
The medical service rendered by OZEMPIC (semaglutide) is:
- Moderate:
- in dual therapy in combination with metformin,
- in triple therapy in combination with metformin and a sulfonamide. " (Notice of 21/07/2021 SMR and
ASMR re-evaluation)
The medical service rendered by OZEMPIC is important:
- in dual therapy in combination with metformin,
- in triple therapy in combination with metformin and a sulfonamide. "( Notice of 20/02/2019 Listing )
The medical service rendered by OZEMPIC is insufficient to justify coverage by national solidarity:
- in monotherapy
- in dual therapy in combination with a sulfonamide,
- in dual therapy in combination with a basal insulin
- in triple therapy in combination with a basal insulin and metformin.
yes, this is typical of how the health racket operates. However, the whole issue is moot on many levels, when you realize that we long since know in lifestyle medicine that the majority of chronic illnesses, which are the cash cows for big pharma are preventable or reversible with a lifestyle mediciine regime, including a whole foods, plant-based diet. See https://nutritionstudies.org, https://ijdrp.org/index.php/ijdrp, and https://lifestylemedicine.org
Thanks Roger. Lifestyle is a critical factor in health and I write about that often, but no matter how perfect your lifestyle is eventually we all age, become frail and ill, and then we die. Lifestyle can slow that down, but it cannot stop it. Medicine cannot stop it either, but we know now that proven, inexpensive medications are antioxidants that block the impact of changes in gene regulation and slow down the changes common to aging, chronic disease and death. It is not lifestyle or medicine. It is lifestyle and medicine. There is hard proof that combination dramatically slows chronic disease development and prolongs life by 8 years in diabetes over 21 years. I know of nothing else that has that proof.
https://www.nejm.org/doi/full/10.1056/nejmoa0706245
https://pubmed.ncbi.nlm.nih.gov/27531506/#:~:text=Conclusions%2Finterpretation%3A%20At%2021.2%20years,free%20from%20incident%20cardiovascular%20disease.
I would suggest you read T Colin Campbell's The China Study, and his more recent book The Future of nutrition. For the most part the only supplements we ever need are B12 and D3. With proper #WFPB nutrition, se need nothing else. The motto is, live long, die short. Yes, eventually these bodies wear out. So when the time comes, hopefully it can be quick.. ;-) A friend of mine had a garbage truck back up over her. A bit messy, but it was quick. Plus the family could sue the garbage hauler to pay for the funeral, since she was in the middle of a pedestrian crossing when the truck ran over her.
As I recall Campbells book was shown to be not truthful and data was diddled in order to fit his hypothesis and agenda. There are a couple of interesting books taking this book apart on a deep level.
There has been all kinds of criticism, but none of it that I am aware of has withstood the test of time, and today, it is quite evident that all of Lifestyle Medicine revolves around the Campbell model of nutrition.
Most of the critics have been MD or diet types, I am not aware of any with the same regorous scientific foundations. For the rest, I go more by the results I see with patients than the critiques from various diet gurus.
I am unaware of the Campbell model of nutrition and yet many of my patients lose weight and keep it off. I also go by what I see in patients and all of lifestyle medicine definitely does not revolve around the Campbell model. I told patients they were too fat from eating food that combined fat, salt, sugar and processed carbs to make the food addictive. Two thirds of my patients lost weight and kept it off. Four lost over 100 pounds. In order to lose weight for good, just change what you eat. That is as rigorous as it gets
In the casual sense you are right, no doubt, because "Lifestyle Medicine," has become a generic term, but in the narrow technical sense of ACLM (https://lifestylemedicine.org), the nutritional component certainly goes back to Campbell and The China Study, as do all the major players in that domain, including Dean Ornish, Caldwell Esselstyn, Michael Greger, John Campbell, and many others..
Thanks Janet. That is important information. I think that is a good point to say again that I have no predetermined hypothesis or agenda. I have no advertisements or other conflicts of interest. I have been so intrigued by the new science of chronic disease that I am guessing I have spent 25 years and 25000 hours trying to understand it and now I am explaining it while still learning. I am merely translating the science. I make every effort to present facts and truth.
We agree. Nutrition is critical. New science helps us understand how diet and exercise prolong healthy life. Certain medications impact the same epigenetics and molecular biology. We can be healthier, longer now. Again, it is not either or. It is the best of both in combination.
Just love your articles!
Great to hear from you. Spread the word!
A reader from France (André Wenker) tells me that Ozempic costs $85 a pen there. You would use one pen a week. That is $340 a month. Here it is $900 a month. We pay almost three times as much for this drug as the French. That is because we don't negotiate drug prices.
A national review board also gives very specific guidance on where Ozemic use makes sense.
OZEMPIC IN FRANCE
The medical service rendered by OZEMPIC (semaglutide) is moderate in triple therapy in combination
with metformin and insulin. (Notice of 23/03/2022 SMR and ASMR re-evaluation)
The medical service rendered by OZEMPIC (semaglutide) is :
- Insufficient to justify reimbursement by national solidarity :
- as monotherapy
- in dual therapy in combination with a sulfonamide,
- in dual therapy in combination with a basal insulin
- in triple therapy in combination with a basal insulin and metformin. " (Notice of 21/07/2021 SMR and
ASMR re-evaluation)
The medical service rendered by OZEMPIC (semaglutide) is:
- Moderate:
- in dual therapy in combination with metformin,
- in triple therapy in combination with metformin and a sulfonamide. " (Notice of 21/07/2021 SMR and
ASMR re-evaluation)
The medical service rendered by OZEMPIC is important:
- in dual therapy in combination with metformin,
- in triple therapy in combination with metformin and a sulfonamide. "( Notice of 20/02/2019 Listing )
The medical service rendered by OZEMPIC is insufficient to justify coverage by national solidarity:
- in monotherapy
- in dual therapy in combination with a sulfonamide,
- in dual therapy in combination with a basal insulin
- in triple therapy in combination with a basal insulin and metformin.
Ozempic 1.5ml pen price: €80.5