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Alt Medicine
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Alternative Medicine

We have a naturopathic physicians to answer your questions about naturopathic medicine and alternative medicine. Dr. Kris Somol specializes in women's health and adolescent medicine and Christian Dodge, ND, focuses on general p...

Answers
  • What's with Craniosacral therapy?
    Messy_hair_small

    Man. All I have to say is that I am right there with you Canadian Nurse.
    I started seeing a CranioSacral guy thinking he was merely an acupuncturist. It turned out he does both, and though I always through CS was the most preposterous of all the "modalities"(wretch) it...felt real good! Like really, really good. So I kept seeing him. The guy tapped into something spooky that really worked for me.
    So, although I am perhaps overly skeptical of alternative medicine in general, I still find it reassuring that there are some things that science cannot yet explain.

  • Could hypnotherapy work for a phobia?
    Sexy_female_nurse_grieger_by_obeliskgirljohanny_small

    Right now, the research on hypnotherapy for phobias tends to say it is better than placebo but somewhat less effective than behavioural and/or cognitive-behavioural therapy. CBT with hypnotherapy as an add-on also seems to be effective (some studies show it more useful than CBT alone, others find it equal to CBT)

    If you had the money, there's a 2-day treatment program for fear of flying in the Netherlands, but of course you'd have to fly to get there. http://www.valk.org/uk/index_uk.html

    Pot might be a decent short-term solution, if you can't find an affordable therapist who's trained in CBT for anxiety disorders.

  • Am I Railing Too Hard Against Alternative Medicine?
    Imgp0063_small

    Not at all. I think it's absolutely appropriate to debate and offer differing viewpoints on Questionland. These events aren't just for people who already use alternative medicine, they're for anyone who has any sort of question about it, or answer to other peoples questions. If you have something to add to the conversation--and your answers have been reasonable and informative--then you should definitely say it.We should always be able to say what we think, what we know, and be able to hold peoples feet to the fire who make these sorts of claims. Plus, it gives them the chance to explain themselves further (and if they can't explain themselves or take criticism, they're in the wrong line of work) and it gives the asker the chance to see multiple different answers.

  • Are my night sweats related to my vitatmin D supplement?
    Job_small

    I had pretty bad night sweats off and on for nearly a year before finally seeking treatment. Acupuncture and Chinese herbal medicine did the trick for me. It took about three months of gradual progress but now I'm sweat-free, I've cut off the acupuncture treatments and I'm tapering off the herbs.

    I've been taking D supplements (capsules - 5000 IU/day) since before the sweats began and they have shown no apparent effect on the sweating.

  • Homeopathy and evidence-based medicine?
    Avatar_default

    In homeopathy, QL has zeroed in on one of the most problematic parts of alternative medicine, no doubt. And Dr. Dodge's and Somol's answers are eloquent and insightful.

    Like some of the commenters, I feel much discomfort with the idea of homeopathy, mainly in that it so seems to fly in the face of very hard science we now know (basic physics and chemistry). Fnarf is right in that there is no way this can work if you know anything about Avogadro's number.

    And yet I feel somewhat compelled to maintain an open-mind for 3 reasons:

    1) it's extremely cheap (in the scope of "expensive" scams this ain't it)

    2) the scientific literature on homeopathy is not quite so damning as other commenters have portrayed it. While it is true that there have been a lot of negative research trials, there have been enough positive ones to prompt me to stay at least somewhat open minded (especially to treat benign conditions for which other therapies don't work all that well). Below I've listed some examples of such possibly suggestive research which is still kinda paltry and so not at all clear cut (I really do remain very very skeptical) (but still it is a bit more than you might expect just from publication bias and researcher bias alone so maybe this does warrant bigger, better, more expensive studies before we completely dismiss it):

    --- Homeopathy for childhood diarrhea: combined results and meta-analysis from three randomized, controlled clinical trials. Pediatr Infect Dis J. 2003 Mar;22(3):229-34.

    --- Evidence of clinical efficacy of homeopathy. A meta-analysis of clinical trials. Cucherat M, et al. Eur J Clin Pharmacol. 2000 Apr;56(1):27-33.

    --- Homeopathy for postoperative ileus? A meta-analysis. Clin Gastroenterol. 1997 Dec;25(4):628-33.

    3) And lastly, homeopathy is incredibly safe.

    I'd say that the argument that it's dangerous because it leads people to forgo more effective treatment doesn't hold much water here because: 1) most of the time it's used for relatively benign conditions for which there are no better treatments and 2) when it is used by people who are forgoing "conventional" treatments, even if homeopathy were banned those people would probably not turn instead to the "conventional" treatment. Instead, they would likely just get no treatment at all or seek other equally "unconventional" treatment. In this case, homeopathy's not making them turn away, it's deeper factors at work. This type of situation, however, is the best argument for better enforcement by the FTC/FDA to root out overly rosy advertising claims about homeopathic products, to protect the public from being too misguided.

  • Where is this vitriol against alternative medicine coming from?
    Sacri_ordines_by_charism_small

    I'm honestly curious why people aren't more vitriolic against the traditional/western/legally-defensive medicine.
    i.e. There's much to critique in BOTH schools of thought.

    I'd like both side to be honest and just acknowledge that some medicines, some treatments, nearly always fail some people.

  • Is there a better way to treat hypothyroidism instead of synthroid?
    4_small

    There are certainly *different* ways to treat hypothyroidism... whether or not these other approaches are "better" depends on the individual and their specific circumstance.

    One strategy for treating mild forms of hypothyroidism is to supplement with the nutrients that the body uses to make thyroid hormones such as l-tyrosine, selenium, iodine & zinc to name a few. In other words, load up the production line to drive the body to make more hormone. This might be a reasonable place to start if the diet is poor and nutritional deficiencies seem likely. This approach is more subtle and generally has fewer risks of with side effects but may not be sufficient to correct the thyroid deficit.

    By far the most common strategy, however, is to supplement with actual thyroid hormone(s). The options for thyroid replacement include synthetic T4 (Synthroid, Levoxyl, etc), synthetic T3 (Cytomel), combinations of synthetic T4 and T3, and dessicated glandular thyroid (a standardized extract from pig or cow thyroid such as Armour brand). All of these have advantages and disadvantages. None are inherently more virtuous than any other in my view.

    If your current treatment isn't satisfactory, it would certainly merit a discussion with your doctor about trying another approach and then following through with repeat testing to make sure that your levels are optimal.

  • What holistic treatments should I try to stop the swelling in my ankles?
    Sacri_ordines_by_charism_small

    Double-check water intake (and make sure it's not too high),
    then get T.E.D. socks and COCONUT WATER
    (note: water made from immature coconuts, not milk)

  • Do high colonics really work?
    Sugarskull_jmc_small

    Depends on what you think it will accomplish. It will empty out your colon. That's it. There's been no reputable medical research on health benefits associated with getting your insides hosed out.

    Many who provide such services will tell you that you have all manner of nasty stuff that gets stuck in your intestines and makes you sick, but unless you have a bowel obstruction or crohn's disease your colon does a great job of cleaning itself.

    That being said, if you REALLY want that fresh tingly ass feeling, go for it.

Questions
Recent Comments
  • Comment on Arsenic7's answer…
    Avatar_default

    To be fair, Arsenic7, this statement -- "Many alternative medicine practices have not undergone significant scientific testing." -- applies to "Western" medicine as well. There are significant areas of Western medicine that are not based on any significant scientific evidence. Many surgeries, for example, have never been subjected to double-blind placebo (sham surgery) trials.

  • Comment on Lee's answer…
    Medium_2868373187_b2c11c89cf_o_small

    Or sugar-pilled, eh? eh?

    : P

  • Comment on Yourmom.com's answer…
    Avatar_default

    Yeah, that is exactly the problem with duct tape. One thing is you might try cutting deeper. You have to cut until there in a decent hole where the wart used to be. But it sounds like you're not shy about cutting it out so that's probably not the issue. A friend said she used an over the counter burn-it-off deal, compound w I think?

  • Comment on DrSomol's answer…
    P1000628_small

    Yes. The protocol is to scrape the wart, wrap the duct tape over it, and leave on for six days. Then remove the duct tape for one day, scrape again, and put on a new piece for another six days. Repeat the cycle for 6 weeks.

    This method is more effective in studies than cryotherapy, and certainly less expensive as you avoid weekly doctor's office visits - for 6-8 weeks - of freezing therapy. The warts also tend to recur less than with cryotherapy.

  • Comment on Nancy 's answer…
    Horse_ass2_small

    This sounds both fun and potentially dangerous! I like it.

  • Comment on Yourmom.com's answer…
    Horse_ass2_small

    I've cut it out several times, always comes back looking smug. For some reason doctor wants me to try several months of duct tape before he'll freeze it. Says it works better, but I can't keep the stuff on my hands.

  • Comment on DrSomol's answer…
    Horse_ass2_small

    Just wrap my thumb up with duct tape? Sites say only use a piece the size of the wart, but that will fall off in a few hours, and looks very suspicious on my hand (too visible!). A larger piece will stay on longer but I'd still need to replace at least daily. How long will it take?

  • Comment on Sphinx's answer…
    Dscn0421_small

    Yeah, Rev, I almost certainly overreacted, but I wouldn't have volunteered my pissyness if Arsenic hadn't asked.

  • Comment on Sphinx's answer…
    Sacri_ordines_by_charism_small

    OY. gawd help me if I ever have to be concerned with being 'delicate' on the internets. I appreciate snark AS WELL AS reasoned debate. The thing that comes close to "pisses me off" is passive-aggressive 'hey, is this too much/too little questions' - and even then, I love arse for asking this one.

  • Comment on CMDodgeND's answer…
    N1462072360_2869_small

    I would definitely ask your doctor about interstitial cystitis. I had almost the same exact problem some years ago and this is what it ended up being. Unfortunately there's no good 'cure', and the treatments vary and aren't 100%. Still, knowing what it is does something. Good luck!

  • Comment on Rev.Enant's answer…
    Sacri_ordines_by_charism_small

    "but it's been pretty well proven that a trained surgeon can cure people of formerly incurable disease."

    I believe this to be a case of using the right tool for the right job.

    " With alternative medicine, it's not just the people involved that are impotent, it's also many of the treatments."
    Here, I'm not sure 'impotentcy' is the issue. But I agree insomuch that statistically, alternative meds help fewer people than western med. But my scientific mind HAS to question is this because...
    a) there's less of it, so less data to judge accurately from?
    b) because it's feared / unapproved / unfunded by traditional-medicine-based insurance / less researched (thanks also, often, to finance model issues)
    c) simply a case of using the wrong tool for the job.

    I REALLY like Dr. Bliss's quote - she works at Qliance, and they run a sort of non-insurance subscription-based boutique clinic/practice. She said, paraphrasing: "It's ridiculous: using health insurance to pay for regular and preventative medicine is like using your car insurance to pay for a new battery in your car."
    I feel like the bulk of alternative medicine issues are answered in that same idea: alternative medicine does an EXCELLENT job at preventative care and regular checkup / common-cold-type issues, whereas western/traditional medicine has no parallel when it comes to trauma / body repair.

    (It's cancer / autoimmune disease where I think the jury is still out, though.)

  • Comment on Canadian Nurse's answer…
    Kendo_20dog_small

    Thanks, that's good to know. I've been avoiding CBT for various reasons, but that's definitely something worth looking into. I'll still try hypnotherapy because it's comparatively cheap and it might be exactly the kind of placebo I need.

    I've been avoiding "relaxing herbs" because I have such weird reactions to sedatives in general. I even bought a bottle of valerian root pills, but I'm hesitant to take them because sedatives like xanax have not been pleasant experiences for me. Pot is also a good suggestion--I'm not sure whether it would make a flight fun or extra terrifying, but I'll give it a try.

  • Comment on katiedid's answer…
    Willie_small

    I didn't! That's awesome. I haven't had any serious flare ups (just one or two incredibly minor ones that went away in 24 hours) since the great UTI of '09, but it's good to know that should it happen again, I don't have to wait to see a doc for relief.

  • Comment on katiedid's answer…
    Hair_hipstamatic_small

    yeah, aside from alcohol and fresh fruit, I generally avoid sugar like the plague. I don't drink fruit juice, even.

    I am, thankfully, aware of the pills of which you speak. Did you know they're available over the counter? The brand name is AZO, but most drug stores carry a store brand version. They are a life saver, for sure.

  • Comment on CMDodgeND's answer…
    Hair_hipstamatic_small

    Wow. None of the doctors I've seen for this problem have mentioned any of those possible causes. Yikes! Now I'm worried. But I do appreciate the info.

  • Comment on katiedid's answer…
    Willie_small

    Forgot to mention, should you decide to get those fantastic numbing pills, they *will* turn your pee orange and/or yellow, and if you're not careful, it *will* stain your underwear. I'd suggest wearing a thin pantyliner, just to be on the safe side.

    This is of course a small price to pay considering it allows you to function during the day without having to go to the bathroom every 20 minutes.

  • Comment on CMDodgeND's answer…
    4_small

    Interesting. If nothing grew out on the culture then they probably weren't UTIs. This mystery certainly warrants further work-up.

    Other possible causes of UTI-like symptoms include STIs (gonorrhea, chlamydia, and/or herpes), vaginal infections, schistosomiasis (a parasite you might pick up with foreign travel), and interstitial cystitis (non-infectious inflammation of the urinary tract).

    You're on the right track in consulting with the urologist. Until the diagnosis is known, any discussion of treatment - conventional, naturopathic, or otherwise - is premature.

  • Comment on Irena's answer…
    Ozomahtli_small

    Irena, I agree with everything in your post.

  • Comment on CMDodgeND's answer…
    Hair_hipstamatic_small

    I probably should have included a bit more info in my original question. Every time except the first one (which was in March), the initial test has come back showing an irregularity, but then the culture comes back negative or inconclusive a few days later. Antibiotics have helped with the symptoms, though. My doctors haven't been able to determine what's going on, hence the referral to a urologist.

    My diet and lifestyle haven't really changed. I try to eat healthy but don't always succeed. I am semi-vegetarian (I eat seafood and the occasional piece of bacon), but I think I generally get enough protein. I don't drink a lot, but I have noticed that when I do, it's quite likely that I'll get a UTI. I'd rather not cut out alcohol completely, since it's a social thing for me, but I suppose I could. Also, I used to drink a lot more than I do now (when I was in my early 20s - I'm 32 now) and it didn't cause UTIs back then. I'm always a bit sleep-deprived because I'm a nocturnal person with a day job, but I've been dealing with that my entire life so it seems unlikely to be the culprit here.

  • Comment on Westside forever's answer…
    Hair_hipstamatic_small

    No, I'm not, but that's good to know. I've never heard of that particular side effect.

  • Comment on Cedarthvader's answer…
    Hair_hipstamatic_small

    Cedar, I love your answer here and I totally empathize. I deal with chronic health issues (that are much less debilitating than yours) and I do get frustrated with traditional medicine's seeming inability to help me. I am highly skeptical of everything that falls under the umbrella of "alternative medicine," but at the same time willing to try anything that has helped other people (within reason). It can be difficult to separate the fact from fiction on this subject, and I think everyone is a bit touchy about it since health is an inherently sensitive issue, but I'm glad we're having this debate.

    I also avoid commenting on Slog because I dislike arguing on the internet - it seems mostly futile to me. I do like the discourse we seem to get on Questionland, though. It's usually respectful and informed, with less name-calling and hiding behind avatars. I like to hear everyone's opinion, not just those with whom I happen to agree.

    Arsenic7, I haven't read every thread you've commented on, but in general I value your opinion here and have never seen you "go for the jugular." I appreciate your knowledge base and am really glad you're willing to share it with us. Please keep it up.

  • Comment on Barak Gaster, MD's answer…
    Avatar_default

    Dr. Gaster, thanks for this. I really appreciate your time, and think that you've made a lot of good points in both posts.

    Still, I essentially disagree with you. Let's take the couple positive meta-analyses at face value. If they are right, then either some significant things about our current understanding of physics and chemistry are wrong; or homeopathy works in some way that is both different than practioners claim while avoiding the essential problems physics and chemistry. In addition, if these few meta-analyses are right, then the much larger mountain of evidence showing that homeopathy doesn't work is also wrong.

    The chances are much better that these couple of (in your words) cherry-picked meta-analyses are wrong (for any number of reasons); and that chemistry, physics, and the rest of the meta-analyses are right. I think we agree on that point, actually, as you keep emphasizing your skepticism - which I appreciate.

    Here's where we differ: the chances that physics and chemistry are right are so much better - this is physics and chemistry! we're talking many orders of magnitude better - that I honestly can't see where it is valuable to keep an open mind about homeopathy itself. I acknowledge that logically there is literally no way to prove in a final mathematical-logical sense, that homeopathy does not work. But in practice, why is the subject not utterly closed?

    I wonder if you are drawing the distinction sometimes drawn between agnostics and atheists. The argument goes that it is logically impossible to prove the non-existence of god; therefore, atheism is a position of faith just as much as religion. The true skeptical position, it is argued, is agnosticism. In practice, though, you cannot find an atheist who states that there is 100% for sure no god - what they do state is that the chances of god are so low that there is no real uncertainty there.

    People do not view themselves as agnostics about the existence of fairies or goblins, nor about the existence of the ancient gods of Greece - though these are equally disprovable in any final sense. We simply do not believe in them - no one hesitates before stating flatly that goblins do not exist. The situation is no different for atheists with "god". Nor with homeopathy.

    So I don't see where I should keep an open mind on the subject of homeopathy itself; and indeed given my above argument, why I should keep an open mind about the commitment to evidence-based medicine among people who actively promote it (let me be clear that I am _not_ questioning your commitment to EBM). I absolutely disagree with you that "bigger, better, more expensive studies" are warranted "before we completely dismiss it".

    However, I absolutely do keep an open mind about the total character and person of those who use it, even while it affects my opinion of how rationally they approach the world.

    Again, thanks so much for participating in the thread.

  • Comment on Sphinx's answer…
    Dscn0421_small

    As I understood it, Arsenic wasn't particularly asking about how I felt about his response to me, but about his participation in the alternative medicine questions in general, therefore I cited specific examples that I thought were representative from one of his posts in the topic (because I did not have time to search through all of them).

    The history textbook comment directly relates to Arsenic's comment about bloodletting, which is common knowledge-- I thought it was pretty condescending when Arsenic asked if we'd ever heard of it. I think the overall tone of many of his posts on this topic has been condescending towards those who have an interest in alternative medicine, and I gave an honest answer when he asked if people think that he's being overly harsh. To be clear, that answer was: "a bit." I then went on to explain why I was bothered by the tone of his answers and comments. Also, I'd like to add that I haven't given Arsenic (or anyone else) a thumbs down on any of these posts with which I happen not to agree.
    And I didn't actually say anything bad about Arsenic, I just explained how I interpreted his remarks, saying "I THINK when you [....], it's insulting."

  • Comment on Cedarthvader's answer…
    Dscn0421_small

    Cedarthvader, this was a MUCH better worded response than mine, and it almost perfectly encapsulates how I feel about this question.

  • Comment on SM's answer…
    Img_3380_small

    Thank you!

  • Comment on Cedarthvader's answer…
    Image00666_small

    Where did Arsenic7 go for the jugular? Every response that I've seen from him has been respectful.

    I agree we should keep personal attacks at a minimum, but there is nothing wrong with disagreeing with someone and explicitly saying how and why. Without debate, this place becomes an echo chamber. Disagreements are at the heart of debate.

  • Comment on Cedarthvader's answer…
    Picture_115_small

    I agree, somewhat, hence THIS question, which I wanted to put forward as a way to feel out that sort of line. I have other venues where I can really get into these sorts of debates. I think I've been trying to tow the line between answering with my personal opinion, replying respectfully to others comments, and putting forth my own questions. I think that's hard to do, though, and that maybe Qland should be more about simply stating your opinion rather than questioning others.

  • Comment on paeonia's answer…
    Xyla-angry-little-girls-269058_100_100_small

    Nutrtional yeast apparently isn't a great source of B12... only a couple of brands actually have B12 and it's sensitive to light and cooking. I second the recommendation of a multivitamin or B12 supplement. Sidecar in the U District has great inexpensive vitamins designed for vegans.

    http://www.veganhealth.org/b12/vegansources

  • Comment on Sphinx's answer…
    Avatar_default

    First, you seem to be blurring together Arsenic7's comment on your answer, and HIS ANSWER to Nurse. "blood letting" and use of the word "enlighten" were both in HIS ANSWER. In fact, even if we could find some fault with his comment on your answer, he was also deliberately respectful of you: for example, he stated clearly "I'm not trying to deny your experience...".

    And if you read Nurse's comment again, Nurse led with "The philosophy behind it is bullshit". Arsenic7's tone and language was entirely appropriate to that kind of question. Nurse's sensibilities are unlikely to be THAT delicate, although Nurse should feel free to weigh in.

    Moreover, Arsenic7 stated "Basically I'm wondering if I should tone it down or if I'm being unreasonable." Your response to this question - asked with apparent honesty and concern about his own behavior - included an ad hominem attack: "like you're some genius who's read a history textbook".

    Perhaps this is because you seem to view his comments in general as ad hominem attacks? For example, you claim that Arsenic7 views you (among others) as "incapable of analytical thought". I don't see where Arsenic7 has made this claim either implicitly or explicitly; can you provide any evidence of such a blanket disrespectful statement?

    Even if Arsenic7 HAD made such ad hominem attacks, however, you are also launching ad hominem attacks.

    This means, in answer to Arsenic7's essential question, and somewhat contrary to the text of your answer, that you think it's okay to be vitriolic and aggressive in this forum.

  • Comment on Sphinx's answer…
    Picture_115_small

    I respect that, and yes, I do feel vitriolic about some aspects as they rub against certain areas I feel strongly about.