Incretins are the newest and most expensive class of blockbuster diabetes drug but according to a remarkably through investigation just published by the BMJ (British Medical Journal) the risk that they could cause pancreatic cancer is much greater than patients and doctors have been told. The biggest sellers in the UK are Byetta (exenatide), Victoza […]
Alzheimer’s: we want a cure but please don’t mention B vitamins
The article in today’s Daily Mail about B vitamins and Alzheimer’s is the story of the triumph of dogged scientific persistence – do read it first if you can because this blog would become impossibly long if I repeated all the details. But behind it is another story of indifference and prejudice that is preventing […]
What is wrong with randomised trials Part 2
Could alcohol get a licence as a drug for depression? How do you test for the safety of a drug that causes the same side effects as the disease it is used to treat? These are just two of the points I didn’t have room for in my post last week on randomised controlled trials (RCTs) […]
Why randomised controlled trials don’t tell you what you want to know
Earlier this week the Daily Mail published my feature on side-effects and how patients aren’t properly warned about them. Antidepressants, for instance, can cause compulsive heavy drinking but you wouldn’t know it from the drug information leaflet. The article is about campaigning psychiatrist Dr David Healy, who believes patients need a more truthful account of […]
We know how to cut diabetes deaths. So why aren’t we doing it?
Who’s responsible for our diabetes/obesity epidemic? Is it those fat lazy bastards who eat crap food and sit on the couch all day or is it the drug companies that spend billions researching and marketing drugs of limited effectiveness or dubious safety or is the government that allows commercial interest to create a food supply […]
Silver Bullet Awards: the winners
OK the judges have finished their deliberations, all the votes are in and it is time to roll out the blushing red carpet of shame and announce the worthy winner of this year’s Silver Bullet for the most egregious medical quackery. Many thanks to all of you who took time out from your busy on-line […]
Could you be suffering from brain hijack?
A spring holiday change of pace here. Nothing about evidence or drugs just some rather extraordinary tales of the ways tiny single-celled micro-organisms can hijack the brain – mostly of insects but at least two do humans – and programme them to issue remarkably precise instructions. A Telegraph feature of mine from earlier in the […]
Treating disease with diet – new possibilities
There were several reasons I got interested in the low-calorie liquid diet I’ve written about in today’s Daily Mail – mainly the fact that evidence is mounting that it can reverse diabetes and other conditions such as arthritic knees. But also because together with the alternate day diet I think it holds out possibility of […]
Ten top tips to boost your disease free survival
In quieter moments, pondering the end of your life, how many years to you think you might be effectively house-bound with a number of chronic diseases before you pop off? The jargon for describing this unappealing state is YLD (Years of Living with Disability) and according to a big report in the Lancet earlier this […]
The evidence–free drug that costs the NHS 70 million a year
Just as Catholic cardinals condemn paedophilia, so mainstream medicine formally rejects treatments not supported by evidence in the form of clinical trials. But in reality interfering with novices or failing to come up with the evidence, providing of course a drug is involved, doesn’t necessarily mean banishment. Both dodgy priests and drugs can remain on […]



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