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Dr John Briffa's blog, A Good Look at Good Health — writing on food, cholesterol, weight, energy and the science behind everyday health, from the drbriffa.com archive. Filter by topic, browse by category, or search the library.

Review finds data on antidepressants biased and misleading Brain and Behaviour

Review finds data on antidepressants biased and misleading

Many individuals who work in healthcare, and perhaps quite a few who don’t, will have noticed a general thrust in the direction of what is known as ‘evidence-based medicine’. I have serious reservations about evidence-based medicine, myself. For a start, although evidence-based practice was originally billed as: ‘The practice of evidence based medicine means integrating […]

January 21, 2008· 4 min read· Dr Briffa
Why ‘experts’ are sometimes not to be trusted Food and Medical Politics

Why ‘experts’ are sometimes not to be trusted

My last post on Friday discussed some science which demonstrates the superiority of carbohydrate restricted diets in the management of diabetes. Yes, the authors of this study call for more research to be done before we can confidently recommend such diets. It occurs to me that at least some of the reticence that is apparent […]

January 14, 2008· 4 min read· Dr Briffa
Meta-analysis show superiority of lower-carb diets in diabetes, but further studies said to be needed. Why? Diabetes/Metabolic Syndrome

Meta-analysis show superiority of lower-carb diets in diabetes, but further studies said to be needed. Why?

The primary problem sufferers of diabetes have is that their bodies don’t handle sugar (glucose) well. Part of the problem here is that ‘excess’ sugar in the body can attach itself to tissues, which damages them. As a result, diabetics are at an increased risk of a variety of conditions including nerve damage, blood vessel […]

January 11, 2008· 3 min read· Dr Briffa
Get some sun (or die) Food and Medical Politics

Get some sun (or die)

For almost as long as I can remember, we have been cautioned about the need to avoid excess sunlight exposure lest it trigger potentially lethal skin cancer, particularly what is known as ‘malignant melanoma’. Yet, there as for some time been amassing evidence that sunlight exposure is also associated with a decreased risk of several […]

January 9, 2008· 5 min read· Dr Briffa
Doctors found to be overprescribing indigestion medication – and advice for those wanting to take a drug-free approach to this problem Food and Medical Politics

Doctors found to be overprescribing indigestion medication – and advice for those wanting to take a drug-free approach to this problem

Stomach ‘acidity’ and acid reflux are common problems, and the mainstay treatments for these ailments are medications that suppress acid secretion. Back in the olden days of when I was a junior doctor, these came in the form of so-called ‘H2 receptor antagonists’ such as cimetidine (Tagamet) and ranitidine (Zantac). Subsequently, a whole new type […]

January 7, 2008· 8 min read· Dr Briffa
Should doctors prescribe placebos? Food and Medical Politics

Should doctors prescribe placebos?

It’s the New Year so I’m in philosophical mood. No, not really. But my blog today has been triggered by a piece a I read yesterday about the use of placebos in medicine, which got me thinking in a somewhat philosophical vein. In a study published in the Journal of General Internal Medicine, researchers at […]

January 4, 2008· 7 min read· Dr Briffa
Merry Christmas – and have a drink on me… Food and Medical Politics

Merry Christmas – and have a drink on me…

The British Medical Journal (BMJ) is a publication full to the brim with learned and generally quite turgid scientific research and reports. Except, that is, for the Christmas edition, when the editors attempt to ‘lighten up’ this publication a bit with the inclusion of more quirky and seasonal items that would not necessarily make it […]

December 24, 2007· 8 min read· Dr Briffa
Women with breast cancer advised to lower insulin levels – but how? Food and Medical Politics

Women with breast cancer advised to lower insulin levels – but how?

Back in October, I wrote about some recently-published research which linked the eating of a high carbohydrate (actually, high glycaemic index and load diets) with an increased risk of breast cancer. One way that fast sugar-releasing foods may promote cancerous growth is through the activity of a compound known as insulin-like growth factor (IGF), which […]

December 14, 2007· 4 min read· Dr Briffa
Scientists appear reluctant to admit that a serious blow has been dealt to the cholesterol hypothesis Cholesterol and Statins

Scientists appear reluctant to admit that a serious blow has been dealt to the cholesterol hypothesis

Last Friday saw the publication of an intriguing study which assessed the relationship between cholesterol levels and ‘vascular’ mortality ” namely deaths due to heart disease and stroke. This review appeared in the Lancet medical journal, and assessed data from 61 studies. In short, this piece of research found that higher levels of cholesterol were […]

December 3, 2007· 4 min read· Dr Briffa