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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.

Doctors can help you get back on your statins, but does this help you? Cholesterol and Statins

Doctors can help you get back on your statins, but does this help you?

The side-effects of statin drugs are well-recognised, and include muscle pain, fatigue, mental symptoms, kidney damage or liver damage. Some doctors and researchers have decided to change the nomenclature on these side-effects by referring to people who have them as ‘statin intolerant’. I may be wrong, but this seems to me to be a way […]

September 13, 2013· 5 min read· Dr Briffa
The medical director of the British Heart Foundation does not want to engage with the troubling science on sterols Food and Medical Politics

The medical director of the British Heart Foundation does not want to engage with the troubling science on sterols

Last month, I wrote a blog post about how there was no evidence that cholesterol-lowering ‘stanols’ and ‘sterols’ (found in some margarines and other ‘functional foods’) have benefits for health. In fact, the National Institute for Health and Care Excellence explicitly states that they should not be used. Yet, the British Heart Foundation (BHF) recommends […]

August 9, 2013· 12 min read· Dr Briffa
Regular walking found to boost memory in those with ‘mild cognitive impairment’ Exercise and Activity

Regular walking found to boost memory in those with ‘mild cognitive impairment’

‘Mild cognitive impairment’ describes a reduction in brain function that is not advanced enough to be described as ‘dementia’. It’s usually described via psychological testing. As yet, there is no recognised medical treatment for it. That doesn’t mean, of course, that nothing can be done about it, and in fact some recent evidence suggests that […]

July 31, 2013· 4 min read· Dr Briffa
Do health checks actually do any good? Food and Medical Politics

Do health checks actually do any good?

Health checks are a common feature of conventional medical care. Here, individuals who don’t necessarily have any specific health issues are subjected to several medical tests such as blood pressure and cholesterol measurement, height and weight and standard blood tests. The idea is that ‘problems’ will be spotted earlier than they would be ordinarily, and […]

July 26, 2013· 5 min read· Dr Briffa
What is the ‘Fat Information Service’ up to? Part 2 Diabetes/Metabolic Syndrome

What is the ‘Fat Information Service’ up to? Part 2

Last week I wrote about the Unilever-funded Fat Information Service and the claim on its website that “The evidence shows clearly that the risk of developing heart disease is reduced when saturated fats are replaced with unsaturated fats.” The claim was made by dietician Dr Carrie Ruxton, and to support her claim she referenced a […]

July 23, 2013· 9 min read· Dr Briffa
What is the ‘Fat Information Service’ up to? Cholesterol and Statins

What is the ‘Fat Information Service’ up to?

I had a press release recently alerting me to the presence of the Fat Information Service. On the face of it, this ‘service’ seeks to provide us with balanced and accurate information and advice about the sorts of fat we should be eating in our diets. It claims, among other things, to provide “Access [to] […]

July 18, 2013· 7 min read· Dr Briffa
Why does the British Heart Foundation support the use of unproven cholesterol-lowering foods? Cholesterol and Statins

Why does the British Heart Foundation support the use of unproven cholesterol-lowering foods?

I caught a television advert in the last week for a drink which, purportedly, has the ability to reduce cholesterol levels in the bloodstream. The advert also told us that two-thirds of UK adults have raised cholesterol. The underlying message is clear: regular imbibing of this drink will help lots of people stave off heart […]

July 11, 2013· 4 min read· Dr Briffa
Is the UK’s most famous children’s hospital sometimes more concerned about its reputation than patient care? Food and Medical Politics

Is the UK’s most famous children’s hospital sometimes more concerned about its reputation than patient care?

I was interested to read this week a news piece in the British Medical Journal concerning the senior paediatric consultant Dr Hilary Cass [1]. Dr Cass used to work at Great Ormond Street children’s hospital in London. In 2007, she objected to planned cuts in the number of junior doctors at the hospital. She subsequently […]

July 4, 2013· 5 min read· Dr Briffa
Massive diabetes study seems to completely sidestep the issue of carbohydrate in the diet Diabetes/Metabolic Syndrome

Massive diabetes study seems to completely sidestep the issue of carbohydrate in the diet

Type 2 diabetes is a condition characterised by generally raised levels of sugar (glucose) in the bloodstream. One of the issues here is the ability of glucose to bind to and damage proteins in the body (glycation), which can increase the risk of a range of complications including nerve damage, eye damage, kidney disease and […]

June 26, 2013· 6 min read· Dr Briffa
British Medical Journal investigation finds that treatment guidelines issues to doctors can be lacking in evidence and riddled with conflicts of interest Food and Medical Politics

British Medical Journal investigation finds that treatment guidelines issues to doctors can be lacking in evidence and riddled with conflicts of interest

Medical research is a huge industry churning out scientific papers at quite a rate. How are doctors supposed to keep up and know what is deemed the ‘appropriate’ treatment for a condition? A supposed helping hand comes for doctors in the form of ‘clinical guidelines’ which can come from a variety of sources including one […]

June 26, 2013· 6 min read· Dr Briffa