Friday, March 23, 2012

Real Gourmet? Really?

I saw a commercial last night for Michelina's new Real Gourmet line. As it says on the commercial, and on the website, you get just real food, never any preservatives.

Get real food with Real Gourmet™, new from Michelina’s®. For years, you’ve known us best for our iconic green box that you’ve been enjoying since 1992. But now you’ll know us for our unique parchment pouch that steam cooks each wholesome meal to perfection. With Michelina's® Real Gourmet you get real cuts of seasoned meat, a full serving of vegetables, and never any preservatives. This calls for the good china, every day.

Aside from the ridiculousness of calling something you pull out a box and nuke in the microwave "real food", one could argue, if it were indeed real food, that it is no different than making multiple servings of homemade food and freezing the leftovers. So do the ingredients actually contain JUST real food? Here they are for the Beef Bourguignon.

ROASTED RED POTATOES (WITH DEXTROSE, SODIUM PHOSPHATE), SEASONED COOKED BEEF (BEEF, WATER, MODIFIED CORN STARCH, SALT, ONION POWDER, GARLIC POWDER), WATER, ROASTED ZUCCHINI, MUSHROOMS, ROASTED RED PEPPERS, ROASTED YELLOW PEPPERS, CORN STARCH, TOMATO PASTE, RED PORT WINE REDUCTION, VEGETABLE OIL (SOYBEAN, OLIVE POMACE), CELERY, ONIONS, GARLIC (CONTAINS WATER, CITRIC ACID [ACIDULANT]), FLAVOUR (CONTAINS MILK, SALT), BEEF STOCK (CONCENTRATED BEEF STOCK, YEAST EXTRACT, SALT, CORN OIL), SUGAR, FLAVOUR (POTASSIUM CHLORIDE, MALTODEXTRIN, DISODIUM INOSINATE, DISODIUM GUANYLATE, MODIFIED CORN STARCH, CORN SYRUP SOLIDS, FLAVOUR), YEAST EXTRACT, TOASTED ONION POWDER, PARSLEY FLAKES, SPICE, MIREPOIX FLAVOUR (SUNFLOWER OIL, FLAVOUR), GRANULATED GARLIC. CONTAINS: MILK

I don't know about you, but if I were making beef bourguignon at home, which I have in fact done, I would leave out sodium phosphate, citric acid, yeast extract, potassium chloride, maltodextrin, disodium inosinate, and disodium guanylate.

Now I could understand if they were putting this out for fresh consumption. But why all the crap when it is going straight into and out of the freezer? You can freeze food without all this other garbage in it. Calling this "real food" is an insult to the intelligence of anyone who ever cooks at home from whole ingredients.

Thursday, March 1, 2012

Debunking Dr. Oz-Day 1

I am following a blog that summarizes the insane recommendations made on Dr. Oz. And I'm doing this because, no word of a lie, EVERY SINGLE DAY I get someone who comes to me asking me if I carry some random, obscure product that I've never heard of. And now that I've started following this blog, I come home and read it and understand why they were asking me. Because Dr. Oz recommended it. And this concerns me. If he was just some guy who spouted off garbage that no one listens too, fine. But my patients actually intend on ingesting supplements and making changes in their health habits based on his information. To me, that is scary.

So, starting now, every time I get a request for something and I then see that it was featured on the Dr. Oz show, I'm going to tear it to shreds and expose it for the blatant sensationalistic ratings-grab that it is.

Today's ridiculous recommendation? Parasites may be the cause of your fatigue.

Problem #1: The whole premise. First of all, contrary to the statements of Dr. Oz and his guest, parasitic infections are NOT widespread. It's such an absurd idea that I'm not even going to justify it by referencing the facts unless someone really insists. Second, the whole diagnosis of chronic fatigue syndrome is incredibly contentious. Medical science is not even decided on what CFS exactly is, what causes it, and what symptomatology it represents. Because of that, there is no reliable way of stating its prevalence within a given population. Furthermore, there is only a SINGLE human study looking at the link between a SINGLE parasite (Giardia lamblia) and CFS. The study was poorly designed as it relied on mail questionnaires and did not control for lifestyle factors that could have explained the increase in CFS. And, if you can't agree on the diagnosis or definition of the condition you're studying, how valid are the results?

Problem #2: No evidence for the recommended therapies.
1. Garlic: Will not keep parasites away. There are no good quality human trials assessing the effects of garlic on human parasites. Natural Medicines Comprehensive Database, the best evidence-based reference for natural products, states that there is insufficient data to conclude any significant antimicrobial effect of garlic, despite the guest's claim that it is a "natural anti-microbial". So is ethanol.
2. Wormwood tea: This is the obscure question we got today. "Do you have any wormwood tea?" No in vivo human studies of any significance conducted using wormwood tea against intestinal parasites. No evidence whatsoever.
3. Papaya seeds with honey. I'll assume the honey is a crucial component? I love looking this stuff up. I get all sorts of results for experiments done in rats, pigs, and chickens. Fantastic. Again, no surprises. Absolutely no studies of significance in humans for this product. And in case you like using products tested in goats and lambs, it doesn't even work in them.

Conclusion:
Crap, crap, and more crap. Pretend treatments for pretend causes of pretend "diseases". If you have chronic fatigue, I'm not saying it is not potentially due to a medically significant condition. However, you are one unlucky soul if it is caused by a gastrointestinal parasite. Given your luck, I wouldn't hedge your bets on the useless products recommended by Dr. Oz.

Dr. Oz is not on TV to make you healthier. He is on TV to make himself rich and to do the same for the companies that make the products that he recommends. And every time I think he can't get any more ridiculous and make his medical degree look like more of a joke, he surprises me. Watch him for entertainment or just plain interest, or because you like watching intellectual train wrecks unfold before your eyes. BUT DO NOT WATCH HIM FOR RELIABLE, HONEST, SAFE, OR SCIENTIFICALLY VALIDATED MEDICAL INFORMATION. In fact, you'd be much better served from a health perspective if you spent that 30 minutes exercising.