Welcome to "Health for a Lifetime" 00:00:47.91\00:00:49.42 I'm your host Don Mackintosh 00:00:49.45\00:00:50.97 and today we're going to talk about medications... 00:00:51.00\00:00:53.51 Are they a panacea? 00:00:53.54\00:00:55.24 Is there a pill for every problem? 00:00:55.27\00:00:57.25 Or are there concerns that we should have when we talk 00:00:57.28\00:01:00.36 about medications? 00:01:00.39\00:01:01.76 Joining us today is a specialist in internal medicine 00:01:01.79\00:01:04.55 Dr. David DeRose 00:01:04.58\00:01:05.95 Currently, you're practicing at the Lifestyle Center of America 00:01:05.98\00:01:09.11 which is really preventive medicine, 00:01:09.14\00:01:11.00 which is another specialty that you have... 00:01:11.03\00:01:13.99 And so, this idea of medication, as an internist, 00:01:14.02\00:01:18.17 and I've been a nurse for many years, 00:01:18.20\00:01:19.57 I know that internal medicine specialists give a lot of 00:01:19.60\00:01:21.88 medication - a very highly technical field many times in an 00:01:21.91\00:01:25.94 ICU, CCU... those settings, 00:01:25.97\00:01:28.03 and in preventive medicines, many times physicians 00:01:28.06\00:01:30.73 that are practicing those, they try and stay away from them 00:01:30.76\00:01:33.03 Where do you fall on this? 00:01:33.06\00:01:34.43 Well it actually is a very contextual 00:01:34.46\00:01:37.15 question... like you mentioned. 00:01:37.18\00:01:38.55 In the intensive care unit, we're often dependent 00:01:38.58\00:01:41.27 on medications and there are life or death issues 00:01:41.30\00:01:44.44 that hinge on whether the right medications are prescribed. 00:01:44.47\00:01:48.21 I have nothing against using 00:01:48.24\00:01:50.10 medications in the intensive care setting. 00:01:50.13\00:01:52.29 But, when it comes to the common things 00:01:52.32\00:01:55.55 that people see their physicians for, 00:01:55.58\00:01:57.37 we're often using medications, 00:01:57.40\00:01:59.60 as you and I have talked about before, Don, 00:01:59.63\00:02:02.12 in SUCH a way that we're causing, I believe, 00:02:02.15\00:02:06.11 a misplaced focus in our country. 00:02:06.14\00:02:08.71 And people's minds - they're thinking that DRUGS 00:02:08.74\00:02:11.43 are the SOLUTION when really 00:02:11.46\00:02:13.50 the solution is addressing lifestyle issues. 00:02:13.53\00:02:16.16 So we need to look at what we can do ourselves 00:02:16.19\00:02:18.81 to prevent, stop or reverse conditions we have 00:02:18.84\00:02:21.95 rather than what someone ELSE can package for us, 00:02:21.98\00:02:25.21 and then just hope... Well, that's gonna do it! 00:02:25.24\00:02:27.88 That should be the first line. 00:02:27.91\00:02:29.28 And if the lifestyle is NOT delivering the endpoints 00:02:29.31\00:02:32.48 that we need to ACHIEVE, 00:02:32.51\00:02:34.39 THEN medications may well be appropriate. 00:02:34.42\00:02:37.56 Let me give you a couple of examples... 00:02:37.59\00:02:39.23 Blood pressure and diabetes, 2 very common problems 00:02:39.26\00:02:42.18 that people come to us at the Lifestyle Center of America 00:02:42.21\00:02:45.68 With high blood pressure, if lifestyle is NOT getting your 00:02:45.71\00:02:48.81 blood pressure in a reasonable control, 00:02:48.84\00:02:50.73 and by that, I like to see that 00:02:50.76\00:02:52.84 systolic number optimally below 140... 00:02:52.87\00:02:56.31 and the diastolic number into the low 80s. 00:02:56.34\00:02:59.58 If you're not into that level of control, 00:02:59.61\00:03:02.65 you're running a significantly 00:03:02.68\00:03:04.15 increased risk of stroke and heart attack. 00:03:04.18\00:03:06.82 And you would be better off taking a medication for 00:03:06.85\00:03:09.84 the short-term EVEN if, in the LONG-TERM, 00:03:09.87\00:03:13.15 LIFESTYLE is going to help address it. 00:03:13.18\00:03:15.37 After all, if somebody is carrying an extra 100 pounds, 00:03:15.40\00:03:17.72 they can't lose it in a week, right? 00:03:17.75\00:03:19.51 Not normally. No, even in our program, Don, 00:03:19.54\00:03:22.41 I think the record there, 19 days, 00:03:22.44\00:03:26.02 I think one guy actually lost 50 pounds. 00:03:26.05\00:03:28.80 In 19 days? Yeah, but this is real unusual. 00:03:28.83\00:03:31.26 He had a rare condition where he was retaining a lot of fluid 00:03:31.29\00:03:35.59 So a lot of that was just fluid weight. 00:03:35.62\00:03:37.24 But the point I'm making is we don't change our 00:03:37.27\00:03:40.56 bodies overnight with lifestyle; 00:03:40.59\00:03:42.63 medications may be necessary to decrease risk. 00:03:42.66\00:03:46.39 Another example with diabetes... 00:03:46.42\00:03:48.15 High blood sugars put a toll on 00:03:48.18\00:03:50.04 many organs; one of them is the kidneys. 00:03:50.07\00:03:52.05 Early on when people come through our program at the 00:03:52.08\00:03:54.34 Lifestyle Center of America, we check their 00:03:54.37\00:03:56.23 indicators of kidney damage. 00:03:56.26\00:03:58.74 We check a very sensitive measurement 00:03:58.78\00:04:00.69 called "microalbumin" 00:04:00.72\00:04:02.16 It's looking for how much of a tiny amount of protein 00:04:02.19\00:04:06.17 is in the urine. 00:04:06.20\00:04:08.08 If there's an elevated amount, this shows 00:04:08.11\00:04:11.18 that early kidney changes are occurring. 00:04:11.21\00:04:14.05 We don't want to play games with that. 00:04:14.08\00:04:15.53 We don't want to say, "Well, you know, lifestyle, 00:04:15.56\00:04:17.74 when you lose these 200 pounds and you stick with this diet 00:04:17.77\00:04:22.03 for 2 years, your blood sugar will probably be fine" 00:04:22.06\00:04:24.17 No, we want to say... "Look-it, if your blood sugar 00:04:24.20\00:04:26.08 is not under control with lifestyle, 00:04:26.11\00:04:27.96 after 2 weeks or so on our program, 00:04:27.99\00:04:30.38 we're going to have you leave on medication. " 00:04:30.41\00:04:32.56 So you actually, sometimes, PUT people on medication. 00:04:32.59\00:04:34.36 Sometimes I put people on medication. 00:04:34.39\00:04:36.28 But your IDEAL is to get them off that eventually. 00:04:36.31\00:04:38.98 Yeah, the FOUNDATION is LIFESTYLE. 00:04:39.01\00:04:41.81 Medication may be used in the short-term if it's necessary; 00:04:41.84\00:04:44.33 in the long-term if that's the only option we've got. 00:04:44.36\00:04:46.11 So you're not saying... Go home and throw out all my medications 00:04:46.14\00:04:48.31 but WISELY consider what you really need for the short-term 00:04:48.34\00:04:53.14 with somebody who knows what they're doing. 00:04:53.17\00:04:54.63 That's exactly the message we're giving. 00:04:54.66\00:04:56.38 I think the average American is not aware 00:04:56.41\00:04:59.29 of all of the problems there are with medications 00:04:59.32\00:05:01.78 on an individual basis. 00:05:01.81\00:05:03.36 We've talked before about societal problems... 00:05:03.39\00:05:06.34 We've talked about this misplaced focus that the 00:05:06.37\00:05:09.13 drug marketing and the drug emphasis has led to. 00:05:09.16\00:05:12.39 We've talked about societal problems like 00:05:12.42\00:05:15.10 antibiotic resistance and how that has fed into 00:05:15.13\00:05:18.62 this culture of indiscriminate use of antibiotics. 00:05:18.65\00:05:22.40 But Don, there are some REAL problems when it comes 00:05:22.43\00:05:25.71 to the INDIVIDUAL when it comes to using medication. Like what? 00:05:25.74\00:05:29.17 Let me tell you one of them... Allergies 00:05:29.20\00:05:32.10 Allergies FROM medications... From medications 00:05:32.13\00:05:35.14 A very common cause of allergies is medications. 00:05:35.17\00:05:38.02 It can be anything from skin reactions to 00:05:38.05\00:05:40.83 serious life-threatening reactions like anaphylaxis... 00:05:40.86\00:05:44.36 ...A shock condition - can kill a person. 00:05:44.39\00:05:48.07 Stop breathing, blood pressure drops down to next to nothing... 00:05:48.10\00:05:51.73 And you can DIE! 00:05:51.76\00:05:53.13 The leading drug in anaphylactic reactions on a recent review 00:05:53.16\00:05:56.91 that I look at was penicillin. 00:05:56.94\00:05:59.39 Another study looked at the experience in another 00:05:59.42\00:06:03.40 Western nation with drugs and liver injury; 00:06:03.43\00:06:07.68 sometimes fatal injury. 00:06:07.71\00:06:09.65 The leading drug that emerged in that study was erythromycin. 00:06:09.68\00:06:13.71 and this is because they're allergic to it, 00:06:13.74\00:06:15.41 and the liver reacts? These are toxicities 00:06:15.44\00:06:18.87 In the case of the liver problem with erythromycin, 00:06:18.90\00:06:22.55 it wouldn't necessarily be allergic. 00:06:22.58\00:06:24.17 It's because it goes to that organ and it's supposed to 00:06:24.20\00:06:28.03 eliminate it from the body and it has problems doing that... 00:06:28.06\00:06:30.41 That can be one scenario, or the liver can be a 00:06:30.44\00:06:32.87 target for the drug for other reasons. 00:06:32.90\00:06:35.07 To attack it because it has disease-type things there, 00:06:35.10\00:06:37.57 or it thinks it does, something like that. 00:06:37.60\00:06:39.47 There is a variety of mechanisms why drugs have toxicity. 00:06:39.50\00:06:43.29 One.. is an allergic mechanism. 00:06:43.32\00:06:45.35 Okay, so that is sometimes involved in some of these things 00:06:45.38\00:06:47.88 and there are drugs that can cause, what we call, 00:06:47.91\00:06:49.87 "autoimmune liver problems" 00:06:49.90\00:06:52.11 They can cause an autoimmune hepatitis from a drug. 00:06:52.14\00:06:55.04 But, these immune system allergy-related phenomena 00:06:55.07\00:07:00.26 are ONE side of the picture, 00:07:00.29\00:07:01.81 but then there are other side effects from the drugs 00:07:01.84\00:07:04.09 that different tissues can be targets for that drug; 00:07:04.12\00:07:08.26 the tissue, the nature of that tissue, 00:07:08.29\00:07:10.65 whether it's the kidney, whether it's the liver, 00:07:10.68\00:07:12.53 whether it's MUSCLE - it doesn't have to be involved in the 00:07:12.56\00:07:15.00 elimination of the drug. 00:07:15.03\00:07:16.75 Muscle is a target for some of the cholesterol-lowering drugs, 00:07:16.78\00:07:19.94 and some people who are susceptible to 00:07:19.97\00:07:22.03 these drug side effects get problems in the muscle 00:07:22.06\00:07:24.98 because of the drug. 00:07:25.01\00:07:26.38 Are there any common side effects that we 00:07:26.41\00:07:28.61 have that we can prevent? 00:07:28.64\00:07:31.22 Clearly... One way, the BEST way to prevent any drug-related 00:07:31.25\00:07:35.47 side effect is not to use the medication, 00:07:35.50\00:07:40.05 and because these side effects are rare, 00:07:40.08\00:07:41.69 I mean, they are often in the 2% - 5% range, less than 1% 00:07:41.72\00:07:47.23 People say, "Well, I take medications all the time, 00:07:47.26\00:07:50.63 I never have side effects" 00:07:50.66\00:07:52.03 But the list of side effects is growing, 00:07:52.06\00:07:54.14 and the list of concerns is growing. 00:07:54.17\00:07:55.61 And Don, often in the life history of a drug, 00:07:55.64\00:07:59.42 we become aware of side effects 00:07:59.45\00:08:01.51 that we were unaware of at another point in time. 00:08:01.54\00:08:04.46 Take for example... aspirin 00:08:04.49\00:08:06.54 MOST parents know today... you don't give it to your kids 00:08:06.57\00:08:11.12 because of Reye syndrome. 00:08:11.15\00:08:13.12 Whether it's influenza or chickenpox... 00:08:13.15\00:08:15.83 certain viral illnesses, if you give the kid aspirin, 00:08:15.86\00:08:18.97 they can get FATAL brain and liver problems 00:08:19.00\00:08:21.96 called Reye syndrome. 00:08:21.99\00:08:23.36 But back in the 80s, before, we didn't REALIZE that! 00:08:23.39\00:08:27.02 And so ASPIRIN - has it now become more dangerous? 00:08:27.05\00:08:30.15 NO, it was always dangerous in these situations, 00:08:30.18\00:08:34.94 but we didn't REALIZE it. 00:08:34.97\00:08:36.34 We're NOW starting to raise 00:08:36.37\00:08:37.79 concern about many common drugs. 00:08:37.82\00:08:40.16 Antidepressants... a number of them, 00:08:40.19\00:08:42.59 concerns coming out in the medical literature 00:08:42.62\00:08:44.92 they may increase the risk of breast cancer. 00:08:44.95\00:08:47.21 Does that mean we throw out the antidepressants? 00:08:47.24\00:08:49.51 NO... but we don't just say, 00:08:49.54\00:08:51.14 "Well look-it, ANY antidepressant for the 00:08:51.17\00:08:53.37 rest of your life... that's fine" 00:08:53.40\00:08:55.56 Calcium channel blockers, a category of drugs used 00:08:55.59\00:08:59.25 for high blood pressure and heart conditions... 00:08:59.28\00:09:01.67 There's some indication that these drugs 00:09:01.70\00:09:03.69 may be associated with increased risk of intestinal bleeding 00:09:03.72\00:09:07.16 which can lead to hospitalizations and even DEATH! 00:09:07.19\00:09:10.34 So, we're saying, "Well, is all the evidence there yet?" 00:09:10.37\00:09:13.78 "Is this dyed-in-the-wool medical science and fact?" 00:09:13.81\00:09:17.67 No, not yet... but the concerns are growing. 00:09:17.70\00:09:20.20 And Don, here's the real shocker... 00:09:20.23\00:09:22.07 Growing epidemic in our country CONGESTIVE HEART FAILURE! 00:09:22.10\00:09:27.40 Which means... what? 00:09:27.43\00:09:29.51 I'm glad you're pinning me down on it 00:09:29.54\00:09:30.91 because I always try to let patient's know 00:09:30.94\00:09:32.91 I wish we had a different term for this... 00:09:32.94\00:09:34.78 You know, you hear "heart failure" 00:09:34.81\00:09:36.24 ...you think the person has one foot in the grave, right? 00:09:36.27\00:09:39.70 Heart failure... we use that terms medically, of course, 00:09:39.73\00:09:42.39 when the heart has more work to do than it's able. 00:09:42.42\00:09:45.57 And so congestive heart failure is a condition 00:09:45.60\00:09:47.97 where the person's heart is just not able to pump 00:09:48.00\00:09:50.79 as much as the body needs, 00:09:50.82\00:09:52.19 and typically fluid will back up into the legs, 00:09:52.22\00:09:54.71 maybe back up into the lungs... 00:09:54.74\00:09:56.65 But here's the real shocker... 00:09:56.68\00:09:58.78 Some recent research is suggesting that the common class 00:09:58.81\00:10:03.00 of drugs called "nonsteroidal anti-inflammatory drugs" 00:10:03.03\00:10:06.13 ...these are drugs like over-the-counter Nuprin, 00:10:06.16\00:10:08.89 ibuprofen, Motrin, Clinoril, a whole host of these drugs, 00:10:08.92\00:10:15.20 Advil, naproxen, Naprosyn 00:10:15.23\00:10:17.81 All these drugs that we just 00:10:17.84\00:10:20.14 TAKE for any kind of ache or pain, 00:10:20.17\00:10:23.34 they may be actually contributing to heart failure. 00:10:23.37\00:10:26.17 Preliminary studies... it's not fact yet, 00:10:26.20\00:10:30.18 but when you start seeing these concerns, Don, 00:10:30.21\00:10:32.08 I HAVE TO ASK... and I have to tell my patients, 00:10:32.11\00:10:34.51 "Look, when you take these things that you think are 00:10:34.54\00:10:37.22 innocuous, they may be just as innocuous as aspirin was 00:10:37.25\00:10:41.21 in its relation to Reye syndrome. 00:10:41.24\00:10:42.91 The were only innocuous in the perception of the 00:10:42.94\00:10:45.71 consumer and the physician because we had 00:10:45.74\00:10:48.17 NOT recognized the linkage with health problems yet. 00:10:48.20\00:10:51.73 But isn't that what they're supposed to do 00:10:51.76\00:10:53.42 when they produce these drugs? 00:10:53.45\00:10:54.82 Isn't this why they have the FDA and all these different 00:10:54.85\00:10:57.38 companies that are watch groups that look over 00:10:57.41\00:11:02.18 medication and whatnot? 00:11:02.21\00:11:03.58 You know, I have to tell you, Don, I'm thankful that we 00:11:03.61\00:11:05.94 are fairly careful as far as what drugs 00:11:05.97\00:11:08.29 are released on the market. 00:11:08.32\00:11:09.69 We do fairly well, FAIRLY well; I'm not going to say we're 00:11:09.72\00:11:13.10 perfect at not releasing drugs 00:11:13.13\00:11:16.44 that cause sudden toxicity in lots of people. 00:11:16.47\00:11:20.94 We're pretty careful about that... 00:11:20.97\00:11:22.63 but all you have to do... 00:11:22.66\00:11:24.69 Most people if they've been on prescription drugs 00:11:24.72\00:11:26.94 they've gotten a call at some time, from their physician 00:11:26.97\00:11:30.01 saying, "You know this antiarrhythmic, 00:11:30.04\00:11:32.31 this drug for your heart rhythm problem - just off the market, 00:11:32.34\00:11:34.82 more people using it are dying than it is actually saving. " 00:11:34.85\00:11:38.90 Or, "People are dying from this pain pill, 00:11:38.93\00:11:41.87 and you're on it, we need to stop it. " 00:11:41.90\00:11:44.42 Or, "This drug for your diabetes has caused some liver deaths, 00:11:44.45\00:11:47.98 and this drug is now off the market. " 00:11:48.01\00:11:51.13 And so people that have been on many medications 00:11:51.16\00:11:53.07 and taking them for a period of time, 00:11:53.10\00:11:55.08 this is where we especially need to be concerned... 00:11:55.11\00:11:57.29 They know that these drugs slip off the market 00:11:57.32\00:12:01.39 because what happens is over time, Don, 00:12:01.42\00:12:03.97 we REALIZE the problem. 00:12:04.00\00:12:05.62 It's a bigger study that goes on when everybody 00:12:05.65\00:12:07.93 starts taking it. That's exactly right 00:12:07.96\00:12:09.77 And let me ask this... 00:12:09.80\00:12:11.86 Is it true also they may do a test on a particular medication 00:12:11.89\00:12:15.27 but then once you start taking it with the other medications 00:12:15.30\00:12:17.87 you've already been taking, you've got a new mix 00:12:17.90\00:12:20.02 or a new blend that they never studied! 00:12:20.05\00:12:21.83 This is another huge issue. 00:12:21.86\00:12:23.33 Another huge issue is this whole area of drug interactions. 00:12:23.36\00:12:26.77 And the more drugs we use, the more we increase the risk 00:12:26.80\00:12:30.97 of interactions and it's not just limited to DRUGS! 00:12:31.00\00:12:33.61 You know as we're talking about drugs and medications, 00:12:33.64\00:12:35.59 whenever I TALK about medications, I know there are 00:12:35.62\00:12:38.71 people listening to me and they say... "Yeah, see - look quick 00:12:38.74\00:12:41.07 ...quick send this out because we're selling these 00:12:41.10\00:12:43.15 nutrient supplements and quick ... have them watch Dr. DeRose 00:12:43.18\00:12:46.69 and hear what he's saying about all the side effects of drugs. 00:12:46.72\00:12:50.81 Because they need our supplement? That's right! 00:12:50.84\00:12:52.95 But supplements have their problems too... 00:12:52.98\00:12:56.26 not only with toxicities but with drug interactions; 00:12:56.29\00:12:59.07 these are REAL concerns! 00:12:59.10\00:13:00.72 And now physicians are being URGED to take not just a 00:13:00.75\00:13:04.10 careful medication history on their patients, 00:13:04.13\00:13:06.70 but to find out what herbs they're taking; 00:13:06.73\00:13:09.50 what supplements they're taking. 00:13:09.53\00:13:11.19 Some of these things are FAR from innocuous 00:13:11.22\00:13:13.39 especially because we take them in huge amounts. 00:13:13.42\00:13:16.06 What types of herbs and supplements do you especially 00:13:16.09\00:13:20.63 CAUTION people to avoid? 00:13:20.66\00:13:22.70 Well maybe it's better expressed when we talk about 00:13:22.73\00:13:25.91 what other drugs a person may be on. 00:13:25.94\00:13:27.90 Let me give you a classic one... 00:13:27.93\00:13:29.30 And that's the anticoagulant, the blood thinner, 00:13:29.33\00:13:31.80 warfarin or Coumadin. 00:13:31.83\00:13:33.61 A very common drug and it does have some 00:13:33.64\00:13:36.53 VERY important benefits. 00:13:36.56\00:13:38.24 People that have had serious problems with blood clots, 00:13:38.27\00:13:40.86 people that have serious heart rhythm problems, 00:13:40.89\00:13:44.17 even though they feel well, like atrial fibrillation which 00:13:44.20\00:13:47.19 is a quivering of the chambers in the upper part of the heart 00:13:47.22\00:13:51.13 Coumadin.. warfarin could actually 00:13:51.16\00:13:53.76 decrease the risk of a stroke. 00:13:53.80\00:13:55.17 The clots don't form... Yeah, clots don't form 00:13:55.21\00:13:57.59 in that quivering chamber and then flick off 00:13:57.62\00:14:00.00 and go to the brain; so a very useful drug 00:14:00.04\00:14:03.41 But this DRUG, if you're changing what you are 00:14:03.45\00:14:06.79 taking into your mouth, even if you make healthy dietary changes 00:14:06.82\00:14:10.21 you've got to be careful if you start taking supplements 00:14:10.24\00:14:12.84 you've got to be very careful, 00:14:12.87\00:14:14.24 in fact, you shouldn't do it without telling your doctor. 00:14:14.27\00:14:16.34 This is something we're very mindful of at the 00:14:16.37\00:14:18.45 Lifestyle Center of America because we have people 00:14:18.48\00:14:20.61 start eating a better diet when they come. 00:14:20.64\00:14:22.28 That means more green leafy vegetables... 00:14:22.31\00:14:24.63 and that actually typically increases the need 00:14:24.66\00:14:28.06 for warfarin or for Coumadin 00:14:28.09\00:14:30.37 if people are going to keep their blood just as thin 00:14:30.40\00:14:32.53 because the green leafy vegetables have 00:14:32.56\00:14:34.40 lots of vitamin K which works 00:14:34.43\00:14:37.31 AGAINST these blood-thinning medications. 00:14:37.34\00:14:39.73 So it's not as simple as saying "NO" to medicines, 00:14:39.76\00:14:41.65 you're saying - you increase their blood thinner because 00:14:41.68\00:14:44.96 they have increased their other plant-based medication 00:14:44.99\00:14:48.31 if you will, the green leafy vegetables... 00:14:48.34\00:14:49.83 And so you really need to have the input of someone 00:14:49.86\00:14:52.67 that's really been looking into this. 00:14:52.70\00:14:54.24 When you're on medications, you DON'T want to play games! 00:14:54.27\00:14:57.98 If you've got serious medical problems, 00:14:58.01\00:15:00.31 you don't want to just treat yourself. 00:15:00.34\00:15:02.36 I'll tell you, there is a fellow that came into my office 00:15:02.39\00:15:05.21 ...not an uncommon story, with BAGS of supplements. 00:15:05.24\00:15:08.35 One of these individuals said, "Look-it, I'm stopping all 00:15:08.38\00:15:11.58 these things because I think it's contributing 00:15:11.61\00:15:13.47 to some of the problems I've been having, 00:15:13.50\00:15:15.43 and that's NOT an underestimation. 00:15:15.46\00:15:17.94 We've been talking with Dr. David DeRose 00:15:17.97\00:15:20.38 We've been talking about medication. 00:15:20.41\00:15:22.21 It's not a panacea... They are needed. 00:15:22.24\00:15:24.86 You need the information that you can gain from people 00:15:24.89\00:15:28.22 that have studied this and made this their lifework many times, 00:15:28.25\00:15:32.61 but just good common sense as well. 00:15:32.64\00:15:34.91 One of the things that the doctor has been saying is 00:15:34.94\00:15:37.05 look for ways to meet the objectives 00:15:37.08\00:15:39.00 WITHOUT medication and don't just start 00:15:39.03\00:15:41.11 medication without really thinking it through 00:15:41.14\00:15:43.00 whether it's prescription or over-the-counter. 00:15:43.03\00:15:45.14 When we come back we're going to further 00:15:45.17\00:15:47.46 look at this issue and I'm going to be asking 00:15:47.49\00:15:50.05 the doctor about over dosage and different other 00:15:50.08\00:15:53.47 situations that you may have heard of 00:15:53.50\00:15:55.40 or maybe have experienced yourself... 00:15:55.43\00:15:57.73 And we hope that you can join us when we come back. 00:15:57.76\00:16:01.72 Have you found yourself wishing 00:16:03.05\00:16:04.42 that you could shed a few pounds? 00:16:04.45\00:16:05.82 Have you been on a diet for most of your life, 00:16:05.85\00:16:08.32 but not found anything that will really keep the weight off? 00:16:08.35\00:16:11.06 If you've answered "yes" to any of these questions, 00:16:11.09\00:16:14.05 then we have a solution for you that works! 00:16:14.08\00:16:16.98 Dr. Hans Diehl and Dr. Aileen Ludington 00:16:17.01\00:16:19.87 have written a marvelous booklet called... 00:16:19.90\00:16:21.97 "Reversing Obesity Naturally" 00:16:22.00\00:16:24.10 and we'd like to send it to you FREE of charge. 00:16:24.13\00:16:27.08 Here's a medically sound approach successfully used 00:16:27.11\00:16:29.69 by thousands who were able to eat more and lose weight 00:16:29.72\00:16:32.89 permanently without feeling guilty or hungry 00:16:32.92\00:16:35.76 through lifestyle medicine. 00:16:35.79\00:16:37.56 Dr. Diehl and Dr. Ludington have been featured on 3ABN 00:16:37.59\00:16:41.10 and in this booklet, they present a sensible approach 00:16:41.13\00:16:43.91 to eating, nutrition and lifestyle changes 00:16:43.94\00:16:46.55 that can help you prevent heart disease, 00:16:46.58\00:16:48.34 diabetes and EVEN cancer! 00:16:48.37\00:16:50.57 Call or write today for your free copy of... 00:16:50.60\00:16:52.54 "Reversing Obesity Naturally" 00:16:52.57\00:16:54.30 and you could be on your way to a healthier, happier YOU! 00:16:54.33\00:16:57.33 It's ABSOLUTELY free of charge, so call or write today. 00:16:57.36\00:17:02.32 We've been talking with Dr. David DeRose 00:17:03.08\00:17:04.92 We've been talking about medication. 00:17:04.95\00:17:06.67 What is the wise way to utilize medication? 00:17:06.70\00:17:09.87 What are harmful ways? 00:17:09.90\00:17:11.27 What are ways that we need to be cautious, 00:17:11.30\00:17:13.31 or things we should avoid when dealing with medication. 00:17:13.34\00:17:16.83 Doctor, another question that comes to mind here... 00:17:16.86\00:17:20.21 You know, some people maybe are perpetuating the very 00:17:20.24\00:17:24.90 conditions they want to avoid. 00:17:24.93\00:17:26.81 Is this true... when they take medications? 00:17:26.84\00:17:28.49 This is a VERY interesting question. 00:17:28.52\00:17:30.21 A classic example has to do with headache preparations. 00:17:30.24\00:17:33.77 This is true of over-the-counter headache medications 00:17:33.80\00:17:36.46 as well as prescription drugs. 00:17:36.49\00:17:37.86 Usually very high in caffeine, right? 00:17:37.89\00:17:39.39 That's exactly right and that's the CATCH! 00:17:39.42\00:17:41.62 Many people have caffeine withdrawal headaches. 00:17:41.65\00:17:44.76 And so what do they take to get rid of their 00:17:44.79\00:17:46.65 caffeine withdrawal headache? 00:17:46.68\00:17:48.23 Well they take their pain pill that has CAFFEINE in it! 00:17:48.26\00:17:51.58 And there are some people in our country, 00:17:51.61\00:17:53.55 it's not the majority, I don't think, 00:17:53.58\00:17:55.51 that are avoiding caffeine... 00:17:55.54\00:17:57.32 Because they're concerned about 00:17:57.35\00:17:59.04 caffeine withdrawal headaches... Yeah, not too many! 00:17:59.07\00:18:01.12 But here's what happens though... 00:18:01.15\00:18:02.52 even in those people, the drug ITSELF can be 00:18:02.55\00:18:05.45 perpetuating the condition. 00:18:05.48\00:18:07.08 You see, they take caffeine to get rid of the 00:18:07.11\00:18:09.50 caffeine withdrawal headache, 00:18:09.53\00:18:11.16 and then when the caffeine level drops, 00:18:11.19\00:18:13.49 the caffeine withdrawal headache recurs, 00:18:13.52\00:18:15.65 and then they take the caffeine- containing headache pill. 00:18:15.68\00:18:17.45 Boy, that's a pretty sneaky way to get your 00:18:18.31\00:18:21.07 medication to be needed, right? 00:18:21.10\00:18:23.37 Well, I don't want to speculate on motives! 00:18:23.40\00:18:28.79 But definitely there are patients who get into a 00:18:28.82\00:18:31.57 vicious cycle where the medication 00:18:31.60\00:18:33.79 is contributing to the problem. 00:18:33.82\00:18:35.19 Headache is a classic example 00:18:35.23\00:18:36.60 with these caffeine-containing preparations. 00:18:36.63\00:18:38.81 So, if you're taking something for headache, 00:18:38.84\00:18:40.33 make sure and look at it and say... 00:18:40.36\00:18:41.77 "Hey, does it have caffeine?" 00:18:41.80\00:18:43.17 It usually says, right on the side whether or not 00:18:43.20\00:18:44.60 it has caffeine, doesn't it? 00:18:44.63\00:18:46.00 Labeling generally will disclose that, 00:18:46.03\00:18:48.03 and talk with your physician... 00:18:48.06\00:18:49.43 If you're being prescribed a prescription 00:18:49.46\00:18:51.27 caffeine-containing pill, 00:18:51.30\00:18:53.51 you may need to make a break with the caffeine for a while 00:18:53.54\00:18:56.55 with the guidance of your physician if you are 00:18:56.58\00:18:58.86 being prescribed something I say that. 00:18:58.89\00:19:00.60 If you are just taking over-the-counter stuff, 00:19:00.63\00:19:02.08 it's usually safe to make that break on your own. 00:19:02.11\00:19:04.40 Now maybe some people are taking some medications 00:19:04.43\00:19:06.78 and they're having side effects that they don't 00:19:06.81\00:19:08.73 see as side effects, so they just don't even KNOW 00:19:08.76\00:19:10.92 they're having side effects! 00:19:10.95\00:19:12.32 Is that true and, if so, what are those? 00:19:12.35\00:19:15.43 Well you know, we've talked a lot, Don, 00:19:15.46\00:19:17.35 about side effects that kind of creep up on you. 00:19:17.38\00:19:20.59 For example, we mentioned the calcium channel blockers, 00:19:20.62\00:19:23.72 and the risk of bleeding perhaps; 00:19:23.75\00:19:25.60 increased risk of congestive heart failure with 00:19:25.63\00:19:28.25 certain pain-relieving drugs, 00:19:28.28\00:19:30.16 or even the increased risk of breast cancer with 00:19:30.19\00:19:32.15 certain antidepressants... 00:19:32.18\00:19:33.55 Well what kind warning signs do people have with these things? 00:19:33.58\00:19:35.69 I mean, before you have a big bleed in your intestine, 00:19:35.72\00:19:40.18 a big bleeding problem, do you have little blood spots 00:19:40.21\00:19:43.49 that you'd find in your stool? No, not usually 00:19:43.52\00:19:46.30 Before you have breast cancer, do you start feeling your 00:19:46.33\00:19:49.54 breast tingling because of the - ... No 00:19:49.57\00:19:51.58 No, I mean, so often these things creep up on you. 00:19:51.61\00:19:54.95 One of the scariest ones to me actually, Don, is 00:19:54.98\00:19:57.51 "tardive dyskinesia" 00:19:57.54\00:19:59.01 What in the world does that mean? 00:19:59.04\00:20:01.38 Well, I'll tell you, if you've visited a nursing home 00:20:01.41\00:20:05.79 you've likely seen people with tardive dyskinesias. 00:20:05.82\00:20:08.27 They're usually... Well, what they are is uncontrolled 00:20:08.30\00:20:12.50 movements, often kind of lip-smacking or twisting 00:20:12.53\00:20:15.94 movements of the face and 00:20:15.97\00:20:17.58 yeah, it can affect the hands and other things. 00:20:17.61\00:20:20.36 These are uncontrollable movements; 00:20:20.39\00:20:22.06 it's usually irreversible and they're associated with 00:20:22.09\00:20:24.53 major tranquillizers... 00:20:24.56\00:20:25.93 And unfortunately, many times in these 00:20:25.96\00:20:27.54 extended care facilities, people are on large amounts of these. 00:20:27.57\00:20:31.06 Now people say, "Well you know, I feel sorry for grandma, 00:20:31.09\00:20:34.41 that she's on these medications but she's not aware of anything 00:20:34.44\00:20:37.67 so, it's sad but we understand you gotta keep her sedate. " 00:20:37.70\00:20:43.09 Here's the issue... 00:20:43.12\00:20:44.60 These same class of medications are used by healthy young people 00:20:44.63\00:20:48.47 For example, "Reglan" a drug 00:20:48.50\00:20:51.64 that is used to regulate intestinal function, 00:20:51.67\00:20:53.98 or "Compazine" a drug that's 00:20:54.01\00:20:55.38 used to treat nausea and other problems... 00:20:55.41\00:20:58.22 These DRUGS are used often FREQUENTLY 00:20:58.25\00:21:01.38 and sometimes repetitively by people, 00:21:01.41\00:21:03.31 and they are in this same class of major tranquillizers. 00:21:03.34\00:21:06.92 They're not being prescribed for mental reasons. 00:21:06.95\00:21:09.80 But they can cause these tardive dyskinesias, 00:21:09.83\00:21:12.20 and the problem is, Don, people often don't have any warning. 00:21:12.23\00:21:14.72 It just comes up on them and... 00:21:15.65\00:21:17.29 And then it's irreversible! Yeah 00:21:17.32\00:21:19.43 So the message is... BE AWARE THAT DRUGS 00:21:19.46\00:21:22.96 CARRY WITH THEM SIDE EFFECTS, 00:21:22.99\00:21:24.36 and DON'T just say, "What's the next pill I can take 00:21:24.39\00:21:26.89 for this problem?" 00:21:26.92\00:21:28.29 Ask your doctor, when he or she is prescribing a drug, 00:21:28.32\00:21:31.19 say, "Look-it, there are other options" 00:21:31.22\00:21:33.85 "Is there anything I can do with my lifestyle?" 00:21:33.88\00:21:36.11 "Any changes I can make in my diet that may 00:21:36.14\00:21:38.60 help me avoid this drug right now or down the road?" 00:21:38.63\00:21:42.03 So, what you've said is 2 things... 00:21:42.06\00:21:44.22 You said... When you take medications, 00:21:44.25\00:21:45.87 or change medications or think about doing something different 00:21:45.90\00:21:49.33 in that area, TALK to your physician. 00:21:49.36\00:21:51.61 But now, what you are saying is... 00:21:51.64\00:21:53.01 Don't just LISTEN to your physician 00:21:53.04\00:21:55.16 ...I want to put you on this next medication, but say, 00:21:55.19\00:21:58.08 "WHY... is there any way we can avoid drugs altogether" 00:21:58.11\00:22:01.92 and ask that question, is that what you're saying? 00:22:01.95\00:22:03.86 That's the message I try to give people. 00:22:03.89\00:22:05.26 It's a re-education because what we're trying to say 00:22:05.29\00:22:08.45 is we've got to move from this mentality as a society. 00:22:08.48\00:22:11.90 If I have a problem... I've got to take a drug. 00:22:11.93\00:22:14.18 There are problems for society, 00:22:14.21\00:22:15.97 we've talked about this before with antibiotic resistance. 00:22:16.00\00:22:18.55 There are problems for the individual, 00:22:18.58\00:22:19.95 whether it's allergy, whether it's other side effects, 00:22:19.98\00:22:22.71 and these are real issues that we need to talk about. 00:22:22.74\00:22:25.19 What about poisoning? 00:22:25.22\00:22:26.59 Well poisoning is an issue that most people say... 00:22:26.62\00:22:30.02 "Oh, it's not really a danger for me" 00:22:30.05\00:22:32.31 We've alluded to this in some of our discussions before, Don, 00:22:32.34\00:22:35.91 but most people may be aware that alcohol is something 00:22:35.94\00:22:39.81 dangerous when there are kids around. 00:22:39.84\00:22:41.80 Most people are aware that prescription drugs should be 00:22:41.83\00:22:44.81 kept out of the hands of children, 00:22:44.84\00:22:46.48 but they don't realize that when you keep powerful drugs 00:22:46.51\00:22:50.76 in your medicine cabinet, they may be at risk for YOU. 00:22:50.79\00:22:53.89 If you get down, if you get depressed, 00:22:53.92\00:22:56.18 YOU may be tempted to reach for 00:22:56.21\00:22:58.32 that bottle of sleeping pills and maybe just try to end it all 00:22:58.35\00:23:04.32 ...And so this is a real consideration. 00:23:04.35\00:23:06.18 Some of these medications can be toxic when taken 00:23:06.21\00:23:09.23 in large amounts and can be life-threatening. 00:23:09.26\00:23:11.19 Medications and accidents... 00:23:11.22\00:23:13.66 You know, a lot of people, when you talk to them about 00:23:13.69\00:23:15.57 accidents, you say - Well what kind of drugs cause accidents? 00:23:15.60\00:23:17.41 Well they say, "Illicit drugs, it's these drug abusers" 00:23:18.10\00:23:21.85 "Boy, if someone is driving wildly on the road, 00:23:21.88\00:23:24.19 they're probably taking cocaine or heroin. " 00:23:24.22\00:23:26.52 Actually if you look at the statistics - workplace injuries, 00:23:26.55\00:23:30.71 it's not illicit drugs that are causing the problem. 00:23:30.74\00:23:33.34 It's things like alcohol and prescription drugs. 00:23:33.37\00:23:36.22 Many of the drugs that we've been tempted to think 00:23:36.25\00:23:40.93 are innocuous and I say "tempted" 00:23:40.96\00:23:42.80 I think most people realize that medications are not as 00:23:42.83\00:23:46.55 squeaky-clean as we may like to believe. 00:23:46.58\00:23:50.12 And so... take for example anti-allergy pills... 00:23:50.15\00:23:53.42 Cold and flu preparations... 00:23:53.45\00:23:55.49 These drugs with antihistamines often can impair performance. 00:23:55.52\00:24:00.58 Very interesting study on the 00:24:00.61\00:24:02.17 drug "diphenhydramine or Benadryl" 00:24:02.20\00:24:04.30 VERY INTERESTING! 00:24:04.33\00:24:05.70 I was just going to ask about that... 00:24:05.73\00:24:07.10 Yeah, yeah... you were going to ask about Benadryl. 00:24:07.13\00:24:08.50 You've probably seen some of the research that has 00:24:08.53\00:24:10.73 come out lately because people who 00:24:10.76\00:24:13.47 have NO APPARENT performance- limiting effects from this drug 00:24:13.50\00:24:20.07 Benadryl or diphenhydramine which creeps into 00:24:20.10\00:24:22.59 all kinds of over-the-counter preparations, 00:24:22.62\00:24:24.70 their performance, when it's measured, is impaired! 00:24:24.73\00:24:27.45 Behind the wheel, they don't drive as well. 00:24:27.48\00:24:30.34 And if you talk about leading causes of accidents on the job, 00:24:30.37\00:24:34.28 it's not some guy on a scaffold up at 500 feet, 00:24:34.31\00:24:38.90 it's people behind the wheel, 00:24:38.93\00:24:40.42 and it's often these common drugs! 00:24:40.45\00:24:42.20 Whether it's Benadryl or something else, 00:24:42.23\00:24:43.80 it's impairing our cognitive abilities, 00:24:43.83\00:24:46.88 decreasing our mental faculties. 00:24:46.91\00:24:49.49 And I know it says it right on the package many times that 00:24:49.52\00:24:51.93 these things can, in fact, happen... 00:24:51.96\00:24:53.61 But most people just don't seem to get the message. 00:24:53.64\00:24:56.99 Well you know what? 00:24:57.02\00:24:58.39 We don't rely on what the message says, Don. 00:24:58.42\00:25:01.92 You know what we rely on? Our personal experience. 00:25:01.95\00:25:04.17 I FEEL FINE! 00:25:04.20\00:25:06.36 Same with the person who says "I can handle my alcohol" 00:25:06.39\00:25:08.87 Even a LITTLE BIT of alcohol 00:25:08.90\00:25:10.79 measurably impairs performance. 00:25:10.82\00:25:13.02 It's the same with many of these medications. 00:25:13.05\00:25:15.04 It's almost as though there are really some kind of 00:25:15.07\00:25:17.83 maybe even moral issues that are associated 00:25:17.86\00:25:21.98 with how we choose to take medications, 00:25:22.01\00:25:24.16 and maybe how we, as a country, manufacture them. 00:25:24.19\00:25:27.00 You know a lot of people would say this is 00:25:27.03\00:25:28.91 this is taking the issue too far, 00:25:28.94\00:25:30.67 but I've got to think of the example of our Lord... 00:25:30.70\00:25:34.89 As He was on the cross on that dark Friday, 00:25:34.92\00:25:38.34 He was offered an over-the-counter pain reliever, 00:25:38.37\00:25:41.76 and what did He do? 00:25:41.79\00:25:43.16 "I don't want it" He didn't want it. 00:25:43.19\00:25:44.56 Now WHY not? 00:25:44.59\00:25:45.96 He wanted to be fully aware about what was happening. 00:25:45.99\00:25:48.03 That's right... He didn't want to suppress His mental faculties 00:25:48.06\00:25:52.93 How does God communicate with us? 00:25:52.96\00:25:55.18 Through our mind. 00:25:55.21\00:25:57.11 And so JESUS, as He's there, 00:25:57.14\00:25:59.15 I mean - what kind of pain was He dealing with? 00:25:59.18\00:26:02.18 On a spiritual level, on a physical level, 00:26:02.21\00:26:04.64 and what do we pop pills for? 00:26:04.67\00:26:06.45 I'm NOT saying we can never use a pain pill. 00:26:06.48\00:26:08.98 I've been in situations where 00:26:09.01\00:26:11.06 I, myself, have even taken a pain pill. 00:26:11.09\00:26:13.27 Not typical, very unusual but I was in a serious 00:26:13.30\00:26:16.62 auto accident once and I did take some pain pills. 00:26:16.65\00:26:20.44 And there are situations in life where medications 00:26:20.47\00:26:24.34 may be the BEST response we know... 00:26:24.37\00:26:26.55 But too frequently, we resort to these things 00:26:26.58\00:26:30.99 when there are better alternatives, 00:26:31.02\00:26:32.53 and they would keep our minds clear 00:26:32.56\00:26:34.81 for God's communication. 00:26:34.84\00:26:36.76 Reminds me of another story in Scripture about 00:26:36.79\00:26:39.38 the first tempter in the Bible that being the serpent, 00:26:39.41\00:26:42.43 who said... take some of this and you'll feel better, 00:26:42.46\00:26:45.52 your mood will change, you'll get high, so-to-speak. 00:26:45.55\00:26:49.95 I mean it's a beautiful analogy! 00:26:49.98\00:26:51.79 ...Because Satan was telling Adam and Eve to deviate 00:26:51.82\00:26:54.91 Deviate from God's lifestyle program. 00:26:54.95\00:26:57.96 Deviate from this perfect plan He gave in Genesis. 00:26:57.99\00:27:00.97 It included everything there, not just relationship with God 00:27:01.00\00:27:04.20 but diet, exercise, fresh air, sunshine. 00:27:04.23\00:27:06.96 It was all there - these health-giving, 00:27:06.99\00:27:09.39 life-giving benefits and Satan said, "No take THIS" 00:27:09.42\00:27:13.38 I'm not trying to say all drugs are a temptation from Satan 00:27:13.41\00:27:16.95 ...you know, we've got to give that message. 00:27:16.98\00:27:19.15 But we have to be wise. We gotta be wise! 00:27:19.18\00:27:21.23 So you're not saying throw everything out. Definitely not 00:27:21.26\00:27:24.11 But you're saying - be wise about what you use, 00:27:24.14\00:27:26.21 why you use it, how you use it and consider all these issues. 00:27:26.24\00:27:29.83 We've been talking with Dr. David DeRose 00:27:29.86\00:27:31.83 He is a physician at the Lifestyle Center of America 00:27:31.86\00:27:34.75 He helps people UNTANGLE their medication difficulties 00:27:34.78\00:27:38.00 with the common illnesses that afflict Americans, 00:27:38.03\00:27:41.33 heart disease and diabetes 00:27:41.36\00:27:43.29 and other things also are addressed there. 00:27:43.32\00:27:46.35 We hope that you have enjoyed the program today, 00:27:46.38\00:27:48.82 and we hope that you'll be wise in using your medications 00:27:48.85\00:27:51.85 and directing and leading your family in that regard... 00:27:51.88\00:27:54.98 And we hope that you do consult with those 00:27:55.01\00:27:57.03 who really can help you if you have questions. 00:27:57.06\00:27:59.05