Vacation time

Hey all,

I am heading out on holiday for a week.

I will be without Internet or cellular service, which is something I am looking forward to. I have books to read, and I bought a notebook–the kind with paper. I thought I might try writing words with a pen and paper.

I tell you this because without a connection I can not approve comments. (The site is set so that those who have had one approved comment are automatically approved.)

Thanks for reading.

See you soon.


4 replies on “Vacation time”

I just read your piece on Medscape, “Five Lessons From the Niacin Failure”, and was in complete agreement until in your 4th point you referred to “lifestyle-related problems”. You just violated your 1st point and perhaps your 2nd. The only “lifestyle” issue, that a change has consistently produced significantly improved outcomes, is smoking cessation. I don’t consider smoking a lifestyle. It is an addiction and therefore a disease. Obesity is likely the result of a neuroendocrine, + possibly metabolic disorder with epigenetic components, yet to be clarified. Sedentary behavior may be the result of health changes, not the cause. Diet leading to disease, other than true vitamin deficiency and starvation, is more linked to association rather than causation. Humans are finely tuned omnivores. Evoking “bad diet” for the cause of disease is reminiscent of Galen’s malevolent humors.

To smoke that first pack of cigarettes or to leave it forever behind the convenience store counter is a lifestyle decision. Without that, there is no addiction.
Based on the now wide-spread societal knowledge of smoking consequences, I think it can be said that buying that first pack is a foolhardy lifestyle choice.

Dear John,
I have read your Niacine article on Medscape and wonder if you would comment similarly on B12 for vegans?
p.s. can you please send me ref. to the study on Vit.D supplement not helping those with deficiency.

Regarding flutter that was possibly induced by propafenone given for afib: if the flutter is the heart’s way of re-organizing the erratic afib currents, then by ablating the flutter only (right atrium), are we not taking away a potenetially advantageous way for the body to accomodate the afib?

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