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Good Medicine ®

PUBLISHED BY THE PHYSICIANS COMMITTEE FOR RESPONSIBLE MEDICINE | SPRING 2017 | VOL.XXVI, NO. 2

MISSING Government’s Animal Welfare Database


EDITORIAL

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What Does the New Administration Mean for Our Work?

On the other hand, both sides of the aisle helped bring progress on animal testing last year with the passage of the Lautenberg Act, which greatly favors nonanimal testing methods. This was the result of a successful roll-up-your-sleeves campaign that crossed the political divide. So the Physicians Committee will work with the executive branch, Congress, and the courts for good health, smart science, and compassionate research. As always, we approach our work with neither pessimism nor unfounded optimism, but with determination. Neal Barnard, M.D., F.A.C.C. President of the Physicians Committee

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he arrival of a new administration in Washington portends great changes in the political landscape. Many people are asking what this will mean for efforts to promote health, good nutrition, and ethical research. Will the new administration halt initiatives for healthy school meals and gut regulations that protect animals? Or will the opposite happen? Perhaps fiscal conservatives in the new administration will seek to end subsidies for the meat and dairy industries that drive up taxes and inflate health care costs. For now, it is too early to tell. The sudden disappearance of the USDA animal welfare database in February was not a good sign. The database lists animal welfare violations and, as we report in this Good Medicine, its removal was a boon to animal abusers. The Physicians Committee is now suing the federal government to restore the database, working with a coalition of groups that are affected by this unwelcome change. Troubling as this change at the USDA was, it is too early to judge what the next four years will bring overall. In the world of nutrition, neither side of the Troubling as this political aisle has been a vigorous champion. Both are consistently lobbied by the meat, dairy, and snack food industries and have responded with federal change at the USDA subsidies, industry-friendly regulations, and the thoughtless inclusion of unwas, it is too early to healthy foods in the Supplemental Nutrition Assistance Program (SNAP). The judge what the next last administration aimed to do better than its predecessors, declaring war on four years will bring childhood obesity with the Let’s Move! campaign, but beat a quick retreat unoverall. der intimidation by the food industry.


CONTENTS

SPRING 2017

Good Medicine® FROM THE PHYSICIANS COMMITTEE FOR RESPONSIBLE MEDICINE SPRING 2017 | VOL. XXVI, NO. 2 Editor in Chief Neal D. Barnard, M.D., F.A.C.C. Managing Editor/Designer Doug Hall Editor Michael Keevican Production Manager Lynne Crane Senior Web Designer Lisa Schulz SCIENTIFIC ADVISORY BOARD Ron R. Allison, M.D., 21st Century Oncology Ted Barnett, M.D., Rochester Lifestyle Medicine, PLLC; Borg & Ide Imaging, P.C. T. Colin Campbell, Ph.D., Cornell University Neil Cooper, M.D., M.H.A., M.Sc., Kaiser Permanente Brenda Davis, R.D. Garth Davis, M.D., The Davis Clinic Caldwell Esselstyn, Jr., M.D., The Cleveland Clinic Wellness Institute Joanne Evans, A.P.R.N., Healthy Nurses…Healthy Communities, LLC Joel Fuhrman, M.D., Nutritional Research Foundation Roberta Gray, M.D., Pediatric Nephrology Consultant Daran Haber, M.D., Riverview Medical Center Henry Heimlich, M.D., The Heimlich Institute David J.A. Jenkins, M.D., Ph.D., D.Sc., St. Michael’s Hospital, Toronto Lawrence H. Kushi, Sc.D., Division of Research, Kaiser Permanente John McDougall, M.D., Dr. McDougall’s Health & Medical Center Jeffrey I. Mechanick, M.D., Mount Sinai Hospital Baxter Montgomery, M.D., Montgomery Heart and Wellness Carl Myers, M.D., Switch Healthcare Ana Negrón, M.D. Robert Ostfeld, M.D., M.Sc., F.A.C.C., Montefiore Medical Center Affiliations are listed for identification only. Physicians Committee for Responsible Medicine Staff | Nabila Abdulwahab Data Processor | Zeeshan Ali, Ph.D. Program Specialist | Laura Anderson Communications Specialist | Court Anker Research Policy and Toxicology Assistant | Elizabeth Baker, Esq. Senior Science Policy Specialist | Neal Barnard, M.D. President | Brenda BrownIgboegwu Medical Office Assistant | Andrea Cimino Human Resources Specialist | Sierra Coppage, M.S. Communications Coordinator | Deniz Corcoran Data Entry Manager | Lynne Crane Production Manager | Cael Croft Associate Designer | Sossena Dagne Data Processor | Dania DePas, M.A. Director of Communications | Paula Diaz Leite Human Resources and Office Services Assistant | Jill Eckart, C.H.H.C. Managing Director of Nutrition | Rosendo Flores Nutrition and Clinical Research Coordinator | Carolyn Forte Project Manager | Jessica Frost Public Relations Manager | Noah Gittell Director of Philanthropy, Eastern Region | Stacey Glaeser, S.P.H.R. Vice President of Human Resources | Doug Hall Vice President of Publications | Esther Haugabrooks, Ph.D. Toxicologist | Jodie Hayward Accounts Payable Coordinator | Meghan Jardine, M.S., M.B.A., R.D., L.D., C.D.E. Associate Director of Diabetes Nutrition Education | Eric Jonas, Ph.D. Development and Advocacy Specialist | Hana Kahleova, M.D., Ph.D. Director of Clinical Research | Stephen Kane, C.P.A. Vice President of Finance | Christine Kauffman Research and Education Programs Specialist | Noah Kauffman Communications Assistant | Michael Keevican Managing Editor | Jessica Kelly Project Manager | Mark Kennedy, Esq. Vice President of Legal Affairs | Ann Lam, Ph.D. Senior Medical Research Specialist | Susan Levin, M.S., R.D. Director of Nutrition Education | Feng-Yen Li, Ph.D. Medical Research Specialist | Bonnie MacLeod Director of Institutional Giving | Elizabeth Mader Senior Corporate Liaison | Lynn Maurer Associate Designer | Jeanne Stuart McVey Media Relations Manager | Ryan Merkley Director of Research Advocacy | Margaret Neola Dietitian | Josh Oviatt Food for Life Program Manager | Brandalyn Patton Fundraising Program Manager | John Pippin, M.D. Director of Academic Affairs | Reina Pohl, M.P.H. Communications Coordinator | Dawnyel Pryor Educational Programs and Marketing Director | Cindy Ripley Human Resources Specialist | Leslie Rudloff, Esq. Senior Counsel | Rose Saltalamacchia Assistant to the President and Nutrition Project Coordinator | Alyssa Schaefer Development Coordinator | Lisa Schulz Web Designer | Karen Smith, R.D. Senior Manager of Clinical Dietetics | Erica Springer Director of Philanthropy, Western Region | Kristie Sullivan, M.P.H. Vice President of Research Policy | Jeff Surak Senior Digital Strategist | Kalpesh Suthar Senior Accountant | Caroline Trapp, M.S.N., A.P.R.N., B.C.-ADM, C.D.E. Director of Diabetes Education and Care | Francesca Valente Nutrition Programs Specialist | Anne Marie Vastano Special Events Manager | Ashley Waddell Director of Philanthropy, Western Region | Betsy Wason, C.F.R.E. Vice President of Development | Rod Weaver Data Manager | Christopher Wright Staff Accountant | Jia Xu, Ph.D. Program Specialist | Craig Ziskin Director of Annual Giving | Barnard Medical Center Staff | Manuel Calcagno, R.M.A. Medical Assistant | Ginnette Badran Medical Assistant | Mandy Gleason Medical Office Coordinator | Mellissa Gohacki Medical Practice Manager | Emily Kasmar, M.S., A.G.P.C.N.P.-B.C. Nurse Practitioner | James Loomis, M.D., M.B.A. Medical Director | Nilufa Mahbuba Patient Care Coordinator | Brenda Brown-Igboegwu Medical Office Assistant | Steven Neabore, M.D. Medical Doctor

RESEARCH ISSUES 6 Missing: Government’s Animal Welfare Database 4

9 Roadmap to Ending Lethal Animal Tests

A New Approach to Dementia Research

10 Simulation Replaces Live Animal Use in Paramedic Training

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Take Action: Ask Vanderbilt University to Modernize Medical Training

11 End of Live Animal Use in Emergency Medicine Training

Remembering Henry J. Heimlich

12 Good Science Digest

Paving the Way for Modern Drug Testing

PREVENTION AND NUTRITION 11

14 Register Now for the International Conference on Nutrition in Medicine 15 Diet, Stress, and Cellular Aging 16 Protect Your Caboose

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Mississippi Hospital Stops Serving #HazardousHotDogs

17 Get Junk Food Out of SNAP

Dietary Prescription for Optimal Heart Health

DEPARTMENTS 4 THE LATEST IN... 13 MEDIA What’s Trending? 15

18 MEMBER SUPPORT 20 PCRM MARKETPLACE 23 INFOGRAPHIC Don’t Be Cheesy 24 PHYSICIAN PROFILE Anthony Lim, M.D., J.D.: Helping Patients Break through the Weight Plateau COVER: THINKSTOCK

16 PhysiciansCommittee.org Good Medicine is published by the Physicians Committee for Responsible Medicine, 5100 Wisconsin Ave., NW, Suite 400, Washington, DC 20016, tel 202-686-2210, fax 202-686-2216. It is distributed as a membership benefit to Physicians Committee members. Basic annual membership is $20 (tax-deductible). The Physicians Committee promotes good nutrition, preventive medicine, ethical research practices, and compassionate medical policy. Readers are welcome to reprint articles without additional permission. Please include the credit line: Reprinted from Good Medicine, Spring 2017, Physicians Committee for Responsible Medicine. Articles may not be reprinted for resale. Please contact the Physicians Committee at permissions@pcrm.org regarding other permissions. ©Physicians Committee 2017. Good Medicine is not intended as individual medical advice. Persons with medical conditions or who are taking medications should discuss any diet and lifestyle changes with their health professional. “Good Medicine”, “Physicians Committee for Responsible Medicine,” “PCRM,” “The Cancer Project,” “Humane Charity Seal,” and “The Gold Plan” are registered trademarks of The PCRM Foundation.

PCRM Phone Extensions 202-686-2210 Research Issues..........................ext. 336 Literature Requests......................ext. 306 Media........................................ext. 316 Membership (change of address, duplicate mailings, renewal questions).......ext. 304 Nutrition.....................................ext. 395

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THE LATEST IN…

RESEARCH BRAIN HEALTH

Tchaikovsky, Not Cheese; Beethoven, Not Bacon: Music Is Good for Mind and Mood

t the upcoming International Conference on Nutrition in Medicine, sponsored by the Physicians Committee and the George Washington University School of Medicine, the two days of scientific presentations will include a lighthearted look at the brain. It turns out that the brain’s reward center can be turned on by alcohol, drugs, junk food—and music. Two recent studies demonstrate the effects of music on the brain. A small randomized control trial tested Kirtan Kriya meditation and classical music listening in 30 adults with cognitive decline. Participants showed statistically significant improvements after three months of daily 12-minute

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exercises. The cognitive benefits were sustained for at least another three months when the participants electively continued their exercises. Another study found that genes play a role in determining if music improves a person’s mood. Researchers tested the genes of 38 people and identified two variations in the dopamine D2 receptor gene, which regulates mood. The subjects then underwent brain imaging during the performance of a task while listening to music. Mood was assessed before and after the task. Results showed mood improvement after music exposure in participants with one variation of the gene. The researchers say the results suggest that even a nonpharmacological intervention such as music might regulate mood at both the behavioral and cellular level. So, can music turn down your desire for junk food? Find out at Sex, Dopamine, and Rock ‘n Roll: How Foods Affect the Brain at the Physicians Committee’s International Conference on Nutrition in Medicine on July 28-29, 2017, in Washington, D.C. Visit ICNM17.org to register. Innes KE, Selfe TK, Khalsa DS, Kandati S. Meditation and music improve memory and cognitive function in adults with subjective cognitive decline: a pilot randomized controlled trial. J Alzheimers Dis. 2017;56:899-916. Quarto T, Fasano MC, Taurisano P, et al. Interaction between DRD2 variation and sound environment on mood and emotion-related brain activity. Neuroscience. 2017;341:9-17.

Blood-Brain Barrier on a Chip

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| GOODMEDICINE SPRING2017 2017| GOOD MEDICINE SPRING

VANDERBILT UNIVERSITY

he blood-brain barrier (BBB) serves as a gateway in the brain to deliver nutrients to brain cells and keep out harmful compounds. Breakdown of the BBB is a characteristic of many neurological diseases, including Alzheimer’s disease. Researchers from the Vanderbilt Institute for Integrative Biosystems Research and Education recently created a model of the BBB on a chip that can help replace the use of animal models to test the safety and efficacy of new drugs. The chip consists of two chambers (vascular and brain) connected by a porous membrane that allows the cells in each chamber to communicate with each other. The chip has been used to assess how the BBB responds to inflammation, a common feature of many neurological diseases.

Brain cells are represented on top; bioengineered vessels on the bottom. The membrane between represents the blood-brain barrier. Brown JA, Pensabene V, Markov DA, et al. Recreating blood-brain barrier physiology and structure on chip: A novel neurovascular microfluidic bioreactor. Biomicrofluidics. 2015;9:054124.


THE LATEST IN…

NUTRITION COLORECTAL CANCER

Colorectal Cancer Rates Rise among American Young Adults

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olorectal cancer rates are on the rise for young people, according to a study published by the National Cancer Institute. Researchers tracked cancer incidence rates for 490,305 participants from the Surveillance, Epidemiology, and End Results (SEER) Program areas. For those within the 20 to 39 year age range, cancer rates increased as much as 2.4 percent each year since the 1980s and through the 1990s. When compared to those born in the 1950s, those born around 1990 have double and quadruple the risks of colon and rectal cancers, respectively, due to low-fiber diets, high consumption of processed meats, and lack of physical activity. The authors call for preventive measures and healthful eating patterns to reduce risk factors associated with colorectal cancer. See page 16 to learn about Physicians Committee campaigns to ban processed meats from children’s hospitals, Veterans Affairs medical centers, and Amtrak menus.

Milk Consumption Increases Mortality

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igh dairy consumption increases overall mortality, according to a study published online in the American Journal of Epidemiology. Researchers followed milk, fruit, and vegetable consumption for more than 140,000 participants. Those who consumed the most milk and the fewest servings of fruits or vegetables had higher mortality rates. The increase in risk was almost three-fold among the women participants. The authors suspect increased oxidative stress from components in the milk as the reason behind the elevated mortality risk, while antioxidants found in fruits and vegetables reduce oxidation and mitigate the risk. Michaëlsson K, Wolk A, Melhus H, Byberg L. Milk, fruit and vegetable, and total antioxidant intakes in relation to mortality rates: cohort studies in women and men. Am J Epidemiol. Published online February 10, 2017.

Siegel RL, Fedewa SA, Anderson WF, et al. Colorectal cancer incidence patterns in the United States, 1974-2013. J Natl Cancer Inst. Published online February 28, 2017.

HEALTH DISPARITIES

Increased Risk of Death from Heart Disease and Diabetes for SNAP Participants

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USDA

EARLY DEATH

articipants of the Supplemental Nutrition Assistance Program (SNAP) increase their risk of death from chronic disease, compared with those who do not participate in the program, according to a study published in the American Journal

of Public Health. Researchers monitored mortality rates for 499,741 U.S. adults and found that SNAP (formerly known as food stamps) participants increased their risk of death from heart disease and had three times the diabetes mortality rate when compared to incomeineligible nonparticipants. Researchers also observed an increased risk for SNAP participants when compared to income-eligible nonparticipants. The authors call for public health policies that prioritize low-income health education and improvements to the SNAP program in order to improve health concerns among this population. See page 17 to learn about the Physicians Committee’s plan to improve the healthfulness of SNAP. Conrad Z, Rehm CD, Wilde P, Mozaffarian D. Cardiometabolic mortality by Supplemental Nutrition Assistance Program Participation and eligibility in the United States. Am J Pub Health. 2017;107:466-474.

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RESEARCH ISSUES

MISSING Government’s Animal Welfare Database On Feb. 3, 2017, it disappeared. Without warning, the USDA shut it down. So on Feb. 13, 2017, the Physicians Committee and a coalition of other organizations took legal action to bring it back.

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RESEARCH ISSUES

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hen Flo was young, she was injected with chemicals, including phencyclidine (“angel dust”). By the time she was in her 50s, she was at risk of dying under anesthesia because of her chronic weight loss, anemia, abnormal heart rhythm, and age. Despite her fragile health, the National Institutes of Health was planning on transferring Flo and 185 other chimpanzees from semiretirement to a research facility that conducted experiments on chimpanzees. The Physicians Committee stopped the transfer using records from the U.S. Department of Agriculture’s publicly available animal welfare database, the Animal Care Information System, which revealed that the facility had violated the Animal Welfare Act more than 30 times in five years. On Feb. 3, 2017, that database disappeared. Without warning, the USDA shut it down. So on Feb. 13, 2017, the Physicians Committee and a coalition of other organizations took legal action to bring it back. The following day, 100 members of Congress sent a letter to President Donald Trump asking that the database be restored. Four days later, the USDA restored a few documents, but most remain hidden from public view. “In our work to replace animal use, the Physicians Committee depended on the U.S. Department of Agriculture’s animal welfare database,” says Mark Kennedy, Esq., Physicians Committee vice president of legal affairs. “The simple solution is to immediately restore the database.”

Crucial to Physicians Committee Campaigns

Hindering Human-Relevant Research

A 2011 Physicians Committee report detailed how a primate (later revealed to be an endangered cotton-top tamarin) was found dead in a cage at the Harvard facility after going through a machine that uses near-boiling water and caustic chemicals to wash cages. Later, the Physicians Committee helped reveal other accounts of animal deaths and mistreatment, including a monkey dying after receiving an overdose of anesthetics and another cotton-top tamarin dying of dehydration because staff failed to place a water bottle in his cage. Records from these incidents provided grounds for a federal Endangered Species Act complaint, because Harvard was negligently harming and

The USDA database included inspection reports of research facilities, testing laboratories, and other institutions regulated under the federal Animal Welfare Act and Horse Protection Act. It also included research and testing facilities’ annual reports, which allowed the public to see how many Animal Welfare Act-covered animals were used, organized by species. Without this information, the Physicians Committee will have to file Freedom of Information Act (FOIA) requests to obtain documents previously available in the online database. These requests can take months or years to complete and may require legal appeals or even lawsuits to obtain the information that used to be freely available. The lawsuit requests that the USDA and the Animal Plant Health and Inspection Service immediately make the records available to the Physicians Committee and other organizations. It also requests that future records are made immediately available without requiring a FOIA request. At the time Good Medicine went to print, the database had not been restored. Visit PCRM.org/Database to tell Congress that the USDA must restore its animal welfare database.

These are just a few examples of how the database helped the Physicians Committee achieve advancements in medical research and training: Harvard University’s New England Primate Research Center Closes

The day after the Physicians Committee filed its lawsuit, 100 members of Congress sent a letter to President Donald Trump asking that the database be restored. GOOD MEDICINE | SPRING 2017

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RESEARCH ISSUES

killing cotton-top tamarins, a critically endangered species. In May 2015, Harvard closed the New England Primate Research Center. University of Virginia Ends Use of Cats for Pediatrics Training

NASA Cancels Plans to Irradiate Monkeys

Chimpanzee Experiments End in the United States

SPRING 2017 | GOOD MEDICINE

In November 2010, the National Aeronautics and Space Administration (NASA) announced plans to irradiate squirrel monkeys in a misguided attempt to learn the effects of deep-space radiation. Due to the basic anatomical and physiological differences between humans and squirrel monkeys (who weigh less than 2.5 pounds), these experiments were destined to fail. The Physicians Committee used records from the USDA database to reveal repeated violations of the Animal Welfare Act at the two laboratories where the experiments were to be conducted. These violations included multiple failures to ensure that procedures were in place to limit discomfort and pain in animals—a basic rule of the law. Using these documents and working with members of Congress, former researchers, and even a former NASA engineer who resigned her post in protest, the Physicians Committee was able to halt the experiments before they began in little more than a year. The effort sent a strong message to NASA that it must more carefully consider the lack of scientific evidence for using animals in experiments.

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In 2010, the Physicians Committee launched a national campaign to end the use of live cats in the teaching of pediatrics residents at the University of Virginia. Physicians-in-training at UVA repeatedly forced breathing tubes down the throats of cats, a procedure that can cause tracheal bleeding, scarring, and severe pain. This was being done despite the widespread availability of human-relevant training methods modeled on human anatomy. Records obtained via the USDA database showed that the supplier of cats to UVA—Liberty Research in Waverly, N.Y.—habitually provided kittens with half as much space as required by the Animal Welfare Act during shipping to facilities like UVA. The company was cited 11 times in just an eight-month period for violating this section of the law. Sending these records to reporters helped generate media coverage and drive people to an online petition that gathered more than 185,000 signatures urging UVA to modernize its medical training. In 2013, UVA made the decision to end animal use and adopt the remaining cats to homes.

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In 2010, the Physicians Committee discovered that NIH was planning to transfer 186 chimpanzees from semiretirement to a research facility in San Antonio, Texas. However, the USDA database revealed that the facility— the Southwest National Primate Research Center—had violated the Animal Welfare Act more than 30 times in five years. Using this information, the Physicians Committee filed numerous federal petitions and brought the information to the attention of media outlets and members of Congress. That exposure was an important part of a broad campaign by the Physicians Committee and other organizations, which ultimately halted the chimpanzees’ transfer. It also served as the beginning of the end of chimpanzee experimentation in the United States. In 2015, after years of work, NIH announced that the last chimpanzees kept in reserve would be retired.


RESEARCH ISSUES

Roadmap to Ending Lethal Animal Tests

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ens of thousands of dogs, cats, rats, mice, and rabbits are killed each year in Lethal Dose 50 chemical tests. A new paper co-authored by the Physicians Committee’s Kristie Sullivan, M.P.H., in the journal Toxicology In Vitro outlines steps to replace these tests with human-relevant methods. Because of species differences, LD50 tests—which test toxicity by forcing animals to inhale or consume chemicals or have chemicals spread on their skin—often do not translate to humans. However, the tests are required to be conducted by several government agencies in the United States and around the world.

The paper summarizes discussions and recommendations from a workshop at the National Institutes of Health co-sponsored by the Physicians Committee. The Environmental Protection Agency already announced the finalization of a rule recommended at the workshop that allows the waiving of dermal (skin) LD50 studies for pesticide formulations, saving 2,500 rabbits each year. More than 60 toxicologists from the Department of Defense, the EPA, the Department of Transportation, the Consumer Product Safety Commission, and several chemical companies and universities attended the workshop. The work-

shop sponsors met this March at the Society of Toxicology annual meeting to review ongoing progress on other workshop recommendations.

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A New Approach to Dementia Research

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ince decades of animal experiments have failed to produce meaningful treatments or cures for Alzheimer’s disease, the focus must shift to human-relevant research. That’s the message Physicians Committee researchers had for scientists attending the American Association for the Advancement of Science’s Annual Meeting in February. “Population studies and other human-focused research suggest that the risk of developing Alzheimer’s and other dementias can be reduced with changes to diet and other modifiable lifestyle factors,” says Ann Lam, Ph.D., senior medical research specialist at the Physicians Committee, who chaired “Shifting Perspectives on

Dementia, Science, and Health Policy.” The symposium also included a presentation by Physicians Committee president Neal Barnard, M.D., who provided an overview of the failures of animal models in Alzheimer’s research. He also discussed human-based clinical studies on dementia prevention

and how to better integrate nutrition and lifestyle factors into research design. Drs. Barnard and Lam were joined by Rhoda Au, Ph.D., the director of neuropsychology for the Framingham Heart Study, and Jessica Langbaum, Ph.D., the associate director of the Alzheimer’s Prevention Initiative at Banner Alzheimer’s Institute. The American Association for the Advancement of Science is the world’s largest multidisciplinary scientific society and publisher of the journal Science. PCRM.org/Alzheimers

Ann Lam, Ph.D., Neal Barnard, M.D., Jessica Langbaum, Ph.D., and Rhoda Au, Ph.D. GOOD MEDICINE | SPRING 2017

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RESEARCH ISSUES

Simulation Replaces Live Animal Use in Paramedic Training day that the Physicians Committee filed a federal complaint, signed by Physicians Committee doctor members Munish and Bandana Chawla, alleging that the animal use was in violation of the Animal Welfare Act.

Drs. Munish and Bandana Chawla

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aylor College of Medicine and the Montgomery County Hospital District announced on Jan. 12 that human-based training methods have

replaced the use of pigs and they “do not have any live animal training planned in the future.” The announcement came the same

MCHD also cited its commitment to nonanimal training methods: “We believe it’s in the best interests of our patients and the community to provide our staff with the most up to date tools and methods of training...” The Physicians Committee continues to urge the paramedic training program at the University of Washington in Seattle to do the same. WashingtonDeservesBetter.org

TAKE ACTION

Ask Vanderbilt University to Modernize Medical Training

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www.NashvilleDeservesBetter.org

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SPRING 2017 | GOOD MEDICINE

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lease ask Vanderbilt University School of Medicine to immediately end the use of live goats and pigs in its emergency medicine residency. Ninety percent of surveyed emergency medicine residency programs in the United States use human-based methods to train students. In fact, Vanderbilt already has a state-of-the-art simulation center that could easily replace the use of animals with modern medical simulation. To ensure that our future emergency care physicians are receiving educationally and ethically superior training methods, please ask Vanderbilt to end the use of animals immediately.


RESEARCH ISSUES

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End of Live Animal Use in Emergency Medicine Training

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fter months of pressure from the Physicians Committee and its members, the University of North Carolina at Chapel Hill announced on Jan. 31 that it will cease the use of live animals in its emergency medicine training program. “Residents will solely use simulation models for emergency medicine training,” Karen McCall, chief communications and marketing officer for UNC Heath Care, told the Physicians Committee in an e-mail message.

Emergency medicine training at UNC previously involved cutting into live pigs to practice procedures. After the training sessions, the animals were killed. “Not only is the pig model less relevant, it offers no advantage in proficiency and is inhumane,” Roberta Gray, M.D., a Physicians Committee member and retired UNC faculty member, told the university’s board of governors on Jan. 13. The Physicians Committee also filed a complaint with the U.S. Department of Agriculture’s Eastern Region Animal Care office, citing violations of the Animal Welfare Act. Ninety percent of U.S. emergency medicine residency programs surveyed by the Physicians Committee use only nonanimal education methods. Roberta Gray, M.D.

Remembering Henry J. Heimlich

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he Physicians Committee salutes the life and career of Henry J. Heimlich, M.D., an innovative and influential physician who died in December. The Heimlich maneuver, for which he is known, has saved countless lives. But it was Dr. Heimlich’s unwavering compassion, and his refusal to support animal experiments, which consistently impressed his colleagues. In 2005, he gave his name for the Physicians Committee’s Henry J. Heimlich Award for Innovative Medicine, an award that recognizes innovation in medicine. Dr. Heimlich’s work with the Physicians Committee began in the late 1980s, when he spoke out against the dog experiments some had proposed for

Henry Heimlich, M.D., with actress Lisa Edelstein at the Physicians Committee’s 25th Anniversary Gala in 2005.

testing the Heimlich maneuver. He later narrated a video produced by the Physicians Committee and the Massachusetts General Hospital to illustrate Harvard Medical School’s new alternative to animal laboratories in medical education. Working with the Physicians Committee, he produced a series of public service announcements on first aid, preventive medicine, and nutrition, and spoke out

for the reform of federal dietary guidelines. “Dr. Heimlich was the embodiment of innovation, compassion, and getting the job done,” says Physicians Committee president Neal Barnard, M.D., F.A.C.C. “His work has inspired researchers and medical students to break convention, think creatively, and focus on what counts: saving lives.”​ GOOD MEDICINE | SPRING 2017

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RESEARCH ISSUES

Good Science Digest

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ood Science is the Physicians Committee’s new online digest covering advances in and obstacles to 21st-century technology that will improve human health. In the “inaugural” post, Physicians Committee scientists gave President Donald Trump five policy recommendations to advance human health research during his administration. Good Science has also covered topics including the USDA’s shutdown of its animal welfare database and the need to change clinical research approaches in studying Alzheimer’s disease.

Paving the Way for Modern Drug Testing THINKSTOCK

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inety-five percent of drugs that appear safe and effective in animal tests later fail in humans, yet preclinical animal testing is still routine practice. On Jan. 11, the Physicians Committee’s Elizabeth Baker, Esq., Kristie Sullivan, M.P.H., and Charu Chandrasekera, Ph.D., hosted a roundtable on overcoming the scientific, legal, and educational issues that stifle preclinical innovation

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SPRING 2017 | GOOD MEDICINE

and endanger patient health, with a particular focus on moving away from animal tests. “History has shown that preclinical tests on animals—including dogs, cats, monkeys, pigs, mice, and rats—often fail to provide safety and efficacy information to protect patients,” says Baker. “But innovative technologies, such as organs-onchips, are faster and cheaper than animal

tests and can provide information that is more relevant to humans.” Recommendations from roundtable participants—including representatives from patient, research, and health organizations, federal agencies, technology developers, academia, and the pharmaceutical industry—include a publication on the issue and working groups to address the problem.


MEDIA

WHAT'S TRENDING? (The Physicians Committee, of course!)

“The Physicians Committee for Responsible Medicine…has led efforts to eliminate animal use in medical schools.” —The Death of Animals in Medical School

“If one’s goal is to lose weight, there is something to be said for not teasing yourself with occasional doses of the very food that caused the problem in the first place. Better to end that bad love affair.”

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—Physicians Committee president Neal Barnard, M.D., in Doctor’s Book Presents the Case Against ‘Dairy Crack’

“I’m really pleased that they looked at the evidence and saw that the training with simulators is just as good, if not better, and it doesn’t harm any animals.” —Physicians Committee member Roberta Gray, M.D., in UNC School of Medicine Will No Longer Use Animals for Training

PCRM.org/Trending

“Perhaps the best way to cultivate a healthier microbiome is to eat more fiber by consuming more fruit, vegetables, whole grains, legumes, and nuts or seeds.” —The Physicians Committee’s Meghan Jardine in A Gut Makeover for the New Year

1. Fill up with Fiber. Aim for about 40 grams a day. 2. Favor Green Vegetables. Eat at least one leafy green vegetable each day. 3. Ditch Problem Foods. If cheese, meat, chocolate, and sugar derail weight-loss efforts, leave these foods aside for a few weeks. See how you feel. 4. Exercise. Do 40 minutes of moderate aerobic exercise a few times a week. 5. Sleep. Aim for 7 to 9 hours of sleep each night. 6. Social Support. Take advantage of peer pressure by creating your own social support groups. Find out more at PCRM.org/NBBlog

CONNECT Facebook.com/PCRM.org • Facebook.com/NealBarnardMD • Facebook.com/21DayKickstart Twitter.com/PCRM • Pinterest.com/PCRMorg • Instagram.com/PhysiciansCommittee Youtube.com/PCRM • PCRM.org/NBBlog GOODMEDICINE MEDICINE| |SPRING SPRING2017 2017 GOOD

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Cutting-Edge Research:

Practical:

New insights on Alzheimer’s disease Nutrition essentials Science of telomeres Shared medical visits, easier billing, and more Foods and heart failure Preventing and reversing the top 15 killers Insights from a nutrition-based practice Changing food policy

GI:

Evaluating the problem gut Gut permeability and autoimmune disease The microbiome and TMAO

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Metabolism: High-fat diets The thermic effect of food Breaking through the weight plateau


PREVENTION & NUTRITION

Diet, Stress, and Cellular Aging

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indy Leung, Sc.D., M.P.H., from the University of California, San Francisco, will present Diet, Stress, and Cellular Aging at the Physicians Committee’s International Conference on Nutrition in Medicine on July 28-29, 2017, in Washington, D.C. Below she answers a few questions about her Cindy Leung, Sc.D., M.P.H. presentation. Visit ICNM17.org to learn more about the conference and register.

change over time in a pilot study of pregnant women at UCSF. In both studies, we found that consuming sugary drinks was associated with shorter telomere length. What other foods or beverages accelerate cellular aging? Although the research in this area is still emerging, there is evidence to suggest that fruit and vegetable consumption is associated with longer telomere length, and consumption of processed meats is associated with shorter telomere length. A few studies have shown that consuming a Mediterranean-type diet is associated with longer telomere length. Do other lifestyle factors play a role? Smoking or having a high body mass index has been associated with shorter telomere length. On the other hand, physical activity has been associated with longer telomere length. These lifestyle factors also play a role in many chronic diseases, so cellular aging is another reason why we should engage in a healthy overall lifestyle.

How do lifestyle choices cause cellular aging? Telomeres are the caps at the end of our chromosomes that protect our DNA from damage. Telomere length naturally shortens with age, but is also influenced by lifestyle factors like diet, physical activity, smoking, and stress. If telomere length falls to a critical short length too soon, the cell is no longer able Telomeres and Cellular Aging to divide and can malfunction. Telomere length is a marker of cellular aging. How does this affect health? Short telomere length has been linked with higher risks of chronic disease, including cardiovascular disease, diabetes, and some cancers. Your research shows sugarsweetened sodas can affect cellular aging. We know from prior studies that drinking soda is associated with weight gain and increased risk of diabetes and cardiovascular disease. Given that telomeric shortness has been linked with many of these same diseases, it was a logical step to examine the relationship between consumption of sodas and other sugary drinks and telomere length. We first conducted a study in a large and nationally representative survey of healthy adults. Next, we examined how these associations

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PREVENTION & NUTRITION

Protect Your Caboose

The World Health Organization recently determined that processed meats are “carcinogenic to humans,” highlighting a meta-analysis that found an 18 percent increased cancer risk per 50 grams of processed meat consumed daily. Researchers also observed associations between red and processed meat products and stomach, pancreatic, and prostate cancers. In February, the Physicians Committee submitted a petition to newly appointed Secretary of Veterans Affairs David Shulkin, M.D., urging him to protect veterans by eliminating processed meats at all VA medical centers, clinics, and other sites of care. THINKSTOCK

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mtrak is putting its passengers at risk by serving hot dogs and other processed meats. So the Physicians Committee submitted a legal petition on March 1,

the start of Colorectal Cancer Awareness Month, urging Amtrak to protect passengers from colorectal cancer risk by eliminating processed meats from its menus.

Mississippi Hospital Stops Serving #HazardousHotDogs

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niversity of Mississippi Medical Center in Jackson, Miss., announced on March 7 that the hospital will stop serving hot dogs to patients. In February, the Physicians Committee placed a billboard and sent a letter urging UMMC’s Batson Children’s Hospital to protect patients from #HazardousHotDogs, which are linked to increased colorectal cancer risk. Physicians Committee members also signed a petition to Batson’s CEO, as well as the CEOs of other children’s hospitals. “UMMC will be implementing a new menu on approximately April 1st and hot dogs will no longer be served,” said a UMMC dietitian in an e-mail to the Physicians Committee. The Physicians Committee also placed ads near other children’s hospitals in the “colon cancer corridor,” nine states with high death rates from colorectal cancer: Ohio, West Virginia, Kentucky,

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Tennessee, Alabama, Mississippi, Louisiana, Arkansas, and Oklahoma. Billboards were posted near the Children’s Hospital of Alabama in Birmingham and Nationwide Children’s Hospital in Columbus, Ohio. The Children’s Hospital at OU Medical Center in Oklahoma City and Monroe Carell Jr. Children’s Hospital in Nashville were targeted with bus shelter ads. In Nashville and Little Rock, buses displayed interior ads.

A corresponding report found that 72 percent of surveyed children’s hospitals nationwide serve hot dogs to patients. The World Health Organization warns that processed meats, including hot dogs, are “carcinogenic to humans” and there is no amount safe for consumption. According to a recent study published in JAMA Surgery, colon cancer is increasing in young people. MakeHospitalsHealthy.org


PREVENTION & NUTRITION

Get Junk Food Out of SNAP

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conomically disadvantaged people deserve good food and good health. In the American Journal of Preventive Medicine, Physicians Committee researchers recently suggested a plan to give them both by getting junk food out of the Supplemental Nutrition Assistance Program, formerly known as food stamps. Compared to higher income populations, SNAP recipients are 70 percent more likely to have type 2 diabetes and 19 percent more likely to have hypertension. Foods purchased with SNAP benefits may contribute to this health disparity. Recent research shows that 55 percent of SNAP benefits are used for meats, sweetened beverages, prepared foods and desserts, cheese, salty snacks, candy, and sugar, while just 23.9 percent are spent

on fruits, vegetables, grains, nuts, beans, seeds, and spices. But by aligning SNAP with plantbased eating recommendations in the 2015-2020 Dietary Guidelines for Americans, participants could fight diet-related diseases, according to Physicians Committee study authors Neal Barnard, M.D., F.A.C.C., and Susan Levin, M.S., R.D. The Physicians Committee’s plan could also save the USDA $26 billion each year, which could be reinvested into the program to further alleviate food insecurity. More than half of SNAP recipients support this alignment, according to recent surveys. Between 55 and 88 percent favor program expansion and incentives for healthful food purchases.

Dietary Prescription for Optimal Heart Health

Caldwell Esselstyn Jr., M.D.

W

Dean Ornish, M.D.

hat is the healthiest diet for your heart? A whole-food, plant-based diet, according to Physicians Committee president Neal Barnard, M.D., F.A.C.C., and 11 other nutrition experts who recently analyzed the latest nutrition trends in the Journal of the American College of Cardiology. Dr. Barnard and co-authors, including Caldwell Esselstyn Jr., M.D., Dean Ornish, M.D., and Kim Williams, M.D., reviewed the latest research behind

Kim Williams, M.D.

popular food trends to create an evidence-based prescription that provides clinicians with a quick guide to relay to patients in a clinical setting. Recommendations

• Leafy green vegetables, berries, and plant proteins, such as lentils and beans, earn top accolades for supporting cardiovascular function. • Although olive oil, canola oil, sunflower oil, and nuts provide monounsaturated

and polyunsaturated fats, which are considerably more healthful than animal fats, they should be limited due to their high calorie content. • Dietary cholesterol should be limited or, better, avoided altogether. • Gluten-containing foods need be avoided only if patients have sensitivities or allergies. A gluten-free diet reduces morbidity and mortality for people with celiac disease, which is about 1 or 2 percent of the population. Nonceliac gluten sensitivity may impact 6 percent of the population. GOOD MEDICINE | SPRING 2017

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MEMBER SUPPORT

Making Member Connections in Los Angeles

Jane Velez-Mitchell

Dr. Neal Barnard, Marilu Henner, Simone Reyes and Yoda, James Costa, and Michael Brown

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n January, Marilu Henner, Jane Velez-Mitchell, James Costa, and Physicians Committee members attended our Leadership Summit in Los Angeles to meet with Physicians Committee staff and learn about the latest developments and challenges in our campaigns. Marilu Henner interviewed Dr. Neal Barnard about his new book, The Cheese Trap, and shared her own experiences with the not-so-healthy side of cheese. Jane Velez-Mitchell shared the event on Facebook Live, showing attendees how to be creative online activists. And special guest Colleen Holland, VegNews publisher, spelled out the latest plant-based trends and treats. Truly a day well spent! There is a Leadership Summit planned for Saturday, April 22, in Washington, D.C. If you are interested in attending, please contact Anne Marie Vastano at 202-717-8762.

Dr. Adina Mercer, Food for Life instructor Lisa Karlan, Amy Jean Davis, Colleen Holland, and Ellen Levinthal

See page 21 to order your own copy of The Cheese Trap now.

Are You a Secret Admirer?

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ave you included the Physicians Committee for Responsible Medicine in your estate plans and haven’t told us? Please let us know; we want to thank you and activate your Lifetime Partner status!

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Every year, the Physicians Committee receives bequests from members who want to ensure that our lifesaving work continues. Lifetime Partners are members who have planned ahead to make a future gift by naming the Phy-

sicians Committee as the beneficiary of a bequest through a will or a trust, retirement account, and/or life insurance policy. Our Lifetime Partners are recognized in special ways and receive invitations to special updates and events. We also respect any request by Lifetime Partners to remain anonymous. If you are one of the Physicians Com-


MEMBER SUPPORT

A Sublime Event A

t her acclaimed Fort Lauderdale restaurant, Sublime, Nanci Alexander hosted the debut of The Cheese Trap, the eye-opening new book by Dr. Neal Barnard. The March 10 event featured a talk by Dr. Barnard and a delicious assortment of plant-based cheeses created by Sublime and Miyoko’s Kitchen. After the party, guests experienced Sublime’s world-class cuisine and enjoyed the beautiful setting. A special thank you to Nanci, and to Marilyn Martin, Elizabeth Petty, Bob Taylor, and Gwyn Whitaker for donating to our Sublime auction. Upcoming Cheese Trap events are posted at PCRM.org/Events.

Dr. Rodney and Diana Dunetz with Dr. Barnard

mittee’s “secret admirers” please let us know by filling out our member profile form at PCRM.PlannedGiving.org, sending back the form on this page, or contacting Brandalyn Patton, lifetime partners program manager, at bpatton@ pcrm.org or 202-527-7318. We’d love to thank you and activate your Lifetime Partner status!

Dr. Neal Barnard and Nanci Alexander

Rob Regan-Pollock and Dr. Barnard

Leave a Legacy of Compassion  Please send me information about becoming a Lifetime Partner.  Please send me “10 Simple Steps for Creating a Will.”  I have already named the Physicians Committee in my will or trust or as a beneficiary of a retirement account or life insurance. Please activate my Lifetime Partner status! NAME

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Please mail to Physicians Committee, Attn: Brandalyn Patton, 5100 Wisconsin Ave., NW, Ste. 400, Washington, DC 20016 or e-mail bpatton@pcrm.org.

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Now Recruiting: Primary Care Physician

About this Career Opportunity

Founded by Neal Barnard, M.D., president of the nonprofit the Physicians Committee for Responsible Medicine, the Barnard Medical Center is a new model for medical care that integrates nutrition education and disease prevention to provide top-of-the-line medical care. The Barnard Medical Center takes advantage of years of research conducted by the Physicians Committee research team and other researchers, with a new approach to medicine and nutrition that may help prevent and reverse serious health problems. The Barnard Medical Center is looking for a Primary Care Physician to not only treat patients, but also to work with them to prevent chronic diseases, with a strong focus on diabetes, obesity, hypertension, high cholesterol, and other nutrition-related disorders. In addition to clinical work, the Barnard Medical Center medical doctors spend a portion of their time on the Physicians Committee’s initiatives to educate physicians, health care professionals, legislators, and the public about plant-based nutrition and serve as spokespersons for programs. This full-time position is based at our state-of-the-art primary care medical center in the Friendship Heights neighborhood of Washington, D.C. This position offers competitive compensation and a comprehensive benefits package.

How to Apply Applicants should be board certified/eligible in internal medicine, family medicine, or other relevant specialty. Visit PCRM.org/Careers to apply today. We look forward to hearing from you! PCRM MARKETPLACE

5100 Wisconsin Ave. NW, Suite 401 Washington DC 20016

PhysiciansCommittee.org/Shop

From the Physicians Committee Nutrition Guide for Clinicians, second edition Physicians Committee for Responsible Medicine

This comprehensive medical reference manual covers nearly 100 diseases and conditions, including risk factors, diagnoses, and typical treatments. Most importantly, it provides Many Physicians Committee fact sheets and booklets are downloadable without charge or available in print at minimal cost at PhysiciansCommittee.org/Lit The Nutrition Rainbow Poster The more naturally colorful your meal, the more likely it is to have an abundance of cancer-fighting nutrients. Pigments that give fruits and vegetables their bright colors represent a variety of protective compounds. The Nutrition Rainbow poster shows the cancer-fighting and immune-boosting power of different-hued foods. 18"x24", $6.00

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the latest evidence-based information on nutrition’s role in prevention and treatment. Includes an in-depth examination of general nutrition, macronutrients, micronutrients, and nutritional requirements for all stages of life. 745 pgs, $19.95 Special Discount $17.95

A Waiting Room Starter Kit A Waiting Room Starter Kit contains everything you need to start talking prevention with your patients. You will get samples of our most popular literature to share in your practice. $25.00, Free Shipping on this item!

Power Plate Poster These healthful food groups help you live longer, stay slimmer, and cut your risk of heart disease, diabetes, and high blood pressure.18"x 24", $6.00

Nutrition Education Curriculum DVD PCRM’s Nutrition Education Curriculum is designed for use in medical offices, worksites, and anywhere people will benefit from learning about the lifesaving effects of healthful eating. Please use the DVDs in this package where indicated on the curriculum found at pcrm.org/ curriculum. $8.00.Free Shipping on this item! Prescription for Health poster Finally, a prescription with side effects you want. This colorful 18"x24" poster is great for advertising the benefits of a plant-based diet. Encourage your patients to try food as their medicine with this Prescription for Health poster. $6.00


PCRM MARKETPLACE

PhysiciansCommittee.org/Shop

From the Physicians Committee

From Neal D. Barnard, Physicians Committee President

The Best in the World, Volumes I-IV Boxed Set Healthful Recipes from Exclusive and Out-of-the-Way Restaurants

The Cheese Trap How Breaking a Surprising Addiction Will Help You Lose Weight, Gain Energy, and Get Healthy

Neal D. Barnard, M.D., Editor

Since 1998, the Physicians Committee has collected healthy, exotic recipes from distinctive restaurants around the globe. Now you can own all four hardcover The Best in the World cookbooks in one beautifully boxed set. 284 pgs, $40.00, Special Discount $37.95 The Best in the World Fast, Healthful Recipes from Exclusive and Out-of-the-Way Restaurants Neal D. Barnard, M.D., Editor

This popular collection of wonderfully healthy recipes comes from the world’s best and most unusual restaurants. Enjoy these vegan delicacies at home. Hardcover, 71 pgs, $11.95 The Best in the World II Healthful Recipes from Exclusive and Out-of-the-Way Restaurants Jennifer L. Keller, R.D., Editor

Travel around the world to discover treasures from side-street cafes and elegant hotel dining rooms. Attractively illustrated. Hardcover, 71 pgs, $11.95 The Best in the World III Healthful Recipes from Exclusive and Out-ofthe-Way Restaurants Neal D. Barnard, M.D., Editor

Discover delicious and unique recipes from restaurants across the globe. Join monks in a temple courtyard in the Far East, passengers on a French luxury yacht, or even a rock star in Akron, Ohio, for an unforgettable culinary adventure. Hardcover, 71 pgs, $11.95 The Best in the World IV Healthful Recipes from Exclusive and Out-ofthe-Way Restaurants Neal D. Barnard, M.D., Editor

Find delicious and healthful recipes from unique restaurants all around the globe. Visit a rustic hotel in England’s Lake District, enjoy a friendly street side cafe in Rome, and dine on a terrace overlooking black volcanic beaches. Recipes are designed to be within the abilities of any amateur chef. Hardcover, 71 pgs, $11.95

NEW!

The Cheese Trap is a fascinating tour though all the things you never knew about America’s favorite addiction—and how to break free. If you’ve been looking to lose weight, tackle cholesterol, skin problems, headaches, joint pains, or respiratory troubles, or you just wanted to take an important step for the animals and the Earth, this is the place to begin. 320 pgs, $27.00

For additional health tips, tune in to Dr. Barnard’s new PBS special, the “Energy Weight Loss Solution.” Power Foods for the Brain An Effective 3-Step Plan to Protect Your Mind and Strengthen Your Memory In Power Foods for the Brain, Dr. Barnard has gathered the most important research and studies to deliver a program that can boost brain health and reduce the risk of Alzheimer’s disease, stroke, and other less serious problems, including low energy, poor sleep patterns, irritability, and lack of focus. 320 pgs, $16.00 21-Day Weight Loss Kickstart Boost Metabolism, Lower Cholesterol, and Dramatically Improve Your Health

Dr. Neal Barnard’s Program for Reversing Diabetes If you have diabetes or are concerned about developing it, this program could change the course of your life. Dr. Barnard’s groundbreaking clinical studies, the latest funded by the National Institutes of Health, show that diabetes responds dramatically to a low-fat, vegetarian diet. Rather than just compensating for malfunctioning insulin like other treatment plans, Dr. Barnard’s program helps repair how the body uses insulin. Includes 50 delicious recipes. 288 pgs, $15.99 Breaking the Food Seduction

Based on the Physicians Committee’s popular online Kickstart program, Dr. Barnard’s 21-Day Weight Loss Kickstart will help you get fast results: drop pounds, lower cholesterol and blood pressure, improve blood sugar, and more. With more than 60 recipes, daily meal plans, and tips for grocery shopping, this book will get you on the fast track to better health. 368 pgs, $15.99

We all have foods we can’t resist, foods that sabotage our health. But banishing those cravings for chocolate, cookies, cheese, or burgers isn’t a question of willpower; it’s a matter of biochemistry. Drawing on his own research and that of other leading institutions, Dr. Barnard reveals how diet and lifestyle changes can break the craving cycle. 324 pgs, $16.99

Foods That Fight Pain

Genes, including those that shape our bodies, actually adapt to outside influences. Dr. Barnard explains the process and provides a three-week gene-control program complete with menus and recipes by Jennifer Raymond. Here are powerful tools for achieving long-term weight loss and better health. 350 pgs, $16.00

Did you know that ginger can prevent migraines and that coffee sometimes cures them? Drawing on new research, Dr. Barnard shows readers how to soothe everyday ailments and cure chronic pain with common foods. 348 pgs, $14.95

Turn Off the Fat Genes

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PCRM MARKETPLACE The Cancer Survivor’s Guide Neal Barnard, M.D., Jennifer Reilly, R.D.

Find out how foods fight cancer and the advantages of a high-fiber, low-fat, dairy- and meat-free diet. Includes updates from the latest research, special prostate and breast cancer sections, tips for making the dietary transition, and more than 130 recipes. 245 pgs, $19.95

PhysiciansCommittee.org/Shop Food for Life Apron

Eating Right for Cancer Survival dvd Neal Barnard, M.D., Chef Sualua Tupolo, Stephanie Beine, R.D.

TEMPORARILY OUT OF STOCK

Created for the Physicians Committee’s Food for Life instructors, this Power Plate-themed apron in polyester/cotton twill features two large 7"x7" pockets and adjustable neck and waist ties. Blue, $20.00

This exciting two-disc set is designed to work hand in hand with the companion book, The Cancer Survivor’s Guide. Nine nutrition presentations and nine cooking lessons provide powerful tools for making changes in health and well-being. 270 mins, $19.95

DVDs from PBS Tackling Diabetes with Dr. Neal Barnard

Kickstart Your Health with Dr. Neal Barnard

Protect Your Memory with Dr. Neal Barnard

Drawing on the latest scientific research, Dr. Barnard explains how a low-fat vegan diet can fight diabetes by controlling blood glucose, weight, and heart disease risk. In many cases, it will even eliminate the need for some medications. 60 mins, $9.95

More than 400,000 people have participated in the Physicians Committee’s Kickstart program. Here Dr. Barnard describes the 21-day plan for a smarter, slimmer, and healthier you. Achieve lifelong results with this quick and easy approach. 60 mins, $9.95

Dr. Neal Barnard confronts yet another debilitating disease—memory loss. Through proven research, Dr. Barnard provides vital steps to boosting cognitive function along with valuable insight on how to protect your memory. $9.95

Power Plate Tote Bag

Unlocking the Power of Plant-based Nutrition dvd series

Share the Physicians Committee’s revolutionary Power Plate with this 10"x13"x15" polypropylene bag (20% post-industrial r e cy cl e d c o n t e n t ) w i t h reinforced handles and plastic bottom insert. Black, $5.00

You can buy all three Unlocking the Power of Plant-based Nutrition DVDs–Food for Life, Weight Control, and Heart Health–for $29.95. That’s a savings of nearly $15. Each disc features the segments “Getting Started” with Neal Barnard, M.D., and “In the Kitchen” with TV’s Totally Vegetarian chef Toni Fiore. Discs average 58 minutes in length. $29.95 Find more healthful resources at PCRM Marketplace Online PhysiciansCommittee.org/Shop

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PHYSICIAN PROFILE

Anthony Lim, M.D., J.D.

Helping Patients Break through the Weight Plateau

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nthony Lim, M.D., J.D., medical director for The McDougall Program, will present Helping Patients Break through the Weight Plateau at the Physicians Committee’s International Conference on Nutrition in Medicine on July 28-29, 2017, in Washington, D.C. Below he shares tips for breaking through the weight plateau. Visit ICNM17.org to learn more about the conference and register. What is the weight plateau? A “weight-loss plateau” is when a person’s weight loss stalls, despite continued efforts to eat a healthful diet and exercise more. The key is not to get discouraged. It is normal for weight loss to slow and even stall. By understanding the various causes of a weight-loss plateau and how to get past them, you can get back on track and lose weight in a healthy and sustainable manner. Why do people reach a weight plateau? There are three common reasons:

1. People trying to lose weight initially start off very motivated to make certain dietary and other lifestyle changes. Over time the newness and excitement fades and so does their motivation for maintaining the changes they made in the first place. 2. They may have a dietary misunderstanding that is preventing them from losing weight. In other words, they are sabotaging their efforts without even realizing it. 3. Although they may generally be eating healthful, they are overeating. They are eating until they are “stuffed” and can’t have another bite, rather than until they are simply comfortable and no longer hungry. Can you share some tips to break through the weight plateau? 1. Remind yourself daily of your underlying reason for wanting to lose weight. For example, a patient once told me her primary goal for losing weight was so she

address has changed, please let Please keep Ifusyour know promptly. AddressChanges@ in touch. PCRM.org or 202-686-2210, ext. 304. 24 SPRING 2017 | GOOD MEDICINE

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could run marathons again like she did when she was younger, before she became so heavy. I told her to find ways to remind herself of her dream to run a marathon on a daily basis (e.g., journaling, photographs, etc.) as a way to maintain her level of motivation throughout the long journey ahead. 2. Assuming that the person has already adopted a whole foods, plant-based diet, I advise them to eat more foods lower in caloric density such as fruits, vegetables, legumes, and whole grains and minimize or cut out foods higher in caloric density such as nuts and avocados. I also remind them to avoid processed and packaged foods that are high in calories, salt, sugar, and fat while providing minimal satiety. 3. There’s nothing like home cooking. Many patients who frequently eat out and swear they are ordering the healthy options find they are struggling to lose weight. In general, restaurants are going to serve food rich in oil, salt, and sugar, despite your best efforts to order healthy items from the menu. The very fact that you cannot see how the food is prepared is a concern, too. So my best advice is to prepare your own food at home and minimize the times that you eat out at restaurants. @PCRM

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Spring 2017 Good Medicine Magazine  

Vol. XXVI, No. 2

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