Good Medicine PUBLISHED BY THE PHYSICIANS COMMITTEE FOR RESPONSIBLE MEDICINE | SUMMER 2016 | VOL.XXV, NO. 3
DOCTORS ARE USING NUTRITION TO RESHAPE MEDICAL PRACTICE
Sense of Urgency
hen we founded the Physicians Committee 31 years ago, the name “committee” fit pretty well. We were a small group of doctors determined to put prevention first, promote healthful diets, and tackle ethical issues in research. We’ve grown a lot since then. Today, many thousands of doctors, along with other health care providers, scientists, and concerned citizens work with our 80-person staff to advance our cause. And we’ve succeeded. The Physicians Committee eliminated the “meat group” in federal nutrition policy, put vegetarian diets front and center in the Dietary Guidelines for Americans, carried out human clinical research studies that have What drives these doctors revolutionized the treatment of diabetes and other health proband the work they do? lems, and provided the scientific data that has helped foster major reductions in meat and dairy consumption in the United States. We brought about the end of the use of animals in medical school curricula throughout the United States and Canada, were instrumental in ending the use of chimpanzees in medical research, revolutionized chemical testing legislation to favor nonanimal methods, and stopped many cruel animal experiments. What drives these doctors and the work they do? A sense of urgency. Americans now eat 1 million animals every hour, leading to epidemics of obesity, diabetes, heart disease, and other health problems, not to mention the massive abuse of animals and environmental destruction. The United States research enterprise continues to favor pharmaceutical development, at the expense of critically needed studies addressing the nutritional causes of disease. And although many people are changing their diets and revolutionizing their health, many others still have no access to the information they need. Each of these problems is urgent. And our ever-growing team is committed to tackling them. Neal Barnard, M.D. President of Physicians Committee 2
SUMMER 2016 | GOOD MEDICINE
Good Medicine® FROM THE PHYSICIANS COMMITTEE FOR RESPONSIBLE MEDICINE SUMMER 2016 | VOL. XXV, NO. 3 Editor in Chief Neal D. Barnard, M.D., F.A.C.C. Managing Editor/Designer Doug Hall Editors Michael Keevican | Carrie Clyne 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 Coordinator | Court Anker, Research Policy and Toxicology Assistant | Elizabeth Baker, Esq. 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Communications Assistant | Dawnyel Pryor Educational Programs and Marketing Director | Leslie Rudloff, Esq. Senior Counsel | Rose Saltalamacchia, Assistant to the Preside and Nutrition Project Coordinator | Alyssa Schaefer Membership Coordinator | Lisa Schulz Web Designer | Karen Smith Senior Dietitian | Erica Springer Director of Philanthropy, Western Region | Kristie Sullivan, M.P.H. Vice President of Research Policy | 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 | Ali Wasti, Systems Administrator | Rod Weaver Data Manager | Cameron Wells, R.D., M.P.H., C.D.E. Associate Director of Clinical Dietetics | Christopher Wright Staff Accountant | Jia Xu, Ph.D. Program Specialist | Craig Ziskin Director of Annual Giving | Barnard Medical Center Staff | Manuel Calcagno, M.D. Medical Assistant | Ginnette Badran, Medical Assistant | Angela Eakin, M.D. Medical Doctor | Natalie Evans Medical Practice Manager | Mandy Gleason Medical Office Coordinator | Emily Kasmar, N.P. Nurse Practitioner | James Loomis, M.D. Medical Director | Nile Mahbuba Medical Office Assistant | Steven Neabore, M.D. Medical Doctor
PREVENTION AND NUTRITION 6 A Prescription for Change 7 Kickstart Your Health Rochester: Community Cultivation 7
8 Member Profile: Forks Over Knives President Brian Wendel 9 The Meal Replacement Bar Replacement Meal Warning to Egg-Eaters: 'Dump Diabetes. Quit the Carton.'
10 Invitation to the International Conference on Nutrition in Medicine 11 Q-and-A: Author of WHO Processed Meats and Cancer Report 13 Hospital Dumps McDonald's
'Drop the Hot Dog' Urge Doctors at First Lady Michelle Obama Event
RESEARCH ISSUES 15 New Test Rules Will Spare Thousands of Animals, Protect Humans Lautenberg Chemical Act: Historic Victory for Public Health, Animals 16 'Finding Dory' Fans Find Out About Dorrie
Switching to Simulation: Johns Hopkins University Ends Live Animal Laboratory 17
New Paper: Alzheimer's Research Should Shift to Human-Based Models
4 THE LATEST IN... 14 MEDIA What’s Trending? 18 MEMBER SUPPORT 20 PCRM MARKETPLACE 23 INFOGRAPHIC Our Big Cheese Problem
24 PHYSICIAN PROFILE Advocate for the Healthiest Option: Jennifer Rooke, M.D., M.P.H. 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). 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, Summer 2016, Physicians Committee for Responsible Medicine. Articles are not to be reprinted for resale. Please contact Physicians Committee at email@example.com regarding other permissions. ©Physicians Committee 2016. 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.
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GOOD MEDICINE | SUMMER 2016
THE LATEST IN…
RESEARCH DRUG DEVELOPMENT
Fighting the Zika Virus with ComputerAssisted Approaches
omputer-assisted approaches should be used to support vaccine and drug development to fight the Zika virus, and predict possible emerging strains, according to a recent editorial in Current Computer-Aided Drug Design. The authors call for the use of computer-assisted approaches to search chemical databases to identify existing compounds that may be used to treat Zika, and then test those compounds using high-throughput screening—robotics capable of quickly testing thousands of chemicals. Additionally, computer-aided vaccine design is recommended, as well as mathematical approaches to study the DNA/RNA of the virus to predict possible emerging strains.
EurekAlert! Computer-assisted approaches as decision support systems serving to combat the Zika virus. http://www.eurekalert.org/pub_releases/2016-03/ bsp-caa031816.php. THINKSTOCK
Animal Testing Failed to Predict Clinical Trial Death and Injuries
new report concluded that the death of one man and the hospitalizations of others in a phase 1 clinical trial in France in January was caused by the toxicity of the drug—which was shown to be safe in animal tests on rats, mice, dogs, and monkeys. “At this day, the most likely hypothesis is that the molecule is itself toxic,” says the report from the French National Agency for Medicines and Health Products Safety. The report says that it’s “inexplicable” why this wasn’t clear in preclinical trials on animals. To learn more about the dangers of relying on animals for human drug testing and how modern technologies can stop the next pharmaceutical catastrophe, read "Averting Drug Disasters" in the spring 2016 issue of Good Medicine.
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Bisserbe N. Drug’s toxicity caused clinical-trial death, panel says. http://www.wsj. com/articles/drugs-toxicity-caused-clinical-trial-death-panel-says-1461092409.
THE LATEST IN…
NUTRITION WEIGHT LOSS
Weight Loss Slowed Metabolism in “Biggest Loser” Contestants
ignificant weight loss slows the body’s metabolism, creating an obstacle for weight management, according to a study published online in Obesity. Researchers measured the resting metabolism and body composition of 14 weight-loss-show contestants at baseline, after the competition, and at a sixyear follow-up. Contestants had slower metabolisms than before the competition. Participants also experienced a drop in several hormones that help regulate hunger. Together, these changes made it difficult for participants to maintain healthful weights. Based on these findings, researchers urge health care professionals to consider the body’s response to weight loss in current obesity treatments. An earlier study, using a low-fat vegan diet, showed a 16 percent increase in after-meal metabolism (the thermic effect of food) after participants had followed the vegan diet for 14 weeks. Kevin Hall, Ph.D., a co-author of the new study, will present his latest obesity research at this year’s International Conference on Nutrition in Medicine in Washington, D.C., July 29-30, 2016. Fothergill E, Guo J, Howard L, et al. Persistent metabolic adaptation 6 years after “The Biggest Loser” competition. Obesity (Silver Spring). Published online May 2, 2016.
Animal Protein Linked to Increased Risk for Type 2 Diabetes
nimal protein increases the risk for type 2 diabetes, according to a study published in the American Journal of Epidemiology. Researchers monitored food intake and diabetes incidence rates in more than 200,000 participants from the Nurses’ Health Study, the Nurses’ Health Study II, and the Health Professionals Follow-Up Study. Those who consumed the highest amount of animal protein increased their risk for type 2 diabetes by 13 percent, compared with those who consumed the least animal protein. Participants who replaced 5 percent of their protein intake with vegetable protein, including potatoes, legumes, and grains, decreased their risk for diabetes by 23 percent. Malik VS, Li Y, Tobias DK, Pan A, Hu FB. Dietary protein intake and risk of type 2 diabetes in US men and women. Am J Epidemiol. 2016;183:715-728.
Barnard ND, Scialli AR, Turner-McGrievy G, Lanou AJ, Glass J. The effects of a low-fat, plant-based dietary intervention on body weight, metabolism, and insulin sensitivity. Am J Med. 2005;118:991-997.
Vegetarian Diets Best for the Environment and Human Health
egetarian and vegan diets are best for the environment and human health, according to research published in the Proceedings of the National Academy of Sciences. Researchers assessed several regional models that incorporated environmental, economic, and health impacts associated with a dietary change in the future. A shift to a plant-based diet would lead to projected reductions in global mortality and greenhouse gases by 10 percent and 70 percent, respectively, compared with a control scenario set in 2050. These projections also saw trillions of dollars saved in health care costs by 2050. Springmann M, Godfray HCJ, Rayner M, Scarborough P. Analysis and valuation of the health and climate change cobenefits of dietary change. Proc Natl Acad Sci USA. 2016;113:4146-4151.
GOOD MEDICINE | SUMMER 2016
PREVENTION & NUTRITION
hen Physicians Committee member Jennifer Rooke, M.D., M.P.H., graduated from medical school in 1985, she did something few doctors were doing at the time: She focused on nutrition and specifically recommended plantbased diets to her patients. That’s because Dr. Rooke (read more about her on the back cover) and an emerging group of other doctors don’t settle for “that’s the way it’s always been done.” Especially when the way it’s always been done isn’t protecting people from diabetes, heart disease, cancer, and nutrition-related chronic diseases. Jennifer Rooke, M.D., M.P.H. Every Physicians Committee doctor member and supporter is an agent of change. More and more are giving plant-based prescriptions and speaking out against meaty fast food in hospitals, standing up to industry, and testifying before the government. They are starting plant-based medical practices, teaching cooking classes in underserved communities, and fighting for healthier school lunch options. They are persuading their communities to try a plant-based diet. And they are working with the World Health Organization to declare processed meats carcinogenic. More than 30 years later, Dr. Rooke is still prescribing plant-based diets as the founder and medical director of Atlanta Lifestyle Medical Center and at Morehouse Healthcare Optimal Health and Wellness Clinic. This May, Dr. Rooke, who is also an assistant professor in the department of community health and preventive medicine at Morehouse School of Medicine in Atlanta, Ga., spoke before the board of directors of Grady Memorial Hospital in Atlanta to express her concern about patients who are exposed to McDonald’s in the hospital (see page 13). “We would like you to choose a food outlet that offers healthy low-cost, plant-based meal options,” Dr. Rooke told
SUMMER 2016 | GOOD MEDICINE
the board. She presented research from the Black Women’s Health Study that found eating two or more servings a week of restaurant hamburgers increases the risk of diabetes by 40 percent and that two or more servings of fried chicken a week increases the risk of diabetes by 68 percent. Plant-Based Prescription
“There are many benefits associated with increasing fruits and vegetables and reducing red meats—and clear benefits from reducing processed meats, given their salt, fat, and carcinogen content,” says Mariana C. Stern, Ph.D., a co-author of the World Health Organization report that declared processed meats carcinogenic to humans. Mariana C. Stern, Ph.D. “A healthy diet should be part of the conversation between a physician and a patient.” Dr. Stern will discuss her research on nutrition and cancer with 600 other health care providers at the Physicians Committee’s International Conference on Nutrition in Medicine on July 29-30, 2016, in Washington, D.C. Despite the WHO report, many health care professionals still need education on the link between processed meats and cancer. “In the Western diet, we have grown used to the idea of having meat as the main food item on our plate and everything else on the side,” says Dr. Stern. “Many people still think that without meat they cannot be healthy. We need to reverse our thinking and make plant-based foods the center of our plate.” When Ana Negrón, M.D., a Philadelphia-area Physicians Committee member who recently spoke at the Barnard Medical Center’s 2016 Summer Speaker Series, saw that her colleagues and patients were unfamiliar with all but the most common whole grains and leafy greens, she embarked on a food literacy campaign and formed Greens on a Budget. “I began interactive cooking workshops, where people used chopping boards and knives to make rainbow salads and cook steel-cut oats with quinoa and fruit.” Dr. Negrón, whose latest book is Nourishing the Body and Recovering Health, The Positive Science of Food, also gives out plant-based prescriptions. “At the clinic, I secure $25 grocery store gift cards, Ana Negrón, M.D.
PREVENTION & NUTRITION
donated through a wish list by interested people in the community,” she says. “Then I write on the card ‘only for vegetables, grains, and legumes’ and give them out with a suggested list of items, instead of drug samples.” Physicians Committee member Garth Davis, M.D., hosts the Farmarcy Stand in Memorial Hermann Memorial City Medical Center. “Patients seem to need a prescription to feel like they are actively combatting disease,” he says. “So I give them a prescription for fruits and vegetables. I also want doctors to understand this concept and use food as a medical prescription.” Dr. Davis, who is the medical director of the Davis Clinic at the Methodist Hospital in Houston, Texas, and author of Proteinaholic, also recommends the Physicians Committee’s 21-Day Vegan Kickstart: “I really love 21DayKickstart.org. I prescribe the website many times daily.” Dr. Rooke started the AtGarth Davis, M.D. lanta Lifestyle Medical Center
Kickstart Your Health Rochester
n Rochester, N.Y., Physicians Committee member Ted Barnett, M.D., an interventional radiologist, calls himself “a high-tech doctor with low-tech solutions.” “By moving nutrition from an after-thought to a firstline medical treatment, we’re helping people lose upward of 100 pounds, toss their blood pressure medications, restore insulin function, and prevent open-heart surgery,” says Dr. Barnett. This May, Dr. Barnett, who is the founder of Rochester Lifestyle Medicine, was a guiding force behind the Physicians Committee’s Kickstart Your Health Rochester campaign, which provided residents with all the tools they needed to follow a healthful, plantbased vegan diet for 21 days. Dr. Barnett, alongside Kerry Graff, M.D., Tom Campbell, M.D., Erin Campbell, M.D., M.P.H., and Joy Valvano, M.S., R.D., C.D.E., provided a series of free plantbased nutrition lectures and events, including grocery store tours, cooking demos, and academic lectures, for the entire city to take part in.
in 2010, because other medical institutions had preventive medicine programs, but the focus was not on plant-based nutrition. “I had long conver- "Many people still think sations with insurance that without meat they company representatives about coverage for my cannot be healthy. We services,” she remem- need to reverse our bers. “I wanted preven- thinking and make tive medicine/lifestyle plant-based foods the medicine to be a clinical specialty like cardiology center of our plate.” —Mariana C. Stern, Ph.D. or endocrinology, because we were able to reverse chronic conditions such as cardiovascular disease and diabetes more cost-effectively.” Dr. Rooke sees patients for individual consultations and shared medical visits. In the shared visits, she gives patients meal plans and recipes and they discuss other barriers to good health. Reaching Underserved Populations
On May 5, 2016, Dr. Rooke also helped open the Morehouse Healthcare Optimal Health and Wellness Clinic.
The doctors also worked with Rochester Mayor Lovely Warren and the City of Rochester to recognize the event with a proclamation: “The city of Rochester encourages residents, businesses and health care professionals to participate in Kickstart Your Health Rochester workshops or events on healthy eating or to test-drive a plant-based diet.” Kickstart Your Health Rochester was also made possible thanks to the following community partners: Forks Over Knives, Mrs. Judy Babbitt, Dr. Fred Clasquin, Mrs. Barbara Goldammer, Ms. Peg Haust-Arliss, Mrs. Jan Hellenberg, Mrs. Jenni Holdren, Ms. Meredith Smith, and Ms. Betsy Wason.
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PREVENTION & NUTRITION
Forks Over Knives President Brian Wendel
rian Wendel, president of Forks Over Knives and creator and executive producer of the groundbreaking Forks Over Knives documentary, says he supports the Physicians Committee because “they’re great people doing good things, and they’re committed to a cause that I feel passionate about.” Wendel became vegan in 2001. Seven years later, he had an idea that would change the trajectory of his life. “As I became more and more educated it was very obvious that the lifestyle’s ability to prevent and reverse disease is better documented than people understood,” he said. “If a pill could do the same thing a plant-based lifestyle can do, it would be heralded in magazines around the world. I saw this as a message that wasn’t getting out there. I thought; let’s do something in a big way.” “What’s great about plant-based nutrition for health is that you’re helping people help themselves,” says Wendel. “I love that the Physicians Committee doesn’t
“I am particularly pleased to be working with Morehouse because their mission involves improving health equity and serving underserved populations,” she says. “The clinic focuses on helping patients to transition to a plant-based diet, along with guidance on effective stress management, physical activity, and sleep.” Dr. Negrón also works with members of underserved populations. She recalls a 48-year-old man who came to the United States and adopted a typical American diet. “He gained 40 pounds, developed high blood pressure, high lipids, and finally diabetes. He was placed on the usual medications,” says Dr. Negrón, who suggested he change his diet when she began seeing him. “He took control of cooking very simple meals and brought them to work, eliminated all animal products, and reduced sweets,” she says. “It took him four months to lose 25 pounds and one by one drop all his medications. He is an example not only in his circle of friends, but in the community at large.” Nutrition Guide for Clinicians
“The single most important thing that health care professionals who are interested in plant-based nutrition for patients can do is to adopt a plant-based diet themselves,” says 8
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just point out the problems; it’s an organization that’s set up to help with solutions.” Wendel financially supports the Physicians Committee’s Kickstart Your Health 10 Cities Tour, which most recently stopped in Rochester, N.Y., (see page 7). The tour—which incorporates live events including screenings of Forks Over Knives—works in communities across the United States to provide a physician-backed approach to reaching optimal health through a plant-based diet. He also provided support for the Physicians Committee’s Barnard Medical Center and sponsored a room there, because he’s an advocate of “evidence-based health care that focuses on plant-based nutrition first.” “Not enough doctors understand how effective a plant-based diet is in treating patients. Even if they do, they don’t know exactly how to implement it. The Barnard Medical Center does both, so it’s a no-brainer.” Wendel is also interested in the Physicians Committee’s work to end the use of animals in laboratories for medical research, education, and testing. “It’s easy for an organization to point out the problems with animal testing,” says Wendel. “The Physicians Committee works with the scientific community to educate and help them adopt alternative practices. I’m interested in the Physicians Committee as an organization because they’re providing solutions.”
Dr. Rooke, who also recommends the T. Colin Campbell eCornell Plant-Based Nutrition Certificate Course. Dr. Negrón agrees: “There is nothing like first-hand experience. You will better understand your patients’ questions and challenges if you have experienced them yourself.” But she says that many of her colleagues do not feel confident. “I often see their patients in consultation and write a summary of our visit with recommendations,” says Dr. Negrón. “I use the Nutrition Guide for Clinicians and other Physicians Committee resources to replace traditional educational materials.” She also teaches family practice residents the role of food in medicine. “We go on home visits and tour their patients’ kitchens—where we invariably meet the root cause of their chronic illness,” says Dr. Negrón. “With this shared knowledge, patients can negotiate a plan to reduce their sickness and improve health.” Prescriber of Change
Are you a prescriber of change? Tweet your story to @PCRM with the hashtag #PlantBasedRX, share it on Facebook.com/PCRM.org, or e-mail it to firstname.lastname@example.org with the subject line Plant-Based RX.
PREVENTION & NUTRITION
The Meal Replacement Bar Replacement Meal
n an April Fool’s spoof, Alec Baldwin spoke for the Physicians Committee in recommending that meal replacement bars be replaced with meal replacement bar replacement meals. “Tired of running to the store for expensive meal-replacement bars? They cost a fortune!” says Baldwin. “At the Physicians Committee, we have the perfect solution. The Meal-Replacement Bar Replacement Meal. It has all the nutrition of a meal replacement bar—and you can make it right at home!” The TV PSA has a serious side, of course: Eating more fruits, vegetables, grains, and legumes and avoiding animal products could save millions of lives and trillions of dollars, according to the Proceedings of the National Academy of Sciences of the United States of America. MealReplacementBarReplacementMeal.org
Warning to Egg-Eaters:
‘Dump Diabetes. Quit the Carton.’
y the time I lost my toe I was up to a carton a week,” warns a man suffering the complications of diabetes as he dumps a carton of eggs into the trash. His advice in a new Physicians Committee public service announcement: “Dump diabetes. Quit the carton.” Studies show that eating eggs can increase
diabetes risk by 68 percent. During May, National Egg Month, the Physicians Committee also put up billboards in Iowa, Ohio, and Indiana, the top three egg-producing states, urging citizens to visit QuitTheCarton.org to watch the video. A corresponding letter asked the mayors of Des Moines, Iowa,
and Columbus, Ohio, and the governor of Indiana to declare May 15-21 Quit the Carton Week. Today, 422 million adults worldwide are living with diabetes, a four-fold increase from 1980, according to a new World Health Organization report. Since 2010, insulin’s cost rose from $231 a year per patient to $736, according to recent findings published in the Journal of the American Medical Association. “Diabetes is not the only risk associated with eating eggs,” the letter to the mayors and governor also cautioned. “An egg habit can be as bad as a smoking habit and lead to many of the same complications. They increase the risk for stroke, heart disease, and other health issues.” QuitTheCarton.org GOOD MEDICINE | SUMMER 2016
Continuing Education Activity for Health Care Professionals Recent breakthroughs have shown the power of nutrition to prevent and treat diabetes, weight problems, heart disease, hypertension, and a great many other conditions. This conference will show you the very latest and give you powerful tools you can use in your practice.
Jointly provided by The George Washington University and Physicians Committee
Learn more and register at www.ICNM16.org 10
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July 29-30, 2016 Grand Hyatt Washington
PREVENTION & NUTRITION
Author of WHO Processed Meats and Cancer Report M
ariana C. Stern, Ph.D., a co-author of the World Health Organization report that declared processed meats carcinogenic to humans, says that physicians should recommend that their patients avoid processed meats. Below, she discusses the link between meat and cancer, the impact of the WHO report, and her single most important piece of nutrition advice. Dr. Stern will discuss her research on nutrition and cancer at the Physicians Committeeâ€™s International Conference on Nutrition in Medicine on July 29-30, 2016, in Washington, D.C.
How does meat increase cancer risk?
Several mechanisms have been postulated. One is the presence of heme iron in red meats. This is a component of the protein that transports oxygen in blood. Meats are rich in this protein, as muscle requires a lot of oxygen. In excess, heme iron is known to cause damage in tissues, and can also help in the formation of carcinogens called nitro-
samines in the intestines. These nitrosamines can also form in meats that have been treated with nitrates, like bacon or cold cuts, or inside our intestines when diets are high in red meat and there are sources of nitrates. Another mechanism is the formation of a group of carcinogens called heterocyclic aromatic amines that naturally form in red meat when it is cooked at high temperature. Components in the meat can react at high temperature to form these powerful carcinogens. It is still not clear which of these mechanisms is the most important. There is a chance that different combinations of these may be at play in different people. Do particular meats increase the risk for particular cancers?
To date, the evidence is strongest for an association between red meats (muscle meat from cows, lambs, pigs, sheep, and horses) and colorectal, pancreas, and prostate cancer. Whereas there is evidence that red meat may also increase risk of other cancers, the evidence is still inconclusive. The evidence is very strong for processed meats and colorectal cancer, and also strong for stomach cancer. Again, there is evidence that processed meats may also increase risk of other cancers, such as breast cancer, but the evidence is still inconclusive. GOOD MEDICINE | SUMMER 2016
PREVENTION & NUTRITION
You were a co-author of the World Health Organization monograph that led to the classification of processed meats as a Group 1 carcinogen. How do you think the report has influenced processed meat consumption?
There is definitively more awareness. I find that many people who had never heard that processed meats might be bad for us now know this and perhaps are starting to make different choices, or at least know that they should not eat processed meats every day. Unfortunately, this knowledge does not cut across our society, as not all people keep up with the scientific knowledge that trickles to the media. In the scientific community, there is more interest on this topic, more validation, which hopefully may translate into more support for new funded studies to understand the role of processed meats on cancer further. Do you think policy changes should be enacted to protect people from processed meats?
Yes, I think the public should be informed of the known risks of consuming processed meats, so that they can make informed choices. Processed meats are still an affordable staple in many people’s diets, the aisles in supermarkets offering processed foods are very big, and particularly worrisome is the role of processed meats in children’s diets. They make convenient and affordable lunch and snack options. Parents should know the risks associated with processed meats and learn to make alternative choices. Should physicians recommend that their patients avoid processed meats?
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I think so. Diets high in red meat may contribute to heart disease, diabetes, and cancer. Processed meats are now established sources of carcinogens. There are many benefits associated with increasing fruits and vegetables and reducing red meats—and clear benefits from reducing processed meats, given their salt, fat, and carcinogen content. A healthy diet should be part of the conversation between a physician and a patient. What foods help reduce cancer risk?
Fruits, vegetables, legumes, grains, and nuts. We know diets high in fiber are protective against the development of several cancers, and other diseases as well. We also know of many vitamins and other chemicals present in fruits, vegetables, and nuts that have many beneficial effects reducing inflammation, preventing damage to our DNA, and overall reducing cancer risk. What is the single most important piece of nutrition advice you wish everyone knew?
Do not trust all information posted online about nutrition and health. Go to the most reputable sources. For knowledge about nutrition and cancer this would include the Physicians Committee, the American Cancer Society, the American Institute of Cancer Research, and the World Health Organization, among others. Epidemiological or experimental studies on diet and cancer are published every day. The press likes them, and they make for great stories, so they appear in the media very quickly. Not all meet the most rigorous scientific standards. And even if they do, the variability across the population is so large that epidemiologists never rely on one single study to make definitive conclusions. We rely on systematic reviews conducted by experts using rigorous methods. There is the misconception that “everything gives cancer, so why worry about one dietary item or another, they will all cause cancer anyway!” This is not true. To date, there are only a handful of dietary items that have been consistently and solidly linked to cancer. Red meat is one of them, so we should take this seriously. Meat does not need to be the main staple of our diet, and it is not the only source of protein for kids and adults to be strong and healthy. We should give a more prominent role to plant-based foods, which when part of a balanced diet can provide all the essential nutrients we need to grow and stay healthy and strong, and also provide us with many disease- and cancer-fighting nutrients. In the Western diet, we have grown used to the idea of having meat as the main food item on our plate and everything else on the side. Many people still think that without meat they cannot be healthy. We need to reverse our thinking and make plant-based foods the center of our plate.
PREVENTION & NUTRITION
Hospital Dumps McDonald’s “I
t is surprising to me that major medical institutions would have a fatty fast-food restaurant right in the middle of their campus.” That’s what Physicians Committee member Neil Cooper, M.D., told Atlanta’s NBC affiliate about Grady Memorial Hospital on May 5. Days later, the hospital announced that it will end its 25-year-old contract with the fast-food restaurant and put out a call for new vendors. It was the response Physicians Committee dietitian Karen Smith, R.D., and Atlanta-based member Jennifer Rooke, M.D., hoped for when they told Grady’s board on May 8 that the hospital could improve its food environment by focusing on heart-healthy, plant-based options. The Physicians Committee also placed billboards near Grady that asked viewers
to visit www.MakeHospitalsHealthy.org to sign a petition urging the hospital to end its McDonald’s contract. Several hospitals named in Physicians Committee hospital food reports have recently closed McDonald’s. These include Children’s Hospital of Los Angeles,
Driscoll Children’s Hospital in Texas, Memorial Regional Hospital in Florida, Riley Children’s Hospital in Indiana, and the Cleveland Clinic. MakeHospitalsHealthy.org
‘Drop the Hot Dog’ Urge Doctors at First Lady Michelle Obama Event
he Physicians Committee educated more than 1,000 nutrition influencers about the dangers of processed meats at first lady Michelle Obama’s Building a Healthier Future Summit. Attendees at the Summit, which was sponsored by the Partnership for a Healthier America, were encouraged to “drop the hot dog” and make their own banana dogs at the Physicians Committee
booth, which was stocked with bananas, buns, nut and seed butters, jelly, and other toppings. In 2015, the World Health Organization declared processed meats—such as hot dogs, pepperoni, bacon, sausage, and deli meats—“carcinogenic to humans.” Each 50-gram portion of processed meat—the size of a typical hot dog— eaten daily increases the risk of colorectal
cancer by 18 percent. Last year, the Physicians Committee filed a petition urging the U.S. Department of Agriculture to stop distributing carcinogenic hot dogs and other processed meats to children through the National School Lunch Program. DropTheHotDog.org GOOD MEDICINE | SUMMER 2016
WHAT'S TRENDING? (The Physicians Committee, of course!)
“If they were passing students without the course and they were becoming good physicians without using animals, it would be hard to say it’s essential. Every other elite medical school also has stopped using animals.” —Physicians Committee director of academic affairs John Pippin, M.D., in Johns Hopkins Medical Students Will No Longer Train on Live Animals
“The guidelines should have made clear that people who avoid meat and dairy products are far healthier than other people and that eating processed meats increases one’s risk of colon cancer.”
“Preclinical research is critical to gathering safety information before a drug is tested in humans. However, the existing paradigm largely depends on animals to predict what will happen in humans. As evidenced by recent unfortunate events, this system often fails.”
Cage-Free Eggs: Still Bad for Human Health The “cage-free” label is, in fact, little more than another industry ploy to pretend that eggs are something other than inhumane and unhealthy.
Keep Hot Dogs Off Your Plate This Baseball Season
—Physicians Committee senior science policy specialist Elizabeth Baker, Esq., in FDA: Accept Human-Focused Preclinical Tests to Improve Drug Safety
As some teams begin to offer healthful, plant-based options, it’s time for the rest of Major League Baseball to start incorporating our country’s health into our national pastime—and to strike out hot dogs for good.
Protein Demand Is Destroying the Planet Animal protein is not only linked to serious health problems—like heart disease, type 2 diabetes, obesity, and some types of cancer—but it’s also the most resource intensive and environmentally harmful type of protein to produce.
CONNECT Facebook.com/PCRM.org • Facebook.com/NealBarnardMD • Facebook.com/21DayKickstart Twitter.com/PCRM •
SUMMER 2016 | GOOD MEDICINE
—Physicians Committee president Neal Barnard, M.D., in What Nutrition Experts Think Is Missing from the New Dietary Guidelines
New Test Rules Will Spare Thousands of Animals, Protect Humans
magine you are in a room with a group of people. You are each told to squeeze liquid from a tube onto your hand and rub it all over your body to test the chemical’s safety. Then you wait … until half of the people in the room die. Something very much like this experiment is conducted on thousands of animals each year. The LD50 (lethal dose 50 percent) test determines the dose of a chemical that kills 50 percent of the test animals. Now, with encouragement from the Physicians Committee, the Environmental Protection Agency agrees there
is a better way to predict chemical hazards. The EPA announced in March that to “better ensure protection of human health … its immediate goal is to significantly reduce the use of animals” in pesticide tests, sparing more than 3,000 animals per year. In addition to targeting the LD50, the EPA is also aiming to reduce the use of the Draize eye and skin irritation tests, and skin sensitization tests. Alternative methods, often using human cells and tissues, offer more accurate predictions of human toxicity at less cost.
The Physicians Committee has been a driving force in the stakeholder process, working with the EPA as well as nonprofit organizations, industry, and test-method developers.
Lautenberg Chemical Act
Historic Victory for Public Health, Animals
Physicians Committee member Janell Lundgren, M.D., Sen. Tom Udall (D-N.M.), Physicians Committee president Neal Barnard, M.D., and regulatory testing policy specialist Aryenish Birdie
HS. Eight-track tapes. Animal tests. These were state-of-the-art in 1976. New technology made them obsolete. But this summer, President Barack Obama signed the Frank R. Lautenberg Chemical Safety for the 21st Century Act, modernizing the Toxic Substances Control Act by placing a priority on human-relevant methods instead of animals to quickly and more effectively test chemicals. The Lautenberg Act is the culmination of a decade of work by the Physicians Committee—including Congressional testimony, hundreds of meetings with members of Congress, media coverage, and more than 80,000 member e-mails and calls.
Sen. Cory Booker (D-N.J.), a Lautenberg Act co-sponsor, and Dr. Barnard
the Physicians Committee, has worked to educate Congress on the importance of fixing the way we test chemicals since 2007, when the National Academies of Sciences released Toxicity Testing in the 21st Century: A Vision and a Strategy, a report that called for modernizing the toxicity testing and assessment of chemicals by using nonanimal approaches. “Science and technology has progressed so much in the last 10 years that we have begun to transition to some of the test methods recommended in Toxicity Testing in the 21st Century,” says Sullivan. “The Lautenberg Act now provides the resources and incentives to ultimately realize this vision.”
The new law allows the Environmental Protection Agency to gather better chemical safety information more quickly than current animal tests allow. It requires that alternatives to animal tests be considered and used, and places restrictions on animal testing that will over time facilitate the development and adoption of human-relevant methods. ReformToxicityTesting.org The Physicians Committee has worked closely with many members of Congress including New Mexico Sen. Tom Udall, who introduced the Senate version of the bill, and New Jersey Sen. Cory Booker. Kristie Sullivan, M.P.H., vice Physicians Committee billboards posted in the Frank R. Lautenberg Rail president of research policy at Station at Secaucus Junction in New Jersey. GOOD MEDICINE | SUMMER 2016
'Finding Dory' Fans Find Out About Dorrie
etroit-area moviegoers who saw the animated film Finding Dory in June also found out about a dog named Dorrie who died in a Wayne State University laboratory after being used in heart failure experiments. Ads that were shown at a movie theater before each screening of the movie urged viewers to protest the experiments that claimed the life of Dorrie. Dorrie was a black and brown shepherd mix, according to medical records acquired via the Michigan Freedom of
Information Act from Wayne State University, where she had three surgical procedures to artificially induce high blood pressure and was forced to run on the treadmill. After seven months of experiments, experimenters at Wayne State University killed her. The Physicians Committee has spent several years pressuring Wayne State to
Switching to Simulation:
Johns Hopkins University Ends Live Animal Laboratory
Drs. Sahdev and Wasserman review their testimony.
n 1985, when the Physicians Committee was founded, most U.S. medical students learned surgery skills by training on live dogs or other animals. The Physicians Committee has spent years working to end this practice in all medical schools. On May 18, 2016, that came one step closer to reality. Johns Hopkins University School of Medicine, one of the world’s leading medical institutions, announced that it would stop using live animals to train medical students. “Given that almost all medical schools have stopped using live animals in med-
SUMMER 2016 | GOOD MEDICINE
ical student education and that the experience is not essential, the School of Medicine has decided that the use of live animals in the surgical clerkship should stop,” Johns Hopkins told students. The university will now use simulators and other human-relevant methods favored by all but one of the 197 accredited medical schools in the United States and Canada. That decision came after years of hard work by the Physicians Committee and its members, including tens of thousands of member messages to Johns Hopkins leadership, physician-led demonstrations, bus and subway ads, extensive media coverage, op-eds and letters to the editor, and legal complaints. Along the way, Physicians Committee director of academic affairs John Pippin, M.D., who made that first request to Johns Hopkins, employed dozens of let-
end the hypertension experiments it has performed on hundreds of dogs for the past 25 years. EndDogExperiments.org
ters, e-mails, and phone calls urging numerous Johns Hopkins decision-makers to switch to simulation. His efforts gradually paid off. In June 2012, Johns Hopkins sharply reduced the number of pigs in the surgery clerkship. The following year, the Animal and Plant Health Inspection Service—an agency of the U.S. Department of Agriculture responsible for protecting animal health and welfare—inspected the university’s animal facilities and found several Animal Welfare Act violations. But what proved to be the final straw in the years-long effort happened on Feb. 12, 2016, when Physicians Committee member doctors went to the Maryland State House to testify at a hearing for a bill, which the Physicians Committee helped introduce, that would have prohibited the use of animals for medical training if alternatives were available and implemented by other medical schools in the state. “My alma mater, Johns Hopkins, has always been a leader in medical training, with the exception of this single area— introductory surgical instruction,” said Physicians Committee member Martin Wasserman, M.D., in his testimony. “Maryland should adopt this legislation before Johns Hopkins University School of Medicine is the only U.S. medical school still using animals to teach students.”
Alzheimer’s Research Should Shift to Human-Based Models
very minute of every day, someone in North America develops Alzheimer’s disease. But progress on preventing and treating the disease has been frustratingly slow, and a new paper in the journal Oncotarget—based on a scientific roundtable conducted by the Physicians Committee—finds experiments on animals are part of the problem. The scientists call on more funding for human-based methods
such as stem cells and organs-on-chips. Treatments that seem to work in animal models—often transgenic mice— have failed to translate into substantial therapeutic improvements for humans. In an analysis of Alzheimer’s research funded by the National Institutes of Health, the researchers found that the number of projects using animals between 2007 and 2014 was much higher
Dr. Wasserman was joined by his wife, Barbara Wasserman, M.D., both Johns Hopkins alumni, as well as Johns Hopkins resident Richard Bruno, M.D., Maryland surgeon Pradip Sahdev, M.D., and the Physicians Committee’s Angie Eakin, M.D. Twenty-six Physicians Committee member doctors from Maryland also signed a letter in support of the bill, which was offered as testimony at the hearing. Delegate Shane Robinson—who championed the bill with support from the Physicians Committee—withdrew the bill because of the Johns Hopkins decision. “Since we began urging Johns Hopkins University to eliminate its surgery clerkship pig labs, 26 other medical
schools have done so. Now, Hopkins has regained its position as a leader in medical school education by choosing to train students with modern medical simulators instead of live animals,” says Dr. Pippin. “The university’s decision sends a clear message that the end of live animal use in medical education is near.” Now, the University of Tennessee College of Medicine in Chattanooga is the only medical school in the United States and Canada that continues to use live animals for student training, despite the fact that the Memphis and Knoxville campuses of UTCOM use only nonanimal methods to teach the exact same procedures. At UTCOM Chattanooga, training
than the number of research projects focused on the use of human-based models and methods. The authors recommend a transition to research methods that include Alzheimer’s-derived induced pluripotent stem cells, microfluidics/organ-on-chip systems, post-mortem Alzheimer’s brain tissues, neuroimaging, and computational models. The scientists also recommend increased funding for preventive medical research that evaluates the roles that diet, lifestyle, and environmental factors play in Alzheimer’s. PCRM.org/Alzheimers
involves practicing suturing and knottying skills, making incisions into the pig’s abdomen to insert endoscopes (long tubes with lighted cameras), and inserting surgical instruments to practice procedures. At the end of each session, the animals are killed. Widely implemented nonanimal training methods include partial task trainers, laparoscopic simulators, virtual reality surgery modules, and purpose-designed human body simulators. These human-relevant methods allow trainees to repeat procedures and hone skills at their own pace, without sacrificing animals or endangering patients. TennesseeDeservesBetter.org
U.S. Medical Schools with Animal Laboratories 1985
GOOD MEDICINE | SUMMER 2016
ifetime Partners are members who have included the Physicians Committee in future giving plans—in a will, trust, or as a beneficiary of a life insurance policy or retirement account. Planning ahead so that your hardearned assets support the work that moves you is a way to ensure that the Physicians Committee can continue to lead a revolution of change far into the future. Typically, less than half of Americans have created a will. Without one, the distribution of your assets will be decid-
ed by someone else. Creating a will is a simple process and can give you peace of mind and ensure you are able to support the causes that are close to your heart. To request information on how to create a will, please return the form below or contact lifetime partners program manager Brandalyn Patton at 202-527-7318 or email@example.com. If you already have included the Physicians Committee in your future plans, please let us know so that we can activate your Lifetime Partner status and say thank you!
Learn how to make a gift that costs nothing during your lifetime. Visit PCRM’s legacy website at PCRM.PlanYourLegacy.org. Please send me information on how to create a will. Please send me information on how to include PCRM in my will I have already named the Physicians Committee in my will, trust, retirement plan, or insurance policy. Activate my Lifetime Partner status!
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Please mail to: Physicians Committee, Attn: Betsy Wason, 5100 Wisconsin Ave., N.W., Ste. 400, Washington, DC 20016 or e-mail firstname.lastname@example.org
Milton and Arlene Berkman
Putting Values into Action
Dr. Milton and Arlene Berkman, left, and family at the grand opening reception for the Barnard Medical Center
hen Milton and Arlene Berkman left New York for retirement in North Carolina, they planned to slow down and relax. But their retirement turned out to be anything but slow-paced. Arlene’s “RespectAbility Foundation” tackles the issue of school-age bullying through music. Part of her passion is teaching children to turn from bystanders to “upstanders”—people who recognize when there is a problem and take action to help. “Upstanders” certainly describes the way the Berkmans have tackled another passion—helping promote the lifesaving benefits of a plant-based diet/lifestyle that they were first introduced to by the Physicians Committee. After watching a PBS program featuring Neal Barnard, M.D., Arlene ordered his book on reversing diabetes. But it
was Dr. Berkman who got first crack at it when he intercepted the mail and began reading right away. By the end of the book, he had decided to completely overhaul his diet because, as Milton recounts, “This is the first guy who made sense!” Taking advantage of additional Physicians Committee resources, including medical conferences and online offerings, they began to see dramatic differences in their own health and became an influence on their family and community. When they learned of Dr. Barnard’s plans to open a medical center with a focus on nutrition and prevention, they jumped at the opportunity to support an undertaking with the potential to help so many people. Visitors to the Barnard Medical Center will see their support with a listing on the Wall of Visionaries and a plaque in the reception area recognizing their dedication to advancing modern medicine. “People need to take responsibility for their own lives and understand that what you put in your body affects your health” says Dr. Berkman. “The medical center is educating patients and also providing a place for doctors to practice and learn as well.” The Physicians Committee is fortunate that the Berkmans have no intention of slowing down any time soon. They are true “upstanders” who are changing the future of medicine!
Peer-to-Peer Birthday Program Launch
Dedicate Your Birthday to Saving Lives!
sk your friends and family to support our lifesaving work in your honor. We make it easy for you. 1. Sign up at PCRM.org/Birthday at any time of the year. 2. A couple of months before your birthday, we’ll let you know how to get your friends and family involved in the celebration. 3. Our easy-to-use website makes it simple to customize your very own donation page and send e-mails to your network. 4. And it’s fun—you can also earn a great birthday present for yourself. 5. Enjoy your birthday knowing you are helping others!
BMC-sponsored Speaker Series
he Barnard Medical Center is sponsoring a summer speaker series to help inform people about the benefits of plant-based nutrition. Each featured expert brings a unique and entertaining perspective to diet and health. Details can be found at PCRM.org/Events.
Dr. Pam Popper of the Wellness Forum
Ana Negrón, M.D., author of Nourishing the Body and Recovering Health: The Positive Science of Food
Michael Greger, M.D., author of How Not to Die
GOOD MEDICINE | SUMMER 2016
Resources for Physicians
You already know diet is a major factor in chronic disease prevention. Help your patients make the connection with our Waiting Room Literature Kits. Add our award winning educational literature to your office to start the conversation and help your patients make diet and lifestyle change a practical reality.
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
SUMMER 2016 | GOOD MEDICINE
the latest evidence-based information on nutritionâ€™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 PCRMâ€™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
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
Power Foods for the Brain An Effective 3-Step Plan to Protect Your Mind and Strengthen Your Memory
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
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 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 The Get Healthy, Go Vegan Cookbook 125 Easy and Delicious Recipes to Jump-Start Weight Loss and Help You Feel Great These recipes are based on Dr. Neal Barnard’s landmark two-year study, which shows that a vegan diet effectively controls type 2 diabetes. In fact, it’s also beneficial for weight loss, the reversal of heart disease, and the improvement of many other conditions. Dr. Barnard and nutritionist Robyn Webb offer easy, delicious meals to improve your health. 248 pgs, $18.95 Foods That Fight Pain 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
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 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 Turn Off the Fat Genes 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
GOOD MEDICINE | SUMMER 2016
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.
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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Advocate for the Healthiest Option
Jennifer Rooke, M.D., M.P.H.
’ve always told my patients that a plant-based diet is the healthiest option,” says Jennifer Rooke, M.D., M.P.H., an assistant professor in the department of community health and preventive medicine at Morehouse School of Medicine in Atlanta, Ga., who has prescribed plant-based diets since graduating from medical school in 1985. But her interest in food as medicine began in high school.
“I was struck by the notion that the body could heal itself with the right food,” recalls Dr. Rooke, a Physicians Committee member whose specialties are preventive medicine, public health, and occupational medicine. “I proved this to myself when my allergies and acne cleared up after I eliminated dairy products. And I was encouraged when physicians such as Caldwell Esselstyn, M.D., and Dean Ornish, M.D., published their research that supported the role of plantbased diets in the management of cardiovascular disease.” After finishing her preventive medicine residency training in 1990, she worked in Grenada as the Medical Officer of Health for three years. “I did my best to promote plant-based nutrition while I was in Grenada,” says Dr. Rooke, who also completed an occupational medicine residency. “When I visited last year, I met a woman who told me that she remembered me and that she had dramatically changed her diet because of my advice.” In 2010, Dr. Rooke founded the Atlanta Lifestyle Medical Center, where
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she’s seen several successes, including a woman named Hattie. “Hattie was told by her primary care physician that she would have to start medications for diabetes at her next visit. She got this news on a Tuesday and came to our clinic on that Thursday,” says Dr. Rooke. “She adopted the plant-based diet we recommended and never looked back. She lost 52 pounds, never needed diabetes medications, and was able to stop most of her other medications.” Dr. Rooke also gives presentations about plant-based nutrition in her community. “Our clinic has a community arm. We conduct lifestyle interventions in community settings such as churches, professional organizations, and social clubs.” says Dr. Rooke. “The goal is to encourage the community group to have monthly follow-up sessions where they have a plant-based pot-luck meal and discuss health topics. This activity is funded by the members of the community organizations to make them stakeholders in their own success.” Read more about Dr. Rooke and other Physicians Committee members who are working in their practices and communities to promote plant-based nutrition in this issue's cover story on page 6.
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Published on Jun 22, 2016
This issue of Good Medicine showcases doctors changing the face of medical practice and includes tips for physicians and health care profes...