Monday, May 13, 2013

Alkaline Foods and Water - Mechanism Madness


A friend of mine represents (I think that's the accurate term) a company that makes "alkalinized water" machines, and recently posted an ad for the device to his Facebook stream.  I've put the salient points at the end of this post. My response was more than a little sarcastic:
Are you in the MLM placebo business now?
 +10 for suggesting people eat more green vegetables, even if it's for the wrong reasons. +10 for suggesting people pay attention to their water intake, which usually means drinking more than they do typically. -50 for making a business of selling a machine that make antibiotic water, and -200 for re-posting outright fraudulent health claims about mechanisms, including the implication that diet changes like those suggested can meaningfully affect blood pH.
I'm sure you're successful at it, because you're a brilliant and personable guy, but it's ethically like making your living as a tarot card reader or a priest.
Although it seems FB didn't carry his reply, he had copied me on it via email, and I'm reproducing it below [his name and brand names are redacted]:

In case this didn’t post on FB :

Once again, my personal experience belies your "research" as my health has made significant improvements since I began my alkaline quest. 1. -------  is not a MLM but a direct sales organization. They are different. 2. Blood pH has to be stable or you die.

IF you eat an acidic diet the body pulls the necessary minerals from your bones and you are arthritic as a result ... or I am I should say, paying the price for years of eating that diet. Read The Enzyme Factor and it gives a great rationale for improving health through food we eat and the water we drink. The ------ machine is a class 3 medical device in Japan, where consumption of alkaline water is significant, and their health results shames that of the US. I could go on, and I'd love to share my personal details with you.

All I do is give the water away to anyone who wants to try it. I’m trying to change our health system to a preventative model, starting with myself and doing it one person at a time. Results speak for themselves for many of those people I care about.

As far as placebo, I guess the dairy productivity studies that show significant improvements by changing the cow’s water supply are a placebo result? Smart cows I guess... Cheers, ----

To be fair, his personal story is wonderful and inspiring: A case of an individual taking charge of his own health after having been given poor odds, and coming out on top. It's an important reminder that statistics like mortality/morbidity rates, etc., are statistical, and cannot be applied to individual cases.  By the same token, though, an individual experience cannot  be extrapolated to a large population without additional evidence.

Also, to be fair, I may have been mistaken to call the sales channel for the $1,480 water-ionizing machine an MLM.  Not that it really matters much as to the efficacy (or lack thereof) of the product.

From this point on, I'll address the specifics of the response:

At least we agree that blood pH must be stable (within a fairly narrow margin near 7.4) in order to remain in good health (with the results of extreme acidosis or alkalinosis being death).

"IF you eat an acidic diet the body pulls the necessary minerals from your bones and you are arthritic as a result"
I'd be interested in seeing a peer-reviewed citation that reaches this conclusion, in relation to maintaining blood pH levels.

First, from pretty much any physiology reference, you can learn how blood pH is primarily regulated by the bicarbonate buffering system, which maintains pH equilibrium through the  balance of CO2 and HCO3- ions in the blood.  Under stressed (high proton)(acidic) conditions, the lungs and kidneys take part in maintaining the necessary balance. Additional buffer systems involve ammonia and phosphate components.  None of these are significantly affected by the overall pH of food or water a person might typically ingest. (Which is delivered directly into your stomach, where gastric acid is produced and present at a pH of 1.5 to 3.5 or so.)
Note: If you're talking about pH other than blood pH, then you'd need to be more specific, but since your comments are about blood pH, that's what I'm going to address.

Second, I believe you have the arthritis/bone-loss process backward. (Please correct me with non-anecdotal evidence if you believe this isn't the case.)  Typically, arthritis involves the joint cartilage (Osteoarthritis) or inflammation of the membranes lining the joints (Rheumatoid Arthritis).  I'm not aware of research that shows evidence of either of these being the result of bone loss.  On the contrary, bone loss has been found likely in those with arthritis, and a good deal of research has been performed, to the point where effective protocols have been described for preventing bone loss in those with arthritis.

Read The Enzyme Factor and it gives a great rationale for improving health through food we eat and the water we drink

Just to be clear, I don't think there is any doubt that health can be improved through attention to diet (including, obviously, food and water), as well as exercise and other lifestyle choices.  This is clear in experiment and in practice.  However, that does nothing to validate the mechanisms claimed in your posts.
I assume your recommended The Enzyme Factor is the book by Hiromi Shinya.  He's quite famous for his work in colonoscopy since the 1960s. His claims about enzymes, though, seem to be without the backing of any peer-reviewed research, and he has endorsed specific brands of consumer water products over the last ten years, leading to obvious questions about whether his theory and opinions on the topic are at all impartial.  I welcome references to peer-reviewed studies on the matter if I've overlooked them.

The ------ machine is a class 3 medical device in Japan, where consumption of alkaline water is significant, 
I'm not sure what you mean by "significant", and would be interested in sources for that claim.  The "medical device" certification is fairly widely available, but states only that the company has a permit to manufacture the machine as designed, and neither that certification, nor any Japanese government agency, seems to endorse the use of the machine's product for any particular purpose, or as being effective.

and their health results shames that of the US.
You would really need to show some evidence of a link between the two for this to mean anything.  There are thousands of things about diet, lifestyle, and philosophy that are different between Japan and the US which one could claim produces positive health outcomes (including lower healthcare costs).

 I could go on, and I'd love to share my personal details with you.
No, thanks.  While I'm very happy for you, and very, very glad to have you around, the anecdotes aren't really that helpful to me personally.

All I do is give the water away to anyone who wants to try it. 
That's clearly not all you do.  You convince people to buy these gadgets.  It's possible that you receive no compensation for doing so, but I don't think you're making that claim.

I’m trying to change our health system to a preventative model, starting with myself and doing it one person at a time.
That certainly sounds noble.  And, to the extent of recommending that people make wiser choices about their food intake, increase their awareness of the quantity and quality of the water they drink, understand the effects of exercise on their health, and make other lifestyle changes that give them healthier, longer, happier lives, I'm all in with you, 100%.  However, none of these things require making claims for which there is no objective evidence and in which there are no good reasons to believe.

Results speak for themselves for many of those people I care about.
I know.  For some people, the exact same can be said of Tarot cards, horoscopes, homeopathy, dousing, and dreamcatchers.  It doesn't mean the effect is real, caused by the mechanism claimed, or applicable to others.

As far as placebo, I guess the dairy productivity studies that show significant improvements by changing the cow’s water supply are a placebo result? Smart cows I guess..
If you're referring to the "study" of 27 dairy farms in Japan, the only copies of the "study" I've been able to find have been anecdotal summaries of "results".  I haven't seen a single piece of documentation about the nature of the experiment, the controls, how data was gathered and analyzed, sources of error, or anything that could be characterized as scientific.  I can find a slew of patent applications for devices to make alkaline water for cows, but all are speculative on the method, and most address it to ruminant acidosis.  If you happen to have a link to a published paper in a peer-reviewed journal, I'd love to see it.

So, I wouldn't spend all this effort on a reply for no good reason, and generally I'm of a live-and-let-live attitude, but there are a few factors that make addressing it worth the effort:

1) It seems clear, from an objective point of view, that the health claims (copied below) are a scam, and the the end goal of those claims is to create a market for the sale of devices and consultancies.
2) I think you are an intelligent, lucid person who actually intends to do the right thing, including improving the health and happiness of others and providing a focus on preventative measures as a key element of healthcare.
3) I think you can be extremely effective at #2 without having to associate yourself with the absurd and rationally unsupportable claims of #1, and that you can ethically accomplish your goals through direct consultation, without having people send their money away to those publishing these claims.

As always, comments and discussion are welcome.

-Jon

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Saturday, May 11, 2013

The Ends ARE The Means

In June, 2011, while he was under house arrest in the UK, Julian Assange (founder of WikiLeaks) had some visitors and chatted about a bunch of interesting stuff.  A full recording and transcript are available. His guests included Eric Schmidt, CEO of Google, Jared Cohen, a former Secretary of State advisor to Hillary Clinton, and Lisa Shields, VP of the Council on Foreign Relations (and allegedly consort of Schmidt a that time).

One part I found rather interesting was Assange's reaction when asked about "winning" the war he seemed to have started against the major powers in the world, and against the concept that authorities are best suited to determine what information is suitable for release to the public.  Here's the relevant portion of the transcript:

LS (Lisa Shields): How do you know if you've won?
JA (Jilian Assange): I've won?
JC (Jared Cohen): Lisa asked the best question of the day.
ES (Eric Schmidt): How do you know if you've won?
JA: Well it's not possible to win this kind of thing. This is a continuous striving that people have done for a long time. Of course, there is many individual battles that we win, but it is the nature of human beings that human beings lie and cheat and deceive and organized groups of people who do not lie and cheat and deceive find each other and get together... and because they have that temperament, are more efficient. Because they are not lying and cheating and deceiving each other. And that is an old, a very old struggle between opportunists and collaborators. And so I don't see that going away. I think we can make some significant advances and it is perhaps, it is the making of these advances and being involved in that struggle that is good for people. So the process is in part the end game. It's not just to get somewhere in the end, rather this process of people feeling that it is worthwhile to be involved in that sort of struggle, is in fact worthwhile for people.
Two themes resonate: The concept that "playing fair" has been, and still is, a superior strategy in terms of achieving goals; and the concept that the Ends ARE the Means.

I find both of these consistently reinforced in my work with leaders and leadership training, and wonder why they aren't more universally recognized and practiced.



Quitting Facebook - Rethought

The other day, I finally got fed up:  A private message from Facebook made be click a link and BANG, I'm back in there again.  Except now the interface is worse.  Seriously - I couldn't believe it was possible, either, but the limits of poor judgement are seemingly limitless.

That was it.  I was fed up.  I quit.

To wit:

(May 9, 2013 11:59PM) Goodbye Facebook. I know you noticed I wasn't coming by so much any more. That's just the way it is. Thanks for re-connecting me to some people I've missed, and for getting some recalcitrant relatives on-line.
But your idea of "curated" content seems to mean that I see my friends' faces next to ads more than next to important happenings in their lives. You don't tell me what's happening with friends who prefer different types of content, and it turns out that my public posts (like this one) might reach 12% of the people who are connected to me as "friends."
I've been communicating on-line since... well, for a long time, and I've seen technology make for great good and great evil.
Facebook isn't either of those things. It's like TV, except other people can hear you yell at the screen, the ignorant and crazy talk-show morons from the extreme wings of political "thought" have infected many of your friends and family in a way that can't help but make one think of Donald Sutherland and legumes.
If you have a blog, feel free to send me the link. My email is jluning@gmail.com My personal twitter is jonluning
Take care - My friends I'll miss a lot; being monetized, not so much.

Within a few hours, several friends had sent me suggestions for leveraging Facebook to connect with them, but without having to deal with the ads, selective content, and insane user interface choices.

So I relented.

Having started to enjoy the quirky timeliness of Twitter, and having begun to connect with a more diverse array of personalities there, I went back to look for a "Social Media Manager" program.  I had used TweetDeck in a past life, but it's recently dropped support for Facebook, so that wouldn't work.  I used to use Seesmic on my phone, but that was eaten up by HootSuite and has been declared "end of life," as the software euphemism goes.

So, for the moment, HootSuite is it.  The consequence, of course, is that now my friends on Facebook see my post as rather disingenuous, as I have more content going there than before.  Honestly, this is a result of testing the transition, and I expect it to smooth out in the future.

For now, anything over a sentence or two, you can expect to find as a link to this blog, and not living on Facebook.

There comes a time...

... when all of the rhetoric about freedom and liberty and independence compels one to actually take action on those principles, or risk being labeled as a hypocrite.  Or lazy.

Witness, then, the slow revolution as Jon migrates from his reliance on others for hosting the flotsam of his mind to a different set of platforms.  Or, at least, to a different host.

Having pulled this blog up from the dredges of the past, here comes some new life.