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Bleeding risks of dietary supplements after surgery and anticoagulant use spotlighted

Posted 03 January 2023

After identifying the 47 most popular dietary-supplement ingredients in the U.S., researchers reviewed the literature on the risks of bleeding they pose to patients postoperatively and while taking anticoagulant medications. [Hatfield J and others. Dietary supplements and bleeding. Baylor University Medical Center Proceedings. 35:802–807, 2022]

They found:

  • Garlic and hawthorn supplementation is strongly associated with surgical bleeding.
  • Cordyceps sinensis, echinacea, and aloe vera were each associated with surgical bleeding in just one case report.
  • Ginkgo biloba, chondroitin-glucosamine, melatonin, turmeric, bilberry, chamomile, fenugreek, milk thistle, and peppermint are associated with bleeding risk for patients taking anticoagulants.
  • Fish oil, ginseng, and saw palmetto are not linked to bleeding.
  • Evidence for overall bleeding risk of St. John’s wort, ginger, ginkgo biloba, or cranberry supplementation is conflicting.

Source: Consumer Health Digest #23-01, January 1, 2023

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Complementary cancer therapies ‘do more harm than good’

Posted 14 November 2019

BBC News 14 November 2019

Cancer patients should tell their doctors if they are taking herbal products because some of the ingredients could stop their treatment working, a cancer conference has heard.

Garlic, ginger and ginkgo pills, for example, can delay the healing of skin wounds when breast cancer spreads.

Surgeon Prof Maria Joao Cardoso, said there was no evidence that herbal therapies or creams worked.

If in doubt, it was best not to take anything, she said.

“Doctors need to be more proactive about asking their patients what else they are taking when they are being treated for cancer,” Prof Cardoso, head breast surgeon at the Champalimaud Cancer Centre in Lisbon, Portugal, told the BBC.

She said it was particularly important that patients always checked with their doctors first before trying complementary therapies for cancer that had spread to the skin.

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NYT: 10 Medical Myths We Should Stop Believing. Doctors, Too.

Posted 25 September 2019

10 Medical Myths We Should Stop Believing. Doctors, Too.

Researchers identified nearly 400 common medical practices and theories that were contradicted by rigorous studies. Here are some of the most notable findings.

By Gina Kolata  – New York Times – July 1, 2019

You might assume that standard medical advice was supported by mounds of scientific research. But researchers recently discovered that nearly 400 routine practices were flatly contradicted by studies published in leading journals.

Of more than 3,000 studies published from 2003 through 2017 in JAMA and the Lancet, and from 2011 through 2017 in the New England Journal of Medicine, more than one of 10 amounted to a “medical reversal”: a conclusion opposite of what had been conventional wisdom among doctors.

“You come away with a sense of humility,” said Dr. Vinay Prasad of Oregon Health and Science University, who conceived of the study. Read the rest