News You Can Use

Kratom Now an Opioid, FDA Says

FDA scientists analyzed the chemical structures of the 25 most common compounds in kratom and concluded that all of the compounds share structural characteristics with controlled opioid analgesics, such as morphine derivatives. They also found that compounds in kratom bind strongly to mu-opioid receptors, comparable to opioid drugs.

“Based on the data we now have, we feel confident in calling these compounds opioids,” Dr Gottlieb said.

https://www.medscape.com/viewarticle/892375

A Patient’s Journey: There’s a Vitamin for That | Medpage Today

https://www.medpagetoday.com/special-reports/apatientsjourney/69922?xid=nl_mpt_DHE_2017-12-16&eun=g1093365d0r&pop=0&ba=1&pos=0&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%202017-12-16&utm_term=Daily%20Headlines%20-%20Active%20User%20-%20180%20days#

Sworn to Secrecy, Drugstores Stay Silent as Customers Overpay – Bloomberg

You’re Overpaying for Drugs and Your Pharmacist Can’t Tell You

https://www.bloomberg.com/news/articles/2017-02-24/sworn-to-secrecy-drugstores-stay-silent-as-customers-overpay

Saturated Fats and CVD: AHA Convicts, We Say Acquit

Great review of the saturated fat-heart disease link, or lack thereof…or as Johnny Cochran said, “If it does not fit, you must acquit.”

Some in the nutritional science industry, spearheaded by the AHA and their funding sources, have some explaining to do.

http://www.medscape.com/viewarticle/882564

A New Approach To High Deductibles | THE SOVEREIGN PATIENT

Health Matching Services is a very innovative firm, but it has to struggle with tax laws and regulatory regimes that look like they were designed with no thought at all. And of course, the ridiculously high deductibles offered by primary insurers are the perverse result of Obamacare.

In a rational world, the tax law would provide a level playing field for premium payments and deposits to medical savings accounts. Competition in a secondary insurance market would provide consumers with many choices. For example, some might prefer to self-insure for the first $3,000 and buy the kind of secondary insurance described above for the remaining $7,000 gap.

Who knows? But for the perverse incentives of Obamacare and other insurance regulations, primary insurers might offer these choices. A secondary market for health insurance might not even be necessary.

Source: A New Approach To High Deductibles | THE SOVEREIGN PATIENT

The Ten Free-Market Commandments to Restoring Financial Sanity in Healthcare | Robert Nelson, MD | Pulse | LinkedIn

Source: The Ten Free-Market Commandments to Restoring Financial Sanity in Healthcare | Robert Nelson, MD | Pulse | LinkedIn

Evidence for the Prescription of Low-Carb High-Fat Diets

“…available evidence from clinical and preclinical studies indicates that LCHF diets consistently improve all other markers of cardiovascular risk—lowering elevated blood glucose, insulin, triglyceride, ApoB and saturated fat (especially palmitoleic acid) concentrations, reducing small dense LDL particle numbers, glycated haemoglobin (HbA1c) levels, blood pressure and body weight while increasing low HDL-cholesterol concentrations and reversing non-alcoholic fatty liver disease (NAFLD). This particular combination of favourable modifications to all these risk factors is a benefit unique to LCHF diets.”

Source: Evidence for the Prescription of Low-Carb High-Fat Diets