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Senator asks drugmakers to explain prices

March 18th, 2010

(Reuters) – A Senate Democrat asked top drugmakers on Wednesday to explain why Americans pay higher prices for prescription drugs than patients do in other developed nations.

BARACK OBAMA |  HEALTH

Senator Herb Kohl, who chairs the Special Committee on Aging, sent letters to AstraZeneca, GlaxoSmithKline, Eli Lilly, Novartis, Pfizer, and Sanofi-Aventis.

Kohl said Americans on average pay twice as much as people in other industrialized countries.

“While I firmly believe that drug quality should not be sacrificed for cost, the large discrepancies in the cost of identical drugs cannot be explained by differences in production or manufacturing,” Kohl wrote to the companies.

Some Democrats have attacked drugmakers as the U.S. Congress works on an overhaul of U.S. healthcare system.

The pharmaceutical industry has pledged to pay $80 billion over 10 years in price cuts and other concessions to help fund wider insurance coverage as part of a healthcare overhaul under consideration in Congress.

Some lawmakers have criticized that amount as a small price to pay for a $315 billion-a-year industry that stands to gain tens of millions of new customers if insurance coverage expands. Democrats are trying to pass a final bill for President Barack Obama to sign into law in the coming weeks.

Eli Lilly, responding to Kohl’s letter, said drug prices were lower in other countries for various reasons including currency value, market dynamics or government price controls.

The United States “relies on competition rather than government-imposed price controls that contain costs” and U.S. patients “have the greatest access to the newest medicines,” Lilly spokesman Ed Sagebiel said.

Pfizer spokeswoman Kristen Neese said the company “stands behind the value our innovative medicines bring to patients.” The company provides free or discounted medicines to uninsured other needy patients, she said.

Novartis is reviewing the senator’s request and will respond to the committee, a company spokeswoman said.

GlaxoSmithKline spokeswoman Mary Anne Rhyne said the company had no comment.

Officials at other companies had no immediate comment or could not immediately be reached.

(Reporting by Lisa Richwine; Editing by Lisa Von Ahn and Steve Orlofsky)

Antioxidants aren’t always good for you and can impair muscle function, study shows

January 26th, 2010

Take this study along with another large, long term study that could not associate antioxidants with mortality rates and you begin to understand that we simply don’t understand all of this just yet. Save your money and buy more fruits, vegetables and a gym membership. Those are the only proven methods of enhancing health and fitness.

The Study…

Antioxidants increasingly have been praised for their benefits against disease and aging, but recent studies at Kansas State University show that they also can cause harm.

Researchers in K-State’s Cardiorespiratory Exercise Laboratory have been studying how to improve oxygen delivery to the skeletal muscle during physical activity by using antioxidants, which are nutrients in foods that can prevent or slow the oxidative damage to the body. Their findings show that sometimes antioxidants can impair muscle function.

“Antioxidant is one of those buzz words right now,” said Steven Copp, a doctoral student in anatomy and physiology from Manhattan and a researcher in the lab. “Walking around grocery stores you see things advertised that are loaded with antioxidants. I think what a lot of people don’t realize is that the antioxidant and pro-oxidant balance is really delicate. One of the things we’ve seen in our research is that you can’t just give a larger dose of antioxidants and presume that there will be some sort of beneficial effect. In fact, you can actually make a problem worse.”

David C. Poole and Timothy I. Musch, K-State professors from both the departments of kinesiology and anatomy and physiology, direct the Cardiorespiratory Exercise Laboratory, located in the College of Veterinary Medicine complex. Researchers in the lab study the physiology of physical activity in health and disease through animal models. Copp and Daniel Hirai, an anatomy and physiology doctoral student from Manhattan working in the lab, have conducted various studies associated with how muscles control blood flow and the effects of different doses and types of antioxidants.

Abnormalities in the circulatory system, such as those that result from aging or a disease like chronic heart failure, can impair oxygen delivery to the skeletal muscle and increase fatigability during physical activity, Copp said. The researchers are studying the effects antioxidants could have in the process.

“If you have a person trying to recover from a heart attack and you put them in cardiac rehab, when they walk on a treadmill they might say it’s difficult,” Poole said. “Their muscles get sore and stiff. We try to understand why the blood cells aren’t flowing properly and why they can’t get oxygen to the muscles, as happens in healthy individuals.”

Copp said there is a potential for antioxidants to reverse or partially reverse some of those changes that result from aging or disease. However, K-State’s studies have shown that some of the oxidants in our body, such as hydrogen peroxide, are helpful to increase blood flow.

“We’re now learning that if antioxidant therapy takes away hydrogen peroxide – or other naturally occurring vasodilators, which are compounds that help open blood vessels – you impair the body’s ability to deliver oxygen to the muscle so that it doesn’t work properly,” Poole said.

Poole said antioxidants are largely thought to produce better health, but their studies have shown that antioxidants can actually suppress key signaling mechanisms that are necessary for muscle to function effectively.

“It’s really a cautionary note that before we start recommending people get more antioxidants, we need to understand more about how they function in physiological systems and circumstances like exercise,” Poole said.

Hirai said the researchers will continue to explore antioxidants and the effects of exercise training. Their studies are looking at how these can help individuals combat the decreased mobility and muscle function that comes with advancing age and diseases like heart failure.

“The research we do here is very mechanistic in nature, and down the road our aim is to take our findings and make recommendations for diseased and aging populations,” Copp said.

Consumers over age 50 should consider steps to cut copper and iron intake

January 20th, 2010

With scientific evidence linking high levels of copper and iron to Alzheimer’s disease, heart disease, and other age-related disorders, a new report in ACS’ Chemical Research in Toxicology suggests specific steps that older consumers can take to avoid build up of unhealthy amounts of these metals in their bodies. “This story of copper and iron toxicity, which I think is reaching the level of public health significance, is virtually unknown to the general medical community, to say nothing of complete unawareness of the public,” George Brewer states in the report.

Click here for the rest of the story  http://www.eurekalert.org/pub_releases/2010-01/acs-coa012010.php

Stress Raises Belly Fat, Heart Risks

November 17th, 2009

Study Shows Monkeys Under Long-Term Stress Put on Belly Fat, Get Heart Disease

By Daniel J. DeNoon
WebMD Health News

Aug. 6, 2009 – Monkeys fed an American diet get fat — but those under chronic stress put on much more belly fat.

That extra belly fat is why the stressed monkeys are much more likely to suffer blocked arteries and metabolic syndrome, a constellation of risk factors for heart disease, suggest Carol A. Shively, PhD, and colleagues at Wake Forest University.

In previous studies, Shively’s team showed that socially stressed monkeys — those at the bottom of the pecking order in a monkey colony — get blocked arteries far faster than other monkeys fed the same high-fat diet.

But why do stressed monkeys get more belly fat?

“We wanted to know more about how the stress outside of you gets turned into plaque inside of your arteries,” Shively tells WebMD. “So we looked at why stress caused atherosclerosis in our monkeys.”

Over a two-year period, Shively and colleagues collected a vast array of data on stressed and unstressed female cynomolgus monkeys. The studies included a CT scan to detect visceral fat — abdominal fat that often (but not always) protrudes as a “beer belly” on the outside. On the inside, it wraps around the organs.

Even compared to other monkeys with the same body mass index and weight, CT scans showed that the stressed monkeys had a great deal more belly fat. And when the researchers looked at the animals’ arteries, they found plaque clogging the arteries of the stressed monkeys.

“So it’s not how much fat you have, but where it is located,” Shively says.

During the years of the study, the low-status monkeys had high levels of a stress hormone called cortisol. Over time, high cortisol levels cause belly fat to accumulate. It also makes individual fat cells get larger.

This is “sick fat,” says Harold Bays, MD, medical director of the Louisville Metabolic and Atherosclerosis Research Center. Bays reviewed the Shively study for WebMD.

“Your body fat can become diseased like any other body tissue,” Bays says. “Your fat cells are getting bigger and your fat tissue is getting bigger and neither the cells nor the tissues work as well as they should. The fat is sick.”

“The monkeys that have a lot of abdominal fat have the metabolic syndrome, just like people with a lot of abdominal fat,” Shively says. “When you have lots more fat in visceral fat cells and all the characteristics of the metabolic syndrome, each of these things promotes atherosclerosis.”

Stress Strips Females of Heart Protection

All of the monkeys in the Shively study were female. One way monkeys are like humans is that females are less likely to get heart disease than males. Yet stressed female monkeys that put on belly fat are at least as likely to get heart disease as are male monkeys.

“So this is a good model for women with heart disease. When women get visceral fat and the metabolic syndrome, that completely abolishes the female protection,” Shively says. “Any edge they get for being female is totally gone. And in fact it may even be a worse disease for women than men, because they get complications and die faster when they have heart disease.”

Shively and colleagues found that the stressed monkeys had abnormal menstrual cycles. Compared to the unstressed monkeys, they were much less likely to ovulate. This was linked to abdominal fat — but not to body mass index or other kinds of fat.

“We don’t know about ovarian function in women with metabolic syndrome, but probably this is something we should look into,” Shively says. “Because the menstrual system protects against osteoporosis and loss of cognitive function. Depressed ovarian function in women is not a good thing.”

Bays says he’s not surprised by this finding.

“All these things are interconnected,” he says. “The central theme is it just shouldn’t be a mystery why, if you gain weight, you get metabolic disease.”

The Shively study appears in the current issue of the journal Obesity.

http://www.webmd.com/heart-disease/news/20090806/stress-ups-belly-fat-heart-risks?page=2