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Drug Muggers: Which Medications Are Robbing Your Body of Essential Nutrients--and Natural Ways to Restore Them
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About the Author
Suzy Cohen, RPh, has been a licensed pharmacist for more than 20 years and writes the syndicated health column "Dear Pharmacist." She has made guest appearances as "America's Most Trusted Pharmacist" on many network shows, including The View and The Dr. Oz Show, and hosts a medical minute on the syndicated TV health show Know the Cause. Suzy is a member of the Institute of Functional Medicine, American College for Advancement in Medicine, and the American Association of Anti-Aging Medicine.
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Chapter 1What Is a Drug Mugger? And Why Should You Care?As a licensed pharmacist for 22 years, I have a confession to make: Some medications scare me! Don't get me wrong. As someone who has been dispensing prescription and over-the-counter (OTC) drugs for many years, I have a deep respect for what they can do. Pharmaceuticals can ease your pain, help you breathe better, keep you from having a seizure, and alleviate allergy symptoms that make your life miserable. The list of life- enhancing benefits goes on and on and on.But--and, oh boy, is this a big but--while fixing the one problem that you take the pharmaceutical to fix, that drug is likely robbing you of life- sustaining nutrients in the process. Many, in fact most, of the medicines you're taking have the potential to steal the life out of you slowly. How does that grab you? The ultimate effects of this nutrient depletion explain everything from nagging aches to life-threatening diseases.Millions of people are slipping through these drug-caused nutrient deficiency cracks as they get sicker and sicker each year. The system is so out of whack that people think it's normal to see eight or nine different physicians for an ailment that eludes diagnosis. And there's a good chance that the ailment can be traced back to a single nutritional deficiency!While drugs often do provide blessed symptom relief, in most cases they don't actually cure the disease. By virtue of the fact that they steal nutrients from your system or prevent their absorption, they could even be causing more diseases. As you will soon see, if you run low on even one vital nutrient, you can experience a veritable cascade of uncomfortable side effects. Then these will likely be diagnosed as a new disease, for which you will be handed yet another pricey prescription.Sad to say, you'll get on a medication merry-go-round, and it's a hard ride to get off of. That's why I wrote this book. I want to empower you to learn what is causing your problems and to help you feel better. Also, knowing what nutrients to replenish will help you to stay compliant with your medications, and this will please your physician, too.Let's talk about nutrients and their dosages, because you will soon find out while supplement shopping that dosages vary widely from brand to brand. You may be afraid to take more than the US Recommended Daily Allowance, which I sometimes suggest you do, so allow me to give you a primer on the RDA and dosages in general.The RDI Is Not the Be-All and End-AllIn my professional opinion, the reference daily intake (RDI) is just a starting place. It's not the be-all and end-all of good nutrition. The suggested amounts for each nutrient are definitely not enough to provide optimal health or offset the drug mugging effects of your medicines and lifestyle. To tell you the truth, I don't pay much attention to the RDIs on labels because I don't eat a lot of foods that come with labels. That's because I lean toward vegetarianism. (If you do, too, then please eat intelligently, because many vegetarians do not know how to eat properly. They quickly run out of important vitamins, amino acids, and minerals, among them vitamin B12, L-carnitine, and iron.)Fruits and veggies don't come with a food label stating the RDI. I assure you that these foods are highly nutritious even if they don't have a label to prove it. Not only are plant foods good for you, but they also do away with the compulsive need to read the RDI and make sure you're getting it.I am bent on keeping a nutritious kitchen, so you won't find many canned foods in my pantry. I keep a can of ravioli for my dad because he loves it and has stayed alive for 80-something years despite eating it. It would take you an hour to find this can. I realize that I'll be in serious trouble if another hurricane barrels through Florida, where I live, but canned, boxed, or highly processed foods are simply not part of my family's diet. This does not mean that you won't find chocolate-covered macadamias if you search hard enough. Okay, fine, there are some in the top drawer of my desk in case of an unlikely emergency, like if my computer freezes or umm, I umm . . . develop writer's block . . . or misspell a werd :-).I do not normally buy, eat, or store foods that have lengthy nutrition labels on them. We as humans are at the top of the food chain, so we have the most highly developed brains and impressive cognitive function. This enables us to make a choice to eat consciously, or not. If we all ate organic fruits and vegetables, we could get by with fewer drugs. There would be no stress about whether or not we met the RDI for a nutrient. We would be getting enough of each nutrient naturally.This whole rant isn't to nag you. I do it because I care. I've read thousands of readers' e-mails and letters over the years. I know that many people are concerned about improving their diets, losing weight, and avoiding a heart attack or diabetes. Many of my readers must take medications that are drug muggers, sometimes multiple drug muggers. Perhaps you are among this number. I can imagine how you feel, taking so much medicine and feeling worse and not knowing what else to do or who else to ask.This is like being stuck in the middle of a giant whirlpool and not being able to get out. As a pharmacist, I want to get as many people as possible on the right track of taking fewer prescribed drugs. My point is that if you're eating really well--and I know you can--then it won't matter much what the fine print on your food labels says. The same goes with your vitamin or dietary supplement. It may have the RDI listed on it, but if you are being mugged by a drug, you are going to need much more than the RDI suggests. Let me tell you a good story.A woman came to the pharmacy 1 month after I had suggested that she take additional vitamin B6 to help her with her carpal tunnel syndrome. She had been taking birth control pills, which I knew to be a drug mugger of vitamin B6. She told me she wasn't doing any better on the B6 she had picked up and showed me the bottle. It was a popular multivitamin that contained 2 mg of B6. I told her it was abysmally low for her needs, but she insisted that it met 100 percent of the DV and pointed out the ingredient label to prove it. We went round and round for a few minutes until I walked her over to the vitamin aisle and showed her a bottle of B6 that contained 50 milligrams and suggested she try that for another month. She happily returned a month later to tell me she was totally relieved of her pain.I'm one of the health-care professionals who happens to think that the RDI is just a minimum requirement that should keep you from developing a deficiency of a nutrient and perhaps dying of that deficiency. For example, the RDI for vitamin C will keep you from developing and dying of scurvy. The recommended amount of vitamin B1 will prevent you from dying of beriberi. The suggested amount of vitamin D will keep you from developing rickets, and the list goes on. This leaves me deflated and thinking, "That's it?" I'm meeting 100 percent of the DV and all this means is that I won't die from a deficiency? Sheesh! There is a huge gap between suffering from a deficiency and being healthy, isn't there? I choose health. That's why I want more than what the DV recommends. For more on Daily Values, see Chapter 26.Science Looks at PharmaceuticalsThe idea of helping people replenish lost nutrients didn't just suddenly dawn on me; Drug Muggers was years in the making. Many other scientists studied this topic before I did. As a pharmacist, I have made it my business to pay attention to every medication on the market and all the interactions that may occur with them. I also watch for news about medications and food or herb interactions. Because I specialize in medication and herbal interactions, I keep files on certain drugs and on all those black box warnings that the FDA comes out with every now and then. A black box warning is basically a warning to physicians stating the possibility of a particularly dangerous side effect. Keeping files and computer documents about such things is part of my professional life. I haven't included every single clinical research study or trial in this book because it would make it very long indeed. When it is most interesting, however, I have included certain citations in each chapter, but most of my references are in the back of this book so you can see them for yourself at your leisure. The fact is that drugs cause side effects, and many do so by stealing vital nutrients from our bodies. I'm proud to share all this information with you in the coming pages.My information doesn't come only from studies, however. It also comes from my heart. I want you to know that I used to work in nursing homes, where I saw firsthand the horror of living under the shadow of disease and the negative side effects of multiple medications. I so wanted to have a positive impact on people's lives, and I was saddened that many of the medications that came from my pharmacy did more harm than good. Before I teach you how to restore balance to your own life, I need you to master the basic definition of a drug mugger.Drug mugger: noun An over-the-counter or prescribed medication, food, herb, medical condition, or lifestyle choice that is capable of robbing your body's natural stores of an important vitamin, mineral, or hormone.Usage: Acid blockers are drug muggers of zinc. Smoking is a drug mugger of vitamin C.Drug mugging: adjective Of or relating to a drug mugger.Usage: My legs are cramping; I could be suffering from the drug mugging effects of my cholesterol medication.The Nutrient Depletion Effect of Drugs Is Well KnownThe drug mugging effect is real. It's not debatable or something that scientists are still trying to figure out. Even though there are hundreds of published articles and studies regarding nutrient depletion by drugs, millions of people continue to suffer. This is because the information has not been widely disseminated. Most physicians have not studied it, and many of them do not even know that depletion occurs.All those drug commercials on TV bother me. They paint miraculous pictures of medicine, but if you don't let yourself get distracted by the playful images, you might hear the litany of side effects of each new drug. The term side effect sounds like it's incidental to the main, desired effect. But I think a side effect, especially if it's a really serious one, is really another main effect that happens to be uncomfortable. Every drug has them. It's important to compare the risks to the benefits before beginning drug therapy or any treatment plan, for that matter.Drugs are advertised to fix one problem, but in reality (as opposed to what's on TV) they often manage to disrupt other aspects of cellular function. That's common knowledge in my circle of health-care practitioners. Unfortunately, it's not common knowledge to most people. So I need you to fully understand that the information in this book will help to reduce your risk of developing uncomfortable side effects from the medication you take.Side effects (drug mugging symptoms) may not show up right away. Some can occur months to years after taking a drug. For example, you can take a particular medicine for years and then suddenly have a heart attack. Was your heart diseased to begin with? Maybe. But it's also possible that it was weakened by a nutritional deficiency that went overlooked for too long, a nutrient deficiency caused by a drug you were taking to protect your heart. (I'm referring here to drugs that deplete your body of coenzyme Q10 [CoQ10], a nutrient that helps your heart do its job. You'll learn about this in detail further along in this chapter and in Chapter 8.) This kind of tragedy is completely avoidable as far as I'm concerned. All you have to do is take CoQ10 if you take a drug listed in that chapter.As you turn the pages, I'd love for you to say, "Aha! I just figured out why I feel so bad. Now I know exactly what to take to feel better!" For pennies a day, you can get your life back! As you read this book, you'll be able to recognize whether you are deficient in a particular nutrient; you can then start to put the right foods on your plate or take absurdly inexpensive vitamins to feel better. Okay, some of the supplements I recommend may cost a little more than you're used to paying for vitamins. But if you compare their cost to the bills for medical care that you won't have to pay down the line, they are, indeed, absurdly inexpensive. Let's take a brief look at some so-called diseases that may be related to the drug mugging effect.Depression, osteoporosis, and irregular heartbeat: These can all be caused by a deficiency of the mineral magnesium. Common drug muggers of magnesium include female hormones, diuretics, raloxifene (Evista), anti- inflammatories, and aspirin.Bald patches, loss of taste or smell, erectile dysfunction, and chronic diarrhea: All these conditions may result from zinc deficiency. Common drug muggers for zinc include anti-inflammatories, antibiotics, antacids, ulcer and heartburn medications, diuretics, and estrogen drugs used for birth control and menopause.Leg cramps, muscle spasms, memory loss, and fatigue: Any of these conditions may develop from a deficiency of CoQ10 (ubiquinone). This life- sustaining antioxidant gets demolished by hundreds of medications, including statin cholesterol drugs, metformin, antidepressants, beta- blockers, and diuretics.Cataracts, macular degeneration, liver problems, and high levels of the heart-attack-promoting substance homocysteine: Any of these conditions could be tied to low glutathione, a powerful antioxidant needed to get rid of poisons in your body. Acetaminophen is a possible drug mugger of glutathione. (Did you know that taking acetaminophen every day could contribute to vision loss later in life?)Weight gain, depression, fatigue, anemia, nerve pain, and a sensation of pins and needles: Any of these could be related to a deficiency of one or more B vitamins. Your stash gets depleted by female hormones (used for birth control and to relieve the symptoms of menopause), alcohol, antacids, ulcer medications, diuretics, raloxifene (Evista), cholestyramine, and diabetes drugs.
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Product details
Paperback: 384 pages
Publisher: Rodale Books; 1 edition (February 15, 2011)
Language: English
ISBN-10: 1605294160
ISBN-13: 978-1605294162
Product Dimensions:
6.5 x 1 x 9.1 inches
Shipping Weight: 1.3 pounds (View shipping rates and policies)
Average Customer Review:
4.7 out of 5 stars
362 customer reviews
Amazon Best Sellers Rank:
#80,223 in Books (See Top 100 in Books)
Let's face it, most doctors hand us prescriptions and send us on our way. They seem to be too busy to discuss the ramifications of taking the medication they are giving us. A simple hand out talking about side effects, food interactions, and which extra vitamins to take would be nice, but I've never received one, have you? (Suggesting probiotics when taking antibiotics would seem to be a good start!) Most people (?) are aware that statins deplete co-enzyme Q10 but are they aware that acid blockers deplete B12 and other B vitamins? (anyone tired?). This book goes into detail about all the nutrients, minerals, and vitamins that are depleted when taking prescription drugs. You will learn how to replace them, especially with foods. You will learn how to counteract side effects, again with natural methods and foods. You will learn how to increase your energy, have better digestion, and most important, in my opinion, you will learn which foods and drinks to avoid with which medications. After reading this very valuable book, get Jonny Bowden's book The Most Effective Natural Cures.The Most Effective Natural Cures on Earth You may be able to start with some of those instead of resorting to prescription drugs. Keep this reference book handy, so you can refer to it any time you get a prescription!
Life changing book for me! I first saw the name Suzy Cohen while I was waiting in line at Whole Foods and there was a magazine that she was featured in on Thyroid health. I purchased that magazine and couldn't put it down, I later purchased her book "Drug Muggers" and it truly has changed my life. I had a full Hysterectomy 3 years ago and my doctor at the time put me on huge amounts of Estrogen and along with Progesterone and Testosterone to balance my hormones and then after the shock of my body going through everything, my cortisol was high and my thyroid was sick. I gained 10lbs. overnight and was bloated and miserable, I was tired all the time, depressed and had no energy to do my morning runs. I hated the way I looked, I gained most of my weight in my thighs, butt and stomach. I complained to my doctor that I felt the Estrogen was to high because the only time I felt a little bit better and less bloated was the 2 weeks I was using my Progesterone that counter balanced the high Estrogen. I did my blood work again and it showed my Estrogen was low and my doctor said that my body was "craving Estrogen"! I continued listening to her and continued to be depressed and never felt right and I assumed this is what happens when you go into early Menopause and your fat and depressed so just get over it! I decided to go to someone else and they put me on a Estrogen patch that was 1/2 the potency of the Bio-Identical cream I was on and literally overnight I wasn't as bloated and I started to feel a little bit better, well at least my inner thighs weren't rubbing up against each other when I ran. I still wasn't quite right, not the way I use to be and I noticed if I ate broccoli at night I would wake up to be less bloated the next day. I didn't put all of it together until I read Suzy's magazine and book. I have always taken supplements but not the ones my body was being depleted from the HRT. I started taking individual B vitamins along with a B-complex and my mood lifted dramatically and I had energy again that I haven't felt in over 3 years, I also started taking Calcium D-Glucarate to flush out the excess Estrogen I am back to my original weight. I can't thank you enough Suzy for writing this book and opening my eyes, I truly am thankful!
I am so grateful to have this book. It has helpful information as to what nutrients may need supplementation when we take certain drugs. Natural ways to restore what is missing are also mentioned. I especially appreciate the information as to what forms of a vitamin or mineral are most easily assimilated, as well as what not-so-useful forms are being used by some makers because they are cheaper. There is a very helpful list of Resources, Great supplements: Companies that put their best foot forward" on p. 327 of the paperback version (the one I bought); also a chapter on daily values, with explanations of some abbreviations and "Are megadoses the answer?" (No.) and "Why I pay no attention to the numbers."People anxious to avoid unnecessary or harmful added ingredients will be happy to read, toward the end of the book, about "flavoring, binders, humectants, lubricants, disintegrators, and preservatives." And did you know this? (p. 313 of paperback): "Supplement makers...often list an ingredient even if it appears in a negligible amount or if it's extracted from the wrong portion of a plant. For example, unworthy supplements may state 'gingko extract,' whereas a high-quality supplement is proud to disclose the dosage as '40 mg gingko extract (leaf) standardized to 24 percent heterosides." (OK, I admit that I don't know anything about heterosides, but you get the idea.)Here are just a few of the many, many things I didn't know until I read this book:(1) If you are supplementing zinc and copper, neurotransmitters in the brain that affect mood, they need to be taken in the proper ratio. "The ratio of copper to zinc is far more clinically valuable than the concentration of either one." Too much of one, and you end up with a relative deficiency of the other. Sometimes a deficiency of zinc arises due to the use of birth control pills that cause excessive copper, and then the resulting mood changes (for the worse) may end up being treated with psychoactive drugs, whereas the problem is actually being caused by an imbalance.(2) Re vitamin E: the lab-created form, dl-alphatocopherol, is cheaper to produce, but d- (not dl-) alphatocopherol is more biologically active. I had already read that somewhere else, but not this: Vitamin E is the name for a family of 8 molecules, so "the very best brands have all eight in their formulas." The author remarks that vitamins coming in the wrong form are a deal-breaker for her, and would be for me, too. And now, thanks to this book, I know which ones ARE deal-breakers.(3) CoQ10 suspended in rice bran oil or olive oil, rather than a dry powder in a capsule gets into the body's cells more easily and may be more bio-available. The better absorbed form of CoQ10 (i.e., ubiquinol) is sold under the brand name Kaneka QH.(4) The author considers it better to take beta-carotene vitamin A, unless otherwise prescribed by your doctor. Buy natural forms because synthetic ones do not offer antioxidant protection, and the author and some other experts actually consider synthetic versions of beta-carotene to be "downright dangerous."The list of things this book has taught me goes on and on. But speaking of lists, here are the titles of a few lists and charts in the book:"Grapefruit interaction chart""Common drug muggers" (This chart is great, with headings such as "Types" (of drugs) / "Common Drugs" / "Install your security system" [what to take to counteract the depletion of nutrients in each case], and "...or these complications may result.")"Supplements to battle the drug muggers" (what supplement has what important nutrients, and what "drug muggers" it will fight)"Drug muggers of biotin (Vitamin B7)""Drug muggers of calcium""Drug muggers of CoQ10""Drug muggers of glutathione" ("The liver uses glutathione to metabolize all the medications you take and remove them from the body once their purpose has been served." Without it, your couldn't clear drugs and toxins from your blood.)"Drug muggers of magnesium"And many more...I should let it be known here that I have no connection with the author or publisher of this book or any other reason to praise it, other than the fact that I have found it so impressive and useful.
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