Hazardous homeopathy: ‘ingredients’ that ought to make you think twice

Would you take a medicine made with arsenic? Or deadly nightshade? Lead? Poison ivy?

You’d ask some serious questions first, at least, wouldn’t you? Is it definitely safe? Or, more accurately, are the odds better than even that it will make me better without causing horrible side-effects? Or, you know, killing me?

There ARE medicines that are legitimately made from highly toxic compounds. For example, the poison beloved of crime writers such as Agatha Christie, arsenic trioxide, is used to treat acute promyelocytic leukemia in patients who haven’t responded to other treatments. Unsurprisingly, it’s not without risks. Side-effects are unpleasant and common, affecting about a third of patients who take it. On the other hand, acute promyelocytic leukemia is fatal if untreated. A good doctor would talk this through with a patient, explain both sides, and leave the final choice in his or her properly-informed hands. As always in medicine, it’s a question of balancing risks and benefits.

Would you trust something with no proven benefit and a lot of potential risk? There are, it turns out, a swathe of entirely unregulated mixtures currently being sold in shops and online which clearly feature the substances I listed at the beginning. And more. Because they are all, supposedly, the starting materials in certain homeopathic remedies.

Homeopaths like to use unfamiliar, usually Latin-based, names which somewhat disguise the true nature of their ingredients. Here’s a short, but by no means comprehensive, list. (You might find remedies labelled differently but these are, as far as I can tell, the most common names given to these substances.)

If you haven’t heard of some of these, I do urge you to follow the links above, which will largely take you pages detailing their toxicology. Spoiler: the words “poison”, “deadly” and “fatal” feature heavily. These are nasty substances.

There are some big ironies here, and I’m not referring to the metal. For example, a common cry of anti-vaccinationists is that vaccines contain animal tissues – anything and everything from monkey DNA to dog livers. But many also seem to be keen to recommend homeopaths and courses of homeoprophylaxis – so-called “homeopathic vaccines” – which use bodily fluids such as pus and blood as starting materials.

Now, at this point I’m sure some of you are thinking, hang on a minute: aren’t you always telling us that “the dose makes the poison“? And aren’t homeopathic remedies diluted so much that none of the original substance remains, so they’re just placebos?

Yes, I am, and yes, they are.

Does anyone test homeopathic remedies to make sure there’s nothing in them….?

In THEORY. But here’s the problem: who’s testing these mixtures to make sure that the dilutions are done properly? And how exactly are they doing that (if they are)?

One technique that chemists use to identify tiny quantities of substance is gas chromatography (GC). This is essentially a high-tech version of that experiment you did at school, where you put some dots of different coloured ink on a piece of filter paper and watched them spread up the paper when you put it in some water.

GC analysis is brilliant at identifying tiny quantities of stuff. 10 parts per million is no problem for most detectors, and the most sensitive equipment can detect substances in the parts per billion range. Homeopathy dilutions are many orders of magnitude higher than this (30c, for example, means a dilution factor of 1060), but this doesn’t matter – once you get past 12c (a factor of 1024) you pass the Avogadro limit.

This is because Avogadro’s number, which describes the number of molecules in what chemists call a “mole” of a substance, is 6×1023. For example, if you had 18 ml of water in a glass, you’d have 6×1023 molecules of H2O. So you can see, if you’ve diluted a small sample by a factor of 1024 – more than the total number of molecules of water you had in the first place – the chances are very good that all you have is water. There will be none of the original substance left. (This, by the way, is of no concern to most homeopaths, who believe that larger dilutions magically produce a stronger healing effect.)

What if the sample ISN’T pure water after it’s been diluted?

If you carried out GC analysis of such a sample, you should find just pure water. Indeed, if you DIDN’T find pure water, it should be cause for concern. Potassium cyanide, for example, is toxic at very low levels. The lethal dose is is only 0.2-0.3 grams, and you’d suffer unpleasant symptoms long before you were exposed to that much.

So what if the dilutions somehow go wrong? What if some sample gets stuck in the bottle? Or on the pipette? Or a few dilution steps get skipped for some reason?

Are these largely unregulated companies rigorously quality-checking their remedies?

Well, maybe. It’s possible some producers are testing their raw materials for purity (ah yes, another question: they CLAIM they’re starting with, say, arsenic, but can we be certain?), and perhaps testing the “stability” of their products after certain periods of time (i.e. checking for bacterial growth), but are they running tests on the final product and checking that, well, there’s nothing in it?

And actually, isn’t this a bit of a conflict? If the water somehow “remembers” the chemical that was added and acquires some sort of “vibrational energy”, shouldn’t that show up somehow in GC analysis or other tests? If your tests prove it’s pure water, indistinguishable from any other sample of pure water, then… (at this point homeopaths will fall back on arguments such as “you can’t test homeopathy” and “it doesn’t work like that”. The name for this is special pleading.)

A warning was issued in the U.S. after several children became ill.

Am I scaremongering? Not really. There’s at least one published case study describing patients who suffered from arsenic poisoning after using homeopathic preparations. In January this year the U.S. Food and Drug Administration issued a warning about elevated levels of belladonna (aka deadly nightshade) in some homeopathic teething products. Yes, teething products. For babies. This warning was issued following several reports of children becoming ill after using the products. The FDA said that its “laboratory analysis found inconsistent amounts of belladonna, a toxic substance, in certain homeopathic teething tablets, sometimes far exceeding the amount claimed on the label.”

Now, admittedly, I’m based in the U.K. and these particular teething remedies were never readily available here. But let’s just type “homeopathy” into the Boots.com (the British high-street pharmacy) website and see what pops up… ah yes. Aconite Pillules, 30c, £6.25 for 84.

What happens if you search for “homeopathy” on the Boots.com website?

Have you been paying attention lovely readers? Aconite is…. yes! Monkshood! One of the most poisonous plants in the garden. Large doses cause instant death. Smaller doses cause nausea and diarrhea, followed by a burning and tingling sensation in the mouth and abdomen, possibly muscle weakness, low blood pressure and irregular heartbeat.

I must stress at this point that there is no suggestion, absolutely none whatsoever, that any of the products for sale at Boots.com has ever caused such symptoms. I’m sure the manufacturers check their preparations extremely carefully to ensure that there’s absolutely NO aconite left and that they really are just very small, very expensive, sugar pills.

Well, fairly sure.

In summary, we seem to be in a situation where people who proclaim that rigorously-tested and quality-controlled pharmaceuticals are “toxic” also seem to be happy to use unregulated homeopathic remedies made with ACTUALLY toxic starting materials.

I wonder if the new “documentary” about homeopathy, Just One Drop, which is being screened in London on the 6th of April will clarify this awkward little issue? Somehow, I doubt it. Having watched the trailer, I think it’s quite clear which way this particular piece of film is going to lean.

One last thing. Some homeopathic mixtures include large quantities of alcohol. For example, the Bach Original Flower Remedies are diluted with brandy and contain approximately 27% alcohol (in the interests of fairness, they do also make alcohol-free versions of some of their products and, as I’ve recently learned, they may not be technically homeopathic). Alcohol is a proven carcinogen. Yes, I know, lots of adults drink moderate quantities of alcohol regularly and are perfectly healthy, and the dose from a flower remedy is minuscule, but still, toxins and hypocrisy and all that.

There are cheaper ways to buy brandy than Bach Flower Remedies.

Amusingly, the alcohol in these remedies is described an “inactive” ingredient. It’s more likely to be the only ACTIVE ingredient. And since Flower Remedies retail for about £7 for 20 ml (a mighty £350 a litre, and they’re not even pure brandy) may I suggest that if you’re looking for that particular “medicine” you might more wisely spend your money on a decent bottle of Rémy Martin?


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Chemistry jokes get the best reactions

Today, 24th March, is Red Nose Day 2017 in the UK. I decided to see if I could collect some new chemistry jokes. There are some, of course, that we’ve all heard before – we might even say that all the best ones argon.

So, I promised to donate £10 if I got sent at least five new jokes. And I did! So I have! And here are my favourite five, in no particular order. Enjoy!

“I’ll tell you a joke about a tiny amount of iron for a small Fe.”@hullodave

“Chemistry Fact: There’s really no such thing as hydrogen. The inventor of the Periodic Table just needed a place to land a tiny helicopter.”@hullodave

“Why don’t they galvanise ships to stop corrosion? …That would make them zinc.”

“Do you know why everyone wants to work with bismuth? Because there’s no bismuth like showbismuth!” — @GriceChemistry

“I know a great long Justus Von Liebig joke but it needs condensing to get it on Twitter.” — 

If you’ve enjoyed these, if they’ve even so much as made you crack a little smile, please go and donate a couple of quid to Comic Relief. It’s a brilliant charity which helps people all over the world.

Donate here

Vaccines are one of humankind’s best achievements, and we should all be shouting about it

science-fiction-1819026_960_720Imagine aliens finally get around to visiting our planet…

“About two hundred years ago,” explains the alien scientific advisor – let’s call him Spuck – “humans developed a way to prevent disease which they call vaccination. It’s really quite fascinating. They use a needle to place a tiny quantity of a fluid into the muscle under the skin of their arm or leg. The substances are then absorbed into their bodies and cause their highly-evolved immune systems to generate an immune response without, and this is really quite ingenious, Captain, their having to contact the actual diseases or suffer the symptoms. This simple procedure has saved millions of lives worldwide, and saved many millions more from having to suffer less fatal, but none the less still deeply unpleasant, consequences of serious illnesses.”

“Sounds great, Spuck,” says the Captain – let’s call him Birk – “is there a downside?”

“Not really, Captain. Side effects are rare and extremely minor compared to the seriousness of the illnesses themselves.”

“Fantastic. Why are you telling me all this? I’ve got some green-skinned action I’d like to get back to, if you know what I mean.”

“Well, it’s interesting that you should mention unusual skin tones, Captain. A leader has recently come to power who, amongst other things, has expressed concerns about vaccination.

“Valid concerns?”

“The scientific evidence suggests not, sir.”

“Sounds like an idiot, Spuck.”

“I couldn’t possibly comment, sir.”

“Huh. Sounds like he could definitely be detrimental to the future of their race, and besides, I’m bored. Let’s go and shoot some stuff in direct contravention of the Cardinal Directive. Set blazers to ki- I mean, stun. Beam me down, Dottie!”

***

Vaccination. It’s a hot topic at the moment, and one which is so important that I think anyone who has anything to do with science communication ought to be talking about it. I’m not a medical doctor, or an immunologist, or even a biochemist (for more qualified input on the subject, I refer you here, here and here), but I AM capable of recognising scientific consensus and of separating good-quality evidence-based information from conspiracy theory dross.

Vaccination is awesome.

Awesome is a word that is somewhat overused. But I mean it literally. As in, inspires awe. We should stop, for a moment, and just look at how bloody amazing vaccination is. Thanks to these simple, near-painless, injections – most of which we receive as young children and therefore don’t even remember – we are largely protected from the horrors of….

  • Poliosymptoms and complications include fever, vomiting, headache, back pain, joint pain and stiffness, permanent muscle weakness, permanent paralysis and death.
  • Mumpssymptoms and complications include fever, headache, meningitis, painful testicular swelling in males and ovarian inflammation in females, both of which can  result in permanent infertility, pancreatic inflammation and, occasionally, hearing loss. Death from mumps is rare, but does occur in about 1 in 10,000 cases.
  • Tuberculosis – symptoms and complications include fever, loss of appetite, severe fatigue, chest pain, coughing up of blood, scarring of the lungs, internal bleeding and death (death is considerably more likely if the patient does not have access to medical care).
  • Measlessymptoms and complications include fever, painful skin rash, diarrhoea, vomiting, ear infection which can result in deafness, eye infection which can result in blindness, laryngitis, pneumonia, bronchitis, liver infection, encephalitis, and increased likelihood of re-contracting diseases previously survived (measles essentially “wipes” your immune system). Oh yes, and death. As many as 1% of measles patients will die from the disease.

… and umpteen other, horrible diseases, the majority of which most people reading this will have never experienced. Because of vaccination.

Measles rash

A child with a measles rash. The disease can cause serious complications, including immune suppression.

The risks of vaccination are tiny. The most common complications are redness and swelling around the injection site and/or slight temperature which is easily treated with an antipyretic such as paracetamol or ibuprofen. Very occasionally people suffer a serious allergic reaction, but this inevitably happens quickly after the injection is given. Since vaccinations are usually administered in a medical setting, any allergic reaction that does occur can be quickly managed. There have been a few other genuine cases of serious, adverse reactions to vaccines, but problems are still very rare (the swine flu-narcolepsy link, for example, affected 1 in 55,000) and specific to particular vaccines, and the vaccine in question has been quickly investigated.

Like Birk, if you’ve had nothing to do with the anti-vaccination community, you may be thinking this all sounds good. Benefits massive, risks tiny. Fab. Let’s go.

However, the anti-vaccination crowd – a real, and not entirely new, thing – will tell you that this is all lies. They will tell you this loudly, and at length, and repeatedly. They believe that vaccinations cause every health problem from acne to zygomycosis, but particularly the neurodevelopmental condition known as autism.

Vaccines do not cause autism. At all. As Spuck said, the scientific evidence is clear. It’s absolutely ice-from-a-moutain-stream-in-the-middle-of-nowhere crystal clear. Just for one example, a meta analysis published in the journal Vaccine in 2014 looked at studies involving over a million children. The data revealed no relationship between vaccination and autism. None. Nada.

Vaccines, you see, do not cause autism. And actually, it’s about time we stopped wasting precious resources proving that over and over and over and over again and instead focused on what does cause autism, because that would be a question worth answering.

Infection rates dropped enormously in the US after the measles vaccination was introduced.

Infection rates dropped enormously in the US after the measles vaccination was introduced.

Anti-vaxxers will often repeatedly talk about mercury in vaccines. There’s mercury in vaccines, they’ll say, and that’s nasty stuff, so even if we haven’t proved it yet, they must be causing something bad. One problem there: there isn’t any mercury in vaccines. There’s a preservative called thimerosal (or thiomersal) in some flu vaccines – which are not the ones usually given to children – but thimerosal is no more mercury than salt is chlorine.

The anti-vax crowd get whackier after this. Some of them will tell you that vaccinations don’t, in fact, protect against against disease at all – despite huge evidence to the contrary (see also here), not to mention the simple fact that many of our grandparents and even parents remember these diseases, and their complications, as horribly commonplace.

Anti-vaxxers often state that deaths from these diseases were dropping before the vaccines were introduced. This is true. Deaths did drop, because medical science was developing rapidly. A measles patient receiving medical care is, indeed, less likely to die than one left to her own devices. If I may say so, duh.

What vaccines did is to massively reduce infection rates. But just to state the obvious: if people don’t catch a disease, they also can’t die from it.

In short, if an anti-vaxxer shows you a graph, it’s smart to check to the axes labels.

After that they get really loony, and some of them will even tell you things such as smallpox wasn’t eradicated, it was just renamed acne. Or polio has been reclassified as Guillain-Barré syndrome. These ideas are so utterly ridiculous they don’t even deserve rebuke.

This has started up again in the last few days, particularly in the UK, because of the nasty deposit of conspiracy crap that is the film Vaxxed. It’s available online, but I shall not be linking to it here.

The film claims to reveal a massive cover-up at the Centre for Disease Control (the CDC) in America, and evidence that vaccines are generally evil and cause all manner of heinous negative health outcomes. Very little of it is true, and where a tiny nugget of true fact has been included it’s been so beaten and manipulated as to have lost all of its original meaning. There’s an excellent piece about it on Skeptical Raptor website, which I recommend reading before you google the term “vaxxed”. Consider it a sort of inoculation against the nonsense, if you like (hoho).

A Guardian article from 2010 reports on Wakefield.

A Guardian article from 2010 (click for link).

The main brain behind the film is Mr Andrew Wakefield, a former British doctor who was struck off the General Medical Council in 2010, when the GMC said he had acted “dishonestly and irresponsibly.” Wakefield was, it turned out, trying to patent his own measles vaccine. In an effort to further his own aims, he set out to discredit the widely-used MMR (measles, mumps and rubella vaccine) by fabricating results and, in particular, suggesting a link between the MMR and autism. He denied all this, of course, but a libel judge disagreed.

Wakefield is still pushing his message. He is not a particularly nice individual. Listen to him in this video clip, for example, where he responds to Bill Gates comment, made in 2015, that he (Gates) fears a pandemic could wipe out humanity in his lifetime. Actually, I’ll save you the trouble:

“Ho Chi Minh City, you may have seen this, an outbreak of [laughs] the plague in Ho Chi Minh City. The outbreak that they were not prepared for, they never prepared for, and that is the number of children with autism in Ho Chi Minh City has increased by nearly one hundred and sixty times over eight years. So, Bill, just for your edification, the plague that you’re talking about, the next plague, the next epidemic, it’s already here. It’s already here.”

Yes, you heard that right, according to Wakefield autism is a “plague”. Anyone reading this with an autism diagnosis? You have the plague. Nice, huh?

Andrew Wakefield describes autism as a "plague".

Andrew Wakefield describes autism as a “plague”.

For the record, the number of autism diagnoses in Ho Chi Minh has increased sharply over recent years, but this is may well be – as often turns out to be the case – largely due to to better diagnosis. Certainly there’s absolutely no suggestion that it’s linked to the introduction of a vaccine or vaccines. There might be an environmental factor – some sort of pollutant perhaps – but no one is certain at the moment. (To repeat myself: perhaps if we stopped wasting time endlessly disproving the link between vaccines and autism, we’d have a better idea.)

By the way, the woman in that video clip is Polly Tommey. She has an autistic son who’s now in his twenties. Back in 2010 she chose to try and raise awareness of autism by posing in a Wonderbra-style advert, and these days she follows the campaign trail with Wakefield, repeating the message that they “will win”. What exactly they’re going to win isn’t entirely clear. Would preventing vaccination, at the cost of many lives, really be a win?

Vaxxed was due to be shown at the Curzon cinema in Soho, London on Valentine’s Day. It was pulled after the cinema realised what the film was – they had merely leased their premises to private individuals and only realised what was going on when a number of science advocates started complaining.

In a statement, a spokesperson for Curzon Cinemas said:

“We do not wish to profit from a film that has demonstrably caused great distress.”

The heyevent.uk page on Vaxxed, explaining that the location will be "annnounced" two hours before the screening.

The heyevent.uk page on Vaxxed explains that the location will be “annnounced” two hours before the screening.

Tommey was predictably unimpressed by this outcome, which she blamed on “our little five trolls in England,” saying “Britain being who they are, being big wussy pussies, just strike it off.”

Unfortunately, the cancellation turned out to be less of a victory than it first appeared. The anti-vaxx crowd then set out to find a new venue. And this time, they kept it quiet. There are many, many places that will rent you a space to screen a film, and I’ll wager that few of them really check the nature of that film. So, the anti-vaxxers correctly reasoned, if we don’t tell people where it is, no one will be able to stop us. People who had previously bought tickets were told it would be in “Central London”, and that the venue would be revealed two hours before the show.

And so, it happened. At Regent’s University London, a private university which was, incidentally, recently identified as the most expensive place to study in the UK.

In hindsight, this might actually have been worse than a screening at an independent cinema. Dodgy film in a cinema – so what? “Official” screening at a university with Q&A sessions afterwards? Hm, sounds important and… academic. The press, naturally, made the most of it, with headlines such as “Disgraced anti‑MMR vaccine doctor Andrew Wakefield gets invitation to university in London.” Sure, the first line of the actual article says the university has been criticised, but who actually reads beyond the headlines these days? Sounds like he’s being taken seriously, doesn’t it?

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Regent’s University’s response on Twitter on February 15th

Regent’s University responded pretty quickly to say that they hadn’t known what the film was, that they didn’t endorse its views, and that they would be revetting all their clients.

This provoked lots of complaints about freedom of speech, because many people seem to be under the misapprehension that freedom of speech means that any and all organisations and venues have a duty to allow them to repeat their nonsense. This is not what freedom of speech means. Freedom of speech means you can’t be chucked in prison for saying a thing (with some exceptions). It does NOT mean that everyone has to listen to you, or that you can say your thing wherever and whenever you like, whether the place renting you the space likes it or not.

More alarming still was the Q&A session at the end of the screening of Vaxxed. I watched some of it (one for the team, you’re welcome). There was much talk of “getting the message out there”, “sowing the seeds”, “people have to hear the message x times before they’ll start to accept it” and so on. In short, if you didn’t know it was all about vaccines it would start to sound an awful lot like…. well, at best a religion, and at worst a cult.

Wakefield was also asked if he would ever get his name cleared. This was his response:

Wakefield speaking at the end of the Vaxxed screening.

Wakefield speaking at the end of the Vaxxed screening.

“Well, cleared by whom? Here’s a… it’s a really important… cleared by whom? Do I want to be part of the medical profession again? [muttering from the audience] Do I want to be exonerated by the General Medical Council? Do I want to pay them an annual retainer fee? To be part of… Do I really? Is that… that takes time and effort. What is more important? Making films like this? Or trying to clear my name? [applause]

Hang on. If he really cared about getting the science right, about doing the right thing by patients, wouldn’t getting his name cleared and being reinstated as a medical doctor be of utmost importance? If he’s right about vaccines, particularly the MMR vaccine, and if he truly wants to prove it for the good of humanity, what better way than to be exonerated?

But as he says, “that takes time and effort.” What he doesn’t add, of course, is that making films like Vaxxed, travelling around the world spreading his message and hobnobbing with Donald Trump, almost certainly makes him a lot more money than being a doctor ever did. And I’ll bet it’s more fun. Why would he go back to the long hours and hard work that being a regular old doctor entails?

Wakefield is playing an extremely unpleasant and disingenuous game. The really worrying thing is that he and other anti-vaccination campaigners might be gaining ground. Robert F. Kennedy Jr. and Robert De Niro recently announced a $100,000 “challenge” to prove the safety of thimerosal vaccines. Thimerosal has already been extensively investigated – no evidence has ever been found that its inclusion in vaccines causes neurological effects, but anyway, it’s only in a few flu vaccines. Of course, the implication is that all vaccines are unsafe and that no one can prove otherwise – and now those headlines are out there, and that seed has been planted, will people really read further into it? Or will they just decide to skip the visit to the doctor?

The consequences of that are potentially serious. A mumps outbreak was reported in Washington State a week ago, and cases of mumps and measles have also just been reported in Salt Lake County. Last autumn the Guardian reported that the proportion of under-twos receiving their first dose of the MMR vaccine had fallen for the third consecutive year, and there were several reports of measles outbreaks in the UK. Flu outbreaks are also a real concern: years of hearing the phrase “mild flu-like symptoms” have created the misconception that influenza itself is a mild disease. It is not. There have been over 100 deaths from flu in Germany this year alone. People in Germany have access to good healthcare. People are still dying.

Outbreaks put everyone at risk: vaccination is effective, but nothing is 100% effective. In the midst of a full outbreak, even the vaccinated are at risk of catching the disease, and of course, those who are too young to receive the vaccine, or who can’t have it because of a genuine allergy, or because they’re immunocompromised, will be in real trouble. Let’s not forget: measles in particular is a disease with a host of horrible complications, not to mention the potential to reduce a person’s previously acquired immunity to other diseases.

Do we really want to see measles and mumps come back? Really? Because that will ultimately be the result of all of this.

And unfortunately, Captain Birk and Mr Spuck aren’t actually there to fix this mess for us. We need to see sense ourselves.


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Is acrylamide in your toast really going to give you cancer?

Acrylamide has been in the news today, and this might be the understatement of the year. Front page newspaper headlines have been yelling everything from “Brits officially warned off chips” to “Over-cooked potatoes and burnt toast could cause cancer” to the marginally more restrained “What is the real cancer risk from eating roast potatoes or toast?” All this has been accompanied by radio interviews with everyone from actual scientists to professional chefs to people keen to share their roast potato recipes. I expect there have been television interviews too – I haven’t had a chance to watch.

Hey, what could be more traditional, or more fun, than a food-health scare in January?

Acrylamide

Acrylamide

Never fear, the Chronicle Flask is here to sort out the science. Let’s get to the facts: what is acrylamide?

It’s actually a rather small molecule, and it falls into a group of substances which chemists call amides. Other well-known amides include paracetamol and penicillin, and nylon is a polyamide – that is, lots of amide molecules joined together. Amide linkages (the CO-NH bit) are a key feature of proteins, which means they appear in all kinds of naturally-occurring substances.

And this is where the food-acrylamide link comes in. Because acrylamide, or prop-2-enamide to give it its official name (the one only ever used by A-level chemistry students), forms when certain foods are cooked.

Acrylamide occurs naturally in fried, baked, and roasted starchy foods.

Acrylamide occurs naturally in fried, baked, and roasted starchy foods.

It begins with an amino acid called asparagine. If you’re wondering whether, with that name, it has anything to do with asparagus, you’d be on the right track. It was first isolated in the early 1800s from asparagus juice. It turns out to be very common: it’s found in dairy, meat, fish and shellfish, as well as potatoes, nuts, seeds and grains, amongst other things.

This is where the trouble begins. When asparagine is combined with sugars, particularly glucose, and heated, acrylamide is produced. The longer the food is heated for, the more acrylamide forms. This is a particular issue with anything wheat or potato-based thanks to the naturally-occurring sugars those foods also contain – hence all the histrionics over chips, roast potatoes and toast.

How dangerous is acrylamide? The International Agency for Research on Cancer have classified it as a Group 2A carcinogen, or a “probable” carcinogen. This means there’s “limited evidence” of carcinogenicity in humans, but “sufficient evidence” of carcinogenicity in experimental animals. In other words (usually) scientists know the thing in question causes cancer in rats – who’ve generally been fed huge amounts under strictly controlled conditions – but there isn’t any clear evidence that the same link exists in humans. It’s generally considered unethical to lock humans in cages and force feed them acrylamide by the kilo, so it’s tricky to prove.

screen-shot-2017-01-23-at-22-10-46At this point I will point out that alcoholic beverages are classified as Group 1 carcinogens, which means there is “sufficient evidence” of carcinogenicity in humans. Alcohol definitely causes cancer. If you’re genuinely concerned about your cancer risk, worry less about the roast potatoes in your Sunday roast and more about the glass of wine you’re drinking with them.

But back to acrylamide. In animals, it has been shown to cause tumours. It’s one of those substances which can be absorbed through the skin, and after exposure it spreads around the body, turning up in the blood, unexposed skin, the kidneys, the liver and so on. It’s also been shown to have neurotoxic effects in humans. BUT, the evidence that it causes cancer in humans under normal conditions isn’t conclusive. A meta-analysis published in 2014 concluded that “dietary acrylamide is not related to the risk of most common cancers. A modest association for kidney cancer, and for endometrial and ovarian cancers in never smokers only, cannot be excluded.” 

The dose makes the poison is an important principle in toxicology (image credit: Lindsay Labahn)

The dose makes the poison (image credit: Lindsay Labahn)

As I so often find myself saying in pieces like this: the dose makes the poison. The people who have suffered neurotoxic effects from acrylamide have been factory workers. In one case in the 1960s a patient was handling 10% solutions of the stuff, and “acknowledged that the acrylamide solution frequently had splashed on his unprotected hands, forearms and face.” The earliest symptom was contact dermatitis, followed by fatigue, weight loss and nerve damage.

Because of these very real risks, the Occupational Safety and Health Administration and the National Institute for Occupational Safety and Health have set occupational exposure limits at 0.03 mg/m3 over an eight-hour workday, or 0.00003 g/m3.

Let’s contrast that to the amount of acrylamide found in cooked food. The reason all this fuss erupted today is that the Food Standards Agency (FSA) published some work which estimated the amounts of acrylamide people are likely to be exposed to in their everyday diet.

The highest concentrations of acrylamide were found in snacks (potato crisps etc), and they were 360 μg/kg, or 0.00036 g/kg or, since even the most ardent crisp addict doesn’t usually consume their favoured snacks by the kilo, 0.000036 g/100g. (Remember that those occupational limits are based on continuous exposure over an eight-hour period.)

In other words, the amounts in even the most acrylamide-y of foodstuffs are really quite tiny, and the evidence that acrylamide causes cancer in humans is very limited anyway. There is some evidence that acrylamide accumulates in the body, though, so consuming these sorts of foods day in and day out over a lifetime could be a concern. It might be wise to think twice about eating burnt toast every day for breakfast.

Oh yes, and there’s quite a lot of acrylamide in cigarette smoke. But somehow I doubt that if you’re a dedicated smoker this particular piece of information is going to make much difference.

As the FSA say at the end of their report:

Your toast almost certainly isn't going to kill you.

Your toast almost certainly isn’t going to kill you.

“The dietary acrylamide exposure levels for all age classes are of possible concern for an increased lifetime risk of cancer. The results of the survey do not increase concern with respect to acrylamide in the UK diet but do reinforce FSA advice to consumers and our efforts to support the food industry in reducing acrylamide levels.”

This is not, I would suggest, QUITE the same as “Crunchy toast could give you cancer, FSA warns” but, I suppose, “FSA says risk hasn’t really changed” wouldn’t sell as many newspapers.

One last thing, there’s acrylamide in coffee – it forms when the beans are roasted. There’s more in instant coffee and, perhaps counterintuitively, in lighter-roasted beans. No one seems to have mentioned that today, possibly because having your coffee taken away in January is just too terrifying a prospect to even contemplate. And also perhaps because coffee seems to be associated with more health benefits than negatives. Coffee drinkers are less likely to develop type 2 diabetes, Parkinson’s disease, dementia, suffer fewer cases of some cancers and fewer incidences of stroke. Whether the link is causal or not isn’t clear, but coffee drinking certainly doesn’t seem to be a particularly bad thing, which just goes to show that when it comes to diet, things are rarely clearcut.

Pass the crisps, someone.


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Is it possible to give up sugar completely?

It’s January, a month that’s traditionally marked by cold weather, large credit-card bills and, of course, an awful lot of highly questionable health stuff. Juicing, detox, supplements… it’s all good fun. Until someone gets hurt.

"Refined" sugar is almost entirely made up of a molecule called sucrose.

“Refined” sugar is almost entirely made up of a molecule called sucrose.

One substance that regularly gets a bashing is sugar, particularly so-called “refined” sugar. We’re told it’s toxic (it’s not), it’s more addictive than cocaine (it isn’t) and we should definitely all be trying to give it up.

Now, before I go any further with this, a word about healthy eating. I’m not a dietician. I don’t even claim to be a nutritionist (although I could, if I wanted). However, I think I’m on fairly safe ground if I say that we should all be striving for a healthy, balanced diet. That is, a diet containing a broad range of foods, plenty of fruits and vegetables, healthy amounts of protein and some good fats.

A lot of people have diets that fall short of this ideal. Cutting back on foods which contain a lot of added sugar (cakes, chocolate, fizzy drinks, etc) and eating more vegetables and fruits is a good, and sensible, course of action.

The problem is that bit of common-sense advice doesn’t sell books or make an interesting TV show. It’s all a bit boring and, worse, it’s freely available. Compelling entertainment needs to be more exciting, more dramatic, more… extreme.

Which brings us to ITV’s Sugar Free Farm.

Page 81 of the current issue of Radio Times tells us that the celebrities face a "completely sugar-free regime".

Page 81 of the current issue of Radio Times tells us that the celebrities face a “completely sugar-free regime”.

This is actually the second series of this show, which first aired last year. According to the 7-13th January 2017 issue of the Radio Times:

“Seven celebrities who admit to terrible diets succumb to a few weeks of hard farm labour and a completely sugar-free regime (so no white carbs or fruit, let alone chocolate).”

Hm. Now, I’ve written about sugar more than once before, but to save clicking back and forth, here’s another quick summary:

Sugar is not one thing. The chemistry of sugars is quite complicated, but a human being trying to understand the food they eat probably needs to be aware of three main types, namely: glucose, fructose and sucrose.

180px-Glucose_chain_structure

glucose

Glucose is the sugar that all your cells need. Not having enough glucose in your bloodstream is called hypoglycaemia, and the result is seizure, coma and ultimately death. This isn’t a risk for healthy people without pre-existing conditions (like diabetes, for example) because evolution has put some clever safety-nets in place. First, our bodies are extremely efficient at carrying out the necessary chemistry to turn the molecules we eat into the molecules we need. Should that fail, our bodies are very good at storing nutrients to use in times when our diet doesn’t supply them. If you don’t eat glucose, your body will break down other foods to produce it, then it’ll start on your glycogen stores, move on to fat stores, and eventually start breaking down protein (i.e. the stuff in your muscles). This means that unless you stop eating completely for a fairly long period of time, you’ll survive.

Still, I think it’s important to emphasise the point: glucose is essential for life. The suggestion that this substance is “toxic” and thus should be completely eliminated from our diets is really, when you think about it, a bit odd.

Sucrose ("refined sugar") is a unit of glucose joined to a unit of fructose

Sucrose (“refined sugar”) is a unit of glucose joined to a unit of fructose

Ah but, I hear some people saying, no one is saying that glucose is toxic! They’re talking about refined sugar!

Fine. So what’s “refined” sugar? In simple terms, it’s pure sucrose. And sucrose is just a molecule made from a unit of glucose stuck to a unit of fructose. As I said, our bodies are really good at breaking up the molecules we eat into the molecules we need: our cells can’t use sucrose for energy, so all that happens is that it more or less instantly gets broken up into glucose and fructose.

Refined sugar is, basically, half glucose and half fructose, and it’s no more dangerous or “toxic” than either of those substances. And while I’m here, “natural” sugar options are little different: honey, for example, contains similar ratios of fructose and glucose.

200px-Skeletal_Structure_of_D-Fructose

Fructose

Allrighty then, what’s fructose? Fructose is another simple sugar, and it’s the one that plants produce. For that reason it’s sometimes called “fruit sugar”.

Our cells can’t use fructose for energy, either. But, same thing again: if you eat it your body will still use it. In this case, your liver does the heavy lifting; changing fructose into glucose and other substances, some of which are fats. On the one hand, this is a slower process so you don’t get the blood sugar spike with fructose that you get with glucose. On the other, some of the fructose you eat inevitably ends up being converted into fat.

As I mentioned, fructose is the sugar in plants. It’s found in almost all plant-based foods. For example, the USDA food composition database tells us that 100 g of carrots contains about 0.6 g of fructose. Perhaps surprisingly, broccoli contains slightly more: about 0.7 g per 100 g. Iceberg lettuce contains even more, at 1 g per 100 g, whereas green peas contain a mere 0.4 g.

Even a really small glass of fruit juice contains about 150 g.

Even a small serving of fruit juice usually contains at least 150 g.

None of this comes close to fruit. Apples contain about 6 g of fructose per 100 g, grapes 4 g and bananas 5 g. Dried fruit, as you’d expect, has considerably higher amounts by weight – because the water’s gone. Juices have similar amounts of fructose per unit of weight but, of course, you tend to drink a lot more than 100 g of juice at a time.

Now we understand why “Sugar Free Farm” has banned fruit. But this is why I have a problem with the title: you CAN’T eat an entirely “sugar-free” diet, unless all you eat is meat, fish, eggs and dairy products like cream and butter (but not milk, which contains lots of another sugar: lactose). This would be a far from healthy diet, seriously lacking in fibre as well as a host of vitamins and minerals (even “phase 1” or the “induction” period of the controversial Atkins diet isn’t quite this extreme).

The show hasn’t aired yet, and I admit I didn’t watch it last year, so I don’t know if that’s what they’re doing. But I seriously doubt it – it would be unethical and irresponsible. Plus, the words “white carbs” in the listings blurb make me suspicious. Why specify “white”? Are whole grains included? And what about pulses? Whole grain foods might be relatively low in fructose and glucose before you put them in your mouth, but as soon as saliva hits them the starch they contain is broken down into…. glucose. By the time you swallow that chewed-up food, it contains sugar.

In summary, Sugar Free Farm is almost certainly not sugar free. What they appear to have set up is a place where sugars are restricted and foods with added sugar are banned, and then mixed that with lots of outdoor activities (the celebrities are also expected to work on the farm).

Most people would lose weight following such a regime, because it’s likely that calories in are going to be lower than calories out. It’s a simple calorie deficit.

give-up-sugarWhat bothers me is that the show might go on to conclude that we should all “give up” sugar to lose weight – and some people might misinterpret that and end up embarking on an unbalanced, unhealthy and ultimately unsustainable diet – when in fact the results are simply due to calorie deficit.

There’s no need to try to give up sugar. Cut down, yes, but you can eat some sweet foods and still manage a calorie deficit. In fact you probably should: fruit in particular has lots of nutrients, including fibre. Besides, such a diet will probably be a lot more sustainable in the long term.

Unfortunately, “Eat Fewer Calories And Do Some Exercise Farm” doesn’t have quite the same ring, does it?


EDIT, 11th Jan 2017

Well, the first episode aired last night. No, the diet is not “zero sugar”. It’s very low in sugar, yes, but there are sugars. They used milk (contains lactose), ate wholemeal bread, brown rice and oats (all of which are broken down into glucose) and ate a variety of vegetables which, as I mentioned above, all contain small amounts of sugar. In fact, on their very first morning they eat a strange granola mixture made with sweet potato. The USDA food database tells me that sweet potato contains about 0.4 g of fructose, 0.5 g of glucose, 3.3 g of maltose AND 1.4 g of sucrose per 100 g. Yep. Sucrose. The stuff in “refined” sugar.

There was much talk of “detox” and “detoxing” from sugar. Sigh. That’s not a thing. Most worryingly of all, poor Peter Davison (he was “my” Doctor, you know) was carted off in an ambulance on the second day, suffering with dizzy spells. Everyone immediately started talking about how dreadful it was that “sugar” had caused this. There was only one, in passing, comment shown suggesting that perhaps the 65-year-old might have something else wrong with him. In fact, it turned out that he had labyrinthitis, an inner-ear condition. It’s usually viral. It’s not caused by “sugar withdrawal”. I’m sure they’ll make that clear in the next episode, right?

Speaking of which, the celebrities are on Sugar Free Farm for 15 days. A safe rate of weight loss is generally considered to be 0.5-1 kg (or 1-2 lb) a week. So they should lose about 2 kg, or 4 lb, on the outside. A snippet was shown at the end of the program in which Alison Hammond said she was “pleased” she’d lost 8 lbs. Whether that was after two weeks or a shorter period of time wasn’t clear, but either way, it’s a lot. It suggests that her diet is/was too low in calories, particularly considering all the extra physical activity.  Perhaps some of her so-called “sugar withdrawal” symptoms were actually simply due to the fact that she wasn’t consuming enough to keep up with her energy needs?

That aside, the diet they followed did seem to be fairly balanced, with plenty of vegetables and adequate healthy fats and protein. They had all been eating huge quantities of sugary foods beforehand, and cutting down is no bad thing. I’m just skeptical about exactly how much of the bad, and indeed the good, can be pinned on sugar.

Still, it made good telly I suppose.


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The Chronicles of the Chronicle Flask: 2016

2016 is limping to its painful conclusion, still tossing out last-minute nasty surprises like upturned thumb tacks in the last few metres of a marathon. But the year hasn’t been ALL bad. Some fun, and certainly interesting, things happened too. No, really, they did, honestly.

So with that in mind, let’s have a look back at 2016 for the Chronicle Flask….

January kicked off with a particularly egregious news headline in a well-known broadsheet newspaper: Sugar found in ketchup and Coke linked to breast cancer. Turns out that the sugar in question was fructose. Yes, the sugar that’s in practically everything, and certainly everything that’s come from a plant. So why did the newspaper in question choose ketchup and Coke for their headline instead of, oh, say, fruit juice or honey? Surely not just in an effort to sell a few more newspapers after the overindulgent New Year celebrations. Surely.

octarineThere was something more lighthearted to follow when IUPAC  verified the discoveries of elements 113, 115, 117 and 118. This kicked off lots of speculation about the elements’ eventual names, and the Chronicle Flask suggested that one of them should be named Octarine in honour of the late Sir Terry Pratchett. Amazingly, this suggestion really caught everyone’s imagination. It was picked up in the national press, and the associated petition got over 51 thousand signatures!

In February I wrote a post about the science of statues, following the news that a statue to commemorate Sir Terry Pratchett and his work had been approved by Salisbury City Council. Did you know that there was science in statues? Well there is, lots. Fun fact: the God of metalworking was called Hephaestus, and the Greeks placed dwarf-like statues of him near their Hearths – could this be where the fantasy trope of dwarves as blacksmiths originates?

MCl and MI are common preservatives in cosmetic products

MCl and MI are common preservatives in cosmetic products

My skeptical side returned with a vengeance in March after I read some online reviews criticising a particular shampoo for containing a substance known as methylchloroisothiazolinone. So should you be scared of your shampoo? In short, no. Not unless you have a known allergy or particularly sensitive skin. Otherwise, feel free to the pick your shampoo based on the nicest bottle, the best smell, or the forlorn hope that it will actually thicken/straighten/brighten your hair as promised, even though they never, ever, ever do.

Nature Chemistry published Another Four Bricks in the Wall in April – a piece all about the potential names of new elements, partly written by yours truly. The month also brought a sinus infection. I made the most of this opportunity by writing about the cold cure that’s 5000 years old. See how I suffer for my lovely readers? You’re welcome.

In May I weighed in on all the nonsense out there about glyphosate (and, consequently, learned how to spell and pronounce glyphosate – turns out I’d been getting it wrong for ages). Is it dangerous? Nope, not really. The evidence suggests it’s pretty harmless and certainly a lot safer than most of its alternatives.

may-facebook-postSomething else happened in May: the Chronicle Flask’s Facebook page received this message in which one of my followers told me that my post on apricot kernels had deterred his mother from consuming them. This sort of thing makes it all worthwhile.

In June the names of the new elements were announced. Sadly, but not really very surprisingly, octarine was not among them. But element 118 was named oganesson and given the symbol Og. Now, officially, this was in recognition of the work of Professor Yuri Oganessian, but I for one couldn’t help but see a different reference. Mere coincidence? Surely not.

July brought another return to skepticism. This time, baby wipes, and in particular a brand that promise to be “chemical-free”. They’re not chemical-free. Nothing is chemical-free. This is a ridiculous label which shouldn’t be allowed (and yet, inexplicably, is still in use). It’s all made worse by the fact that Water Wipes contain a ‘natural preservative’ called grapefruit seed extract which, experiments have shown, only actually acts as a preservative when it’s contaminated with synthetic substances. Yep. Turns out some of Water Wipes claims are as stinky as the stuff they’re designed to clean up.

Maria Lenk Aquatic Enter, Tuesday, Aug. 9, 2016. (AP Photo/Matt Dunham)

Maria Lenk Aquatic Enter, Tuesday, Aug. 9, 2016. (AP Photo/Matt Dunham)

August brought the Olympics, and speculation was rife about what, exactly, was causing the swimming pools to turn such strange shades of green. Of course, the Chronicle Flask knew the correct solution…

August also saw MMS and CD reared their ugly heads on social media again. CD (chlorine dioxide) is, lest we forget, a type of bleach solution which certain individuals believe autistic children should be made to drink to ‘cure’ them. Worse, they believe such children should be forced to undergo daily enemas using CD solutions. I wrote a summary page on MMS (master mineral solution) and CD, as straight-up science companion to the commentary piece I wrote in 2015.

mugsSeptember took us back to pesticides, but this time with a more lighthearted feel. Did you know that 99.99% of all the pesticides you consume are naturally-occurring? Well, you do if you regularly read this blog. The Chronicle Flask, along with MugWow, also produced a lovely mug. It’s still for sale here, if you need a late Christmas present… (and if you use the code flask15 you’ll even get a discount!)

In October, fed up with endless arguments about the definition of the word ‘chemical’ I decided to settle the matter once and for all. Kind of. And following that theme I also wrote 8 Things Everyone Gets Wong About ‘Scary’ Chemicals for WhatCulture Science.

Just in case that wasn’t enough, I also wrote a chapter of a book on the missing science of superheroes in October. Hopefully we should see it in print in 2017.

Sparklers are most dangerous once they've gone out.

Sparklers are most dangerous once they’ve gone out.

I decided to mark Fireworks Night in November by writing about glow sticks and sparklers. Which is riskier? The question may not be as straightforward as you’d imagine. This was followed by another WhatCulture Science piece, featuring some genuinely frightening substances: 10 Chemicals You Really Should Be Scared Of.

And that brings us to December, and this little summary. I hope you’ve enjoyed the blog this year – do tell your friends about it! Remember to follow @ChronicleFlask on Twitter and like fb.com/chronicleflask on Facebook – both get updated more or less daily.

Here’s wishing all my lovely readers a very Happy New Year – enjoy a drop of bubbly ethanol solution and be careful with the Armstrong’s mixture…. 

See you on the other side!

new-year-1898553_960_720

10 Chemicals You Really SHOULD Be Scared Of

Some chemicals really ARE scary...

Some chemicals really ARE scary…

People are increasingly worried about chemicals these days (even if they don’t quite know what the word means), but most of that fear is unfounded. The ingredients in cosmetics and foods are actually pretty harmless on the whole, certainly in the quantities you usually meet them.

This is because we’ve had decades of extensive testing and health and safety regulations – the truly nasty stuff simply isn’t allowed anymore. Even, sometimes, in fairly-obviously dangerous things like rat poison.

But the nasty stuff exists. Oh yes it does. You might be unlikely to come across it, but it’s still out there. Locked away. (Or not.)

So, come with me as I take you on a tour of 10 chemicals you really SHOULD be scared of…

Click to continue reading this article at WhatCulture Science