MD, PhD, MAE, FMedSci, FRCP, FRCPEd.

detox

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For several decades, eggs were commonly portrayed as a major cause of raised cholesterol and cardiovascular disease. That position has been substantially revised: current evidence suggests that dietary cholesterol has a relatively modest effect on blood cholesterol in most people, whereas saturated and trans fats are more important determinants of LDL cholesterol and cardiovascular risk.

The physiology is more nuanced than the older “cholesterol-in, cholesterol-out” model implied. The liver does synthesise cholesterol endogenously, and many people compensate for increased dietary cholesterol by reducing hepatic production, but the degree of compensation varies considerably between individuals. For that reason, eggs are not best understood as “heart-healthy” in all circumstances, but rather as a food whose impact depends on the wider dietary pattern and the individual’s metabolic risk profile.

There is stronger support for improving lipid profiles by changing the quality of dietary fat and increasing fibre intake. Replacing saturated fats with unsaturated fats, particularly polyunsaturated fats, is associated with lower LDL cholesterol and a reduced risk of cardiovascular events, while soluble fibre helps lower LDL cholesterol by interrupting enterohepatic bile acid recycling. In practical terms, this means that foods such as olive oil, nuts, seeds, legumes, oats, vegetables, and oily fish are more consistently supported than a narrow focus on single items such as eggs.

Low-carbohydrate and ketogenic diets are more complex. Many people lose weight on them, which may improve some cardiometabolic markers, but a subset of lean individuals show pronounced rises in LDL cholesterol and related atherogenic markers during carbohydrate restriction. Emerging evidence also indicates that gut microbial changes may contribute to altered lipid metabolism, although this area is still developing and should not be overstated.

Highly restrictive “detox” or “alternative” dietary programs are unsupported by clinical evidence and may be nutritionally unbalanced and thus harmful. They might be claimed to “purify” the body or reset metabolism, but heart health is better served by sustainable patterns that improve LDL cholesterol, support fibre intake, and minimise excess saturated fat.

What does all that mean in practice? Here are a few simple rules that follow from the new insights:

  • Do not over-emphasize dietary cholesterol (e.g., eggs) as a primary driver of cardiovascular risk.
  • Focus instead on reducing saturated and trans fat intake.
  • Replace saturated fats with unsaturated fats, especially polyunsaturated fats (e.g., use olive oil, eat nuts and seeds).
  • Increase intake of soluble fibre (e.g., oats, legumes, vegetables) to help lower LDL cholesterol.
  • Consider overall dietary patterns rather than judging single foods in isolation.
  • Recognize that individual responses to dietary cholesterol vary; tailor intake accordingly if lipid levels are a concern.
  • Include foods with consistent cardiovascular benefit, such as oily fish, plant-based foods, and whole grains.
  • Be cautious with low-carbohydrate or ketogenic diets, particularly if lean, and monitor lipid profiles if following such diets.
  • Prioritize sustainable, balanced eating patterns over restrictive or extreme diets.
  • Avoid “detox” or alternative dietary regimens lacking clinical evidence, as they are ineffective or harmful.

Key references

The death of Kristian Trend, a forty-year-old spiritual wellness coach who collapsed and died following a “Kambo” cleansing ritual in Leicester, serves as a sobering cautionary tale about the extremes of the modern alternative health movement. Having overcome a severe battle with cancer in his twenties, Trend dedicated his life to holistic wellness, meditation, and nutrition, documenting his journey under the moniker “Kristian The Feel Good Guy.”

Kambo, a waxy substance secreted by the giant leaf frog of the Amazon basin, has traditionally been utilized by indigenous tribes for its intense physiological properties. Its translation into Western “detox” circles strips away its cultural context, replacing it with pseudoscientific promises of physical rejuvenation and mental clarity. The actual ceremony is an agonizing physical ordeal: participants consume massive quantities of water before facilitators inflict superficial burns on their skin, applying the frog toxin directly to the open wounds. This practice triggers a violent systemic shock characterized by soaring heart rates, dramatic blood pressure fluctuations, severe vomiting, and acute diarrhea. Though proponents mistake this intense physical trauma for a purgative cleansing process, medical experts confirm there is no empirical evidence supporting these purported benefits.

In reality, the toll of Kambo can be lethal. Over the past decade, the substance has been increasingly linked to severe health crises, including liver failure, acute heart attacks, and sudden death. This compounding medical evidence has led nations like Australia, Brazil, and Chile to implement strict bans on the substance. Trend’s death is believed to mark the first documented Kambo fatality in the UK.

In the wake of this tragedy, Trend’s mother, Angie, has channelled her grief into calling for an immediate UK ban on Kambo to prevent further loss of life. Her public appeal emphasizes the vulnerability of individuals who, like her son, fall victim of pseudoscience and seek deeper spiritual connection and bodily purity, yet find themselves exposed to unregulated, highly toxic substances under the guise of “self-care.”

  • “The Law of Karma: What you sow is what you reap. If you plant carrots, don’t expect to harvest watermelons.”
  • “If you want to see change in the world, become the change you want to see.”
  • “If you want to reach a state of Bliss — make a decision to relinquish the need to control, the need to be approved and the need to judge.”
  • “Negative people deplete your energy. Surround yourself with love and nourishment and do not allow the creation of negativity in your environment.”
  • “If you want to do really important things in life and big things in life, you can’t do anything by yourself. And your best teams are your friends and your siblings.”
  • “Everyone is acting from his own level of consciousness. This is all we can ask of ourselves or anyone else.”

You probably guessed: these gems of wisdom originate from, Deepak Chopra, the guru of platitude-loving Americans. If you don’t want to spend your money on buying one of his books, you can go on the Internet, find one of several available ‘bullshit generators’ and create similarly profound wisdoms all by yourself.

As Deepak is seen to be virtually overflowing with wisdom, spirituality, consciousness, and holistic health, it is perhaps surprising to find his inclusion in the Epstein Files. The link stems primarily from email correspondence and other communications between him and Epstein that have been made public as part of the ongoing disclosures. The records show repeated exchanges dating from at least 2016 through 2019 — well after Epstein’s 2008 conviction as a sex offender — in which the two men discuss a range of topics. These include scheduling meetings or meetings plans, mentions of other public figures, discussions tied to Chopra’s book projects, and exchanges that veer into casual and at times explicit language about “girls” or women. One of the widely circulated emails has Chopra writing to Epstein, “God is a construct. Cute girls are real,” in an apparently informal exploration of consciousness and personal views.

Another released thread shows discussions about meeting logistics, references to public figures such as Marla Maples (the former wife of Donald Trump), and social anecdotes that reveal the personal tenor of some exchanges. These materials were part of the dataset provided to Congress under subpoena as part of its oversight of the Epstein files.

Inclusion in the Epstein Files does not establish that Chopra was involved in any criminal activity or exploitative conduct. U.S. authorities and journalists emphasise that the raw disclosures document communications and connections — not necessarily illegal behavior — and require careful interpretation.

Nonetheless, many of the public reactions to Chopra’s appearance in these disclosures have been sharp. Social media posts and news coverage have highlighted the tone of certain messages, leading to debate and scrutiny from both followers and critics. In response to the heightened attention and criticism, Deepak Chopra issued a public statement acknowledging the gravity of what has been revealed and offering regret for the way some past communications may read in light of what the world now widely knows about Epstein’s crimes. He wrote on social media that he was “deeply saddened by the suffering of the victims in this case” and that he “unequivocally condemn[s] abuse and exploitation in all forms.” Chopra also stated that any contact he had with Epstein was “limited and unrelated to abusive activity,” and he described some of his past messages as reflecting “poor judgment in tone.”

One such ‘sharp reaction’ appeared on Facebook. As it is quite funny as well as very poignant, allow me to show it to you:

Annie McCubbin 6 February at 10:20

WOW DEEPAK THIS SEEMS TO BE A QUANTUM OF A MESS YOU’VE GOT YOURSELF INTO.

Well looky looky here. In the quantum field of possibilities, Deepak has manifested himself one thousand three hundred mentions in the Epstein files.

With the cavalier camaraderie of two average dudes leaning on the bonnet of a pick-up truck, Chopra and Epstein, amid nauseating pseudo intellectual discourse, discuss the noises cute girls make, and whether or not Deepak had found Epstein a cute Israeli.

This, it should be noted, is ten years after Epstein was registered as sex offender of children.

Chopra has made an admission, of sorts. It has the tone of someone who has spent his life beguiling his followers from behind a screen of opaque confounding verbiage, so I guess it’s true to form when he writes the sentence: –

‘Some past emails have surfaced that reflect poor judgement in tone. I regret that and understand how they read today given what was publicly known at the time.’

No Deepak, you purveyor of impenetrable piffle, it’s not how they read ‘today’, it’s just how they read. So how about you take out the obfuscating ‘today’, turn comments back on, come out from behind the infinite consciousness of the karmic trance of the egoic super self, and face the music.

These emails are not anachronistic innocent exchanges between two older gentlemen musing in a reflective way about the opposite sex. No, these men presented a clear and present danger to women. These exchanges are between a seventy-one-year grifter who has promised his millions of followers hope and healing, and a sixty-four-year-old registered sex offender who had been charged with procuring a minor for prostitution.

So, this great spiritual leader. This purveyor of divine transcendence. This guru who imbues his incomprehensible gobbledy gook with the historical spiritual relevance of the subcontinent, has shown a complete paucity of decency, care and morality

Not only are his discussions with Epstein disturbing but they’re peppered with moments where he cynically mocks his own spiritual repartee.

Perhaps his millions of followers who may have felt spiritually dull witted, may be relieved to discover that his entire shtick is a simple reordering of the following eighteen words:-Consciousness, meditation, infinite, universe, god, vibration, stillness, mirror, manifest, luminous. elemental, connection, awareness, love, gratitude, eternal, karma, and divine.

His collection of books, videos, podcasts, products like ‘The ritual care kit.’ supplements and ‘wellness retreats.’ are not the result of Deepak’s deep wisdom but merely pseudoscientific quasi spiritual guff, concocted with all the care of a four-year-old making a cake with dirt, a hair clip, their mothers Estée Lauder anti-aging cream and the stuffing from the dog’s toy rabbit.

Why do so many of us collapse so willingly into the arms of these grifter gurus?

Well, we are told the answer to our emptiness is to look within. We are just an inspirational quote away from happiness. We are seduced by bite sized morsels of the transcendent to sooth our souls.

We can ask what is missing from my life, and the answer will be delivered in three hours via Amazon. $35 plus shipping. How easy is it to sit on our couches and have the soothing tone of Deepak deliver an immersive learning experience into our noise cancelling head phones? Maybe we may muse, it would be truly beneficial to attend one of his wellness retreats. What’s money when we’re on the path to enlightenment? Perhaps we’ll discover the divine goddess within? Seems easier than fighting for the actual rights of women.

Connecting to the self is given a big rap in wellness circles but it seems to be at the cost of reconnecting with others.

The self-care, self-love movement, implying poverty or illness is a misalignment with the abundance on offer from the universe, absolves its’ followers of any responsibility to help others. You sick or poor? Manifest better.

It has been a fabulous distraction from the rapacity of the neocons, dismantling our social structures and denuding our public services, confident in the knowledge we’re too busy healing from within to look outward.

But the empty void within will not be filled by listening to the lilting tones of Deepak. By all means work out your maladaptive patterns and beliefs by talking to a psychologist but maybe swear off the gurus for a bit. It seems they all, at some point, fall from grace.

Chopra while preaching love compassion and peace, was showing off to his convicted sex offender friend, that he can play the misogynistic game as good as the big boys. Meanwhile women all over the world are dying at the hands of their partners. Men schooled and supported in the ideology that women are lesser beings to be controlled, used, punished and discarded.

To so lightly squander the loyalty of your trusting audience seems careless of you Deepak, but maybe the grifting isn’t over. Maybe you can obfuscate out of this, and have an online well published dark night of the soul replete with a brand-new great awakening. There has to be a couple of apps and a book in it.

I hope not. I hope this tearing in the space time continuum has revealed the black hole of grifting where the snake oil salesman sit waiting with their three easy payment options.

Anyway, let us end on one of Deepak’s quotes. ‘Karma memory and desire are just the software of the soul.’

Well Deepak, better strap in, I hear karma can be a real bitch.

The US stands on the precipice of the destruction of public health. This might be best exemplified by the loss of its measles-free status. In 2000, the U.S. had been classified as having “eliminated” measles, meaning the virus was no longer constantly circulating within its borders. Following a year of record-breaking outbreaks, the Pan American Health Organization (PAHO) is now reviewing whether to officially revoke this status.

The technical definition of losing elimination status is the continuous transmission of the same strain of a virus for more than 12 months. In 2025, the US experienced over 2,400 confirmed cases—the highest count since 1991—driven by major outbreaks in Texas, South Carolina, Arizona, and Utah. While health officials once relied on high vaccination rates to “wall off” imported cases, that protection has now crumbled. National MMR (measles, mumps, and rubella) vaccination rates for kindergartners have fallen below the 95% threshold required for achieving herd immunity. This leaves communities vulnerable to the kind of rapid spread seen over the past year.

The resurgence of measles is inextricably linked to the shift in federal health policy under Robert F. Kennedy Jr., the current Secretary of Health and Human Services (HHS). His influence has transformed vaccine hesitancy in the US from a fringe movement into a pillar of federal discourse. Kennedy has frequently misused his position to question the safety and necessity of the MMR vaccine, at one point suggesting that “natural infection” might be preferable to vaccination—a claim experts call dangerously misleading given that measles can cause encephalitis, permanent hearing loss, and death. Under Kennedy’s leadership, the CDC has been staffed with notorious anti-vaxers and reduced the number of recommended childhood vaccines and emphasized “personal choice” over community mandates. This shift has emboldened several states to loosen school entry requirements, leading to a record number of non-medical vaccine exemptions. By replacing members of the Advisory Committee on Immunization Practices (ACIP) with anti-vaxers, Kennedy has signaled a move away from the decades of scientific consensus that underpinned the 2000 elimination achievement. 

Kennedy – who has no medical background and does clearly not understand science – argues that the primary threat to US health is not infectious disease but chronic illness (e.g., diabetes, obesity, and autism), which he feels are linked to environmental factors and food quality. His alternatives include advocating for “real food,” reducing ultra-processed foods, and discouraging the use of seed oils and certain pesticides. He has promoted the consumption of unpasteurized dairy, despite warnings from health officials regarding bacterial risks. He advocates for ending water fluoridation, claiming it contributes to chronic health issues in children. Kennedy also believes that “natural infection” – contracting the disease itself – can be a preferable alternative to vaccination for certain illnesses. He has expressed his support for un- or disproven treatments such as hydroxychloroquine and ivermectin for viral infections, as well as the use of psychedelics and stem cells in broader health contexts. His MAHA plan promotes a “holistic” approach that combines conventional medicine withhis  complementary therapies like supplements and acupuncture.

To make matters even worse, the US officially completed its withdrawal from the World Health Organization (WHO) on January 22, 2026. This finalized a process that began on January 20, 2025, when Trump signed Executive Order 14155 on his first day in office. His previous attempt during his 1st term to leave the WHO was reversed by the Biden administration in 2021.

Losing measles-free status is more than a symbolic blow; it has practical and dire consequences. It signals to the world that the US public health infrastructure is failing to contain one of the most contagious diseases known to man. It means that “rare” outbreaks will become a permanent fixture of American life, requiring constant vigilance for infants too young to be vaccinated and the immunocompromised. And it bodes badly, of course, for the time when the next pandemic will emerge.

As the CDC completes its genomic sequencing to determine if the 2025 outbreaks constitute a single, unbroken chain of transmission, the US faces a choice. We are witnessing a “natural experiment” in real-time—one where the cost of  Kennedy’s sick ideology is being paid in the form of preventable hospitalizations and lives lost. To put it bluntly: either the US gets rid of Kennedy and swiftly reverses his detrimental initiatives, or many US citizens will suffer ill health and even die because of his actions.

Robert F. Kennedy Jr. has, for many years, promoted claims that contradict established scientific consensus and common sense. Although he often frames his arguments as skepticism towards ‘the establishment’, his positions consistently conflict with the findings of sound science. This has led to widespread criticism from skeptics, scientists, physicians, and public health officials who argue that his rhetoric is steeped in misinformation.

The most prominent example is his long-standing insistence that vaccines cause autism, a claim that has been exhaustively studied and repeatedly disproven. Extensive epidemiological research involving millions of children across multiple countries has found no causal link between vaccination and autism, a conclusion affirmed by organizations such as the CDC and the WHO.

Kennedy has also continued to emphasize theories about mercury-based vaccine preservatives long after those substances were removed from most childhood vaccines, despite autism diagnosis rates continuing to rise—an outcome that directly contradicts his hypothesis and is not supported by sound evidence.

Recently his rejection of scientific consensus also expanded into the COVID-19 era. He characterized COVID vaccines as uniquely dangerous, suggested they could alter human DNA, and implied that public health agencies were concealing mass harm. These claims stand in overt contrast to real-world data from billions of administered doses, which show that serious adverse effects are rare and that vaccination dramatically reduces severe illness and death.

Similar patterns of misinformation appear in his claims about wireless technologies like 5G, which he has linked to immune suppression or cancer despite the well-established fact that such signals are non-ionizing and incapable of damaging DNA.

Underlying many of Kennedy’s positions is a recurring narrative that modern disease is primarily driven by hidden toxins and that public health institutions knowingly suppress cures or evidence of harm. While environmental exposures are a legitimate area of scientific study, Kennedy’s sweeping conclusions – often paired with sympathy for “detox” or so-called alternative medicine (SCAM) – go far beyond what evidence supports.

In conclusion, Kennedy erodes trust in medicine and science, replacing science with insinuations and conspiracy theories. The outcome of his ‘war on science’ has been a normalization of falsehoods that have been tested, rejected, and shown to be harmful. In a nutshell: Kennedy is a danger to all our health and well-being. The sooner he is replaced, the better for science, progress and global health.

In my frantic ambition to stay young for ever (just kidding!), I came across an interesting article about the “longevity doctor” Mohammed Enayats who claims to have cut his biological age from 41 to 24, while plugging treatments at his Chelsea-based “futuristic health lounge HUM2N” Dr Enayat is said to be a “rockstar visionary” creating the “tomorrowland of health”. Of course, he lacks any published research into longevity, but he cites a decade of experience as a GP and specialisation in “functional” medicine, the rebranded term for so-called alternative medicine (SCAM).

For longer living – aka “biohacking” – HUM2N offers intravenous ozone therapy. The US Food and Drug Administration has warned against such treatment, saying there isn’t enough evidence that it’s either useful or safe. The journal Archives of Academic Emergency Medicine reported the case of a 36-year-old woman who was admitted to hospital in Australia suffering severe neurological complications shortly after being given IV ozone to “boost immunity”. On this blog, we discussed this treatment several times, e.g.:

And in my book, I have an entire chapter on it which concludes: “Unless sound positive evidence emerges, the risk/benefit balance of ozone therapy for any condition fails to be positive.”

Furthermore, HUM2N also offers expensive hyperbaric oxygen therapy, which has real life-saving uses for rare situations, such as divers with decompression sickness, but is widely sold by alternative-health practitioners as a SCAM for anything from ADHD to hair loss, despite the risks of serious lung and ear injuries (see Eye 1647). On this blog, we have repeatedly discuused this treatment and its dangers, e.g.:

When asked about the scientific basis for such treatments, Dr Enayat sent a long list of articles and papers, mostly relating to experimental uses to treat specific health conditions rather than providing evidence of improving longevity. “We are transparent where evidence is emerging rather than conclusive,” he insisted.

Another cornerstone of HUM2N’s offerings is NAD+, a bodily coenzyme it describes as the “miracle molecule”. For £1,995, the treatment is claimed by HUM2N to improve IVF success rates – when asked for evidence of this, Dr Enayat cited a study into mice that itself cautions “highly limited” effects on humans with “numerous questions unanswered” and no human trials. He said NAD+ treatments were “clearly positioned as exploratory, not a proven disease-modifying therapy”.

Controversial skincare treatment intravenous glutathione is sold for £195 a pop. The Chartered Trading Standards Institute warned consumers earlier this year that the treatments are “not licensed for cosmetic use here and pose significant health risks”, frequently causing nasty side effects especially when administered intravenously, including kidney or liver damage and anaphylaxis. When challenged, Dr Enayat agreed that “strong clinical data” for benefits of this treatment “exist only in specific niches”. Dr David Gems, professor of biogerontology at University College London’s Institute of Healthy Ageing, described it as “surprising that a registered GP would be so relaxed about offering some of these quack treatments”. And Dr Michael Sagner of King’s College London’s ARK ageing research unit described any advertised “biohacking” as a red flag, with most treatments being useless and some dangerous.

So, what should we think about Dr Enayat’s “tomorrowland of health”?

I don’t know about you, but I get the feeling that staying well away from it might be the best chance to reach an right old age.

The alkaline diet is based on the disproven belief that shifting the body’s acidity levels can cure diseases or “detoxify” the body. It is often claimed to offer a cure for a range of conditions, e.g.:

15 Easy Alkaline Diet RecipesBeauty Bites | Alkaline diet recipes ...

  • Cancer 
  • Heart disease
  • Low energy levels
  • Rheumatoid arthritis
  • Osteoarthritis

The diet is also promoted to prevent diseases such as:

  •  kidney stones,
  • urinary tract infections.

Yet, none of these claims are supported by sound evidence. In fact, the diet is not just nonsense, it also is dangerous!

An Arizona couple is facing possible prison time after their parenting practices, shaped by online misinformation about medical care and nutrition, left their 5-month-old child dead and three other children suffering from chronic malnutrition. The couple followed the dangerous and debunked alkaline diet − and imposed it on their kids.

According to a 2024 poll by the Kaiser Family Foundation, most Americans encounter false health information online, and many are unsure whether it is accurate. Nearly 70% of doctors polled said they think patient trust declined from 2020 to 2022. Therefore, it’s all the more crucial people understand how to distinguish fact from fiction when it comes to their health. Amongst other things, people should also make sure their health protocols and diets are not clouded by politics or ideology.

“Misinformation isn’t a point of view; it does actual harm,” commented Brian Castrucci, president of the de Beaumont Foundation. “It’s hurting physicians. It’s hurting medical practice. And it’s hurting the American public.”

The pattern of harm can be traced back to an extreme version of the “alkaline diet” which the couple imposed on their children. In addition, they combined this with a growing distrust of medical care. The couple told investigators they relied on online videos and posts that warned against vaccines, infant medical treatments and even common medicines such as Tylenol. Moreover, they also avoided taking the children to doctor visits, limiting outside contact.

The children’s diet entailed eating vegetables, fruit and plant-based milks − with almost no protein, fats or fortified foods crucial for overall health. The parents interpreted the children’s rapid weight loss as evidence the diet was working and removing toxins, rather than a sign of medical crisis. “We chose this diet for good health,” Stanley told the court.

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When I encounter stories like this, I almost despair of the ignorance and naivety of some people. Then I realize how important the job of fighting dangerous misinformation is

… and I continue my work with renewed enthusiasm.

Mind-body interventions offer promising avenues for improving physical and mental health, yet the comprehensive biological effects of increasingly popular mind-body retreat interventions remain poorly understood. The neural and molecular effects of a 7-day retreat intervention combining meditation, reconceptualization, and open-label placebo healing rituals are investigated in an observational study on 20 healthy human participants randomly selected from 561 retreat participants.

In this study, BOLD fMRI functional connectivity during rest and meditation and whole plasma proteomics, metabolomics, exosome-specific miRNA transcriptomics, and neurite growth and real-time metabolism cellular assays were compared pre- and post-intervention.

Meditation had a wide range of effects; it:

  • decreased functional integration in the default mode (p = 0.00009),
  • beceased salience networks (p = 0.000003),
  • decreased whole-brain modularity (p = 0.001),
  • compared to pre-intervention plasma, post plasma increases in vitro neurite outgrowth (p = 0.01),
  • enhanced glycolytic metabolism (p = 0.008),
  • induced upregulation of BDNF (p = 0.001),
  • induced inflammatory pathways (p = 0.0001),
  • induced anti-inflammatory pathwaays (p = 0.03),
  • induced endogenous opioid pathways (p = 0.03) pathways,
  • modulatesd tryptophan metabolism (pFDR = 0.03),
  • modulated neurotransmission-associated exosome miRNA transcripts.

The authors concluded that this intensive non-pharmacological mind-body intervention produces broad short-term neural and plasma-based molecular changes associated with enhanced neuroplasticity, metabolic reprogramming, and modulation of functional cell signaling pathways, highlighting the potential of mind-body techniques to modulate neural circuits and pathways important to health and well-being.

These findings miht be potentially important. Yet, call me a skeptic, when I see such a long list of parameters that all yield a positive change, I almost automatically think:

TOO GOOD TO BE TRUE!

Joe Dispenza, on of the authors of this paper (yes, the chiro I mentioned previously), published this comment entitled “The Future of Medicine Exists in What We Think – Not What We Take” on his paper:

Our research partners at UC San Diego have just announced revolutionary findings that challenge conventional understanding of human biology with the publication of their paper titled “Neural and Molecular Changes During a Mind-Body Reconceptualization, Meditation, and Open Label Placebo Healing Intervention” in the scientific journal Communications Biology.

Neural and Molecular Changes During a Mind-Body Reconceptualization, Meditation, and Open Label Placebo Healing Intervention

The landmark study demonstrates how intensive meditation can trigger the same profound brain activity previously documented only with psychedelic substances – while simultaneously activating measurable biological transformations throughout the entire body.

The published findings suggest that in just seven days, without any pharmaceutical intervention, Dr Joe’s Week Long Retreat participants achieved what researchers are calling a “biological reset.” Findings include:

    • Heightened brain activity: Meditation produced neural patterns similar to those seen with psychedelics; dramatically quieting the brain’s “default mode network” (responsible for self-focused thinking) and inducing states associated with mystical experiences.
    • Neuroplasticity activation: Blood plasma collected at the end of the seven-day retreat boosted neuronal growth in lab settings, showing massive increases in neuroplasticity factors such as BDNF – a protein that supports brain rewiring and personal transformation.
    • Natural pain relief: Meditation elevated levels of endogenous opioids (the body’s natural painkillers), indicating activation of internal pain-management systems and overall physiological harmony.
    • Molecular and epigenetic programming: Molecular analyses revealed changes in gene expression and epigenetic markers that may enhance stress resilience and long-term biological adaptation.
    • Boosted immunity: Meditation increased both inflammatory and anti-inflammatory immune signals, suggesting a sophisticated healing effect that supports cellular balance and repair.

Does this sound like hype to you?

Yes, to me too!

In the actual paper (Dispenza is just one of 19 authors), the text is more moderate. For instance, we learn that the investigation was merely an “exploratory observational study with functional magnetic resonance imaging (fMRI) and blood plasma-based high-throughput proteomics, metabolomics, exosome-specific miRNA transcriptomics; and neurite growth and real-time metabolism cellular assays on 20 healthy adult participants (14 females, age = 46.35 ± 10.06 (SD) years) sampled before and after a 7-day mind-body retreat.”

Moreover, we learn that “The 7-day retreat combined lectures, meditation, and healing rituals. Daily lectures (25 total hours) emphasized the body’s self-healing abilities, the mind’s capacity to shape lived reality, and the healing power of present-centeredness and mystical-type experiences. All meditations (33 total hours) were guided, delivered with atmospheric music, and taught Kundalini techniques, which combine conscious meta-awareness and conscious breathing exercises with slow, ascending, focused interoceptive attention on purported energetic centers along the midline (e.g., brow, throat, heart) which, according to practitioners, can reprocess embodied trauma and catalyze adaptive mental and physical changes. Guidance also emphasized sustaining a heart-centered state devoid of thinking or judgment and focusing awareness on a void beyond one’s normal sense of space and time—a common theme in some contemplative practices. Guided healing rituals (5 total hours) brought 6–8 “healers” around one “healee” in which the former were instructed to practice loving-kindness compassion meditation while focusing attention on their heart, hands, and on the latter’s body. A healing mechanism was not presented, but the possibility that healing could occur on either party because of the ritual was mentioned, similarly to how open-label placebos are presented in trials. All study subjects participated as healers. Of the 20 participants, 11 were “advanced” meditators who had practiced the techniques taught for at least six months, while 9 were “novices” who had not. No pharmacological substances, including any psychedelics, were involved in the retreat.”

Finally, the authors are wise enough to mention a few limitations of their observatiobs: “Although data on meditation experience and practice frequency were collected for retreat-based meditations within the study cohort, equivalent information regarding other forms of meditation practice—apart from the binary indication of their presence or absence—was not obtained. Potential circadian and metabolic confounds were introduced by variable blood collection times (up to 8-h range on Day 8), pre-collection fasting durations, and time elapsed after the meditation intervention ended (up to 48 h for blood collections and 24 h for fMRI acquisition) between participants. Dietary factors and fasting may also have introduced confounds in proteomic and metabolomic measures since no standardized diet was implemented and fasting times beyond 30-min pre-blood collection were not controlled during the intervention. The short duration of the resting state scan can limit our ability to attribute connectivity-derived features solely to the experimental variables. The open eyes paradigm during fMRI BOLD acquisition chosen to reduce the risk of drowsiness likely introduced potential visual confounds. Finally, denoising with ICA-AROMA + WM/CSF regression is limited in removing physiological noise in regions with strong cardiac or respiratory activity, which may have resulted in additional confounds.”

So, what can we conclude?

The answer is, as always with uncontrolled observational studies, VERY LITTLE!

We can state with confidence, I think, that Dispenza seriously over-estimated the importance of the findings (e.g. “THE FUTURE OF MEDICINE EXISTS IN WHAT WE THINK”). We can also state that collectively 19 authors were uncritical about their study.

Have they considered that the role of the various interventions in causing the outcomes is small or non-existent?

Have they considered that the simple act of taking 20 people out of their daily stress and routine and put them in a retreat would have profound impact on most of the parameters they measured?

Evidently not!

Why not?

Could it be, I wonder, that the entire study was little more than a soficticated promotional excercise for “Dr Joe’s Week Long Retreat” (an all-inclusive package sets you back US$3,500)?

As I am not an avid reader of the UK honours lists, I totally missed the fact that Robin Daly has been awarded an MBE (Member of the Order of the British Empire) in the 2025 New Year Honours list. The honour was for his outstanding contributions to the field of integrative cancer care as the founder of the charity, “Yes to Life”. The “Yes to Life” website reported the event as follows:

We are thrilled to announce that our Chairman and Founder, Robin Daly, has been awarded an MBE in recognition of his outstanding contributions to the field of integrative cancer care and his tireless work through Yes to Life. This prestigious honour celebrates Robin’s unwavering dedication to supporting those affected by cancer and promoting holistic approaches to well-being. Congratulations, Robin, on this well-deserved accolade! …

On this blog, we have encountered “Yes to Life” before, e.g.:

I had again a good look at what “Yes to Life” is currently offering and am glad to report that they clearly cleaned up their act. The charity used to promote outright dangerous quackery to desperate cancer patients. Today they still do this but they do it less overtly, e.g.:

  • “Whether you’re seeking improved mental clarity, glowing skin, weight loss, detoxification, or support in battling diseases like cancer, juicing offers a customisable approach to achieving your wellness goals. In this comprehensive guide, we’ll explore how to adapt your juicing routine to address specific health needs, from overall well-being to targeted concerns like skin health, mental well-being, weight loss, detoxification, menopause, heart health and cancer support.”
  • “From the moment of diagnosis through treatment and beyond, cancer patients face plenty of challenges that extend far beyond the physical symptoms. Emotional Freedom Techniques (EFT), also known as tapping, have emerged as a promising support offering a gentle yet profound approach to addressing emotional and psychological well-being. At its core, EFT is a modality that combines elements of ancient Chinese acupressure with modern psychology. The technique involves gently tapping on specific acupressure points on the body while focusing on and verbalizing emotional issues, negative thoughts, or physical symptoms. By stimulating these energy meridian points and addressing emotional blockages, EFT aims to restore balance to the body’s energy system and promote healing on a holistic level.”
  • “Turmeric, often referred to as the “golden spice,” contains curcumin, a compound with powerful anti-inflammatory and antioxidant properties. Curcumin has been linked to enhanced immune function and may help the body defend against infections. You can incorporate turmeric into your diet by adding it to curries, soups, or even warm turmeric milk for a comforting and immune-boosting treat.”
  • “Stress, anxiety, and emotional distress as well as physical pain and discomfort may be present along the entire cancer care pathway. These factors may impact treatment outcomes and recovery time. Most importantly, they present a significant burden of suffering to those affected by cancer and their loved ones. EFT is an effective, efficient management tool that can meet these needs and can be self- administered as well as used in a therapeutic relationship. The physical and emotional need for support can vary timewise along the cancer pathway and sometimes surprisingly patients can have significant mental and emotional needs as they recover, so well beyond their treatment phase (see the accompanying graph). Meeting these needs can contribute to long term well-being.”
  • “The slightly strange sounding ‘Essiac’ tea is, in fact, simply a reversal of the surname of the woman who made it famous. In 1922, a young Canadian nurse, Rene Caisse, was given certain herbs by an old woman who had cured herself of breast cancer and had been handed down the recipe by the Ojibawa Native Americans who had used it for generations.”

Are we sure that the promotion of a whole lot of caner quackery merits a gong?

No!

Oddly, as I was writing this, I came across this on social media:

Ken Loach refused one of Betty’s gongs, in 1977, saying: ‘I turned down the OBE because its not a club you want to join when you look at the villains who’ve got it. It’s all the things I think are despicable: patronage, deferring to the monarchy and the name of the British Empire, which is a monument of exploitation and conquest’.

Perhaps we should add QUACKERY to Ken Loach’s list?

The present paper described a rare and lethal adverse event following leech therapy. A 63-year-old man was referred to Nemazee Teaching Hospital (Shiraz, Iran) in December 2020 with a two-week history of progressive right lower extremity swelling, erythema, and ecchymosis. One week before symptom onset, he had undergone leech therapy on the lateral calf and upper thigh of the right lower extremity, administered by a traditional healer.

Physical examination revealed gangrene of the right leg and absence of all pulses. Color Doppler sonography of the leg and computed tomography angiography (CTA) of the thoracic aorta to the lower extremities revealed complete thrombosis of all right lower extremity arteries, extending to the right iliac artery and abdominal aorta. With a diagnosis of arterial occlusive disease and septic thrombophlebitis, the patient received intravenous antibiotics and anticoagulant therapy. Due to the ineffectiveness of medical treatments, a right lower extremity amputation was
performed.

The patient expired 5 days postoperatively due to septic shock and multiorgan failure.

The adverse effects of leech therapy include:

  1. Infection: Leeches can introduce bacteria like Aeromonas hydrophila into the wound, potentially causing infections
  2. Allergic reactions: Some people may be allergic to leech saliva, which can cause an allergic reaction
  3. Prolonged bleeding: Leeches inject an anticoagulant, which can lead to prolonged bleeding at the site of the bite
  4. Scarring: Leech bites can leave scars
  5. Anemia: In rare cases, excessive bleeding caused by leeches can lead to anemia
  6. Pain or discomfort at the site of the leech bite
  7. Swelling or redness around the bite area
  8. Itching or rash after the leech is removed
  9. Potential for transmission of diseases
  10. Psychological distress or anxiety related to the use of leeches

The effect of leech therapy consists mainly in the anticoagulation due to the hiriduin from the leech (it is also advocated for ‘detox’ [which is nonsense] and for pain [where the effect is too small to matter]). I would argue that this desired effect is achievable more safely by conventional means and that the risk/benefit balance of leech therapy is squarely negative.

In other words: don’t do it!

 

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