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In an unusual display of rationality, the FDA rejected drug maker Merck and Co.’s bid to make it’s cholesterol lowering statin, Mevacor, available as an over-the-counter medication. Hallelujah! I almost can’t believe it.

Statins lower blood levels of LDL cholesterol (the bad stuff) by blocking a key enzyme necessary for the production of these lipoproteins. LDLs, or low density lipoproteins, are known to be precursors of atherosclerotic plaques, which harden the arteries and can lead to such cardiovascular diseases as heart attack and stroke, our leading killers in this country. As a result of this number one killer distinction, modern medical science has championed statin drugs as the savior of American heart health.

But wait, statins are drugs, and all drugs have physiological side effects, some of which can themselves cause illness and disease. To paraphrase 16th century alchemist and physician Paracelsus, “Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy.” Ah, so very true. Should we, therefore, really make what’s currently only obtainable by prescription available to the masses at the local drug store?

Well according to some brilliant and sound-minded physicians (and one altruistic pharmaceutical company), the answer is yes. Proponents believe that everyone, not just people with high levels of LDL cholesterol should be on statins. Statins are today’s aspirin, you know, the drug one celebrity doctor claims we should name a town after. Ha, ha, ha. Oh, the folly of it all.

According to one brilliant mind, the sharp intellect known as Dr. David Nash of Philadelphia’s Thomas Jefferson Medical College, “You should put this drug in the drinking water.” Whoa! Do you all feel as safe as I do? That’s awesome. I’m so happy to see that some of our nation’s most highly esteemed physicians think that mass medication is the answer to our health woes. Even better that they hold so much influence over public health policy. Effin’ right aye!

But, thankfully, wiser heads have prevailed…for now. In a 10-2 vote, an FDA panel rejected Merck’s bid. The panel felt that “too many of the wrong people would use the drug if it no longer required a prescription.” Uh, yeah. They based their conclusions on a study of nearly 1,500 people, where many wanted to buy the drug although they were poor candidates. I guess the drug companies want to maximize profits by pushing out the middle men–namely, doctors! Call me crazy, but I still think the physician is the best person to evaluate a person’s need for a potent drug–yes, even more than television commercials. I know, I’m so yesterday.

Here are some of the risks associated with statin drugs: permanent liver damage, rhabdomyolysis (read about this man’s experience here), nervous system damage, neuropathy, kidney damage, erectile dysfunction, temperature regulation problems, and amnesia (careful, you’ll forget to take your statins). For a more comprehensive list of dangerous side effects linked to statins look here.

Why rely on statins when blood cholesterol can be lowered most effectively through sensible diet (read my book, read my book), exercise, and supplementing with essential fatty acids. Furthermore, we know that LDLs alone are not “bad”. Only when they are oxidized (mostly by free radicals) do they become sticky, leading to plaque formation on the arteries. So by taking a good antioxidant (read my book, read my book), you can seriously lower your risk of developing atherosclerosis.

Unfortunately wellness isn’t as hip as mass medication is in the current health (?) paradigm. Summing up this idea is yet another proponent of mass statin consumption, New York‘s Mount Sinai Medical School physician and Merck consultant, Dr. Valentine Burroughs, “We’re still failing to prevent this epidemic (heart disease). It’s time to take bolder action, to try new approaches.”

Yeah, like spiking our drinking water. Sign me up, man.

Have I mentioned how important sleep is? Just another reason to catch enough shuteye–researchers have found that shift work (work that can disrupt normal sleep patterns like firefighting or long rounds in emergency rooms) can actually cause cancer by repeatedly disturbing the body’s internal clock. The internal clock is responsible for regulating circadian rhythms, a complex mechanism involved in many body functions including hormonal and neurological balance.

The study was carried out by the International Agency for Research on Cancer, the French-based cancer agency of the World Health Organization, which looked at several studies showing the links between shift work and cancer. In one study, it was found that women who work night shifts may have a 60 percent greater risk of developing breast cancer. In another study, tests in mice showed that circadian clock genes are disrupted in tumor cells. And in yet other studies, evidence shows that firefighters, who breathe in smoke, chemicals and dust and who also work shifts, have a higher risk of cancer and heart disease.

Scientists believe that the culprit in the cancer susceptibility may be the body’s response to light. The brain’s pineal gland produces melatonin, a hormone necessary for regulating the internal clock, and which also acts as a cancer fighting anti-oxidant. When repeatedly subjected to light and sleep deprivation, the body’s normal melatonin production is disrupted, which can lower the protective and balancing effects of melatonin.

Careers that are primarily shift work include firefighting, health-care, industrial, transportation, communications, and hospitality. I’d also like to point out that regular late-night partying with stimulants and narcotics would also fall under the category of extreme shift work. The agency stresses, though, that these findings are preliminary, and that it would take another five years to understand the situation fully and what can be done about it.

Shift work is going to be with us forever. Some jobs just require round-the-clock availability, period. However, it’s important to get the sleep while you can. If you’re a shift worker, then you’ve got to try to get your seven to eight hours consecutively and consistently. These finding may help employers manage shift schedules more effectively, helping their employees, and their businesses, in the long run. Until then, try to get used to a regular sleep routine within the constraints of your work schedule–it’ll save you years of exhaustion, or worse.

Copyright © 2013 Dr. Nick Campos - All Rights Reserved.