Is there a naturopathic standard of care?
Public outcry over the death of Ezekiel Stephan, the 19-month-old Alberta toddler who died of bacterial meningitis in 2012, continues to grow following last’s weeks court decision, which found both of his parents guilty of failing to provide the necessaries of life. David and Collet Stephan failed to seek appropriate medical care for their obviously-ill child, instead relying on a variety of...
Statins for everyone? Not so fast.
People love the idea of preventive medicine. Preventing a disease, before it occurs, seems intuitively obvious. But when it comes to taking medicine to prevent a disease before it occurs, people tend to be much less comfortable. Not only are there the concerns about the “medicalization” of healthy people, there are good questions about benefits, risks, and costs. Cardiovascular disease will kill...
More drugs, more supplements, and potentially more problems
Early in my career I was fortunate to be offered a role as a hospital pharmacist, working on an inpatient ward along with physicians, nurses, and a number of other health professionals. My responsibilities included conducting a detailed medication review with each newly admitted patient. We would sit together, often with family members, going through what was sometimes a literal garbage bag...
Not natural, not safe: Grapefruit Seed Extract
Grapefruit-seed extract is claimed to be a cure-all for nearly every type of infection. But there's a dangerous problem with GSE that supplement manufacturers haven't fixed.
Genomic testing at your pharmacy: Ready for prime time?
Despite science’s ability to develop sophisticated and targeted new drugs, predicting the effect of a drug in an individual is still maddeningly difficult. Not every drug works for everyone that takes it. Similarly, the very same drug can be well tolerated in some, but can cause intolerable side effects in others. So-called “targeted therapies” were supposed to improve our accuracy, by focusing...
Is it ethical to sell complementary and alternative medicine?
Complementary and alternative medicine may be legal to sell - but is it ethical to sell?
The consumer lab rat: More questions about supplement safety
Do you take a vitamin or dietary supplement? Over half of all American adults do, making this a $30 billion dollar business. Many of us even take supplements in the absence of any clear medical or health need. I’m often told it’s a form of nutritional “insurance” or it’s being taken for some presumed beneficial effect – like Steven Novella outlined in...
Don’t drink hair bleach
Hydrogen peroxide is consumed and injected in alternative medicine practices as a sort of "cure all". Is there any evidence to back this up? And how safe is it to inject or consume?
The one thing you need to know before you detox
Before you start your New Year's detox, this one weird tip will save you time, money, and possibly your health.


The Brown M&M’s of Science-Based Medicine
Medicine is constantly changing, and like most health professionals, I am required to maintain my competency to practice. I doubt pharmacists are unique in being inundated with offers of continuing medical/pharmacy education. Some courses are free, some cost hundreds of dollars, and it can be difficult to distinguish the high-quality programs from the biased or low-quality education that furthers a agenda, rather...