All posts by Scott Gavura

Fooling Myself

The first principle is that you must not fool yourself — and you are the easiest person to fool. –Richard Feynman I like to think of myself as a rational person, but I’ve been fooled by my own experience again and again. I’ve made bad decisions and wasted time and money believing what I was seeing, instead of being objective and looking...

/ June 2, 2016

Where science meets supplements

For those of you that missed the Science-Based Medicine day at NECSS last week, I’ve put the highlights in the following post: The supplement industry is big business, and the popularity of these products seems to keep growing. I once worked at a small independent pharmacy that specialized in supplements, homeopathy and “alternative medicine” as way to differentiate itself from the big...

/ May 19, 2016
Echinacin_Saft

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...

/ May 5, 2016

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...

/ April 21, 2016
In rosuvastatin we trust?

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...

/ April 7, 2016
Will this help you recover from exercise?

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...

/ March 24, 2016

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.

/ March 10, 2016

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...

/ February 25, 2016

Is it ethical to sell complementary and alternative medicine?

Complementary and alternative medicine may be legal to sell - but is it ethical to sell?

/ February 11, 2016

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...

/ January 28, 2016