[net.med] Laetrile, a B vitamin?

sdyer@bbnccv.UUCP (Steve Dyer) (02/10/85)

> Laetrile is one of the less common B vitamins. (I forget which one)
> Hard to imagine a B vitamin hurting anyone.  (if you get more than
> you need, your body dumps the extra)
> 
> Nutritional type therapys are much better, since they work *with*
> your body, instead of *against* it, as drugs tend to do.

These kind of statements reflect a level of ignorance about human
physiology and nutrition which CAN be truly dangerous when attempting
to treat medical conditions.

Laetrile isn't a vitamin by any standard (unless calling something a
vitamin makes it one.)  There is no deficiency syndrome in man or animals;
it is not found in a normal diet, nor is it made by the organism.  There
are no metabolic pathways in which Laetrile functions in an essential role.
This is a vitamin?  On the other hand, in the few FDA-sanctioned studies
of the drug, it was found that patients displayed significant cyanide
toxicity, the active ingredient of Laetrile, amygdalin, derived from peach
pits, being a cyanide-containing polysaccharide.  YOU can get your MDR or
RDA of this stuff, thank you very much, but don't slip it into MY Total.

Another point which is not well understood is that the words "drug" and
"vitamin" are semantic classifications given to chemical compounts.
If a chemical fits the standard in my previous paragraph, it can be called
a vitamin when delivered in doses which match the body's physiological
needs.  But megadoses of vitamins often have effects on the body quite
unrelated to their primary roles in nutrition.  These are properly called
"drug effects."  Not all B vitamins are harmless when given in quantity.
Vitamin B6 (pyridoxine) in large doses (500mg/day or more) causes a nerve
inflammation, polyneuritis, which is often indistinguishable from multiple
sclerosis!  Niacin (in its nicotinic acid form) causes skin flushing in
moderate doses, and lowers blood cholesterol when given in VERY large
doses.  But the doses lowering cholesterol also may cause liver problems,
skin reactions and severe indigestion.  Here, we're talking about drugs
and their side-effects, NOT vitamins.

The comment about vitamins working WITH instead of AGAINST the body is
a politico-religious "feel-good" statement, and doesn't bear up to
scientific scrutiny.
-- 
/Steve Dyer
{decvax,linus,ima,ihnp4}!bbncca!sdyer
sdyer@bbnccv.ARPA

paul@phs.UUCP (Paul C. Dolber) (02/11/85)

A few comments from my favorite authority, The Merck Index, Tenth Edition:

   "Pharmacology and cyanide toxicity studies of amygdalin (laetrile):
   C.G. Moertel et al., J Am Med Assoc 245, 591 (1981); M.M. Ames et al.,
   Cancer Chemother. Pharmacol. 6, 51 (1981).... Amygdalin (laetrile)
   is a toxic drug that is not effective as a cancer treatment: C.G.
   Moertel et al., New Engl. J. Med. 306, 201 (1982). Review of the
   controversial use of amygdalin (laetrile): V. Herbert, Am. J. Clin.
   Nutr. 32, 1121-1158 (1979)... Note: The misleading term vitamin B17
   has sometimes been applied to amygdalin."

And from another favorite, Taber's Cyclopedic Medical Dicitionary:

   "vitamin... Any of a group of organic substances other than proteins,
   carbohydrates, fats, minerals, and organic salts which are essential
   for normal metabolism, growth, and development of the body... they
   are indispensable for normal functions and the maintenance of
   health."

(Hmm... doesn't really sound like laetrile fits here, eh?)

Finally: If an adult with an otherwise incurable cancer opts for laetrile
treatment, well, fine, OK by me. But if an adult with an otherwise curable
cancer or who is the parent of a child with an otherwise curable cancer
opts for laetrile treatment, well, that's not fine with me. I realize
that such an opinion can touch off a lengthy debate (e.g., can
Jehovah's Witnesses withhold blood transfusions for their children?
Can name-your-favorite-religious-splinter-group withhold any treatment
for their children on the basis that God will heal them?); I don't
really wish to participate in such a debate. Suffice it to say that
most or all doctors don't want to restrict your freedom of choice,
they want to preserve your life.

Regards, Paul Dolber (...duke!phs!paul) -- not an M.D.

PS: I first read about laetrile in a pamphlet in a chiropractor's
office (attended by my mother-in-law: chacun a son gout) where it
was also pointed out that it was clear that the AMA was out to kill
all Christians. The evidence was clear: The current president's name
was Fishbein [I think; it's been years]; "fish" is, of course, the
symbol of the Christian church; Fishbein is/was a Jew; and "bein"
is German for poison [Oh, I may have got that wrong, too; I don't
know any German; but that's how the argument ran]. Laetrile was,
of course, highly praised, and the AMA was only against it because
so many Christians would be cured. Reminded me of the oft-repeated
rumor I used to hear (back when I was doing cancer research) that
the cure for cancer had already been found, but the AMA and NIH
were withholding the cure because releasing it would put a host of
researchers out of work. Natch.