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Dr. Patricia Fitzgerald

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Detox Demystified: Fad, Fact, Or Fiction?

Posted: 03/27/09 09:54 AM ET

I just finished reading the latest about how celebrities "detox,"--pretty much by starving themselves. I cringe when I see these articles. What other group of people could make deprivation seem attractive?

Seriously, what really concerns me is that these extreme programs are misleading. You simply cannot "detox your body" in seven days--or even seventy --no matter what you do.

Last week's post on spring detox generated quite a bit of buzz and great conversation. The topic of detox is intriguing, whether you are viewing it from a drug or alcohol perspective, or just looking for a solution to your health, weight, and energy challenges. We live in a world where our food and atmosphere contain toxic chemicals, and we truly don't know what effects this may have on our health. Even so, we want to be healthy. We don't want to be paranoid, but, at the same time, we don't want to be in denial.

There is a lot of misunderstanding regarding the subject of detox. The truth is, we don't know everything. We are living in an unprecedented time on the planet in terms of toxins. Our bodies are designed to deal with toxins on a regular basis. In theory, we shouldn't need to do anything special. Our body has the wisdom to filter out toxins effectively. However, there has been no period like this before in history with such an extreme amount of toxic influences.

An important basic point to remember is that out bodies are built to detoxify. Your body is made up of approximately 100 trillion cells. A basic function is to take in nutrients and eliminate wastes. You are always detoxing. That's what cells do. Right now you are detoxing. Whether you are on a "detox program" or not, your body is detoxing. You breathe in air, you breathe out carbon dioxide. You eat and drink, you eliminate waste. You sweat. You can't escape 24/7 detoxification.

Where do toxins actually come from? External toxins come from air pollution, food additives, pesticides and other industrial toxins, cleaning products, personal care items, etc. Internal toxins include the by-products of the normal metabolism that your body undergoes on a regular basis.

So when we talk about detoxification for health, we are really looking at the question of: "How efficiently are my detoxification systems working?" The reality is that we don't know completely.

Skeptics of our ability to enhance the body's detoxification processes may say that our liver and kidneys do a great job of getting rid of toxins naturally. But to say that our bodies automatically remove toxic residues completely no matter what we eat, drink, smoke or are exposed to in our environment just doesn't make sense. Still, we have so much more to learn and study about how the chemicals of our time are affecting us.

For the skeptic, I would point out that there are many studies showing that our bodies store toxic levels of chemicals. There is not one single study that I have found to prove that our bodies efficiently eliminate all of these toxic chemicals.

There is evidence that environmental chemicals are being stored in human body tissues. Environmental health expert, Laurine Brown, PhD, MPH has summarized some of these studies in her article, "What's Your Chemical Body Burden?" She references the Centers for Disease Control's Second National Report on Human Exposure to Environmental Chemicals, which analyzed the blood and urine levels of 116 chemicals in a sampling of some 2,500 Americans ages 6 and older. The CDC found toxic residues in virtually every sample tested. And that is just blood and urine. Over time, toxic residues accumulate in our fat tissue as well. This accumulation has been linked to numerous health concerns.

The World Health Organization released a statement that cancer will overtake heart disease as the number one global health killer by 2010. I don't deny that the cause of cancer is multifactorial, but a leading cause is toxic chemicals, whether from smoking, pesticides, or industrial chemicals.

We could naively think that our government is thoroughly testing chemicals that are not safe for us and removing them from the marketplace. Unfortunately we know this is not the case. A recent congressional audit has found that the EPA has failed miserably in assessing the toxic effects of chemicals on public health. A fascinating article from the Journal Sentinel reveals the disturbing details of the audit. (This newspaper has been chronicling the EPA's failures to adequately inform the public about toxic chemicals in its series "Chemical Fallout," which started back in 2007.) The report acknowledged that "The EPA lacks the adequate scientific information on the toxicity of many chemicals that may be found in the environment, as well as tens of thousands of chemicals used commercially in the United States." According to the article, Lisa Jackson, the EPA's new administrator, "promised to take the report under consideration."

The Environmental Working Group reports that the EPA called off a severely misguided study in 2005 that "would have paid families $970 to videotape their children after exposing them to pesticides and other dangerous chemicals." (This one's a shocker.) Beyond the wacky thinking behind this approach, the proposed study illustrates how looking into the problem of toxins is not a simple matter.

Bottom line: Research on the subject of detoxification is not only limited, it can be downright inaccurate, flawed, and/or skewed.

Who can you trust? The Environmental Working Group, and their Human Toxome Project. Through this project, the EWG is working to determine "the scope of industrial pollution in humanity." Both toxins that come from pollution and everyday consumer products are included in their research.

What Can We Do?

Often "doing a detox" is initiated by the desire to lose weight, or to recover after falling off the wagon with sugar, junk food, etc. In these cases, the quick-fix cleanse ideas seem appealing. If they get people to re-think health habits by having them abstain from foods that are unhealthy, that part is great.

What is mostly promoted to the public is in the form of pills, potions, 7-day plans, etc. The problem with this approach is that the marketing materials often mislead the consumer to think that they have actually "rid themselves of toxins." Impossible!

So how do we find out about the actual amount of toxicity in our body? It's not easy and it's not cheap. A National Geographic reporter put himself though the process, and he wrote a fascinating piece about the experience. The testing he underwent would normally have cost a whopping $15,000!

Assessing toxins and their effect on health is not yet part of standard medical care. There are some progressive groups of physicians that do address this, such as the American Academy of Environmental Medicine and the American Academy for the Advancement of Medicine.

The ability of our bodies to detoxify efficiently is based on multiple factors. These include genetics, one's individual toxic exposure, and the availability of nutrients essential for the detoxification process.

I firmly believe that we have to combine science with basic common sense. Quick-fix detox programs can promote the on-again-off-again mentality. They appeal to the same crowd that gravitates towards extreme weight-loss diets. Instead, we need a sensible day-to-day approach in both areas.

The topic of how to safely remove toxins from your body or how to increase your body's ability to break down and eliminate toxins is a lengthy subject. Volumes have been written about it, and the new research and information is constantly coming forward.

With all this in mind, here are 5 tips for approaching detoxification sensibly.

1. Avoid extremes. Especially avoid following the latest celebrity detox that you've read about in the tabloids. Instead, educate yourself about the least-toxic choices when it comes to buying personal care items, food, cleaning products, etc. Make these changes gradually and see what fits within your budget. Follow the 10 tips in my previous post, "Spring Cleaning: 10 Steps To Bring New Life To Your Liver." Increasing water intake alone can have profound positive effects. Look for basic common sense info about habits that support the natural detoxification processes in your body on a regular basis. Let your lifestyle be one that is supportive of your body's natural ability to detox.

2. Have a "detox focus" periodically. There's nothing wrong with having a periodic (such as seasonal, e.g. spring) time when you give special attention and acknowledgement to your body's detoxification mechanics. We all get a little off-track occasionally, and sometimes we need a plan laid out before us to get started again. Some may choose a week or two to purposely avoid alcohol, refined sugar, red meat, etc., while emphasizing a more plant-based diet. That can be a great start, and I personally prefer the plans that incorporate healthy, non-toxic foods to the fasting programs.

3. Make sure your nutrient intake is optimal. Virtually all vitamins and minerals are involved in the daily detoxification process. That's one of the reason you'll want to ensure that you are getting optimal amounts of all essential nutrients, especially the vitamins C, E, and B complex as well as the minerals zinc, magnesium, and selenium. Herbs such as milk thistle and schizandra, as well as the nutrient alpha lipoic acid have demonstrated antioxidant properties and the ability to protect the liver from toxins.

4. Seek professional advice for special conditions. If you have a medical condition that you believe would warrant a medically supervised detoxification protocol, please do not attempt to do it on your own. You could waste your time and money, and most importantly, put your health in jeopardy. Find a healthcare practitioner who is current on detoxification research, testing, and protocols. Be wary of a practitioner who throws a bunch of supplements at you without substantiating the reasons, as well as one who doesn't think you need vitamins at all.

5. Take it slow. For some, the idea of detoxification may be new and feel overwhelming. Please don't stress out! I recommend gradually making more and more non-toxic choices over time. If you push yourself too fast and hard to make the changes, stress hormones could literally add to the toxic load your body has to process. Having peace of mind is as invaluable a support for detoxification as anything. Follow Michelle Obama's lead and plant an organic garden. Gardening is good for the fresh nutritious foods it supplies as well as nourishment for the soul!

Taking this sensible approach certainly doesn't seem as glamorous or intriguing as the latest "lose 15 pounds in 15 days" celebrity detox. But the payoff is much better. Eating healthy and reducing your toxic exposure over time can often result in increased health and vitality, better moods, and sharper mental focus--adding life to your years, as well as years to your life.

 
 
 

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I just finished reading the latest about how celebrities "detox,"--pretty much by starving themselves. I cringe when I see these articles. What other group of people could make deprivation seem attrac...
I just finished reading the latest about how celebrities "detox,"--pretty much by starving themselves. I cringe when I see these articles. What other group of people could make deprivation seem attrac...
 
 
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05:38 PM on 04/02/2009
Fresh garlic is a tremendous natural detoxifying agent, as one clove of fresh garlic contains numerous nutrients, including vitamins C and B, zinc, magnesium, selenium, calcium, iron, phosphorous, potassium and many others.
Recognize where your garlic is coming from, however, as the National Food Laboratory has proven that California-grown garlic contains more nutrients and oils than Chinese, Mexican and Argentine garlic. Country of origin labeling now requires retailers and manufacturers to provide every produce item’s country of origin, but the labeling can be misleading, as products packed in the U.S. can be labeled as such. Christopher Ranch is one garlic producer that supplies California-grown year round.
09:27 PM on 03/31/2009
Have you had a chance to watch 60 Minutes or Barbra Walters segments last weekend about it?

It show promise in mice. For mice, has shown major health improvements including blood sugar control. Keep in mind that 6 out of 10 major drug successes in mice - fail in humans. But the limited human trials showed promise and there are some patients that claim it helps. However, this could be the 'placebo effect,' and only empirical data under controlled experiments can tell for sure. It will take a few years for these clinical trials to conclude.

You can get supplements of the extract right now. While it is safe, it is not guaranteed to work. Before making a decision, you should watch all the videos. Here's the a recap from all the trustworthy shows:

http://resveratrolcertifiedsupplements.com/?page_id=4

I did some research and learned the following: You can only get 1-2mgs of it in a single bottle of wine. So, white, it's a good excuse to drink wine, but you really won't get much benefit. There are supplements on the market - but many do not have the required strength and they don't work for everyone. The only way to know for sure is to try the supplements. Hope you find this interesting... its a future hope for the fountain of youth and treatments (not cures) for countless diseases.
06:05 PM on 03/30/2009
I always enjoy this stuff about "detoxing," in which "toxin" is never defined and how anything that is used manages to get rid of these toxins is never explained. It's all vague statements about "cleansing."
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02:44 PM on 04/04/2009
Snake Oil.

Good for the seller.

Probably not good for the buyer.

Bad for the snake.
08:39 AM on 03/30/2009
One of the most important points left out is the toxins produced in the body from bacteria,particularly cell wall deficient bacteria. When these invaders are killed by antibiotics or other method, the dead cells are overwhelming the bodies detoxing abilities. These then become neurotoxins and invade the central nervous system, causing new infections. These can come from; ticks, lice, fleas, horse flies, etc.
Also yeast (candida) will flourish in a body out of balance and will store mercury. When the yeast is killed off it releases the mercury into the body.
A great method for detoxing are infrared sauna. A few times a week will become necessary cleansing in a toxic world.
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09:16 PM on 03/31/2009
I have biotoxins from late diagnosed Lyme disease.
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Peridolius
07:27 PM on 03/29/2009
If you're reading this you're probably a privileged human being. That is, you live in a decent home and have access to dependable municipal water and decent food. If you don't smoke, then with a few exceptions you all are all going to live to be really old for a primate (eighty-ish). When you go, you will probably die from heart disease or cancer of some kind. No amount of real medicine or new age quackery will save you from that eventual fate. I suggest we try to stop fretting over "toxins" and enjoy our time here on earth, because even 80 years will go by in a flash.
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WilliamProc
Black Atheist Monotreme.
04:59 PM on 03/29/2009
Dr. Fitzgerald- I applaude your post!

Many people are hopping on the detox wagon, listening to charletons, while you give an article chock full of facts about detox myths and truths that are a true must read. I've grown sick of seeing my friends waste hundreds of dollars on colon cleansers, detox foot pads, and other inane treatments.

Again thank you!
04:02 PM on 03/29/2009
Medical doctors are NOT the people to turn to for advice about health building,
or detoxification or tissue cleansing. Naturopaths are. And we all know that
"celebrities" are not a source of viable health or lifestyle information, so the premise
for this entire article is rather skewed. Naturopaths have training in anatomy and
physiology, body systems, and HEALTH BUILDING, and they focus on increasing
health, not on managing pathology. check out the work of Dr. Bernard Jensen for
a start about this topic, and secondarily the work of Austrailian doctor Sandra Cabot,
who admits she learned from naturopaths as the baseline of her protocols. Get
a copy of Healing With Whole Foods by Paul Pitchford for a long term home reference.
Most people I know are full of the toxins from pharmaceutical residues- you know,
the ones the doctors prescribe by the busloads.
10:24 PM on 03/29/2009
Both Naturopaths and MD's are necessary. I went to a Naturopath for a year, being treated for fatigue that would not get any better. Finally went to see and MD, who referred me to an endocrinologist, who did a biopsy and found out my thyroid and four lymph nodes tested positive for tall cell variant papillary thyroid cancer. My Naturopath totally missed that diagnosis.
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09:20 PM on 03/31/2009
I agree with AYC.
Know what you're dealing with before spending money on natropaths.
AYC, like you I was sick and having fatigue, I was tested by a rhuematologist to find out I have Lyme disease and co infections. I also have slightly high levels of mercury.
I think people need to be diagnosed by medical doctors before seeking help from a natropath.
First, know the source of your problem.
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mamadeus
08:40 AM on 03/30/2009
Jensen was a hero of mine. Check out Dr. Richard Schultze. I do no agree with every thing he says, but he is totally right on many of them. I have had horrible fatigue and yeast problems. I no longer have them thanks to detoxing and a change of diet. It takes a long time to get rid of yeast, but it can be done.
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beyondliberal
Forward, never straight.
03:15 PM on 03/29/2009
The more I read about toxic environmental chemicals and what effect they have on the human body, the more convinced I become that they are responsible for the surge in autism spectrum disorders. It is particularly troublesome in Somali immigrants' children, who have the highest rate of autism in the US of any other native or immigrant group. God knows what the parents were exposed to in Somalia.
In 1981, when my son was born, there were no baby bottles containing bisphenol-A, and one could still find glass baby bottles. I diagnosed far fewer kids with autism in those days than i do now.
Ban the stuff and see what happens.
02:25 PM on 03/29/2009
Doctors often push medications without addressing nutrition and good health practices. There are a lot of chemicals, pollutants and food additives that get into our bodies. Food labels don't necessarily list all the chemical additives and high fructose corn syrup is making Americans really heavy. A sensible cleansing/detox diet once or twice a year would be helpful. At least it would help us focus on our health.
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ChiProgressive
01:54 PM on 03/29/2009
How about simply avoiding many of these chemicals by:

Buying organic foods and washing them thoroughly

Not smoking or hanging out around smokers

Avoiding alcohol, refined sugars and factory meats - especially fat which stores fat soluble chemicals

And exercising and drinking lots of water
overcat
My micro-bio is so full, it's bursting at the seam
08:40 PM on 03/29/2009
Well I guess you could add to that not breathing auto exhaust and not doing anything that creates petroleum exhaust - driving, flying, using any sort of energy that is generated by coal fired power plants. Oh wait, that might be inconvenient...
11:17 AM on 03/29/2009
The #1 detoxifier is physical activity, followed by plenty of water. Forget the fads: get off your fat butt, grab a bottle of water and take a multiple mile hike every day. You'll be surprised how much something so simple can do.
mollybeejay
"Can't we all just get along?" Rodney King
03:00 PM on 03/29/2009
Did you know that death begins in the colon? All that horrible undigested, putrefying food, worms, mucus, chemicals, gas and other stuff as a result of toxins in our bodies- over processed food with little nutrition, chemical additives, overload of sugar, etc. If you don't believe in detox, visit the website below.
http://www.drnatura.com/colonix_program.php

I know for a fact this is true, because I did the cleanse.
08:00 PM on 03/29/2009
Your link is a commercial ad.
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DarleenMB
05:13 PM on 03/29/2009
lovely, just lovely. judge people much?
11:04 AM on 03/29/2009
The issue of chemical body burdens is complex, full of inconclusive scientific findings, and overlain with the fact that many distrust the motives of governments and industries. At times, it's difficult to read about bisphenol-A, polybrominated diphenyl ethers or phathalates without pondering how we have very little control over the fact that in nearly every mouthful we consume and every breath we take, we take in substances that we can't see, taste or feel, but that could increase our risks of cancers or other diseases, or affect our kids' fertility and intelligence. Turning to detox may be a way for people to feel they've gained some control over these risks, in the face of scientific uncertainty and the apparent indifference of bureaucrats and industrialists. In a way, it is understandable that many might mistake taking a good poop with reducing their body burden of PBTs (persistent and bioaccumulative toxicants). However, what is frustrating about the detox movement is that it's a distraction from pushing for real solutions to environmental health problems.
mollybeejay
"Can't we all just get along?" Rodney King
03:01 PM on 03/29/2009
The two aren't mutually exclusive, they go hand in hand.
09:27 AM on 03/29/2009
Detox is just another commodity and should be seen as just that.
mollybeejay
"Can't we all just get along?" Rodney King
11:21 AM on 03/29/2009
You must be a medical Dr- a pawn of big pharma.
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ChiProgressive
01:51 PM on 03/29/2009
While I am definitely against big pharma, SangZe is right.

Just a fad, maybe they like the feel of enemas?

Probably just sold on a fake remedy by quacks. It's easy to sell to feeble minds.
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SFTor
04:45 PM on 03/29/2009
you think all MDs are pawns of Big Pharma?

Do you think you might want to rethink that?
02:53 AM on 03/29/2009
Here is a reliable source for healthy living; latest blog references the dangers of some detox diets. http://healthmuse.wordpress.com/
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MorpheusXNYC
Web/graphic designer and former freelance writer
02:24 AM on 03/29/2009
Why does anyone listen to medical doctors who have little to NO experience with the subject of holistic, natural foods or alkaline diets? Their knowledge is purely book based, with no real world study.

Lest you forget, medical doctors are taught to use synthetic chemicals and surgery (cutting) to treat ailments.

Even dietitians use the medical books to base their diet advice, hence the reason they over prescribe protein and acidic foods like milk and cheese that hep to accelerate the diseases they are trying to alleviate or cure.

I personally have been doing annual detoxes for the last 5 years consisting of drinking alkaline green vegetable juices, eating salads, nuts and steamed veggies, then administering organic coffee enemas to allow my liver to expel more toxins faster.
I do it for about 2 weeks and the net result is that I drop about 20-30 pounds, my stomach is flatter, my clothes fit better, my cholesterol plummets, my blood pressure becomes super normal, my mental function is boosted incredibly, I sleep better, my sex drive is higher (as is my stamina in bed) and my eyes become bright white.

I gave my 68 year old mother the vegetable juices and salads and within 2 days she had to stop taking her high blood pressure medication because her B.P. was normalized so well that she didn't need it.

Just go to http://snyderhealth.com and check out the "What Should I Eat" section.
overcat
My micro-bio is so full, it's bursting at the seam
08:44 PM on 03/29/2009
"Their knowledge is purely book based, with no real world study." Really? Seriously? No real world study huh? That's a rather broad statement. What's your axe to grind?