Good Medicine - Spring 2009

From the Physicians Committee for Responsible Medicine / Spring 2009 / Vol. XVIII, No. 2

Trashing the Next Generation

Why the Government Must Change Its School Food Policies

PCRM’s Healthy School Lunch Revolution • University of Michigan Ends Live Dog Lab • Got Acne? Review Links Dairy to Skin Problems • Health Care Professionals Flock to PCRM Education Program • Give and Let Live • Keeping Animals and People Safe from Harmful

Chemicals • Nepal Government Stops Rhesus Monkey Exports

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2 GOOD MEDICINE Spring 2009

Editorial

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Neal D. Barnard, M.D. President of PCRM

Healthier Choices for Children in Schools

Kids need healthier diets. If you could look into the arteries of children in schools, you would find that many have early signs of atherosclerosis before they pick up their high school diplomas. One in five is

overweight by the end of elementary school. According to the Centers for Disease Control and Prevention, one in three children born in the year 2000 will develop diabetes at some point in his or her life. As children grow into adulthood, cancer will eventually strike one in three females, one in two males. And as they reach older age, the same fatty, high-calorie diets that caused these health problems will increase their risk of developing Alzheimer’s disease. There are many proposed solutions to children’s health problems: more exercise, less TV, more vegetables and fruits, less meat and cheese, more meals at home, and less fast food. But there is one thing everyone agrees on: Children need healthful choices at school. People who learn about healthful foods in childhood

are much more likely to choose them as adults. But schools are in a tough spot. As food prices rise, many schools rely on inexpen-sive commodities—many of which are high in fat and cholesterol—and may not be able to expand their menus in healthier directions. This year, Congress will wrestle with these issues as it takes up the Child Nutrition Act, which sets the guidelines for school meals and other food assistance programs. PCRM is calling on Congress to help schools bring in healthful options. A few simple choices would do a world of good. Take a veggie burger, for example. It provides exactly the same amount of protein as a typical cheeseburger—15 grams. But while a cheeseburger harbors 10 grams of fat, a veggie burger has only 5, and it has no saturated fat, no cholesterol, and fewer calories.

Vegetarian chili has exactly the same protein content as chicken nuggets—10 grams per serving. But while the nuggets have 18 grams of fat, the veggie chili has only 3 grams. It, too, has essentially no saturated fat, no cholesterol, and fewer calories. Unfortunately, most school children never see these healthful vegetarian options. President Obama’s children, Sasha and Malia, attend Sidwell Friends, a private school in Washington. On Feb. 10, 2009, Sidwell Friends’ menu featured beef chili, and students looking for a healthier choice could choose vegetarian chili. However, that same day, the Washington, D.C., public schools served meatloaf with gravy, and children who wanted a healthy vegetarian option were offered nothing at all. On Feb. 13, 2009, Sidwell Friends served regular pizza, and roasted vegetable pizza for students who wanted a vegetarian choice. But children in the public schools were served chicken nuggets with barbecue

sauce. If they wanted a vegetarian option, they got nothing. On Feb. 25, 2009, Sidwell Friends served regular shepherd’s pie and vegetarian shepherd’s pie. Public school children were served bologna and cheese sandwiches. If they wanted a healthy, vegetarian option, they got nothing. A child in public school has a right to a healthful lunch, just as a child in private school does. But most schools will only provide these choices if Congress pushes them to do so—and provides the where-

withal to make it happen. Schools should offer vegetarian choices every day, and they should also have the funding

that makes it feasible for them to do so.

This year, Congress will wrestle with these issues as it takes up the Child Nutrition Act, which sets the guidelines for school meals and other food assistance programs.

Spring 2009 GOOD MEDICINE 3

PCRM Doctors and laypersons working together for compassionate

and effective medical practice, research, and health promotion.

ContentsContents


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PCRM Phone Extensions 202-686-2210Research Issues ................................................................................ ext. 335Health Charities ............................................................................... ext. 384Literature Requests .......................................................................... ext. 306Media ............................................................................................... ext. 316Membership (change of address, duplicate mailings, renewal questions) ....................................................... ext. 304Nutrition .......................................................................................... ext. 395PCRM.oRg

Good Medicine®From tHE pHySiCianS CommittEE

For rESponSiblE mEdiCinE

SprinG 2009 Vol. XViii, no. 2

Editor in Chief Neal D. Barnard, M.D.Managing Editor/Designer Doug Hall

Editor Carrie MumahAssociate Editor Patrick Sullivan

Production Manager Lynne CraneWeb Designer Lisa Schulz

ADviSORY BOARDT. Colin Campbell, Ph.D. Cornell University

Caldwell B. Esselstyn, Jr., M.D. The Cleveland ClinicHenry J. Heimlich, M.D., Sc.D. The Heimlich Institute

Suzanne Havala Hobbs, Dr.P.H., M.S., R.D. University of North Carolina–Chapel Hill

Lawrence Kushi, Sc.D. Kaiser PermanenteJohn McDougall, M.D. McDougall Program

virginia Messina, M.P.H., R.D. Nutrition Matters, Inc.Milton Mills, M.D. Gilead Medical Group

Myriam Parham, R.D., L.D., C.D.E. East Pasco Medical CenterWilliam Roberts, M.D. Baylor Cardiovascular Institute

Andrew Weil, M.D. University of Arizona

Affiliations are listed for identification only.

PCRM STAFF • Kyle Ash Government Affairs Manager • Jonathan Balcombe, Ph.D. Senior Research Scientist • Nancy Beck, Ph.D. Scientific and Policy Adviser • Robin Bernstein, Esq. Legal Fellow • Noelle Callahan Administrative Assistant • Simon Chaitowitz Senior Communications Specialist • Cael Croft Associate Designer • Claudia Delman, M.P.H. Outreach Manager • Debra Durham, Ph.D. Senior Research Scientist • Jill Eckart, C.H.H.C. Assistant to the President • Tara Failey Communica-tions Coordinator • Hope Ferdowsian, M.D., M.P.H. Director of Research Policy • Rebecca Frye Research Program Coordinator • Patricia Howard Manager, PSAs and Promotional Media • Eric Jonas Research Program Assistant • Michael Keevican Web Editor/Staff Writer • Mark Kennedy, Esq. Associate General Counsel • Dan Kinburn, Esq. General Counsel • Leah Koeppel Nutrition and Research Assistant • Ruby Lathon, Ph.D. Nutrition Policy Manager • Susan Levin, M.S., R.D. Dietitian • Katherine Lin, Esq. Legal Fellow • Lynn Maurer Associate Designer • Jeanne Stuart Mcvey Media Relations Manager • Ryan Merkley Manager of Humane Education Programs • Carrie Mumah Staff Writer • John Pippin, M.D. Senior Medical and Research Adviser • Chad Sandusky, Ph.D. Senior Director of Toxicology and Research • Edith Sodolo Communications Coordinator • Kathryn Strong, M.S., R.D. Dietitian • Kristie Sullivan, M.P.H. Scientific and Policy Adviser • Patrick Sullivan Director of Communications • Caroline Trapp, M.S.N., A.P.R.N., B.C.-ADM, C.D.E. Director of Diabetes Education and Care • THE CANCER PROJECT • Krista Haynes, R.D., L.D. Dietitian • Angela Henley Project Coordinator • Lauray MacElhern Managing Director • Mary Ohno Administrative Assistant • Dawnyel Pryor Marketing Manager • Emily Richard Outreach Coordinator • PCRM FOUNDATiON • Nabila Abdulwahab Data Processor • Bruce Banks Staff Accountant • Melinda Beard Receptionist • Nikki Bollaert, M.N.M., C.F.R.E., C.A.P. Director of Special Gifts • Opio Boyd Information Technology Specialist • Deniz Corcoran Data Entry Manager • Sossena Dagne Data Processor • John Evans Database/Web Developer • Stacey Glaeser Director of Human Resources • Lesley Hill Accounting Assistant • Sanjay Jain Accounts Payable Coordina-tor • Stephen Kane Finance Director • Jacqueline Keller Development Assistant • Sakeenah Kinard Data Processor • David Lesser Literature Fulfillment Coordinator • JohnR Llewellyn Internet Marketing Manager • Debbi Miller Special Events Manager • John Netzel Facilities Manager • Manali Patel Staff Accountant • Sarah Petersen Human Resources Assistant • Bethany Richmond Human Resources Coordinator • irena Rindos Membership Assistant • Navina Roberts Major Gifts Officer • Betsy Wason, C.F.R.E. Director of Development • Rod Weaver Data Manager • Jermaine Wills Facilities Assistant • Craig Ziskin Associate Director of Annual Giving • WASHiNGTON CENTER FOR CLiNiCAL RESEARCH • Heather Katcher, Ph.D., R.D. Clinical Research Coordinator • CONSULTANTS • Jarrod Bailey, Ph.D. • Laura Beck • Joanne Fortune, M.S., R.D., C.D.E. • Amber Green, R.D. • Brent Jaster, M.D. • Amy Lanou, Ph.D. • Paul Marcone • Tim Radak, Dr.P.H., M.P.H. • Jennifer Reilly, R.D. • Garrett Strang • Dulcie Ward, R.D. Good Medicine is published quarterly by the Physicians Committee for Responsible Medicine, 5100 Wisconsin Ave., NW, Suite 400, Washington, DC 20016, tel 202-686-2210, fax 202-686-2216. It is distributed as a membership benefit to PCRM members. Basic annual membership in PCRM is $20 (tax-deductible). PCRM promotes good nutrition, preventive medicine, ethical research practices, and compassionate medical policy. Readers are welcome to reprint articles without additional permission. Please include the credit line: Reprinted from Good Medicine, Spring 2009, Physicians Committee for Responsible Medicine. Articles are not to be reprinted for resale. Please contact PCRM at [email protected] regarding other permissions. ©PCRM 2009. Good Medicine is not intended as individual medical advice. Persons with medical conditions or who are taking medications should discuss any diet and lifestyle changes with their health professional. “Good Medicine” is a registered trademark of the Physicians Committee for Responsible Medicine. “Physicians Committee for Responsible Medicine,” “PCRM,” “The Cancer Project,” “Humane Charity Seal,” and “The Gold Plan” are trademarks of PCRM, federal registration pending.

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nutrition and prevention 6 Trashing the Next Generation

7 PCRM’s Healthy School Lunch Revolution

8 Virginia Student Transforms School Lunch Menu—and Her Mother’s Health The Fifth Annual Golden Carrot Awards

9 Conference Confronts Childhood Obesity Epidemic Action Alert: Ask Congress for Healthy Vegetarian School Lunch Options

10 Vegan Diets Easy to Adopt, Study Finds Got Acne? Review Links Dairy to Skin Problems

11 Health Care Professionals Flock to PCRM Education Programresearch issues

12 Nepal Government Stops Rhesus Monkey Exports Medical College of Wisconsin Piloting Alternative to Live Animal Lab

13 University of Michigan Ends Live Dog Lab Action Alert: Contact the FDA About Animal Testing

14 Keeping Animals and People Safe from Harmful Chemicals

15 Give and Let Live: New Humane Seal Web Sitethe Cancer project

16 The Cancer Project Update Michael Landon’s Daughter Speaks Out / Be a Book Angel

17 The News You Needdepartments

4 The Latest in...

18 Member Support How You Can Make a Gift to PCRM That Preserves Your Assets for Life / A Sublime Send-Off / Dr. Barnard’s Conference Call Updates

20 PCRM Marketplace

23 Just the Facts

24 Physician Profile Dr. Donald Forrester: Transforming Behavior, Sustaining Change

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4 GOOD MEDICINE Winter 2006

the latest in…the latest in…

rESEarCH EtHiCS by Kristie Sullivan, m.p.H., and nancy beck, ph.d.


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researchers use in Vitro methods to assess nanomaterials

Nanotechnology—the branch of technology dealing with materials

with very small dimensions—is creating more materials than can be assessed by commonly used animal toxicology tests, which are time-consuming and expen-

draize Skin test may Soon be outlawed in European union

In February, the European Union ac-cepted three nonanimal methods that

may completely replace the Draize skin test, a test on rabbits used to measure skin irritation or corrosion by chemicals and other products. In cases where a nonanimal test is deemed at least equiva-lent to an animal test, EU law prohibits conducting the animal test. The new methods use human skin cells—left over from cosmetic or other

surgeries—recon-structed into three-dimensional tissues that look and act like human skin. They are available from MatTek Cor-poration in Ashland, Mass., or Skinethic in France. This breakthrough is the result of collaborative research, funding, and

ALTERNATIVES DEVELOPMENT

50, or LD50, a crude test that measures the dose of a chemical that kills half the animals tested. The International Con-ference on Harmonization (ICH), the body charged with setting international pharmaceutical testing requirements, recommends that this information be obtained through other studies, which

will save hundreds of animals a year from this painful test. The landmark change is expected to go into effect in mid-2009. The ICH announcement comes after a consortium of pharmaceutical companies called for an end to the LD50 because its results were not used by regulatory authorities.

End of the lethal dose 50?

An international pharmaceutical orga-nization has announced that its new

standard will not require the Lethal Dose

sive. Meanwhile, new cell and tissue tests allow the assessment of hundreds or even thousands of chemicals in one day. In the past year, two research teams have brought these two fields together by using batteries of in vitro tests to

measure the potential toxicities of many different nanomaterials at one time. A Harvard University team used four tests with different cell types to assess 50 different nanomaterials, such as tiny particles of iron oxide, and used the re-sults to categorize the nanomaterials by potential toxicity. This approach can also determine how different characteristics of new nanomaterials, such as coating material or surface area, might affect toxicity. Another team, based in the United Kingdom and China, used four different tests to predict the lung toxicity of 12 different nanomaterials. Lu S, Duffin R, Poland C, et al. Efficacy of simple short-term in vitro as-says for predicting the potential of metal oxide nanoparticles to cause pulmonary inflammation. Env Health Perspectives. 2009;117:241-247.

Shaw SY, Westly EC, Pittet MJ, et al. Perturbational profiling of nano-material biologic activity. PNAS. 2008;105:7387-7392.

advocacy efforts by animal protection groups, cosmetics and personal care com-panies, and independent laboratories.

Nanomaterials include the colloidal crystal solid above, which is used to create exceptionally durable and uniform ceramics. Nanoparticles are readily absorbed by the human body.

Epiderm® from MatTek Corp.

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Winter 2006 GOOD MEDICINE 5

nutrition the latest in…by Susan levin, m.S., r.d., and Kathryn Strong, m.S., r.d.

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WEiGHt Control

Dieters who eliminated carbohydrates scored lower on memory-based tests

in a new study from Tufts University. Nineteen women consumed either a low-carbohydrate diet or a balanced, calorie-restricted diet and performed a series of cognitive tests. Over the three-week study, low-carbohydrate dieters showed a gradual decline in cognition, which returned to normal after carbohydrates were reintroduced. D’Anci KE, Watts KL, Kanarek RB, Taylor HA. Low-carbohydrate weight loss diets. Effects on cognition and mood. Appetite. 2009;52:96-103.

diabetes drugs increase Women’s Fracture risk

low-Carb diet impairs memory

Avandia and Actos, two diabetes drugs, double the risk of bone frac-

tures in women with type 2 diabetes, according to a new report by researchers

at Wake Forest University and Britain’s University of East Anglia. The researchers analyzed 10 studies of more than 14,000 diabetes patients and found that both drugs doubled women’s risk of bone fractures, but had no effect on men’s risk of bone fractures. The cause of the gender-specific effect on fractures was unclear, but researchers suggested the drugs may cause the problem by replac-ing bone marrow with fat cells. The medications pose other concerns, particularly weight gain and increased risk of heart failure. Treatment costs around $110 per month. This new study highlights the need to promote lifestyle modifications in managing type 2 dia-betes. PCRM’s recent study, published in the Journal of the American Dietetic Association, showed the benefits of a low-fat vegan diet for type 2 diabetes, without harmful side effects. Singh S, Loke YK. The safety of rosiglitazone in the treatment of type 2 diabetes. Pharma Sci. 2008;7:579-585.

Turner-McGrievy GM, Barnard ND, Cohen J, Jenkins DJA, Gloede L, Green AA. Changes in nutrient intake and dietary quality among participants with type 2 diabetes following a low-fat vegan diet or a conventional diabetes diet for 22 weeks. J Am Diet Assoc. 2008;108:1636-1645.

diabEtES

High-Fat diets associated with Cardiovascular disease

Another large study has found that people who consume the most fruits

and vegetables have fewer heart attacks, while those who consume more meat, fried foods, and salty snacks have more heart attacks. This comparison of di-etary patterns, published in Circulation, looked at heart attacks among more than 16,000 participants from 52 countries. Unhealthful diets accounted for about 30 percent of heart attacks worldwide.Iqbal R, Anand S, Ounpuu S, et al. Dietary patterns and the risk of acute myocardial infarction in 52 countries: Results of the INTERHEART Study. Circulation. 2008;118:1929-1937.

HEart diSEaSE

Egg Consumption raises diabetes risk

Daily consumption of eggs increases the likelihood of developing type

2 diabetes, according to a new study published in Diabetes Care. In this study of about 57,000 men and women from two large randomized trials, researchers found that daily egg intake was associ-ated with a 77 percent and 58 percent increased risk for women and men, respectively. Djoussé L, Gaziano JM, Buring JE, Lee I. Egg consumption and risk of type 2 diabetes in men and women. Diabetes Care. 2009;32:295-300.


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prevention & nutrition

Trashing the Next Generation

As Children’s Eating Habits Hit an All-Time Low, Healthy School

Lunches Could Save Lives

T oday’s young people may be the first generation to live shorter lives than their parents, according to recent research. One major problem is unhealthy

food. Expanding waistlines are setting children up for unprecedented rates of diabetes, heart disease, and other health problems that could cut years off their lives. Concerned parents and health officials have taken modest first steps to correct the problem, pressuring companies to stop advertising sugary cereals and asking schools to end bake sales. However, the central issue has been largely ignored. Healthy school lunches can go a long way toward improving child nutrition and can teach children eating habits that can last a lifetime. Too often, foods served in cash-strapped lunchrooms are high in fat, cholesterol, and calories. That could change this year. Congress is revising the Child Nutrition Act and the National School Lunch Act, which play a critical role in determining what foods are served in schools. Under current legislation, the federal government floods lunch lines with processed meats and fatty cheese products. Old rules require schools to pack unrealistically high calorie levels into lunches. Many schools want to serve lower-calorie meals and more fruits, vegetables, and other low-fat vegetarian foods to help students stay healthy, but they need changes in the law to make it happen. Schools that are not yet prioritizing health in menu planning need to be pushed to do so. The Child Nutrition Act reauthorization offers an extraordinary opportunity to revolutionize school meals across the country. A Weighty Problem When President Lyndon B. Johnson signed the original Child Nutrition Act on Oct. 11, 1966, he said, “Good nutrition is essential to good learning.” The Act expanded federally assisted meal programs, including the National School Lunch Program, in an attempt to improve children’s nutrition. More than 31 million children now eat lunch provided by the National School Lunch Program, and the economic downturn is pushing more families to sign up. Unfortunately, the U.S. Department of Agriculture’s selection procedures for school foods emphasize many products that are too high in saturated fat and choles-terol. Federal child nutrition policies have the goal of providing nutritious meals to children, but they also


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aim to boost agricultural industries that often produce unhealthy foods. In 2005, the USDA allocated close to 60 percent of food commodity funds to meat, dairy, and egg products, and provided less than 5 percent to fresh fruits and vegetables. Day after day, students across the country file through lunch lines offering hot dogs, chicken nuggets, and sausage pizza, even as their school food service manag-ers would prefer to provide better options. California, Florida, Hawaii, and New York have passed resolutions encouraging schools to provide vegetarian meals. How-ever, most school districts in these and other states have not yet taken this important step. It’s hard to miss the effects of meat-heavy diets on children’s health. The artery walls of overweight and obese children are looking more like those of an aver-age 45-year-old, according to a study presented at the American Heart Association’s 2008 convention. In the United States, one in three children born since the year 2000 will develop diabetes at some point in his or her life, according to government estimates.Writing Good Nutrition into Law The reauthorization of the Child Nutrition and Na-tional School Lunch Acts has the potential to reverse these devastating disease epidemics. Federal nutrition policies impact what American children eat every day. Mountains of scientific evidence show that plant-based foods can help prevent obesity, heart disease, diabetes, and cancer. Resolutions of the American Medical Association and the American Public Health Association already support providing vegetarian meals as a regular part of the school lunch menu. However, there are still no provisions for plant-based meals in federal child nutrition legislation. Congress needs to revamp child nutrition policy to give all children in America the opportunity to eat healthful foods. The USDA’s commodity program should select foods based on current scientific evidence about the role of diet in health. The new legislation needs to give schools access to more fruits and vegetables, and it should help all schools provide a plant-based meal op-tion every day. Calcium-rich nondairy beverages, such as soymilk, should be available to students and should not require a note from home or from a doctor.

PCRM’s Healthy School Lunch Revolution

PCrm is working hard to put good

nutrition at the forefront of the Child nutrition act reauthorization. last year, pCrm members spoke out at uSda listening sessions to make sure the government heard how important it is to offer students healthful vegetarian foods. pCrm organized a lecture in February to educate Capitol Hill staffers about how nutrition policy reform could help reverse the childhood obesity epidemic. neal barnard, m.d., president of pCrm, robert lawrence, m.d., director of the Johns Hopkins Center for a livable Future, and Eboni morris, m.p.p., health policy fellow for the national urban league, discussed the urgent need to improve the food served in the nation’s lunch rooms. pCrm experts—and parents, students, and community members everywhere—are now petitioning Congress to support healthy changes to child nutrition policies. pCrm’s petition, which already has thousands of signatures, asks that the new legislation include provisions for plant-based foods in school meal programs. the first student to sign pCrm’s petition was Wyntergrace Williams, daughter of television show host montel Williams. Wyntergrace circulated a petition at her own school to get plant-based options on the menu, and stars in a new pCrm television commercial encouraging students to help bring healthy foods into schools. now, students everywhere are asking their peers to sign on to ask Congress for more vegetarian options in the lunch line. For information about how to get involved in pCrm’s Healthy School lunch revolution, please go to HealthySchoolLunches.org.

Wyntergrace Williams

“I’m really pleased because this brings our school menu into the 21st century. There are a lot of students who need choices and especially students who are vegan, who will not eat meat for personal reasons, religious reasons, or health reasons.”

ElEanor SobEl, school board member in broward County, Fla., invited pCrm to broward County to help introduce students to healthy meatless options.


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The Fifth Annual Golden Carrot Awards

PCrm introduced the Golden Carrot awards in 2004 to reward

food service professionals who have developed and implemented health-ful and successful school lunch pro-grams. the award recognizes those who offer students a range of healthy options, especially a variety of vegetarian foods and nondairy beverages. this year’s winners will be announced soon. to find out more, please visit HealthySchoolLunches.org.

Virginia Student Transforms School Lunch Menu—and Her Mother’s Health

Instead of discouraging schools from serving healthy foods, the new legislation needs to reward schools that take extra steps to provide nutritious meals. The USDA should increase federal funding for schools with meals high in fiber and low in saturated fat. Most schools know that plant-based foods are healthier than meat and cheese products. But un-fortunately, many school food service directors are forced to keep putting these unhealthy foods on students’ trays. America’s schools need help from the federal government to ensure that all students have access to foods that promote their long-term health. A strong federal investment in good food for children pays off for many years.

N ina Gonzalez, a junior at Stafford High School in Falmouth, Va., went vegetar-

ian during her freshman year. but her school didn’t make it easy. the cafeteria had almost no options for her or for other students looking for a meatless meal. While visiting a neighboring school, she found vegetarian foods in the lunch line and soymilk in vending machines. nina

was determined to get these same health-ful options in her own school. after researching the dietary require-ments for school meals, nina started talk-ing to food service personnel, students, and teachers. She learned a lot. Student athletes wanted healthier, lighter op-tions instead of the meaty entrées that weighed them down before games.

other students wanted vegetarian op-tions to provide more freedom in the lunch line. nina met with her school’s nutri-tion director to present her ideas, and they arranged a taste testing. Her school quickly recognized that stu-dents wanted healthy vegetarian foods and agreed that adding these options would improve the menu for everyone. the new meals were a huge success. nina’s favorite is a pita filled with hum-mus and veggies. nina also took the healthy food message to her family’s dinner table. Her mother, rosa, had been diagnosed with type 2 diabetes, and nina encouraged her to try a plant-based diet to improve her health. rosa took nina’s advice and had amazing results: She went from size 18 pants to size 6, and her hemoglobin a1C (an index of blood sugar control) level plummeted from 14.5 to 5. nina now attends school board meetings, speaks at government listening sessions, and distributes information to spread the word about healthy vegetarian diets. to find out how you can get involved, please go to HealthySchoolLunches.org.


Nina Gonzalez and her mother, Rosa




Conference Confronts Childhood Obesity Epidemic

A s school lunchrooms across America struggle to serve more healthful foods, childhood obesity has reached

record levels—16 percent of children aged 2 to 19 are now considered obese. This June, The Cancer Project will host a two-day conference to address this epidemic. On June 18 and 19, in Washington, D.C., The Cancer Project will sponsor the National Conference on Childhood Obesity: Confronting the Epidemic through Nutrition Research and Policy. The conference will give researchers, health care professionals, policymakers, and other concerned citizens an opportunity to learn about the link between diet and obesity—and to discuss how to battle the childhood obesity epidemic through nutri-tion policy reform and community action. The roster of 11 expert speakers includes David Barker, M.D., whose research has shown that the intra-uterine environment preprograms important aspects of health; Geetha Raghuveer, M.D., M.P.H., who recently presented a study showing that carotid arteries in obese

youth resemble those of an average 45-year-old; and many other experts. Physicians, nurses, and dietitians can receive con-tinuing education credit for attending the conference, which is co-sponsored by the American College of Life-style Medicine, with partnership of the Johns Hopkins Center for a Livable Future. To register or obtain more information, please visit CancerProject.org.

ACTION ALERT

E ach school day, the government puts the health of students at risk with

greasy hot dogs and fatty dairy products. you can change that: Sign our petition urging Congress to give students more healthful vegetarian options. Sign the petition today at HealthySchoolLunches.org—and make sure to share the petition page with every student and concerned parent and adult you know. Encouraging Congress to make healthful changes to the Child nutrition act will help lower the rates of obesity, cardiovascular disease, diabetes, and cancer. if enough people tell Congress that students need healthier foods, Congress will make this positive change.

Ask Congress for Healthy Vegetarian School Lunch Options!

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Vegan Diets Easy to Adopt, Study FindsA vegan diet is not just healthy, it’s surprisingly easy,

according to a new study led by PCRM president Neal Barnard, M.D. This study of patients with dia-betes, published in February’s Journal of the American Dietetic Association, shows that people can and do adapt to a vegan diet that dramatically improves their health.

In this 74-week study, 99 people with type 2 diabetes were randomly assigned to follow either a low-fat vegan diet or a diet based on American Diabetes Association (ADA) recommendations. The vegan diet dramatically cut consumption

of cholesterol, fat, and saturated fat, and in-

creased fiber intake, compared with the diet based on ADA guidelines. It also led to major improvements in participants’ weight and blood-sugar levels. But even with all those benefits, the diet was not difficult to fol-low. In fact, the vegan group felt less constrained than those in the ADA group. The vegan group also reported a small but signifi-cant reduction in cravings for fatty foods at 22 weeks, compared with the group consuming an omnivorous diet. This finding contradicts the notion that individu-als adopting vegan diets have continued cravings for excluded foods. In fact, the desire for fatty foods such as meat appeared to diminish. At 22 weeks, the vegan group was also slightly more satisfied with its diet over-all, compared with the ADA group. The study shows that even though a vegan diet elicits much more pronounced long-term nutri-tional changes than the ADA diet, it is actually just as easy—or perhaps even easier—to adapt to than a conventional diabetes diet.

Got Acne? Review Links Dairy to Skin Problems

People who want clearer skin may want to steer clear of milk and sugar. A new scientific review co-

authored by PCRM director of research policy Hope Ferdowsian, M.D., M.P.H., and PCRM president Neal Barnard, M.D., finds that eating a typical Western diet, especially dairy products, may be associated with acne. The paper, in April’s International Journal of Der-matology, reviewed 21 observational studies and six clinical trials examining the relationship between diet and acne vulgaris, a condition that affects more than 17 million Americans. Chocolate and oily or fatty foods are commonly be-lieved to cause the condition, but little evidence actually implicates them. Reviews prior to 2007 concluded that the cause is primarily genetic. Studies on twins, however, have found that environmental factors, such as dietary habits, may indeed play a role. The new review found that dairy products and high-glycemic foods, such as sugar and white bread, were the only dietary factors clearly linked to acne in

scientific studies. No differences were found between whole and skim milk, and some authors reported that the hormones in milk, not the fat content, might be responsible.

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Health Care professionals Flock to pCrm Education program

More than 400 health care professionals signed up to learn about PCRM’s approach to diet and diabetes

control this February in Fort Lauderdale, Fla. At this free dinner program, dietitians, physicians, nurses, and others learned that a low-fat, plant-based approach is effective, nutritionally adequate, and sustainable. PCRM president Neal Barnard, M.D., and PCRM director of diabetes education and care Caroline Trapp, M.S.N., C.D.E., discussed the latest research on diet and diabetes and explained how to incorporate this new approach into clinical practice. Course participants left with the knowledge and resources to help patients slim down, cut their blood sugars, and reduce or eliminate medication use.

If you are a health care profes-sional and want to learn more about this topic and oth-ers, please visit NutritionCME.org, where you can earn continuing medical education credits from home. NutritionCME.org is co-sponsored by PCRM and The George Washington University Medi-cal Center, and it offers free online courses on diabetes, cancer, obesity, and other health topics.


Neal Barnard, m.d. Caroline Trapp, m.s.n., c.d.e.

nutritionCmE.orgA Web Site for Health Care Professionals

nutritionCmE is an online, evidence-based nutrition resource featuring free continuing medical education (CmE) credits and continuing educa-tion units (CEu) for physicians, nurses, nurse practitioners, dietitians, and physician assistants.

Sponsored by the physicians Committee for responsible medicine and the George Washington university.

nutritionmd.orgPut Nutrition to Work for Better Health

Written and edited by physicians and nutritionists, nutritionmd pro-vides the latest evidence-based information on nutrition’s role in gen-eral health and the prevention and treatment of more than 80 diseases and conditions. With the click of a mouse, caregivers and their patients can access nutrition information relevant to their health concerns, as well as meal-planning advice and hundreds of healthy recipes.

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resources for

21st Century medicinefrom pCrm


research issues

Nepal Government Stops Rhesus Monkey Exports

Nepal’s Supreme Court has stopped the export of rhesus

monkeys for research. The move follows a petition filed by PCRM and other groups that held that exporting primates to the United States is a violation of the Animal Welfare Act. Nepal’s Natural Resource and Management Committee and breeders were asked to explain their position in continuing this prac-tice, but the committee ultimately determined that Nepal could not legally export the monkeys.

The petition included a letter from PCRM director of research policy Hope Ferdowsian, M.D., M.P.H., explaining the scientific and ethical concerns involved in exporting nonhuman primates for research purposes. Dr. Ferdowsian explained that, despite more than 25 years of HIV research on nonhuman primates, there is no human vaccine for HIV or AIDS. Monkey exports also raise serious public health concerns. According to a 1992 investigation, up to 75 percent of nonhuman primates die at holding centers, often by diseases that spread easily in these facilities. The committee noted that exporting wildlife raises serious environmental issues and decided that in the future, wildlife cannot be exported from Nepal without due legal process.

Medical College of Wisconsin Piloting Alternative to Live Animal Lab

Despite years of outreach efforts by PCRM, the Medical College of Wisconsin continues to use and

kill pigs, frogs, rats, and rabbits in its first-year physiol-ogy course. The school killed more than 30 pigs in the latest class. But after a recent PCRM demonstration, the college committed to piloting a human-focused program as an alternative to live animal use. On Feb. 18, outside the Medical College of Wis-consin (MCW), PCRM cardiologist John Pippin, M.D., F.A.C.C., led a demonstration urging MCW’s new dean, Jonathan Ravdin, M.D., to explore non-animal alternatives. Dr. Pippin, with a CBS reporter and cameraman, walked up to the MCW administration building to deliver a letter to Dr. Ravdin. A school representative accepted the letter and announced on camera that MCW has started a human-based pilot program in which physiology students observe cardiovascular pa-tients—as an alternative to animal use. More than 90 percent of United States medical schools now use effective nonanimal teaching tools in-stead of live animal labs. Learn more about the history of the MCW campaign at SaveMCWAnimals.org.

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research issues

University of Michigan Ends Live Dog Lab

Action Alert Contact the FDA About Animal Testing

Every day, thousands of animals are experimented on and killed to create and test drugs, many of which will never

help a sick human being. That’s why PCRM and an interna-tional coalition of scientists, doctors, and animal-protection organizations filed the Mandatory Alternatives Petition with the U.S. Food and Drug Administration. The petition asks the FDA to mandate the use of validated nonanimal testing methods, when those alternatives exist, to create safer drugs for American consumers. The FDA is currently reviewing the initiative. During this time, we need you to contact the FDA and urge the agency to mandate the use of validated alternatives to animal tests. Please write to:

Frank M. Torti, M.D., M.P.H., Acting Commissioner U.S. Food and Drug Administration 5600 Fishers Lane Rockville, MD 20857

More than 60,000 PCRM members have already signed peti-tions that have been sent to the FDA. To learn more about the Mandatory Alternatives Petition, visit Alternatives-Petition.org. To sign PCRM’s online petition to the FDA, go to Support.PCRM.org/FDA_Petition.

The University of Michigan has ended the use of dogs in its trauma training course, according to a

university statement released on Feb. 26. The university had been killing dogs from state animal shelters in the training exercises, but now joins the other eight Michi-gan Advanced Trauma Life Support programs, and the vast majority of United States trauma training programs, which use only advanced human-based simulators and other nonanimal methods. “Anatomical simulators are a better training method, as well as being more ethical, so we’re delighted that the University of Michigan has replaced animals in its trauma training classes,” said PCRM cardiologist John Pippin, M.D., F.A.C.C. PCRM helped generate public awareness about the University of Michigan’s (UM’s) use of dogs in this course. UM administrators heard from thousands of doctors, paramedics, UM alumni, and other concerned citizens. PCRM member doctors wrote letters and opinion columns that were published in the Detroit Free Press, Ann Arbor News, and UM’s student newspaper. Most important, PCRM also filed a federal complaint over UM’s use of animals, and that likely influenced the school’s decision to switch to simulators. A handful of other facilities continue to kill animals in trauma training courses, despite the availability of simulators and other nonanimal methods approved by the American College of Surgeons, the organization that over-sees the courses. To learn how you can help end the use of animals in medical training at other institutions, please visit PCRM.org.


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research issues

Keeping Animals and People Safe from Harmful Chemicals

Later this year, Congress will consider a sweeping revision to the Toxic Substances Control Act, the

law that regulates industrial chemicals. This will be the first major revision in the law’s 33-year history. PCRM scientists are working to make sure the revision benefits both people and animals, and PCRM members can aid the reform effort. For the last several decades, scientists have conducted tests on animals in laboratories to obtain information on the potential hazards of chemicals to humans and the environment. However, recent advances in technol-ogy, coupled with a growing recognition of the failure of animal tests to predict human risks, have led experts

to recommend a shift in toxicity testing toward modern, human-relevant methods. The National Research Council’s 2007 report, Toxicity Testing in the 21st Century, addressed the fail-ures of animal-based safety testing and recommended cellular-based methods, which provide more relevant information and are cheaper, faster, and easier to use. These methods can assess a broader range of potential hazards, and are even applicable to mixtures and very low doses of chemicals. While the push to modernize chemical regulations is an opportunity to incorporate new nonanimal testing approaches, it could also mean requirements for more

animal tests. In fact, some groups are calling for tests that could require the use of hundreds of thousands of animals. PCRM is meeting with congressional staffers and environmental groups to prevent this from happening. The House of Representatives held the first hearing on the revision in February, and PCRM experts sub-mitted written testimony. You can help. To sign up for e-mail up-dates, please visit PCRM.org/Testing. If you are willing to meet with your congressional representatives in their local offices, please e-mail [email protected]. NRC (Committee on Toxicity Testing and Assessment of Environmental Agents, National Research Council). 2007. Toxicity Testing in the 21st Century: A Vision and a Strategy. National Academies Press, Washington, DC. Available at: http://www.nap.edu/catalog.php?record_id=11970. Accessed 25 January 2009.

The National Research Council’s recommendations for new toxicity testing methods appeared in 2007.

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research issues

Give and Let LiveNew Humane Seal Web Site

PCRM recently launched a redesigned Web site to help users get active in promoting animal-friendly

charities. The Humane Seal Web site has always al-lowed donors to search for and identify health charities committed to helping people without hurting animals. But the new streamlined search function makes it even easier to search for humane charities, and search results now include icons that identify “approved” charities. The new site’s other additions will allow users to: • understand problems with animal experiments and

learn about new nonanimal research alternatives; • register to be part of the new online community

for action; • connect with the growing number of Humane

Seal fans on Facebook; • send personalized Humane Seal e-cards; and • order the new Give and Let Live magnets, mag-

netic bumper stickers, and stickers. Since its inception in 2001, the Humane Seal has ap-proved nearly 250 charities, including Love/Avon Army of Women, Easter Seals, American Pediatric Heart Fund, UNICEF, and Multiple Sclerosis Foundation. The Humane Seal is administered by PCRM on behalf of the Council on Humane Giving, a coalition of physician and animal protection groups. If your favorite

charity does not yet carry the Humane Seal, visit the new Humane Seal Web site to find tips on urging that organization to stop funding animal research. To join the Humane Seal’s new online community and learn more about animal-friendly charities, please visit HumaneSeal.org.


You can order Give and Let Live refrigerator magnets and magnetic bumper stickers on page 22.


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the Cancer project updatethe Cancer project

Michael Landon’s Daughter Speaks Out

At age 8, Jennifer Land-on lost her father,

actor Michael Landon, to cancer. An Emmy Award-winning actress in her own right, Jennifer is speaking out about the disease that took her father’s life. In a new Cancer Proj-ect television spot and print ad, Landon ex-plains that she remem-bers her dad, star of Bonanza, Little House on the Prairie, and Highway to Heaven, as a particularly strong man. But he was diag-nosed with pancreatic cancer and died three months later. “Today, we know a lot about prevent-ing cancer,” Landon tells viewers. “If you

smoke, quit. Eat more vegetables and fruits. Have more vegetarian and vegan meals. These steps are powerful—for you and your whole family.” At least one-third of annual cancer deaths in the United States are due to di-etary factors. Increased fruit and vegetable consumption can reduce cancer risk, but less than one-third of U.S. adults eat fruit at least two times a day, and only about 27 percent eat vegetables at least three times daily, according to the Centers for Disease Control and Prevention. Large studies in England and Germany have shown that vegetarians are about 40 percent less likely to develop cancer compared with meat eaters. “Bringing this groundbreaking infor-mation to the general public can prevent other families from suffering the same loss mine has,” said Landon. A three-time Emmy winner for her dual roles as Gwen Norbeck and Cleo Babbitt on the daytime drama As the World Turns, Landon began her profes-sional acting career at the age of 5, when she was cast in the final episodes of High-way to Heaven. The new TV and print ads can be seen on The Cancer Project’s Web site, CancerProject.org.

Be a Book Angel Book

Angel

THE CANCER PROJECT

Help spread awareness about the link between diet and cancer. The Book

Angel program is designed to get The Cancer Project’s new book, The Cancer Survivor’s Guide: Foods That Help You Fight Back, to cancer support groups, cancer centers, and oncology waiting rooms—into the hands of people who can use it to battle cancer.


The Book Angel program is a won-derful way to pay tribute to someone special, such as a loved one or an

instructor who has had a positive im-pact on your life. To learn more, visit CancerProject.org.


the news you needthe Cancer project

www.CancerProject.orgThe Cancer Project is a nonprofit PCRM subsidiary that advances cancer prevention and survival through nutrition education and research.


By Krista Haynes, R.D., L.D.

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Vegetarian diet Slows prostate Cancer progression

Men with prostate cancer who follow a low-fat veg-etarian diet benefit from increased quality of life

and slowed PSA doubling time, according to a recent study published in Urology. PSA doubling time is the amount of time it takes for levels of prostate-specific antigen, a biological marker for prostate cancer, to increase by 100 percent. The study focused on 36 men who had been diag-nosed with prostate cancer, had undergone primary treatment for more than six months, and had continu-ous increases in PSA levels. The men were assigned to attend vegetarian nutrition and cooking classes or to a control group. Those in the vegetarian intervention group consumed significantly less saturated fat, more vegetable protein, and less animal protein, including fewer dairy products. The mean PSA doubling time at the three-month follow-up was substantially longer for the intervention group compared with that of the con-trol group, meaning that the diet slowed cancer growth. Carmody J, Olendzki B, Reed G, et al. A dietary intervention for recurrent prostate cancer after definitive primary treatment: results of a randomized pilot trial. Urology. 2008;72:1324-1328.

Vegetarian diet reduces oxidative damage in older Women

As human bodies use oxygen, they produce mol-ecules called “free radicals” that can damage cells

and increase disease risk. But free radical damage may be reduced by a vegetarian diet, according to a recent study published in Physiological Research. In this study, oxidative damage to DNA, lipids, and proteins was measured in vegetarian and nonvegetarian women aged 60 to 70 years old. The vegetarian women had significantly lower levels of oxidative damage com-pared with the meat-eaters. The vegetarian group also had significantly higher levels of vitamin C and beta-carotene, compared with the nonvegetarian group. Plant-based diets are rich in antioxidants, which help protect DNA, lipids, and proteins from free radicals.Krajcovicová-Kudlácková M, Valachovicová M, Pauková V, Dusinská M. Effects of diet and age on oxidative damage products in healthy subjects. Physiol Res. 2008;57:647-651.

Excess iron linked to Cancer risk

Excess iron increases cancer risk through increased free radical production. And reducing the amount

of iron in the body can lower cancer risk and mortal-ity, according to a study in the Journal of the National Cancer Institute. This clinical trial assigned 1,277 patients with arterial disease to a control group or to iron reduction through blood collection. After a follow-up period averaging 4.5 years, the iron-reduction treatment decreased overall cancer incidence by an average of 37 per-cent and reduced mortality from cancer and other causes. zacharski LR, Chow BK, Howes PS, et al. Decreased cancer risk after iron reduction in patients with peripheral arterial disease: results from a randomized trial. J Natl Cancer Inst. 2008;100:976-977.

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Discover the Many Ways Planned Gifts Can Benefit You and PCRM at PCRM.PlanYourLegacy.org Please send me information about: bequests gift annuities other planned gifts

i have already named pCrm in my will, trust, life insurance policy, or retirement plan. please contact me to activate my lifetime partner status.

namE

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City StatE/proVinCE

zip/poStal CodE Country

E-mail pHonE

please mail to: PCRM, Attn: Betsy Wason • 5100 Wisconsin Ave., NW, Suite 400 • Washington, DC 20016

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member Support

You would like to help build and strengthen PCRM and its ability to

influence change, but feel you cannot make a major gift today. Your solution may be a charitable bequest. A bequest in your will or revocable trust is an excellent way to advance PCRM’s work to help animals and people tomorrow. A bequest is the most popular form of planned gift. Many PCRM members choose a bequest because:• it does not affect assets or cash flow

during your lifetime; • it is revocable—you can change the

provisions in your will or trust at any time; and

• it is private—your will is not filed or made public until your death.

A bequest also provides many giv-ing options. For example, a bequest can deliver a specific gift to PCRM (“I bequeath the sum of Ten Thousand Dollars [$10,000]”). Alternatively, it can deliver a percentage of the balance remaining in your estate after taxes, expenses, and specific bequests have been paid—what’s known as the residue (“I bequeath Ten Percent [10%] of the residue of my estate”). A bequest from a will or a trust dis-tribution to PCRM is fully deductible for federal estate tax purposes, and there

etc.) should consider creating a will—it’s never too early (there is no minimum age!) and can be a simple process. A revocable trust is an entity that holds assets during your lifetime, then transfers ownership of them—or benefit from them—upon your death. There is no difference between wills and trusts in how they make charitable transfers. In some states, the probate and distribution process is simpler with a revocable trust. Your advisers can guide you in choosing which vehicle will work better for you.Planning points Unrestricted gifts allow PCRM to use funds where they are most needed. If you have a special program or interest that you’d like to support with a bequest, we can provide you with wording to ensure your wishes are carried out with maximum impact while helping PCRM continue to move its mission forward. Please talk with us as you are drafting your will if you want to restrict the use of your bequest. Also, it’s helpful for us to know in ad-vance if you intend to bequeath real estate, a business interest, or other specialized property to PCRM.

is no limit on the deduction your estate can claim. In addition, the gift is usually exempt from state inheritance taxes.

What is the difference between a will and a trust?

A will is a document containing your instructions about how you want your property and assets distributed. It is a re-vocable, private document that only takes effect after your death. Anyone with assets (a home, land, bank account, artwork,

How You Can Make a Gift to PCRM That Preserves Your Assets for Life

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member Support

Dr. Barnard’s Conference Call Updates

Throughout the year, Dr. Barnard provides our Steward and Lifetime Partner members with updates on current and upcoming PCRM work via conference

call. These updates include a question-and-answer session during which members have the opportunity to make suggestions and address specific interests directly with Dr. Barnard. These conference calls are promoted through e-mail. To update your e-mail address, find out about future conference call dates, or learn how to become a Steward or Lifetime Partner, please contact membership assistant Irena Rindos at 202-686-2210, ext. 304.

PCRM’s

25th Anniversary Gala

Save the Date!Make plans to join us in Los Angeles

on Saturday, April 10, 2010, as we

celebrate 25 years of outstanding

progress and leadership. Chaired by

Tom and Kathy Freston, this party is

expected to be the best in PCRM’s

history. You won’t want to miss it!

What if I’ve already written my will or trust? You can amend a will or trust to make a charitable gift without rewriting the entire document. Your attorney can pre-pare a simple document, called a codicil, which adds a new bequest to PCRM while reaffirming the other terms of your will. Similarly, an attorney can prepare an amendment to a revocable trust to add PCRM as a beneficiary. Members who have remembered PCRM in their wills or trusts have pro-vided vital support for our research and advocacy efforts. Taking this step can ensure that your assets will support a compassionate cause long into the future. If you have questions about making a bequest to PCRM or to request a copy of our planned giving brochure, please contact me at 202-686-2210, ext. 366, or [email protected]. You can also fill out and return the form on this page or visit PCRM.PlanYourLegacy.org.

Betsy Wason, C.F.R.E. Director of Development

On Feb. 28, PCRM supporters gathered at Sublime restaurant in Fort Lau-derdale, Fla., for the second annual Bon Voyage Party to benefit PCRM.

Sublime owner Nanci Alexander and special guests T. Colin Campbell, Ph.D., and Christina Pirello joined PCRM president Neal Barnard, M.D., for an evening of fun and world-class vegan cuisine before the departure of the Holistic Holiday at Sea Cruise the next day.

A Sublime Send-Off

Above left: President’s Circle members Ed and Amanda Smith with PCRM president Neal Barnard, M.D.

Above: Event co-host Christina Pirello enjoys the Bon Voyage Party with cruise guests Martin and Arlene Townsend.

Left: Dr. Barnard, Sublime owner Nanci Alexander, T. Colin Campbell, Ph.D., and Karen Campbell. a

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pCrm marketplace

Healthy Eating for Life for ChildrenPCRM with Amy Lanou, Ph.D.When children learn proper nutrition early in life, they are more likely to avoid heart disease, obesity, and diabetes. Here’s how to get them started. Includes kid-tested recipes. 258 pgs, $14.95

Healthy Eating for Life book series from PCRMPCRM’s series of medically sound, reader-friendly books explains diet’s role in wellness and disease prevention. Each book includes at least 80 healthy, delicious vegetarian recipes. Forewords by PCRM president Neal D. Barnard, M.D.

Healthy Eating for Life for WomenPCRM with Kristine KieswerLearn how the right foods can ease men-strual and meno-pausal symptoms, strengthen bones, encourage weight loss, protect the heart, and help pre-vent certain cancers. 260 pgs, $16.95

Healthy Eating for Life to Prevent and Treat DiabetesPCRM with Patricia Bertron, R.D.Studies show that diabetes can be highly responsive to diet and lifestyle changes. PCRM explains these changes and how to put them into practice. 244 pgs, $18.95

pCrm marketplace

ReSeARCH ISSUeS

What Will We Do if We Don’t Experiment on Animals?Medical Research for the 21st CenturyC. Ray Greek, M.D., and Jean Swingle Greek, D.V.M. The Greeks answer the title’s question with a tour of truly modern medical research. With advances in the study of human genetics and the ability to measure human responses to drugs at the molecular level, researchers will find it increasingly difficult to justify the crude data accu-mulated from animal experimentation. 262 pgs, $24.99

Pleasurable KingdomAnimals and the Nature of Feeling GoodJonathan Balcombe, Ph.D.Life as experienced by animals is not a grim struggle for survival, according to animal behavior researcher Balcombe. He presents persuasive evidence that animals—like humans—find enjoyment in touch, food, aesthetics, companionship, anticipation, and more. Full of insight and humor, the book poses vital ethical questions. 360 pgs, $14.95

HeALTH ANd NUTRITIoN

Nutrition Guide for CliniciansPhysicians Committee for Responsible MedicineThis comprehensive medical refer-ence manual covers nearly 100 diseases and conditions, including risk factors, diagnoses, and typical treatments. Most importantly, it provides the latest evidence-based information on nutrition’s role in prevention and treatment. Includes an in-depth examination of general nutrition, macronutrients, micronutrients, and nutritional requirements for all stages of life. 884 pgs, $19.95 Special Discount $17.95

LANDMARK BooK FRoM PCRM


vegan in 30 Days : Get Healthy, Save the WorldSarah TaylorWhether you want to lose weight, prevent or reverse dis-ease, increase energy, save animals, or reduce your carbon footprint, this book will help you achieve your goal. Filled with insights, practical tips, and recipes. 104 pgs, $14.95

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The Best in the WorldFast, Healthful Recipes from Exclusive and Out-of-the-Way RestaurantsNeal D. Barnard, M.D., EditorThis popular collection of wonderfully healthy recipes comes from the world’s best and most unusual restaurants. Enjoy these vegan delicacies at home. Hardcover, 71 pgs, $11.95

The Best in the World iiHealthful Recipes from Exclusive and Out-of-the-Way RestaurantsJennifer L. Keller, R.D., EditorTravel around the world to discover treasures from side-street cafes and elegant hotel dining rooms. Attractively illustrated, this delightful vegan cookbook is the sequel to PCRM’s original international recipe collection. Hardcover, 71 pgs, $11.95

“Best in the World” Matched Set OfferGet both beautiful volumes for $18

Quantum Wellness: A Practical and Spiritual Guide to Health and HappinessKathy Freston Learn how to make the small steps that can significantly improve the health of mind, body, and spirit. In addition to promoting wholeness in work and relationships, Freston explains the advantages of a plant-based diet from health, ethical, and environmental perspectives. Includes 45 veg-etarian recipes, two weeks of meal plans, and a general shopping list. 288 pages, $14.95

Skinny BitchA No-Nonsense, Tough Love Guide for Savvy Girls Who Want to Stop Eating Crap and Start Looking Fabulous!Rory Freedman and Kim Barnouin This bestselling vegan guide pulls no punches. Entertain-ing and sassy, the book rests on a solid health and nutrition foundation. “Many priceless-yet-unprintable dictums certainly make you laugh in a way few diet books can.” –iVillage 224 pgs, $13.95

Becoming Whole: The Story of My Complete Recovery from Breast CancerMeg Wolff, Foreword by T. Colin Campbell, Ph.D.Eight years after losing a leg to bone cancer, Meg Wolff was dying of breast cancer. Conventional treatments were failing, but Meg fought back with a macrobiotic diet and a determination to control how she would live or die. Discover Meg’s story of physical and emotional healing. 288 pgs, $21.00

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Macro for the Mainstream DVDSheri DeMarisTV host Sheri DeMaris believes “your kitchen is your medicine cabinet.” In this exciting DVD, she prepares easy-to-follow macrobiotic recipes using whole, organic foods and offers simple suggestions for improving one’s health and the health of our planet. $24.95

How to Eat Like a vegetarian Even if You Never Want to Be OneCarol J. Adams and Patti BreitmanOut of time and out of ideas? Cook fast, cook healthy with more than 250 shortcuts, strategies, and simple solu-tions. More than a cookbook—though it abounds with recipes—this guide will get you started on a healthier path with a few flips of the page. 214 pgs, $20.00

Skinny Bitch in the KitchKick-Ass Recipes for Hungry Girls Who Want to Stop Cooking Crap (and Start Looking Hot!)Here’s the companion cookbook to the outrageous bestseller Skinny Bitch. 75 easy, satisfying recipes, served up with an irreverent sense of fun. “A hilariously bawdy vegan cookbook for the modern Mrs. Cleaver.” –Domino 192 pgs, $14.95


From Neal D. Barnard, M.D., PCRM president

Dr. Neal Barnard’s Program for Reversing Diabetes

If you have diabetes or are concerned about developing it, this program could change the course of your life. Dr. Barnard’s groundbreaking clinical studies, the latest funded by the National Institutes of Health, show that diabetes responds dramatically to a low-fat, vegetarian diet. Rather than just compensating for malfunctioning insulin like other treatment plans, Dr. Barnard’s program helps repair how the body uses insulin. Includes 50 delicious recipes. 288 pgs, $15.95

Foods That Fight PainDid you know that ginger can prevent migraines and that coffee sometimes cures them? Drawing on new research, Dr. Barnard shows readers how to soothe ev-eryday ailments and cure chronic pain with common foods. 348 pgs, $14.00

A Physician’s Slimming Guide for Permanent Weight ControlYou can succeed in becoming and staying slimmer! This book is not a diet—it’s a comprehensive program that takes the reader beyond artificial “formula ap-proaches.” 96 pgs, $7.95

Breaking the Food SeductionWe all have foods we can’t resist, foods that sabotage our health. But banishing those cravings for chocolate, cookies, cheese, or burg-ers isn’t a question of willpower, it’s a matter of biochemistry. Drawing on his own research and that of other leading institutions, Dr. Barnard reveals how diet and lifestyle changes can break the craving cycle. 324 pgs, $14.95

Turn Off the Fat GenesGenes, including those that shape our bodies, actually adapt to outside influences. Dr. Barnard explains the process and provides a three-week gene-control program complete with menus and recipes by Jen-nifer Raymond. Here are powerful tools for achieving long-term weight loss and better health. Paperback, 350 pgs, $14.00

Food for LifeThe breakthrough book on aging, heart disease, cancer, weight con-trol, and general health. Preface by Dean Ornish, M.D. Loads of tips on changing your diet, 21 days of menus, plus delicious recipes by Jennifer Raymond. 334 pgs, $14.00

The Nutrition Rainbow PosterThe more naturally colorful your meal is, the more likely it is to have an abundance of cancer-fighting nutrients. Pigments that give fruits and vegetables their bright colors represent a variety of protective compounds. The Nutrition Rainbow poster shows the cancer-fighting and immune-boosting power of different-hued foods. 17”x22”, $6.00

Prescription for Life PosterThis whimsical work of art introduces your patients to the importance of fruits, vegetables, whole grains, and beans in cancer prevention and survival. It also tells how to obtain free information about nutrition, recipes, and classes from The Cancer Project. 17”x22”, $6.00

The Cancer Survivor’s GuideFind out how foods fight cancer and the advantages of a high-fiber, low-fat, dairy- and meat-free diet. Includes updates from the latest research, special prostate and breast cancer sections, tips for making the dietary transition, and more than 130 recipes. 245 pgs, $19.95

pCrm marketplace

Prevent and Reverse Heart DiseaseCaldwell B. Esselstyn Jr., M.D.Drawing on findings from his 20-year study, noted surgeon and researcher Esselstyn presents a scientifically proven, nutrition-based program that stops and reverses heart disease, even for people who have been affected for many years. More than 150 great recipes. 308 pgs, $15.95

From The Cancer Project


Local Bounty: Seasonal Vegan RecipesDevra GartensteinUsing fresh local produce enlivens your meals and pre-serves resources. This book divides its recipes among spring, summer, fall, and winter sections, enabling cooks to tap into seasonal harvests. More than 150 recipes, with shopping and cooking tips. 187 pgs, $17.95

A New Approach to Nutrition for Diabetes DVDNeal D. Barnard, M.D.Turn back the clock on diabetes through a low-fat vegan diet. In eight compelling lessons, Dr. Barnard explains his groundbreaking research, funded by the National Institutes of Health, and how to put it to work in your life. Includes cooking demonstrations by chef Toni Fiore and a grocery store tour by Susan Levin, R.D., and Caroline Trapp, M.S.N., C.D.E. 192 mins, $19.95

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The Sublime Restaurant CookbookSouth Florida’s Ultimate Destination for Vegan CuisineNanci AlexanderThe flavors and beauty of south Florida’s award-win-ning Sublime Restaurant are compiled here with some of Sublime’s most famed culi-nary creations. From Asian, Latin, or Mediterranean influences to more typical American fare, each recipe is delightfully conceived, beautifully presented, and yet surprisingly quick to prepare. 117 pgs, $19.95

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Lick it!Creamy, Dreamy Vegan Ice Creams Your Mouth Will LoveCathe OlsonMaking ice cream at home with a variety of nondairy milks is surprisingly easy, and the results taste so much better than what can be bought in a store. Readers will find all their favorite traditional ice cream flavors in this book, plus a tempting variety of exotic and gourmet flavors made with herbs, spices, and liqueurs. Includes information about using unrefined sweeteners and adjusting any seasonings to taste. 144 pgs, $14.95

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22 GOOD MEDICINE Winter 2006

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PCRM Marketplace P.o. Box 180 Summertown, TN 38483 (do not use the membership envelope in this issue.)

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The New Four Food Groups Grocery Tote BagThis ample canvas bag measures

12"x16.5"x7". Green on natural white. $10.00

From PCRM vegetarian Starter KitIt’s all here. Learn about the power of a plant-food diet for fighting disease and maintaining a healthy weight. Get the facts on vegan diets for pregnant women, babies, and children. Try delicious sample recipes. Debunk common myths. And make friends with the New Four Food Groups! 16 pgs, $2.00

Go veg—B4 it’s 2L8 Quality 100% cotton. Yellow on forest green. $11.95

Go vegan Multilingual ApronVeg-friendly phrases in ten languages. 21"x 28" gourmet apron with pocket. Cream on forest green. $13.95

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Choose Health! Four Food Groups Poster Striking color photos illustrate PCRM’s New Four Food Groups for com plete nu trition with out choles-terol and ex cess fat. Includes serv ing recom men dations. 22"x17", $6.00

Cartoon Four Food Groups PosterPCRM’s colorful and infor mative guide to nu tritional recom men dations, illustrated for younger eaters. 22"x17", $6.00

New Four Food Groups Place Mats Four color ful guides to the New Four Food Groups. The flip side provides cooking and food storage tips, unmasks dietary myths, and suggests additional reading. 17"x11", $12.00

Guía de Iniciación para una Dieta VegetarianaThe Spanish-language version of PCRM’s popular Vegetarian Starter Kit. $2.00

Rabbit Refrigerator Magnet 2"x3½". $1.00

Monkey Refrigerator Magnet 2"x3½". $1.00

Show your support for humane research with Humane Charity Seal of Approval items

Dog Magnetic Bumper Sticker $2.00

Cat Magnetic Bumper Sticker $2.00

Winter 2006 GOOD MEDICINE 23

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Just the Facts

It’s Not Rocket ScienceChildren with high iQs are more likely to become vegetarian, according to researchers at the university of Southampton in the united Kingdom. Scientists believe this could help explain why people with higher iQs are generally healthier.

Cow Taxdenmark may soon follow Estonia in taxing farmers on greenhouse gases produced by their livestock. Cows and pigs release methane gas, which has more than 20 times the atmosphere-warming effect of carbon dioxide. the denmark tax Commission estimates that each cow releases more greenhouse gas than the average car.

¡Viva los Frijoles! Eating traditional mexican food may help prevent cancer. university of utah researchers found that breast cancer rates are lower for women who eat a diet of beans, rice, tomatoes, corn, and squash. the key is to stay away from americanized versions of mexican favorites that contain fatty meats, cheeses, and sour cream.

easy Moneyat Wycliffe College in the united Kingdom, students willing to adopt a vegetarian diet receive a 10 percent discount on school fees. Since the school’s founding in 1882, a vegetarian diet has been an important part of school life.

goodbye, Mystery MeatHospitals in England will be promoting meat-free menus in an effort to reduce carbon emissions. livestock production is one of the leading causes of greenhouse gas emissions worldwide.

A Heavy Carbon Footprintif you’re a meat-eater, you’re an anti-environmentalist. Half of the greenhouse gas emissions attributable to human diets come from meat, even though meat makes up only about 14 percent of what people consume. this is due to the large amounts of energy required to feed, raise, and slaughter animals, and to transport and refrigerate the meat.


No More Fish and ChipsShops in the united Kingdom are making larger versions of children’s clothes to accommodate the expanding waistlines of british children.

PigeonholedWhat do baboons, humans, and pigeons have in common? animal behaviorists have found that pigeons and baboons have the same ability as humans to determine whether two or more items are the same or different. For example, if you have two strawberries in your right hand and a strawberry and a blueberry in your left hand, you know the two berries in your right hand are the same and the two in your left hand are different. many had thought this skill was unique to humans.

Now in 3-d!a new advancement in tissue engineering could mean less animal testing. biomedical engineering students at brown university grew three-dimensional clusters of cells in a petri dish and then added them to more complex 3-d clusters. this level of complexity would allow researchers to build microtissues that mimic patterns in the human body, eliminating the need for less precise animal testing.

‘Crash’ dieta driver in ireland who crashed into the back of a car blames the accident on fainting due to his high-protein diet.

Vegan diets: Not a New Ideaoetzi the iceman was found in the alps in 1991, more than 5,000 years after his death. While his bow and arrow led many to assume he was a hunter, a few strands of his hair reveal that he was following an essentially vegan diet.


YoU’LL Be SHoCKed! With postage, printing, and handling expenses, each returned copy of Good Medicine costs PCRM almost $2. over the year, this adds up to thousands of lost dollars. If your address has changed, please let us know promptly.

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Donald Forrester, M.D., helps

people break bad habits and improve their health. Dr. Forrester, a graduate of Georgetown University School of Medicine, lives in Sacramento, Calif. He spent more than 30 years with Kaiser Permanente and also served as a physician leader working to improve systems of care, including serving as chief of preventive medicine and patient education. Several years ago, he and his wife, Beth, switched to a vegan diet after reading The China Study, the groundbreaking book by T. Colin Campbell, Ph.D. After Dr. Forrester saw PCRM president Neal Bar-nard, M.D., speak about his low-fat vegetarian ap-proach to treating diabetes, he began recommending the program for his patients.

“I wish I had known about this approach earlier,” said Dr. Forrester. “I have found my patients requiring less medication, reversing some of their complications, and even curing their diabetes. The effects also carried over to better control of hypertension and high cholesterol.” From experience, Dr. Forrester knows patients will consider change if they receive accurate information from a trusted source. But he also recognizes the need for a personal approach. He shares success stories. He sits down with patients and their families to discuss beliefs about health and nutrition. “Ultimately, it’s important to change people’s belief systems,” said Dr. Forrester. “If someone believes they need meat and dairy to get enough protein, we need to explain that plant-based foods actually provide more than enough protein and are much healthier.” Based on his success, Dr. Forrester’s colleagues asked him to develop a presentation on effective nutritional approaches for diabetes, coronary artery disease, cancer, and obesity. His presentation, “The Nutritional Prescrip-tion,” along with handouts and references, can be found at ClinicalCatalyst.com. Dr. Forrester finds PCRM’s Doctors’ Forums and NutritionCME.org continuing education courses es-pecially useful for keeping up with the latest advances in nutrition and medicine. He always mentions these and other PCRM resources in his lectures. Dr. For-rester believes it is important for health care profes-sionals to lead by example and share their knowledge with others.

Dr. Donald ForresterTransforming Behavior, Sustaining Change

physician profile

Documents

Good Medicine - Spring 2009