This May Be Fair Trading - Then Again, It May Not.

Monday, January 15, 2007

Today, the Office of Fair Trading has published its findings into a company that promotes the use of Magnetic Bandages for healing wounds and treating pain. According to the OFT press release,

Magnopulse Limited, a company which manufactures and sells magnetic therapy products for humans and animals, including leg wraps, back pads and neck wraps, pet collars and pet beds, has agreed to change its advertising following action by the OFT.

It looks like Magnopulse have been bad boys an girls by making claims about their products that really do not hold up, according to the OFT. And, it looks like Magnopulse do not agree with this finding. However, they have agreed a compromise with the OFT, and so Magnopulse adverts will change (just after the stock of old ones has run out). I guess the disagreement was over the evidence for the claims being made. After all, their web site is full of articles showing how effective magnetic bandages can be. Is this just down to an interpretation of evidence and an over-zealous regulator? Who is right here?

Now, as I have said many a time - the words 'magnet' and 'healing' do not belong together. Spotting these words near each other earns Canard points on the Quackometer. There is plenty written on this subject and I don't want to go over old ground. What caught my attention was the extent to which Magnopulse tried to publish 'research' on their web site. This obviously looks impressive and is a step up from the usual testimonials found on quack web sites. If this research is good then I will undoubtedly have to adjust the quackometer accordingly.

Let's look at one of the 'published' studies on the Magnopulse web site, Effects of 4Ulcercare on Leg Ulcer Recurrence and The Potential Cost Savings to The NHS.

How could the average person tell if this was good or bad research? At first pass, the results look quite interesting - a huge reduction in leg ulcers for people who have used the bandages.

But the reality is a lot more shaky. And in fact, there are a number of big give aways - and luckily, we don't have to get too technical, understand trial procedures in detail, or have a PhD in statistics.

First, how do we know that it was the bandage that caused the reduction in leg ulcers? There is no control group to see how people would do without magnetic bandages. This is fundamental. All experiments need a control of some sort. This has none. In fact, what is going in here is just a group of researchers ringing up customers and asking them if they feel OK and how their ulcers are ('Not too bad dear, mustn't grumble'). Were the patients receiving other treatments that might have cured them? We don't know. What if they had done nothing and just let them heal? Again, no idea. And so on.

Bizarrely, the study excludes people it rang up whose ulcers had not healed and then claims that "no subjects had ulcers that failed to heal or got worse whilst using the device". It should add of course, "apart from the ones we excluded because their ulcers did not heal." This is a bit like excluding all grey haired people and then claiming that magnetic bandages give your hair a natural rich colour.

The big giveaways are though that this 'paper' looks like a targeted mailshot to the NHS. It is concentrating on how much can be saved by buying these bandages. The paper is not published anywhere and ends with a URL of where you can buy the products. It is marketing.

Other studies have been published on the site and written up for journals. But it looks like their are some commonalities here in that the studies appear to all suffer from major methodological flaws which mean that it is impossible to draw conclusion from them. Even the NHS was compelled to issue a critical analysis in 2005 after several newspapers flaunted the companies products on the back of dodgy studies. (No prizes for guessing which paper...)

The writer of just about all these reports appears to be a Dr Nyjon Eccles BSc MBBS MRCP PhD. Nyjon runs a clinic in London that appears to offer all sorts of naturopathic and 'alternative' views on medicine.

Here is one example of Dr Nyjon Eccles fabulous pieces of pseudo-scientific, cancer-curing quackery:

LYMPH DETOXIFICATION - This is achieved by non-invasive scalar, oxygen-fed light beam therapy. This helps to detoxify the tissues by assisting the body in dissolving lymph blockages and restoring normal lymph flow using the Nobel quantum scalar technology coupled with oxygen for enhanced healing potential.

One has to ask why someone who promotes herbs for cancer patients, detoxification programmes, nutritional therapies and other dubious techniques is being used to look into the effectiveness of magnets in bandages? One possible explanation is that Dr Eccles may have 'alternative' standards of evidence and may not be quite so rigorous in his testing as would be expected, thus leading to good marketing material, even if the bandages are ineffective.

Now notice, I use the word 'may' in the above sentence. Dr Eccles may be a very thorough researcher with just one or two minor slips (we are all human). On the other hand, he may be thoroughly useless. For all I know, he may have two heads, and may be a baby murderer. And yes, I don't know for sure. I may just have unfounded suspicions.

'May' is a great word. And I am sure it the favourite word of Dr Eccles and all those at Magnopulse today. The Office of Fair Trading has allowed them to continue to advertise as long as they use this word in front of claims of effectiveness. For example,

The OFT's action was settled on the basis that Magnopulse Limited and its officers, Derek and Wendy Price, have given undertakings to the court that they will not make advertising claims stating or giving the impression that: magnetic products will produce a therapeutic effect for those who wear or use them (as opposed to saying that they may have such an effect and/or some trials have shown that there may be such an effect and/or some consumers have reported such an effect)

So, I wish I could get the quackometer to spot all these 'mays'. It is another good giveaway that something is not right with health claims. Magnopulse may go on making dubious claims and may continue to trade and may rip people off. I am rather left with the impression that the OFT may be a waste of space.

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Who the hell has got it in for Dax Moy?

Friday, January 05, 2007

Happy new year to you all. I've been off for my Christmas break and I am now attending to my post bag and I thought I would share a few gems with the world.

First, I am always up for a challenge and so when writer Geoff Freed starts off his email "You pure miserable person", I know I am in for a treat! When Geoff adds "I bet you would not have the guts to print this" I really have no alternative!



Subject: Geoff Freed

You pure miserable person. It seems you get off by putting others down. It seems you are afraid of new ideas. New ideas threaten the established and then often become the accepted.

I know Geoff well we were at Uni together and have a great admiration for his courage and discretion. I bet you would not have the guts to print this, you hide ( I think you maybe Andy Lewis ) it seems like your underhanded cynicism and hopeless inadequacy.

Sugest you get some therapy and cure your intellectual impotency.

Whaletooth

Well, that has told me. Now, there are a number of odd things about this email. The writer talks about Geoff in the third person and signs off with the pseudonym "Whaletooth". Now whilst the email address is an anonymous hotmail account, the email headers clearly say that the email is from a Geoff Freed. Now are these two friends who shared a name at University or was someone hiding behind a email pseudonym whilst trying to convince me that he is courageous? Unfortunately 'Whaletooth' will not respond to my emails so I must leave it up to you to decide.

Before we go on to the next email, Geoff, yes, new ideas do 'threaten the established', but not all ideas do. The threatening ones tend to be the good ideas that can be backed up with published and repeatable evidence. Geoff has many alternative ideas about 'UFOs, the Inner Child, Pre-Life Agreements, Physics and its application to healing, the Chakra System and, of course, the huge tansformations that are currently taking place' I don't see too many evidence-soaked ideas there that might be up for the challenge, unless by Physics he is talking about radiotherapy, diagnostic imaging and various non-invasive measurement techniques. Somehow I doubt it.

Next a much more sensible contribution to the quackery debate from a Guy Dauncey of the Canadian non-profit society, Prevent Cancer Now . Guy writes to defend the idea that salvestrols were the new super cancer cure. I commented earlier that this was a somewhat premature statement as there was no good evidence to suggest that taking supplements of salvestrols would have any such effect.
Guy's letter is rather long so I will highlight a few key points:

I would encourage people to have some patience here. I understand the value of a quackometer, but I don’t think there’s evidence to include salvestrols. I have met Gerry Potter twice. He is genuine, sincere, and a solid scientist.

First, I do not doubt that Gerry is genuine and sincere and I really hope that his science is solid as this would be a great breakthrough. The next bit of the letter explains the history of the discovery of salvestrols. A few interesting points emerge and I would really like to know if these chemicals are only found in 'organic' vegetables. That really would be startling.
Going on...
When ripe fruits and vegetables are attacked by fungus, which happens all the time, they develop the salvestrols as a natural defence. When we eat the plants, the salvestrols in the food trigger the enzymes in any cancer cell to produce piceatannol, which then attacks the cancer. Having discovered this, his team searched for plants that had the highest level of salvestrols, and stared testing to see if the compound would fight an active cancer if eaten as a supplement. When they discovered that it seemed that they did, he helped create the Nature’s Defence to sell the food supplements as Fruitforce; these are simply concentrated salvestrols, taken from fruit.

This is really my point. Sounds like nice science about how some plants may defend themselves from fungus, but now we have a long string of what-ifs and maybes to get to the mass supplementation of the public with a pill. Whatever trials are currently being done, the results are not in and yet and in the meantime these companies are marketing products as if it is a done deal. As with my first correspondent, there are many good ideas out there and loads of laudable intentions. However, not all those ideas are good - in fact the majority end up on the dustbin of discarded science, no matter how much we wish them to be true.

As Guy correctly states, the best evidence for salvestrols as a cancer/cure prevention is largely anecdotal - a few doctors with case histories. Guy says,

It is not true that all anecdotes are nearly worthless. Some are; some are not. It depends on the source of the evidence.
Well, I am not sure how even doctors can magically turn anecdotes into data. They may have year's of experience and plenty of qualifications, but an anecdote, even when grandly dressed as a case study, is still fallible to the same logical pitfalls and necessary incompleteness that all anecdotes suffer from. A good doctor or scientist uses anecdotes as markers to further enquiry and research. So it's great that clinical trials are being started, but not so great that the commercial steam-train has left the station. That smacks of quackery, as does the publication of salvestrol research in naturopathic journals. As does the non-differentiation between cancers (its not one disease). As does the talk of organic food.

Guy ends,
It is completely right that we should cast a skeptical eye on new developments, since the world is full of scams and quackeries, but this one deserves to be given patience while the clinical trials are proceeding.
Yes, we need to be sceptical, but I would argue that it is not me being impatient, but those who rush to put these products on the high street health food shop shelves before we have any evidence that they do any good.

One final note on this correspondence is to highlight that Guy's organisation shows a remarkable discrepancy between how it treats 'bad things' (phone masts, pesticides, x-rays and nuclear power stations) and 'good things' like salvestrols and organic food. The organisation endorses the implementation of the deeply flawed 'Precautionary Principle' for banning pretty much anything that sounds to them like it might cause cancer. And yet, guy appears to quite happily endorse the mass medication of huge numbers of people on a chemical that has no safety and efficacy data available for it.

Guy, can I humbly suggest a little light reading of a publication from the charity Sense about Science on the role of 'chemicals' and the 'life-style' sector

Finally, looking through the web-logs of how the site is doing, where visitors and coming from and what they are doing on the site, one name stands out this month so far - Dax Moy.

Now, I have no idea who Dax is and have never written about him before, but one (or many) people are putting his name into the quackometer, time after time. (4 Canards, by the way.) He name is the search term that is at the top of the list of entries to the site! Why? I have no idea. Has he done something in the news recently that people think is quackery? Or are his lawyers preparing to sue me for the quackometer giving him 4 Canards?

Dax is a personal trainer. Not just any personal trainer, but the most qualified and highest paid personal trainer in the country! Not sure what the qualifications are as his biography declines to say, but Dax claims to be only one of a few 'elite' experts in Europe who can offer his sort of combined exercise and nutrition plan. Dax charges £120 an hour for advice on sit-ups and eating salad. And you must commit to at least twelve sessions. That's a lot of Euros.

Now Dax might not appear on the quackometer at all given that doing exercise, eating your greens and cutting out the fags is all pretty sound advice (even if it is expensive advice), but Dax's healing hands also do reiki and reflexology. Ouch.

One person who obviously has it in for Dax though is blogger ShoeLover, who wrote "An Open Letter to Dax Moy: You sir are a Quack". Apparently, the Daily Mirror wrote a story given by "Health and fitness chief" Dax that high heel shoes cause all sorts of health problems for women including menstrual cramps, neck, back, shoulder pain, stress headaches and even premature hair loss. Allegedly, your guts spill forward in heels "producing that 'pooch' which many women have wrongly come to think of a 'fat stomach'.

ShoeLover, being a, er, shoe lover is noticably upset by these claims and says,
While the author of the article, Brian Roberts, writes that Dax (assuming that Dax is the "expert") claims that wearing five-inch killer heels can affect their (women's) internal organs and fertility, there is not a single reference to a medical and or research journal. Hell, one would have thought the author might have consulted a gynecologist to back up the claims of "expert" Dax, unless of course Dax is also a gynecologist. Dax, are you a gyno?

I must tell Mrs Canard Noir to stop going to her pole dancing classes in those heels. She told me she was doing it for fitness reasons. Dax knows better.

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