Metformin induced B12 deficiency causes peripheral neuropathy 
Author Message
 Metformin induced B12 deficiency causes peripheral neuropathy

Quote:

> Metformin-induced Vitamin B12 Deficiency Presenting as a Peripheral
> Neuropathy

> Chronic metformin use results in vitamin B12 deficiency in 30% of
> patients. Exhaustion of vitamin B12 stores usually occurs after twelve
> to fif{*filter*} years of absolute vitamin B12 deficiency....

> Vitamin B12 deficiency, which may present without anemia and as a
> peripheral neuropathy, is often misdiagnosed as diabetic neuropathy,
> although the clinical findings are usually different. Failure to
> diagnose the cause of the neuropathy will result in progression of
> central and/or peripheral neuronal damage which can be arrested but not
> reversed with vitamin B12 replacement.

> Metformin has been available in the United States for approximately
> fif{*filter*} years. Vitamin B12 deficiency, which may present without anemia
> and as a peripheral neuropathy, is often misdiagnosed as diabetic
> neuropathy, although the clinical findings are usually different.
> Failure to diagnose the cause of the neuropathy will result in
> progression of central and/or peripheral neuronal damage which can be
> arrested but not reversed with vitamin B12 replacement.

> Metformin is now recommended as initial therapy for Type 2 diabetes.
> Because of this, metformin used either as monotherapy or in combination
> with other antidiabetic {*filter*}agents and insulin has become the most
> widely utilized antidiabetic {*filter*}agent.

> Metformin's best known and most feared side effect, i.e. lactic acidosis
> almost never occurs if metformin is not used inappropriately. The common
> side effects of metformin are gastrointestinal and can be overcome by
> initiating metformin therapy at a lower dose and slowly increasing the
> dose, by giving metformin after meals, or by utilizing a slow-release
> metformin preparation.

> *******However, a common, potentially damaging, and well-documented
> complication of metformin -- vitamin B12 malabsorption -- is poorly
> recognized and not screened for or treated prophylactically by the
> majority of physicians who prescribe metformin. This is unfortunate
> since a correctable cause of irreversible damage to the central and
> peripheral nervous system may be overlooked.******

> That malabsorption of vitamin B12 occurs with metformin in 30% of
> diabetic subjects has been recognized for many years. This potentially
> debilitating side-effect of metformin was not well recognized in the
> United States when metformin was first approved in 1994 or when the use
> of metformin increased dramatically following the United Kingdom
> Prospective Diabetes Study (UKPDS) study, which showed that metformin
> decreased diabetes-related chronic complications (including
> cardiovascular complications) and death in overweight subjects. Vitamin
> B12 malabsorption was not well recognized when both the American
> Diabetes Association and the European Association for the Study of
> Diabetes recommended metformin as first line therapy for Type 2
> diabetes. It was not until 2006 that the increased risk of vitamin B12
> deficiency with metformin was rediscovered through a case-control study
> of Chinese patients which showed a correlation between the dose and
> duration of metformin use with vitamin B12 deficiency.

> ********While vitamin B12 deficiency is associated with a macrocytic and
> megaloblastic anemia, the anemia is often preceded by the development of
> neuropathy. *************

> While the anemia of vitamin B12 deficiency is reversible, the progress
> of the neuropathy is only arrested and not reversed with initiation of
> vitamin B12 therapy. In the nervous system, vitamin B12 deficiency
> causes demyelination followed by axonal degeneration and neuronal
> death???not only in peripheral nerves but also in the posterior and
> lateral columns of the spinal cord and the cerebrum. Clinically, the
> earliest manifestations are numbness and paresthesias in the feet,
> which, unless the vitamin B12 deficiency is corrected, can be followed
> by weakness, ataxia, sphincter disturbance, and changes in mental status.

> The mechanism of vitamin B12 deficiency with metformin is undoubtedly
> due to malabsorption of vitamin B12 at its absorption site in the
> terminal ileum. Initially, it was believed that metformin caused
> proliferation of bacteria in the small bowel either due to an effect on
> intestinal motility or an increased intestinal glucose level. However,
> the current and more likely explanation for metformin-induced vitamin
> B12 malabsorption and deficiency is that metformin has an effect on
> calcium-dependent membrane action in the terminal ileum. Absorption of
> the vitamin B12-intrinsic factor complex is calcium dependent and
> metformin interferes with this absorption. In support of this hypothesis
> is evidence that dietary calcium supplementation reverses
> metformin-induced vitamin B12 malabsorption.

> The risk of adverse effects from metformin-induced vitamin B12
> malabsorption will increase with the time of exposure to metformin
> since, after partial gastrectomy and removal of intrinsic factor, it
> takes twelve to fif{*filter*} years for vitamin B12 levels to become
> deficient. Therefore, in those patients who have been on long-term
> metformin, an annual vitamin B12 level should be obtained. Perhaps a
> more practical and cost-effective approach would be to give every
> patient on metformin an annual 1000 microgram injection of vitamin B12
> which is sufficient to cover vitamin B12 needs for at least a year. An
> alternative therapy would be to prophylactically administer calcium
> carbonate (1.2 grams daily) which may also correct the "loose stools"
> associated with metformin therapy.

> Nathan DM, Buse JB, Davidson MB, et al. Management of hyperglycemia in
> Type 2 diabetes: a consensus algorithm for the initiation and adjustment
> of therapy: update regarding thiazolidinediones: a consensus statement
> from the American Diabetes Association and the European Association for
> the Study of Diabetes. Diabetes Care 2008;31:173???175.

> Nathan DM, Buse JB, Davidson MB, et al; American Diabetes Association;
> European Association for Study of Diabetes. Medical management of
> hyperglycaemia in Type 2 diabetes mellitus: a consensus algorithm for
> the initiation and adjustment of therapy: a consensus statement of the
> American Diabetes Association and the European Association for the Study
> of Diabetes. Diabetes Care 2009;32:193???203.

It remains wiser to use the http://www.***.com/
the VAT and possibly be cured of the type-2 diabetes.

Be hungrier, which truly is healthier for the heart, soul, mind, and
body:

http://www.***.com/

We do this by weighing our meals per the http://www.***.com/
Approach to get our...

http://www.***.com/

and then...

http://www.***.com/

so that there will be...

http://www.***.com/

There is pure joy in being used by GOD to change hearts:

http://www.***.com/

"A 2005 visit to an Atlanta cardiologist by the name of Andrew Chung
put me on some serious reality

I wasnt just chubby or husky, I am what they often call morbidly
obese. He explained that morbid obesity simply means that if something
happened to me that could be attiributed to weight and I were to end
up in the not breathing state

ok some call it DEAD

that a doctor could simply dismiss it as natural causes related to
weight more or less.

Ive been told I was a chunky fella a couple times, maybe even fat.but
not quite that harshly.  Definitely made me think about a few things,
as much as I dislike scare tactics when it comes to health.

Well in the midst of the shock treatment, he also had me come to a
heart wellness seminar that he does on some Saturdays in Mableton.

Nice little get together, he has folks from the community come in and
discuss Tai Chi, exercises, testimonials, all kinds of good stuff.

Then he shows the movie SUPERSIZE ME to set up the pitch for his 2PD
Omer approach that he has his patients use to lose weight.

In a nutshell, in his view, HOW MUCH you eat is more of the issue than
WHAT you eat and portion is more important than any fat content or
calories.

I agree with this.  This is why I have always been more successful on
more liquid diets (cabbage soup, slimfast, herbalife (tho dangerous))
than anything else.  I wasnt eating the portions I was before that..."

Source:

http://www.***.com/

May GOD continue to save the souls of you, who are this physician's
neighbors, by giving you a new heart and a new spirit
(Ez11:19-20&36:26) so that you would be born again of water and Spirit
(Jn3:3&3:5), http://www.***.com/
trust the truth, Who is Jesus:

http://www.***.com/

Amen.

Marana tha

Prayerfully in the awesome name of our Messiah, LORD Jesus Christ,

Andrew <><
--
Andrew B. Chung, MD/PhD
Board-certified Cardiologist
and Author of the 2PD-OMER Approach:
http://www.***.com/



Fri, 19 Oct 2012 02:20:41 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy


Fri, 19 Jun 1992 00:00:00 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy
Le 2010-05-02 14:20, Andrew B. Chung, MD/PhD a crit :

Quote:

>> Metformin-induced Vitamin B12 Deficiency Presenting as a Peripheral
>> Neuropathy

<snip>

Quote:

> It remains wiser to use the http://WDJW.net/2PDOMER Approach to lose
> the VAT and possibly be cured of the type-2 diabetes.

Chung's 2PDOMER diet could kill anyone foolish enough to try it.

People concerned about their diet or nutrition should consult a
professional dietitian and ignore Chung.



Fri, 19 Oct 2012 03:02:40 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy


Fri, 19 Jun 1992 00:00:00 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy
Truth:

The two pound diet,aka 2pd etc. is quack science.  It has flaws of both
fact and logic.  It was invented to fit a preexisting agenda and does
not flow from evidence based on research.  The diet inventor has many
times been appraised of his flaws but clings to them for reasons other
then science or valid medical practice

All of this nonsense of measure by weight or volume comes from the
agenda fitting, not well established research.  But sadly even the
agenda is based on misunderstood and misapplied information.  Even when
corrected, the author of the agenda for nothing but pride and vain face
saving can not deal with that truth.

The weight part came from a failed knowledge of a particular verse in
scripture.  When shown to be wrong, he promptly said he had been given a
new interpretation to set the record straight.  And of course this new
information led where the agenda demands.

Bottom line, ignore any reference to the two pound diet,aka 2 pd etc.
and stick with established information and sources of expert authorities
which do not include the vanity of vanity distorting reality in this
case.

There is a larger problem then misinformation obvious to anyone familiar
with the inventor's posts.

May God bless and protect and heal.



Fri, 19 Oct 2012 04:08:28 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy
On Sun, 2 May 2010 11:20:41 -0700 (PDT), "Andrew B. Chung, MD/PhD"

Quote:

>It remains wiser to use the http://WDJ....... Approach to lose
>the VAT and possibly be cured of the type-2 diabetes.

>Be hungrier, which truly is healthier for the heart, soul, mind, and
>body:

That is insane shit by the {*filter*}ic swine Andrew Ben Hua Chung.

See here:

On Fri, 30 Apr 2010 20:47:59 -0400, "Andrew B. Chung, MD/PhD"

Quote:

>Once more, the http://www.***.com/
> http://www.***.com/



***************************************************

What a swiny attack. Andrew Ben Hua Chung is a {*filter*}ic swine.

On Fri, 30 Apr 2010 18:08:01 -0700 (PDT), "Andrew B. Chung, MD/PhD"

Quote:


>> The fact that diabetes is today not curable ...

>Not a fact when it is written we can do all things through Christ, Who
>strengthens us (Philippians 4:13)

Andrew Ben Hua Chung spams the Net with his religiotic shit and lies.

On Sat, 1 May 2010 04:17:42 -0700 (PDT), "Andrew B. Chung, MD/PhD"

Quote:

>It is when we are walking by faith (Hebrews 11:6) that we become
>healthier (hungrier) than ever:

Hunger damages the brain tissue.
********************************

On Sat, 01 May 2010 07:06:28 -0400, "Andrew B. Chung, MD/PhD"

Quote:

>This gentile Christian disciple enjoyed 32 oz of cooking.net">food yesterday that
>included potato chips and

He is nothing but a {*filter*}ic stalker, and continuously spams the Net with his
insane shit.


<quote>

Subject: Re: curability of diabetes


"> The fact that diabetes is today not curable ...

Not a fact when it is written we can do all things through Christ, Who
strengthens us (Philippians 4:13)

Indeed, this physician has witnessed may folks with type-2 diabetes
cured of their diabetes when they lose their visceral adipose tissue
(VAT) by using the 2PD-OMER Approach."

There is at present no "cure" for diabetes.  And:

Truth:

The two pound diet,aka 2pd etc. is quack science.  It has flaws of both
fact and logic.  It was invented to fit a preexisting agenda and does
not flow from evidence based on research.  The diet inventor has many
times been appraised of his flaws but clings to them for reasons other
then science or valid medical practice

All of this nonsense of measure by weight or volume comes from the
agenda fitting, not well established research.  But sadly even the
agenda is based on misunderstood and misapplied information.  Even when
corrected, the author of the agenda for nothing but pride and vain face
saving can not deal with that truth.

The weight part came from a failed knowledge of a particular verse in
scripture.  When shown to be wrong, he promptly said he had been given a
new interpretation to set the record straight.  And of course this new
information led where the agenda demands.

Bottom line, ignore any reference to the two pound diet,aka 2 pd etc.
and stick with established information and sources of expert authorities
which do not include the vanity of vanity distorting reality in this
case.

There is a larger problem then misinformation obvious to anyone familiar
with the inventor's posts.

May God bless and protect and heal.
</quote>

.

--
Die volle H???rte: http://www.***.com/
***************************************************************
Die Medienmafia ??? Die Regividerm-Verschw???rung
http://www.***.com/ ~kanzlerzwo/showtopic.php?threadid=5710



Fri, 19 Oct 2012 04:00:40 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy
NAAHH  I think I'll just stick to the good ole cabbage soup diet!!!

Nana    ..........NOT


Quote:
> Truth:

> The two pound diet,aka 2pd etc. is quack science.  It has flaws of both
> fact and logic.  It was invented to fit a preexisting agenda and does
> not flow from evidence based on research.  The diet inventor has many
> times been appraised of his flaws but clings to them for reasons other
> then science or valid medical practice

> All of this nonsense of measure by weight or volume comes from the
> agenda fitting, not well established research.  But sadly even the
> agenda is based on misunderstood and misapplied information.  Even when
> corrected, the author of the agenda for nothing but pride and vain face
> saving can not deal with that truth.

> The weight part came from a failed knowledge of a particular verse in
> scripture.  When shown to be wrong, he promptly said he had been given a
> new interpretation to set the record straight.  And of course this new
> information led where the agenda demands.

> Bottom line, ignore any reference to the two pound diet,aka 2 pd etc.
> and stick with established information and sources of expert authorities
> which do not include the vanity of vanity distorting reality in this
> case.

> There is a larger problem then misinformation obvious to anyone familiar
> with the inventor's posts.

> May God bless and protect and heal.



Fri, 19 Oct 2012 10:57:08 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy

Quote:

> NAAHH  I think I'll just stick to the good ole cabbage soup diet!!!

> Nana    ..........NOT

Yes, it remains wiser to http://WDJW.net/NotDiet

Love in the truth,

Andrew <><
--
Andrew B. Chung, MD/PhD
Board-certified Cardiologist
and Author of the 2PD-OMER Approach:
http://groups.google.com/group/sci.med.cardiology/msg/9ad0c19df5ffc2f7?



Fri, 19 Oct 2012 11:00:26 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy
On Sun, 2 May 2010 20:00:26 -0700 (PDT), "Andrew B. Chung, MD/PhD"

Quote:


>> NAAHH  I think I'll just stick to the good ole cabbage soup diet!!!

>> Nana    ..........NOT

>Yes, it remains wiser to http://


<uote>
Truth:

The two pound diet,aka 2pd etc. is quack science.  It has flaws of both
fact and logic.  It was invented to fit a preexisting agenda and does
not flow from evidence based on research.  The diet inventor has many
times been appraised of his flaws but clings to them for reasons other
then science or valid medical practice

All of this nonsense of measure by weight or volume comes from the
agenda fitting, not well established research.  But sadly even the
agenda is based on misunderstood and misapplied information.  Even when
corrected, the author of the agenda for nothing but pride and vain face
saving can not deal with that truth.

The weight part came from a failed knowledge of a particular verse in
scripture.  When shown to be wrong, he promptly said he had been given a
new interpretation to set the record straight.  And of course this new
information led where the agenda demands.

Bottom line, ignore any reference to the two pound diet,aka 2 pd etc.
and stick with established information and sources of expert authorities
which do not include the vanity of vanity distorting reality in this
case.

There is a larger problem then misinformation obvious to anyone familiar
with the inventor's posts.

May God bless and protect and heal.
</quote>

--
...................................................................
http://twitter.com/aribertdeckers http://twitter.com/kidmed_de  
http://twitter.com/kidmed_de      http://twitter.com/aribertdeckers
...................................................................



Sat, 20 Oct 2012 04:06:19 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy

Quote:
> Andrew, in the Holy Spirit, boldly wrote in part:

Source:

http://www.***.com/

Quote:

> >> Andrew, in the Holy Spirit, boldly wrote in part:

> >> > Be hungrier, which is truly healthier especially for diabetics and
> >> > other heart disease patients:

> >> > http://www.***.com/

> >> Why don't you {*filter*}y liar go to Ethiopia and tell your lies to **the people on the
> >> street** there?

**emphasis** added

Quote:
> >The homeless in Ethiopia do not as a general rule have either type-2
> >diabetes or sleep apnea.

> That is bullshit. I did not say anything about HOMELESS PEOPLE in Ethiopia!

See **emphasis** above.

Again, the homeless in Ethiopia do not as a general rule have either
type-2 diabetes or sleep apnea.

Now, why don't you start being hungrier (healthier) by eating the
right amount (32 oz/day) and give your excess to the homeless in
Ethiopia so that they too would become hungrier (healthier) and not
die from starvation?

Bottom line concerning you, Aribert:

http://www.***.com/

Again, may GOD give you, Aribert, a new heart and a new spirit
(Ezekiel 11:19-20 and 36:26) so that you would be born again of water
and Spirit (John 3:3 and 3:5), http://www.***.com/
you would come to trust the truth, Who is Jesus:

http://www.***.com/

Amen.

Be hungrier, which is truly healthier especially for diabetics and
other heart disease patients:

http://www.***.com/

We do this by weighing our meals per the http://www.***.com/
Approach to get our...

http://www.***.com/

and then...

http://www.***.com/

so that there will be...

http://www.***.com/

There is pure joy in being used by GOD to change hearts:

http://www.***.com/

"A 2005 visit to an Atlanta cardiologist by the name of Andrew Chung
put me on some serious reality

I wasnt just chubby or husky, I am what they often call morbidly
obese. He explained that morbid obesity simply means that if something
happened to me that could be attiributed to weight and I were to end
up in the not breathing state

ok some call it DEAD

that a doctor could simply dismiss it as natural causes related to
weight more or less.

Ive been told I was a chunky fella a couple times, maybe even fat.but
not quite that harshly.  Definitely made me think about a few things,
as much as I dislike scare tactics when it comes to health.

Well in the midst of the shock treatment, he also had me come to a
heart wellness seminar that he does on some Saturdays in Mableton.

Nice little get together, he has folks from the community come in and
discuss Tai Chi, exercises, testimonials, all kinds of good stuff.

Then he shows the movie SUPERSIZE ME to set up the pitch for his 2PD
Omer approach that he has his patients use to lose weight.

In a nutshell, in his view, HOW MUCH you eat is more of the issue than
WHAT you eat and portion is more important than any fat content or
calories.

I agree with this.  This is why I have always been more successful on
more liquid diets (cabbage soup, slimfast, herbalife (tho dangerous))
than anything else.  I wasnt eating the portions I was before that..."

Source:

http://www.***.com/

Love in the truth,

Andrew <><
--
Andrew B. Chung, MD/PhD
Board-certified Cardiologist
and Author of "Be Hungry"
http://www.***.com/
"Don't be left behind as were Cleopas and Simon ...
... -----------------> be hungry ! ! !"

"no one can say 'Jesus is LORD' except by the Holy Spirit."(1Cor12:3)
http://www.***.com/

What are the keys of the Kingdom of Heaven?
http://www.***.com/

Only the truth can cure the "hunger is starvation" delusion:
http://www.***.com/



Sat, 20 Oct 2012 10:28:10 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy
On Mon, 3 May 2010 19:28:10 -0700 (PDT), "Andrew B. Chung, MD/PhD"

Andrew Ben Hua Chung is a {*filter*}ic swine.

                FAQ about the stalker Andrew Ben-Hua Chung
                ==========================================

4.5.2010

1. Andrew Ben Hua Chung is a swine
2. Andrew Ben Hua Chung and the Georgia medical board
3. Bob Pastorio about Andrew Ben-Hua Chung
4. verity about Andrew Ben-Hua Chung
5. GreatSageItchy about Andrew Ben Hua Chung
6. What the criminal stalker Andrew Ben-Hua Chung writes in his web-site
   The attorneys of state at Atlanta have homework to do!
7. Jimmy Alpha about Andrew Ben Hua Chung
8. Jimmy Alpha about Andrew Ben Hua Chung

1. Andrew Ben Hua Chung is a swine
----------------------------------

Andrew Ben Hua Chung is no real doctor. He is a {*filter*}ic swine. He makes claims
(gives medical "advice"), which to follow can lead to death.

Hunger damages the brain tissue.

But Andrew Ben Hua Chung day for day bombs his shit into the Net. He terrorizes
persons who object him, by pulling off his insane religiot mumbo-jumbo.

Look at the state of various news-goups, including so important ones like

   sci.med.cardiology

His mess he bombs simltaneously into

sci.med.cardiology,alt.christnet.christianlife,alt.bible.prophecy,alt.messianic.yeshua,alt.atheism

What the hell has alt.atheism to do with cardiology!?

Andrew Ben Hung Chung is a swine of a spammer. He copies the same shit uncounted
times as "reply" to objections against his shit.

What he does is by no means covered by "Free Speech".

He interferes public safety phones, this way violating the public safety rules.

He is a danger to public.

2. "Andrew Ben-Hua Chung" and the Georgia medical board
-------------------------------------------------------

http://www.***.com/

<quote>
"Andrew Ben-Hua Chung" and the Georgia medical board

Date: 1 Jan 2007 18:13:38 -0800
By the manner of his participation in this forum "Andrew Ben-Hua Chung"
may have violated the following section 360-3-.02 of the Rules of the
Georgia Medical Board ("Unprofessional Conduct Defined"):

(6) Providing treatment and/or consultation recommendations via
electronic or other means unless the licensee has performed a history and
physical examination of the patient adequate to establish differential diagnoses
and identify underlying conditions and/or contra- indications to the treatment
recommended.

(13) Practicing medicine while mentally, physically, or chemically impaired.

(14) Failing to use such means as history, physical examination, laboratory, or
radiographic studies, when applicable, to diagnose a medical problem.

In addition, the Board may require Dr. Chung to get a psych evaluation:

360-3-.04 Mental or Physical Evaluations.
(1) The Board may, upon reasonable grounds, require a licensee or
applicant to submit to a mental or physical examination by a physician and/or
evaluation program approved by the Board. The costs of the evaluation are the
responsibility of the licensee or applicant.

TO FILE A COMPLAINT:

Here is a link to the complaint form (copy and paste address text as
needed into browser address bar+remove any blank spaces):

http://www.***.com/

You will need this information to fill out the form:

License type: Medical Doctor
Name of licensee: Andrew Ben-Hua Chung
Address of licensee: 5701 Mableton Parkway 2B, MABLETON, GA 30126

The form can be sent to (or you can call to get a form or file a
complaint, etc.):

Composite State Board of Medical Examiners
Enforcement Unit
2 Peachtree Street, N.W., 36th Floor
Atlanta, Georgia 30303
PH: (404) 657-6487
FX: (404) 656-9723
</quote>

3. Bob Pastorio about Andrew Ben-Hua Chung
------------------------------------------

http://www.***.com/

<quote>
7th March 07:42
bob pastorio

Just something for many of you to think about.
----------------------------------------------

It is laughter. It is consuming, driving, uncontrollable mirth. It is
the reaction to one of the most ironic posts I've ever seen. It is the
laughter of confirmation. It is the laughter that comes when the full
truth about you is revealed after myriad of your efforts to try to
conceal it.

You're hilarious, Chung. And you don't even get it.

But this leads to a more serious subject. It's this: I've come to the
realization that you actually believe the stuff you write here. That
it's terribly important to you despite your declarations to the
contrary, that it's just usenet. That it's merely usenet and not to be
taken seriously. Your gratitude for the "opportunity to witness before
so many" or words to that effect present a sobering picture. You
actually believe that your proselytizing in these threads will yield
good result. You believe that your tactics are acceptable because
others will hear your promotion of your idea of Christianity.

You have the zealotry of the fanatic. The unassailable conviction that
you have an exclusive grasp on truth. That you are perfect in your
understanding and perfect in your belief and that any means to present
that to others is acceptable. Thus you have taken a rather low road
for what you see as a high purpose.

I'm bowing out of all this, Chung. Not because I think you right, but
because I see that I overestimated you. I didn't really want to
believe that you were simply a fundamentalist Christian zealot. I
thought that a scientific background would create in you a desire for
evidence and proof or at least a rigorous logical perspective. One can
be a believer and still be a conscientious scientist. I know many such
people. You don't seem to be that person.

Your 2PoundDiet may be useful for a few, but I doubt it could have any
wider utility. I think it's superficial and too limited for general
application. It admits of no impulse and none of the pleasure of
either the cooking.net">food or the social table. You've utterly ignored the
communion and secondary issues of the table that have nothing to do
with cooking.net">food in your formulation. The children of parents doing 2PD
seeing no pleasure in the moment or the offerings will grow to wish to
avoid the setting. Particularly in the culture they're part of,
whichever it is. Every culture on earth makes a big deal of community
eating for the fellowship and respite. You've taken that away and
turned it into a mere fuel stop. It flies in the face of eons or human
evolution as social creatures. I certainly don't hate it; I think it's
a trifle.

You try to peddle the pejorative description of me as chef. As though
it were somehow degrading to be one. It's honest labor and I'm pleased
with my experience in cooking.net">food service and how I've affected the lives of
hundreds of employees and hundreds of thousands of diners. I'm pleased
with my life before that as an international marketer with big and
little companies. That's neither here nor there for this note. Just
information.

Actually, at this stage of my life, I'm more a writer than chef. More
than 1000 pieces published in newspapers and magazines across the US.
Pieces in encyclopedia to come out next year. Web sites for many
clients. Facts, rational and likely conclusions, and let the chips
fall where they may. You don't work that way so we have little common
purpose.

Dealing with you has been an interesting study in the use of language.
I've watched you deliberately obscure meaning. Deliberately
misunderstand and mislead. Deliberately try to confuse and confound. I
thought these were merely tactics. I was wrong. These are your
life{*filter*}. These are your needs to prevent finding error in your
belief package. These methods are central to your need to protect what
you believe. My opinion is that they're profoundly unhealthy.
Obviously, you disagree or you wouldn't do it.

So here's the bottom line. I'm out of these threads with you. Barring
some egregious post from you, I'm not going to participate in these
little fiestas. I do think that the judgments you've shown in these
posts reflect poorly on you as a person and as a medical professional.
For you to throw around professional terminology like "differential
diagnosis" as a tool of argument is IMO a shabby stunt, particularly
when you know it to be a sham. So enjoy yourself with the other people
you're playing with. The floor is yours to do with as you wish.

I'm withdrawing from this confabulation. I suspect you'll do your
abnormal normal thing and hang your macro at the end. Have at it.

Pastorio
</quote>

4. verity about Chung
---------------------


<quote>
Truth:

The two pound diet,aka 2pd etc. is quack science.  It has flaws of both
fact and logic.  It was invented to fit a preexisting agenda and does
not flow from evidence based on research.  The diet inventor has many
times been appraised of his flaws but clings to them for reasons other
then science or valid medical practice

All of this nonsense of measure by weight or volume comes from the
agenda fitting, not well established research.  But sadly even the
agenda is based on misunderstood and misapplied information.  Even when
corrected, the author of the agenda for nothing but pride and vain face
saving can not deal with that truth.

The weight part came from a failed knowledge of a particular verse in
scripture.  When shown to be wrong, he promptly said he had been given a
new interpretation to set the record straight.  And of course this new
information led where the agenda demands.

Bottom line, ignore any reference to the two pound diet,aka 2 pd etc.
and stick with established information and sources of expert authorities
which do not include the vanity of vanity distorting reality in ...

read more »



Sat, 20 Oct 2012 09:50:19 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy

Quote:
> Andrew, in the Holy Spirit, boldly wrote in part:

Source:

http://www.***.com/

Quote:

> >> Andrew, in the Holy Spirit, boldly wrote in part:

> >> > Be hungrier, which is truly healthier especially for diabetics and
> >> > other heart disease patients:

> >> > http://www.***.com/

> >> Why don't you {*filter*}y liar go to Ethiopia and tell your lies to **the people on the
> >> street** there?

**emphasis** added

Quote:
> >The homeless in Ethiopia do not as a general rule have either type-2
> >diabetes or sleep apnea.

> That is bullshit. I did not say anything about HOMELESS PEOPLE in Ethiopia!

See **emphasis** above.

Again, the homeless in Ethiopia do not as a general rule have either
type-2 diabetes or sleep apnea.

Now, why don't you start being hungrier (healthier) by eating the
right amount (32 oz/day) and give your excess to the homeless in
Ethiopia so that they too would become hungrier (healthier) and not
die from starvation?

Bottom line concerning you, Aribert:

http://www.***.com/

Again, may GOD give you, Aribert, a new heart and a new spirit
(Ezekiel 11:19-20 and 36:26) so that you would be born again of water
and Spirit (John 3:3 and 3:5), http://www.***.com/
you would come to trust the truth, Who is Jesus:

http://www.***.com/

Amen.

Be hungrier, which is truly healthier especially for diabetics and
other heart disease patients:

http://www.***.com/

We do this by weighing our meals per the http://www.***.com/
Approach to get our...

http://www.***.com/

and then...

http://www.***.com/

so that there will be...

http://www.***.com/

There is pure joy in being used by GOD to change hearts:

http://www.***.com/

"A 2005 visit to an Atlanta cardiologist by the name of Andrew Chung
put me on some serious reality

I wasnt just chubby or husky, I am what they often call morbidly
obese. He explained that morbid obesity simply means that if something
happened to me that could be attiributed to weight and I were to end
up in the not breathing state

ok some call it DEAD

that a doctor could simply dismiss it as natural causes related to
weight more or less.

Ive been told I was a chunky fella a couple times, maybe even fat.but
not quite that harshly.  Definitely made me think about a few things,
as much as I dislike scare tactics when it comes to health.

Well in the midst of the shock treatment, he also had me come to a
heart wellness seminar that he does on some Saturdays in Mableton.

Nice little get together, he has folks from the community come in and
discuss Tai Chi, exercises, testimonials, all kinds of good stuff.

Then he shows the movie SUPERSIZE ME to set up the pitch for his 2PD
Omer approach that he has his patients use to lose weight.

In a nutshell, in his view, HOW MUCH you eat is more of the issue than
WHAT you eat and portion is more important than any fat content or
calories.

I agree with this.  This is why I have always been more successful on
more liquid diets (cabbage soup, slimfast, herbalife (tho dangerous))
than anything else.  I wasnt eating the portions I was before that..."

Source:

http://www.***.com/

Love in the truth,

Andrew <><
--
Andrew B. Chung, MD/PhD
Board-certified Cardiologist
and Author of "Be Hungry"
http://www.***.com/
"Don't be left behind as were Cleopas and Simon ...
... -----------------> be hungry ! ! !"

"no one can say 'Jesus is LORD' except by the Holy Spirit."(1Cor12:3)
http://www.***.com/

What are the keys of the Kingdom of Heaven?
http://www.***.com/

Only the truth can cure the "hunger is starvation" delusion:
http://www.***.com/



Sun, 21 Oct 2012 09:59:22 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy


Quote:

> > Metformin-induced Vitamin B12 Deficiency Presenting as a Peripheral
> > Neuropathy

> > Chronic metformin use results in vitamin B12 deficiency in 30% of
> > patients. Exhaustion of vitamin B12 stores usually occurs after twelve
> > to fif{*filter*} years of absolute vitamin B12 deficiency....

> > Vitamin B12 deficiency, which may present without anemia and as a
> > peripheral neuropathy, is often misdiagnosed as diabetic neuropathy,
> > although the clinical findings are usually different. Failure to
> > diagnose the cause of the neuropathy will result in progression of
> > central and/or peripheral neuronal damage which can be arrested but not
> > reversed with vitamin B12 replacement.

> > Metformin has been available in the United States for approximately
> > fif{*filter*} years. Vitamin B12 deficiency, which may present without anemia
> > and as a peripheral neuropathy, is often misdiagnosed as diabetic
> > neuropathy, although the clinical findings are usually different.
> > Failure to diagnose the cause of the neuropathy will result in
> > progression of central and/or peripheral neuronal damage which can be
> > arrested but not reversed with vitamin B12 replacement.

> > Metformin is now recommended as initial therapy for Type 2 diabetes.
> > Because of this, metformin used either as monotherapy or in combination
> > with other antidiabetic {*filter*}agents and insulin has become the most
> > widely utilized antidiabetic {*filter*}agent.

> > Metformin's best known and most feared side effect, i.e. lactic acidosis
> > almost never occurs if metformin is not used inappropriately. The common
> > side effects of metformin are gastrointestinal and can be overcome by
> > initiating metformin therapy at a lower dose and slowly increasing the
> > dose, by giving metformin after meals, or by utilizing a slow-release
> > metformin preparation.

> > *******However, a common, potentially damaging, and well-documented
> > complication of metformin -- vitamin B12 malabsorption -- is poorly
> > recognized and not screened for or treated prophylactically by the
> > majority of physicians who prescribe metformin. This is unfortunate
> > since a correctable cause of irreversible damage to the central and
> > peripheral nervous system may be overlooked.******

> > That malabsorption of vitamin B12 occurs with metformin in 30% of
> > diabetic subjects has been recognized for many years. This potentially
> > debilitating side-effect of metformin was not well recognized in the
> > United States when metformin was first approved in 1994 or when the use
> > of metformin increased dramatically following the United Kingdom
> > Prospective Diabetes Study (UKPDS) study, which showed that metformin
> > decreased diabetes-related chronic complications (including
> > cardiovascular complications) and death in overweight subjects. Vitamin
> > B12 malabsorption was not well recognized when both the American
> > Diabetes Association and the European Association for the Study of
> > Diabetes recommended metformin as first line therapy for Type 2
> > diabetes. It was not until 2006 that the increased risk of vitamin B12
> > deficiency with metformin was rediscovered through a case-control study
> > of Chinese patients which showed a correlation between the dose and
> > duration of metformin use with vitamin B12 deficiency.

> > ********While vitamin B12 deficiency is associated with a macrocytic and
> > megaloblastic anemia, the anemia is often preceded by the development of
> > neuropathy. *************

> > While the anemia of vitamin B12 deficiency is reversible, the progress
> > of the neuropathy is only arrested and not reversed with initiation of
> > vitamin B12 therapy. In the nervous system, vitamin B12 deficiency
> > causes demyelination followed by axonal degeneration and neuronal
> > death???not only in peripheral nerves but also in the posterior and
> > lateral columns of the spinal cord and the cerebrum. Clinically, the
> > earliest manifestations are numbness and paresthesias in the feet,
> > which, unless the vitamin B12 deficiency is corrected, can be followed
> > by weakness, ataxia, sphincter disturbance, and changes in mental status.

> > The mechanism of vitamin B12 deficiency with metformin is undoubtedly
> > due to malabsorption of vitamin B12 at its absorption site in the
> > terminal ileum. Initially, it was believed that metformin caused
> > proliferation of bacteria in the small bowel either due to an effect on
> > intestinal motility or an increased intestinal glucose level. However,
> > the current and more likely explanation for metformin-induced vitamin
> > B12 malabsorption and deficiency is that metformin has an effect on
> > calcium-dependent membrane action in the terminal ileum. Absorption of
> > the vitamin B12-intrinsic factor complex is calcium dependent and
> > metformin interferes with this absorption. In support of this hypothesis
> > is evidence that dietary calcium supplementation reverses
> > metformin-induced vitamin B12 malabsorption.

> > The risk of adverse effects from metformin-induced vitamin B12
> > malabsorption will increase with the time of exposure to metformin
> > since, after partial gastrectomy and removal of intrinsic factor, it
> > takes twelve to fif{*filter*} years for vitamin B12 levels to become
> > deficient. Therefore, in those patients who have been on long-term
> > metformin, an annual vitamin B12 level should be obtained. Perhaps a
> > more practical and cost-effective approach would be to give every
> > patient on metformin an annual 1000 microgram injection of vitamin B12
> > which is sufficient to cover vitamin B12 needs for at least a year. An
> > alternative therapy would be to prophylactically administer calcium
> > carbonate (1.2 grams daily) which may also correct the "loose stools"
> > associated with metformin therapy.

> > Nathan DM, Buse JB, Davidson MB, et al. Management of hyperglycemia in
> > Type 2 diabetes: a consensus algorithm for the initiation and adjustment
> > of therapy: update regarding thiazolidinediones: a consensus statement
> > from the American Diabetes Association and the European Association for
> > the Study of Diabetes. Diabetes Care 2008;31:173???175.

> > Nathan DM, Buse JB, Davidson MB, et al; American Diabetes Association;
> > European Association for Study of Diabetes. Medical management of
> > hyperglycaemia in Type 2 diabetes mellitus: a consensus algorithm for
> > the initiation and adjustment of therapy: a consensus statement of the
> > American Diabetes Association and the European Association for the Study
> > of Diabetes. Diabetes Care 2009;32:193???203.

> It remains wiser to use the http://www.***.com/
> the VAT and possibly be cured of the type-2 diabetes.

> Be hungrier, which truly is healthier for the heart, soul, mind, and
> body:

> http://www.***.com/

> We do this by weighing our meals per the http://www.***.com/
> Approach to get our...

> http://www.***.com/

> and then...

> http://www.***.com/

> so that there will be...

> http://www.***.com/

> There is pure joy in being used by GOD to change hearts:

> http://www.***.com/

> "A 2005 visit to an Atlanta cardiologist by the name of Andrew Chung
> put me on some serious reality

> I wasnt just chubby or husky, I am what they often call morbidly
> obese. He explained that morbid obesity simply means that if something
> happened to me that could be attiributed to weight and I were to end
> up in the not breathing state

> ok some call it DEAD

> that a doctor could simply dismiss it as natural causes related to
> weight more or less.

> Ive been told I was a chunky fella a couple times, maybe even fat.but
> not quite that harshly. ?Definitely made me think about a few things,
> as much as I dislike scare tactics when it comes to health.

> Well in the midst of the shock treatment, he also had me come to a
> heart wellness seminar that he does on some Saturdays in Mableton.

> Nice little get together, he has folks from the community come in and
> discuss Tai Chi, exercises, testimonials, all kinds of good stuff.

> Then he shows the movie SUPERSIZE ME to set up the pitch for his 2PD
> Omer approach that he has his patients use to lose weight.

> In a nutshell, in his view, HOW MUCH you eat is more of the issue than
> WHAT you eat and portion is more important than any fat content or
> calories.

> I agree with this. ?This is why I have always been more successful on
> more liquid diets (cabbage soup, slimfast, herbalife (tho dangerous))
> than anything else. ?I wasnt eating the portions I was before that..."

> Source:

> http://www.***.com/

> May GOD continue to save the souls of you, who are this physician's
> neighbors, by giving you a new heart and a new spirit
> (Ez11:19-20&36:26) so that you would be born again of water and Spirit
> (Jn3:3&3:5), http://www.***.com/
> trust the truth, Who is Jesus:

> http://www.***.com/

> Amen.

> Marana tha

> Prayerfully in the awesome name of our Messiah, LORD Jesus Christ,

> Andrew <><
> --
> Andrew B. Chung, MD/PhD
> Board-certified Cardiologist
> and Author of the 2PD-OMER Approach: http://www.***.com/

> - Show quoted text -

People should FAST at least once a week, a whole day with no cooking.net">food and
just water, can rid the body of harmful toxins


Sun, 21 Oct 2012 20:21:36 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy

Quote:


>> http://groups.google.com/group/sci.med.cardiology/msg/699e04998c1af213?

> People should FAST at least once a week, a whole day with no cooking.net">food and
> just water, can rid the body of harmful toxins

Wiser to simply eat the right daily amount (32 oz) and eventually not
have the VAT ( http://HeartMDPhD.com/gifs/BlackFat.jpg ) that is
making the harmful toxins in the first place:

http://WDJW.net/NoVAT

... so that we would have a:

http://WDJW.net/PerfectBody

Love in the truth,

Andrew <><
--
Andrew B. Chung, MD/PhD
Board-certified Cardiologist
and Author of "Trust the Truth:"
http://www.amazon.com/-/e/B002G22ZWG
plus the 2PD-OMER Approach:
http://groups.google.com/group/sci.med.cardiology/msg/63d9553d4c7b8f7b?



Sun, 21 Oct 2012 21:43:15 GMT
 Metformin induced B12 deficiency causes peripheral neuropathy


Fri, 19 Jun 1992 00:00:00 GMT
 
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