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16 Iyar 5765 - May 25, 2005 | Mordecai Plaut, director Published Weekly
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Home and Family

Your Medical Questions Answered!
by Joseph B. Leibman, MD

Director, Emergency Services, Bikur Cholim Hospital

What about heavy metals in herbal medicines? I have spoken on the subject of herbal medicines in the past. For one thing, being natural is no guarantee of safety. After all, poison ivy is a natural product, as well. Chinese medicines are especially problematic, but all herbal preparations are not well controlled and may have impurities. Don't take chances.

Heavy metals are very dangerous and it is a hard diagnosis if they are causing problems. They can give all sorts of weird neurological symptoms.

What are heavy metals? Mostly familiar metals. Iron for example in usual dosages is an important component of building red blood cells, with the only side effect being constipation. However, chronic high dosages can cause liver failure, and an acute overdose is treacherous — usually with a period of normalcy before disaster sets in.

As vitamins often look like candy to children, be careful. Copper, zinc, molybdenum, chromium are all metals that are needed in trace amounts by the body. Eating nuts will give you plenty. Chromium is very dangerous in overdose. Lead is a bad problem. Pencils do not contain lead, and it is hard to find any gasoline with lead in it anymore, but some older buildings still have lead-based paints or lead pipes that corrode. I think this is probably only a problem in England. In Israel most pipes are plastic PVC.

Mercury is the only metal that is liquid at room temperature. It can still be found in thermometers, but is being phased out. Eating the mercury from a thermometer is harmless, but industrial mercury compounds are dangerous.

Gold is often used for arthritis and can be harmful to the kidneys. Close follow-up is necessary. Silver is usually mixed with a mercury amalgam for tooth fillings. There were some fears about the mercury causing havoc through the release of fumes. I haven't seen real evidence and I believe the mercury is too well bound to the silver to cause this problem.

I have been asked about olive oil. Mono-saturated fats, such as in olive oil, are supposedly very helpful and may reduce risk of heart disease. One of these oils is the omega group found in fish and fish is very healthy. Olive is in this group, as well as many of the nut oils. Just remember that any oil in excess is more calories, and more fat. If you want the benefit of these oils, use them as dressings and not for frying.

Around Pesach time many unusual oils are in use. Cottonseed oil is not very healthy and very difficult to digest. Palm oil is very saturated, very unhealthy and very hard to digest. Coconut is about the same. The best oil for digestion problems is canola, but that is kitniyos. Write me in care of the Yated.

A message from GlaxoSmithKline, sponsor of this column. More and more medical journals are praising Zofran, the anti- vomiting medicine. This medicine is so safe that pregnant ladies can take it, as well as children. Other medications are cheaper, but they have more side effects, including drowsiness and shaking. Zofran is free of these effects.

 

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