DR. RUSSELL SCHIERLING
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5/8/2014

ASPIRIN FOR HEART ATTACKS?  NO WAY SAYS FDA

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NEVER HAD CARDIOVASCULAR PROBLEMS?
DON'T TAKE ASPIRIN AS A PREVENTATIVE

aspirin heart attack
"Consumers and patients who do not suffer from cardiovascular disease sometimes consider taking aspirin to reduce the possibility of having a heart attack or stroke.  Reducing the possibility of having a first heart attack or stroke is called primary prevention.  The FDA has reviewed the available data and does not believe the evidence supports the general use of aspirin for primary prevention of a heart attack or stroke.  In fact, there are serious risks associated with the use of aspirin, including increased risk of bleeding in the stomach and brain...   The CDC [along with several other organizations] agrees with FDA’s position."     - FDA Consumer Warning from 5/2/2014
For decades, the medical community has been telling people to take aspirin to prevent first heart attacks.  As so often happens in the field of medicine, they have reversed course.    If you have never had cardiovascular disease, strokes, or heart attacks, ASPIRIN is bad advice.  Why?  Because, as the FDA warning above states, the risks of brain bleeds and GI bleeds (bleeding ulcers) far outweigh any perceived benefits.  The statement came as the result of Bayer wanting to change their Aspirin's label to claim that their product was a "primary" preventer of cardiovascular disease and heart attacks.  The FDA said no.

What do I recommend instead?  That's easy.  It is critical to understand why people develop risk factors for heart disease and high cholesterol (HERE).  Once you understand what INFLAMMATION is (I find that not one in a thousand people have a clue), you can begin to tailor a program for preventing or even reversing things like HEART DISEASE, DIABETES, and all of the problems associated with. 

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1/14/2013

WHATEVER HAPPENED TO KENNY EASLEY?

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SEATTLE SEAHAWKS
WHATEVER HAPPENED TO KENNY EASLEY?

Seattle Seahawks Kenny Easley
Photo by "unwritten" (flickr) CC-BY-SA
Not that I had any serious interest other than being a football fan, but the two teams I was rooting for in the playoffs (Denver & Seattle) are out of it.  My son and I listened to the second half of the Seattle game on the way home from church.  We got home just in time to watch the last 3 minutes.  What a ride!  Seattle pulled it out and then almost pulled it out again.  Watching the game and seeing how poorly Seattle's secondary played in the final 25 seconds left me wondering about the whereabouts of Kenny Easley.

If you were a football fan in the 1980's, you'll remember Kenny Easley.  Easley was a top draft pick of Seattle in 1981 (UCLA), eventually earning Defensive Rookie of the year honors and going on to play in 5 pro bowls (he was Defensive player of the year my senior year in high school -- 1984).  He was a defensive nemesis of the KC Chiefs in the AFC West.  He had that Darth Vader look with the black rubber-like arm coverings --- not to mention he was one of the first guys to wear a tinted facemask.   On the football field, Easley was a bad boy.  But he only played in the NFL for 7 years.  Where did he go? 

Believe it or not, Easley fell victim to something that is shockingly common here in America ---- severe kidney damage / failure caused by over-the-counter pain relievers such as Tylenol, Acetaminophen, Advil, Ibuprofen, etc (HERE and HERE).   How many of these pain relievers was Easley taking every day?  He claims that he was taking up to 32 tablets a day for months on end.   Interestingly enough, the National Kidney Foundation indicates that this is not that uncommon, claiming that 10% of all kidney failure is caused by these drugs. 

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3/31/2012

An Aspririn a Day

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AN ASPIRIN A DAY
MAY LEAD YOU TO AN EARLY GRAVE

Aspirin
Inflammation is a group of naturally occurring immune system chemicals, which, when driven to excessive levels, is the root cause of numerous illnesses. Just a few of the diseases that are being touted as being “inflammatory” includes heart disease, diabetes, obesity, cancer, autoimmunity, etc ---- and that's just for starters. INFLAMMATION is literally the number one killer in America today.

Aspirin is an anti-inflammatory drug. The quest for side effect free anti-inflammatory drugs has been going on for decades, and brought us 'yummy' drugs like Vioxx --- drugs that seemingly do some amazing things, but likewise have some ugly side effects (including Rigor Mortis). Ever since a 1988 study published in The Lancet (
Randomised Trial of Intravenous Streptokinase, Oral Aspirin, Both, or Neither Among 17,187 Cases of Suspected Acute Myocardial Infarction [Heart Attack]) suggested that high risk patients taking daily aspirin had fewer heart attacks, drug companies have have put on a full court press for their marketing departments to convince the public that daily aspirin therapy is great for everyone. And now the studies are coming in touting daily aspirin as a preventative against CANCER. Who is a person to believe?  As always; BE LEERY of believing anyone with ties to Big Pharma.

The twin ingredients of fear and half-truths have made aspirin (right along with its red headed stepchild NSAIDS) a favorite of the general public. Although Americans consume mass quantities of PRESCRIPTION PAIN PILLS, they take between 50-100 million tablets of Aspirin each and every day, largely believing them to be completely safe.  This despite evidence showing that......

  • As many as 1,600 children die each year from allergic reactions to aspirin.
  • patients with blockage of arteries to the brain are three times more likely to have a stroke if they are taking aspirin (even low doses of aspirin increase the risk of brain bleeds).
  • Upset stomach and bleeding ulcer occur in nearly a third of those taking 300 mgs. of aspirin or more each day.
  • Depending on whose research you believe, Aspirin and other NSAID's kill between 8,000 (Annals of Internal Medicine: Sept 15, 1997) and 16,500 (American Journal of Therapeutics: Nov 1, 2004) people a year and are the number one cause of GI bleeds in America (According to THIS STUDY, the numbers are probably far higher).  

Now, new research from a January issue of Archives of Internal Medicine, says that the benefits of daily aspirin have been "overstated" for most people with no history of cardiovascular problems. London's St. George University gave 100,000 people with no cardiac history either a placebo or daily aspirin for an average of six years, and then assessed whether it had any impact on the risk of death from cancer or heart-related diseases among people considered at risk of cardiovascular disease.

Although cardiovascular “events” decreased by 10%, there was no reduction in fatal heart attacks, fatal strokes, and non-fatal strokes. Aspirin’s perceived 10% benefit was almost entirely offset by a 30% increase in risk of internal bleeding (gulp!). In response to these results, the study's lead author, Dr. Rao Seshasai, stated that, “the benefits of aspirin in those individuals not known to have these conditions are far more modest than previously believed and, in fact, aspirin treatment may potentially result in considerable harm due to major bleeding.... Aspirin prophylaxis [as a preventative measure] in people without prior CVD does not lead to reductions in either cardiovascular death or cancer mortality”

In agreement with these recommendations was the taxpayer-funded U.S. Preventive Services Task Force, whose chair, Dr. Michael LeFevre stated, “A blanket recommendation that everybody should take an aspirin is not a good idea. The drug is probably overused by healthy people.” Last May's issue of The Lancet published similar conclusions by a world wide group of scientists who agreed with the recommendations of the U.S Task Force. “You really have to have a clear margin of benefit over hazard before you should be treating healthy people,” stated the study's coordinator, Oxford University's Dr. Colin Baigent.


McMaster University's Dr. Michael Buchanan further concluded that an astounding 40 percent of his test subjects actually had increased clotting while on aspirin than without it, making them more vulnerable to both heart attacks and strokes. This data was supported by two studies done by European neurologist, Dr. K.H. Grotemeyer's team, who found back in 1993 that, in a group of 180 stroke patients who were given aspirin to prevent a recurrence of strokes, heart attacks, and other cardiovascular-related deaths, all seemed to respond well initially. However, in one third of these patients, blood clotting activity actually increased after 12 hours.

Who should you believe when it comes to the benefits of aspirin? Only trust yourself. The internet provides an easy portal for people to do their own research on sites with databases to massive amounts of peer-reviewed scientific research (PubMed is a great example).

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    Russell Schierling

    Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic.  He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since.  He and his wife Amy have four children (three daughters and a son).

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