Binge Eating Disorder May Be Treated With Stimulant Drug In Future

…according to a preliminary report at MedPageToday. The drug is lisdexamfetamine dimesylate, sold in the U.S. as Vyvanse. From the article:

Binge eating disorder is now officially recognized in psychiatry’s diagnostic manual, with its inclusion in the newly released fifth edition of the APA’s Diagnostic and Statistical Manual of Mental Disorders, or DSM-5. But patients experiencing periodic urges to eat large quantities of food even when not particularly hungry, and who suffer guilt and self-loathing afterward, have been coming to psychiatrists for many years.

Did Angelina Jolie Make the Right Decision to Have Surgery?

Dr. Cate says, “No.”

Dr. David Gorski, “Yes.”

Women with the BRCA-1 or -2 gene have a greatly increased risk of developing breast cancer. Bilateral mastectomy is one way to prevent most future breast cancers and prolong life in those women.

Breast cancer is one of the cancers that appears to be prevented by the Mediterranean diet. Not all breast cancers, of course. But the Mediterranean diet has never been studied as a cancer reduction strategy in women with BRCA genes. By no means am I suggesting that Ms. Jolie should have kept her breasts and simply ate Mediterranean-style. 

Women with BRCA genes are also prone to ovarian cancer, another cancer whose incidence is reduced by the Mediterranean diet. (Mediterranean dieters also have lower risk of prostate and colorectal cancer.)

Cancer reduction is one of the major reasons nutrition experts favor the Mediterranean diet.

Fit Middle-Agers Have Less Heart Failure

It’s a struggle to keep your fitness up, much less improve it, as you age. But it’s worth it. See MedPageToday.

1 in 5 U.S. Kids Has a Psychiatric Disorder?

I don’t buy it. Sounds like the shrinks or drug pushers are trying to drum up business. Details at MedPageToday.

Low Vitamin D Status Predicts Risk of Hip Fracture

I thought we already knew that. MedPageToday has the details.

“Public Pools Awash in Fecal Matter”

That’s the eye-grabbing headline at MedPageToday. Just what you want to hear at the start of swimming season in the northern hemisphere. A snippet from the article:

An editorial note said that each person carries an average of 0.14 grams of fecal material on his body and a pre-swim shower could decrease, if not eliminate, the chances of contaminating the water.

The article talks about swimmers with diarrhea. I wonder about young children who, like honey badger, just don’t give a care.

Provision of Healthcare Insurance To Employees of Small Businesses Is a Complicated Mess, Thanks to Government Meddling

See details at Reason.com.

IOM Finds No Reason To Reduce Sodium Below 2,300 mg/day

…according to an article at MedPageToday.

In a recent review of the evidence, the Institute of Medicine noted that the average American eats 3,400 mg of sodium daily.

In contrast, the American Heart Association recommends no more than 1,500 mg daily, while the World Health Organization suggests reduction to 2,000 mg.

Antibiotics Cure Chronic Back Pain!!??

This is either an earth-shaking discovery, a scam, a hoax, or a red herring. The Guardian has a few details. The headline suggests four out of 10 sufferers may benefit from 100-day course of antibiotics.

Up to 40% of patients with chronic back pain could be cured with a course of antibiotics rather than surgery, in a medical breakthrough that one spinal surgeon says is worthy of a Nobel prize.

Surgeons in the UK and elsewhere are reviewing how they treat patients with chronic back pain after scientists discovered that many of the worst cases were due to bacterial infections.

The shock finding means that scores of patients with unrelenting lower back pain will no longer face major operations but can instead be cured with courses of antibiotics costing around £114.

Update May 15, 2013:

Here’s Dr. Harriet Hall’s opinion on the matter.

New Jersey Governor Christie Went Under the Knife for Weight Loss

He told the New York Post he had lap band gastric surgery.  I wish he’d tried my Advanced Mediterranean Diet first. In any case, good luck to him. The highest risk period is over. Many bariatric surgery patients, however, need additional operations. Even a one or two years after surgery, most of them are still obese.

The Atlantic has more extensive reportage.