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13 Tammuz 5765 - July 20, 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

A reader asks about additives to coffee which is decaffeinated. I cannot identify any additives to make coffee or colas decaffeinated, and do not believe that there are any that could be harmful to one's health. While we are at it, we will speak a little about food additives.

In general, additives are not as healthy as a fresh product. In Israel this may be less of a problem, than elsewhere. In places like the UK and the USA, fruits and vegetables must sometimes travel long journeys to market. This entails, for example, tomatoes that are picked green and engineered to survive the distance. Often they and oranges are gassed to a good color while they are not really ripe. Cucumbers are often waxed, as are rutabagas (swedes) and this wax may be either treif or petroleum-based.

Processed foods often have lots of chemicals added in to preserve them. While frozen foods are often the healthiest, canned foods can be a good, if tasteless, substitute. Prepared foods need the most for preservation, and this means lots of chemicals. I particularly do not like sodium nitrite, which can cause allergic reactions for asthmatics and may cause cancer. It is found in lunch meats.

Some additives are good, however. Salt in some countries has iodine to help the thyroid gland function better. Milk in northern countries often has vitamin A and D supplementation. Cereals are often vitamin fortified, but it may be a ruse to raise the price — the addition of vitamins to a box of cereal costs the manufacturer about a half a shekel. Israelis seem to like foods with lots of fat and sugar. Their corn flakes have more sugar than UK corn flakes, and oils abound in many foods.

An interesting additive is yellow prussiate of soda, added occasionally to salt. This additive has cyanide in it, but it is too tightly bound to the molecule to do any damage to the body.

What is more concerning is that meat has many additives to give you the right cut. Often the cows are force-fed hormones and antibiotics to make good-looking meat. Eggs may also reflect these dietary manipulations.

I was sent an article about back surgery. Back surgery is often used as an option for chronic back pain. The back is a complex web of sinews, ligaments, and nerves that make for treatments that do not often work 100 percent. We do know that bed rest makes things worse, as do back braces. We do know that back schools do not help much nor do muscle relaxers. Chiropractic did not do well in latest studies from UCLA done by chiropractors. Unfortunately, surgery results are not the best either. We still do not have a good solution for this problem.

As this point, I would like to correct an error that crept into my column. A blood count will not help for detecting sodium levels in the blood, but a blood chemistry will.

I would also like to thank you, my faithful readers, who have kept the columns fresh with your relevant questions and interest. As the only religious paper that prints this sort of column by a religious doctor, the Yated is to be saluted for bringing medical knowledge in a Torah manner to its readers and perhaps in doing so, someone's life may be saved or improved.

As always, write me in care of the Yated.

A message from GlaxoSmithKline, sponsor of this column. Serevent is long acting anti-asthma care that can allow the work of breathing to be a lot easier all day long. When you know allergy or asthma will strike, try Serevent and breath easier.

 

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