FDA: Cheerios is claiming to be a drug

This news is astounding: The FDA, which for many years has worked hard to serve as a lapdog for its industry masters (not the taxpayers), has recently woken up and taken a real stand. The FDA has charged that Cheerios is "misbranded" as a drug that prevents and treats high cholesterol and heart disease. Caveat: The FDA warning letter doesn't cover all of the health claims on boxes of Cheerios. Here's an excerpt from the FDA warning letter to General Mills:

Based on claims made on your product's label, we have determined that your Cheerios® Toasted Whole Grain Oat Cereal is promoted for conditions that cause it to be a drug because the product is intended for use in the prevention, mitigation, and treatment of disease. Specifically, your Cheerios® product bears the following claims on its label:

• "you can Lower Your Cholesterol 4% in 6 weeks" " • "Did you know that in just 6 weeks Cheerios can reduce bad cholesterol by an average of 4 percent? Cheerios is ... clinically proven to lower cholesterol. A clinical study showed that eating two 1 1/2 cup servings daily of Cheerios cereal reduced bad cholesterol when eaten as part of a diet low in saturated fat and cholesterol."

These claims indicate that Cheerios® is intended for use in lowering cholesterol, and therefore in preventing, mitigating, and treating the disease hypercholesterolemia. Additionally, the claims indicate that Cheerios® is intended for use in the treatment, mitigation, and prevention of coronary heart disease through, lowering total and "bad" (LDL) cholesterol. Elevated levels of total and LDL cholesterol are a risk factor for coronary heart disease and can be a sign of coronary heart disease. Because of these intended uses, the product is a drug within the meaning of section 201(g)(1)(B) of the Act [21 U.S.C. § 321 (g)P)(B)].

I applaud the FDA's actions. Many food products are covered with comparable health claims, yet (until now) the claims have not been scrutinized by anyone other than the manufacturers. I suspect that a huge percentage of these claims would not hold up to an independent scientific review. I also suspect that many consumers make their food purchase choices based on these sorts of claims, many of them unsubstantiated. To the extent that a manufacturer gets a competitive leg up by making an unsubstantiated claim, this is an unfair practice that hurts manufacturers who are not stretching the truth. Now, the FDA will take a look at these claims of General Mills, and hopefully thousands of other food manufacturers, and we'll then see how many of those now-ubiquitous health claims start disappearing from products on the shelves. Too bad there's not an organized produce and grain industries that spends big money plastering signs all over produce departments (and billboards) telling people how good it is to eat fruits, vegetables and whole grains, and also telling consumers that there is no need to buy expensive processed food in wasteful packaging to be healthy. There's so many health claims stamped onto food products that walking down the grocery aisle makes me think I'm at a NASCAR event. I'm not trying to blast the makers of Cheerios here. My kids eat it--sometimes I do too. Perhaps these claims on the Cheerios boxes are justified. But let us investigate. Let us really find out before we allow the grocery aisle health claim wars to continue.

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Adult baby food

Dr. David Kessler has written a new book called "The End of Overeating: Taking Control of the Insatiable American Appetite." He was recently interviewed by Katharine Mieszkowski of Salon.com. You can also listen to their discussion here. I was intrigued by Kessler's notion that much of the food to which people become addicted is "adult baby food":

We're eating, in essence, adult baby food. Twenty years ago the average chews per bite was about 20, now it's two or three. The food goes down in a whoosh and it's very stimulating. It's layered and loaded with fat, sugar and salt. It's as if you have a roller coaster going on in your mouth. You get stimulated, it disappears instantly and you reach for more.

But it's not just the fat or the sugar. We dress up food really well here in the United States:

We make food into entertainment. We make it into a food carnival. Go into a modern American restaurant: the colors, the TVs, the monitors, the music. You do it with your friends. We've taken sugar and added all these multiple levels of stimuli. What do we end up with? Probably one of the great public health crises of our day.

Go visit Salon for the entire article. Lots of worthy observations. For instance, he discusses why people get fat (it's not because fat people enjoy eating more than skinny people). Also, there is no body "set point" to protect you from gaining weight. Kessler offers lots of ideas for not allowing your brain to get hijacked by high calorie food. On a related note, I've had to constantly monitor my own eating and exercise to keep myself where I need to be (I'm now 5' 11" and 170), and I use a variety of techniques I described here, especially the need to avoid refined carbohydrates and to constantly aim for whole grains and lots of vegetables and whole fruits (not juice).

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Medicating the kids . . .

As a parent, I have participated in many discussions regarding the medication of kids for a variety of reasons. I have friends who have kids with serious problems for whom medication has been a godsend, allowing them to function with relative normalcy. Kids who were unable to participate in a typical classroom for one behavioral issue or another. We've also had many discussions about the problem of over-medicating children, and how some schools push for difficult children to receive behavioral meds, whether they truly need them or not. How some of those adult medications should perhaps not be so quickly prescribed for children. We've talked about education reform, changes in teaching methods and school culture and administrative philosophies that would allow for wider ranges of learning styles. I've heard parents rant about how unfair it is for their well-behaved child to not receive the same level of attention as the "problem kid" in the class commands, and I've seen them answered by the parents of said problem kids with an invitation to trade shoes, just for a day.

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