Max Gerson
Encyclopedia
Max Gerson was a German physician
Physician
A physician is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments...

 who developed the Gerson Therapy, an alternative dietary therapy
Alternative medicine
Alternative medicine is any healing practice, "that does not fall within the realm of conventional medicine." It is based on historical or cultural traditions, rather than on scientific evidence....

, which he claimed could cure cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

 and most chronic, degenerative diseases. Gerson described his approach in the book A Cancer Therapy: Results of 50 Cases. However, when Gerson's claims were independently evaluated by the National Cancer Institute
National Cancer Institute
The National Cancer Institute is part of the National Institutes of Health , which is one of 11 agencies that are part of the U.S. Department of Health and Human Services. The NCI coordinates the U.S...

 (NCI), it was found that Gerson's records lacked the basic information necessary to systematically evaluate his claims. The NCI concluded that Gerson's data showed no benefit from his treatment. The therapy is considered scientifically unsupported and potentially hazardous.

In Europe

Gerson was born in Wongrowitz
Wagrowiec
Wągrowiec is a town in northwestern Poland, 50 km from both Poznań and Bydgoszcz. Since the 18th century it has been the a seat of a powiat. It is currently attached to the Greater Poland Voivodeship...

 (Wągrowiec, now in Poland) on October 18, 1881. In 1909, he graduated from the Albert-Ludwigs-Universität Freiburg. He began practicing medicine at age 28 in Breslau, later specializing in internal medicine and nerve diseases in Bielefeld
Bielefeld
Bielefeld is an independent city in the Ostwestfalen-Lippe Region in the north-east of North Rhine-Westphalia, Germany. With a population of 323,000, it is also the most populous city in the Regierungsbezirk Detmold...

.
By 1927, Gerson was specializing in the treatment of tuberculosis, developing the Gerson-Sauerbrach-Hermannsdorfer diet, claiming it was a major advance in the treatment of tuberculosis. Initially, he used his therapy as a treatment for migraine
Migraine
Migraine is a chronic neurological disorder characterized by moderate to severe headaches, and nausea...

 headaches and tuberculosis
Tuberculosis
Tuberculosis, MTB, or TB is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect other parts of the body...

. In 1928, he began to use it as a treatment for cancer. He left Germany in 1933 and emigrated first to Vienna
Vienna
Vienna is the capital and largest city of the Republic of Austria and one of the nine states of Austria. Vienna is Austria's primary city, with a population of about 1.723 million , and is by far the largest city in Austria, as well as its cultural, economic, and political centre...

, where he worked in the West End Sanatorium. Gerson spent two years in Vienna
Vienna
Vienna is the capital and largest city of the Republic of Austria and one of the nine states of Austria. Vienna is Austria's primary city, with a population of about 1.723 million , and is by far the largest city in Austria, as well as its cultural, economic, and political centre...

, then in 1935 he went to France
France
The French Republic , The French Republic , The French Republic , (commonly known as France , is a unitary semi-presidential republic in Western Europe with several overseas territories and islands located on other continents and in the Indian, Pacific, and Atlantic oceans. Metropolitan France...

, associating with a clinic near Paris
Paris
Paris is the capital and largest city in France, situated on the river Seine, in northern France, at the heart of the Île-de-France region...

 before moving to London
London
London is the capital city of :England and the :United Kingdom, the largest metropolitan area in the United Kingdom, and the largest urban zone in the European Union by most measures. Located on the River Thames, London has been a major settlement for two millennia, its history going back to its...

 in 1936. Shortly after that, he moved to the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 where he settled in New York City.

In the United States

Gerson emigrated to the United States in 1936, passed his medical board examination and became a U.S. citizen in 1942.

In 1946, Senator Claude Pepper
Claude Pepper
Claude Denson Pepper was an American politician of the Democratic Party, and a spokesman for left-liberalism and the elderly. In foreign policy he shifted from pro-Soviet in the 1940s to anti-Communist in the 1950s...

 (D
Democratic Party (United States)
The Democratic Party is one of two major contemporary political parties in the United States, along with the Republican Party. The party's socially liberal and progressive platform is largely considered center-left in the U.S. political spectrum. The party has the lengthiest record of continuous...

FL
Florida
Florida is a state in the southeastern United States, located on the nation's Atlantic and Gulf coasts. It is bordered to the west by the Gulf of Mexico, to the north by Alabama and Georgia and to the east by the Atlantic Ocean. With a population of 18,801,310 as measured by the 2010 census, it...

) summoned Gerson to testify about his cancer therapy before a Congressional Subcommittee hearing to appropriate $100 million for a cancer research center in which Gerson was expected to play a major part. Gerson presented to the U.S. Congress what he claimed were five healed terminal cancer patients who testified to recovering from incurable disease, but he got little media attention and the appropriations bill (SB 8947) died in the Senate.

In the U.S., Gerson applied his dietary therapy to several cancer patients, claiming good results, but colleagues found his methodology and claims unconvincing. Proponents of the Gerson Therapy assert that a far-ranging conspiracy
Conspiracy theory
A conspiracy theory explains an event as being the result of an alleged plot by a covert group or organization or, more broadly, the idea that important political, social or economic events are the products of secret plots that are largely unknown to the general public.-Usage:The term "conspiracy...

 headed by the medical establishment prevented Gerson from publishing proof that his therapy worked. In 1958, Gerson published a book in which he claimed to have cured 50 terminal cancer patients: A Cancer Therapy: Results of 50 Cases. Gerson's medical license in New York was suspended in 1958. Gerson died March 8, 1959 of pneumonia.

Gerson Therapy

Initially, Gerson used his therapy as a treatment for migraine
Migraine
Migraine is a chronic neurological disorder characterized by moderate to severe headaches, and nausea...

 headaches and tuberculosis
Tuberculosis
Tuberculosis, MTB, or TB is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect other parts of the body...

. In 1928, he began to use it as a treatment for cancer, its best known application.

Gerson Therapy is based on the belief that toxic substances accumulate in the body, causing disease. In particular, Gerson's supporters believe that chemical contaminants in food reduce its potassium content while elevating its sodium content. Additional sodium from food processing and cooking adds more sodium, increasing this purported imbalance. The belief holds that this imbalance changes cellular metabolism, causing cancer. Gerson Therapy seeks to reduce sodium and increase potassium in patients cells through a fruit and vegetable diet, coffee enemas and various injections, enzymes and nutritional supplements.

Gerson's therapy required the patient to consume a vegetarian diet and to drink a 250-milliliter (8-ounce) glass of fresh organic
Organic food
Organic foods are foods that are produced using methods that do not involve modern synthetic inputs such as synthetic pesticides and chemical fertilizers, do not contain genetically modified organisms, and are not processed using irradiation, industrial solvents, or chemical food additives.For the...

 juices every waking hour. Coffee
Coffee
Coffee is a brewed beverage with a dark,init brooo acidic flavor prepared from the roasted seeds of the coffee plant, colloquially called coffee beans. The beans are found in coffee cherries, which grow on trees cultivated in over 70 countries, primarily in equatorial Latin America, Southeast Asia,...

 and castor oil
Castor oil
Castor oil is a vegetable oil obtained from the castor bean . Castor oil is a colorless to very pale yellow liquid with mild or no odor or taste. Its boiling point is and its density is 961 kg/m3...

 enema
Enema
An enema is the procedure of introducing liquids into the rectum and colon via the anus. The increasing volume of the liquid causes rapid expansion of the lower intestinal tract, often resulting in very uncomfortable bloating, cramping, powerful peristalsis, a feeling of extreme urgency and...

s were among several types of prescribed enemas, and some patients were given hydrogen peroxide
Hydrogen peroxide
Hydrogen peroxide is the simplest peroxide and an oxidizer. Hydrogen peroxide is a clear liquid, slightly more viscous than water. In dilute solution, it appears colorless. With its oxidizing properties, hydrogen peroxide is often used as a bleach or cleaning agent...

 orally and rectally. Rectal ozone
Ozone
Ozone , or trioxygen, is a triatomic molecule, consisting of three oxygen atoms. It is an allotrope of oxygen that is much less stable than the diatomic allotrope...

 was also applied. Dietary supplements include vitamin C
Vitamin C
Vitamin C or L-ascorbic acid or L-ascorbate is an essential nutrient for humans and certain other animal species. In living organisms ascorbate acts as an antioxidant by protecting the body against oxidative stress...

 and iodine. The diet prohibited the drinking of water and consumption of berries and nuts, as well as use of aluminum vessels or utensils.

Initially, patients were required to drink several glasses of raw calf liver extract daily. Following an outbreak of Campylobacter
Campylobacter
Campylobacter is a genus of bacteria that are Gram-negative, spiral, and microaerophilic. Motile, with either unipolar or bipolar flagella, the organisms have a characteristic spiral/corkscrew appearance and are oxidase-positive. Campylobacter jejuni is now recognized as one of the main causes...

infection linked to the Gerson clinic's extract, which sickened and killed several of the clinic's patients, carrot juice was substituted.

Animal products and fats and oils were excluded, except for the raw calf liver extract and flax-seed oil, as were supposed sources of toxicity, including tobacco
Tobacco
Tobacco is an agricultural product processed from the leaves of plants in the genus Nicotiana. It can be consumed, used as a pesticide and, in the form of nicotine tartrate, used in some medicines...

, salt
Salt
In chemistry, salts are ionic compounds that result from the neutralization reaction of an acid and a base. They are composed of cations and anions so that the product is electrically neutral...

, alcohol
Alcohol
In chemistry, an alcohol is an organic compound in which the hydroxy functional group is bound to a carbon atom. In particular, this carbon center should be saturated, having single bonds to three other atoms....

, fluorides
Sodium fluoride
Sodium fluoride is an inorganic chemical compound with the formula NaF. A colorless solid, it is a source of the fluoride ion in diverse applications. Sodium fluoride is less expensive and less hygroscopic than the related salt potassium fluoride....

, pesticide
Pesticide
Pesticides are substances or mixture of substances intended for preventing, destroying, repelling or mitigating any pest.A pesticide may be a chemical unicycle, biological agent , antimicrobial, disinfectant or device used against any pest...

s, food additives, and pharmaceuticals. Foods were to be fresh, organically grown and unprocessed. The therapy claimed to reverse any ill effects of exposure to environmental toxins over the course of 6 to 18 months, and Gerson believed it would be effective against most chronic diseases, including tuberculosis
Tuberculosis
Tuberculosis, MTB, or TB is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect other parts of the body...

, most forms of advanced cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

, arthritis
Arthritis
Arthritis is a form of joint disorder that involves inflammation of one or more joints....

 (both osteoarthritis
Osteoarthritis
Osteoarthritis also known as degenerative arthritis or degenerative joint disease, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. Symptoms may include joint pain, tenderness, stiffness, locking, and sometimes an effusion...

 and rheumatoid arthritis
Rheumatoid arthritis
Rheumatoid arthritis is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks synovial joints. The process produces an inflammatory response of the synovium secondary to hyperplasia of synovial cells, excess synovial fluid, and the development...

), and diabetes.

Gerson's claims of success attracted some high-profile patients, as well as other alternative medicine practitioners. Gerson's daughter, Charlotte Gerson, continued to promote the therapy, founding the "Gerson Institute" in 1977.

Evidence

Gerson's therapy has not been independently tested or subjected to randomized controlled trial
Randomized controlled trial
A randomized controlled trial is a type of scientific experiment - a form of clinical trial - most commonly used in testing the safety and efficacy or effectiveness of healthcare services or health technologies A randomized controlled trial (RCT) is a type of scientific experiment - a form of...

s, and thus is illegal to market in the United States. The Gerson Institute promotes the therapy by citing patient testimonials
Testimonial
In promotion and of advertising, a testimonial or show consists of a written or spoken statement, sometimes from a person figure, sometimes from a private citizen, extolling the virtue of some product. The term "testimonial" most commonly applies to the sales-pitches attributed to ordinary...

 and other anecdotal evidence
Anecdotal evidence
The expression anecdotal evidence refers to evidence from anecdotes. Because of the small sample, there is a larger chance that it may be true but unreliable due to cherry-picked or otherwise unrepresentative of typical cases....

. In his 1958 book, Gerson cited the "Results of 50 Cases"; however, the U.S. National Cancer Institute
National Cancer Institute
The National Cancer Institute is part of the National Institutes of Health , which is one of 11 agencies that are part of the U.S. Department of Health and Human Services. The NCI coordinates the U.S...

 reviewed these 50 cases and was unable to find any evidence that Gerson's claims were accurate. Gerson Institute staff published a case series
Case series
A case series is a medical research descriptive study that tracks patients with a known exposure given similar treatment or examines their medical records for exposure and outcome. It can be retrospective or prospective and usually involves a smaller number of patients than more powerful...

 in the alternative medical literature
Alternative medicine
Alternative medicine is any healing practice, "that does not fall within the realm of conventional medicine." It is based on historical or cultural traditions, rather than on scientific evidence....

; however, the series suffered from significant methodological flaws, and no independent entity has been able to reproduce
Reproducibility
Reproducibility is the ability of an experiment or study to be accurately reproduced, or replicated, by someone else working independently...

 the Gerson Institute's claims.

Anecdotal evidence collected outside the Gerson Institute suggests that the Therapy is not effective against cancer. When a group of 13 patients sickened by elements of the Gerson Therapy were evaluated in hospitals in San Diego
San Diego, California
San Diego is the eighth-largest city in the United States and second-largest city in California. The city is located on the coast of the Pacific Ocean in Southern California, immediately adjacent to the Mexican border. The birthplace of California, San Diego is known for its mild year-round...

 in the early 1980s, all 13 were found to still have active cancer. The Gerson Institute's claimed "cure rates" have been questioned; an investigation by Quackwatch
Quackwatch
Quackwatch is an American non-profit organization founded by Stephen Barrett with the stated aim being to "combat health-related frauds, myths, fads, fallacies, and misconduct" and with a primary focus on providing "quackery-related information that is difficult or impossible to get elsewhere."...

 found that the Institute's claims of cure were based not on actual documentation of survival, but on "a combination of the doctor's estimate that the departing patient has a 'reasonable chance of surviving', plus feelings that the Institute staff have about the status of people who call in." In 1994, a study published in the alternative medical literature described 18 patients treated for cancer with the Gerson Therapy. Their median survival from treatment was 9 months. Five years after receiving the Gerson treatment, 17 of the 18 patients had died of their cancer, while the one surviving patient had active non-Hodgkin lymphoma
Non-Hodgkin lymphoma
The non-Hodgkin lymphomas are a diverse group of blood cancers that include any kind of lymphoma except Hodgkin's lymphomas. Types of NHL vary significantly in their severity, from indolent to very aggressive....

.

The American Cancer Society
American Cancer Society
The American Cancer Society is the "nationwide community-based voluntary health organization" dedicated, in their own words, "to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and...

 reports that "[t]here is no reliable scientific evidence that Gerson therapy is effective in treating cancer, and the principles behind it are not widely accepted by the medical community. It is not approved for use in the United States." In 1947, the National Cancer Institute
National Cancer Institute
The National Cancer Institute is part of the National Institutes of Health , which is one of 11 agencies that are part of the U.S. Department of Health and Human Services. The NCI coordinates the U.S...

 reviewed 10 "cures" submitted by Gerson; however, all of the patients were receiving standard anticancer treatment simultaneously, making it impossible to determine what effect, if any, was due to Gerson's therapy. A review of the Gerson Therapy by Memorial Sloan-Kettering Cancer Center
Memorial Sloan-Kettering Cancer Center
Memorial Sloan–Kettering Cancer Center is a cancer treatment and research institution founded in 1884 as the New York Cancer Hospital...

 concluded: "If proponents of such therapies wish them to be evaluated scientifically and considered valid adjuvant treatments, they must provide extensive records (more than simple survival rates) and conduct controlled, prospective studies as evidence." In 1947 and 1959, the National Cancer Institute (NCI) reviewed the cases of a total of 60 patients treated by Dr. Gerson. The NCI found that the available information did not prove the regimen had benefit.

Safety concerns

Gerson therapy can lead to several significant health problems. Serious illness and death have occurred as a direct result of some portions of the treatment, including severe electrolyte imbalances. Continued use of enemas may weaken the colon's normal function, causing or worsening constipation
Constipation
Constipation refers to bowel movements that are infrequent or hard to pass. Constipation is a common cause of painful defecation...

 and colitis
Colitis
In medicine, colitis refers to an inflammation of the colon and is often used to describe an inflammation of the large intestine .Colitides may be acute and self-limited or chronic, i.e...

. Other complications have included dehydration, serious infections and severe bleeding.

The therapy may be especially hazardous to pregnant or breast-feeding women.

Coffee enemas have contributed to the deaths of at least three people in the United States. Coffee enemas "can cause colitis (inflammation of the bowel), fluid and electrolyte imbalances, and in some cases septicaemia." The recommended diet may not be nutritionally adequate. The diet has been blamed for the deaths of patients who substituted it for standard medical care.

Relying on the therapy alone while avoiding or delaying conventional medical care for cancer has serious health consequences.

The Beautiful Truth

In 2008
2008 in film
This is a list of all major films made in 2008.-Highest-grossing films:Please note that following the tradition of the English-language film industry, these are the top grossing films that were first released in the USA in 2008...

, a documentary film
Documentary film
Documentary films constitute a broad category of nonfictional motion pictures intended to document some aspect of reality, primarily for the purposes of instruction or maintaining a historical record...

 advocating Gerson therapy was released titled The Beautiful Truth. In the film, a teenage boy, who is also the filmmaker's son, searching for a cure for cancer, finds people who know about Gerson therapy. The film was released on November 18, 2008, and was shown at the Roxie Cinema in San Francisco on January 9, 2009. The New York Times
The New York Times
The New York Times is an American daily newspaper founded and continuously published in New York City since 1851. The New York Times has won 106 Pulitzer Prizes, the most of any news organization...

called the film an infomercial
Infomercial
Infomercials are direct response television commercials which generally include a phone number or website. There are long-form infomercials, which are typically between 15 and 30 minutes in length, and short-form infomercials, which are typically 30 seconds to 120 seconds in length. Infomercials...

. The film had a U.S. total gross of $15,387 playing in one theater.

External links

  • Questionable Cancer Therapies, from Quackwatch
    Quackwatch
    Quackwatch is an American non-profit organization founded by Stephen Barrett with the stated aim being to "combat health-related frauds, myths, fads, fallacies, and misconduct" and with a primary focus on providing "quackery-related information that is difficult or impossible to get elsewhere."...

    (Includes section on Gerson Therapy with references)
The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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