128-518: Waitrose Duchy Organic (formerly Duchy Originals from Waitrose and earlier simply Duchy Originals ) is a brand of organic food sold in Waitrose stores in the United Kingdom. The brand is a partnership between Waitrose and Duchy Originals Limited, a company set up in 1990 by King Charles III when he was Prince of Wales and Duke of Cornwall . The Duchy Originals company is named after
256-471: A 2018 interview with The BMJ , Edzard Ernst stated: "The present popularity of complementary and alternative medicine is also inviting criticism of what we are doing in mainstream medicine. It shows that we aren't fulfilling a certain need-we are not giving patients enough time, compassion, or empathy. These are things that complementary practitioners are very good at. Mainstream medicine could learn something from complementary medicine." Alternative medicine
384-472: A classification system for branches of complementary and alternative medicine that divides them into five major groups. These groups have some overlap, and distinguish two types of energy medicine: veritable which involves scientifically observable energy (including magnet therapy , colorpuncture and light therapy ) and putative , which invokes physically undetectable or unverifiable energy. None of these energies have any evidence to support that they affect
512-414: A corresponding increase in success of its treatments. In the 1970s, irregular practices were grouped with traditional practices of nonwestern cultures and with other unproven or disproven practices that were not part of biomedicine, with the entire group collectively marketed and promoted under the single expression "alternative medicine". Use of alternative medicine in the west began to rise following
640-446: A culture which have existed since before the advent of medical science, Many TM practices are based on "holistic" approaches to disease and health, versus the scientific evidence-based methods in conventional medicine. The 2019 WHO report defines traditional medicine as "the sum total of the knowledge, skill and practices based on the theories, beliefs and experiences indigenous to different cultures, whether explicable or not, used in
768-562: A healthy lifestyle. When the American Academy of Pediatrics reviewed the literature on organic foods in 2012, they found that "current evidence does not support any meaningful nutritional benefits or deficits from eating organic compared with conventionally grown foods, and there are no well-powered human studies that directly demonstrate health benefits or disease protection as a result of consuming an organic diet." Prevalent use of antibiotics in livestock used in non-organic meat
896-565: A higher micronutrient content overall than conventionally produced foods. Similarly, organic chicken contained higher levels of omega-3 fatty acids than conventional chicken. The authors found no difference in the protein or fat content of organic and conventional raw milk. A 2016 systematic review and meta-analysis found that organic meat had comparable or slightly lower levels of saturated fat and monounsaturated fat as conventional meat, but higher levels of both overall and n-3 polyunsaturated fatty acids . Another meta-analysis published
1024-485: A loss for 2009–10. In 2008, Duchy Originals partnered with the alternative medicine company Nelsons to produce a line of herbal remedies. This led to controversy, in which leading UK scientists said that Duchy Originals promoted its herbal remedies with scientifically unsound claims. Edzard Ernst , the UK's first professor of complementary medicine , said Duchy Originals detox products were "outright quackery". Subsequently,
1152-435: A method is proven to work, it eventually ceases to be alternative and becomes mainstream medicine. Much of the perceived effect of an alternative practice arises from a belief that it will be effective, the placebo effect , or from the treated condition resolving on its own ( the natural course of disease ). This is further exacerbated by the tendency to turn to alternative therapies upon the failure of medicine, at which point
1280-663: A net increase in greenhouse gas emissions as increased overseas land use for production and import of crops would be needed to make up for lower organic yields domestically. There is little scientific evidence of benefit or harm to human health from a diet high in organic food, and conducting any sort of rigorous experiment on the subject is very difficult. A 2012 meta-analysis noted that "there have been no long-term studies of health outcomes of populations consuming predominantly organic versus conventionally produced food controlling for socioeconomic factors; such studies would be expensive to conduct." A 2009 meta-analysis noted that "most of
1408-439: A newer review, studies found adverse effects of certain pesticides on children's cognitive development at current levels of exposure. Many pesticides show neurotoxicity in laboratory animal models and some are considered to cause endocrine disruption. As of 2012, the scientific consensus is that while "consumers may choose to buy organic fruit, vegetables and meat because they believe them to be more nutritious than other food....
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#17327727374471536-431: A non-drug approach to treating some health conditions. In addition to the social-cultural underpinnings of the popularity of alternative medicine, there are several psychological issues that are critical to its growth, notably psychological effects, such as the will to believe, cognitive biases that help maintain self-esteem and promote harmonious social functioning, and the post hoc, ergo propter hoc fallacy. In
1664-477: A number of different retail companies, all of whom have paid royalties to the Duchy Originals Company. By the end of the 1990s the brand had an annual turnover of around £1 million. This had grown to £4.86 million by 2006/7. Administrative expenses came to £3.31 million, giving an operating profit of £1.53 million. The company was badly hit by the recession in 2007 and started making a loss. For
1792-577: A particular culture, folk knowledge, superstition, spiritual beliefs, belief in supernatural energies (antiscience), pseudoscience, errors in reasoning, propaganda, fraud, new or different concepts of health and disease, and any bases other than being proven by scientific methods. Different cultures may have their own unique traditional or belief based practices developed recently or over thousands of years, and specific practices or entire systems of practices. Alternative medicine, such as using naturopathy or homeopathy in place of conventional medicine ,
1920-536: A patient's condition even though the objective effect is non-existent, or even harmful. David Gorski argues that alternative treatments should be treated as a placebo, rather than as medicine. Almost none have performed significantly better than a placebo in clinical trials. Furthermore, distrust of conventional medicine may lead to patients experiencing the nocebo effect when taking effective medication. A patient who receives an inert treatment may report improvements afterwards that it did not cause. Assuming it
2048-494: A person not diagnosed with science-based medicine may never originally have had a true illness diagnosed as an alternative disease category. Edzard Ernst , the first university professor of Complementary and Alternative Medicine, characterized the evidence for many alternative techniques as weak, nonexistent, or negative and in 2011 published his estimate that about 7.4% were based on "sound evidence", although he believes that may be an overestimate. Ernst has concluded that 95% of
2176-422: A preference for using manure as fertilizer, compared to conventional farming in general. This practice seems to imply an increased risk of microbiological contamination, such as E. coli O157:H7 , from organic food consumption, but reviews have found little evidence that the actual incidence of outbreaks can be positively linked to organic food production. The 2011 Germany E. coli O104:H4 outbreak , however,
2304-582: A project funded by the CDC identified 208 condition-treatment pairs, of which 58% had been studied by at least one randomized controlled trial (RCT), and 23% had been assessed with a meta-analysis . According to a 2005 book by a US Institute of Medicine panel, the number of RCTs focused on CAM has risen dramatically. As of 2005 , the Cochrane Library had 145 CAM-related Cochrane systematic reviews and 340 non-Cochrane systematic reviews. An analysis of
2432-646: A research institute for integrative medicine (a member entity of the Cochrane Collaboration ). Medical schools are responsible for conferring medical degrees, but a physician typically may not legally practice medicine until licensed by the local government authority. Licensed physicians in the US who have attended one of the established medical schools there have usually graduated Doctor of Medicine (MD). All states require that applicants for MD licensure be graduates of an approved medical school and complete
2560-541: A result of reforms following the Flexner Report of 1910 medical education in established medical schools in the US has generally not included alternative medicine as a teaching topic. Typically, their teaching is based on current practice and scientific knowledge about: anatomy, physiology, histology, embryology, neuroanatomy, pathology, pharmacology, microbiology and immunology. Medical schools' teaching includes such topics as doctor-patient communication, ethics,
2688-545: A single-minded focus on the pathophysiological had diverted much of mainstream American medicine from clinical conditions that were not well understood in mechanistic terms, and were not effectively treated by conventional therapies. By 2001 some form of CAM training was being offered by at least 75 out of 125 medical schools in the US. Exceptionally, the School of Medicine of the University of Maryland, Baltimore , includes
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#17327727374472816-955: A test which are not related to a patient's experience. These include patients reporting more favourable results than they really felt due to politeness or "experimental subordination", observer bias , and misleading wording of questions. In their 2010 systematic review of studies into placebos, Asbjørn Hróbjartsson and Peter C. Gøtzsche write that "even if there were no true effect of placebo, one would expect to record differences between placebo and no-treatment groups due to bias associated with lack of blinding ." Alternative therapies may also be credited for perceived improvement through decreased use or effect of medical treatment, and therefore either decreased side effects or nocebo effects towards standard treatment. Practitioners of complementary medicine usually discuss and advise patients as to available alternative therapies. Patients often express interest in mind-body complementary therapies because they offer
2944-624: A treatment to be harmful will perceive harmful effects after taking it. Placebos do not have a physical effect on diseases or improve overall outcomes, but patients may report improvements in subjective outcomes such as pain and nausea. A 1955 study suggested that a substantial part of a medicine's impact was due to the placebo effect. However, reassessments found the study to have flawed methodology. This and other modern reviews suggest that other factors like natural recovery and reporting bias should also be considered. All of these are reasons why alternative therapies may be credited for improving
3072-436: A wide range of health care practices, products, and therapies. The shared feature is a claim to heal that is not based on the scientific method. Alternative medicine practices are diverse in their foundations and methodologies. Alternative medicine practices may be classified by their cultural origins or by the types of beliefs upon which they are based. Methods may incorporate or be based on traditional medicinal practices of
3200-464: A wider audience. As demand for organic foods continued to increase, high-volume sales through mass outlets such as supermarkets rapidly replaced the direct farmer connection. Today, many large corporate farms have an organic division. However, for supermarket consumers, food production is not easily observable, and product labeling, like "certified organic", is relied upon. Government regulations and third-party inspectors are looked to for assurance. In
3328-494: Is a key driver of antibiotic resistance . Claims of improved safety of organic food have largely focused on pesticide residues . These concerns are driven by the facts that "(1) acute, massive exposure to pesticides can cause significant adverse health effects; (2) food products have occasionally been contaminated with pesticides, which can result in acute toxicity; and (3) most, if not all, commercially purchased food contains trace amounts of agricultural pesticides." However, as
3456-445: Is also available. Organic food Organic food , ecological food , or biological food are foods and drinks produced by methods complying with the standards of organic farming . Standards vary worldwide, but organic farming features practices that cycle resources, promote ecological balance, and conserve biodiversity . Organizations regulating organic products may restrict the use of certain pesticides and fertilizers in
3584-479: Is any practice that aims to achieve the healing effects of medicine despite lacking biological plausibility , testability , repeatability or evidence of effectiveness. Unlike modern medicine , which employs the scientific method to test plausible therapies by way of responsible and ethical clinical trials , producing repeatable evidence of either effect or of no effect, alternative therapies reside outside of mainstream medicine and do not originate from using
3712-512: Is based on belief systems not grounded in science. Alternative medical systems may be based on traditional medicine practices, such as traditional Chinese medicine (TCM), Ayurveda in India, or practices of other cultures around the world. Some useful applications of traditional medicines have been researched and accepted within ordinary medicine, however the underlying belief systems are seldom scientific and are not accepted. Traditional medicine
3840-406: Is considered alternative when it is used outside its home region; or when it is used together with or instead of known functional treatment; or when it can be reasonably expected that the patient or practitioner knows or should know that it will not work – such as knowing that the practice is based on superstition. Bases of belief may include belief in existence of supernatural energies undetected by
3968-642: Is considered safe. This view has been echoed by the U.S. Department of Agriculture and the UK Food Standards Agency . A study published by the National Research Council in 1993 determined that for infants and children, the major source of exposure to pesticides is through diet. A study published in 2006 by Lu et al. measured the levels of organophosphorus pesticide exposure in 23 school children before and after replacing their diet with organic food. In this study, it
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4096-462: Is defined loosely as a set of products, practices, and theories that are believed or perceived by their users to have the healing effects of medicine, but whose effectiveness has not been established using scientific methods , or whose theory and practice is not part of biomedicine , or whose theories or practices are directly contradicted by scientific evidence or scientific principles used in biomedicine. "Biomedicine" or "medicine"
4224-411: Is different from the scientific use of the term "organic" in chemistry, which refers to a class of molecules that contain carbon , especially those involved in the chemistry of life. This class of molecules includes everything likely to be considered edible, as well as most pesticides and toxins too, therefore the term "organic" and, especially, the term "inorganic" (sometimes wrongly used as a contrast by
4352-513: Is frequently noted in the scientific literature: "What does not follow from this, however, is that chronic exposure to the trace amounts of pesticides found in food results in demonstrable toxicity. This possibility is practically impossible to study and quantify;" therefore firm conclusions about the relative safety of organic foods have been hampered by the difficulty in proper study design and relatively small number of studies directly comparing organic food to conventional food. Additionally,
4480-403: Is inappropriate for such therapies; it is time to assert that many alternative cancer therapies have been "disproven". Anything classified as alternative medicine by definition does not have a proven healing or medical effect. However, there are different mechanisms through which it can be perceived to "work". The common denominator of these mechanisms is that effects are mis-attributed to
4608-595: Is pasteurized or raw), the length of time between harvest and analysis, as well as conditions of transport and storage, also affect the chemical composition of a given item of food. Additionally, there is evidence that organic produce is drier than conventionally grown produce; a higher content in any chemical category may be explained by higher concentration rather than in absolute amounts. Many people believe that organic foods have higher content of nutrients and thus are healthier than conventionally produced foods. However, scientists have not been equally convinced that this
4736-547: Is primarily driven by consumer concerns for personal health and the environment, such as the detrimental environmental impacts of pesticides . From the perspective of science and consumers, there is insufficient evidence in the scientific and medical literature to support claims that organic food is either substantially safer or healthier to eat than conventional food. Organic agriculture has higher production costs and lower yields, higher labor costs, and higher consumer prices as compared to conventional farming methods. For
4864-527: Is probable that almost every fruit and vegetable in the supermarket contains natural pesticides that are rodent carcinogens. While studies have shown via chemical analysis, as discussed above, that organically grown fruits and vegetables have significantly lower pesticide residue levels, the significance of this finding on actual health risk reduction is debatable as both conventional foods and organic foods generally have pesticide levels ( maximum residue limits ) well below government established guidelines for what
4992-476: Is prohibited in some jurisdictions (Canada, the UK, and Australia) and is unregulated in others. To be certified organic , products must be grown and manufactured in a manner that adheres to standards set by the country they are sold in: In the United States, there are four different levels or categories for organic labeling: In the U.S., the food label "natural" or "all natural" does not mean that
5120-525: Is really no such thing as alternative medicine, just medicine that works and medicine that doesn't", a notion later echoed by Paul Offit : "The truth is there's no such thing as conventional or alternative or complementary or integrative or holistic medicine. There's only medicine that works and medicine that doesn't. And the best way to sort it out is by carefully evaluating scientific studies—not by visiting Internet chat rooms, reading magazine articles, or talking to friends." Alternative medicine consists of
5248-749: Is regulated by governmental food safety authorities, such as the National Organic Program of the US Department of Agriculture (USDA) or the European Commission (EC). From an environmental perspective, fertilizing , overproduction , and the use of pesticides in conventional farming may negatively affect ecosystems , soil health , biodiversity , groundwater , and drinking water supplies. These environmental and health issues are intended to be minimized or avoided in organic farming. Demand for organic foods
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5376-480: Is sometimes derogatorily called " Big Pharma " by supporters of alternative medicine. Billions of dollars have been spent studying alternative medicine, with few or no positive results and many methods thoroughly disproven. The terms alternative medicine , complementary medicine , integrative medicine, holistic medicine , natural medicine , unorthodox medicine , fringe medicine , unconventional medicine , and new age medicine are used interchangeably as having
5504-710: Is that part of medical science that applies principles of biology , physiology , molecular biology , biophysics , and other natural sciences to clinical practice , using scientific methods to establish the effectiveness of that practice. Unlike medicine, an alternative product or practice does not originate from using scientific methods, but may instead be based on hearsay , religion, tradition, superstition , belief in supernatural energies, pseudoscience , errors in reasoning , propaganda, fraud, or other unscientific sources. Some other definitions seek to specify alternative medicine in terms of its social and political marginality to mainstream healthcare. This can refer to
5632-511: Is the case as the research conducted in the field has not shown consistent results. A 2009 systematic review found that organically produced foodstuffs are not richer in vitamins and minerals than conventionally produced foodstuffs. This systematic review found a lower nitrogen and higher phosphorus content in organic produced compared to conventionally grown foodstuffs. Content of vitamin C, calcium, potassium, total soluble solids, copper, iron, nitrates, manganese, and sodium did not differ between
5760-612: Is when alternative medicine is used together with mainstream functional medical treatment in a belief that it improves the effect of treatments. For example, acupuncture (piercing the body with needles to influence the flow of a supernatural energy) might be believed to increase the effectiveness or "complement" science-based medicine when used at the same time. Significant drug interactions caused by alternative therapies may make treatments less effective, notably in cancer therapy . Several medical organizations differentiate between complementary and alternative medicine including
5888-418: Is ~0.09 mg. Thus, we estimate that 99.99% of the pesticides humans ingest are natural. Despite this enormously greater exposure to natural chemicals, 79% (378 out of 479) of the chemicals tested for carcinogenicity in both rats and mice are synthetic (that is, do not occur naturally). 2) It has often been wrongly assumed that humans have evolved defenses against the natural chemicals in our diet but not against
6016-442: Is ~50%. Therefore, because humans are exposed to so many more natural than synthetic chemicals (by weight and by number), humans are exposed to an enormous background of rodent carcinogens, as defined by high-dose tests on rodents. We have shown that even though only a tiny proportion of natural pesticides in plant foods have been tested, the 29 that are rodent carcinogens among the 57 tested, occur in more than 50 common plant foods. It
6144-406: The "halo" effect are also important motivating factors in the purchase of organic food. In China the increasing demand for organic products of all kinds, and in particular milk, baby food and infant formula, has been "spurred by a series of food scares, the worst being the death of six children who had consumed baby formula laced with melamine " in 2009 and the 2008 Chinese milk scandal , making
6272-604: The 2007–2008 financial crisis the Duchy Originals business began making losses, amounting to around £3 million in 2009, and in September of that year it was announced that Duchy Originals had agreed an exclusive deal with Waitrose. From August 2010 products were relaunched under the Duchy Originals from Waitrose brand and the then range of around 200 lines was expanded to over 300. Waitrose invested heavily in
6400-724: The Duchy of Cornwall estates that are held in trust by the Duke of Cornwall, who often holds the title Prince of Wales. The Duchy Originals brand was originally conceived in 1990 as an outlet for the organic food grown on the Prince of Wales' Highgrove House estate and nearby Home Farm which he had leased from the Duchy of Cornwall in the mid-1980s. The first Duchy Originals product was oaten biscuits. Products were initially sold through high-end stores such as Harrods and Fortnum & Mason . During
6528-535: The Medicines and Healthcare products Regulatory Agency (MHRA) ruled that healing claims were misleading and required the company to amend an advertising campaign promoting two herbal medicines. In 2002 the Deeside Water Company began to produce some of its bottled mineral water for the Duchy Originals brand. In 2010, Waitrose rebranded the product as Duchy Originals from Waitrose and in 2016
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#17327727374476656-660: The United States Medical Licensing Examination (USMLE). There is a general scientific consensus that alternative therapies lack the requisite scientific validation , and their effectiveness is either unproved or disproved. Many of the claims regarding the efficacy of alternative medicines are controversial, since research on them is frequently of low quality and methodologically flawed. Selective publication bias , marked differences in product quality and standardisation, and some companies making unsubstantiated claims call into question
6784-569: The counterculture movement of the 1960s, as part of the rising new age movement of the 1970s. This was due to misleading mass marketing of "alternative medicine" being an effective "alternative" to biomedicine, changing social attitudes about not using chemicals and challenging the establishment and authority of any kind, sensitivity to giving equal measure to beliefs and practices of other cultures ( cultural relativism ), and growing frustration and desperation by patients about limitations and side effects of science-based medicine. At
6912-627: The nutrient and antinutrient contents of organically and conventionally produced food, the variable nature of food production , shipping, storage, and handling makes it difficult to generalize results. Claims that "organic food tastes better" are generally not supported by tests, but consumers often perceive organic food produce like fruits and vegetables to taste better. The appeal of organic food varies with demographic group and attitudinal characteristics. Several high quality surveys find that income, educational level, physical activity, dietary habits and number of children are associated with
7040-520: The "whole" person, in contrast to the supposed reductionism of medicine. Prominent members of the science and biomedical science community say that it is not meaningful to define an alternative medicine that is separate from a conventional medicine because the expressions "conventional medicine", "alternative medicine", "complementary medicine", "integrative medicine", and "holistic medicine" do not refer to any medicine at all. Others say that alternative medicine cannot be precisely defined because of
7168-452: The 1970s, interest in organic food grew with the rise of the environmental movement and was also spurred by food-related health scares like the concerns about Alar that arose in the mid-1980s. Organic food production is distinct from private gardening . In the EU, organic farming and organic food are more commonly known as ecological or biological, or in short 'eco' and 'bio'. Currently,
7296-413: The 1990s, Duchy Originals products began being stocked in farm shops and independent delicatessens and expansion during the 2000s saw a selected range of Duchy Originals products becoming widely available in most major UK supermarkets, with Waitrose as the brand's largest customer. By 2008 sales of Duchy Originals had raised over £7 million cumulatively for The Prince of Wales's Charitable Fund . Following
7424-547: The CAM review used the more developed 2004 Cochrane database, while the conventional review used the initial 1998 Cochrane database. Alternative therapies do not "complement" (improve the effect of, or mitigate the side effects of) functional medical treatment. Significant drug interactions caused by alternative therapies may instead negatively impact functional treatment by making prescription drugs less effective, such as interference by herbal preparations with warfarin . In
7552-591: The Carcinogenic Potency Project, which is a part of the US EPA 's Distributed Structure-Searchable Toxicity (DSSTox) Database Network, has been systemically testing the carcinogenicity of chemicals, both natural and synthetic, and building a publicly available database of the results for the past ~30 years. Their work attempts to fill in the gaps in our scientific knowledge of the carcinogenicity of all chemicals, both natural and synthetic, as
7680-536: The Chinese market for organic milk the largest in the world as of 2014. A Pew Research Center survey in 2012 indicated that 41% of Chinese consumers thought of food safety as a very big problem, up by three times from 12% in 2008. A 2020 study on marketing processed organic foods shows that, after much growth in the fresh organic foods sector, consumers have started to buy processed organic foods, which they sometime perceive to be just as healthy or even healthier than
7808-492: The European Union, the United States, Canada, Japan, and many other countries require producers to obtain special certification based on government-defined standards to market food as organic within their borders. In the context of these regulations, foods marketed as organic are produced in a way that complies with organic standards set by national governments and international organic industry trade organizations. In
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#17327727374477936-609: The Land (1940), out of his conception of "the farm as organism", to describe a holistic, ecologically balanced approach to farming—in contrast to what he called chemical farming , which relied on "imported fertility" and "cannot be self-sufficient nor an organic whole". Early soil scientists also described the differences in soil composition when animal manures were used as "organic", because they contain carbon compounds , whereas superphosphates and Haber process nitrogen do not. Their respective use affects humus content of soil. This
8064-471: The National List of synthetic substances allowed for use in organic crop production may be applied to prevent, suppress, or control pests, weeds, or diseases". Several groups have called for organic standards to prohibit nanotechnology on the basis of the precautionary principle in light of unknown risks of nanotechnology. The use of nanotechnology-based products in the production of organic food
8192-701: The Prince's Charities. In Canada the proceeds from sales of Duchy Originals products are donated to the charities associated with The Prince's Charities Canada . By 2012 more than one million Canadian dollars were being raised annually in this manner. The Duchy Future Farming programme was set up in 2013 in partnership with the Soil Association to provide advice and support to UK farmers and growers in conducting research into organic farming methods. Participants are encouraged to carry out experiments in their own fields, and over 3000 farmers had been involved in this by 2015. A research fund offering up to £25,000
8320-744: The UK National Health Service (NHS), Cancer Research UK , and the US Center for Disease Control and Prevention (CDC), the latter of which states that " Complementary medicine is used in addition to standard treatments" whereas " Alternative medicine is used instead of standard treatments." Complementary and integrative interventions are used to improve fatigue in adult cancer patients. David Gorski has described integrative medicine as an attempt to bring pseudoscience into academic science-based medicine with skeptics such as Gorski and David Colquhoun referring to this with
8448-479: The USDA has noted that organically raised chicken may have lower arsenic levels. Early literature reviews found no significant evidence that levels of arsenic, cadmium or other heavy metals differed significantly between organic and conventional food products. However, a 2014 review found lower concentrations of cadmium, particularly in organically grown grains. Alternative medicine Alternative medicine
8576-593: The United States, organic production is managed in accordance with the Organic Foods Production Act of 1990 (OFPA) and regulations in Title 7, Part 205 of the Code of Federal Regulations to respond to site-specific conditions by integrating cultural, biological, and mechanical practices that foster cycling of resources, promote ecological balance, and conserve biodiversity. If livestock are involved,
8704-417: The alternative therapies he and his team studied, including acupuncture, herbal medicine, homeopathy, and reflexology , are "statistically indistinguishable from placebo treatments", but he also believes there is something that conventional doctors can usefully learn from the chiropractors and homeopath: this is the therapeutic value of the placebo effect, one of the strangest phenomena in medicine. In 2003,
8832-408: The alternative treatment. A placebo is a treatment with no intended therapeutic value. An example of a placebo is an inert pill, but it can include more dramatic interventions like sham surgery . The placebo effect is the concept that patients will perceive an improvement after being treated with an inert treatment. The opposite of the placebo effect is the nocebo effect , when patients who expect
8960-496: The art of medicine, and engaging in complex clinical reasoning (medical decision-making). Writing in 2002, Snyderman and Weil remarked that by the early twentieth century the Flexner model had helped to create the 20th-century academic health center, in which education, research, and practice were inseparable. While this had much improved medical practice by defining with increasing certainty the pathophysiological basis of disease,
9088-440: The balance of current scientific evidence does not support this view." The evidence of beneficial health effects of organic food consumption is scarce, which has led researchers to call for more long-term studies. In addition, studies that suggest that organic foods may be healthier than conventional foods face significant methodological challenges, such as the correlation between organic food consumption and factors known to promote
9216-445: The body in any positive or health promoting way. The history of alternative medicine may refer to the history of a group of diverse medical practices that were collectively promoted as "alternative medicine" beginning in the 1970s, to the collection of individual histories of members of that group, or to the history of western medical practices that were labeled "irregular practices" by the western medical establishment. It includes
9344-435: The brand and sales doubled during the first three years of the exclusive arrangement. By 2013 the brand was selling in 30 countries including Australia and Japan. In the summer of 2015 the brand name was changed to Waitrose Duchy Organic . The tradition of donating royalties to charity continued and Prince Charles continued his involvement with the brand which operates separately from the Duchy of Cornwall. The lease on Home Farm
9472-482: The claims of efficacy of isolated examples where there is evidence for alternative therapies. The Scientific Review of Alternative Medicine points to confusions in the general population – a person may attribute symptomatic relief to an otherwise-ineffective therapy just because they are taking something (the placebo effect); the natural recovery from or the cyclical nature of an illness (the regression fallacy ) gets misattributed to an alternative medicine being taken;
9600-637: The conclusions of only the 145 Cochrane reviews was done by two readers. In 83% of the cases, the readers agreed. In the 17% in which they disagreed, a third reader agreed with one of the initial readers to set a rating. These studies found that, for CAM, 38.4% concluded positive effect or possibly positive (12.4%), 4.8% concluded no effect, 0.7% concluded harmful effect, and 56.6% concluded insufficient evidence. An assessment of conventional treatments found that 41.3% concluded positive or possibly positive effect, 20% concluded no effect, 8.1% concluded net harmful effects, and 21.3% concluded insufficient evidence. However,
9728-477: The condition will be at its worst and most likely to spontaneously improve. In the absence of this bias, especially for diseases that are not expected to get better by themselves such as cancer or HIV infection , multiple studies have shown significantly worse outcomes if patients turn to alternative therapies. While this may be because these patients avoid effective treatment, some alternative therapies are actively harmful (e.g. cyanide poisoning from amygdalin , or
9856-539: The diversity of theories and practices it includes, and because the boundaries between alternative and conventional medicine overlap, are porous, and change. Healthcare practices categorized as alternative may differ in their historical origin, theoretical basis, diagnostic technique , therapeutic practice and in their relationship to the medical mainstream. Under a definition of alternative medicine as "non-mainstream", treatments considered alternative in one location may be considered conventional in another. Critics say
9984-635: The dominant health care system. They are used interchangeably with traditional medicine in some countries." The Integrative Medicine Exam by the American Board of Physician Specialties includes the following subjects: Manual Therapies , Biofield Therapies , Acupuncture , Movement Therapies, Expressive Arts, Traditional Chinese Medicine , Ayurveda , Indigenous Medical Systems , Homeopathic Medicine , Naturopathic Medicine , Osteopathic Medicine , Chiropractic , and Functional Medicine . Traditional medicine (TM) refers to certain practices within
10112-696: The early days of the organic movement as a result of publications like the 1943 book The Living Soil and Farming and Gardening for Health or Disease (1945). In the industrial era, organic gardening reached a modest level of popularity in the United States in the 1950s. In the 1960s, environmentalists and the counterculture championed organic food, but it was only in the 1970s that a national marketplace for organic foods developed. Early consumers interested in organic food would look for non-chemically treated, non-use of unapproved pesticides, fresh or minimally processed food. They mostly had to buy directly from growers. Later, "Know your farmer, know your food" became
10240-482: The established science of how the human body works; others appeal to the supernatural or superstitious to explain their effect or lack thereof. In others, the practice has plausibility but lacks a positive risk–benefit outcome probability. Research into alternative therapies often fails to follow proper research protocols (such as placebo -controlled trials, blind experiments and calculation of prior probability ), providing invalid results. History has shown that if
10368-569: The evidence in the medical literature. Likewise, the American Cancer Society (ACS) has stated their official position that "whether organic foods carry a lower risk of cancer because they are less likely to be contaminated by compounds that might cause cancer is largely unknown." Reviews have noted that the risks from microbiological sources or natural toxins are likely to be much more significant than short term or chronic risks from pesticide residues. Organic farming has
10496-424: The expression is deceptive because it implies there is an effective alternative to science-based medicine, and that complementary is deceptive because it implies that the treatment increases the effectiveness of (complements) science-based medicine, while alternative medicines that have been tested nearly always have no measurable positive effect compared to a placebo . Journalist John Diamond wrote that "there
10624-530: The farming methods used to produce such products. Organic foods are typically not processed using irradiation , industrial solvents, or synthetic food additives . In the 21st century, the European Union , the United States, Canada, Mexico, Japan, and many other countries require producers to obtain special certification to market their food as organic . Although the produce of kitchen gardens may actually be organic, selling food with an organic label
10752-433: The fatty acid composition of breast milk and implied possible health benefits for infants from the consumption of different amounts of conjugated linoleic acids from breast milk." In addition, as discussed above, difficulties in accurately and meaningfully measuring chemical differences between organic and conventional food make it difficult to extrapolate health recommendations based solely on chemical analysis. According to
10880-477: The financial year 2008/9, the company failed to make any profits and turnover dropped to £2.2 million, with an operating loss of £3.3 million, compared to the previous year's operating profit of £57,000. Fortunes improved after the 2009 Waitrose arrangement, and by 2013 annual profits were £2.8 million. Duchy Originals' only venture into manufacturing has been the Duchy Originals Food company. This
11008-479: The food was produced and processed organically. From an environmental perspective, fertilizing , overproduction and the use of pesticides in conventional farming has caused, and is causing, enormous damage worldwide to local ecosystems , soil health , biodiversity, groundwater and drinking water supplies, and sometimes farmers' health and fertility . Organic farming typically reduces some environmental impact relative to conventional farming, but
11136-509: The histories of complementary medicine and of integrative medicine . Before the 1970s, western practitioners that were not part of the increasingly science-based medical establishment were referred to "irregular practitioners", and were dismissed by the medical establishment as unscientific and as practicing quackery. Until the 1970s, irregular practice became increasingly marginalized as quackery and fraud, as western medicine increasingly incorporated scientific methods and discoveries, and had
11264-422: The included articles did not study direct human health outcomes. In ten of the included studies (83%), a primary outcome was the change in antioxidant activity. Antioxidant status and activity are useful biomarkers but do not directly equate to a health outcome. Of the remaining two articles, one recorded proxy-reported measures of atopic manifestations as its primary health outcome, whereas the other article examined
11392-781: The intentional ingestion of hydrogen peroxide ) or actively interfere with effective treatments. The alternative medicine sector is a highly profitable industry with a strong lobby, and faces far less regulation over the use and marketing of unproven treatments. Complementary medicine ( CM ), complementary and alternative medicine ( CAM ), integrated medicine or integrative medicine ( IM ), and holistic medicine attempt to combine alternative practices with those of mainstream medicine. Traditional medicine practices become "alternative" when used outside their original settings and without proper scientific explanation and evidence. Alternative methods are often marketed as more " natural " or " holistic " than methods offered by medical science, that
11520-547: The lack of support that alternative therapies receive from medical scientists regarding access to research funding , sympathetic coverage in the medical press , or inclusion in the standard medical curriculum . For example, a widely used definition devised by the US NCCIH calls it "a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine" . However, these descriptive definitions are inadequate in
11648-579: The level of organic food consumption. USA research has found that women, young adults, liberals, and college graduates were significantly more likely to buy organic food regularly when compared to men, older age groups, people of different political affiliations, and less educated individuals. Income level and race/ethnicity did not appear to affect interest in organic foods in this same study. Furthermore, individuals who are only moderately-religious were more likely to purchase organic foods than individuals who were less religious or highly-religious. Additionally,
11776-894: The livestock must be reared with regular access to pasture and without the routine use of antibiotics or growth hormones . Processed organic food usually contains only organic ingredients. If non-organic ingredients are present, at least a certain percentage of the food's total plant and animal ingredients must be organic (95% in the United States, Canada, and Australia). Foods claiming to be organic must be free of artificial food additives , and are often processed with fewer artificial methods, materials and conditions, such as chemical ripening , food irradiation , solvents such as hexane , and genetically modified ingredients. Pesticides are allowed as long as they are not synthetic. However, under US federal organic standards, if pests and weeds are not controllable through management practices, nor via organic pesticides and herbicides, "a substance included on
11904-573: The loose terminology to give the appearance of effectiveness). Loose terminology may also be used to suggest meaning that a dichotomy exists when it does not (e.g., the use of the expressions "Western medicine" and "Eastern medicine" to suggest that the difference is a cultural difference between the Asian east and the European west, rather than that the difference is between evidence-based medicine and treatments that do not work). Alternative medicine
12032-492: The maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness." When used outside the original setting and in the absence of scientific evidence, TM practices are typically referred to as "alternative medicine". Holistic medicine is another rebranding of alternative medicine. In this case, the words balance and holism are often used alongside complementary or integrative , claiming to take into fuller account
12160-495: The motto of a new initiative instituted by the USDA in September 2009. Personal definitions of what constituted "organic" were developed through firsthand experience: by talking to farmers, seeing farm conditions, and farming activities. Small farms grew vegetables (and raised livestock) using organic farming practices, with or without certification, and the individual consumer monitored. Small specialty health food stores and co-operatives were instrumental to bringing organic food to
12288-719: The non-organic version – depending on the marketing message. There is no good evidence that organic food tastes better than its non-organic counterparts. There is evidence that some organic fruit is drier than conventionally grown fruit; a slightly drier fruit may also have a more intense flavor due to the higher concentration of flavoring substances. Some foods which are picked when unripe, such as bananas, are cooled to prevent ripening while they are shipped to market, and then are induced to ripen quickly by exposing them to propylene or ethylene , chemicals produced by plants to induce their own ripening; as flavor and texture changes during ripening, this process may affect those qualities of
12416-435: The pejorative term " quackademia ". Robert Todd Carroll described Integrative medicine as "a synonym for 'alternative' medicine that, at its worst, integrates sense with nonsense. At its best, integrative medicine supports both consensus treatments of science-based medicine and treatments that the science, while promising perhaps, does not justify" Rose Shapiro has criticized the field of alternative medicine for rebranding
12544-644: The period of reorganization within medicine (1965–1999) was reported as showing that the medical profession had responded to the growth of CAM in three phases, and that in each phase, changes in the medical marketplace had influenced the type of response in the journals. Changes included relaxed medical licensing, the development of managed care , rising consumerism, and the establishment of the USA Office of Alternative Medicine (later National Center for Complementary and Alternative Medicine, currently National Center for Complementary and Integrative Health). Mainly as
12672-408: The popular press) as they apply to organic chemistry is an equivocation fallacy when applied to farming, the production of food, and to foodstuffs themselves. Properly used in this agricultural science context, "organic" refers to the methods grown and processed, not necessarily the chemical composition of the food. Ideas that organic food could be healthier and better for the environment originated in
12800-427: The present-day when some conventional doctors offer alternative medical treatments and introductory courses or modules can be offered as part of standard undergraduate medical training; alternative medicine is taught in more than half of US medical schools and US health insurers are increasingly willing to provide reimbursement for alternative therapies. Complementary medicine (CM) or integrative medicine (IM)
12928-413: The products' health-giving properties and higher nutritional value. These beliefs are promoted by the organic food industry, and have fueled increased demand for organic food despite higher prices and difficulty in confirming these claimed benefits scientifically. Organic labels also stimulate the consumer to view the product as having more positive nutritional value. Psychological effects such as
13056-443: The public tends to view chemicals as only synthetic and to think of synthetic chemicals as toxic despite the fact that every natural chemical is also toxic at some dose. The daily average exposure of Americans to burnt material in the diet is ~2000 mg, and exposure to natural pesticides (the chemicals that plants produce to defend themselves) is ~1500 mg. In comparison, the total daily exposure to all synthetic pesticide residues combined
13184-510: The pursuit of organic foods was positively associated with valuing vegetarian/ vegan food options, "natural" food options, and USA-made food options. Organic food may also be more appealing to people who follow other restricted diets. One study found that individuals who adhered to vegan, vegetarian, or pescetarian diet patterns incorporated substantially more organic foods in their diets when compared to omnivores . The most important reason for purchasing organic foods seems to be beliefs about
13312-435: The same as non-organically produced meat. However, the same paper noted that a shift from conventional to organic practices would likely be beneficial for long-term efficiency and ecosystem services, and probably improve soil over time. A 2019 life-cycle assessment study found that converting the total agricultural sector (both crop and livestock production) for England and Wales to organic farming methods would result in
13440-615: The same meaning and are almost synonymous in most contexts. Terminology has shifted over time, reflecting the preferred branding of practitioners. For example, the United States National Institutes of Health department studying alternative medicine, currently named the National Center for Complementary and Integrative Health (NCCIH), was established as the Office of Alternative Medicine (OAM) and
13568-446: The same practices as integrative medicine. CAM is an abbreviation of the phrase complementary and alternative medicine . The 2019 World Health Organization (WHO) Global Report on Traditional and Complementary Medicine states that the terms complementary and alternative medicine "refer to a broad set of health care practices that are not part of that country's own traditional or conventional medicine and are not fully integrated into
13696-581: The same time, in 1975, the American Medical Association , which played the central role in fighting quackery in the United States, abolished its quackery committee and closed down its Department of Investigation. By the early to mid 1970s the expression "alternative medicine" came into widespread use, and the expression became mass marketed as a collection of "natural" and effective treatment "alternatives" to science-based biomedicine. By 1983, mass marketing of "alternative medicine"
13824-832: The same way as for conventional therapies, drugs, and interventions, it can be difficult to test the efficacy of alternative medicine in clinical trials . In instances where an established, effective, treatment for a condition is already available, the Helsinki Declaration states that withholding such treatment is unethical in most circumstances. Use of standard-of-care treatment in addition to an alternative technique being tested may produce confounded or difficult-to-interpret results. Cancer researcher Andrew J. Vickers has stated: Contrary to much popular and scientific writing, many alternative cancer treatments have been investigated in good-quality clinical trials, and they have been shown to be ineffective. The label "unproven"
13952-508: The same year found no significant differences in levels of saturated and monounsaturated fat between organic and conventional milk, but significantly higher levels of overall and n-3 polyunsaturated fatty acids in organic milk than in conventional milk. The amount of nitrogen content in certain vegetables, especially green leafy vegetables and tubers , has been found to be lower when grown organically as compared to conventionally. When evaluating environmental toxins such as heavy metals ,
14080-511: The scale of reduction can be difficult to quantify and varies depending on farming methods. In some cases, reducing food waste and dietary changes might provide greater benefits. A 2020 study at the Technical University of Munich found that the greenhouse gas emissions of organically farmed plant-based food were lower than conventionally-farmed plant-based food. The greenhouse gas costs of organically produced meat were approximately
14208-649: The science of physics, as in biofields, or in belief in properties of the energies of physics that are inconsistent with the laws of physics, as in energy medicine. Substance based practices use substances found in nature such as herbs, foods, non-vitamin supplements and megavitamins, animal and fungal products, and minerals, including use of these products in traditional medical practices that may also incorporate other methods. Examples include healing claims for non-vitamin supplements, fish oil , Omega-3 fatty acid , glucosamine , echinacea , flaxseed oil , and ginseng . Herbal medicine , or phytotherapy, includes not just
14336-531: The scientific method, but instead rely on testimonials , anecdotes , religion, tradition, superstition , belief in supernatural " energies ", pseudoscience , errors in reasoning , propaganda, fraud, or other unscientific sources. Frequently used terms for relevant practices are New Age medicine , pseudo-medicine , unorthodox medicine , holistic medicine , fringe medicine , and unconventional medicine , with little distinction from quackery . Some alternative practices are based on theories that contradict
14464-570: The scientists conducting the Project described in the journal, Science , in 1992: Toxicological examination of synthetic chemicals, without similar examination of chemicals that occur naturally, has resulted in an imbalance in both the data on and the perception of chemical carcinogens . Three points that we have discussed indicate that comparisons should be made with natural as well as synthetic chemicals. 1) The vast proportion of chemicals that humans are exposed to occur naturally. Nevertheless,
14592-500: The supermarket repackaged it as part of its Waitrose One premium range. Gardening tools were produced under the Duchy Originals brand by the Lancashire company Caldwells until it went into administration in 2009. The company Duchy Originals Ltd is a wholly owned subsidiary company of The Prince of Wales's Charitable Fund and donates to the charity from its profits. By 2013 the brand had raised £11 million from its profits for
14720-507: The synthetic chemicals. However, defenses that animals have evolved are mostly general rather than specific for particular chemicals; moreover, defenses are generally inducible and therefore protect well from low doses of both synthetic and natural chemicals. 3) Because the toxicology of natural and synthetic chemicals is similar, one expects (and finds) a similar positivity rate for carcinogenicity among synthetic and natural chemicals. The positivity rate among chemicals tested in rats and mice
14848-416: The treated fruit. With respect to chemical differences in the composition of organically grown food compared with conventionally grown food, studies have examined differences in nutrients , antinutrients , and pesticide residues. These studies generally suffer from confounding variables, and are difficult to generalize due to differences in the tests that were done, the methods of testing, and because
14976-818: The two categories. A 2012 survey of the scientific literature did not find significant differences in the vitamin content of organic and conventional plant or animal products, and found that results varied from study to study. Produce studies reported on ascorbic acid ( vitamin C ) (31 studies), beta-carotene (a precursor for vitamin A ) (12 studies), and alpha-tocopherol (a form of vitamin E ) (5 studies) content; milk studies reported on beta-carotene (4 studies) and alpha-tocopherol levels (4 studies). Few studies examined vitamin content in meats, but these found no difference in beta-carotene in beef, alpha-tocopherol in pork or beef, or vitamin A (retinol) in beef. The authors analyzed 11 other nutrients reported in studies of produce. A 2011 literature review found that organic foods had
15104-518: The use of plant products, but may also include the use of animal and mineral products. It is among the most commercially successful branches of alternative medicine, and includes the tablets, powders and elixirs that are sold as "nutritional supplements". Only a very small percentage of these have been shown to have any efficacy, and there is little regulation as to standards and safety of their contents. The United States agency National Center for Complementary and Integrative Health (NCCIH) has created
15232-402: The vagaries of agriculture affect the chemical composition of food; these variables include variations in weather (season to season as well as place to place); crop treatments (fertilizer, pesticide, etc.); soil composition; the cultivar used, and in the case of meat and dairy products, the parallel variables in animal production. Treatment of the foodstuffs after initial gathering (whether milk
15360-403: The vast majority of its history, agriculture can be described as having been organic; only during the 20th century was a large supply of new products, generally deemed not organic, introduced into food production. The organic farming movement arose in the 1940s in response to the industrialization of agriculture. In 1939, Lord Northbourne coined the term organic farming in his book Look to
15488-412: Was a range of premium free-range (but not organic) pork and fish products and mineral waters, and Duchy Collections was a range of high quality non food products. The Duchy Originals company has never sold the goods that carry the brand names, and other than the short-lived Duchy Originals Food company venture it has not manufactured them. Instead Duchy branded products have been sold and manufactured by
15616-505: Was a wholly owned subsidiary of the Duchy Originals company and it opened a factory in Launceston, Cornwall in 2006. The factory was a bakery making both sweet and savoury pastry products. The venture suffered financial problems, with the factory making a loss of £447,158 in the financial year 2006/7. In 2009, the Duchy Originals company decided to sell the bakery, with one-off costs from the sale contributing towards Duchy Originals making
15744-483: Was blamed on organically farmed fenugreek sprouts. There is a widespread public belief that organic food is safer, more nutritious, and better tasting than conventional food, which has largely contributed to the development of an organic food culture . Consumers purchase organic foods for different reasons, including concerns about the effects of conventional farming practices on the environment, human health, and animal welfare. While there may be some differences in
15872-544: Was found that levels of organophosphorus pesticide exposure dropped from negligible levels to undetectable levels when the children switched to an organic diet, the authors presented this reduction as a significant reduction in risk. The conclusions presented in Lu et al. were criticized in the literature as a case of bad scientific communication. More specifically, claims related to pesticide residue of increased risk of infertility or lower sperm counts have not been supported by
16000-522: Was not renewed in 2020, but the Prince of Wales continued to farm organically at Sandringham House . The new tenant of Home Farm continued the relationship with Waitrose Duchy Organic, which reported a profit of £3.6 million in 2021. The company Duchy Originals, a wholly owned subsidiary of The Prince of Wales's Charitable Fund , originated the Duchy Originals brand in 1990 as a premium organic food and drink brand. It also created two other brands, Duchy Selection s and Duchy Collections . Duchy Selections
16128-482: Was renamed the National Center for Complementary and Alternative Medicine (NCCAM) before obtaining its current name. Therapies are often framed as "natural" or "holistic", implicitly and intentionally suggesting that conventional medicine is "artificial" and "narrow in scope". The meaning of the term "alternative" in the expression "alternative medicine", is not that it is an effective alternative to medical science (though some alternative medicine promoters may use
16256-523: Was so pervasive that the British Medical Journal ( BMJ ) pointed to "an apparently endless stream of books, articles, and radio and television programmes urge on the public the virtues of (alternative medicine) treatments ranging from meditation to drilling a hole in the skull to let in more oxygen". An analysis of trends in the criticism of complementary and alternative medicine (CAM) in five prestigious American medical journals during
16384-414: Was the cause without evidence is an example of the regression fallacy. This may be due to a natural recovery from the illness, or a fluctuation in the symptoms of a long-term condition. The concept of regression toward the mean implies that an extreme result is more likely to be followed by a less extreme result. There are also reasons why a placebo treatment group may outperform a "no-treatment" group in
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