The Body of Evidence

A viewer question prompts Chris and Sophie to look into scrambler therapy. A medical therapy for chronic pain with a silly name that sounds like it should be pseudoscience, but actually isn’t. How is it different from Transcutaneous Electrical Nerve Stimulation (TENS)? How good is the evidence and how much of the benefit is actually a placebo response.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE  Email us your questions at thebodyofevidence@gmail.com.  Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information.  References: 1)    2016 review of scrambler therapy for chronic pain https://doi.org/10.1007/s00520-016-3177-3 2)    2018 update https://doi.org/10.1177/1534735419845143 Key studies: Sabato (2005) – 226 patients: 80% had >50% pain reduction Marineo (2011) – RCT: 91% pain reduction in Scrambler group vs. 28% in controls Ricci (2012) – 82 patients: Mean pain scores dropped from 6.2/10 prior to treatment to 1.6 just after completing 10 treatment days to 2.9, 2 weeks after finishing treatment. Compagnone (2015) – 201 patients: pain went from 7.41 to 1.6 Notaro (2015) – All patients had ≥50% pain reduction; relief lasted ~8 weeks; sleep improved Pachman (2014) – 37 patients: 53% average pain reduction; effect lasted 10 weeks One ‘no results’ study:  Campbell (2013) – 14 patients, RCT with sham control; no improvement—but team lacked experience, which may have skewed results.

Rodney Schmaltz joins Chris to talk about teaching scientific skepticism to university students. How does learning about Big Foot, debunking photos of fairies, and going on a ghost hunt make you better at debunking pseudoscience? Also, how to speak to believers in pseudoscience without making the other person hate you.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: 1) Rodney’s website that also hosts his Tedx talk: https://www.rodneyschmaltz.com/ 2) The Lilienfeld Alliance: https://sites.google.com/view/lilienfeldalliance/lilicon-2026?authuser=0

Leaky Gut Syndrome. Always a favorite of the pseudoscience crowd. But is there any medical validity to the concept. Chris and Sophie look deep into the concept to find out if the diagnosis of Leaky Gut holds water or is just full of holes. Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE Email us your questions at thebodyofevidence@gmail.com. Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information.

The opening of a new private clinic spurs Chris and Sophie to ask whether Transcranial Magnetic Stimulation (TMS) is real medicine or pseudoscience. How does a magnetic field stimulate the brain and how is this different from electric convulsive therapy (ECT)? Also, a brief digression on One Flew Over the Cuckoo’s Nest and other classic movies Sophie has never seen.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: 1) A study on the efficacy of ECT  by Slade et al. http://jamanetwork.com/article.aspx?doi=10.1001/jamapsychiatry.2017.1378 2) The accompany editorial on modern ECT use: Modern Electroconvulsive Therapy Vastly Improved yet Greatly Underused https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2633172 3) A study on the safety of ECT: Lancet Psychiatry study 2021 https://doi.org/10.1016/s2215-0366(21)00168-1 4) Consensus statement on the use of Transcranial Magnetic stimulation (TMS)  https://doi.org/10.4088/jcp.16cs10905 5) Network meta-analysis comparing different TMS modalities https://doi.org/10.1001/jamapsychiatry.2016.3644 6) The durability of response after TMS treatment: https://doi.org/10.1016/j.brs.2018.10.001 7) RCT comparing ECT and TMS and showing ECT is more effective:  https://pubmed.ncbi.nlm.nih.gov/17202547/ 8) The older cochrane review from 2002 suggesting little benefit: https://doi.org/10.1002/14651858.CD003493

How does genetic testing help doctors treat patients? How accurate are private companies like 23andMe? Does knowing your genetic risk help people lead healthier lives or is it just a waste of time and money? Sophie had a bunch of questions about how genetic testing is used in everyday medical practice and Chris was here to answer!   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: Studies evaluating the accuracy of Direct to Consumer genetic testing companies: Ng PC, Murray SS, Levy S, Venter JC. An agenda for personalized medicine. Nature. 2009 Oct 8;461(7265):724-6. doi: 10.1038/461724a. PMID: 19812653. Imai K, Kricka LJ, Fortina P. Concordance study of 3 direct-to-consumer genetic-testing services. Clin Chem. 2011 Mar;57(3):518-21. doi: 10.1373/clinchem.2010.158220.  Studies looking at how knowing the results of genetic testing affect medical treatment and lifestyle factors. Mega JL, et al. Genetic risk, coronary heart disease events, and the clinical benefit of statin therapy: an analysis of primary and secondary prevention trials. Lancet. 2015 Jun 6;385(9984):2264-2271. doi: 10.1016/S0140-6736(14)61730-X Khera AV, Emdin CA, Drake I, Natarajan P, Bick AG, Cook NR, Chasman DI, Baber U, Mehran R, Rader DJ, Fuster V, Boerwinkle E, Melander O, Orho-Melander M, Ridker PM, Kathiresan S. Genetic Risk, Adherence to a Healthy Lifestyle, and Coronary Disease. N Engl J Med. 2016 Dec 15;375(24):2349-2358. doi: 10.1056/NEJMoa1605086.  The Cochrane review and MI-GENES study which showed that genetic information did not change lifestyle behavior Hollands GJ, French DP, Griffin SJ, Prevost AT, Sutton S, King S, Marteau TM. The impact of communicating genetic risks of disease on risk-reducing health behaviour: systematic review with meta-analysis. BMJ. 2016 Mar 15;352:i1102. doi: 10.1136/bmj.i1102.  Kullo IJ, et al. Incorporating a Genetic Risk Score Into Coronary Heart Disease Risk Estimates: Effect on Low-Density Lipoprotein Cholesterol Levels (the MI-GENES Clinical Trial). Circulation. 2016 Mar 22;133(12):1181-8. doi: 10.1161/CIRCULATIONAHA.115.020109  

Chris and Sophie tackle Radon, the odorless, colorless, tasteless and very toxic gas that is present in about 1 in 5 homes. Why do we care? How do you test for it? What should do about it? And why don’t we talk about it more? Also Sophie’s mind gets blown by a Patron question. Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com. Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer  Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: 1)     The 2024 Cross-Canada Radon Survey: https://crosscanadaradon.ca/survey/ 2)     How Radon gets in your home: https://www.quebec.ca/en/housing-territory/healthy-living-environment/residential-radon 3)     Where to order valid Radon tests: http://takeactiononradon.ca 4)     Distribution of Radon geographically across Canada and the US: https://www.epa.gov/radon/epa-map-radon-zones-0  https://ici.radio-canada.ca/nouvelle/1655364/gaz-radon-normes-quebec-canada 5)     Cochrane review on balneotherapy: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000518.pub2/full?contentLanguage=en

EPISODE 145 – Case Challenge: rare and common cardiac conditions Aigul returns with two new case challenges. The first is a very rare cardiac condition that Chris actually picked up on his first day of work (and made him a superstar for about a week). The other is a very common problem that highlights how difficult medical diagnosis can be in real life.  Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE Email us your questions at thebodyofevidence@gmail.com. Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer  Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information.

Mommy forums are awash with medical misinformation. Robyn is back to discuss why some moms suggest drinking water melon juice instead of sunscreen, using castor oil to treat just about everything, and why most people seem to have forgotten that you shouldn’t give honey to a baby.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: 1) The Cochrane review about castor oil and pregnancy outcomes: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003099.pub2/full 2) A primer on the concept of immune amnesia and the complications of measles:  https://hms.harvard.edu/news/inside-immune-amnesia  

Sophie joins Chris to unpack a new study about using stem cell derived cells transplanted into the pancreas of people with Type 1 diabetes. The early results showed 10 of the 12 patients who got the transplant no longer needed insulin. But the therapy comes with some risks because nothing in medicine is risk free. Is there a cure for a diabetes? Is it possible to treat diabetes without changing your diet? Listen to the episode to find out! Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: Links to the original story: https://www.nytimes.com/2025/06/20/health/diabetes-cure-insulin-stem-cell.html  (behind a paywall) https://www.ctvnews.ca/health/article/woman-off-insulin-for-type-1-diabetes-after-a-single-dose-of-experimental-manufactured-stem-cells/    (free)   The publication in the New England Journal of Medicine https://www.nejm.org/doi/10.1056/NEJMoa2506549

What is metabolism and does it “slow down” as we age? Can you hack your metabolism, as many social media influencers suggest? Guest co-host Pedro Mendes joins Dr. Chris Labos to discuss what your metabolism actually is, how you measure it, whether it changes as we age, and whether there is anything we can do that actually affects it. Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information.