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Quackwatch

Index Quackwatch

Quackwatch is a United States-based network of people founded by Stephen Barrett, which aims to "combat health-related frauds, myths, fads, fallacies, and misconduct" and to focus on "quackery-related information that is difficult or impossible to get elsewhere". [1]

124 relations: Abraham Flexner, Academy of Nutrition and Dietetics, Acupuncture, Algae, Almon Glenn Braswell, Alternative medicine, American Cancer Society, American Journal of Pharmaceutical Education, American Society of Consultant Pharmacists, Andrew Weil, Annals of Oncology, Applied kinesiology, Associated Press, Ayurveda, Bandolier (journal), Bates method, Calorie restriction, Candidiasis, Chiropractic, Colon cleansing, Consumer, Consumer protection, Coral calcium, Cord blood bank, Craniosacral therapy, Dean Ornish, Dental amalgam controversy, Dentistry, Diagnosis, Dietary supplement, Diploma mill, Donna Ladd, Edzard Ernst, Embryonic stem cell, Essay, Evidence-based medicine, Faith healing, Food and Drug Administration, Forbes, Gale (publisher), Genetics, Gina Kolata, Glucosamine, Grape therapy, Hair analysis (alternative medicine), Health On the Net Foundation, Herbalism, HGH controversies, Homeopathy, Infomercial, ..., Iridology, JAMA (journal), Journal of Marketing Education, Journal of the Academy of Nutrition and Dietetics, Juice, Khaleej Times, Kimball Atwood, Linus Pauling, Liquid oxygen (supplement), List of topics characterized as pseudoscience, Magnet therapy, Medical ethics, Medical literature, Medical uses of silver, MEDLINE, Metabolic typing, Mirror website, Mission statement, Morris Fishbein, Multi-level marketing, Multiple chemical sensitivity, National Cancer Institute, National Center for Complementary and Integrative Health, National Council Against Health Fraud, National Institutes of Health, Nature (journal), Naturopathy, Nobel Prize, Noni juice, Organic food, Orthomolecular medicine, Osteopathy, Oxford Brookes University, PC World, Peer review, Performance-enhancing substance, Pneumatics, Professional, Quackery, Reflexology, Resveratrol, Scientific Review of Alternative Medicine, Scientism, Shark cartilage, Skeptical Inquirer, Skeptical movement, Stephen Barrett, The Lancet, The Medical Journal of Australia, The New Republic, The New York Times, The Skeptic's Dictionary, The Village Voice, The Wall Street Journal, The Washington Post, Therapeutic touch, Time (magazine), Trabeculoplasty, Traditional Chinese medicine, Trinity Western University, U.S. News & World Report, Umbilical cord, United States Department of Agriculture, United States Department of Health and Human Services, United States National Library of Medicine, University of Southern California, University Press of America, Virginia Commonwealth University, Vitamin C, Vitamin C megadosage, Watchdog journalism, WebMD, White paper, William C. Rader. Expand index (74 more) »

Abraham Flexner

Abraham Flexner (November 13, 1866 – September 21, 1959) was an American educator, best known for his role in the 20th century reform of medical and higher education in the United States and Canada.

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Academy of Nutrition and Dietetics

The Academy of Nutrition and Dietetics is the United States' largest organization of food and nutrition professionals, and represents over 100,000 credentialed practitioners — registered dietitian nutritionists, dietetic technicians, registered, and other dietetics professionals holding undergraduate and advanced degrees in nutrition and dietetics.

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Acupuncture

Acupuncture is a form of alternative medicine in which thin needles are inserted into the body.

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Algae

Algae (singular alga) is an informal term for a large, diverse group of photosynthetic organisms that are not necessarily closely related, and is thus polyphyletic.

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Almon Glenn Braswell

Almon Glenn Braswell (March 11, 1943 – October 28, 2006) was a convicted felon American business owner who founded Gero Vita International Inc.

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Alternative medicine

Alternative medicine, fringe medicine, pseudomedicine or simply questionable medicine is the use and promotion of practices which are unproven, disproven, impossible to prove, or excessively harmful in relation to their effect — in the attempt to achieve the healing effects of medicine.--> --> --> They differ from experimental medicine in that the latter employs responsible investigation, and accepts results that show it to be ineffective. The scientific consensus is that alternative therapies either do not, or cannot, work. In some cases laws of nature are violated by their basic claims; in some the treatment is so much worse that its use is unethical. Alternative practices, products, and therapies range from only ineffective to having known harmful and toxic effects.--> Alternative therapies may be credited for perceived improvement through placebo effects, decreased use or effect of medical treatment (and therefore either decreased side effects; or nocebo effects towards standard treatment),--> or the natural course of the condition or disease. Alternative treatment is not the same as experimental treatment or traditional medicine, although both can be misused in ways that are alternative. Alternative or complementary medicine is dangerous because it may discourage people from getting the best possible treatment, and may lead to a false understanding of the body and of science.-->---> Alternative medicine is used by a significant number of people, though its popularity is often overstated.--> Large amounts of funding go to testing alternative medicine, with more than US$2.5 billion spent by the United States government alone.--> Almost none show any effect beyond that of false treatment,--> and most studies showing any effect have been statistical flukes. Alternative medicine is a highly profitable industry, with a strong lobby. This fact is often overlooked by media or intentionally kept hidden, with alternative practice being portrayed positively when compared to "big pharma". --> The lobby has successfully pushed for alternative therapies to be subject to far less regulation than conventional medicine.--> Alternative therapies may even be allowed to promote use when there is demonstrably no effect, only a tradition of use. Regulation and licensing of alternative medicine and health care providers varies between and within countries. Despite laws making it illegal to market or promote alternative therapies for use in cancer treatment, many practitioners promote them.--> Alternative medicine is criticized for taking advantage of the weakest members of society.--! Terminology has shifted over time, reflecting the preferred branding of practitioners.. Science Based Medicine--> For example, the United States National Institutes of Health department studying alternative medicine, currently named National Center for Complementary and Integrative Health, was established as the Office of Alternative Medicine and was renamed the National Center for Complementary and Alternative Medicine before obtaining its current name. Therapies are often framed as "natural" or "holistic", in apparent opposition to conventional medicine which is "artificial" and "narrow in scope", statements which are intentionally misleading. --> When used together with functional medical treatment, alternative therapies do not "complement" (improve the effect of, or mitigate the side effects of) treatment.--> Significant drug interactions caused by alternative therapies may instead negatively impact functional treatment, making it less effective, notably in cancer.--> Alternative diagnoses and treatments are not part of medicine, or of science-based curricula in medical schools, nor are they used in any practice based on scientific knowledge or experience.--> Alternative therapies are often based on religious belief, tradition, superstition, belief in supernatural energies, pseudoscience, errors in reasoning, propaganda, fraud, or lies.--> Alternative medicine is based on misleading statements, quackery, pseudoscience, antiscience, fraud, and poor scientific methodology. Promoting alternative medicine has been called dangerous and unethical.--> Testing alternative medicine that has no scientific basis has been called a waste of scarce research resources.--> Critics state that "there is really no such thing as alternative medicine, just medicine that works and medicine that doesn't",--> that the very idea of "alternative" treatments is paradoxical, as any treatment proven to work is by definition "medicine".-->.

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American Cancer Society

The American Cancer Society (ACS) is a nationwide voluntary health organization dedicated to eliminating cancer.

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American Journal of Pharmaceutical Education

The American Journal of Pharmaceutical Education is the official publication of the American Association of Colleges of Pharmacy.

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American Society of Consultant Pharmacists

The American Society of Consultant Pharmacists (ASCP) is an international professional association that provides education, advocacy, and resources to advance the practice of senior care pharmacy, and that represents the interests of consultant pharmacists who work with elderly patients.

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Andrew Weil

Andrew Thomas Weil (born June 8, 1942) is an American celebrity doctor who is a physician, author, spokesperson, and broadly described "guru" of the alternative medical brands: holistic health and integrative medicine, whose name also constitutes an emerging brand of healthcare services and products in these fields.

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Annals of Oncology

The Annals of Oncology is a peer-reviewed medical journal of oncology, published by Oxford University Press.

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Applied kinesiology

Applied kinesiology (AK) is a technique in alternative medicine claimed to be able to diagnose illness or choose treatment by testing muscles for strength and weakness.

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Associated Press

The Associated Press (AP) is a U.S.-based not-for-profit news agency headquartered in New York City.

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Ayurveda

Ayurveda is a system of medicine with historical roots in the Indian subcontinent.

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Bandolier (journal)

Bandolier was an independent healthcare journal about evidence-based healthcare, written by Oxford University scientists.

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Bates method

The Bates method is an alternative therapy aimed at improving eyesight.

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Calorie restriction

Calorie restriction, or caloric restriction, or energy restriction, is a dietary regimen that reduces calorie intake without incurring malnutrition or a reduction in essential nutrients.

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Candidiasis

Candidiasis is a fungal infection due to any type of Candida (a type of yeast).

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Chiropractic

Chiropractic is a form of alternative medicine mostly concerned with the diagnosis and treatment of mechanical disorders of the musculoskeletal system, especially the spine.

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Colon cleansing

Colon cleansing (also known as colon therapy) encompasses a number of alternative medical therapies claimed to remove nonspecific toxins from the colon and intestinal tract by removing any accumulations of feces.

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Consumer

A consumer is a person or organization that use economic services or commodities.

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Consumer protection

In regulatory jurisdictions that provide for this (a list including most or all developed countries with free market economies) consumer protection is a group of laws and organizations designed to ensure the rights of consumers, as well as fair trade, competition, and accurate information in the marketplace.

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Coral calcium

Coral calcium is a salt of calcium derived from fossilized coral reefs (primarily from limestone and coastal deposits).

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Cord blood bank

A cord blood bank is a facility which stores umbilical cord blood for future use.

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Craniosacral therapy

Craniosacral therapy (CST) is a form of bodywork or alternative therapy using gentle touch to palpate the synarthrodial joints of the cranium.

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Dean Ornish

Dean Michael Ornish (born July 16, 1953) is an American physician and researcher.

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Dental amalgam controversy

This discussion of the dental amalgam controversy outlines the debate over whether dental amalgam (the mercury alloy in dental fillings) should be used.

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Dentistry

Dentistry is a branch of medicine that consists of the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity, commonly in the dentition but also the oral mucosa, and of adjacent and related structures and tissues, particularly in the maxillofacial (jaw and facial) area.

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Diagnosis

Diagnosis is the identification of the nature and cause of a certain phenomenon.

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Dietary supplement

A dietary supplement is a manufactured product intended to supplement the diet when taken by mouth as a pill, capsule, tablet, or liquid.

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Diploma mill

A diploma mill (also known as a degree mill) is a company or organization that claims to be a higher education institution but provides illegitimate academic degrees and diplomas for a fee.

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Donna Ladd

Donna K. Ladd (born October 9Burton, Tommy (2013-10-09). Happy birthdays and new releases... Jackson Free Press, 9 October 2013. Retrieved on 2014-02-19 from http://www.jacksonfreepress.com/weblogs/music/2013/oct/09/happy-birthdays-and-new-releases/. in Philadelphia, Mississippi) is an American investigative journalist who helped create The Jackson Free Press, an award-winning freely distributed community magazine.

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Edzard Ernst

Edzard Ernst (born 30 January 1948) is an academic physician and researcher specializing in the study of complementary and alternative medicine.

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Embryonic stem cell

Embryonic stem cells (ES cells or ESCs) are pluripotent stem cells derived from the inner cell mass of a blastocyst, an early-stage pre-implantation embryo.

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Essay

An essay is, generally, a piece of writing that gives the author's own argument — but the definition is vague, overlapping with those of a paper, an article, a pamphlet, and a short story.

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Evidence-based medicine

Evidence-based medicine (EBM) is an approach to medical practice intended to optimize decision-making by emphasizing the use of evidence from well-designed and well-conducted research.

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Faith healing

Faith healing is the practice of prayer and gestures (such as laying on of hands) that are believed by some to elicit divine intervention in spiritual and physical healing, especially the Christian practice.

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Food and Drug Administration

The Food and Drug Administration (FDA or USFDA) is a federal agency of the United States Department of Health and Human Services, one of the United States federal executive departments.

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Forbes

Forbes is an American business magazine.

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Gale (publisher)

Gale is an educational publishing company based in Farmington Hills, Michigan, in the western suburbs of Detroit.

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Genetics

Genetics is the study of genes, genetic variation, and heredity in living organisms.

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Gina Kolata

Gina Bari Kolata (born February 25, 1948) is an American science journalist, writing for The New York Times.

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Glucosamine

Glucosamine (C6H13NO5) is an amino sugar and a prominent precursor in the biochemical synthesis of glycosylated proteins and lipids.

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Grape therapy

Grape therapy, also known as ampelotherapy, is a form of naturopathic alternative medicine that involves heavy consumption of grapes, including seeds, and parts of the vine, including leaves.

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Hair analysis (alternative medicine)

In mainstream scientific usage, hair analysis is the chemical analysis of a hair sample.

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Health On the Net Foundation

Health On the Net Foundation (HON) is a not-for-profit organization founded in 1995 under the auspices of the Geneva Department of Employment, Social Affairs and Health and based in Geneva, Switzerland.

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Herbalism

Herbalism (also herbal medicine or phytotherapy) is the study of botany and use of plants intended for medicinal purposes or for supplementing a diet.

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HGH controversies

Controversies regarding the use of human growth hormone (HGH) as treatment method have centered on the claims, products, and businesses related to the use of growth hormone as an anti-aging therapy.

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Homeopathy

Homeopathy or homœopathy is a system of alternative medicine developed in 1796 by Samuel Hahnemann, based on his doctrine of like cures like (similia similibus curentur), a claim that a substance that causes the symptoms of a disease in healthy people would cure similar symptoms in sick people.

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Infomercial

An infomercial is a form of television commercial, which generally includes a toll-free telephone number or website.

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Iridology

Iridology (also known as iridodiagnosisCline D; Hofstetter HW; Griffin JR. Dictionary of Visual Science. 4th ed. Butterworth-Heinemann, Boston 1997. or iridiagnosis) is an alternative medicine technique whose proponents claim that patterns, colors, and other characteristics of the iris can be examined to determine information about a patient's systemic health.

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JAMA (journal)

JAMA: The Journal of the American Medical Association is a peer-reviewed medical journal published 48 times a year by the American Medical Association.

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Journal of Marketing Education

The Journal of Marketing Education is a triannual peer-reviewed academic journal that publishes papers on marketing education.

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Journal of the Academy of Nutrition and Dietetics

The Journal of the Academy of Nutrition and Dietetics is the monthly peer-reviewed scientific journal of the Academy of Nutrition and Dietetics published by Elsevier.

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Juice

Juice is a drink made from the extraction or pressing of the natural liquid contained in fruit and vegetables.

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Khaleej Times

Khaleej Times (KT) is a daily English language newspaper published in United Arab Emirates. Launched on April 16, 1978, KT is the UAE's oldest and remains the country's longest running English daily.

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Kimball Atwood

Kimball Chase Atwood IV, M.D. is an American doctor and medical scientist from Newton, MA, who is currently an assistant clinical professor at Tufts University School of Medicine, as well as an anesthesiologist at Newton-Wellesley Hospital, where he has worked since 1993.

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Linus Pauling

Linus Carl Pauling (February 28, 1901 – August 19, 1994) was an American chemist, biochemist, peace activist, author, educator, and husband of American human rights activist Ava Helen Pauling.

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Liquid oxygen (supplement)

Liquid oxygen supplements are products that claim to add extra oxygen to the human body, most often through a chemical process in the digestive system, like the breakdown of hydrogen peroxide or magnesium peroxide.

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List of topics characterized as pseudoscience

This is a list of topics that have, at one point or another in their history, been characterized as pseudoscience by academics or researchers.

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Magnet therapy

Magnet therapy, magnetic therapy, or magnotherapy is a pseudoscientific alternative medicine practice involving the use of weak static magnetic fields, a form of electromagnetic radiation, produced by permanent magnets.

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Medical ethics

Medical ethics is a system of moral principles that apply values to the practice of clinical medicine and in scientific research.

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Medical literature

Medical literature is the scientific literature of medicine: articles in journals and texts in books devoted to the field of medicine.

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Medical uses of silver

The medical uses of silver include its use in wound dressings, creams, and as an antibiotic coating on medical devices.

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MEDLINE

MEDLINE (Medical Literature Analysis and Retrieval System Online, or MEDLARS Online) is a bibliographic database of life sciences and biomedical information.

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Metabolic typing

Proponents of Metabolic typing believe that each person has a unique metabolism, and that the proportion of macromolecules (proteins, carbohydrates and fats) which are optimal for one person may not be for a second, and could even be detrimental to them.

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Mirror website

Mirror websites or mirrors are replicas of other websites.

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Mission statement

A mission statement is a short statement of an organization's purpose, identifying the goal of its operations: what kind of product or service it provides, its primary customers or market, and its geographical region of operation.

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Morris Fishbein

Morris Fishbein M.D. (July 22, 1889 – September 27, 1976) was a physician who became the editor of the Journal of the American Medical Association (JAMA) from 1924 to 1950.

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Multi-level marketing

Multi-level marketing (MLM) also called pyramid selling, network marketing, and referral marketing, is a marketing strategy for the sale of products or services where the revenue of the MLM company is derived from a non-salaried workforce selling the company's products/services, while the earnings of the participants are derived from a pyramid-shaped or binary compensation commission system.

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Multiple chemical sensitivity

Multiple chemical sensitivity (MCS), also known as idiopathic environmental intolerances (IEI), is a disputed chronic condition characterized by symptoms that the affected person attributes to low-level exposures to commonly used chemicals.

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National Cancer Institute

The National Cancer Institute (NCI) is part of the National Institutes of Health (NIH), which is one of eleven agencies that are part of the U.S. Department of Health and Human Services.

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National Center for Complementary and Integrative Health

The National Center for Complementary and Integrative Health (NCCIH) is a United States government agency which explores complementary and alternative medicine (CAM).

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National Council Against Health Fraud

The National Council Against Health Fraud (NCAHF) was a not-for-profit, US-based organization, run by Dr.

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National Institutes of Health

The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research, founded in the late 1870s.

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Nature (journal)

Nature is a British multidisciplinary scientific journal, first published on 4 November 1869.

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Naturopathy

Naturopathy or naturopathic medicine is a form of alternative medicine that employs an array of pseudoscientific practices branded as "natural", "non-invasive", and as promoting "self-healing".

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Nobel Prize

The Nobel Prize (Swedish definite form, singular: Nobelpriset; Nobelprisen) is a set of six annual international awards bestowed in several categories by Swedish and Norwegian institutions in recognition of academic, cultural, or scientific advances.

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Noni juice

Noni juice is derived from the fruit of the Morinda citrifolia tree indigenous to Southeast Asia and Australasia.

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Organic food

Organic food is food produced by methods that comply with the standards of organic farming.

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Orthomolecular medicine

Orthomolecular medicine, a form of alternative medicine, aims to maintain human health through nutritional supplementation.

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Osteopathy

Osteopathy is a type of alternative medicine that emphasizes manual readjustments, myofascial release and other physical manipulation of muscle tissue and bones.

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Oxford Brookes University

Oxford Brookes University is a public university in Oxford, England.

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PC World

PC World, stylized PCWorld, is a global computer magazine published monthly by IDG.

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Peer review

Peer review is the evaluation of work by one or more people of similar competence to the producers of the work (peers).

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Performance-enhancing substance

Performance-enhancing substances, also known as performance-enhancing drugs (PED), are substances that are used to improve any form of activity performance in humans.

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Pneumatics

Pneumatics (From Greek: πνεύμα) is a branch of engineering that makes use of gas or pressurized air.

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Professional

A professional is a member of a profession or any person who earns their living from a specified professional activity.

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Quackery

Quackery or health fraud is the promotion of fraudulent or ignorant medical practices.

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Reflexology

Reflexology, also known as zone therapy, is an alternative medicine involving application of pressure to the feet and hands with specific thumb, finger, and hand techniques without the use of oil or lotion.

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Resveratrol

Resveratrol (3,5,4′-trihydroxy-trans-stilbene) is a stilbenoid, a type of natural phenol, and a phytoalexin produced by several plants in response to injury or, when the plant is under attack by pathogens such as bacteria or fungi.

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Scientific Review of Alternative Medicine

Scientific Review of Alternative Medicine (SRAM) is a peer-reviewed medical journal published by the Commission for Scientific Medicine and Mental Health.

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Scientism

Scientism is the ideology of science.

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Shark cartilage

Shark cartilage is a dietary supplement made from the dried and powdered cartilage of a shark; that is, from the tough material that composes a shark's skeleton.

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Skeptical Inquirer

Skeptical Inquirer is a bimonthly American magazine published by the Committee for Skeptical Inquiry (CSI) with the subtitle: The Magazine for Science and Reason.

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Skeptical movement

The skeptical movement (also spelled sceptical) is a modern social movement based on the idea of scientific skepticism (also called rational skepticism).

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Stephen Barrett

Stephen Joel Barrett (born 1933) is an American retired psychiatrist, author, co-founder of the National Council Against Health Fraud (NCAHF), and the webmaster of Quackwatch.

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The Lancet

The Lancet is a weekly peer-reviewed general medical journal.

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The Medical Journal of Australia

The Medical Journal of Australia is a peer-reviewed medical journal.

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The New Republic

The New Republic is a liberal American magazine of commentary on politics and the arts, published since 1914, with influence on American political and cultural thinking.

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The New York Times

The New York Times (sometimes abbreviated as The NYT or The Times) is an American newspaper based in New York City with worldwide influence and readership.

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The Skeptic's Dictionary

The Skeptic's Dictionary is a collection of cross-referenced skeptical essays by Robert Todd Carroll, published on his website skepdic.com and in a printed book.

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The Village Voice

The Village Voice is an American news and culture paper, known for being the country's first alternative newsweekly.

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The Wall Street Journal

The Wall Street Journal is a U.S. business-focused, English-language international daily newspaper based in New York City.

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The Washington Post

The Washington Post is a major American daily newspaper founded on December 6, 1877.

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Therapeutic touch

Therapeutic touch (commonly shortened to "TT"), known by some as "non-contact therapeutic touch" (NCTT), is a pseudoscientific energy therapy which practitioners claim promotes healing and reduces pain and anxiety.

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Time (magazine)

Time is an American weekly news magazine and news website published in New York City.

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Trabeculoplasty

Trabeculoplasty is a laser treatment for glaucoma.

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Traditional Chinese medicine

Traditional Chinese medicine (TCM) is a style of traditional medicine built on a foundation of more than 2,500 years of Chinese medical practice that includes various forms of herbal medicine, acupuncture, massage (tui na), exercise (qigong), and dietary therapy, but recently also influenced by modern Western medicine.

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Trinity Western University

Trinity Western University (TWU) is a private Christian liberal arts university in Langley, British Columbia, Canada.

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U.S. News & World Report

U.S. News & World Report is an American media company that publishes news, opinion, consumer advice, rankings, and analysis.

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Umbilical cord

In placental mammals, the umbilical cord (also called the navel string, birth cord or funiculus umbilicalis) is a conduit between the developing embryo or fetus and the placenta.

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United States Department of Agriculture

The United States Department of Agriculture (USDA), also known as the Agriculture Department, is the U.S. federal executive department responsible for developing and executing federal laws related to farming, forestry, and food.

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United States Department of Health and Human Services

The United States Department of Health and Human Services (HHS), also known as the Health Department, is a cabinet-level department of the U.S. federal government with the goal of protecting the health of all Americans and providing essential human services.

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United States National Library of Medicine

The United States National Library of Medicine (NLM), operated by the United States federal government, is the world's largest medical library.

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University of Southern California

The University of Southern California (USC or SC) is a private research university in Los Angeles, California.

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University Press of America

University Press of America is an academic publisher based in the United States.

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Virginia Commonwealth University

Virginia Commonwealth University (VCU) is a public research university located in Richmond, Virginia.

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Vitamin C

Vitamin C, also known as ascorbic acid and L-ascorbic acid, is a vitamin found in food and used as a dietary supplement.

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Vitamin C megadosage

Vitamin C megadosage is a term describing the consumption or injection of vitamin C (ascorbic acid) in doses comparable to the amounts produced by the livers of most other mammals.

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Watchdog journalism

Watchdog journalism informs the public about goings-on in institutions and society, especially in circumstances where a significant portion of the public would demand changes in response.

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WebMD

WebMD is an American corporation known primarily as an online publisher of news and information pertaining to human health and well-being.

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White paper

A white paper is an authoritative report or guide that informs readers concisely about a complex issue and presents the issuing body's philosophy on the matter.

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William C. Rader

William C. Rader (born 1938) is an American psychiatrist.

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Redirects here:

Autism Watch, CaseWatch, Chirobase, Credential Watch, Homeowatch, Homeowatch.org, LVCAHF, Lehigh Valley Committee Against Health Fraud, MLM Watch, Naturowatch, QuackWatch, Quackwatch.org, Quatch, Qwatch.

References

[1] https://en.wikipedia.org/wiki/Quackwatch

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