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The Peter Attia Drive

#75 - David Light: Zantac recall due to cancer concerns – what you need to know

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 14 October 2019

⏱️ 98 minutes

🧾️ Download transcript

Summary

In this episode, David Light, CEO of Valisure (the company which alerted the FDA to the Zantac cancer concerns), explains the story behind the recent recalls by manufacturers of ranitidine, a common heartburn medication, sold under the trade name Zantac, due to a potential link to increased cancer risk. David breaks down all the evidence, the role of his unique pharmacy company which tests all its drugs before being dispensed to consumers, and the reason behind the FDA’s tempered reaction to the alarming study results. David makes the argument that Zantac/ranitidine is an inherently unstable molecule which explains the grossly excessive amounts of NDMA (a probable human carcinogen) as opposed to just a contamination for which there could be numerous causes. Finally, David and Peter both provide recommendations for what to do if you or someone you know is currently taking Zantac/ranitidine.

We discuss:

  • The impetus for starting Valisure, a unique online pharmacy that tests all its medications [6:45];
  • The story behind the recall of valsartan, and the role which Valisure played [24:30];
  • Testing Zantac: The shocking results from Valisure’s initial testing with major potential cancer implications [36:00];
  • NDMA - the probable human carcinogen found in Zantac/ranitidine [48:45];
  • The epidemiology question: Are we inferring too much from epidemiology? What can we take away from the existing studies? [53:30];
  • The staggering results from the 2016 Stanford study, why it didn’t alarm more people, and how Valisure found the missing biological link [1:01:30];
  • Alerting the FDA, the FDA’s tempered response, and question of contamination vs. inherent instability [1:07:30];
  • How confident is David that the elevated levels of NDMA being found in ranitidine are not due to instrumentation, human error, or temperature contamination? [1:24:15];
  • The massive risk being taken by the FDA by not doing more to keep ranitidine away from consumers [1:25:15];
  • If someone is taking Zantac/ranitidine, what should they do? What else do they need to know? [1:27:45]; and
  • More.

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Transcript

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0:00.0

Hey everyone, welcome to the Peter Atia Drive. I'm your host, Peter Atia.

0:10.0

The drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,

0:15.7

along with a few other obsessions along the way. I've spent the last several years working

0:19.6

with some of the most successful top performing individuals in the world, and this podcast

0:23.8

is my attempt to synthesize what I've learned along the way to help you live a higher quality

0:28.3

more fulfilling life. If you enjoy this podcast, you can find more information on today's

0:32.5

episode and other topics at peteratiamd.com.

0:41.6

Hey everybody, welcome to this week's episode of The Drive. I'd like to take a couple of

0:45.4

minutes to talk about why we don't run ads on this podcast. If you're listening to this,

0:49.4

you probably already know, but the two things I care most about, professionally, are how to live

0:54.6

longer and how to live better. I have a complete fascination and obsession with this topic. I practice

1:00.6

it professionally, and I've seen firsthand how access to information is basically all people need

1:05.9

to make better decisions and improve the quality of their lives. Curating and sharing this knowledge

1:11.1

is not easy, and even before starting the podcast, that became clear to me. The sheer volume of material

1:16.5

published in this space is overwhelming. I'm fortunate to have a great team that helps me continue

1:21.8

learning and sharing this information with you. To take one example, our show notes are in a

1:27.0

league of their own. In fact, we now have a full-time person that is dedicated to producing those,

1:31.8

and their feedback has mirrored this. So all of this raises a natural question. How will we continue

1:38.0

to fund the work necessary to support this? As you probably know, the tried and true way to do this

1:43.5

is to sell ads, but after a lot of contemplation, that model just doesn't feel right to me for a few

1:49.8

reasons. Now, the first and most important of these is trust. I'm not sure how you could trust me

1:55.5

if I'm telling you about something when you know I'm being paid by the company that makes it

...

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