Max Gerson (October 18, 1881 – March 8, 1959) was a German-born American physician who developed the Gerson Therapy, an alternative dietary therapy, which he claimed could cure cancer and most chronic, degenerative diseases. Gerson described his approach in the book A Cancer Therapy: Results of 50 Cases. The National Cancer Institute evaluated Gerson's claims and concluded that his data showed no benefit from his treatment. The therapy is scientifically unsupported and considered potentially hazardous.
Gerson was born in Wongrowitz (Wągrowiec, now in Poland) on October 18, 1881. In 1909, he graduated from the Albert-Ludwigs-Universität Freiburg. He began practicing medicine at age 28 in Breslau (Wrocław, now in Poland), later specializing in internal medicine and nerve diseases in Bielefeld. By 1927, he was specializing in the treatment of tuberculosis, developing the Gerson-Sauerbruch-Hermannsdorfer diet, claiming it was a major advance in the treatment of tuberculosis. Initially, he used his therapy as a supposed treatment for migraine headaches and tuberculosis. In 1928, he began to use it as a claimed treatment for cancer. He left Germany in 1933 and emigrated first to Vienna, where he worked in the West End Sanatorium. Gerson spent two years in Vienna, then in 1935 he went to France, associating with a clinic near Paris before moving to London in 1936. Shortly after that, he moved to the United States where he settled in New York City.
In the United States
Gerson immigrated to the United States in 1936, passed his medical board examination and became a U.S. citizen in 1942.
In the U.S., Gerson applied his dietary therapy to several cancer patients, claiming good results, but other workers found his methodology and claims unconvincing. Proponents of the Gerson Therapy assert that a far-ranging conspiracy headed by the medical establishment prevented Gerson from publishing proof that his therapy worked.[unreliable source?] In 1958, Gerson published a book in which he claimed to have cured 50 terminal cancer patients: A Cancer Therapy: Results of 50 Cases. In 1953, Gerson's malpractice insurance was discontinued and, in 1958, his medical license in New York was suspended for two years. Gerson died March 8, 1959 of pneumonia.
Gerson Therapy is based on the belief that disease is caused by the accumulation of unspecified toxins, and attempts to treat the disease by having patients consume a predominantly vegetarian diet including hourly glasses of organic juice and various dietary supplements. Animal proteins are excluded from the diet under the unproved premise that tumors develop as a result of pancreatic enzyme deficiency. In addition, patients receive enemas of coffee, castor oil and sometimes hydrogen peroxide or ozone.
After Gerson's death, his daughter Charlotte Gerson continued to promote the therapy, founding the "Gerson Institute" in 1977. The original protocol also included raw calf's liver taken orally, but this practice was discontinued in the 1980s after ten patients were hospitalized (five of them comatose) from January 1979 to March 1981 in San Diego, California area hospitals, following an outbreak of rare Campylobacter fetus infection and sepsis which was seen only in those following Gerson-type therapy with raw liver (no other cases of patients having sepsis with this microbe, a pathogen in cattle, had been reported to Centers for Disease Control and Prevention in the previous two years). Nine of ten hospitalized patients had been treated in Tijuana, Mexico; the tenth followed Gerson therapy at home. One of these patients who had metastatic melatoma died within a week of his septic episode. Many of the patients had low sodium levels, thought to be associated with the very low sodium Gerson diet.
Gerson's therapy has not been independently tested or subjected to randomized controlled trials, and thus is illegal to market in the United States. The Gerson Institute promotes the therapy by citing patient testimonials and other anecdotal evidence. Gerson published a book discussing the alleged success of the therapy in 50 patients, but a review by the U.S. National Cancer Institute was unable to find any evidence that Gerson's claims were accurate. The NCI found that no in vivo animal studies had been conducted. Similarly, case series by Gerson Institute staff published in the alternative medical literature suffered from methodological flaws, and no independent entity has been able to reproduce the claims.
Attempts to independently check the results of the therapy have been negative. A group of 13 patients sickened by elements of the Gerson Therapy were evaluated in hospitals in San Diego in the early 1980s; all 13 were found to still have active cancer. An investigation by Quackwatch found that the institute's claims of cure were based not on actual documentation of survival, but on "a combination of the doctor's estimate that the departing patient has a 'reasonable chance of surviving', plus feelings that the Institute staff have about the status of people who call in". A 1994 article in the Journal of Naturopathic Medicine attempted to follow 39 Gerson patients in Tijuana. Patient interviews were used to confirm the existence and stage of cancer; most patients were unaware of the stage of their tumor, and medical records were not available. Most patients were lost to follow-up; of the patients successfully followed, 10 died and 6 were alive at their last follow-up. Review of this study pointed out its "obvious flaws", including "the majority of patients lost to follow-up, lack of access to detailed medical records, and reliance upon patients for disease stage information"; the authors themselves regarded the results as unclear.
The American Cancer Society reported that "[t]here is no reliable scientific evidence that Gerson therapy is effective in treating cancer, and the principles behind it are not widely accepted by the medical community. It is not approved for use in the United States." In 1947, the National Cancer Institute reviewed 10 claimed cures submitted by Gerson; however, all of the patients were receiving standard anticancer treatment simultaneously, making it impossible to determine what effect, if any, was due to Gerson's therapy. A review of the Gerson Therapy by Memorial Sloan-Kettering Cancer Center concluded: "If proponents of such therapies wish them to be evaluated scientifically and considered valid adjuvant treatments, they must provide extensive records (more than simple survival rates) and conduct controlled, prospective studies as evidence." In 1959, the National Cancer Institute (NCI) again reviewed cases of patients treated by Gerson. The NCI found that the available information did not prove the regimen had benefit. Cancer Research UK states that "Available scientific evidence does not support any claims that Gerson therapy can treat cancer [...] Gerson therapy can be very harmful to your health."
Gerson therapy can lead to several significant health problems. Serious illness and death have occurred as a direct result of some portions of the treatment, including severe electrolyte imbalances. Continued use of enemas may weaken the colon's normal function, causing or worsening constipation and colitis. Other complications have included dehydration, serious infections and severe bleeding.
The therapy may be especially hazardous to pregnant or breast-feeding women.
Coffee enemas have contributed to the deaths of at least three people in the United States. Coffee enemas "can cause colitis (inflammation of the bowel), fluid and electrolyte imbalances, and in some cases septicemia". The recommended diet may not be nutritionally adequate. The diet has been blamed for the deaths of patients who substituted it for standard medical care.
Relying on the therapy alone while avoiding or delaying conventional medical care for cancer has serious health consequences.
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- "Gerson Therapy". American Cancer Society. Retrieved April 22, 2009.
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- American Cancer Society. "Metabolic Therapy". Accessed March 22, 2011.
- "Doctor Yourself". Doctor Yourself. Retrieved January 25, 2010.
- Hess, David J. (2004). The politics of healing: histories of alternative medicine in twentieth-century North America. Routledge. p. 222. ISBN 0-415-93339-0.
- New York Times, March 9, 1959, p 29. "Dr. Max Gerson, 77, Cancer Specialist".
- Abby S. Bloch (1990). Nutrition Management of the Cancer Patient: A Practical Guide for Professionals. Jones & Bartlett Learning. p. 362. ISBN 978-0-8342-0132-3. Retrieved 23 November 2012.
- Weitzman S (1998). "Alternative Nutritional Cancer Therapies". International Journal of Cancer. Supplement II: 69–72. doi:10.1002/(SICI)1097-0215(1998)78:11+<69::AID-IJC20>3.0.CO;2-7. PMID 9876483.
- Gerson Institute, "About Us". Accessed 12 May 2012.
- Centers for Disease Control (CDC) (June 1981). "Campylobacter sepsis associated with "nutritional therapy"--California". MMWR Morb. Mortal. Wkly. Rep. 30 (24): 294–5. PMID 6789105. On-line link to this report at CDC Stacks. Accessed 17 October 2012.
- "The Gerson Institute — Alternative Cancer Treatment".
- Lowell, James (February 1986). "Background History of the Gerson Clinic". Nutrition Forum Newsletter. Quackwatch. Retrieved April 22, 2009.
- Dale, Austin S. (1994). "Long term follow-up of cancer patients using Contreras, Hoxsey and Gerson therapies". Journal of Naturopathic Medicine 5: 74–76.
- "Gerson Therapy Overview". National Cancer Institute. September 6, 2007. Retrieved April 22, 2009.
- "What Gerson therapy is". Cancer Research UK. Retrieved October 22, 2012.
- Hills, Ben. "Fake healers. Why Australia's $1 billion-a-year alternative medicine industry is ineffective and out of control.". Medical Mayhem. Retrieved March 6, 2008. "Kefford is particularly concerned about cancer patients persuaded to undergo the much-hyped U.S. Gerson diet program, which involves the use of ground coffee enemas, which can cause colitis (inflammation of the bowel), fluid and electrolyte imbalances, and in some cases septicaemia. The U.S. FDA has warned against this regime, which is known to have caused at least three deaths."
- Clinic Practice Guidelines, page 182.[dead link]
- Clinical Practice Guidelines for the Prevention, Diagnosis, and Management of Lung Cancer, page 196
- Snowbeck, Christopher (April 9, 1999). "Cancer Therapy Pained Her Family... And Didn't Work". Pittsburgh Post-Gazette. Retrieved April 22, 2009.
- Max Gerson MD, A Cancer Therapy: Results of 50 Cases (San Diego: The Gerson Institute, 1990)
- Charlotte Gerson, The Gerson Therapy (New York: Kensington Publishing, NYC, 2001)
- Howard Straus, Dr. Max Gerson: Healing the Hopeless (Kingston, Ontario, Canada: Quarry Books, 2001)
- S. J. Haught, Censured for Curing Cancer: the American Experience of Dr. Max Gerson (New York: Station Hill Press, 1991)
- Patricia Spain Ward, PhD., History of the Gerson Therapy by Dr. Ward under contract to the Office of Technology Assessment
- Ferdinand Sauerbruch, Master Surgeon (a.k.a. A Surgeon's Life) [Das war mein Leben] (London: André Deutsch, 1953 and Munich: Kindler, 1951) reprinted since
- Vickers AJ, Cassileth BR (2008). "Living proof and the pseudoscience of alternative cancer treatments". J Soc Integr Oncol 6 (1): 37–40. PMC 2630257. PMID 18302909.
- Questionable Cancer Therapies, from Quackwatch (includes section on Gerson Therapy with references)