Remember back in the spring when I explained the FRAT and leucovorin and you accused me of working for the lab that does rhe FRAT test? I hope you mentioned that incident to your psychiatrist. Is it called paranoid delusions? |
Oh right. Everything you don’t like is “flawed” but everything you do like is “your psychiatrist is committing malpractice not to prescribe.” Got it! Anyway here is more research linking high folate to autism: https://pmc.ncbi.nlm.nih.gov/articles/PMC5796848/ FWIW I don’t know what the right answer is (because the research has not been done). I do know that it is absurd to think RFK knows the answer. |
If you actually have a basis to provide medical advice or an expert assessment of the evidence, tell us your credentials. |
Why would anyone believe what the pp claims for credentials? There are, however, peer-reviewed papers to look at. I get the immediate instinct to discount anything that RFK and Trump say, but why not ignore what they say and look at the available data? |
For the MILLIONTH TIME: I don’t think anyone here is disputing that it may be promising. The point is that the research is not done yet and Trump and RFK are pretending that it is, for political reasons. |
And again, you're holding these to a higher standard than other drugs because you rightfully dislike and distrust everything Trump and RFK do. Here we have a drug with a long history of use demonstrating safety. And a set of studies over a decade demonstrating some degree of efficacy. Is there room to study it more? Of course there is. Is this drug appropriate and effective for everyone? No, certainly not. But it does have much better safety profile than other drugs for ASD. I suspect a lot of the pushback in this thread are from parents that either don't have kids with ASD or that have kids with ASD that have lower support needs. Either way, they're from people that haven't been blindly trying far more dangerous medications with minimal success. |
What do you think the answer would be if you asked parents if they wanted to try a drug now with a long safety history, that might not help, but that might lead to small-to-moderate improvements to verbal communication? Or if they'd rather wait for a couple years as their kid falls further and further behind? They'd jump toward it. I really don't think a lot of the posters here understand what kids and parents are already going through with medications. Even established drugs used for on-label indications have low efficacy and significant negative effects. |
DP. So do you not take anything the FDA approves ever? To me the area lacking research is for efficacy for autism. But it’s been approved for other uses for 70 years. |
I am absolutely not holding the drug to “higher standards.” I am saying that RFK and Trump are touting results that have not yet been established by research. And actual autism experts agree: “ The September 22 press conference held by U.S. Health and Human Services alarms us researchers who committed our entire careers to better understanding autism,” the Coalition of Autism Scientists wrote in a statement. The group consists of more than 260 leading autism researchers in the U.S. “The data cited do not support the claim that Tylenol causes autism and leucovorin is a cure, and only stoke fear and falsely suggest hope when there is no simple answer.” “With this in mind,” the group added, “we do not support any recommendation from the HHS or FDA regarding increased use of folinic acid. Instead, we call for a well-designed, large scale clinical trial of leucovorin (folinic acid) with all of the rigor needed (biomarkers, proper endpoints) and, most importantly, a pre-registered analysis plan.”” https://www.thetransmitter.org/spectrum/autism-experts-question-hhs-statements-on-tylenol-leucovorin/ |
It’s like talking to a wall but I will try again. The fact that this drug has been used in the past or subjected to (small) studies in autism does not mean that the research has actually been done to know if it actually works for autism. |
DP. How does this excuse Trump and RFK Jr engaging in this pump & dump scheme? When they are literally the two people in the entire country who could make the research happen so parents would have more to go on than “maybe this will help”. And you are wholly ignorant if you think there is somehow no possibility of negative side effects. because of course the trials have *not been done* to find out. |
Many of the drugs used for autism don't ultimately work for autism. And many of them have much more serious side effects than leucovorin. So we have a drug with a long and solid safety history, some open-label prospective trials with limited, but promising, results, and two double-blind RCTs with positive findings on efficacy and side effects. It's not like there are effective alternatives here. |
Who said there was no possibility of negative side effects? Of course there is. But there's a 70-year history demonstrating safety, and recent studies involving kids with ASD demonstrating minimal side effects occurring at similar rates as placebo. Compare that to risperidone and Abilify. Or even methylphenidate and guanfacine. Would I like to see more studies? Of course. Do I want to wait until they're done before looking at whether it plausibly might work for my son? Definitely not. More studies are unlikely to answer the main question of efficacy: whether it will help my son. We've tried several on-label and commonly prescribed off-label medications over the years. Most didn't work. Many led to significantly worse behaviors. The available data on Leucovorin tells a pretty convincing story that it's better than most of what we've been through. It probably won't work, but it probably won't do as much harm as the other things we've tried. You could probably call me a combination of selfish and impatient. But I've got a kid currently taking much more dangerous drugs with lackluster results at a critical time in his development. Waiting 2 or 3 years for a well-organized RCT would come too late. The odds of success are small, I know, but even small successes could be life-changing. Weighed against the outcome of doing nothing differently with my child, it seems like a very easy choice from a risk-benefit perspective. |
Dolly Parton did more to develop the vaccine than Trump. |
Pump and dump? This drug is generic. If you missed the news conference yesterday, RFK made an announcement that fifty million dollars was being allocated into research for larger scale studies. |