Daily multivitamin supplements have been found to reduce HIV disease progression among men and women. This could become an important low-cost intervention provided during early HIV disease to prolong the time before antiretroviral therapy is required.[6] Various forms of alternative medicine have also been used to treat symptoms or alter the course of the disease.[3] Examples of alternative medicine that people have used in an effort to improve their symptoms, disease progression or quality of life include massage, stress management, acupuncture;[3], boxwood[7], and bowel-tolerance-dose vitamin C [8] [9]. [10] When used with conventional treatment, many now refer to these as “complementary” approaches. There is a concerning shortage of studies to establish the effectiveness of complementary and alternative treatments for HIV/AIDS. [5]
Reasons in support of this suggestion:
This suggestion addresses two ongoing disputes and hopefully may be a compromise solution to both of them.
This paragraph is factual and supported by citations.
It provides links and footnotes allowing the reader interested in alternative therapies to easily find more reading material on the subject.
It is shorter than the original. Some editors had expressed the opinion that the alternative therapy section was “too long”.
It increases the prominence of the result about vitamin supplementation by moving this information to the beginning of a paragraph. At least one editor seems to have missed seeing this interesting information on earlier reading of the article.
It removes vague, misleading and uncited (as far as I see) material about the changing definition of alternative therapy. The current paragraph give the misleading impression that alternative therapies are no longer used much. The phrase “community-based” doesn’t seem to mean much: surely every AIDS patient is in some sort of community?
The proposed paragraph mentions four or five alternative therapies for which there is some evidence of effectiveness. The Mills paper lists studies showing statistically significant support for stress management, massage and boxwood, while the Cathcart and Hickey references provide evidence in favour of bowel-tolerance-dose vitamin C. (Does the Saltmarsh reference provide evidence in support of acupuncture for AIDS?) The current version of the article mentions “flower remedies” for which I haven’t seen evidence of effectiveness.
The current paragraph has no mention of vitamin C nor any link to further information on it. Mentioning vitamin C is important for the following reasons:
People with AIDS are typically able to consume 40 to 100 grams of vitamin C, according to Cathcart (1984), without the diarrhoea-like symptoms that a normal healthy person experiences on ingesting about 2 to 6 grams of the vitamin. This suggests that the body of a person with AIDS is able to consume and utilise these amounts of vitamin C.
For a number of other illnesses during which people are able to ingest larger than normal amounts of vitamin C without the usual side effects, there is some evidence that ingesting these amounts leads to reduction of symptoms of the sickness and improvement in health.
There is evidence from anecdotal reports from two different authors that large doses of vitamin C lead to clinical improvement in AIDS patients.
Vitamin C is known to be used in a number of ways by the immune system — for example, chemotaxis, production of interferon and production of hydrogen peroxide for killing pathogens.
When animals who produce their own vitamin C (most mammals, for example) get sick, they produce increased amounts of vitamin C comparable to the bowel-tolerance-dose in humans.
Vitamin C is of low cost and low toxicity, therefore a simple cost-benefit analysis suggests that if there is a reasonable likelihood that it may be beneficial, it is worth using.
The last sentence of the Treatment section is currently in dispute. The last sentence of this proposed edit is a version of that sentence which more closely reflects the actual citation: for example, the quote given above from the citation in support of the current sentence does not use the word “proven” but does use the words “concerning” and “established”. The vocabulary and overall message of this new proposed sentence are closer to the original meaning of the citation.
If anyone objects to anything about this proposed edit, please discuss it here, and please propose alternative edits which address the above concerns, which satsify the list of criteria (which I proposed earlier and which no one has objected to), and which you believe are likely to be accepted by all involved.