The title of the segment on the Dr. Oz Show was “The Secret Ingredient Companies are Hiding in Your Food.” What could that be? Some opiate to keep you coming back for more? Tetrahydrocannabinol to increase appetite? No. The segment was all about chemicals called phthalates. And companies are not hiding their presence any more than they are “hiding” the presence of numerous substances that are not added to our food supply on purpose but can be detected through sophisticated analytical methods. These include pesticide residues, corrosion inhibitors, PCBs, detergents, chloroform, cadmium, radium, mercury, aflatoxins, bacteria and a host of others. Some of these are man-made, some occur naturally, but all are potentially toxic if present in a high enough dose. They end up in our food supply for the simple reason that if substances come into contact with each other, there will be a transfer of material from one to the other. If chloroform forms in water as a result of chlorination, which it does, some will be transferred to food that comes into contact with the water. Flourinated compounds used to produce grease-proof packaging can leave residues in food, aspergillus fungi can contaminate apple juice with their toxic metabolite patulin, wine may harbour residues of isinglass, a fish protein used to remove fine particles, and the potential carcinogen acrylamide forms when bread is baked.
None of these substances appears on food labels, not because there is some conspiracy to hide them, but because they are unavoidable. So it is with the phthalates. They do end up in our food supply because these chemicals have widespread applications. They lend flexibility conveyor belts, tubes used in milking machines and to plastic water pipes. They help the dispersal of pesticides, they’re found in caulking and in printing inks used on food packaging.
It’s no surprise to anyone familiar with chemical analysis that phthalates can be detected in our urine. Their presence, though, did come as a big surprise to the ten women Dr. Oz selected to have their urine analyzed for phthalates. None of the women had ever heard of phthalates before, which is quite surprising given the amount of publicity they have received. Their faces filled with panic when Oz revealed that they all tested positive for phthalates, chemicals that had been associated with endometriosis, weight gain, respiratory problems as well as brain and behaviour changes in children.
But here is the crux of the problem. Associations do not prove cause and effect. Just because women are more likely to suffer from endometriosis if they have higher levels of phthalates in their urine doesn’t mean that phthalates are the cause. Perhaps they have greater phthalate exposure because they eat more fatty foods like dairy and meat which are known to have higher amounts of phthalates. Perhaps they used more scented products most of which contain phthalates to inhibit the evaporation of the scent and they were somehow reacting to some of the numerous chemicals that make up scented products.
None of this is meant absolve phthalates from all blame because there are sufficient laboratory studies, animal experiments and human epidemiological data that suggest the need for further investigation. But there is no need for panic. There are numerous other substances that could be detected in our urine that could also be vilified in the same fashion as the phthalates. How many? At least 3,079 compounds can be detected, of which 2,282 come from diet, drugs, cosmetics or environmental exposure. Enough chemicals there for Dr. Oz to discuss and panic audiences for many years.