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« on: April 23, 2015, 05:22:11 PM »
Hello again, KarenRei...
First off, I'm not LakeSuperior or any of that sort of obnoxious pseudorationalist git...
That means:
1) I accept that annonacae fruits have poison in them.
2) I accept that a high enough consumption means that we are poisoned by them.
My problem is that the concern for anonacae fruits is disproportionate to the actual risks, and that the scientific studies to date are a lot weaker than you seem to understand. There are routine qualifiers, like in the pawpaw paper, making clear that critical questions like bioavailability from actual pawpaw consumption is not fully answered. Moreover, *compared to other tropical fruits and less domesticated fruits*, anonacae may well not be an outlier in terms of dangerous consumption, and that we're overseeing the clear analogies to obviously poisonous substances, with easy causation established.
Moreover, all of the studies cited are simply way too small, and with way little discrimination, epidemiological-wise.
The conclusion of the best work, from which you cited that image goes like this:
The clinical, neuropsychological and neuroradiological analysis of Gd-PSP and Gd-PDC patients suggests that these two groups cannot be confounded with Parkinson's disease and, except for the oculomotor signs, cannot be distinguished from each other. This is confirmed by correlation with the consumption of annonaceous products, which is as low in Parkinson's disease patients as in controls, but equally high in the Gd-PSP and Gd-PDC groups, although there was a tendency for Gd-PDC patients to have consumed more than the Gd-PSP patients. It should be noted, however, that about 50% of the atypical patients were not heavy consumers of annonaceaous products, suggesting that other factors, environmental or genetic, might affect the vulnerability of patients to the neurotoxins in Annonaceae. In addition, a certain number of control patients (n = 22) fell into the category of high consumers, and might constitute a group at risk for the development of atypical parkinsonism. This study has reinforced the hypothesis that atypical parkinsonism in Guadeloupe may be related to an alimentary toxin, but prospective longitudinal studies are needed to clarify this point, which is very important not only for scientific reasons, but also for public health. Our detailed clinical, neuropsychological and neuroradiological analysis of this form of parkinsonism provides criteria for the diagnosis of this disease in other populations potentially at risk.
And this was also true of another study I found (but could only read the abstract of) which concluded that anonacae consumption is not necessarily strongly-linked to atypical Parkinson.
Moreover, from the cited image, what high consumption meant was effectively normed at one fruit/cup of fruit juice a day for ten years, and high consumption is like double that. Step back for a sec. How many people, given adequate means, will eat that much of a single fruit every day? That makes for wondering whether selecting for consumption is also selection for other factors. Also, few people with means and access to a global marketplace, even if they totally LOOOVE soursop, are going to manage to consume that much for that long, in the face of the rest of the delicacies the world offers.
Lastly, again, a tremendous number of tropical products are really rather toxic if you let yourself think that way. I mean, are you going to be super cautious about white sapote? How about nutmegs or cashew apples? Are you going to take the risk of consuming that Mamey? The game is basically the same as it is with everything else, including beer, etc. In moderation, prepared properly.