Physicians who practice evolutionary medicine?

Why Do Some Doctors Reject Evolution?


After all, evolution is the foundational principle of biology, which, in turn, is the basic science that backs medicine. Ninety-eight percent of scientists, a closely related profession, accept evolution.

My comment: I think they probably included too many social scientists who believe that evolutionary theory is something more than pseudoscientific nonsense.


Unfortunately, there don’t seem to be great numbers on the percentage of doctors who accept evolution.

My comment: Physicians who accept evolution are not likely to be among any of their biologically informed peers who understand the need to practice “Precision Medicine.” What is currently known about nutritional epigenetics and pharmacogenomics requires intelligent physicians to know how RNA-mediated cell type differentiation occurs. The fact that nutrient-dependent RNA-mediated amino acid substitutions differentiate all cell types in all individuals of all genera suggests that only biologically uninformed physicians believe in evolutionary theories. The difference in medical practices could be frightening.
See: Oppositional COMT Val158Met effects on resting state functional connectivity in adolescents and adults.

The article links

“…a functional single nucleotide polymorphism (SNP) in COMT (G-to-A base-pair substitution) leading to a methionine (Met) valine (Val) substitution at codons 108/158 (COMT Val158Met). Carriers of the Met allele have been found to display a fourfold decrease in enzymatic activity compared to Val allele carriers going along with an increase of prefrontal DA activity (Lachman et al. 1996; Lotta et al. 1995).

My comment: See this textbook claim for comparison.”… genomic conservation and constraint-breaking mutation is the ultimate source of all biological innovations and the enormous amount of biodiversity in this world. In this view of evolution there is no need of considering teleological elements” (p. 199).  Mutation-Driven Evolution
A physician who believes in evolution would be likely to treat a patient who has a base-pair substitution and nutrient-dependent amino acid substitution that effects hormone-organized and hormone-activated behaviors as if the patient was a mutant human who somehow evolved differently than normal humans.  Prescribing a pill to treat the “mutant” might be effective, but waiting for accurate results of pharmacogenomic testing before prescribing a pill that did not work or one that had serious side effects as consequences would let the physician make an informed treatment decision. The information helps to eliminate some of the guesses about what might be the most effective therapy, or if drug therapy is the best option. The information also helps physicians to decide the medication that might be most helpful to treat other conditions that vary with nutrient-dependent RNA-mediated cell type differentiation.


Why Do Some Doctors Reject Evolution? (revisited)


Although doctors use many insights from biology, many don’t actually need to understand or believe in evolution correctly to do their jobs.


With time, more specialties might require understanding and accepting evolution in full. “For example, in oncology, it’s become very important,” Gorski says. “Tumor cells undergo selective pressure as they develop and get treated. We can track that through various genomic methods we didn’t have before.”

My comment: The methods we now have link physics, chemistry, and conserved molecular mechanisms to RNA-mediated cell type differentiation. Accepting evolution in full has left most people blinded by theory, which is why some physicians blindly prescribe drugs that are contraindicated by what is known biodiversity.
See also: Genome Digest
My comment: Unique microRNAs appear to link the nutrient-dependent pheromone-controlled life history transitions of bees to RNA-mediated metabolic networks and genetic networks in all genera via base pair substitutions and amino acid substitutions that differentiate cell types.
See also: Nutrient-dependent/pheromone-controlled adaptive evolution: a model

The honeybee already serves as a model organism for studying human immunity, disease resistance, allergic reaction, circadian rhythms, antibiotic resistance, the development of the brain and behavior, mental health, longevity, diseases of the X chromosome, learning and memory, as well as conditioned responses to sensory stimuli (Kohl, 2012).

Physicians who believe in evolution may not believe what has been learned about nutrient-dependent pheromone-controlled RNA-mediated cell type differentiation in species from microbes to man. You might be better off if you find a physician who is willing to join serious scientists who are Combating Evolution to Fight Disease. 
One of the things that serious scientists and physicians must learn is how to differentiate between mutations linked to pathology and amino acid substitutions linked to health and longevity.

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