Table Of ContentAscorbate 
 
The Science of Vitamin C 
 
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Ascorbate 
 
The Science of Vitamin C 
 
 
 
 
 
 
 
 
 
Steve Hickey PhD. 
 
and 
 
Hilary Roberts PhD. 
 
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ISBN 1-4116-0724-4 
Copyright © 2004 by Steve Hickey, PhD. 
All rights reserved. No part of this publication may be 
reproduced, stored in a retrieval system, or transmitted in any 
form or by any means, electronic, mechanical, photocopying or 
otherwise without the prior permission of the copyright owner. 
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Contents 
 
Contents  5 
Acknowledgements  7 
Preface  9 
A new approach to vitamin C  11 
Science and scurvy  19 
Scientific reliability  31 
Social influences on science  40 
The history of vitamin C  50 
Chemistry and vitamin C  55 
Evolution and deficiency  67 
How much does a healthy person need?  73 
Is vitamin C safe?  91 
Biased experiments  97 
Oxidation and illness  107 
The ultimate antioxidant  115 
Dynamic flow  125 
Heart disease and stroke  131 
Heart disease or scurvy?  143 
Vitamin C and lysine  154 
Antioxidants and heart disease  160 
Infectious diseases  170 
Cancer  187 
Vitamin C as a treatment for cancer  193 
Replication and refutation  207 
Glossary of terms  213 
Index  223 
References  227 
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Acknowledgements 
 
 
 
We  are  grateful  to  all  the  following,  particularly  Dr  Robert 
Cathcart, who read an early draft and contributed detailed comments 
and helpful suggestions. Dr Abram Hoffer read parts of the book and 
provided  comment  and  encouragement.  Dr  Mark  Levine  provided 
detailed background information on his experimental results, despite 
our disagreeing with some of his conclusions. Dr John Pemberton 
supplied  additional  background  information  on  his  experiments  on 
scurvy  with  Sir  Hans  Krebs.  We  should  also  like  to  thank  Owen 
Fonorow and the Vitamin C Foundation for discussion on the Pauling 
therapy  and  reports  from  their  web  site.  Dr  Ian  Brighthope  kindly 
provided  information  about  his  current  views.  Dr  Aleksandra 
Niedzwiecki  responded to  our  questions  about  her  work  with  Dr 
Mathias Rath on the treatment of heart disease with vitamin C, lysine 
and  proline.  Dr  Ulrike  Beisiegel  provided  comment  about  her 
collaborative work with Mathias Rath. Dr Lyubka Tantcheva provided 
information  about  her  vitamin  C  research.  Dr  Tom  Levy  provided 
feedback on his work with heart disease.  
Stephanie Morgan read a preprint of the book and provided 
supportive guidance and comments. Michael Roberts, FRCS, read 
parts  of  the  manuscript  and  provided  valuable  comments.  Simon 
Hickey and Andrew Hickey read the manuscript and made helpful 
suggestions. Michael Mesham, Nicola Chappell and Rose Chappell 
also provided comments and helped with the manuscript.  
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In memory of Tom Roberts
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Preface
 
 
This is a book about the science of vitamin C (ascorbate), with 
particular emphasis on its use for treating and preventing disease. 
Our aim is to help people understand the controversy that currently 
surrounds this vitamin.  
A large number of publications advocate the use of vitamin C 
supplements for good health and, in higher doses, as a treatment for 
disease. In this book, however, it is not our intention to promote the 
use of vitamin C as a treatment for any particular condition. In the 
event that a reader wishes to try vitamin C as a treatment for some 
condition, we must suggest that they first consult a physician. Medical 
guidance is essential for the treatment of significant disease and, for 
example, it is necessary to have an accurate diagnosis in order to 
determine the appropriate treatment. While high doses of vitamin C 
are normally safe, there are exceptions in certain disease states and 
genetic conditions. There may also be dangers in treating some forms 
of cancer; reports suggest that in some patients it may kill the tumour 
too quickly, producing necrosis and toxicity. In particular, medically 
qualified  practitioners  should  carry  out  the  administration  of 
intravenous sodium ascorbate.  
Nutritional supplementation, on the other hand, is a matter of 
personal choice; doctors often have little training in this area. The 
purpose  of  this  book  is  to  allow  readers  to  reach  an  informed 
judgement  about  the  health  claims  made  for  vitamin C.  When 
considering  large  dose  supplements,  it  is  wise  to  ensure  that  the 
person does not have one of the few contraindications, such as iron 
overload or kidney disease. While medical assistance is important in 
treating disease, our view on supplementation is that until doctors 
have carried out the necessary research, they would do well to resist 
pontificating about a person’s right to good nutrition.  
The Nobel Prize winning physicist, Richard Feynman, used to 
say that if you really understood something you could explain it in a 
simple way. Our aim in this book is to present a straightforward and 
balanced account of the complex actions and potential uses of vitamin 
C. In some parts, the biochemistry is complicated, although we have 
tried to make it as simple as possible without introducing error. We 
hope that intelligent members of the public will be able to read the 
book without too much effort, even if they have not had a scientific 
education.  We  have  also  taken  account  of  the  needs  of  medical 
practitioners,  who  may  be  interested  in  the  subject.  Although  the 
arguments  are  sophisticated,  we  have  tried  to  represent  them  as 
clearly and simply as possible. We assume that scientists who read 
the book will be able to fill in the finer detail for themselves.  
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We  have  tried  to  make  a  difficult  subject  readable,  while 
maintaining a high degree of accuracy. Many references are included, 
which should make it easier for the reader to follow up specific points. 
In referring to research papers, we have sometimes used the first or 
main author’s name to represent a research group, as using et al or 
“and colleagues” disrupts the flow. We hope the other members of 
these research groups will not be offended; we do not mean to imply 
that a collaborative effort is the result of one person’s work. In most 
cases, we have referenced specific research papers but occasionally 
we have included only a representative example. We have largely 
limited the discussion of specific illnesses to heart disease, infections 
and  cancer:  the  largest  killers  in  the  industrial  world.  The  list  of 
diseases that may be influenced by vitamin C supplementation or 
treatment is much larger. 
The primary aim of this book is to provide insight into an area of 
nutrition where rigorous science is generally lacking. Vitamin C was 
controversial long before Linus Pauling started to promote its use. 
Despite this, we still await well-designed experiments to determine the 
biological  properties  of  the  vitamin.  Several  researchers  have 
suggested to us that the reason for this is that the questions are not 
particularly interesting, or are unlikely to produce positive results. To 
these, we would point out that it is unscientific to assume the results 
of experiments before they have been performed. Others suggest that 
commercial,  institutional  and  financial  forces  actively  prevent  such 
research, at the expense of a sick population. Some critics have gone 
as far as to describe the actions of these influences as genocide. Our 
aim is to present a wide-ranging evaluation of the facts, so that the 
reader may come to their own conclusions. 
 
For  those  who  might  be  wondering,  we  published  this  book 
through Lulu to avoid editorial delays, retain control of the text and 
because they have a great publishing model. Since books are not 
subject to a formal peer review process, readers who notice errors or 
omissions are invited to email us at “[email protected]”. 
We will acknowledge helpful contributions in later editions. 
 
 
 
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