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Personally I think the bio identicals are adding a few pounds onto Suzanne.
In January, Oprah Winfrey invited Suzanne Somers on her show to share her unusual secrets to staying young. Each morning, the 62-year-old actress and self-help author rubs a potent estrogen cream into the skin on her arm. She smears progesterone on her other arm two weeks a month. And once a day, she uses a syringe to inject estrogen directly into her vagina. The idea is to use these unregulated "bio-identical" hormones to restore her levels back to what they were when she was in her 30s, thus fooling her body into thinking she's a younger woman. According to Somers, the hormones, which are synthesized from plants instead of the usual mare's urine (disgusting but true), are all natural and, unlike conventional hormones, virtually risk-free (not even close to true, but we'll get to that in a minute).
Next come the pills. She swallows 60 vitamins and other preparations every day. "I take about 40 supplements in the morning," she told Oprah, "and then, before I go to bed, I try to remember … to start taking the last 20." She didn't go into it on the show, but in her books she says that she also starts each day by giving herself injections of human growth hormone, vitamin B12 and vitamin B complex. In addition, she wears "nanotechnology patches" to help her sleep, lose weight and promote "overall detoxification." If she drinks wine, she goes to her doctor to rejuvenate her liver with an intravenous drip of vitamin C. If she's exposed to cigarette smoke, she has her blood chemically cleaned with chelation therapy. In the time that's left over, she eats right and exercises, and relieves stress by standing on her head. Somers makes astounding claims about the ability of hormones to treat almost anything that ails the female body. She believes they block disease and will double her life span. "I know I look like some kind of freak and fanatic," she said. "But I want to be there until I'm 110, and I'm going to do what I have to do to get there."
That was apparently good enough for Oprah. "Many people write Suzanne off as a quackadoo," she said. "But she just might be a pioneer." Oprah acknowledged that Somers's claims "have been met with relentless criticism" from doctors. Several times during the show she gave physicians an opportunity to dispute what Somers was saying. But it wasn't quite a fair fight. The doctors who raised these concerns were seated down in the audience and had to wait to be called on. Somers sat onstage next to Oprah, who defended her from attack. "Suzanne swears by bioidenticals and refuses to keep quiet. She'll take on anyone, including any doctor who questions her."
That would be a lot of doctors. Outside Oprah's world, there isn't a raging debate about replacing hormones. Somers "is simply repackaging the old, discredited idea that menopause is some kind of hormone-deficiency disease, and that restoring them will bring back youth," says Dr. Nanette Santoro, director of reproductive endocrinology at Albert Einstein College of Medicine. Older women aren't missing hormones. They just don't need as much once they get past their childbearing years. Unless a woman has significant discomfort from hot flashes—and most women don't—there is little reason to prescribe them. Most women never use them. Hormone therapy can increase a woman's risk of heart attacks, strokes, blood clots and cancer. And despite Somers's claim that her specially made, non-FDA-approved bioidenticals are "natural" and safer, they are actually synthetic, just like conventional hormones and FDA-approved bioidenticals from pharmacies—and there are no conclusive clinical studies showing they are less risky. That's why endocrinologists advise that women take the smallest dose that alleviates symptoms, and use them only as long as they're needed.
"It completely blew me away that Oprah would go to her for advice on this topic," says Cynthia Pearson, the executive director of the nonprofit National Women's Health Network and an authority on hormone therapy. "I have to say, it diminished my respect."
Somers says it's mainstream doctors who need to get their facts straight. "The problem is that our medical schools do not teach this," she said in a February interview with NEWSWEEK. She believes doctors, scientists and the media are all in the pocket of the pharmaceutical industry. "Billions are spent on marketing drugs, and these companies also support academic research." Free from these entanglements, Somers can see things clearly. "I have spent thousands of hours on this. I've written 18 books on health. I know my stuff."
On Oprah's show, there is one opinion more equal than others; and by the end of the program there was no doubt where Oprah herself stood on the issue. She told her audience that she found Somers's bestselling books on bioidentical hormones "fascinating" and said "every woman should read" what she has to say. She didn't stop there. Oprah said that although she has never had a hot flash, after reading Somers she decided to go on bioidenticals herself. "After one day on bioidentical estrogen, I felt the veil lift," she wrote in O, The Oprah Magazine. "After three days, the sky was bluer, my brain was no longer fuzzy, my memory was sharper. I was literally singing and had a skip in my step." On the show, Oprah had her own word of warning for the medical establishment: "We have the right to demand a better quality of life for ourselves," she said. "And that's what doctors have got to learn to start respecting."
All in all, it was a perfect hour of tabloid television. Who could look away from Suzanne Somers's sad but captivating efforts to turn back time? And if there was a stab of guilt in the pleasure we took in the spectacle, Oprah was close by to ease our minds, to reassure us, with the straightest face, that it was all in the name of science and self-improvement. Oprah routinely grabs viewers with the sort of tales of the strange and absurd that might be found a few clicks over on Maury Povich or Jerry Springer: women who leave their husbands for other women (another recent Oprah episode); a 900-pound mom (ditto). But there is a difference. Oprah makes her audience feel virtuous for gaping at the misfortunes of others. What would be sniffed at as seamy on Maury is somehow praised as anthropology on Oprah. This is Oprah's special brilliance. She is a gifted entertainer, but she makes it seem as though that is beside the point. Oprah is not here to amuse you, she is here to help you. To help you understand your feelings; drop those unwanted pounds; look and feel younger; get your thyroid under control; to smooth your thighs, nip and tuck your wrinkles, awaken your senses and achieve spiritual tranquillity so that you can at last be free to "Live Your Best Life."
Oprah takes these things very seriously. They are, after all, the answers she hopes to find for herself. If Oprah has an exquisite ear for the cravings and anxieties of her audience, it is because she shares them. Her own lifelong quest for love, meaning and fulfillment plays out on her stage each day. In an age of information overload, she offers herself as a guide through the confusion.
Her audience cannot get enough. After more than two decades on the air, the Oprah franchise continues to expand. Forty million people tune in to watch her television show each week. O magazine, which features her picture on every cover, sells more than 2 million copies each month. She has her own satellite radio channel and a very popular Web site. Forbes puts Oprah's personal fortune at $2.7 billion. Her empire is about to get bigger. Oprah has made a deal to launch her own cable television channel that will reach 70 million homes. It will be called, of course, the Oprah Winfrey Network and will include Oprah-approved programming on health and living well. In announcing the deal, Oprah said, "I will now have the opportunity to do this 24 hours a day on a platform that goes on forever."
Oprah says things like this without irony. But really, how could it not go to her head, even a little? Her most ardent fans regard her as an oracle. If she mentions the title of a book, it goes to No. 1. If she says she uses a particular wrinkle cream, it sells out. At Oprah's retail store in Chicago, women can purchase used shoes and outfits that she wore on the show. Her viewers follow her guidance because they like and admire her, sure. But also because they believe that Oprah, with her billions and her Rolodex of experts, doesn't have to settle for second best. If she says something is good, it must be.
This is where things get tricky. Because the truth is, some of what Oprah promotes isn't good, and a lot of the advice her guests dispense on the show is just bad. The Suzanne Somers episode wasn't an oddball occurrence. This kind of thing happens again and again on Oprah. Some of the many experts who cross her stage offer interesting and useful information (props to you, Dr. Oz). Others gush nonsense. Oprah, who holds up her guests as prophets, can't seem to tell the difference. She has the power to summon the most learned authorities on any subject; who would refuse her? Instead, all too often Oprah winds up putting herself and her trusting audience in the hands of celebrity authors and pop-science artists pitching wonder cures and miracle treatments that are questionable or flat-out wrong, and sometimes dangerous.
Oprah would probably not agree with this assessment. She declined to be interviewed for this article, but in a statement she said, "The guests we feature often share their first-person stories in an effort to inform the audience and put a human face on topics relevant to them. I've been saying for years that people are responsible for their actions and their own well-being. I believe my viewers understand the medical information presented on the show is just that—information—not an endorsement or prescription. Rather, my intention is for our viewers to take the information and engage in a dialogue with their medical practitioners about what may be right for them."
The first-person story that, as Oprah says, puts "a human face on topics" is an important part of the show's success. Perhaps Oprah's most attractive quality, and one that sets her apart from other daytime hosts, is that she abhors the celebration of victimhood. She succeeded despite a childhood of abuse, and her own experience left her with very little tolerance for people who indulge in self-pity or blame cruel fate for their troubles. She often features regular people or, even better, celebrities, who have met challenges in their lives.
This perpetual search for The Answer (to all problems even hers) reached its apex a couple of years ago, when Oprah led the frenzy over The Secret. The video and accompanying book were a rehash of one of the oldest of self-help truisms—"think positive"—refreshed with a dusting of "science." The secret of The Secret was something called the Law of Attraction. As Oprah put it on the show, "It says that the energy, that the thoughts and feelings that you put out into the world, both good and bad, are exactly what is always coming back to you, so you have the life that you have created." Oprah and the teachers of The Secret, as they call themselves, did not mean this metaphorically. They explained that the universe and everything in it are made of vibrating energy, and by thinking positively we can actually "attract" the positive vibrations of the universe and bend them to our will. "You're a field of energy in a larger field of energy," one of The Secret's teachers said. "And like attracts like, and that's very, very scientific."
By harnessing this powerful science, they said, we can have anything we want—happiness, love, fabulous wealth. This was so inspiring to Oprah that she devoted three shows to the product and appeared on Larry King to talk it up more. She said it encapsulated everything she believes. "I've been talking about this for years on my show," she said. "I just never called it The Secret."
On one of the Secret shows, Oprah gave an example of the scientific power of the concept. She said that once, while she was hosting an episode about a man who could blow really big soap bubbles, she was thinking to herself, "Gee, that looks fun. I would like to blow some bubbles." When she returned to her office after the show, there, on her desk, was a silver Tiffany bubble blower. "So I call my assistant," Oprah told the audience. "I say, 'Did you just run out and get me some bubbles? 'Cause I got bubbles by my desk.' And she says, 'No, the bubbles were always there. I bought you bubbles for your birthday and you didn't notice them until today'."
There are many lessons that might be drawn from this anecdote. One is that if you give Oprah a thoughtful gift, she may not bother to notice it or thank you for it. This is not the lesson Oprah took away from her story. Because the way she sees it, her assistant hadn't really given her the gift at all. She gave it to herself. Using the power of The Secret, she said, "I had called in some bubbles."
According to The Secret, however, the Law of Attraction can use the vibrations of the universe to deliver more than just bubbles. The book that Oprah urges everyone to live by teaches that all diseases can be cured with the power of thought alone: "The question frequently asked is, 'When a person has manifested a disease in the body temple … can it be turned around through the power of "right thinking"?' And the answer is absolutely, yes." The book then offers the testimonial of a woman identified as Cathy Goodman. "I was diagnosed with breast cancer. I truly believed in my heart, with my strong faith, that I was already healed. Each day I would say, 'Thank you for my healing'." Goodman watched "very funny movies" to make herself laugh. "From the time I was diagnosed to the time I healed was approximately three months. And that's without any radiation or chemotherapy."
The message got through. In March 2007, the month after the first two shows on The Secret, Oprah invited a woman named Kim Tinkham on the program. She had been diagnosed with breast cancer, and her doctors were urging surgery and chemotherapy. But Tinkham wrote Oprah to say that she had decided to forgo this treatment and instead use The Secret to cure herself. On the show, Oprah seemed genuinely alarmed that Tinkham had taken her endorsement of The Secret so seriously. "When my staff brought this letter to me, I wanted to talk to her," Oprah told the audience. "I said, get her in here, OK?" On air, Oprah urged the woman to listen to her doctors. "I don't think that you should ignore all of the advantages of medical science and try to, through your own mind now because you saw a Secret tape, heal yourself," she said. A few weeks earlier, Oprah could not say enough in praise of The Secret as the guiding philosophy of her life. Now she said that people had somehow gotten the wrong idea. "I think that part of the mistake in translation of The Secret is that it's used to now answer every question in the world. It is not the answer to all questions," she instructed. "I just wanted to say it's a tool. It is not the answer to everything." The Law of Attraction was just one law of many that guide the universe. "Although I live my life that way," Oprah said, "I think it has its flaws."
There were limits to The Secret's healing powers even for Oprah. For there she was, in the months that followed, worrying over her thyroid, ingesting bioidentical hormones and putting on pounds. The Secret warns that all illness and misfortune is caused by attracting the negative power of the universe. "You cannot 'catch' anything unless you think you can," it says. "You are also inviting illness if you are listening to people talking about their illness."
It is possible that this is what happened to Oprah. Listening to so many guests talk about their troubles dampened her energy fields. Yet it may be for the best that things didn't quite work out. What if Oprah had managed to solve all of her problems, to end her search for meaning and fulfillment and spiritual calm and a flatter, firmer stomach by summoning the very power of the universe itself? It might have been hard for her to take Suzanne Somers seriously after that.
