Be Wary of Russell Roby, M.D. and the Roby Institute

Be Wary of Russell Roby, M.D.
and the Roby Institute

Stephen Barrett, M.D.

Russell R. Roby, M.D., J.D., who operates the Roby Institute in Austin, Texas, would like you to believe that he is "a pioneer in the fields of hormone allergy and hormone therapy treatment." The institute's Web site states:

Through years of trials, tests, research and results, Dr. Roby has found that the human body may in fact develop an actual allergy to its own hormones. These allergies often result in hormone imbalance, weight gain, fatigue, pain (fibromyalgia, arthritis, interstitial cystitis), asthma, and other symptoms that greatly diminish an individual’s quality of life. Dr. Roby’s use of sublingual dilutions of hormone solutions to neutralize and treat these symptoms has resulted in countless individuals living pain-free for the first time in years. Relief occurs within seconds of the administration of the proper dilution using Dr. Roby’s methods. The sublingual dilutions may be self-administered at home, reducing the need for visits to the doctor’s office. The dilutions are tailored to the patient’s individual needs and monitored regularly to help the patient achieve optimal health [1].

The site also states:

One of the treatments involves the use of homeopathic dilutions of substances patients are reacting to in an allergic fashion. For the last one hundred years physicians have used very weak solutions of the very substances they suspected of causing the reaction, to stop the reaction they are suspected of causing. Conventional allergists use dilutions of up to 1:1,000,000 parts, as do Pan American Allergy Society physicians. I have found far weaker dilutions to be amazingly effective not only in diagnosing a wide variety of symptoms, but also in quickly reversing these symptoms [2].

Roby has received a patent for "methods and composition for the treatment of pain and other hormone-allergy-related symptoms using dilute hormone solutions." [3] His Web site states that he has about ten more patents pending or "under study and review" for treating multiple sclerosis, autoimmune diseases, obesity and several other conditions [4]. Patents can be granted for inventions and procedures that differ from previous patents. However, evidence of effectiveness is not required, so the granting of a patent do not mean that its methods work.

Despite his "years of trials, tests, and research," Roby has had only one publication in a scientific journal during the past 25 years. That study, published in 2006, concluded that antibodies exist to estrogen and progesterone and that "this leads to the possibility of treating a wide variety of disorders by determining hormone allergy and initiating desensitization." [5] The study involved blood tests performed by a laboratory that does nonstandard testing and was cited by state authorities for inadequate quality control. (The lab's director was a co-author of the article.) Even if such allergies exist, there's no logical reason to believe that Roby's "hormone neutralization therapy" could cure them.

Disciplinary Actions

Roby has an extensive history of disciplinary actions.

Roby's California medical license was revoked because of drug and alcohol abuse.
In 1983, the Texas Medical Board revoked and cancelled his medical license for the same reason.
In 1984, his license was reinstated and he was placed on probation that required him to participate in an Alcoholics Anonymous program and continue psychiatric care.
In 1989, he was charged with fraudulently manufacturing allergy treatment kits, failure to maintain adequate records, reporting inconclusive allergy tests as positive, and billing insurance companies for allergy treatments he had not performed. After upholding these charges, the Texas board added probationary terms forbidding him from continuing to do these things [6].
In 1990, the board apparently concluded that Roby's performance had improved and ended his probation.
In 2004, Roby consented to an agreed order under which he was reprimanded for failing to obtain informed consent from a patient to whom he administered "dilute tetanus toxoid" injections to treat a bacterial infection. The order called for his practice to be monitored for a 12-month period [7].

In 2006, the Texas Medical Board filed a complaint which stated:

Roby's "hormone neutralization" therapy involves a process in which oral syringes are used to place a liquid solution containing a dilution of hormones under patients' tongues.
Roby states that "neutralization" of progesterone with homeopathic concentrations leads to relief of pain, fatigue, viral colds, Temporo-Mandibular Joint Dysfunction (TMJ), depression, migraine, asthma, loss of sex drive, and many other disorders.
Roby claims that pain relief from his sublingual drops occurs faster than the circulation time required for the solution he uses to get to the brain or body part. He fails to explain or substantiate how pain relief from the hormone neutralization occurs faster than the circulation required to get to the brain or body part.
Roby does not perform controlled skin or patch tests to demonstrate functional sensitivity reactions. . . .
One type of dilution he uses in the "hormone neutralization therapy" is a dilution of progesterone, which he states is a 10 to the 30th dilution. [Solutions of this type are so dilute that they are unlikely to contain a single molecule of the original substance.]
Roby has no evidence that there are any other medical practitioners in Texas or in the United States who utilize or espouse the effectiveness of the progesterone neutralization therapy he uses.
There is no scientific evidence that "hormone neutralization therapy" has any medical validity. He has demonstrated that it works or has any science-based rationale.
Roby's advertising about the effectiveness of his treatment is misleading.
Roby is not board certified in allergy and immunology. A resumé states that he has had some training in these subjects, but it does not provide sufficient detail to enable people to check or make an informed decision [8].

In 2007, the board fined Roby $15,000 and placed him on four years' probation with advertising and practice restrictions. The provisions include:

His practice must be monitored by another physician designated by the board.
He shall not treat any patient with thyroid therapy.
He must provide copies of all proposed or on-going research to the board.
Any advertisement or infomercial must plainly disclose that his methods are not FDA-approved and have not been verified by any type of objective testing [9].

References

Dr. Russell Roby granted patent for the treatment of hormone allergy. March 26, 2007. Roby Institute Web site.
Our approach. Roby Institute Web site, accessed Oct 22, 2007.
Roby R. Methods and composition for the treatment of pain and other hormone-allergy-related symptoms using dilute hormone solutions. Patent No. 7,179,798, Feb 20, 2007.
Our patents. Roby Institute Web site accessed Oct 22, 2007.
Roby RR, Richardson RH, Vojdani A. Hormone allergy. American Journal of Reproductive Immunology 55:307-313, 2006.
Board order. In the matter of Russell R. Roby, M.D. before the Texas State Board of Medical Examiners. July 28, 1989.
Agreed order. In the matter of the complaint against Russell R. Roby, M.D. before the Texas State Board of Medical Examiners. Entered Dec 10, 2004.
Complaint. In the matter of the complaint against Russell R. Roby, M.D. before the Texas Medical Board. Filed April 26, 2006.
Mediated agreed order. In the matter of the complaint against Russell R. Roby, M.D. before the Texas Medical Board. Entered Aug 27, 2007.

This article was posted on October 23, 2007.