Alcohol

117 - Loneliness, Plant Protein, and Curiosity- HealthHippieMD Week In Review

Forget Me Not: How Loneliness Affects the Mind

A study published in Nature Mental Health links loneliness to a 31% higher risk of dementia and a 15% increase in cognitive impairment. Drawing data from over 600,000 individuals worldwide, researchers found that loneliness impacts cognitive decline similarly to smoking or sedentary behavior. Experts suggest loneliness might precede dementia or worsen it by reducing social engagement and mental stimulation. Practical interventions, such as strengthening connections, finding like-minded communities, and cognitive-behavioral therapy, may mitigate these effects. With loneliness affecting millions, addressing this “social pain” could safeguard both mental and physical health. Loneliness can increase the risk for dementia, a large study shows - The Washington Post (gift article).

Nest Side Story: From Emptiness to Opportunity

Abandon the Empty Nest. Instead, Try the Open Door. - The Atlantic challenges the term “empty nest,” advocating for a reframe to “open door” to capture the transition parents face when children leave home. While the “empty nest” metaphor emphasizes loss, the “open door” symbolizes possibility, welcoming independence for both children and parents. Rubin reflects on the bittersweet emotions of this life stage, urging parents to see it as a time for self-discovery, new adventures, and deeper connections. This reimagining encourages embracing change with purpose and optimism, making space for grief and growth as parents step back while keeping the door open.

HIPAA-critical Condition

Elon Musk’s suggestion to share medical images with X’s AI chatbot, Grok, has sparked a privacy debate. Users eagerly upload sensitive scans like MRIs and X-rays, hoping for fast, accurate diagnoses. However, experts warn about Grok’s potential inaccuracies and the risks of exposing personal health data outside HIPAA protections. Critics highlight the danger of misuse by third parties, such as insurers or employers. While AI holds promise for healthcare, relying on incomplete tools like Grok is akin to a risky experiment, leaving users vulnerable to ethical and data privacy concerns. Elon Musk Asked People to Upload Their Health Data. X Users Obliged - The New York Times.

UnitedHealth’s Therapy Algorithm Hits Limits

UnitedHealth Group has come under fire for using an algorithm to restrict mental health therapy coverage, targeting patients receiving more frequent care. Deemed illegal in three states, these practices persist elsewhere due to fragmented regulations. United’s cost-saving strategy disproportionately impacts vulnerable populations, including Medicaid recipients, and relies on automated reviews disregarding clinical needs. Internal documents reveal that once designed for life-saving interventions, the algorithm has been repurposed to flag “overuse.” Despite legal settlements, rebranded programs continue scrutinizing care under different names, exposing gaps in mental health parity laws and regulatory oversight. Inside UnitedHealth’s Playbook for Limiting Mental Health Coverage — ProPublica.

Curiosity Doesn't Only Kill the Cat

Curiosity drives humans and machines to learn by balancing novelty and familiarity, creating a “sweet spot” where learning thrives. Neuroscientists and psychologists reveal that curiosity engages reward pathways in the brain, promotes memory retention, and fosters intrinsic motivation. This natural urge, shaped by evolution, pushes us to explore, even without immediate benefits. Experiments in robotics and education show that mimicking curiosity enhances efficiency and engagement, suggesting its potential for AI development and classroom innovation. Understanding curiosity’s mechanisms could transform learning and mental health approaches, proving its vital role in personal growth and societal progress. How the Science of Curiosity Boosts Learning | Scientific American.

Love and Peas: Are Plants Adequate Protein for Seniors?

A simulation study suggests that older adults can safely adopt a diet with up to 60% plant-based protein, maintaining adequate protein intake for health and muscle preservation. Flexitarian, pescetarian, and vegetarian diets provided sufficient protein, but vegan diets fell short, with nearly 83% of participants failing to meet recommended levels. Protein quantity dropped primarily at dinner, while quality deficits appeared at breakfast and lunch, especially in lysine. The study highlights the importance of strategic food combinations to enhance protein quality in plant-based diets for seniors. Limitations include reliance on simulations and specific food replacements.Can Plant-Based Diet Deliver Ample Protein for Older Adults?

Weight, Wait…

Researchers have uncovered a potential reason why weight regain after significant loss is so common: changes in fat cell DNA. These epigenetic changes persist even after substantial weight reduction, altering RNA levels, ramping up inflammation, and disrupting fat metabolism. A study involving humans and mice revealed that these molecular shifts may increase the tendency to regain weight. These findings hint at future treatments targeting the epigenetic mechanisms behind weight regain, offering hope for more sustainable weight loss solutions. As scientists dig deeper, the interplay of biology and environment continues to shape our understanding of obesity. We're starting to understand why some people regain weight they lost | New Scientist

A Healthier Holiday Food Mindset

The holidays bring delicious indulgences, but food anxiety often casts a shadow over celebrations. Enjoy Holiday Food without the Anxiety | Scientific American explores how stress over holiday eating can backfire, harming mental and physical health. Dietitian Sara Riehm emphasizes balance: enjoy treats without guilt by focusing on nutrient-rich options and mindful movement. She debunks myths like “saving calories” by skipping meals and advocating for steady, healthy habits. Her practical strategies—prioritizing unique dishes and avoiding extreme behaviors like cleanses—highlight the importance of planning and self-compassion. Ultimately, the key is to savor holiday moments while maintaining a positive, flexible relationship with food.

How Drugs Derail and Restore Memory Pathways

Researchers at UC San Diego uncovered a shared mechanism behind cognitive deficits caused by drugs like methamphetamine and PCP. Both trigger “neurotransmitter switching” in the medial prefrontal cortex, where neurons shift from producing glutamate to GABA, impairing memory. Surprisingly, heightened dopamine activity drives this switch, and the changes are reversible. Treatments like the antipsychotic clozapine or chemogenetic interventions restored normal brain function and memory in mice. While promising, the findings need further validation in humans, opening avenues for tackling drug-induced cognitive deficits and neuropsychiatric disorders. Neuroscientists identify a reversible biological mechanism behind drug-induced cognitive deficits (Thanks, Amy!)

America’s Sobering Stats on Alcohol-Related Deaths

Alcohol-related deaths in the U.S. have more than doubled since 1999, with nearly 50,000 fatalities recorded in 2020 compared to 19,000 two decades prior. The sharpest increases occurred among young adults aged 25–34, whose rates quadrupled, and women, who saw a 2.5-fold rise. Factors include heightened stress during the COVID-19 pandemic, rising obesity rates, and eased alcohol restrictions. Deaths span various illnesses, from liver disease to cardiovascular complications, with men still at the highest risk. Experts call for increased awareness and interventions addressing alcohol consumption and obesity to curb this alarming trend.Alcohol Deaths Have More Than Doubled in Two Decades, Study Finds - The New York Times (gift article).

+see also: Ozempic May Curb Alcohol Addiction, New Study Finds: Here's Why.

107 - Booze and Bugs, Sound Health, and Akkermansia - HealthHippieMD Week In Review

Routine Recall

Sticking to repetitive routines might seem beneficial, but research reveals it can harm memory and cognitive function. Breaking free from habitual activities, such as doing the same workouts or eating the same meals, can improve mental stimulation, rewire your brain, and even increase happiness. Diversifying daily activities like cooking new recipes, learning new skills, or engaging in varied physical exercises promotes neuroplasticity and better cognitive health. Simple changes help stimulate the brain, enhance memory, and foster a greater sense of well-being. Keep your brain active by embracing novelty and variety. The #1 Habit to Break to Improve Your Memory.

Parkinson's Disease May Start in the Gut

A recent study adds weight to the theory that Parkinson's disease might originate in the gut rather than the brain. Researchers found that damage to the gastrointestinal lining, such as ulcers and esophagitis, increased the likelihood of developing Parkinson's later in life. The results support the "gut-first" hypothesis, which posits that misfolded proteins in the gut could spread to the brain through the vagus nerve, contributing to the onset of Parkinson's. Early detection and treatment of gut issues may be crucial in reducing this risk. Parkinson's may begin in the gut, study adds to growing evidence - The Washington Post (gift article).

Brain Fluid's Far-Reaching Voyage

Recent research reveals cerebrospinal fluid (CSF) may travel far beyond the brain and spinal cord, challenging long-held beliefs. Researchers injected fluorescent tracers and gold nanoparticles into mice's brain chambers and discovered the fluid reached peripheral nerves like the sciatic nerve. This breakthrough suggests CSF and peripheral nerves interact in ways not previously understood, potentially revolutionizing drug delivery to otherwise hard-to-reach nerves. While much is still unknown, these findings open new doors in neuroscience and pain management, especially for conditions like Ehlers-Danlos syndrome. Brain fluid may travel to distant parts of body | Science | AAAS (Thanks, Amy!).

Age is Just a Number (or is it?)

How much does aging affect mental acuity? It's debatable explores the complex relationship between aging and mental acuity, debunking common misconceptions about the elderly and cognitive decline. It highlights that age alone doesn't determine mental function—factors like lifestyle, genetics, and environmental influences play pivotal roles. While aging can affect reaction time and memory, the brain retains adaptability through new learning strategies. Cognitive frailty, distinct from dementia, can signal increased vulnerability to stress, but it isn't inevitable. The piece urges regular cognitive screenings, physical activity, and social engagement to support healthy brain aging and prevent mental decline.

Sound Health

The National Center for Complementary and Integrative Health of the NIH is considering expanding its Sound Health Initiative. The Sound Health Initiative aims to: 1. expand current knowledge and understanding of how listening, performing, or creating music involves intricate circuitry in the brain that could be harnessed for health and wellness applications in daily life, 2. explore ways to enhance the potential for music as therapy for neurological disorders, 3. identify future opportunities for research, and 4. create public awareness about how the brain functions and interacts with music. The NIH is requesting information to build research capacity through career-stage training programs potentially. Request for Information (RFI): Inviting Comments on Early Career Stage Training Programs to Support Capacity Building for Music and Health Research | NCCIH. +see also: Information from the joint NIH/National Endowment for the Arts December 2023 Workshop: Music as Medicine: The Science and Clinical Practice | NCCIH

The Thick Truth About Akkermansia

Akkermansia muciniphila, a probiotic microbe, is gaining attention for its potential health benefits, including weight management, better blood sugar control, and stimulating satiety hormones. While studies suggest higher levels of Akkermansia are linked to better metabolic health, its role is still under scrutiny due to limited research and possible side effects, including heightened vulnerability to pathogens. Despite the buzz and celebrity endorsements, experts urge caution and recommend prioritizing diet and exercise for gut health before turning to expensive supplements like Pendulum's probiotic products. A probiotic called Akkermansia claims to boost health. Does it work? - The Washington Post (gift article).

Buy Less, Do More

Buy Experiences instead of Possessions to Build Social Connection | Scientific American explores how purchasing experiences, rather than material goods, fosters deeper social connections. Research shows that shared experiences, like attending a concert or hiking, create a stronger sense of kinship than owning similar material items. Even when experiences differ in quality, they encourage bonding more than possessions. Reflecting on experiences also promotes a broader connection to humanity, countering loneliness and enhancing well-being. The article suggests prioritizing experiences over things for personal happiness and social cohesion and encourages policymakers to invest in public spaces for shared activities.

Booze and Bugs

How Does Alcohol Affect Your Gut Health? - The New York Times (gift article) explores the complex relationship between alcohol consumption and the gut microbiome. Heavy drinking can lead to imbalances in gut bacteria, inflammation, and a "leaky gut" that releases toxins into the bloodstream, potentially damaging the liver. While moderate alcohol consumption may not have the same harmful effects, research on its long-term impact is limited. Studies suggest red wine improves microbial diversity due to polyphenols, but reducing alcohol consumption is recommended to promote overall gut health and reduce the risk of various diseases.

Processed Predicaments

Are Some Ultraprocessed Foods Worse Than Others? - The New York Times (gift article) delves into a recent study analyzing the varying health risks associated with ultra-processed foods. Researchers found that certain types, like sugar-sweetened drinks and processed meats, pose a greater risk for cardiovascular disease than others, while some foods, like cereals and yogurts, might even offer nutritional benefits. The study emphasizes distinguishing between harmful and less harmful ultra-processed foods and recommends prioritizing whole, unprocessed foods for better health. Reducing processed meats and sugary beverages remains a crucial takeaway for healthier eating.

105 - Mood Food, Microplastics in the Brain, and Friendship on a Platter - HealthHippieMD Week In Review

Consciousness in Comas

A groundbreaking international study reveals that up to 25% of people with severe brain injuries, previously thought to be unresponsive, may be conscious. These individuals exhibit brain activity when asked to imagine specific actions despite being unable to respond physically. Cognitive motor dissociation suggests that more people in comas or similar states may hear and understand their surroundings. The findings highlight the need for advanced brain-computer interfaces and tailored care to improve communication and outcomes for these patients. 1 in 4 Unresponsive People with Brain Injuries May Be Conscious | Scientific American (thanks, Richard!).

When Psychedelics Mimic Near-Death

A recent study explores the intriguing overlap between near-death experiences (NDEs) and psychedelic trips. Researchers surveyed 31 individuals who had both NDEs and psychedelic experiences, revealing shared sensations such as leaving the earthly realm, altered time perception, and profound peace. While psychedelics often induce stronger visual hallucinations, NDEs are more associated with out-of-body sensations. The study suggests that psychedelics might serve as a window into understanding near-death states, though the full connection between these altered states remains a subject for further research. Psychedelics May Give the Living a Glimpse Into Near-Death States - The New York Times (gift article).

Happiness on a Plate

The Ultimate Happiness Diet - The Atlantic explores the relationship between diet and happiness, emphasizing that how we eat often matters more than what we eat. While various diets promote longevity and health, happiness is closely tied to social eating experiences and moderation. Research suggests that regular, balanced meals with others enhance well-being, while overindulgence in processed foods, alcohol, or strict diets can diminish it. The Spanish eating method—focused on togetherness rather than the food—is a model for a happiness-boosting diet. Ultimately, the joy of eating lies in shared experiences, not just the food.

Unraveling IBD's Mysteries

Recent research into inflammatory bowel disease (IBD) sheds light on potential new therapies by exploring the genetic, immunological, and microbial factors that drive the condition. Studies reveal how gene regulation, rogue antibodies, and gut bacteria contribute to IBD's complexity. These findings suggest tailored treatments for IBD may be possible, although much work remains. With a rising global incidence, these discoveries offer hope for better-targeted therapies, even if only a few patients benefit from these early advances. Solving Inflammatory Bowel Disease's Mysteries May Lead to New Therapies | Scientific American.

Aging Patterns Unveiled

A comprehensive study analyzing nearly 50,000 brain scans has identified five distinct patterns of brain atrophy linked to aging, neurodegenerative diseases, and lifestyle factors like smoking and alcohol consumption. Using deep-learning techniques, researchers created models that detect subtle brain changes over time, offering insights into predicting disease progression, including dementia and Parkinson's. The study highlights the complex interplay between brain anatomy, genetics, and lifestyle, emphasizing the potential for early detection and tailored interventions to combat age-related neurological decline. Brain Scans Reveal Aging Patterns Based on Disease, Alcohol, and Smoking | Scientific American.

A Diabetes Dilemma

Recent studies have reinforced the link between red and processed meat consumption and an increased risk of Type 2 diabetes. A comprehensive analysis involving nearly two million participants across 20 countries found that consuming just 1.8 ounces of processed meat daily raised diabetes risk by 15%, while 3.5 ounces of unprocessed red meat increased it by 10%. Poultry also showed a modest risk increase, though results were less consistent. The research underscores the growing evidence that reducing meat intake could benefit diabetes prevention. Eating Meat Is Linked With Type 2 Diabetes, New Studies Suggest - The New York Times (gift article).

Zepbound for Glory

Eli Lilly's Zepbound, also known as tirzepatide, shows promise in nearly eliminating the risk of type 2 diabetes in overweight and pre-diabetic adults, according to a recent study. Over three years, patients taking Zepbound experienced a 94% reduction in diabetes risk and sustained significant weight loss, averaging a 23% reduction in body weight. These findings bolster the case for broader insurance coverage and potential FDA approval for additional health benefits, positioning Zepbound as a game-changer in obesity and diabetes management. Eli Lilly's Zepbound could eliminate the risk of diabetes in overweight adults: study.

A Tiny Problem, A Huge Headache

The pervasive presence of microplastics, fragments less than 5mm in diameter, has infiltrated the environment and human organs, including the brain. Recent studies reveal that human brain samples contain about 0.5% plastic by weight, raising serious health concerns. Researchers are calling for an immediate global emergency to address this growing plastic pollution crisis, which now impacts air, water, food, and human tissue. The mounting evidence underscores the urgent need to curtail plastic use and mitigate its harmful effects on health and ecosystems. Microplastics Invade Human Brains, Researchers Call For Global Emergency (Thanks, Amy!).

Apps Serving Friendship on a Platter

Social apps are evolving beyond dating, offering platonic meetups over meals to combat loneliness, especially among remote workers and city dwellers. Platforms like The Breakfast and Timeleft pair strangers for breakfast or dinner, fostering deep connections. Users, tired of networking and dating apps, seek genuine social interactions. The trend is growing, with apps like Bumble acquiring friend-focused Geneva. As loneliness rises, these platforms provide a much-needed space for meaningful connections, proving that breaking bread with strangers can create new friendships.Want to meet new people? These apps connect strangers for a meal. - The Washington Post (gift article).

Mood Food

The Connection Between Diet and Mood Disorders Is Growing Stronger — Here's What Researchers Know explores the growing evidence linking diet to mood disorders like anxiety and depression. Research shows that blood sugar fluctuations, driven by high-glycemic foods such as white bread and sugary snacks, can significantly impact mental health. The Mediterranean diet, with its low glycemic index, is highlighted for its potential to stabilize mood. Practical strategies, such as combining carbs with proteins or eating them earlier in the day, are suggested to help manage these effects and support overall mental well-being.

096 - TV Trap, Fiber Fix, and Sound Health - HealthHippieMD Week In Review

TV Trap for Healthy Aging

A Harvard study reveals a strong inverse correlation between TV watching and healthy aging. Researchers found that for every two additional hours of TV time, the likelihood of aging healthily decreased by 12%. This effect was independent of other sitting forms, suggesting a unique risk associated with TV time. Data from over 45,000 women in the Nurses Health Study showed that those who limited their TV watching to less than three hours per week had significantly better odds of aging healthily. Replacing TV time with physical activity further improved these odds. Doing this one thing may improve your odds of healthy aging - Los Angeles Times.

The New Health Consensus on Alcohol

Alcohol, once considered a heart-friendly indulgence, is now recognized for its health risks even in moderation. Recent studies debunk the myth of beneficial drinking, revealing links to heart disease, cancer, and brain shrinkage. This shift in public health messaging has led to new guidelines and warnings, notably in Ireland and Canada. The pandemic's spike in alcohol consumption has also driven interest in alcohol-free alternatives. As society reevaluates its relationship with alcohol, individuals face personal decisions on the trade-offs between social enjoyment and health risks. Is That Drink Worth It to You? - The New York Times (gift article).

+see also: Ozempic, weight loss drugs could help fight addiction: study.

Sound Health

Music isn't just a delight for the ears; it's medicine for the soul. Research shows that music can significantly enhance mental and physical well-being. A 2022 review of 26 studies revealed that music interventions improve mental health-related quality of life. Brainwave entrainment plays a crucial role, where our brain syncs with musical rhythms. Additionally, music therapy increases heart rate variability, indicating better stress adaptation. Artists contribute to this therapeutic potential by creating diverse soundscapes. While the science is still evolving, it's clear that hitting play on your favorite track can be a powerful tool for healing. Music as medicine: The therapeutic potential of sound - Big Think.

+and if you're interested in this topic, the NIH published links to the Music as Medicine: The Science and Clinical Practice Workshop Summaries and Video Recordings: Music as Medicine: The Science and Clinical Practice | NCCIH.

Optimism Unleashed

Optimism is not about ignoring negative emotions but embracing them and focusing on positive outcomes. Optimistic people enhance their mental health and resilience by practicing mindfulness, expressing gratitude, engaging in positive self-talk, and staying in the present moment. They view failures as learning opportunities and surround themselves with supportive individuals. Saying "no" to things that deplete them and maintaining a good sense of humor also contribute to their positive outlook. Adopting these habits can help anyone cultivate a more positive mindset and improve overall well-being. Want to Be More Positive? Here Are 10 Things Optimistic People Do.

Sniffing Out Parkinson's

Joy Milne, a woman with an extraordinary sense of smell, detected a unique odor on her husband years before he was diagnosed with Parkinson's. Her ability to identify the scent has led to groundbreaking research on early disease detection. Joy's hyperosmia has allowed her to collaborate with scientists, identifying specific chemicals in sebum linked to Parkinson's. Her contributions may revolutionize early diagnosis and treatment, offering hope for early intervention. Joy's journey underscores the untapped potential of olfactory science in medical diagnostics. The Woman Who Could Smell Parkinson's - The New York Times (gift article).

The Warmth Behind Sentience

The article explores the role of warm-bloodedness in the evolution of sentience. Nicholas Humphrey suggests that maintaining a constant high body temperature, unique to birds and mammals, enabled significant changes in lifestyle and brain functionality. This physiological trait allowed animals to remain active across diverse climates and enhanced brain efficiency, fostering complex cognitive functions. The increased nerve conduction speed and reduced refractory period in warmer brains likely facilitated the development of consciousness. Thus, the evolution of warm-bloodedness played a critical role in shaping the autonomous and self-aware minds of mammals and birds. Did warm-bloodedness pave the path to sentience? - Big Think.

Counterfeit Calamity

Counterfeit Ozempic, a diabetes drug repurposed for weight loss, has become a lucrative global black market. Amid soaring demand and global shortages, counterfeiters exploit the gaps in the pharmaceutical supply chain, distributing fake versions that can cause severe health risks. This intricate network involves small-time intermediaries, criminal organizations, and unscrupulous distributors. As authorities struggle to track and control these fake medications, the health of desperate patients, who often fall victim to too-good-to-be-true deals, hangs in the balance. The FDA and pharmaceutical companies are racing against time to curb this growing threat. Why Counterfeit Ozempic Is a Global-Growth Industry | Vanity Fair.

+see also: Eli Lilly cracks down on counterfeit Zepbound and Mounjaro.

Walking Back the Pain

A recent study published in The Lancet confirms that regular walking can significantly reduce the recurrence of lower back pain. Researchers followed 701 adults with a history of back pain, splitting them into two groups: one receiving a personalized walking program and the other with no intervention. The walking group experienced nearly twice as long without pain recurrence as the control group. This study bolsters existing evidence that physical activity, including walking, is an effective, accessible remedy for back pain, offering a cost-effective alternative to clinical treatments. How Helpful Is Walking for Lower Back Pain? - The New York Times (gift article).

Fiber Fix: Gut Reaction to Chronic Inflammation

Recent research highlights the profound impact of diet on gut microbiome health and chronic inflammation. Diets rich in fiber and whole foods can reduce inflammation and prevent diseases like cancer and cardiovascular issues. Jennifer Wargo, an oncologist, emphasizes the importance of consuming 50 grams of fiber daily to manage inflammation. Mediterranean diets, rich in fruits, vegetables, and healthy fats, have shown significant anti-inflammatory effects. Conversely, diets high in processed foods increase inflammation markers. Ultimately, dietary choices, particularly fiber intake, can act as medicine, enhancing disease prevention and treatment. What foods you really need to eat to reduce inflammation.

092 - Sleeping Your Way to the Top, Mellow Yellow, and The Brain Microbiome - HealthHippieMD Week In Review

May 26th is my 60th birthday. As a gift to me, please pass this newsletter on to at least one person you think might be interested. I'd love to double my readership. Thanks for reading and your ongoing support!

Forgive and Let Live

In the podcast, Feel Better, Live More with Dr Rangan Chatterjee: #448 A Proven Prescription for Health and Happiness: Why Being Able To Forgive Improves Your Physical & Mental Wellbeing Dr. Rangan Chatterjee discusses the importance of forgiveness with Dr. Fred Luskin, a clinical psychologist from Stanford University. Dr. Luskin, the director of the Stanford University Forgiveness Projects, emphasizes that forgiveness is a crucial yet often overlooked component of health. He argues that while diet, exercise, stress, and sleep are vital, the ability to forgive can significantly improve both mental and physical wellbeing. According to Dr. Luskin, forgiveness is a perspective that can lead to profound healing and a happier life. (Thanks, Megan).

Hard Facts on Stool

Michael Harrop's Human Microbes has created a controversial black market for fecal microbiota transplants (FMT), used to treat conditions like cystitis and irritable bowel syndrome. Despite the FDA only approving FMT for Clostridioides difficile, desperate patients like Alexandra seek alternative cures from this underground source. Despite lacking medical credentials, Harrop matches "super-donors" with buyers, selling stool for $1,000 per dose. While some report miraculous recoveries, medical experts warn of severe risks and unknown long-term effects, urging caution and further research. Fecal microbiota transplant: Inside the black market for human poop.

Fit or Fat

A recent study by the University of Aberdeen reveals that exercise enhances the body's ability to metabolize saturated fats. The research focused on the "athlete's paradox," which observes that endurance athletes and people with type 2 diabetes store high levels of muscle fat. Through an eight-week experiment involving 29 athletes and 30 people with diabetes, researchers discovered that exercise enables people with diabetes to store and burn saturated fat efficiently, mirroring the athletes' fat metabolism. The study underscores the importance of regular physical activity for improving fat metabolism and overall metabolic health. Exercise improves storage and burning of saturated fat, study finds.

3 M's Sticky Situation

ProPublica's exposé reveals how Kris Hansen, a chemist at 3M, discovered toxic "forever chemicals" (PFAS) in human blood. Initially tasked with verifying external lab results, Hansen confirmed that PFAS contamination was widespread, even in the general population. Despite her findings, 3M executives suppressed the information, halting her research and enforcing secrecy. Decades later, the EPA is now demanding the removal of these chemicals from drinking water. Hansen, who remained silent for years, now grapples with the environmental and health implications of her discovery and 3 M's long-held secrets. How 3M Execs Convinced a Scientist the Forever Chemicals She Found in Human Blood Were Safe — ProPublica.

A Sobering Solution?

Scientists have developed a hydrogel that may be the answer to hangover woes and alcohol-related health issues. Crafted from whey protein and enhanced with iron atoms, sugar molecules, and gold nanoparticles, this gel breaks down alcohol in the gastrointestinal tract. In mouse experiments, it significantly reduced blood alcohol levels and prevented liver damage, weight loss, and gut problems. This novel hydrogel holds promise for both social drinkers and those with chronic alcohol issues, potentially serving as a groundbreaking remedy and preventative measure against alcohol's harmful effects. Clinical trials in humans are anticipated soon. Is this the hangover cure we've been waiting for?

The Brain Microbiome

Recent research suggests that the brain might have its own microbiome, challenging the long-held belief that the brain is a sterile organ. Initial studies from 2013 found non-human genetic material in brain tissue, hinting at the presence of bacteria and viruses. More recent investigations have discovered bacteria and fungi in the brains of both healthy individuals and those with Alzheimer's disease. However, the mechanisms by which these microbes enter the brain remain unclear. This discovery could open new avenues for treating neurological diseases, but further research is needed to fully confirm and understand these findings. Wait, The Brain Has Its Own Microbiome? What New Research Tells Us.

Mellow Yellow

A recent study reveals that D-limonene, a terpene found in citrus fruits and cannabis, reduces anxiety when combined with THC, the psychoactive component in marijuana. Conducted by Johns Hopkins University, the double-blind study involved 20 participants inhaling various doses of THC and limonene. Results showed that higher doses of limonene significantly decreased anxiety and paranoia. While the exact mechanism remains unclear, the study suggests limonene's potential as an anxiolytic agent. This research highlights the need for empirical testing of terpenes' effects, challenging unverified marketing claims in the medicinal cannabis industry. A New Study Found This Molecule Is Linked to Less Anxiety While Stoned.

Sleep Your Way to the Top

In How to Buy Yourself a Longer Life - The New York Times (gift article), Frank Bruni explores Equinox's new luxury membership, "Optimize," costing $40,000 annually and featuring services like a sleep coach, nutritionist, and personal trainer. This deluxe package aims to enhance fitness and longevity, reflecting an increasing obsession among the wealthy with extended youth. Bruni critiques this trend, highlighting the growing economic segregation and the extravagant ways the affluent flaunt their wealth and seek to optimize their lives, underscoring a deepening divide in American society.

Garden Your Way to a Healthier You

Gardening offers multifaceted benefits for both mind and body. Engaging in activities such as shoveling mulch and pulling weeds counts as moderate-intensity exercise, contributing significantly to physical activity goals. Beyond the physical, gardening provides mental health perks, including stress reduction and a sense of purpose. Emilee Weaver from the North Carolina Botanical Garden highlights how nurturing plants can be deeply fulfilling. Studies support these claims, showing that gardeners are more active and enjoy better mental health than non-gardeners. The article briefly mentions exposure to the soil microbiome and its association with mental health. The Health Benefits of Gardening - The New York Times (gift article).

Prior Authorization Frustration

Medicare Advantage plans, touted for reducing waste and inappropriate care, are increasingly criticized for unnecessarily restricting coverage. This issue is starkly illustrated by Marlene Nathanson's experience, whose stroke recovery was abruptly interrupted when her plan denied further treatment coverage. Despite significant progress in therapy, she was given just 48 hours to leave her rehabilitation facility. Traditional Medicare seldom requires prior authorization, but nearly all Advantage plans do, particularly for high-cost services. With more than half of Medicare beneficiaries enrolled in these plans, such denials are becoming alarmingly common. When 'Prior Authorization' Becomes a Medical Roadblock - The New York Times (gift article).

039 - Centenarian Excrement, Creativity, and Cannabinoids - HealthHippieMD Week In Review

How to Make Peace with Your Feelings

How Leaning Into Negative Emotions Can Help Your Mental Health (gift article) is about accepting negative emotions for what they are: part of the human experience. What you do with the experience strongly influences your health and well-being.

Generative AI in Medicine

Wired had a story about ways generative AI will impact medicine, along with several caveats: ChatGPT Can Help Doctors—and Hurt Patients.

The Two Personality Traits that Predict Well-being

If you lack either (I'm strongly introverted, not extroverted), hope is not lost. Study Finds 2 Personality Traits Predict Well-being — But Don't Worry if You Don't Have Them.

The World's Rarest Eye Colors

Do you have one of the six rarest types of eye color? Read What Is the Rarest Eye Color?.

Is Alcohol in Moderation Good for You?

The Great Alcohol Health Flip-Flop Isn't That Hard to Understand—if You Know Who Was Behind It is an interesting article on how the supposed health benefits of a small amount of alcohol have been turned on its head, again.

What You See Is Not Always What You Get

The NY Times had an article about a recent publication in JAMA focused on melatonin gummies: "A team of researchers analyzed 25 melatonin gummy products from different brands and found that 22 contained different amounts of melatonin than what was listed on their labels; one contained only 74 percent of the advertised amount of melatonin, while another had 347 percent of the labeled amount. Yet another product contained no detectable melatonin at all." 22 Out of 25 Melatonin Products Were Mislabeled, Study Finds. (gift article) See also: ConsumerLab: Independent Testing of Supplements and Botanicals.

Hope

The Atlantic had an interesting article, Why Economists Should Study Hope, that discusses why hope is so important and how to cultivate more.

The Quest for Longevity

The Quest for Longevity Is Already Over is an interesting read. One of the points I strongly agree with in the article is that extending healthspan (the length of time one is healthy) is far more important than extending longevity (the length of time one lives).

Oura Partners with Best Buy

I love my Oura smart ring. I've worn mine for years. The hardest part of the purchase process was the sizing. Sizing will be less of an issue as you can soon walk into Best Buy and find a fitting station. The article Oura Is Proof That Smart Rings Are Here to Stay discusses the Oura Ring and some of the upcoming competitors.

Cannabis, Cannabinoids, and Delta-8 THC / Delta-10 THC

Cannabis-derived products like delta-8 THC and delta-10 THC have flooded the US market – two immunologists explain the medicinal benefits and potential risks is a quick overview of some of medicinal and side effects of cannabinoids. The article discusses hemp, cannabis, and a few of the cannabinoids.

Creativity / Rick Rubin

I enjoy writing words and music. I'm not good at either, but the process brings me joy. Rick Rubin's new book is about the creative process: The Creative Act: A Way of Being: Rubin, Rick. I've been a big fan of Rubin's Broken Record Podcast. I also enjoyed watching Rick Rubin: The 60 Minutes Interview - CBS News and hearing him interviewed on Rick Rubin on How to Make Something Great. I'm adding the book to my "must-read" list.

Brainstorming with ChatGPT

Wired had an article on how to brainstorm better with the generative AI platform: 6 Tips for Using ChatGPT to Brainstorm Better

What Can We Learn About Aging from Centenarian Excrement?

The longest-living people have a more diverse microbiome than their less healthy peers. A study published this month, Longevity of centenarians is reflected by the gut microbiome with youth-associated signatures looked at the gut microbiomes of centenarians — individuals who've reached or surpassed a century in age — and compared them against old, middle-aged, and young adults. Their results showed, "regardless of health status, the centenarians had a unique enterotype that is a combination of the two found in young adults aged 20 to 44 — Bacteroides — and older adults — Escherichia and/or Shigella." Read the study synopsis here: Centenarians Have Super Healthy Gut Microbiomes — Can This Help Us Live Longer?

Pill Popping Polypharmacy

"Getting people off drugs is unfamiliar terrain for modern health systems, mostly set up to put patients on them. But that is beginning to change. Doctors, pharmacists, and nurses are setting up "deprescribing networks" to try to spread the word." The Economist published an article on the overprescription of medication: Too many people take too many pills.

FDA-Approved Video Games

Much of my research at Duke focused on using video game technology in healthcare and healthcare education. It was fantastic to read this synopsis of Akili [^1] and EndeavorRX, an FDA-approved video game for treating ADHD. I can think of many more uses of the platform. The story behind an FDA-Approved Video Game Treatment for ADHD


[^1]: I am an Akili Interactive shareholder.

007- The Benign Masochism of Spicy Foods, Non-Nutritive Sweeteners, Psilocybin, and Attachment Theory - HealthHippie Week In Review - August 28, 2022

Non-nutritive Sweeteners and Weight Gain

I have been wary of artificial sweeteners for decades. A recent study in Cell, Personalized microbiome-driven effects of non-nutritive sweeteners on human glucose tolerance , examines one potential mechanism how artificial sweeteners paradoxically cause weight GAIN, mediated through the microbiome. Sucralose and saccharine had the most harmful impact on the glycemic index (a measurement of the sugar in your blood). Read a summary article here: Non-nutritive sweeteners affect human microbiomes and can alter glycemic responses. I also found this excellent, recent overview of artificial sweeteners-especially their impact on inflammation: Artificial Sweeteners: History and New Concepts on Inflammation

Knocking Down Publisher's Paywalls

It's nice to see some real momentum in making science freely accessible. This week, the White House pushed journals to drop paywalls on publicly funded research. Naturally, the multibillion-dollar publishers are pushing back. Back in 2016, I wrote Thoughts on Open Access and Traditional Publication.. We published the manuscript I mentioned in my blog in the open access journal Frontiers in Public Health: A Novel Multiplayer Screen-Based Simulation Experience for African Learners Improved Confidence in Management of Postpartum Hemorrhage.

"Bud"wieser - Cannabis-Infused Beverages

With the rapidly expanding legalization of recreational marijuana and THC comes a bevy of products seeking to capitalize on the new trend financially. The article, Are Weed Drinks Safe? What to know About THC and Alcohol discusses the issues associated with these new products

How to Meditate when you Can't Sit Still

Meditation has many health benefits, but many people have difficulty getting a practice started. If this sounds familiar, How to Meditate When You Can't Sit Still was written for you. More information on meditation: Meditation - HealthHippieMD

Fiber, Phytonutrients, and Healthy Soil

The People's Pharmacy had an excellent discussion this week on the microbiome and regenerative farming. Show 1312: Fiber, Phytonutrients, and Healthy Soil If you're interested in regenerative agriculture, don't miss the beautiful documentary, The Biggest Little Farm.

Time-Restricted Eating / Intermittent Fasting

I found an article on intermittent fasting for weight loss, a quick overview of a subset of recent research. Does Time-Restricted Eating Help With Weight Loss?. If you're interested in this topic, Michael Greger at NutritionFacts.org has a great series of videos on the topic: Fasting For Health and Weight Loss.

+Another article on fasting (and inflammation): One form of fasting may be best to fight inflammation. In this study, individuals fasted for 24 hours once a week. People followed a regimen of "low-frequency" intermittent fasting, fasting for 24 hours once a week. The result was a higher galactin-3 in those that fasted. Galactin-3 aids in cellular repair and decreases systemic inflammation. The authors opined this regimen might have similar effects to SGLT-2 inhibitors, the newer diabetes pharmaceuticals.

"Post-Pandemic" Thoughts

Another opinion piece on the discomfort of integrating back into society without a healthy immune system: The covid pandemic has 'ended,' but I'll keep my mask on, thanks

The Benign Masochism of Spicy Foods

Quick--what animal other than humans has a preference for spicy foods? Give up? Did you have the Chinese Tree Shrew on your bingo card? Me either. An article in the Big Think covers the phenomenon of human enjoyment of spicy foods, A pleasure to burn: Why do people like spicy foods?

Neurologist's Tips for Fighting Memory Loss and Staving Off Alzheimer's

A recent Lancet commission on dementia suggested that up to 40% of Alzheimer's cases could be prevented or delayed. The article, Stop drinking, keep reading, look after your hearing: a neurologist's tips for fighting memory loss and Alzheimer's has some helpful advice, no matter your age.

Psilocybin therapy reduces heavy drinking

This week, I saw plenty of news about a manuscript published in JAMA Psychiatry, Percentage of Heavy Drinking Days Following Psilocybin-Assisted Psychotherapy vs. Placebo in the Treatment of Adult Patients With Alcohol Use Disorder. The article, Psilocybin therapy reduces heavy drinking by up to 83 percent in landmark trial, summarizes the study. Although the cohort was small (96 subjects), and the control group had a significant response - 51% abstaining from alcohol during the study period, the study is still quite interesting. This report will be another brick in the wall in the psychedelic industry's quest to legalize and use psychedelic compounds medically.

+An interesting article on how psychedelics and near-death experiences change core beliefs in similar ways: Psychedelic trips and near-death experiences result in strikingly similar shifts in mindset.

Attachment Style and Friendship

I read the book Attached a couple of years ago, and it left quite an impression. Unsurprisingly, attachment style influences many types of relationships, not just romantic: How Your Attachment Style Shapes Your Friendships

+What are the most valued traits we look for in friends? The most valued trait in a friend will surprise you

Embracing Idleness

Another excellent article in How to Build a Life series at the Atlantic. How to Embrace Doing Nothing, touches on the importance of leisure time. See my article, Time Poverty: a significant threat to wellness.

Quote of the Week

Knowledge is power. The real test of knowledge is not whether it is true but whether it empowers us. Scientists usually assume that no theory is 100% correct. Truth, consequently, is a poor test for knowledge. The real test is utility. A theory that enables us to do new things constitutes knowledge. - Francis Bacon


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006 - Loneliness, Mucus, and Cannabinoids - HealthHippie Week In Review - August 21, 2022

Loneliness

Loneliness is a significant problem among older adults. For many, feelings of isolation were amplified by the pandemic. Feelings of loneliness impart risks to immunity, cognition, and general health. I read the article, Mindfulness Training Appears To Improve an Immune Function Marker in Lonely Older Adults The critical question was whether MBSR stimulated production of interleukin-6 (IL-6), a measure of the immune system's responsiveness in older, lonely adults (as measured by the UCLA Loneliness Scale). The authors found that MBSR significantly increased IL-6 production in response to challenge, improving responsiveness. The authors pointed out these are only early mechanistic findings-it is unclear whether the results would translate into meaningful health outcomes. An interesting study, nonetheless.

Gut Mucus and Inflammatory Bowel Disease

Fugitive gut bacteria can disrupt our immune system. Here's how we can capture them is an intriguing synopsis of the study, The systemic anti-microbiota IgG repertoire can identify gut bacteria that translocate across gut barrier surfaces. The study looked at the activation of the immune system by bacteria that cross the gut barrier into circulation. The study reinforced the importance of maintaining a healthy mucus layer in your gut through food choices and the avoidance of emulsifiers (both in food and soaps). Here is an article that touches on the concept A New Theory of Obesity.. I will write something else on emulsifiers soon.

Facing Covid with a Compromised Immune System

The excellent opinion piece, How to Plan for the Future When COVID Isn't Going Away, written by an immunocompromised author, resonated with me.

The Doctor will Zoom you Now

An interesting opinion piece by a physician telemedicine convert: How I Came Around on Telemedicine. The article touches on the many benefits of remote visits, including some unexpected ones. The report also discusses some of the challenges for telemedicine moving forward.

Mad Honey Redux

Two weeks ago, I learned about Mad Honey for the first time. This week, The Washington Post published a story about a Turkish bear that got so stoned on Mad Honey-he had to be rescued. Here is the story (with a video): Meet Balkiz, a bear cub in Turkey who got high on hallucinogenic honey

Plant-Based "Meat"

I read the article Taste alone won't persuade Americans to swap beef for plant-based burgers and had a pretty strong reaction. The piece focused solely on messaging to improve plant-based meat consumption. Isn't the most essential question "what's best for our bodies?" Although plant-based meats may be better for the environment, the jury is still out on whether these highly processed foods are better for our health: Plant-based Meat versus Beef

Psychedelic Capitalism

As a follow-up to my newsletter a few weeks ago, here is an interesting podcast on the rapidly developing market for psychedelics: The corporatization of psychedelics-audio. or transcript

+More on the psychedelic renaissance. Psychedelics and mental health: What to know.

Fish Oil and Endocannabinoids

I read the article, Fish Oil Is Good! No, Bad! No, Good! No, Wait, that focuses on the drug Vascepa. Vascepa was approved after a published study demonstrated that, among high-risk adults already receiving another type of cholesterol-lowering treatment, the drug decreased the risk of heart failure and other serious cardiovascular events by an eye-popping 25 percent. A recent manuscript, Effects of Randomized Treatment With Icosapent Ethyl and a Mineral Oil Comparator on Interleukin-1β, Interleukin-6, C-Reactive Protein, Oxidized Low-Density Lipoprotein Cholesterol, Homocysteine, Lipoprotein(a), and Lipoprotein-Associated Phospholipase A2: A REDUCE-IT Biomarker Substudy calls into question the findings of the original study and raises suspicion it was not the fish oil that made subjects better. Instead, it was the placebo that made control subjects worse. The article is anti-fish oil, but I wouldn't give up on fish oil just yet. Most people don't realize fish oil is a building block for endogenous cannabinoids, the substances your body makes that bind to the same receptors as marijuana. Cannabinoid receptors are everywhere in your body, and we are just beginning to understand what they do. The fact that the receptors are so prevalent tells me they have essential roles to play in physiology. I've touched on some emerging science: Why does running give you a high? A look at the science If you'd like to learn more about the biochemistry: Emerging Class of Omega-3 Fatty Acid Endocannabinoids & Their Derivatives

Medical Gaslighting

A common experience in medicine is having one's concerns dismissed by a provider, often referred to as medical gaslighting. Medical practitioners often quickly ignore symptoms and diseases they don't fully understand. The article, How to Spot 'Medical Gaslighting' and What to Do About It, discusses how to identify these behaviors by medical professionals and how to overcome them.

Love, not Lies

Another great article in the Atlantic's How to Build a Life Series. The latest, Disagreement Can Be an Act of Love, is about the lies we tell ourselves and each other. One of my favorite lines in the article, "Some lies might make life easier, but they don't necessarily make life happier._"

Hyperbarics and Long Covid

An intriguing synopsis of a small study out of Israel, Is Oxygen the Answer to Long Covid?, shows hyperbaric oxygen treatment improves the symptoms of Long Covid. The authors opine on potential mechanisms but do not mention the microbiome. A hyperoxic environment would kill many anaerobic bacteria that typically thrive in the oxygen-poor environment of the gut. The alteration of the gut microbiome through hyperoxic exposure is definitely worth considering.

Daydreaming

I've always enjoyed daydreaming, but not everyone does. Why Daydreaming Is Actually Good For Your Brain is an interesting article on the phenomenon of positive and negative daydreaming. The report includes tips on making your daydreams more positive, productive, and creative.

Are Small Amounts of Alcohol Beneficial to Your Health?

Michael Greger tackles the questions of alcohol use and reverse causation in: Is It Better to Drink Little Alcohol Than None? Do Any Benefits of Alcohol Outweigh the Risks?

Quote of the Week

"You must love in such a way that the person you love feels free." ― Thich Nhat Hanh