112 - Nourishing Medical Minds, People Pleasing, and A New Leash on Life - HealthHippieMD Week In Review

A New Leash on Life for Modern Dogs

As society shifts toward urban living, dogs are undergoing a new wave of domestication, adapting to our modern lifestyles. Historically valued for their work ethic and protective instincts, today’s pets are expected to be calm, friendly, and adaptable companions. Service dogs exemplify this transformation, showcasing friendliness and social bonding traits that reflect early domestication patterns. These dogs offer a blueprint for a new type of pet, where temperament, not just appearance, becomes the breeding focus. This shift promises to reshape the future of our beloved canine companions. Dogs Are Entering a New Wave of Domestication - The Atlantic.

Nourishing Medical Minds

A panel of experts has urged medical schools to integrate comprehensive nutrition education into their curricula, citing diet as a significant factor in seven of the ten leading causes of death in the U.S. In a new consensus statement published in JAMA Network Open, the panel outlined 36 key nutrition competencies for medical training. Despite the undeniable link between diet and health, most medical programs offer little to no instruction on nutrition. The panel emphasizes that improving doctors’ understanding of nutrition can greatly enhance patient care and disease prevention strategies. Panel recommends medical nutrition training, citing diet disease risks - The Washington Post (gift article).

Bot or Not

Generative AI platforms like Character.AI enable users to create chatbots impersonating real people, often without their consent, leading to ethical dilemmas. A notable case involves the unauthorized creation of a bot modeled after Jennifer Ann Crecente, a teen murdered in 2006. Her father, Drew Crecente, discovered this AI bot mimicking his daughter’s identity, bringing fresh grief. Despite Character.AI’s policies, countless non-consensual bots remain. Legal protections lag, leaving those impersonated with little recourse as the line between digital personas and personal privacy blurs in this rapidly evolving space. Anyone Can Turn You Into an AI Chatbot. There’s Little You Can Do to Stop Them | WIRED.

+see also: A murdered high-schooler’s image was used to create an AI chatbot - The Washington Post.

Metformin’s Miss

Metformin, a widely used diabetes drug, once sparked hopes of being a cancer-fighting breakthrough. Early studies suggested that the drug could reduce cancer risk and enhance chemotherapy effects, but subsequent large-scale trials failed to confirm these benefits. Researchers now attribute earlier positive findings to flaws like “immortal time bias” and excessively high doses used in lab studies. While metformin remains promising for other conditions like aging and dementia, its potential as a cancer treatment has been largely dismissed, with experts calling for more cautious optimism. This Common Diabetes Drug Was Thought to Revolutionize Cancer — Here’s What Happened Instead.

Peptide Promises

‘GLP-1’ Has Become an Empty Buzzword - The Atlantic delves into the growing trend of “GLP-1” supplements, marketed as alternatives to weight-loss drugs like Ozempic. Despite their catchy association with GLP-1 agonists, these supplements pale in comparison to the actual effectiveness of obesity drugs. While the natural hormone GLP-1 is released after eating and influences satiety, the supplements only offer a minor boost in GLP-1 levels. Their marketing preys on consumers seeking a cheaper, non-pharmaceutical solution, but in reality, they repurpose common ingredients, leaving people with little more than hollow promises.

Rethinking Obesity

A Gen X physician reflects on his earlier misconceptions about obesity, realizing that it is a complex, mostly neurological, and inheritable disease rather than simply a result of laziness or poor choices. He acknowledges how his success with weight loss led to a condescending attitude toward patients who struggled, failing to recognize their unique genetic predispositions. With the introduction of GLP-1 drugs like Ozempic and Wegovy, the doctor is cautiously optimistic that science can finally offer effective treatments for obesity, moving beyond outdated assumptions about personal responsibility.​ I was once condescending to obese patients. I regret it. - The Washington Post (gift article).

Ozempic Tackles More Than Just Weight

Recent studies reveal that Ozempic, widely known for treating type 2 diabetes and aiding weight loss, might also reduce addiction-related behaviors. Researchers from Loyola University found that those on the drug had significantly lower rates of opioid overdose (40%) and alcohol intoxication (50%) compared to non-users. The findings, derived from analyzing over a million health records, suggest that GLP-1 receptor agonists may influence addiction, though the exact mechanisms remain unclear. While promising, further research is needed to confirm the drug’s potential in addiction treatment. Ozempic Might Help Treat Two Common Addiction Disorders.

People-Pleaser Predicament

How to Stop Being a People Pleaser - The New York Times (gift article) delves into the common habit of people-pleasing, where individuals prioritize others’ needs at the expense of their own. Experts explain how this behavior often stems from childhood or social anxiety and initially offers satisfaction by gaining approval. However, it can lead to resentment and emotional burnout. The article offers practical tips to set boundaries, manage pushback, and overcome fears of rejection. The focus is on building self-worth, prioritizing personal needs, and embracing balance in relationships to prevent feeling drained by constant people-pleasing.

A Playbook for the Heart

Seven Ways to Love Better - The New York Times (gift article) by Daniel Jones, editor of the Modern Love column, reflects on two decades of curating stories about love. He distills seven essential lessons learned from thousands of submissions. Love, he argues, thrives on curiosity, empathy, and impermanence. Relationships should be handled like basketballs, and they should be able to bounce back from conflict. Success is not measured by longevity but by impact. Whether it’s appreciating fleeting moments or navigating difficult separations, Jones emphasizes the importance of being present, open-minded, and grateful for every connection, no matter how brief.

108 - Tripping with Dogs, Fasting for Longevity, and Animal Grief - HealthHippieMD Week In Review

A Look at Animal Grief

In Do Animals Know That They Will Die? - The Atlantic, scientists explore the question of whether animals understand death as humans do. Through compelling anecdotes, such as a grieving chimp mother named Moni, researchers speculate about how animals process death and loss. The field of comparative thanatology examines animals like chimpanzees, whales, and elephants, searching for signs of grief, awareness, or even a concept of mortality. Yet, while some behaviors suggest emotional depth, scientists admit that much remains uncertain, particularly regarding whether animals comprehend their eventual deaths.

+see also: We're not the only animals that appear to grieve. What are the implications? | Aeon Videos.

How Microbes Unfreeze Time of Death

In extreme cold conditions, traditional forensic methods struggle to estimate the time of death due to slowed decomposition. Researchers from the University of North Dakota and the University of Central Lancashire have turned to microbes as potential "timekeepers" for bodies frozen in snow. Their study in Grand Forks, North Dakota, identified bacterial species like Psychrobacter and Pseudomonas that follow predictable patterns during decomposition, even in freezing temperatures. These microbes offer forensic scientists a more accurate way to estimate the post-mortem interval, providing critical clues for investigations in frigid environments. Found dead in the snow − how microbes can help pinpoint the time of death for forensic investigations in frigid conditions.

Grounds for Concern

The S.E.C. fined Keurig Dr Pepper $1.5 million for misleading claims about the recyclability of its K-Cup coffee pods. While the company asserts that its pods can be recycled, two major recycling firms have refused to accept them, casting doubt on its assertions. Keurig's statements in both marketing and financial reports have now raised concerns about inflating shareholder value through misleading information. This case underscores the growing scrutiny of companies making environmental claims that don't hold up under scrutiny. K-Cup Pods Aren't Recyclable, S.E.C. Says - The New York Times (gift article).

Mind Over Monologue

How to step out of your inner monologue and understand the world better - Big Think explores neuroscientist David Eagleman's insights into how our brains shape reality through biases and categorization. Eagleman explains how we instinctively separate people into ingroups and outgroups, often leading to reduced empathy and dehumanization. He suggests strategies like blinding biases, resisting propaganda, and creating cross-group connections to help us overcome these neurological limitations. Eagleman argues that expanding our perceptions can foster greater understanding and reduce conflict in society, especially in an era where technology can amplify divisions.

It's Not Just Calories Counting in Weight Loss

While the traditional "calories in, calories out" model holds truth, recent research highlights the role of gut microbes and food "leftovers" in metabolic health. Bioactive compounds, like fibers and polyphenols, regulate metabolism and appetite by interacting with gut microbes, turning unused calories into beneficial metabolites. Still encased in their natural fibers, whole foods lead to more calories being excreted and less absorbed. Mitochondrial efficiency also influences weight gain, and healthy microbiomes optimize calorie burning. Processed foods lack these bioactives, further complicating the weight loss equation. Is weight loss as simple as calories in, calories out? In the end, it's your gut microbes and leftovers that make your calories count.

Tripping With Dogs

A groundbreaking study reveals that humans and dogs can synchronize their brain activity, known as inter-brain activity coupling. Researchers conducted experiments using dogs with genetic markers for autism spectrum disorder (A.S.D.) to explore this phenomenon, administering L.S.D. to observe its effects on neural synchronization. The results showed increased inter-brain coupling during social interactions, especially with L.S.D., suggesting potential benefits for individuals with A.S.D. This study is the first to demonstrate such neural connections between species, offering insights into human-animal bonds and the neurological impact of psychedelics. Researchers Gave L.S.D. and Humans To Dogs — And Something Magical Happened.

+see also: The Internet's 'Dog Mom' Talks the Science of the Human-Dog Bond | Scientific American

Life After Death, Cellular Edition

Biobots arise from the cells of dead organisms − pushing the boundaries of life, death, and medicine explores the discovery of biobots—multicellular organisms that emerge from cells of deceased organisms, blurring the line between life and death. Researchers found that, given the right conditions, cells can reorganize into new life forms, such as xenobots, which exhibit behaviors far beyond their biological roles. These entities, from frog cells to human lung cells, adapt to new environments, heal, and self-replicate. This "third state" could revolutionize medicine by offering new ways to treat diseases through adaptable, living entities with limited life spans.

Milk It

Breast milk, long hailed for its benefits to babies, is now being explored for its potential in treating adult diseases like cancer, heart disease, and I.B.S. Packed with a complex array of proteins, sugars, and bacteria, its components, such as human milk oligosaccharides (H.M.O.s), show anti-inflammatory properties that could be key in future therapies. From bolstering the immune system to promising cancer treatments like HAMLET, breast milk continues to astonish scientists, proving itself a potent resource beyond infancy. Breast milk's benefits are not limited to babies.

Sleep Tight, but Right

As more people embrace sleep's importance, some have taken the pursuit of perfect rest to extremes, dubbing themselves "sleepmaxxers." From mouth tape and nose dilators to expensive gadgets, they seek to optimize every aspect of sleep. However, experts caution that obsessing over perfection can backfire, leading to anxiety and even sleep disorders like "orthosomnia." While sleep aids and rituals may help some, professionals advise balance, emphasizing that sleep should be natural, not forced. Too much focus on rest can ultimately disrupt it. How the Pursuit of Perfect Sleep Can Backfire - The New York Times (gift article).

Fasting Your Way to Longevity?

Can fasting help you live to 100? explores Valter Longo's research on fasting and its potential to extend human life. Longo, an Italian scientist, believes fasting triggers autophagy and activates stem cells, processes that can slow aging and combat diseases like diabetes, cancer, and Alzheimer's. His fasting-mimicking diet (F.M.D.) mimics fasting's effects while still providing limited calories. Though celebrated by celebrities and the public, Longo's work faces skepticism from some scientists regarding his products' longevity claims and commercialized nature. Nonetheless, fasting's ancient roots and modern appeal continue to spark debate.

085 - Healthcare AI, Love's Faces, and Crafting a Sharper Mind - HealthHippieMD Week In Review

Timing is Everything

The optimal time for exercise is influenced by circadian rhythms, which govern physiological and behavioral patterns over a 24-hour cycle. Research shows that exercise timing can impact health and athletic performance. Morning exercise may help align the body's circadian rhythms, while afternoon exercise is often associated with peak physical performance. Muscle cells have their clocks, which can be trained to optimize performance at specific times of day. Consistency in exercise timing may also be beneficial for long-term health. Studies are exploring how exercise timing can be used to manage conditions like metabolic syndrome and diabetes, with some evidence suggesting that afternoon exercise may be more beneficial for those with Type 2 diabetes. However, the science is not yet settled, and individual preferences and schedules should be considered when determining the best time to exercise. Best time to exercise? How circadian rhythms affect your workout and your health: Shots - Health News : NPR (thanks, Wendy!).

Love's Familiar Faces

The concept of a romantic "type" may stem from psychological comfort rather than random attraction. Studies suggest we're drawn to partners with similarities in physical, psychological, and educational traits, often due to demographic factors and "assortative mating." Familiarity also plays a role, as we may seek partners who remind us of past relationships, reinforcing our perceptions of love. Understanding these patterns can help us consciously navigate our romantic choices, recognizing the importance of openness and self-awareness in our relationships. Where Your Romantic 'Type' Comes From - The Atlantic.

Allergy Apocalypse

In a conversation with Yasmin Tayag from The Atlantic, the "allergy apocalypse" is discussed as rising temperatures contribute to longer and more intense pollen seasons. Traditionally marked by tree pollen in early spring, followed by grasses and ragweed, allergy seasons are now starting earlier and lasting longer due to warming temperatures and increased carbon dioxide levels. This change has led to more people experiencing allergy symptoms, even those who previously had a higher tolerance for pollen exposure. The article also explores the impact of allergies on daily life and the limited options for managing symptoms, emphasizing the need for precautions like checking pollen counts and reducing exposure. The increasing pollen levels are causing individuals to spend less time outdoors, impacting their relationship with nature and the enjoyment of warmer seasons. The allergy apocalypse is here - The Atlantic.

Weighing the Odds

Altimmune's experimental weight loss drug, Pemvidutide, has shown promising results in a phase-2 trial, successfully minimizing muscle mass loss. In contrast to other weight loss drugs, which often lead to a higher rate of lean muscle loss, Pemvidutide's clinical study of 391 subjects revealed an average weight loss of 16% over 48 weeks, with 75% of this loss attributed to fat and only 25% to lean mass. This ratio closely mirrors that achieved through diet and exercise. The preservation of lean mass is crucial, especially for women and older people, as excessive loss can result in conditions like sarcopenia and bone fractures. Amidst the booming demand for weight loss drugs, several pharmaceutical companies are racing to introduce new and improved options, with Novo Nordisk even developing a more potent drug following the success of Wegovy and Ozempic.

Daniel Kahneman's Legacy of Learning from Errors

The world lost a titan this week. Daniel Kahneman, the renowned psychologist and Nobel laureate, passed away at 90, leaving a legacy of intellectual humility. Known for his groundbreaking work in behavioral economics and cognitive biases, Kahneman was unique in his persistent admission of his own mistakes, both in public and private. His book, Thinking, Fast and Slow reflects his lifelong journey of self-correction, highlighting the human propensity for errors and the importance of acknowledging them. Kahneman's approach to science was marked by constantly reevaluating his beliefs and an openness to learning from mistakes, a rare quality that made his contributions to psychology and economics invaluable. Even in the face of controversies, such as the reproducibility crisis in psychology, he remained a proponent of rigorous scrutiny and honesty in scientific research. Kahneman's work and willingness to admit faults have left an indelible mark on the field, emphasizing the importance of embracing our fallibility and striving for greater understanding. Daniel Kahneman Was Sometimes Wrong, and Always Right - The Atlantic.

Crafting a Sharper Mind

The New York Times article explores the cognitive and emotional advantages of engaging in hands-on activities like writing, gardening, and knitting. Neuroscience Professor Kelly Lambert highlights the brain's significant investment in hand movement and suggests that working with our hands may offer unique rewards, such as improved problem-solving skills and stress management. Studies indicate these activities can enhance memory, attention, and mental health. Moreover, handwriting, in particular, has been shown to stimulate more elaborate brain activity compared to typing. While the exact mechanisms remain under investigation, the consensus is that hands-on tasks, which require fine motor control and mental engagement, can benefit brain health and well-being. Working With Your Hands Is Good for Your Brain - The New York Times. (gift article).

Healthcare AI in the Economist

The latest Technology Quarterly features AI in healthcare:

• AIs will make health care safer and better
• Artificial intelligence has long been improving diagnoses
• Medical AIs with human faces are their way
• Artificial intelligence is taking over drug development
• Can artificial intelligence make health care more efficient?

Nerve-aid

Neurona Therapeutics' experimental epilepsy treatment, involving brain-cell transplants, shows promising early results. Justin Graves, a volunteer in the trial, experienced a significant reduction in seizures after receiving lab-made neurons injected into his brain. Developed as a breakthrough for stem-cell technology, this treatment uses cells converted to an embryonic-like state to manufacture young, healthy tissue. The therapy aims to restore balance in brain activity by growing inhibitory interneurons that quell electrical misfires causing seizures. While the treatment's long-term efficacy and consistency are yet to be confirmed, the initial success stories offer hope for a new, non-destructive approach to treating epilepsy, potentially shifting the current surgical paradigm. Brain-cell transplants are the newest experimental epilepsy treatment | MIT Technology Review.

029 - Coffee College, Facebook, Resilience and Despair - HealthHippieMD Week In Review

Life may get in the way of newsletter publication next week. I'm apologizing in advance for an abreviated or absent edition. I'll resume normal publication on Sunday, February 26.

---

Demoralization of Healthcare Workers

Here is a provocative piece about diminished morale amongst healthcare workers. Although written by a physician about physicians, the same is true for other healthcare professionals. Opinion | Doctors Aren't Burned Out From Overwork. We’re Demoralized by Our Health System (gift article)

Food Choice and Cognition / Dementia

Here is another article on the cognitive value of eating whole, plant-based food: How Your Diet Could Help (or Hurt) Your Aging Brain. For a nice review paper on food and supplements, see: In Pursuit of Healthy Aging: Effects of Nutrition on Brain Function.

Exercise and Resilience

"Resilience is the ability to bounce back from adversity... Resilience is essentially an emotional muscle, but a growing body of research shows that exercising our physical muscles is one way to increase our capacity to cope with daily stress." WaPo had an article on the physiology behind the phenomenon: How exercise can help you build resilience at any age (gift article)

Your Lying Mind

The Atlantic procured several articles on how our minds can deceive us, especially when something threatens our identity: Your Lying Mind - The Atlantic (requires subscription)

Psychedelics Medically Approved Down-Under

Starting July 1, 2023, authorized Australian psychiatrists have another tool in their armamentarium: psychedelics. On February 3, MDMA and psilocybin, but the training standards and hoops to jump through to prescribe these drugs are still formidable: MDMA and Psilocybin Are Approved as Medicines for the First Time | WIRED (thanks, Richard!)

Relationship Contracts

A relationship contract looks pretty unromantic, but it seems to work for this couple: Creating a contract — yes, a contract! — could help you get what you want from your relationship |

Sound Therapy

Sound therapy instruments like the Digeridoo and Tibetan Singing Bowls have been used for thousands of years to calm the mind and heal the body. Is Sound Therapy the New Way to Zen? discusses the phenomenon. I was skeptical about sound therapy until I read literature on how specific frequencies of sound activate immune pathways (in rodents): Alzheimer's Disease and Gamma Waves

Coffee College

I'm interested in perfecting my coffee-making abilities. In the article, Coffee College: Everything You Wanted to Know about Coffee Making in One Lecture, I learned of the coffee-education service Barista Hustle and its associated Youtube channel. I'm setting aside 80 minutes to watch: Advanced Coffee Making Lecture at Assembly Coffee London.

Your Healthcare System: Official Corporate Partner of the NFL

A provocative opinion piece in WaPo about hospital marketing. "So when people see any TV commercial or billboard highlighting a hospital system's quality of care, then walk into that same hospital system's emergency room only to find it dangerously overcrowded and understaffed, it is worth connecting the dots. Imagine how many lives would be saved if only we were to take the bold step of demanding that our healthcare dollars be spent on actual healthcare." Opinion | Super Bowl ads are not where hospitals in crisis should spend money (gift article)

Artificial Intelligence Primer: Wired Complete Guides

Wired has been doing background pieces on today's important technology. Two examples to help you get up to speed: What Is Blockchain? The Complete WIRED Guide and What Defines Artificial Intelligence? The Complete WIRED Guide. Both are worth a read.

A New Approach to Graft-vs-Host Disease and Inflammatory Bowel Disease (pre-clinical)

GI GVHD Link to Microbiome Dysbiosis Addressed by Reducing Intestinal Oxygen discusses a study looking at treating GVHD (and perhaps inflammatory bowel disease) by decreasing the oxygen content in the bowel using iron chelation. "The findings suggested that restoring the normal environment by reducing the oxygen level in the intestine could help re-establish the balance of the microbial community and lead to attenuation of GVHD."

The Science of Pleasurable Touch (pre-clinical)

You've probably heard of "skin hunger," the craving to be touched by another. Scientists are beginning to unravel why being touched by others is pleasurable: Scientists mapped the brain circuitry involved in pleasing touch in mice

How Do You Serve a Friend in Despair

Love oozed from a journalist's writing about his good friend who sunk into depression and ultimately committed suicide. "I learned, very gradually, that a friend's job in these circumstances is not to cheer the person up. It's to acknowledge the reality of the situation; it's to hear, respect, and love the person; it's to show that you haven't given up on them or walked away." Opinion | How Do You Serve a Friend in Despair? (gift article)

All Things Zuckerberg

"We are the germs, but Facebook is the wind." Facebook seems to be at the center of many controversies today. I just read the 2018 article, Can Mark Zuckerberg Fix Facebook Before It Breaks Democracy?, The article was insightful and informative and is a must-read for anyone that wonders what all the hullaballoo is about.

Covid Evolved

A Crucial Group of Covid Drugs Has Stopped Working discusses how Covid has evolved, negating the effectiveness of drugs that were once the mainstay of prophylaxis for immunocompromised patients.