Cannabis

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).

078 - Panpsychism, Unleashing Joy, and Dream Teams - HealthHippieMD Week In Review

NCCIH on Mindfulness and Meditation

I wanted to remind you about the terrific National Center for Complementary and Integrative Health resources. Here is their fact sheet on Mindfulness and Meditation: Meditation and Mindfulness: What You Need To Know | NCCIH

The Dream Team

I thought I'd feature an article on the importance of sleep and athletics with the Super Bowl approaching. The significance of a good night's sleep is often overlooked. However, sleep is vital in enhancing athletes' performance, from boosting muscle repair to strengthening the immune system. This article highlights the crucial connection between quality sleep and athletic success. It explains the different stages of sleep and their impact on physical and cognitive health. Athletes prioritizing sleep can improve speed, accuracy, cognitive skills, and pain tolerance, ultimately gaining a competitive edge. The article also provides practical tips for athletes to optimize their sleep routines, emphasizing that sleep is a performance enhancer. Sleep can give athletes an edge over competitors − but few recognize how fundamental sleep is to performance.

+And if you're curious how exceptionally talented professional athletes are compared to the Average Joe, listen to this podcast (where a journalist went through the NFL combine and was rated against NFL players): People I (Mostly) Admire: 123. Walt Hickey Wants to Track Your Eyeballs.

A Fitness Folly

In The Apple Watch May Have a Calorie Problem, The Atlantic explores the complex relationship between users and their fitness trackers, particularly the notorious red "Move" ring on the Apple Watch. The article delves into the challenges users face in trying to meet daily activity goals set by these devices, revealing the potential pitfalls of relying on them too heavily. The piece highlights the inaccuracy of calorie measurements on fitness trackers and how these devices can sometimes lead users to prioritize external motivation over the intrinsic joy of staying active. Ultimately, it raises thought-provoking questions about the role of technology in shaping our fitness routines.

Edibles vs. Smoking Cannabis

As the popularity of cannabis-infused edibles surges, people are questioning whether they offer a safer alternative to traditional smoking methods. While the answer is not straightforward, experts weigh in on the pros and cons of each. Edibles take longer to kick in, making it easier to overconsume, potentially leading to adverse effects. They can also produce more intense highs. On the other hand, smoking poses respiratory risks due to harmful chemicals in the smoke, though conclusive evidence on lung cancer is lacking. Regardless of the method, cannabis use has some short and long-term health risks, emphasizing the importance of moderation and informed choices. Are Cannabis Edibles Safer Than Smoking? - The New York Times (gift article).

Panpsychism: Is Consciousness Woven into the Universe?

"Somehow, the water of the physical brain is turned into the wine of consciousness." In a thought-provoking article, Dan Falk explores the age-old question of consciousness and its place in the Universe. The article delves into the theory of panpsychism, which suggests that consciousness is an intrinsic component of reality, akin to mass or electrical charge. Scholars gathered at a recent workshop to discuss the idea, highlighting its appeal as a solution to the enigmatic "hard problem" of consciousness. However, critics argue that panpsychism faces challenges, such as the "combination problem" and the dilemma of explaining the consciousness of other beings. The article offers a captivating glimpse into the ongoing debate between panpsychism and alternative views, shedding light on the profound philosophical implications of our understanding of consciousness. Is Consciousness Part of the Fabric of the Universe? | Scientific American.

Nature's Wegovy / Ozempic

The article, A Gastroenterologist Reveals How To Tap Into Your Body's Natural Processes That Inspired Ozempic explores the role of natural gut hormones and healthy food in metabolism and weight loss. It delves into how drugs like Wegovy, Ozempic, and Mounjaro, designed for weight loss and diabetes, mimic natural incretin hormones found in the gut. Specialized gut bacteria help transform undigestible components of food into molecules that regulate appetite and metabolism, emphasizing the importance of a diverse, healthy gut microbiome. These drugs reinvigorate the body's natural systems, making them effective for weight loss and blood sugar control, but lifestyle changes and whole foods are still vital for long-term health.

Snooze Control: How Your Diet Affects Your Sleep Quality

Research suggests that our dietary choices can significantly impact the quality of our sleep. Nutritional epidemiologist Erica Jansen explores the intricate relationship between diet and sleep, highlighting that adherence to nutritional guidelines, such as consuming fruits, vegetables, legumes, and whole grains, can lead to longer and better sleep—furthermore, healthier diets like the Mediterranean and anti-inflammatory are associated with improved sleep quality. While specific foods and nutrients like fatty fish, dairy, and melatonin-rich fruits play a role, the complexity of this relationship remains challenging to unravel. The article also cautions against consuming certain foods and substances that can disrupt sleep, emphasizing the importance of overall dietary patterns and good sleep hygiene practices. One Simple Change to Your Diet Could Help You Sleep Better, Study Finds.

Unleash the Joy

In A Pet Psychologist Reveals How To Give Your Dog The Best Walk of Its Life, , a pet psychologist shares valuable insights into the art of dog walking. Rather than focusing on steps, it emphasizes the importance of time spent outdoors, allowing dogs to engage in their favorite activity: sniffing. Sniffing and marking territory are crucial to a dog's experience, making it a mental exercise as much as a physical one. Rushing through walks or encouraging dogs to hurry up with their business can be detrimental, potentially leading to behavioral problems. By customizing walks to suit each dog's preferences and reframing the experience, dogs and owners can enjoy the best walks of their lives.

Awe

Here is a balanced critique and interview with the author of the book Awe: The New Science of Everyday Wonder and How It Can Transform Your Life.. I'm adding this book to my queue.

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.

038 - Ice Cream, Understanding Animal Communication, and Circadian Immunity - HealthHippieMD Week In Review

Wait, Ice Cream Might be Healthy?

I enjoyed the article, Could Ice Cream Possibly Be Good for You?. The report not only discusses the controversial, non-spurious outcome that won't go away but also demonstrates what happens in the scientific world when a new finding bucks traditional thinking. And the article contains puns.....

How Generative AI Will Change the Music Industry

Generative AI is not just for text and image creation. AI-Generated Music Is About to Flood Streaming Platforms discusses how AI is changing the music industry and music itself.....

Amyloidosis

The same misfolded proteins found in Alzheimer's Disease can also be found in other organs. Alzheimer's-Like Diseases Can Affect the Body — Scientists Are Working to Find Out Why is an overview of Amyloidosis and its treatment.

Chartreuse Shortage

For my 21st birthday, some friends bought me Chartreuse, a bright green herbal liqueur. That was the only time I tasted it. But now, even if I wanted more, it might not be possible. Chartreuse is getting more difficult to find. Why Is There a Chartreuse Shortage? Ask the Monks Who Make It.

Altered States of Memory

"Memory is "reconstructive." People actively alter the information they remember according to their biases and expectations." Short-term memories were thought to be less subject to alteration, but a recent study demonstrates otherwise: Our expectations can create fake short-term memories. If you'd like to learn more about the fragility/malleability of memory, take a listen to one of my favorite Revisionist History episodes: Free Brian Williams.

How Ultra-processed Food Starves the Microbiome

Another article on how processing alters food--and not in healthy ways: You Could Be Unknowingly Starving Your Gut Bacteria — But The Fix Is Surprisingly Simple. I feel like a broken record....

Is "Non-Communicable Disease" a Misnomer?

Human ailments such as heart disease were thought to be non-communicable. But findings from microbiome research call that belief into question: The Biggest Microbiome Study Sheds New Light on Shared Health Risks.

Covid, Population Risk, and Personal Risk

There is a 1% mortality rate from COVID. If 1% of COVID-19 cases result in death, does that mean you have a 1% chance of dying if you catch it?

FDA Approves Second Bivalent COVID Booster

"Federal health officials will not formally urge that people get a second booster. Instead, the "permissive" policy says they may get a second dose if they want." FDA okays second omicron booster for people at high risk from covid

Why Does Hair Turn Grey?

"A new study suggests stem cells may get stuck as hair ages and lose their ability to mature and maintain hair color." Scientists may have discovered why hair turns grey._

Belated Happy Waldo Day!

This week marked 4/20. In honor of the day, Longreads compiled a list of cannabis-related stories: Weed Between the Lines: A Longreads Cannabis Collection.

Talking to the Animals

I've often joked that I wish Theodore, a six-year-old Labradoodle, could talk. Now, thanks to AI and bioacoustics, my wish may become a reality: How Scientists Are Using AI to Talk to Animals.

Food and Hot Flashes

We don't understand the physiology of hot flashes, but it appears food can influence the severity of this common occurrence: Could Certain Foods Help With Hot Flashes? (gift article)

Us versus Them

"It's been said, "There are two kinds of people in the world: those who divide the world into two kinds of people and those who don't." In reality, there are lots more of the former. And it can be vastly consequential when people are divided into Us and Them, ingroup and outgroup, "the people" (i.e., our kind) and the Others." An stimulating article in Nautilus about us/them dichotomies: Why Your Brain Hates Other People.

Reinvent Yourself According to Experts

Giving credence to your "possible selves" is an evidence-based way to reinvent yourself. How to Reinvent Yourself, According to the Experts tells you how. See also the fantastic podcast: zigzag project.

A Key Character Trait for Happiness

Enthusiasm Is Key to Happiness is an interesting article that touches on psychology and finishes with ways of improving your happiness, regardless of personality type.

Huge Umbrella Analysis of Dietary Sugar

The British Medical Journal published an article that aggregated a huge (8600+) studies on the effects of sugar on health outcomes: Dietary sugar consumption and health: an umbrella review. Read the synopsis here: Study Offers Dozens of Reasons to Cut Sugar

Circadian Rhythms and Immunity

How Circadian Rhythms and Time of Day Control the Immune System describes recent breakthroughs into how our body's internal clock seems to regulate immunity and susceptibility to disease.

032 - Bayesian Thinking, Cadavers, and Medical Unions - HealthHippieMD Week In Review

House Staff Local 131

I read an article about physicians unionizing. Although there has been talk about this for quite some time, I did not realize it had already happened in several locations: Doctor Unions Are Good for Your Health

Avatar Now

What do you get when you combine the immersive collaborative experience of an escape room with a video game? You get a Gamebox. Immersive Video Games Are Coming to a Theater Near You

The Plant Whisperer

Are plants sentient? I'm still not convinced, but this scientist theorizes they might be. What Plants Are Saying About Us - Nautilus

Spring Ahead

I read an article from a sleep scientist about the downsides of Daylight Savings time. The report convinces us that we should be on a permanent Standard Daylight schedule, not a permanent Daylight Savings schedule, as is currently suggested in a Congressional Bill.Springing forward into daylight saving time is a step back for health – a neurologist explains the medical evidence and why this shift is worse than the fall time change

Swiss Miss

The iconic Matterhorn of the Swiss Alps will no longer be seen on the wrappers of Toblerone chocolate bars after production moves from Switzerland to Slovakia. Where are Toblerone chocolate bars made?

Taking Control of What you Read on the Internet

Here is an article on the 25-year-old technology, RSS feeds: It's time to take back control of what we read online. I use RSS feeds in various ways. For my daily news, I rely on Feed Bin and Unread. I previously wrote about the ways I use RSS in scholarly activities: Unlock the Power of RSS feeds with DEVONthink — Workflows in Personal and Professional Productivity

This is your Brain on Art

"Art is not a luxury for our downtime, but an important contributor to physical and mental well-being..." I couldn't agree more, especially regarding music. How art, music, and dance affect your brain and body. (gift article)

Non-Nutritive Sweeteners

Artificial sweeteners are in various foods, from bread and cereal to tortillas and greek yogurt. Here is an article on the dark side of sugar substitutes: How sugar substitutes sneak into foods and affect your health (gift article)

Healthy, Redefined

The FDA is cracking down on commercial foods that may be labeled 'healthy.' The food companies are resisting: FDA is redefining 'healthy,' and the food industry is pushing back (gift article)

Personality Testing in the Workplace

Many years ago, I went down the rabbit hole, taking any personality test I could get. Although many personality tests (i.e., MBTI) have not been validated, they are increasingly used to make workplace decisions. Personality testing is now a $2 billion industry. The $2 Billion Question of Who You Are at Work (gift article)

The Argument for Moving Closer to Your Friends

"Many people are prepared to move for a new job, to be with a romantic partner, or even just for an adventure. Moving to be closer to buddies should be no different. Friends are not incidental to a good life; they're essential to one. So why not shorten the distance between you and them?" Live Closer to Your Friends

Health Podcasts Worth Listening To

....at least according to the NY Times. I am going to check out a few of these: Here Are 12 Health Podcasts Worth Listening To (gift article)

What Fuels Teen Anxiety?

Reformers have argued for fewer hours in a workweek. Yet, simultaneously, demands on our children at school have increased. Many believe the time needed to become attractive college applicants at the root of teen anxiety: "Richer and more complex economies require more rigorous and intense education, putting more pressure on kids to be high-achieving perfectionists." We're Missing a Key Driver of Teen Anxiety

Does your Microbiome Influence Interest in Exercise? (pre-clinical)

An interesting article in WaPo about how, in mice, the microbiome influences interest in exercise: How your microbiome may influence your motivation to exercise - The Washington Post (gift article)

Cannabis and Anesthesia

An article in the Economist discusses how cannabis influences the amount of drugs needed for adequate anesthesia. Cannabis and anesthesia do not mix

A Short History of Medical Cadavers

Medical students traditionally dissect cadavers while learning anatomy. Ever wonder where the bodies come from? From grave robbing to giving your own body to science – a short history of where medical schools get cadavers "Where many Americans once regarded medical students as "butchers" for exploiting their beloved dead, contemporary students honor what some of these future doctors call their "first patients" for the precious gift they have been given."

Bayes' Rule

After seeing all the evidence, how strongly should you believe something? That question is at the heart of Bayesian thinking, named after the Reverend Thomas Bayes. Here is an interesting video explaining Bayes Rule: Harvard professor explains Bayes' rule and an interesting article on how to use Bayesian Thinking to influence our relationships: Bayes and Deadweight: Using Statistics to Eject the Deadweight From Your Life.