The Risky Truth Behind Erythritol

A recent study reveals that erythritol, a popular sugar substitute found in products like Truvia and Splenda, may increase the risk of heart attack and stroke by elevating platelet activity, which can lead to blood clot formation. The study compared erythritol with sugar and found that while sugar did not affect platelet activity, erythritol significantly did. Despite being classified as “generally recognized as safe” by the F.D.A., this research calls for further long-term studies to assess the cardiovascular risks of erythritol and similar sugar substitutes. This Popular Sugar Substitute May Put Your Heart at Risk, A New Study Reveals.

Rolling Towards Relief

The F.D.A. is nearing a decision on the approval of MDMA-assisted therapy for treating PTSD, a move that could revolutionize psychedelic medicine. This potential approval has sparked a bipartisan lobbying effort from veterans, lawmakers, and researchers, advocating for the drug’s benefits despite concerns over trial data. The therapy, combining MDMA with talk therapy, has shown promising results in reducing PTSD symptoms, but challenges remain, including the stigma surrounding psychedelic drugs and the need for rigorous data. The F.D.A.’s decision could set a precedent for future treatments in the burgeoning field of psychedelic medicine.Veterans and Lawmakers Lobby for Approval of MDMA Therapy - The New York Times (gift article).

+despite the lobbying by some powerful groups, the F.D.A. did not approve MDMA: F.D.A. Officially Rejects MDMA-AT as PTSD Treatment | DoubleBlind Mag.

The Lingering Toll

A recent global study estimates that 400 million people have experienced long-term COVID-19, highlighting the ongoing and severe impact of the condition. With only 7-10% of patients recovering fully within two years, long Covid poses significant challenges for healthcare systems and economies, costing an estimated $1 trillion annually. The report stresses the need for more research into treatments and biological mechanisms while recommending policy changes to support affected individuals. The study underscores the far-reaching effects of long-term COVID-19 on individuals’ lives, work, and communities. About 400 Million People Worldwide Have Had Long Covid, Researchers Say - The New York Times (gift article).

Gender Prescription

Recent research suggests that patients under the care of female doctors have better outcomes than those treated by male doctors. This trend, observed across multiple countries, remains puzzling despite consistent data supporting it. Various factors, such as attentiveness to symptoms and quality of care, are posited as reasons, but the exact cause of this gender discrepancy is still unclear. While the findings provoke thought, they also underline the need to explore how gender influences medical care quality and patient survival rates. Do women make better doctors than men? (gift article).

Beyond the Scale

GLP-1 agonists like semaglutide and tirzepatide, known for their weight loss effects, reveal broader health benefits. Initially developed for diabetes, these drugs show promise in enhancing heart health, protecting kidneys, reducing sleep apnea, and even combating addiction and cognitive decline. Clinical trials highlight their potential to lower cardiovascular risks, reduce inflammation, and support brain health, suggesting these medications may act on multiple body systems beyond weight control. As research progresses, GLP-1 drugs could redefine their role in health promotion, not just weight loss.The Benefits of Ozempic Are Multiplying | WIRED.

Parasites as a Neurological Delivery System

Scientists are exploring using the parasite Toxoplasma gondii as a novel drug delivery system for brain diseases. The blood-brain barrier often prevents effective treatment of neurological conditions, but Toxoplasma naturally crosses this barrier. Researchers have engineered the parasite to deliver therapeutic proteins directly into neurons, potentially offering new treatments for disorders like Rett syndrome. However, the inherent risks of Toxoplasma infection, including its link to neurological issues, present significant challenges before this method can be used in clinical settings. Ick. How Do You Get Drugs to the Brain? Maybe Try a Parasite | WIRED.

Mind Games

Are You Psychic? Nudge, Nudge explores the concept of “population stereotypes,” a psychological phenomenon that explains how predictable human responses can create the illusion of telepathy. Through engaging examples, the author demonstrates how large groups of people consistently choose certain numbers and symbols, making it appear as though psychic abilities are at play. The article delves into the history of these demonstrations, including Uri Geller’s famous televised telepathy act, and uncovers how understanding these patterns can debunk claims of paranormal activity.

Preventing Cancer

# I’m an oncologist. Here’s what I do to reduce my own cancer risk (gift article) explores five practical steps to reduce cancer risk, emphasizing the importance of modifiable behaviors. Key strategies include vigilant sun protection to minimize U.V. exposure, limiting alcohol intake to reduce various cancer risks, abstaining from smoking to lower the likelihood of lung and other cancers significantly, incorporating daily exercise to lower risks of several cancers, and maintaining a balanced diet by avoiding sugary drinks, fast food, and processed meats. While some cancer risks are unavoidable, these proactive measures can play a significant role in prevention.

Diet Beats Drugs for I.B.S. Relief

Irritable bowel syndrome (I.B.S.) is a challenging condition with symptoms like abdominal pain, bloating, and irregular bowel movements. Traditional treatments often include medications like laxatives and antidepressants. However, a new study published in The Lancet highlights that dietary changes, specifically a low-FODMAP diet, may offer more effective symptom relief than medication. This approach, which involves avoiding certain carbohydrates that trigger symptoms, is gaining recognition as a powerful tool in managing I.B.S. for many sufferers. What’s the Best Way to Treat I.B.S.? - The New York Times (gift article).

Burning the Midnight Oil

A recent study underscores the alarming effects of working late shifts and variable schedules in young adulthood. The research, spanning three decades and including over 7,000 Americans, reveals that those with volatile work schedules, including night hours and rotating shifts, are more likely to experience poor health and depression at age 50. These findings illuminate the severity of burnout culture, where work demands often surpass the body's capacity, leading to long-term health implications. The study underscores the urgent need for support systems to help individuals maintain a healthy work-life balance and mitigate the risks associated with overwork. Burnout culture: Working late shifts can lead to depression poor health. Burnout culture: Working late shifts can lead to depression, poor health : Shots - Health News : NPR.

The Sound of Silence in Live Music

Is a love of live music wrecking your hearing? Don't let it. - Washington Post (gift article) discusses the potential harm that loud live music can cause to our hearing. Drawing from personal experience and expertise, the author highlights the dangers of prolonged exposure to high decibel levels, even in seemingly innocuous settings like bars and restaurants. The article provides practical measures for protecting one's hearing, such as using earplugs and limiting exposure time, while advocating for increased awareness and responsible practices in live music venues. Opinion | Is a love of live music wrecking your hearing? Don’t let it. - Washington Post.

Green Acres, Strong Minds

According to research, spending time in green spaces like parks can significantly improve physical and mental health. Studies show that regular exposure to nature can lower blood pressure, strengthen the immune system, reduce the risk of cardiovascular disease, and improve sleep quality. Moreover, it is associated with reduced depressive symptoms, stress alleviation, and improved cognitive function. However, access to green spaces is unequal, with lower-income communities having less access to parks and trees. Scientists are using innovative methods, such as machine learning and satellite imagery, to measure the impact of greenery on health outcomes, aiming to address health disparities. Walks in Green Parks Mean Stronger Immune Systems and Better Mental Health | Scientific American (paywall).

Counting Sheep

A recent Gallup poll reveals a concerning trend: a majority of American adults are experiencing insufficient sleep, a first in the survey's history. This lack of rest is closely tied to increased stress levels, with many individuals reporting feeling frequently stressed. The situation has worsened over the years, with more people now feeling the effects of sleep deprivation. Women, especially those under 50, are disproportionately affected compared to men. The connection between poor sleep and stress is bidirectional, underscoring the need for strategies to improve sleep quality and reduce stress levels, particularly among younger Americans. Americans aren't sleeping enough, Gallup poll says. Americans aren't sleeping enough, Gallup poll says.

Unveiling the Brain's Symphony

Scientific American had an article about a study that reveals that the brain's cortex operates like a symphony, with each layer specializing in generating different brain waves. The study, conducted across 14 cortical regions and four species, shows that outer layers process sensory input while deeper layers control how the brain processes that information. This discovery could have significant implications for understanding and treating neuropsychiatric disorders. By identifying the specific brain layers involved in generating different waves, researchers hope to shed light on conditions such as schizophrenia, where imbalances in brain waves are evident. Scientists Discover Extensive Brain-Wave Patterns | Scientific American (paywall).

Mouth Microbe May Muddle with Colon Cancer

Researchers have uncovered a potential link between colon cancer and a bacterium commonly found in the human mouth. The study identified a specific subtype of Fusobacterium nucleatum that appears to be associated with colon cancer growth and progression. This discovery could lead to improved screening methods and new therapies for the disease. The bacteria's presence in colon tumors suggests a connection to disease development, highlighting the need for further research. The findings may pave the way for a vaccine targeting this bacterium, similar to the approach used for the human papillomavirus. Colon Cancer Linked to Mouth Bacteria | Scientific American (paywall)(thanks, Amy).

How Gut Fungi Worsen Covid

In a study published in Nature Immunology, researchers discovered that severe COVID-19 patients exhibit an imbalance of certain gut fungi, triggering a prolonged immune response that outlasts the initial infection. This imbalance leads to increased neutrophils, causing inflammation characteristic of Covid-19. The study highlights the intricate relationship between the gut microbiome and the immune system, suggesting the potential for personalized medicine in treating COVID-19 patients with antifungal drugs. The findings also raise questions about the long-term effects of fungal overgrowth in COVID-19 recovery and the potential for future fungal infections. Unruly Gut Fungi Can Make Your Covid Worse | WIRED.

A Dietary Puzzle for I.B.S. Relief

A new study suggests dietary changes trump medication to tame irritable bowel syndrome (I.B.S.). I.B.S., afflicting an estimated 6% of Americans, presents chronic abdominal pain, bloating, diarrhea, and constipation. Though its cause remains elusive and no cure exists, managing symptoms through diet adjustments or medication helps. The study, featured in The Lancet Gastroenterology and Hepatology, reveals promising clues. Notably, in most cases, a low-FODMAP diet—avoiding certain foods like wheat, legumes, and dairy—has shown symptom reduction. This discovery offers hope for those grappling with the complexities of I.B.S. What's the Best Way to Treat I.B.S.? - The New York Times (gift article).