Fecal Transplant

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

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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).

068 - Mitophagy, Crapsules, and VR for Pain - HealthHippieMD Week In Review

Artificial Inaccuracy

The article ChatGPT Quickly Authored 100 Blogs Full of Healthcare Disinformation, discusses a study where generative AI, particularly ChatGPT, was used to produce a large volume of healthcare disinformation rapidly. ChatGPT created 102 blog articles with over 17,000 words of disinformation on vaccines and vaping in just 65 minutes. The study, conducted by Australian researchers and reported in "JAMA Internal Medicine," also involved using AI tools like DALL-E 2 and HeyGen to create realistic images and a deep-fake video to accompany the blog posts. Notably, other AI programs like Google Bard and Microsoft Bing Chat did not facilitate such disinformation production. The study underscores the potential misuse of AI in spreading persuasive, customized disinformation efficiently, posing significant risks if exploited by malicious actors.

Dose of Reality: Unraveling the Complex Prescription Drug Financing in the U.S.

The article Following the Money: Untangling U.S. Prescription Drug Financingprovides a critical analysis of America's high prescription drug costs. It reveals that the U.S. leads in per capita drug spending, averaging $1,432 per person in 2021. This in-depth investigation into the U.S. healthcare system uncovers the multifaceted reasons behind this substantial financial burden. The article aims to shed light on the convoluted nature of prescription drug financing in the U.S., contrasting it with its international counterparts.

The Honest Truth About Fibs

Recent research reveals intriguing insights into lying habits. Surprisingly, 59.9% of people reported not lying in a day, with half of all lies coming from just 5.3% of participants. The study found that the frequency of lying is relatively unaffected by the communication medium, whether face-to-face, text, or email. Additionally, while minor lies are commonly told to strangers, significant lies are often reserved for close partners or family members. These findings, although reliant on self-reported data (leading to the possibility of significant inaccuracy), suggest that most people are generally truthful in their daily interactions. A New Study Estimated The Number of Times An Average Person Lies Per Day.

U.S. Dietary Guidelines Eyeing Ultra-processed Food

The upcoming revision of the U.S. dietary guidelines may mark a significant shift in nutritional focus by potentially warning against consuming ultra-processed foods. This change, influenced by mounting evidence linking these foods to a range of chronic diseases like obesity, heart disease, and diabetes, could profoundly impact national food programs, including the National School Lunch Program, and the overall dietary habits of Americans. Critics have long criticized current guidelines for overlooking the effects of food processing and additives. The food industry, fearing potential impacts, has already begun lobbying against such recommendations. The next guidelines edition is due in 2025, with an advisory committee report expected next year, potentially leading to a major overhaul in how Americans perceive and consume food. Nutrition guidelines may soon warn against ultra-processed foods - The Washington Post. (gift article)

FTC Takes a Bite Out of Misleading Influencer Marketing of Food

The FTC has warned significant food and beverage industry groups and numerous dietitian influencers, spotlighting a crackdown on undisclosed paid advertising on social media. Targeting American Beverage and the Canadian Sugar Institute, alongside influencers with over 6 million followers, the FTC points out non-transparent endorsements of artificial sweeteners and sugary foods. This move, spurred by The Washington Post and The Examination investigations, aims to enforce clear disclosure standards across influencer marketing. It represents a significant shift in the FTC's approach, with potential fines exceeding $50,000 per violation, signaling a tougher stance against deceptive social media advertising practices. FTC cracks down on food industry for paid dietitian influencer posts - The Washington Post. (gift article)

Mitophagy and Aging

Scientists at the Buck Institute have made a breakthrough in understanding aging by focusing on mitochondria, the cell's powerhouses. Their study, published in Nature Aging, highlights a natural compound, Mitophagy-Inducing Coumarin (MIC), that extends the lifespan of Caenorhabditis elegans, a model organism in aging research. MIC boosts the cell's waste management system, mainly targeting old and damaged mitochondria for disposal, a process known as mitophagy, which naturally declines with age. This discovery could lead to new therapies for age-related diseases by enhancing autophagy, the body's innate rejuvenation process. However, while MIC has shown promising results in worms, further research is needed to determine its effects on human aging. New Anti-aging Molecule May Work By Keeping the Cell's "Powerhouse" Healthy.

Crapsules: The Future of Medicine

In the field of microbiome medicine, a revolutionary shift is underway. Medical teams are transforming donated fecal matter into pills to combat infections like Clostridium difficile. These "crapsules" represent a broader scientific awakening to the importance of the gut's microbiome. Fecal transplants have proven to be efficacious in treating Clostridium dificile (a common life-threatening gut infection, often seen after broad-spectrum antibiotic treatment). Researchers are now exploring advanced strategies, including metabolite manipulation and genetically engineered bacteria, to treat a range of conditions more effectively. The FDA's recent approval of Seres Therapeutic's SER-109, an oral microbiome therapeutic, signifies a major leap in this field. With companies like Seres Therapeutics and Vedanta Biosciences at the forefront, the future of microbiome medicine appears promising, moving beyond the crude efficacy of FMT towards more sophisticated treatments. Microbiome treatments are taking off. (disclosure: I own shares of Seres Therapeutics)

Virtual Reality: A Real Game-Changer in Pain Management

The pain is real. The painkillers are virtual reality. | MIT Technology Review discusses RelieVRx, a virtual reality (VR) system designed to manage pain. Unlike traditional painkillers, RelieVRx aims to teach patients pain relief strategies such as mindfulness, cognitive-behavioral therapy, and relaxation rather than just providing a distraction. The approach is based on "unlearning" physiological pain responses and reinforcing alternative coping mechanisms. This innovative method offers a new frontier in pain management, leveraging the immersive capabilities of VR technology.

047 - Quiet Cravings, Post-Truth World, and Microbiome/Melanoma - HealthHippieMD Week In Review

Aging Time Warp

In I'm 53 years old. I'm 36 in my head, Jennifer Senior delves into the mysterious phenomenon of feeling younger than one's actual age. Drawing from various studies, Senior reveals that adults over 40 tend to perceive themselves as approximately 20 percent younger. The discrepancy between chronological and internal age can be attributed to various factors, including a sense of optimism and the reminiscence bump. Senior highlights the cultural and societal influences on subjective age, ultimately suggesting that feeling younger can positively affect health and well-being.

Countering Amygdala Hijacking

Conflict is inevitable in human relationships, but it doesn't have to be destructive. In the article, 6 steps to manage conflict with emotional intelligence,, the importance of emotional intelligence in handling conflict is highlighted. The author explains the concept of "amygdala hijacking," where our emotional responses take over during disputes, and offers strategies to counteract this effect. The six methods include:

  • Understanding your conflict style.
  • Identifying the core issues.
  • Practicing self-regulation and calmness.
  • Avoiding destructive communication habits.
  • Fostering appreciation and empathy.
  • Developing these skills through practice.

By employing these strategies, individuals can transform conflicts into opportunities for growth and deeper connections.

Beyond B.M.I.

The American Medical Association (A.M.A.) has acknowledged the limitations and potential harm of relying solely on body mass index (B.M.I.) to measure weight and health. The A.M.A. recognizes the historical exclusion and racial bias associated with B.M.I in a new policy. The recommendation encourages doctors to consider additional factors such as visceral fat, body adiposity index, body composition, and genetic/metabolic factors when assessing a patient's health. While B.M.I. may have its uses at a population level, the policy signifies a shift towards a more holistic approach to patient care, emphasizing the need to move beyond B.M.I. as a sole determinant of health. B.M.I. Alone Is Not Enough to Assess Health, American Medical Association says - The New York Times (gift article)

A.I. and a "Post-Truth" World

"A.I. will make it easier to produce disinformation—from fake images to deepfakes to fake news. That will affect people's trust as they're scrolling on social media" Wired had an interesting (dystopian) article on how A.I. might influence humanity. It's not pretty. Humans Aren't Mentally Ready for an AI-Saturated' Post-Truth World' | WIRED

Combatting Chemo Brain

"Chemo brain," a condition characterized by cognitive impairment and memory loss, affects many cancer patients during and after treatment. The causes and persistence of symptoms remain unclear. A multi-pronged approach is recommended to alleviate the chemo brain, including exercise, cognitive behavioral therapy, prioritizing sleep, practicing mindfulness, and potentially exploring psychostimulant medications. While no FDA-approved medicines for chemobrain exist yet, promising research on repurposing drugs initially used for other conditions offers hope for future solutions. Cognitive behavioral therapy may help ease 'chemo brain' - The Washington Post (gift article)

Anxiety Screening During Routine Healthcare

In response to the growing mental health crisis, primary care providers in the United States are encouraged to incorporate anxiety screenings into routine checkups. The U.S. Preventive Services Task Force has published new guidelines recommending that asymptomatic adults, including pregnant and postpartum individuals aged 19 to 64, be screened for anxiety disorders. The aim is to identify and treat anxiety disorders earlier, improving patient outcomes. However, concerns about the burden on an already overburdened mental healthcare system and the potential overdiagnosis of anxiety disorders in communities of color have been raised. Anxiety screening for adults under 65 now recommended at health checkups - The Washington Post (gift article)

Quieting the Cravings

In the article, What Is 'Food Noise'? How Ozempic Quiets Obsessive Thinking About Food - The New York Times (gift article) the New York Times explores the intriguing phenomenon of individuals experiencing diminished "food noise" after taking medications like Ozempic and Wegovy. "Food noise" refers to the constant preoccupation with food and cravings that some people struggle with. The active ingredient in these drugs, semaglutide, affects appetite-regulating areas in the brain and promotes a feeling of fullness. Through interviews and social media stories, the article highlights the relief and freedom reported by individuals who have successfully silenced their "food noise" with these medications.

100 Places to See AFTER You Die

The book 100 Places to See After You Die: A Travel Guide to the Afterlife "surveys ideas from around the world about what happens to us after we die. It's written as a travel guide, with an eclectic mix of 100 accounts, ranging from mythology and religion to ideas floated in books, movies, and T.V. shows." I'm going to check this one out. Ken Jennings visits the afterlife in '100 Places to See After You Die' - The Washington Post (gift article)

Melanoma and the Microbiome

Jamie Rettinger, the first person to undergo a fecal transplant to treat melanoma, shares his remarkable journey. Jamie's cancer spread after being misdiagnosed and mistreated, leaving him with limited treatment options. The experimental approach of fecal transplant, aimed at restoring beneficial bacteria in the gut, showed promising results. The transplant engrafted successfully, and Jamie's body responded to subsequent immunotherapy treatment, leading to the shrinking of melanoma signs. This groundbreaking research offers hope for improved melanoma treatments and emphasizes the potential role of the gut microbiome in shaping immune responses in cancer therapy and beyond. Man who got the first fecal transplant to cure melanoma shares his experience.