Lifestyle Medicine

103 - Erythritol Issues, Diet over Drugs for I.B.S., and Preventing Cancer - HealthHippieMD Week In Review

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).

035 - Dumb Questions, Gallows Humor, and Synesthesia - HealthHippieMD Week In Review

In Pursuit of the Perfect Shot of Espresso

Understanding Espresso: A Six-Part Series Explaining What It Takes to Pull the Ideal Shot includes videos on "how to choose the right dose of coffee, ratio between the amount of ground and liquid coffee, brew time, grind size, brew temperature, and pressure."

The Wisdom of Dumb Questions

"Can you explain this to me like I barely know anything about this subject?" Asking "dumb" questions is an effective way to bring out the knowledge of experts: Stop Trying to Ask 'Smart Questions'

Exercise May Counteract the Negative Effects of Too Little Sleep

"a new study suggests that exercise could potentially help counteract the health consequences of not getting a proper amount of sleep." Exercise May Help Counteract the Toll of Poor Sleep, Study Suggests(gift article)

The Science of Habits

Are you trying to develop a good habit or break a bad one? Here are some science-backed tips to help: The science of habits. See also Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones.

Bad Actors of Health Insurance

Here's an article from ProPublica on how commercial health insurers automatically deny claims and how Cigna developed an incentive system that encourages the behavior. How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them

The Strange Benefits of Gallows Humor

"The most surprising result is that subjects which show the highest values with respect to black humor preference … show the lowest values regarding mood disturbance and aggression." Gallows humor: The surprising benefits of dark laughter

Cockroaches Diminishing Sweet-Tooth

Here is an interesting article about the cat-and-mouse game of cockroaches and human endeavors to eliminate them: Cockroaches have outsmarted us again

Aging and Microgravity

Microgravitational environments have all sorts of effects on the body. These scientists are trying to unravel the impact of space travel on aging: New Study Suggests One Aspect of Space Travel Can Accelerate Aging

Science-Backed Approaches to Depression

The incidence of depression increased during the pandemic. Here are some science-backed tips for combatting the blues: These Science-Backed Strategies Can Help "Hard to Treat" Depression

Measuring Fitness Minimizing Attention to Weight

Here are some factors to focus on instead of the scale: How Fit Are You? 3 Ways to Measure Without Focusing on Weight - The New York Times

Multiple Sclerosis: What the Science says about Complementary Approaches

The National Center for Complementary and Integrative Health published a great resource : Multiple Sclerosis and Complementary Health Approaches: What the Science Says

Friendship Recession

Americans without friends have increased by 250% in recent years. Lacking friends is as bad as smoking more than a dozen cigarettes daily. BigThink tackles the phenomenon: The friendship recession - Big Think

A Doctor's Experience with Ozempic

I read an interesting article by a physician who hopped on the glucagon-like peptide 1 (GLP-1) receptor agonist train--the weight loss drug taking the world by storm: What's It Like to Take Ozempic? A Doctor's Own Story

American Heart Association's Life's Essential 8

The AMA published a study looking at eight lifestyle factors and their association with life expectancy and chronic disease: Life's Essential 8: Higher Scores Extend Health Span

Ultra-processed Food and Cancer Risk

"A new analysis suggests that replacing even a small amount of ultra-processed foods with an equal amount of minimally processed options may reduce certain cancer risks." Ultraprocessed Foods and Cancer: Small Changes May Lower Risk

The Power of Walking

The NY Times had an ode to walking: Opinion | Whatever the Problem, It's Probably Solved by Walking (gift article)

How to Tell If Your Brain Needs a Break

We all suffer from brain slumps that impact our ability to do quality work. This is what to do when you're in one: How a Brain Break Can Increase Focus and Productivity

Synesthesia

What do Billy Joel, Billie Eilish, and Vincent van Gogh have in common?-They all experience(d) music in colors. Big Think explores the phenomenon of synesthesia: Billie Eilish, van Gogh, and the trippy science of synesthesia