119 - Gratitude, Giving, Hypochondria, and Chocolate - HealthHippieMD Week In Review

Gratitude and Giving

Gratitude isn't just good manners—it's good mental health. A recent meta-analysis revealed a robust inverse relationship between gratitude and loneliness, showing that feeling thankful fosters connection and reduces isolation. Simple practices, like journaling three daily blessings or writing gratitude letters, help shift focus from negativity to positivity. This "gratitude muscle" strengthens with use, improving emotional resilience and overall well-being. Experts emphasize that gratitude doesn't demand perfection, only consistent effort. Whether acknowledging a friend's kindness or savoring small joys, gratitude offers a powerful antidote to loneliness and a path to mental clarity. Gratitude can improve our mental health. Here's how to create a practice. - The Washington Post (gift article).

+see also: Get Happier, Help Others: Some - Cautionary Tales with Tim Harford - Apple Podcasts

+see also: Why Giving is a Great Daily Ha - The Happiness Lab with Dr. Laurie Santos - Apple Podcasts

The Surprising Upside of Future Focus

Staying resilient can be difficult in challenging times, such as the COVID-19 pandemic. A study involving performing artists found that while mindfulness—being present in the moment—has benefits, hopefulness was a more effective strategy for resilience. Hope, a belief in an effort toward a better future, helped participants stay engaged, maintain positive emotions, and explore new possibilities during the pandemic. The study suggests that mindfulness isn't a one-size-fits-all solution and that cultivating hope can be a powerful tool for navigating prolonged adversity. Hope Can Be More Powerful Than Mindfulness | Scientific American.

Ketones and Brain Health

Ketone Bodies Clear Damaged Proteins in the Brain - Neuroscience News highlights ketone bodies as not just energy sources during fasting but also as "cleaners" for damaged proteins in the brain. The ketone body β-hydroxybutyrate helps clear misfolded proteins through autophagy, reducing harmful protein aggregation. Tested in Alzheimer's and aging mouse models, treated animals showed improved brain health and protein quality control. This discovery links metabolism to aging and neurodegeneration, suggesting ketone bodies as potential therapeutic agents for neurodegenerative diseases by enhancing protein clearance and supporting brain function. (Thanks, Amy!)

Your Friends Are Closer Than You Think

Recent research in remote Honduran villages reveals that our microbiomes are shaped by our social circles—direct friends and their connections. The study found that people who frequently interact, even without living together, share up to 10% of their gut microbes, compared to only 4% among those who don't. This suggests that social networks might play a significant role in health, potentially influencing conditions like depression and obesity through microbiome transmission. While this could reshape our understanding of health, close contact is still beneficial overall. Your Friends Shape Your Microbiome—And So Do Their Friends | Scientific American.

Aging Piecemeal

New research reveals that aging is not a uniform process—our organs, cells, and body parts can age at different rates. This study from Stanford highlights "organ aging," where, for example, someone's heart may age faster than their brain, or vice versa. Understanding the unique aging trajectory of each organ—your "ageotype"—could help manage health risks by customizing lifestyle choices. Factors like exercise and diet significantly influence which organs age more rapidly, suggesting that some aspects of aging are within our control. Why your organs may be aging faster (or slower) than the rest of you - The Washington Post (gift article).

Wealth of Wisdom

In the latest Huberman Lab podcast, host Dr. Andrew Huberman converses with Morgan Housel, author of The Psychology of Money. They explore how our attitudes toward earning, saving, and spending money shape our psychological well-being and perceptions of wealth. The discussion delves into common financial pitfalls, such as overspending and excessive saving, and offers strategies to use money to achieve psychological security, freedom, and a deeper sense of purpose. The episode also examines the effects of social media and wealth signaling on our internal reward systems, highlighting the importance of adopting healthy financial mindsets to enhance overall happiness. Morgan Housel: Understand & Apply the Psychology of Money to Gain Greater Happiness - Huberman Lab - Apple Podcasts.

The Chemistry Behind Balanced Learning

A recent study from Stanford reveals dopamine and serotonin work like opposing pedals: dopamine is the accelerator for rewards, while serotonin acts as the brakes, moderating impulsive behaviors. Both neurotransmitters are crucial for effective learning, enabling a balanced approach to reward-seeking and patience. Researchers used optogenetics in mice to demonstrate that dopamine increases during rewards while serotonin decreases, showing their opposing but complementary roles. These insights have potential implications for treating psychiatric conditions like addiction and depression, where the balance between these systems is often disrupted. Dopamine and Serotonin Work in Opposition for Effective Learning - Neuroscience News.

How Exercise Can Make or Break Your Sleep

Regular exercise can boost sleep quality, but the key lies in moderation and timing. High-intensity workouts late in the day may hinder restful sleep by elevating stress hormones and increasing core body temperature. For individuals with insomnia, following a structured moderate exercise routine, such as walking or cycling, can support better rest. Experts recommend pairing aerobic activity with mindfulness practices like yoga, tailoring workout intensity to individual needs, and maintaining consistent schedules to optimize sleep and recovery. How to Exercise for Better Sleep - The New York Times (gift article).

A Bitter-Sweet Revelation

A large study comparing dark and milk chocolate reveals that dark chocolate might offer metabolic benefits, potentially lowering the risk of Type 2 diabetes. The research analyzed health data from nearly 192,000 participants over 30 years, concluding that those who consumed at least five ounces of dark chocolate weekly had a 21% lower risk of developing diabetes than those who didn't. Milk chocolate offered no similar benefits, likely due to higher sugar content. The study suggests moderation is key, as dark chocolate is also higher in beneficial plant compounds like flavonoids. So, it turns out dark chocolate isn't just good for your soul—it might also keep your sugar in check. Talk about a sweet deal! What's the healthiest type of chocolate? A new study offers an answer. - The Washington Post (gift article).

Hypochondria - More Than Just In Your Head

Hypochondria, or intense health anxiety, is an actual mental illness with serious consequences, including higher risks of physical harm and suicide. It's not just "in your head"—it affects lives profoundly, sometimes leaving people unable to function normally. Recent research has distinguished two forms: illness anxiety disorder and somatic symptom disorder. Effective treatments like cognitive-behavioral therapy (CBT) and antidepressants are showing promise. Cyberchondria—over-researching symptoms online—often worsens anxiety. Recognizing hypochondria as a legitimate condition is crucial for compassionate care and positive outcomes. Why Hypochondria Can Be Deadly, and How Newer Treatments Help | Scientific American.

115 - Doppelgangers, Ghosting, and Ephaptic Fields - HealthHippieMD Week In Review

Turning Disappointment into Resilience

In How to Deal With Disappointment - The Atlantic, Arthur C. Brooks explores the universal experience of disappointment, often arising when our expectations clash with reality. He differentiates disappointment from regret, emphasizing its link to feelings of powerlessness rather than self-reproach. Optimists are particularly vulnerable, as their positive outlooks set them up for deeper emotional dips when outcomes don’t meet their hopes. Brooks advocates for hope over blind optimism, suggesting that resilience and proactive strategies can soften the blow of letdowns. Individuals can foster a more balanced, growth-oriented perspective by learning from disappointment.

Sorting Stomach Signals

This comprehensive article dives deep into common concerns about gut health, exploring the essential role of the microbiome and addressing 15 frequently asked questions. Key signs of a healthy gut include quiet digestion and regular bowel movements, while persistent issues like bloating, acid reflux, or irregularity may indicate trouble. Experts suggest fiber-rich, plant-based diets, limited processed foods, and occasional fermented items to boost gut health. Topics also cover heartburn, the effects of antibiotics, myths about “leaky gut,” and the impacts of stress, diet, and even posture on digestion. How Do I Know if My Gut is Healthy? Your Microbiome Questions, Answered - The New York Times (gift article).

Coach or Crutch? The Risks of AI in Your Health Routine

AI-powered health coaches are reshaping the wellness industry, promising real-time diet, exercise, and sleep guidance based on a user’s biometrics. However, there are substantial risks in relying on AI alone. These virtual coaches may offer inaccurate advice, potentially leading users to delay essential medical care. Additionally, biases in data collection, like inaccuracy for darker skin tones and conflicting advice with medical professionals, raise serious concerns. As companies like Whoop, Google, and Apple introduce these tools, experts caution that human oversight remains crucial, advocating for responsible integration rather than blind trust. AI Fitness Coaches from Whoop, Apple, and Google Promise Health Feedback and Improvement, But Are They Reliable?

Alan’s AI Assistant Steps Up to Boost Health Access

French health tech startup Alan has unveiled Mo, an AI-powered assistant designed to help its 680,000 members receive fast, reliable health advice. Mo supports Alan’s existing chat-based doctor consultations, offering medical guidance with the assurance of doctor oversight within 15 minutes to ensure accuracy. Alan also introduced two new features: a mobile shop with curated health products and “Alan Walk,” a gamified step counter that rewards users for staying active. These additions bring Alan closer to its vision of a comprehensive healthcare “super app” that combines insurance, wellness, and accessible care. Expansion plans include Canada, marking Alan’s first move beyond Europe.Alan unveils AI health assistant for its 680K health insurance members | TechCrunch.

Food Fight

The upcoming U.S. Dietary Guidelines are unlikely to include a clear directive to avoid ultra-processed foods despite their association with health issues like obesity and diabetes. A scientific advisory committee concluded there isn’t sufficient evidence to recommend limiting these foods, mainly due to research limitations, including reliance on observational studies. Critics argue that the committee set a standard for proof too high, ignoring key findings from smaller studies. This decision disappoints health advocates who believe caution is warranted to curb high rates of chronic illness tied to diet, especially within federal food programs. The Next Dietary Guidelines May Punt on Ultraprocessed Foods - The New York Times (gift article).

Why We Ghost

Ghosting, or the abrupt end of communication without explanation, is more than a dating phenomenon; it’s a cultural puzzle impacting friendships, family, and even long-term relationships. The article dives into why people ghost, from practical reasons like communication overload to complex psychological motives such as “destiny beliefs”—the notion that relationships are “meant to be” or not. Studies show ghosters often believe they’re sparing feelings, while ghostees experience emotional fallout, grappling with self-blame and unresolved hurt. Despite the pain, some ghostees find personal growth, viewing the experience as a chance for self-reflection. Why We Ghost - Nautilus.

The Science Behind Your Doppelgänger

Scientists have long been intrigued by doppelgängers—unrelated individuals with uncanny physical resemblance. Molecular geneticist Manel Esteller’s research, using François Brunelle’s “I’m Not a Look-Alike!” project, reveals that these look-alikes often share specific genetic traits related to facial structure, pigmentation, and bone length. While facial similarities stem from shared genetic variants, personality traits do not correlate, as psychologist Nancy Segal’s studies show. The findings suggest that genetic makeup can influence appearance but not personality. With global populations rising, genetic resemblances between strangers have become more common, sparking curiosity about our “twin strangers.” The surprising science behind doppelgängers.

Sleep Solutions for Every Age

How Much Sleep Do You Need? Tips for Better Slumber at Every Age - The New York Times (gift article) explores how sleep needs evolve across different life stages. From the newborn’s chaotic schedule to the early riser tendencies of older adults, the article provides age-specific recommendations and tips for restful sleep. Experts emphasize adjusting bedtime routines, managing environmental factors, and addressing common challenges like stress, screen time, and caffeine. Tailored guidance for each age group—from toddlers to retirees—ensures readers can optimize sleep patterns to feel more refreshed and energetic.

Mind Over Matter: Filtering Out the Noise

Contrary to the “spotlight” metaphor, the brain’s attention mechanism functions more like a filter, dimming irrelevant stimuli rather than highlighting important ones. Neuroscientist Michael Halassa’s research reveals that subcortical regions, particularly the thalamic reticular nucleus (TRN) and basal ganglia, play a crucial role in managing sensory data by suppressing distractions directed by the prefrontal cortex. This mechanism supports efficient focus, guiding attention by removing sensory “clutter” early in the process. These insights reshape our understanding of attention, consciousness, and the intertwined nature of perception and action. To Pay Attention, the Brain Uses Filters, Not a Spotlight | Quanta Magazine.

Shocking Revelation: Consciousness Sparks Beyond Neurons

In Consciousness Might Hide in Our Brain’s Electric Fields | Scientific American, Tamlyn Hunt argues that ephaptic field effects—subtle electric fields generated by neurons—may play a more crucial role in our awareness than previously believed synaptic firings. Traditional neuroscience emphasizes neurons’ electrical spikes as the brain’s primary communicative mechanism. However, studies, including a notable one by Dominique Durand, reveal that these fields enable ultra-fast, non-synaptic brain interactions. This electromagnetic coupling could potentially explain the rapid information processing that underlies cognition, challenging the long-held “neural code” model and sparking fresh insights into the mystery of consciousness.

102 - Anxiety, Mood Movers, and Partnering for Wellness - HealthHippieMD Week In Review

Anxiety: A Double-Edged Sword

Anxiety isn’t all bad; it comes in two flavors: growth anxiety and toxic anxiety. Growth anxiety, akin to the stress felt before a big presentation, can enhance performance and foster resilience. This positive stress follows the Yerkes-Dodson Law, where moderate stress improves function. However, toxic anxiety, resulting from overwhelming or chronic stress, can lead to health issues like hypertension and cognitive decline. Recognizing and managing the types of anxiety can turn harmful stress into a tool for growth and strength, much like how physical exercise benefits the body. Anxiety Is Like Exercise - The Atlantic.

More Mind Over Matter

Anxiety, often viewed negatively, is a common human emotion that can be reframed as a catalyst for change. This video discusses how embracing concepts from Zen Buddhism and striving to achieve a ‘flow state’ can transform anxiety and enhance mental resilience. Experts Stephen Kotler, Wendy Suzuki, and psychiatrist Robert Waldinger provide insights on optimizing the brain to work harmoniously with our thoughts. By leveraging our physiology instead of resisting it, we can manage our minds more effectively, fostering unanxiousness and resilience for a more peaceful life. Reboot your mind for flow, unanxiousness, and resilience - Big Think.

Alzheimer’s: The Early Bird’s Conundrum

Scientific American highlights new guidelines proposing Alzheimer’s diagnosis based on biomarkers before cognitive symptoms appear. These biomarkers identify brain changes linked to Alzheimer’s, shifting focus from symptomatic to pre-symptomatic stages. While early detection can enhance research and potentially lead to preventive measures, it raises ethical and practical concerns. Critics argue about the psychological burden of knowing one’s risk and the possible misuse of such diagnoses by insurance and employers. The debate underscores the need for a balanced approach to integrating early diagnostic techniques into clinical practice, ensuring patient protection and informed decision-making. Controversial New Guidelines Would Diagnose Alzheimer’s Before Symptoms Appear | Scientific American.

Stay Cool and Hydrated

In scorching summer heatwaves, staying hydrated is critical to avoid heat-related illnesses like heat exhaustion and heat stroke. Experts from Scientific American explain that water needs vary per individual, influenced by activity, age, and health conditions. Thirst isn’t a reliable indicator; frequent urination and pale yellow urine are better hydration markers. Besides water, foods and certain beverages contribute to hydration. For those sweating excessively, electrolyte replenishment is advised. Staying hydrated ensures optimal body functions, preventing severe complications from underhydration, especially during extreme heat. How to Stay Hydrated During a Summer Heatwave, According to Experts | Scientific American.

The Power of ‘I Statements’ in Relationships

Couples counselors advocate using “I statements” to reduce conflict and defensiveness in relationships. This technique involves expressing one’s feelings and needs without accusing the partner, thus fostering better communication and understanding. The key lies in expressing genuine emotions, practicing regularly, and choosing the right moments to communicate, turning “I statements” into a powerful tool for healthier relationships. Couples Counselors’ Advice on Communication Strategy - The New York Times (gift article).

Exercising Caution with Fitness Fables

8 Fitness Myths That Drive Experts Crazy - The New York Times (gift article) debunks eight prevalent fitness myths that often mislead enthusiasts. Stretching before workouts, lifting heavy weights to build muscle, running damaging knees, and walking being sufficient for aging fitness are all challenged. Experts explain that dynamic warm-ups are better than static stretches and lighter weights can be as effective as heavy ones. Running doesn’t necessarily harm knees, and strength training is crucial alongside walking for older adults. Other myths dispelled include the necessity of 10,000 steps a day, ice baths for recovery, and strength training neglected by runners and cyclists. Misconceptions can lead to injury, emphasizing informed fitness choices.

Mood Movers

Exercise isn’t just about physical health; it also boosts your mood by triggering a complex cocktail of neurochemicals like endocannabinoids, dopamine, serotonin, and oxytocin. While the benefits might take about three weeks of consistent activity, maintaining a workout routine that raises your heart rate for at least 30 minutes can significantly improve your mood. For optimal results, make your workouts social and mix up your routine with different types of exercises. Finding an enjoyable activity is key to reaping the emotional rewards of physical fitness. How to Exercise to Improve Your Mood - The New York Times (gift article).

Nurse Practitioners Impacting Patient Safety

The increasing reliance on nurse practitioners (NPs) in the US healthcare system, fueled by a surge in graduates from mostly online programs, raises alarms about patient safety. This expansion, driven by the cost-efficiency of employing NPs over physicians, results in undertrained practitioners handling complex cases, sometimes with fatal outcomes. The lack of standardized, rigorous training, particularly in clinical settings, exacerbates these risks. Stories of tragic errors, like the mismanagement leading to Fred Bedell’s death, highlight the urgent need for tighter educational standards and oversight in the burgeoning NP field. This issue is important to me. I nearly escaped becoming a statistic because of the mismanagement of anaphylaxis by a nurse practitioner. Is the Nurse Practitioner Job Boom Putting US Health Care at Risk? - Bloomberg.

Healthy Hurdles: Partnering for Wellness

When one partner ignores health issues, frustration often arises in relationships. Experts recommend collaborating rather than confronting and expressing affection and concerns without judgment. Strategies include offering support, actively listening to health anxieties, and providing concrete help, like scheduling appointments or accompanying visits. If direct encouragement fails, enlist trusted friends or family for reinforcement. This approach fosters better health outcomes and strengthens the partnership by addressing underlying fears and anxieties together. Such proactive steps ensure mutual well-being and a shared commitment to long-term health. Your Partner is Ignoring a Health Issue. Now What? - The New York Times (gift article).

074 - The Yips, Resilience, and Pig-Plant Hybrids - HealthHippieMD Week In Review

Mitochondria: Unmasking the Culprit Behind Long COVID Fatigue

In the article Scientists Pinpoint Key Part of Cells That Could Drive Long Covid Fatigue researchers shed light on the mysterious fatigue that often plagues long COVID sufferers. They reveal how the mitochondria, tiny energy factories within our cells, play a pivotal role. By studying the dysfunctional mitochondria in long COVID patients, scientists hope to uncover new treatment avenues, offering relief and insight into the lingering exhaustion that many survivors face. This research illuminates the cellular culprit behind post-COVID fatigue and opens doors to potential solutions for this debilitating condition.

The Magic of Immersive Tasks

Amid the 6-Day Energy Challenge, the New York Times explores the concept of flow states, where individuals become wholly absorbed in an activity, losing track of time and self-consciousness. These moments of intense focus, as described by positive psychology pioneer Mihaly Csikszentmihalyi, can lead to increased alertness and motivation. The article suggests finding your "low-stakes flow state" by identifying past immersive experiences and hobbies that bring joy. It offers various time-friendly activities, from learning a foreign language to tackling an adult Lego set, emphasizing the rejuvenating power of losing oneself in a task. The Energy Challenge: How Losing Yourself in A Task Can Boost Your Mood - The New York Times. (gift article)

The Mediterranean Diet's Heart-Healthy Legacy

The Mediterranean Diet, rooted in decades of research and the lifestyle choices of millions, emerges as a powerhouse for heart health. This lifestyle, emphasizing whole, unprocessed foods and rich in fruits, vegetables, legumes, nuts, and olive oil, showcases an impressive array of benefits, including lowered blood pressure, cholesterol and a reduced risk of Type 2 diabetes. Moderation is key, with occasional indulgences allowed. While not a guaranteed cure, the Mediterranean Diet can substantially enhance heart health with other healthy habits. With the potential for cognitive improvements within days and lasting benefits with commitment, this diet is a delicious and sensible choice. The Mediterranean Diet Is That Good for You. Here's Why. - The New York Times. (gift article)

Ozempic's Potential: Beyond Weight Loss, a Medical Revolution in Progress

The article Can Ozempic and Weight-Loss Drugs Treat Other Diseases? - The New York Times(gift article) explores the groundbreaking impact of drugs like Ozempic, which have revolutionized the treatment of obesity and diabetes. Scientists are now embarking on numerous clinical trials to investigate their potential in treating a wide array of conditions, from alcohol use disorder to polycystic ovary syndrome, liver disease, cardiovascular issues, sleep apnea, and kidney disease. These medications could offer hope to millions of patients with limited treatment options while presenting a lucrative pharmaceutical company market. As researchers unravel the mysteries of these drugs, they promise to reshape the future of medicine.

Reducing Food Waste

"In the United States, most dates consumers see on food items are for freshness, not safety, according to the U.S. Department of Agriculture." "A product past its 'best, if used by' date, may not taste as good as something fresh off the shelf. But it is often perfectly healthy to eat." The Washington Post had some great tips on how to minimize food waste. How to reduce food waste while cooking at home - The Washington Post (gift article).

A Surgeon Faces the Yips

"The principle "everything else is fixable" can apply to so much of life." The Washington Post published an opinion piece on the folly of perfectionism. Opinion | I had the yips as a young surgeon. Here's what it taught me. - The Washington Post (gift article).

Stepping into Creativity

In this article, titled How Walking Fosters Creativity Stanford researchers validate a timeless belief held by philosophers and writers - that walking enhances creativity. The study underscores how strolls can significantly boost creative thinking and problem-solving abilities. By examining participants' cognitive processes and neural activity while walking, the research confirms that walking sparks innovative thoughts and ideas. The findings provide scientific evidence for the age-old practice of "thinking on your feet" and highlight the valuable role of walking in nurturing creative thinking.

Building Resilience: The Recipe for Stress Management

In the article, What is resilience? A psychologist explains the main ingredients that help people manage stress, the author explores the concept of resilience and its vital role in handling stress effectively. Drawing on psychological insights, the article highlights the key components that contribute to resilience, such as adaptability, social support, and a positive mindset. By delving into these main ingredients, the author offers valuable insights into how individuals can cultivate resilience to better cope with life's challenges and stresses, ultimately leading to improved mental well-being and overall success.

Plant-Pig Hybrids Fake Meat Revolution

Moolecs, a cutting-edge biotech company, has unveiled a novel approach to enhance the taste and texture of plant-based meat alternatives. By creating plant-pig hybrids, Moolecs is bridging the gap between plant-based and animal-derived meats, promising consumers a more authentic, meatier experience. Through innovative genetic engineering, they have integrated essential flavor and texture components from pigs into plants, offering a sustainable and ethical solution for meat production. This exciting breakthrough can potentially revolutionize the fake meat industry and satisfy the cravings of even the most devoted carnivores. I have three words: No, thank you. The Plan to Put Pig Genes in Soy Beans for Tastier Fake Meat | WIRED.

067 - Invisible Wounds, Stellar Departures, and Shakespeare on Sleep - HealthHippieMD Week In Review

Moth Matriarchy

In an unexpected twist of fate, researchers in Japan have stumbled upon a virus that could revolutionize pest control by inducing a matriarchal society in moth populations. This unique virus, discovered within the tobacco cutworm, can eliminate male offspring, resulting in generations of female-only moths. This finding challenges our understanding of viral evolution and offers a promising tool for managing agricultural pests and disease vectors. The discovery, which could have easily fluttered unnoticed, now stands as a beacon of potential in the ongoing battle against crop-destroying insects, highlighting nature's intricate balance of power. Male-Killing Virus Is Discovered in Insects - The New York Times. (gift article)

Diet Debts

The United Nations has published a significant new tally of the world's food system's impact on our health and the planet, a staggering $12.7 trillion annually (about 10% of the world's GDP). The FAO report highlights that the majority of these costs stem from health-related issues due to poor diets leading to obesity and diseases. Environmental impacts follow, with significant disparities between low and high-income countries. The study suggests that better dietary choices, fairer trade practices, and sustainable farming could alleviate these financial burdens. The FAO urges a multifaceted approach involving government policy, consumer behavior, and industry practices to reduce these hidden costs. The World's Broken Food System Costs $12.7 Trillion a Year | WIRED.

Stellar Departures

In an exploration of humanity's final frontier, Their Final Wish? A Burial in Space, (gift article) delves into the lives of individuals who have chosen the cosmos as their final resting place. Contracting with Celestis, a company that offers memorial spaceflights, these seven people have opted to send their ashes or DNA into the vastness of space. Their reasons range from spiritual to pragmatic, with many driven by a lifelong passion for the stars. As traditional earthly bonds loosen, space burials represent a profound acceptance of the unknown, a testament to the human spirit's unyielding curiosity and desire for exploration.

Invisible Wounds: A Closer Look at the Markers of PTSD

How Post-traumatic Stress Disorder Works delves into the harrowing journey of Adam Kelley, a U.S. Army specialist who, despite returning home from Iraq, could not escape the clutches of PTSD, ultimately leading to his tragic suicide 13 years later. PTSD, a mental health condition triggered by traumatic experiences, is characterized by 17 symptoms, including agitation, anxiety, concentration issues, memory problems, depression, and mood swings. These symptoms can manifest in various intensities and are not uniform across all individuals. The article also explores the evolution of PTSD's understanding, from its initial identification in the American Civil War to modern research that includes genetic factors and the importance of social support. It highlights the military's vulnerability to PTSD, given the intense and life-threatening nature of combat experiences. The article concludes with insights into counseling and medication treatments for PTSD, cutting-edge research, and innovative approaches like virtual reality therapy and resilience training for soldiers.

Amazon's One Medical Priming the Market

Amazon is making its primary care boutique clinic, One Medical, cheaper for Prime subscribers. Amazon links One Medical primary care to Prime memberships - The Washington Post. (gift article)

Shakespeare on Sleep

Arthur Brook's article, Five Ways to Make Sure You Get More Sleep, using quotes from Shakespeare, delves into the elusive quest for restful slumber, a journey often hijacked by the mind's nocturnal wanderings. With 15% of American adults struggling to fall asleep, the nation's sleep debt is not just a personal nuisance but a public health concern. Sleep deprivation is linked to a myriad of health issues, from metabolic disturbances to mental health problems like depression and anxiety. The piece underscores the profound impact of sleep on our well-being and happiness, offering practical sleep hygiene tips and advocating for a personalized approach to sleep patterns. It suggests that embracing one's unique sleep rhythm and addressing life's stressors could be the key to unlocking the rejuvenating power of sleep and a happier life.

Mind Matters

Emerging research underscores a significant connection between mental health disorders in later life and an increased risk of dementia. Studies suggest that late-life mental illnesses, such as depression, maybe early indicators of dementia or could exacerbate its onset. While not all late-life psychiatric disorders lead to dementia, the correlation is strong enough to warrant cognitive testing for older adults presenting new psychiatric symptoms. The relationship between early-life mental health issues and later dementia is less definitive, though severe early mental illness does raise dementia risk. Overall, maintaining mental and physical health is emphasized as a preventative measure against dementia. Mental Illness May Affect Dementia Risk, Research Suggests - The New York Times. (gift article)

Psychedelics and Depression: Neuroplasticity without the Trip

Recent insights suggest that the mental health benefits of psychedelics like psilocybin and MDMA may not stem from their hallucinogenic effects. Researchers are now developing non-hallucinogenic variants that target neuroplasticity without the trip, potentially offering depression and PTSD treatments to a broader patient base. These novel compounds could reset emotional control and improve mood without the psychedelic experience by enhancing brain adaptability. This shift could redefine psychedelic therapy, focusing on neuroplastic potential rather than transcendental experiences, and streamline regulatory processes for easier access and research. What If Psychedelics' Hallucinations Are Just a Side Effect? - The Atlantic.

+More on the importance of neuroplasticity in mental health. Neuroscientists are Tantalizingly Close to Mastering How Psychedelics Redesign Our Brains.

Urban Wellness

Urban epidemiologist Tolullah Oni's research underscores a stark contrast in urban living conditions, revealing that affluent neighborhoods often boast better air quality, cooler temperatures, and safer spaces for physical activity. This disparity is critical as urban populations are set to double by 2050. Oni's work emphasizes the need for cities to address these inequalities proactively. The article highlights the importance of urban planning that considers health impacts, equitable access to public spaces, and the role of governments and the private sector in building healthier cities. Where You Live Is As Important As What You Eat | WIRED.

040 - Terminal Lucidity, Longevity, and Empathetic ChatBots - HealthHippieMD Week In Review

Terminal Lucidity

"Sometimes, people with dementia who hadn't been coherent for years will suddenly revert to their mentally sharp selves for up to several hours -- and then die shortly after." Scientists are interested in the cause of "paradoxical lucidity" and how it might inform the neuroscience of dementia. Scientists are finally taking a closer look at terminal lucidity.

The Hidden Cost of Amazon Clinic

Amazon's foray into healthcare, Amazon Clinic, (011 - CVS, Amazon, and the Disruption of Primary Care, Anxiety Inoculants, Wabi Sabi, and A.I. - HealthHippieMD Week In Review — HealthHippieMD) keeps the monetary cost of seeing a healthcare professional low but at the cost of your medical privacy. "Signing an authorization isn't a "waiver" of your rights, but you're consenting to your data being disclosed for additional purposes, at which point it leaves the protections of HIPAA." The Washington Post explains: Amazon Clinic patients must sign away some privacy rights under HIPAA. (gift article)

Gut Feelings

"As we wait to establish causal influences through clinical trials, clinicians should advise patients suffering from mood disorders to modify their diet by increasing the intake of fresh fruits, vegetables, and whole grains, as these provide the required fuel/fiber to the gut microbiota for their enrichment, and more short-chain fatty acids are produced for the optimal functioning of the body." More evidence that the microbiome and metabolome drive major depressive episodes. Read the manuscript here: Interplay of Metabolome and Gut Microbiome in Individuals With Major Depressive Disorder vs. Control Individuals | Depressive Disorders and synopsis here: Disrupted Gut Microbiome a Key Driver of Major Depression?

+More on the link between ultra-processed foods, mental health, and cognition: How Eating Ultra-processed Foods Can Affect Your Mental Health. (gift article)

Learning Man

You've heard of the music/culture festivals Burning Man and Coachella, but did you know there is a similar gathering focused on immersing attendees in education, play, and creation? Yep, 'Learning Man' is becoming a thing

The Mechanics of Smell

These scientists are striving to understand the mechanism behind human olfaction: How a Human Smell Receptor Works Is Finally Revealed.

Loneliness

Vivek Murthy, America's Surgeon General, is back in the news again, talking about the loneliness epidemic: Loneliness is a Health Crisis, Surgeon General Says. Here's How to Combat It. (gift article) Also see his excellent book on the topic: Together: The Healing Power of Human Connection in a Sometimes Lonely World.

The Modern World is Aging You and Your Brain

An interesting article in Wired about studies examining the brains of non-industrialized societies vs. Western Society: The Modern World Is Aging Your Brain. And the manuscript that inspired the article: Brain volume, energy balance, and cardiovascular health in two nonindustrial South American populations.

Mental Health Chatbots

An article in the N.Y. Times about Pi, an emotional support chatbot: My Weekend With an Emotional Support A.I. Companion. (gift article) These new products remind me of the science fiction movies: Her (film))and Ex Machina (film).) The lines of human characteristics such as empathy and even consciousness are blurring......

"Functional Neurological Disorders"

A long-form read about how Long Covid influences understanding "functional" disorders like ME/CFS (Chronic Fatigue). Contrary to historical thinking, the diseases ARE NOT in the patient's head: We Might Have Long Covid All Wrong

Shady Longevity Research

The quest to conquer aging rages on. Mixed in with traditional scientists are upstarts trying to cash in on a human fountain of youth. Wired had an expose/overview of one of these companies, BioViva, and its founder Liz Parrish: Inside the Secretive Life-Extension Clinic.

Run AwAI

AI has constantly been in the news since last November when OpenAI made its public debut. This week President Biden hosted a meeting at the White House concerning the dangers of A.I. Along those lines, one of the scientists who made significant contributions to the birth of A.I. quit his decade-long stint at Google to talk freely about the risks: Geoffrey Hinton leaves Google, warns about the dangers of AI. (gift article)

+AI is getting better at translating brain activity into words: A.I. Is Getting Better at Mind-Reading

Do Ovaries Hold the Secret of Longevity?

The ovaries age much more quickly than the other tissues of the human body. Scientists think understanding why may hold the key to a longer, healthier life: The Secrets of Aging Are Hidden in Your Ovaries.

Seven Types of People You Need in Your Life

Interesting article in TED about the people you need in your life to counteract stress: The seven types of people you need in your life to be resilient

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.

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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.

017 - Ganzflicker, Misinformation, Canine Cognition, and Happiness

What Your Dog Wants

+Dogs understand our behavior better than we do theirs. The article What Your Dog's Behavior Means (gift article) gives insight into what your canine companion might be thinking.

+An article that resonated for me (and Theodore and many of his pals): The Pet-Name Trend People Can't Resist.

Ganzflicker and Hallucinations

For millennia, humans have sought alternate states of consciousness. Most of us are aware of the effect of psychedelic drugs on consciousness. Here is an article about using light to achieve altered states: What is ganzflicker? The strange history of hallucinating without drugs. Although ganzflicker sounds risky for those prone to light-induced seizures, (and perhaps seizures are the reason for the hallucinations), I'm increasingly fascinated by the effect of repetitive light and sound on human physiology: Alzheimer's Disease and Gamma Waves.

How to Help Someone you Love With Their Depression

An estimated 21 million adults in the United States have suffered at least one bout of depression. How to Help Someone With Depression (gift article) has some tips on how to recognize the illness with others and some things to do to help.

Tips to Improve your Sleep

The NY Times published the article, How to Get Better Rest, According to a Sleep Expert (gift article) with helpful tips to combat sleep disruption and insomnia. If you're interested in the topic, read Matthew Walker's book, Why We Sleep: Unlocking the Power of Sleep and Dreams

Prebiotic Primer

I often find myself explaining the difference between prebiotics and probiotics. Now I may refer folks to the N.Y. Times article: What Are Prebiotics And How Do They Work? (gift article)

Resilience First, Then Happiness

+For whatever reason, my inbox has recently overflowed with stories about happiness. Parents: Don't focus on happiness, help build resilience instead argues that to cultivate happiness in our children (and ourselves), we should focus on resilience. After all, cultivating happiness depends on one's ability to regulate distress.

+The happiness paradox, explained in 7 minutes is from a different source with an identical message.

Fermented and Fibrous Foods May Lessen Stress

+John Cryan is a prolific scientist who has published a great deal on food, the microbiome, and how they likely influence cognitive and mental health (for an overview, see his Tedx talk and his list of publications: ). This week, he published a brief overview of his most recent paper on how eating particular foods may lower perceived stress levels: Fermented foods and fiber may lower stress levels.

+Here's a story on foods to improve gut health: Best Foods For Gut Health

Cultivating Levity

Humor and levity are essential for well-being. Why Humor and Levity Are Important, According to Experts (gift article) has tips to cultivate more.

The Evolution of Laughter

+Why do we laugh? And why is laughter contagious? Why Is That Funny, describes the phenomenon and evolution of laughter. ^a2a14a

Understanding the Science Behind Complementary Health Approaches

If you are using (or thinking about using) a complementary approach to your health, read these fact sheets from the National Center for Complementary and Integrative Health: Know the Science of Complementary Health Approaches.

Triskaidekaphobia

Everything you might want to know about the number 13: Why is 13 considered unlucky? The power behind this notorious number.

What Makes a Song Great, Beato, and Dylan

+Music plays an integral part in my well-being. Bob Dylan wrote a book, The Philosophy of Modern Song. Here is a summary article in The Atlantic: Bob Dylan Reveals Himself Through 66 Songs.

+Although quite a different animal, the premise of Dylan's book reminded me of Rick Beato's YouTube Channel. My favorite feature of Beato's channel is "What Makes This Song Great," where he dissects classic rock songs. If you'd like to see a list of the songs he's covered, see: Rick Beato - What Makes This Song Great Playlist

How to Make Life More Transcendent

People traditionally turned to religious and spiritual behaviors to gain a sense of meaning in a confusing world. Religious belief correlates with searching for and finding purpose in life. Although, as a whole, our society is less religious than previous generations, it is still possible to infuse transcendence into your life: What Transcendent Experiences Do to Your Brain.

SuperForecasting

I enjoyed reading the book Superforecasting: The Art and Science of Prediction, as mentioned in my newsletter 016 - Vampire Hormones, Zombie Fungi, Micromorts, and Bugs in Space. IARPA, the U.S. government's Intelligence Advanced Research Projects Activity heavily influenced the subject matter. IARPA is to the intelligence community what DARPA is to the Department of Defense. The book offered a fascinating integration of math, history, economics, psychology, positive psychology, and a whole host of other domains. I'm always a sucker for a Dark Horseand Philip E. Tetlock is one.

Why do We Believe Misinformation

WaPo had a good article on the psychology of misinformation entitled Why do we believe misinformation? I learned the concepts of the "illusionary truth effect" and the "continued influence effect." The article is well worth a read especially since political misinformation is so abundant these days.

Quote of the Week

"It is only possible to live happily ever after on a daily basis." —Margaret Bonanno

Thank you for voting!

012 - Phages, Cravings, and Fasting for Cancer - HealthHippieMD Week In Review

Helping Loved Ones Through a Medical Crisis

"...ask if they'd like you just to listen or if they need help with problem-solving. Then respect their answer." is often good advice when speaking with close friends or loved ones but is especially important if the person you care about is facing a severe medical crisis: How to help a loved one through a medical crisis

Phages

Medicine is struggling with more and more drug-resistant bacteria. A future without effective antibiotics is almost incomprehensible. The article, Viruses to Fight Superbugs, talks about the renewed interest in phage therapy. A friend (and phage researcher) gave me the book The Perfect Predator: A Scientist's Race to Save Her Husband from a Deadly Superbug. Adding the text to my queue.

Long-Covid and Chronic Fatigue Syndrome

Another article on how the symptoms of Long-Covid are influencing insight into another poorly understood disease, myalgic encephalomyelitis, or chronic fatigue syndrome (ME/CFS). Long COVID Has Forced the U.S. to Take Chronic Fatigue Syndrome Seriously

White House Conference on Hunger, Nutrition, and Health

It has been 50 years since the American government showed a significant interest in nutrition. The White House Conference on Hunger, Nutrition, and Health, took place on Wednesday and began with a statement by President Biden outlining their commitment before the meeting. Here is a commitment fact sheet released just before the conference: FACT SHEET: The Biden-Harris Administration Announces More Than $8 Billion in New Commitments as Part of Call to Action for White House Conference on Hunger, Nutrition, and Health. The call to action is focused on five pillars:

• Pillar 1 – Improve Food Access and Affordability
• Pillar 2 – Integrate Nutrition and Health
• Pillar 3 – Empower Consumers to Make and Have Access to Healthy Choices
• Pillar 4 – Support Physical Activity for All
• Pillar 5 – Enhance Nutrition and Food Security Research I'm anxious to see what other recommendations emerge from this historic conference.

F.D.A. Changes Definition of Healthy Food

The F.D.A. is trying to catch up with nutrition science and limit the burden of diet-related diseases. On Wednesday, the F.D.A. announced a new proposal to change the criteria for which packaged foods may be labeled "healthy." See the news article, F.D.A. Moves to Change 'Healthy' Food Definition. It's exciting to see our government focus on food's important influence on health.

Fasting and Cancer

Here's another video in the fasting and cancer series at Nutrition Facts: Fasting-Mimicking Diet Before and After Chemotherapy

Online Atlas of The Microbiome and Their Metabolites

Our microbial passengers have co-evolved along with us. Under normal conditions, the microbiome works synergistically with human physiology and biochemistry to maintain physical and mental well-being. A recent study, An online atlas of human plasma metabolite signatures of gut microbiome composition, found strong links between certain bacteria living in the gut and small molecules found in the blood. Read the study here: Microbiome and Metabolite Links Uncovered Using Online Atlas. Thanks, Gary!

Why Does Exercise Stick?

Virtually everyone agrees that physical activity is essential for health. Yet less than 5% of us get the recommended 150 minutes of moderate exercise per week. The article How Hard Should Your Workout Be, looks at the factors that make a difference in maintaining an exercise habit.

The Season of Mindfulness and Resilience

If you are prone to Season Affective Disorder, Fall Is the Season for Building Mindfulness and Resilience - The New York Times has some good advice for you.

Cravings and the Addicted Brain

Humans crave all sorts of things, from substances (e.g., alcohol, nicotine, opiates ) to activities (e.g., gambling, sex, or social media). Substance addictions lend some insight into the nature of human craving. Why the pull of addictive cravings is so hard to resist has lots to say.

Quote of the Week

"You can't help what you feel, but you can help how you behave" ― Margaret Atwood.