Rheumatoid Arthritis

093 - Electric Dreams, Face Time, and Your Gut on Salt - HealthHippieMD Week In Review

Face Time

Unlike virtual connections, regular face-to-face interactions with friends significantly enhance physical and mental health. Studies reveal that in-person meetings boost the immune system, reduce stress, and improve overall well-being, comparable to the effects of a Mediterranean diet. Frequent physical contact, such as hugs, also benefits the hypothalamic-pituitary-adrenal axis, lowering inflammation and improving sleep. Additionally, our sense of smell and neural synchrony are crucial in forming deeper, more empathetic connections. Decreased time spent with friends underscores the importance of rekindling in-person socializing for better health. In-person friendships are better for health than virtual connections - The Washington Post (gift article) (Thanks, Amy!).

Paws-in

The viral "paws-in" challenge on TikTok sees dogs imitating their owners by placing a paw atop a stack of human hands. The trend delights viewers, showcasing dogs' ability to mimic, seek attention, and connect with their human families. Experts highlight the role of training and innate behavior in dogs' responses. Even if some dogs don't join in perfectly, their varied reactions—using their muzzle or looking for cues—emphasize the deep bond between humans and their pets. The challenge underscores the joy and heartwarming connection pets bring to their owners' lives. Dogs are doing the viral 'paws in' challenge. Here's why. - The Washington Post (gift article).

Electric Dreams

Researchers have explored using electricity to control the immune system for over a decade, promising a revolution in treating chronic diseases like rheumatoid arthritis and diabetes. Despite substantial investment, electroceuticals—implants designed to replace drugs—haven't yet fulfilled their early promise. Meanwhile, new research into bioelectric medicine shows potential for innovative treatments, including fast-healing bandages and cancer therapies. The field faces challenges, including precise targeting and overcoming biases toward nervous system-centric approaches. As research evolves, the dream of electrically hacking the body for better health remains an electrifying possibility. The decade-long quest to hack the body's immune system with electricity | MIT Technology Review.

+see also: 091 - Meta Heads, Embracing Solitude, and The Brain's Immunity Master Switch - HealthHippieMD Week In Review — HealthHippieMD.

Mediterranean Eating May Boost Brain Health

A new study in Nature Aging suggests the Mediterranean diet, rich in fatty acids, carotenoids, and vitamin E, may slow cognitive decline. Researchers from the University of Illinois and the University of Nebraska-Lincoln found that participants aged 65-75 with delayed brain aging had larger brain volumes, better connectivity, and higher cognitive scores. Essential nutrients included α-linolenic acid and eicosapentaenoic acid from fish and plants, carotenoids from colorful vegetables, and vitamin E from nuts and oils. While promising, the study calls for further research across diverse populations. New Study Suggests Mediterranean Diet May Slow Cognitive Decline.

Cognitive Harmony

Understanding cognition requires viewing the brain's large-scale coordination of neural activity, driven by rhythmic electric fields, rather than focusing on individual neurons. MIT neuroscientists argue that brain rhythms, once dismissed as mere byproducts, are crucial for organizing neural activity. These rhythms influence cognition and could be key to treating disorders like schizophrenia and epilepsy. Brain waves like beta and gamma rhythms coordinate complex cognitive tasks, acting like stencils guiding neural activity. Scientists hope to unlock deeper insights into how thoughts and memories form and function by studying these rhythms. To understand cognition, neuroscientists must learn its rhythms - Big Think.

The Brain-Belly Connection

In this episode of the Huberman Lab Podcast, Stanford's Dr. Andrew Huberman hosts Dr. Diego Bohórquez of Duke University. Dr. Bohórquez, an expert in gastrointestinal physiology and neuroscience, delves into the gut-brain axis, focusing on how our gut senses food. Unlike the popular microbiome focus, Dr. Bohórquez explores how our gut detects nutrients like amino acids, fats, and sugars, akin to how our eyes sense light. This episode reveals the intricate sensory mechanisms within our digestive system, offering a deeper understanding of how our gut communicates with our brain. ‎Huberman Lab: Dr. Diego Bohórquez: The Science of Your Gut Sense & the Gut-Brain Axis.

Following the Pharma Funds

How much Big Pharma is paying doctors discusses the financial relationships between doctors and pharmaceutical companies, highlighting the Open Payments website. This platform, run by Medicare, allows the public to see the payments made to doctors by healthcare companies. A recent JAMA study revealed that many physicians endorsing products on social media have received payments from the companies behind these products. The article emphasizes the importance of transparency in understanding these financial ties and their potential impact on healthcare costs and quality in the U.S.

Your Gut on Salt

Excessive salt, though essential historically, disrupts the gut microbiome, likely contributing to health issues like high blood pressure, heart disease, and metabolic disorders. Modern diets, laden with processed foods, exacerbate these problems. High sodium intake alters beneficial gut bacteria, leading to inflammation and metabolic disruptions and increasing cravings and weight gain. Reducing salt intake and focusing on unprocessed, plant-based foods can help maintain a healthy microbiome and prevent disease. The push for lower sodium in diets faces challenges from industry lobbyists, but evidence for its necessity continues to grow. How Salty Food Can Poison Your Microbiome.

Jazz Mind and Flow

Researchers at Drexel University's Creativity Research Lab studied how jazz musicians reach a creative "flow state." They discovered that flow involves a balance between expertise and releasing focus. Using EEG, they recorded the brain activity of 32 jazz guitarists, finding that flow states correlated with reduced frontal lobe activity, indicating low cognitive control. Experienced musicians showed enhanced sensory brain activity. The study suggests achieving flow requires extensive practice and the ability to let go of conscious control, allowing automatic, creative responses. This dual approach can help in mastering any creative task. Brain Scans of Jazz Musicians Reveal How to Reach a Creative' Flow State' | Scientific American.

+see also: We all can reach a "flow state." Here's how. - Big Think.

064 - AI Lucid Dreams, Long Covid, and Glowing Guts - HealthHippieMD Week In Review

Getting Gold through Crowdfunding

Olympic gymnast Mary Lou Retton joined the ranks of countless Americans, turning to crowdfunding to cover her substantial medical expenses incurred during a battle with rare pneumonia. Her daughter launched a fundraising campaign on Spotfund, and the public rallied, astonishingly raising $350,000 in under two days, surpassing the $50,000 goal. This peculiar juxtaposition highlights the harsh reality of healthcare costs in the U.S., where a quarter million Americans initiate crowdfunding campaigns yearly. Sadly, most don't reach their targets; studies show that 16% receive no donations. This underscores the stark inequalities within the American healthcare system. Mary Lou Retton Crowdfunded Her Medical Debt, Like Many Thousands of Others - The New York Times. (gift article)

Scientists Unearth New Clues to Long Covid

In an unexpected twist in Long Covid, researchers suggest that the villain might be lurking in the gut. In a study published in the journal Cell, scientists from the University of Pennsylvania propose that the remnants of the coronavirus residing in the digestive tract could be suppressing serotonin production, the brain's feel-good neurotransmitter. This serotonin shortage could explain the cognitive and neurological symptoms experienced by many Long Covid sufferers. The research offers a fresh perspective on the condition and potential treatment avenues, proving that sometimes the gut feeling isn't just a metaphor. Scientists Offer a New Explanation for Long Covid - The New York Times. (gift article)

FDA Sounds Alarm on Ketamine Misuse

The FDA is raising eyebrows about the reckless use of ketamine, the anesthetic pharmaceutical (and sometimes party drug) that's been rebranded as a depression and anxiety remedy. They're concerned about the growing trend of online marketers doling out ketamine prescriptions via telemedicine, sidelining the need for medical supervision. While ketamine therapy for mental health shows promise, the regulatory haze around it has spurred abuse. The FDA warns that unsupervised use could lead to serious health problems despite its "off-label" legality. Before you consider a virtual consultation for ketamine, think twice. FDA Issues Warning Over Misuse of Ketamine Therapy - The New York Times. (gift article)

How Not To Age

I'm a big fan of Michael Greger and NutritionFacts. Dr. Gregor's new book, How Not to Age, is coming out this December. He has a few previews of the information here: anti-aging | Health Topics | NutritionFacts.org.

Emotional Costs of Sleepless Nights

A Psychology Today article highlights the emotional toll of sleep deprivation. Beyond the evident fatigue, insufficient sleep can destabilize our delicate equilibrium, leading to intensified negative emotions and unpredictable mood swings. It's a poignant reminder that sleep doesn't merely rejuvenate our bodies but also plays a pivotal role in mental well-being. In essence, to remain emotionally balanced, it's imperative to count the hours and make them count. 4 Ways That Sleep Deprivation Can Harm Your Emotional Health | Psychology Today.

Ear's a Thought: Brainwave Buds

Researchers from the University of California, San Diego, have unveiled innovative earbuds to monitor brainwaves and assess health via ear sweat metabolites. Unlike traditional bulky EEG machines, these compact "neuro-buds" offer a non-invasive peek into cognitive states, potentially aiding early diagnosis of neurodegenerative diseases and even providing neurofeedback. The earbuds, embedded with minute electrodes, detect neural electrical activity during various tasks. Additionally, they can gauge stress levels, predict seizure risks, and measure vital metabolites like glucose. As a bonus, they're designed to play calming sounds based on detected neural patterns, offering users real-time mind management. New Brain-Earbuds Can Listen to Brainwaves, Improve Mood, Decrease Stress, and Possibly Predict Stroke and Neurodegenerative Diseases. ^

NCCIH on Rheumatoid Arthritis

NCCIH has a page on the science behind complementary approaches to Rheumatoid Arthritis: 6 Things To Know About Complementary Health Approaches for Rheumatoid Arthritis | NCCIH.

+And a page on paying for Integrative and Complementary Medicine (including insurance coverage): Paying for Complementary and Integrative Health Approaches | NCCIH.

Mediterranean Diet and Exercise Melt Visceral Fat

A recent study revealed that a combination of a reduced-calorie Mediterranean diet and regular exercise can significantly reduce total fat mass and dangerous visceral belly fat. Older participants following this regime gained muscle and lost considerable body fat within a year, with benefits lasting up to three years. Notably, this wasn't merely about weight loss; the program reshaped body composition from fat to muscle. The study underscores the health risks of visceral fat, linked to diabetes, heart disease, and stroke, and emphasizes the transformative potential of diet and exercise on metabolic health. Mediterranean diet and exercise reduce dangerous belly fat, study says | CNN.

Glowing Guts for IBD

An MIT team designed a pill filled with genetically engineered E. coli bacteria that emit light when detecting gut inflammation. The new device was built to aid in treating Inflammatory Bowel Disease. Photodiodes inside the pill capture this glow, while a radio chip broadcasts it externally. Merging moist microbes with dry electronics was tricky, solved with a clever adhesive barrier. After promising tests in pigs, the next step is human trials. As some pursue a "pill cam" for visual diagnostics, this pill offers a luminescent alternative. This microbe-filled pill could track inflammation in the gut | MIT Technology Review.

Sobering Stories: Physicians and Their Mental Health

The Guardian had an article on the physical and mental toll of medicine and medical training, told through the experience of a Harvard Endocrine Surgeon. U.S. surgeons are killing themselves at an alarming rate. One decided to speak out.

Lucid Dreaming with the Help of AI

Eric Wollberg and Wesley Berry have embarked on a futuristic quest with their startup, Prophetic. Taking inspiration from ancient prophets, their "Halo" device pledges to induce lucid dreams through the wonders of generative A.I. After a whirlwind fundraising season garnering over $1 million and support from tech bigwigs like Apple's neurotech team and Elon Musk's Neuralink, the buzz is palpable. But there's a hiccup: Prophetic hasn't triggered lucid dreams yet. Science suggests that inducing such dreams is feasible, but consistently doing so remains unproven, especially with Prophetic's unique method. Prophetic says its Halo device can cause lucid dreams using generative A.I. Can it?

031 - Science / Pseudoscience of Aging, Cannabinoids and Cancer, and The World's Hottest Pepper - HealthHippieMD Week In Review

For Love of the Bean

This author loves their coffee (in reality, caffeine). "A low dose of caffeine can lead to a significant increase in … happiness and calmness and decreases in tenseness." Coffee really does make you happier

What's Your Subjective Age?

There is frequently a difference between our chronological age and our subjective age. This author examines the phenomenon: I'm 53 years old. I'm 36 in my head. - The Atlantic

The Science and Pseudoscience of Aging

Scientists are working diligently to unravel the aging process. I mentioned some of this work in 027 - Wise-Selfishness, Horvath's Clock and GrimAge - HealthHippieMD Week In Review. Here is an excellent video overview of the quest to extend our lives, including an interview with Steve Horvath: The Future with Hannah Fry And another interesting, more scientific overview of the field: Turning back time with epigenetic clocks - Nature

+More on the brave new world of chronological-age testing start-ups: How Old Are You, Really? New Tests Want to Tell You

+More on longevity research: Can We Change How Fast Humans Age? A New Study Is Getting Closer to the Answer

Periodontal Disease and Rheumatoid Arthritis

Scientists at Stanford have been working on why there is an association between poor oral health and more severe rheumatoid arthritis: Oral bacteria trigger rheumatoid arthritis flare-ups

The Last of Us

I'm enjoying the HBO series, The Last of Us. The premise that a fungus infects humans and does everything in its power to spread is borrowed from the animal world. The article, Can a Fungus Really Take Over Our Brains?, is an overview of known pathogens that alter HUMAN behavior. If you want to binge another great sci-fi/horror show, try Fortitude, supposedly one of the most scientifically accurate sci-fi shows ever made.

How to Deal with Dark Personalities at Work

Dark personalities: narcissists, psychopaths, and Machiavellians are common in society. Here is some advice on how to navigate your interactions with them at work: Here's what to do when you encounter people with 'dark personality traits' at work

A Reading List on the Neuroscience of Reading

According to the intro, humans were not designed to read. Here is a series of long-form articles on one of life's greatest pleasures: A Reading List About the Neuroscience of Reading

Digital Declutter

"Just as clutter in your home can cause stress, erode productivity, and hurt your sense of well-being, digital clutter, she said, can bring up similar feelings." Here is an interesting and helpful article from the NY Times on how to clean and organize your digital life: How to Clear Out Digital Clutter - The New York Times (gift article)

The Hottest Peppers in the World

Curious about where your favorite pepper ranks? Here you go... Hottest Pepper in the World and 6 Other Spicy Chilis

Artificial Sweetener Associated with Cardiovascular Events

This week's study in Nature Medicine, The artificial sweetener erythritol and cardiovascular event risk,, demonstrates an association between the use of erythritol and cardiovascular events such as stroke or heart attack. More research is needed. Zero-Calorie Sweetener Possibly Linked to Heart Issues, New Study Suggests (gift article)

The Microbiome and Multiple Sclerosis (pre-clinical)

These scientists are investigating how the microbiome might be manipulated as a therapeutic intervention in Multiple Sclerosis: Bile acids and gut microbes could potentially treat multiple sclerosis, according to new research in mice

Cannabinoids and Cancer

As North Carolina ponders approval of medical marijuana, these scientists are investigating how cannabinoids might be used as therapeutic agents to combat cancer: Can Cannabis Help Treat Cancer? Researchers Are Getting Closer To An Answer

GLP-1 Agonists in Economist

The Economist had a brief but informative overview of the new anti-obesity drugs. A new class of drugs for weight loss could end obesity (subscription required)

The Problem of Fraud in the Scientific Literature

The problem of fraudulent papers in medicine is much more prevalent than I believed. The Economist explains There is a worrying amount of fraud in medical research (subscription required)

Wired Guide to Quantum Computing

Wired continues its excellent series on the hottest technology topics: What Is Quantum Computing? The Complete WIRED Guide

Generative AI does Anime

Unlike the author of this article, I was fascinated by the techniques used with generative AI to make an anime from the video: Corridor Crew's AI-Generated Anime Isn't Just Callous and Craven — It's Also Dangerous Make sure to watch the linked videos in the story.

Words, Not Truths

"On the other hand, if I can talk to a bot that will give me plausible responses to things I say, it would be useful in situations where factual accuracy isn't all that important." A computer scientist chimes in on how he believes generative AI, such as ChatGPT, should be used: ChatGPT is great – you're just using it wrong

Why Some Food Tastes Better the Next Day

Here is some of the science behind why certain leftovers taste better the next day: Why certain foods taste better the next day

015 - Deja Vu, Pilates, and Recycling Theater - HealthHippieMD Week In Review

Fight for the Soul of Pilates

An interesting story in the NY Times about the fight over Joseph Pilate's legacy (gift article) The Fight for the Soul of Pilates.

Technology and Shallow Relationships

It's well-known that frequent social media use contributes to feelings of loneliness and depression. Despite this, technology use accelerated during the pandemic. Arthur Brooks talks about how to combat over-reliance on technology in our relationships: Technology Can Make Your Relationships Shallower.

Predicting Long-Covid

A manuscript published this week, Early immune markers of clinical, virological, and immunological outcomes in patients with COVID-19: a multi-omics study, describes the use of multi-omics and machine learning to predict individuals who will develop long-covid.

Banana Genealogy

Everything you wanted to know about the origins of the modern banana: The Search Is on for Mysterious Banana Ancestors.

The Paradox of Atypical Anorexia

Eating disorders can affect anyone of any body, shape, or type. I learned quite a bit from 'You Don't Look Anorexic.' (gift article)

Lessons from a "Difficult Patient"

I enjoyed an essay in the NY Times about how medicine, in many ways, has lost its humanity. The article, Lessons From a 'Difficult Patient' (gift article), follows one physician's internal journey as she cares for a challenging patient throughout her training.

Understanding Deja Vu

I learned a few new things about the neuropsychological underpinnings of deja vu in the article: What is déjà vu? A psychologist explains this common but creepy phenomenon.

More Terramation

It seems like stories about human composting are everywhere. This article was in Slate: Composting offers a greener way to dispose of human remains.

Brain Cells on a Chip Learn to Play Pong

I found this article on brain-machine interfaces: Brain cells on a chip learn to play Pong within 5 minutes. Although the title is a bit sensational, I still find the concept disturbing.

Omega-3 Fatty Acids and Brain Health

In a new study, Omega-3's Linked to Improved Brain Structure and Cognition at Midlife, , the authors opined increasing omega-3 fatty intake might help preserve brain health and cognition in middle age. We still don't understand the mechanism of how omega-3 fatty acids work in the brain. My guess is the mechanism involves our endogenous endocannabinoid system, as I mentioned in 006 - Loneliness, Mucus, and Cannabinoids - HealthHippie Week In Review.

Return on Investment for Employee Wellness Programs

Michael Greger released the first video in a series focused on the business case for offering wellness programs in corporate environments: The Return on Investment (ROI) for Employee Health and Wellness Programs. His take after reviewing the literature: $3 returned for every $1 spent.

Rethinking Healthy Eating in Terms of the Microbiome

I loved the manuscript, Rethinking healthy eating in light of the gut microbiome. The manuscript synthesizes a wide range of information from around the world and makes recommendations on what constitutes healthy eating by promoting a healthy gut microbiome. I will be referring to this paper for a time to come.

The Rocky Road of Aspartame

I've had a long-standing interest in non-nutritive sweeteners. Aspartame, only one of many artificial sweeteners, is a multi-billion dollar product. Aspartame: Decades of Science Point to Serious Health Risks is a compilation of the primarily negative data on the multi-billion dollar substance. For a less critical view, see: The_History_of_Aspartame

Think You Are Responsible with your Recycling? Think again.

The article Big Plastic Wants You to Think You Can Recycle Your Yogurt Container, was eye-opening for me. Only a tiny fraction of plastics are recycled, and there is incredible resistance to doing so, given the cost. The take-home point of the article for me: buy fewer products made of ANY plastic.

Our Pets, Our Microbiome

I enjoyed reading Does owning a pet boost your gut health? on how humans and our animal companions swap bacteria -likely beneficial to our overall health and well-being. The one downside of the article is not being able to unsee the phrase "fecal patina."

Behold Envy, The Happiness Killer

Arthur Brooks tackles the topic of envy in the article How to Stop Being So Envious. The article touches on social comparison, social media, and the importance of authenticity. In addition, he offers a few practical suggestions to minimize the role of envy in your life.

Making Better Use of Antidepressants

I learned a lot from the article, How to make better use of antidepressants (pay-wall). I did not realize that 10-15% of the population is on antidepressants, many for a very long time. With the serotonin theory of depression recently called into doubt coupled with a re-examination of this class of drug's efficacy (only about 15% response rate, mainly in severely depressed), it is likely time to reexamine our overuse of these medications, especially in the elderly.

New Evidence Linking the Microbiome to Rheumatoid Arthritis

The 2017 paper, Evidence of the Immune Relevance of Prevotella copri, a Gut Microbe, in Patients With Rheumatoid Arthritis, hypothesized that a protein produced by a common gut bacteria, Prevotella copri, could trigger the immune system and lead to arthritic inflammation. A new study summarized in New evidence linking gut bacteria with rheumatoid arthritis development provides further evidence supporting the 2017 hypothesis.

Quote of the Week

"Without music, life would be a mistake." - Friedrich Nietzsche (thanks, Lauren!)