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112 - Nourishing Medical Minds, People Pleasing, and A New Leash on Life - HealthHippieMD Week In Review

A New Leash on Life for Modern Dogs

As society shifts toward urban living, dogs are undergoing a new wave of domestication, adapting to our modern lifestyles. Historically valued for their work ethic and protective instincts, today’s pets are expected to be calm, friendly, and adaptable companions. Service dogs exemplify this transformation, showcasing friendliness and social bonding traits that reflect early domestication patterns. These dogs offer a blueprint for a new type of pet, where temperament, not just appearance, becomes the breeding focus. This shift promises to reshape the future of our beloved canine companions. Dogs Are Entering a New Wave of Domestication - The Atlantic.

Nourishing Medical Minds

A panel of experts has urged medical schools to integrate comprehensive nutrition education into their curricula, citing diet as a significant factor in seven of the ten leading causes of death in the U.S. In a new consensus statement published in JAMA Network Open, the panel outlined 36 key nutrition competencies for medical training. Despite the undeniable link between diet and health, most medical programs offer little to no instruction on nutrition. The panel emphasizes that improving doctors’ understanding of nutrition can greatly enhance patient care and disease prevention strategies. Panel recommends medical nutrition training, citing diet disease risks - The Washington Post (gift article).

Bot or Not

Generative AI platforms like Character.AI enable users to create chatbots impersonating real people, often without their consent, leading to ethical dilemmas. A notable case involves the unauthorized creation of a bot modeled after Jennifer Ann Crecente, a teen murdered in 2006. Her father, Drew Crecente, discovered this AI bot mimicking his daughter’s identity, bringing fresh grief. Despite Character.AI’s policies, countless non-consensual bots remain. Legal protections lag, leaving those impersonated with little recourse as the line between digital personas and personal privacy blurs in this rapidly evolving space. Anyone Can Turn You Into an AI Chatbot. There’s Little You Can Do to Stop Them | WIRED.

+see also: A murdered high-schooler’s image was used to create an AI chatbot - The Washington Post.

Metformin’s Miss

Metformin, a widely used diabetes drug, once sparked hopes of being a cancer-fighting breakthrough. Early studies suggested that the drug could reduce cancer risk and enhance chemotherapy effects, but subsequent large-scale trials failed to confirm these benefits. Researchers now attribute earlier positive findings to flaws like “immortal time bias” and excessively high doses used in lab studies. While metformin remains promising for other conditions like aging and dementia, its potential as a cancer treatment has been largely dismissed, with experts calling for more cautious optimism. This Common Diabetes Drug Was Thought to Revolutionize Cancer — Here’s What Happened Instead.

Peptide Promises

‘GLP-1’ Has Become an Empty Buzzword - The Atlantic delves into the growing trend of “GLP-1” supplements, marketed as alternatives to weight-loss drugs like Ozempic. Despite their catchy association with GLP-1 agonists, these supplements pale in comparison to the actual effectiveness of obesity drugs. While the natural hormone GLP-1 is released after eating and influences satiety, the supplements only offer a minor boost in GLP-1 levels. Their marketing preys on consumers seeking a cheaper, non-pharmaceutical solution, but in reality, they repurpose common ingredients, leaving people with little more than hollow promises.

Rethinking Obesity

A Gen X physician reflects on his earlier misconceptions about obesity, realizing that it is a complex, mostly neurological, and inheritable disease rather than simply a result of laziness or poor choices. He acknowledges how his success with weight loss led to a condescending attitude toward patients who struggled, failing to recognize their unique genetic predispositions. With the introduction of GLP-1 drugs like Ozempic and Wegovy, the doctor is cautiously optimistic that science can finally offer effective treatments for obesity, moving beyond outdated assumptions about personal responsibility.​ I was once condescending to obese patients. I regret it. - The Washington Post (gift article).

Ozempic Tackles More Than Just Weight

Recent studies reveal that Ozempic, widely known for treating type 2 diabetes and aiding weight loss, might also reduce addiction-related behaviors. Researchers from Loyola University found that those on the drug had significantly lower rates of opioid overdose (40%) and alcohol intoxication (50%) compared to non-users. The findings, derived from analyzing over a million health records, suggest that GLP-1 receptor agonists may influence addiction, though the exact mechanisms remain unclear. While promising, further research is needed to confirm the drug’s potential in addiction treatment. Ozempic Might Help Treat Two Common Addiction Disorders.

People-Pleaser Predicament

How to Stop Being a People Pleaser - The New York Times (gift article) delves into the common habit of people-pleasing, where individuals prioritize others’ needs at the expense of their own. Experts explain how this behavior often stems from childhood or social anxiety and initially offers satisfaction by gaining approval. However, it can lead to resentment and emotional burnout. The article offers practical tips to set boundaries, manage pushback, and overcome fears of rejection. The focus is on building self-worth, prioritizing personal needs, and embracing balance in relationships to prevent feeling drained by constant people-pleasing.

A Playbook for the Heart

Seven Ways to Love Better - The New York Times (gift article) by Daniel Jones, editor of the Modern Love column, reflects on two decades of curating stories about love. He distills seven essential lessons learned from thousands of submissions. Love, he argues, thrives on curiosity, empathy, and impermanence. Relationships should be handled like basketballs, and they should be able to bounce back from conflict. Success is not measured by longevity but by impact. Whether it’s appreciating fleeting moments or navigating difficult separations, Jones emphasizes the importance of being present, open-minded, and grateful for every connection, no matter how brief.