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	<title>Brain Health Archives - Amazing Health Advances</title>
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		<title>MRI Drugs Leave Toxic Heavy Metal Residue in the Brain</title>
		<link>https://amazinghealthadvances.net/mri-drugs-leave-toxic-heavy-metal-residue-in-the-brain-8693/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=mri-drugs-leave-toxic-heavy-metal-residue-in-the-brain-8693</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Wed, 27 Aug 2025 05:49:18 +0000</pubDate>
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		<category><![CDATA[Brain Health]]></category>
		<category><![CDATA[Health Disruptors]]></category>
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		<category><![CDATA[brain scans]]></category>
		<category><![CDATA[heavy metal toxicity]]></category>
		<category><![CDATA[MRI]]></category>
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		<category><![CDATA[radiology]]></category>
		<category><![CDATA[toxic heavy metals]]></category>
		<category><![CDATA[toxic metal]]></category>
		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=18128</guid>

					<description><![CDATA[<p>Lori Alton via NaturalHealth365 &#8211; MRIs help doctors see inside your body, but new findings have raised red flags. Medical experts want more research on health risks – especially how these metal-based contrast agents might build up in your body long after the scan. Many MRI procedures involve getting a contrast injection to improve the clarity of the images. The problem is that some patients with multiple MRIs report thinking problems afterward. These symptoms increasingly point to gadolinium, a metal used in contrast agents that may be more dangerous than we thought. New research shows it can stay in your body for years, even with healthy kidneys. What’s particularly concerning is that gadolinium might damage your cells and even your DNA. Scientific studies raise serious brain health concerns A study showed a correlation between intravenous gadolinium-based contrast agents and deposits of gadolinium found in neural tissues. Results were published online in Radiology, with lead author Robert McDonald, MD, PhD, Mayo Clinic, noting that some of the administered doses of contrast agent deposited in neural tissues were surprising. Patients who have undergone routine MRIs, such as Marcie Jacobs, later reported a loss of cognitive abilities. After having memory and other brain function issues following several years of routine MRIs for breast cancer detection, Ms. Jacobs ended up on disability. Also in the journal Radiology, Dr. Emanuel Kanal, University of Pittsburgh Medical Center, along with Michael Tweedle at Ohio State University, wrote that current studies “called into question” the “safety of at least some” of the agents. While the two did not call for an end to the use of these agents, they did call for increased caution in using these drugs. Are you being offered these MRI drugs? About a third of all MRIs in America still use gadolinium-based contrast agents, even as questions linger about their long-term safety. The FDA has tightened regulations rather than banning the most problematic agents outright – taking a different approach than European regulators who pulled Omniscan and Magnevist from their markets back in 2018. This safety debate isn’t new. Back in 2007, the U.S. Food and Drug Administration (FDA) first required warnings after research linked certain agents to nephrogenic systemic fibrosis, a serious condition causing tissue hardening, particularly in kidney patients who struggle to clear the metal from their bodies. Despite two FDA reviewers pushing for an outright ban on high-risk agents, the agency opted for stronger warnings instead. By 2010, they recommended against using Omniscan, Magnevist, and Optimark for patients with kidney problems. In 2018, warnings expanded to include gadolinium retention risks even for people with healthy kidneys. These days, doctors typically reach for newer macrocyclic agents, which hold their gadolinium more securely and seem less likely to release it into body tissues. However, the debate continues about whether these regulatory steps go far enough to protect patients. Gadolinium brain deposits spark ongoing safety debate Brain scans after certain contrast-enhanced MRIs show gadolinium sticking around – a discovery that’s raised eyebrows across medicine even without clear proof of harm. The findings haven’t definitively shown these metal deposits cause problems, but they’ve certainly got doctors thinking twice. GE Healthcare insists its research shows no evidence of harm from these brain deposits. Bayer has been working with outside researchers to get to the bottom of things. Both companies have settled their share of lawsuits, including some involving deaths. Back in 2010, Bayer reached a settlement with a California man who claimed Bayer’s product Magnevist gave him nephrogenic systemic fibrosis – a rare but serious condition. The health dangers continue to be a hot topic of debate. Research points in different directions – some studies raise red flags while others find no smoking gun. Doctors now find themselves weighing benefits against possible risks, especially when their patients already have kidney problems. The risk to MRI patients continues Doctors now check kidney function before giving patients contrast agents, but that might not solve the problem. We’re seeing gadolinium deposits showing up even in people with healthy kidneys, sometimes months or years after their MRIs. Researchers are worried about finding these metal traces in brain tissue at much higher levels than anyone thought possible. We don’t know yet how this might affect someone’s brain function or overall health over the long haul. The data simply isn’t there. This puts radiologists in a tough spot. These contrast agents help spot tumors, inflammation, and blood vessel problems that might otherwise go undetected. That’s incredibly valuable – but at what risk? Some hospitals have started switching to newer gadolinium compounds like the macrocyclic agents, which seem to hold onto their gadolinium better than older ones like Omniscan and Magnevist. Others are cutting doses to the bare minimum or skipping contrast altogether when possible. For patients needing multiple MRIs throughout their lives, the risk increases with each scan. Many are now asking for contrast-free procedures or looking for facilities that use the newer, possibly safer agents. Until we know more, the smart move seems to use the least risky contrast agents only when absolutely necessary. Meanwhile, researchers keep studying what happens to these metal deposits in the body over time. One thing’s for sure – we haven’t heard the last word on gadolinium safety. Editor’s note: Find out more about how to keep your kidney health strong, own the Fatty Liver Docu-Class package created by NaturalHealth365 Programs, that includes the Kidney Health Docu-Class. Sources for this article include: NIH.gov FDA.gov FDA.gov Current.com Auntminnie.com Propublica.org To read the original article click here.</p>
<p>The post <a href="https://amazinghealthadvances.net/mri-drugs-leave-toxic-heavy-metal-residue-in-the-brain-8693/">MRI Drugs Leave Toxic Heavy Metal Residue in the Brain</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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		<title>Do I Need an Epileptologist?</title>
		<link>https://amazinghealthadvances.net/do-i-need-an-epileptologist-8679/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=do-i-need-an-epileptologist-8679</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Mon, 18 Aug 2025 05:37:03 +0000</pubDate>
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		<category><![CDATA[abnormal brain waves]]></category>
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		<category><![CDATA[Duke Health]]></category>
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		<category><![CDATA[epilepsy]]></category>
		<category><![CDATA[epileptic seizures]]></category>
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		<category><![CDATA[support brain health]]></category>
		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=18083</guid>

					<description><![CDATA[<p>Morgan deBlecourt via Duke Health &#8211; An epileptologist is a neurologist who specializes in caring for people with epilepsy. Epileptologists have completed an additional one to two years of subspecialty training in epilepsy care. Most people with epilepsy can see a primary care doctor or general neurologist to manage their seizures. However, you may need more advanced care if your seizures are not under control, if you have certain medical issues, or if you want a second opinion. An epileptologist is a neurologist who specializes in caring for people with epilepsy. Epileptologists have completed an additional one to two years of subspecialty training in epilepsy care. When to See an Epileptologist To confirm your epilepsy diagnosis If your seizures are not under control after three months of care by your primary care physician or after one year of care by a general neurologist If your seizures are not under control despite trying two or three different medications If you are experiencing unwanted side effects from medications If you have other medical conditions or considerations that affect or are affected by epilepsy If you are pregnant or want to become pregnant Seek Care at an Epilepsy Center “An epileptologist typically works in a designated epilepsy center, which is capable of evaluating people whose seizures are not under adequate control. An epilepsy center provides a very comprehensive approach to care,” said Duke epileptologist Aatif Husain, MD. An epilepsy center is staffed by specialists who use sophisticated testing to pinpoint your diagnosis, offer the latest treatments, address possible side effects of medications, recommend surgical options if appropriate, and help you manage the social and emotional aspects of epilepsy. “Advances over the past decade have enabled more personalized epilepsy care,&#8221; said Duke epileptologist Birgit Frauscher, MD. &#8220;With new options now available, regular re-evaluation of treatment is essential.” As a Level 4 Epilepsy Center, Duke is recognized by the National Association of Epilepsy Centers for providing the highest level of diagnostic, treatment, and surgical options. To read the original article click here.</p>
<p>The post <a href="https://amazinghealthadvances.net/do-i-need-an-epileptologist-8679/">Do I Need an Epileptologist?</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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		<title>Protect Your Brain Health with These 4 Powerful Nutrients</title>
		<link>https://amazinghealthadvances.net/protect-your-brain-health-with-these-4-powerful-nutrients-8678/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=protect-your-brain-health-with-these-4-powerful-nutrients-8678</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Mon, 18 Aug 2025 05:23:26 +0000</pubDate>
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		<category><![CDATA[nutrients]]></category>
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		<category><![CDATA[support brain health]]></category>
		<category><![CDATA[vitamin B]]></category>
		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=18081</guid>

					<description><![CDATA[<p>Lori Alton via NaturalHealth365 &#8211; Perhaps you’ve heard people joke about having “senior moments,” those temporary lapses of memory that can leave you searching for a word — or a lost set of car keys. Perhaps you’ve even had a few yourself. Is this a sign of poor brain health? Unless they occur so frequently that they interfere with daily life, these little lapses are probably just a sign of normal age-related memory loss – and of the inevitable fact that your brain is getting smaller every year. Loss of brain mass can threaten cognition, memory, mood – even life itself Brain shrinkage, or loss of volume in the brain, is a normal part of aging. However, abnormally pronounced brain shrinkage puts you at risk for cognitive and movement disorders – and even stroke or premature death. Research shows that people with smaller brain volumes have a 96 percent increase in their risk of stroke – as well as a 58 percent increase in risk of death from all causes. Cardiovascular disease can be a major contributor to brain shrinkage. In one study, patients with coronary artery disease were found to have significantly smaller amounts of gray matter – with worse performances on cognitive tests. Diabetes, sleep disorders, stress, and obesity can all accelerate brain shrinkage as well. Lifestyle factors, such as a toxic diet, a lack of physical activity, smoking, and excessive drinking, can also speed the process. Neuroscientists say brain shrinkage can be slowed significantly with lifestyle changes. In addition to following a healthy diet and getting active, you can protect your brain by supplementing with the following four nutrients. Combine three different B-complex vitamins for brain health B-complex vitamins help to regulate homocysteine, an amino acid associated with heart disease. High levels of homocysteine cause brain shrinkage and dementia – especially when the body is deficient in B vitamins. Doctors say it’s important for aging people to maintain optimal B vitamin levels, especially those with high homocysteine levels. Three of the B-complex vitamins – vitamin B-12, vitamin B-9, and vitamin B-6 – are especially helpful in retaining brain volume. Vitamin B-12, or cobalamin, is found in fish, meat, and dairy. It is needed by the body to metabolize fatty acids, an important component of brain cells. People with B-12 deficiencies experience shrinkage at a rate that is 5 times faster than that of people with higher levels. Vitamin B-9, known as folate, occurs naturally in leafy vegetables, legumes, fruits, and organ meats such as beef liver. In one study, people with higher folate levels experienced slower rates of brain atrophy – as well as a longer period of time progressing from mild cognitive impairment to full-blown dementia. Vitamin B-6, or pyridoxine, is important in the production of neurotransmitters and the absorption of vitamin B-12. It occurs naturally in meat, fish, dairy, lentils, and brown rice. In a controlled trial published in the scientific journal PLoS One, adults over 70 with mild cognitive impairment were given 800 mcg of folate, 500 mcg of vitamin B-12, and 20 mg of vitamin B-6 daily for two years and experienced brain shrinkage at a rate of 30 percent slower than the control group. For participants with elevated homocysteine at the beginning of the study, results were even more dramatic — they slowed their brain shrinkage rate by 53 percent. Are high-fat diets bad for the brain? Healthy fats – such as the omega-3 fatty acids in fish oils and nut oils – are a major part of brain cell membranes, and optimal levels can play a key role in protecting your brain. Higher levels of the omega-3 components known as DHA (docosahexaenoic acid) and EPA (eicosapentaenoic acid) are associated with larger brain volumes. When DHA and EPA levels drop, age-related cognitive deficits worsen. Major depressive disorder and bipolar disorder are both associated with abnormal distributions in the brain of fatty acids. People with Alzheimer’s disease also show low levels of fatty acids. Omega-3s protect against over-excitation – a primary cause of age-related brain cell damage – while decreasing inflammation and protecting against damage from stress. Pomegranate juice sharpens memory and improves cognition Pomegranates are rich in anti-inflammatory, antioxidant, and neuroprotective plant-based compounds called polyphenols. This flavorful juice can help reduce overall fat content in obese people, help regulate blood sugar, and fight inflammation – “win/win” scenarios in the fight against brain shrinkage. And researchers have found that a mere 8 ounces of pomegranate juice a day can improve cognition and memory. Compound from grapes and berries may enlarge memory center Resveratrol is a phenol in red grapes, red wine, and darkly pigmented fruits such as blueberries. Studies showed that resveratrol increased volume in the hippocampus – the part of the brain associated with memory. It also helped protect against oxidative damage that leads to brain cell death and reduced injury to brain endothelial cells with high-fat diets. In a 2014 study published in the Journal of Neuroscience, adults who were overweight but otherwise healthy were given 200 mg of resveratrol daily for 26 weeks. Researchers found that resveratrol improved connections between the hippocampus and frontal sections of the brain and served to increase memory performance. They noted resveratrol’s potential as a novel strategy to maintain brain health during aging. As baby boomers round the corner into advanced age, avoiding loss of brain volume becomes a must for optimal health. Never underestimate the power of good (organic) nutrition and healthy lifestyle changes. Editor’s note: Discover the best ways to avoid and even REVERSE the signs of dementia, own the Alzheimer’s and Dementia Summit created by NaturalHealth365 Programs. Sources for this article include: NIH.gov Lifeextension.com NIH.gov NIH.gov To read the original article click here.</p>
<p>The post <a href="https://amazinghealthadvances.net/protect-your-brain-health-with-these-4-powerful-nutrients-8678/">Protect Your Brain Health with These 4 Powerful Nutrients</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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		<title>As Cannabis Users Age, Health Risks Appear to Grow</title>
		<link>https://amazinghealthadvances.net/as-cannabis-users-age-health-risks-appear-to-grow-8673/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=as-cannabis-users-age-health-risks-appear-to-grow-8673</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Wed, 13 Aug 2025 05:57:54 +0000</pubDate>
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		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=18062</guid>

					<description><![CDATA[<p>KFF Health News via News-Medical &#8211; &#8220;If you view cannabis as a medicine, you should be open to the idea that there are groups who probably shouldn&#8217;t use it and that there are potential adverse effects from it,&#8221; &#8211; &#8220;Because that is true of all medicines.&#8221; A cautionary tale Benjamin Han, a geriatrician and addiction medicine specialist at the University of California-San Diego, tells his students a cautionary tale about a 76-year-old patient who, like many older people, struggled with insomnia. &#8220;She had problems falling asleep, and she&#8217;d wake up in the middle of the night,&#8221; he said. &#8220;So her daughter brought her some sleep gummies&#8221; — edible cannabis candies. &#8220;She tried a gummy after dinner and waited half an hour,&#8221; Han said. Feeling no effects, she took another gummy, then one more — a total of four over several hours. Han advises patients who are trying cannabis to &#8220;start low; go slow,&#8221; beginning with products that contain just 1 or 2.5 milligrams of tetrahydrocannabinol, or THC, the psychoactive ingredient that many cannabis products contain. Each of the four gummies this patient took, however, contained 10 milligrams. The woman started experiencing intense anxiety and heart palpitations. A young person might have shrugged off such symptoms, but this patient had high blood pressure and atrial fibrillation, a heart arrhythmia. Frightened, she went to an emergency room. Lab tests and a cardiac work-up determined the woman wasn&#8217;t having a heart attack, and the staff sent her home. Her only lingering symptom was embarrassment, Han said. But what if she&#8217;d grown dizzy or lightheaded and was hurt in a fall? He said he has had patients injured in falls or while driving after using cannabis. What if the cannabis had interacted with the prescription drugs she took? &#8220;As a geriatrician, it gives me pause,&#8221; Han said. &#8220;Our brains are more sensitive to psychoactive substances as we age.&#8221; Thirty-nine states and the District of Columbia now allow cannabis use for medical reasons, and in 24 of those states, as well as the district, recreational use is also legal. As older adults&#8217; use climbs, &#8220;the benefits are still unclear,&#8221; Han said. &#8220;But we&#8217;re seeing more evidence of potential harms.&#8221; A wave of recent research points to reasons for concern for older users, with cannabis-related emergency room visits and hospitalizations rising, and a Canadian study finding an association between such acute care and subsequent dementia. Older people are more apt than younger ones to try cannabis for therapeutic reasons: to relieve chronic pain, insomnia, or mental health issues, though evidence of its effectiveness in addressing those conditions remains thin, experts said. In an analysis of national survey data published June 2 in the medical journal JAMA, Han and his colleagues reported that &#8220;current&#8221; cannabis use (defined as use within the previous month) had jumped among adults age 65 or older to 7% of respondents in 2023, from 4.8% in 2021. In 2005, he pointed out, fewer than 1% of older adults reported using cannabis in the previous year. What&#8217;s driving the increase? Experts cite the steady march of state legalization — use by older people is highest in those states — while surveys show that the perceived risk of cannabis use has declined. One national survey found that a growing proportion of American adults — 44% in 2021 — erroneously thought it safer to smoke cannabis daily than cigarettes. The authors of the study, in JAMA Network Open, noted that &#8220;these views do not reflect the existing science on cannabis and tobacco smoke.&#8221; The cannabis industry also markets its products to older adults. The Trulieve chain gives a 10% discount, both in stores and online, to those it calls &#8220;wisdom&#8221; customers, 55 or older. Rise Dispensaries ran a yearlong cannabis education and empowerment program for two senior centers in Paterson, New Jersey, including field trips to its dispensary. The industry has many satisfied older customers. Liz Logan, 67, a freelance writer in Bronxville, New York, had grappled with sleep problems and anxiety for years, but the conditions grew particularly debilitating two years ago, as her husband was dying of Parkinson&#8217;s disease. &#8220;I&#8217;d frequently be awake until 5 or 6 in the morning,&#8221; she said. &#8220;It makes you crazy.&#8221; Looking online for edible cannabis products, Logan found that gummies containing cannabidiol, known as CBD, alone didn&#8217;t help, but those with 10 milligrams of THC did the trick without noticeable side effects. &#8220;I don&#8217;t worry about sleep anymore,&#8221; she said. &#8220;I&#8217;ve solved a lifelong problem.&#8221; But studies in the United States and Canada, which legalized nonmedical cannabis use for adults nationally in 2018, show climbing rates of cannabis-related health care use among older people, both in outpatient settings and in hospitals. California In California, for instance, cannabis-related emergency room visits by those 65 or older rose, to 395 per 100,000 visits in 2019 from about 21 in 2005. In Ontario, acute care (meaning emergency visits or hospital admissions) resulting from cannabis use increased fivefold in middle-aged adults from 2008 to 2021, and more than 26 times among those 65 and up. &#8220;It&#8217;s not reflective of everyone who&#8217;s using cannabis,&#8221; cautioned Daniel Myran, an investigator at the Bruyère Health Research Institute in Ottawa and lead author of the Ontario study. &#8220;It&#8217;s capturing people with more severe patterns.&#8221; But since other studies have shown increased cardiac risk among some cannabis users with heart disease or diabetes, &#8220;there&#8217;s a number of warning signals,&#8221; he said. Cannabis use disorder For example, a disturbing proportion of older veterans who currently use cannabis screen positive for cannabis use disorder, a recent JAMA Network Open study found. As with other substance use disorders, such patients &#8220;can tolerate high amounts,&#8221; said the lead author, Vira Pravosud, a cannabis researcher at the Northern California Institute for Research and Education. &#8220;They continue using even if it interferes with their social or work or family obligations&#8221; and may experience withdrawal if they stop. Among 4,500 older veterans (with an average age of 73) seeking care at Department of Veterans Affairs health facilities, researchers found that more than 10% had reported cannabis use within the previous 30 days. Of those, 36% fit the criteria for mild, moderate, or severe cannabis use disorder, as established in the Diagnostic and Statistical Manual of Mental Disorders. VA patients differ from the general population, Pravosud noted. They are much more likely to report substance misuse and have &#8220;higher rates of chronic diseases and disabilities, and mental health conditions like PTSD&#8221; that could lead to self-medication, she said. Current VA policies don&#8217;t require clinicians to ask patients about cannabis use. Pravosud thinks that they should. Moreover, &#8220;there&#8217;s increasing evidence of a potential effect on memory and cognition,&#8221; said Myran, citing his team&#8217;s study of Ontario patients with cannabis-related conditions going to emergency departments or being admitted to hospitals. Comparisons Compared with others of the same age and sex who were seeking care for other reasons, research shows these patients (ages 45 to 105) had 1.5 times the risk of a dementia diagnosis within five years, and 3.9 times the risk of that for the general population. Even after adjusting for chronic health conditions and sociodemographic factors, those seeking acute care resulting from cannabis use had a 23% higher dementia risk than patients with noncannabis-related ailments, and a 72% higher risk than the general population. None of these studies were randomized clinical trials, the researchers pointed out; they were observational and could not ascertain causality. Some cannabis research doesn&#8217;t specify whether users are smoking, vaping, ingesting or rubbing topical cannabis on aching joints; other studies lack relevant demographic information. Safer modes of consumption &#8220;It&#8217;s very frustrating that we&#8217;re not able to provide more individual guidance on safer modes of consumption, and on amounts of use that seem lower-risk,&#8221; Myran said. &#8220;It just highlights that the rapid expansion of regular cannabis use in North America is outpacing our knowledge.&#8221; Still, given the health vulnerabilities of older people, and the far greater potency of current cannabis products compared with the weed of their youth, he and other researchers urge caution. &#8220;If you view cannabis as a medicine, you should be open to the idea that there are groups who probably shouldn&#8217;t use it and that there are potential adverse effects from it,&#8221; he said. &#8220;Because that is true of all medicines.&#8221; Source: KFF Health News To read the original article click here.</p>
<p>The post <a href="https://amazinghealthadvances.net/as-cannabis-users-age-health-risks-appear-to-grow-8673/">As Cannabis Users Age, Health Risks Appear to Grow</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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		<title>Nomophobia: How Fear of Being Without Your Phone Harms Health (&#038; What to Do About It)</title>
		<link>https://amazinghealthadvances.net/nomophobia-fear-being-without-your-phone-harms-health-8665/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=nomophobia-fear-being-without-your-phone-harms-health-8665</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Fri, 08 Aug 2025 05:10:19 +0000</pubDate>
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		<category><![CDATA[Nomophobia]]></category>
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		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=18037</guid>

					<description><![CDATA[<p>Kissairis Munoz via Dr. Axe &#8211; In today’s hyper-connected world, many people experience anxiety when they are without their smartphones. This condition, known as nomophobia, has become increasingly common. What exactly is nomophobia, and how can you recognize and address it? Does the “ding” of your phone have you dropping whatever you’re doing to see who “liked” your latest Facebook status? Are you answering work emails before rubbing the sleep from your eyes? Does a low battery icon leave you quivering in fear? You, my friend, are likely suffering from nomophobia. Thankfully, there are ways to treat this condition to help address your smartphone addiction. What Is Nomophobia? Nomophobia, short for “no-mobile-phone phobia,” is the fear of being without a mobile phone or being unable to use it. The term originated from a 2008 study commissioned by the U.K. Post Office to examine the anxieties mobile phone users experience. The study found that nearly 53 percent of mobile phone users in the U.K. tend to feel anxious when they “lose their mobile phone, run out of battery or credit, or have no network coverage.” More simply put, nomophobia is having a smartphone addiction, and it’s a “first world problem” that’s showing no signs of slowing down, regardless of age. While it might sound silly — can you really be addicted to a handheld device? — the implications are real. About half of U.S. adults are checking their phones at least several times an hour, with 11 percent tapping their screens awake every few minutes. No space is safe from the rush of a new tweet, either. Almost one in 10 Americans has admitted to using her phone during sex, and among young adults ages 18 to 34, the number is even higher: One in five has engaged with his smartphone when being intimate. Is it a surprise, then, that 12 percent think that smartphones are detrimental to relationships? When you combine nomophobia with cars, things get even scarier. Among American adult drivers, more than 27 percent have sent or read texts while driving. Among young adults, that number shoots up to 34 percent. What’s the harm in interacting with your phone at a red light or when traffic is heavy? Consider the fact that text messaging while driving makes a crash 23 times more likely. Yikes. Symptoms While there is no set criteria to diagnose this condition, experts believe nomophobia is a smartphone addiction and/or dependence. Recognizing the signs of nomophobia is the first step toward addressing it. Common symptoms include: Panic or anxiety when separated from your phone Checking your phone repeatedly without receiving notifications Doomscrolling Avoiding places or situations where phone use is restricted Feeling uneasy when your phone is out of sight Excessive time spent on your phone, impacting daily life Respiratory alterations Trembling Perspiration Agitation Disorientation Tachycardia Inability to turn off your smartphone Taking the phone everywhere Fear of being without phone access (no internet connection or cell signal) Fear of not being able to use phone in case of emergency Stressing about neglecting your online persona Socially isolating and skipping activities to spend more time on your smartphone Increased heart rate According to research, some signs that someone may have nomophobia can include the fear of: Feeling disconnected Not have immediate access to information Giving up the convenience of your mobile device Not being able to contact and communicate with others Causes Several factors contribute to the development of nomophobia: Social connectivity: Fear of missing out (FOMO) on social interactions and updates. Dependence on technology: Increasing reliance on smartphones for various daily tasks. Instant gratification: The immediate access to information and entertainment that phones provide. Psychological factors: Underlying anxiety disorders or personality traits. Other possible causes that research has unearthed include: obsessive thoughts and compulsive smartphone behaviors extremely large number of hours using a smartphone each day social discomfort and feelings of inferiority Damage Nomophobia Does Even for those of us who don’t text and drive, nomophobia has serious consequences. It can have several adverse effects on an individual’s well-being, such as: Mental health: Increased anxiety, depression, stress and feelings of loneliness. Physical health: Poor posture, eye strain and sleep disturbances due to excessive phone use. Social interactions: Reduced face-to-face communication and weakened relationships. Productivity: Decreased focus and productivity at work or school due to constant phone checking. Furthermore, research on nomophobia in adolescents and young adults published in 2021 in Frontier in Psychiatry concluded that “excessive smartphone use is associated with psychiatric, cognitive, emotional, medical and brain changes that should be considered by health and education professionals.” The authors revealed that “excessive smartphone use is associated with difficulties in cognitive-emotion regulation, impulsivity, impaired cognitive function, addiction to social networking, shyness and low self-esteem. Medical problems include sleep problems, reduced physical fitness, unhealthy eating habits, pain and migraines, reduced cognitive control and changes in the brain’s gray matter volume.” Here’s more on the negative effects of smartphone addiction: 1. You’re wasting time While many of us are convinced that multitasking allows us to get more done, multitasking doesn’t really work. Not only are our brains unequipped to handle two dissimilar tasks at once, but trying to accomplish several things at once ends up wasting more time than saving any. Think about it: How well do you retain information when someone’s talking to you as you’re scrolling through emails or watching the latest cat video your friend posted? Even if your body is in a room, it’s easy to miss important information when your brain is somewhere else completely. Plus, let’s face it: No one likes talking to someone who’s “listening” with her face buried in a screen. 2. You’re more anxious Not having your phone around can increase anxiety. One British study found that 51 percent of participants suffer “extreme tech anxiety” when separated from their smartphones. Some of that stems from feeling that, if we’re apart from our phones, we won’t be included when friends make plans or won’t know what the latest Facebook meme is. Even our bodies are starting to recognize when our phones aren’t around. A University of Missouri study discovered that iPhone users who parted with their devices during situations that require a significant amount of attention, like taking a test or completing a work assignment, could result in poorer performance. That’s because, when participants were separated from their phones and then asked to complete simple word search puzzles, their heart rates and blood pressure increased — as did their feelings of anxiety and unpleasantness. 3. You’re not sleeping as well “Check email one last time, make sure no friends posted anything interesting, one last glance of Instagram … oh wait, a new work email came in. Darn it, that afternoon meeting got pushed up. Did I prep enough for it? Should I review things one more time? Wait, it’s late already. I guess I’ll just think about it for the next half-hour while I toss and turn trying to fall asleep.” Sound familiar? Being inundated with stimulating information right before bed often means you can’t sleep well, particularly when we’re presented with situations beyond our control. And most of us are sleeping with our phones. In almost every age group, at least 40 percent of Americans sleep with their phones within reach. For those 25 to 29 years old, the number’s even higher: Almost 80 percent are snuggling up to their devices. The danger isn’t only that each beep overnight has the potential to wake us up. Smartphones also emit a blue light, signaling to the brain that it’s time to wake up. Blue lights suppress melatonin, the hormone that dictates our sleep rhythms. Yes, the struggle to sleep with your phone is real. 4. Your children are picking up your naughty habits “Do as I say, not as I do” is all too real when it comes to smartphone time. Even as parents ask children and teens to lay off Snapchat or put their phones down during dinner, they’re checking calendars, answering texts or indulging in one last game of Candy Crush. It stands to reason then that in almost every study of smartphone use, young adults have the highest usage rates. Children are learning that always being connected is normal — and missing out on the importance of human-to-human interaction. Are You Addicted to Your Smartphone? If any of these apply to you, all signs point to a smartphone addiction: You reach for your smartphone upon waking up and right before bed. It’s not uncommon for you to catch up on emails or the latest in the news while you’re eating. When your phone is out of reach, low on battery or (gasp) completely turned off, you feel anxious or stressed out. Being out of cell phone signal makes you feel like you might be missing something. You live for that next Instagrammable moment. Pavlov’s dogs have nothing on you: When you hear that familiar text sound, you perk up. You’ve checked your phone at least once while reading this article! Treatment Addressing nomophobia involves a combination of strategies: Digital detox: Gradually reducing the amount of time spent on your phone. Setting boundaries: Establishing phone-free zones or times, such as during meals or before bed. Mindfulness practices: Engaging in activities that promote relaxation and reduce anxiety, such as meditation or yoga. Professional help: Seeking therapy or counseling to address underlying anxiety or dependence issues. Behavioral therapies such as cognitive behavior therapy, exposure therapy, systematic desensitization, aversion therapy and hypnotherapy are often used to help treat phobias. Medications: Certain medications can help in severe cases. Support groups: Realizing you aren’t alone and talking with others can help. Self-care: Do things to improve your mental and physical well-being, such as progressive muscle relaxation, breathing exercises, calming activities, ecotherapy and getting outdoors, etc. In addition, follow these steps to enjoy a life that’s complemented, not ruled, by your smartphone: 1. Turn off your cell phone at least an hour before bed Give your brain a chance to unwind and commit to turning off your phone an hour before bedtime. That means off, not just on silent. Those vibrations and blinking lights are still harmful, as is knowing that you’re just one reach away from seeing the latest. Remember, nomophobia never sleeps, and neither will you. No wonder so many of us are always tired, huh? If you have a legitimate reason for keeping your phone on — your daughter is out with friends or your parents are elderly and you don’t have a landline — turn your phone on “do not disturb,” and place your phone on the other side of the room. In this mode, your phone will silence all notifications but allow you to enable exceptions, such as a phone call from a specific number. Remember: Seeing how many “likes” your last Instagram post received is not a legitimate reason. “But I use my phone as my alarm clock,” you say. “I need it nearby!” To that I respond … 2. Stop shacking up with your phone Get a real alarm clock. (Yes, you can still find these Stone Age relics.) Not only will this allow you to turn off your phone completely overnight (again, unless you need to stay on alert for a family member and don’t have a landline), but instead of waking up with the temptation to see what you missed overnight, you can spend the first moments of the morning stretching, thinking about what’s on schedule for the day or basically doing anything other than checking your phone. For extra credit, I challenge you not to turn your phone on again until your morning routine is finished: You’ve exercised, showered, dressed, eaten breakfast, maybe even read the paper (remember that pastime!) and pushed the kids out the door. 3. Set certain times to check your phone Do you really need to look at every single email the second it’s received? Save your sanity and simultaneously help your productivity by designating certain times to glance at...</p>
<p>The post <a href="https://amazinghealthadvances.net/nomophobia-fear-being-without-your-phone-harms-health-8665/">Nomophobia: How Fear of Being Without Your Phone Harms Health (&#038; What to Do About It)</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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		<title>When Your Loved One has Aphasia</title>
		<link>https://amazinghealthadvances.net/when-your-loved-one-has-aphasia-8650/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=when-your-loved-one-has-aphasia-8650</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Mon, 28 Jul 2025 05:28:22 +0000</pubDate>
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		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=17994</guid>

					<description><![CDATA[<p>Meredith Nye, CCC-SLP, MS, via Duke Health &#8211; Speech pathologists can help relatives and friends work with a loved one who has aphasia and find ways to communicate effectively. Aphasia is a language disorder that can affect comprehension and communication. Although it is most often caused by a stroke, aphasia can also result from traumatic brain injury, brain tumors, or progressive neurological disorders such as primary progressive aphasia (PPA). These conditions damage the language centers of the brain, leading to difficulties with speaking, understanding, reading, and/or writing. Learning to communicate with someone who has aphasia can positively impact that person&#8217;s social interactions, relationships, medical decision-making, and overall wellbeing. &#8220;We work with patients and their care partners to provide customized treatment plans focusing on life participation and maximizing communication success,&#8221; says Meredith Nye, CCC-SLP, MS, a Duke speech-language pathologist. “Aphasia doesn’t impact a person’s hearing or thinking skills like memory. Rather,&#8221; she says, &#8220;people with aphasia may use the wrong word, like &#8216;mother&#8217; instead of &#8216;daughter&#8217; or &#8216;yes&#8217; instead of &#8216;no.&#8217; Or they may make up words, unintentionally repeat themselves, or only be able to say a few words or sounds when they are trying to communicate. Or they may have a hard time understanding what you&#8217;re saying.&#8221; How to Communicate with Someone with Aphasia Speech pathologists can help relatives and friends work with a loved one who has aphasia and find ways to communicate effectively. Nye recommends keeping these tips in mind: Focus Their Attention If possible, move your conversation to a quiet, well-lit room where there are no distractions. Turn off background disturbances like the radio or television. It’s best to limit conversation to one or two people at the most. Use All Forms of Nonverbal Communication Rather than rely on words, use a wave to say “goodbye” or “hello.” Thumbs up can be used to say “good job” or “yes.” Your facial expressions can show anger, sadness, or elation. Exchange written or drawn messages. Have Patience Sometimes it takes longer for a person with aphasia to communicate. Count to 10 slowly before providing help or choices. Many times it takes that much time or longer for them to get their message out. Confirm Your Understanding After an exchange with your loved one, make sure you understand by verbally repeating or by writing a synopsis of the message’s key points. If they wanted coffee, write “coffee” and draw a picture. Use intonation in your voice when you ask, “You want coffee?” and point to the picture. Have them answer yes or no. Use Technology Computers, smart devices, and other forms of technology can help people with aphasia return to hobbies, read, and converse with others. Icons and emojis can enhance email and social media conversations. Encourage your loved one to listen to audiobooks in addition to reading the print versions. Speech pathologists can also recommend programs that enable your loved one to use word-prediction or speech-to-text capabilities. Get Help Speech pathologists can help people make progress even years after they are originally diagnosed with aphasia, says Nye. “We can help them focus on their strengths and find ways to better engage with family and their community. We can offer tools to help them socialize and have a better quality of life through communication.” Find Aphasia Support Groups There are many groups and resources in the community to support people with aphasia and their families. Nye says a speech-language pathologist is your best resource for identifying groups in your area. To read the original article click here.</p>
<p>The post <a href="https://amazinghealthadvances.net/when-your-loved-one-has-aphasia-8650/">When Your Loved One has Aphasia</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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		<title>Study Highlights Noninvasive Hearing Aid</title>
		<link>https://amazinghealthadvances.net/study-highlights-noninvasive-hearing-aid-8649/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=study-highlights-noninvasive-hearing-aid-8649</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Mon, 28 Jul 2025 05:14:54 +0000</pubDate>
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		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=17992</guid>

					<description><![CDATA[<p>Atrium Health Wake Forest Baptist via EurekAlert! &#8211; New type of hearing aid using an array of micro-epidermal actuators can significantly improve the hearing experience for patients with conductive hearing loss A study from researchers at Wake Forest University School of Medicine highlights a new approach in addressing conductive hearing loss. A team of scientists, led by Mohammad J. Moghimi, Ph.D., assistant professor of biomedical engineering, designed a new type of hearing aid that not only improves hearing but also offers a safe, non-invasive alternative to implantable devices and corrective surgeries. The study recently published in Communications Engineering, a Nature Portfolio journal. Conductive hearing loss, which most commonly happens in childhood, occurs when sounds do not reach the inner ear. Sound waves are blocked in the outer or middle ear due to ear infections, blockages or structural abnormalities. “Treatment for conductive hearing loss can include corrective surgeries and implantable hearing aids, which can be very invasive, especially for pediatric patients,” Moghimi said. “Flexible hearing aids offer a noninvasive alternative.” To produce vibrations strong enough to reach the cochlea, the part of the inner ear responsible for hearing, the research team designed a flexible hearing aid. The device uses micro-epidermal actuators to create vibrations on the skin behind the ear, which then travel directly to the inner ear, bypassing the ear canal. For the study, 10 participants between the ages of 19 and 39 wore earplugs and earmuffs to simulate conductive hearing loss. Researchers then tested arrays of the actuators to enhance the vibration strength, improve the quality of sounds and control the direction of the vibrations. “We found that using an array of these actuators, rather than a single one, significantly enhances the strength and quality of the vibrations, leading to better hearing outcomes,” Moghimi said. Moghimi also noted that improving hearing in children can reduce delays in language and speech development and boost educational development. “This technology has the potential to improve the quality of life for children with hearing impairments and transform the way we approach pediatric hearing aids,” Moghimi said. The research team will next focus on a larger study to further evaluate the efficacy and safety of the device in children and adults. Journal Communications Engineering DOI 10.1038/s44172-025-00369-7 To read the original article click here.</p>
<p>The post <a href="https://amazinghealthadvances.net/study-highlights-noninvasive-hearing-aid-8649/">Study Highlights Noninvasive Hearing Aid</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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		<title>Antidepressants Linked to Faster Cognitive Decline in Dementia</title>
		<link>https://amazinghealthadvances.net/antidepressants-linked-to-faster-cognitive-decline-in-dementia-8569/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=antidepressants-linked-to-faster-cognitive-decline-in-dementia-8569</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Fri, 23 May 2025 05:21:22 +0000</pubDate>
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		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=17654</guid>

					<description><![CDATA[<p>Karolinska Institutet via EurekAlert! &#8211; New research suggests that antidepressants can accelerate cognitive decline in people with dementia. At the same time, some drugs appear to be less harmful than others, which can help doctors make better treatment decisions, according to the study published in BMC Medicine. Antidepressants are often used to relieve symptoms such as anxiety, depression, aggressiveness, and sleep disturbances in dementia sufferers. However, a new observational study based on data from the Swedish Dementia Registry (SveDem) shows that patients with dementia who are treated with antidepressants experience an increased cognitive decline compared to patients who do not receive this medication. The study is based on a comprehensive analysis of registry data from 18,740 patients, of whom approximately 23 percent were treated with antidepressants. During the course of the study, a total of 11,912 prescriptions of antidepressants were registered, with selective serotonin reuptake inhibitors (SSRIs) accounting for 65 percent. Depressive symptoms “Depressive symptoms can both worsen cognitive decline and impair quality of life, so it is important to treat them. Our results can help doctors and other healthcare professionals choose antidepressants that are better adapted for patients with dementia,” says Sara Garcia Ptacek, researcher at the Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, and the study&#8217;s last author. The researchers from Karolinska Institutet and Sahlgrenska University Hospital in Gothenburg have followed the patients&#8217; cognitive development over time and compared both medicated and non-medicated groups as well as different types of antidepressants. Although it is not currently possible to determine whether the cognitive impairment is due to the drugs or to the depressive symptoms themselves, the researchers were able to see that antidepressants were associated with increased cognitive decline. Differences between drugs The study also points to differences between different drugs. The SSRI escitalopram was associated with the fastest cognitive decline, followed by the SSRIs citalopram and sertraline. Mirtazapine, which has a different mechanism of action, had less negative cognitive impact than escitalopram. The researchers now want to investigate whether certain patient groups, such as people with specific dementia types or biomarkers, respond better or worse to different antidepressants. “The goal is to find these subgroups to create more individualised care,” says Sara Garcia Ptacek. The study has been funded by the Swedish Research Council, Region Stockholm, the Swedish Dementia Research Foundation, the Alzheimer&#8217;s Foundation and New Innovative Roads Call &#8211; a private initiative from the Leif Lundblad family and others. The researchers report no conflicts of interest. Publication: “Antidepressant use and cognitive decline in patients with dementia: a national cohort study”, Minjia Mo, Tamar Abzhandadze, Minh Tuan Hoang, Simona Sacuiu, Pol Grau Jurado, Joana B. Pereira, Luana Naia, Julianna Kele, Silvia Maioli, Hong Xu, Maria Eriksdotter, Sara Garcia Ptacek. BMC Medicine, online February 25, 2025, doi: 10.1186/s12916-025-03851-3. Journal BMC Medicine DOI 10.1186/s12916-025-03851-3. To read the original article click here.</p>
<p>The post <a href="https://amazinghealthadvances.net/antidepressants-linked-to-faster-cognitive-decline-in-dementia-8569/">Antidepressants Linked to Faster Cognitive Decline in Dementia</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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		<title>Obesity’s Impacts on Our Brain, Dementia, and Fertility</title>
		<link>https://amazinghealthadvances.net/obesitys-impacts-on-our-brain-dementia-and-fertility-8530/#utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=obesitys-impacts-on-our-brain-dementia-and-fertility-8530</link>
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		<dc:creator><![CDATA[The AHA! Team]]></dc:creator>
		<pubDate>Wed, 23 Apr 2025 05:24:53 +0000</pubDate>
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		<guid isPermaLink="false">https://amazinghealthadvances.net/?p=17528</guid>

					<description><![CDATA[<p>Michael Greger M.D. FACLM via Nutrition Facts &#8211; Weight loss can decrease dementia risk and improve mental performance and fertility. As I’ve discussed previously, in the ABCs of the health consequences of obesity, A is for Arthritis, B is for Back Pain and Blood Pressure, C is for Cancer, and D is for Diabetes. That brings us to E, which is for Encephalopathy. Encephalopathy means brain disease. There are consistent data linking obesity in middle age to a higher risk of dementia later in life. Researchers found that individuals who are overweight have about a one-third higher risk of dementia and those who are obese in mid-life have about 90 percent greater risk. The risk isn’t limited only to future dysfunction, though. People with excess body weight don’t appear to think as clearly at any age. “It was found that obese participants showed broad impairments on executive functions” of the brain, including working memory, decision-making, planning, cognitive flexibility, and verbal fluency. “From resisting temptation to keeping long-term goals in mind, executive functions play a critical role in everyday life,” noted a meta-analysis and review of 72 studies on the issue. People may think about their obesity&#8230;as much as five times an hour According to researchers, people may think about their obesity and the resulting stigma they experience as much as five times an hour, but the cognitive deficits do not appear to arise just from distraction; there are structural brain differences between individuals who are at an ideal weight versus overweight. A review entitled “Does the Brain Shrink as the Waist Expands?” noted gray matter atrophy across all ages among those carrying excess body fat. It’s this reduced brain volume that has been correlated with lower executive function. As you can see below and at 1:42 in my video The Effects of Obesity on Dementia, Brain Function, and Fertility, compromised integrity of the rest of the brain—the white matter—suggests accelerated brain aging, even in young adults and children with obesity. Cognitive deficits in younger populations suggest there’s something about obesity itself that is affecting brain function, rather than a later clinical consequence, such as high blood pressure. Purported mechanisms for this executive dysfunction include obesity-related inflammation and oxidative stress. So, does weight loss improve cognitive function? Based on a meta-analysis of 20 studies, researchers found that mental performance across a variety of domains can be significantly improved with even modest weight loss. However, no studies have yet to be done to determine if this then translates into a normalization of Alzheimer’s disease risk. Back to the ABCs of obesity’s health consequences, F is for Fertility—or rather failed fertility. “Overweight and obese persons seeking fertility should be educated on the detrimental effects of fatness and the benefits of weight reduction, including improvement in pregnancy rates,” one meta-analysis concluded. Men also may suffer impaired fertility. The heavier a man is, the greater his risk of having a low sperm count or being completely sterile, as you can see below and at 3:01 in my video. This may be due in part to the effects of excess body fat on testosterone levels. Fat isn’t the primary site of estrogen production in only postmenopausal women, but in men, too. An enzyme in body fat converts testosterone into estrogen. Men losing weight and going from obese to overweight could potentially raise the testosterone levels in their blood by 13 percent. A more dramatic cause of infertility in obese men&#8230; is called a “hidden penis.” The condition, which is also described in the medical literature as a “hidden, buried, concealed, trapped, and inconspicuous” penis, occurs when excess fat in the pubic area subsumes the penis (since its base is attached internally to the pubic bone). The moist enfolding skin surfaces can result in chronic inflammatory dermatitis leading to scarring and requiring a surgical intervention. If you missed the previous blog posts, I covered The Best Knee Replacement Alternative for Osteoarthritis Treatment and The Effects of Obesity on Back Pain, Blood Pressure, Cancer, and Diabetes. I continue the topic of obesity and weight with videos in the related posts below. I cover all of this and more at length in my book How Not to Diet, and its culinary companion, The How Not to Diet Cookbook, has more than 100 delicious, weight-conscious recipes. Request them from your local library. For more on the health conditions discussed in this video, see the Alzheimer’s disease, cognition, and fertility topic pages. Key Takeaways Middle-aged individuals who are overweight have a one-third higher risk of dementia, while those who are obese face a 90 percent greater risk later in life. Obesity is linked to impaired executive brain functions, such as memory, decision-making, and planning, even in younger individuals, due to structural changes like reduced gray matter. Obesity can cause premature brain aging, with reduced gray and white matter integrity, leading to cognitive deficits that suggest brain function is affected by obesity itself, not just related conditions. Modest weight loss can significantly improve cognitive function, though it’s unclear if this reduces Alzheimer’s disease risk. Obesity can negatively affect fertility in both men and women, with excess fat lowering testosterone levels in men and contributing to conditions like “hidden penis” that may require surgical intervention. To read the original article click here.</p>
<p>The post <a href="https://amazinghealthadvances.net/obesitys-impacts-on-our-brain-dementia-and-fertility-8530/">Obesity’s Impacts on Our Brain, Dementia, and Fertility</a> appeared first on <a href="https://amazinghealthadvances.net">Amazing Health Advances</a>.</p>
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