
Meningitis Outbreak
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Don’t Let Your Guard Down
In the US, meningitis is currently enjoying a 10-year high, with its highest levels of infection since 2014.
This is a big deal, given the 10–15% fatality rate of meningitis, even with appropriate medical treatment.
But of course, not everyone gets appropriate medical treatment, especially because symptoms can become life-threatening in a matter of hours.
Most recent stats gave an 18% fatality rate for the cases with known outcomes in the last year:
CDC Emergency | Increase in Invasive Serogroup Y Meningococcal Disease in the United States
The quick facts:
❝Meningococcal disease most often presents as meningitis, with symptoms that may include fever, headache, stiff neck, nausea, vomiting, photophobia, or altered mental status.
[It can also present] as meningococcal bloodstream infection, with symptoms that may include fever and chills, fatigue, vomiting, cold hands and feet, severe aches and pains, rapid breathing, diarrhea, or, in later stages, a dark purple rash.
While initial symptoms of meningococcal disease can at first be non-specific, they worsen rapidly, and the disease can become life-threatening within hours. Immediate antibiotic treatment for meningococcal disease is critical.
Survivors may experience long-term effects such as deafness or amputations of the extremities.❞
~ Ibid.
The good news (but still don’t let your guard down)
Meningococcal bacteria are, happily, not spread as easily as cold and flu viruses.
The greatest risks come from:
- Close and enduring proximity (e.g. living together)
- Oral, or close-to-oral, contact (e.g. kissing, or coughing nearby)
Read more:
CDC | Meningococcal Disease: Causes & How It Spreads
Is there a vaccine?
There is, but it’s usually only offered to those most at risk, which is usually:
- Children
- Immunocompromised people, especially if HIV+
- People taking certain medications (e.g. Solaris or Ultomiris)
Read more:
CDC | Meningococcal Vaccine Recommendations
Will taking immune-boosting supplements help?
Honestly, probably not, but they won’t harm either. The most important thing is: don’t rely on them—too many people pop a vitamin C supplement and then assume they are immune to everything, and it doesn’t work like that.
On a tangential note, for more general immune health, you might also want to check out:
Beyond Supplements: The Real Immune-Boosters!
The short version:
If you or someone you know experiences the above-mentioned symptoms, even if it does not seem too bad, get thee/them to a doctor, and quickly, because the (very short) clock may be ticking already.
Better safe than sorry.
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Fig vs Peach – Which is Healthier?
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Our Verdict
When comparing figs to peach, we picked the figs.
Why?
Both are great, but…
In terms of macros, figs have 2x the fiber, 2x the carbs, and approximately the same (minimal) protein, winning in this category.
In the category of vitamins, figs have more of vitamins B1, B2, B5, B6, B7, B9, and K, while peaches have more of vitamins A, B3, C, and E, giving figs a 7:4 win here.
Looking at minerals, figs have more calcium, iron, magnesium, manganese, potassium, and selenium, while peaches have more phosphorus and zinc, thus, a 6:2 win for figs in this round.
In other considerations, they’re broadly comparable for polyphenols, but peaches have some anticancer properties beyond what figs can boast, so that’s a point in peaches’ favor.
Adding up the sections makes for a clear overall win for figs, but by all means do enjoy either or both, as diversity is good!
Want to learn more?
You might like:
Top 8 Fruits That Prevent & Kill Cancer
Enjoy!
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Better Blood Sugar – by Dale Pinnock
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Previously featured as “The Medicinal Chef”, the author (a nutritionist) continues his mission to enable people to eat to beat whatever ails them. In this case, it’s about improving blood sugar stability—and by stability, of course we mean stability within a healthy range.
He talks us through why blood sugar matters, how insulin resistance occurs, the relationship between blood sugar and obesity, and then its connections with other systems and conditions—cardiovascular health, brain health, and even cancer.
Naturally (for a nutritionist) the tools he offers are mostly dietary tweaks (and other suggestions are closely related, such as supplements that can help), and his method does not involve drastic actions, so much as just improving one thing here, one thing there, etc until one is in good health in a sustainable fashion.
There are recipes, but this is not primarily a recipe book; rather, they are all contained in one chapter (specifically, chapter 10 of 11), and are indeed healthy options that’ll do what’s promised.
The style is strongly science-oriented, without being science-dense, and any scientific terms used are explained as we go along.
Bottom line: if you’d like healthier blood sugar levels, this book can help!
Click here to check out Better Blood Sugar, and get/keep yours at a healthy level!
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The “Forever Chemicals” That Can Triple The Risk Of Liver Disease
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Usually, our livers work best when we’re young, and begin to struggle in middle-age if we’re not careful with our lifestyle.
If you are thinking “well, I must be doing great, as I’m in/past middle-age and my liver is fine”, then: is that backed up with a recent liver test?
- If it is: great!
- If isn’t: please be aware that your liver can continue more-or-less functioning down to its last tiny bit, and it’s not uncommon to not have symptoms until the situation is truly very dire indeed.
Here’s what to look out for, though: 12 Signs Of Liver Disease That You Can See
Now, we said “usually, our livers work best when we’re young”.
But there are surprising things that can done to get liver disease started early…
The PFAS to MASLD pipeline
First, a note on terminology, because there has been a rebrand: what used to be called non-alcoholic fatty liver disease (NAFLD) is now called metabolic dysfunction-associated steatotic liver disease (MASLD).
Attentive readers may have noticed that there appears to be a D missing from the acronym. We noticed that too, and were not able to find any explanation of why it’s not MDASLD.
However, you can read about why the change was made, and how the decision was agreed upon, here: A multisociety Delphi consensus statement on new fatty liver disease nomenclature
Now, onto the latest science…
Researchers (Dr. Lida Chatzi et al.) analyzed data from hundreds of adolescents and young adults, measuring eight different per- and polyfluoroalkyl substances (PFAS) in blood, and also assessed liver fat using MRI.
What Dr. Chatzi and her team found is that higher blood levels of certain PFAS were associated with an increased risk of MASLD in adolescents, with risk estimates as high as nearly threefold for some exposures.
The PFAS in question are widely used in nonstick cookware, stain- and water-repellent fabrics, food packaging, and some cleaning products. They persist in the environment, and are detectable in the blood of more than 99% of people in the US, and some are hit harder than others. While many health risks hit poor people the hardest, this one mostly affects wealthier people more—for why, see: The Household Cleaner That Triples Liver Disease Risk
Back to the recent study, it turns out that adolescents are even more vulnerable to the adverse health effects of PFAS, due to being in a critical period of development and growth.
Shocking nobody, smoking also made it worse at any age.
You can read the paper in full, here: Associations between per- and polyfluoroalkyl substances and metabolic dysfunction-associated steatotic liver disease in adolescents and young adults: modifying roles of age, lifestyle factors, and PNPLA3 genotype
You may be wondering about that last bit: having the PNPLA3 GG genotype, a known liver fat risk variant, further increased the risk beyond the already-increased risk found in those without that genotype.
If you’re not sure about your genes, then see: The Real Benefits Of Genetic Testing
Want to learn more?
Check out:
And if you want to give it some extra support…
Consider: N-Acetyl Cysteine For The Liver & More
Or for a much deeper dive into the broader topic of avoiding the toxins the industrial world is keen to throw our way, you might like this book that we reviewed a little while back:
Healthy Living in a Contaminated World – by Dr. Donald Hoernschemeyer
Take care!
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Mythbusting The Mask Debate
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Mythbusting The Mask Debate
We asked you for your mask policy this respiratory virus season, and got the above-depicted, below-described, set of responses:
- A little under half of you said you will be masking when practical in indoor public places
- A little over a fifth of you said you will mask only if you have respiratory virus symptoms
- A little under a fifth of you said that you will not mask, because you don’t think it helps
- A much smaller minority of you (7%) said you will go with whatever people around you are doing
- An equally small minority of you said that you will not mask, because you’re not concerned about infections
So, what does the science say?
Wearing a mask reduces the transmission of respiratory viruses: True or False?
True…with limitations. The limitations include:
- The type of mask
- A homemade polyester single-sheet is not the same as an N95 respirator, for instance
- How well it is fitted
- It needs to be a physical barrier, so a loose-fitting “going through the motions” fit won’t help
- The condition of the mask
- And if applicable, the replaceable filter in the mask
- What exactly it has to stop
- What kind of virus, what kind of viral load, what kind of environment, is someone coughing/sneezing, etc
More details on these things can be found in the link at the end of today’s main feature, as it’s more than we could fit here!
Note: We’re talking about respiratory viruses in general in this main feature, but most extant up-to-date research is on COVID, so that’s going to appear quite a lot. Remember though, even COVID is not one beast, but many different variants, each with their own properties.
Nevertheless, the scientific consensus is “it does help, but is not a magical amulet”:
- 2021: Effectiveness of Face Masks in Reducing the Spread of COVID-19: A Model-Based Analysis
- 2022: Why Masks are Important during COVID‐19 Pandemic
- 2023: The mitigating effect of masks on the spread of COVID-19
Wearing a mask is actually unhygienic: True or False?
False, assuming your mask is clean when you put it on.
This (the fear of breathing more of one’s own germs in a cyclic fashion) was a point raised by some of those who expressed mask-unfavorable views in response to our poll.
There have been studies testing this, and they mostly say the same thing, “if it’s clean when you put it on, great, if not, then well yes, that can be a problem”:
❝A longer mask usage significantly increased the fungal colony numbers but not the bacterial colony numbers.
Although most identified microbes were non-pathogenic in humans; Staphylococcus epidermidis, Staphylococcus aureus, and Cladosporium, we found several pathogenic microbes; Bacillus cereus, Staphylococcus saprophyticus, Aspergillus, and Microsporum.
We also found no associations of mask-attached microbes with the transportation methods or gargling.
We propose that immunocompromised people should avoid repeated use of masks to prevent microbial infection.❞
Source: Bacterial and fungal isolation from face masks under the COVID-19 pandemic
Wearing a mask can mean we don’t get enough oxygen: True or False?
False, for any masks made-for-purpose (i.e., are by default “breathable”), under normal conditions:
- COVID‐19 pandemic: do surgical masks impact respiratory nasal functions?
- Performance Comparison of Single and Double Masks: Filtration Efficiencies, Breathing Resistance and CO2 Content
However, wearing a mask while engaging in strenuous best-effort cardiovascular exercise, will reduce VO₂max. To be clear, you will still have more than enough oxygen to function; it’s not considered a health hazard. However, it will reduce peak athletic performance:
…so if you are worrying about whether the mask will impede you breathing, ask yourself: am I engaging in an activity that requires my peak athletic performance?
Also: don’t let it get soaked with water, because…
Writer’s anecdote as an additional caveat: in the earliest days of the COVID pandemic, I had a simple cloth mask on, the one-piece polyester kind that we later learned quite useless. The fit wasn’t perfect either, but one day I was caught in heavy rain (I had left it on while going from one store to another while shopping), and suddenly, it fitted perfectly, as being soaked through caused it to cling beautifully to my face.
However, I was now effectively being waterboarded. I will say, it was not pleasant, but also I did not die. I did buy a new mask in the next store, though.
tl;dr = an exception to “no it won’t impede your breathing” is that a mask may indeed impede your breathing if it is made of cloth and literally soaked with water; that is how waterboarding works!
Want up-to-date information?
Most of the studies we cited today were from 2022 or 2023, but you can get up-to-date information and guidance from the World Health Organization, who really do not have any agenda besides actual world health, here:
Coronavirus disease (COVID-19): Masks | Frequently Asked Questions
At the time of writing this newsletter, the above information was last updated yesterday.
Take care!
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Master Your Core – by Dr. Bohdanna Zazulak
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In the category of “washboard abs”, this one isn’t particularly interested in how much or how little fat you have. What it’s more interested in is a strong, resilient, and stable core. Including your abs yes, but also glutes, hips, and back.
Nor is the focus on superhuman feats of strength, though certainly one could use these exercises to work towards that. Rather, here we see importance placed on functional performance, mobility, and stability.
Lest mobility and stability seem at odds with each other, understand:
- By mobility we mean the range of movement we are able to accomplish.
- By stability, we mean that any movement we make is intentional, and not because we lost our balance.
Functional performance, meanwhile, is a function of those two things, plus strength.
How does the book deliver on this?
There are exercises to do. Exercises of the athletic kind you might expect, and also exercises including breathing exercises, which gets quite a bit of attention too. Not just “do abdominal breathing”, but quite an in-depth examination of such. There are also habits to form, and lifestyle tweaks to make.
Of course, you don’t have to do all the things she suggests. The more you do, the better results you are likely to get, but if you adopt even some of the practices she recommends, you’re likely to see some benefits. And, perhaps most importantly, reduce age-related loss of mobility, stability, and strength.
Bottom line: a great all-rounder book of core strength, mobility, and stability.
Click here to check out Master Your Core and enjoy the more robust health that comes with it!
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Margarine & Your Heart
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Whether butter or margarine are healthier has been a debate that has raged since the invention of margarine.
Before 2015, when margarines were filled with now-banned trans fats, that was a strong reason to opt for butter.
For more information on that, see: A Word About Trans-Fatty Acids (TFAs) ← when you click this one, you’ll need to scroll down slightly for the bit about trans fats.
Nowadays, the macronutrient/lipid profiles are generally more similar (although margarine usually has less saturated fat), except one thing that butter has in its favor: more micronutrients. What exactly they are (and how much) depends a lot on the diet and general health of the cows* from whom the milk to make the butter came, but they’re not something found in plant-based butter alternatives at this time.
*It is easy to think “yes, but grass-fed happy cows who skip gaily through the meadows during the day and the farmer tucks them into bed at night etc produce the best milk, and therefore the best butter”, and that is notionally true (if you’ll pardon the exaggeration of the scene). However…. Most people with a) completely forget about that when shopping b) easily fall for greenwashing; if there’s a picture of a meadow on the packet, it must be well-sourced, right? The truth is that almost all dairy produce in N. America comes from factory farms, so assume it’s that unless you see strong evidence to the contrary.
See also: What Health Difference Does Pasture-Raised Beef Actually Make? ← the answer is: negligible difference to the meat, though it does improve the micronutrient profiles of the dairy products.
Nevertheless, because of the saturated fat content, it’s not advisable to use more than a very small amount of either (two tablespoons of butter would put one at the daily limit already, without eating any other saturated fat that day). See also: What’s The Truth? Can Saturated Fats Be Healthy?
For more on the science of butter vs margarine, check out: Butter vs Margarine ← notwithstanding the title, this wasn’t a “This or That” article, it’s a mythbusting edition article!
The “Appeal to Nature” fallacy
Broadly speaking, it is well-established that:
- a minimally-processed whole-foods plant-based diet is a very healthful way of eating for most* people
- a diet high in ultra-processed foods is almost** always terrible for the health
*See: Do We Need Animal Products To Be Healthy? ← for most people no, for some, yes
**There is nuance here:
- See, on the one hand: How Likely Is It That Ultra-Processed Foods (UPFs) Will Kill You? ← answer: it is alarmingly likely
- But on the other hand: Are plant-based burgers really bad for your heart? Here’s what’s behind the scary headlines ← answer: they’re not fabulous, but they’re generally better than their animal-based equivalents, and certainly rarely worse
And yet, sometimes what is natural is not what is healthiest, and the “appeal to nature” fallacy is what goes wrong in a person’s logic when thinking “it’s natural, so it must be healthy” or, conversely, “it’s unnatural, so it must be healthy”.
You know what else is natural? Smallpox. You know what else is unnatural? Refrigeration.
So, putting assumptions either way aside, it’s been interesting to see some recent science on margarine and similar spreads.
A team of scientists (Dr. Wendy Hall et al.), examined whether (and if so, how) industrially processed interesterified (IE) fats—common in margarines, spreads, and bakery foods—affect heart health.
Specifically, IE fats rich in palmitic acid (from palm oil) and stearic acid (from other plant sources) were compared as substitutes for trans fats and animal fats.
What they checked for: cholesterol, triglycerides, insulin sensitivity, liver fat, inflammation, and blood vessel function were all assessed, over the course of the 6-week trial (which yes, is certainly long enough to establish the impact of dietary choices on those metrics, though of course longer is always better), during which their diets were tailored to include 10% of their daily calories as the fat type being tested.
What they found: no significant differences were found between the two fat types in blood cholesterol or triglyceride levels, including the total-to-HDL cholesterol ratio (a key indicator of heart disease risk), and no adverse effects were observed on inflammation, insulin resistance, liver fat, or vascular function.
In the lead researcher’s own words:
❝Our findings provide reassuring evidence that industrially processed fats currently used in everyday foods, whether rich in palmitic or stearic acid, are unlikely to have harmful effects on cardiovascular health when consumed in amounts that people could achieve in their everyday diets. ❞
~ Dr. Wendy Hall, lead researcher of the study
And to quote her colleague,
❝With the current demonization of everything processed, this research highlights that not all food processing is bad for us.
The process of interesterification allows the generation of hard fats in place of harmful trans fats, while also enabling manufacturers to reduce the saturated fat content of spreads and foods. Given the widespread use of the process of interesterification of fats and the fearmongering around food processing, this research is timely.❞
~ Dr. Sarah Berry, senior author of the study
Want to learn more?
If you want to get back to basics in the healthiest way, consider expanding your knowledge of the various cooking oils at your disposal:
Butter vs Plant Oils: What The Latest Evidence Shows ← includes a stack of head-to-heads that we’ve done in our “This or That” section, plus some very strong science
Enjoy!
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