All Sauce from Weekly Gravy:

In a move guaranteed to alarm many, President-elect Donald Trump has chosen Robert F. Kennedy Jr., a vocal opponent of vaccines and other tenets of mainstream health care, to head the massive U.S. Department of Health and Human Services (HHS). The department encompasses numerous key agencies, including the U.S. Centers for Disease Control and Prevention, the U.S. Food and Drug Administration, the National Institutes of Health, Medicaid and Medicare. Trump’s nomination, which came Thursday, shifts the 70-year-old Kennedy from a fringe character railing against many long-accepted medical practices to one of the most powerful people in the federal government, charged with overseeing Americans’ health care and safety. In a statement, Trump, who has already said he’d let Kennedy “go wild on health,” reinforced his would-be appointee’s image as a maverick. “For too long, Americans have been crushed by the industrial food complex and drug companies who have engaged in deception, misinformation and disinformation when it comes to Public Health,” Trump said in a post on his Truth Social site announcing the nomination. Kennedy, he said, would “Make America Great and Healthy Again!” It’s been a dramatic arc for Kennedy, whose namesake father was assassinated in 1968 in the midst of a campaign to become the Democratic Presidential nominee that year. Kennedy Jr. was himself a Democrat until he campaigned in this year’s presidential campaign as…  read on >  read on >

Using abbreviations while texting might save some typing time, but it won’t make a good impression, a new study finds. People who use texting abbreviations like IDK or GOAT are perceived as more insincere and are less likely to receive replies, researchers discovered. “Our findings are especially relevant when we want to appear more sincere and strengthen social ties, such as at the beginning of a relationship or when we need to make a good impression,” said lead researcher David Fang, a doctoral student in behavioral marketing at Stanford University. For the study, published Nov. 14 in the Journal of Experimental Psychology: General, researchers conducted a series of eight experiments involving more than 5,300 people. The team analyzed replies to conversations in Discord group chats and dating apps and sites, spanning 37 countries. Other experiments asked participants to rate their texting conversations with people who either were or weren’t using abbreviations. In the experiments, texters who used abbreviations received shorter and fewer responses, and they were less likely to receive contact information from the other texter. Young people tend to use more texting abbreviations, but even they weren’t fans of receiving texts loaded with abbreviations, results show. “While our overall results on age were mixed, it’s clear that younger people are not particularly fond of abbreviations, though the strength of this aversion may vary by…  read on >  read on >

Dementia strikes all races, but new research suggests thinking declines in poor seniors are often overlooked. Among a group of more than 200 low-income patients who were treated at community health centers, 3 of 4 had undiagnosed cognitive issues, researchers reported recently in the journal JAMA Network Open. Of those, 62% had mild cognitive impairment, which is a precursor to dementia, while 12% had full-blown undiagnosed dementia, results showed. Only 25% of the patients evaluated had no evidence of any cognitive decline, researchers found. “Unrecognized cognitive impairment and dementia present a serious challenge in the U.S. and worldwide, affecting patients, families and the health care system,” said lead researcher Dr. Ambar Kulshreshtha, an associate professor of family and preventive medicine at Emory University School of Medicine in Atlanta. “Delayed diagnosis often means patients are identified at later stages, when symptoms are more severe and care is more complex,” Kulshreshtha added in an Emory news release. “It also leads to missed opportunities for early treatment that could slow disease progression.” For the study, researchers looked at seniors treated at federally qualified health centers, which are nonprofits serving low-income communities in the United States. About 30 million people receive care at these centers, and most have family incomes below 200% of the federal poverty level. Researchers assessed a group of 204 seniors who go to one of…  read on >  read on >

The blockbuster GLP-1 drug semaglutide (Ozempic, Wegovy) could curb drinking for people battling alcohol use disorder, helping them to avoid crises that require hospitalization, new research shows. Numerous studies had already hinted that semaglutide might act on appetite centers in the brain to suppress the urge to drink, just as it does the urge to overeat. Now, researchers in Finland say their nearly nine-year study of almost 228,000 Swedish people with alcohol use disorder who were taking semaglutide had a 36% lower odds of requiring hospitalization. Use of a second drug in the same class of GLP-1 medications, liraglutide (Victoza), was linked to a 28% reduction in hospitalizations, the team reported Nov. 13 in the journal JAMA Psychiatry. The study couldn’t prove cause and effect, only associations. However, based on these and prior findings, the researchers say that “clinical trials are urgently needed to confirm these findings.” The research was led by Dr. Markku Lähteenvuo, of the University of Eastern Finland. Besides the finding that both semaglutide and liraglutide appeared to help keep people with alcohol use disorder out of the hospital, the study also found that semaglutide, in particular, was linked to a decreased risk for suicide. The researchers also noted that the two GLP-1 drugs appeared to outperform standard anti-alcoholism medications, such as naltrexone, disulfiram and acamprostate, in lowering hospitalizations among people with…  read on >  read on >

People are at higher risk of schizophrenia if they indulge in psychedelic drugs, a new study warns. Patients who land in the ER following hallucinogen use have a 21-fold higher risk of developing schizophrenia compared to the general population, Canadian researchers report. Even after controlling for a person’s existing substance use and mental health disorders, there remained a 3.5-fold increased risk of schizophrenia after ER treatment for psychedelics use. Hallucinogens include drugs like psilocybin, LSD, DMT (Ayahuasca) and MDMA (Ecstasy). “Our findings underscore a concerning link between hallucinogen use that requires care in the emergency room and increased risk of schizophrenia,” said investigator Dr. Daniel Myran, research chair in social accountability at the University of Ottawa. “While there is enormous enthusiasm for psychedelic-assisted therapy as a new mental health treatment, we need to remember how early and limited the data remains for both the benefits and the risks,” Myran added in a university news release. For the study, researchers analyzed health data for more than 9.2 million people ages 14 to 65 living in Ontario between 2008 and 2021. Researchers looked at emergency room visits involving hallucinogens, and whether patients had been diagnosed with schizophrenia afterward. Overall, annual rates of ER visits involving hallucinogens increased by 86% between 2014 and 2021, after remaining stable from 2008 to 2012, results show. About 4% of people were…  read on >  read on >

Bottoms up: The type of alcohol you prefer may say something about your lifestyle, new research reveals. Beer drinkers are more likely to have an unhealthy lifestyle than folks who prefer wine or liquor, scientists report. Beer drinkers have lower-quality diets, are less active and are more likely to smoke than those who drink wine, liquor or a combination, researchers found. Those lifestyle factors can make a big difference in the health of people who are already drinking too much and risking getting liver disease, said lead researcher Dr. Madeline Novack. “Alcohol overuse is the leading cause of [liver] cirrhosis in the U.S., and metabolic dysfunction-associated steatotic liver disease [MASLD] is rapidly increasing,” said Novack, chief resident of Tulane School of Medicine’s internal medicine residency program. “Both types of liver disease often coexist, and lifestyle changes are key to managing and preventing these conditions, starting with understanding the link between alcohol use and poor nutrition,” Novack added in a Tulane news release. For the study, researchers analyzed national survey data on more than 1,900 U.S. adults who drink alcohol. The respondents answered detailed questions on their eating habits. About 39% said they only drink beer, 22% wine, 18% liquor and 21% a combination of alcohol types, researchers said. None of the drinkers came close to achieving the 80-point score that’s considered an adequately healthy diet…  read on >  read on >

Obesity, alcohol use and other factors are driving up rates of fatty liver disease among American adults, new research warns. By 2018, federal data showed that 42% of adults had some form of fatty liver disease — higher than prior estimates, according to a team led by Dr. Juan Pablo Arab, a liver specialist with at Virginia Commonwealth University’s Institute for Liver Disease and Metabolic Health, in Richmond. Hispanic adults were at especially high risk, the team noted, with nearly half (47%) affected. The findings were published recently in the journal Nature Communications Medicine. As Arab’s team explained, fatty liver disease comes in many forms, but involves the slow buildup of fat deposits within the blood-cleansing organ. There are three main kinds of fatty liver disease: metabolic dysfunction-associated steatotic liver disease (MASLD, caused by metabolic factors such as obesity and diabetes), alcohol-associated liver disease (ALD) and a combination of both syndromes, called MetALD. According to the American Liver Foundation, advanced liver disease can cause jaundice, fluid retention, eye trouble and brain dysfunction. Over time, liver failure and fatal kidney complications can also occur. The new study was based on 2017-2018 data from the National Health and Nutrition Examination Survey, looking at the health of 5,523 adults. MASLD is by far the most common form of liver disease, affecting 42% of adults. ALD and MetALD affect…  read on >  read on >

High blood pressure is a rare health issue among teens, but U.S. case numbers are creeping upwards. Now, research published recently in the Journal of the American Heart Association, shows that healthy sleep can help keep hypertension at bay in the young. That’s probably because “disrupted sleep can lead to changes in the body’s stress response, including elevated levels of stress hormones like cortisol, which in turn can increase blood pressure,” explained study first author Augusto César Ferreira De Moraes. He’s an assistant professor of epidemiology at the University of Texas Health Science Center, in Houston.  As the researchers noted, high blood pressure can affect a teenager: Data shows that about 1.7% of U.S. adolescents (averaging about 14 years of age) were diagnosed with hypertension in 2018-2020, and that number rose to 2.9% by 2020-2022. The new study looked at the same dataset, which included more than 3,300 kids who wore Fitbits that tracked their daytime activity and nighttime total sleep time, as well as their REM (deep) sleep. The study found that adolescents who got the age-recommended 9 to 11 hours of sleep nightly had a 37% lowered odds for high blood pressure “incidents,” compared to those who didn’t. Certain factors, such as the noise level of the neighborhood the teen lived in, didn’t impact the results, De Moraes and colleagues noted. There are…  read on >  read on >

Therapy provided via telehealth can reduce a person’s risk of suicide, a new study reports. Cognitive behavior therapy reduces suicide attempts and suicidal thoughts even if delivered for a short time via telehealth, according to results published Nov. 12 in the jouirnal JAMA Network Open. That’s good news, given that therapy these days is more often delivered virtually, said researcher Justin Baker, a clinical psychologist at Ohio State University. “The impetus for this research question was the nearly overnight shift from mostly in-person to mostly virtual therapy appointments following the onset of the COVID-19 pandemic,” Baker said in an Ohio State news release. “Historically, high-risk patients were considered inappropriate candidates for virtual healthcare, due to risk and liability concerns.” For the study, researchers randomly assigned 96 U.S. adults to randomly receive via telehealth either: Suicide-focused cognitive behavioral therapy, which taught them how to manage and change distressing emotions and negative thinking Present-centered therapy, which helps participants respond to stresses in their life Present-centered therapy has been proven an effective way to reduce depression and suicidal thoughts, researchers noted. But in this study, cognitive behavioral therapy outperformed present-centered therapy in reducing suicide attempts among telehealth patients, researchers found. Still, both therapies reduced suicidal thoughts in patients, results showed. “For those suffering with suicidal thoughts and behaviors, we have good, tested treatments that will lead to significant…  read on >  read on >

Most parents haven’t considered the potential risk of an unlocked, poorly stored firearm in a house their child is visiting, a new study shows. More than 60% of Illinois parents have never asked another parent about an unlocked gun in their home before allowing their child to visit for a playdate, researchers found. Most said they never asked because it didn’t occur to them to do so. “Parents need to approach the topic of firearm safety in the homes their child visits in the same way they would ask other parents about supervision during playdates or similar questions related to their child’s safety,” said lead researcher Dr. Samaa Kemal, an emergency medicine physician at Lurie Children’s Hospital of Chicago. Nearly 20% of unintentional firearm-related deaths occur at a friend’s home, the researchers noted. About 40% of U.S. households with children have a firearm in the home, but only 44% of those households store firearms locked and unloaded, researchers said. “Parents need to ask about the presence of firearms in the home and about secure storage methods,” Kemal said in a hospital news release. “These discussions with other parents are crucial for prevention of children’s injury and death from improperly stored firearms.” For the study, researchers surveyed 1,000 Illinois parents. Parents were less likely to ask about firearms if they were female, older than 50, living…  read on >  read on >