All Sauce from Weekly Gravy:

Thousands of health workers lost their jobs this week after a U.S. Supreme Court ruling cleared the way for the Trump administration to move forward with major staffing cuts. On Monday, the U.S. Department of Health and Human Services (HHS) finalized 10,000 layoffs across federal health agencies, including the National Institutes of Health (NIH), U.S. Food and Drug Administration (FDA) and U.S. Centers for Disease Control and Prevention (CDC), The New York Times reported. The layoffs followed a March announcement by Health Secretary Robert F. Kennedy Jr., who called for a major department overhaul. The affected workers included staff responsible for travel logistics, communication, medical research contracts and other related tasks. “Thank you for your service to the American people,” said an email sent to workers as they were removed from the payroll. Some employees who received layoff notices April 1 first learned they were let go when their building access badges stopped working. But many people still remained officially on the payroll until 5 p.m. Monday, when the high court allowed the administration to move forward, even as legal challenges continue, The Times said. While the administration called many of the jobs “redundant,” critics liken the cuts to having doctors but no support staff in a hospital. “What I have seen is some of the very best people, people who have alternatives, who have…  read on >  read on >

Thousands of health workers lost their jobs this week after a U.S. Supreme Court ruling cleared the way for the Trump administration to move forward with major staffing cuts. On Monday, the U.S. Department of Health and Human Services (HHS) finalized 10,000 layoffs across federal health agencies, including the National Institutes of Health (NIH), U.S. Food and Drug Administration (FDA) and U.S. Centers for Disease Control and Prevention (CDC), The New York Times reported. The layoffs followed a March announcement by Health Secretary Robert F. Kennedy Jr., who called for a major department overhaul.  The affected workers included staff responsible for travel logistics, communication, medical research contracts and other related tasks. “Thank you for your service to the American people,” said an email sent to workers as they were removed from the payroll. Some employees who received layoff notices April 1 first learned they were let go when their building access badges stopped working. But many folks still remained officially on the payroll until 5 p.m. Monday, when the high court allowed the administration to move forward, even as legal challenges continue, The Times said. While the administration called many of the jobs “redundant,” critics liken the cuts to having doctors but no support staff in a hospital. “What I have seen is some of the very best people, people who have alternatives, who have…  read on >  read on >

Adult children aren’t likely to fill the void left by the loss of a spouse, a new study says. Becoming widowed might cause a stronger bond between the remaining parent and their children, but these bonds don’t appear to ease the loneliness left by loss, researchers reported July 14 in Aging & Mental Health. These findings contradict the common notion that widowed people with children are less lonely than those who are childless, researchers said. “Widowhood is linked to persistent increases in loneliness. It also fosters stronger parent-child relationships, particularly for mothers, who often act as kin-keepers within the family,” lead investigator Maximilian Tolkamp, a research associate at the University of Siegen in Germany, said in a news release. “However, while widowhood appears to strengthen certain aspects of the parent-child relationship, these improvements do not mitigate increases in either social or emotional loneliness,” Tolkamp added. These findings are based on interviews with more than 5,600 married people with adult children taking part in a German aging study, of whom 475 lost their spouse. The death of a spouse is one of life’s most stressful events, and it can contribute to health problems like heart conditions as well as mental health problems like depression or chronic loneliness, researchers said in background notes. People were asked a series of questions related to their emotional and mental health,…  read on >  read on >

Adult children aren’t likely to fill the void left by the loss of a spouse, a new study says. Becoming widowed might cause a stronger bond between the remaining parent and their children, but these bonds don’t appear to ease the loneliness left by loss, researchers reported July 14 in Aging & Mental Health. These findings contradict the common notion that widowed people with children are less lonely than those who are childless, researchers said. “Widowhood is linked to persistent increases in loneliness. It also fosters stronger parent-child relationships, particularly for mothers, who often act as kin-keepers within the family,” lead investigator Maximilian Tolkamp, a research associate at the University of Siegen in Germany, said in a news release. “However, while widowhood appears to strengthen certain aspects of the parent-child relationship, these improvements do not mitigate increases in either social or emotional loneliness,” Tolkamp added. These findings are based on interviews with more than 5,600 married people with adult children taking part in a German aging study, of whom 475 lost their spouse. The death of a spouse is one of life’s most stressful events, and it can contribute to health problems like heart conditions as well as mental health problems like depression or chronic loneliness, researchers said in background notes. People were asked a series of questions related to their emotional and mental health,…  read on >  read on >

Folks seeking relief from low back pain in an ER aren’t likely to leave with a prescription for opioids. The rate of ER opioid prescriptions for back pain fell by more than half between 2016 and 2022, researchers reported July 12 in the Annals of Emergency Medicine. Back in 2016, nearly a third of these visits (32%) resulted in a prescription for opioid painkillers, researchers found. That had decreased to more than 13% of visits by 2022, researchers said. “The decline in opioid prescribing shows physicians are responding to evidence and changing their practice at a time of growing awareness of the opioid epidemic,” lead researcher Dr. Howard Kim, an emergency physician at Northwestern University Feinberg School of Medicine in Chicago, said in a news release. For the study, researchers analyzed records collected by the National Center for Health Statistics for nearly 53 million ER visits for low back pain that occurred between 2016 and 2022. Patients were in considerable pain when they sought help, with an average pain score of more than 7 out of 10, researchers found. On average, they waited about 37 minutes before a doctor saw them, and spent about four hours in the ER. Results show that NSAIDs like ibuprofen are now the prescription painkiller of choice, provided to nearly 29% of low back pain patients in the ER. Patients…  read on >  read on >

Folks seeking relief from low back pain in an ER aren’t likely to leave with a prescription for opioids. The rate of ER opioid prescriptions for back pain fell by more than half between 2016 and 2022, researchers reported July 12 in the Annals of Emergency Medicine. Back in 2016, nearly a third of these visits (32%) resulted in a prescription for opioid painkillers, researchers found. That had decreased to more than 13% of visits by 2022, researchers said. “The decline in opioid prescribing shows physicians are responding to evidence and changing their practice at a time of growing awareness of the opioid epidemic,” lead researcher Dr. Howard Kim, an emergency physician at Northwestern University Feinberg School of Medicine in Chicago, said in a news release. For the study, researchers analyzed records collected by the National Center for Health Statistics for nearly 53 million ER visits for low back pain that occurred between 2016 and 2022. Patients were in considerable pain when they sought help, with an average pain score of more than 7 out of 10, researchers found. On average, they waited about 37 minutes before a doctor saw them, and spent about four hours in the ER. Results show that NSAIDs like ibuprofen are now the prescription painkiller of choice, provided to nearly 29% of low back pain patients in the ER. Patients…  read on >  read on >

Doctors are regularly overlooking a common hormone-driven cause of high blood pressure, a new paper warns. As many as 30% of high blood pressure patients seen by heart specialists and 14% of those seen in primary care have a condition called primary aldosteronism, researchers reported in the Journal of Clinical Endocrinology & Metabolism. Despite this, many are never given a blood test for the condition, in which the adrenal glands produce too much of the hormone aldosterone, researchers said. Others are tested years after their initial diagnosis with high blood pressure. By that time, the condition has caused severe health complications, researchers added. “People with primary aldosteronism face a higher risk of cardiovascular disease than those with primary hypertension,” said lead author Dr. Gail Adler, an endocrinologist at Brigham and Women’s Hospital in Boston. “With a low-cost blood test, we could identify more people who have primary aldosteronism and ensure they receive the proper treatment for the condition,” she added in a news release. Aldosterone helps balance blood levels of sodium and potassium, researchers said. Levels that are too high can cause people to lose potassium while retaining more sodium, resulting in increased blood pressure. Research has shown that people with primary aldosteronism are nearly 2.6 times more likely to have a stroke; twice as likely to have heart failure; 3.5 times more likely to…  read on >  read on >

Doctors are regularly overlooking a common hormone-driven cause of high blood pressure, a new paper warns. As many as 30% of high blood pressure patients seen by heart specialists and 14% of those seen in primary care have a condition called primary aldosteronism, researchers reported in the Journal of Clinical Endocrinology & Metabolism. Despite this, many are never given a blood test for the condition, in which the adrenal glands produce too much of the hormone aldosterone, researchers said. Others are tested years after their initial diagnosis with high blood pressure. By that time, the condition has caused severe health complications, researchers added. “People with primary aldosteronism face a higher risk of cardiovascular disease than those with primary hypertension,” said lead author Dr. Gail Adler, an endocrinologist at Brigham and Women’s Hospital in Boston. “With a low-cost blood test, we could identify more people who have primary aldosteronism and ensure they receive the proper treatment for the condition,” she added in a news release. Aldosterone helps balance blood levels of sodium and potassium, researchers said. Levels that are too high can cause people to lose potassium while retaining more sodium, resulting in increased blood pressure. Research has shown that people with primary aldosteronism are nearly 2.6 times more likely to have a stroke; twice as likely to have heart failure; 3.5 times more likely to…  read on >  read on >

GLP-1 weight-loss drugs like Ozempic and Zepbound are so effective it might seem that a person can lose weight without doing anything at all. But that’s a false notion, experts say. Losing weight properly and keeping it off will require lifestyle changes that extend beyond a weekly GLP-1 injection. “Many patients lose muscle mass in addition to fat mass and have GI symptoms that lead to stopping medication,” senior researcher Dr. JoAnn Manson said in a news release. She’s chief of preventive medicine at Brigham and Women’s Hospital in Boston. These potential problems prompted experts to craft a set of diet and exercise tips specifically for people on GLP-1 meds. The suggestions were published July 14 in JAMA Internal Medicine. “We propose an approach to improving outcomes on GLP-1s by preserving lean body mass, ensuring good nutrition, and managing symptoms that can otherwise lead to stopping medications,” Manson said. For example, lean muscle mass accounts for 25% to 40% of the weight a person loses when using GLP-1 drugs, experts noted. “Begin each meal with 20 to 30 grams of protein from foods like fish, beans, chickpeas, or tofu,” the recommendations state. “Aim for 1.0 to 1.5 g of protein per kilogram of body weight daily, if moderately active. If your appetite is very low, use protein shakes with at least 20 g protein per…  read on >  read on >

GLP-1 weight-loss drugs like Ozempic and Zepbound are so effective it might seem that a person can lose weight without doing anything at all. But that’s a false notion, experts say. Losing weight properly and keeping it off will require lifestyle changes that extend beyond a weekly GLP-1 injection. “Many patients lose muscle mass in addition to fat mass and have GI symptoms that lead to stopping medication,” senior researcher Dr. JoAnn Manson said in a news release. She’s chief of preventive medicine at Brigham and Women’s Hospital in Boston. These potential problems prompted experts to craft a set of diet and exercise tips specifically for people on GLP-1 meds. The suggestions were published July 14 in JAMA Internal Medicine. “We propose an approach to improving outcomes on GLP-1s by preserving lean body mass, ensuring good nutrition, and managing symptoms that can otherwise lead to stopping medications,” Manson said. For example, lean muscle mass accounts for 25% to 40% of the weight a person loses when using GLP-1 drugs, experts noted. “Begin each meal with 20 to 30 grams of protein from foods like fish, beans, chickpeas, or tofu,” the recommendations state. “Aim for 1.0 to 1.5 g of protein per kilogram of body weight daily, if moderately active. If your appetite is very low, use protein shakes with at least 20 g protein per…  read on >  read on >