In the middle of winter when sunshine can be hard to come by, it’s tough to get enough vitamin D, but one expert has some advice. “Vitamin D is well known to support bone health, but it also plays a role in the health of your heart as well as your GI tract. It is tougher to get it [in the winter] because a lot of the absorption and how the vitamin gets transformed to a usable substance in our bodies is from the sun,” explained Dr. Mike Ren, an assistant professor in Baylor College of Medicine’s Department of Family and Community Medicine. “You need the sun high in the sky, not when it’s rising or about to set, for your body to effectively absorb sunlight to absorb the vitamin D.” Although vitamin D is found naturally in fatty fishes and seafood, it is not typically found in other foods, so people often don’t get enough vitamin D from their diet, Ren said. So, most folks need to get outside in the sun, even when the temperatures plummet. “The typical adult needs 800 international units of vitamin D per day, which roughly translates to 15 to 30 minutes of good, direct sunlight,” Ren said in a Baylor news release. “There is no need to put on a bathing suit just to get sun. You can…  read on >  read on >

Drugs like Wegovy and Ozempic, which have become a wildly popular way to lose weight or battle diabetes, show no link to suicidal thoughts or actions, the U.S. Food and Drug Administration said Thursday. “Our preliminary evaluation has not found evidence that use of these medicines causes suicidal thoughts or actions,” an FDA review released Thursday stated. Still, the agency noted officials can’t rule out that “a small risk may exist,” and it will continue to look into similar reports involving this class of weight-loss drugs, known as GLP-1 medications. The FDA review comes on the heels of a study funded by the National Institutes of Health that showed people taking semaglutide, the active ingredient in both Ozempic and Wegovy, had a lower risk of suicidal thoughts than those taking other drugs to treat obesity and diabetes. In that study, researchers tracked over 240,000 obese people and more than 1.5 million people with type 2 diabetes. They looked at the risk of suicidal ideation within six months of starting the medicines, as well as at later times. At six months, it found that among people taking the drug for weight loss, semaglutide was linked to a 73% lower risk of first-time suicidal ideation and a 56% lower risk of recurrent suicidal ideation. The drugs that semaglutide was compared to included bupropion, naltrexone, orlistat, topiramate and phentermine.…  read on >  read on >

More than a few folks are considering a cosmetic skin procedure to enhance their looks heading into 2024. Botox, fillers and lasers are common means to sculpt a person’s appearance, but dermatologists recommend a comprehensive approach under the care of a qualified specialist. “There is no one-size-fits-all or ‘cookie cutter’ approach to combat the signs of aging because aging looks different on everyone,” said Dr. Laura Fine, a board-certified dermatologist in Chicago. “On the flipside, there is no one cosmetic treatment to address all of these changes.” Here is what the most common procedures can do: Botox (botulinum toxin) can diminish frown lines and crow’s feet around a person’s eyes, and is also a treatment for excessive sweating, Fine said. Most people see results within three to seven days, and results can last about three to four months. Fillers can restore lost fullness to the face, lips and hands, and can be used to lessen scars and erase fine lines. They provide immediate results but tend to be temporary, requiring repeated treatments. Lasers can treat a variety of unsightly stretch marks, scars, hair and age spots, Fine said. However, keep in mind lasers can’t fully remove stretch marks or scars, just make them less noticeable. “The best cosmetic outcomes are often achieved with a comprehensive approach, starting with skincare at home, combined with other in-office…  read on >  read on >

A spike in the use of ADHD medications during the pandemic likely prompted drug shortages that continue to frustrate patients and doctors today, a new study shows. New prescriptions for stimulants that treat the condition jumped for young adults and women in particular after the pandemic first struck in March 2020, according to a study published Jan. 10 in the journal JAMA Psychiatry. Meanwhile, prescriptions also soared for non-stimulant ADHD treatments for adults of all ages, found researchers led by Grace Chai. She’s at the Office of Surveillance and Epidemiology at the U.S. Food and Drug Administration’s Center for Drug Evaluation and Research. Why the surge? The mental and emotional strain of the pandemic, coupled with an increased use of telemedicine that made it easier for patients to get help, were big contributors, experts said. Las Vegas psychiatrist Dr. Ann Childress told the Associated Press that more adults started coming to her for help after COVID-19 started sweeping across the country and lockdowns were put in place. Working from home made it clear to some people how easily they get distracted: Childress says she diagnosed a lot of parents, especially moms, who saw it in their children and recognized it in themselves. On top of that, social media has made people more aware of adult ADHD. “People are more open to talking about mental health issues now,”…  read on >  read on >

Medical marijuana might help ease chronic pain, but it also slightly increases a patient’s risk of a dangerous abnormal heart rhythm, a new study says. Patients treated with medical cannabis had a nearly 1% increased risk of being diagnosed with a heart rhythm problem that required monitoring and possible treatment, results show. The risk was more than double that of chronic pain patients not using cannabis, and occurred within six months of starting medical weed. “I don’t think this research should make patients with chronic pain refrain from trying medical cannabis if other treatment has been inadequate,” said researcher Dr. Anders Holt, a cardiologist at Copenhagen University Hospital in Denmark. “However, these results do suggest some improved monitoring may be advisable initially, especially in patients who are already at increased risk of cardiovascular disease,” he added in a news release. Medical weed is now allowed as a treatment for chronic pain in 38 U.S. states, as well as in several countries in Europe, Holt noted. “This means more and more doctors will find themselves prescribing cannabis, despite a lack of evidence on its side effects,” he said. To better inform these prescriptions, Holt and his colleagues conducted what they believe is the first nationwide study to investigate the heart effects of medical marijuana prescribed for chronic pain. For the study, researchers tracked nearly 5,400 Danish…  read on >  read on >

A bout of depression can trigger a bump in body weight among people struggling with obesity, a new study has found. People who had an increase in symptoms related to depression experienced an increase in their weight a month later, researchers report in the journal PLOS One.  “Overall, this suggests that individuals with overweight or obesity are more vulnerable to weight gain in response to feeling more depressed,” lead researcher Julia Mueller from the University of Cambridge’s Medical Research Council said in a university news release. The results support prior research pointing to a link between weight and mental health, with each potentially influencing the other. For the study, researchers examined data from more than 2,000 adults in the United Kingdom who were participating in a COVID-19 study. Participants completed monthly digital questionnaires on their mental well-being and body weight, using a mobile app. Questions in the study assessed each person’s symptoms of depression, anxiety and perceived stress. For every incremental increase in a person’s usual depression score, their weight increased by about a tenth of a pound one month later, results show. It might seem like a small weight gain, but researchers noted that if a person’s depression rose from five to 10 on the scale they used, it would relate to an average weight gain of a half-pound. “Although the weight gain was…  read on >  read on >

Weight gain has long been an unwanted side effect of medicines commonly used to treat psychiatric conditions such as bipolar disorder or schizophrenia.  Some patients may quit their meds to avoid piling on pounds. Or if they stick to their meds and weight gain continues, they face higher risks for diabetes and liver disease.  However, research in mice is pinpointing how this drug-linked weight gain happens in the first place — and how to stop it. The answer may lie in a hormone called leptin, explain researchers at the University of Texas Southwestern Medical Center in Dallas. According to the Cleveland Clinic, leptin is a hormone that’s emitted by fat cells and is involved in hunger and weight maintenance. Prior research has shown that patients who start taking common psychiatric meds such as olanzapine (used against bipolar disorder) and risperidone (used to treat schizophrenia) typically experience an uptick in their leptin levels before a surge in weight gain. The new study was conducted in mice. It might explain how a drug-induced rise in leptin is linked to added pounds.  “While it was historically viewed as a ‘passenger’ to obesity – meaning [leptin] levels go up as we gain weight – our data strongly suggest that it is a ‘driver’ for drug-induced obesity,” said study lead author Philipp Scherer. He’s professor of internal medicine and director…  read on >  read on >

When you’re looking for a cheap and easy way to get around town, which is safer — a scooter or a bike? A nationwide look at injuries related to both suggests biking may be the safer way to go.  UCLA researchers report that scooter injuries nearly tripled across the U.S. between 2016 and 2020, many serious enough to require orthopedic and plastic surgery. The cost of treating those injuries rose five-fold, underscoring their financial strain on the health care system. “Considering the rise in the number of hospitalizations and major operations for scooter-related injuries, it’s crucial to elevate safety standards for riders,” lead author Nam Yong Cho, a third year medical student at UCLA, said in a news release. “Advocating for improved infrastructure, including enforced speed limits and dedicated lanes, is also vital to minimize risks for vehicles, scooter riders, and pedestrians alike.” For the study — published Jan. 9 in the Journal of the American College of Surgeons — researchers used a federal government database to compare trends and outcomes for scooter- and bicycle-related injuries. The database did not distinguish between electric and non-electric scooters. In all, nearly 93,000 patients were hospitalized for injuries — about 6,100 from scooters — during the study period.  About 27% of the scooter users and 16% of bike riders were under 18.  Injuries rose during winter months, and…  read on >  read on >

Social media is abuzz with the possibility that newfangled weight loss drugs can also reduce cravings for alcohol, a new study says. Across a number of Reddit threads, users of weight-loss drugs like Ozempic reported that they felt less need to drink beer, wine and liquor. Threads bearing titles like “Did scientists accidentally invent an anti-addiction drug?” and “I don’t know if this is a side effect but … Mounjaro makes me drink less!!!!!” tout the weight-loss drugs’ potential to help folks quit drinking, researchers said. What’s more, a small study of social media participants with obesity found that they drank less and were less likely to binge if they were on a weight-loss drug. “These findings add to a growing literature that these medications may curb dangerous drinking habits,” said senior author Warren Bickel in a Virginia Tech news release. Bickel is a behavioral health research professor with the Fralin Biomedical Research Institute at Virginia Tech in Roanoke. For this study, Bickel and his team analyzed more than 68,000 Reddit posts sent between 2009 and 2023 that included terms linked to GLP-1 agonists like Wegovy, Ozempic, Mounjaro and Trulicity. GLP-1 agonists help manage blood sugar levels and reduce the desire to eat by mimicking the action of hormones that the body naturally releases after a meal, researchers said in background notes. The drugs were…  read on >  read on >

Teens who are active are doing their bones a lasting favor, Japanese researchers report. “Physical exercise in adolescence affects BMD [bone mineral density] more than 50 years later in older adults,” said lead researcher Dr. Yoshifumi Tamura, a faculty member at Juntendo University in Tokyo. “Our findings can guide the selection of sports played during adolescence for longer health benefits.” The deterioration of bone tissue — called osteoporosis — is a leading cause of falls among older adults, leading to fractures and a need for long-term nursing care. The best time to prevent it is in youth, researchers said, because the body’s ability to build bone mass begins to decline in the 20s. “BMD is difficult to increase once it decreases,” Tamura said in a university news release. “Therefore, it is important to increase peak bone mass during adolescence to maintain BMD in old age.” While other studies have shown that a 10% increase in peak bone mass during adolescence can stave off osteoporosis for up to 13 years, this team wondered what sports activities might help most.  In their study of close to 1,600 folks between 65 and 84 years of age, they zeroed in on some key trends.  The takeaway: Seniors who engaged in high-impact sports as teens had healthier bones than those who didn’t. Researchers looked at their fitness, blood markers such…  read on >  read on >