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Understanding Beta Thalassemia: A Comprehensive Guide

Understanding Beta Thalassemia: A Comprehensive Guide

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What Is Beta Thalassemia?

Beta thalassemia is an inherited blood disorder characterized by reduced or absent production of beta-globin chains, a crucial component of hemoglobin. This deficiency leads to anemia, reduced oxygen delivery to tissues, and a range of health complications. It’s part of a group of conditions known as hemoglobinopathies and is most common in people of Mediterranean, Middle Eastern, African, and Southeast Asian descent.

Genetics 101: How Beta Thalassemia Is Inherited

Beta thalassemia follows an autosomal recessive pattern:

  • Two carrier parents (with beta thalassemia minor) have a 25% chance of having a child with beta thalassemia major
  • Carriers (trait/minor) have one mutated gene and one normal gene
  • Affected individuals (major) inherit two mutated genes

Types of Beta Thalassemia

Beta Thalassemia Minor/Trait

  • One mutated beta-globin gene
  • Usually asymptomatic or mild anemia
  • Often discovered incidentally on routine blood tests
  • Important to identify for genetic counseling purposes

Beta Thalassemia Intermedia

  • Two mutated genes, but with some residual beta-chain production
  • Moderate anemia requiring occasional transfusions
  • Symptoms typically appear in early childhood

Beta Thalassemia Major (Cooley’s Anemia)

  • Two severely mutated beta-globin genes
  • Severe, life-threatening anemia appearing in the first two years of life
  • Requires regular blood transfusions for survival
  • Leads to iron overload and multiple complications without treatment

Signs and Symptoms

In Infants and Children:

  • Failure to thrive
  • Pale or yellowish skin (jaundice)
  • Fatigue and irritability
  • Facial bone deformities (if untreated)
  • Abdominal swelling (enlarged spleen/liver)

In Adolescents and Adults:

  • Severe fatigue
  • Shortness of breath
  • Delayed growth and puberty
  • Bone pain and fragility
  • Skin discoloration (bronze tint from iron overload)

Diagnosis

Key Tests:

  1. Complete Blood Count (CBC): Shows microcytic, hypochromic anemia
  2. Hemoglobin Electrophoresis: Elevated HbA2 and HbF are diagnostic markers
  3. Genetic Testing: Identifies specific mutations
  4. Prenatal Testing: Chorionic villus sampling or amniocentesis for at-risk pregnancies

Treatment Approaches

Regular Blood Transfusions

  • Mainstay for beta thalassemia major and some intermedia cases
  • Typically needed every 2-4 weeks
  • Maintains hemoglobin levels and supports normal development

Iron Chelation Therapy

  • Essential to remove excess iron from transfusions
  • Options: Deferoxamine (infusion), Deferasirox (oral), Deferiprone (oral)
  • Regular monitoring of serum ferritin and organ iron content

Bone Marrow/Stem Cell Transplant

  • Only curative treatment is available
  • Requires a matched donor (sibling preferred)
  • Carries significant risks, but success rates are high in young patients

Emerging Therapies

  • Gene Therapy: Recently approved treatments (betibeglogene autotemcel)
  • Luspatercept: Reduces transfusion burden in some patients
  • Modifiers of HbF production: Hydroxyurea may benefit some with intermedia

Complications and Management

Iron Overload

  • Affects the heart, liver, and endocrine organs
  • Monitoring: Regular MRI (T2*) for heart and liver iron
  • Endocrine issues: Diabetes, hypothyroidism, and hypogonadism require hormone replacement

Bone Disease

  • Osteoporosis and fractures are common
  • Vitamin D and calcium supplementation
  • Bisphosphonates when indicated

Cardiac Issues

  • Heart failure and arrhythmias from iron overload
  • Regular echocardiograms and cardiac monitoring

Infections

  • Increased risk, especially after splenectomy
  • Vaccinations (especially pneumococcal, meningococcal, Haemophilus influenzae)
  • Prompt treatment of fevers

Living with Beta Thalassemia

Daily Management Strategies

  • Nutrition: Balanced diet, limit iron-rich foods (though less critical with chelation)
  • Exercise: Regular, moderate activity as tolerated
  • Hydration: Essential during illness or heat
  • Infection prevention: Good hand hygiene, avoiding sick contacts

Psychosocial Aspects

  • Mental health: Higher rates of anxiety and depression
  • Support systems: Family, friends, and patient organizations
  • School/work accommodations may be necessary

Family Planning and Genetics

  • Genetic counseling for affected individuals and carriers
  • Preimplantation genetic diagnosis (PGD) for couples wanting biological children
  • Prenatal diagnosis options

Prevention and Screening

Population Screening

  • Recommended in high-prevalence regions
  • Simple blood tests can identify carriers

Newborn Screening

  • Now part of routine screening in many countries
  • Allows early intervention and treatment

The Future of Beta Thalassemia Care

Research Directions

  • CRISPR and gene editing approaches
  • Improved chelation strategies
  • Fetal hemoglobin inducers in development
  • Artificial hemoglobin substitutes

Advocacy and Awareness

  • May 8th: World Thalassemia Day
  • Global organizations: Thalassemia International Federation, Cooley’s Anemia Foundation
  • Patient advocacy for treatment access and research funding

A Message of Hope

While beta thalassemia remains a serious lifelong condition, advances in treatment have transformed outcomes. Many individuals with beta thalassemia major now live into their 50s, 60s, and beyond with a good quality of life. With proper treatment, comprehensive care, and ongoing research, the future continues to brighten.

Reference:
https://www.kauveryhospital.com/nightingale/understanding-thalassemia-a-comprehensive-overview/
https://www.ncbi.nlm.nih.gov/books/NBK531481/
https://medlineplus.gov/genetics/condition/beta-thalassemia/

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Common sugar substitute may affect brain and blood vessel health.

Common sugar substitute may affect brain and blood vessel health.

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Yes, recent research suggests that erythritol, a popular sugar substitute, may negatively impact brain and blood vessel health, increasing concerns about its long-term safety. Here’s what we know:

1. Link to Cardiovascular Risk

  • A 2023 study in Nature Medicine found that high blood levels of erythritol were associated with an increased risk of heart attack, stroke, and blood clot formation.
  • Erythritol appeared to enhance platelet clotting, potentially raising thrombosis risk, especially in people with existing heart disease or diabetes.
  • The study noted that even moderate consumption could lead to prolonged elevated blood erythritol levels.

2. Possible Effects on Brain Health

  • While direct human studies on erythritol and brain health are limited, animal studies suggest that artificial sweeteners (including erythritol) may:
    • Disrupt the blood-brain barrier, potentially increasing neuroinflammation.
    • Alter gut microbiota, which is linked to cognitive decline via the gut-brain axis.
  • Some researchers hypothesize that chronic sweetener use could affect insulin signaling in the brain, possibly influencing neurodegeneration (though more evidence is needed).

3. Who Should Be Cautious?

  • People with heart disease, diabetes, or clotting disorders may be at higher risk.
  • Those consuming keto or low-carb products (which often use erythritol) in large amounts.

4. What Are the Alternatives?

  • Stevia or monk fruit (natural, no-calorie options with fewer known risks).
  • Moderate sugar intake (better than artificial substitutes in some cases).
  • Fiber-rich sweeteners (like allulose or small amounts of honey/maple syrup).

While erythritol is generally recognized as safe (GRAS) by the FDA, emerging research suggests caution especially for high-risk individuals. More long-term studies are needed, but reducing dependence on artificial sweeteners may be wise.

Reference:

https://www.physiology.org/detail/news/2025/04/25/popular-sugar-substitute-may-harm-brain-and-heart-health?SSO=Y

https://www.healthandme.com/nutrition/chemicals-found-in-sugar-free-desserts-may-impair-brain-function-study-finds-article-151686747

https://www.medicalnewstoday.com/articles/common-sugar-substitute-may-affect-brain-and-blood-vessel-health

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A month following stent implantation, stopping aspirin may not raise the risk of blood clots.

A month following stent implantation, stopping aspirin may not raise the risk of blood clots.

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Following a percutaneous coronary intervention (PCI) to treat a heart blockage, physicians typically prescribe two antiplatelet medications or blood thinners for one year. According to a recent study, those blood thinners could be safely reduced in half in just one month. Research indicates that patients can safely stop taking one blood thinner after taking two for a month, and there is no increased risk of clots forming on the hardware implanted during percutaneous coronary intervention.

Blood thinners can cause bleeding, make it difficult for scabs to form over wounds, and cause other negative side effects, even though they provide significant protection against the formation of clots. Dual antiplatelet therapy, or DAPT, combines antiplatelet medications used after surgery. It usually contains a stronger P2Y12 receptor inhibitor (there are several), along with aspirin. The medication ticagrelor was used in the study. DAPT is recommended for a full year because there is a decreased chance of clotting beyond that time.

The research examined treatment plans and results for 3,400 Acute Coronary Syndrome patients at 58 facilities in China, Italy, Pakistan, and the U.S. K., from October 2022 to August 2018. Every research participant had undergone PCI. Once stable for a month following the procedure, they were randomized into one of two groups. The new DAPT consisted of ticagrelor and placebo for 1,700 patients. For the entire year, the remaining people took aspirin and ticagrelor.

After one month, 78 participants taking ticagrelor-aspirin experienced major or minor bleeding events, while only 35 participants in the ticagrelor-placebo group experienced such events. This equates to a 55% decrease in bleeding incidents. Significant cardiovascular events were statistically comparable in the two groups, indicating that the ticagrelor-placebo group’s stop of aspirin did not lead to a rise in unfavorable cardiovascular outcomes. There are two ways to address the issue of blocked arteries. The only procedure available to us back then was bypass surgery, in which a surgeon physically enters the body and reroutes all blood flow around the blockages.

Over the past three decades, percutaneous coronary intervention has been used. This minimally invasive technique involves threading small catheters through the groin or wrist to the heart, where doctors use wires, balloons, and stents to open up blocked arteries. Blood clots can form around these devices, which is why patients are often prescribed dual antiplatelet therapy to prevent ischemic events. Compared to bypass surgery, percutaneous coronary intervention is a much less invasive and more common procedure now.

Every hospital performs percutaneous coronary interventions daily, according to Chen. The study tackles a balancing act that has long been a source of difficulty for cardiologists. The problem was explained by Jayne Morgan, MD, a cardiologist and the Executive Director of Health and Community Education at Piedmont Healthcare Corporation in Atlanta, Georgia. She was not involved in the study. The main goal of DAPT is to prevent ischemic events, but as the risk-benefit ratio is considered, there has been some discussion about DAPT after PCI in patients with both acute and chronic coronary syndromes..

She stated it is obvious that the risk of more ischemia needs to be decreased. Morgan called the results compelling and expressed her anticipation for more data on the subject, but at what cost to increased bleeding and its inherent morbidity on the patient as well? According to her, Single Action Platelet Therapy with ticagrelor alone between months one and twelve seems to have produced a comparable rate of MACCE [major adverse cardiac and cerebrovascular events] with fewer bleeding complications.

This study answers a question that we were all curious about. Even though it’s unquestionably a safer strategy than what we’re all doing right now, it demonstrates that this approach is effective. Furthermore, it demonstrated that things weren’t worse. You were giving the two blood thinners, but it wasn’t leading to more clots forming on the stent. We really need to know that information, Chen said. He stated that things won’t change right away because the protocol of administering two blood thinners after PCI has been in place for decades. The American Heart Association, American Cardiology College, and the Society for Cardiovascular Angiography and Interventions are among the significant advisory bodies that update their recommendations yearly. Chen predicted that this would be a significant step toward future changes to these rules.

REFERENCES:
https://people.com/ozempic-like-drug-slowed-progression-parkinsons-disease-new-trial-8627473
https://www.medicalnewstoday.com/articles/ozempic-like-drug-may-help-slow-progression-parkinsons-symptoms
https://www.cnbc.com/2024/04/04/drug-similar-to-ozempic-slowed-parkinsons-disease-in-small-trial.html

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Migraine, predisposition to blood clots can increase stroke risk

Migraine, predisposition to blood clots can increase stroke risk

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One essential component of preventive healthcare is the prevention of strokes. People need to be aware of their risk factors and possible ways to reduce them because strokes can be very dangerous. Even though the risk of stroke is generally lower in younger people, it is still important to understand what risk factors apply to this population, especially since stroke consequences can last a lifetime. A recent study that looked at the relationship between traditional and nontraditional risk factors for stroke and stroke in younger adults was published in Circulation: Cardiovascular Quality and OutcomesTrusted Source

The relationship between traditional and nontraditional risk factors and stroke risk in adults 55 years of age and younger was investigated by researchers using data from over 2,600 stroke cases and over 7,800 controls. The results of the study showed that nontraditional risk factors decreased in association with age and were primarily responsible for strokes in adults under the age of 35. Finding non-traditional stroke risk factors is crucial, especially for younger adults, as these findings demonstrate.

The possibility of brain damage makes strokes such a serious medical emergencyTrusted Source. Ischemic strokes and hemorrhagic strokes are the two main types. The brain’s blood supply is blocked in some way during an ischemic stroke. Blood clots in the brain, possibly due to an artery burst, during a hemorrhagic stroke. High blood pressure, diabetes, inactivity, and smoking are just a few of the many risk factors that can raise a person’s risk of having a stroke.

Additional risk factors include having an AB blood type or a family history of stroke. To find out their level of stroke risk, people can seek medical advice and guidance. The Colorado All-Payer Claims Database was the source of data for this retrospective case-control study. To examine conventional and nontraditional stroke risk factors, researchers examined models stratified by biological sex and age. During the period under investigation, 2,628 stroke cases were reported. 52 percent of these were in women, and 73.3% of the total were ischemic strokes. These stroke cases were contrasted with 7,827 controls by researchers.

The traditional risk factors associated with stroke cases were more likely to be noticed by researchers. They found that high blood pressure, hyperlipidemia, and tobacco use were the most prevalent traditional risk factors. Headache, renal failure, and thrombophilia were the most prevalent nontraditional risk factors in men. Among females, thrombophilia, migraine, and malignancy diseases in which defective cells infiltrate healthy tissue—were the most prevalent nontraditional risk factors. The youngest age group’s stroke risk was found to be more influenced by nontraditional risk factors than by traditional risk factors, according to research.

Nontraditional risk factors were linked to 31.4 percent of strokes among men and 42.7 percent of strokes among women aged 18 to 34. On the other hand, traditional risk factors were responsible for 25.3% of strokes in men and 33.3% in women. Additionally, the researchers discovered that the risk from nontraditional factors decreased with age and that the risk from traditional factors peaked among participants in the 35–44 age group.

We aimed to gain more insight into the risk factors that contributed most significantly to the risk of stroke in young adults. We discovered that nontraditional risk factors held equal importance to traditional risk factors among adults aged 18 to 34. In fact, a nontraditional risk factor for stroke was more likely to cause the patient’s stroke if they were younger at the time of the event. We were taken aback to discover that among adults [between the ages of 18 and 34], migraine was the most significant nontraditional stroke risk factor. Although the link between migraines and strokes has long been known, this study is the first to demonstrate the precise magnitude of this contribution.

The findings certainly emphasize how crucial it is to screen for non-traditional stroke risk factors, especially in younger people. The study clarified lesser-known risk factors for stroke in young patients, such as migraines, autoimmune disorders, and thrombophilia, in addition to well-known risk factors like hypertension, according to Adi Iyer, MD, a neurosurgeon and interventional neuroradiologist at Pacific Neuroscience Institute who was not involved in the research.

This study is intriguing because it sheds light on the risk factors for stroke in young patients, which are ultimately just as significant as the well-known risk factors like heart disease and hypertension. Physicians should screen younger patients for stroke risk if they have nontraditional risk factors like autoimmune disorders, migraines, or thrombophilia. The researchers noted some important limitations to their study even though this research revealed some important information about stroke risk factors.

To start, when participants did not seek care, the researchers did not consider uncoded diagnoses or risk factors due to how they identified risk factors. Furthermore, there exists a possibility of residual confounding and unmeasured bias. How the study was carried out probably prevented the risk of specific factors from being fully captured. Researchers pointed out that their assessment of nontraditional risk factors may have been underestimated and that the study did not address every possible risk factor for stroke.

The research team also warned that the study’s findings might not apply to other contexts because it was carried out in a Colorado claims database, which has a higher altitude and might have impacted the study sample. A sickle cell pain crisis, for instance, might be brought on by the altitude. This could account for the small number of participants who had sickle cell disease.

The researchers finally admitted that some confounders were impossible to account for and that there were gaps in some of the racial and ethnic data. Therefore, to collect additional data, researchers encouraged the study to be replicated in various population-based cohorts. The study’s authors acknowledged some important limitations even though their research revealed some important information regarding stroke risk factors. First off, uncoded diagnoses or risk factors that were present when participants chose not to seek treatment were not taken into consideration by the researchers due to how they identified risk factors. Additionally, there is a chance of residual confounding and unmeasured bias. Because of the way the study was carried out, it’s possible that the risk from specific factors was not fully captured.

Additionally, not all possible stroke risk factors were examined in the study, and the researchers acknowledged that their evaluation of nontraditional risk factors might have been underestimated. The study was carried out in a claims database in Colorado, which has a higher altitude, which may have affected the study sample, the authors added, warning that the results might not be generalizable. For instance, a sickle cell pain crisis could be brought on by the altitude. This could be the reason for the small number of sickle cell disease participants. Lastly, the researchers acknowledged that some confounders were impossible to account for and that some racial and ethnic data were missing.

Consequently, to collect additional data, researchers promoted the study’s replication in various cohorts drawn from different populations. We discovered that young adults’ strokes may be greatly influenced by migraine headaches. On the other hand, we are unsure of the initial cause of migraine [attacks] and stroke. Stroke prevention for migraineurs is currently untreated clinically. We can create more effective clinical interventions in the future by improving our knowledge of the mechanisms underlying migraines that result in strokes.

REFERENCES:
https://jnnp.bmj.com/content/91/6/593
https://americanmigrainefoundation.org/resource-library/migraine-stroke-reducing-risk/
https://ejnpn.springeropen.com/articles/10.1186/s41983-021-00430-0

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Heart conditions may cause brain changes that increase the risk of stroke, dementia

Heart conditions may cause brain changes that increase the risk of stroke, dementia

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Subtle changes to blood vessels in the brain, common among people with certain heart conditions, can increase the risk of stroke and dementia, a new study reports. The review of more than 220 previously published studies found that changes to blood vessels known as silent brain infarction (SBI) and cerebral small vessel disease (CSVD) both detectable only via brain imaging are more common among people with atrial fibrillation, coronary artery disease, heart failure or cardiomyopathy, heart valve disease, and patent foramen ovale (a hole in the heart).

When the tiny blood vessels in your brain become narrow and blocked, it can prevent blood from reaching certain areas of your brain, Dr. Michael Ross MacDonald, said this damage can accumulate and result in symptoms of vascular cognitive impairment, eventually progressing to vascular dementia, said MacDonald, who was not involved in the study.

The meta-analysis, published in the journal Neurology, concluded that SBI was detectable in about one in three people with heart disease. Two-thirds of the people studied had white matter lesions (damage to the protective coating around nerve fibers), a quarter had evidence of asymptomatic microbleeds in the brain, and more than half had brain atrophy, defined as a shrinkage due to loss of neurons or connections between neurons.

Generally speaking, what is bad for the heart is bad for the brain, so various cardiac conditions [like SBI and CSVD] contributing to cerebrovascular injury… makes complete sense, said Dr. Gregory Bix, SBI and CSVD are overlooked cardiovascular health conditions, to some degree, as they are chronic conditions with insidious onset of cognitive symptoms that are often missed in early stages, Bix, who was not involved in the study, told Medical News Today. However, CSVD is a major cause of vascular dementia, the second leading cause of dementia behind Alzheimer’s disease.

The prevalence of these changes in the brain’s vascular system, which usually don’t cause obvious neurological symptoms, was elevated regardless of whether the people studied had previously had a stroke, researchers reported. Although people with heart disease are two to three times more likely than the general population to have changes in their brain’s vascular system, they’re often overlooked, because these patients don’t routinely undergo brain imaging unless they have suffered a stroke, said Dr. Zien Zhou, in a press statement. However, it can make them more susceptible to the risk of brain bleeds from medications commonly used to treat or prevent blood clots intracranial hemorrhage is a life-threatening complication with no proven treatment and a survival rate of less than 50 percent.

Zhou said that aging, hypertension, type 2 diabetes, high cholesterol, and smoking are among the likely causes of these hidden changes to blood vessels in the brain. A gradual decline in cardiac output in some patients with heart disease might affect how much blood reaches the brain tissue, contributing to vascular changes and cognitive dysfunction in these patients, he said. It’s also possible that hidden brain changes and cognitive dysfunction result from tiny blood clots traveling to the brain through the arterial circulation after forming in the heart.

Zhou said that further study is needed to determine whether routine brain imaging for patients undergoing anticoagulation therapy (which includes most people with heart disease) could reduce risks such as bleeding in the brain. These findings suggest that all individuals with atrial defibrillation, coronary artery disease, heart failure or cardiomyopathy, and heart valve disease should have brain scanning, said Bix. This study shows a clear correlation between heart disease and SBI and CSVD, he added. However, whether one causes the other remains to be determined.

REFERENCES:

https://www.medicalnewstoday.com/articles/heart-conditions-may-cause-brain-changes-that-increase-the-risk-of-stroke-dementia
https://www.sciencedaily.com/releases/2024/03/240326170112.htm
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3641811/

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Type 2 Diabetes: Can kombucha help to manage blood sugar?

Type 2 Diabetes: Can kombucha help to manage blood sugar?

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A fermented tea called kombucha offers advantages including enhancing gut health. Researchers carried up a study on persons with type 2 diabetes because they were interested in whether the probiotic beverage may be useful in decreasing blood sugar.

After four weeks, the researchers evaluated the blood sugar levels of two groups of individuals with type 2 diabetes who had either received kombucha or a placebo beverage that tasted similar. They switched the groups after a break, then assessed the participants again after another 4 weeks.

In contrast to a placebo, the results showed that drinking kombucha for four weeks dramatically reduced fasting blood glucose levels in comparison to baseline.

The researchers claim that this is the first investigation of kombucha’s effects on persons with type 2 diabetes.

In type 2 diabetes, the body has trouble producing or properly controlling insulin. According to the Centres for Disease Control and Prevention (CDC), diabetes affects millions of people in the United States and is the eighth largest cause of mortality in the nation.

Scientists are interested in discovering new ways to lower blood sugar, especially through dietary choices, as the prevalence of type 2 diabetes rises.

The School of Health at Georgetown University in Washington, D.C., conducted research to see whether the Chinese tea known as kombucha, which is fermented with bacteria and yeasts, could lower blood sugar levels.

They discovered that merely 4 weeks of consuming kombucha reduced fasting blood sugar levels prior to meals from an average of 164 to 116 milligrammes per deciliters (mg/dL) after comparing blood sugar averages between drinking kombucha versus a placebo.

In contrast, according to the American Diabetes Association, normal fasting glucose levels are between 80 to 130 mg/dL before meals.

Tracking fasting blood sugar

The authors highlight that the study’s participants were drawn from the General Internal Medicine Clinic at MedStar Georgetown University Hospital, which has “a strong interest in diabetes care.”

They recruited 12 individuals with type 2 diabetes for the trial. They had to consent to consume the designated beverage on a regular basis as well as test their fasting glucose at various intervals at home.

The individuals were also told by the researchers to stick to their regular meals. They did not want dietary modifications to have an impact on prospective blood sugar drops.

The participants were split into two groups, and each group was given an 8-ounce beverage to consume everyday with dinner for a period of 4 weeks. Some participants received kombucha, while others received a placebo beverage that, according to the authors, tasted like kombucha.

The recipients of the kombucha were switched around during the study’s second phase. The individuals had to wait eight weeks before starting back up on their drinking routine so that the researchers could account for any lasting effects of the kombucha.

The subjects experienced further 4 weeks of consuming their assigned beverage after the 8-week “washout period” ended. In the initial phase of the study, participants who consumed kombucha also consumed a placebo beverage, whereas the others consumed kombucha.

The researchers next examined the information the subjects supplied regarding their fasting glucose, which they assessed at the following intervals:

  • their starting point before starting the drinking program
  • after the first week
  • towards the conclusion of week four
  • following the washout time
  • end of the first week of the second round.
  • following the fourth week of the second round.

Drinkers of kombucha had reduced blood sugar.

In order to determine if kombucha increased glucose levels, researchers averaged baseline data from subjects, data from each 4-week round of kombucha consumption, and data from placebo consumption.

Following 4 weeks of kombucha consumption, the subjects’ average baseline blood sugar level fell to 116 mg/dL from 164 mg/dL. This represents a decline for the kombucha group of almost 30%.

In contrast, after consuming the placebo beverage, the subjects’ baseline blood glucose levels barely changed. The authors report that there was no statistically significant difference between the placebo and the average fasting blood glucose levels.

A larger investigation, according to the researchers, is required due to the study’s drawback of a limited sample size.

According to a press statement from the study’s lead author, Dr. Chagai Mendelson, “We were able to provide preliminary evidence that a common drink could affect diabetes.”

“We hope that a much larger trial, using the lessons we learned in this trial, could be undertaken to give a more definitive answer to the effectiveness of kombucha in reducing blood glucose levels, and hence prevent or help treat type 2 diabetes,” he continued.

A residency program is being completed by Dr. Mendelson at MedStar Georgetown University Hospital Medical School.

Experts discuss the advantages of kombucha

The outcomes of the study were discussed by Alyssa Wilson, a registered dietitian and metabolic health coach with the California-based company Signos.

Wilson stated that there is “some encouraging data” supporting the inclusion of kombucha in a nutrition care strategy.

For those seeking a healthy alternative to sugary drinks, she said kombucha is a “great option” and may help “reduce hunger and prevent sugar cravings.”

Wilson noted that further research is required to support the findings even though she thinks the study to be promising.

“More research is needed in a larger follow-up study to determine the effectiveness of kombucha in reducing blood glucose levels, but the findings are promising and exciting for this patient population,” she said.

The work was also discussed by endocrinologist Dr. Florence Comite, who founded the Comite Centre for Precision Medicine and Health in New York City.

Dr. Comite pointed out that more research is indicating a link between conditions like type 2 diabetes and the composition of the gut microbiome, which is changed by probiotics like kombucha.

The metabolism, inflammation, and immunological response all seem to be substantially influenced by the microbiome. Managing glucose management will be impacted by improving the proportion of beneficial bacteria to harmful bacteria in the stomach, according to Dr. Florence Comite.

She expressed her need for more research in this area, stating that “a causal association between kombucha and lowering blood glucose deserves further study. It is unclear whether diabetes affects the gut or if an unhealthy microbiome contributes to the disease.”

Additional information on kombucha

Depending on how much you consume, kombucha has around the same amount of caffeine as a cup of regular tea.

Due to its high caffeine and low alcohol level, kombucha is not advised for children or pregnant or nursing women.

It’s recommended to buy kombucha rather than attempt to create it at home if you decide to start drinking it (after consulting with your healthcare professional).

Start out with a little quantity of kombucha.

Always check your blood sugar levels to see whether they have an effect on how you control your blood sugar in general. (Each individual is affected differently.)

REFERENCES:

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Hypertension: Even a single drink of alcohol can add to it.

Hypertension: Even a single drink of alcohol can add to it.

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Heart attacks and other ill health outcomes are made more likely by high blood pressure. The risk of high blood pressure can be affected by a variety of variables, including lifestyle decisions.

Researchers are still trying to fully comprehend how various lifestyle decisions affect blood pressure levels.

According to data from a recent study, drinking alcohol raises systolic blood pressure, even at moderate doses of alcohol consumption.

A crucial health indicator is blood pressure. Reduced risk of negative health effects can be achieved by maintaining optimal blood pressure levels. Hypertension, often known as high blood pressure, can be caused by a variety of circumstances. Researchers are still working to fully comprehend the effects of these risk variables, though.

The effect that drinking alcohol has on blood pressure is one topic of interest. Alcohol consumption is widespread, even at tiny doses. It’s consumption can raise blood pressure, albeit it may only be in tiny amounts.

Alcohol consumption, even as little as one drink per day, was linked to higher blood pressure, according to a study published in the journal Hypertension.

High blood pressure effects and risk factors

The force of blood pushing against the body’s arteries is measured by blood pressure. Systolic and diastolic blood pressure measurements reflect the contraction and relaxation of the heart, respectively.

When blood pressure rises too high, there is a higher chance that the body will sustain harm. For instance, high blood pressure can raise the risk of heart failure and heart attack.

Smoking, consuming a diet heavy in sodium, and having little physical activity are risk factors for high blood pressure. Consuming alcohol can elevate risk. The Centres for Disease Control and Prevention (CDC) and other organisations currently advocate for limiting alcohol consumption to one drink per day for women and two drinks per day for men.

Current recommendations were further explained by Dr. Cheng-Han Chen, an interventional cardiologist and the medical director of the Structural Heart Programme at MemorialCare Saddleback Medical Centre in Laguna Hills, California.

We have long known that consuming alcohol in moderate to high doses will increase blood pressure. This has a lot to do with cardiovascular health because increased blood pressure, also known as hypertension, is a significant risk factor for heart attacks and strokes, among other cardiovascular disorders. We have advised people to limit their alcohol consumption to a “moderate” level (2 drinks per day for men and 1 drink per day for women).

Alcohol’s effects on blood pressure

How much alcohol affects the risk of high blood pressure is one topic that needs more research. To comprehend how various alcohol consumption levels affected blood pressure levels, researchers for the current paper wanted to know. Does alcohol consumption, for instance, affect risk even at modest doses?

This study involved the dose-response meta-analysis of seven various non-experimental cohort studies. To gather a massive amount of data, researchers examined the data from over 19,500 participants. United States, Japanese, and South Korean subjects were involved in the studies.

Almost five years were spent on follow-up on average. To ensure that only participants without a prior history of cardiovascular illness were included in studies, strict eligibility requirements had to be met by each one.

They discovered that, on average, drinking 12 grammes of alcohol per day resulted in a 1.25 mmHg rise in systolic blood pressure. Twelve grammes of alcohol is even less than the fourteen grammes of alcohol in a regular American drink.

Higher alcohol intakes were linked to a more pronounced rise in systolic blood pressure, with 48 grams per day of alcohol being linked to an average rise of 4.9 mmHg.

Author of the study and adjunct professor in the epidemiology division at Boston University’s School of Public Health, Dr. Marco Vinceti, from the University of Modena and Reggio Emilia in Italy:

The overall (or “public health”) message for the relationship between alcohol consumption and blood pressure that emerged from our dose-response meta-analysis is “the lower the better, and no consumption even better,” as we were unable to find any evidence that even very small amounts of alcohol consumption might be beneficial for people’s health.

Research limits and future directions

There are significant limitations to the data in this study. First, there wasn’t a lot of research accessible for analysis. The association between age, blood pressure, and alcohol consumption was not able to be thoroughly investigated. Misclassifications were a possibility, and some individuals’ levels of alcohol use likely changed over the follow-up period. Additionally, the study did not investigate the effects of various types of alcohol on blood pressure. Some data depended on self-reporting; further data could use more representative samples.

In the studies that met the eligibility requirements, there was a special risk for bias, and there is still a possibility for residual confounding. There are numerous chances to build on the research, including learning more about how alcohol consumption affects women’s blood pressure.

Dr. Vinceti identified the following issues as needing more study:

“Our systematic review and dose-response meta-analysis concentrated on a continuous endpoint, changes in blood pressure over time, but it did not look at ‘hard outcomes’ like hypertension (as a dichotomous outcome), stroke (for which high blood pressure is an established and strong risk factor), coronary heart disease, and ultimately overall CVD risk. Therefore, to paint a complete picture of the consequences of alcohol use on the cardiovascular system, our study must be supplemented with such additional (and updated) assessments.”

The results of this study may alter recommendations for alcohol consumption, albeit it will probably take time and additional study. On this subject, Dr. Chen made the following assumptions:

“For a very long time, the general opinion was that drinking in moderation might be considered safe.” This study supports other recent results that indicate that consuming alcohol at any level is not beneficial for the heart. As a result, I anticipate that in the future, medical advice about alcohol intake will change.

REFERENCES:

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Lower blood pressure: Isometric exercise vs. cardio.

Lower blood pressure: Isometric exercise vs. cardio.

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The most effective exercise for decreasing blood pressure, according to a recent study of 270 trials, is static isometric exercise.

Although less so than isometric exercises like wall sits, all of the workout types examined in the investigation had advantages. The best overall health advantages, according to experts, are obtained from a variety of different types of exercise.

Better health is linked to exercise. And a recent study suggests that isometric workouts may be the most beneficial for those who have hypertension, or high blood pressure.

The authors of the study investigated the effects of several types of exercise on blood pressure, including aerobic, dynamic resistance, mixed, high-intensity interval training (HIIT), and isometric training.

All of these different workout forms successfully lowered blood pressure, but one in particular stood out.

According to the results, isometric exercise training significantly lowered blood pressure.

Combined training, dynamic resistance training, aerobic exercise training, and HIIT came after isometric exercises.

270 randomized, controlled exercise trials were the subject of a thorough examination by the researchers to determine the best kind of exercise for controlling high blood pressure.

Exercise interventions lasting at least two weeks were a feature of every experiment taken into consideration in the review. The review comprised 15,827 individuals in all.

Isometric exercises sit lower blood pressure like the wall

By putting more strain on a muscle without moving the surrounding joints, isometric training.

This is accomplished by pushing against an immovable source of resistance, such as a wall, a person, or a machine, or by simply maintaining a position in which a muscle is kept taut, as in isometric weightlifting.

Wall sits, which are an isometric exercise, were shown to be the most successful for lowering resting blood pressure in the latest study, according to study co-author Dr. Jamie O’Driscoll, a registered clinical scientist in cardiology.

Wall sits entail slowly squatting down while pressing your back against a wall, keeping the position to exert tension on the relevant muscles, and then slowly rising back up.

Because there is no movement involved in isometric exercise just the application of pressure by the targeted muscle it is also known as “static” exercise.

Isometric exercises can also include:

  • Side planks and planks
  • Calves lift and hold
  • holding low squats
  • hanging holds
  • v-sits
  • thigh bridges

Experts were given the following explanation by Dr. Yu Ming Ni, a cardiologist of California Heart Associates in Fountain Valley, California, who was not engaged in the study:

“Isometric exercise is supposed to increase muscular mass. It is intended to teach the blood arteries to have better basal dilation, in theory. It might help decrease blood pressure in that way.“

Naturally, it’s a good idea to always speak with your doctor before starting a new workout routine.

Cardiovascular exercise vs isometric exercise

Even though she was not engaged in the study, Dr. Melody Ding, an associate professor at the Sydney School of Public Health, said she was persuaded by it.

“The authors used a strong research design and the analysis was well-done,” said Dr. Ding.

On the other hand, Dr. Ni exercised caution. The research, according to him, “turns on its head the previous notion of what’s considered to be blood pressure-lowering exercise.”

“I would have thought that dynamic exercise would be more significant, but this data seems to strongly imply the contrary. To do this, you are figuratively exerting more pressure on your body. The ideal mechanism for it, in my opinion, is not that one,” said cardiologist Dr. Yu Ming Ni.

Dr. Ni said that there was little correlation between blood pressure results and different exercise types.

“Both the systolic and diastolic blood pressures do appear to be trending. So, I find it intriguing and it certainly stimulates my thinking,” said Dr. Ni.

Are there hazards of isometric exercise for hypertension?

According to Dr. O’Driscoll, “Our research has not shown any unique adverse effects when compared to other forms of exercise.”

Dr. Ni cautioned that patients with extremely high blood pressure should only be given isometric training or any exercise, for that matter.

For instance, according to Dr. Ni, he treats bodybuilders who also have high blood pressure. If their blood pressure rises, he wouldn’t advise these people to do weights.

“For those patients, I would advise against doing this. For now, you can engage in dynamic exercise. We’ll check your salt and alcohol intake, start you on some meds, lower your blood pressure, and make sure you aren’t using anabolic steroids,” explains Dr. Ni.

Exercise that is isometric complements other types of exercise

Even though “the results of this work demonstrate the value of performing static exercise for managing blood pressure,” according to Dr. O’Driscoll, “it is important to consider isometric exercise as complementary to pre-existing exercise modes, providing participants with a range of exercise choices rather than limiting them.”

Asserting that “different types of exercise offer different health benefits,” Dr. Ding concurred. This study showed that not only did each of the exercise kinds evaluated significantly lower blood pressure, but they also each had their own particular advantages.

Dr. Ding specifically mentioned that muscle strengthening helps enhance and maintain musculature while HIIT and aerobic training help strengthen cardiovascular fitness.

Nevertheless, the majority of specialists concur that any amount of activity is preferable to none at all.

“Stick to the exercise you enjoy — otherwise, it is hard to maintain the habit — and second, incorporate different types of exercise to improve various aspects of health and fitness,” Dr. Ding said in his conclusion.

The Summary

According to a recent study, static, isometric workouts may be superior than “traditional” aerobic exercise for lowering blood pressure.

High blood pressure is a major factor in heart disease, which continues to be the top cause of death in the United States.

High blood pressure puts people at danger and can harm their hearts.Diabetes, heart attacks, and stroke are just a few of the fatal disorders covered by this reliable source.

To reduce risk, doctors typically advise adopting healthy lifestyle habits like eating well and exercising.

REFERENCES:

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Links between sleep brain waves and blood sugar control.

Links between sleep brain waves and blood sugar control.

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Diabetes is a disorder that makes it difficult for the body to regulate blood sugar levels.

When the body stops generating or responding to the hormone insulin, which controls blood glucose (sugar), blood glucose levels rise too high.

Poor sleep quality and higher blood sugar levels are related, according to research. A recent study has discovered that certain deep sleep brain waves are connected to the control of blood sugar levels.

The researchers hypothesise that elevating particular deep-sleep brain waves could lower the incidence of type 2 diabetes.

More than 6% of the world’s population currently has diabetes, which is on the rise globally. The American Diabetes Association estimates that 37.3 million Americans, or 11.3% of the population, have diabetes, with more than 35.4 million of those having type 2 diabetes.

96 million Americans aged 18 and older had prediabetes in 2019, which is a condition in which blood glucose (sugar) levels are increased but not high enough to be classified as diabetes.

The risk factor for type 2 diabetes, prediabetes, frequently has no symptoms and can go unnoticed for a very long time.

To lower the chance of acquiring type 2 diabetes, the National Institutes of Health recommend many lifestyle modifications, including:

  • if a person is overweight, reducing 5–7% of their body weight and maintaining that weight loss
  • getting up to 30 minutes of exercise five times each week
  • consuming fewer servings and making an effort to consume nutritious foods the majority of the time.

What connection exists between sleep and diabetes?

Numerous studies have connected poor blood glucose control and sleep issues. Raised blood glucose levels and a higher risk of type 2 diabetes are all linked to inadequate sleep length, poor sleep quality, and sleep disorders such insomnia and sleep apnea.

Now, a study has postulated a mechanism through which deep sleep is associated with lower blood glucose levels and contends that sleep quality rather than quantity is a better predictor of blood glucose levels.

Researchers discovered a connection between some deep sleep brain waves and better blood sugar regulation the next day.

According to the study, which was published in Cell Reports Medicine, deep sleep enhances the body’s sensitivity to insulin by stimulating the parasympathetic nervous system, leading to better blood sugar regulation.

According to study co-author and researcher Vyoma D. Shah of the Centre for Human Sleep Science, “the association with blood glucose control appears to be strongly explained by a link between deep sleep oscillations and specific alteration in insulin sensitivity, rather than insulin synthesis, storage, or secretion.”

The study noted that “the causal chain by which this occurs in humans is still unexplored.”

Brainwaves suggest a metabolic connection

Although she was not engaged in this study, Fiona McLoone, a research communications officer at Diabetes UK, commented:

“This study gives us more information about how the brain regulates blood glucose levels while we sleep; however, more research is required to determine whether assistance with improving sleep could benefit those who have type 2 diabetes or are at risk for developing it.”

Previous studies have suggested that decreased glucose metabolism is related to a shortening of slow-wave, or deep, sleep.

In a laboratory experiment, it was discovered that healthy young people’ insulin sensitivity significantly decreased when slow-wave sleep was inhibited, which in turn reduced glucose tolerance and raised the chance of developing diabetes.

Researchers found that clusters of strong wave ripples from the hippocampus, which happen during non-REM sleep, caused a drop in blood sugar levels in the rats within 10 minutes.

In the current investigation, the researchers first examined 647 people’s nocturnal polysomnography results as well as their next-morning glucose and insulin readings. They subsequently conducted their trials once more on a different 1,996 subjects.

They were looking to see if coupled non-REM spindles the night before were linked to better peripheral blood glucose levels the next day.

Other variables known to affect blood glucose management, such as age, gender, race, body mass index (BMI), hypertension, quantity of sleep, and sleep quality, were accounted for in both groups.

They discovered that the coupling of slow waves and sleep spindles during deep sleep was connected to better blood glucose regulation the next morning.

How could REM sleep affect blood sugar?

The parasympathetic nervous system’s activity, according to the authors, may be the cause of the influence on blood glucose.

They discovered that deep sleep activated this area of the nervous system, causing the body to become more sensitive to insulin, causing the body to absorb more glucose from the bloodstream into cells, so reducing blood sugar.

As Shah commented that the results of our study are not applicable to all deep sleep in general, but rather to the coupling (nearly simultaneous or time-locked occurrence) of slow oscillations and spindles in deep sleep, despite the fact that there are numerous techniques that can alter brain waves during sleep, including electrical, audio stimulation, and better sleep hygiene to increase the ease of falling asleep and the likelihood of staying asleep.

The connection might not be direct

The researchers issue a warning that their results do not prove a causal link between better blood glucose regulation and deep sleep. They do, however, offer a theory as to how the link occurred.

According to Shah, “based on a seminal study in rats that inspired this study, it is plausible that during sleep, hippocampal sharp wave ripples which we index by measuring slow oscillation-spindle coupling in this study send a signal to a relay station called the lateral septum, which in turn modulates blood glucose levels.”

The authors also make the case that monitoring brain waves during deep sleep could be a non-invasive way to determine how well someone is controlling their blood sugar.

What will the upcoming research focus be?

We learned from Shah that “our findings are the first to demonstrate an association between these particular deep sleep brain waves (slow oscillation-spindle coupling) and glucose regulation, reiterating the significance of sleep in the clinical management of hyperglycemia.”

“We hope this study paves the way for future research that can better understand the causal mechanisms underlying these associations, and eventually, develop therapeutics to enhance slow-oscillation spindle coupling during sleep, to better control blood sugar levels,” she continued.

She also outlined possible areas for further study, such as measuring glucose levels at various times and examining whether slow oscillation and spindle coupling may be used to change glucose regulation or vice versa.

However, as McLoone cautioned, “Some people are more at risk of developing type 2 diabetes than others, and getting a good night’s sleep is an essential component of good health, but currently the best evidence for reducing the risk of developing type 2 diabetes involves eating a healthy, balanced diet and keeping active.”

REFERENCES:

For Diabetes medications that have been suggested by doctors worldwide are available here https://mygenericpharmacy.com/index.php?therapy=13

Changes in Cholesterol & triglyceride may affect dementia.

Changes in Cholesterol & triglyceride may affect dementia.

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Researchers looked into the impact of varying triglyceride and cholesterol levels on dementia risk.

They discovered that varying amounts of triglycerides and cholesterol raise the incidence of dementia by 19% and 23%, respectively. To comprehend how these results might influence patient treatment, more investigation is required.

Globally, dementia affects around 55 million individuals. This number is anticipated to nearly quadruple to 152 million by 2050 as the world’s population ages.

Strategies for dementia prevention are essential for maintaining health. Finding techniques to mitigate potential risk factors that raise the likelihood of dementia is one way to develop these solutions.

Regular medical care includes tests for triglyceride and cholesterol levels. In order to create hormones and cells, the liver produces a form of fat called cholesterol. A form of fat used for energy is triglycerides.

Clinicians may be able to screen patients for dementia risk and maybe stop or delay the start of the disease by looking at the relationship between blood lipids and dementia risk.

Some evidence suggests a connection between cholesterol fluctuation and dementia. Despite conflicting findings in studies on whether high cholesterol levels increase dementia risk.

Future dementia screening methods and treatments may benefit from a deeper understanding of which lipid components raise dementia risk.

To evaluate whether there is a connection between cholesterol levels and the risk of dementia, researchers recently examined medical records.

“While not necessarily altering practice, this study highlights the need to pay close attention to people with fluctuating cholesterol levels. It will need more research to ascertain if this variance is a real factor in the onset of Alzheimer’s disease or only a side effect of dementia,” said Dr. Dmitriy Nevelev, associate director of cardiology at Staten Island University Hospital and a non-participant in the study.

High risk of dementia associated with fluctuating cholesterol

The average age of the 11, 571 participants the researchers gathered for the study was 71. 54% of the participants were female, and none had ever been diagnosed with Alzheimer’s disease or another type of dementia.

All of the individuals had their blood lipid levels checked for several factors at least three times in the five years before to the study. These comprised:

  • cholesterol overall
  • triglycerides
  • LDL, short for low-density lipoprotein cholesterol
  • HDL stands for high-density lipoprotein cholesterol.

Following the participants lasted an average of 12.9 years. 2,473 people experienced the onset of dementia during this time.

Based on how much the individuals’ blood lipid measurements changed, the researchers divided the people into five groups.

In the end, they discovered that those with total cholesterol variability in the highest 20% band had a 19% increased risk of dementia compared to those in the lowest 20%.

Those with triglycerides in the top 20% of the range had a 23% higher risk of dementia than those in the bottom 20%.

The findings persisted after taking into account potential confounding variables like education, initial cholesterol levels, and adherence to lipid-lowering therapies, according to the researchers. They also discovered that changes in HDL and LDL did not correspond to a higher risk of dementia.

Why are changes in lipid levels important?

We discussed how varying triglyceride and cholesterol levels may raise the risk of dementia with Dr. James Giordano, Pellegrino Centre professor of neurology and biochemistry at Georgetown University Medical Centre who was not involved in the study.

He stated that it is unclear whether or how varying cholesterol levels affect the risk of dementia. Nevertheless, he talked about plausible mechanisms from his own study.

According to Dr. Giordano’s research, “a number of blood-borne factors may cause changes in inflammatory mediators that affect cerebral blood vessels, nerve, and glial cells of the brain cells that remove waste from the brain and deliver nutrients to neurons.”

“This shift to a pro-inflammatory phenotype might interact with existing genetic predispositions in certain individuals. This may increase the risk of several neurodegenerative diseases, including some types of dementia,” he said.

Dr. Nevelev concurred that there is currently no conclusive explanation for why cholesterol fluctuation may raise the risk of dementia.

The functioning of our blood vessel lining is impaired by endothelial dysfunction, which is caused by cholesterol variability. This impairment contributes to irregular blood flow. According to Dr. Nevelev, “Cholesterol variability is also associated with [the] instability of blood vessel plaque, which can likewise obstruct blood flow and harm brain tissue.

He continued, “This study seeks to account for another possibility, which is the effect of sporadic adherence with cholesterol-lowering medicine.

The study did not take into consideration every factor.

We requested an explanation of the study’s main shortcomings from Dr. Howard Pratt, a board-certified psychiatrist and medical director of Community Health of South Florida who was not engaged in the investigation.

“The study’s participants had higher levels of comorbidity than the non-study control group, which did not. Therefore, there can be confounding factors that are harder to identify. Another drawback of the study is that it only included participants from one area, so it’s still not clear whether the conclusions apply to the entire community, the author pointed out.

The apolipoprotein-E (Apo-E) gene, which may have impacted the results of the study, is one genetic risk factor for dementia that was not taken into consideration, according to Dr. Giordano.

Dr. Nevelev was questioned about the study’s constraints as well. He pointed out that it is vital to know whether triglyceride levels were evaluated in samples that were fasting or samples that were not, as triglyceride levels change while a person is fasting.

He continued by saying that variations in body weight are associated with poor health outcomes and that triglyceride and cholesterol levels are related to body weight.

The researcher said, “It is possible that the observation in this study is reversed perhaps those in the early stages of dementia have changes in behaviour or changes in body weight that lead to significant variation in triglyceride levels.”

What effects does this have on preventing dementia?

UTHealth Houston’s McGovern Medical School professor of neurology and director of the Neurocognitive Disorders Centre, Dr. Paul E. Schulz, who was not engaged in the study, said the following to us:

How to apply the findings of this study to the real world is one important question. There are numerous drugs available that lower triglycerides or cholesterol, but I am not aware of any that do the same for fluctuations. Conversely, nutrition has a huge role in managing diabetes. I also wonder if dietary adjustments could also assist lower triglyceride or cholesterol fluctuations, which would lower the risk of dementia.

But given the overwhelming evidence that lower cholesterol is linked to a lower risk of Alzheimer’s disease, he added, “I would still advise people at risk for Alzheimer’s disease to think about taking their statin if their doctor prescribes it to lower their risk for developing Alzheimer’s disease.”

REFERENCES:

For Cholesterol medications that have been suggested by doctors worldwide are available here https://mygenericpharmacy.com/index.php?therapy=47