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Higher-dose naloxone spray doesn't increase overdose survival, study finds

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Higher-dose naloxone spray doesn't increase overdose survival, study finds
  • A study comparing a new, higher-dose nasal spray for opioid overdoses to the standard dose found no increase in survival rates but more side effects.
  • The 8-milligram naloxone spray, approved two years ago, was compared to the previous standard dose in rural parts of New York.
  • The study, published by the CDC, found no added benefit from the higher dose, with survival rates remaining the same.

A new, higher-dose nasal spray for reversing opioid overdoses did not save more lives than the previous standard dose, but it did cause more vomiting and other side effects, researchers wrote in a study published Thursday.

The 8-milligram naloxone spray — twice as potent as the highest dose previously available — was approved two years ago after pressure from experts and patient advocates who noted lower-dose antidotes often were being given multiple times to people suffering overdoses.

The new study, which was limited to more rural parts of New York state, is being called the first to provide real-world data on the differences between the two sprays. The paper was published by the Centers for Disease Control and Prevention, but the federal health agency was not involved in the research.

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The higher-dose “did not provide added benefit,” the authors wrote.

Naloxone, used to treat narcotic overdoses, is seen at a safe injection site at OnPoint NYC on Jan. 24, 2022 in New York, NY. A new, higher-dose nasal spray for reversing opioid overdoses did not save more lives than the previous standard dose, but it did cause more vomiting and other side effects. (Kent Nishimura / Los Angeles Times via Getty Images)

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“What was really remarkable was the survival was the same, but the amount of withdrawal symptoms was significantly larger in the people that got the 8-milligram dose,” said one of the authors, Dr. Michael Dailey of Albany Medical College.

Dailey said the study did not lead him to endorse one product over another. But, he said, “its important for us to recognize that the potential for increased side effects is real.”

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The researchers worked with the New York State Police, who respond to emergencies along highways and in rural areas.

Three troops in eastern New York were given 8-milligram sprays. Eight troops based further away from Albany were stocked with 4-milligram doses. The study results were based on 354 instances in which troopers administered naloxone sprays from late March 2022 to mid-August 2023.

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In cases where overdose patients were still alive when troopers arrived, 99% survived after getting naloxone, no matter which dose was given.

People who got 4-milligram sprays usually got more than one dose — 1.67 doses on average, equivalent to 6.7 milligrams. But so too did those treated with the 8-milligram sprays, who got 1.58 doses, or 12.6 milligrams, on average.

In both groups, disorientation and lethargy were common when people came to.

But other problems were significantly more common in the patients who got the higher-dose sprays. About 38% experienced signs and symptoms of withdrawal, including vomiting, abdominal pain, sweating, shaking and diarrhea. Only 19% of those getting the lower dose had those problems, the study found.

NALOXONE GROWING ON COLLEGE CAMPUSES AS OPIOID OVERDOSES CONTINUE

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That’s a concern because it could actually contribute to future overdose deaths, said Dr. Alexander Walley, a Boston Medical Center addiction specialist who also works with the Massachusetts health department.

If someone has extra withdrawal symptoms when they are rescued from an overdose, they may remember the pain and discomfort of that experience and — experts fear — might actually avoid having someone with naloxone around when they take drugs in the future, Walley said.

The study is limited and imperfect in how it randomized who got which doses, Walley said, but it’s nevertheless “good quality evidence.”

“The solution to a more potent (illicit) drug supply is not necessarily a more potent naloxone,” he said. “It’s having people be witnessed when they use the drugs, and have that witness be someone who can administer naloxone and call for help.”

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Are peptides the fountain of youth? Doctors warn hype may outpace science

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Are peptides the fountain of youth? Doctors warn hype may outpace science

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Peptide therapy has gained popularity as a potential health and longevity booster, but experts are warning of cautions and limitations.

Peptides are short chains of amino acids that act as messengers involved in processes like metabolism, growth and immune function, according to Cleveland Clinic.

Some peptides have shown potential in helping with skin health, metabolism, muscle recovery and immunity, although research is limited, experts say.

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“‘Peptides’ is a broad umbrella that includes everything from well-studied, FDA-approved therapies to experimental compounds marketed for anti-aging with limited human data,” Dr. Brad Younggren, a board-certified physician and CEO and co-founder of Circulate Health in Seattle, Washington, told Fox News Digital.

Injectable GLP-1 diabetes and weight-loss drugs are a common form of peptides, he noted.

Peptides are short chains of amino acids that act as messengers involved in processes like metabolism, growth and immune function. (iStock)

“Most people now more widely understand the positive impact this peptide can have on human healthspan,” Younggren said. “Peptides have broad targets across human physiology, and each one must be explored independently.”

Other common types of peptides help with growth hormone production, healing and tissue repair, skin and hair health, immune regulation, and cardiovascular and blood pressure regulation.

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Are peptides the fountain of youth?

Despite some claims of peptides extending lifespan, Younggren cautioned that no longevity therapy or treatment should be considered a “fountain of youth.”

“The science is promising in specific areas, but the category as a whole is not a single, proven longevity solution,” he said. “Peptides may be useful tools in select clinical contexts, but claims of universal rejuvenation are ahead of the evidence.”

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Ben Perez, the biomedical technology specialist at Pure Tested Peptides in Pennsylvania, noted that some people have seen benefits in recovery, immunity and tissue repair, while others have reported positive outcomes related to sleep, lean body mass and recovery time.

However, while peptides show promise, he said some suggested results may be “overly optimistic.”

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Despite some claims of peptides extending lifespan, one expert cautioned that no longevity therapy or treatment should be considered a “fountain of youth.” (iStock)

“Some are anti-aging related and assist with cellular repair, release of growth hormones and metabolic functions,” Perez, who oversees quality control of research peptides, told Fox News Digital. “However, the results can be inconsistent, and the assertions are usually greater than the supportive research.”

Side effects

Each type of peptide can be associated with its own potential side effects, experts say.

Growth hormone–related therapies, particularly those that act on the growth hormone (GH)–IGF-1 axis, can affect multiple hormone pathways and carry risks such as fluid retention, insulin resistance, headaches and joint symptoms, as well as changes in blood pressure or lipid levels, according to Dr. Anant Vinjamoori, M.D., a Harvard-trained physician and chief longevity officer at Superpower.

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“The pathways in the study of peptides are complex and can lead to imbalances in the hormones of the body,” Perez said. “Other negative outcomes can be localized inflammation at the injection site and other reactions.”

“Endocrine disorders, autoimmune disorders and history of cancer are further reasons to be more careful.”

“Selling unproven, miracle-promising or supplement-peddling products with little accountability or third-party testing is a dangerous red flag.”

The most reliable way to receive peptide therapy is through injection, according to Vinjamoori, as some oral forms can be “under-absorbed” or may rely on added ingredients that can cause side effects.

“‘Safe’ is less about the route and more about the molecule, dose, purity and monitoring,” he told Fox News Digital.

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“Most peptides have an extremely strong track safety record based on the data we do have — but there is still much that we do not know.”

Approval and regulation

Some peptides are FDA-approved for specific conditions, including GLP-1s and growth-hormone stimulators. These may be prescribed off-label in some contexts, although risks and benefits vary and evidence may be limited, according to experts.

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There are also some peptides that are not FDA-approved. “Many ‘fitness’ peptides discussed online are in early clinical phases or used only in research settings,” Vinjamoori noted.

“[Peptides] should be approached as a combination of lifestyle measures that contribute to better healthspan,” one expert said. (iStock)

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Perez warned that peptides have little to no regulation in many countries, which means online vendors may sell fake, poor-quality or dangerous products. 

“Selling unproven, miracle-promising or supplement-peddling products with little accountability or third-party testing is a dangerous red flag,” he said.

Starting safely

For those considering peptides, Vinjamoori recommends watching out for the following red flags.

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  • Sourcing issues: Non-pharmacy “research chemicals,” lack of third-party testing or unclear labeling
  • Overblown claims: Promises of rapid muscle gain or fat loss with no training changes
  • Too many compounds: Stacking multiple substances without clear targets or bloodwork
  • Lack of oversight: No clinician, baseline labs, or plan for cycling or stopping

“The most effective longevity care is proactive, personalized, and grounded in biomarkers and scientific evidence,” Younggren added. “It should be approached as a combination of lifestyle measures that contribute to better healthspan.”

Anyone interested in peptides should consult a physician to ensure that they receive a safe product and that it is used appropriately. (iStock)

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Perez emphasized the importance of starting conservatively. “Understand the science, know the source and get medical guidance,” he advised. “Peptide therapy isn’t one-size-fits-all; it’s nuanced and still evolving.”

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While peptides may address issues that fall outside the reach of conventional medicine, Perez said, the supporting clinical data is still being developed.

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“Excessive use can lead to a decrease in their therapeutic effects and may cause adverse reactions, so more is not necessarily better,” he cautioned.

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Anyone interested in peptides should consult with a physician to ensure that they receive a safe product and that it is used appropriately.

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Which ‘Appetite Type’ Are You? It Could Be the Key To Not Overeating

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Which ‘Appetite Type’ Are You? It Could Be the Key To Not Overeating


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Learn How To Stop Overeating by Identifying Your ‘Appetite Type’ | Woman’s World




















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Family dinners may keep teenagers off drink and drugs, says new research

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Family dinners may keep teenagers off drink and drugs, says new research

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Family dinners may play a role in reducing teenage alcohol, drug and vaping use.

A new study published in the Journal of Aggression, Maltreatment and Trauma suggests that regularly sharing meals as a family may help discourage substance use among many adolescents, news agency SWNS reported.

The study found that higher-quality family meals were linked to lower rates of alcohol, cannabis and e-cigarette use for most teenagers.

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For those with more severe adverse childhood experiences, shared meals alone appeared to offer little protection.

Spending time together at family dinners may help protect teens from substance and vaping use. (iStock)

To reach those findings, researchers analyzed online survey data from 2,090 adolescents aged 12 to 17 and their parents from across the United States.

Participants were asked about the quality of their family meals, including communication, enjoyment, digital distractions and logistical challenges.

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Teenagers were also asked about their alcohol, vaping and cannabis use during the previous six months.

Researchers examined whether family meals were more or less effective depending on teenagers’ levels of household stress and traumatic experiences, using reports from both parents and teens, SWNS explained.

The survey asked participants about family meal quality and adolescents’ alcohol, vaping and cannabis use over the past six months. (iStock)

Rather than treating all adverse experiences the same, the team weighted each factor according to how strongly it has been linked to substance use in previous research.

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Among adolescents with lower levels of childhood adversity, higher-quality family meals were linked to a 22% to 34% reduction in reported substance use.

Margie Skeer, the study’s lead author and a professor at Tufts University, told SWNS that the findings reinforce the importance of routine family connection.

“These findings build on what we already knew about the value of family meals as a practical and widely accessible way to reduce the risk of adolescent substance use,” Skeer said.

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She said regular family meals can help create opportunities for consistent communication and parental involvement, which may play a role in reducing risky behaviors over time.

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The study found lower substance use among teens with less childhood adversity when family meals were more supportive and engaging. (iStock)

However, the study found that family meals offered limited benefit for adolescents whose adversity scores reached the equivalent of four or more adverse childhood experiences.

“While our research suggests that adolescents who have experienced more severe stressors may not see the same benefits from family meals, they may benefit from more targeted and trauma-informed approaches, such as mental health support and alternative forms of family engagement,” Skeer noted.

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Potential limitations the researchers noted include the study’s cross-sectional design, which means the findings cannot establish cause and effect between family meals and substance use. The use of online recruitment may also limit how broadly the results apply to all families.

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