Health
Why microdosing Ozempic could become as common as taking a multivitamin
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They may have gained popularity for diabetes and weight loss, but GLP-1 medications like Ozempic and Wegovy have been linked to ever-expanding health benefits.
In fact, some doctors — including Dr. Terry Dubrow, a plastic surgeon and TV personality based in Newport Beach, California — recommend that everyone takes a low daily dose, even if they don’t need to lose weight.
Dubrow spoke on camera with Fox News Digital about the benefits of “microdosing” these medications. (See the video at the top of this article.)
How GLP-1s work
GLP-1 receptor agonists work by mimicking a hormone called glucagon-like peptide-1, which is released from the gut after eating.
The drugs help to regulate blood sugar, slow down emptying of the stomach and diminish appetite, and have also been shown to reduce the risk of heart disease.
Dr. Terry Dubrow, a plastic surgeon and TV personality based in Newport Beach, California, recommends that everyone takes a low daily dose of a GLP-1, even if they don’t need to lose weight. (Terry Dubrow)
“Sugar’s the enemy, and these drugs affect sugar in your blood,” Dubrow told Fox News Digital. “They affect the way insulin reacts.”
GLP-1s help insulin move the glucose (sugar) out of the bloodstream and into the body’s cells, where it can be used for energy or stored, the doctor said. The drugs also help to prevent the inflammation and damage sugar can cause in the blood vessels, nerves and organs.
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“I don’t think anyone would argue that if there was a way to manipulate the amount of sugar and inflammation your body’s exposed to, that is something we want to lean into. And that’s exactly what these drugs do,” Dubrow added.
In addition to regulating blood sugar and triggering weight loss, GLP-1s have also been approved to reduce the risk of cardiovascular events and kidney disease in certain patients.
“I have never seen a drug in the history of medicine be on such a rapid path to approval.”
“Even if you’re not overweight, being on these GLP-1 drugs … helps to minimize and prevent a repeat recurrent heart attack,” Dubrow said.
Semaglutide was also recently approved for MASH (metabolic dysfunction-associated steatohepatitis), an inflammatory form of fatty liver disease.
Dubrow spoke on camera with Fox News Digital about the benefits of GLP-1 medications. (Fox News Digital)
GLP-1s are also being studied for potential cognitive benefits in Parkinson’s patients.
“I have never seen a drug in the history of medicine be on such a rapid path to approval,” Dubrow said.
The case for microdosing
Along with other experts, Dubrow is an advocate for microdosing, which is where people take low, steady doses of GLP-1s every day, even if they don’t need them for diabetes or obesity.
While patients with diabetes take doses that increase every four weeks, microdosing entails using a low-level dose that doesn’t go up.
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A younger population on TikTok has zeroed in on microdosing, Dubrow pointed out — and he thinks everyone should be doing it.
“I am obsessed with the concept of microdosing,” he said. “I think maybe half the starting dose for diabetes is the way to go — and you probably don’t need it every seven days, it’s probably every 10 days, just to sort of modulate the amount of sugar in the blood.”
“Even if you’re not overweight, being on these GLP-1 drugs … helps to minimize and prevent a repeat recurrent heart attack,” Dubrow said. (iStock)
The doctor noted that there are still a lot of unknowns with GLP-1 medications.
“We are just figuring out now how to use these drugs for different indications, for different reasons,” he said. “We’re learning as we’re using it.”
“I am obsessed with the concept of microdosing.”
As with other drugs, like Botox, Dubrow said there is a bit of “human experimentation” at play.
“We’re figuring it out, and we’re teaching the medical profession how to do it. The patients are telling us how to use these drugs.”
Potential risks
GLP-1 medications have been linked to several potential risks. The most prevalent is gastrointestinal issues, such as nausea and vomiting.
Others have reported an increased risk of pancreatitis, muscle loss and thyroid tumors.
“I read every study that comes out on these drugs, and I can tell you, it’s very clear they don’t cause pancreatitas,” Dubrow said.
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“In fact, if you really look at the populations who have been using it, pancreatitis is less in those populations.”
Dubrow confirmed, however, that the drug has been linked to an increased risk of the very rare medullary cancer of the thyroid.
Those who experience severe side effects from GLP-1s should talk to a doctor, Dubrow advised. (iStock)
“If you have a family history of that, that’s a contraindication to you using these drugs,” he said.
Regarding the digestive side effects, the doctor said the medications do slow down the GI tract, but it’s been shown that the body adjusts to that over time.
“These particular drugs are natural hormones that occur in our small intestine, and you get used to the side effects. They go away.”
The severity of side effects is linked to the dose amount, Dubrow noted.
“The low dose, particularly the microdose, really has a low propensity toward the constipation, the nausea, the potential diarrhea, the GERD (reflux),” he said. “I think those side effects are less significant for people who microdose.”
To counteract the risk of muscle loss, Dubrow recommends increasing protein intake and incorporating resistance training as a core component of an exercise routine.
Those who do experience severe side effects should talk to a doctor, he advised.
Off-label use of GLP-1s, such as for microdosing, is common, Dubrow said — “but finding a doctor willing to prescribe can be difficult.” (iStock)
Drugmakers weigh in
When contacted by Fox News Digital, manufacturers of GLP-1 medications warned against microdosing the products.
“Lilly does not have any data on the benefits or risks of microdosing of Zepbound and Mounjaro,” said a spokesperson for Eli Lilly, maker of the GLP-1 drugs Mounjaro and Zepbounda. “Both autoinjectors and Zepbound vials are approved for single-use only — dose-splitting or ‘microdosing’ is not contemplated by the FDA label. As such, off-label use of Zepbound and Mounjaro may pose patient safety risks.”
“Off-label use of Zepbound and Mounjaro may pose patient safety risks.”
Novo Nordisk, maker of Ozempic and Wegovy, said it does not condone “misuse” of its products.
“It’s important to understand that for Wegovy, only the marked doses on the single-use, fixed-dose pens (0.25, 0.5, 1.0, 1.7 and 2.4 mg) are approved for use and represent an authentic FDA-approved medicine,” a spokesperson told Fox News Digital. “The starting dose of Wegovy® is 0.25 mg once a week, and the dose will gradually increase every four weeks. Patients should work with their healthcare professional to select either 1.7 mg or 2.4 mg for the maintenance dose.”
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“It is also important to note that the authentic Wegovy injectable pen is designed as a single-use pen, the dose is already set, and should not be altered or tampered with, and the pen must be disposed after one use.”
“Ozempic is a multi-use pen with one pen and multiple needles,” the spokesperson added.
Accessing GLP-1s
Dubrow said he’s not concerned about supply issues amid the growing popularity of GLP-1s, as major drug companies have the resources to “scale up” to meet the demand.
Off-label use of GLP-1s, such as for microdosing, is common, Dubrow said — “but finding a doctor willing to prescribe can be difficult.”
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The doctor cautioned against buying these drugs from online marketplaces, which he referred to as the “wild wild west.”
“It’s hard to find these drugs online from compounding pharmacies, because essentially they’re going rogue — it’s illegal. They’re not allow to do it,” he warned.
“These drugs are natural hormones that occur in our small intestine, and you get used to the side effects.”
“So if you’re getting it from rogue pharmacies that aren’t allowed to do it or are willing to bend the rules, what is it? You don’t know what you’re getting.”
“It may be an adulterated, weird version that has side effects or that’s not effective.”
Looking ahead
There are several next-generation drugs in development that combine multiple hormone pathways, Dubrow said.
“I predict within five years, we’ll have a pill … designed to manipulate hunger and insulin resistance,” he predicted.
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Overall, Dubrow said, GLP-1s are “here to stay.”
“They’re just going to get better, and we’re going to learn how to use them in a more appropriate and clinically effective way,” he said. “So fasten your seatbelt. If you’re not on them now, you will be later.”
Health
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Health
Want to age better? Researchers say 4-minute routine may help prevent dangerous falls
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Just four minutes of daily strength exercises can dramatically improve mobility, balance and leg strength in older adults, per new research from the Penn State College of Medicine.
Standard public health guidelines recommend at least 150 minutes of moderate exercise per week. However, the study suggests that fewer than one in five older adults meet the recommended muscle-strengthening guidelines.
The research team designed a home-based program called Functional Activity Strength Training, or FAST-2. They evaluated 97 sedentary participants 65 and older, with an average age of 74.
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Before entering the study, these individuals were averaging just 18 minutes of total physical activity each week.
The older adults were randomly split into two groups, with one group performing the daily exercise routine and the other serving as a control group that received no intervention, according to the study’s press release.
Just four minutes of daily home strength training can significantly improve mobility, balance and leg strength in older adults, according to a Penn State College of Medicine study. (iStock)
Participants performed four basic movements for 30 seconds each, separated by 30-second rest intervals. The entire routine lasted exactly four minutes. The circuit consisted of push-ups, chair stands, two-arm resistance-band rows and stair stepping.
To keep the routine accessible, researchers provided written explanations and simple modifications. For example, participants could perform push-ups against a kitchen counter or wall, or use their hands on their knees for support during chair stands.
Participants were also given four elastic resistance bands and an adjustable step platform.
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“Exercise is actually really complicated, because you have to decide how many repetitions, how far, how many sets, how much rest and how many times per week,” co-author Smita Dandekar, associate professor of pediatrics at Penn State College of Medicine, said in the press release.
“It’s hard work … so if we can make it short, we’re part [of the] way there.”
The program consisted of four basic movements: push-ups, chair stands, resistance-band rows and stair stepping. (iStock)
As the participants grew stronger, they were encouraged to progress to higher levels of difficulty, such as transitioning away from modifications or increasing the height of the stepper.
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After 12 weeks, the results suggested that a tiny dose of regular exercise could yield noticeable physical benefits. In a 30-second chair-stand test, the exercise group performed an average of 4.2 more repetitions than the control group.
“These indicators … give you a sense of whether or not you’re going to be able to be active in the future.”
The adults doing the exercises also shaved 2.3 seconds off their time during a test measuring how they could stand up and sit down five times consecutively. Furthermore, they extended their one-legged balance time by an average of 3.6 seconds.
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The researchers emphasized that these specific measurements are critical medical indicators of an older adult’s future health.
By keeping the routine ultra-short, researchers eliminated common barriers like time constraints and exhaustion, resulting in an exceptionally high 81% workout completion rate. (iStock)
“These indicators predict your future ability to go into a nursing home, your future likelihood of falling and of developing difficulty walking,” noted lead author Christopher Sciamanna, professor of medicine and of public health at Penn State College of Medicine, in the press release.
“They give you a sense of whether or not you’re going to be able to be active in the future.”
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While traditional home exercise programs generally see low engagement, the participants in this study successfully completed their workouts on 81% of the tracked days, according to the researchers.
After 12 weeks, exercising seniors gained the ability to complete an average of four more chair-stand repetitions than those who did not exercise. (iStock)
The study had several noted limitations. As it tracked a relatively small sample size of fewer than 100 individuals over a brief 12-week time frame, it is unknown whether these mobility gains can be sustained long-term.
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Additionally, the researchers did not specify the exact dropout rates or detail how the routine might affect seniors who already relied on assistive devices like walkers or canes.
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Because the final trial results reflected a specific group of participants who met the entry criteria, further investigation is required to determine whether the short routine can safely benefit older adults facing more severe physical limitations or cognitive decline.
The study was published in the journal PLOS One.
Health
Popular mommy blogger dies at 48 two years after devastating cancer diagnosis
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Jill Smokler, founder of Scary Mommy, has died at age 48 after a battle with glioblastoma, an aggressive form of brain cancer.
The popular “mommy blogger” had been fighting the disease for the past two years, according to an announcement posted on ScaryMommy.com on Monday.
The stay-at-home mother of three launched the blog in 2008 as a place to share the “joys and pitfalls” of parenting, according to the article.
As Scary Mommy expanded from a personal blog into a major parenting brand, Smokler built a following with her honest, often self-deprecating take on motherhood. She went on to speak at blogging conferences, author bestselling books, appear on national television programs and earn three Webby Awards, her biography states.
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“Jill spent her life telling the truth about motherhood — that it could be wonderful and impossible in the very same breath — and in doing so, she gave millions of women permission to stop pretending and feel a little less alone,” her family shared in a statement following her passing.
Jill Smokler, founder of Scary Mommy (pictured in 2018), has died at age 48 after a battle with glioblastoma, an aggressive form of brain cancer. (Lloyd Fox/Baltimore Sun/ZUMA Press Wire / Shutterstock)
“She was funny, fearless, generous and entirely herself. More than anything she built, Jill was proudest of her three children, Lily, Ben and Evan. We are heartbroken to lose her, and endlessly proud of the mark she left on the world.”
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Smokler’s first sign of the disease was in April 2024, when she experienced a sudden seizure. She then underwent surgery to remove a brain tumor, after which she didn’t recognize her own children, she previously shared with Today.
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“I am definitely grateful that I don’t remember the looks on their faces when I didn’t recognize them,” she said. “That must have been gutting.”
Smokler was diagnosed with glioblastoma, the most common malignant primary brain tumor in adults and one of the deadliest forms of brain cancer. There is currently no cure.
About 13.9% of all brain tumors are glioblastomas, according to the American Brain Tumor Association. (iStock)
Following surgery, the blogger underwent radiation and chemotherapy, during which she was open about her treatment side effects, including fatigue and hair loss. Additional surgeries and clinical trials followed, according to previous interviews.
“Thank you, Jill, for everything. May you rest in peace,” the Scary Mommy post concluded.
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About 13.9% of all brain tumors are glioblastomas, according to the American Brain Tumor Association. More than 12,000 new cases are diagnosed in the U.S. each year.
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Median survival is approximately 12 to 18 months after diagnosis, even with treatment. Only about 5% to 7% of patients survive five years after diagnosis, data shows.
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