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A Skeptical G.O.P. Senator Makes His Peace With Kennedy

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A Skeptical G.O.P. Senator Makes His Peace With Kennedy

Perhaps no vote was as agonizing for Senator Bill Cassidy, the Louisiana Republican and medical doctor, than his vote to confirm Robert F. Kennedy Jr. as President Trump’s health secretary. Mr. Cassidy wondered aloud for days how Mr. Kennedy, the nation’s most vocal and powerful critic of vaccinations, might handle an infectious disease crisis.

Now, as a measles outbreak rages in West Texas, Mr. Cassidy has found out. It all comes down, he said, to “the gestalt.”

On Monday, days after the Texas outbreak killed an unvaccinated child, Mr. Cassidy, the chairman of the Senate Health Committee, was clipping down a Capitol corridor when he was asked about Mr. Kennedy. He pointed to a Fox News Digital opinion piece in which Mr. Kennedy advised parents to consult their doctors about vaccination, while calling it a “personal” decision.

“That Fox editorial was very much encouraging people to get vaccinated,” he said.

Reminded that Mr. Kennedy had described it as a personal choice, Mr. Cassidy thought for a moment. “If you want to like, parse it down to the line, you can say, ‘Discuss with your doctor,’” Mr. Cassidy said. “He also said, ‘We’re making vaccinations available. We’re doing this for vaccination. We’re doing that for vaccination.’ So if you take the gestalt of it, the gestalt was, ‘Let’s get vaccinated!’”

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Mr. Cassidy’s assessment — that the whole of Mr. Kennedy’s message was more than the sum of its parts — reflects how the measles outbreak has put a spotlight on how Mr. Trump’s unorthodox choice to run the country’s top health agency has brought a once-fringe perspective into the political mainstream, creating discomfort for some Republicans.

As the founder and chairman of his nonprofit, Children’s Health Defense, and later as a presidential candidate, Mr. Kennedy has repeatedly downplayed the benefits of vaccination. He has also repeatedly suggested that the measles, mumps and rubella vaccine causes autism, despite extensive research that has found no link.

Since winning Trump’s nod to head the sprawling Department of Health and Human Services, Mr. Kennedy has walked a careful line on the issue. Some of his recent statements, in which he stops short of denouncing vaccines, have angered some of his supporters. But his less than full-throated endorsement of vaccination, and his promotion of alternative remedies to treat measles, have angered mainstream scientists who say the one proven way to prevent measles is the vaccine.

“This, I would say, is the barest of the bare minimum that one can do in the middle of a measles outbreak,” said Dr. Adam Ratner, a New York City pediatrician who just published a book, “Booster Shots,” that warns of a measles resurgence.

But Del Bigtree, Mr. Kennedy’s former communications director and one of his closest allies, said Mr. Kennedy was doing exactly what he said he would do: putting all options on the table and letting parents decide for themselves.

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He used the word “balance” to describe Mr. Kennedy’s approach, and said the media was being “incredibly disingenuous and in some ways alarmist and dangerous by creating a panic over a death from measles.”

Asked about Mr. Cassidy’s “gestalt” remark, Andrew Nixon, a spokesman for the department, referred back to the Fox opinion piece. He said the health secretary’s comment could speak for itself: “Vaccines not only protect individual children from measles, but also contribute to community immunity, protecting those who are unable to be vaccinated due to medical reasons.”

Mr. Cassidy, a liver specialist, made his career in medicine treating uninsured patients as a doctor in Louisiana’s charity hospital system. He is a fierce proponent of vaccines.

But he is also facing a Republican primary challenger in 2026, and voting against Mr. Kennedy risked prompting Mr. Trump to endorse his opponent — and sparking a potential backlash among an increasingly vaccine-skeptical G.O.P. electorate.

Mr. Kennedy’s “medical freedom” movement, which he calls “Make America Healthy Again,” is now deeply entrenched in the Republican Party. The coronavirus pandemic turned many conservatives against vaccine mandates, even for children attending school. Around the country, nearly 1,000 candidates, nearly all Republican, ran for elective office in November with the backing of Stand for Health Freedom, a Florida nonprofit that has pushed to make it easier for parents to opt out of school vaccine requirements.

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For Mr. Cassidy and other Republicans who were uneasy about Mr. Kennedy, the situation in West Texas is forcing a reckoning, said Whit Ayres, a Republican strategist who is also a member of Rotary International, an organization that has set a goal of ending polio by promoting vaccination around the world.

“His position on vaccines was exceedingly well known when he was nominated, and when he was confirmed by the United States Senate,” Mr. Ayers said. “Everybody, with their eyes open, knew that his positions could lead to a resurgence of measles.”

As vaccination rates have dropped around the country, public health experts have warned that measles would be the first infectious disease to come back. But the Texas measles outbreak cannot be blamed on Mr. Kennedy. The disease began spreading within the Mennonite community, an insular Christian group that settled in West Texas in the 1970s; many Mennonites are unvaccinated and vulnerable to the virus.

Mr. Kennedy minimized the situation in Texas during a Cabinet meeting with Mr. Trump last week, saying measles outbreaks in the United States are “not unusual.” His Fox opinion piece promoted the use of vitamin A, which studies have shown is useful in treating measles in malnourished children.

He followed up with a prerecorded Fox News interview that aired on Tuesday, in which he said parents and doctors should consider alternative approaches, including cod liver oil, for the treatment of measles. He also acknowledged that vaccines “do prevent infection.” But once again, Mr. Kennedy did not urge Americans to get vaccinated.

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The Texas Department of Health issued a health alert on Jan. 23 reporting two cases of measles. Since then, nearly 160 people have contracted the illness and 22 have been hospitalized. The Centers for Disease Control and Prevention said Tuesday that it had sent some of its “disease detectives” to Texas to support local officials in the response.

By Wednesday, while Mr. Cassidy appeared satisfied with Mr. Kennedy’s handling of the matter, the senator was pushing another key health nominee on questions of measles, vaccines and autism.

He wanted to know whether Dr. Jay Bhattacharya, appearing before the Senate health committee for his confirmation hearing as Trump’s pick to lead the National Institutes of Health, intended to spend tax dollars on research into the discredited theory that vaccines cause autism. Mr. Cassidy had repeatedly, and unsuccessfully, tried to get Mr. Kennedy to reject that theory in his own confirmation hearing.

Dr. Bhattacharya told the senator he was “convinced” that there is no link between the measles vaccine and autism. But like Mr. Kennedy, he said he supported additional research, if only to assuage the fears of nervous parents.

Mr. Cassidy was incensed, saying the matter had already been settled by years of extensive research. New studies, he said, would waste taxpayer dollars and take away money from studies that might uncover the true causes of autism. He pounded his fist on the table.

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“If we’re pissing away money over here,” he said with a wave of his hand, “that’s less money that we have to actually go after the true reason.”

And in any event, Mr. Cassidy said, further research would not change minds. “There’s people who disagree that the world is round,” he said, adding, “People still think Elvis is alive.”

To secure Mr. Cassidy’s vote last month, Mr. Kennedy made a series of concessions, which Mr. Cassidy outlined in a Senate floor speech. They included a pledge not to disband the committee of experts that advises the Centers for Disease Control and Prevention on vaccines, and to leave intact statements on the C.D.C.’s website saying that vaccines do not cause autism.

Mr. Kennedy also promised to have an “unprecedentedly close collaborative working relationship” with Mr. Cassidy, and to meet or speak with him “multiple times a month,” and to give Congress advance notice of any vaccine policy changes.

“I will carefully watch for any effort to wrongfully sow public fear about vaccines between confusing references of coincidence and anecdote,” Mr. Cassidy said then.

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On his way into the Senate chamber on Monday, he said he thought Mr. Kennedy was doing a good job with the Texas response. “He’s handling it well,” the senator said. He was asked if he had spoken to Mr. Kennedy about the measles outbreak.

“We speak on a regular basis,” Mr. Cassidy said, adding: “Let’s leave it at that.”

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F.D.A. Blocked Publication of Research Finding Covid and Shingles Vaccines Were Safe

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F.D.A. Blocked Publication of Research Finding Covid and Shingles Vaccines Were Safe

Officials at the Food and Drug Administration have blocked publication of several studies supporting the safety of widely used vaccines against Covid-19 and shingles in recent months, a spokesman for the Department of Health and Human Services confirmed.

The studies, which cost millions of dollars in public funds, were conducted by scientists at the agency, who worked with data firms to analyze millions of patient records. They found serious side effects to be very rare.

In October, the scientists were directed to withdraw two Covid-19 vaccine studies that had been accepted for publication in medical journals. In February, top F.D.A. officials did not sign off on submitting abstracts about studies of Shingrix, a shingles vaccine, to a major drug safety conference.

The withdrawal of the studies is the latest step by the administration to try to limit access to vaccines. It has sharply cut research funding for vaccine development, released unvetted information casting doubt on vaccines, and blocked other information supporting their safety, most recently a paper on Covid vaccine effectiveness by career scientists from the Centers for Disease Control and Prevention.

Asked about the withdrawal of the Covid vaccine safety studies, Andrew Nixon, a spokesman for the Department of Health and Human Services, said in an email: “The studies were withdrawn because the authors drew broad conclusions that were not supported by the underlying data. The F.D.A. acted to protect the integrity of its scientific process and ensure that any work associated with the agency meets its high standards.”

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Of the shingles study that found the vaccine to be effective, he said, “The design of that study fell outside the agency’s purview.” He did not address a question about the Shingrix safety study, which found the vaccine to be safe.

In February, top F.D.A. officials did not sign off on submitting abstracts about studies of Shingrix, a shingles vaccine, to a major drug safety conference.Credit…George Frey/Reuters

A senior administration official said the decisions about the research had not reached Dr. Marty Makary, the F.D.A. commissioner, or Health Secretary Robert F. Kennedy Jr. Dr. Vinay Prasad was the head of the F.D.A. vaccine office at the time. Dr. Prasad, who recently left the agency, did not respond to a request for comment.

Last June, Mr. Kennedy’s office asked career C.D.C. staff members to delete from the agency’s website a 17-page summary supporting the safety of thimerosal, an additive largely removed from vaccines 25 years ago. Career scientists were later called into Health and Human Services legal offices and grilled about how the summary had been posted in the first place, they previously told The New York Times.

In posts on a website and on social media in August, Mr. Kennedy called for a prominent journal to “immediately retract” a large Danish study concluding that the vaccine additive aluminum salts was safe. Dr. Christine Laine, the editor in chief of the journal, Annals of Internal Medicine, said Mr. Kennedy did not directly contact the journal seeking a retraction. The study was not retracted.

In recent weeks, Dr. Jay Bhattacharya, who was serving as interim leader of the C.D.C., canceled the publication of a report concluding that the Covid vaccine sharply cut the odds of hospitalizations and emergency room visits last winter, saying the study had limitations.

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“At a moment when public trust in institutions like the C.D.C. is fragile, we cannot afford to lower our standards,” Dr. Bhattacharya wrote in an editorial about news coverage of his decision.

Dr. Aaron S. Kesselheim, a Harvard University medical professor who studies F.D.A. regulation, said he had worked with the agency on a number of research papers and found its work to meet “the highest standards of scientific investigation.” He suggested that the request to pull the papers was an act of “censorship.”

He added: “At any other time in history, this would be a major scandal that would lead to congressional hearings and resignations of leadership, and I hope that’s what happens next.”

The withdrawn F.D.A. studies examined the safety of the Covid vaccines used in 2023 and 2024. The agency’s scientists worked with outside data firms that compile and analyze massive data sets under contracts that cost taxpayers millions of dollars each year.

Both studies saw some light of day before they were pulled from publication. One, which examined the Covid vaccine in people older than 65, was posted on a preprint server, which is a repository for studies that have not yet undergone peer review. The study reviewed the records of about 7.5 million Medicare beneficiaries who got the vaccine. The researchers focused on the period of about 21 days after they got the vaccine and compared it to the next 20 days. They were looking to see if there were more health problems in the period right after vaccination.

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The study looked at 14 health outcomes potentially caused by the vaccine, including heart attacks, strokes and Guillain-Barré syndrome, an autoimmune condition sometimes associated with vaccines.

They only found a concern with one outcome, anaphylaxis, a severe allergic reaction affecting about 1 in a million people, from the Pfizer vaccine. “No other statistically significant elevations in risk were observed,” the study said.

The study was withdrawn after it had been accepted by the peer reviewed journal Drug Safety, according to people familiar with the work. Michael Stacey, a spokesman for the journal, said it deems submissions to be confidential and would not comment on them.

The Times obtained a copy of the Covid vaccine safety study of people who were 6 months to 64 years old. An abstract of the study appeared at one conference and remains online. Its withdrawal was first reported by STAT News.

That study examined the records of 4.2 million Covid vaccine recipients and examined their later experience with 17 conditions, including swelling of the brain, major blood clots, stroke and heart attacks. The study found rare cases of fever-related seizures and myocarditis, or inflammation of the heart muscle, known to be associated with Covid vaccines.

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“Given the available evidence, F.D.A. continues to conclude the benefits of vaccination outweigh the risks,” the study said.

Angela Rasmussen, an editor in chief of the journal Vaccine, said the paper had been withdrawn by the authors.

Dr. Caleb Alexander, a drug safety and methodology expert at Johns Hopkins University, reviewed both studies at the request of The Times and said that “no study answers every question” but “there is nothing inherently problematic regarding these reports.”

“It’s too bad that these haven’t seen the full light of day,” Dr. Alexander said in an email. “They provide useful information regarding the most commonly used COVID-19 vaccines.”

Jeffrey Morris, director of the University of Pennsylvania biostatistics division, who also reviewed the study drafts at the request of The Times, said the studies were generally well done.

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“I think if there’s any critique,” he said, “it’s that they don’t do enough of these studies with the resources they have.”

Dr. Jeanne Marrazzo, a former high-ranking National Institutes of Health official and chief executive of the Infectious Diseases Society of America, said that F.D.A. leaders withdrawing papers from publication is a “pretty active act of sabotage.”

“This black box of decision making around data suppression should be having people very alarmed and very worried,” said Dr. Marrazzo. She filed a whistle-blower complaint against the N.I.H., was fired by Mr. Kennedy and has since sued the agency, claiming that she was ousted for objecting to its policies.

By contrast, Mr. Kennedy’s team has had lower standards for releasing information critical of vaccines. A memo by Dr. Prasad, the former head of the F.D.A.’s vaccine division, drew widespread news coverage by claiming that the Covid vaccine had been linked to the deaths of 10 children, a conclusion the agency has not backed up or explained.

In February, agency officials did not sign off in time for staff to submit abstracts on two studies of the Shingrix vaccine to a drug safety conference, according to two people familiar with the decision. A senior administration official said the studies were not moving forward at the agency.

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One study found the efficacy to be in line with findings from the clinical trials done before agency approval. A safety study also aligned with what was known, finding an elevated but low risk for Guillain-Barré syndrome, an autoimmune disease already noted in the vaccine’s label.

Dr. Helen Chu, an infectious disease doctor who was among 17 scientists fired from an influential vaccine advisory body at the C.D.C. last summer, said large studies by health agencies are closely watched by doctors and professional societies. They are important, she said, because they can examine the effect of a vaccine on millions of people, far more than the thousands that were tracked in clinical trials.

“You really do need these studies for us to truly be safe and to make sure that vaccines continue to be safe,” she said. “These types of studies have to be done and the results have to be published.”

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Sleep apnea may be quietly changing your body in an unexpected way, study finds

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Sleep apnea may be quietly changing your body in an unexpected way, study finds

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Researchers in Israel have discovered a difference in muscle structure in those with obstructive sleep apnea (OSA).

According to a new study published in the journal Sleep and Breathing, people with OSA tend to have a higher muscle mass index, reflecting greater area relative to height, as well as lower density.

This means people with OSA may look like they have more muscle, but that muscle tends to be less dense and potentially less functional.

POPULAR SLEEP POSITIONS COULD BE DAMAGING YOUR NERVES, ACCORDING TO EXPERTS

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The researchers gathered data from 209 adults in an overnight sleep study who underwent chest or abdominal CT scans, according to a press release.

Compared with a control group, the researchers found that people with OSA were older, more often male and heavier on average. They were also more likely to have hypertension, cardiovascular disease and poorer oxygen levels during sleep.

People with sleep apnea had a higher muscle mass index, yet the quality of that muscle was reduced. (iStock)

The findings showed a significant link between OSA and higher muscle mass index. However, lower muscle density was more strongly associated with age and weight than with OSA.

Worse sleep apnea severity was linked with lower skeletal muscle density (SMD) and higher skeletal muscle index (SMI), indicating larger but less dense muscle.

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Higher BMI was strongly linked with lower SMD and higher SMI, while older age was strongly linked with lower SMD.

Individuals over 60 years old and those with a BMI over 30 had much stronger links to lower muscle density than OSA alone, according to the research.

“These findings highlight that OSA is much more than a nighttime breathing disorder.”

Dr. Wendy Troxel, a Utah-based licensed clinical psychologist and senior behavioral scientist at RAND, simplified the main study findings in an interview with Fox News Digital.

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“Individuals with OSA may have more muscle mass, but that muscle may be less healthy because it contains more fat, which can impair strength and metabolic function,” said Troxel, who was not involved in the study.

Individuals over 60 years old and those with a BMI over 30 had much stronger links to lower muscle density than OSA alone. (iStock)

“This pattern overlaps with sarcopenia, a clinical condition where muscle becomes weaker and less efficient, even if muscle size doesn’t dramatically decline.” 

Troxel pointed out an “important” association between OSA severity and muscle quality, which was “modest compared to known risk factors, including age and body mass.”

SLEEP PATTERNS COULD PREDICT RISK FOR DEMENTIA, CANCER AND STROKE, STUDY SUGGESTS

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“[This indicates] that OSA may be one marker within a broader profile of metabolic risk,” she said.

“Clinically, these findings highlight that OSA is much more than a nighttime breathing disorder. It may signal underlying metabolic dysfunction affecting multiple systems, including muscle health.”

“These findings highlight that OSA is much more than a nighttime breathing disorder,” a sleep expert commented. (iStock)

In an interview with Fox News Digital, study co-author Ariel Tarasiuk, professor at the department of physiology and cell biology at Israel’s Ben-Gurion University of the Negev, shared his thoughts on the “paradoxical” findings.

“Age and obesity appeared to have a stronger influence on muscle health than sleep apnea itself,” he said. “This suggests that while sleep apnea may play a role, it is unlikely to be the primary factor driving these changes.”

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Patients should be aware that sleep apnea is not just about snoring or poor sleep, Tarasiuk said, as it can affect overall health, including muscle function.

“Getting properly diagnosed and treated matters,” he said. “CPAP therapy can make a real difference in improving breathing and sleep quality, but it’s only part of the picture.”

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“Maintaining a healthy weight and staying physically active are equally important for muscle health and for reducing the severity of sleep apnea,” he went on. “In short, treating sleep apnea is about protecting long-term health, not just getting a better night’s sleep.”

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Keeping a healthy weight and staying active is important in reducing the severity of sleep apnea, according to the researchers. (iStock)

Tarasiuk reminded clinicians that larger muscles don’t always mean healthier, as some muscles may be infiltrated with fat, which may reduce their strength and performance.

“This highlights the importance of looking beyond muscle size alone,” he said. “Routine imaging, such as CT scans performed for other reasons, can sometimes provide additional insight into muscle quality.”

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“Overall, the findings point toward a more holistic approach: treating the airway while also focusing on weight, physical activity and metabolic health.”

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“CPAP therapy can make a real difference in improving breathing and sleep quality, but it’s only part of the picture.”

The study findings may not apply to all populations, as it was conducted at a single center, according to Tarasiuk.

The researchers also did not have access to information on lifestyle factors like physical activity, diet, smoking or alcohol use, factors that can influence muscle health.

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“Looking ahead, larger studies across multiple centers will help confirm these findings and provide a broader picture,” Tarasiuk added.

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“Future research will also focus more on outcomes that matter in real life, such as how patients respond to treatments like CPAP, and on understanding how muscle changes develop over time in people with sleep apnea.”

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IV therapy and supplements under scrutiny as experts warn of potential side effects

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IV therapy and supplements under scrutiny as experts warn of potential side effects

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As “Fox & Friends” continues its Wellness Week, the conversation has turned toward IV drips, peptides and creatine, with a focus on whether they are helpful health hacks or overblown hype.

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The segment featured Lawrence Jones undergoing IV therapy. According to the clinic staff, the treatment is designed to help with stress and overall wellness, making patients “less likely to get sick.”

Jones was treated with a cocktail of B vitamins, high-dose vitamin C, magnesium and amino acids.

DO RED LIGHT THERAPY AND COLD PLUNGES REALLY WORK? A DOCTOR REVEALS THE TRUTH

The staff also touted the benefits of NAD, claiming it “is going to clear up any brain fog” and is “amazing for physical injury.”

When asked about potential downsides, the clinician told Jones, “Honestly, there are no negative side effects,” and suggested that “you should sleep really well, wake up really well-rested to your first alarm.”

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Peptides have gained popularity for outcomes like building muscle, healing injuries or appearing younger. (iStock)

However, family medicine physician Dr. Mike Varshavski expressed concern over the lack of informed consent and the nature of the claims.

SUPPLEMENT HEALTH RISKS TO KNOW ABOUT, PLUS A CELEBRITY’S ‘BRUTAL’ INFECTION

“It’s tough to say what actually happened in that visit because there were a lot of promises being made,” said the New Jersey-based doctor.

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He compared the human body to a car’s fuel tank, warning that “putting more and having it spill all over the place just creates added side effects.”

The doctor warned that fat-soluble vitamins “can actually build up in your fat stores and create toxicities.” (iStock)

Varshavski noted that over-supplementing is not a harmless endeavor.

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Fat-soluble vitamins “can actually build up in your fat stores and create toxicities,” he said, adding that high levels of vitamin B have been associated with a higher cancer risk.

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The conversation then shifted to creatine and peptides.

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Varshavski was supportive of creatine, stating that it “actually has great evidence behind it” for explosive movements, though he clarified that it accounts for only about 5% of total fitness enhancements.

The doctor described the use of unregulated injectable peptides as “incredibly frightening.” (iStock)

In contrast, he described the use of unregulated injectable peptides as “incredibly frightening.”

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The FDA does not regulate many of these products, leaving patients vulnerable to “black-market” substances sold for “research use only,” Varshavski cautioned.

When it comes to vitamins and miracle cures, he concluded, “it’s not as simple as more equals better.”

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