Health
After Biden’s 'terrible' debate, health experts warn of denial dangers, call for investigation of symptoms
Amid the ongoing fallout from Joe Biden’s lackluster debate performance on June 27, experts continue to react to potential signs of cognitive decline in the 46th president, with the president himself acknowledging on Monday morning, July 8, that he had a “terrible night” and “really regrets” that it happened.
Judy Gaman, CEO of Executive Medicine of Texas — a luxury medical services provider in Southlake — told Fox News Digital over the weekend that Biden’s behaviors highlight a very real health crisis in the U.S.
“As a country, we need to be talking about the realities of this health crisis — the fact that families are often torn apart by denial,” she said.
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While Biden has not been diagnosed with dementia, Gaman said she sees many of the same signs she experienced with her own mother, who suffered from Alzheimer’s disease before her death.
“The person with dementia or Alzheimer’s truly believes they are fine, and can be angered by anyone believing they are not,” Gaman said. (She has not examined or treated Biden.)
President Biden is shown on stage during a campaign rally at Girard College on May 29, 2024, in Philadelphia. Amid the ongoing fallout from Biden’s lackluster debate performance on June 27, experts continue to react to potential signs of cognitive decline in the 46th president. (Getty Images)
Fox News Digital reached out to both the White House and the Biden campaign but did not receive a response.
Red flags
Based on his speech and behaviors, Gaman said she believes Biden “certainly” shows signs of a neurological deficit, with Alzheimer’s being a possibility.
“He stares, loses his thoughts and is rumored to get angry quite easily,” she said. “Watching him is like watching my own mother who had Alzheimer’s,” she added.
“As a country, we need to be talking about the realities of this health crisis — the fact that families are often torn apart by denial.”
Almost all early Alzheimer’s patients rely on notes to help them remember, Gaman pointed out.
“As the disease progresses, they require visual aids and instructions to help them complete even the simplest tasks and to remember dates and events.”
Based on his speech and behaviors, Gaman of Executive Medicine in Texas told Fox News Digital she believes Biden shows signs of a neurological deficit. She has not examined the president. Biden is shown here during the June 27 debate with former President Trump. (Getty Images)
Given Biden’s shuffling feet and lack of arm movement when he walks, Gaman said that Parkinson’s disease could be another possibility.
“If you notice, he also leans forward, which is classic,” she said. “Slowed movement, also known as bradykinesia, is another classic sign. We have all noticed how he looks to be in slow motion.”
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Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, said it is more likely that Biden has vascular dementia, which is the second most common type of dementia after Alzheimer’s.
“His gait is not consistent with Parkinson’s disease,” Siegel, who has not treated Biden, told Fox News Digital.
“He was visited by a Parkinson’s expert in January 2024, but the subsequent White House physical said he didn’t have it.”
“I think what he has is much more consistent with vascular dementia.”
Siegel also said he believes Biden is not showing signs of advancing Alzheimer’s, which would generally involve worsening behavioral issues, delusions and hallucinations.
“I don’t believe this is Alzheimer’s,” the doctor added. “I think what he has is much more consistent with vascular dementia (insufficient blood flow to areas of the brain) from his long-term atrial fibrillation and a result of his brain aneurysm repairs in 1988 and brain bleed at that time.”
One physician called for an MRI to determine whether Biden has vascular dementia, which is when impaired blood flow to the brain causes problems with memory, reasoning, judgment and other thought processes. (iStock)
Vascular dementia is when impaired blood flow to the brain causes problems with memory, reasoning, judgment and other thought processes, according to Mayo Clinic’s website.
It is often caused by strokes, but can also stem from other medical conditions that affect the blood vessels in the brain.
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Most of the cognitive tests — such as the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment — are designed to assess mild cognitive impairment, according to Siegel.
“Biden appears to be far past that,” he said. “I was calling for that from 2020 to 2023.”
Added Siegel, “He needs an MRI now most of all. We should ask for an MRI.”
The dangers of denial
Regarding the Biden family’s apparent failure to seek help for the president, Gaman said that in her view, she feels there are only three explanations.
“Either they are in denial and have watched this take place over a period of time, so they are less sensitive to the contrast, or they are fully aware but can’t bear the thought of what happens to the family (on many levels) if Joe is no longer president,” she said.
President Biden listens as first lady Jill Biden speaks at a post-debate campaign rally on June 28, 2024, in Raleigh, North Carolina. (Getty Images)
Or, Gaman added, it could be that they are actually grieving and want to hold onto the hope that he will somehow get better.
“Denial is a stage of grief,” she said. “This is worsened by the fact that they’re surrounded by people pressuring them not to let their opponent win.”
“This is a medical situation, though, of course, it has enormous political implications.”
As far as Biden himself, Siegel said, “He does appear to be in denial. This is very common with dementia or cognitive impairment, as is depression, as those around you start to treat you differently.”
Another possibility, according to Gaman, is that “he probably doesn’t know he has an issue, or he excuses his symptoms. He may not be knowingly covering it up.”
“He stares, loses his thoughts and is rumored to get angry quite easily,” an expert said. “Watching him is like watching my own mother who had Alzheimer’s.” (Saul Loeb/AFP)
“This is why family members of those affected must be advocates, protecting them from themselves.”
She went on, “Ask any family who has dealt with Alzheimer’s, dementia or Parkinson’s, and they will tell you that what we are seeing play out [here] is classic with most families who face this.”
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“His story just happens to be playing out on the big stage. Remember, everyone rallying around Biden and covering up the truth has something personal to gain by him continuing to hold office.”
If Biden is experiencing cognitive decline, failure to get him the medical attention he needs could be putting his health in danger, according to Gaman.
“As a physician, I feel compassion for the president,” Dr. Marc Siegel said. “I have learned to feel empathy for anyone who is ill. This is a medical situation, though, of course, it has enormous political implications.” (Fox News)
“While there are certainly no cures for Alzheimer’s or Parkinsons, these conditions are often accelerated by stress and lack of sleep,” she told Fox News Digital.
“From Joe’s health standpoint, this is like pouring gasoline on a fire. From the standpoint of the country, we need to address this as a health crisis and not a political crisis.”
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Gaman also noted that if Biden does have one of these conditions, he will not ask for help.
“This is a prime opportunity to increase funding for research, raise awareness and encourage others dealing with this to come out of denial.”
Siegel added that he is also concerned about the possibility of depression, which could make dementia worse.
“As a physician, I feel compassion for the president,” he said. “I have learned to feel empathy for anyone who is ill. This is a medical situation, though, of course, it has enormous political implications.”
If Biden does have a neurodegenerative condition, Siegel said, the symptoms may wax and wane, but “do not generally get better.”
He added, “He will likely get worse, especially under all this stress and scrutiny.”
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Sitting next to a window may help people with type 2 diabetes control their insulin levels, according to new research.
The study, published in Cell Metabolism, found that exposure to natural light — even indoors next to a window — changes how the body processes glucose and uses energy.
People in Western societies spend 80% to 90% of their time under artificial lights, which are much dimmer and less dynamic than sunlight, the researchers noted. Natural daylight is a powerful cue for the body’s internal clock, also known as the circadian rhythm.
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The body’s internal clock influences many processes, including digestion, hormone release and metabolism, according to research. When it gets out of sync, it can worsen insulin resistance and blood sugar control, which are two of the main issues caused by type 2 diabetes.
Typical lighting in homes and offices is much dimmer and lacks the biological signals provided by natural daylight. (iStock)
To test the effects of daylight on blood sugar, scientists recruited 13 adults with type 2 diabetes. Each person spent two separate 4.5-day periods in a controlled office setting, according to a press release.
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In one period, they worked in front of large windows with natural daylight streaming in. In the other period, participants worked in the same room with the windows covered and were exposed only to typical indoor lighting.
Daylight isn’t a replacement for medication or traditional management strategies like diet and exercise, the researchers noted.
Everyone ate similar meals, followed the same schedule and continued their usual diabetes medications in both conditions.
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While average blood sugar levels didn’t differ drastically between the two conditions, people spent more time in the healthy glucose range when they were exposed to natural daylight — their blood sugar fluctuated less and stayed within a desirable range for a greater portion of the day.
Participants who were exposed to daylight burned more fat and fewer carbohydrates, a metabolic pattern linked to better blood sugar regulation. (iStock)
Exposure to natural light also affected metabolism. In daylight, participants burned more fat and fewer carbohydrates for energy.
Muscle biopsies and laboratory tests further showed that the genes responsible for the body’s cellular clocks were more synchronized under natural light conditions, the study revealed.
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Better alignment of these genes can improve nutrient processing and how cells respond to insulin, the researchers concluded.
Sitting near windows or spending more time outdoors could support diabetes management alongside standard treatments, researchers say. (iStock)
However, daylight isn’t a replacement for medication or traditional management strategies like diet and exercise, according to the team.
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The study did have some limitations, including that the group of patients was small. The researchers cautioned that larger studies are needed to confirm these results and determine how much natural light exposure is optimal.
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“This study also highlights the often unnoticed impact of the built environment on our health, and raises further concerns about the prevalence of office environments with poor (natural) daylight access,” the researchers noted.
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For most people, heartburn is an occasional annoyance and source of temporary discomfort. But for some, chronic heartburn can lead to more dangerous conditions — potentially even pre-cancerous ones.
About 10% of people with chronic gastroesophageal reflux disease (GERD) will develop Barrett’s esophagus, a condition where the lining of the lower esophagus is replaced with abnormal cells that are more prone to cancer, according to medical experts.
Some studies have shown that among those with Barrett’s esophagus, between 3% and 13% will go on to develop cancer, but most will not.
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When acid reflux becomes dangerous
“Your stomach is designed to handle acid. Your esophagus is not,” Dr. Daryl Gioffre, a Florida-based gut health specialist and certified nutritionist, told Fox News Digital.
About 10% of people with chronic acid reflux will develop Barrett’s esophagus, a condition where the lining of the lower esophagus is replaced with abnormal cells that are more prone to cancer. (iStock)
“With reflux, the danger is not the burn in the chest or throat — the real danger is the constant backflow of acid traveling the wrong way.”
In most people, the lower esophageal sphincter — which Gioffre refers to as the “acid gate” — keeps acid in the stomach, which is lined with thick mucus and specialized cells designed to protect it.
“With reflux, the danger is not the burn in the chest or throat — the real danger is the constant backflow of acid traveling the wrong way.”
“But when the gate gets weak, it relaxes or stays slightly open, and acid slips back up the wrong way,” he said. This “gate” can weaken with magnesium deficiency, high stress, alcohol, poor sleep, dehydration and late-night snacking, all of which can disrupt healthy digestion.
When acid hits the esophagus, it irritates tissue that was never designed to withstand it, according to the doctor.
“Every time acid comes back up the wrong way, it injures the lining like a slow chemical burn,” said Gioffre, who is also the author of “Get Off Your Acid” and “Get Off Your Sugar.” Over time, that irritation erodes the lining, drives inflammation and can change the cells.
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“These new cells are no longer normal esophageal cells — they begin to shift into cells that look more like stomach lining, because those cells can tolerate the acid,” the doctor said. “That change is called metaplasia, or Barrett’s esophagus.”
Once the cells start changing, the risk of further mutation goes up. If that process continues, Gioffre warned, it can progress to dysplasia, which is the stage right before esophageal cancer.
Some studies have shown that among those with Barrett’s esophagus, between 3% and 13% will go on to develop cancer. (iStock)
“So the real danger is not the heartburn you feel,” he summarized. “It is the repeated acid exposure forcing the esophagus to adapt in ways it was never designed to. Fixing reflux at the root stops this entire cascade before those cellular changes begin.”
Men at higher risk
Men generally have a higher risk because they burn through magnesium faster, tend to carry more visceral fat pushing upward on the stomach, eat heavier meals and snack late at night, Gioffre cautioned. These activities all weaken the acid gate and shut down healthy digestion.
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“Eating within three hours of lying down almost guarantees the stomach does not empty, and that is one of the biggest drivers of nighttime reflux,” he said. “On top of that, men often ignore symptoms, or mask them with PPIs and antacids instead of fixing the root cause.”
All of these factors contribute to a “perfect storm” for chronic inflammation and long-term damage, according to Gioffre.
Warning signs
There are certain red flags that indicate when acid reflux has gone beyond an occasional annoyance and has progressed to constant and chronic.
“If that burn becomes more frequent or more intense, or starts showing up even when you have not eaten, your body is waving a giant warning flag,” Gioffre said.
Difficulty swallowing, a feeling that food is “stuck,” chronic hoarseness, a constant cough, throat clearing or the feeling of a lump in the throat are all indicators that the acid is moving upward into areas it should never reach. (iStock)
Difficulty swallowing, a feeling that food is “stuck,” chronic hoarseness, a constant cough, throat clearing or the feeling of a lump in the throat are all indicators that the acid is moving upward into areas it should never reach, according to the doctor.
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“Ulcers in your throat, or even in your mouth, are another sign that the acid is doing real damage,” he warned.
“Another major warning sign is when reflux goes from something you notice occasionally to something you feel every day or every night, or when PPIs and antacids stop helping,” Gioffre said. “That usually means the lining is irritated and eroded, and may already be changing on a cellular level.”
Nighttime reflux is the most dangerous because the acid sits on the esophagus for hours, causing deep inflammation and long-term cellular changes, the doctor said. (iStock)
Unexplained weight loss, vomiting blood and black stools are all serious symptoms that demand immediate attention, the doctor added.
“The bottom line: When reflux becomes consistent, chronic and starts impacting swallowing, your voice, or the tissues in your mouth or throat, it is no longer just a nuisance,” Gioffre told Fox News Digital. “That is the point where the esophagus may be moving toward a precancerous state, and men especially cannot afford to wait on it.”
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3 key ways to prevent reflux
Gioffre shared the following essential steps to preventing acid reflux and improving digestive health.
No. 1: Follow the 3-hour rule
“Stop eating three hours before bed,” the doctor recommends. “When you eat late, the stomach does not empty, pressure builds and the acid gate relaxes, guaranteeing that acid travels upward into your esophagus while you sleep.”
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Nighttime reflux is the most dangerous because the acid sits on the esophagus for hours, causing deep inflammation and long-term cellular changes, he warned. “This one rule alone can dramatically lower acid reflux and cancer risk.”
No. 2: Strengthen the acid gate
When stomach acid is low, the lower esophageal sphincter loses its tone, allowing acid to travel upward instead of staying in the stomach, Gioffre said.
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“The fastest way to tighten that gate is to build your mineral reserves, especially magnesium,” he said.
The best way to do this is to load up on magnesium-rich foods like avocado, spinach, pumpkin seeds, chia seeds, quinoa and almonds, and consider adding a clean magnesium supplement.
No. 3: Remove or neutralize daily triggers
The fastest way to protect your esophagus, according to Gioffre, is to eliminate or neutralize the foods and habits that weaken the acid gate and push acid the wrong way.
For people who can’t fully eliminate these triggers, certain habits can help neutralize their impact by reducing acid strength and pressure before it reaches the esophagus.
The doctor recommends cutting back on alcohol and caffeine, both of which relax the acid gate and increase the risk of acid reflux. (iStock)
“Drinking most of your water earlier in the day helps, because pounding water at night stretches the stomach and relaxes the acid gate, making it much easier for acid to flow the wrong way once you lie down,” he said.
He also recommends cutting back on alcohol and caffeine, both of which relax the acid gate instantly.
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Some other major triggers that fuel the reflux cycle include chocolate, spicy foods, garlic, onions, sugar, ultraprocessed foods and heavy nighttime meals, according to the doctor.
“These foods and habits weaken the lower esophageal sphincter, drive up inflammation and push pressure upward,” he said. “That’s exactly how a little heartburn turns into chronic reflux, and slowly causes the kind of damage that puts the esophagus at risk for cancer.”
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