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Alzheimer’s caregiver handbook: Here are expert tips and techniques for those who tend to dementia patients

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Alzheimer’s caregiver handbook: Here are expert tips and techniques for those who tend to dementia patients

Alzheimer’s disease puts a significant burden on not only the nearly seven million people who have been diagnosed with it, but also the caregivers supporting them.

More than 11 million Americans provide unpaid care for people with Alzheimer’s or other dementias, according to data from the Alzheimer’s Association. And 70% of them say that caregiving is stressful.

Dr. Heather Sandison, a renowned expert in Alzheimer’s disease and related dementia care, said it’s critical for caregivers to protect their own mental and physical health.

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In her new book “Reversing Alzheimer’s: The New Tool Kit to Improve Cognition and Protect Brain Health,” published by HarperCollins on June 11, Sandison — who is based in California — outlines the specific risks that caregivers face.

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In the excerpt that follows, Sandison offers some tips and techniques for how caregivers can release expectations and practice self-compassion.

Dr. Heather Sandison, left, a renowned expert in Alzheimer’s disease and related dementia care, said it is critical for caregivers to protect their own mental and physical health. Her new book is “Reversing Alzheimer’s: The New Tool Kit to Improve Cognition and Protect Brain Health.” (Dr. Heather Sandison/iStock)

Read an excerpt from Dr. Sandison’s new book

Dr. Heather Sandison: When I meet with a new dementia patient, I know that I am treating their caregiver in addition to treating them. 

Of course, not every caregiver is on board with the idea of prioritizing their own health at that moment — mostly, they want to do everything they can to help their loved one get better.

“Dementia is almost like a virus. It doesn’t affect just one person. It can reach out and impair the cognitive health of the people who care for the patient, too.”

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But dementia is almost like a virus. It doesn’t affect just one person. It can reach out and impair the cognitive health of the people who care for the patient, too. 

To be blunt, if you are not caring for yourself, you are not going to be a good caregiver.

Taking care of someone with Alzheimer’s is such a big and important job that it’s easy to lose yourself to it … If you don’t also care for yourself, your effectiveness and your health will suffer, which will only make things worse for the person you’re caring for.

Risks of caregiving

I’m guessing you already know that caring for someone with dementia is taxing. You may not realize just how detrimental to your own health it can be. I’m sharing this list so that you can see the potential costs of not tending to your own well-being during this time.

Dr. Heather Sandison

An expert in Alzheimer’s disease and related dementia care, Dr. Sandison believes that reversal isn’t just possible but that it’s already happening in multiple patients.  (Dr. Heather Sandison)

Caregiver burden

Whether you’re living with your care partner and providing day-to-day care, or living at a distance and providing mostly financial and/or logistical support, having someone in your life who has dementia is often hard in multiple ways — emotionally, physically and financially. 

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Many people find that their sleep, diet, physical exercise and fun suffer. It’s a burden that works in two directions: It’s common to give up the things that help you stay healthy, and to feel a big weight of responsibility, frustration and guilt. 

With Alzheimer’s, patients lose their independence, and there are no benchmarks that align with a predictable timeline. That unpredictability can make the experience stressful and uniquely challenging.

Impaired cognitive function

Research has found that dementia caregivers have significantly lower scores on tests of cognitive function. 

Caregiver stress

“With Alzheimer’s, patients lose their independence, and there are no benchmarks that align with a predictable timeline,” Sandison writes. “That unpredictability can make the experience stressful and uniquely challenging.” (iStock)

This may be linked to the fact that many caregivers report poor sleep, which can impair your ability to process and respond to information, and thus can influence how safely you are able to perform complex caregiving tasks.

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Depression

Depression and dementia are closely linked — having depression can increase your risk of dementia, and having dementia can increase your risk of depression. 

“Taking care of someone with Alzheimer’s is such a big and important job that it’s easy to lose yourself to it.”

On top of that, caregivers of people with dementia experience depression more frequently than the general population, and depression in a caregiver can in turn affect the status and prognosis of the dementia patient.

Isolation

A common feeling among dementia caregivers is that people who aren’t also caring for someone with dementia can’t understand what it’s like, which understandably can lead to feeling isolated from others. 

IN ALZHEIMER’S BREAKTHROUGH, RESEARCHERS IDENTIFY ‘PROTECTIVE GENE’ THAT DELAYS DISEASE IN HIGH-RISK FAMILY

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Also, your devotion to your loved one can make it hard to ask for help. On top of that, your caregiving duties may be preventing you from getting together with friends or doing things that get you in the company of others, such as working out at the gym, attending church or participating in some other social activity.

Dementia risk

Devastatingly, all these negative effects combine to create an increased risk of developing dementia yourself — up to a sixfold increase compared to non-caregivers. Which is not to say that caring for someone with dementia definitely means you are getting dementia, too. 

It’s really when the sense of caregiving burden is high — and you don’t exercise as much, sleep as well or make healthy food choices — that this risk is at its highest.           

Caregiver non-negotiable: At least one day off            

If there’s one thing I know for absolute certain about Alzheimer’s, it’s this: Taking care of someone with dementia is not a one-person job. 

Trying to do it all yourself without ever taking a break is impossible. It will only increase your caregiver burden and put you on the path to burnout, which can then take a toll on your own risk of developing dementia and render you less able to care for your loved one.

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home caregiver

More than 11 million Americans provide unpaid care for people with Alzheimer’s or other dementias, according to the Alzheimer’s Association. (iStock)

It’s for this reason that I tell every caregiver I encounter that there is only one nonnegotiable piece of any caregiving plan, and that is that you take at least one full day a week off from caregiving.

WHEN A PARENT MUST CARE FOR A PARENT: HOW TO AVOID CAREGIVING BURNOUT, ACCORDING TO EXPERTS

Why? In addition to staving off your own burnout as well as giving you some time to care for yourself, putting in place a “my day Friday” (or any other day[s] of the week) will force you to line up some help. 

Even if you think you don’t need any assistance now, it is only a matter of time until that changes.

Tools and techniques

Whether you realize it or not, you already have ways of coping with the stress that caregiving can give rise to — it’s just that they are likely not that helpful in the long run. That may be skipping out on sleep, drinking alcohol, blaming others, blaming yourself or deciding that you just need to try harder. 

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All these can ultimately only add to your caregiver burden, not lessen it.

‘REVERSING’ ALZHEIMER’S: HERE ARE EXERCISES TO MAKE THE BRAIN MORE RESILIENT

Here, I’m providing a laundry list of tools and techniques that can help make a positive difference in both your day-to-day reality and your long-term health.

Reframing

This is a shift in your thinking that helps you deal with the unexpected with more equanimity — such as when your loved one is not listening to you. It’s very easy to be judgmental in these moments, and to feel victimized, as in “Why are they making my life harder?” Especially when you’re caring for a family member, with whom you have a long history. 

Ultimately, making it about you and judging the other person leads to more disconnection, which can breed upset and an escalation of the challenge.

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man with alzheimers supported by wife

“Self-compassion has also been shown to reduce the perception of caregiver burden,” Sandison writes. “An important way you can implement self-compassion is to continually remind yourself that you’re doing your best.”  (iStock)

Whenever you’re in that place of judgment, there is an invitation in that moment to notice that you’ve gotten upset, and then reframe your loved one’s behavior as the communication of an unmet need.

Determining an unmet need requires some curiosity and some detective work. In any situation, take a step back and objectively ask, “What’s going on here?” 

“There is only one nonnegotiable piece of any caregiving plan, and that is that you take at least one full day a week off from caregiving.”

For example, if your care partner isn’t listening to you, instead of concluding that they are choosing not to hear you, stay open enough to investigate if their hearing aid is turned up, or needs a new battery, or if there’s too much background noise.

Releasing expectations                                       

This is probably one of the hardest things about loving and caring for someone with dementia — little by little, they lose the ability to do things they once could, whether that’s log into an online account, manage finances, remember your name or brush their teeth. 

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As painful as these losses can be to witness, what makes them more upsetting is when you expect your loved one always to be able to do what they once could. 

That’s why, even though you hold out hope that they will be able to do some of these things again, it’s helpful to everyone — especially you — if you can let go of the expectation that they continue to be the person they were. By releasing the expectation, you can relieve yourself of at least a bit of the disappointment that comes from being let down when your expectation isn’t met. 

Happy woman reading

Take at least one day off per week from caregiving, an Alzheimer’s expert and author of a new book recommends. (iStock)

Maintaining a spirit of curiosity can help. 

Saying things to yourself such as, “I wonder how this will go,” can help you meet your care partner where they are that day. Don’t forget to enjoy and celebrate when your loved one does regain capacity.                                       

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Self-compassion                                        

Self-compassion has also been shown to reduce the perception of caregiver burden. An important way you can implement self-compassion is to continually remind yourself that you’re doing your best. 

That may not mean you’re doing a perfect job, or even a great job — some days, you may need to phone it in because you didn’t sleep well the night before, or you’re not feeling well, or you have to focus on work that day, and that’s OK. 

But it does mean that you are doing the best you can in that moment. 

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The fact that you are willing to be a pioneer and learn about the things that can prevent or reverse the downward slide of dementia and put in the work to help your loved one get better suggests to me that not only are you doing your best, you’re doing a phenomenal job. It’s not easy to be at the forefront of a movement.        

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“Try talking to yourself the same way you would talk to a friend — someone you care for, and whom you’re trying to encourage.”

Another important tool is to become aware of how you talk to yourself. We all have moments when we get frustrated, say the wrong thing or do something we later wish we could take back. I think we can agree that no one is perfect. 

So when things do go wrong, begin to notice what you say to yourself about it. It helps you become an observer of your own thoughts, which then creates a window of opportunity to be more intentional about what you tell yourself. 

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In these moments, try talking to yourself the same way you would talk to a friend — someone you care for, and whom you’re trying to encourage. 

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If they made a mistake, I’m guessing you wouldn’t criticize them. 

You would just remind them that they’re doing their best. Resist the urge to say harsh, judgmental or downright mean things to yourself.

Excerpted with permission from the new book, “Reversing Alzheimer’s: The New Tool Kit to Improve Cognition and Protect Brain Health” (HarperCollins) by Dr. Heather Sandison, copyright © 2024 by Dr. Heather Sandison. All rights reserved. 

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Alzheimer’s on mother’s side of the family could increase disease risk, study finds

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Alzheimer’s on mother’s side of the family could increase disease risk, study finds

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Having a mother with Alzheimer’s could lead to a higher risk of inherited disease than a paternal history.

That’s according to a recent study from Mass General Brigham. Researchers analyzed 4,400 adults between ages 65 and 85 who did not have any signs of cognitive decline, but did have amyloid show up in brain-imaging scans.

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The people with the higher amounts of amyloid were more likely to have mothers with symptoms of Alzheimer’s — primarily memory loss, the researchers found.

ALZHEIMER’S CAREGIVER HANDBOOK: HERE ARE EXPERT TIPS AND TECHNIQUES FOR THOSE WHO TEND TO DEMENTIA PATIENTS

Amyloid, a protein that builds up in the brain and forms plaques that affect cognitive function, is one of the hallmarks of Alzheimer’s disease (AD).

The findings were published in JAMA Neurology in June.

Having a mother with Alzheimer’s could lead to a higher risk of inherited disease than a paternal history, a new study has found. (iStock)

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“Our study showed a striking asymmetry in the impact of maternal versus paternal history of dementia on the risk of offsprings’ brain amyloid-beta protein accumulation, with maternal history having a greater impact,” senior corresponding author Hyun-Sik Yang, M.D., a neurologist at Mass General Brigham, told Fox News Digital via email. 

“In our study, maternal history of dementia increased their children’s risk of having preclinical AD, while paternal history had less impact.”

FDA APPROVES NEW DRUG FOR ALZHEIMER’S DISEASE: ‘MEANINGFUL RESULTS’

The researchers — a collaborative team from Mass General Brigham, Vanderbilt and Stanford — expected to see similar genetic risks to be passed down by mothers and fathers, Yang noted.

“Our results suggest otherwise, raising intriguing questions about AD genetics and how AD risk is inherited,” he said.

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Mother and daughter

“In our study, maternal history of dementia increased their children’s risk of having preclinical AD, while paternal history had less impact,” a researcher said. (iStock)

The participants in the study had what is referred to as “preclinical Alzheimer’s disease,” Yang noted, which occurs when there is amyloid buildup but no symptoms.

“This stage might represent a unique opportunity to treat AD before it irreversibly destroys the brain,” he said.

The researchers also found a correlation between amyloid buildup and a history of Alzheimer’s on both sides of the family, as well as fathers with early-onset dementia.

“It’s interesting from a genetic perspective to see one sex contributing something the other sex isn’t.”

“If your father had early onset symptoms, that is associated with elevated levels in the offspring,” said Mabel Seto, PhD, first author and a postdoctoral research fellow in the Department of Neurology at the Brigham, in a press release. 

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“However, it doesn’t matter when your mother started developing symptoms — if she did at all, it’s associated with elevated amyloid.”

IN ALZHEIMER’S BREAKTHROUGH, RESEARCHERS IDENTIFY ‘PROTECTIVE GENE’ THAT DELAYS DISEASE IN HIGH-RISK FAMILY

Women are nearly twice as likely to develop Alzheimer’s than men, according to data from the Alzheimer’s Society.

“It’s really interesting from a genetic perspective to see one sex contributing something the other sex isn’t,” Seto said.

Limitations of the study

Courtney Kloske, PhD, director of scientific engagement at the Alzheimer’s Association in Chicago, Illinois, was not involved in the study but shared her insights on the findings.

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“This study sheds light on the interplay between genetics and cognition in individuals with a family history of cognitive decline,” Kloske told Fox News Digital in an email.

Amyloid beta

A protein called amyloid that builds up in the brain and forms plaques — affecting cognitive function — is one of the hallmarks of Alzheimer’s disease. (iStock)

The expert did point out some limitations in the study, which the researchers also acknowledged.

“The authors mention that their findings should be interpreted cautiously,” she said.

One key limitation was that the study participants self-reported their family history, which could introduce some degree of bias or inaccuracy.

ALZHEIMER’S BLOOD TEST ACHIEVES FASTER DIAGNOSES, HIGH ACCURACY AT MAYO CLINIC

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“Additionally, the generally longer lifespan of women compared to men may contribute to the higher observed prevalence of cognitive impairment among women,” Kloske added.

Yang also spoke to this limitation, adding that the study participants were older adults and that the average life expectancy was shorter in their parents’ generation, especially for males.

Brain Scan

While having elevated amyloid levels significantly increases the risk of someone eventually having dementia, more research is needed to determine the full impact of family history on the course of Alzheimer’s disease. (AP Newsroom)

“That might have made it even more challenging to assess the actual risk of dementia in their fathers, as they might have passed away before getting to the age when dementia becomes more prevalent,” he said.

Another consideration, according to Kloske, is that the parents in the current study lived in a “different, earlier era” when women were less likely to be in the workforce and had lower levels of education

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“These trends limit the generalizability of these results,” she said.

Yang also reiterated that none of the study participants had dementia — “we asked about their family history and matched them with the amyloid PET scan results.”

          

While having elevated amyloid levels significantly increases the risk of someone eventually having dementia, Yang noted, more research is needed to determine the full impact of family history on the course of Alzheimer’s disease.

CT scan in hospital

Women are nearly twice as likely to develop Alzheimer’s than men, according to data from the Alzheimer’s Society. (iStock)

“We think it is important for doctors evaluating dementia patients to gather detailed family history information, including the history of both parents and their age at onset if there was a memory loss or dementia history,” he said.

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It is also important to seek out ways to decrease the risk, especially if someone has a family history, according to the researcher.

For more Health articles, visit www.foxnews/health 

“Lifestyle and environmental factors are thought to play a significant role in dementia risk,” Yang said. 

“I always tell my patients to focus on a healthy lifestyle, such as a heart-healthy diet, regular physical activity, and a socially and intellectually active lifestyle.”

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Men with spinal cord injuries become fathers thanks to rare fertility treatment at Miami clinic

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Men with spinal cord injuries become fathers thanks to rare fertility treatment at Miami clinic

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A spinal cord injury can be life-altering – and the potential for infertility is often a devastating blow as well.

Among men who experience spinal cord injuries (SCIs) in the U.S., nearly eight in 10 have fertility and reproduction issues due to erectile dysfunction or poor sperm quality.

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But one clinic in Miami, Florida, is on a mission to help men with SCIs start a family.

STUDY SUGGESTS MEDITERRANEAN DIET COULD BOOST MALE FERTILITY

The Miami Project to Cure Paralysis, part of the University of Miami Miller School of Medicine, has aided in the birth of 200 babies since the 1990s.

Fox News Digital spoke with Dr. Emad Ibrahim, director of the Male Fertility Research Program, about how “amazing” this achievement has been.

A patient with a spinal cord injury enters the lab with Dr. Emad Ibrahim at his clinic in Miami, Florida. (The University of Miami)

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The doctor said “nothing beats the feeling” of finding out one of his patients is expecting a child.

MEN’S ENERGY AND VITALITY PLUMMETS FOR 6 REASONS

“Every time we get an email with an ultrasound picture that shows the baby … it’s a mission accomplished,” he said. “It’s the most gratifying sensation you’ll ever have.”

Ibrahim, an associate professor of urology and neurological surgery at UMiami, said the clinical research program is “very unique” in its quest to help men father their own children through techniques rarely found elsewhere.

eric rosemary, dr. emad ibrahim and darris straughter in a split image

New dads Eric Rosemary, left, and Darris Straughter, right, both underwent procedures with the Miami Project under the direction of Dr. Ibrahim, center. (Eric Rosemary; The University of Miami)

While men with erectile dysfunction can be given medication to address this issue, men with ejaculatory dysfunction face a bigger challenge that the Miami clinic addresses through two unique procedures.

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The two techniques include penile vibratory stimulation and electroejaculation, both FDA-approved and selected based on the nature of the spinal cord injury.

ERECTILE DYSFUNCTION MEDS LIKE VIAGRA LINKED TO REDUCED ALZHEIMER’S RISK, STUDY SUGGESTS

The electroejaculation machine activates and contracts the glands responsible for producing sperm. (The machine is also available in Sweden, its only other location besides Miami.)

This method is guaranteed to be successful “almost 100% of the time,” according to Ibrahim.

‘Amazing’ fatherhood

Men from all over the U.S., and even outside the country, have come to seek this treatment including Darris Straughter, 44, a Miami native.

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Straughter was a victim of gun violence in 2018, he told Fox News Digital in an interview.

While sitting at a traffic light, he was shot eight times. The injuries left him paralyzed from the chest down.

darris straughter and daughter

Darris Straughter plays with his daughter, who will turn 2 on Aug. 5, 2024. Straughter was paralyzed by gunfire in 2018. (The University of Miami)

“I don’t feel anything,” he said. “It’s a crazy situation. You just have to roll with the punches and keep moving and try to stay positive.”

Despite the incident, Straughter — who already had one child of his own — was determined to provide children for his wife.

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FDA APPROVES FIRST AT-HOME STERILE INSEMINATION KIT TO HELP WITH INFERTILITY

“I kept saying, ‘She deserves a kid,’” he said. “She was by my side the whole time. So, I was like, ‘I’m going to try any way possible to make it happen.’”

Straughter received treatment from Ibrahim, which ultimately led to his wife’s successful pregnancy. His daughter is now almost 2 years old and is “healthy and strong,” he said.

“[Fatherhood] is amazing. It’s so joyful,” he said. “I just love everything about it.”

the straughter family at disney

“I pray God continues to guide us on a great path,” Straughter, pictured with his wife and daughter, told Fox News Digital. (The University of Miami)

Fellow Florida resident Eric Rosemary, 46, also found success at the Miami facility after a Memorial Day accident 15 years ago left him paralyzed.

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“I was on a boat … in West Palm Beach, and I fell off the boat and shattered my C4, C5, C6 vertebrae and became a quadriplegic,” he said. 

Rosemary, who has been married for eight years, told Fox News Digital that he turned to the Miami Project when the timing was right to have kids.

eric rosemary and his family

Eric Rosemary of Florida, pictured with his family, said the Miami Project is “leading the way” in helping people with spinal cord injuries adapt. (Eric Rosemary)

Rosemary was previously involved in clinical trials with the project.

He and his wife have since had two sons, born in 2020 and 2023, after three attempts at the first pregnancy and two attempts with the second.

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“When you first get injured, there are so many other things you have to worry about,” Rosemary said.

SPINAL CORD TREATMENT RESTORES FUNCTION FOR PARALYZED PATIENTS IN STUDY

“In my 30s, I was able to cope with having a spinal cord injury, rebuilding my business, re-building my life, then getting married and having my boys,” he continued. “I was fortunate enough that I had the time to do that.” 

As patients who have suffered from an SCI mainly focus on mobility and medical care at first, sexual function is usually “brushed off,” Ibrahim noted.

straughter family at disney

Darris Straughter, pictured in the background with his daughter, is now a stay-at-home dad. His wife is shown in the foreground.  (The University of Miami)

“They rarely talk about fertility,” he said. “And unfortunately, we still have some rehab centers in remote areas in the country that will tell these patients, ‘Forget it. You’re not going to have any children.’”

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He added, “If [providers] knew that our program exists, and they could actually refer the patients to us, that would be of great help.”

Ongoing research

As the Miami Project’s procedures have shown excellent results, more research on a potential fertility treatment is underway, Ibrahim revealed.

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The program was awarded a $3.24 million, 40-year grant in July 2023 from the U.S. Department of Defense to conduct a clinical trial to study a drug called Probenecid, which was previously used to treat gout.

Dr. Emad Ibrahim headshot

Dr. Ibrahim specializes in reproductive and sexual dysfunction in men with spinal cord injuries. He said “nothing beats the feeling” of finding out one of his patients is expecting a child. (The University of Miami)

Through years of research, Ibrahim and his team found that this drug targets the internal issues that some SCI patients experience, he said.

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In the pilot study, which included 18 patients with spinal cord injuries, Ibrahim reported that all participants saw improved sperm quality.

“The medication is safe, and we have the publication to support that it works,” he said.

The larger clinical trial is currently ongoing as the Miami Project is in search of new volunteers.

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Diabetes patients using Ozempic, other treatments instead of insulin have lower cancer risk, study finds

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Diabetes patients using Ozempic, other treatments instead of insulin have lower cancer risk, study finds
  • Type 2 diabetes patients on GLP-1 treatments, such as Ozempic, have a lower risk of 10 obesity-related cancers compared to those on insulin and other drugs, according to a new study.
  • GLP-1 treatments for type 2 diabetes have been on the market for nearly 20 years, improving blood sugar control and inducing weight loss.
  • Ozempic, approved in 2017, was one of the first in its class.

Patients with type 2 diabetes taking GLP-1 treatments, which include Ozempic, have a lower chance of developing 10 types of obesity-related cancers than those taking insulin and other diabetes drugs, according to a study published on Friday.

GLP-1 treatments for type 2 diabetes have been on the market for nearly 20 years. The newer generation – such as Novo Nordisk’s Ozempic and Eli Lilly’s Mounjaro – are far more effective at controlling blood sugar levels and inducing weight loss. Ozempic was the first of the newer generation in the class to be approved, in 2017.

In the study published on Friday in medical journal JAMA Network Open, researchers examined the medical records of 1.6 million patients with type 2 diabetes who had no prior history of 13 types of obesity-related cancers including gallbladder cancer and kidney cancer.

OZEMPIC AND WEGOVY COULD DOUBLE AS KIDNEY DISEASE TREATMENT, STUDY SUGGESTS

The study did not specify which GLP-1 medicines the patients took, but the records were for patients on these medicines or insulin or the diabetes drug metformin between March 2005 and November 2018. Ozempic was only approved by the U.S. Food and Drug Administration in December 2017.

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Ozempic medication boxes are pictured in a pharmacy. Patients with type 2 diabetes taking GLP-1 treatments, which include Ozempic, have a lower chance of developing 10 types of obesity-related cancers than those taking insulin and other diabetes drugs, according to a study published on Friday. (SEBASTIEN BOZON/AFP via Getty Images)

The study found that the patients treated with a GLP-1 therapy instead of insulin “had a significant risk reduction” in 10 of those cancers.

The findings are “preliminary evidence of the potential benefit” of GLP-1 drugs for cancer prevention in high-risk population, the researchers concluded. They also said that studies of the newer generation of these medicines for their cancer preventative effects are warranted.

The authors of the study did not report having received funds from drugmakers who market these medicines.

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The versions of these medicines that are approved to treat obesity, and have been shown to help patients lose as much as 20% of their weight on average, have exploded in popularity, leading to record profits for Novo and Lilly.

Lilly’s Mounjaro and weight-loss therapy Zepbound, as well as Novo’s rival medicines Ozempic and Wegovy are already being studied to see whether they can improve health in many other ways, ranging from alcohol addiction to sleep apnea.

In March, the U.S. Food and Drug Administration approved Wegovy for lowering the risk of stroke and heart attack in overweight or obese adults who do not have diabetes.

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