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Biden health concerns persist as he makes first appearance after ending campaign

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Biden health concerns persist as he makes first appearance after ending campaign

President Biden was seen boarding Air Force One in Delaware on Tuesday, marking the first time he has been seen in public since being diagnosed with COVID-19 on July 17. 

The president held a mask in one hand as he gave onlookers a thumbs-up and a salute before disappearing into the plane.

“His walking on the stairs looks fine, better than usual, but it’s strange that he didn’t say hello to anyone,” Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, told Fox News Digital. “All his energy went into walking.”

The president is headed to Washington, D.C., where he is scheduled to make a speech to the American public on Wednesday night.

DOCTORS EXPRESS CONCERN ABOUT BIDEN’S APPARENT COGNITIVE ISSUES DURING DEBATE: ‘TROUBLING INDICATORS’

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Biden’s personal physician, Kevin C. O’Connor, released the latest update on the president’s health on Monday, July 22, reporting that the president had completed his 10th dose of Paxlovid and that his symptoms have “almost resolved completely.”

President Biden boards Air Force One as he departs Dover Air Force Base in Delaware on July 23, 2024. (Saul Loeb/AFP via Getty Images)

There has been a renewed emphasis on the president’s health – both physically and cognitively – in recent weeks, stemming from his concerning performance at the June 27 presidential debate and culminating in his July 21 announcement that he was ending his campaign for re-election.

Cognitive concerns

The first presidential debate of 2024 left many Americans, and even some traditional Democrat allies, wondering about Biden’s mental fitness for office based on what appeared to be his unclear train of thought and lack of coherence.

President Biden gestures as he boards Air Force One at Dover Air Force Base in Delaware on Tuesday, July 23, 2024. (Ken Cedeno/Reuters)

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“President Biden’s performance in [the] debate reignited longstanding discussions about his cognitive abilities and his overall leadership capacity,” Dr. Brett Osborn, a Florida neurosurgeon who specializes in cognitive function, told Fox News Digital after the debate.

“Biden struggled to maintain a coherent narrative, often losing his train of thought mid-sentence and providing vague, rambling and undecipherable answers to highly critical questions,” Osborn continued, expressing his professional opinion.

AFTER BIDEN DROPS OUT OF RACE, DOCTORS REVEAL WHY DECISION MAY HAVE BEEN BEST FOR HIS HEALTH

The doctor, who has not treated the president, also called out Biden’s frequent pauses, struggle to find words and reliance on the notes he was writing as points of concern. 

“President Biden lacks the mental sharpness required for the highest office in the land … especially amid [today’s] current national and international crises,” Osborn said.

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The neurosurgeon also mentioned that the 46th president has undergone multiple surgeries for brain aneurysms.

President Biden boards Air Force One at Dover Air Force Base in Delaware on Tuesday, July 23, 2024. (AP Photo/Manuel Balce Ceneta)

There is a famous saying in neurosurgery, Osborn noted: “When the air hits your brain, you’re never the same.” 

The doctor said, “It is medically probable that when he took office in 2020, he was afflicted by mild cognitive impairment, a gateway syndrome to Alzheimer’s disease and potentially Parkinsonism – not necessarily Parkinson’s disease itself.”

Health’s potential role in Biden’s exit?

After Biden’s announcement on Sunday that he was dropping out of the 2024 presidential race, doctors shared their thoughts about what that action meant in terms of his ongoing cognitive health. 

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Given signs of his “ailing cognitive status, President Biden’s decision to step down from the race seems prudent,” said Osborn.

JOE BIDEN WITH COVID AT AGE 81: WHAT TO KNOW ABOUT THE RISK THE VIRUS POSES TO OLDER ADULTS

“By stepping down, President Biden can prioritize his health and potentially mitigate further cognitive decline while also ensuring the leadership role is filled by someone fully capable of handling the demanding responsibilities of the position.”

Siegel also told Fox News Digital that he believes Biden’s decision may be best for the president’s health.

The first presidential debate of 2024 left many Americans wondering about Biden’s mental fitness for office based on what appeared to be his unclear train of thought and lack of coherence. (Andrew Caballero-Reynolds/AFP via Getty Images)

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“The stress of the race could have definitely made cognition worse, but it will progress anyway if there is a cognitive issue, and fitness is a big concern,” the doctor told Fox News Digital on Sunday. 

Siegel has said on multiple occasions that he has not examined or treated the president and that he cannot make any definitive diagnoses.

Tested positive for COVID

The president tested positive for COVID-19 on July 17, sparking concerns about the risk the virus poses to older adults.

The White House released an announcement of Biden’s positive COVID test, noting that the president had been vaccinated and boosted and was “experiencing mild symptoms.”

Dr. Marc Siegel joined “Fox & Friends” on June 28 to discuss concerns sparked by Biden’s performance at the June 27 presidential debate against former President Trump. (Kevin D. Liles for the Washington Post via Getty Images | Fox News)

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His upper respiratory symptoms included “rhinorhea (runny nose) and non-productive cough, with general malaise,” according to a statement on the White House’s website.

Doctors shared their concerns about the potential long-term effect COVID could have on Biden.

CDC RECOMMENDS ADDITIONAL COVID VACCINE FOR ADULTS 65 AND OVER

“Post-COVID syndromes and long COVID have been shown to affect underlying neurological conditions,” Siegel warned. 

“This can also come from recurrent COVID.”

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“By stepping down, President Biden can prioritize his health and potentially mitigate further cognitive decline.”

Osborn noted that the virus has been shown to have potential long-term effects on cognitive function, often referred to as “brain fog.” 

“These effects can include difficulties with memory, attention and executive function,” he said. 

“In someone with pre-existing cognitive issues like President Biden, contracting COVID-19 could exacerbate these symptoms – via neuroinflammation – and lead to a more rapid decline.”

President Biden walks down the steps of Air Force One at Dover Air Force Base in Delaware on July 17, 2024. (Susan Walsh/AP)

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As of July 22, Biden had received his 10th dose of Paxlovid.

“His symptoms have almost resolved completely,” O’Connor, the president’s doctor, wrote in a July 22 briefing. 

“His pulse, blood pressure, respiratory rate and temperature remain absolutely normal. His oxygen saturation continues to be excellent on room air. His lungs remain clear.”

Health as a qualifying factor

Along with meeting the official requirements for president, Siegel and Osborn agreed that whoever holds the office should also be physically and cognitively healthy.

     

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“It is extremely important,” Siegel told Fox News Digital. “We have a right to it as a country.”

The role of president involves making complex and high-stakes decisions, often under significant pressure, Osborn noted. 

Dr. Brett Osborn, a Florida neurosurgeon who specializes in cognitive function, has shared his concerns about Biden’s cognitive fitness. (Dr. Brett Osborn)

“Cognitive health is essential for clear thinking, effective communication and sound decision-making, all things President Biden lacks,” he said, sharing his viewpoint. 

Physical health is also essential, Osborn said, as the role also requires long hours, frequent travel and crisis management.

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“A healthy president is better equipped to handle the demands of the office and to lead the nation effectively through various challenges,” he added.

In light of Biden’s announcement to exit the race, Siegel said the decision “should be accompanied by a full health disclosure.”

Doctors have called for thorough health evaluations for presidential candidates, and sitting presidents, to ensure they can perform their required duties. (Getty Images)

He said, “They should admit to what they know and reveal full neurological results.”

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The situation highlights the need for thorough health evaluations for presidential candidates – and sitting presidents – to ensure they can perform their required duties, according to Osborn. 

“Routine testing – physical and mental – should be made nonnegotiable instead of being thwarted by the governing party,” he said. 

For more Health articles, visit www.foxnews/health

In response to outreach from Fox News Digital, the White House press office stated that “health was not a factor” in the president’s decision to withdraw from the race. 

“He looks forward to finishing his term and delivering more historic results for the American people,” the White House said in its statement. 

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Brain Health Challenge: Workouts to Strengthen Your Brain

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Brain Health Challenge: Workouts to Strengthen Your Brain

Today, you’re going to do perhaps the single best thing for your brain.

When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.

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“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.

Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.

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Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.

Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.

All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.

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The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.

The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.

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Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.

Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.

If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”

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For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.

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Little-known prescription pill is helping Americans drink less alcohol

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Little-known prescription pill is helping Americans drink less alcohol

NEWYou can now listen to Fox News articles!

Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.

In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.

POPULAR WEIGHT-LOSS DRUGS COULD TAKE THE EDGE OFF YOUR ALCOHOL BUZZ, STUDY FINDS

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How it works

Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)

“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.

HIGHER STROKE RISK LINKED TO CONSUMING CERTAIN AMOUNT OF ALCOHOL, STUDY FINDS

The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.

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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”

Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder. 

“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.

FIRST-OF-ITS-KIND FENTANYL VACCINE TARGETS OVERDOSES BEFORE THEY START

“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”

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The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added. 

“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”

Side effects

Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

These effects are generally mild and may improve as the body adjusts to the medication.

The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)

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In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.

“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.

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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.

CLICK HERE FOR MORE HEALTH STORIES

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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.

“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.

More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)

“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”

Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.

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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.

Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.

TEST YOURSELF WITH OUR LATEST LIFESTYLE QUIZ

Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.

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They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.

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Brain Health Challenge: Try the MIND Diet

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Brain Health Challenge: Try the MIND Diet

Welcome to Day 2 of the Brain Health Challenge. Today, we’re talking about food.

Your brain is an energy hog. Despite comprising about 2 percent of the average person’s body mass, it consumes roughly 20 percent of the body’s energy. In other words, what you use to fuel yourself matters for brain health.

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So what foods are best for your brain?

In a nine-year study of nearly 1,000 older adults, researchers at Rush University in Chicago found that people who ate more of nine particular types of food — berries, leafy greens, other vegetables, whole grains, beans, nuts, fish, poultry and olive oil — and who ate less red meat, butter and margarine, cheese, sweet treats and fried food had slower cognitive decline.

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Based on these findings, the researchers developed the MIND diet.

Large studies encompassing thousands of people have since shown that following the MIND diet corresponds with better cognitive functioning, a lower risk of dementia and slower disease progression in people with Alzheimer’s. People benefit from the diet regardless of whether they start it in midlife or late life.

Experts think the foods included in the MIND diet are especially good for the brain because they contain certain macro and micronutrients.

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Berries and leafy greens, for example, are rich in polyphenols and other antioxidants, said Jennifer Ventrelle, a dietitian at Rush and a co-author of “The Official Mind Diet.” Many of these compounds can cross the blood-brain barrier and help to fight inflammation and oxidative stress, both of which can damage cells and are linked to dementia.

Nuts and fatty fishes, like salmon and sardines, contain omega-3 fatty acids, which are important for building the insulating sheaths that surround the nerve fibers that carry information from one brain cell to another.

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Whole grains and beans both contain a hefty dose of fiber, which feeds the good microbes in the gut. Those microbes produce byproducts called short-chain fatty acids that experts think can influence brain health via the gut-brain axis.

You don’t have to revamp your whole diet to get these nutrients. Instead, think about “MIND-ifying” whatever you already tend to eat, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. For instance, add a handful of nuts or berries to your breakfast.

Today’s activity will help you MIND-ify your own meals. Share your choices with your accountability partner and in the comments, and I’ll discuss the ways I’m adjusting my diet, too. For added inspiration, check out these MIND-approved recipes from New York Times Cooking.

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