Health
Ketamine therapy shown effective in treating severe depression in veterans, study finds
Ketamine could be a viable remedy for veterans struggling with depression, new research has suggested.
The University of Michigan released a study on the effects of ketamine in cases of severe or treatment-resistant depression among veterans.
Half of the study participants experienced significant relief after undergoing six weeks of ketamine therapy, according to a Michigan Medicine press release.
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The study, published in the Journal of Clinical Psychiatry, looked into the data of 215 veterans receiving intravenous ketamine therapy at Veterans Affairs (VA) hospitals.
All the participants had also undergone previous depression treatments without any improvement.
Research from the University of Michigan found that ketamine therapy could be beneficial for veterans with depression. (Julia Rendleman for The Washington Post via Getty Images; iStock)
Nearly half of all patients saw a “meaningful drop” in depression scores after six weeks of infusions, according to the analysis by the University of Michigan and VA Ann Arbor Healthcare System (VAAAHS).
About 25% saw their depression score drop by half within six weeks of treatment, while 15% went into full remission despite the complexity of their mental health status.
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Almost all patients surveyed continued their treatment every few weeks or months.
“Further study is needed to determine optimal infusion frequency and potential for adverse effects with repeated ketamine infusions for depression,” the study findings stated.
Nearly half the participants in a new study saw a “meaningful drop” in depression scores after six weeks of IV ketamine infusions, the study found. (iStock)
In a statement sent to Fox News Digital, VA press secretary Terrence Hayes backed ketamine therapy as an option for veterans.
“VA supports the evidence-based use of ketamine infusions for treatment-resistant depression and severe suicidal ideation,” he said.
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“Many veterans with these mental health conditions are treated with IV ketamine annually – both at VA facilities and by community providers.”
Dr. Justin Gerstner, psychiatrist and chief medical officer at Ellie Mental Health in Minnesota, told Fox News Digital that he thinks these findings on ketamine are “great,” as the VA population is “in need of new, innovative treatments for depression.”
(Gerstner was not involved in the Michigan study.)
A doctor holds a vial of ketamine at the MindPeace Clinic in Richmond, Virginia. (Julia Rendleman for The Washington Post via Getty Images)
“This study shows that this helps some of the hardest-to-treat veterans with depression,” he said.
As more psychedelic-assisted therapies emerge to treat numerous mental health issues, the doctor said ketamine is among the ones that produce results “pretty quickly.”
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Another benefit of ketamine therapy, according to Gerstner, is that it eliminates the need for patients to take medication every day, as with other treatment methods.
Gerstner said he uses ketamine therapy in his own practice, where the response from clients has been “great.”
Carl Montalbino, 67, receives his ketamine treatment while nurse Melissa Dougher checks his vitals on July 5, 2022, at MindPeace Clinic in Richmond, Virginia. (Julia Rendleman for The Washington Post via Getty Images)
“It’s been quite transformative for a lot of our clients,” he told Fox News Digital. “It’s really a rewarding experience to be a part of that.”
Gerstner’s practice usually administers ketamine to clients via IV injection in two- to three-hour sessions, partnered with psychotherapy before and after treatment.
Potential risks and limitations
While ketamine can work as a “really powerful anti-depressant and anti-suicidal drug,” Gerstner said, he warned that it is “not the right answer for everybody or everything.”
“This is a really powerful medication and the way that it’s used can vary quite drastically.”
There are some risks and limitations involved, he said — including the potential for ketamine to be abused.
There isn’t too much regulation surrounding how ketamine treatments are administered, Gerstner noted, since the drug was previously approved for anesthetic use.
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“The field is wide open, and it’s a little bit like the Wild West,” he said. “This is a really powerful medication and the way that it’s used can vary quite drastically.”
Various clinics have seen success with administering the drug in different forms, including oral, IV and injectable, according to Gerstner.
Various clinics have seen success with the drug being administered in different forms, including oral, IV and injectable. (Julia Rendleman for The Washington Post via Getty Images)
For patients with severe treatment-resistant depression, a typical IV regimen is administered every two to three days in a hospital-based outpatient clinic, according to Michigan Medicine and VAAAHS.
“Those things are really all over the map,” Gerstner said. “It’s hard to regulate and there’s some risk in that, but it’s also what we have to do while learning what’s best.”
For veterans who are seeking better treatment, ketamine could be a “really important thing to consider for depression,” said Gerstner
“If they’re suffering with depression and feel like they’re not getting what they need, and they haven’t had a discussion about ketamine, it’s OK to ask [their provider] about it,” he added.
Fox News Digital reached out to the University of Michigan requesting additional comment on the research.
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Health
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Health
Aging-related joint disorder increasingly affects people under 40, study finds
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Cases of gout are rising in younger individuals, according to a global study.
The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.
Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.
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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.
The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.
Gout is expected to continue rising in young people through 2035. (iStock)
Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.
Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.
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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.
The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.
The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.
What is gout?
Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.
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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.
A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.
Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)
Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.
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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.
Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.
Experts urge patients to seek medical attention for gout flare-ups. (iStock)
Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.
A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.
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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.
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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.
Fox News Digital reached out to the researchers for comment.
Health
New study questions whether annual mammograms are necessary for most women
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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.
The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.
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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors.
A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.
Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.
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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.
Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)
“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”
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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.
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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)
More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.
The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.
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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”
The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.
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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”
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