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Little-known eating disorder nearly starved a 9-year-old: 'It was tormenting her'

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Little-known eating disorder nearly starved a 9-year-old: 'It was tormenting her'

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Of the list of eating disorders, ARFID might not be one that you recognize – but it can be just as dangerous as the better-known conditions.

ARFID, or Avoidant Restrictive Food Intake Disorder, is defined by the Cleveland Clinic as a condition that limits a person’s food intake. It is recognized in the DSM-5 (the Diagnostic and Statistical Manual of Mental Illnesses by the American Psychiatric Association).

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The disorder is marked by intense fear and anxiety about food and its specific qualities – like smell, taste and texture – or the consequences of eating, such as choking.

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Limiting food intake at an extreme level can lead to malnutrition and nutrient deficiencies, which 9-year-old Hannah of Los Angeles has experienced.

Hannah and her mom, Michelle, (who chose not to disclose their last name) sat down for an interview with Fox News Digital to discuss their journey with ARFID, which has included a prominent social media presence.

On Instagram, the duo has 1.5 million followers. Their TikTok account (@myarfidlife), features videos of Hannah bravely trying new foods, which have reached millions of views among nearly 460,000 followers.

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Long before Hannah began sharing her journey on camera, Michelle struggled with what she thought was just a “picky eater.”

“I realized this was way more than just picky eating. This was obviously tormenting her.”

Michelle explained that Hannah, who is the youngest of three, was a “great eater” as a baby — until she was introduced to solid foods.

“She would protest, and she would spit the food out, or she would swat it out of my hand, or she would turn her head in the other direction,” she said — all “pretty common” behaviors among kids.

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But by the time Hannah turned 3, Michelle said she had started refusing even the select foods she once ate.

“It was very frustrating for us because she was already so limited as to what she was willing to eat,” she said.

Michelle, pictured here with her husband and three children, noted that Hannah’s case looked “very different” from her oldest son, who is autistic and had a hard time eating as a newborn. (@myarfidlife)

Since Hannah was still growing normally, her doctors “weren’t too concerned,” and assumed she’d grow out of the picky eating.

After COVID-19 hit, Michelle said Hannah’s eating took a turn for the worse, and she eliminated even more food.

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“It was a big struggle to get her to eat anything at all,” she said. “She had no interest in food whatsoever, and her growth started to slow down.”

Hannah’s doctors ran tests to see if there was another health condition, such as IBS or celiac disease. She was referred to other specialists, from endocrinologists to nutritionists.

Hannah was also seeing a feeding therapist, which caused “a lot of stress and anxiety,” her mother noted.

Hannah, pictured with her mom Michelle, shared that she likes to draw, read and write, and play with slime. (@myarfidlife)

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The doctors instructed Michelle to continue offering Hannah food when she was hungry, but her daughter’s condition only worsened.

“She couldn’t handle being around food,” she said. “She couldn’t handle sitting at the dinner table with us. She couldn’t handle the smell when I was cooking something in the kitchen.”

As Hannah got older, she didn’t grow out of the condition, but was able to verbalize her internal struggle.

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“We were in a drive-thru and I asked [Hannah], ‘What would you like me to order?’ And she broke down at that moment and asked me, ‘Why is it that every time you talk about food, it makes me really anxious?’” Michelle recalled.

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“Hearing those words … I realized that this was way more than just picky eating. This was obviously tormenting her.”

Seeking help and ‘validation’

Michelle decided to seek help from a mental health care professional and found a therapist who specialized in ARFID. She said their first conversation was “so validating.”

“I remember saying to her, ‘She has very few foods that she’s willing to eat. And one of the foods is sour cream and onion Pringles, but they have to be in a special packaging. She refuses to eat the Pringles that come in the large container. They have to come in the individual small containers.’”

“And hearing the words from her — ‘This is so classic of ARFID’ — was so validating.”

The “psycho-social interference” of ARFID can be difficult in social settings, like at school and parties, according to an eating disorder expert. Hannah, pictured with her brothers, is living with the condition. (@myarfidlife)

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The therapist first recommended nutritional protein shakes, which were difficult for Hannah to stomach.

But Hannah, who was dangerously underweight, told her mother, “I don’t want to live like this anymore.”

“She was at risk of needing a feeding tube,” Michelle told Fox News Digital. “She fell off the growth chart and wasn’t gaining weight. She wasn’t growing in height.”

“I don’t want to live like this anymore.”

“She just wasn’t getting the nutrition she needed. She was very weak, lethargic and sleeping a lot.”

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Michelle tried fun ways to get Hannah to drink the shakes, like timing her and seeing if she could beat her previous record.

Next, Michelle suggested taking a video of Hannah drinking her shake to send to her new therapist.

Hannah was immediately interested in how her therapist would respond.

Hannah says her famous tagline, “Here I go,” before taking a bite of food in her videos. (TikTok/@myarfidlife)

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Michelle then decided to share the video online to help clue in friends and family about what Hannah was dealing with, and to help explain why she wasn’t able to attend holidays or birthday parties due to the presence of food.

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Since that first post, Hannah and Michelle’s social media following has skyrocketed, with thousands of strangers cheering on and motivating Hannah.

Hannah’s grown so much physically and emotionally. Her confidence has soared,” Michelle said. “She’s a completely different kid.”

“There’s curiosity and motivation and excitement — definitely still a lot of anxiety, but she’s working through it.”

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Hannah and Michelle are pictured wearing “Here I Go” T-shirts, which are on sale to help promote ARFID awareness. (@myarfidlife)

Now 9, Hannah is using her platform to spread ARFID awareness and share tips she learns in therapy.

“Many people since we started our page have discovered that this is what they’ve dealt with their whole life,” Michelle said.

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“It’s just really nice to meet other people who can understand each other and share stories.”

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Hannah added that the encouragement she gets online helps motivate her to try new foods.

“It makes me really happy because I know I’m helping other people,” she told Fox News Digital. “And I’m also helping myself, too.”

Hannah shared that she feels proud of her continuous bravery.

“I feel good,” she said. “I’m really energetic today.”

Tips for overcoming ARFID

During her sessions, Hannah undergoes exposure therapy as well as talk therapy.

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“We do breathing exercises and coping skills,” she said. “We also try different foods.”

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Taylor Rae Homesley, executive director of The Emily Program’s Atlanta-based Eating Disorder Treatment Center, works with ARFID patients.

She shared more details on the condition in an interview with Fox News Digital.

While symptoms may vary, limited food intake based on texture or food group, is a standout sign, one expert said. (iStock)

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Since ARFID was coined as a “new term to describe something that’s existed for a long time,” Homesley said it has brought more awareness to the condition and how best to treat it.

There are three types of ARFID symptoms that parents should look for in their children, according to Homesley.

1. Fear of consequences

“I’m afraid I’m going to throw up, I’m afraid I’m going to get a stomachache, I’m afraid I’m going to choke,” the expert listed as examples.

2. Lack of interest in eating or food

“These are kids and adults who just aren’t motivated by food,” she said. 

“They’re the ones who may be playing outside for hours and hours and don’t think, ‘It’s time to eat now.’”

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3. Avoidance of food based on sensory characteristics

“These are the kids and adults who are super limited in what they’re eating due to those sensory things,” Homesley said. 

“They may have aversions to taste, texture, smell or temperature of food.”

“[ARFID] needs to be treated differently and recognized as a different eating disorder,” one specialist said. (iStock)

“A lot of our patients with ARFID are what we consider super tasters,” the therapist added. “They taste bitter flavors at a higher intensity than the rest of us.”

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Treatment is still being developed for ARFID, but methods like cognitive behavioral therapy have proven helpful, according to Homesley.

Michelle noted that ARFID needs “a lot more awareness” and community building, which led her to start the ARFID Awareness nonprofit.

“Help is not readily available, and it’s very unfortunate because ARFID is lifelong, and it’s something that does require treatment,” she said.

“I feel like bringing community together and using our voices [is important] so that people see there’s a need.”

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.

The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.

Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.

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The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)

“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release. 

“Our new results uncovered new biology while also opening doors for new drug targets.”

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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted. 

“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said. 

The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)

That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.

In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.

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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.

The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.

“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)

“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.

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Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.

Limitations and caveats

The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.

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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.

Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.

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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”

“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”

The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.

It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.

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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.

Fox News Digital reached out to the drug manufacturer and the researchers for comment.

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Seniors over 80 who eat specific diet may be less likely to reach 100 years old

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Seniors over 80 who eat specific diet may be less likely to reach 100 years old

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Older adults who avoid meat in their golden years may be less likely to reach age 100 than their meat-eating counterparts, new research suggests.

Researchers tracked more than 5,000 adults aged 80 or older who were enrolled in the Chinese Longitudinal Healthy Longevity Survey.

Between 1998 and 2018, data showed that those who did not eat meat were less likely to reach their 100th birthday than those who consumed animal products regularly.

The findings seem to contradict previous studies that have linked vegetarianism and plant-based diets to lower risks of heart disease, stroke, diabetes and obesity.

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Most evidence supporting the benefits of plant-based diets comes from studies tracking younger populations, the researchers noted. 

The findings contrast with previous research praising plant-based diets for their positive influence on heart health. (iStock)

The study, published in The American Journal of Clinical Nutrition, points to losses in muscle mass and bone density with age, shifts that can increase the risk of malnutrition and frailty in the “oldest old.”

As people enter their 80s and 90s, the nutritional priority often shifts from preventing long-term chronic diseases to maintaining day-to-day physical function, experts say.

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“The headline ‘vegetarians over 80 less likely to reach 100’ sounds surprising, because it contrasts with decades of data linking plant‑forward diets to lower chronic disease risk earlier in life,” Erin Palinski-Wade, a New Jersey-based registered dietitian, told Fox News Digital. 

“However, once you see that this research is limited to adults over the age of 80 who are also underweight — and that this link disappears with the consumption of eggs, dairy and fish — the results are less surprising.”

While diets earlier in life tend to emphasize avoiding long-term disease, older age necessitates nutrients and weight maintenance, experts say. (iStock)

In those over 80, restricting animal proteins may be less likely to promote longevity, according to Palinski-Wade, who was not involved in the study.

Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies, the nutritionist said.

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In addition to a higher tendency to be underweight, older populations also face a greater risk of bone fractures due to lower calcium and protein intake.

Potential limitations

The lower rate of vegetarians reaching 100 was only observed in participants identified as underweight, the researchers noted. No such association was found in people who maintained a healthy weight.

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Because being underweight is already linked to greater frailty and mortality risk, the researchers noted that body weight may partly explain the findings, making it difficult to determine whether diet itself played a direct role.

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Those incorporating animal-sourced products other than meat were just as likely to live to 100. (iStock)

Additionally, the shortened lifespans were not found in people who continued to eat non-meat animal products, such as fish, dairy and eggs. 

Older adults with these more flexible diets were just as likely to live to 100 as those eating meat, as these foods may provide the nutrients necessary for maintaining muscle and bone health, the researchers noted.

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“This is an observational study, so it can only show associations, and does not prove that avoiding meat directly reduces the odds of reaching 100,” Palinski-Wade added.

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The researchers suggested that including small amounts of animal-sourced foods could help older seniors maintain essential nutrients and avoid the muscle loss often seen in those who stick strictly to plants.

Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies. (iStock)

Palinski-Wade offered some guidance for those looking to optimize nutrition later in life.

“For adults in their 80s and beyond, especially anyone losing weight or muscle, the priority should be maintaining a healthy weight and meeting protein and micronutrient needs — even if that means adding or increasing fish, eggs, dairy or well‑planned, fortified plant proteins and supplements.”

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Strict vegan or very low‑protein patterns at that age should be carefully monitored by a dietitian or clinician, with attention to B12, vitamin D, calcium and total protein, according to Palinski-Wade.

“Younger and healthier adults can still confidently use plant‑forward or vegetarian patterns to lower long‑term chronic disease risk,” she added.

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