Health
Living at high altitudes could reduce risk of common disease, study suggests
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Living at high altitudes may lower the risk of diabetes, and scientists believe they have finally figured out why.
A new study from the Gladstone Institutes in San Francisco examined how red blood cells behave in low-oxygen environments. The findings, published in the journal Cell Metabolism, reveal that at high elevations, red blood cells begin absorbing large amounts of glucose from the bloodstream, acting as a “sponge” for sugar.
When oxygen levels drop, these cells then alter their metabolism to deliver oxygen more efficiently.
This shift also lowers circulating blood sugar, which researchers say explains the lower diabetes risk seen in mountain-dwelling populations.
A previous study of over 285,000 adults in the United States found that people living at high altitudes (1,500-3,500 meters) were significantly less likely to have diabetes than those living at sea level, even after adjusting for factors like diet, age and ethnicity.
A new study finds that living at high altitudes explains the lower diabetes risk seen in mountain-dwelling populations. (iStock)
“Red blood cells represent a hidden compartment of glucose metabolism that has not been appreciated until now,” said senior author Isha Jain, a Gladstone investigator and professor of biochemistry at UC San Francisco, in the press release. “This discovery could open up entirely new ways to think about controlling blood sugar.”
Previously, Jain’s team conducted experiments on mice to better understand hypoxia, or reduced oxygen levels in the blood.
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Mice exposed to thin air cleared sugar from their bloodstream almost instantly after eating, a trait typically linked to a lower risk of diabetes. Initially, however, researchers couldn’t figure out where the sugar was going.
When oxygen levels drop, these cells then alter their metabolism to deliver oxygen more efficiently. (iStock)
“We looked at muscle, brain, liver — all the usual suspects — but nothing in these organs could explain what was happening,” said Yolanda Martí-Mateos, a postdoctoral scholar in Jain’s lab and the study’s first author.
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The team discovered the answer using an alternative imaging method: the red blood cells themselves were the missing “glucose sink.”
By using a different type of imaging, the team found that the red blood cells were holding onto the glucose.
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Under hypoxic conditions, the mice produced more red blood cells, and each cell absorbed significantly more glucose than they did in normal conditions.
Red blood cells act as glucose “sponges” at high elevations, absorbing sugar from the bloodstream. (iStock)
The researchers even developed a drug, HypoxyStat, that mimics this high-altitude effect. In laboratory tests, the drug completely reversed high blood sugar in diabetic mice.
Study limitations
The researchers acknowledged some limitations with the study. The research focused on one specific mouse strain known for its sensitivity to blood sugar. While humans show similar results, testing other strains would confirm that the findings are universal.
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To ensure consistent results, the team only studied young male mice. Because age and sex significantly impact how red blood cells are produced, more research is needed to determine whether these findings hold true for females and older populations.
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“This is just the beginning,” Jain said.
“There’s still so much to learn about how the whole body adapts to changes in oxygen, and how we could leverage these mechanisms to treat a range of conditions.”
Health
Stomach issues might have nothing to do with eating habits, scientists reveal why
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In addition to taking an emotional toll, childhood stress and hardships can also wreak havoc on the digestive system.
New research published in the journal Gastroenterology revealed that early experiences can rewire the body, leading to lifelong stomach issues.
Scientists at New York University focused on communication between the brain and the gut, finding that when a child experiences significant stress, this connection is disrupted.
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That disruption can manifest years later as irritable bowel syndrome, chronic stomach pain or motility issues like constipation and diarrhea.
“Our research shows that these stressors can have a real impact on a child’s development and may influence gut issues long-term,” study author Kara Margolis, a professor at NYU, said in a press release.
The presence of flagellin antibodies long before symptoms appear suggests the immune reaction may help trigger the disease rather than result from it. (iStock)
“When the brain is impacted, the gut is likely also impacted — the two systems communicate 24 hours a day, seven days a week,” she added.
The study looked at both animal models and long-term data from over 40,000 children in Denmark and 12,000 in the U.S.
Researchers found that mice subjected to early-life stress showed higher levels of anxiety and gut pain. Mice symptoms varied by gender, as females were more prone to diarrhea and males were more prone to constipation.
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Children whose mothers had depression during or after pregnancy, or those who had more emotionally difficult childhoods, were more likely to develop digestive disorders as early as age 10, the researchers noted.
Children who had harder childhoods were more likely to develop digestive orders as early as age 10. (iStock)
Unlike the mouse studies, the human data showed no differences between males and females in digestive outcomes, which suggests that early stress may affect gut-brain health for both genders during key stages of development.
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The results show how symptoms are controlled by different “pathways” in the body, doctors said. For example, the nerves responsible for gut movement are separate from the pathways that control gut pain.
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This means there is no single cure for gut issues, the team stated. If a patient has pain but no motility issues, they would need a different treatment than someone who has constipation but no pain.
By identifying these specific biological triggers, scientists say they are moving toward more personalized treatments that target the root cause of a patient’s symptoms.
The team says these results are evidence that there is no one-size-fits-all approach to gut issues. (iStock)
“When patients come in with gut problems, we shouldn’t just be asking them if they are stressed right now; what happened in your childhood is also a really important question and something we need to consider,” said Margolis.
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“This developmental history could ultimately inform how we understand how some disorders of gut-brain interaction develop and treat them based on specific mechanisms.”
Health
Starting a GLP-1? Doctors Reveal Surprising Benefits and Side Effects
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Health
Greater weight loss promised by higher-dose Wegovy shot, now approved by FDA
Novo Nordisk to slash Wegovy, Ozempic list prices
Board certified rheumatologist Dr. Mahsa Tehrani discusses Novo Nordisk’s decision to dramatically cut the U.S. list prices for its popular diabetes and weight-loss drugs Ozempic and Wegovy on ‘America Reports.’
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The U.S. Food and Drug Administration announced on Thursday its approval of a new, higher-dose Wegovy (semaglutide) injection.
The 7.2 mg dosage, called Wegovy HD, is intended for weight loss and long-term weight loss maintenance for adult patients. It is triple the previous maximum dose of 2.4 mg.
This marks the fourth approval in the FDA’s National Priority Voucher pilot program, which “seeks to expedite approval of applications that address critical national health priorities,” according to FDA Commissioner Dr. Martin Makary.
NEW WEGOVY PILL OFFERS NEEDLE-FREE WEIGHT LOSS – BUT MAY NOT WORK FOR EVERYONE
“The new FDA is moving with unprecedented efficiency on products that advance national priorities,” he said in a press release. “Today’s approval is another demonstration of what the FDA can accomplish when we try bold new things.”
The U.S. Food and Drug Administration announced on Thursday its approval of a new, higher-dose Wegovy (semaglutide) injection. (Michael Siluk/UCG/Universal Images Group via Getty Images)
The higher-dose GLP-1 is indicated to “reduce excess body weight and maintain weight reduction long-term in adults with obesity, or overweight with at least one weight-related condition,” per the FDA’s statement.
STOPPING GLP-1 DRUGS LIKE OZEMPIC ERODES HEART HEALTH BENEFITS QUICKLY, NEW STUDY FINDS
“The approval of a new higher dose will provide adult patients with an additional therapeutic option, offering the potential for greater weight loss,” the agency stated.
The FDA’s approval, granted to drugmaker Novo Nordisk, was supported by clinical data that found higher doses resulted in additional average weight reduction compared to previous dosing.
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Higher-dose patients with both obesity and type 2 diabetes saw similar lowering of blood sugar compared to the lower dose, the agency noted.
The safety profile is consistent with the known side effects of semaglutide, which commonly include gastrointestinal reactions like nausea, vomiting, diarrhea, constipation and abdominal pain.
Wegovy HD (7.2 mg) is triple the dosage compared to the previous maximum dose of 2.4 mg. (Steve Christo – Corbis/Corbis via Getty Images)
Skin sensitivity, pain or burning occurred more frequently with higher doses of Wegovy, but generally resolved on their own or with dose reduction, the FDA reported. The agency is investigating these adverse effects.
The FDA warned that Wegovy should not be used by patients with a personal or family history of medullary thyroid carcinoma (a type of thyroid cancer) or who have multiple endocrine neoplasia syndrome type 2 (a rare inherited genetic disorder that causes tumors to develop in certain hormone-producing glands). All patients should see a doctor for guidance on proper use.
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Jamey Millar, executive vice president of U.S. operations for Novo Nordisk, commented on this approval in a press release.
“We are excited to bring Wegovy HD injection to adults with obesity who are looking for powerful weight loss, as no other weight-loss medicine has been studied to show superiority to Wegovy HD,” he said.
Millar also noted that Wegovy has been shown to reduce the risk of events such as stroke, heart attack or cardiovascular death in those who also have known heart disease.
A weight-loss expert warned that Wegovy HD should be used only for obesity management. (iStock)
Dr. Peter Balazs, a hormone and weight-loss specialist practicing in New York and New Jersey, reflected on results of the STEP UP clinical trial, on which the drug’s approval was based.
Patients taking the higher dose experienced an average weight loss of 20.7% compared to about 16% on the standard dose, the doctor noted. About one-third lost 25% or more of their body weight.
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“For patients who start on 2.4 mg and then hit a frustrating plateau, or for those with a very high baseline BMI who may need a stronger metabolic push, this creates a legitimate, evidence-based escalation path rather than forcing an early switch to another drug class,” Balazs, who was not involved in the study, told Fox News Digital.
“That said, I think this is an interesting approval, but I do not expect it to dramatically reshape the GLP-1 landscape,” he went on. “It gives Novo Nordisk an opportunity to remain competitive on efficacy while it continues developing next-generation therapies.”
“This creates a legitimate, evidence-based escalation path.”
“Other drugs have already shown greater efficacy in prior studies, and the broader GLP-1 space is likely to see much more significant change as new molecules enter the market.”
Balazs called the higher dosage a “major jump,” noting that the incidences of stomach- and skin-related side effects at this higher dose are “meaningful.”
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“This approval is for obesity management, not diabetes treatment,” the expert emphasized. “For patients with type 2 diabetes, currently approved semaglutide dosing remains lower unless the primary treatment goal is weight loss under the obesity indication.”
Fox News Digital reached out to the FDA for comment.
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