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New Research Finds Potential Alternative to Abortion Pill Mifepristone

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New Research Finds Potential Alternative to Abortion Pill Mifepristone

A new study suggests a possible alternative to the abortion pill mifepristone, a drug that continues to be a target of lawsuits and legislation from abortion opponents.

But the potential substitute could further complicate the politics of reproductive health because it is also the key ingredient in a contraceptive morning-after pill.

The new study, published Thursday in the journal NEJM Evidence, involved a drug called ulipristal acetate, the active ingredient in the prescription contraceptive Ella, one of two types of morning-after pills approved in the United States. (The other, Plan B One-Step, which does not require a prescription, contains a different drug and does not work in a way that would terminate a pregnancy, according to scientific evidence.)

In the study, 133 women who were up to nine weeks’ pregnant took twice the dose of the ulipristal acetate contained in Ella, followed by misoprostol, the second drug used in the typical medication abortion regimen. All but four of the women completed the termination of their pregnancies without further intervention, a 97 percent completion rate that is similar to the regimen using mifepristone. (The others finished the process with additional medication or a procedure.)

There were no serious complications, and the study concluded that using ulipristal acetate for abortion was safe.

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Dr. Beverly Winikoff, the lead author of the study and the president of Gynuity Health Projects, a reproductive health research organization, said that after the Supreme Court overturned the national right to abortion in 2022, she began wondering about a possible role for ulipristal acetate, which has a similar chemical structure to mifepristone.

“I was thinking, there’s maybe something else we can do,” she said. “Another option. And this one is already on the market.”

The political implications of the study are complex because of their potential to blur the line between the public perception of emergency contraception and abortion. For years, abortion opponents have opposed morning-after pills by saying they can cause abortions, and reproductive health experts have countered by pointing to scientific evidence that the pills do not terminate pregnancies but instead act to prevent pregnancy after sex.

Some reproductive health experts are concerned that research showing that a morning-after pill ingredient can be used for abortion could stoke attempts to crack down on emergency contraception and sow confusion that could bolster the larger anti-abortion strategy.

Kristi Hamrick, a spokeswoman for Students for Life of America, said her organization would “absolutely” consider litigation over Ella.

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“The pro-life movement should be vindicated,” Ms. Hamrick said. “We’ve been arguing for years that Ella acts as an abortifacient.”

Mary Ziegler, a law professor and abortion expert at the University of California, Davis, said the study could present challenges for both sides of the abortion debate.

“It’s going to put wind in the sails of abortion opponents who have been saying things like contraceptives can be abortifacients,” she said, adding, “This study being released will be difficult, I think, for abortion rights supporters to manage.”

But Ms. Ziegler said the study’s findings could also be “politically risky” for abortion opponents because public support for contraception is high and many voters in conservative states endorsed ballot measures protecting abortion rights. “I think it’s one of those things that’s going to tempt social conservatives to push probably faster than politics would currently permit in the direction of regulating contraception,” she said. “And I think that could backfire.”

Reproductive health experts said the new study did not refute the science showing that morning-after pills don’t induce abortions, because it involved a different dose of the drug.

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Abortion opponents said they were not surprised by the study’s findings.

“After years of denying ulipristal acetate’s potential to end the life of an embryo, abortion advocates are now starting to use it as a substitute for the abortion drug mifepristone,” Dr. Donna Harrison, director of research for the American Association of Pro-Life Obstetricians and Gynecologists, said in a statement. “The reason for this is simple. Ulipristal and mifepristone function in the same way.”

Ella was already a target for some conservatives. Project 2025, a right-wing policy blueprint that has been strongly tied to the new Trump administration, said that Ella should be removed from required insurance coverage of contraception under the Affordable Care Act because it is “a potential abortifacient.”

Mifepristone, the first pill in the standard two-drug medication abortion regimen, is the only drug specifically approved for abortion in the United States. Typically used through 12 weeks’ gestation, mifepristone stops the development of a pregnancy by blocking the hormone progesterone. The second drug, misoprostol, is taken 24 to 48 hours later and causes contractions similar to a miscarriage.

Ulipristal acetate is in the same class of medications as mifepristone and also blocks the activity of progesterone, a hormone that prepares the uterus to receive and hold an embryo, said Dr. Daniel Grossman, a reproductive health physician and researcher at the University of California, San Francisco, who was not involved in the new study.

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In the study, a 60 milligram dose of ulipristal acetate (double the 30 milligrams in Ella) was substituted for mifepristone and followed by misoprostol, which has various medical uses and has not been targeted as much by abortion opponents. (Misoprostol can also facilitate an abortion on its own, but is considered more effective in a combination regimen.)

Reproductive health experts said they welcomed the search for alternatives to mifepristone because abortion opponents have been waging efforts to sharply restrict the medication across the country, most notably with a federal lawsuit against the Food and Drug Administration. The Supreme Court rejected that lawsuit last year, ruling that the initial plaintiffs lacked standing to sue, but the suit has since been revived with three states as plaintiffs.

Dr. Grossman, who wrote an editorial about the study, said the prospect of a substitute for mifepristone was “certainly a promising finding.” But, he added, “if because of this new evidence that at higher doses, ulipristal acetate could cause an abortion, that were to lead to ulipristal acetate being taken off the market for emergency contraception, that would be really, really bad.”

The company that manufactures Ella, Perrigo, issued a statement saying that Ella “was not tested in this study.” It added, “Ella is an F.D.A.-approved emergency contraception pill that acts before pregnancy can occur,” she continued. “There continues to be no evidence to show that, on its own, Ella causes an abortion.”

The study was conducted in Mexico City and was co-led by researchers there.

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Several experts said that because it was a relatively small first study with no comparison group of patients, more research was needed before ulipristal acetate should be used for abortion. “We can’t change clinical practice based on this study,” said Kelly Cleland, a researcher who is the executive director of the American Society for Emergency Contraception.

Scientists have long understood that hormone-based drugs may be able to play different functions at different doses along the spectrum of a woman’s reproductive health cycle.

In Europe, researchers including Dr. Rebecca Gomperts, a Dutch physician and founder of telemedicine organizations that provide abortion pills globally, are studying low doses of mifepristone as a weekly birth control pill. Dr. Gomperts said she considered the new ulipristal acetate study sufficient to prescribe the drug off-label for medication abortion.

“The more uses we have for these medications, the harder it will be for people to take them away,” said Dr. Paul Blumenthal, an emeritus professor of obstetrics and gynecology at Stanford University who was in an advisory group for the study.

Plan B is a much more widely used morning-after pill in the United States, but Ella is considered more effective for some women, including people who are overweight. Plan B is intended to be taken within three days after unprotected sex, while Ella can be taken within five days.

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Both pills prevent pregnancy by blocking ovulation, the release of eggs from the ovaries that occurs before eggs can be fertilized, scientific studies have shown.

The claim by some abortion opponents that morning-after pills are abortion drugs is based on a theory that they might also prevent a fertilized egg from implanting in the womb. Most scientific research has not found that to be the case.

For years, despite scientific evidence to the contrary detailed in an investigation by The New York Times, the F.D.A.-approved label and packaging for Plan B One-Step said that while the pill worked by blocking ovulation, there was a possibility it might prevent implantation. In 2022, the agency changed the language to make it clear that Plan B acts only before fertilization, “will not work if you’re already pregnant, and will not affect an existing pregnancy.”

The F.D.A. label for Ella says that its “likely primary mechanism of action” is to stop or delay ovulation. The label adds that the medication may also affect implantation. Studies in recent years, however, suggest that Ella does not operate by blocking a fertilized egg from implanting in the womb.

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Space experiments reveal new way to fight drug-resistant superbugs, scientists say

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Space experiments reveal new way to fight drug-resistant superbugs, scientists say

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Research conducted partly aboard the International Space Station (ISS) suggests that “microgravity” could help scientists fight drug-resistant superbugs, according to a report from SWNS.

Microgravity is the condition in which people or objects appear to be weightless, NASA states.

Experiments by researchers at the University of Wisconsin-Madison show that viruses and bacteria behave differently in near-weightless conditions. In space, they develop genetic changes not typically seen on Earth.

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Lead study author Dr. Phil Huss, a researcher at the University of Wisconsin–Madison, noted that interactions between viruses that infect bacteria — known as phages — and their hosts play an “integral” role in how microbial ecosystems function, per the SWSN report.

Viruses that infect bacteria were still able to infect E. coli in space. However, the way those infections unfolded was different from what is typically observed on Earth.

E. coli is a group of bacteria that can live in the gut and are harmless most of the time, according to Cleveland Clinic. (iStock)

Bacteria and phages are often described as being locked in an evolutionary arms race, Huss said, with each side constantly adapting to outmaneuver the other.

“Microgravity is not just a slower or noisier version of Earth — it is a distinct physical and evolutionary environment,” researcher Srivatsan Raman, Ph.D., professor of biochemistry at the university, told Fox News Digital. 

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“Even in a very simple phage-bacteria system, microgravity altered infection dynamics and pushed both organisms down different evolutionary paths,” he added.

CONTAMINATED MEAT BLAMED FOR RISE IN COMMON URINARY INFECTIONS, EXPERTS WARN

While these interactions between bacteria and phages have been well-studied on Earth, few studies have examined them in space, where they can lead to different outcomes.

For the study, Huss and his colleagues compared two sets of E. coli samples infected with a phage known as T7. One set was incubated on Earth, while the other was grown aboard the ISS.

The ISS is a microgravity environment — where people and objects appear weightless. (NASA / SWNS)

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The team found that after an initial slowdown, the T7 phage successfully infected E. coli in space. Genetic analysis later revealed clear differences in how both the bacteria and the virus mutated in space compared with how they behaved on Earth, per the report.

Huss said the phages grown aboard the space station developed mutations that could improve their ability to infect bacteria or attach to bacterial cells. At the same time, the E. coli grown in space developed mutations that could help them resist infection and survive better in near-weightless conditions.

GROWING ANTIBIOTIC CRISIS COULD TURN BACTERIAL INFECTIONS DEADLY, EXPERTS WARN

Raman said some of the findings were unexpected. In particular, he noted, microgravity led to mutations in parts of the phage genome that are not well-understood and are rarely seen in Earth-based experiments.

The E. coli grown in space developed mutations that could help them resist infection and survive better in near-weightless conditions. (iStock)

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Researchers then used a technique called deep mutational scanning — a method that tracks how genetic changes affect function — to examine changes in the T7 receptor-binding protein, which plays a key role in infection.

Additional experiments on Earth linked those changes to increased effectiveness against E. coli strains that are normally resistant to T7.

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“Equally surprising was that phages shaped by microgravity could be more effective against terrestrial bacterial pathogens when brought back to Earth,” Raman told Fox News Digital.

“That result suggests microgravity can reveal combinations of mutations that are difficult to access through standard laboratory evolution, but [are] still highly relevant for real-world applications.”

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“Microgravity is not just a slower or noisier version of Earth — it is a distinct physical and evolutionary environment.”

Huss said the findings could help address antibiotic-resistant infections, including urinary tract infections, which have been increasing in recent years.

“By studying those space-driven adaptations, we identified new biological insights that allowed us to engineer phages with far superior activity against drug-resistant pathogens back on Earth,” Huss told SWNS.

Study limitations

“Experiments on the ISS are constrained by small sample sizes, fixed hardware and scheduling constraints,” Raman noted. “Samples also experience freezing and long storage times, which can complicate interpretation.”

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He added that the research has broader implications.

“Studying microbes in space isn’t just about space biology,” Raman said. “These experiments can uncover new aspects of viral infection and microbial evolution that feed directly back into terrestrial problems, including antimicrobial resistance and phage therapy.”

Space should be treated as a discovery environment rather than a routine testing platform, one researcher said. (iStock)

He added that space should be treated as a discovery environment rather than a routine testing platform. The most effective approach, according to Raman, is to identify useful patterns and mutations in space and then study them carefully in Earth-based systems.

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Scientists also noted that the findings highlight how microbial ecosystems, like those associated with humans, could change during long space missions.

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“Understanding and anticipating those changes will be essential as space travel becomes longer, more routine and more biologically complex,” Raman said.

The findings were published in the journal PLOS Biology.

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Blood test flags digestive disease risk years before symptoms appear

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Blood test flags digestive disease risk years before symptoms appear

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A simple blood test may detect Crohn’s disease years before symptoms appear, according to a new study reported by SWNS.

Canadian researchers say the discovery could enable earlier diagnosis and potential prevention of the chronic inflammatory bowel disease (IBD).

The test measures the immune system’s response to flagellin, a protein found in gut bacteria. Researchers found that this response is elevated in some people years before Crohn’s develops.

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The findings, published in Clinical Gastroenterology and Hepatology, highlight the “interplay” between gut bacteria and immune system responses as a key step in the disease’s development, per the SWNS report.

Crohn’s disease is a chronic inflammatory condition of the gastrointestinal tract that causes persistent digestive symptoms, pain and fatigue, significantly affecting quality of life. Its incidence among children has doubled since 1995, according to official figures.

Crohn’s disease is a type of inflammatory bowel disease (IBD) that causes swelling and irritation of the tissues, called inflammation, in the digestive tract.  (iStock)

The presence of flagellin antibodies long before symptoms appear suggests that the immune reaction may help trigger the disease, according to research leader Dr. Ken Croitoru, clinician-scientist and professor of medicine and immunology at the University of Toronto. 

A better understanding of this early process could lead to improved prediction, prevention and treatment, the expert said.

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“We haven’t cured anybody yet, and we need to do better.”

“With all the advanced biologic therapy we have today, patients’ responses are partial at best,” Croitoru told SWNS. “We haven’t cured anybody yet, and we need to do better.”

MISUNDERSTOOD ILLNESS LEAVES MILLIONS EXHAUSTED, WITH MOST CASES UNDIAGNOSED

“We wanted to know: Do people who are at risk, who are healthy now, have these antibodies against flagellin?” he said. “We looked, we measured, and yes indeed, at least some of them did.”

This new research is part of the Genetic, Environmental and Microbial (GEM) Project, which has followed more than 5,000 healthy first-degree relatives of people with Crohn’s disease worldwide since 2008. The project collects genetic, biological and environmental data to better understand how the disease develops.

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The presence of flagellin antibodies long before symptoms appear suggests that the immune reaction may help trigger the disease, according to the lead researcher. (iStock)

The study followed 381 first-degree relatives of Crohn’s patients, 77 of whom later developed the disease. Of those, more than 30% had elevated antibody responses.

The responses were strongest in siblings, underscoring the role of shared environmental exposure, researchers said.

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So far, 130 of the study participants have developed Crohn’s, giving researchers a rare opportunity to study its earliest stages. The average time from blood sample collection to diagnosis was nearly 2-½ years.

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Previous GEM research showed that an inflammatory immune response targeting gut bacteria can appear long before the disease develops. 

The study followed 381 first-degree relatives of Crohn’s patients, 77 of whom later developed the disease. (iStock)

In healthy people, gut bacteria coexist peacefully and play an essential role in digestive health — but in Crohn’s patients, the immune system appears to mount an abnormal response against the microbes, experts say.

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The Canadian team also confirmed that this pre-disease immune response was associated with intestinal inflammation and gut barrier dysfunction, both hallmarks of Crohn’s disease. 

The study did have some limitations, including that it did not include experiments to show exactly how the immune response might lead to Crohn’s disease.  (iStock)

Research team member Dr. Sun-Ho Lee, a gastroenterologist, commented that this new study supports the idea of designing a flagellin-directed vaccine for certain high-risk individuals to prevent the disease, according to SWNS.

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The study did have some limitations, including that it did not include experiments to show exactly how the immune response might lead to Crohn’s disease. 

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As a result, the researchers could not determine the biological steps linking the immune reaction to the onset of the illness. “Further validation and mechanistic studies are underway,” they noted.

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Simple daily habit may help ease depression more than medication, researchers say

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Simple daily habit may help ease depression more than medication, researchers say

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This story discusses suicide. If you or someone you know is having thoughts of suicide, please contact the Suicide & Crisis Lifeline at 988 or 1-800-273-TALK (8255).

A new study suggests that exercise can treat depression just as effectively as therapy and antidepressants.

A Cochrane review looked at 73 randomized controlled trials involving nearly 5,000 adults with a depression diagnosis. The studies compared exercise with either other active treatments — such as therapy or medication — or with “inactive interventions,” like being placed on a wait list or in a control group.

The London-based team discovered that exercise may be “moderately effective” compared to no therapy in reducing depression symptoms, according to a press release.

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EXERCISE AFFECTS THE HEART IN A HIDDEN, POWERFUL WAY BY REWIRING NERVES, STUDY FINDS

“There is probably little to no difference in depressive symptoms between people undertaking exercise and those receiving psychological therapy,” the authors noted in a study discussion on Cochrane’s website, and “there may be little to no difference in depressive symptoms between people doing exercise and those taking antidepressants.”

The analysis discovered that exercise may be “moderately effective” compared to no therapy in reducing depression symptoms. (iStock)

The review found that light- to moderate-intensity exercise was more beneficial for easing depression symptoms than vigorous exercise.

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No single type of physical activity stood out as the best, but mixed programs that included resistance training appeared to be “more effective” than just aerobic exercise. 

Some forms of exercise, like yoga and stretching, were not included in the analysis, but are areas to be further researched, the review noted.

Mixed exercise programs and resistance training appeared to be “more effective” in easing depression symptoms than just aerobic exercise. (iStock)

Professor Andrew Clegg, lead author of the review, wrote in a statement that exercise “appears to be a safe and accessible option for helping to manage symptoms of depression.”

“This suggests that exercise works well for some people, but not for everyone, and finding approaches that individuals are willing and able to maintain is important,” he said.

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Study limitations and risks

The researchers noted that there was a high risk of bias in some of the studies included in the review, and noted that the long-term effects of exercise on depression symptoms remain uncertain.

COMMON SPICE MAY BEAT DEPRESSION AND BOOST SEXUAL HEALTH, DOCTOR SAYS

Clegg noted that “larger, high-quality studies” are needed to determine which types of exercise work best and whether the benefits last over time.

The comparison between exercise and other treatments and how they benefit people’s quality of life were also “inconsistent and uncertain.”

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“Adverse events from exercise were not common,” the researchers mentioned. “The small number of participants who experienced them usually reported muscle and joint problems or worsening of depression.”

About 21 million U.S. adults had at least one major depressive episode in a recent year — equivalent to roughly 8.3% of all U.S. adults, according to the National Institutes of Health. (iStock)

“Future research should focus on improving the quality of the studies, working out which characteristics of exercise are effective for different people, and ensuring different types of people are included in the studies so that health equity issues can be considered,” they went on.

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About 21 million U.S. adults had at least one major depressive episode in a recent year — equivalent to roughly 8.3% of all U.S. adults, according to the National Institute of Mental Health.

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Depression symptoms include feelings of sadness, hopelessness, anxiety, guilt or irritability, as well as loss of interest or pleasure in hobbies and activities. Fatigue, poor concentration, sleep disturbances, appetite changes and social withdrawal are also red flags, in addition to thoughts about dying or suicidal ideations. 

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The condition is most often treated by antidepressant medications and psychological therapies, such as talk therapy. Anyone who needs help should consult their doctor.

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