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Nurses call for change as many reveal they're ‘extremely likely’ to leave profession: ‘Emotional, stressful'

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Nurses call for change as many reveal they're ‘extremely likely’ to leave profession: ‘Emotional, stressful'

Nurses aren’t optimistic that this year will be any better than last year — and more than one-third of them are “extremely likely” to change jobs.

That’s according to a new survey by AMN Healthcare, a health care workforce solutions company based in Texas.

The majority of nurses (80%) said they think 2024 will be either “no better or worse” for the profession than 2023 — while 38% said it will be worse.

AMERICANS TRUST NURSES THE MOST OUT OF 23 MAJOR PROFESSIONS, NEW POLL FINDS: ‘AT THE FOREFRONT’

Only 20% said they believe this year will be better than last year. 

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In light of this, 35% of the nurses surveyed said it is extremely likely that they will change jobs in 2024, and the majority (55%) said it is very likely or somewhat likely.

More than one-third of the nurses who took part in a recent survey of 1,155 nurses across the U.S. are “extremely likely” to change jobs. (iStock)

The survey gathered responses from 1,155 nurses across the U.S.

“The concerns that many nurses have about their profession were not created by COVID-19 and have not gone away now that the crisis has passed,” Robin Johnson, group president of nursing solutions at AMN Healthcare, who administered the survey, told Fox News Digital. 

“Many nurses still feel overworked and undercompensated. What they want to see is a change in their daily working conditions — better hours, fair compensation and more time with their patients,” she continued.

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NATIONAL NURSES WEEK 2024: HOW TO CELEBRATE AND SHOW APPRECIATION TO THE NURSES IN YOUR LIFE

“This is not just a nurse morale issue. It’s a public health issue.”

A more engaged, productive nurse workforce means better care and better outcomes for the patients they serve, according to Johnson.

“While the health care industry is acutely aware of this, the survey shows that more work needs to be done.”

“The number of nurses that are currently leaving the profession is the highest level I have ever seen,” a longtime nurse told Fox News Digital. (iStock)

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Gretchen Berlin, RN, senior partner at McKinsey & Company in Washington, D.C., noted that the company’s research has shown some concerning trends about nursing.

“We’ve surveyed nurses regularly over the past four years, and the data consistently shows that around 30% want to leave their roles in direct patient care,” she told Fox News Digital.

“We’ve also done additional analysis and have projected a shortage of nurses in patient care, which is also concerning.”

“This is not just a nurse morale issue. It’s a public health issue.”

Sabrina Korentager, a registered nurse and adviser to ImpediMed in Kansas, has been a nurse for 28 years.

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“The number of nurses that are currently leaving the profession is the highest level I have ever seen,” she told Fox News Digital.

“Even more concerning is the level of nurses leaving the bedside for non-traditional nursing. If this trend continues, we face a significant shortage of nurses to provide care to our aging society.”

Reasons for nurses’ burnout

There are many reasons for nurses’ high levels of burnout, Korentager noted.

“Nurses are called on daily to perform in stressful situations that are emotional and physically demanding,” she told Fox News Digital. 

Many patients are asked to work longer hours with less resources, and are asked to care for more patients than they feel they can safely accommodate, experts say. (Martin Barraud via Getty Images)

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“They are asked to work longer hours with less resources for providing care. Often, nurses are asked to care for more patients than they feel they can safely [accommodate].”

Nurses are also being encouraged to obtain higher-level degrees to continue working for the same pay and same conditions, Korentager said.

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Other contributors to burnout and job frustration include high patient-to-nurse ratios and heavy workloads, long hours and shift work, emotional and mental stress, inadequate staffing, and a lack of autonomy and recognition. That’s according to Dr. Jane Tang, PhD, professor and dean of the Frances M. Maguire School of Nursing and Health Professions at Gwynedd Mercy University in Pennsylvania.

Pay inequity across the U.S. is also a big challenge, according to Tang.

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Ensuring adequate staffing levels can reduce the workload on individual nurses — enabling them to deliver better care and alleviate stress, according to an expert in the field. (iStock)

“For example, in southern states, nurses may be paid less than nurses in California,” she told Fox News Digital. 

“Without equitable pay, underserved regions and populations face heightened vulnerability.”

Violence in the workplace has also dramatically increased, Tang said. 

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“This isn’t a popular topic to talk about, but it’s a huge threat to the nursing and health professions,” she said.

“The physical and psychological abuse nurses and health professionals endure on a daily basis is unlike [the conditions of] any other profession.”

The COVID-19 pandemic exacerbated all of these challenges, experts agreed.

What needs to change?

To alleviate the challenges nurses face, Berlin of Washington, D.C., stressed the need to help nurses manage their workloads through delegating certain tasks and offering new technologies. 

“One example is implementing technology to support flexible scheduling, which can free up much-needed time for nurses on and off the job,” she told Fox News Digital. 

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“While it is truly a gift to be a nurse, the feeling of not having enough resources to care for your patients can be overwhelming.”

“In our analysis, we found the potential to free up to 15% of nurses’ time through these types of efforts — time that we could give back to nurses to spend on the aspects of their work that bring them the most joy and satisfaction.”

Mentoring is another way to support new nurses, multiple experts noted.

“Mentoring helps nurses navigate the emotional and stressful challenges they can experience daily.” (iStock)

“Mentoring helps nurses navigate the emotional and stressful challenges they can experience daily,” Korentager said.

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“It allows nurses to have guidance and support throughout their careers, which can help with frustration and burnout while providing clarity for career progression.”

Ensuring adequate staffing levels can reduce the workload on individual nurses, enabling them to deliver better care and alleviate stress, according to Tang. 

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“Workplace safety is also paramount for the physical and mental well-being of nurses, as is offering mental health support to help nurses navigate the emotional challenges of their profession and prevent burnout,” she said. 

“Recognizing and appreciating the hard work and dedication of nurses in meaningful ways further enhances morale and job satisfaction.”

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Signs of positive change

Some organizations are optimistic about improvements they’re seeing in the nursing field.

Advent Health, for example, has seen a rebound in nursing staff since the COVID pandemic.

Since 2020, the Florida-based health system has seen 10,000 registered nurses hired across its Central Florida hospitals and clinical care locations since 2020, according to a press release.

“We’ve made incredible strides in fortifying our nursing workforce,” said a representative of AdventHealth. (iStock)

“We knew we needed to make recruitment and retention our organization’s top priority, and so we pledged to invest in our team members like never before and sought to inspire and mentor a new generation of nurses,” said Cathy Stankiewicz, chief nursing officer for AdventHealth’s hospitals in Orange, Osceola and Seminole counties, in the release.

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She said the group has made great strides “in fortifying our nursing workforce.” 

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AdventHealth also said it has cut turnover in half since 2020 and reduced reliance on travel nurses by 98% since the peak of the pandemic.

“Hearing directly from RNs about their needs and working together to make meaningful changes was paramount to overcoming the challenges posed by the pandemic and nursing shortage,” said Michele Goeb-Burkett, chief nursing officer for AdventHealth’s hospitals in Flagler, Lake and Volusia counties, in the release.

The group has made great strides “in fortifying our nursing workforce.” 

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Overall, the experts agreed that nurses’ well-being is integral to patient care.

“While it is truly a gift to be a nurse, the feeling of not having enough resources to care for your patients can be overwhelming,” Korentager told Fox News Digital.

The continued demands to do more with less can negatively impact nurses’ career performance, health and personal life, she warned. 

“This may manifest in medical errors, inattention or an overall negative attitude toward the patients. All of these can negatively affect patient outcomes and well-being.” 

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ChatGPT could miss your serious medical emergency, new study suggests

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ChatGPT could miss your serious medical emergency, new study suggests

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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).

Artificial intelligence has been touted as a boon to healthcare, but a new study has revealed its potential shortcomings when it comes to giving medical advice.

In January, OpenAI launched ChatGPT Health, the medical-focused version of the popular chatbot tool. 

The company introduced the tool as “a dedicated experience that securely brings your health information and ChatGPT’s intelligence together, to help you feel more informed, prepared and confident navigating your health.”

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But researchers at the Icahn School of Medicine at Mount Sinai have found that the tool failed to recommend emergency care for a “significant number” of serious medical cases.

The study, published in the journal Nature Medicine on Feb. 23, aimed to explore how ChatGPT Health — which is reported to have about 40 million users daily — handles situations where people are asking whether to seek emergency care.

Artificial intelligence has been touted as a boon to healthcare, but a new study has revealed its potential shortcomings when it comes to giving medical advice. (iStock)

“Right now, no independent body evaluates these products before they reach the public,” lead author Ashwin Ramaswamy, M.D., instructor of urology at the Icahn School of Medicine at Mount Sinai in New York City, told Fox News Digital.

“We wouldn’t accept that for a medication or a medical device, and we shouldn’t accept it for a product that tens of millions of people are using to make health decisions.”

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Emergency scenarios

The team created 60 clinical scenarios across 21 medical specialties, ranging from minor conditions to true medical emergencies.

Three independent physicians then assigned an appropriate level of urgency for each case, based on published clinical practice guidelines in 56 medical societies.

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The researchers conducted 960 interactions with ChatGPT Health to see how the tool responded, taking into account gender, race, barriers to care and “social dynamics.”

While “clear-cut emergencies” — such as stroke or severe allergy — were generally handled well, the researchers found that the tool “under-triaged” many urgent medical issues.  

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The team created 60 clinical scenarios across 21 medical specialties, ranging from minor conditions to true medical emergencies. (iStock)

For example, in one asthma scenario, the system acknowledged that the patient was showing early signs of respiratory failure — but still recommended waiting instead of seeking emergency care.

“ChatGPT Health performs well in medium-severity cases, but fails at both ends of the spectrum — the cases where getting it right matters most,” Ramaswamy told Fox News Digital. “It under-triaged over half of genuine emergencies and over-triaged roughly two-thirds of mild cases that clinical guidelines say should be managed at home.”

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Under-triage can be life-threatening, the doctor noted, while over-triage can overwhelm emergency departments and delay care for those in real need.

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Researchers also identified inconsistencies in suicide risk alerts. In some cases, it directed users to the 988 Suicide and Crisis Lifeline in lower-risk scenarios, and in others, it failed to offer that recommendation even when a person discussed suicidal ideations.

“ChatGPT Health performs well in medium-severity cases, but fails at both ends of the spectrum.”

“The suicide guardrail failure was the most alarming,” study co-author Girish N. Nadkarni, M.D., chief AI officer of the Mount Sinai Health System, told Fox News Digital.

ChatGPT Health is designed to show a crisis intervention banner when someone describes thoughts of self-harm, the researcher noted.

OpenAI launched ChatGPT Health, the medical-focused version of the popular chatbot tool, in January 2026. (Gabby Jones/Bloomberg via Getty Images)

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“We tested it with a 27-year-old patient who said he’d been thinking about taking a lot of pills,” Nadkarni said. “When he described his symptoms alone, the banner appeared 100% of the time. Then we added normal lab results — same patient, same words, same severity — and the banner vanished.” 

“A safety feature that works perfectly in one context and completely fails in a nearly identical context … is a fundamental safety problem.”

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The researchers were also surprised by the social influence aspect.

“When a family member in the scenario said ‘it’s nothing serious’ — which happens all the time in real life — the system became nearly 12 times more likely to downplay the patient’s symptoms,” Nadkarni said. “Everyone has a spouse or parent who tells them they’re overreacting. The AI shouldn’t be agreeing with them during a potential emergency.”

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Fox News Digital reached out to Open AI, creator of ChatGPT, requesting comment.

Physicians react

Dr. Marc Siegel, Fox News senior medical analyst, called the new study “important.” 

“It underlines the principle that while large language models can triage clear-cut emergencies, they have much more trouble with nuanced situations,” Siegel, who was not involved in the study, told Fox News Digital. 

ChatGPT and other LLMs can be helpful tools, a doctor said, but they “should not be used to give medical direction.” (iStock)

“This is where doctors and clinical judgment come in — knowing the nuances of a patient’s history and how they report symptoms and their approach to health.”

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ChatGPT and other LLMs can be helpful tools, Siegel said, but they “should not be used to give medical direction.”

“Machine learning and continued input of data can help, but will never compensate for the essential problem – human judgment is needed to decide whether something is a true emergency or not.”

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Dr. Harvey Castro, an emergency physician and AI expert in Texas, echoed the importance of the study, calling it “exactly the kind of independent safety evaluation we need.”

“Innovation moves fast. Oversight has to move just as fast,” Castro, who also did not work on the study, told Fox News Digital. “In healthcare, the most dangerous mistakes happen at the extremes, when something looks mild but is actually catastrophic. That’s where clinical judgment matters most, and where AI must be stress-tested.”

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Study limitations

The researchers acknowledged some potential limitations in the study design.

“We used physician-written clinical scenarios rather than real patient conversations, and we tested at a single point in time — these systems update frequently, so performance may change,” Ramaswamy told Fox News Digital.

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Additionally, most of the missed emergencies happened in situations where the danger depended on how the condition was changing over time. It’s not clear whether the same problem would happen with acute medical emergencies.

Because the system had to choose just one fixed urgency category, the test may not reflect the more nuanced advice it might give in a back-and-forth conversation, the researchers noted. 

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ChatGPT Health is designed to show a crisis intervention banner when someone describes thoughts of self-harm. (iStock)

Also, the study wasn’t large enough to confidently detect small differences in how recommendations might vary by race or gender.

“We need continuous auditing, not one-time studies,” Castro noted. “These systems update frequently, so evaluation must be ongoing.”

‘Don’t wait’

The researchers emphasized the importance of seeking immediate care for serious issues.

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“If something feels seriously wrong — chest pain, difficulty breathing, a severe allergic reaction, thoughts of self-harm — go to the emergency department or call 988,” Ramaswamy advised. “Don’t wait for an AI to tell you it’s OK.”

The researchers noted that they support the use of AI to improve healthcare access, and that they didn’t conduct the study to “tear down the technology.”

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“These tools can be genuinely useful for the right things — understanding a diagnosis you’ve already received, looking up what your medications do and their side effects, or getting answers to questions that didn’t get fully addressed in a short doctor’s visit,” Ramaswamy said. 

“That’s a very different use case from deciding whether you need emergency care. Treat them as a complement to your doctor, not a replacement.”

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“This study doesn’t mean we abandon AI in healthcare.”

Castro agreed that the benefits of AI health tools should be weighed against the risks.

“AI health tools can increase access, reduce unnecessary visits and empower patients with information,” he said. “They are not inherently unsafe, but they are not yet substitutes for clinical judgment.”

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“This study doesn’t mean we abandon AI in healthcare,” he went on. “It means we mature it. Independent testing and stronger guardrails will determine whether AI becomes a safety net or a liability.”

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Diabetes surge among Americans could be driven by ‘healthy’ breakfasts, doctor warns

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Diabetes surge among Americans could be driven by ‘healthy’ breakfasts, doctor warns

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Americans consume foods every day that are marketed as “healthy,” when they could be quietly destroying their health, one doctor warns.

Dr. Mark Hyman, physician and co-founder of Function Health in California, says that much of America’s daily diet is filled with unhealthy ingredients.

“The amount of refined starches and sugars that are everywhere is just staggering to me, given what we know about how harmful they are,” he shared in an interview with Fox News Digital. “I don’t think people really understand.”

Hyman, author of the new book “Food Fix Uncensored,” said he’s “astounded” by what people are eating, especially for breakfast.

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“People just eat sugar for breakfast,” he said. “They have muffins, they have bagels, they have croissants, they have sugar-sweetened coffees and teas.”

Dr. Mark Hyman is the author of the new book “Food Fix Uncensored.” (Function Health; Little, Brown Spark)

In addition to the traditionally sweet options for breakfast, some cereal brands and breakfast staples have adopted new “protein-packed” menu items and products, following health trends that encourage eating more protein.

“Highly processed food is not food.”

“Now, we’re seeing this halo of protein in certain things,” Hyman said, mentioning that many protein smoothies are “full of sugar.”

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The doctor also noted that some popular cereals are now marketed as having protein in them. “My joke is, if it has a health claim on the label, it’s definitely bad for you,” he said.

Instead of starting the day with a “quick fix” or processed food, Hyman suggests choosing whole sources of protein and fat for breakfast, adding that “if there’s a little carbohydrate in there, it’s fine.”

More products marketed as “high protein” have cropped up on supermarket shelves. (iStock)

For his own breakfast, Hyman said he has a protein shake with whey protein, avocado and frozen berries. Eggs and avocados are also a great protein-and-fat combo option, he added.

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“It’s not that complicated — people need to just think about their breakfast not being dessert,” he said. “No wonder we’re in this cycle of obesity and diabetes. One in three teenage kids now has type 2 diabetes or pre-diabetes. That’s just criminal.”

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Instead of counting calories and being in a caloric deficit as a way to lose weight and stay healthy, Hyman instead suggests focusing on how certain foods make you feel and how they impact your health.

“When you look at the way in which different types of calories affect your biology, you can just choose what you’re eating, and then you don’t have to worry about how much,” he told Fox News Digital.

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In addition to the traditionally sweet options for breakfast, some cereal brands and breakfast staples have adopted new “protein-packed” menu items and products. (iStock)

“For example, if you eat a diet that doesn’t cause your insulin to spike — which is low in starch and sugar, higher in protein and fat — you won’t develop those swings in blood sugar, you won’t develop the spikes in insulin, you won’t deposit hungry fat … You will break that cycle.”

People are more likely to “self-regulate when they eat real food” instead of processed foods, which “bypasses the normal mechanisms of satiety, fullness and brain chemistry,” according to Hyman.

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“Ultraprocessed food and junk food or highly processed food is not food,” he said. “It doesn’t support the health and well-being of an organism. It doesn’t do that. It does the opposite.”

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Scientists make startling discovery when examining prostate cancer tissue

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Scientists make startling discovery when examining prostate cancer tissue

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Small fragments of plastic were found in the tumors of most prostate cancer patients, according to a new study from NYU Langone Health. 

In past studies, microplastics have been found in almost every human organ and in bodily fluids, but their impact on human health still isn’t fully understood.

The researchers analyzed tissue samples from 10 patients with prostate cancer who underwent surgery to remove the entire organ. 

Using visuals of both benign samples and tumor samples, as well as specialized equipment, the scientists identified plastic particles in 90% of the tumor samples and 70% of benign tissue samples, according to the study press release.

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In past studies, microplastics were found in almost every single human organ along with bodily fluids, even the placenta. (iStock)

The cancerous tissue contained on average more than double the amount of plastic as healthy prostate tissue samples, the study found. This equates to about 40 micrograms of plastic per gram of tissue compared to 16 micrograms.

Researchers avoided contaminating the samples with other plastics by substituting standard tools with those made of aluminum, cotton and other non-plastic material, the release noted.

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The scientists say this is the first direct evidence linking microplastics to prostate cancer.

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“By uncovering yet another potential health concern posed by plastic, our findings highlight the need for stricter regulatory measures to limit the public’s exposure to these substances, which are everywhere in the environment,” said senior study author Vittorio Albergamo, assistant professor in the department of pediatrics at NYU Grossman School of Medicine, in the release.

Using visuals of both benign samples and tumor samples, as well as specialized equipment, the scientists identified plastic particles in 90% of the tumor samples and 70% of benign tissue samples. (iStock)

The study findings were presented during the American Society of Clinical Oncology’s Genitourinary Cancers Symposium in San Francisco on Feb. 26.

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“What is most striking is not that microplastics were detected, but that they were found embedded within tumor tissue itself,” Dr. David Sidransky, oncologist and medical advisor at SpotitEarly, a startup that offers an at-home breath-based test to detect early-stage cancer, told Fox News Digital.

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“While complete avoidance is unrealistic, people can take practical steps to reduce exposure.”

“We already know microplastics are present in water, air, blood and even placental tissue. Their detection in prostate tumors suggests systemic distribution and long-term bioaccumulation,” added Maryland-based Sidransky, who was not involved in the study.

Study limitations

Albergamo cautioned that a larger sample is needed to confirm the findings. Additionally, Sidransky noted that the presence of microplastics alone does not prove they cause cancer.

“Tumors can act as ‘biologic sinks,’ meaning they may accumulate circulating particles simply because of altered vasculature and permeability,” he said.

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A key unanswered question, according to the doctor, is whether microplastics are biologically active in ways that “promote DNA damage, immune modulation or chronic inflammation within the prostate.”

About one in eight men in the U.S. will be diagnosed with prostate cancer at some point in their lifetime, according to the Centers for Disease Control and Prevention.

The most actionable step men can take is appropriate screening and early detection, according to doctors. (iStock)

For those concerned about microplastics, Sidransky offered some insights.

“I believe the appropriate response is curiosity, not panic, and a commitment to understand more,” he said.

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“While complete avoidance is unrealistic, people can take practical steps to reduce exposure, such as minimizing heating food in plastic containers, reducing bottled water consumption when possible, and favoring glass or stainless steel alternatives.”

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The most actionable step men can take, however, is getting appropriate screenings to help ensure early detection, according to the doctor. Screening discussions should be individualized based on age, family history and other risk factors.

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