Health
Puberty blockers could cause long-term fertility and health issues for boys, study finds: ‘May be permanent’
Puberty blockers have been shown to cause long-term fertility problems in boys, according to a preprint study from Mayo Clinic.
The study, which has not yet been peer-reviewed, analyzed more than 130,000 sperm cells from male children with gender dysphoria.
All participants were 17 or younger.
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The researchers analyzed the testicular cells of boys who had been taking puberty blockers for anywhere from three months to 52 months, and compared them to cells of a control group who had not been on the blockers.
Among those on puberty blockers, the researchers identified mild to severe “sex gland atrophy,” determining that the medications accelerated the aging and function of testicular cells.
Puberty blockers have been shown to cause long-term fertility problems in boys, according to a Mayo Clinic preprint study. (iStock)
The findings suggest that puberty blockers’ impacts may be permanent — disputing claims that such effects can be reversed.
The researchers also detected cases of microlithiasis, which is marked by the presence of small clusters of calcium in the testicles.
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Additional research from Mayo Clinic has linked testicular microlithiasis to an increased risk of testicular cancer.
“We provide unprecedented histological evidence revealing detrimental pediatric testicular sex gland responses to [puberty blockers],” the authors wrote in the study findings.
Doctors highlight the risks
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the Mayo Clinic research but commented on the use of puberty blockers.
“Thousands of U.S. children — more than ever before — are experiencing gender dysphoria and many go on to identify as transgender,” Siegel told Fox News Digital.
Dr. Marc Siegel, left, of New York, and Dr. Brett Osborn, right, of Florida, both offered thoughts on the potential risks of puberty-blocking medications. (Dr. Marc Siegel/Dr. Brett Osborn)
“They certainly still face a stigma for this, which needs to be addressed — but at the same time, the growing rush to gender-affirming treatment is disturbing, particularly without parental approval.”
In 2021, approximately 42,167 children received gender dysphoria diagnoses, almost triple the 15,172 reported in 2017, according to Reuters.
“Much of this is politically driven, and may lead to premature treatments that are not offered in the U.K., Finland, Sweden or many other countries,” Siegel said.
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Among the puberty-blocking drugs is lupron (leuprolide), which is a type of hormone therapy used for advanced prostate cancer.
It is also used to stop early puberty in children, according to WebMD.
“It helps to delay sexual development (such as growth of the breasts/testicles) and the start of menstrual periods,” WebMD reported.
“It also helps slow down early bone growth to increase the likelihood of reaching normal adult height.”
In the majority of cases, one physician recommends that any hormonal interventions should be delayed until an older age. (iStock)
The U.S. Food and Drug Administration (FDA) reported 10,000 adverse effects in children in 2017 — including mood swings, cognitive problems, suicidal thoughts, longer-term fertility problems, seizures, migraines, brittle bones, brain swelling and vision loss, according to Siegel.
Experts also warn of the potential mental impacts of these drugs.
“Transgender individuals are three times more likely than the general population to suffer from anxiety, depression and neurodevelopmental issues,” Siegel warned.
“Much of this is politically driven, and may lead to premature treatments.”
Although some studies have shown that interventions such as puberty blockers may decrease anxiety in the short term, Siegel pointed out that “there are no longer-term head-to-head trials versus extensive therapy and watchful waiting.”
Puberty blockers typically lead children down a path to long-term use of transgender-affirming hormones, such as estrogen and testosterone, he noted.
Puberty blockers typically lead children down a path to long-term use of transgender-affirming hormones, such as estrogen and testosterone, according to doctors. (iStock)
“These hormones carry their own risks — for example, estrogen may increase the incidence of breast cancer,” Siegel said.
“Bottom line, I don’t believe puberty blockers should be given routinely to children and teens for gender dysphoria,” Siegel said. “There are too many long-term risks, including the idea that the children or teens may change their minds.”
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In the majority of cases, Siegel recommends that any hormonal interventions or gender reassignment surgeries be delayed until an older age.
He added, “Intensive supportive and cognitive therapy makes sense as an initial approach.”
“Transgender individuals are three times more likely than the general population to suffer from anxiety, depression and neurodevelopmental issues,” Dr. Marc Siegel of New York warned. (iStock )
Dr. Brett Osborn, a Florida neurologist and longevity expert who was also not involved in the new research, noted that previous studies have shown that puberty-blocking drugs can alter the normal progression of testicular cells, potentially leading to atrophy or abnormal development.
“Specifically, the drugs impact the normal function of ‘spermatogonial’ stem cells (SSCs), which are crucial for sperm production and overall reproductive health,” he told Fox News Digital.
“The changes induced by these medications may be permanent, contrary to popular opinion among transgender activists.”
“Disruption in their development could result in reduced fertility or other reproductive issues later in life,” he continued. “Based on the researchers’ histologic findings, the changes induced by these medications may be permanent, contrary to popular opinion among transgender activists.”
Added Osborn, “These medications are not as benign as billed.”
Hormones such as testosterone, progesterone and estrogen are critical for brain development, memory and cognition, one doctor noted. (iStock)
The risks go beyond infertility, the doctor warned.
“There are also downrange effects of altered hormone levels on brain development, let alone other organ systems,” he said.
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Hormones such as testosterone, progesterone and estrogen are critical for brain development, memory and cognition, Osborn pointed out.
The doctor called for “safer and more effective” treatments for those with gender dysphoria.
“Gaining insight into the full impact of these medications – the usage of which has become more prevalent — is crucial for future generations.”
Fox News Digital reached out to the Mayo Clinic researchers for comment.
For more Health articles, visit www.foxnews.com/health.
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Health
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.
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.
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.
Health
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.
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.
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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