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Tongue cancer warning signs highlighted after ‘Full House’ star’s diagnosis

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Tongue cancer warning signs highlighted after ‘Full House’ star’s diagnosis

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On the heels of comedian Dave Coulier’s announcement of his tongue cancer diagnosis, experts are sharing what to know about the disease.

Coulier, 66, announced in a Tuesday interview that he has been diagnosed with early-stage P16 carcinoma, or oropharyngeal tongue cancer. 

“Oropharyngeal” refers to cancer that begins at the base of the tongue. The “P16” indicates that it is associated with HPV (human papillomavirus).

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The news comes just months after the “Full House” star announced his battle with an aggressive form of non-Hodgkin Lymphoma. The tongue cancer is “totally unrelated” to that initial cancer, he told “Today” in the interview.

“I went in for a PET scan, just a routine check-up, and something flared on the PET scan,” Coulier said. “It turned out that I have P16 squamous carcinoma at the base of my tongue.”

Dave Coulier, 66, announced in a Tuesday interview that he has been diagnosed with early-stage P16 carcinoma, or oropharyngeal tongue cancer.  (Getty Images)

The comedian had announced on April 1 that he was cancer-free following the non-Hodgkin Lymphoma diagnosis.

“To go through chemotherapy and feel that relief of whoah, it’s gone, and then to get a test that says, well now you’ve got another kind of cancer … it is a shock to the system,” he said.

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Coulier shared that he will undergo a course of 35 radiation treatments.

What to know about tongue cancer

Tongue cancer can affect the front of the tongue (oral cavity) or the base/back of the tongue (oropharynx), according to the National Cancer Institute. Risk factors and prognosis can differ substantially depending on the location of the cancer.

In 2025, it is expected that there will be about 20,040 new cases of tongue cancer and approximately 3,270 deaths, the NCI states. (These numbers only include cancers that begin in the front two-thirds of the tongue.)

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When including all oral cavity and oropharyngeal cancers — which totals all mouth and throat cancers — the numbers rise to 59,660 new cases and about 12,770 deaths in 2025, per the American Cancer Society.

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The overall five-year survival rate for tongue cancer is 71%.

The news comes just months after the “Full House” star, pictured with co-star John Stamos (left), announced his battle with an aggressive form of non-Hodgkin Lymphoma. (Getty Images)

Studies have shown that cases have been on the rise in the U.S. in recent years, affecting almost all age groups and races.

“The rise is linked to the dramatic rise of HPV,” Fox News senior medical analyst Dr. Marc Siegel told Fox News Digital. “It can metastasize, but the prognosis is 80% to 90% curable if it’s HPV-related.”

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George Semeniuk, M.D., a medical oncologist and hematologist at City of Hope in Newport Beach, California, agreed that tongue cancer is one of the fastest-rising head and neck cancers doctors are seeing.

“Early detection is critical,” he told Fox News Digital.

Warning signs and risk factors

Some of the earliest warning signs of tongue cancer include a persistent sore or ulcer on the tongue, pain when swallowing, a lump or changes in speech, according to Semeniuk.

“Anything that lasts longer than two weeks should be evaluated by a specialist,” he advised.

Some of the earliest warning signs of tongue cancer include a persistent sore or ulcer on the tongue, pain when swallowing, a lump in the throat or changes in speech. (iStock)

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Siegel added, “Look out for a sore that won’t heal or difficulty swallowing. Show your doctor, ENT or dentist.”

Other common signs include a lump or thickening on the tongue; red or white patches on the tongue or lining of the mouth; persistent tongue, pain in the mouth, jaw or throat; and numbness or burning in the tongue, according to multiple health sources.

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Those affected may also notice difficulty chewing, swallowing or speaking, or unexpected bleeding in the area.

If the cancer has spread, the patient may notice a lump in the neck (from enlarged lymph nodes), ear pain (usually on one side), or stiffness or swelling of the jaw. 

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The standard treatment for tongue cancer is largely dependent on the stage of the disease and where it is located. (iStock)

The biggest risk factors for tongue cancer are tobacco use, heavy alcohol consumption and HPV, Semeniuk noted.

“We are also seeing increasing cases in younger adults who have never smoked, which underscores the role HPV can play,” he said. “People with long-standing mouth irritation, weakened immune systems or poor oral hygiene may also be at higher risk.”

Treatment and prognosis

The standard treatment for tongue cancer is largely dependent on the stage of the disease and where it is located, according to experts.

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“Treatment depends on the stage and location of the tumor, but often involves a combination of surgery, radiation therapy and, in more advanced cases, chemotherapy or targeted therapies,” Semeniuk said.

“At City of Hope, we also use minimally invasive surgical approaches and precision-guided therapies to preserve speech and swallowing whenever possible.”

Coulier shared that he will undergo a course of 35 radiation treatments. (Getty Images)

Siegel noted that tongue cancer tumors tend to be more responsive to surgical resection, radiation and chemotherapy.

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“Prognosis is significantly better when tongue cancer is diagnosed early. If detected at an early stage, cure rates can be quite high,” Semeniuk told Fox News Digital. 

“That’s why it’s so important for people to pay attention to changes in their mouth and seek care promptly. Regular dental visits and HPV vaccination are also important steps in lowering risk.”

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Brain Health Challenge: Try a Brain Teaser

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Brain Health Challenge: Try a Brain Teaser

Welcome back! For Day 4 of the challenge, let’s do a short and fun activity based around a concept called cognitive reserve.

Decades of research show that people who have more years of education, more cognitively demanding jobs or more mentally stimulating hobbies all tend to have a reduced risk of cognitive impairment as they get older.

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Experts think this is partly thanks to cognitive reserve: Basically, the more brain power you’ve built up over the years, the more you can stand to lose before you experience impairment. Researchers still don’t agree on how to measure cognitive reserve, but one theory is that better connections between different brain regions corresponds with more cognitive reserve.

To build up these connections, you need to stimulate your brain, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. To do that, try an activity that is “challenging enough that it requires some effort but not so challenging that you don’t want to do it anymore,” he said.

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Speaking a second language has been shown to be good for cognition, as has playing a musical instrument, visiting a museum and doing handicrafts like knitting or quilting. Reading is considered a mentally stimulating hobby, and experts say you’ll get an even bigger benefit if you join a book club to make it social. Listen to a podcast to learn something new, or, better yet, attend a lecture in person at a local college or community center, said Dr. Zaldy Tan, the director of the Memory and Healthy Aging Program at Cedars-Sinai. That adds a social component, plus the extra challenge of having to navigate your way there, he said.

A few studies have found that playing board games like chess can be good for your brain; the same goes for doing crossword puzzles. It’s possible that other types of puzzles, like those you find in brain teaser books or from New York Times Games, can also offer a cognitive benefit.

But there’s a catch: To get the best brain workout, the activity should not only be challenging but also new. If you do “Wordle every day, it’s like well, then you’re very, very good at Wordle, and the Wordle part of your brain has grown to be fantastic,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School. “But the rest of your mind might still need work.”

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So play a game you’re not used to playing, Dr. Selwa said. “The novelty seems to be what’s driving brain remodeling and growth.”

Today, we want you to push yourself out of your cognitive comfort zone. Check out an online lecture or visit a museum with your challenge partner. Or try your hand at a new game, below. Share what novel thing you did today in the comments, and I’ll see you tomorrow for Day 5.

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Popular intermittent fasting diets may not deliver the health benefits many expect

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Popular intermittent fasting diets may not deliver the health benefits many expect

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Time-restricted eating has gained popularity in recent years, but a recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits.

The small German study found that participants who were placed on two different time-restricted eating schedules lost weight, but experienced no improvement in blood glucose, blood pressure, cholesterol or other key cardiometabolic markers.

The participants included 31 overweight or obese women. One group ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake, according to a press release.

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The findings, which were published in the journal Science Translational Medicine, suggest that the widely touted cardiometabolic benefits of intermittent fasting may be a result of eating fewer calories rather than meal timing, the researchers say.

The participants also showed a shift in their circadian rhythms (sleep/wake cycles) when they were placed on the time-restricted eating schedules, but the associated health impacts are not known.

A recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits. (iStock)

The study did have some limitations. Some researchers have cast doubt on the significance of the study due to its small size.

“It is severely underpowered to detect any difference, considering how gentle the intervention is,” Dr. Dr. Jason Fung, a Canadian physician, author and researcher, told Fox News Digital. He also noted that the participants were fasting for 16 hours a day instead of the normal 12 to 14 hours.

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Lauren Harris-Pincus, a registered dietitian nutritionist in New Jersey, agreed that the findings could be due to the fact that there was no intentional caloric restriction, and reiterated that the sample size is “quite small.” 

“As a registered dietitian, I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day,” Harris-Pincus, who was not involved in the study, told Fox News Digital.

One group in the study ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake. (iStock)

“Only one in 10 Americans consumes the recommended number of fruits and veggies, and 93% miss the mark on fiber goals. Restricting an eating window necessitates more careful meal planning to ensure adequate intake of macro- and micronutrients.”

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The expert also cautioned that skipping breakfast to enable a later eating window may result in lower intake of the “nutrients of concern” in the American diet, including calcium, potassium, fiber and vitamin D. 

Looking ahead, the researchers said more studies are needed to explore the effects of time-restricted eating over longer time periods. It also remains to be seen how the combination of caloric restriction and time-restricted eating may affect outcomes. Future research could also explore how different populations may respond.

“I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day.”

Dr. Daryl Gioffre, a gut health specialist and celebrity nutritionist in New York, noted that the study didn’t account for critical factors like chronic stress, sleep quality, medications, hormone status and baseline metabolic health.

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“All of these can significantly blunt fat loss and cardiometabolic improvements,” Gioffre, who also was not involved in the research, told Fox News Digital.

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“Cortisol, the body’s primary stress hormone, is naturally highest in the morning, which overlaps with one of the fasting windows studied,” he went on. “If stress is elevated, cortisol alone can block fat burning, disrupt blood sugar regulation, and mask cardiovascular improvements, regardless of calorie intake or eating window.”

Growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health, an expert said. (iStock)

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Gioffre did agree, however, that growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health.

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“These are outcomes that simply cannot be captured in a short, stress-blind study like this,” he added.

Fox News Digital reached out to the researchers for comment.

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Brain Health Challenge: Workouts to Strengthen Your Brain

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Brain Health Challenge: Workouts to Strengthen Your Brain

Today, you’re going to do perhaps the single best thing for your brain.

When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.

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“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.

Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.

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Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.

Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.

All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.

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The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.

The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.

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Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.

Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.

If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”

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For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.

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