Category: Family Health

  • Did you know? Supplements and medications can interact in unexpected ways

    Did you know? Supplements and medications can interact in unexpected ways

    Many of us take dietary supplements such as vitamins, minerals, herbs, or other products to boost our health. Since many supplements contain natural ingredients, it’s easy to assume they are always safe. But just because something is “natural” doesn’t mean it’s without risk—especially when combined with medications.

    Do you take prescription or over-the-counter medications? If so, it’s important to know that supplements might change how those medications work.

    How supplements can affect your medications

    Some supplements can affect the way your body processes medications. This can lead to unexpected or even dangerous results.

    Certain supplements can cause medications to break down faster than normal. This reduces the amount of medicine in your bloodstream and makes it less effective. Others may slow down this process, causing medications to stay in your body for too long. This can increase the risk of side effects.

    For example, herbal St. John’s wort supplements, which are often used for mood disorders, can speed up certain processes in your body. This may prevent medications such as birth control pills, antidepressants, blood thinners, and some cancer treatments from working correctly.

    Similarly, concentrated green tea extract can interfere with medications for heart conditions and other chronic diseases. This can pose serious risks when treating these conditions.

    Before you buy, get the facts!

    Want to make smart choices about herbal supplements and other natural products? NCCIH’s Herbs at a Glance series provides clear, science-based information about popular herbs and botanicals. Understanding the research can help you make better decisions about your health.

    Protect your health and keep your treatments working as intended

    To avoid potentially harmful interactions, always keep your health care providers in the loop about any and all medications, supplements, or herbal remedies you’re using.

    Understanding the science

    You know the basics, now Know the Science: How Medications and Supplements Can Interact! This handy digital resource from the National Center for Complementary and Integrative Health (NCCIH) provides information about interactions between supplements and medication to help you understand the risks. It also offers practical advice such as:

    • Why it’s important to speak with your doctor and other health care providers about what you’re taking (and what information you should share with them)
    • How different supplements might impact your medication’s effectiveness
    • Common interactions to watch out for, including how supplements could interact with surgical procedures
    • Tips for how to read labels on dietary supplements

    Test your knowledge

    Think you have a handle on medication–supplement interactions? Take a short quiz to see how well you understand the risks! It’s a fun way to ensure you’re making informed decisions about your health.

    *This article was originally published in December 2021. It has been updated.

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  • What makes urine yellow? The answer lies in your gut

    What makes urine yellow? The answer lies in your gut

    Ever wonder why urine is yellow or why skin looks yellow in people with jaundice? Scientists have known for more than a century that urobilin is the chemical responsible for that yellow color. But the enzyme responsible for making urobilin was a mystery…until recently. Researchers at the National Library of Medicine (NLM) found the answer in an unexpected place: the gut microbiome. Their findings can help us better understand certain health conditions, how our bodies work, and why some babies get jaundice.

    Why does urine look yellow?

    When your body replaces old red blood cells, it creates bilirubin. This substance then moves to your gut, where it either gets absorbed back into the bloodstream or is broken down into a chemical called urobilinogen. Your kidneys then turn urobilinogen into urobilin—this makes your urine yellow.

    While researchers knew about this process, one piece of the puzzle was still missing: What causes bilirubin to break down into urobilinogen? But researchers at NLM and the University of Maryland Hall Lab recently found the missing puzzle piece—a key enzyme called bilirubin reductase.

     

    bilirubin. urobilinogen. urobilin. stercobilin. conjugated bilirubin.

    When the body breaks down red blood cells, bilirubin is produced. Bilirubin moves to the gut, where it’s either absorbed into the blood again or turned into urobilinogen. This urobilinogen is sent to the kidneys and converted to the waste product urobilin, which makes urine yellow.

    How did researchers discover this?

    Their first step was to find a group of bacteria that could reduce bilirubin. Many gut bacteria need low-oxygen environments to survive. This is hard to do in a lab setting, so the scientists also used computer experiments to look at the genomes of multiple bacteria at a time. A genome is the entire set of DNA instructions found in a cell. is the entire set of DNA instructions found in a cell.

    Then from the bacterial genomes, researchers waded through all that bacterial data to find the gene that encoded the enzyme that breaks down bilirubin.

    “We were able to confirm their functions and then look at bigger picture trends, like the relationship of that gene to different kinds of diseases,” said Keith Dufault-Thompson, Ph.D., a staff scientist in NLM’s Division of Intramural Research (DIR).

    Why does this research matter?

    Most of the time, our bodies break down bilirubin every day without any issues. But when something goes wrong, bilirubin can build up in the blood. This can lead to health problems such as jaundice, in which your skin and the whites of your eyes turn yellow. Jaundice is common in infants and people with liver disease. It can lead to pain, fevers, hearing loss, and even brain damage in severe cases.

    Researchers wanted to see how the bilirubin reductase enzyme affects our health. After their discovery, they analyzed data from past studies on the gut microbiome (the ecosystem of bacteria and other microbes that live in the intestines). They took genetic samples from the microbiomes of healthy adults, young infants, and patients with inflammatory bowel disease (IBD) and searched for the gene that produces bilirubin reductase. Xiaofang Jiang, Ph.D., a principal investigator in the NLM DIR, and her team found that about 70% of infants don’t have the bacterial gene key to producing bilirubin reductase in their first month of life. This may explain why jaundice affects many newborns—their gut microbiomes aren’t as developed. The study also showed that more than 30% of adults with IBD don’t have the bacterial gene present, either.

    This new research may lead to better outcomes for infants and other people with these conditions. It can also teach us more about the gut microbiome’s role in overall human health.

     

    What’s next for this research?

    Since the bilirubin reductase discovery, the research team went back to look at previous data on gut microbiomes. They want to understand how the enzyme evolved in the gut environment.

    Dr. Dufault-Thompson said this work could help us understand bilirubin-reducing bacteria and pave the way for new treatments. Thanks to this study, the team can better understand what kind of functions gut bacteria can do and how they affect our bodies. These include how microbes metabolize (break down) artificial sweeteners and different types of hormones.

    “These projects have helped us broaden our understanding of the impact of microbes on human health and demonstrate the wide range of functions that our microbiomes carry out,” he said.

    *This article was adapted from the NLM Director’s Musings from the Mezzanine blog. Read the original article to learn more about this study and the researchers behind it.

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  • A new vaccine is here to protect you and your loved ones from RSV this winter

    A new vaccine is here to protect you and your loved ones from RSV this winter

    December and January are peak months for respiratory syncytial virus (RSV) infections. While anyone can get RSV, severe infections are more common in young children and older adults. Fortunately, new vaccine approvals by the U.S. Food and Drug Administration (FDA) mean there are more options to avoid getting sick this winter.

    In the spring of 2024, FDA licensed a new RSV vaccine, called MRESVIA, for adults 60 years of age and older. There are now three RSV vaccines recommended by the Centers for Disease Control and Prevention (CDC) for older adults—the other two are ABRYSVO and AREXVY.

    Different RSV immunizations are recommended based on age, risk factors, and pregnancy. CDC recommendations are different from FDA approvals. Always check with your health care provider about what is right for you.

     

    What is RSV?

    RSV is a highly contagious common respiratory virus. Individuals of any age can get infected. It usually causes mild, cold-like symptoms.

    RSV spreads from person to person directly, such as kissing the face of a child who has RSV, or indirectly, such as through the air by coughing and sneezing. You can also catch it by touching an object or surface with the virus on it before touching your mouth, nose, or eyes.

    In the United States, RSV infections usually occur from fall through spring. People with RSV are generally contagious for three to eight days. But sometimes infants and people with weakened immune systems can continue to spread the virus for as long as four weeks.

    While most cases are mild, it can cause serious lung infections in certain groups at higher risk, including:

    • Infants
    • Older adults, especially those ages 65 and older
    • People with chronic medical conditions such as heart or lung disease
    • People with weakened immune systems

    What are the symptoms?

    Symptoms of RSV infection usually start about four to six days after infection and may mimic the common cold:

    • Runny nose
    • Decrease in appetite
    • Cough
    • Sneezing
    • Fever
    • Wheezing
    • Trouble breathing

    These symptoms usually appear in stages instead of all at once. In very young infants, the only symptoms may be irritability, decreased activity, and trouble breathing. RSV can also cause more severe infections, especially in people at high risk. These infections include bronchiolitis, an inflammation of the small airways in the lung, and pneumonia, an infection of the lungs. If symptoms get worse over time, see a doctor right away.

    How is it diagnosed?

    A doctor can diagnose RSV. They can do tests, such as X-rays and blood or urine tests, to check for complications in people with severe infections. A doctor can also order lab tests, but they are usually for people with severe infections.

     

    Young child wearing a respirator

    Young children and infants with severe RSV infections may require hospitalization.

    How is RSV treated?

    There is no specific treatment for RSV, but most people get better on their own in a week or two. Drink lots of fluid to prevent dehydration. You can take over-the-counter pain relievers for fever or pain, but do not give aspirin to children. And do not give cough medicine to children younger than 4 years old.

    How is RSV prevented?

    To avoid catching RSV, wash your hands often with soap and water for at least 20 seconds or use sanitizer hand gel that contains at least 60% alcohol. Getting one of the available vaccines if you are eligible is also an effective way to lower your risk of RSV disease.

    RSV can survive for many hours on hard surfaces, such as tables and crib rails. It typically lives on soft surfaces, such as tissues and hands, for shorter amounts of time.

    The CDC recommends everyone ages 75 and older (and adults ages 60 to 74 who are at increased risk of severe infection) get an RSV vaccine. Pregnant people during their 32nd through 36th week of pregnancy are also advised to get the ABRYSVO vaccine. Young infants whose mothers did not receive one during pregnancy can receive a protective RSV antibody (different from a vaccine). Talk with your health care provider about the best time to get your vaccine. If you have already gotten an RSV vaccine, you do not need to get another one.

    RSV vaccines are usually covered by private health insurance, the Children’s Health Insurance Program, Medicare Part D, Medicaid, and TRICARE for military. CDC’s Vaccines for Children program also provides free immunizations for children at participating doctor’s offices, pharmacies, and health clinics.

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  • Working Out to Stay Sharp

    Working Out to Stay Sharp

    January 2025

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    Can Exercise Keep Your Brain Healthier?

    We’ve all heard that exercise is good for us. Experts recommend getting at least 150 minutes of moderate-intensity aerobic activity each week. This can include brisk walking, biking, playing tennis, or even pushing a lawnmower. Strength training exercises, like lifting weights, push-ups, or sit-ups, are recommended at least two days a week.

    Many benefits of exercise are well-known. Aerobic exercise can help you maintain a healthy weight by burning fat. It can also keep your heart healthy. Strength training can help to build muscle mass and strengthen your bones. Stretching can improve flexibility and range of motion. And balance exercises can prevent falls. Scientists are finding out that exercise may also improve our brain health.

    Research has shown that when you exercise, many different molecules are released into your bloodstream. These molecules travel to different organs and tissues, where they trigger changes that help your cells withstand the physical stress of exercise.

    “You’re basically telling your body, ‘You need to prepare for something,’” explains Dr. Saul Villeda, who studies the aging brain at the University of California, San Francisco. In
    preparing to withstand exercise, cells also seem to get better at withstanding the effects of aging.

    As we age, our Related to the ability to think, learn, and remember.
    cognitive
     abilities often start to decline. We may have difficulty with learning and memory. That’s because our brains undergo cellular changes as we get older. The protective barrier around the brain also changes, altering which substances can get into your brain. Some of these have potentially harmful effects.

    Studies in mice and rats have shown that exercise can partially offset these changes. And it can prevent at least some of the cognitive decline that occurs with age. These benefits haven’t just been seen in mice, either. Research has also shown a link between aerobic exercise and better memory in people.

    Certain exercise-induced molecules have been shown to boost cognitive functions in mice. Villeda and colleagues are studying one called GPLD1. They’ve found that it’s at least partly responsible for why exercise improves new brain cell formation, learning, and memory in aged mice.

    Villeda’s team has also shown that more active older adults have more GPLD1 in their blood. This suggests that GPLD1 may have a similar function in people. GPLD1 production has shown effects similar to exercise in the brains of mice. So, Villeda hopes that one day GPLD1 can help improve the health of people who aren’t able to exercise.

    Don’t be discouraged if the recommended amount of exercise seems overwhelming. It’s okay to start small. “A little bit goes a long way,” Villeda says. “Even just moving a few minutes extra that you wouldn’t have done already has a benefit.” He notes that his research findings have motivated him to start exercising, which he didn’t do before. “Even though I’m dealing with mice, the benefits that I can physically see in them have compelled a couch potato [like me] to actually get up and start exercising.”

    See the Wise Choices box for tips on getting exercise in your day.

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  • Health Consequences of Early Exposure to Sugar

    Health Consequences of Early Exposure to Sugar

    January 2025

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    Experts recommend that kids eat no added sugars before age 2. Yet most kids are exposed to added sugars at a very early age, even before birth through their mother’s bloodstream.

    Scientists studied the long-term health effects of sugar exposure in the womb and early childhood. To do this, they looked at the health of adults in the United Kingdom who were conceived or born around the end of sugar rationing. The rationing had begun during World War II. The amount of sugar allowed for each person was within today’s U.S. dietary guidelines. After rationing ended, sugar intake nearly doubled.

    The researchers looked at data from more than 60,000 people born in the U.K. between October 1951 and March 1956. Those born before July 1954 likely had reduced exposure to sugar due to rationing. Those born in July 1954 and later didn’t experience sugar rationing. As a result, they were born into a more sugar-rich environment.

    Kids exposed to less sugar early in life had a lower chance of getting diabetes or high blood pressure decades later. Health benefits increased with longer exposure to rationing. For those with reduced sugar exposure for at least 19 months after birth, the risk of getting diabetes dropped by about 35%. The risk of high blood pressure dropped by about 20%.

    “It is hard to find situations where people are randomly exposed to different nutritional environments early in life, and follow them for 50 to 60 years,” says Dr. Tadeja Gracner of the University of Southern California, who led the study. “The end of rationing provided us with a novel natural experiment to overcome some of these challenges.” 

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  • Mobius Syndrome

    Mobius Syndrome

    Source: Genetic and Rare Diseases Information Center – From the National Institutes of Health
    Related MedlinePlus Pages: Birth Defects, Facial Injuries and Disorders

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  • Piriformis Syndrome

    Piriformis Syndrome

    Source: Genetic and Rare Diseases Information Center – From the National Institutes of Health
    Related MedlinePlus Pages: Neuromuscular Disorders, Sciatica

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  • Neuroleptic Malignant Syndrome

    Neuroleptic Malignant Syndrome

    Source: Genetic and Rare Diseases Information Center – From the National Institutes of Health
    Related MedlinePlus Pages: Drug Reactions, Psychotic Disorders

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  • Incontinentia Pigmenti

    Incontinentia Pigmenti

    Source: Genetic and Rare Diseases Information Center – From the National Institutes of Health
    Related MedlinePlus Pages: Skin Pigmentation Disorders

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  • Melkersson-rosenthal syndrome

    Melkersson-rosenthal syndrome

    Source: Genetic and Rare Diseases Information Center – From the National Institutes of Health
    Related MedlinePlus Pages: Facial Injuries and Disorders, Mouth Disorders

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