Category: Health

  • Here Are the Nearly 2,500 Medical Research Grants Canceled or Delayed by Trump

    Here Are the Nearly 2,500 Medical Research Grants Canceled or Delayed by Trump


    Awards under $100,000 are not shown. Amounts shown are for the most recent fiscal year.

    In his first months in office, President Trump has slashed funding for medical research, threatening a longstanding alliance between the federal government and universities that helped make the United States the world leader in medical science.

    Some changes have been starkly visible, but the country’s medical grant-making machinery has also radically transformed outside the public eye, a New York Times analysis found. To understand the cuts, The Times trawled through detailed grant data from the National Institutes of Health, interviewed dozens of affected researchers and spoke to agency insiders who said that their government jobs have become unrecognizable.

    In all, the N.I.H., the world’s premier public funder of medical research, has ended 1,389 awards and delayed sending funding to more than 1,000 additional projects, The Times found. From the day Mr. Trump was inaugurated through April, the agency awarded $1.6 billion less compared with the same period last year, a reduction of one-fifth. (N.I.H. records for May are not yet comparable.)

    The impacts extend far beyond studies on politically disfavored topics and Ivy League universities like Columbia or Harvard. The disruptions are affecting research on Alzheimer’s, cancer and substance use, to name just a few, and studies at public institutions across the country, including in red states that backed Mr. Trump.

    Scale is larger than in previous graphic.

    “I think people should know that research that they probably would support is being canceled,” said Eden Tanner, a chemist at the University of Mississippi, who had been working with a colleague at Ohio State University to develop a novel approach for treating glioblastoma, an aggressive form of brain cancer. Their grant had been awarded through a program designed to diversify the biomedical workforce; in April, they were notified that it was being terminated.

    “I would like to cure brain cancer,” Dr. Tanner said. “I think that’s not particularly controversial.”

    Mr. Trump’s campaign against medical research has been carried out without congressional approval, and the legality is unclear. Lawsuits have challenged the slashing or delaying of funding.

    Federal officials, who have accused the N.I.H. of wasteful spending, have attributed the cuts to changing scientific priorities.

    The N.I.H. “regularly examines its research portfolio” to determine which projects are “the most meritorious,” Andrew Nixon, a spokesman for the U.S. Department of Health and Human Services, said in an email. “Regular reviews of ongoing activities will help us determine the most strategic balance of projects to support and the best way to manage them going forward, especially as we need to be responsive to the often-changing nature of biomedical scientific progress.”

    Scientists fear that the sweeping cuts could do long-term damage to U.S. scientific research, which has long driven medical and financial progress for the nation. “The country is going to be mourning the loss of this enterprise for decades,” said Dr. Harold Varmus, a Nobel Prize-winning cancer biologist who served as the director of the N.I.H. during the Clinton administration and the director of the National Cancer Institute under President Barack Obama.

    Publicly announced cancellations

    The federal government has announced the termination of 1,389 awards, with more than $820 million in recent funding.

    N.I.H. grants, awarded in a competitive process, are typically paid out in installments. A researcher with a $1 million four-year grant, for instance, will get about $250,000 a year. Scientists can use this money to buy equipment and supplies and to pay the salaries of the researchers who work in their labs, among other things.

    From 2015 to 2024, there have been fewer than 20 terminations a year, on average, according to Jeremy M. Berg, former director of the National Institute of General Medical Sciences at the N.I.H. from 2003 to 2011. They were generally for extenuating circumstances, such as illness or research misconduct.

    But since late February, the government has publicly announced the cancellation of 1,389 N.I.H. awards. The agency scoured grants for key words and phrases like “transgender,” “misinformation,” “vaccine hesitancy” and “equity,” ending those focused on certain topics or populations, according to a current N.I.H. program officer, who asked not to be identified for fear of retribution.

    Studies focused on sexual and gender minority groups were among the first on the chopping block.

    Katherine Bogen, a doctoral student at the University of Nebraska-Lincoln, had been studying post-traumatic stress, alcohol use and intimate partner violence against bisexual women. The termination notice she received assailed studies “based primarily on artificial and nonscientific categories,” calling such research “antithetical to the scientific inquiry” and alleging that it was “often used to support unlawful discrimination on the basis of race and other protected characteristics, which harms the health of Americans.”

    The language was “very insulting,” she said. “I get this letter that tells me, ‘Your research is not science. Not only is it ascientific, it’s a useless drain on resources, and, in fact, your research could be used to discriminate against ‘actual’ Americans or ‘regular’ Americans,’ or whatever they mean.”

    The cuts spread to grants on health equity and racial and ethnic groups. Affected projects sought to improve access to mental health care for Latino, low-income and rural communities; to reduce maternal mortality among Black women; and to prevent gun violence in Asian American communities.

    Tsu-Yin Wu, a researcher at Eastern Michigan University who led the gun violence project, said that community leaders and study participants were “greatly disappointed” by the grant cancellation. “Some felt betrayed that their voices and engagement no longer matter.”

    The agency cut grants for research on vaccine hesitancy, disinformation and misinformation, including a Northeastern University study on cancer misinformation on social media.

    It also axed research on Covid-19, including studies that could have helped the nation respond to many infectious disease threats. Among them: a grant to Emory University and Georgia State University, where researchers had developed three potential drugs that showed promise against many RNA-based viruses, including coronaviruses, Ebola, avian influenza and measles, said George Painter, a pharmacologist at Emory who was co-leading the research.

    In April, the agency terminated, in part or in whole, more than 350 grants meant to support students, early-career scientists or researchers from groups underrepresented in science. Among these terminations were F31 diversity grants, awarded to Ph.D. students who were members of certain racial or ethnic groups, disabled or from disadvantaged backgrounds.

    At the University of Pittsburgh, Luzmariel Medina-Sanchez, who was born and raised in Puerto Rico, and Sierra Wilson, a first-generation college student from Utah, both had their grants canceled. “It’s not even about the work I’m doing,” said Ms. Wilson, who studies how liver cells respond to drug overdoses. “It feels like it’s about me.”

    Ms. Medina-Sanchez, who studies how a microbe can help treat celiac disease, said she may leave science altogether. “I feel racially targeted,” she said. “I feel like I’m not going to be a professional in the field of science in America, because obviously my name is Luzmariel.”

    (Ms. Wilson and Ms. Medina-Sanchez stressed that they spoke only for themselves and not for the university.)

    Delayed funding

    In addition to publicly announced cancellations, these are the nearly 1,100 grants that have been delayed, with nearly $740 million in funding.

    Awards under $100,000 are not shown.

    Besides outright canceling projects, N.I.H. failed to distribute annual payments to more than 1,000 grants, The Times found.

    The delays have stifled research on drug discovery, blood vessel health and injury response. In some cases, scientists have cut staff, paused hiring, trimmed back supplies or delayed experiments. Health officials have not explained which projects have been held up, why or for how long.

    The Times compiled a list of the delayed grants by searching N.I.H. databases as of June 2 for ones that were funded in 2024 and expected to last beyond 2025, but have not gotten disbursements on schedule.

    In the past, annual renewals were routine. Scientists submitted progress reports; the N.I.H. reviewed them and usually continued funding them, occasionally with a week or two of delays. But longer delays have become much more common since Mr. Trump took office.

    Joshua Kritzer, a professor of chemistry at Tufts University, investigates the basic science behind potential drug candidates, laying the groundwork for future medications. Most of his lab work is supported by a five-year N.I.H. grant that received $1.4 million over the past two years. But since February, he had been waiting for the third year of expected funding to come in. He slashed purchases of essential supplies and contemplated laying off crucial researchers on his team.

    On Tuesday, Kritzer finally received word that his funding had been released, several days after The Times asked federal officials about his and other delayed awards.

    “Every week that’s delayed, it’s easily probably three to four weeks to get that research back to where it was,” said Dr. Kritzer, who noted that he was speaking for himself and not for his institution.

    Mr. Nixon, the Department of Health spokesman, said that the agency would not discuss deliberations about specific awards but encouraged grant recipients to “speak with the designated N.I.H. officials on their award notice when questions arise.”

    In some cases, delays have lasted so long that scientists wondered whether their grants were subject to a “shadow termination.”

    The delays stem in part from additional screening for whether the grants align with Trump administration priorities, N.I.H. officials said. Other renewals have been delayed as overstretched N.I.H. staff members work through backlogs in funding. And political appointees are now vetting some projects, too, slowing the process further.

    N.I.H. officials said they feared being fired if they processed a grant renewal that the administration disfavored.

    In early May, Jon Lorsch, a longtime N.I.H. institute director who was recently promoted to acting deputy director of the agency’s external funding arm, emailed staff members denouncing the renewal of grants “that focused on topics that are not supported under N.I.H./H.H.S.’s priorities,” according to a copy of the email seen by The Times.

    “The consequences of approving an award that should not have been approved could be very serious,” he wrote.

    But Courtney Griffin, who leads a lab at the Oklahoma Medical Research Foundation and studies blood vessel development and disease, including complications due to diabetes, expressed confusion as to why her expected funding is not coming through. She and her colleagues were making contingency plans and looking for other sources of funding.

    “It’s, ironically, a really inefficient use of people’s time to be in this guessing game,” she said, adding that the time could be better spent on biomedical research.

    Months-long delays are also affecting new grants that were being vetted when the Trump administration cracked down on grant reviews.

    A number of major Alzheimer’s Disease Research Centers, some of which have operated for decades, have waited months for the Trump administration to decide whether to award them fresh five-year grants. The funding gaps have set back ongoing studies and curtailed efforts to take images of patients’ brains, though the N.I.H. has recently told some centers that they would soon receive funding.

    “These centers have become a safety valve for people who can’t get a neurology appointment at a private center,” said Dr. Ann Cohen, a co-director of the University of Pittsburgh Alzheimer’s center. Now, she said, things have changed. “There are fewer clinic appointments, fewer opportunities for these individuals to get brain imaging.”

    The N.I.H. has also said that it will no longer fund projects in which U.S. researchers distribute some of their money to international partners, throwing the future of many global health projects into question and creating funding delays for ongoing research.

    Beyond the disruption of individual projects, other proposed changes could undermine scientific research across the board, experts said. One would sharply curb funding for indirect research costs, such as building maintenance and administrative staff. And then there is Mr. Trump’s proposal to slash the N.I.H.’s total budget by about $18 billion, a cut of almost 40 percent.

    A budget cut of that scale would be “truly draconian,” said Dr. Varmus, the former N.I.H. director, who said he hoped Congress would not approve such a sharp reduction. It could leave the agency without enough money to fund promising new work, drive some scientists overseas and prompt some up-and-coming researchers to leave science altogether, he said. “You can completely destroy the system in just a couple of years,” Dr. Varmus said.

    Methodology

    The Times’s analysis of cancellations is based on the list of terminated grant awards published by the Department of Health and Human Services as of May 30, 2025, and on records from RePORT, the National Institutes of Health’s registry of grants and projects, as of June 2, 2025.

    Each circle in the graphics represents a grant award. The circles are sized by the total funding that N.I.H. authorized for each award. H.H.S.’s list of terminations includes a mix of main grant awards, supplements and amendments. The list also indicates a “total amount obligated,” but that figure generally is the total amount awarded to a grant over its lifetime, including any supplements and amendments, rather than the amount for the specific award terminated. The Times’s analysis above uses only the amount authorized for the specific award listed. In some cases, scientists had already spent much of the money they had been awarded before their grants were cancelled, but in others, they lost out on their entire awards. Award amounts and totals — including the year-to-year funding shortfall calculated by The Times — do not include N.I.H. grants administered by the U.S. Department of Veterans Affairs, because their funding amounts are not available in RePORT.

    The Times examined cancellations of grants intended to train and support research by groups underrepresented in science. These include the R25 education program; the T32 and T34 training programs; F31 diversity grants; R01 research grants under funding opportunity number PAR-22-241 and research supplements under funding opportunity number PA-23-189, both of which are specifically intended to promote diversity among grant recipients.

    To identify grants with delayed funding, Times journalists used information about each grant’s planned duration and prior awards, focusing on those that were eligible for continuation or noncompeting renewal. To account for reporting lags in the RePORTER database, The Times limited this analysis to a time period from Jan. 20 to April 30. The Times excluded grants that appear on H.H.S.’s public list of terminations and grants that have been marked in RePORTER as terminated. Based on interviews and an analysis of historical renewal data, The Times found such grants typically receive a notice of award at roughly the same time each year. Each circle representing a delayed grant is sized by the amount its main award received in fiscal year 2024. This list may include a small number of grants whose renewals are not yet recorded in N.I.H. databases, and others whose renewals are expected to be delayed, because of conversion of grant status for an investigator changing roles or institutions.

    To classify each grant’s area of research, The Times extracted the title, the public health relevance statement and the abstract from the N.I.H.’s RePORTER database and ExPORTER files. These fields were used as input for a series of automated prompts to a large language model.

    The model generated a brief description of the grant’s research objective. The model also determined if grants were related to research in areas like chronic diseases, vaccines, pandemic preparedness, misinformation, sexual and gender identity, health disparities and certain ethnic and racial groups, and diversity, equity and inclusion initiatives, and then assigned categories.

    Times journalists read the projects’ public health relevance statements and abstracts, and they checked the assigned categories for accuracy. They also checked hundreds of grant descriptions and edited them for accuracy and clarity. Only the project descriptions that have been edited by Times journalists are displayed in the article.

  • Extreme longevity and health optimization: What it really takes

    Extreme longevity and health optimization: What it really takes


    “I want to know I’m doing absolutely everything I can to preserve my health for as long as possible.”

    We hear this kind of thing a lot.

    People tell us they not only want to stay in good shape as they age, they also want to outlive their peers and age expectancies.

    Imagine you could maximize your healthspan and lifespan, fend off disease, and generally remain fit, lean, and youthful into your 90’s, 100’s, and then some.

    Sounds pretty compelling, doesn’t it?

    There’s just one problem: Common longevity advice seems to involve an extraordinary amount of effort. And time. And money. And complexity.

    Is all the effort necessary? Is it worth it?

    And, will it even work?

    In this article, we’ll explore:

    And, we’ll help you weigh the pros and cons so you can make informed decisions about your health, your body, and your life.

    The myths—and realities—of “optimizing” your health

    Health and longevity advice is everywhere these days: podcasts, books, social media, that guy at the gym…

    Plus, influential “figureheads” have given the movement outsized attention. Think: popular podcasters and health experts Dr. Peter Attia, Dr. Andrew Huberman, and Dr. Rhonda Patrick, and biohacker Bryan Johnson.

    We understand the appeal of this kind of content. Who doesn’t want a longer, healthier life? (Not to mention the comforting sense of control that can come from designing and executing a “perfect” health plan.)

    But for us at PN, where we’ve collectively coached hundreds of thousands of people with real human lives, we know that “optimal” is rarely realistic.

    Not only that, optimal isn’t necessary.

    Making modest, relatively consistent efforts towards health and well-being will likely give you better results than following an intense, highly “optimized” protocol.

    If that sounds hard to believe, we get it. So let’s explore that bold statement, starting with the biggest myths surrounding longevity and health optimization.

    Myth: The “basics” aren’t enough.

    There’s an idea that getting and staying healthy must require a set of complex, “cutting edge” strategies—especially if your goal is to outlive the average American.

    In reality, the “basics” work really, really well. (These are things like exercising regularly; eating a nutrient-rich diet; getting adequate sleep; managing stress; and staying socially connected. We’ll discuss these more later.)

    Only, very few people do the basics consistently.

    The real reason more people aren’t living as long, or as well, as they could be isn’t because they’re not taking ice baths or getting vitamin C infusions…

    It’s because they’re not doing the (relatively) simple stuff, consistently.

    If you’re really, truly doing a well-rounded set of health-promoting behaviors with 80-90 percent consistency, you’re probably already close to peak optimization.

    Myth: More is better

    If a handful of basic behaviors get results, then doing them perfectly and as much as possible will help you get, and stay, even healthier—right?

    Not so fast. There’s a law of diminishing returns when it comes to health and fitness efforts.

    Graph shows that with small amounts of health effort, longevity can improve a lot, but as those efforts increase, longevity benefits plateau

    Plus, in our experience, doing too many things or adding in too much complexity to your health and fitness regime can:

    • Add risk factors that could actually make your health and fitness worse (such as chronic injuries or burnout due to overtraining, and/or nutrient deficiencies or disordered eating due to an over-preoccupation with “clean” or restrictive eating).
    • Make it harder for you to sustain good habits. People who take on too much are more likely to burn out. Research shows people who try to accomplish multiple goals are less committed and less likely to succeed than those focused on a single goal.1
    • Make your life less enjoyable, which in turn compromises health. Striving to maximize physical health can interfere with mental, emotional, and social well-being, which plays an essential role in healthspan and lifespan. (One study showed people with high levels of happiness and life satisfaction lived up to 10 years longer than people with low levels.2)

    And what’s the point of living longer if you’re not living a full, well-rounded, enjoyable life? While some effort is definitely important, past a certain point, more isn’t necessarily better.

    Myth: Cutting-edge strategies offer significant benefits.

    Let’s say you could put all those advanced, complex strategies into action without sacrificing consistency or life enjoyment, or compromising your overall well-being.

    They’d have to pay off, wouldn’t they?

    Not necessarily.

    Much of the research on longevity optimization (so far) is either in mice, is observational, is theoretical, or has been tested on very small numbers of people for very short periods of time.

    In fact, many of the fringe methods and supplements touted by influencers or biohackers are not only unproven but even potentially unsafe.3 4 5 6

    Point being: Put your efforts towards foundational health behaviors with proven track records (the kind we’ll cover in this article) before you invest in fringe efforts.

    Myth: It’s all or nothing.

    You might think, “Well, I’m not getting out of bed at 5 a.m. five times a week to go running for 60 to 90 minutes to optimize my VO₂ max, so I may as well just accept I’m not going to be a healthy person.”

    Some folks feel overwhelmed by the idea of optimizing their health, so they figure they might as well do nothing.

    However, our internal data shows that you can be far from “perfect” to get results.

    In our year long PN Coaching program, even clients who practiced their (basic) habits less than half of the time got measurable results.

    10-49% consistency gets results; ALT TEXT: Graph shows men and women with 10 to 49 percent consistency still lost 11 pounds, 8 to 11 inches in girths, and 2 to 3 inches from waist

    (Read more: Nearly 1 million data points show what it REALLY takes to lose fat, get healthy, and change your body)

    Don’t let optimization culture convince you great health is beyond your capabilities.

    Instead, we encourage you to…

    • Consider your options. Review the facts, and get a clear understanding of which behaviors are most likely to give you the best bang for your buck.
    • Get clear on the tradeoffs. Decide which things you are, and aren’t willing to commit to.
    • Make decisions that align with your goals. Including what kind of lifestyle you want, and how you want to spend your time and dollars.

    Keep reading and we’ll guide you through it.

    The benefits—and tradeoffs—of a healthy lifestyle

    Putting effort towards your health is great. But efforts come with tradeoffs.

    Here’s a look at both the efforts, and the tradeoffs, to achieve the health you want for yourself.

    Large image shows six categories of health levels: coasting, light effort, medium, high, very high, and extreme. The medium and high categories offer the best “return on investment” in terms of effort and sacrifice versus overall health benefits.

    A deeper look: The most effective health behaviors (and their optimal dose)

    If you want to reduce your risk of chronic disease, and generally stay healthier for longer, what should you do?

    As we said earlier, the issue isn’t that we need some highly detailed, cutting-edge protocol. The basics work. The issue is that most people don’t do them.

    For example, as shown in the image below, most people don’t get enough fruits and veggies, sleep, or exercise. And the number of people who do all these things on a regular basis (while also avoiding tobacco and minimizing alcohol) is extremely low: likely a fraction of a percent.

    Graph shows only 10 percent of people eat 5 servings of fruits and veggies daily; 15 percent sleep 7 to 9 hours a night’ 24 percent get recommended weekly aerobic and resistance exercise; 71 percent drink moderately or less; and 89 percent don’t smoke

    Finally, let’s take a closer look at what these basics are, and the “sweet spot” of effort versus reward.

    Foundational Health Behavior #1: Exercise regularly

    All health experts agree: Moving your body is important.

    Yes, exercise will help you stay lean, and improve mood, energy, and function, but it will also help you stay alive (and healthier) for longer.

    In fact, a study of Harvard alumni found that any amount of physical activity reduces the risk of death from any cause. Exercise extended lifespan regardless of body weight, blood pressure, smoking habits, or genetic predisposition.7

    Another study of 272,550 older adults found engaging in even low amounts of physical activity significantly decreased risk of death from cancer, cardiovascular disease, and all causes.8

    Specifically, steep risk declines happened when accumulating at least 7.5 MET-hours* of activity per week. The greatest increase in benefits came from achieving 7.5 to 15 MET hours. Increasing activity beyond that further decreases risk, but at a continually lower rate, as the graph below shows.

    Graph show that cancer mortality, cardiovascular mortality, and all-cause mortality all decrease as exercise increases, with the greatest increase in benefits from achieving 7.5 to 15 MET hours of exercise per week

    *MET-hours (Metabolic Equivalent Hours) measures the energy cost of activity, based on duration and intensity. Some examples: 2 hours of resting = ~2 MET-hours; 2 hours of moderate-intensity aerobic activity = ~8 MET-hours; 2 hours of moderate resistance training = ~7 MET-hours.

    Increasing the intensity of exercise is an efficient way to rack up MET-hours, but plain old walking counts too: In a study of 28,000 adults, every 1,000 daily step increase was associated with a 12 percent lower risk of death. (This association began at 2,500 steps and continued up to 17,000 steps.)9

    (Cool factoid: For folks concerned with dementia in particular, one study showed that getting just 3,826 steps per day was associated with a 25 percent reduced risk of dementia—and getting 9,826 steps per day was associated with a 50 percent lower risk!10)

    Ideally, cardiovascular activity is paired with resistance or weight-bearing exercise.

    Resistance training supports health and longevity in various ways: it can help preserve valuable muscle mass, maintain mental sharpness, improve odds of surviving cancer, support metabolic health, and generally help you stay alive.11

    Among older adults especially, falls are a leading cause of death.12 Resistance training can both prevent the risk of falls–because of improved balance and muscle stability13—as well as reduce the risk of serious injury–because of better bone density.14Image shows how resistance training and aerobic training benefit numerous areas of health, such as cognitive function, blood sugar regulation, mobility, and more.

    A sedentary lifestyle does the opposite, increasing risk of cardiovascular disease, diabetes, hypertension, cancer (breast, colon, colorectal, endometrial, and epithelial ovarian cancer), and all-cause mortality.15

    In fact, two decades of sedentary lifestyle is associated with twice the risk of premature death compared to being physically active.16

    ▶ How much exercise should you do?

    Standard exercise recommendations suggest:17

    • 150 minutes per week of moderate-intensity aerobic activity, or 75 minutes per week of vigorous aerobic activity (or some combination of both), plus
    • 2 sessions per week of resistance training, targeting most major muscle groups

    Getting up to 300 minutes per week of moderate-intensity or 150 minutes of vigorous-intensity aerobic activity (or some mix of both) as well as three resistance training sessions per week provides further benefits.

    ▶ Are people getting enough exercise?

    Most people are not.

    Only 24 percent meet the recommendations for both aerobic and resistance exercise. And fewer than 47 percent of American adults meet recommendations for aerobic physical activity.17

    ▶ Is getting more than the recommended amount better?

    For the most part yes, but past a certain point, more effort delivers less benefit—and potentially more risk.

    Overtraining (and/or under-recovering) can disrupt hormone levels, mess with sleep and mood, cause excess fatigue, chronically elevate your heart rate, cause injuries, and more.18 19 Extreme volumes of endurance exercise training may be detrimental for the heart, and increase risk of myocardial fibrosis, coronary artery calcification, and atrial fibrillation.20 21 22 23

    So, the benefits of exercise exist on a U-shaped curve. (This is known as the “Extreme Exercise Hypothesis,24 as seen in the image below.)

    Graph shows a u-shaped curve where health risks are highest when exercise is either very low or extremely high, with the least risks at moderate or high exercise.

    A “high” amount of exercise is good for you, but the “highest” amount possible probably isn’t. (Health benefits likely max out around 7-10 hours of cardio, and 3-4 resistance training sessions per week.)

    We like what one study concluded: “If the mantra ‘exercise is medicine’ is embraced, underdosing and overdosing are possible.”25

    Foundational Health Behavior #2: Eat a nourishing, nutrient-rich diet

    Eating well doesn’t have to be complicated. There are a few key elements to nail down, and the rest is up to your own personal preferences and needs.

    We suggest focusing on three nutrition fundamentals.

    Nutritional key #1: Eat more whole and minimally-processed foods

    Whole and minimally-processed foods are naturally nutrient rich—complete with fiber, healthy fats, vitamins, minerals, and phytochemicals—and far less calorie-dense than highly- or ultra-processed foods (UPFs). They also have less sugar, sodium, and trans fats—the latter which is directly linked to an increased risk of cardiovascular disease, breast cancer, complications during pregnancy, colon cancer, diabetes, obesity, and allergy.26 27 28

    These qualities contribute to their many health benefits; Diets rich in whole or minimally-processed foods are associated with lower rates of depression,29 30 31 heart disease,32 type 2 diabetes,33 cancer,34 and improved longevity.35

    The largest study on processed foods—which included almost 10 million participants—found UPFs are linked to 32 harmful effects, including type 2 diabetes, mental health disorders, obesity, cardiovascular disease, and all-cause mortality.36

    Another study found that a higher consumption of ultra-processed foods (four or more servings daily) was associated with a 62 percent increased risk of all-cause mortality. (For each additional serving of ultra-processed food, all-cause mortality increased by 18 percent.)37

    Not that you need to be plucking tomatoes straight off the vine.

    Eating a minimally processed food diet is more about overall dietary patterns—and moving along the continuum of improvement—rather than rigidly avoiding all forms of processing.

    Illustrated table shows various foods types and their whole, minimally processed, or ultra-processed options. All foods exist on this continuum between whole and ultra-processed.

    ▶ How many minimally-processed foods should you eat?

    There currently aren’t any formal guidelines for the amount of minimally-processed foods to eat. In our experience coaching over 100,000 clients, we find people are most satisfied, and get significant health improvements, when 70 to 80 percent of their diet comes from whole or minimally-processed foods.

    Any improvement counts though. If you’re currently eating very few whole and minimally processed foods, getting at least 50 percent of your diet from these foods would make a big difference to your health, energy, and longevity.

    ▶ Are people eating enough minimally-processed foods?

    No.

    Recent US data shows that Americans get about 28.5 percent of their calories from whole or minimally-processed foods, and 56 percent of their calories from highly- or ultra-processed foods.38

    ▶ Is getting more than the recommended amount better?

    Not beyond a certain point.

    If you want to, consuming up to 90 percent of calories from minimally-processed foods will truly maximize your benefits, but beyond that there are likely no further benefits.

    Besides, some processed foods enhance health rather than detract from it. Think about the protein powder that helps you meet your protein requirements, the commercial salad dressing that helps you eat your vegetables, or the weekly brownie à la mode you share with your grandkid that brings joy to both of your lives.

    (Read more: What you should know about minimally-processed foods vs. highly-processed foods)

    Nutritional key #2: Eat five fruits and vegetables

    You’ve heard it a million times. We’ll be the nag and say it again: Eat your fruits and veggies.

    A massive study involving over 1.8 million people showed that eating more fruits and vegetables was significantly associated with a decreased risk of death—with the benefits plateauing at five servings a day. People who ate five servings a day had a 13 percent lower risk of death from any cause compared to people who ate two servings per day.39

    Additionally, the consumption of fruits and vegetables very likely reduces the risk of hypertension, coronary heart disease, and stroke; probably reduces the risk of cancer; and possibly prevents weight gain.40

    ▶ How many fruits and vegetables should you eat?

    A healthy target is five fist-sized servings of fruits and vegetables daily. (Generally, we recommend dividing that into three servings of veggies and two servings of fruit.)

    For bonus points, try to eat a variety of colors.

    The pigments in fruits and veggies come from various healthful nutrients (called phytochemicals or phytonutrients). Different colors mean different phytochemicals, giving you a diverse array of these beneficial compounds, which are likely responsible for a majority of the health benefits of fruits and vegetables.

    (Read more: What the colors of fruits and vegetables mean)

    ▶ Are people eating enough fruits and vegetables?

    No.

    Americans only eat an average of 2.5 servings of produce (fruit and vegetables combined) per day.41

    Only 12.2 percent of people meet fruit intake recommendations, and less—9.3 percent—meet vegetable intake recommendations.

    A mere ten percent of Americans get a full five servings of fruits and vegetables combined per day.42

    ▶ Is getting more than the recommended amount better?

    There are likely diminishing returns to eating more than the above suggestions.

    In that massive study mentioned earlier that observed 1.8 million people, the life-extending benefits of fruits and veggies plateaued at five servings per day.39

    In other words, higher intake (beyond two servings of fruit and three servings of vegetables) was not associated with additional disease risk reduction.

    That said, there may be other benefits to eating more fruits and vegetables. For example, due to their fiber and water content, fruits and vegetables are filling yet low in calories, so they can support weight management—and they certainly aren’t going to harm your health.

    Nutritional key #3: Eat enough protein

    Protein is the most important macronutrient to get right, especially as we age.

    Plant protein in particular is linked to a reduced risk of cardiovascular disease and death from all causes.43 44 45

    In terms of animal proteins, the results are more mixed. (That said, research on protein intake and mortality is generally based on observational studies that don’t give us clear ideas about cause and effect.) Generally, minimally processed forms of fish, poultry, and low-fat dairy are the best animal protein sources.

    To minimize health risks such as diabetes, cardiovascular disease, and cancer, limit processed forms of red meat (like bacon, hot dogs, deli slices, and pepperoni sticks). Even unprocessed forms of red meat should likely be limited to about 18 oz (~4 to 5 palm-sized portions) or less per week.46 47 48

    Nonetheless, regardless of the source, getting sufficient protein—at least 1.2 g of protein per kg of body weight—significantly reduces the risk for sarcopenia (muscle loss), frailty, and neuromuscular decline.49 50

    Protein is also vital for maintaining and building muscle, keeping bones and soft tissues healthy, supporting immunity, and more. It’s also the most satiating macronutrient, and thus helpful for fat loss and/or body recompositioning.

    ▶ How much protein should you eat?

    The current USDA recommendation for protein intake is at least 0.8 grams of protein per kg of body weight (0.35 g/lb). However, newer research suggests this is likely the absolute minimum amount, and only for relatively young sedentary individuals.

    A better minimum intake for most is likely 1.2 g/kg (0.55 g/lb, or about 3 to 5 palm-sized portions of protein-rich foods), especially for older adults, as they’re at greater risk of muscle loss.

    Protein intake for muscle growth and retention, and/or if performing resistance training or other vigorous exercise would be 1.6 to 2.2 g/kg (0.75-1 g/lb), or about 4 to 8 palm-sized portions of protein-rich foods.

    ▶ Are people eating enough protein?

    That depends on how “enough” is defined.

    Most adults eat at least 0.8 g/kg. However, up to 10 percent of young women and up to 46 percent of older adults don’t hit this mark.51 And, as noted, that recommendation is probably conservative compared to the ideal intake.

    Protein is also especially critical for those on GLP-1 medications (Ozempic, Wegovy, Zepbound) to help prevent the muscle loss they can lead to. Aiming for at least 1.2 g/kg is vital for this population, especially if they are also older. (Getting closer to 1.6 g/kg is even better, if possible.)

    ▶ Is getting more than the recommended amount better?

    Once you get up to 1.2 g/kg, not necessarily. That amount is likely adequate for most, especially sedentary folks.

    If you’re trying to build muscle and strength or recover from vigorous exercise, or are taking GLP-1 medication for fat loss, striving towards 1.6 g/kg would help you achieve that goal more easily.

    If you’re trying to maximize strength and muscle gains, and/or are doing lots of strenuous exercise, consuming 1.6-2.2 g/kg is optimal (with the highest end of that range maxing out all benefits).

    What about supplements?

    Supplements make up a large part of the discussion around aging, but in reality only play a small role when it comes to increasing health and longevity.

    Using supplements (like a multivitamin, or doctor recommended vitamin D or iron) to prevent or correct deficiencies can be helpful for overall health well-being.

    Then, there are other supplements that have reasonably strong track records and can help us meet nutritional needs (protein powder), improve performance (creatine), or potentially even slow aging (fish oil might slow biological aging by a small amount).52

    However, the buzziest, trendiest supplements are often less proven.

    For example, curcumin, spirulina, and ginger are often listed as supplements that might help with inflammation, a hallmark of aging. However, the research here is still early, and far from definitive.

    There are also even less substantiated supplements that might modify other aspects of aging (resveratrol, NAD+, NAC), but the evidence is either very minimal or only in animal models.

    Some supplements (especially herbal supplements) can even cause harm, like liver damage.53

    If you want to give supplements a try, check for high-quality third-party seals of approval from organizations such as NSF.

    Examine.com—an online database that provides independent research summaries and analyses on most popular supplements—is also an excellent resource to help you determine which supplements might actually be effective.

    Regardless, talk to your healthcare provider before taking supplements, particularly if you take other medication.

    Foundational Health Behavior #3: Get adequate sleep

    Research shows that men who get enough quality sleep live almost five years longer than men who don’t, and women who get enough live two and a half years longer.54

    Studies also show sleep is just as important for your heart health as exercise, whole foods, weight management, cholesterol, blood pressure, and blood sugar control.55

    Compared to 7 hours of sleep per day, a 1 hour decrease in sleep duration has been associated with an 11 percent increased risk of cardiovascular disease and a 9 percent increased risk of type 2 diabetes.56

    Older adults who sleep less than 6 hours per night are at higher risk for dementia and cognitive decline than those who sleep 7 to 8 hours.57 (Deep sleep helps clear beta-amyloid plaques and wash out toxins from our brain, thought to be partially responsible for dementia.)

    ▶ How much sleep should you get?

    Sleep experts agree that 7 to 9 hours a night on average—with at least 7 hours of sleep most nights of the week—is ideal for most.

    However, the exact ideal hours may vary person to person.

    Generally, the right amount of sleep for you is the amount that allows you to feel relatively refreshed shortly after waking up, and allows you to fall asleep relatively easily at bedtime, with relatively sustained energy throughout the day.

    ▶ Are people getting enough sleep?

    About a third of US adults don’t meet the recommended amount of 7 to 9 hours of sleep per night.58

    ▶ Is getting more than the recommended amount better?

    Not necessarily.

    It seems that 7 to 9 hours of sleep a night is ideal in terms of health outcomes.56

    Interestingly, longer sleep duration (over 9 hours per night on average) is associated with an increased risk of cardiovascular disease, type 2 diabetes, and overall mortality.59 60 61

    However, it’s not clear that these risks are caused by sleeping more. Just as likely, it may be other health problems (such as depression, sleep apnea, or heavy alcohol consumption) that lead to both longer sleep times and higher health risks.

    (Read more: Transform your sleep—The scientific way to energize your body, sharpen your mind, and stop hitting snooze)

    Foundational Health Behavior #4: Manage stress

    When left unchecked for long periods of time (say, months or years without periods of recovery), stress can have negative effects on nearly every aspect of our health, as the below image shows.

    Image shows the variety of effects chronic, unmanaged stress can have on the body, from brain fog, frequent infection, poor recovery, weight gain, and more.

    Chronic stress—which tends to increase heart rate, blood pressure, and inflammation—increases the risk of cardiovascular disease.62 63 64 Additionally, long-term stress tends to worsen mental and emotional health, increasing the risk of anxiety and depression.65 It can also make people more likely to turn to substances like alcohol as an attempt to cope.66

    That said… Not all stress is bad.

    In fact, stress is a normal, natural, and even beneficial part of life; the right amount helps us feel motivated, purposeful, and engaged with life.

    So, rather than avoiding or demonizing stress, it’s helpful to work with it, using it as an opportunity to develop healthy coping mechanisms, appropriate recovery strategies, and overall resilience.

    And this doesn’t necessarily mean sitting on a cushion and meditating.

    Stress management can include simple mindset shifts: Practicing self-compassion,67 having a growth mindset,68 and framing stress as a normal and even beneficial part of life69 have all been associated with better coping under stress.

    Basic self-regulation skills also help. This involves noticing and naming what you’re feeling, having good control over your actions, and using a broad range of coping skills to help yourself process emotions and recover from stress. With these skills, you build self-awareness and the ability to handle challenges better, because you know how to calm yourself down after an activating event—regardless of how it went.

    The below image offers a spectrum of more—small and big—ways to regulate stress.

    Image shows a continuum of options for stress management, ranging from 1 to 10 on an effort scale.

    ▶ How much stress management should you engage in?

    Think of stress management and recovery as a thing you do in proportion to the stress and demands of your life.

    We often use the analogy of a jug: When stress drains your tank, stress management and recovery practices help fill it back up again.

    Image shows a faucet pouring water into a jug next to a list of recovery practices. These are things that fill your recovery jug. There is also a faucet draining water out of the jug next to a list of stressors. These are things that drain your jug. The goal is to fill your jug as much as you are draining it.
    And, as with all of the foundational health habits we’ve discussed, every little bit counts.

    Whether you’re experiencing a little or a lot of stress in your life, even three to five minutes of purposeful recovery—doing deep breathing exercises, some journaling or gentle stretching, or just stepping outside to get some fresh air and listen to the birds—can help fill your tank.

    ▶ Are people doing enough to manage stress?

    Probably not.

    In the US, over a quarter of people report that most days, they’re so stressed they can’t function.70 In Canada, it’s similar: Just under a quarter of people say that most days in their life are either “quite a bit” or “extremely” stressful.71

    Additionally, over a third of people say they don’t know where to start when it comes to managing their stress.72

    ▶ Is getting more than the recommended amount better?

    Not necessarily.

    The goal is to find your stress “sweet spot.” Because we all enjoy and tolerate different types and amounts of stress, how you feel is actually a pretty good indicator of whether stress is too low, too high, or “just right.”

    As the image below shows, if you generally feel bored and purposeless, stress is likely too low; if you feel energized and engaged, stress is probably close to your “sweet spot”; and if you feel panicky or so overwhelmed you’ve started to feel hopeless, stress is likely too high.

    Image shows a continuum of stress. When stress is too low, we feel bored or purposeless. When stress is just right, we feel energized and engaged. When stress is too high, we feel anxious or numb.

    While having a routine for stress management is a smart idea, there’s likely a point of diminishing returns here too. If you’re in that stress “sweet spot” (energized/engaged, not bored and not overwhelmed), then adding more stress reduction techniques might not help further—and may actually add stress by giving you yet another task to do.

    Foundational Health Behavior #5: Stay socially connected

    You might not think of social connection as a health imperative, but it is.

    Not only is the social and emotional support associated with improved well-being, it’s also associated with reduced risk of premature death.73 74 When relationships are strong, people have a 50 percent increased likelihood of survival during any given time.75

    In fact, one of the longest running studies—the Study of Adult Development out of Harvard Medical School, which has been tracking participants for over 87 years (and counting)—found that strong relationships were the biggest predictor of not only life satisfaction but longevity. (Relationships were more predictive of these outcomes than social class, wealth, IQ, or genetics.)76

    No surprise, not having a social circle comes with its own distinct risks.

    Social isolation and loneliness can increase a person’s risk for heart disease and stroke, type 2 diabetes, depression and anxiety, suicidality and self-harm, dementia, and earlier death.77 78

    A frequently cited statistic highlights its profound impact:

    The effect of social isolation on mortality is comparable to smoking up to 15 cigarettes per day79—surpassing even the risks associated with obesity and physical inactivity.80

    ▶ Are people getting enough social connection?

    It seems many of us could use more friends.

    About 1 in 3 adults report feeling lonely, and 1 in 4 report not having social and emotional support.77

    Eight percent of adults say they have no close friends, 53 percent say they have between one and four close friends, and 38 percent report having five or more friends.81

    ▶ How much social connection should you aim for?

    Generally speaking, research finds that people who have three to five close friends they regularly interact with (one to three times per week, in-person or via phone call) get the most social benefit.82 83 84 85

    On average, interaction with a smaller group of people tends to provide more benefit than a large network of acquaintances.86

    That said, individual needs vary. If you feel authentically connected to others, have a strong sense of belonging, and generally feel socially fulfilled, that’s what matters most.

    ▶ Is getting more than the recommended amount better?

    Likely not. Some evidence suggests that excessive social engagement (daily or multiple times daily) actually might increase mortality risk.87 That’s probably because over-socializing can increase mental, emotional, and physical fatigue,88 and often this level of socialization includes alcohol or other potentially risky behaviors.

    Additionally, it can take away time and energy that could be put towards other life-building and health-promoting behaviors (like work, exercise, or sleep).

    The takeaway? Strive for socializing that brings value to your life. No need to add so much that you wind up exhausted, or unable to keep up with other priorities.

    Foundational Health Behavior #6: Minimize known harms

    Minimizing activities we know to be harmful is a key part of looking after your long-term health, yet it can be easy to overlook these things. (Maybe because we’d rather keep doing them.)

    Two of the biggest culprits are smoking and drinking alcohol.

    Harm Avoidance Key #1: Don’t Smoke

    We all know smoking is bad for us. But smoking is still relatively common:

    • In the US, 10.9 percent of adults smoke cigarettes, and 6.6 percent smoke e-cigarettes.89
    • Globally, the trend is even higher: 22.3 percent of the world’s population use tobacco (36.7 percent of men and 7.8 percent of women).90

    The WHO estimates more than 8 million people die prematurely yearly from tobacco use (with an additional 56,000 people dying annually from chewing tobacco).91 This makes tobacco a leading (i.e. top 3) risk factor for premature death and all-cause mortality.92

    Smoking is also a risk factor for several chronic conditions, including coronary heart disease, stroke, emphysema, and cancer.93 (Globally, about a quarter of cancer deaths are attributed to smoking.90)

    Harm avoidance key #2: Limit alcohol

    At this point, the research is pretty clear: Alcohol has negative implications for your health, especially past a certain point of regular use.

    Two graphs show that risk of cardiovascular disease and cancer increase a lot with heavy drinking, and a little with moderate drinking

    Alcohol plays a causal role in 200+ diseases, particularly liver diseases, heart diseases, at least seven types of cancers, depression, anxiety, alcohol use disorders, and dementia.94 95

    In 2019, 2.6 million deaths worldwide were attributable to alcohol consumption.96 For people in the 15-49 age range, alcohol is the leading risk factor for death, with 3.8 percent of female deaths and 12.2 percent of male deaths attributable to alcohol use.97

    ▶ How much alcohol is “safe” to drink?

    US guidance on alcohol suggests keeping intake at moderate levels, or less.98

    A moderate intake means:

    • Two drinks or less per day for men (14 or less per week), with no more than 4 at a single sitting
    • One drink or less per day for women (7 or less per week), with no more than 3 at a single sitting

    Importantly, a drink is defined as containing 14 grams (about 0.6 fluid ounces) of pure ethanol, which equates to:

    • 12 ounces of regular beer (5% alcohol by volume)
    • 5 ounces of table wine (12% alcohol by volume)
    • 1.5 ounces of 80-proof distilled spirits (40% alcohol by volume)

    ▶ Are people limiting their alcohol enough?

    In the US, people tend to drink more than the recommended guidelines.

    In 2021, the National Institute on Alcohol Abuse and Alcoholism reported that the average American aged 21 or older consumed 2.51 gallons of pure alcohol over the course of a year—equivalent to about 10 standard drinks/week.99 However, research suggests surveys typically underestimate consumption by 40 to 50 percent.100 Further, other research shows that the heavier a person drinks, the more significantly they’re likely to underestimate and/or underreport their drinking.101

    All that to say, the average American is likely having more (or even far more) than 10 drinks per week.

    Add to that:

    • In 2016, 36.4 percent of Americans (age 15+) said they had at least one episode of binge drinking (6+ drinks in one session) in the last month102
    • About 7 percent of the world’s population aged 15+ years have an alcohol use disorder96
    • Alcohol-related deaths have been rising: in the last five years, alcohol-induced deaths have increased by 26 percent103

    ▶ Is more abstinence from alcohol better?

    In 2023, the WHO released a statement saying no amount of alcohol is “safe.”104 This interpretation is still debated, and data continues to emerge.

    Here’s our take: An abstinence-only policy is likely a failed policy for many. Rather, we want people to be informed so they can make intentional decisions.

    To be clear, alcohol is not beneficial for physical health; it’s a known human carcinogen. However, while alcohol does increase health risks, risk does not rise in a linear fashion with intake. Meaning, small doses are unlikely to have a significant impact on your health. But when you drink more heavily, the risks rise exponentially.105

    Drinking heavily can mean either:

    • Having more than 7 drinks in a week for a woman, or more than 14 drinks in a week for a man, or
    • Having 4 or more drinks in one sitting for a woman, or 5 or more drinks in one sitting for a man (binge drinking).

    (Reminder: A single drink refers to those definitions mentioned previously. Pints of beer, and heavily poured wine glasses and cocktails are more than single servings… Just because it fits in a single glass doesn’t mean it counts as “one” drink.)

    Ultimately, it’s about finding the level of risk you’re willing to tolerate relative to whatever benefits you feel alcohol provides you.

    Our general recommendations:

    • If you’re otherwise healthy and have no other alcohol-related risk factors, limit drinking to moderate levels or less
    • If you’re otherwise healthy but have one or two alcohol-related risk factors (such as breast cancer history), limit drinking to light levels (1 to 3 or 4 drinks per week) with occasional moderate intakes on special occasions, or less
    • If you have several alcohol-related risk factors (such as breast cancer history, family history of alcoholism, or contraindicated medications) abstain from alcohol entirely

    Foundational Health Behavior #7: Do Basic Preventive Health Measures

    In all the chatter about longevity optimization, it can be easy to forget about all the boring—but no less important—things that help you stay safe and healthy throughout your life.

    These include things like:

    • Getting regular check-ups, or seeing your doctor or healthcare provider if questions or concerns arise
    • Getting recommended bloodwork, screenings, and vaccines
    • Getting and keeping blood cholesterol, sugar, and pressure in recommended ranges as early as possible
    • Regularly seeing your dentist, and regularly brushing and flossing
    • Practicing safer sex
    • Seeing medical specialists as recommended or appropriate (OBGYN, optometrist, ENT, dermatologist, etc.)
    • Wearing seatbelts (Buckling up in the front seat reduces risk of fatal injury by 45 percent!106)
    • Wearing a helmet when cycling, skateboarding, or motorbiking
    • Regularly wearing sunscreen (Used appropriately, sunscreen decreases risk of skin cancers by 40 to 50 percent107 108)
    • Protecting your hearing (Untreated hearing loss increases risks for depression, social isolation,109 110 cognitive decline,111 dementia,112 113 and falls114 115)

    … And generally using common sense. (As in, avoid the “hold my beer” type stuff.)

    Basic health maintenance and risk avoidance practices matter—a lot.

    Notably, we can’t control every element of our environment. Some factors influencing our health are more structural and systemic, woven into the fabric of our societies.

    These are called social determinants of health, and include poverty, racism, homophobia, lack of accommodation for disabilities, and displacement (as in the case of refugees). For some folks, doing the above protective behaviors—like visiting the family doctor, getting glasses, going to the dentist, or even walking safely down the street—will be harder, sometimes near impossible.

    This isn’t meant to be a throwaway line that diminishes the difficult reality for so many people, but rather a gritty, realistic mantra: Do the best you can with what you’ve got.

    ▶ How much preventative health care do you need to do?

    Generally speaking, aim to be consistent with the habits you know you “should” do.

    You know the drill: Brush and floss daily; wear your helmet every time you ride a bike; wear your seatbelt every time you drive; put on sunscreen when you go out into the midday sun; don’t regularly blast your music at full volume; and so on.

    And if you have lingering things on your “I should really do that” list (like getting that weird mole checked out, or that bloodwork done), go do it.

    ▶ Are people practicing enough basic preventative health measures?

    We’ve offered a long-ish list of basic health practices that can protect health, so we won’t go into each in-depth.

    That said, when looking at the above list, it’s probably fair to say most people will notice a few behaviors they might practice more consistently.

    For example, while most of us are really consistent with our seat belts (usage is close to 92 percent!116), many of us could break out the floss more often (only 32 percent of Americans floss daily117).

    And, research shows that only about half of cyclists and motorcyclists wear helmets when riding118 119 120 (and use is even lower among skateboarders and rollerbladers121).

    Hearing loss is the number one modifiable risk factor for dementia,122 so make sure you also follow the “60/60 rule” if you like to pump up the tunes on your headphones: Listen at 60 percent of your device’s maximum volume for 60 minutes, then take a break. (And wear earplugs when you mow the lawn!)

    ▶ Are more preventative measures better?

    Once again, there’s likely a law of diminishing returns when it comes to preventative health measures, just like everything else.

    The point isn’t to become obsessed with eliminating all possible risks at every turn.

    Rather, it’s that reasonable efforts towards protecting your health do count, and they‘re immeasurably more important for overall health than the latest optimization fads.

    Bonus Foundational Health Behavior: Foster a sense of purpose and meaning

    Research consistently shows that having a strong sense of purpose and meaning for our life improves our health, overall well-being, and longevity too.123

    A sense of purpose seems to help people live longer, even when controlling for other markers of psychological well-being.

    There’s something uniquely beneficial about having a strong purpose that’s different from, say, being happy.

    Having a strong sense of purpose can mean many things, but it generally indicates that you have goals, and an aim in life.

    This purpose can be many things:

    • Helping others
    • Being connected to family and/or close friends
    • Being a key part of a community
    • Enjoying a hobby
    • Learning new skills

    Having purpose may help with longevity for a few reasons:

    It makes you more likely to engage in health-promoting behaviors, such as getting enough sleep and eating more fruits and vegetables.123

    It also tends to improve mental health. For example, one study showed that people with the strongest sense of purpose had a 43 percent reduced risk of depression.123

    Finally, it may simply help people live longer because it makes you want to live longer. When people have a sense of purpose, they often want to live longer, healthier lives, so they can fulfill that purpose to its fullest. And while wanting to live won’t make it so, it certainly doesn’t hurt.

    Still thinking about optimizing? Consider these additional tradeoffs

    We hope it’s clear by now: You can take yourself really far with some solid basics (that will themselves take some decent time and effort!).

    But, if you want to go even further, your effort might have to increase exponentially, just as those gains become less certain, and more marginal.

    Here’s what to keep in mind.

    First, it takes a lot of time (and money) to optimize.

    Let’s compare the time and financial investment of two imaginary people.

    The first person is what you might call a “healthy” or “medium effort” person. They’re someone who is pretty consistently meeting all of the above recommendations.

    The second person is what you might call an “optimizer.” They do all the above recommendations, but to the max, and many of the fringe recommendations often discussed on health-related podcasts and books.

    How much time and money might each of these people invest in their health efforts on a weekly basis? Here’s what that might look like.

    Table compares various activities and costs of a regular healthy person and an “optimizer”. Generally, it takes 3 to 4 times the time and cost to “optimize” exercise, nutrition, and self-care activities.

    On top of that, there are “optimizing” behaviors and assessments that might be performed less often—say, monthly, seasonally, annually, or even every few years. Of course, these practices will still require time and money, so even though they’re less frequent, they still have to be accounted for.

    Here are some examples of those kinds of products, therapies, and tests:

    • Dietary supplements (vitamin, mineral, and/or herbal supplements; “superfoods”; fish oil; probiotics, resveratrol, NAD+, NAC, curcumin, & more)
    • Bloodwork testing (for advanced lipid testing, inflammatory markers, hormone levels, and nutrient status)
    • IV therapy (for hydration, vitamins, glutathione, or NAD+)
    • Infrared sauna sessions
    • Plasma transfusions
    • Gene therapy
    • Stem cell therapy
    • Medical tourism and therapeutics retreats
    • Full-body MRIs
    • Genetic testing
    • Concierge medical services
    • And more…

    Though it’s hard to estimate the cost of these items, opting to do just a handful could easily cost an extra $10,000+ per year.

    Overall, we’d estimate it takes at least three to four times the time, effort, and money to follow an “optimizer” type lifestyle, compared to a plain old “healthy” lifestyle.

    As we’ve seen above, this 3-4x effort will likely translate to some extra benefits, but the medium-effort “healthy” lifestyle will likely get most people at least 80 percent of the results they’re after (such as improved lifespan, healthspan, and quality of life).

    Besides, optimizing too much can negatively impact your well-being and quality of life.

    The harder and more extreme someone’s fitness or health regime, the harder they typically fall off the wagon. So, taking on too much can actually put you more at risk of quitting the foundational health behaviors we mentioned earlier.

    Even if you stick with it, over-focusing on health and longevity will almost certainly interfere with your ability to enjoy a full, well-rounded, meaningful life.

    For example, if you get too focused on physical health, you may find other aspects of your deep health and overall wellbeing suffer, such as your relational, existential, mental, and emotional health.

    Image shows that there are six domains of deep health: social, physical, existential, emotional, mental, and environmental.

    Take this a step further, and “optimizing” can tip over into obsession. Sometimes, under the surface of “I just really care about my health” is disordered eating, orthorexia, or another mental health condition.

    Graph shows that with small amounts of health effort, life satisfaction and overall well-being can improve a lot, but as those efforts increase, well-being benefits plateau

    This, to us, is the heart of things: It’s important to not only stay relatively healthy, but also to enjoy your life while you’re living it.

    In fact, enjoying your life isn’t separate from good health. It’s part of it.

    What to do next

    1. Clarify your goals.

    Take a step back and consider what you really want most for yourself.

    What kind of life do you want to have?

    How important is it to maximize your healthspan and lifespan, and how does that line up with your other priorities?

    2. Consider the tradeoffs.

    Given what you want most for yourself, and the resources you have available, what’s realistic for you?

    How much time, money, and effort are you willing to put in to achieve health and lifespan goals?

    What are you prepared to give up? What aren’t you prepared to give up?

    3. When looking to make improvements, start with the basics first.

    Review the foundational health behaviors in this article. How many of them are you already doing? Consistently?

    If you’re covering most of the basics, you might not need to do more. (Give yourself a pat on the back. You’re already elite!)

    Or, maybe there’s some room for improvement and you’d like to step it up a bit. Great! For the vast majority of people, improving any of these behaviors will deliver real, tangible results. Start with these, before chasing faddish, fringe, “super-optimal” stuff.

    4. Tune out the noise.

    Those people you hear on podcasts or social media aren’t the experts on you and your life.

    You get to decide what you want, and how to go about getting it.

    Be honest with yourself, and make choices aligned with what matters most to you.

    There’s plenty of advice out there, but remember: It’s your life. You get to make decisions that work for you.

    References

    Click here to view the information sources referenced in this article.

    If you’re a coach, or you want to be…


    You can help people build sustainable nutrition and lifestyle habits that will significantly improve their physical and mental health—while you make a great living doing what you love. We’ll show you how.


    If you’d like to learn more, consider the PN Level 1 Nutrition Coaching Certification. (You can enroll now at a big discount.)

  • Top Gifts For Men (Ideas For Father’s Day, Bday, and More)

    Top Gifts For Men (Ideas For Father’s Day, Bday, and More)


    What do you do for gifts when the man in your life is hard to shop for? I’ve been trying to answer that question for years. It always seems tougher to find good gift ideas for men than it does for women.

    Men usually aren’t as happy with some herbal tea and a new skein of yarn for a knitting project. And motorcycles and football tickets are bigger ticket items. The best Father’s Day gift ideas are something they’ll enjoy and actually use!

    This post includes some of the best Father’s Day gifts I’ve found over the years. It also includes unique Father’s Day gifts that other family members have enjoyed and items on their wishlists. You can also check out my Christmas gifts for men gift guide for even more ideas!

    If you need a great gift idea for Dad (or father figure in your life) that isn’t a tie or golf balls, then read on.

    Father’s Day Gift Guide

    Your dad, husband, uncle, etc., probably doesn’t need a paperweight or another gift card. And a lot of gift guides for men recommend things like an Apple Watch, Airpods, and gadgets like Bluetooth speakers. These give off a lot of EMF waves that I’m not comfortable with.

    If you’re looking for a gift he’ll use and love, here are some of my favorite ideas for men that I’ve given or that my dad mentioned he loves. You can even pair it with a heartfelt Father’s Day gift card.

    Solo Outdoor Fire Pit

    I got this amazing backyard fire pit as part of my backyard makeover (I also more recently built a backyard sauna!). I can’t say enough good things about it and it would make the perfect present for any dad! The Solo stove burns wood much more efficiently and directs heat exactly where you’d want it, without the smoke. It looks super sleek too.

    Blue-Light Blocking Glasses

    I’ve worn blue-blocking glasses for years. These glasses help reduce eye fatigue from computers and reduce blue light for better sleep. I put them on after the sun goes down each night to block the blue light from computer screens, television, and phones. These are some stylish blue-light-blocking glasses and I like that they’re metal instead of plastic.

    A Good Knife

    This folding knife is high-quality and something your husband or dad can use all the time. Many men carry knives that they use for anything and everything. It’s handy for opening boxes, cutting threads off a sweater when you’re out, etc. A folding knife (or any knife really) is a classic guy gift and a pretty safe bet he’ll love and appreciate it.

    Another really great option is this Gasper 4 Knife from Rewild.

    Good Wine + An Aerator

    If your man is a wine drinker, wine (and maybe a decanter) is always a great gift option. It’s consumable and typically lends itself to spending quality time together. Sometimes, even just sipping wine on the back porch with your sweetie can be a great date night.

    Just try to choose a high-quality organic wine. I always stick to natural wines whenever possible, which are organically grown and lab-tested to have no mold, mycotoxins, or additives. This wine aerator also improves the flavor of wine and removes sediment as you pour it.

    And if Dad isn’t a wine person, then maybe he’d like these whiskey glasses instead. They come in a gift set that includes whiskey glasses, a wooden storage and gift box, granite cubes to chill, and cocktail cards.

    Tumbler For Drinks

    If Dad needs to stay hydrated on the go, then a nice water bottle or tumbler can be a good gift. I like this RTIC Tumbler. It performs as well as the high-priced Yeti, and I use mine all the time. Great for coffee, smoothies, and water.

    This water bottle from Clearly Filtered is another great option. It has a built-in water filter so Dad can refill it from anywhere.

    The Last Wallet He’ll Ever Need

    Men are tough on wallets! My dad used to go through one every year or two. That was almost always what we knew we could get him for Christmas each year. If your husband or dad likes the best of things (that will last!) here’s a wallet from Amazon that will meet their expectations.

    A Notebook or Journal

    Every man needs a good notebook or journal. They’re perfect for jotting down thoughts and ideas, taking notes, setting goals, and keeping track of schedules. This dot matrix bullet journal is a popular option because it’s so nice and easy to use. It also serves as a journal, calendar, and notebook in one. And at under $15, it’s a great value too!

    Another popular notebook he’ll love is the Moleskine. They have many different sizes and styles available.

    Fitness Equipment Gifts For Men

    It’s hard to come up with gifts that are both useful and fun. So when I saw this kettlebell in the shape of a gorilla (or Bigfoot!) I knew it was a winner.

    Guys will also love Onnit’s digital bodyweight programs. What I’ve spent on fitness equipment doesn’t even come close to a gym membership. Plus, he’ll save time by working out at home.

    In between (and during) workout days I like to get some sauna sessions in for better fitness too. Try gifting Dad this portable and compact sauna blanket from HigherDOSE (they also make great PEMF mats!). Use code WELLNESSMAMA15 for 15% off.

    Some Good Ol’Fashioned BBQ

    It’s a well-known fact that most dads consider the grill their domain. A grill upgrade or a new set of grilling tools is a classic Father’s Day gift. It’s the gift that keeps on giving in the form of delicious barbecue all summer long. And you can learn some tips for keeping grilling as healthy as possible here.

    The Spice of Life

    Looking for something small for the kids to give? These healthy BBQ sauces come in different flavors and have a list of ingredients I can get behind. Another option is Laila Ali’s spice blends. My friend Laili Ali (yes, the daughter of Mohammed Ali!) handcrafted her own line of delicious spices and seasonings with quality ingredients. Pick up some here and get 15% off with code WellnessMama15

    You can even make your own gift box or gift set with a variety of seasonings, marinades, and unique yet healthy food items.

    More Foodie Gifts for Men

    If the man in your life likes unique, tasty foods, try some of these.

    • ButcherBox – Forget the fruit of the month club (although I’m not hating on fruit!). Dad can get grass-fed and organic meat with a subscription box from ButcherBox.
    • Coffee maker – Get him an espresso machine or a new French press for flavorful coffee. Try it with Purity Coffee for a smooth flavor without any of the toxins or pesticides found in regular coffee. And Four Sigmatic mushroom coffee is the perfect portable, convenient coffee mix that’s also healthy.
    • Hot Sauce – Gift Dad some tasty (and healthy) buffalo sauce or steak sauce from Primal Kitchen. Or try some of this organic habanero hot sauce.
    • Pizza Oven – This is a bigger item but it adds ambiance to your outdoor space. Ooni pizza ovens can be more affordable than the handbuilt brick versions and they cook the food on a stone surface for amazing flavor. They’re not just for pizzas, but they’re great for adding a smoky flavor to meat and veggie dishes too.

    A Great Flashlight

    Our family loves this Surefire flashlight and it goes with us when we travel. This flashlight is super bright and small enough to fit in a pocket. We’ve had this flashlight forever and use it for everything! It makes for a practical and functional gift for the dad in your life.

    Clothing

    Some dads really appreciate a pair of warm wool socks or a new cozy hoodie. Get Dad a new beanie hat, some comfy organic joggers, or a new sustainably made blazer jacket. This company sells organic cotton, linen, and hemp clothing with some really great options for Dad.

    Better Shaving Tools

    For men who have sensitive skin or really thick facial hair, natural shaving options are a great gift.

    Disposable and conventional razors (even good ones) have a reputation for irritating skin. And then there are the toxic and synthetic chemicals in regular shaving cream. An old-fashioned style shave set is a unique gift many men will love!

    Instead of a battery-powered trimmer, try gifting a classic double-sided safety razor with a badger hair brush, stand, and stainless steel bowl razor set. Dad will go from dreading shaving to actually enjoying it. You can make homemade shaving soap for him to go in the mug (recipe here). There are also some really good store-bought ones available if you don’t want to make it.

    Skincare Gifts For Men

    We often think of skincare when it comes to women, but men have skin too. If your man doesn’t shave, consider a high-quality beard oil like one of these. Or make your own DIY beard oil here.

    He also might enjoy some homemade men’s lotion or good-quality organic skincare products from Alitura.

    Air Filter for Office, Home Gym, or Basement

    I added a Jaspr air filter to my bedroom and I’ve really noticed a difference in the air quality. I can tell from the filter how much dust and air particles it’s collected. Plus, it adjusts the filter according to how dirty (or smelly!) your space is. An air filter has also been a game-changer for us during allergen and pollen seasons.

    Rumble Roller

    The rumble roller is one of my favorite gifts of all time. Basically, it’s a deep tissue massage at home. It’s a lot cheaper than regular massages in the long run! The big spikes make it great for athletes and people who get stressed out/tense easily (me). The rumble roller is also the perfect gift for someone who doesn’t like taking an hour out of their day to get a massage.

    It doesn’t take up much room and it’s wonderful for sore muscles! I use this regularly and it’s made a big difference in my muscle tension. Plus, it looks manly and tough, so men don’t mind using it. You can check out the different Rumble Roller options here.

    Myobuddy Massager

    If I had to pick one favorite gift on this list, this would be it. There are a lot of massagers out there, but the Myobuddy is like getting a professional massage at home. This has 3 speeds and uses heat and percussive technology to work trigger points and relieve sore muscles. It’s not only relaxing but is like getting a therapeutic massage at home.

    Camping Gear Gifts For Men

    These gifts are great because they combine a physical gift that leads to a camping experience as well. Camping is a great family activity with some major health benefits. One study found that a week of camping without artificial light drastically improved circadian rhythm and sleep. If your guy likes camping, here are a few great gear options:

    Protective EMF-Blocking Laptop Board

    If your guy works on a computer a lot, a protective laptop board is a great gift. This board makes it easier to work with a laptop on your lap. It also protects the legs and stomach from the heat and radiation. We use the Defender Pad and love it.

    DIY Fleece Quilt (The Easy Way!)

    If your husband or dad has a lot of old, sentimental t-shirts, here’s a fun way to get some more use from them. Instead of them sitting in a box in the closet for years, you can make a handmade keepsake quilt.

    It uses a simple fleece backing and only takes a few hours on the sewing machine. This would be a great gift for a child or other relative as well! Get the easy tutorial and instructions here (it really is simple to make!).

    A Drone!

    The dream of flying is something most men have had at one time or another. A drone is a great way to experience it by flying his own personal aircraft. There are a lot of options available now, but this is one of the better affordable drones on the market and would make any man a happy camper!

    And if you feel like splurging, you can see all of their drone options here with even more features.

    “I Love You Because” Calendar

    If you’re looking for a budget-friendly gift that’s also sentimental, try a scrapbook calendar. You can add your own photos from date nights, your wedding, family trips, etc., to each month. To make it extra special, you can handwrite a note for each day of the year with something you love about them. These can range from heartfelt and romantic to silly.

    They’ll actually use the calendar and look forward to reading the reason you love them each day. You can make your own at Shutterfly. To be really budget-friendly, you could even make or print the calendar on your computer and write the reasons in.

    I make photobooks from Mixbook for the kids every year and they’re a great way to document fun memories. Try making one for Dad or your significant other!

    Experience-Based Gifts for Men

    I firmly believe the best gifts are often things you can’t wrap. In our house, experiences always beat material gifts and we choose these whenever possible. They can also make a great last-minute gift since you don’t have to wait for shipping.

    I share all of our favorite experience-based gift ideas here if you’re looking for some ideas. If you want to give a physical gift, just make sure it’s practical, useful, and long-lasting. This way, it doesn’t end up in the back of the closet or a landfill.

    These are some experience-based gifts for Father’s Day or birthdays:

    Time Off

    One thing all parents need is some time off to recharge! Find some time in the schedule for him to camp, hunt, go hiking, or play sports. If you like, buy him some gear to go with the experience present so he has something to open.

    Massage Classes

    Can you tell how much I love a massage?! The Melt online massage course (all PG, I promise!), makes a great gift for couples. Pair it with some homemade massage oil. Get more details on the massage videos here.

    An Adventure/Experience

    Think fishing charter with his friends, a surfing or water skiing lesson if you live by the water, or if your guy is adventurous, sky diving! Scuba certifications can make a great couple’s gift too. You can go through the process together and end up with a great hobby to enjoy in the future.

    Search your area for adventurous offerings like pole vaulting, fishing, diving, sailing, rowing, kayaking, or even juggling! Mixing it up keeps things interesting and could lead to a new date night idea or family pastime.

    Something to Inspire a Hobby

    If your man likes beer, get him an organic (or at least non-GMO) beer. You can also get him a homebrewing beer kit as a fun hobby. This book is a great guide for getting started and you can find the ingredients and supplies in-store from a local homebrew place.

    You can get him a complete homebrew kit here with some organic hops to go with it.

    Sports Gifts For Men

    Sports-related experiences are a hit with many guys. One of my biggest gifts ever was gifting tickets to spring training for their favorite team. Tickets to go see their teams play are also a big hit. These all tend to be more expensive, but it can end up being an amazing and memorable experience!

    Tell Him You Appreciate Him!

    I suspect most husbands/dads would love to hear more that we appreciate them! A handwritten Father’s Day card and a big hug can go a long way when it comes to the perfect gift for Dad.

    What gifts for men have been a hit in your experience? Which of the ideas above do you think he’d like? Leave a comment and share below!

  • How Lobbyists Are Blocking Local Efforts to End Water Fluoridation

    How Lobbyists Are Blocking Local Efforts to End Water Fluoridation


    As of 2022, the U.S. Centers for Disease Control and Prevention (CDC) reports that 72.3% of Americans on community water systems — roughly 62.8% of the total population — receive fluoridated water.1 This practice began in the 1940s, based on the belief that adding fluoride to municipal water supplies would reduce tooth decay.2

    However, a growing body of research shows that fluoride offers little, if any, benefit for dental health and comes with significant risks. Fluoridating public water effectively doses the entire population without consent, including vulnerable groups like pregnant women, infants, and people with medical conditions that make fluoride exposure more hazardous.

    Globally, most countries have rejected water fluoridation. Nations such as Germany, Sweden, and the Netherlands do not fluoridate their water, yet they report dental health outcomes that rival those in the United States.3 Despite this, the U.S. remains an outlier, continuing to fluoridate water despite growing concerns about this practice.

    A recent investigation from a small town in North Dakota reveals the deeper issue — powerful interests with a stake in fluoridation are driving its continued use, despite mounting scientific evidence of harm. The result is a public health tradeoff with serious consequences, especially for children’s brain development.4

    Washburn Uncovers the Fluoride Playbook

    In April 2025, the nonprofit investigative group Children’s Health Defense published a detailed report exposing how Washburn, a small North Dakota town of just 1,300 residents, became the target of a federally backed effort to override local authorities in their effort to end water fluoridation.5

    Washburn’s commissioners voted to end fluoridation — Washburn’s commissioners voted 4-1 to stop adding fluoride to the town’s water supply. Their decision came after months of research, public discussion, and expert testimony revealing that fluoridation offers little to no dental benefit while exposing children to documented neurological harm.

    A growing number of communities are moving away from fluoridation — The town became the latest of rural and suburban communities rejecting water fluoridation in light of emerging research regarding its negative health effects. The evidence driving this movement links fluoride exposure to lowered IQ and impaired brain development, even at levels currently promoted by U.S. health agencies.

    Commissioners encountered orchestrated resistance — When the issue was first raised in January, town leaders anticipated a good-faith conversation. Instead, they were immediately met with a wave of pressure that did not originate from within the community.

    Letters poured in from out-of-state dental associations, many using identical language and arguments. A closer inspection revealed they were copied from templates circulated by fluoride advocacy groups.

    Public records exposed misuse of federal funds — In response to the unusual intensity of the lobbying, Commissioner Keith Hapip filed a public records request to investigate potential coordination behind the scenes. The documents he obtained confirmed that Jim Kershaw, a fluoride advocate and water superintendent from Bismarck, had worked with North Dakota’s Oral Health Program (OHP) to oppose Washburn’s reconsideration of fluoridation.

    Kershaw’s travel expenses to the meeting, despite his public claims of attending on his own, were reimbursed by North Dakota OHP. The OHP is funded by a $380,800 CDC grant and a $400,000 HRSA grant, both of which explicitly prohibit lobbying or influencing legislation.

    Officials were instructed to suppress opposition, not educate — Emails uncovered in Hapip’s records request painted a picture of strategic interference rather than neutral public health support. North Dakota’s OHP Director Cheri Kiefer encouraged Kershaw to “flatten them like a pancake,” referring to Washburn’s elected officials.

    The communications included pre-approved form letters for dentists to submit and talking points crafted to maintain the appearance of independent advocacy. These tactics were designed to drown out local debate and create a false impression of unanimous expert support for fluoridation.

    Critics of fluoridation were deliberately silenced and discredited — After identifying the uniformity of the opposition letters, Hapip contacted several of the dentists to ask their opinion on recent studies linking fluoride to neurodevelopmental harm. None responded.

    The emails revealed that these inquiries were forwarded to Kershaw, who instructed the dentists not to engage. Following this, Kershaw shifted to using a personal email account rather than his government-issued address, suggesting an attempt to shield communications from further public scrutiny and evade accountability.

    ‘Astroturfing’ was used to manufacture fake public support — “Astroturfing is when a group with money and power pretends to be regular folks supporting something, but it’s really a planned push from the top,” Hapip explained. “Real grassroots come from the community naturally. And here, the oral health program used CDC cash to manufacture support for fluoridation in Washburn.”

    Unprofessional and hostile behavior confirmed private disdain for public dissent — In one email, Dr. Johnny Johnson, president of the American Fluoridation Society, used vulgar language to insult Hapip before offering to respond directly to his inquiries.

    Kershaw replied, “Don’t reply to him now, I have a plan.” This behavior revealed not only a strategic intention to suppress Washburn’s efforts, but also a broader culture of disdain toward any officials questioning the fluoridation narrative.

    Other towns are facing the same blueprint of manipulation and reversal — According to the report, nearly identical tactics were used in Grand Forks, where officials also received the same copy-paste letters from dentists ahead of a local fluoridation vote. In McVille, a nearby town that had previously voted to end fluoridation, the decision was reversed after Johnson and his allies flew in to pressure the council.

    Hapip has since filed a formal complaint with the North Dakota Department of Health and Human Services, arguing that the misuse of federal funds and the targeted silencing of local voices represent a fundamental threat to democratic health policy.

    A Public Health Tradeoff We Can’t Afford

    Even if fluoride reduces cavities, the price we pay is far too steep. Dental caries is a visible, treatable condition, but neurodevelopmental harm is invisible and permanent. Sacrificing cognition to preserve enamel is not a public health advancement but a societal regression.

    Fluoride exposure causes measurable IQ loss in children — A 2023 meta-analysis of 12,263 children across seven countries showed an average IQ drop of 5.6 points among those with higher fluoride exposure.

    The drop in IQ got worse with higher fluoride levels, even at amounts once thought to be “safe.” Children with urinary fluoride levels of just 0.28 milligrams per liter (mg/L), equivalent to common fluoridated water consumption, had detectable cognitive deficits.6

    Neurodevelopmental harm is permanent and population-wide — The National Toxicology Program’s 2024 report concluded with “moderate confidence” that fluoride exposure, even at levels near the current U.S. target of 0.7 mg/L, impairs cognitive performance in children. The damage occurs during vital stages of brain development, especially in utero and early childhood. These effects are consistent across studies, populations, and methodologies.7

    Fluoride disrupts early brain development through hormone interference — Studies show that when babies are exposed to fluoride in the womb, they’re more likely to have impaired executive function and higher rates of ADHD symptoms. These effects are likely caused by thyroid hormone disruption. Florida’s top health official, Surgeon General Joseph A. Ladapo, cited these findings in calling for an end to water fluoridation.8

    Fluoride also affects vital organs and blood function in fetuses — A 2024 study published in Environmental Health9 revealed that increasing maternal fluoride concentrations were linked to negative effects on kidney and liver function, which play important roles in systemic detoxification and are known to accumulate more fluoride than other organs in the body.

    The study also showed that fluoride exposure lowered key proteins involved in the complement cascade, a part of the immune system that helps control inflammation and affects how a baby’s body develops. Researchers also found changes in proteins linked to blood clotting, suggesting that fluoride may interfere with normal blood function during fetal development.

    For a deeper review of the science linking fluoride exposure to cognitive harm, see the article “Fluoride’s Hidden Danger — Lower IQ in Children Exposed.”

    Other Health Risks Linked to Long-Term Fluoride Exposure

    While officials continue to champion fluoridation as a win for dental health, modern toxicological research tells a different story. Over the past decade, peer-reviewed studies have drawn direct connections between fluoride exposure and various health conditions.

    Fluoride accumulates in bone tissue, leading to skeletal fluorosis — Chronic fluoride causes it to build up in the bones, which leads to stiff joints, hardened ligaments, and trouble moving around. In areas with moderate to high fluoride exposure, this buildup leads to a serious, irreversible condition called skeletal fluorosis. The early stages often mimic arthritis and remain undiagnosed until permanent damage is done.10,11

    It alters calcium metabolism and increases fracture risk — Fluoride impairs the balance between bone-forming and bone-resorbing cells, weakening bone structure over time. In populations with long-term fluoride exposure, studies have found increased rates of hip and wrist fractures.12,13,14

    It disrupts endocrine function beyond the thyroid — Fluoride exposure has been linked to impaired glucose metabolism and altered insulin sensitivity, raising concerns about its role in metabolic diseases.15 Some studies suggest fluoride interferes with the pineal gland, reducing melatonin production and affecting sleep-wake cycles.16

    It contributes to muscle atrophy with prolonged exposure — A 2022 study found that long-term fluoride exposure breaks down key proteins in muscles, which leads to muscle shrinking and weakness. The degradation was driven by the upregulation of a pathway linked to muscle wasting.17

    If fluoride were a prescription drug, it would require labeling, dosage control, and patient approval. But as a water additive, it bypasses all safety protocols. For more on how fluoride entered the water supply without proper regulatory oversight, see “Fluoride: Poison on Tap.”

    What Does This Mean for You and Your Community?

    If you live in a town where fluoride is added to the water, you need to understand that the decision was likely made decades ago without your input. These policies often stay in place simply because no one has reexamined them, not because current science supports them. In many cases, community members are unaware that they are consuming a substance with documented long-term risks.

    You have a right to know what is in your water and how it affects your health — You also have a right to question policies that were never based on your consent. This is not just a health issue — it’s about bodily autonomy and the freedom to make informed decisions.

    Ask your local water utility whether your town fluoridates its water — Request documentation on the exact levels and how they are monitored. If your town does add fluoride, ask your local officials to revisit the decision and hold public hearings that include updated research and diverse expert perspectives.

    Review the current science for yourself — Check peer-reviewed studies and credible sources that are not tied to fluoride lobbying groups and acknowledge both risks and benefits. Don’t just accept promotional material from agencies with a vested interest in preserving the status quo.

    If officials are hiding information, demand transparency — You can request internal communications and policy documents. Many of the most revealing details in Washburn came from Freedom of Information Act requests that exposed what officials were trying to hide. These tools are available to you as well.

    Your community has more power than you think — Most importantly, remember that small towns have power when residents stand together. Washburn’s commissioners stood firm despite coordinated opposition from well-funded institutions. They relied on public records, credible science, and a clear understanding of their responsibility to protect residents. That approach is available to any community willing to confront the evidence directly.

    5 Practical Ways to Lower Your Fluoride Exposure

    With growing evidence linking fluoride to serious health risks, especially for children, it’s more important than ever to take action. Protect your family’s health by following these key steps to reduce fluoride exposure in your daily life:

    1. Install a comprehensive water filtration system — Install a high-quality filtration system designed to remove fluoride from your drinking and cooking water.

    Basic carbon filters like Brita and PUR, as well as standard water softeners, won’t remove fluoride, so make sure your system is designed specifically for it. While reverse osmosis has been the standard for removing fluoride for years, it has significant drawbacks, such as wasting water and removing healthy minerals from the water.

    Similarly, bone char technology requires the water to be acidic to work properly. Also remember to filter your shower and bath water. Fluoride is absorbed through the skin, so adding filters to showerheads and other water sources throughout your home gives you better protection.

    2. Use fluoride-free water for infant formula — If you’re feeding your baby formula, never use fluoridated tap water to mix it. Infants consuming formula prepared with fluoridated water ingest significantly more fluoride than breastfed babies, posing risks to their developing brains. If breastfeeding isn’t an option, opt for filtered, fluoride-free water to protect your baby’s neurological development.

    3. Switch to fluoride-free toothpaste and oral care products — Fluoride-containing toothpaste and dental products are among the most common sources of daily fluoride exposure. Avoiding them is one of the simplest ways to lower your intake.

    Take time to research fluoride-free alternatives and read ingredient labels carefully. Many conventional brands also contain other harmful chemicals like triclosan, sodium lauryl sulfate, propylene glycol, diethanolamine, parabens, and plastic microbeads.

    For a safer and more affordable option, consider making your own toothpaste at home. A basic recipe includes a few tablespoons of organic coconut oil and baking soda, a pinch of Himalayan salt, and a drop of peppermint essential oil for a clean, familiar flavor.

    4. Watch out for hidden fluoride in food and drinks — Fluoride shows up in many processed foods and beverages that were made using fluoridated water. Tea leaves naturally absorb fluoride, too. If you’re a tea drinker, switch to white tea, which tends to have lower levels than black or green teas.

    5. Get involved in your community — Engage in local water policy discussions and advocate for the removal of fluoride from community water supplies. Share credible research on fluoride’s neurotoxic effects with neighbors and local officials to raise awareness. More than 200 million Americans are still drinking fluoridated water without informed consent. Your voice can help change that.

    Frequently Asked Questions (FAQs) About Water Fluoridation

    Q: Why is fluoride added to drinking water?

    A: Fluoride was added to public water systems beginning in the 1940s based on early studies suggesting it helped reduce tooth decay. It was promoted as a cost-effective way to improve dental health on a large scale. However, newer research shows its benefits are mostly from topical exposure, not ingestion, and that ingesting fluoride carries serious risks.

    Q: How does fluoride affect children’s brain development?

    A: Multiple high-quality studies have shown that fluoride exposure, especially during pregnancy and early childhood, is linked to lower IQ and impaired cognitive development. For instance, a 2023 meta-analysis found an average IQ drop of 5.6 points among children exposed to higher fluoride levels.

    Q: Do other countries fluoridate their water like the U.S. does?

    A: No. Most developed countries do not fluoridate their public water supplies, citing concerns about safety, ethics, and lack of clear systemic benefit. These countries achieve equal or better dental health outcomes through topical fluoride use, access to care, and nutrition without mass medicating the population.

    Q: Can I filter fluoride out of my tap water at home?

    A: Yes. However, most standard home carbon filters do not remove fluoride. To reduce fluoride, you need a filter specifically designed to filter it out, so do your homework.

    Q: What can I do if I want fluoride removed from my community’s water supply?

    A: Start by requesting your local water report and confirming whether fluoride is being added. Then contact local officials to request a policy review. Organize educational forums, submit public records requests, and share peer-reviewed research with decision-makers. As Washburn proved, community action can overcome even coordinated resistance and change outdated policies.

  • Certified and Unstoppable: Recertify with Rev Up

    Certified and Unstoppable: Recertify with Rev Up


    Rev Up to Recert Bonus is now available: Learn and earn up to 45 Continuing Education credits for free until August 7, 2025. Read the announcement below for details. 


    Double down on your certification journey and prove you’re unstoppable with our game-changing Rev Up to Recert Bonus. Picture this—you, cruising confidently down the recertification track, earning Continuing Education (CE) credits like a boss. Sound good? Oh, it gets better.

    If you joined our last Rev Up to Recert: AI series, this is the perfect next step to keep your learning streak hot and your certifications alive.

    Rev Up to Recert Bonus is now available

    Starting today, June 6, 2025, we’re giving IT pros like you the chance to grab up to 45 CE credits in just 65 days—for free. Yes, free. No strings, no catch, just a golden opportunity to fully recertify at the Associate or Specialist level. Talk about a win-win!

    Here’s the deal: You’ll get access to two comprehensive Learning Paths, each tailored to cutting-edge technology topics. Pick your path, earn those credits, and strut to recertification glory. It’s all happening June 6 through August 7, 2025.

    Rev Up to Recert Bonus: Learning Paths

    Get ready to dive into two unique tech topics, each with its own Learning Path and a sweet stack of CE credits waiting for you. Are you in? Let’s go!

    Managing Cisco Network Operating Systems | CNIOS – 37 CE credits

    Build the foundational knowledge you need to advance in your networking role. Start with the fundamental concepts of Cisco network operating systems, including IOS XE, NX-OS, and IOS XR. You’ll navigate the command-line interface (CLI), configure basic settings and advanced protocols, and understand Cisco network operating systems’ unique features and architectures.

    If you’re ready to embrace automation, our second trending technology topic is hot off the press, building on the knowledge you acquired from our previous Rev Up to Recert: AI Learning Path (AI Solutions on Cisco Infrastructure Essentials | DCAIE).

    Automate AI Solutions on Cisco Infrastructure | DCAIAA – 8 CE credits

    Get ready to inject intelligent automation into your AI infrastructure. Plus, gain the skills to transcend traditional network management paradigms and embrace a future where intelligent automation drives efficiency, resilience, and security for your AI-powered infrastructure.

    Here’s an added bonus: The Automate AI Solutions on Cisco Infrastructure | DCAIAA Learning Path also prepares you for the CCDE AI Specialist certification.

    Great news: You no longer have to worry about claiming your Continuing Education (CE) credits or manually submitting CE claims. The process is now automated. Once you meet the requirements, the CE credits earned will automatically be applied toward your recertification.

    Cross the finish line and stay in the lead

    In today’s fast-paced tech world, staying ahead means keeping your skills and knowledge in motion—because if you’re not moving forward, you’re falling behind.

    Keep learning. Keep growing. And most importantly, keep those hard-earned certifications.

    You have until August 7, 2025, at 4:59 p.m. Pacific Time/11:59 p.m. UTC, to earn up to 45 CE credits for free. (What is the cutoff point in my time zone? )

    So, what are you waiting for? The clock is ticking, and the starting line is calling your name. Stay in the race, keep your certifications fresh, and let’s make this summer one for the books.

    Rev Up to Recert Bonus is available through August 7, 2025, at 4:59 p.m. Pacific Time/11:59 p.m. UTC.

    Join the Rev Up to Recert Community on the  Cisco Learning Network.

    Follow Cisco Learning & Certifications

    X | Threads | Facebook | LinkedIn | Instagram | YouTube

    Use #CiscoU and #CiscoCert to join the conversation.

    Read next:

    Educating Tomorrow’s Tech Workforce: A New Map for AI-Era Skills

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  • Amid Trump cuts, this scientist lost a  million NIH grant. Then he got it back : NPR

    Amid Trump cuts, this scientist lost a $53 million NIH grant. Then he got it back : NPR


    The Trump administration terminated a $53 million NIH grant to study how impaired blood flow in the brain can lead to dementia. The lead scientist fought the decision, and got the money back.



    MARY LOUISE KELLY, HOST:

    The Trump administration has terminated hundreds of scientific research grants, but in a few cases, it has restored the funding. NPR’s Jon Hamilton reports on how one scientist lost and then regained a $53 million grant to study a leading form of dementia.

    JON HAMILTON, BYLINE: It’s called vascular dementia, and it can occur when a stroke or other condition impairs blood flow in the brain. It’s the most common form of dementia after Alzheimer’s, so in 2020, the National Institutes of Health announced funding for a six-year study to understand how damage to blood vessels can affect memory and thinking.

    CHARLES DECARLI: It is the only study that has been funded to do that.

    HAMILTON: Dr. Charles DeCarli is the principal investigator and a neurologist at the University of California, Davis. He says the plan was to enroll more than 2,000 Black, white and Latino people 65 and older who had noticed a decline in their memory or thinking. The team would use MRI scans and blood tests to see if they could predict who would go on to develop vascular dementia. By March of this year, the study was about two-thirds done. Then, DeCarli got a call from the NIH.

    DECARLI: My program officer called me. And she had been told on a Friday, and she called me on a Monday to say that it had been terminated.

    HAMILTON: The official notice would come later.

    DECARLI: It took a couple days for us to actually get the letter because they sent it to the wrong person (laughter).

    HAMILTON: The letter read like others being sent to NIH-funded scientists around the country. It criticized research programs that study diverse populations and said that the grant in question did not align with NIH priorities. DeCarli was puzzled. The NIH had insisted that the study include populations at high risk, and Black and Hispanic individuals are at least 1.5 times more likely to develop dementia. What’s more, DeCarli says, the study was fulfilling a congressional mandate to improve diagnosis and treatment of dementia.

    DECARLI: The grounds of the termination notice were irrelevant to my study, and the lawyer’s advice that I got agreed with that. And so we had more – if you would call it – leverage.

    HAMILTON: DeCarli and a team of academic scientists and lawyers spent three weeks preparing an appeal, and it worked. The NIH restored the funding. DeCarli recounted the experience at a meeting hosted by the McKnight Brain Research Foundation. Without the restored funding, the team would have been unable to continue tracking study participants, and DeCarli says that would have made it nearly impossible to determine who was most at risk.

    DECARLI: But the ability to predict because we needed follow-up, that opportunity would likely have been lost.

    HAMILTON: And millions of dollars would have been wasted.

    Jon Hamilton, NPR News.

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  • 3 Common Ones, Plus Their Solutions

    3 Common Ones, Plus Their Solutions


    “I work with coaches and other people who know too much.”

    Kate Solovieva is a former professor of psychology, a PN master coach, and PN’s director of community engagement.

    And the above quote has become one of her taglines.

    Though Coach Kate has coached thousands of “regular” clients, her specialty is coaching other coaches.

    Through her work as an instructor with PN’s Level 2 Master Health Coaching Certification, a facilitator for PN’s private online coaching communities, and a coach in her own private practice, she gets a front-row view of all the questions and challenges both new and seasoned coaches have.

    Coach Kate knows what other coaches are up to.

    She’s seen the victories and the blunders of thousands of coaches, and today, she’ll share three common mistakes she sees them making.

    If there’s anything Coach Kate wants, it’s to see her peers achieve wild success, so her hope with this article is to help coaches:

    • Stop feeling paralyzed by insecurity and doubt—and start growing their business
    • Learn to see their clients more objectively, so they can best serve their needs and goals
    • Clearly identify their responsibilities as a coach (hint: they’re’ not what many coaches think they are)
    • Harness their natural passion and investment in a client’s success—without burning themselves out

    We’ll cover three common coaching mistakes, plus the solutions to overcome them. Let’s get into it.

    Coaching mistake #1: Focusing on coaching instead of selling

    Coach Kate describes a coaching business as a three-legged stool.

    • There’s the coaching leg (which is your skills and knowledge as a coach),
    • A selling leg (which is your ability to market and attract a flow of clients), and
    • An administrative leg (which includes how clients book appointments, make payments, and other organizing tools and systems).

    “The vast majority of folks who get into coaching start with the coaching leg,” says Kate.

    “They want to become the best coach they can be, which is amazing. However, to become the best coach you can be, information and theory only get you so far.”

    As Kate says, “You cannot become the best coach you can be in a vacuum, talking to yourself in your office.”

    Which is why she suggests challenging the desire many coaches have to wait until their knowledge is “complete.”

    Instead, she suggests, just start selling.

    Why?

    Coaches who start selling sooner also get to start coaching sooner.

    Over time, they’ll have an advantage over the coaches who want to be “the BEST coach they can be” by getting 12 certifications before selling their services.

    Meanwhile, the coach who “doesn’t really know what they’re doing” but has started practicing anyway will begin building their business and their coaching experience—and likely improve their odds of overall success.

    Solution: Remember to show up as a COACH, not an EXPERT

    There’s a natural inclination among aspiring coaches who want to do a good job to get those 12 certifications before they start coaching.

    “Sometimes we hold on to this hope that we’ll get to a point where we feel confident enough at fielding any question that ever comes our way,” Kate says.

    Because as every coach knows, when you start telling people what you do, they’ll have questions. And often, they’ll have questions you can’t answer, and that can feel uncomfortable… mortifying even.

    (You’re supposed to be the expert, right??)

    According to Coach Kate, the above belief—that you’re supposed to be an authority with all the answers—is based on an erroneous assumption.

    “When I show up to a coaching conversation, my role is not ‘the expert,’” she says.

    Yes, coaches have to show up to client interactions with a baseline of nutrition knowledge. (For example, if a client asks you about good sources of protein, you should be able to list some.)

    But coaches don’t have to show up with a prepared lecture, or encyclopedic knowledge of nutrition minutia or biochemistry. (You don’t have to feel bad if you can’t recall the ratio of omega 3 to omega 6 in flax oil, or all the steps in the Krebs cycle that produces ATP.)

    Even when you know the answer, Kate suggests that not answering right away can actually be more productive.

    “If a client asks you about seed oils, you can simply say, ‘That’s a great question. I can get you some information on that if you’d like, but I’m curious, why do you ask?’”

    While the expert might respond with a summary of the latest research on seed oil processing and its health effects, the coach will strive to learn more about why the question is meaningful to the client.

    For example, after inquiring further, you may learn that your client heard about seed oils from their friend Susan, who changed the fat sources in her diet and lost ten pounds. And the client is curious to see if they might also lose ten pounds if they eliminate seed oils.

    With this kind of response, you learn more about what the client is really after (a weight loss solution), which ultimately helps direct you to more effective strategies (which probably have nothing to do with seed oils).

    ▶ Takeaway nugget:

    Coaches should have a firm understanding of fitness and nutrition principles.

    However, clients often don’t need more information; they need coaching.

    When a client asks you a question, consider whether the answer will help them take action.

    If it will, offer them what you know. (If you don’t know the answer, you can simply say, “I’m happy to find more information about that for you.”)

    If it won’t, consider turning their question into a coaching opportunity. Ask, “Can you tell me why you’re curious about that?” Their answers will likely lead you to a more productive conversation.

    Coaching mistake #2: Assuming your clients are exactly like you

    Now, maybe it sounds obvious that clients aren’t just clones of us.

    That said, especially when we feel all warm and vibe-y with our clients, it can be easy to forget in the moment.

    For example, maybe you’re someone who…

    • Tracks macros, and feels it’s relatively simple and effective. So you assume this approach will work on most clients (even though many will find it triggering and overwhelmingly complicated).
    • Coaches virtually, so your clients are all over the world. You might recommend meeting certain protein targets, without considering that in some communities, protein dense foods might either be hard to access, prohibitively expensive, or both.
    • Prioritizes fitness. And for the life of you, you can’t understand why your client would skip a lunch workout because she doesn’t want to mess up her hair and makeup in the middle of a work day.

    If you’re a coach, you probably went into this line of work because you value nutrition, exercise, and overall health. And often, we assume our clients hold these same values. But the truth is, that’s not always the case.

    Says Kate:

    “There’s nothing inherently superior about valuing your health. If you do, yes, you’ll probably experience better health and live longer. But not everyone shares those values. That’s a tough one to swallow.”

    Of course, without seeing your clients for the unique people they are—with their own individual preferences, values, and goals—you may find yourself suggesting behaviors that aren’t possible for them, or striving for goals that aren’t meaningful to them.

    Over time, this becomes frustrating for your clients and you: They feel like you don’t “get” them, and you feel like a “bad” coach.

    Solution: Get a clear picture of the client’s baseline—and determine what actions they’re ready, willing, and able to take

    The opposite of assuming (often unconsciously) that clients are like you is, well, assuming nothing.

    As best as you can, check your biases and assumptions at the door, and approach each client session with an open, curious mind.

    Ask questions, such as:

    “What inspired you—or pushed you—to come in today?”

    And:

    “Why is that goal meaningful to you?”

    And:

    “What skills do you have today that might help you achieve your goal? What skills do you feel you might be missing?”

    Listen.

    Withholding assumptions can be particularly difficult when clients share some obvious similarities with you. (Perhaps they’re also a single mom, or they’re also training for a triathlon, or they’re also a cancer survivor.)

    But even when clients share similar experiences or goals, their biology, social context, personal history, and many other factors can make their “similar” experiences, in fact, totally different.

    Coach Kate says in these cases, you can show that you relate to them, while also inviting them to describe their own experience. She suggests using the following question:

    “I know what [insert shared experience] has been like for me, but what has [insert shared experience] been like for you?”

    Once you have a clear picture of a client’s values, priorities, and reasons for change, you can assess which actions they’re ready, willing, and able to take. (Again, don’t make assumptions here. Just because you find meal prep quick and easy, doesn’t mean your client will.)

    If you want to go through this exercise with your client on paper, use our Ready, Willing, and Able Worksheet.

    ▶ Takeaway nugget:

    Remember that clients:

    • Aren’t always motivated by the same things as you (for example, they might care more about their next lab test results than how they look in a swimsuit)
    • Don’t always enjoy—or hate—the same things (just because you love long sessions of steady state cardio, doesn’t mean they will… or vice versa)
    • Don’t always share your values (as mentioned above, not all clients value health above all else; they may instead value pleasure, spontaneity, or something else)

    Get to know your unique client, their specific goals, and what actions they can realistically execute (and maybe even get excited about).

    Coaching mistake #3: Getting too attached to client results

    This is, actually, very natural.

    “There’s a reason we go into coaching. It’s because we care and we want to help clients. We want to see them succeed,” says Coach Kate.

    But caring can be a double-edged sword.

    “With our clients, we carefully decide on the habits and behaviors that need to occur… And then they walk off and either do the thing or don’t do the thing. That’s brutal.”

    No matter how sound and foolproof your advice is, how well-thought out your plan, how much you care, ultimately, you have no control over whether a client executes it, and gets results.

    Naturally, as a coach, you might feel frustrated, even heartbroken when clients don’t do what they say they’ll do, or when they’re not seeing the outcomes they were hoping to see.

    However, according to Kate, this isn’t something coaches should try to avoid completely. It’s part of the job, and it’s often a sign that your work has meaning to you. (It’s a good thing.)

    “However, I think there’s a point there where we can start caring more than the client themselves,” she says.

    And that’s precisely where to draw to the line.

    At PN, we often say that “care units” are the currency of coaching.

    Care units are how much time, energy, attention, authenticity, and true “heart” you can bring to helping, serving, and caring about your clients.

    Your client also has a certain amount of care units.

    How much time, energy, attention, authenticity, and “heart” can they bring to their own change and growth projects?

    (Most of the time, not that much. Which is totally normal.)

    Our advice: Care one care unit less than your client does.

    How do you do that? One approach…

    Solution: Clearly separate client and coach responsibilities

    So, how do we maintain an appropriate level of emotional investment—but also help clients stay on track?

    “This is where I really like to get really clear on what my role is as a coach,” Coach Kate says.

    “Because if you are very, very clear on what your role is as a coach, then you can sort of go through the list, and check in with yourself: ‘Did I show up? Did I follow up? Did I coach this person to the best of my ability?’”

    For example, as a coach, it’s reasonable to be responsible for:

    • Providing guidelines for how to reach out (to ask questions or book appointments) as well as setting expectations for your response times
    • Weekly check-ins with clients via email, text, or phone, to assess progress or troubleshoot obstacles
    • “Life-proofing” a program as much as possible, by proactively discussing obstacles that could arise in the future, and brainstorming realistic, flexible solutions

    Meanwhile, the client is responsible for:

    • Whether or not they respond to your check-ins
    • Whether or not they actually DO the agreed upon fitness, nutrition, or lifestyle practices that are likely to get them to their goal
    • How much they reveal during coaching sessions (for example, whether or not they tell you if they’re struggling with stress eating, or some other issue that makes it hard to stick to the plan)

    Ideally, clearly delineating these responsibilities should happen early in the coaching relationship. Some coaches prefer to have an open discussion, while others have actual contracts that outline coach deliverables and client expectations.

    This early communication can also be a way of vetting coach-client “fit.”

    “When I’m having that initial conversation with a prospective client, I can ask, ‘What does accountability look like to you?’ If the client replies, ‘Well, I want you to text me every morning and night, and I want you to make sure I’ve done my workout, and also ship groceries to my house,’ then I will be the one to say, ‘I don’t think this is a good fit.’”

    Coach Kate says this kind of early clarity can also prevent coach-client friction in the future.

    Clear boundaries and expectations at the outset means clients are less likely to be disappointed if they assumed their coach was going to “take on” more, and coaches are less likely to burn out from shouldering more than they should.

    It even protects the coach-client relationship in extreme (though not uncommon) situations such as when a client “ghosts” before a paid contract is over.

    “When somebody doesn’t reply to me, I don’t take it personally. It’s not their job to reply, but it is my job to check in,” Coach Kate says.

    “If I don’t hear back, I just check in on Monday, and then again on Monday. And again, and again, and again—trying all the contact methods they’ve provided me—until their coaching contract is over. If we get to that point, they’ll get an email from me saying, ‘Hey, I hope everything’s okay. My door is always open. I hope you’re doing well.’”

    ▶ Takeaway nugget:

    Make a list—either for your own reference, or to include in a contract that new clients have to sign—of the accountabilities you have as a coach.

    (Hint: These are usually specific actions, like “Text, email, or phone once a week to check in” or “Host monthly virtual lectures on various nutrition topics for group clients.”)

    Make sure to have a conversation about expectations and responsibilities with all clients, ideally before beginning to work together, or at least in the first session.

    Bonus mistake: Forgetting to give yourself a pat on the back

    It’s maybe not the most “coach-y” way to write an article: Point out a list of your mistakes, then hand you solutions to deal with them.

    But if you’ve made the above “mistakes,” we want you to hear it from us:

    We’re proud of you.

    If you’ve gotten sidetracked by the above, it’s likely because you really care. And that’s never going to be a mistake; it’s a strength.

    That said, although these “mistakes” are completely normal, and most coaches make them, they can limit your potential as a coach, and as a business.

    And we want to see you succeed.

    (If you liked this article and want to learn more, listen to the full episode of the Coaches Compass podcast, where the interview with Coach Kate Solovieva was originally conducted.)

    If you’re a coach, or you want to be…


    You can help people build sustainable nutrition and lifestyle habits that will significantly improve their physical and mental health—while you make a great living doing what you love. We’ll show you how.


    If you’d like to learn more, consider the PN Level 1 Nutrition Coaching Certification. (You can enroll now at a big discount.)

  • Homemade Sweet Chili Sauce (With Clean Ingredients)

    Homemade Sweet Chili Sauce (With Clean Ingredients)


    If you’re a sweet and spicy flavors fan, then this homemade sweet chili sauce may just be your new go-to condiment! It’s made with clean ingredients (no high fructose corn syrup here). Instead, you’ll find honey, garlic, and red pepper flakes for some kick. Sweet chili sauce is perfect for drizzling, dipping, or adding some sweet heat to your favorite dishes.

    What is Sweet Chili Sauce?

    Well, it’s delicious for one! Unlike my hot honey recipe, this one is cooked to help the flavors meld together. You’ll find natural honey for sweetness, coconut aminos and garlic for that umami flavor, and rice vinegar and lemon for a little acid to balance out the sweet. And of course, red pepper flakes for heat.

    Since this is homemade, you can add more or less pepper flakes depending on how spicy you like it. The recipe also uses non-gmo cornstarch to thicken, but arrowroot should work if you need a sub.

    How to Use Sweet Chili Sauce

    This works great as a dipping sauce for things like chicken wings, but it’s equally at home with roasted veggies. I also like adding it to stir-fries to give them a little zest. Try it with roasted or fried potatoes or pork. It’s way better than anything you’d find in a bottle at the store (hello MSG!), plus you can feel good about the ingredients.

    It’s easy to make and comes together in just a few minutes. And it lasts for up to three weeks in the fridge, so it’s easy to keep on hand to grab for a meal. Plus, it’s free of any artificial additives, dyes, or weird stuff, so you can have all of the sweet spice with none of the junk.

    Here’s how to make clean, sweet chili sauce that can elevate any meal!

    Sweet_Chili_Sauce

    Homemade Sweet Chili Sauce Recipe

    This sweet and spicy sauce is perfect for dipping, drizzling, or glazing!

    • In a medium saucepan, add all of the ingredients. Whisk everything together to ensure the cornstarch is fully dissolved before heating.

    • Place the saucepan over medium heat and bring the sauce to a gentle boil. Once it begins to boil, reduce the heat to medium-low and let the sauce simmer for about 5 minutes, stirring frequently. This will help the sauce thicken and the flavors to meld together.

    • After 5 minutes, remove the sauce from the heat. Let it cool for 5 to 10 minutes to thicken further. You’ll notice it becoming glossy and smooth as it cools.

    • Once the sauce has cooled to room temperature, pour it into a clean jar or bottle. Seal tightly and store it in the refrigerator. This sauce will stay fresh for up to 3 weeks.

    Nutrition Facts

    Homemade Sweet Chili Sauce Recipe

    Amount Per Serving (1 serving)

    Calories 61

    % Daily Value*

    Fat 0.03g0%

    Saturated Fat 0.01g0%

    Polyunsaturated Fat 0.01g

    Monounsaturated Fat 0.01g

    Sodium 129mg6%

    Potassium 15mg0%

    Carbohydrates 16g5%

    Fiber 0.1g0%

    Sugar 16g18%

    Protein 0.1g0%

    Vitamin A 50IU1%

    Vitamin C 1mg1%

    Calcium 3mg0%

    Iron 0.1mg1%

    * Percent Daily Values are based on a 2000 calorie diet.

    • Keep tightly sealed in the fridge for up to 3 weeks. Stir before each use.

    Recipes to Try

    Here are some recipes to try with your new sweet chili sauce:

    Have you used a sweet chili sauce before? What are your favorite foods to eat it with? Leave a comment and let us know!

  • Drinking Alcohol Raises Dementia Risk and Causes Brain Lesions

    Drinking Alcohol Raises Dementia Risk and Causes Brain Lesions


    Do you enjoy alcoholic drinks every now and then? While it’s commonly believed that moderate drinking is fine,1 the truth is that alcohol, in any amount, ravages your body. Previous research has shown that it increases your risk for premature death and cancer. Now, there’s a growing body of evidence showing that it also damages your brain, leading to dementia.

    Any Intake of Alcohol Raises Your Risk for Brain Damage

    A study published in Neurology explored how alcohol consumption affects the brain over time, particularly in older adults.2,3 Researchers, based in Brazil, examined brain autopsies from 1,781 people who have an average age of 75 years old at death. Then, they compared those findings to how much alcohol each person drank throughout life as reported by family members. Here’s what they found:

    Defining the parameters of the study — The participants were split into four groups — those who never drank, moderate drinkers (up to seven drinks per week), heavy drinkers (eight or more drinks weekly), and former heavy drinkers who had quit.

    A single drink was defined as containing 14 grams (g) of alcohol, which is roughly equivalent to 350 milliliters (ml) of beer, 150 ml of wine, or 45 ml of liquor.

    Those who drank regularly had more vascular brain lesions — Among heavy drinkers, 44% had vascular brain lesions. That compares to 40% for those who never drank, and 50% for former heavy drinkers.

    Vascular brain lesions are also known as hyaline arteriolosclerosis, which is the thickening and stiffening of the small blood vessels in your brain. These lesions reduce blood flow (thus oxygen delivery) to brain cells, which leads to tissue damage, cognitive dysfunction, and long-term memory problems.

    The presence of lesions persisted even after quitting — Even former drinkers who quit years before death showed lasting damage. That means alcohol’s impact on your brain is not only acute, but also cumulative.

    Your lifestyle greatly influences the risk for brain lesions — After adjusting for other health factors like smoking, exercise, and age, heavy drinkers had a 133% higher chance of developing these brain lesions compared to those who never drank.

    Former heavy drinkers weren’t far behind, with an 89% increased risk. Even moderate drinkers still had a 60% higher risk for brain damage than lifelong abstainers.

    Alcohol increases your risk for dementia — In addition to vascular damage, the researchers also examined another biomarker of brain degeneration called tau tangles. These are abnormal protein clumps that interfere with neuron function and are linked to Alzheimer’s disease.

    Heavy drinkers had a 41% higher risk of developing tau tangles, while former heavy drinkers had a 31% increased risk compared to those who never consumed alcohol.

    Former heavy drinkers had a significantly lower brain mass ratio — This means this test group’s brains were smaller relative to their body size. Shrinking brain mass sets the stage for poor memory, slower thinking, and more difficulty managing daily tasks. Worse yet, this group also scored lower in cognitive function tests.

    Drinking shortens your lifespan — Heavy drinkers died an average of 13 years earlier than those who never drank.

    The findings are clear. Even if you feel fine now, and even if your drinking is within what’s often defined as “moderate,” your brain is likely experiencing asymptomatic injury. These findings debunk the assumption that a beer here or there is harmless.

    Further Research Shows That No Alcohol Intake Is Safe for Your Brain

    A study published in eClinicalMedicine set out to answer a long-standing hypothesis — does alcohol cause dementia, or are the two loosely associated?4

    To answer that, researchers analyzed data from 313,958 United Kingdom (U.K.) participants who currently drank alcohol, all of whom were free of dementia when the study began (2006 to 2010). Over a follow-up period that lasted until 2021, researchers tracked those who developed dementia. They categorized alcohol consumption levels and matched these to genetic profiles designed to estimate lifelong alcohol exposure.

    Genes leaning toward higher alcohol intake were more at risk for dementia — Using individual-level analysis, researchers found that every increase in genetically predicted alcohol consumption pushed dementia risk higher. Interestingly, the strongest effects were seen in women. As noted by the researchers:

    “Our analyses found a distinctly more significant association between alcohol consumption and dementia risk among women drinkers … who typically had lower rates of other risk factors, such as smoking, compared to men. For men, the presence of multiple risk factors could mask alcohol’s specific effects.”5

    The study also invalidated the idea that there’s a safe range for drinking — The researchers looked for a non-linear relationship — a curve where low-level drinking might be neutral or even protective, but didn’t find one. “Our findings suggested that there was no safe level of alcohol consumption for dementia,” the authors wrote.

    The data is clear regarding alcohol consumption — To check their results, the researchers created positive control criteria — a known consequence of alcohol use — such as alcoholic liver disease. Their model showed that people with alcohol-promoting genes had a much higher risk of liver damage.

    Then, the researchers used age as a negative control (something alcohol doesn’t influence) and found no relationship. These comparisons confirmed that their models were functioning properly, and that the dementia link was genuine — not a statistical coincidence.

    Cut Back on Alcohol and Repair the Damage Before It’s Too Late

    I’ll admit that I bought into the many common myths about alcohol. I used to drink alcohol a few times a year, believing that it was relatively harmless — and even beneficial. But after diving into the research further, I’ve changed my stance.

    Now, I don’t drink any alcohol at all, and I recommend you do the same. If you’re drinking regularly, even a few drinks a week, you are risking your cognition. As noted by the research earlier, there is no safe level of alcohol when it comes to protecting your memory, your ability to think clearly, or your overall brain health. It’s time for you to take control of your brain health again, starting with these strategies:

    1. Cut your alcohol intake to zero — The most important step is to stop the damage at its source. If you’re drinking daily, or even several times weekly, you’re actively impairing blood flow to your brain and shrinking the areas responsible for memory and cognition.

    If you’re not ready to quit completely, start by eliminating weekday drinking or limiting yourself to special occasions. But remember, “moderation” isn’t protective like you’ve been told. That idea has been fully debunked. Your brain is better off without it.

    2. Take N-acetylcysteine (NAC) before and after occasional alcohol use — If you are going to drink for an upcoming wedding, holiday, or reunion with friends, NAC is your backup plan. It supports your liver’s ability to neutralize acetaldehyde, the toxic byproduct of alcohol metabolism that damages DNA.

    Take a 200-milligram dose 30 minutes before drinking alongside vitamins B1 and B6, as these nutrients also help reduce the toxic side effects of alcohol. But as mentioned earlier, there’s still no substitute for avoiding alcohol completely.

    3. Replace alcohol with beverages that nourish you — If alcohol is your way to unwind, reward yourself, or deal with stress, it’s time to change your routine. Switch to other drinks, such as teas, freshly homemade juices with pulp, or pure sparkling water with natural flavors added.

    4. Rebuild your mitochondria with healthy carbohydrate intake — Alcohol breaks mitochondrial function. To restore it, you need fuel, and that is glucose.

    I recommend aiming for 200 to 250 grams of carbs per day, mostly from sources like white rice, fruit juices with pulp, and whole fruits. This gives your body what it needs to produce adenosine triphosphate (ATP), the energy currency of every cell, especially brain cells. And if you’ve struggled with brain fog or fatigue before, this shift alone has the power to drastically change your health for the better.

    5. Start healing your gut to reduce endotoxin load — Alcohol damages your gut, allowing endotoxins to be produced. Endotoxins are bacterial fragments that leak into your bloodstream and cause inflammation, especially in your brain. To repair your gut, again, stop drinking alcohol. Moreover, add fermented foods into your diet to diversify your gut flora, allowing better crosstalk between your gut and brain.

    Strategies for Eliminating Alcohol Consumption

    Are you having trouble quitting alcohol? Dr. Brooke Scheller, founder of Functional Sobriety (a nutrition-based program for alcohol reduction) and author of “How to Eat to Change How You Drink,” offers several helpful tips:

    1. Get curious and educate yourself — Read books, listen to podcasts, and learn about the health impacts of alcohol.

    2. Find community support — Scheller runs an online community called the Functional Sobriety Network. There are many other support groups and resources available as well.

    3. Examine your social media Unfollow accounts that glamorize drinking and follow sober influencers instead.

    4. Address the root causes — Look at why you drink — stress, social pressure, habit — and find healthier alternatives.

    5. Support your body nutritionally — Supplements like L-theanine, L-glutamine, NAC, B-complex vitamins, and milk thistle help with cravings and support detoxification.

    6. Stabilize blood sugar — Increasing protein intake and eating regularly helps reduce alcohol cravings.

    7. Be open about your choice — Scheller encourages people to simply say they’re not drinking for their health if asked.

    One of the most powerful shifts Scheller advocates for is changing how you think about alcohol in your life in order to reframe your relationship with drinking:

    “Previously, the only people who did quit drinking were people that identified themselves as having a problem or maybe had to quit. And so the first thing I’ll say if you’re listening and you’re interested is you don’t have to have a problem to decide that you want to explore this.

    You don’t need to even be that regular of a drinker for you to say, ‘You know what? This is something I may want to explore.’”

    In other words, choosing not to drink alcohol is a positive, empowering decision for your health and longevity — not a punishment or deprivation.

    Frequently Asked Questions (FAQs) About the Impact of Alcohol on Brain Health

    Q: Is moderate drinking safe for my brain?

    A: No. Even moderate drinking — defined as seven or fewer drinks per week — raises your risk for vascular brain lesions by 60% compared to people who never drank alcohol. These lesions reduce blood flow and oxygen in your brain, which leads to cognitive decline and memory issues over time.

    Q: Does quitting alcohol reverse the brain damage?

    A: According to the research, the answer is no. Former heavy drinkers in the study had even more brain lesions than current heavy drinkers and showed lower brain mass ratios and worse cognitive function. This shows that alcohol’s damage is long-lasting and accumulates over time, even after you stop.

    Q: What exactly does alcohol do to the brain?

    A: Alcohol causes hyaline arteriolosclerosis, which is the hardening and narrowing of the brain’s small blood vessels. It also increases tau tangles, which are abnormal proteins linked to Alzheimer’s disease. These changes shrink brain tissue, impair memory, and reduce your ability to think clearly and manage daily tasks.

    Q: Is there any safe level of alcohol that doesn’t affect dementia risk?

    A: No. Genetic analysis from over 313,958 people showed a direct link between alcohol intake and dementia risk. Researchers found no evidence of a protective effect at any level of drinking — dementia risk increased steadily with every uptick in alcohol consumption.

    Q: How can I protect my brain if I’ve been drinking regularly?

    A: Start by eliminating alcohol completely to stop further damage. Support your detox pathways with N-acetylcysteine (NAC), repair your mitochondria with healthy carbs like fruit and white rice, and rebuild your gut by avoiding alcohol and adding fermented foods. These steps will help restore brain function and reduce long-term damage.

    Test Your Knowledge with Today’s Quiz!

    Take today’s quiz to see how much you’ve learned from yesterday’s Mercola.com article.

    How does a high-fat diet increase the risk of breast cancer spreading in your body?

    • It thickens your blood, making it easier for cancer cells to travel
    • It increases blood sugar, creating a favorable environment for cancer cells
    • It boosts clotting cells, inflammation, and changes blood vessels to support tumor growth

      A high-fat diet promotes cancer spread by activating clotting cells, increasing inflammation, and altering blood vessels to help tumors grow. Learn more.

    • It weakens blood vessel walls, allowing cancer cells to escape more easily
  • Empowering Cleaner Air and Community Resilience Through Data

    Empowering Cleaner Air and Community Resilience Through Data


    The Social Impact Partner Spotlight series highlights various nonprofit organization partners that are leveraging technology to help transform the lives of individuals and communities. This blog features Splunk’s partnership with OpenAQ, Radiant Earth, and WattTime, demonstrating their efforts to enhance data access and digital tools that support informed decision-making for a healthier planet.

    Data, artificial intelligence (AI), and digital tools can help uncover solutions to complex environmental challenges that can be implemented at scale for maximum impact. However, while much of the data exists, the datasets are enormous. That means that too often, nonprofits, governments, and other organizations aren’t able to access the data in a searchable and usable way.

    In October 2024, Splunk was pleased to provide strategic grants to three nonprofits that are working to advance solutions for a sustainable planet: OpenAQ, Radiant Earth, and WattTime. While each has a distinctive history and approach, they share a commitment to increasing data access and providing digital tools to support better decision-making that will have a positive and lasting impact on our world.

    Empowering a global community to improve air quality

    Picture of OpenAQ map with air sensor monitoring
    OpenAQ map with air sensor monitoring.

    OpenAQ is an environmental tech nonprofit focused on increasing access to air quality data to help communities take action to pursue clean air initiatives. Its story started ten years ago when founder Christa Hasenkopf was a State Department scientist working to compile data on air quality at embassies. She quickly learned that data was either nonexistent or not openly available, and when existent, it was challenging to access and not standardized. Christa and her spouse, Joe Flasher, who worked at an engineering company that applies energy and environmental data to global challenges, knew open data was crucial in educating people on the severity of air pollution. They envisioned a universally accessible, open-source database of air quality data, and when they couldn’t find one, they set out to build one.

    Today, Open AQ’s open-source, open-access data platform is the largest such platform in the world. It aggregates real-time air quality measurements from thousands of monitoring stations worldwide, harmonizing the data for consistency, focusing on core air pollutants like PM2.5, PM10, NO2, SO2, CO and ozone. That data empowers communities to analyze and forecast air quality, raise awareness among the public, and develop solutions to combat air pollution. Users include scientists, journalists, government agencies, entrepreneurs and NGOs, united by a common goal: supporting a world where everyone breathes healthy air.

    Making environmental data readily available to more people

    Founded in 2016, Radiant Earth enables data-driven decision making to address challenges related to sustainability and conservation. By providing a platform and resources for accessing and utilizing satellite imagery and geospatial data, Radiant Earth is making environmental data more accessible to help governments, research institutions, and civil society organizations address complex global challenges.

    One example of this is their work organizing the Cloud-Native Geospatial Forum, which brings geospatial data users together from across government, industry, and academia to develop open and more accessible methods for working with Earth science data over the Internet – including satellite imagery, weather data, and climate models – which can provide vital insights for applications like crop mapping, forest monitoring, and urban planning. This approach is designed specifically to empower researchers in developing countries to access and analyze data that was previously only accessible to research institutions with powerful compute infrastructure.

    Creating tools that boost energy efficiency and reduce emissions

    Map image of WattTime's emissionality in Eastern Europe.
    WattTime’s emissionality in Eastern Europe.

    What if three simple fixes could save 9+ gigatons of greenhouse gas (GHG) emissions annually: changing when we use energy, where we build new clean energy sources and which suppliers we procure from? WattTime is developing innovative data-driven solutions that allow individuals, companies, and governments to make informed energy choices, enhancing energy efficiency and reducing emissions.

    WattTime uses real-time electricity grid data to determine the emissions impact of using electricity at any given moment. Founded by UC Berkeley researchers, its tools pinpoint the emissions from generators operating to meet electricity demand, combining this information with forecasting techniques to predict when energy has the lowest GHG emissions. It transforms that data into actionable signals that can automatically adjust the timing of energy use, shared with partners through an API.

    Those signals can be used to optimize smart devices like electric vehicles, thermostats and water heaters to use electricity at lower-emission times, with slight timing shifts adding up to significant reductions in emissions. Similarly, it can help assess where building new clean energy sources could have the greatest impact on reducing power grid emissions. That helps increase the adoption of clean energy sources, benefiting both people and our planet.

    To learn more about how organizations are harnessing the power of technology to drive climate solutions, visit Cisco’s Climate Grants and Investments page.

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