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Does blocking stomach acid cause dementia?

Proton pump inhibitors are drugs that block the hydrogen/potassium ATP-ase enzyme responsible for the secretion of stomach acid. In recent years, the prescription rate for proton pump inhibitors (PPIs) has increased from about 4% to almost 8% in the US. Many of these prescriptions are not accompanied by an appropriate […]

Microbiome matters

I have been thinking a lot over the last decade about what features of the microbiota really matter. On the one hand, myriad studies using germ free animal models have shown powerful effects of the microbiota on physiology – with evidence for a causal role of the microbiota in obesity, […]

Why is hypoxia pro-inflammatory?

Posing “why” questions is a classic approach in evolutionary medicine. I have been interested in why oxygen regulates the immune system since medical school when I learned about diving and hyperbaric medicine and high altitude medicine. For both, oxygen treatment plays a key role. High altitude illnesses share many of […]

Another negative sepsis trial

Thymosin α1 is an immune modulating drug that was recently the subject of a large scale multi-center randomized clinical trial in China. Thymosin α1 modulates T-cell function and improves antigen presentation among other things. It had shown promise in multiple single center trials. The most recent by Wu et al. […]

Sickness behavior and permissive underfeeding

Sickness behaviors are a coordinated suite of behavioral changes that accompany illness. These evolved behaviors include lethargy, decreased sociality, reduced eating, disinterest in sex, and increased sleep. Many of these are evolutionarily conserved, seen across the tree of life. For instance lethargy, social withdrawal, and eating less are seen in […]