The other side of Hawaii
November 14, 2023
The Hawaiian Islands, tucked away in the central Pacific Ocean, call to mind year-round sunshine, gorgeous white-sand beaches, and an iconic brand of global tourism. The fleeting few days of paradise amidst the daily grind of life can range from free campsites to resort hotels and secluded, thatched-roof bungalows charging thousands of dollars per night.
But the dark clouds hanging over Hilo, the rainiest city in the US, portend a feature of the Hawaiian Islands that is not often depicted in popular culture or in the media…
(more...)Is your heartburn medication more harmful than helpful?
September 15, 2023
Proton-pump inhibitors (PPIs) like omeprazole are routinely prescribed for conditions like heartburn and inflammation or ulceration of the stomach or intestines.
But their long-term use has been associated with adverse issues, including gastrointestinal infections, microscopic stomach and intestinal inflammation, malabsorption of vitamins and minerals, bone fractures, kidney disease, and a potential increase in gastric and other cancers. These drugs are also associated with alterations in the gut microbiome.
Studies show that many people currently taking PPIs do not have an indication for remaining on these meds.
New guidelines from the American Gastroenterological Association recommend that doctors should consider de-prescribing PPIs for any patient without a clear indication for taking these meds. When indicated, patients should be treated with the lowest PPI dose required.
(more...)