Ask Doctor Dawn

Broadcast from KSQD, Santa Cruz on 10-30-2025: Dr. Dawn opens with Halloween-themed scary medical stories, beginning with food toxins lurking in refrigerators and pantries. She explains how molds on grains and nuts, particularly Aspergillus species, produce aflatoxins that bind to DNA and cause liver cancer, making peanuts especially risky. Fusarium on wheat produces trichothecenes and fumonisins damaging cell membranes. Penicillium molds on fruits like apples produce patulin creating reactive oxygen species that harm organs. She advises discarding soft moldy foods entirely since fungal hyphae penetrate deeply, while hard cheeses can have moldy portions cut away. Meat spoilage involves bacteria producing cadaverine and putrescine, with E. coli, Campylobacter, Salmonella, and Clostridium causing severe illness through heat-stable toxins. A caller asks about yogurt-covered peanuts tasting rancid and confirms Botox contains botulinum toxin A in different salt forms, used medically for migraines, hyperhidrosis, and strabismus. The caller also describes paper-thin skin on sun-exposed forearms that bleeds easily. Dr. Dawn explains UV radiation damages collagen and elastin, making blood vessels vulnerable to shear forces. She recommends topical vitamin K products like Dermal K and protective lycra sleeves or gardening gauntlets to prevent injuries, emphasizing the need for annual dermatologic exams after extensive sun exposure. An emailer asks about RSV vaccine recommendations before overseas travel. Dr. Dawn disagreed with the couple's physician, citing US Preventive Services Task Force guidelines recommending RSV vaccination for all adults 60 and older, plus those 50+ with chronic conditions. She discusses FDA-approved home testing options including the PIXEL by LabCorp test for COVID, flu, and RSV, and iHealth rapid tests. She notes RSV point-of-care tests are available to medical practitioners and recommends thorough vaccination before international trips. Dr. Dawn presents a frightening investigation into private equity hospital bankruptcies, focusing on Steward Healthcare's 31 hospitals and Prospect's 16 facilities. Private equity firm Cerberus earned $700 million while Steward 650 documented incidents of deficient care including deaths. One woman died from hemorrhage after vendors repossessed equipment due to unpaid bills. She explains the shell game where companies sell hospital land to Medical Properties Trust, forcing new operators to pay rent while private equity extracts profits. The Brookings Institution study reveals systematic prioritization of investor returns over patient care, with courts failing to prevent these practices despite some states passing protective legislation. She discusses stillbirth rates being significantly underreported, with Harvard research showing actual rates of 1 in 147 pregnancies versus CDC's 1 in 175, worsening to 1 in 95 for black families. Over 70% involved known risks like obesity or diabetes, but 30% had no identifiable factors. Dr. Dawn emphasizes unconscious bias in medicine where women's complaints are dismissed, particularly affecting women of color and non-English speakers, noting both patient and provider biases require training to address. Dr. Dawn warns about HPV-related oral squamous cell carcinoma in young men, explaining that changing sexual practices over 30 years have created new transmission routes from genitals to mouth. Major risk factors include smokeless tobacco and hard alcohol which damage DNA. She mentions newly available saliva tests for persistent HPV detection, recommending risk factor reduction for positive cases. She concludes optimistically with a breakthrough Huntington's disease treatment using microRNA molecule AMT-130 delivered via virus to brain striatum. The treatment mirrors toxic Huntington protein's RNA, creating double-stranded structures cells destroy, preventing toxic protein accumulation. The three-year trial of 29 patients showed 75% slowing of disease progression with few side effects, offering hope for 100,000 Americans carrying the mutation, including 40,000 with current symptoms.

Broadcast from KSQD, Santa Cruz on 10-23-2025: Dr. Dawn opens with a passionate plea about E-bike safety after observing riders ignoring stop signs and wearing inadequate helmets in Santa Cruz. She explains the physics of collisions, noting that force equals mass times acceleration, and a car hitting an E-bike rider at 20 mph delivers impact equivalent to falling from a two-story building. She emphasizes that 97% of bike fatalities in New York involved helmetless riders, and brain injuries result from the brain striking the skull twice during impact - once on the impact side and again on the opposite side during deceleration. She urges drivers to honk at helmetless riders and calls for stricter helmet law enforcement. An emailer asks about hydroxyapatite in toothpaste. Dr. Dawn traces its origins to NASA research in the 1960s by Dr. Bernard Rubin studying crystal growth for preventing bone and tooth mineral loss in astronauts. Japanese company Sangi acquired the patent and created the first hydroxyapatite toothpaste by 1980, receiving official anti-cavity recognition in 1993. Studies show it matches fluoride's cavity prevention effectiveness by filling microscopic cracks where bacteria take root. It also relieves temperature sensitivity by sealing micro-fractures in enamel that expose the dentin layer, making it especially helpful for people who clench their jaws. Researchers from UC Berkeley and the Allen Institute used electrodes and lasers to study how mouse brains process optical illusions like the Kanizsa triangle. They discovered specialized IC encoder neurons in the visual cortex that fill in missing information, creating complete shapes from partial cues. When these pattern-completing circuits activate inappropriately, they may trigger hallucinations in conditions like schizophrenia. Dr. Dawn explains that illusions occur when the brain perceives something different from actual visual input, while hallucinations create perceptions with no external stimulus. She discusses frontotemporal dementia where visual hallucinations result from protein deposits in the occipital cortex, and notes that a 2021 British Journal of Psychiatry study found hallucination rates varying from 7% in young people to 3% in those over 70. An emailer describes unbearable chronic lumbar pain with degenerative disc disease shown on MRI. Dr. Dawn emphasizes that MRI findings don't necessarily correlate with pain levels, citing shopping mall studies showing equal degenerative changes in people with and without back pain. She stresses checking for sciatica symptoms including leg pain below the knee, sensory differences between sides, calf size asymmetry, and ability to walk on tiptoes and heels. Without these red flags, the degenerative disease likely isn't causing the pain. She warns against unnecessary surgery citing frequent "failed back" syndrome when surgery for a disk image doesn't "fix" the pain. She recommends water jogging with a ski vest, McKenzie exercises, abdominal strengthening, ergonomics, removing wallets from back pockets, and alternating heat and ice therapy. She discusses mindfulness meditation and cognitive behavioral therapy for pain management. A caller references Daniel Levitin's book "Your Brain on Music," discussing research using functional MRIs showing distinct brain activation patterns in musicians versus non-musicians due to integrated auditory, visual, and kinesthetic training. Dr. Dawn describes how infant brains develop from three to six layers with increasingly complex synaptic connections resembling circuit boards. She highlights a blindfold study where college students' visual cortices began responding to sound within two weeks as the auditory cortex expanded. She shares her husband's remarkable recovery demonstrating adult brain plasticity through intensive rehabilitation. Learning new musical instruments helps dementia patients by activating multiple brain regions simultaneously and improving standard cognitive test performance. A caller describes an eight-day chest cold with thick white phlegm. Dr. Dawn recommends guaifenesin as a mucus-thinning expectorant to prevent bacterial growth in respiratory secretions that serve as "bacteria chow." She emphasizes the importance of current flu, COVID, and RSV vaccinations. Secondary bacterial infections develop when bacteria colonize viral-induced mucus in the lungs and invade tissues. She advises aggressive hydration and chicken soup, which research shows helps clear mucus. Another caller provides additional information about Daniel Levitin as a musicologist, neurologist, and musician who runs the Music Perception, Cognition and Expertise laboratory at McGill University.

Broadcast from KSQD, Santa Cruz on 10-16-2025: Dr. Dawn explains the 2025 Nobel Prize in Physiology awarded to Shimon Sakaguchi, Mary Brunkow, and Fred Ramsdell for discovering T regulatory cells. Previously, medical teaching held that the thymus only eliminated self-attacking T cells, but Sakaguchi found that removing the thymus from newborn mice caused autoimmune disease, suggesting protective regulatory cells existed. He identified CD4+CD25+ cells that suppress inflammation and can convert other T cells. Brunkow and Ramsdell discovered the FOXP3 gene that controls these cells, linking mutations to severe autoimmune diseases like IPEX syndrome. Tissue-specific Tregs regulate metabolism in fat, maintain gut microbiome tolerance, promote wound healing in skin, and control muscle regeneration. Therapeutic applications include stopping type 1 diabetes, preventing organ rejection, and treating multiple sclerosis. An emailer asks about a study linking soft drinks to depression through gut bacteria changes. Dr. Dawn critiques the cohort association study for establishing only correlation, not causation, with a weak risk ratio of 1.1 representing just 10% increased association. She explains that bacteria can influence food cravings, making it unclear whether sodas change bacteria levels or bacteria drive soda consumption. Without Koch's postulates—isolating bacteria, growing them, and reproducing disease—the causal direction remains uncertain despite statistical significance. Dr. Dawn reads David Whyte's essay on injury as invitation to transformation, exploring how pain reveals vulnerability, changes identity, requires patience, and teaches compassion. She notes this perspective may come easier to men who reach midlife believing they control their bodies, while menstruation disabuses women of that illusion earlier. As a physician, she emphasizes the ego crisis when people transition from healthy to "person with disease," requiring identity restructuring that can shake foundations but also mature and strengthen individuals. A caller responds enthusiastically to the injury essay, citing quotes from André Gide, James Hillman, and Norman O. Brown about how illness opens doors to reality closed to healthy mindedness, how the soul sees through affliction, and how vulnerability is inherent to being human. Dr. Dawn agrees that many religions embrace wounds as paths to spiritual enlightenment and commits to deeper reflection on suffering's role in the human condition. Dr. Dawn discusses cognitive functional therapy for chronic back pain, describing firefighter Joe Lawrence who believed his spine was irreparably damaged until physical therapist Peter O'Sullivan challenged those beliefs. The therapy addresses psychological aspects by teaching that backs need movement, not protection, and that tensing muscles worsens pain. The three-step approach examines pain origins including emotional context, gradually reintroduces avoided activities while learning relaxation, and establishes healthy sleep and exercise routines. GLP-1 drug prices have dropped dramatically to $499 monthly at Costco due to compounding pharmacy competition. Dr. Dawn urges immunizations, noting studies show shingles vaccination reduces dementia risk by 20% over seven years, possibly by generating T regulatory cells that reduce brain inflammation. Natural experiments in England where vaccine rollout occurred at different times in different regions provided strong evidence. She explains that chickenpox vaccination in childhood prevents both chickenpox and future shingles. Even tetanus shots appear to lower dementia risk, suggesting vaccines activate immune responses that reduce chronic inflammation. She concludes with practical advice to reduce microplastic exposure by avoiding plastic cups and containers, especially with heat. Eight-year-old coffee makers contain twice the microplastics of six-month-old machines due to deterioration. She recommends ceramic cups, glass or metal kettles, removing food from plastic before cooking, and washing polyester clothing on low heat to minimize microplastic generation.

Broadcast from KSQD, Santa Cruz on 10-09-2025: Dr. Dawn opens by addressing an emailer's question about safety of low-dose lithium for dementia prevention. She reports finding a two-year double-blind placebo-controlled trial of 61 patients with mild cognitive impairment that showed no kidney damage from therapeutic lithium doses. While low-dose lithium at 2-3 milligrams daily appears safe compared to therapeutic doses of 50-100 milligrams, she notes its calming effects may improve cognition. She discusses over-the-counter hearing aids now available without prescription, ranging from $98 to $999, representing significant savings compared to prescription models costing four times as much. An emailer asks about long-term methotrexate use for psoriasis, reporting declining white blood cell counts and slower healing. Dr. Dawn reviews studies showing that in 13-year rheumatoid arthritis trials, severe side effects occurred in only 3% of patients. She recommends monthly blood monitoring including comprehensive metabolic panels to check liver and kidney function. As an alternative, she suggests apremilast, which showed excellent long-term safety in pooled data from half a million patient years with virtually no liver, kidney, or blood count problems. She also recommends trying phototherapy with tuned red light frequencies and topical treatments before considering drugs like etanercept that carry leukemia and lymphoma risks. Dr. Dawn expands on ultra-processed food dangers, explaining how mechanical processing of carbohydrates accelerates digestion and causes blood sugar spikes that lead to insulin resistance. Steel-cut oatmeal and wheat berries digest slowly and accelerate glucose at a low rate, while instant oatmeal and white bread hit like loud spikes. She emphasizes that processing primarily affects carbohydrates, not proteins or fats. Whole fruits are vastly superior to juices because juicing makes fruit sugars unnaturally available to metabolism. She also warns about hidden microplastics entering food through processing equipment, transport tanks, and packaging, with longer processing and travel distances increasing contamination. Dr.Dawn discusses the health dangers of sedentary behavior, noting that simply walking 20 minutes daily can lower blood pressure without requiring intense exertion. Dr. Dawn offers creative exercise solutions including bouncing on inflatable exercise balls during screen time, keeping weights in bathrooms for tooth-brushing workouts or in other frequently used spaces, doing resistance band exercises while waiting in cars, and practicing single-leg squats for balance. She describes the geriatric "get up and go" test where inability to stand, walk 10 feet, return, and sit within 10 seconds predicts five-year mortality. A caller discusses motivation challenges with his unused NordicTrack equipment. Dr. Dawn suggests making exercise rewarding by listening to engaging podcasts exclusively during workouts, creating positive associations that build sustainable habits. She explains that five minutes daily for six days weekly, maintained for a month, typically becomes permanent. The caller correctly notes that exercise increases mitochondrial production, and Dr. Dawn expands on this, explaining how oxygen debt triggers DNA signals to build new muscle fibers and mitochondria, raising metabolic rate, improving glucose metabolism, and increasing brain-derived neurotrophic factor that promotes new neural connections, making exercise crucial for preventing cognitive decline.

Broadcast from KSQD, Santa Cruz on 10-02-2025: Dr. Dawn opens by explaining how blood pressure treatment guidelines have been corrected back to 140/90 after the problematic 2015 SPRINT study temporarily changed recommendations to 120/80. That study used ideal measurement conditions - five minutes of quiet sitting, perfect cuff sizes, compliant patients - creating unrealistic targets that caused elderly patients to faint and break hips. The Veterans Administration and major cardiology organizations now recommend treating to 140/90, with statins only for LDL above 190 or 12% ten-year cardiovascular risk. An emailer asks about claims linking Tylenol to autism. Dr. Dawn thoroughly debunks this, explaining that Swedish studies of 2.5 million children found no association when controlling for sibling comparisons. She notes autism rates remained flat from 1960-1990 despite widespread Tylenol use, then spiked after DSM-4 in 1994 and DSM-5 in 2013 broadened diagnostic criteria. Recall bias skews studies since mothers of autistic children are asked leading questions about past Tylenol use during pregnancy when fever treatment was medically necessary. She discusses RFK Jr.'s mixed positions, comparing him to Isaac Newton who excelled at physics but believed in astrology. While criticizing vaccine misinformation, Dr. Dawn strongly supports RFK's stance on ultra-processed foods. She describes NIH researcher Kevin Hall's studies showing people consume 500 extra calories daily on ultra-processed diets versus whole foods, even when nutrients are matched. The US produces 15,000 calories per person daily, with the food industry engineered to promote overconsumption through hyper-palatable fat-sugar-salt combinations. A caller asks about Healthcare 4.0 plans for biometric tracking bracelets and digital twins. Dr. Dawn discusses privacy concerns around constant health monitoring and data collection, noting that while early disease detection could be valuable, mandatory participation raises serious civil liberties issues. She acknowledges voluntary research projects like the Million Man Study but emphasizes the importance of consent and protection against unauthorized data access by advertisers or government agencies. An emailer shares research on ultrasound brain stimulation helmets as alternatives to surgical electrode implants. Dr. Dawn explains how 256-element phased ultrasonic arrays can target brain regions like the visual cortex with high precision mechanical perturbation, potentially treating Parkinson's, Alzheimer's, and depression without surgery. The technology remains experimental, requiring MRI guidance, but could become portable and dramatically improve quality of life for neurological conditions currently requiring invasive deep brain stimulation. A caller with adrenal cancer asks about fasting-mimicking diets. Dr. Dawn explains that 14-hour fasting before chemotherapy improves outcomes because healthy cells can downshift metabolism while cancer cells cannot. Cancer cells rely only on glycolysis without mitochondrial function, making them vulnerable during fasting states. She recommends chronotherapy - scheduling treatments during fasting periods - and expresses optimism about new cancer therapies like CAR-T cells and CRISPR technologies. An emailer asks about inulin fiber for fatty liver disease. Dr. Dawn explains how this fiber found in chicory, Jerusalem artichokes, and root vegetables stimulates gut bacteria to break down fructose before it reaches the liver, preventing fructose-induced hepatic lipogenesis. Inulin supplementation protects against fatty liver disease, increases antioxidant production, and helps with obesity by reshaping the gut microbiome to better process dietary sugars.

Broadcast from KSQD, Santa Cruz on 9-25-2025: Dr. Dawn opens with disturbing whistleblower allegations from Patrick Chase about organ transplant corruption. He claims poor patients at Parkland Hospital were systematically denied kidneys that were redirected to wealthier patients at UT Southwestern Medical Center. In 36 documented cases, doctors rejected kidneys as unsuitable for Parkland patients, then transplanted those same organs at the prestigious academic hospital. Chase alleges financial incentives corrupt the entire system, from procurement organizations to waiting list management. She discusses widespread scientific fraud in medical journals, citing research about PLOS journal showing 45 editors facilitated acceptance of fraudulent papers at rates far exceeding chance. These editors represented only 1.3% of reviewers but were responsible for 30% of retracted articles. Paper mills now use AI to generate fake studies with fabricated data, selling authorship to academics seeking publication credits. This undermines evidence-based medicine when treatment guidelines rely on potentially fraudulent research. Dr. Dawn introduces holy basil as a sleep aid beyond melatonin, explaining how its active compound ocimum lowers cortisol and inhibits orexin pathways that promote wakefulness. Unlike melatonin which signals sleep onset, holy basil helps maintain deep sleep by preventing middle-of-night stress spikes. She recommends 500 milligrams of aqueous leaf extract, noting this Ayurvedic herb may be particularly helpful for menopausal women experiencing sleep disruption. She warns about medication-induced osteoporosis, revealing that proton pump inhibitors increase hip fracture risk by 217% after four years of use by impairing calcium absorption and triggering parathyroid hormone release. Antidepressants pose similar risks, with SSRIs increasing fracture risk by 68% and causing women to lose bone 1.6 times faster than non-users. Cancer treatments like androgen deprivation therapy cause severe bone loss, with 81% of long-term users developing osteoporosis. Dr. Dawn challenges cholesterol treatment guidelines, explaining that Quest Labs' recommendation for LDL under 100 contradicts actual medical standards. The Veterans Administration only recommends statins for LDL above 190 plus high cardiovascular risk, or 12% ten-year risk calculated using multiple factors. She criticizes the focus on cosmetic cholesterol numbers while ignoring that high-dose statins increase diabetes risk, which is a greater health threat than elevated LDL alone. A caller describes experiencing severe ear itching followed by facial puffiness after a haircut. Dr. Dawn explains this likely represents a histamine-mediated allergic reaction, possibly triggered by salon products rather than the haircut itself. She advises getting ingredient lists from the salon to identify potential allergens and notes that bilateral symptoms suggest systemic rather than contact allergy. The oral antihistamines the caller took were appropriate treatment. Another caller asks about statin use with LDL of 155, expressing concern about adverse effects. Dr. Dawn recommends calculating ten-year cardiovascular risk rather than focusing solely on LDL numbers. She explains serious statin risks including muscle breakdown and diabetes development, particularly in women. For patients with muscle pain from statins, she suggests CoQ10 supplementation, but discontinuation if symptoms persist to prevent kidney damage from rhabdomyolysis.

Broadcast from KSQD, Santa Cruz on 9-18-2025: Dr. Dawn opens by establishing her psychobiology background and introducing the neurohormonal axis connecting mind and body. She describes revolutionary research published in Nature Neuroscience showing that simply seeing sick people in virtual reality triggers actual immune responses. The study used VR avatars displaying infection symptoms approaching participants, measuring brain activity with EEG and fMRI while analyzing blood samples for immune cell changes. The research demonstrates that infectious avatars approaching in virtual reality activate the same immune pathways as actual flu vaccination. Brain areas including the salience network and peripersonal space system detect potential threats and communicate with the hypothalamus to trigger white blood cell activation. Proximity matters - threats 20 feet away don't trigger responses, but approaching threats do. Dr. Dawn explains the sophisticated methodology, including 128-channel EEG monitoring and flow cytometry analysis of immune markers. Participants showed faster reaction times when infectious avatars approached compared to neutral ones, demonstrating subconscious threat assessment. The study reveals built-in disgust responses that evolved to protect against pathogens. She comments on how her medical training rewire the protective disgust reaction through repeated exposure.. She transitions to discussing stress effects on gastrointestinal function, explaining how the gut-brain axis operates through the vagus nerve and neurohormonal pathways. The adrenal glands produce both immediate epinephrine responses and longer-term cortisol release, with chronic stress leading to digestive disruption, increased intestinal permeability, and microbiome changes that can trigger food sensitivities and autoimmune conditions. Dr. Dawn details the difference between acute and chronic stress responses in the gut. Acute stress redirects energy from digestion for fight-or-flight responses, while chronic stress causes mast cell activation, histamine release, mucus layer thinning, and bacterial overgrowth. These changes can lead to irritable bowel syndrome, increased food allergies, and even celiac disease in genetically susceptible individuals. The discussion covers various brain networks including the default mode network active during rest, the central executive network for problem-solving, and the salience network that switches between them when detecting important stimuli like threats, food, or reproductive opportunities. Functional MRI studies show these networks' activity patterns and their connections to immune system regulation through the hypothalamus. Dr. Dawn emphasizes practical implications for modern life, warning that constant screen exposure and doom-scrolling activate chronic stress responses unnecessarily. She recommends avoiding phones upon waking, spending time outdoors, wearing amber glasses for evening screen use, and practicing specific breathing techniques - inhaling for 5 counts, holding for 5, exhaling for 5, holding for 5 - to regulate nervous system activation and reduce inflammatory responses.

Broadcast from KSQD, Santa Cruz on 9-11-2025: Dr. Dawn announces COVID-25/26 vaccines are now available at Safeway with same-day appointments, urging listeners to schedule quickly due to potential supply shortages amid uncertain federal vaccine policies. She discusses promising research on metformin for knee osteoarthritis in obese patients. Studies show metformin users lost half as much cartilage (0.75% vs 1.5%) over four years and had reduced knee replacement risk. The mechanism involves AMPK protein kinase pathways that reduce inflammation and cellular energy storage, with benefits independent of weight loss effects. Dr. Dawn warns hunters about blue pig meat from wild boars that consume rodenticide, which acts like warfarin to prevent blood clotting. The anticoagulant creates blue-tinted tissue that cooking cannot eliminate, making such meat dangerous for consumption during hunting season from September through November. She criticizes the elimination of women's health research funding, highlighting how the Eunice Kennedy Shriver Institute has advanced medical knowledge benefiting everyone. Dr. Dawn notes that $2.5 billion in research was rescinded for containing terms like "women" and "female," creating dangerous knowledge gaps when women experience different disease symptoms and medication responses than men. The brown rice versus white rice debate centers on arsenic content, with brown rice containing about 138 parts per billion compared to 93 in white rice. While both remain below WHO safety limits, children are especially vulnerable. Dr. Dawn recommends diverse grain options and specific cooking methods like soaking, rinsing, and using excess water to reduce arsenic levels. A caller asks about glutathione supplementation, specifically gamma-glutamyl cysteine products. Dr. Dawn explains how these precursors bypass liver metabolism to deliver glutathione to cells, while discussing the balance between oxidative and reductive stress. She notes individual genetic variations can affect supplement responses and emphasizes measuring markers rather than expecting immediate symptomatic improvements. Another caller inquires about histamine intolerance causing puffy eyes and food reactions. Dr. Dawn explains histamine's role as a neurotransmitter, sources in fermented foods and gut bacteria, and genetic enzyme deficiencies in DAO and histamine transferase. She recommends cromolyn sodium eye drops and systematic food elimination, particularly targeting recently increased consumption of chai tea and smoked brisket. Dr. Dawn concludes with news about an AI tool called FaceAge that predicts biological age and survival rates from facial photographs. Trained on 60,000 photos of people over 60, the system achieved 80% accuracy in predicting six-month survival for terminal cancer patients compared to 61% accuracy for human doctors, potentially offering a non-invasive health assessment tool.

Broadcast from KSQD on 9-04-2025: Dr. Dawn opens by criticizing new FDA restrictions on simultaneous COVID and flu vaccinations, calling out vaccine regulator Vinay Prasad for creating artificial shortages. She explains that while no formal studies test multiple vaccines together, decades of safe practice demonstrate effectiveness. The FDA's requirement for separate testing ignores practical evidence and threatens vaccine supply chains during critical flu season. She discusses Oregon research suggesting adults may not need tetanus boosters every 10 years, but warns this misses the pertussis component. Dr. Dawn explains that acellular pertussis vaccines only provide 4-year immunity, making adult boosters essential to prevent whooping cough transmission to vulnerable infants. The focus should remain on pertussis prevention rather than tetanus economics. California, Oregon, and Washington announced a West Coast Health Alliance to maintain scientific integrity in public health policy amid federal changes. Dr. Dawn supports this states' rights approach to vaccination recommendations based on trusted medical organizations, expressing concern about potential vaccine shortages if manufacturers reduce production due to uncertain federal demand. An emailer shares an AI-generated analysis comparing tuberculosis and Lyme disease. Dr. Dawn critiques the AI's inaccuracies, noting that while tuberculosis may be present in 25% of people globally s the AI reports (she did not fact check this), the distribution is very uneven and cases in the US are low which we know since accurate latent TB testing is readily available in the US. She warns against AI's tendency to incorporate conspiracy theories due to a bias which favors frequency vs accuracy and emphasizes the importance of fact-checking AI-generated medical content. Dr. Dawn addresses FDA concerns about unregulated GLP-1 drugs, warning about counterfeit semaglutide and tirzepatide from questionable sources. She discusses dosing errors, non-FDA-approved compounds appearing in gray markets, and the rare but serious cancer risk for people with multiple endocrine neoplasia syndromes - affecting 1 in 30,000 people who could develop hormone-producing cancers. A caller asks about genetic testing for GLP-1 cancer risk. Dr. Dawn explains that complete genome testing costs around $1,000 and requires professional interpretation. She discusses the economic challenges of testing 30,000 people to prevent one cancer case, while acknowledging that obesity's health risks generally outweigh the small cancer risk for most patients. She examines FDA challenges in approving MDMA for PTSD treatment, explaining the "Catch-22" of blinding studies when drugs cause obvious consciousness changes. Dr. Dawn describes how psychedelic research faces unique obstacles requiring 8-10 hour supervised sessions with therapists, making traditional double-blind studies nearly impossible to conduct properly. An emailer asks about B vitamin effects on brain and heart health. Dr. Dawn warns about high-dose biotin interfering with thyroid tests and troponin levels used to diagnose heart attacks. She explains how B12 deficiency affects 40% of people over 80, recommending methylmalonic acid testing for accurate assessment rather than standard blood levels. She discusses research showing coastal living extends life expectancy by over a year compared to inland areas, attributed to cleaner air and better recreational opportunities. However, living near inland waterways may slightly decrease lifespan due to flood risks and environmental factors, suggesting ocean proximity specifically provides health benefits.

Broadcast from KSQD, Santa Cruz on 8-28-2025: Dr. Dawn opens with concerning research about PFAS (forever chemicals) found in feminine hygiene products. Chinese and American studies reveal significant concentrations in paper diapers, sanitary pads, and especially period underwear, with some products containing up to 77,000 parts per million. These compounds can absorb through skin and never break down in the environment, raising health concerns for products used in intimate contact. She shares research on vitamin K (MK7) for nocturnal leg cramps in older adults. A study of people 65 and older showed that 180 micrograms of menaquinone-7 reduced cramp episodes by half over two months while placebo group episodes doubled. This form of vitamin K also helps direct calcium to bones rather than arteries when taking calcium and vitamin D supplements. Dr. Dawn explains how gut bacteria are evolving to digest food thickeners like guar gum found in ketchup, salad dressing, and toothpaste. Previously considered non-digestible, these cellulose-based compounds are now being broken down by bacterial enzymes that develop when people eat high-fiber diets, potentially adding hidden calories to processed foods beyond what labels indicate. An emailer asks about Botox brain effects after reading a study in Advanced Science. Dr. Dawn critiques the research methodology, explaining that the organoid model using fetal cells doesn't replicate real-world conditions. She argues the cosmetic doses used are orders of magnitude smaller than the doses used in the study. The study concentrations are much higher than doses used in even the most aggressive therapeutic applications and concludes the study doesn't provide compelling evidence for brain toxicity concerns. Another emailer inquires about myalgia encephalomyelitis/chronic fatigue syndrome genome research. Dr. Dawn explains that while GWAS studies identifying eight genetic loci are scientifically interesting, they don't provide practical diagnostic tools or treatment insights. She notes the resemblance of ME/CFS to long COVID and describes the hallmark symptom of post-exertional malaise lasting days after activity. Dr. Dawn presents encouraging dementia prevention research showing Mediterranean diet benefits. The study found 13% reduced dementia risk overall, with 25% reduction for those improving adherence. Most significantly, people with the high-risk APOE4 gene variant showed the greatest protective effect from eating leafy vegetables, fish, whole grains, and limiting processed foods. She provides an extensive discussion of hormone therapy for mental health, criticizing the medical field's neglect of hormonal causes of depression and anxiety. Dr. Dawn explains how 35% of men over 45 are testosterone deficient and describes perimenopause effects on women's mental health, including 30% increased depression risk and 112% increased bipolar disorder risk during hormonal transitions. Dr. Dawn criticizes Gameday men's health clinics for exploitative practices, describing their "man cave" marketing approach and expensive injection protocols. She explains how normal testosterone production involves daily mini-spikes rather than weekly injections, and discusses clomiphene citrate as an alternative that can improve both testosterone levels and fertility without suppressing sperm production. She concludes with a cautionary tale about imaging studies, describing a patient whose X-ray showing arthritis led to activity restrictions that may have worsened her condition. Dr. Dawn emphasizes that movement and weight-bearing exercise are crucial for joint health, even when imaging shows degenerative changes. She warns against letting scans dictate treatment over clinical symptoms and urges a "physical therapy first" approach.

Broadcast from KSQD, Santa Cruz on 8-21-2025: Dr. Dawn opens with disturbing research linking respiratory infections to breast cancer reactivation. Studies show increased breast cancer deaths during COVID beyond screening delays, suggesting viral infections may awaken dormant cancer cells through inflammatory signals. Mouse models demonstrate that influenza infection can increase metastatic burden up to 1000-fold by triggering neutrophil extracellular traps that act as growth signals for sleeping cancer cells. She covers neuroimmune crosstalk in lung fibrosis research, where mice lacking pain receptors developed worse scarring when exposed to lung injury. The absence of pain signals failed to trigger natural inflammation suppressors, leading to increased neutrophil activity and inflammatory nets that contributed to tissue damage. New food spoilage detection technology uses pH-sensitive dyes in packaging that fluoresce or change color when bacterial metabolism produces acids. This could prevent foodborne illness from contaminated deli meats and dairy products by providing visual warnings before consumption, particularly important for high-risk foods like lunch meats and mayonnaise. Dr. Dawn warns about diquat replacing glyphosate in Roundup products, potentially creating 200 times more toxicity. The new compound suppresses gut lining proteins, creating leaky gut and allowing bacterial toxins into the bloodstream, while causing permanent kidney, liver, and lung damage. Most countries have banned diquat, but it remains available in American stores. Research reveals that lactose intolerance can cause intense nightmares through gut-brain connections. Montreal studies found that people with dairy sensitivity experience more frequent, distressing dreams that improve significantly when dairy is eliminated from their diet. The mechanism likely involves gastrointestinal discomfort causing microarousals that make dreams more vivid and memorable. She describes revolutionary remote-controlled probiotics combining genetically modified E. coli with pill cameras. These bacterial robots can detect inflammation, produce therapeutic compounds on command, and communicate through bioluminescence. Applications include targeted inflammatory bowel disease treatment where bacteria manufacture anti-TNF nanobodies when activated by LED signals from swallowed capsules. An emailer with recurring diverticulitis asks about surgical options versus dietary management. Dr. Dawn explains the structural causes of diverticular disease and the vicious cycle created by repeated antibiotic treatments that damage gut microbiomes. She emphasizes the importance of dramatically increasing fiber intake and addressing underlying leaky gut issues that may contribute to the condition. A caller asks about foods for better bowel movements while managing diabetes and taking Wegovy. Dr. Dawn recommends ground flaxseed mixed into various foods and weekly preparation of roasted root vegetables for someone with limited cooking skills. The conversation becomes personal as the caller expresses concerns about housing security and healthcare access during uncertain political times. New microplastic research reveals how these particles accumulate bacteria, viruses, and toxins in biofilm "coronas" that enhance their harmful effects. Different plastic types carry varying electric charges affecting where they travel in the body. Breakthrough laser detection methods now allow precise identification and tracking of specific plastic polymers in tissues, enabling better research on health impacts. Dr. Dawn discusses advances in CAR-T cell therapy for multiple myeloma, sharing positive results from her husband's recent treatment. New research suggests injecting lipid nanoparticles containing CAR DNA instead of removing T-cells for laboratory modification, potentially making this therapy much cheaper and more accessible while maintaining effectiveness for blood cancers.

Broadcast from KSQD, Santa Cruz on 8-14-2025: Dr. Dawn shares the story of Tim Fried, a construction worker who deliberately exposed himself to 850 snake venom doses over 18 years to build immunity. An immunologist developed antivenom from Fried's antibodies that neutralizes venom from 19 deadly snake species, potentially saving thousands of lives annually from snakebite deaths. She describes cuttlefish sign language research revealing four specific arm movements. The cuttlefish respond to videos and water vibrations from these signs, suggesting complex communication abilities rather than simple mimicry, potentially comparable to octopus intelligence. New research challenges the assumption that Neanderthals were hyper-carnivores. While bone nitrogen levels suggested a meat-only diet, dental evidence showed plant consumption. Researchers now theorize Neanderthals ate maggots from rotting meat, which contain 43% more nitrogen than flesh and would explain the contradictory evidence between bone chemistry and tooth wear patterns. CPR guidelines may soon from the traditional ABC approach (airway, breathing, circulation) to focusing immediately on chest compressions. Research on 45 collapsed athletes showed that 27 who received inappropriate airway clearing died or remained comatose, while three who received immediate rapid chest compressions survived with potential for rehabilitation. The recommendationcould become 100-120 compressions per minute without preliminary airway management. Dr. Dawn presents reassuring statistics about spinal abnormalities in pain-free adults over 60. MRI studies show 90% have disc degeneration, 80% have disc bulges, and 40% have protrusions - yet these individuals have no back pain. This raises questions about attributing back pain to imaging findings when so many similar abnormalities exist in asymptomatic people. Australian cockatoos have learned to operate drinking fountains for entertainment rather than necessity. Researchers observed 70 birds attempting and 40 successfully using fountains, waiting in organized lines and taking turns, despite easier water sources being available nearby. An emailer asks about Essiac tea for cancer prevention. Dr. Dawn explains this herbal blend of burdock root, Indian rhubarb, sheep sorrel, and slippery elm shows promise in laboratory studies but lacks quality human research. While not harmful, no studies demonstrate reduced cancer recurrence rates, though the antioxidant properties may provide general health benefits. Another emailer inquires about lithium supplements for Alzheimer's prevention. Dr. Dawn discusses research showing lower brain lithium levels in Alzheimer's patients and how amyloid plaques trap lithium. Studies suggest lithium orotate (unlike lithium carbonate) isn't absorbed by plaques and may help memory in mice. Low-dose lithium orotate appears safe and mildly calming for humans. Groundbreaking research shows exercise dramatically improves colon cancer survival. A study of 900 patients found the exercise group had 80% five-year disease-free survival versus 74% in controls, with 40% reduced death risk. The intensive program required 10 METs weekly exercise with behavioral support sessions over three years. Dr. Dawn explores coffee's health benefits, noting humanity consumes 2 billion cups daily. Multiple studies show moderate consumption (3-4 cups) reduces breast cancer risk in postmenopausal women and slows Parkinson's progression. Compounds like cafestol and chlorogenic acids provide anti-inflammatory and antioxidant effects, though benefits disappear when adding significant cream or sugar. She warns about Chikungunya outbreaks in China affecting over 8,000 people. This mosquito-borne illness causes severe bone pain and can spread through blood transfusion. With increased global travel and climate change expanding mosquito ranges, Dr. Dawn emphasizes the importance of volunteering travel history to healthcare providers when presenting with fever and body aches.

Broadcast from KSQD, Santa Cruz on 8-07-2025: Dr. Dawn opens with groundbreaking news about the first successful islet cell transplant for type 1 diabetes without immunosuppression. A 42-year-old man received gene-edited donor cells that were modified to avoid immune rejection by removing tissue compatibility markers and adding protective proteins. The transplanted cells in his forearm began producing insulin autonomously, reducing his A1C by 42% over 12 weeks. This breakthrough could lead to off-the-shelf diabetes treatments without the cancer and infection risks of immunosuppressive drugs. She critiques a case where a patient was prescribed an expensive new osteoporosis drug without trying conservative treatments first. Dr. Dawn explains how this monoclonal antibody works by blocking sclerostin, essentially cutting the brake lines on bone formation. While effective for severe osteoporosis, the drug increases heart attack and stroke risk by 15%. She advocates for trying lifestyle changes, exercise, and established treatments before resorting to newer, more dangerous medications with questionable risk-benefit ratios. A caller asks about a pustular rash on his upper body that his acupuncturist suggests might be related to COVID vaccination. Dr. Dawn addresses the distribution pattern of the rash, suggesting possible causes like hot tub folliculitis or topical allergies based on the location. She discusses how to evaluate rashes by their characteristics and distribution rather than jumping to vaccine-related conclusions. The caller inquires about vaccine development timelines and whether rushed approval during COVID might have missed serious side effects. Dr. Dawn explains that mRNA vaccine technology existed for 10 years before COVID and discusses her theory about vaccine side effects. She describes how spike proteins may temporarily deplete anti-inflammatory mechanisms, leading to flare-ups of existing conditions like eczema or arthritis, but emphasizes these effects are generally temporary and rebuilding occurs over time. Caller asks about RFK Jr.'s stance on vaccine research and the long-term implications of reducing vaccine development. Dr. Dawn provides a nuanced response about problems with the current vaccine system, including government-guaranteed markets that incentivize overproduction of vaccines. She discusses the evolution from essential vaccines for devastating diseases to newer vaccines for less critical conditions, explaining the economic forces that drive development and the resulting over-vaccination in healthy populations versus the need to protect vulnerable individuals. Dr. Dawn concludes with an innovative medical technology - a robot mattress designed to prevent pressure ulcers in immobilized patients. The mattress contains 1,260 independently controlled pistons that create undulating checkerboard patterns, alternating pressure points to stimulate blood flow. Research showed that brief high pressure followed by relief works better than constant low pressure, reducing pressure ulcer areas by 34 times compared to standard foam padding.

Broadcast from KSQD, Santa Cruz on 8-31-2025: Dr. Dawn interviews Katherine Rockwood and Jess Stevens, both registered nurses and breastfeeding advocates, during International Breastfeeding Month. They discuss community events including breastfeeding cupcakes at hospitals, partnerships with WIC (Women, Infants & Children) nutrition programs, and upcoming festivals featuring educational booths from various healthcare organizations. The conversation covers how these events aim to normalize breastfeeding and provide support resources for new mothers. The discussion explores milk donation programs, with Jess explaining her experience as a milk donor after becoming an "overproducer." They detail the screening process involving health questionnaires, blood tests, and milk quality checks before donation. The conversation addresses the high cost of donor milk at approximately $30 per ounce and insurance challenges, highlighting cases where fundraising helped provide donor milk for babies whose mothers couldn't breastfeed due to medical conditions like cancer. Dr. Dawn comments that breastfeeding a baby is like giving them a $100.00 restaurant meal daily. Katherine and Jess explain the superior benefits of breast milk over formula, particularly for premature babies who face risks like necrotizing enterocolitis from formula feeding. They discuss how the mother's breast milk composition automatically adjusts it's content for premature infants and how there is a 28-day window for establishing milk supply that affects long-term breastfeeding success. The nurses describe their support programs, including Katherine's "Baby Talk" group meetings where experienced mothers help newcomers learn breastfeeding techniques. They explain how group settings provide encouragement and demonstrate proper latching through observation and imitation. The discussion includes practical tips like playing jazz music and creating calm environments to facilitate milk letdown, drawing from Katherine's background in jazz clubs. Dr. Dawn explores the science behind breast milk, including human milk oligosaccharides that feed beneficial gut bacteria and establish healthy microbiomes. The conversation covers how breast milk changes throughout the day, with higher melatonin levels in evening milk, and how the antibody percentage composition shifts when babies are sick. Amazingly, breast milk becomes more yellow in color due to increased antibodies. They discuss how milk adapts for different aged children and even changes caloric content based on baby's gender with males receiving 25% more calories. The discussion addresses workplace and societal challenges for breastfeeding mothers, including the need for proper lactation rooms and supportive employers. They mention legal requirements for lactation spaces in California government buildings and the particular challenges faced by agricultural workers who lack adequate facilities. The conversation emphasizes the importance of community support and reducing guilt for mothers who cannot breastfeed. Dr. Dawn then shares statistics showing increasing breastfeeding rates, with 83.8% of babies receiving some breast milk and 25% exclusively breastfed for six months. The discussion covers additional maternal benefits including reduced breast cancer risk through complete breast tissue maturation, improved bone health through enhanced calcium absorption during breastfeeding, and natural birth control effects. They conclude by encouraging any amount of breastfeeding while supporting mothers who cannot breastfeed for various reasons.

Broadcast on KSQD, Santa Cruz on 7-24-2025: An emailer from Israel asks about mouth taping for sleep benefits, prompting Dr. Dawn to review a comprehensive study examining social media claims. She discusses the limited evidence base for most purported benefits like better sleep, oral health, and reduced snoring. The research reveals only mild sleep apnea showed meaningful improvement, while most other claims lack scientific support despite widespread promotion on social media platforms. Dr. Dawn reports on American scientists fleeing to France due to research funding cuts and political pressures. She describes how 300 American researchers have applied to just one French university, citing eliminated grants and demands to justify their basic science work. The brain drain parallels Europe's post-WWII exodus to America, but now affects climate research, gender studies, biology, and even NASA astrophysics programs. She introduces Salsalate, an aspirin-related drug from 1876 being reconsidered for diabetes treatment. Dr. Dawn explains how this salicylate works through anti-inflammatory pathways to reduce insulin resistance. Recent trials show promising results for glucose control and metabolic improvements, potentially offering an older, affordable alternative to newer diabetes medications. Dr. Dawn describes breakthrough surgical robot technology that successfully removed organs without human guidance. The system uses dual AI components for vision and instrument control that communicate with each other to correct mistakes. She notes the progression toward live animal testing as the next development phase. She explores revolutionary nanobots based on tiny algae cells that can navigate the human body for targeted drug delivery. These microscopic robots use flagella for movement and can be guided by magnets and ultrasound to reach specific organs like kidneys. The technology offers potential for precise chemotherapy delivery while avoiding healthy tissues. An emailer questions gabapentin's connection to cognitive decline after being prescribed the medication for sleep. Dr. Dawn challenges the study's methodology, noting that early dementia symptoms include insomnia, which leads to sleep medication prescriptions. She argues the correlation may reflect pre-existing cognitive decline rather than drug-induced impairment. Dr. Dawn presents alternatives to knee replacement surgery for patients hesitant about major procedures. She details innovative nerve ablation techniques that rewire pain signals by connecting sensory nerves to motor nerves, potentially providing permanent relief. Additional options include radio frequency ablation and blood vessel embolization to reduce inflammation-related pain. She highlights Alice Walton's new medical school in Arkansas focusing on preventative medicine and whole-person care. The curriculum emphasizes lifestyle factors, community service, and includes art training to develop empathy and observation skills. Dr. Dawn praises this approach as addressing the gap between medical education's biological focus and the behavioral causes of premature death.

Broadcast from KSQD, Santa Cruz on 7-17-2025: Dr. Dawn interviews Dr. Drew Richard, a first-year resident at Dominican Santa Cruz Family Medicine Residency. Dr. Richard discusses his motivation to bridge socioeconomic health disparities and his experience creating educational cooking episodes featuring cultural dishes from medical students. He explains his philosophy that medicine should help people cultivate compassion and his belief in the fundamental capacity for human goodness. The conversation explores the evolution of medical training and communication skills. Dr. Dawn contrasts today's team-based collaborative approach with the hierarchical, authoritarian medical culture of the past. They discuss how modern medicine emphasizes interprofessional collaboration, with Dr. Richard noting improved learning environments where faculty are more forgiving of mistakes while maintaining high standards for patient safety. A caller asks about functional medicine's approach to intangible factors like intention, purpose, attitude, energy, and alternative therapies like sound healing. Dr. Dawn explains the functional medicine matrix that places mental, emotional, and spiritual aspects at its center, discussing how these factors influence disease response and treatment outcomes. She describes the body's electrical field and energy medicine principles from her acupuncture practice. Dr. Richard addresses the caller's question about sound healing, suggesting that practitioners frame these concepts in familiar terms rather than using unfamiliar terminology. He recommends starting conversations about therapeutic music by asking patients about their favorite songs rather than immediately introducing concepts like sound baths, making these healing modalities more accessible and less intimidating. The discussion shifts to music's neurological benefits, with Dr. Dawn citing research showing that singing and music-making promote brain health and neuroplasticity. Studies demonstrate that piano practice increases gray matter, improves cognitive flexibility, and enhances auditory working memory in older adults. They explore how music engagement, whether through listening or active participation, releases dopamine and provides emotional regulation benefits. Dr. Richard shares his personal musical background as a drummer and discusses the bonding effects of group music-making. Dr. Dawn describes her experiences with choral singing and four-part harmony, explaining how shared musical vibrations create feelings of communion and connection. They explore how music affects the body's vibrations and blood flow, touching on everything from opera to movie soundtracks. The conversation turns to Dr. Richard's surfing experiences as part of his residency cohort's wellness activities. He describes overcoming ocean fears and discovering unexpected joy in the sport, noting how the entire residency class has embraced surfing as both exercise and bonding experience. Dr. Dawn mentions the conductor paradox - how orchestra conductors live longer than expected despite their lifestyle habits, attributing this to the cardiovascular benefits of continuous arm movement. In a concluding segment. Dr. Dawn presents research from the University of Pittsburgh showing how exercise protects against cancer through microbiome effects.

Broadcast from KSQD, Santa Cruz on 7-10-2025: Dr. Dawn responds to an email about lion's mane mushroom blood thinning properties. Lion's mane contains hericenones that inhibit platelet aggregation but promote nerve cell growth. People on blood thinners like Eliquis or those with bleeding disorders should stop these supplements before surgery. She recommends lion's mane for cognitive preservation effects despite bleeding risks, emphasizing the need to balance benefits versus risks. An emailer asks about Fatty15 (C15:0 pentadecanoic acid) supplements marketed for longevity. Dr. Dawn finds promising research, however, most studies are in animals with limited human data. She warns against over-supplementation and recommends food-first approaches, suggesting cheaper alternatives like berberine may provide similar benefits. A visiting guest asks about continuing L-arginine after blood pressure normalized. Dr. Dawn recommends continuing L-arginine as it helps produce nitric oxide and prevents age-related arterial stiffening. She explains how blood vessel elasticity decreases with age, creating feed-forward cycles leading to permanent hypertension. The guest also asks about iodine safety - Dr. Dawn confirms 1mg daily is safe, noting Japanese populations consume up to 4mg daily without problems. Another visiting guest inquires about memory-boosting supplements (nootropics). Dr. Dawn identifies nicotine and caffeine as effective options, mentioning she uses nicotine patches for test-taking focus. She discusses lion's mane as effective for cognitive enhancement and coffee blends combining both ingredients. A caller asks about tirzepatide (Mounjaro) for weight loss at age 73, concerned about muscle loss. Dr. Dawn emphasizes the importance of branched-chain amino acids and 20-30 grams of protein before exercise for older adults to build muscle protein. She explains younger people can build muscle while fasting, but older adults need circulating protein during exercise to activate muscle-building DNA. She recommends alternating upper and lower body workouts and checking testosterone levels. Another caller asks about rapid resting pulse rate (80-100 bpm) at age 74. Dr. Dawn suggests checking blood pressure, as low blood pressure can cause compensatory heart rate increases. She explains age-related changes in blood vessel reflexes that can cause blood pooling in legs and orthostatic changes. The caller also complains about pharmaceutical advertising, prompting Dr. Dawn to criticize direct-to-consumer drug marketing for creating artificial needs through emotional manipulation. Dr. Dawn warns against P-Tau217 blood testing for Alzheimer's screening, calling it inadequate for general population screening. The test has poor predictive value below level 10, creating many false positives in low-risk populations. She criticizes associated drugs like donanemab (Kisunla) for severe side effects including brain swelling and hemorrhage. Instead, she recommends lifestyle interventions: exercise, stress control, adequate sleep, reduced alcohol and sugar intake for memory concerns. She criticizes FDA approval of a new blood test for colon cancer screening with 83% sensitivity for detecting existing cancers but poor sensitivity for precancerous polyps. Dr. Dawn criticizes this as inadequate screening since it detects cancer after "the horse has left the barn" rather than preventing it. In closing remarks with her impromptu guests, Dr. Dawn addresses a question about intermittent fasting and exercise timing. She explains that exercising while fasting provides cardiovascular benefits but won't build muscle mass in older adults. She recommends bioimpedance analysis testing to track lean body mass annually in seniors and emphasizes the importance of progressive resistance training to prevent age-related muscle loss.

Broadcast from KSQD, Santa Cruz on 7-03-2025: Dr. Dawn responds to an email about vitamin D and statin interactions, explaining how statins may prevent vitamin D's longevity benefits by interfering with CoQ10 production. She references a study showing vitamin D preserved telomeres and prevented aging over 3-4 years, but benefits disappeared in statin users. For borderline high LDL, she recommends testing for large versus small particles and oxidized LDL rather than treating with statins or red yeast rice. Red yeast rice may also block CoQ10 production, potentially negating vitamin D benefits. She discusses the critical problem of overmedication in elderly patients through a story of a 75-year-old taking 21 prescription drugs who improved dramatically when reduced to eight medications. Multiple specialists practicing standard care in isolation create dangerous polypharmacy without coordination. HIPAA privacy laws prevent medication sharing between providers, while electronic medical records remain siloed and incompatible. England's pilot program will provide whole genome screening for every newborn within 10 years, assessing hundreds of disease risks and enabling personalized medicine. While beneficial for identifying genetic disorders and drug metabolism variations like 2D6 mutations affecting tamoxifen effectiveness, Dr. Dawn expresses concern about government surveillance implications. Unlike voluntary phone tracking, this represents involuntary comprehensive genetic monitoring of citizens unable to provide informed consent. She describes alarming research showing cancer cells steal mitochondria from nerve cells by extending tubes and sucking out energy-producing organelles. This behavior helps cancer cells survive the hostile journey through bloodstream during metastasis. Turbocharged cancer cells with stolen mitochondria generate more energy and survive better when subjected to physical stress mimicking bloodstream travel. Dr. Dawn explores the parasitic amoeba Entamoeba histolytica, which causes intestinal disease but can become invasive, liquefying organs through tissue destruction. The parasite kills cells without eating them immediately, then consumes fragments and displays stolen cellular proteins on its surface to fool the immune system, potentially leading to CRISPR-based treatments or targeted drugs. She discusses converting plastic waste into acetaminophen using modified E. coli bacteria. Researchers chemically degrade PET plastic into precursor molecules, then use bacterial enzymes to complete synthesis into paracetamol with 92% efficiency. This transforms environmental waste into globally important medication, though she notes acetaminophen risks for regular drinkers due to toxic liver metabolites. MIT research reveals that AI writing assistance reduces brain engagement, memory, and sense of authorship. Students using ChatGPT showed lower neural connectivity in memory, attention, and executive function networks over four months. AI users retained less information and struggled to quote from their own essays. Dr. Dawn compares this to physical atrophy, emphasizing that cognitive challenge strengthens neural pathways like exercise strengthens muscles. She warns about fluoroquinolone antibiotics causing aortic aneurysm ruptures, in addition to known risks of tendon ruptures and retinal detachment. People with dilated aortas, hypertension history, or smoking should avoid these drugs entirely. This represents new information that wasn't widely known among primary care physicians, highlighting the importance of continuing medical education. Research shows celecoxib (Celebrex) cuts colon cancer recurrence rates in half for patients with circulating tumor DNA, but provides no benefit without detectable residual disease. This anti-inflammatory drug appears to impair cancer's ability to thrive in metastatic conditions. The finding supports using circulating tumor DNA testing to identify who needs targeted therapy rather than treating everyone. Dr. Dawn concludes with surprising research showing chronic inflammation during aging occurs only in industrialized societies. Studies comparing indigenous communities from Bolivian Amazon and Malaysia with populations from Italy and Singapore found inflammatory cytokines increase with age only in industrialized groups.

Broadcast from KSQD, Santa Cruz on 6-26-2025: Dr. Dawn opens with groundbreaking results from Vertex Pharmaceuticals' stem cell treatment for severe type 1 diabetes. The experimental therapy, Zimislecel, converts stem cells into pancreatic islet cells and infuses them into patients. In a 12-person study, 10 patients no longer need insulin after one year. The cells migrated to the liver and began producing insulin in response to glucose levels. Patients with hypoglycemic unawareness saw complete elimination of dangerous episodes after three months. However, patients must take lifelong immunosuppressive drugs to prevent rejection. The research represents 25 years of work by Harvard's Doug Melton. A caller asks about Keytruda treatment for melanoma. Dr. Dawn explains it's an immunotherapy drug targeting programmed death receptors that cancer cells hijack to evade immune response. The drug can cause serious immune overreactions but is standard for metastatic melanoma. Treatment protocols depend on cancer staging. For young patients with decades to lose, aggressive treatment is often justified despite risks. An email about morning arthritis pain leads to chronotherapy research discussion. Macrophages have energy levels that peak in the morning when inflammasome activation is quicker and more robust, explaining why arthritis pain is worst after overnight rest. Treatment timing could optimize anti-inflammatory medications by taking them at bedtime. Another email about eye irritation prompts diagnostic discussion. Dr. Dawn recommends examining for bacterial blepharitis before assuming food allergies and testing antihistamine drops. For elimination diets, common allergens include wheat, dairy, corn, soy, and peanuts. However, without other symptoms, food allergies are unlikely causes of isolated eye problems. Dr. Dawn explores advancing CAR-T cell therapy using RNA technology. Traditional therapy costs up to $500,000 per patient requiring lab reprogramming. New RNA-containing nanoparticles temporarily create antigen receptors for about one week. Mouse studies eliminated detectable tumors at highest doses. While effects are temporary, this could dramatically reduce costs and complexity. She discusses DNA forensics evolution from O.J. trial era to current technologies. New paleogenomics technology can analyze fragmented DNA from hair, previously considered unusable. Mitochondrial DNA analysis can definitively exonerate suspects. This led to Charles Fane's release after 17 years on death row when hair evidence proved innocence and identified the actual perpetrator. Dr. Dawn introduces Barrett's esophagus screening replacing invasive endoscopy. Patients swallow a capsule containing a compressed sponge that expands in the stomach and is pulled out via string, collecting esophageal cells. The test identifies abnormalities with 100-fold increased cancer risk when positive and 98% accuracy when negative, allowing targeted endoscopy only for high-risk patients. She concludes discussing body composition analysis superiority over BMI. Studies found overweight BMI showed 3.6 times higher heart disease risk, while large waist circumference showed four times higher risk. However, BMI had no significant relationship with overall mortality. Dr. Dawn advocates for bioimpedance analysis devices to measure body fat percentage and track muscle loss.

Broadcast from KSQD, Santa Cruz on 6-19, 2025: Dr. Dawn presents the VITAL study evidence showing 2,000 IU daily vitamin D prevents telomere shortening in immune cells, effectively slowing biological aging by three years. Groundbreaking mouse research reveals maternal iron deficiency can alter fetal sex development. When iron levels dropped 60%, the SYR gene controlling male development switched off, causing 6 of 39 XY offspring to develop ovaries instead of testes. Thus, mammalian sex can be influenced by environmental factors just like in amphibians and fish. Dr. Dawn connects this to gender identity questions, advocating supporting puberty blockers based on their 30-year safety record. Dr. Dawn advocates widespread CPR and AED training after describing a successful Buffalo airport rescue. With 350,000 annual out-of-hospital cardiac arrests and 90% fatality rates, immediate AED intervention can triple survival odds. She promotes the Pulsepoint app registering 185,000 AEDs and praises countries like Norway achieving 90% population CPR training through driver's license requirements. Post-Roe v. Wade data shows vasectomies doubled in men aged 19-26 while tubal ligations rose 70%, mostly in abortion-ban states. Dr. Dawn notes the irony that policies intended to increase births prompted widespread voluntary sterilization. Environmental concerns from January 2025 Moss Landing battery fire and LA wildfires highlight toxic contamination from burning lithium, plastics, and building materials. She advocates fire-resistant landscaping and home hardening, noting some fire-resistant homes survived while surroundings burned. British research shows pet ownership provides life satisfaction equivalent to $90,000 annual income boost. Dr. Dawn experiences this firsthand, noting pets provide family-like benefits without complex interpersonal dynamics. Sleep study reveals 15 minutes additional nightly sleep improves cognitive performance in tweens. Children sleeping 7.25 versus 7.10 hours showed better academics and larger brain volumes, though Dr. Dawn questions causation versus correlation. Mayo Clinic identified Interleukin-23 as a reliable cellular senescence biomarker across multiple tissues. Natural compounds like quercetin, fisetin, and luteolin can reduce these aging markers, supporting her dietary supplementation philosophy.