Breaking Down: Steroids

Steroids have gained a poor reputation as “drugs” that athletes use to gain an unfair advantage over their opponents. But as most drugs are, they have an important role to play in medicine and human health as well! However, it is a bit complicated, so buckle in!

Steroids are a class of organic compounds characterized by a core structure of four fused carbon rings—three cyclohexane rings and one cyclopentane ring—known collectively as the cyclopentanoperhydrophenanthrene nucleus. Chemically, this rigid backbone is modified by the addition of various functional groups, leading to a wide diversity of steroid molecules. They are lipophilic (fat-soluble), allowing them to easily pass through cell membranes and bind to intracellular receptors, often functioning as signaling molecules that influence gene expression.

In the human body, steroids serve critical physiological functions. The most well-known naturally occurring steroids include cholesterol, cortisol, testosterone, estradiol, and aldosterone. Cholesterol is a foundational steroid that serves as a precursor for all other steroid hormones and is essential in maintaining the structural integrity of cell membranes. Cortisol, produced by the adrenal glands, is involved in stress response and metabolism regulation. Sex hormones like testosterone and estradiol regulate reproductive systems, sexual development, and secondary sex characteristics. Aldosterone, another adrenal steroid, plays a key role in regulating blood pressure and electrolyte balance.

To explain steroids more technically, they operate as ligands for nuclear hormone receptors. Once inside the cell, a steroid hormone binds to its specific receptor, forming a hormone-receptor complex that translocates to the nucleus. There, it acts as a transcription factor, modulating the expression of target genes. This genomic signaling mechanism explains why steroid effects are slower to onset but longer-lasting than those of neurotransmitters or peptide hormones.

Steroids have significant medical applications. Corticosteroids, such as prednisone or dexamethasone, are synthetic analogs of cortisol and are widely used to treat inflammatory conditions like asthma, arthritis, and autoimmune disorders. These drugs suppress the immune system and reduce inflammation, providing relief in both acute and chronic diseases. Anabolic steroids, synthetic derivatives of testosterone, are sometimes prescribed to treat muscle-wasting diseases such as AIDS-related cachexia or to support recovery after severe trauma or surgery.

However, anabolic steroids have also become notorious for their non-medical use by athletes and bodybuilders, who use them to increase muscle mass, strength, and performance. Such usage, often at doses many times higher than therapeutic levels, can lead to serious side effects, including liver damage, cardiovascular disease, hormonal imbalance, and psychiatric symptoms like aggression and depression. This has prompted bans by most sports organizations and close regulation of anabolic steroids in many countries.

Interestingly, steroids also have relevance in food science and agriculture. Steroidal compounds are used to promote growth in livestock, though their use is controversial due to potential health risks and ethical concerns. In plants, natural steroid-like compounds called brassinosteroids regulate growth and resistance to stress. Moreover, food scientists study the interaction of cholesterol and dietary fats to understand how food influences endogenous steroid production and metabolism in humans.

Steroids are a biochemically diverse and functionally critical class of molecules. From regulating essential physiological processes to offering potent therapeutic tools, and even influencing food systems, their impact is both profound and far-reaching. Understanding their nuanced roles is essential for both advancing medicine and evaluating ethical practices in human health and industry.

Sources:
https://my.clevelandclinic.org/health/treatments/corticosteroids-glucocorticoids
https://www.uchealth.org/today/understanding-steroid-use-and-potential-side-effects/
https://www.nhs.uk/medicines/steroids/
https://www.uchealth.org/today/understanding-steroid-use-and-potential-side-effects/

The Resurgence of Iodine Deficiency

In recent years, iodine deficiency has been making an unexpected comeback in some parts of the world, particularly in developed countries. This resurgence is tied to changing dietary habits, specifically the growing popularity of sea salt and Himalayan pink salt as alternatives to traditional iodized table salt. While these natural salts are often marketed as healthier and more “natural,” they typically contain little to no added iodine—a critical nutrient essential for thyroid function and overall health.

Iodine is a trace element that plays a crucial role in the production of thyroid hormones, which regulate metabolism, growth, and development. A deficiency in iodine can lead to a range of health problems, the most well-known being goiter, a swelling of the thyroid gland. More seriously, iodine deficiency can impair cognitive development in children and lead to hypothyroidism in adults. Pregnant women are especially at risk, as insufficient iodine levels can cause developmental issues in the fetus, including intellectual disabilities.

Historically, iodine deficiency was a widespread problem, especially in regions far from the sea where iodine-rich seafood was scarce. In the early 20th century, many countries launched successful public health campaigns to iodize table salt, leading to a sharp decline in deficiency-related conditions. This simple intervention was hailed as one of the great public health achievements of the 20th century.

However, modern health trends have inadvertently reversed some of that progress. As consumers become more health-conscious, many have turned away from processed foods and refined ingredients, including iodized salt. Sea salt and Himalayan salt are perceived as more natural or mineral-rich, and are often preferred for their flavor and aesthetic qualities. While it’s true that these salts contain other minerals, they generally do not contain sufficient iodine to meet daily requirements. Furthermore, many food manufacturers use non-iodized salt in their products, and people consuming less processed food may not be getting iodine from those sources either.

The problem is compounded by the fact that the symptoms of iodine deficiency can be subtle and develop slowly, making it hard to detect until significant damage has occurred. Mild deficiency may go unnoticed, but it can still impair cognitive function and energy levels. In more severe cases, especially in children, the consequences can be permanent.

Health professionals are now raising awareness about the importance of iodine in the diet. One common recommendation is to ensure the use of iodized salt at home, especially for those who do not consume large amounts of dairy, seafood, or eggs—other common sources of iodine. Supplements may be advised in some cases, particularly for pregnant women.

In conclusion, while the shift toward natural salts may seem like a minor dietary change, it has had unintended consequences for public health. The resurgence of iodine deficiency underscores the importance of not only eating “natural” foods, but also ensuring that essential nutrients are not lost in the process. Reintroducing iodized salt into the diet is a simple yet effective step toward addressing this silent but serious nutritional issue.

Sources:
https://www.goodrx.com/well-being/diet-nutrition/iodized-and-non-iodized-salt-differences
http://integrativemedicineofnj.com/the-13-amazing-health-benefits-of-himalayan-crystal-salt-the-purest-salt-on-earth
https://my.clevelandclinic.org/health/diseases/23417-iodine-deficiency
https://www.healthline.com/nutrition/iodine-deficiency-symptoms

Breaking Down: Vitamins

Vitamins are essential organic compounds required in small amounts for various biochemical processes that sustain life. Unlike macronutrients such as carbohydrates, proteins, and fats, vitamins do not provide energy but play crucial roles in enzymatic reactions, cellular function, and overall metabolic health. Most vitamins cannot be synthesized in sufficient quantities by the human body and must be obtained through diet or supplements. They are classified into two major categories: fat-soluble (A, D, E, and K) and water-soluble (B-complex and C). Each vitamin has specific functions and is found in distinct food sources.

Fat-soluble vitamins are stored in the body’s fatty tissues and liver, allowing them to be utilized as needed. Vitamin A, also known as retinol, is vital for vision, immune function, and cell differentiation. It is found in liver, dairy products, and carotenoid-rich vegetables like carrots and sweet potatoes. Vitamin D, synthesized by the skin upon exposure to sunlight, regulates calcium and phosphorus homeostasis, essential for bone health. Dietary sources include fatty fish, egg yolks, and fortified dairy products. Vitamin E, comprising tocopherols and tocotrienols, functions as an antioxidant, protecting cell membranes from oxidative damage. Nuts, seeds, and vegetable oils are excellent sources. Vitamin K, necessary for blood clotting and bone metabolism, is found in leafy greens, broccoli, and fermented foods.

Water-soluble vitamins, which include the B-complex group and vitamin C, must be regularly consumed as they are not stored in the body. The B-complex vitamins play diverse biochemical roles, primarily as coenzymes in energy metabolism. Thiamine (B1) helps convert carbohydrates into energy and is found in whole grains, pork, and legumes. Riboflavin (B2) is essential for redox reactions and is present in dairy products, eggs, and leafy vegetables. Niacin (B3) participates in the production of NAD and NADP, crucial for cellular respiration, and can be obtained from meat, fish, and whole grains. Pantothenic acid (B5), a component of coenzyme A, is widespread in foods like avocados, chicken, and whole grains.

Pyridoxine (B6) is involved in amino acid metabolism and neurotransmitter synthesis, and is found in bananas, poultry, and potatoes. Biotin (B7), crucial for fatty acid synthesis and gluconeogenesis, is abundant in eggs, nuts, and organ meats. Folate (B9) supports DNA synthesis and is particularly important during pregnancy to prevent neural tube defects; sources include leafy greens, legumes, and citrus fruits. Cobalamin (B12), essential for red blood cell formation and neurological function, is found only in animal products such as meat, eggs, and dairy.

Vitamin C, or ascorbic acid, is a powerful antioxidant and is vital for collagen synthesis, wound healing, and immune support. It enhances iron absorption and is abundant in citrus fruits, bell peppers, and strawberries.

Understanding the biochemical functions and dietary sources of vitamins highlights their indispensable role in maintaining health. A balanced diet rich in diverse, nutrient-dense foods ensures adequate vitamin intake, reducing the risk of deficiencies and promoting overall well-being.

Sources:
https://medlineplus.gov/ency/article/002399.htm
https://www.nhs.uk/conditions/vitamins-and-minerals/
https://www.betterhealth.vic.gov.au/health/healthyliving/Vitamins-and-minerals

Superfoods or “Superfrauds”?

The term “superfood” often conjures images of exotic and nutrient-dense foods that promise extraordinary health benefits. Among these, acai berries have gained significant attention. Hailed as a “superfruit,” acai is rich in antioxidants, particularly anthocyanins, which are believed to combat oxidative stress. While these berries indeed have a high nutrient profile, much of the associated hype stems from marketing rather than robust scientific evidence. Studies suggest that while acai can contribute to a healthy diet, its benefits are comparable to more accessible fruits like blueberries and strawberries, which also boast high antioxidant content.

Another popular superfood is quinoa, often lauded for its complete protein profile, containing all nine essential amino acids. This makes it a valuable option for vegetarians and vegans. Additionally, quinoa is rich in fiber, vitamins, and minerals such as magnesium. However, its “superfood” status overlooks the fact that other grains, like oats and barley, provide similar nutritional benefits at a lower cost. Moreover, the rising global demand for quinoa has led to environmental concerns and socioeconomic challenges in regions where it is traditionally cultivated, such as Bolivia and Peru.

Kale has become synonymous with modern health trends, celebrated for its high levels of vitamins A, C, and K, as well as its antioxidant properties. While it is undeniably nutritious, kale’s status as a superfood has led to exaggerated claims about its health effects, including cancer prevention. Although some studies suggest a link between cruciferous vegetables and reduced cancer risk, the evidence does not single out kale as uniquely effective. Furthermore, overconsumption of raw kale can lead to thyroid issues due to its goitrogenic compounds and iodine concentrations, highlighting the importance of moderation.

Finally, chia seeds are praised for their omega-3 fatty acids, fiber, and ability to absorb water, creating a gel-like consistency that promotes satiety. While chia seeds do offer these benefits, their omega-3 content is primarily in the form of alpha-linolenic acid (ALA), which the body must convert to more usable forms like EPA and DHA. This conversion process is inefficient, making chia seeds a less effective source of omega-3s compared to fish or algae-based supplements. Thus, while chia seeds are a healthy addition to a diet, they may not live up to their superfood label.

In conclusion, many alleged superfoods provide valuable nutrients but are often overhyped by marketing campaigns. A balanced diet that includes a variety of whole foods—both “super” and ordinary—is the most reliable path to good health. Make sure to research what goes into your body rather than mindlessly consuming “superfrauds”.

Sources:
https://www.healthline.com/nutrition/8-healthy-berries#blueberries
https://www.nm.org/healthbeat/healthy-tips/nutrition/myths-about-diet-and-thyroid
https://www.medicalnewstoday.com/articles/270435
https://www.medicalnewstoday.com/articles/chia-seeds-ibs

Breaking Down: Diabetes

Glucose is a fundamental sugar essential for the survival and functioning of all living organisms, particularly in humans. It acts as the primary source of energy for cellular processes and is critical for maintaining metabolic functions. However, glucose must be regulated properly to avoid harmful effects on the body. Diabetes, a condition that affects millions worldwide, occurs when the body’s ability to regulate glucose becomes impaired. Understanding how healthy bodies use glucose, the role of glucose transporters, and how diabetes develops can shed light on current treatments and emerging research aimed at combating this complex condition.

Glucose is a simple sugar, chemically classified as a monosaccharide, which is absorbed into the bloodstream after the digestion of carbohydrates. It serves as the primary source of energy for cells and is critical for functions such as muscle contraction, brain activity, and metabolism. Once glucose enters the bloodstream, it is transported to cells throughout the body, where it undergoes glycolysis and oxidative phosphorylation to produce adenosine triphosphate (ATP), the cell’s energy currency. In healthy individuals, this process is tightly regulated to ensure that glucose levels remain within a narrow, optimal range.

In a healthy body, glucose is absorbed from the bloodstream into cells via specific transporters. Once inside the cell, glucose can be stored as glycogen or used immediately for energy production. Insulin, a hormone produced by the pancreas, plays a pivotal role in regulating glucose uptake by signaling cells to absorb glucose from the bloodstream. When blood glucose levels rise, such as after eating, insulin helps transport glucose into cells, preventing hyperglycemia. Excess glucose is stored in the liver and muscles as glycogen, which can be broken down and released back into the bloodstream when needed, ensuring a constant supply of energy even between meals.

Glucose transporters facilitate glucose’s entry into cells through specialized mechanisms. One primary transporter, GLUT1, allows glucose to enter cells via facilitated diffusion, a process in which glucose moves down its concentration gradient without requiring energy. GLUT1 is present in many tissues, including the brain, where a constant supply of glucose is essential for function. Another transporter, SGLT (sodium-glucose cotransporter), uses cotransport mechanisms to move glucose into cells against its concentration gradient, powered by sodium ions. SGLT is essential in the kidneys, allowing glucose reabsorption. GLUT4, located in muscle and fat cells, is insulin-dependent. Upon insulin stimulation, a signal cascade triggers GLUT4’s conformational change, allowing glucose to enter the cell. This transporter is especially important during exercise, when muscle cells need increased glucose for energy.

Type 1 diabetes is an autoimmune condition in which the body’s immune system mistakenly destroys the insulin-producing beta cells in the pancreas. Without insulin, glucose cannot enter cells, leading to dangerously high blood glucose levels. Symptoms include excessive thirst, frequent urination, and fatigue. Treatment involves daily insulin injections or the use of an insulin pump to supplement the body’s lack of insulin. Individuals must closely monitor their blood glucose levels and adjust insulin doses accordingly to maintain proper glucose balance and prevent complications.

Type 2 diabetes develops when the body becomes resistant to insulin, leading to inadequate glucose absorption. Although the pancreas still produces insulin, the cells fail to respond effectively. Over time, insulin production can decrease as well. This form of diabetes is often linked to lifestyle factors such as obesity, inactivity, and poor diet. Treatment for type 2 diabetes often involves lifestyle changes like diet and exercise, which can improve insulin sensitivity. Medications, such as metformin, help regulate glucose production and enhance insulin effectiveness. In some cases, insulin therapy may become necessary if the condition progresses.

Recent research is opening new avenues for diabetes treatment. One promising area involves beta-cell regeneration, which could help restore the body’s ability to produce insulin. Advances in stem cell therapy are also showing potential for regenerating insulin-producing cells. Another area of focus is on improving the sensitivity of insulin receptors, which may provide better outcomes for individuals with type 2 diabetes. Research on continuous glucose monitors (CGMs) and artificial pancreas systems is also advancing, offering more precise, real-time control of glucose levels for people with diabetes. These technologies could significantly improve the quality of life for individuals with diabetes and reduce the risk of complications.

Glucose is vital for energy production in the body, and proper regulation is essential for maintaining health. Diabetes, whether through a lack of insulin (type 1) or insulin resistance (type 2), disrupts this balance and can have serious consequences if left untreated. Current treatments, such as insulin therapy and medications, have helped manage diabetes, but research into regenerative medicine, advanced glucose monitoring, and beta-cell regeneration holds promise for the future. As our understanding of the disease continues to evolve, so too does the hope for better, more effective treatments.

Sources:
https://www.sciencedirect.com/science/article/abs/pii/B9780128498866000033
https://www.cdc.gov/diabetes/about/about-type-1-diabetes.html
https://link.springer.com/article/10.1007/s00125-021-05415-5
https://www.news-medical.net/health/Trailblazing-Discoveries-The-Top-5-Diabetes-Research-Breakthroughs-of-2023.aspx

Diet and Sleep

The relationship between diet and sleep is a complex but significant one. What you eat and when you eat it can profoundly impact the quality and duration of your sleep. Different dietary choices and meal timings can enhance your sleep quality. Both of these aspects of your lifestyle affect each other bidirectionally. You need to have a moderate understanding of their relationship to better your quality of life.

Sleep patterns, or circadian rhythms, are influenced by various factors including light exposure, physical activity, and diet. Famous athlete Erling Haaland wears blue light glasses from sunset to the time he sleeps as to not interrupt these cycles. Good sleep is characterized by a consistent schedule, sufficient duration, and good quality, allowing the body to go through all sleep stages, including deep sleep and REM sleep. Disruptions in sleep patterns can lead to health issues such as weakened immunity, impaired cognitive function, and increased stress levels.

The timing of meals can significantly affect sleep quality. It is generally recommended to have a regular eating schedule, with meals spaced evenly throughout the day. Breakfast should be eaten within an hour of waking up to kickstart the metabolism. Lunch should be consumed around midday to maintain energy levels. Dinner should ideally be eaten at least three hours before bedtime to allow for proper digestion, as eating too close to bedtime can cause discomfort and disrupt sleep.

Breakfast is crucial for setting the tone for the day and can influence sleep quality at night. Foods rich in complex carbohydrates, proteins, and healthy fats are ideal for breakfast. Whole grains, such as oatmeal, provide sustained energy. Protein sources like eggs or yogurt can help keep you full longer. Including fruits and vegetables adds essential vitamins and minerals that support overall health. Avoiding sugary cereals or pastries helps prevent energy crashes later in the day. Dinner should consist of foods that are easy to digest and conducive to relaxation. Lean proteins, such as chicken or fish, paired with complex carbohydrates like quinoa or sweet potatoes, can promote the production of serotonin, a neurotransmitter that helps regulate sleep. Vegetables such as leafy greens and cruciferous vegetables are also beneficial. It’s best to avoid heavy, spicy, or fatty foods in the evening, as these can cause indigestion and interfere with sleep.

Staying hydrated is important, but the timing and type of beverages consumed can affect sleep. Water should be the primary source of hydration throughout the day. Limiting caffeine intake to the morning can prevent sleep disturbances, as caffeine can stay in the system for several hours. Herbal teas, such as chamomile or peppermint, can be soothing and promote relaxation in the evening. It’s also advisable to limit alcohol consumption, as it can disrupt sleep cycles and reduce sleep quality.

Midnight snacking can disrupt sleep and contribute to poor sleep quality. To resist the urge, ensure that meals throughout the day are balanced and fulfilling. Including a healthy snack in the evening, such as a small portion of nuts or a piece of fruit, can help curb late-night hunger. Keeping unhealthy snacks out of reach and establishing a relaxing bedtime routine can also reduce the temptation to snack. Drinking a glass of water or a cup of herbal tea can help if you feel hungry late at night.

Diet plays a crucial role in sleep quality and overall health. By understanding basic sleep patterns, timing your meals appropriately, choosing the right foods for breakfast and dinner, staying hydrated with the right beverages, and resisting midnight snacking, you can improve your sleep patterns and enhance your well-being. Making these dietary adjustments can empower you to achieve better sleep and a healthier lifestyle.

Sources:
https://www.sleepfoundation.org/nutrition
https://sph.umich.edu/pursuit/2024posts/best-diet-for-healthy-sleep.html
https://www.hopkinsmedicine.org/health/wellness-and-prevention/better-sleep-3-simple-diet-tweaks
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9859770/
https://www.manchestereveningnews.co.uk/sport/football/football-news/man-city-erling-haaland-glasses-27433451