Good morning. It's Wednesday, Aug. 19, and welcome to this week's Health & Medicine newsletter. First time reading? Sign up here or forward to share with friends.
Forever chemicals are seemingly everywhere—in clothes, food wrappers, kitchenware, drinking water, wildlife, and our bodies. This week, we'll invite you to journey down our rabbit hole on these durable, human-made chemicals and what we know about their health effects. We're also exploring how frequent TV watching affects the brain, why we love chocolate, the phaseout of a controversial herbicide, and more.
PS—Next month, I'll be tackling phototherapy—let me know if you have any burning questions about red light therapy or anything else on that topic! Do you have other thoughts or feedback? Simply reply to this email or reach out at [email protected].
—Dina Fine Maron, 1440 Health & Medicine Section Editor
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Forever chemicals are commonly used heat-resistant, stain-resistant, and oil-resistant substances that are so durable at the molecular level that they can take centuries to break down in the environment. Research suggests that humans are exposed to these chemicals in numerous ways, including through our water, food, soil, air, and consumer products ranging from frying pans to skincare.
> Industry and consumer products with forever chemicals include food packaging, nonstick pans, and dental floss. (More)
> A 2022 expert report stated that forever chemicals are so ubiquitous that it's uncertain whether limiting consumer uses would truly meaningfully reduce exposures. (More)
Formally known as "PFAS," which stands for per- and polyfluoroalkyl substances, this group of more than 14,000 chemicals can accumulate in the human body over time, and their presence has been linked to numerous health conditions, including decreased fertility, developmental delays in children, elevated cancer and obesity risks, and interference with the body's natural hormones.
> Nine out of 10 Americans still have perfluorooctanoic acid, or PFOA, in their bodies—even though that forever chemical was phased out of consumer products in 2015. (More)
> Wherever researchers search for forever chemicals, they turn out to be present, including in freshwater fish. (More)
> Teflon, used on nonstick pans, was an accidental discovery. (More)
Invented around the time of World War II, the substances were first used in industrial seals and other military applications but were eventually integrated into products including stain-resistant clothing, fire retardants, carpets, and even dental floss.
> Explore this interactive map, which shows forever chemical testing results for public water systems. (More)
> PFAS may be accumulating on a remote Scottish island thanks to sea spray. (More)
Discover more:
> Yes, "Last Week Tonight" tackled forever chemicals. (More, w/video)
> There was a decadeslong corporate cover-up about forever chemicals, revealed by investigative reporting and later portrayed in a movie starring Mark Ruffalo. (More)
> PFAS accumulate up the food web, harming apex predators. (More)
>... explore everything we've learned about Forever Chemicals.
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In partnership with Earth Echo
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This Hot Drink May Support Stem Cell Activity
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Is chocolate the secret to a long life? Earth Echo put "healthy chocolate" claims to the test. Turns out, sun-dried ceremonial-grade cacao holds onto far more of its natural compounds than the roasted cocoa powder in most supermarket chocolate.
That's the idea behind Cacao Bliss, a 7-superfood blend of ceremonial-grade cacao, cinnamon, turmeric, MCT oil, and monk fruit, formulated by nutrition expert Danette May. At 35 calories a cup, it's designed to ease sweet cravings and support healthy appetite control, plus smooth energy without the jitters—no sugar crash required. Over 68,000 customers have made it part of their morning routine, backed by a 60-day money-back guarantee.
See why chocolate lovers are switching to ceremonial-grade cacao.
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Please support our sponsors!
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1440 brings you the knowledge and context behind recent intriguing stories:
California is phasing out its use of a controversial herbicide called paraquat over the next two years. (More)
> Listen to this in-depth podcast on the links between Parkinson's disease and paraquat.
A pancreatic cancer pill that nearly doubled survival in clinical trials is now available to some patients. (More)
> When a researcher announced the novel drug's success rates at a 2026 cancer conference, it fueled a standing ovation.
> Pancreatic cancer's greatest risks are the combined effects of smoking, diabetes, and poor diet.
Global rollout of a twice-yearly HIV preventive drug is getting mixed reviews. (More)
> HIV sidelines your immune system by destroying T cells.
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Medical Developments Spotlight
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We love spending time learning about the latest medical breakthroughs and spotlighting research that piques our interest, may influence future research directions, or inform healthcare conversations. Here's what we found this week.
Alzheimer's risk may be 35% lower for women on estrogen-only hormone replacement therapy compared with no HRT.
MedPage Today| Judy George. Menopausal hormone replacement therapy usually involves progesterone and estrogen to help avoid dangerous thickening of the uterine lining that can elevate cancer risk, so the new findings, based on analysis of autopsied brains, are most applicable to women who have undergone a hysterectomy and thus may be prescribed estrogen-only hormone therapy. (More, free w/email)
> Explore our 1440 deep dive on Hormone Replacement Therapy.
> FDA removed its black box warning about HRTs in 2025.
A common arthritis drug is showing promise for treating hair loss in late-stage clinical trials.
Newsweek | Melissa Fleur Afshar. In two large randomized clinical trials the drug upadacitinib helped roughly half of study participants regrow at least some of their hair—with some patients reporting complete scalp regrowth. The patients were suffering from a severe form of alopecia areata, an autoimmune disease in which the immune system attacks the hair follicle. Alopecia areata is the second-most common form of hair loss after male and female pattern baldness. It affects roughly 7 million Americans. (More)
> Humans may have as many as 100,000—or more—individual hairs on our heads.
Frequent TV watching linked with smaller brain volumes in areas associated with language and cognitive reasoning in an observational study.
CNN | Katia Hetter. Self-reported frequent TV watchers in a long-running study involving more than 1,700 participants had these visible changes on their brain scans in midlife, decades after their TV use, yet the researchers didn't find similar brain patterns among other sedentary participants who were looking at their screens for work. The study was observational, so it can't explain the differences, but one interpretation is that cognitive engagement—such as in a work setting—may help preserve or enhance brain health. (More, paywall may apply)
> Neurodegeneration underlies dementia, but its causes are still under investigation.
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In partnership with Earth Echo
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Longevity Secret: Dessert for Breakfast
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Most Americans think eating sweets for breakfast is unhealthy, but Stanford researchers point to one delicious "dessert" that Costa Ricans in a famous blue zone eat each morning—linked to leaner bodies well into their 70s, 80s, and 90s, steadier blood sugar and insulin sensitivity, healthy blood pressure, and strong hearts and arteries with strikingly low rates of heart disease.
Eat this Costa Rican longevity "dessert" for breakfast.
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