Drinking plenty of water may actually be good for you

In the first systematic review, UC San Francisco researchers found that it helps with a variety of conditions, from obesity to migraine.  

Public health recommendations generally suggest drinking eight cups of water a day. And many people assume it’s healthy to drink plenty of water.  

Now, researchers at UC San Francisco have systematically reviewed the available evidence. They concluded that drinking enough water can help with weight loss and prevent kidney stones, as well as migraines, urinary tract infections, and low blood pressure.  

“For such a ubiquitous and simple intervention, the evidence hasn’t been clear, and the benefits were not well-established, so we wanted to take a closer look,” said senior and corresponding author Benjamin Breyer, MD, MAS, the Taube Family Distinguished Professor and chair of the UCSF Department of Urology.  

“The amount of rigorous research was limited, but in some specific areas, there was a statistically significant benefit,” Breyer said. “To our knowledge, this is the first study assessing the benefits of water consumption on clinical outcomes broadly.” 

The researchers found the most evidence favouring drinking water to prevent kidney stones and help people lose weight. 

Drinking eight cups of water daily significantly decreased the likelihood of getting another kidney stone. 

Several studies found that drinking about six cups of water daily helped adults lose weight. However, a survey that included adolescents found that drinking more than eight cups of water daily had no effect. 

Still, the authors said encouraging people to drink water before meals would be a simple and cheap intervention that could have huge benefits, given the increased prevalence of obesity. 

Other studies indicated that water can help prevent migraines, control diabetes and low blood pressure, and prevent urinary tract infections.

Adults with recurrent headaches felt better after three months of drinking more water. 

Drinking about four more cups of water a day helped diabetic patients whose blood glucose levels were elevated.  

Drinking an additional six cups of water a day also helped women with recurrent urinary tract infections. It reduced the number of infections and increased the time between them. 

Drinking more water helped young adults with low blood pressure.

“We know that dehydration is detrimental, particularly in someone with a history of kidney stones or urinary infections,” said Breyer, a UCSF Department of Epidemiology and Biostatistics member. “On the other hand, someone who suffers from frequent urination at times may benefit from drinking less. There isn’t a one size fits all approach for water consumption.” 

Identical Twins with Multiple Sclerosis

“This video reveals the research on identical twins with multiple sclerosis. When the effect of genes is removed, the importance of other environmental factors is apparent. What is the risk of MS if your identical twin has it? When identical twins both have MS, is the disease course and severity the same? When twins are discordant (one has MS and the other doesn’t), what are their observable differences? I also tell the story about 4 of my patients, two sets of identical twins.”

Cannabis for attention issues? How the body’s cannabinoids may influence the symptoms and treatment of ADHD

Medical cannabis relieves symptoms in children with autism

Cannabis, including marijuana and products containing cannabinoids and THC—the primary psychoactive compound in marijuana—has been hailed as a remedy for conditions ranging from anxiety and sleep issues to epilepsy and cancer pain.

Nursing researcher Dr. Jennie Ryan from Thomas Jefferson University is studying the effects of cannabis on symptoms of attention deficit hyperactivity disorder (ADHD). Current medical guidelines for treating ADHD include medications like Adderall and cognitive behavioural therapy. As with most treatments, these options can offer benefits while also presenting certain downsides. Dr. Ryan notes, “Parents are interested in cannabidiol, which does not contain THC. However, we currently lack sufficient scientific evidence to support its use.”

In a recent review paper, Dr. Ryan and her colleagues examined the scientific literature to gather evidence regarding the interactions between cannabis and ADHD. The researchers specifically focused on how cannabis use impacts ADHD symptoms. Additionally, since the human body produces its cannabinoids through the endocannabinoid system, they explored how this endogenous system might influence ADHD. They analyzed both clinical and preclinical findings, which collectively suggest that cannabis affects the endocannabinoid system in various ways, ultimately influencing attention, hyperactivity, and anxiety.

“Dr. Ryan acknowledges that there is a relationship between cannabis use and ADHD. However, she notes that this relationship is complicated by the wide variety of cannabis products available, the numerous types of endocannabinoids, their biological pathways, and the different ways ADHD can present in individuals. Separating and understanding all these factors is extremely challenging. Additionally, researchers studying cannabis face legal restrictions surrounding marijuana that hinder their efforts.”

Co-author Brooke Worster, MD, specializes in pain management and palliative care, says she suspected the published evidence would be sparse. When that was what they found, “I wasn’t super surprised,” she says. “Still, it is shocking how many holes there are. We have a lot of work ahead.”

DSM-5 vs Unofficial Checklist for Autism in Females | Checking the Checklist

“The Samantha Craft Unofficial Checklist for Autism or Asperger’s in Females (I’ve seen this re-named a lot online!) or Autistic Checklist is one of the first checklists I reviewed with you on my channel. Something that has been of interest to me lately is how much these unofficial lists can hold up to the criteria recognized by diagnostic manuals. So, I thought it might be interesting to start here with this checklist and compare it to criteria in the DSM-5. If you all are interested, I may also compare it to the ICD-11.”

Reduce MS Symptoms: Exercises to Improve Walking

Exercises aimed at improving walking are one of the most frequently requested topics on social media. While I can demonstrate various exercises that can help, many people prefer to hear from someone who has experienced multiple sclerosis (MS) directly. Join me today as we chat with a guest who will share how MS-specific exercises have renewed her walking ability, built her confidence, and brought about significant improvements in just three months!