Has Russian Propaganda “Infected” Republicans? The Truth Is More Sinister.

Slate

Has Russian Propaganda “Infected” Republicans? The Truth Is More Sinister.

Molly Olmstead – April 20, 2024

Earlier this month, Republican Texas Rep. Michael McCaul, the head of the House Foreign Affairs Committee, told Puck News that Russian propaganda had “infected a good chunk of my party’s base.” Several days later, another Republican, Rep. Michael Turner of the House Permanent Select Committee on Intelligence, said he agreed. “Anti-Ukraine and pro-Russia messages, some of which we even hear being uttered on the House floor,” Turner told CNN, are “directly coming from Russia.”

It was a notable moment—and a telling one, as the House gets ready for a contentious vote on aid to Ukraine. The vote is being loudly protested by far-right politicians including Rep. Marjorie Taylor Greene, who is pushing to oust House Speaker Mike Johnson from his role over the issue.

It’s not the first time Republican lawmakers have accused their colleagues of essentially being Russian pawns. But as far-right rabble-rousers in the Republican Party have increasingly advocated against continued support of Ukraine—and even some mainstream Republicans no longer interpret Russian aggression as a ruthless threat to democracy and the international order—the most extreme lawmakers appear to be mirroring the Kremlin’s own propaganda.

Last Monday, Greene told Steve Bannon’s War Room podcast that Ukraine was waging a “war against Christianity” and Russians “seem to be protecting” the religion. The idea of Russia as a great (white) Christian nation has been percolating in right-wing thinking for more than a decade, despite Russia’s history of suppressing non-Orthodox Christianity and exerting power over the Russian Orthodox Church.

But Greene didn’t limit herself to praising Russia’s religious nationalism on Bannon’s show: She cited, as fact, anti-Ukraine disinformation that “the Ukrainian government is attacking Christians” and “executing priests.” This prompted former Rep. Ken Buck, another Republican, to call Greene “Moscow Marjorie” on CNN.

And indeed, this assertion does mirror Russia’s own talking points about Ukraine. (In actuality, the crimes Greene accused Ukraine of committing are crimes Russian forces have perpetrated.) But whether the Kremlin’s own talking points are being piped into the brains of right-wing American politicians—or just bear a striking similarity to the new isolationist rhetoric of the far right—is a matter of interesting debate.

Russian propaganda operations have evolved somewhat from the infamous social media campaigns that influenced the 2016 U.S. presidential election.

Take the case of a false narrative about Ukrainian president Volodymyr Zelensky using U.S. aid money to buy himself two yachts. This rumor—which is demonstrably false, given that the ownership of ships can be easily tracked—has been swirling in right-wing social media circles for months and popping up in American politicians’ talking points. It’s such an effective fabrication that North Carolina Sen. Thom Tillis told CNN in December that the debate over aid to Ukraine had been halted on the Hill in part because some lawmakers were concerned that “people will buy yachts with this money.”

But where did that idea come from? According to the BBC, the assertion that Zelensky had purchased two luxury yachts with U.S. aid money originated in November on a YouTube channel with just a handful of followers. The day after the video was posted, a site called DC Weekly published the claim as news, and that report was then picked up by other websites.

DC Weekly is not some kind of alternative newspaper or community blog; Clemson University researchers Darren Linvill and Patrick Warren argued in a report in December that the website was likely created to share fake news created by Russian state actors. The site is populated with A.I. content, has clearly fake authors, and has been partially hosted on a server in Moscow.

Russian disinformation that is packaged as news, Linvill said in a phone interview, often follows a similar pattern of dissemination. “I would bet my retirement on the fact that the Russians create the videos, plant the videos, write the stories, plant the stories, and distribute the stories,” Linvill wrote in an email.

“It’s the logic of the thing,” he said, “but also the fact that it happens repeatedly.” He pointed to a dozen other instances of disinformation narratives that started as assertions in obscure YouTube videos and were then picked up by publications with similarly legitimate-sounding names.

From 2016 through 2020, Linvill said, Russian propagandists focused on creating social media accounts to promote divisive ideas within the existing American discourse. That is still happening. But today, Linvill said, resources are more likely to be directed toward creating entire fake platforms, including websites that look like news sites. The stories tend to be sensationalized in a way that encourages organic sharing.

According to the Washington Post, Kremlin materials “obtained by a European intelligence service” show Moscow-linked strategists also stoke division in the U.S. by amplifying stories based in reality—including about migrants overwhelming the border, poverty and inflation, and reasons not to trust mainstream media.

But the story of the yacht shows how a fabricated rumor, likely originating in Russia, can start circulating in American politics. On Bannon’s War Room in December, Sen. J.D. Vance said, of his fellow politicians, “there are people who would cut Social Security, throw our grandparents into poverty, why? So that one of Zelensky’s ministers can buy a bigger yacht?”

The yacht story had a specific origin, but the growing anti-Ukraine sentiment among right-wing circles is harder to trace. After years of warfare and many millions of dollars in American aid, it makes sense that American enthusiasm for the Ukrainian cause might organically ebb.

And there is one man whose personal grudge against Ukraine could also cause Republicans to sour on a U.S. ally: Donald Trump.

“When American journalists and congresspeople use Russian talking points, they’re quoting Trump,” said Sarah Oates, a professor who studies disinformation and propaganda at the University of Maryland. “They are broadcasting Russian propaganda, but the conduit is Trump.”

Trump has several reasons to dismiss Russia’s threat to the international order. For starters, he openly admires authoritarian leaders like Vladimir Putin and has shown an interest in modeling himself after them. More importantly, the association of his 2016 election with Russian election-meddling caused some on the left to question the legitimacy of his victory.

For legitimacy reasons, then, Republicans have an incentive to downplay the potency of Russian propaganda. Not to mention: The basis of much of the Republican Party’s attacks on President Biden relies on a misleading assertion that his son Hunter Biden colluded with corrupt Ukrainian officials. Portraying Ukraine as a corruption-riddled country bolsters right-wing conspiracy theories about Biden’s family.

In other words, shared talking points between Republicans and the Russian propaganda machine don’t necessarily mean Russia is effective in seeding its influence; it’s a mutually beneficial swirl of conspiracy theories. “I think this is just a highly useful convergence of goals for Putin and Trump,” Oates said.

“Trump does not care; he literally is not thinking about it,” Oates said, referring to the possibility that many of Trump’s talking points could come from Russia. “His calculus is, ‘How can I win?’ ”

Because it’s quite possible that Americans who want the U.S. to abandon Ukraine may have arrived at that opinion on their own, Thomas Rid, a professor of strategic studies at Johns Hopkins, has warned against giving the Russians too much credit for swaying American public opinion.

Rid’s argument is: We shouldn’t help Russian strategists by assuming they’ve succeeded. Russia wants to undermine Americans’ trust in our systems and in our democracy. Believing that another country has the capability to, say, sway an election, serves that goal. “If we exaggerate the impact, we make the operations more successful than they would be otherwise,” he said, “and undermine trust in our own democracy, which is the goal of this game.”

It’s important, he argued, not to blame misinformation, isolationism, and other factors that led to changing views of the war on external actors alone. Americans, Rid said, are “perfectly capable of coming up with crazy ideas.”

Take Sen. Tommy Tuberville’s claim about why Putin needed to invade Ukraine. Speaking to a right-wing Alabama website, Tuberville said: “It’s a communist country, so he can’t feed his people, so they need more farmland.”

The claim—coming from a man who couldn’t name the three branches of American government and who thought World War II was fought over socialism—seems to be pure, homegrown nonsense.

“It’s blaming our own problems on others,” Rid said. “That’s the problem I find worrying.”

To be clear, Russian propaganda should be taken seriously: The country’s plans for deepening existing societal conflicts in the U.S. are not a secret. Given the various motivations at play and the inherent vagaries of how information and belief travel, though, it’s hard to know just how much the Republican Party has been “infected” by Russian propaganda, as Rep. McCaul put it.

What we can say with certainty is that there’s an alliance of interests. In his bizarre interview with Tucker Carlson in February, Putin laid out his several invented justifications for the invasion and said that he was interested in “peace.” The next day, Tuberville said he opposed sending aid to Ukraine because the Carlson interview “shows that Russia is open to a peace agreement.”

In her work, Oates found that researchers often couldn’t tell the difference between media pulled from Fox News and Russia Today, a Russian news network and propaganda arm; “identical” talking points don’t mean Russia is pulling the strings.

But there is still something to be gleaned from the coherence between Republicans and Russian strategists—and it’s probably a warning about our own news-media ecosystems. Rep. McCaul seemed to note this, telling Puck News that he saw “nighttime entertainment shows” in the U.S airing content that was “almost identical” to what was playing on Russian state TV.

Trump campaign and RNC pledge to unleash thousands to monitor vote counting in battleground states

CNN

Trump campaign and RNC pledge to unleash thousands to monitor vote counting in battleground states

Fredreka Schouten, CNN – April 19, 2024

The Trump campaign and Republican National Committee are pledging to deploy 100,000 volunteers and lawyers to monitor vote counting across battleground states this year – part of what officials describe as a stepped-up focus on “election integrity” by the national party.

Officials describe the program, detailed in a news release Friday and first reported by Politico, as the “most extensive and monumental election integrity program in the nation’s history,” and it underscores how much former President Donald Trump’s relentless focus on baseless election fraud claims from 2020 is shaping the party’s agenda.

As the party’s presumptive presidential nominee, Trump now controls the RNC and recently installed a new chairman, Michael Whatley, and his daughter-in-law Lara Trump as party co-chair.

“Having the right people to count the ballots is just as important as turning out voters on Election Day,” Trump said in a statement. “Republicans are now working together to protect the vote and ensure a big win on November 5th!”

The RNC and the Trump campaign said they plan to recruit and train poll watchers, poll workers and attorneys to monitor not only voting sites but ballot-tabulation centers, including those where mail ballots are processed to guard against what they call “Democrat attempts to circumvent rules.”

The party said it plans to establish election integrity hotlines in each battleground state, allowing poll watchers and voters to report issues to the GOP’s legal team.

It’s not unusual for political parties and candidates to work to recruit and deploy lawyers and partisan poll watchers to protect their interests as voters cast their ballots and election officials tally the results.

But some Republican officials – even those who don’t subscribe to the falsehood that rampant election fraud led to Trump’s loss in 2020 – have argued that the GOP was outgunned by Democrats on the legal front during that election – as communities around the country eased voting rules to allow people to cast ballots safely during the pandemic.

In a statement, Charlie Spies, a veteran Republican election lawyer who is now serving as the RNC’s general counsel, said, “The Democrat tricks from 2020 won’t work this time.”

“In 2024, we’re going to beat the Democrats at their own game and the RNC legal team will be working tirelessly to ensure that election officials follow the rules in administering elections,” he said.

Spies promised aggressive legal action if officials deviate from established election procedures or “try to change them at the last minute.”

The new election monitoring program comes as the RNC has engaged in dozens of election-related lawsuits around the country.

With one letter, Trump turned the Republican Party into an extortion racket

USA Today – Opinion

With one letter, Trump turned the Republican Party into an extortion racket

Rex Huppke – April 18, 2024

I’d like to congratulate Donald Trump on the speed with which he’s turned the Republican Party into something resembling an extortion racket.

Aside from sinking his fangs into the Republican National Committee like a hungry bat on a plump Berkshire hog, the man spending his days in a Manhattan courtroom under criminal indictment is now looking to bleed cash out of down-ballot GOP campaigns.

In an April 15 letter, Trump’s campaign notified all Republican candidates that if they use the former president’s name, image or likeness on any campaign advertisements, they need to deliver at least 5% of the money they raise back to the aforementioned criminal defendant.

Former US President Donald Trump attends the second day of his trial for allegedly covering up hush money payments linked to extramarital affairs, at Manhattan Criminal Court in New York City on April 16, 2024.
Former US President Donald Trump attends the second day of his trial for allegedly covering up hush money payments linked to extramarital affairs, at Manhattan Criminal Court in New York City on April 16, 2024.

You know, a little kickback for the boss man. Just enough to get Trump’s beak wet. Because, as has been made abundantly clear, the GOP is Trump and Trump is the GOP.

The Republican Party is now nothing but a Donald Trump piggy bank

He’s got his daughter-in-law Lara Trump in place at the top of the RNC pecking order, and she didn’t hold back detailing the committee’s singular focus: “Every single penny will go to the No. 1 and the only job of the RNC – that is electing Donald J. Trump as president of the United States and saving this country.”

What is Trump afraid of? On eve of hush money trial, big, bold Donald Trump shows he’s nothing but a giant chicken

Sorry, other Republican candidates! Maybe you can find a different Republican National Committee to help you out. Oh, and in the meantime, if you mention the Republican at the top of the ticket, you need to ship some of the green you raise back upstream to the guy already vacuuming donor money up like a Statue-of-Liberty-size Dirt Devil.

If this sounds unbecoming of a presidential candidate who claims to be wildly successful and incredibly wealthy, wait until you see the tacky sneakers and weird Bibles he’s selling.

Biden is out-fundraising Trump, so more Bibles must be sold!

Adding to the cash thirst, the former president’s campaign is trailing President Joe Biden badly in the fundraising department.

A Financial Times analysis released this week found: “Donald Trump has raised $75 (million) less for his presidential bid than Joe Biden and has 270,000 fewer unique donors now than at the same stage of his run for the White House four years ago.”

President Joe Biden speaks to members of the United Steel Workers Union at the United Steel Workers Headquarters on April 17, 2024 in Pittsburgh, Pennsylvania. Biden announced new actions to protect American steel and shipbuilding industries including hiking tariffs on Chinese steel.
President Joe Biden speaks to members of the United Steel Workers Union at the United Steel Workers Headquarters on April 17, 2024 in Pittsburgh, Pennsylvania. Biden announced new actions to protect American steel and shipbuilding industries including hiking tariffs on Chinese steel.

He’d have to sell a moon-high stack of Bibles to catch up, so the grift must grow. And grow it has with this new “pony up some cash” push on fellow candidates.

Trump campaign’s letter to other GOP candidates reads like a mob flick

As if actively trying to get Trump’s campaign cast in the next Martin Scorsese gangster film, the letter to down-ballot Republicans included this line: “Any split that is higher than 5% will be seen favorably by the RNC and President Trump’s campaign and is routinely reported to the highest levels of leadership within both organizations.”

Why do Republicans hate each other? Nobody hates the GOP as much as Republicans hate the GOP. Just ask Marjorie Taylor Greene.

Sure, 5% is nice. That’s fine. But, you know, maybe do 10%, maybe even 15%? That’s the kinda thing that gets you noticed, kid.

When you give your party to someone under criminal indictment, well …

The letter also included this note to any campaigns that use Trump’s name, image or likeness and don’t play ball: “Any vendor whose clients ignore the guidelines mentioned above will be held responsible for their clients’ actions. Repeated violations will result in the suspension of business relationships between the vendor and Trump National Committee JFC.”

Yeah, nice little campaign you got there. Shame if anything happened to it, you know?

This all sounds dodgy as the day is long, but regardless, here’s what all the little Republican candidates not named Donald Trump are going to do. They’re going to line up in their fancy Trump sneakers with their Trump Bibles tucked under their arms and drop an offering in the MAGA hat at the feet of the Donald.

Frankly, it’s what they deserve.

They gambled on this guy again.

And the house always wins.

Can drinking a blend of oats, water and lime juice help you lose weight? Here’s what nutritionists think about the ‘oatzempic’ trend.

Yahoo! Life

Can drinking a blend of oats, water and lime juice help you lose weight? Here’s what nutritionists think about the ‘oatzempic’ trend.

Maxine Yeung – April 10, 2024

A bowl of uncooked oats and two glasses of what looks like oat milk.
Experts say “oatzempic” doesn’t offer a balanced or sustainable approach to weight loss. (Getty Images) (izhairguns via Getty Images)

Weight loss drugs continue to gain in popularity, but not everyone who wants them can afford these medications, leaving some people hunting for more cost-effective alternatives. While natural options may seem promising, their effectiveness can be unpredictable. Berberine, for example, has been labeled “nature’s Ozempic,” though it may help more with managing blood sugar levels than aiding in actual weight loss. Meanwhile, psyllium husk — an inexpensive fiber supplement — is sought-after for its ability to temporarily suppress appetite by promoting a sense of fullness, but it’s important to note that fiber alone does not directly cause weight loss.

More recently, there’s been a viral trend involving the consumption of “oatzempic,” a drink crafted from oats, water and lime juice blended together. Its name cleverly references the prescription diabetes medication Ozempic, which is also well known for its weight loss benefits. This trend has gained lots of attention on platforms like TikTok, with claims suggesting it can help individuals shed as much as 40 pounds in two months.

“The oatzempic trend may seem enticing due to its simplicity and potential for rapid weight loss, but it’s essential to approach it with caution,” Vandana Sheth, registered dietitian nutritionist and author of My Indian Table: Quick & Tasty Vegetarian Recipes, tells Yahoo Life. So what are the downsides — as well as any possible benefits — of oatzempic, and can it really help with weight loss? Here’s what experts have to say.

How do you make oatzempic?

To prepare oatzempic, blend a half cup of raw oats, 1 cup of water and the juice of half a lime together until smooth. Drink it on an empty stomach, aiming for one to two servings a day. If you aren’t a fan of the taste, some people add a dash of cinnamon or honey, though the latter will add some calories and sugar.

Why the lime?

It’s unclear why lime juice is a key ingredient, though many suspect it’s primarily for enhancing the flavor of the drink, which has been described as chalky. Plus, lime juice provides a healthy dose of the antioxidant vitamin C.

Despite what some believe, Sheth clarifies, “there’s a misconception that acidic foods like lime juice can aid in fat burning, which is not supported by scientific evidence.” Dr. Amy Lee, head of nutrition for Nucific, tells Yahoo Life that a stomach’s acidity is greater than that of the fruit anyway.

What are the benefits?

Oatzempic’s benefits have been touted by people on social media trying it out for a 40-day challenge, but its impact on health hasn’t actually been researched. That said, oats alone boast many health advantages: They contain antioxidants and are linked with a reduced risk of cardiovascular disease, lower cholesterol and better blood sugar control. Research also shows potential for oats to help with regulating appetite and maintaining weight.

In just half a cup of oats, there are 5 grams of protein, 4 grams of fiber and a variety of vitamins and minerals. Oats are an excellent source of soluble fiber, particularly beta-glucan, which helps slow digestion, moves food and waste through the gut and promotes regular bowel movements.

Does oatzempic help with weight loss?

Substituting a meal with oatzempic can support weight loss efforts. However, as Julie Pace, functional dietitian and founder of Core Nutrition Health and Wellness, tells Yahoo Life: “It’s important to understand that this weight loss is primarily due to calorie restriction rather than any unique properties of oatzempic’s ingredients.” With just about 150 calories in a half cup of oats, oatzempic is low-calorie. Its fiber content may also promote a feeling of fullness, leading to less overall eating during the day.

Experts advise embracing this trend with caution since oatzempic does not offer a balanced or sustainable approach to weight loss. “Simply substituting high-calorie meals with low-calorie shakes may result in quick weight loss,” Sheth explains, “but without sustainable lifestyle changes, it may lead to health complications and weight regain once regular eating habits resume.”

Lee agrees: “I don’t think it is a long-term solution. Changing just one meal and its composition is a good start, but overall, one has to be mindful of the rest of the day as well.”

What are the downsides?

Pace says that oatzempic “encourages an unhealthy, unsustainable and restrictive approach to weight loss that is not supportive of overall health and well-being. Sustainable weight management involves making gradual, sustainable changes to diet and lifestyle rather than relying on quick fixes or extreme measures.”

Sheth warns that “rapid weight loss through extreme measures can lead to health complications such as nutrient deficiencies, loss of lean muscle tissue, hair loss and hormonal imbalances.” Not only are trends like oatzempic restrictive, especially if done for an extended amount of time, but they also risk promoting disordered eating habits.

While some people recommend using oatzempic as a meal replacement, experts point out it doesn’t contain nearly enough calories, protein or fat to be considered an equal swap. Generally for meals, you want to aim for about 15 to 30 grams of protein and at least twice as many calories as what’s found in a single serving of oatzempic.

“I do see some people adding protein powder and altering it by squeezing in some good oils,” says Lee. However, these additions change the simplicity of oatzempic and resemble more of a balanced breakfast.

Final takeaways

“If one is trying to just feel full in the morning to start their day strong, there are definitely other ways to do so,” says Lee. Instead of drinking oatzempic, aim for a satisfying breakfast of oatmeal, including fruit, seeds (hemp, chia and flax) and nuts (walnuts, almonds) for added protein, fiber and fat. If you prefer the drink version, consider swapping in milk for water or adding nut butter.

Although drinking oatzempic may increase fiber and water intake, experts agree that prioritizing overall health and wellness with sustainable habits is best if weight loss is your goal, and they note that weight loss alone doesn’t always mean improved health.

Maxine Yeung is a dietitian and board-certified health and wellness coach.

Trump campaign announces 100,000 poll watchers and attorneys poised for election day

Independent

Trump campaign announces 100,000 poll watchers and attorneys poised for election day

Gustaf Kilander – April 19, 2024

Trump complains to press about how cold it is in courtroom

The Trump campaign has announced that they will have 100,000 poll watchers and attorneys ready to take action on election day as former president Donald Trump’s obsession with election security continues.

Mr Trump tried to overturn the 2020 election citing baseless allegations of fraud by Democrats, and he has made similarly evidence-free claims regarding what Democrats may do this November. Even in 2016, Mr Trump asserted that he only lost the popular vote to Hillary Clinton because of fraud.

The Trump Campaign and the Republican National Committee (RNC) said in a Friday statement that they would launch “the most extensive and monumental election integrity program in the nation’s history”.

Mr Trump said in a statement: “Having the right people to count the ballots is just as important as turning out voters on Election Day. Republicans are now working together to protect the vote and ensure a big win on November 5th!”

The RNC said the program was designed by Chair Michael Whatley, Co-Chair Lara Trump and Chief Counsel Charlie Spies as well as the Trump campaign and that it’s intended to “have over 100,000 dedicated volunteers and attorneys deployed across every battleground state”.

Former President Donald Trump speaks with the media at his trial on Friday at Manhattan Criminal Court (AP)
Former President Donald Trump speaks with the media at his trial on Friday at Manhattan Criminal Court (AP)

“Whenever a ballot is being cast or counted, Republican poll watchers will be observing the process and reporting any irregularity,” the RNC said in its statement.

Trump supporters showed up to locations where votes were being counted in 2020, demanding that the counting stop, often in the false belief that mail-in ballots were fraudulent. Some election workers have faced death threats.

Recounts and audits in several states failed to find any wrongdoing. Mr Trump fired the leader of his election security agency days after it issued a statement saying that the 2020 election was one of the safest in history.

The latest announcement states that the RNC and the Trump campaign plan on overseeing machine testing, early voting, election day voting, mail ballot processing, and any post-election activity such as canvassing, audits and recounts.

Mr Spies said in a statement that they would take Democrats “to court if they don’t follow rules or try to change them at the last minute”.

Many Republicans were outraged at the expansion of mail-in voting in 2020 in the midst of the pandemic. Some Republican-led states passed laws restricting ballot access after the 2020 election.

“President Trump has said that the Republican victory in November needs to be too big to rig,” Mr Spies said.

In 2016, Mr Trump lost the popular vote by almost three million ballots, in 2020, he lost it by more than seven million. When asked by The Independent earlier this month if Mr Trump has any chance of winning the popular vote this year, former Republican strategist Rick Wilson said: “None whatsoever.”

Mr Whatley and Lara Trump were installed atop the RNC following the recent ouster of former RNC chair Ronna McDaniel.

In a statement on Friday, Ms Trump said: “Every ballot. Every precinct. Every processing center. Every county. Every battleground state. We will be there.”

25% of U.S. adults say they drink 1 or 2 glasses of water a day — and 8% rarely or never drink it, Yahoo/YouGov poll finds. Here’s how to sneak more hydration into your day.

Yahoo! Life

25% of U.S. adults say they drink 1 or 2 glasses of water a day — and 8% rarely or never drink it, Yahoo/YouGov poll finds. Here’s how to sneak more hydration into your day.

Kerry Justich, Health and Wellness Writer – April 18, 2024

How much water should you be drinking a day? (Getty Images)
How much water should you be drinking a day? (Getty Images) (fizkes via Getty Images)

A new Yahoo News/YouGov poll has revealed that many Americans are coming up short in hydration. The survey of 1,746 U.S. adults, conducted from April 11 to April 15, found that 8% say they rarely or never drink water, while 25% are drinking just one to two glasses of water a day. The overwhelming majority of respondents (66%) reported drinking three or more glasses a day.

Is that enough? According to Edwina Clark, a registered dietitian, certified specialist in sports dietetics and owner of Edwina Clark Nutrition, the answer is no. Clark tells Yahoo Life that she’s “concerned” about the 8% of Americans who are getting very little water intake, especially given the popularity of sugary beverages.

How can people who are skimping on their water consumption make sure they’re still getting hydrated — and what’s the ideal water intake we should all be getting? Experts share their recommendations.

How much water should you drink a day?

According to the National Academy of Medicine (NAM), the daily recommendation for water consumption is nine glasses a day for women, totaling 2.2 liters assuming a standard 8-ounce cup size, and 13 glasses, or 3 liters, for men. These guidelines account for “fluid intake from beverages including water, tea, broth and milk,” says Clark. “Food typically provides another 0.5 to 1 liter of fluid intake per day on top of water from beverages.”

But water needs, she adds, can “vary widely depending on age, activity level, size, climate or season, and illness.” People might also need more than what’s been recommended by the NAM when considering water loss through factors like sweat.

“Fluid intake is particularly important before, during and after exercise to combat sweat-related losses,” says Clark. “Some people may need a sports drink during and after exercise to replace electrolytes lost through sweat as well as fluid. However, this is largely dependent on exercise intensity, duration and ambient temperature.”

What are people drinking instead?

Of the 8% of poll respondents who report rarely or never drinking water on a daily basis, 38% indicated that soda is their preferred beverage. Clark says that this is cause for concern.

“While soda may not increase fluid depletion [meaning it won’t contribute to dehydration], drinking sugar-sweetened beverages on a consistent basis is associated with a raft of health problems, including obesity, type 2 diabetes, kidney disease, cardiovascular disease and tooth decay,” she says.

Clark adds that while “the occasional sweetened drink is fine for most,” consistently opting for it over water could pose problems.

The second-most-popular drink among this group was tea, preferred by 21%, which Clark says is a good alternative to water if unsweetened. The 15% who go for coffee, however, could have trouble staying hydrated depending on the amount of caffeine they drink over a day.

“Low to moderate caffeine consumption has not been shown to impact fluid balance,” she says, noting that a 16-ounce Starbucks cold brew won’t leave an average-size adult dehydrated. A 2017 study indicates that higher caffeine intake, amounting to four or more coffees a day, could lead to a diuretic effect.

How can you tell if you’re hydrated?

Ingesting fluids is important for maintaining a good blood pressure, heart rate and electrolyte balance, according to Dr. Amber Robins, a family and lifestyle medicine practitioner at Rochester Regional Health. She tells Yahoo Life that the easiest way to determine if you’re hydrated is taking a look at your urine.

“Having clear urine can mean that you have an adequate amount of fluid intake,” she says. “If your urine is darker in color, this likely means that you are dehydrated.”

Simple ways to increase water intake

If you notice that you might be dehydrated, Clark suggests the following to amp up your fluid intake:

Have water within reach. Keep a large water bottle on your desk, in your gym bag, etc. and sip frequently throughout the day. The more visible water is, the more likely you are to stay hydrated.

Make it fun. Add fruit wedges and herbs to water to make it more appealing; some have even credited the “sexy water” trend with spurring them to sip. If you’re not a water lover, unsweetened tea and sparkling water are good alternatives without added sugar.

Eat your fruits and veggies. Water-rich foods like fruit and veggies can contribute up to 20% of your fluid intake. Make sure you get at least three servings of veggies and two servings of fruit a day to help top off your water tank. Cucumber, iceberg lettuce, bell peppers, watermelon, radishes, tomatoes, spinach and berries are more than 90% water.

Watch out for water depleters like alcohol. Alcohol will make you lose fluids more quickly, which is why bathrooms at bars often have a line.

Other ways to start would be to make a goal of drinking water before each meal or once you wake up in the morning, according to Robins. Clark adds: “People generally wake up dehydrated after consuming little or no fluid overnight, so starting your day with a big glass of water is generally a good idea.”

Many of us turn to food for comfort. But when does emotional eating become an issue?

Yahoo! Life

Many of us turn to food for comfort. But when does emotional eating become an issue?

Ashley Broadwater – April 18, 2024

How to determine and break emotional eating habits. (Photo illustration: Yahoo News; photos: Getty Images)
How to determine and break emotional eating habits. (Photo illustration: Yahoo News; photos: Getty Images)

When Sam Thomas, a writer, speaker and mental health campaigner, was 11 years old, he experienced homophobic bullying at school. To escape the bullies, he would hide in the bathroom and eat the food in his lunchbox. “It was a sanctuary, as it was the only place I knew I wouldn’t be found,” he tells Yahoo Life.

This common and understandable behavior — emotional eating — was a source of comfort for him, and it didn’t end when he left school. Instability in his home life as a child and teen contributed to Thomas’s eating habits and difficult relationship with food. “It helped fill a void that felt like numbness or emptiness,” he explains.

He’s far from alone in that experience. In fact, about 75% of eating is emotionally driven, according to psychologist Susan Albers from the Cleveland Clinic, a nonprofit academic medical center. But Thomas’s experience is reflective of a more significant issue when the quest to become emotionally satiated by food leads to a cycle of shame and guilt, while underlying anxiety or stress remains.

What is emotional eating?

In a nutshell, emotional eating is using food to soothe, numb or cope with (usually difficult) feelings. “The emotional connection that we have to food exists every time we eat, even when we’re eating primarily because we’re hungry,” Christine Byrne, a registered dietitian and the owner of Ruby Oak Nutrition in Raleigh, N.C., tells Yahoo Life. Emotional eating, however, isn’t motivated by hunger. Instead, it is “the act of using food to cope with various feelings you’re experiencing,” she explains. Like turning to McDonald’s to soothe, distract or calm the mind and body after a stressful work day, rather than to feel satiated.

Emotional eating isn’t defined as an eating disorder, according to Healthline. However, it is a pattern of disordered eating that is heavily tied to mental health.

According to Byrne, “it’s tough to say definitively what the signs of emotional eating are, since the same behavior can either be healthy or maladaptive depending on the intention behind it, the intensity of it and how often you engage in it.”

However, some signs of maladaptive (or disordered) eating she encourages folks to look out for include:

  • Frequently eating because of feelings (such as boredom, sadness, loneliness, stress, happiness) instead of hunger
  • When eating is the only way you know how to deal with uncomfortable feelings
  • Frequently eating until you’re uncomfortably full as a way to numb or escape feelings
Why does emotional eating happen?

The connection between food and emotions has been evidenced through culture and science. “As humans, one way we connect and soothe from infancy is through food,” Rachel Heinemann, a therapist who specializes in eating disorders, tells Yahoo Life. “We build community over joint meals, we comfort those who are grieving with food and we welcome new neighbors with food.”

A study in the International Journal of Gastronomy and Food Science also helps to explain the phenomenon of emotional eating, as it points out that sweet, high-calorie foods are often what people crave when experiencing a spike in cortisol from stress. These foods are linked to the release of serotonin, which can boost mood.

Thomas’s go-to foods when he was feeling depressed, for example, were cookies and chips (although he says he’d eat anything he could find in an effort to relieve emotional discomfort). This habit was also informed by past experiences of his mother rewarding and comforting him with sweets. “I associated certain foods with a whole range of emotions,” he says.

Childhood experiences, like being rewarded with sweets, are a notable cause of emotional eating. Other contributors include social influences, boredom, suppressed emotions and stress. Existing body image issues and restrictive dieting are also risk factors, as any one of these can be an emotional trigger that leads to a specific food craving. It’s not inherently a bad thing; however, feeding those feelings doesn’t always bring the intended result or relief.

In Thomas’s experience, food would provide him a kind of high while eating, to eventually experience what he refers to as a “come down” after the fact, in which the difficult feelings return. This is then paired with the discomfort that can come from mindless eating or eating beyond fullness. Breona O’Brien, a licensed mental health counselor with Mindoula, says that that aftermath can perpetuate a negative cycle with body image as well.

“This overeating can lead to weight gain and a feeling of a loss of control. These two things then lead to more negative thoughts about their bodies and can lead to more emotional eating,” she tells Yahoo Life.

When determining events and triggers that lead to emotional eating, it’s important to address the frequency in which it happens. “Frequent emotional eating can be an indication that there is something going on in your life, family, job [or] living environment that is making you distressed,” says O’Brien, “and no one deserves to live in a constant state of discomfort.”

Addressing the root issues

Mindfulness is key to addressing emotional eating and its causes, according to O’Brien. She says it’s important to take a moment to reflect on the messages that our bodies and brains are sending us when it comes to food. This would allow an individual to come to understand if they’re reaching for food because they’re actually hungry or if there’s an emotional reaction at play.

Mount Sinai offers a guide that suggests observing eating patterns and how they relate to certain feelings, situations or places; as well as working on developing new coping skills to handle those moments. This might include reading a book, talking to friends or going for a walk, for example, rather than heading to the pantry.

This isn’t to say that people should emotionally detach from food, or that all emotional eating is inherently a bad thing. (In fact, Heinemann emphasizes that food is meant to be a way for people to “connect, soothe and enjoy.”) These interventions, however, may be more helpful — or are at least other options you can turn to.

Other helpful tactics include eating slowly, planning ahead so that you’re not in a situation that feels urgent and working with a professional to avoid further discomfort, body image issues and the threat of an eating disorder.

Seeking therapy is ultimately what helped Thomas. “Having had trauma therapy, I realized my addictions had been with me since a very young age,” he says. “Therapy sessions enabled me to recognize the pattern [of my emotional eating] and find ways to break it.”

Thomas has found that activities such as going to the gym and writing in a journal also help him meet his emotional needs. To say that he hasn’t turned to food for comfort since wouldn’t be accurate. However, he has “a much healthier relationship with food” after ridding himself of guilt and shame surrounding it.

If you or someone you know is struggling with an eating disorder please visit the National Eating Disorders (NEDA) website at nationaleatingdisorders.org for more information.

Ozempic use appears to be changing people’s personalities —experts think they know why

New York Post

Ozempic use appears to be changing people’s personalities —experts think they know why

Adriana Diaz – April 17, 2024

man injecting Ozempic and another looking depressed
man injecting Ozempic and another looking depressed

Move over, Ozempic fingerOzempic face and Ozempic butt — say hello to Ozempic personality.

The latest transformative outcome of the buzzy weight loss drug may be the most profound yet, with a growing number of patients claiming that the GLP-1 medication — and others like it — have caused anxiety, depression and suicidal ideation, even as they shed the pounds.

Looking into the science behind the life-changing jabs, experts revealed why the medications, originally intended to treat diabetes, could be changing people’s personalities and behaviors.

millaf – stock.adobe.com
millaf – stock.adobe.com

Ozempic, and other popular treatments like Wegovy, have an impact on dopamine levels, which are responsible for a range of functions.

Along with impacting our emotional and physical drive for food, the brain chemical impacts feelings of reward, pleasure, motivation and movement.

These changing levels could help explain why some users have even claimed the drugs have also reduced their cravings for drugs, alcohol and sex.

Dr Kent Berridge, a professor of psychology and neuroscience at the University of Michigan, explained to The Daily Mail that both addictive substances and food activate the same dopamine signals and reward-learning regions in the brain.

He also noted that: “Cravings for addictive drugs are also amplified by hunger.”

“When researchers are trying to get animals to learn to self-administer cocaine, they often will keep them hungry for a little while, as this helps them learn,” Dr. Berridge explained.

The medical expert added: “Hunger is specifically for food but it’s more general than that, it activates craving for a lot of things. If you’re hungry, the motivational value of things, even that are not food, seems to increase.”

Dr Kent Berridge, a professor of psychology and neuroscience at the University of Michigan, explained to The Daily Mail that both addictive substances and food activate the same dopamine signals and reward-learning regions in the brain. REUTERS
Dr Kent Berridge, a professor of psychology and neuroscience at the University of Michigan, explained to The Daily Mail that both addictive substances and food activate the same dopamine signals and reward-learning regions in the brain. REUTERS

Because these drugs help patients to feel satiated for longer, experts believe they then also lessen cravings for things other than food as well, such as drugs and alcohol.

“Satiety may be not only reducing the craving for food, but potentially for other things,” Dr. Berridge said.

GLP-1 drugs appear to alter the motivational dopamine systems, dampening but not eliminating desires. For example, patients have found that they don’t lose their appetites but eat less while on these medications which experts believe could translate to other vices.

“That would be a possibility — taking the [edge off certain cravings], and those are the ones that are problematic if you’re trying to lose weight or if a person is trying to stop taking drugs,” Dr. Berridge said.

Because these drugs help patients to feel satiated for longer, experts believe they then also lessen cravings for things other than food as well, such as drugs and alcohol. Getty Images
Because these drugs help patients to feel satiated for longer, experts believe they then also lessen cravings for things other than food as well, such as drugs and alcohol. Getty Images

He also shared that a decreased libido while on GLP-1 drugs is “conceivable.”

Dr. Berridge explained that because sex is a pleasurable natural desire, suppressing the reward pathway could lead to a reduced sex drive.

“If you’re suppressing [dopamine activation] a little bit and cutting down those mountain peaks, sexual desire is a natural peak, so that would be plausible,” the medical expert said.

However, he admitted that exacly how GLP-1 drugs are suppressing dopamine systems is still unknown.

The US Food and Drug Administration’s adverse event reporting system received 606 reports of psychiatric disorders connected to Ozempic, along with 324 reports connected to Saxenda and 190 to Wegovy in 2023.

The FDA requires that medications for weight management that work on the central nervous system, including Saxenda and Wegovy, carry a warning about suicidal thoughts.

Ozempic, which is only FDA-approved to treat diabetes, does not come with that warning.

Research has shown that bariatric surgery patients have an increased risk for suicide and self-harm behaviors following the procedure.

Lead study author Dr. Alexis Conason, a licensed psychologist in NYC, noted that triggering experiences such as changes in quality of life and unrealistic expectations also occur to those going through other weight loss treatments such as Ozempic.

“People put so much emotion and hope into weight loss, and are sold this fantasy that if they just lose weight everything’s gonna be okay and all the good things that they want in life will come when they lose weight,” Conason previously told The Post.

However, some patients have reported this changed mindset even when the needle on the scale drops but experts aren’t shocked.

“It’s not necessarily surprising when you see there may be an increase in suicidal ideation and other things like that because you’ve taken away a really important coping mechanism for many people,” Brooke Boyarsky Pratt, CEO and co-founder of weight-inclusive care company Knownwell, told The Post in 2023.

However, the medical expert admitted that how GLP-1 drugs are suppressing dopamine systems is still unknown. myskin – stock.adobe.com
However, the medical expert admitted that how GLP-1 drugs are suppressing dopamine systems is still unknown. myskin – stock.adobe.com

Dr. Gregory Dodell of Central Park Endocrinology also noted that patients on medications that suppress their appetite may not be getting sufficient nutrients, which in turn disrupts their mental stability.

“So much of balancing our body is about what we eat and drink,” he said.

The European Medicines Agency recently said there was no evidence for a causal link between Ozempic and suicidal thoughts. The FDA came to a similar conclusion in January.

The weight-loss drugs have risen in popularity so quickly in the last few months that the FDA announced shortages as the medication flew off the shelves.

But some experts have also warned that they have not been available long enough to study the long-term effects and are likely being misused by some as a quick way to shed a few pounds.

If you are struggling with suicidal thoughts or are experiencing a mental health crisis and live in New York City, you can call 1-888-NYC-WELL for free and confidential crisis counseling. If you live outside the five boroughs, call or text 988 or chat 988lifeline.org.

New study calculates climate change’s economic bite will hit about $38 trillion a year by 2049

Associated Press

New study calculates climate change’s economic bite will hit about $38 trillion a year by 2049

Seth Borenstein – April 17, 2024

FILE - People watch the sunset at a park on an unseasonably warm day, Feb. 25, 2024, in Kansas City, Mo. A new study says climate change will reduce future global income by about 19% in the next 25 years compared to a fictional world that’s not warming. (AP Photo/Charlie Riedel, File)
People watch the sunset at a park on an unseasonably warm day, Feb. 25, 2024, in Kansas City, Mo. A new study says climate change will reduce future global income by about 19% in the next 25 years compared to a fictional world that’s not warming. (AP Photo/Charlie Riedel, File)
FILE - A man buys a cool drink from a roadside vendor on a sunny day in Mahawewa, a village north of Colombo, Sri Lanka, Feb. 29, 2024. A new study says climate change will reduce future global income by about 19% in the next 25 years compared to a fictional world that’s not warming. (AP Photo/Eranga Jayawardena, File)
A man buys a cool drink from a roadside vendor on a sunny day in Mahawewa, a village north of Colombo, Sri Lanka, Feb. 29, 2024. A new study says climate change will reduce future global income by about 19% in the next 25 years compared to a fictional world that’s not warming. (AP Photo/Eranga Jayawardena, File)

Climate change will reduce future global income by about 19% in the next 25 years compared to a fictional world that’s not warming, with the poorest areas and those least responsible for heating the atmosphere taking the biggest monetary hit, a new study said.

Climate change’s economic bite in how much people make is already locked in at about $38 trillion a year by 2049, according to Wednesday’s study in the journal Nature by researchers at Germany’s Potsdam Institute for Climate Impact Research. By 2100 the financial cost could hit twice what previous studies estimate.

“Our analysis shows that climate change will cause massive economic damages within the next 25 years in almost all countries around the world, also in highly-developed ones such as Germany and the U.S., with a projected median income reduction of 11% each and France with 13%,” said study co-author Leonie Wenz, a climate scientist and economist.

These damages are compared to a baseline of no climate change and are then applied against overall expected global growth in gross domestic product, said study lead author Max Kotz, a climate scientist. So while it’s 19% globally less than it could have been with no climate change, in most places, income will still grow, just not as much because of warmer temperatures.

For the past dozen years, scientists and others have been focusing on extreme weather such as heat waves, floods, droughts, storms as the having the biggest climate impact. But when it comes to financial hit the researchers found “the overall impacts are still mainly driven by average warming, overall temperature increases,” Kotz said. It harms crops and hinders labor production, he said.

“Those temperature increases drive the most damages in the future because they’re really the most unprecedented compared to what we’ve experienced historically,” Kotz said. Last year, a record-hot year, the global average temperature was 1.35 degrees Celsius (2.43 degrees Fahrenheit) warmer than pre-industrial times, according to the U.S. National Oceanic and Atmospheric Administration. The globe has not had a month cooler than 20th century average since February 1979.

In the United States, the southeastern and southwestern states get economically pinched more than the northern ones with parts of Arizona and New Mexico taking the biggest monetary hit, according to the study. In Europe, southern regions, including parts of Spain and Italy, get hit harder than places like Denmark or northern Germany.

Only Arctic adjacent areas — Canada, Russia, Norway, Finland and Sweden — benefit, Kotz said.

It also means countries which have historically produced fewer greenhouse gas emissions per person and are least able to financially adapt to warming weather are getting the biggest financial harms too, Kotz said.

The world’s poorest countries will suffer 61% bigger income loss than the richest ones, the study calculated.

“It underlies some of the injustice elements of climate,” Kotz said.

This new study looked deeper than past research, examining 1,600 global areas that are smaller than countries, took several climate factors into account and examined how long climate economic shocks last, Kotz said. The study examined past economic impacts on average global domestic product per person and uses computer simulations to look into the future to come up with their detailed calculations.

The study shows that the economic harms over the next 25 years are locked in with emission cuts producing only small changes in the income reduction. But in the second half of this century that’s when two different possible futures are simulated, showing that cutting carbon emissions now really pays off because of how the heat-trapping gases accumulate, Kotz said.

If the world could curb carbon pollution and get down to a trend that limits warming to 2 degrees Celsius (3.6 degrees Fahrenheit) above pre-industrial times, which is the upper limit of the 2015 Paris climate agreement, then the financial hit will stay around 20% in global income, Kotz said. But if emissions increase in a worst case scenario, the financial wallop will be closer to 60%, he said.

That shows that the public shouldn’t think it’s a financial “doomsday” and nothing can be done, Kotz said.

Still, it’s worse than a 2015 study that predicted a worst case income hit of about 25% by the end of the century.

Marshall Burke, the Stanford University climate economist who wrote the 2015 study, said this new research’s finding that the economic damage ahead is locked in and large “makes a lot of sense.”

Burke, who wasn’t part of this study, said he has some issues with some of the technical calculations “so I wouldn’t put a ton of weight on their specific numerical estimates, but I think the big picture is basically right.”

The conclusions are on the high end compared to other recent studies, but since climate change goes for a long time and economic damage from higher temperatures keep compounding, they “add up to very large numbers,” said University of California Davis economist and environmental studies professor Frances Moore, who wasn’t part of the study. That’s why fighting climate change clearly passes economists’ tests of costs versus benefits, she said.

‘Miracle’ weight-loss drugs could have reduced health disparities. Instead they got worse

Los Angeles Times

‘Miracle’ weight-loss drugs could have reduced health disparities. Instead they got worse

Karen Kaplan – April 16, 2024

Donna Cooper holds up a dose of Wegovy, a drug used for weight loss.
Wegovy is part of a new generation of weight-loss medications that made some doctors optimistic about reversing longstanding racial and ethnic disparities in obesity. So far, the pricey drugs seem to have made those disparities worse. (Amanda Andrade-Rhoades / Associated Press)

For the record:
9:10 p.m. April 15, 2024An earlier version of this article misspelled the name of Dr. Serena Jingchuan Guo of the University of Florida as Jigchuan.

The American Heart Assn. calls them “game changers.”

Oprah Winfrey says they’re “a gift.”

Science magazine anointed them the “2023 Breakthrough of the Year.”

Americans are most familiar with their brand names: Ozempic, Wegovy, Mounjaro, Zepbound. They are the medications that have revolutionized weight loss and raised the possibility of reversing the country’s obesity crisis.

Obesity — like so many diseases — disproportionately affects people in racial and ethnic groups that have been marginalized by the U.S. healthcare system. A class of drugs that succeeds where so many others have failed would seem to be a powerful tool for closing the gap.

Instead, doctors who treat obesity, and the serious health risks that come with it, fear the medications are making this health disparity worse.

“These patients have a higher burden of disease, and they’re less likely to get the medicine that can save their lives,” said Dr. Lauren Eberly, a cardiologist and health services researcher at the University of Pennsylvania. “I feel like if a group of patients has a disproportionate burden, they should have increased access to these medicines.”

Why don’t they? Experts say there are a multitude of reasons, but the primary one is cost.

The injectable drug Ozempic sparked a revolution in obesity care.
The injectable drug Ozempic sparked a revolution in obesity care. (David J. Phillip/Associated Press)

Ozempic, which is approved by the Food and Drug Administration to help people with Type 2 diabetes control their blood sugar and reduce their risk of serious cardiovascular problems such as heart attacks and strokes, has a list price of $968.52 for a 28-day supplyWegovy, a higher dose of the same medicine that’s FDA-approved for weight loss in people with obesity or who are overweight and have a weight-related condition such as high blood pressure or high cholesterol, goes for $1,349.02 every four weeks.

Mounjaro is a similar drug approved by the FDA to improve blood sugar levels in Type 2 diabetes patients, and it comes with a list price of $1,069.08 for 28 days of medicineZepbound, a version of the same drug approved for weight loss, has a slightly lower price tag of $1,059.87 per 28 days. For now, at least, all the new drugs are meant to be taken indefinitely.

Read more: The new beauty regimen: Lose weight with Ozempic, tighten up with cosmetic surgery

Few health insurance programs cover the medications when prescribed to help people reach and maintain a healthy weight. Federal law requires that weight loss drugs be excluded from basic coverage in Medicare Part D plans, and as of early 2023, only 10 states included an antiobesity medication in the formularies for their Medicaid programs.

“If everybody had equal access, then this would be a way to help,” said Dr. Rocio Pereira, chief of endocrinology at Denver Health. “But without equal access — which is what we have now — it’s likely this is going to increase the disparity we see.”

U.S. obesity rates have been rising for decades, and they’re consistently higher for Black and Latino Americans. Among adults 20 and older, 49.9% of Black Americans and 45.6% of Hispanic Americans have a body mass index of 30 or greater, compared with 41.1% of white American adults and 16.1% of Asian American adults, according to age-adjusted data from the Centers for Disease Control and Prevention.

Obesity rates are also associated with income. In 2022, the age-adjusted rate was 38.4% for adults with household incomes between $15,000 and $24,999, compared with 34.1% for those with household incomes of $75,000 or more.

The two are related, said Pereira, who studies health disparities in diseases related to obesity. Black and Latino Americans are more likely to live in lower-income neighborhoods, where fast food is usually cheaper and more convenient than grocery stores.

“If you look at a map of the U.S. and plot out the neighborhoods where there’s no grocery store within a mile and there’s a high percentage of people who have no car, those are the areas where there’s the highest rates of obesity,” she said.

There’s also the time factor, she said: “Can you afford to cook your own meals, or do you have to work two jobs?”

An unusual experiment by the Department of Housing and Urban Development demonstrated the degree to which physical surroundings can influence obesity risk, Pereira said. In the 1990s, hundreds of mothers who were living in public housing were offered housing vouchers they could use only in wealthier neighborhoods. Ten to 15 years later, the women randomly assigned to receive the windfall had significantly lower rates of severe obesity (14.4%) than women in a control group who weren’t offered vouchers (17.7%). They were also less likely to have a body mass index of 35 or higher (31.1% vs. 35.5%).

Two obese women talk in New York.
Two women talk in New York. (Mark Lennihan / Associated Press)

The American Medical Assn. recognized obesity as a disease in 2013. People with the chronic condition are at heightened risk of cardiovascular diseaseType 2 diabetes, 13 types of cancer, osteoarthritis, asthma and other health problems. Researchers have pegged the annual medical costs associated with obesity at $174 billion in the U.S. alone.

Some people with obesity are able to lose weight by changing their diets and burning more calories through exercise. But that doesn’t work for people who have developed resistance to leptin, a hormone that suppresses appetite.

“If you try to lose weight with diet and exercise, your body is going to fight you,” said Dr. Caroline Apovian, co-director of the Center for Weight Management and Wellness at Brigham and Women’s Hospital in Boston. “Your leptin levels go down, and when leptin goes down, a signal goes to the brain that you don’t have enough fat to survive.” That prompts the release of another hormone, ghrelin, that triggers feelings of hunger.

Read more: Ozempic overdose? Poison control experts explain why thousands OD’d this year

Leptin resistance also makes exercise less worthwhile.

“Your body fights you by decreasing your total energy expenditure,” Apovian said. “When your muscles work, they work more efficiently. If you want to lose 10 pounds, you’re going to get really, really hungry. And you can’t fight that. Your body thinks it’s starving to death.”

The “breakthrough” drugs counteract this by impersonating a hormone called glucagon-like peptide 1, or GLP-1, that’s involved in appetite regulation. Inside cells, the drugs bind with the same receptors as GLP-1, reducing blood sugar and slowing digestion. They also last longer than their natural counterparts.

Oprah Winfrey walks onstage during the 55th NAACP Image Awards in March
Oprah Winfrey credits the new generation of medications for helping her keep her weight under control. (Chris Pizzello / Associated Press)

The first so-called GLP-1 receptor agonist was approved in 2005 to treat diabetes, and early versions had to be injected once or twice a day. Ozempic improved on this by requiring an injection only once a week. After clinical trials showed that the drug helped people with obesity achieve substantial, sustainable weight loss, the FDA approved Wegovy as a weight management drug in 2021.

Mounjaro and Zepbound also mimic GLP-1, along with a related hormone called glucose-dependent insulinotropic peptide, or GIP.

Read more: Ozempic rehashed the fierceness of diet culture and body shaming in Latinx culture

Linda Morales credits Ozempic and Mounjaro for helping her lose 100 pounds and drop from a size 22 to a size 14. The 25-year-old instructional aide at Lankershim Elementary School in North Hollywood said she started to become overweight in middle school and carried 293 pounds on her 5-foot, 5-inch frame when she was referred to the Center for Weight Management and Metabolic Health at Cedars-Sinai two years ago.

She is no longer breathless when she climbs stairs, has an easier time when she goes bowling and fits comfortably into the seat on the Harry Potter ride at Universal Studios. Thanks to the medications, she is no longer on a path toward Type 2 diabetes.

Her job with the Los Angeles Unified School District comes with health insurance that covers the pricey drugs and charges her a copay of $30 a month for her Mounjaro prescription. She said she could swing a monthly payment of up to $50, but beyond that she’d have to stop taking the drug and hope the lifestyle changes she’d made would be enough to sustain the weight loss she’s achieved so far.

“It would definitely get hard for me, for sure,” Morales said.

Indeed, even when the drugs are covered by insurance or patients qualify for discounts from pharmaceutical companies, researchers have found that they often remain out of reach.

In one study, Eberly and her colleagues examined insurance claims for nearly 40,000 people who received a prescription for GLP-1 copycats. Patients who had to pay at least $50 a month to fill their prescriptions were 53% less likely to get most of their refills over the course of a year compared to patients whose copayments were less than $10. Even patients whose out-of-pocket costs were between $10 and $50 were 38% less likely to buy the medicine regularly for a full year, the team found.

In another study of insured patients with Type 2 diabetes, those who were Black were 19% less likely to be treated with these drugs than those who were white, while Latino patients were 9% less likely to get them, Eberly and her colleagues reported.

Read more: Forget gym memberships. Employees want Ozempic in their benefits packages

In some parts of the country, Black patients with diabetes are only half as likely as white patients to get GLP-1 drugs, according to research by Dr. Serena Jingchuan Guo at the University of Florida, who studies health disparities in pharmaceutical access. The disparity was greatest in places with the highest overall usage of the medications, including New York, Silicon Valley and south Florida.

“In those places, the drug is actually widening the gap,” she said.

Researchers have spent years documenting racial disparities in the use of effective treatments for obesity, such as bariatric surgery. Newer drugs such as Ozempic simply bring the problem into sharper focus, said Dr. Hamlet Gasoyan, an investigator with the Cleveland Clinic’s Center for Value-Based Care Research.

“We get excited every time a new, effective treatment becomes available,” Gasoyan said. “But we should be equally concerned that this new and effective treatment reduces disparities between the haves and have-nots.”