What moves a man's testosterone most is his waistline. A new review pooled 52 studies and found the same thing every time: when heavy men lost weight, their testosterone climbed. Lose around 25 pounds and it rises by roughly a third.

Sleep is the other one. In a JAMA study, one week of 5-hour nights dropped healthy young men's testosterone 10 to 15%, about what a decade of aging does. It pairs nicely with what I've been seeing on my timeline lately. Sleep and weightlifting beat peptides and smart drugs. Everyone is hunting for a protocol. The answer is free and boring.

One sugary drink a day more than doubles the risk of stomach cancer. Researchers at Mass General Brigham tracked 112,284 people for decades, logging what they drank, and counted 278 stomach cancers. The study ran in Gastro Hep Advances.

The daily drinkers had 2.45 times the risk of people who had one a month or less. Soda, lemonade, punch and sports drinks all counted. Diet versions did not raise the risk at all. It is not the sweetness. It is the sugar.

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That guaranteed-income pitch can hide fees, surrender charges, and restrictions. Is it safer for your agent than for you?

People who started a cholesterol-lowering statin soon after a diabetes diagnosis were less likely to develop dementia. A Danish team followed 132,585 adults who developed type 2 diabetes and tracked when each one filled that first prescription. The study was presented at Europe's largest heart meeting.

Those who began within a year had 15% less dementia over the next decade than those who waited. Diabetes quietly wears on the brain for years before anyone notices. The ones who treated it early held on to their minds for longer.

The government's Office of Minority Health is ending 16 health grants worth about $38 million over four years. Among them: infant mortality and postpartum programs, cancer screenings, and suicide prevention for first responders. The termination letters went out in late August.

The stated reason is to cut overmedicalization and fund root causes instead. The new priorities are the drivers of infertility, from hormonal imbalance and fibroids to low testosterone, along with programs that get people physically active. The office is betting that treating causes beats managing symptoms.

I just learned something that has me rethinking where cancer care is headed. A 25-year-old from New Zealand named Michael Walters ran out of options for his lymphoma at home, so he flew to Shanghai for CAR-T, a treatment that reprograms your own immune cells to hunt the tumor.

On August 18 he learned he was in complete remission. That therapy runs $550,000 to $850,000 in the United States, and he paid less than half of a $600,000 quote by going to China. One case is not proof of anything. But people are boarding planes to buy a cure the West priced out of reach.

Story one says the free basics beat the pills. Your turn:

🟩🟩🟩🟩🟩🟩🟩🟩🟩🟩 Not sure (53)
🟩🟩🟩🟩🟩🟩🟩🟩🟩⬜️ No (51)
🟩🟩🟩🟩🟩⬜️⬜️⬜️⬜️⬜️ Yes (25)

Aubry Allbridge is 22, from Utah, and was born with Down syndrome. She studied, passed the exam, and became a certified fitness instructor. This month she taught her first class, 60 people following her lead.

Plenty of people told her what she would never do. She is now the one at the front of the room, counting out the reps.