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New study finds most "obese" kids are actually healthy
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FDA launches new path for rare disease drugs
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A Mediterranean-style diet linked to fewer adult breakouts

01 New study redefines childhood obesity, finds most "obese" kids are actually healthy
For decades, doctors have labeled kids as obese based on BMI, a formula that compares weight to height. But BMI only measures size. It says nothing about whether a child is actually sick.
A new global definition from an international panel of experts now requires something more: evidence that excess body fat is causing real health problems, like high blood pressure, abnormal blood sugar, or trouble with sleep and movement. Many kids who looked obese on paper are actually active, sleeping well, and showing no signs of metabolic trouble.
02 FDA launches new path for rare disease drugs
The Food and Drug Administration just announced a plan to rebuild how it approves treatments for rare diseases. Right now, only 5 percent of rare conditions have an FDA-approved drug. The new Rare Disease Framework Initiative will create customized approval paths that fit the realities of small patient groups instead of forcing every condition through the same process.
They're also embedding patient voices earlier in the process and using risk-based review for manufacturing (so a treatment for 300 kids doesn't get the same production scrutiny as a mass-market pill).
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03 A Mediterranean-style diet linked to fewer adult breakouts
If you eat well and still wake up to new acne, a study of more than 200,000 adults points to something beyond any single food. Researchers found that people who ate a Mediterranean-style diet (more vegetables, fruits, whole grains, and unsaturated fats like olive oil) had lower odds of acne.
For every one-point increase in their diet score, the odds dropped 7 percent. In women, the drop was 10 percent. The likely reason is that refined carbs and sugar spike insulin, which can ramp up oil production and inflammation in the skin.
✿ QUICK HITS — ON OUR RADAR
Trust in CDC health guidance dropped to 53 percent, down from 62 percent last March, with only 11 percent of Americans now saying they have "a great deal" of trust in the agency.
FDA opened the door for salt substitutes in 139 foods where standards of identity once required sodium chloride, from canned tuna to dinner rolls to sour cream. The change lets manufacturers reformulate to hit the agency's goal of cutting Americans' daily sodium by 20 percent.
HHS purged 189,000 Medicare, Medicaid, and CHIP enrollments tied to deceased or duplicate beneficiaries, a move Secretary Kennedy says will stop $1.5 billion a year in erroneous payments to insurers.
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THE COMMUNITY SECTION
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A new definition says many kids labeled obese by BMI are actually healthy. Should doctors stop relying on BMI alone?
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✿ POLL RESULTS — FROM LAST EDITION
An FDA panel backed a blood test that screens for 50 cancers at once. Would you take it?
🟩🟩🟩🟩🟩⬜️⬜️⬜️⬜️⬜️ Yes, catching cancer early is worth it (103)
🟩🟩🟩⬜️⬜️⬜️⬜️⬜️⬜️⬜️ Only if insurance covers it (57)
🟩🟩⬜️⬜️⬜️⬜️⬜️⬜️⬜️⬜️ No, I worry about false alarms (34)
🟩⬜️⬜️⬜️⬜️⬜️⬜️⬜️⬜️⬜️ Not sure (20)
Yes, catching cancer early is worth it: My husband took this test two years ago and discovered he had very early stages of aggressive kidney cancer; he had no symptoms and had no idea it was brewing in there. — Tully
Only if insurance covers it: It would be good to know, but like everything else today, the price is likely high and would consistently increase over time. — Anonymous
No, I worry about false alarms: "Early detection" has not reduced cancer deaths; it just puts people in the system earlier. — Anonymous
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