Gaza family cries out in agony after son is killed waiting to get food
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CNN
4 hours ago
- CNN
A doctor explains what people should know about the ‘cortisol cocktail' that's gone viral on TikTok
(CNN) — If you've spent time on TikTok or Instagram lately, chances are the 'cortisol cocktail' trending as the latest wellness hack has appeared in your feed. This colorful, nonalcoholic drink typically contains a mix of coconut water, citrus juice and certain salts. Also called an 'adrenal cocktail,' it has amassed millions of views, with influencers claiming it can lower stress hormones, boost energy and balance your body's adrenal function. Almost half of Americans (49%) report frequent bouts of stress, and the number of people in the United States who are feeling stressed has been rising for the past two decades, according to a 2024 Gallup survey. In these uncertain times, a stress-relieving tonic feels just right as a soothing balm, but does it actually live up to the health claims? What is cortisol and its relationship to stress? What nutrients are in these drinks and how are they purported to influence cortisol? Do they work? Who should be wary of trying this concoction? To guide us through these questions, I spoke with CNN wellness expert Dr. Leana Wen. Wen is an emergency physician and adjunct associate professor at George Washington University. She previously was Baltimore's health commissioner. CNN: What is cortisol and its relationship to stress? Dr. Leana Wen: Cortisol is a steroid hormone produced by the adrenal glands, which are organs located above the kidneys. The hormone plays a vital role in many bodily functions, including regulating metabolism, blood sugar, blood pressure, sleep-wake cycles and immune responses. Cortisol is sometimes called the 'stress hormone' because its levels naturally rise when our bodies perceive a threat or stressful situation. This reaction is part of the body's 'fight-or-flight' response, helping people stay alert and react quickly when needed. Those temporary increases in cortisol are a helpful evolutionary adaptation. Problems can arise when cortisol levels stay elevated for prolonged periods of time, which can happen when someone is under chronic stress. Persistently elevated cortisol is linked to problems such as poor sleep, anxiety, high blood pressure and even weakened immunity. There are a number of medical conditions that can lead to abnormally high or low cortisol levels. Taking high doses of steroid medications or adrenal gland tumors are examples of conditions that can cause excess cortisol. Addison's disease, or primary adrenal insufficiency, is when the adrenal gland stops its usual function. This condition, and problems with the pituitary gland in the brain, could result in low cortisol levels. CNN: What is in these 'cortisol cocktail' drinks, and how are they purported to influence cortisol? Wen: Recipes vary, but they tend to have a combination of coconut water, juice (usually orange or some other citrus fruit) and some salts (commonly sea salt and/or magnesium). Sparkling water is often added to taste. Contrary to what the name may suggest, it typically does not contain any alcohol. Each of the primary ingredients is supposed to play a role in supporting adrenal function and lowering stress. Coconut water is high in potassium, which helps maintain proper fluid and electrolyte balance. Citrus juice offers vitamin C, which plays a role in adrenal gland function. Salt and magnesium are supposed to replenish minerals depleted by stress. Moreover, some researchers believe that magnesium itself may help reduce feelings of anxiety or stress. Because of this, some versions of the cortisol cocktail include magnesium powder and/or cream of tartar, which has a high concentration of magnesium along with potassium and other salts. CNN: Is there evidence that this drink actually lowers cortisol and reduces stress? Wen: There is no scientific evidence that this drink has the effects it purports. While it's true that nutrients such as potassium, vitamin C and magnesium are important for healthy adrenal function, they are typically obtained in adequate amounts through a balanced diet. Bananas are the classic food high in potassium, but many others are packed with this mineral, too, such as raisins, apricots and tuna. Vitamin C can be found in citrus fruits, strawberries and peppers. And magnesium is also in many foods, including beans, peanut butter and leafy green vegetables. True deficiencies in these nutrients can cause health problems, but such deficiencies are uncommon in otherwise healthy individuals. More importantly, there is no evidence that consuming extra amounts beyond what the body needs will provide additional benefits or that it will meaningfully lower cortisol levels. CNN: What about the claim that the drink can treat a condition that influencers call 'adrenal fatigue'? Wen: The claim that some influencers have promoted on social media is that there is a condition of 'adrenal fatigue' in which stress is overwhelming adrenal glands and people end up feeling tired, anxious and unable to cope with daily life. However, the symptoms could stem from a variety of causes, including poor sleep, mental health conditions, and undiagnosed diseases such as anemia, hypothyroidism and diabetes. Importantly, there is no recognized medical diagnosis of adrenal fatigue. Outside of cases in which there are specific diseases causing adrenal insufficiency, there is no evidence that somehow the adrenal glands get overwhelmed and lose their ability to function. The symptoms often attributed to adrenal fatigue are real, but they are better explained by other, well‑studied causes. One risk I see is that people might rely on this so-called remedy instead of seeking medical evaluation for the real issues behind their fatigue or stress. CNN: What about all the people on the internet who claim that they have had positive health outcomes as a result of this drink? Wen: It may be that some individuals were not getting enough fluids or electrolytes before, and the additional hydration from the drink helped them feel more energized or clearheaded. There is also the placebo effect to consider: When people expect a certain treatment to work, they may genuinely feel better simply because they believe they are doing something beneficial for their health. The ritual of making and drinking this drink could itself reinforce this sense of control and care, which can have real psychological benefits even if the drink's ingredients have no direct impact on cortisol. CNN: Who should be wary of trying this so-called tonic? Wen: People who should be cautious include individuals with chronic medical conditions such as kidney disease, heart disease and diabetes. Certain individuals with kidney disease need to be especially wary of food containing high amounts of potassium. Those with heart failure may be advised to restrict their fluid intake. The sugar in fruit juice may also be problematic for some people with diabetes. Individuals interested in this drink should check with their doctor before adding this or any influencer-promoted wellness product to their diet. They should ask if any of their medications might interact with the drink's ingredients. And if they are experiencing symptoms — such as fatigue, anxiety or trouble sleeping — that prompted them to try this cocktail, they should discuss these concerns with their doctor to determine whether further evaluation is needed.
Washington Post
5 hours ago
- Washington Post
PHOTO ESSAY: Starvation attacks the bodies of these children in Gaza
GAZA CITY, Gaza Strip — In some tents and shelters in northern Gaza, emaciated children are held in their parents' arms. Their tiny arms and legs dangle limp. Their shoulder blades and ribs stick out from skeletal bodies slowly consuming themselves for lack of food. Starvation always stalks the most vulnerable first. Kids with preexisting conditions, like cerebral palsy, waste away quickly because the high-calorie foods they need have run out, along with nutritional supplements.
Associated Press
6 hours ago
- Associated Press
PHOTO ESSAY: Starvation attacks the bodies of these children in Gaza
GAZA CITY, Gaza Strip (AP) — In some tents and shelters in northern Gaza, emaciated children are held in their parents' arms. Their tiny arms and legs dangle limp. Their shoulder blades and ribs stick out from skeletal bodies slowly consuming themselves for lack of food. Starvation always stalks the most vulnerable first. Kids with preexisting conditions, like cerebral palsy, waste away quickly because the high-calorie foods they need have run out, along with nutritional supplements. But after months of Israeli blockade and turmoil in the distribution of supplies, children in Gaza with no previous conditions are also starting to die from malnutrition, aid workers and doctors say. Over the past month, 25 children have died of malnutrition-related causes, according to the Gaza Health Ministry, though it's not known how many had other conditions. The ministry, part of the Hamas-run government, is staffed by medical professionals and its figures on war deaths are seen by the U.N. and other experts as the most reliable estimate of casualties. Salem Awad was born in January with no medical problems, the youngest of six children, his mother Hiyam Awad said. But she was too weak from lack of food to breastfeed him. For the first two months of Salem's life, there was a ceasefire in Gaza, and more aid entered, but even then it was hard to find milk for him, his mother said. In March, Israel cut off all food from entering the territory for more than 2 ½ months. Since then, Salem has been wasting away. Now he weighs 4 kilograms (9 pounds), his mother said. 'He just keeps losing weight. At the hospital, they say if he doesn't get milk, he could die,' she said, speaking in the family's tent in Gaza has been allowing a trickle of aid into Gaza since late May. After an international outcry over increasing starvation, it introduced new measures last weekend it says are intended to increase the amount of food getting to the population, including airdrops and pauses in military operations in some areas. But so far, they have not had a significant effect, aid groups say. Food experts warned this week the 'worst-case scenario of famine is playing out in Gaza.' The U.N. says the impact of hunger building for months is quickly worsening, especially in Gaza City and other parts of northern Gaza, where it estimates nearly one in five children is now acutely malnourished. Across Gaza, more than 5,000 children were diagnosed with malnutrition this month, though that is likely an undercount, the U.N. says. Malnutrition was virtually nonexistent before the war. Doctors struggle to treat the children because many supplies have run out, the U.N. denies a famine is taking place or that children are starving. It says it has supplied enough food throughout the war and accuses Hamas of causing shortages by stealing aid and trying to control food distribution. Humanitarian groups deny that significant diversion of food takes place. Throughout nearly 22 months of war, the number of aid trucks has been far short of the roughly 500 a day the U.N. says is needed. The impact is seen most strongly in children with special needs — and those who have been grievously wounded in Israeli bombardment. Mosab al-Dibs, 14, suffered a heavy head wound on May 7 when an airstrike hit next to his family's tent. For about two months, he has been at Shifa Hospital, largely paralyzed, only partly conscious and severely malnourished because the facility no longer has the supplies to feed him, said Dr. Jamal Salha. Mosab's mother, Shahinaz al-Dibs, said the boy was healthy before the war, but that since he was wounded, his weight has fallen from 40 kilograms to less than 10 (88 to 22 pounds) At his bedside, she moves his spindly arms to exercise them. The networks of tiny blue veins are visible through the nearly transparent skin over his protruding ribs. The boy's eyes dart around, but he doesn't respond. His mother puts some bread soaked in water — the only food she can afford — into a large syringe and squirts it into his mouth in a vain attempt to feed him. Most of it dribbles out from his lips. What he needs is a nutrient formula suitable for tube feeding that the hospital doesn't have, Salha a school-turned-shelter for displaced people in Gaza City, Samah Matar cradles her son Yousef as his little brother Amir lies on a cushion beside her — both of them emaciated. The two boys have cerebral palsy and also need a special diet. 'Before the war, their health situation was good,' said Matar. They could get the foods they needed, but now 'all those things have disappeared, and their health has declined continually.' Yousef, 6 years old, has dropped from 14 kilograms (30 pounds) before the war to 9 kilograms (19 pounds) now. His 4-year-old brother, Amir, has shrunk from 9 kilograms to under 6 (19 to 13 pounds), she said. ___ This is a documentary photo story curated by AP photo editors.
