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Why supplements for brain health show no benefit: A neurologist explains

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Americans and others around the world have turned increasingly to dietary supplements in order to maintain or preserve their brain health . A recent study found that a quarter of adults over 50 take a supplement for brain-related health. But that same study, done by experts convened by the AARP, suggests that seniors should spend their money elsewhere. The supplements don’t work. This is no small issue. Expenditures on non-vitamin brain health supplements such as such as minerals, herbal mixtures, nurtraceuticals or amino acids, have extended into the billions of dollars. This can amount to between US$20 and US$60 a month for seniors, a sizable sum that could be put toward other expenses, including fresh vegetables and fruit that actually do make a difference. As a neurologist who studies brain health and prevention of dementia, and who has been involved in research in memory and Alzheimer’s disease for my entire career, I can help explain what we do and don’t know about sup

As health apps enter medical mainstream is there a way to bring some order?

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The heart rate monitor built into the new Apple Watch has sparked sharp debate over its risks and benefits, even though the feature was cleared by the Food and Drug Administration. But out of the spotlight, the FDA has been doing away with regulatory action altogether on many diagnostic health apps targeting consumers, seeking to accelerate digital health adoption by defining many of these as “low risk” medical devices. As the number of mobile health apps surged to a record 325,000 in 2017, app performance is going largely unpoliced, leading to what’s been dubbed a “Wild West” situation. Unfortunately for health consumers, the public can’t rely on the research community to play the role of sheriff. When colleagues and I recently examined the medical literature on direct-to-consumer diagnostic apps in a study published in Diagnosis, we repeatedly found studies marred by bias, technological naïveté or a failure to provide crucial information for consumers. There was al