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TRPM3 is a heat-sensing ion channel, and it keeps showing up in ME/CFS, long Covid, and migraines.

It's part of why everything hurts when you have a fever (sometimes even your hair). Natural killer cells also need it to let in the calcium they use to kill virus-infected cells.

Two 2026 studies found reduced TRPM3 calcium flow in NK cells from ME/CFS patients, and some long Covid patients show the same thing. Mu-opioid receptors hold TRPM3 shut, and in lab studies low-dose naltrexone restored TRPM3 function in those NK cells.

Progesterone also puts the brakes on TRPM3. When it drops before a period, the brake comes off in the trigeminal nerve, CGRP gets released, and that's one path to a migraine.

Several TRPM3 variants are tied to ME/CFS risk.

geneticlifehacks.com/trpm3-the-ion-…
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Exercise helped people with depression who had not responded to SSRIs, but only in a study where they stuck with it for 12 weeks.

The participants had high TNF alpha or IL-1 beta at baseline and did aerobic exercise like treadmill or cycling. Their depression scores kept improving through the full three months, so this was not an instant mood lift.

The biology lines up. TNF alpha and IL-1 can increase serotonin reuptake and IL-1 beta can lower neurogenesis through the kynurenine pathway.

If you carry TNF or IL1B variants, steady aerobic exercise may be a stronger lever than it looks on paper.

geneticlifehacks.com/is-inflammatio…
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Debbie @ Genetic Lifehacks retweeted
Time‐Restricted Feeding Delays Cardiovascular Aging by Increasing Acetic Acid Through Remodeling Gut Microbiota - Liu - 2026 - Aging Cell - Wiley Online Library onlinelibrary.wiley.com/doi/10.1111/ac…
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Doctors learned inflammation could change mood by accident in the 1980s.

Interferon alpha was used for chronic hepatitis, and some people on the highest doses quickly developed depression, agitation, emotional swings and even paranoia. Lowering the dose made the psychiatric side effects go away.

That history still explains sickness behavior today. When you fight a virus you get tired, irritable and want to be left alone, which is a useful short term response.

The problem is when those same signals stay on for months. TNF and IL6 variants are part of why some people seem more sensitive to that shift. 👇

geneticlifehacks.com/is-inflammatio…
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Fibromyalgia pain is not just tender points, and doctors do not even count those 18 spots the old way anymore.

Current thinking points to a mix of low grade neuroinflammation, central pain amplification and mitochondrial energy problems. Biopsies have found more mast cells right in painful areas, and studies link pain intensity to TNF alpha and IL-8 even when average levels look normal.

That overlap helps explain why fibromyalgia often travels with IBS, migraines, POTS and ME/CFS.

Sorting out which driver fits you matters more than collecting another generic pain tip. Has one angle explained your pattern better than the others? 👇

geneticlifehacks.com/fibromyalgia
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This is interesting and will be watching for the results on it in 2027.
Wilson disease comes from mutations in ATP7B,which moves extra copper out of the liver and into bile. This trial targets the most common mutation in people of European ancestry, with about 1 in 90 people carrying one copy. Carriers don't get Wilson disease, but some studies show slightly lower ceruloplasmin indicating that copper may be higher than normal.
geneticlifehacks.com/wilsons-diseas…
BREAKING: Scientists have used a powerful new form of CRISPR called prime editing directly inside the human body for the first time.

They aim to rewrite faulty DNA responsible for Wilson disease that can cause severe liver and brain damage.

A major milestone in gene editing.
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Two big blood clot stories this week, w/ Jalen Hurts at age 28 and Ric Flair.
Long flights and leg injuries are classic triggers, but genetics matters too when it comes to susceptibility.

Factor V Leiden (F5 rs6025) is carried by about 3-8% of people of European ancestry and raises DVT risk roughly 4-fold. Most carriers never end up with a serious DVT, but it's worth knowing before surgery, long-haul plane rides, or estrogen hrt.
Prothrombin variants can also increase the clotting risk.
I Want To Sincerely Apologize To My Agent, Steve Solomon, Washington State Horror Con @wahorrorcon, @bigeventny, And Especially All My Fans In Seattle For Having To Cancel My Scheduled Appearance.

Unfortunately, I Am Dealing With A Blood Clot In My Leg, And My Doctors Have Limited My Travel To 3–4 Hours. Seattle Falls Outside That Range, And As Disappointed As I Am, I Have To Put My Health And Recovery First.

Blood Clots Are Extremely Serious And Can Be Life-Threatening. We Have Seen This Recently With Jalen Hurts And The Complications Involving Blood Clots In His Lungs. It Is A Reminder That This Is Not Something To Take Lightly, And I Must Follow Medical Advice.

I’m Scheduled To Have A Procedure To Strip The Affected Vein, Which My Doctors Expect Will Allow Me To Be Cleared For More Travel Afterward.

Please Know This Decision Was Not Made Lightly. I Am Truly Sorry For The Inconvenience And Disappointment, And I Am Incredibly Grateful For Your Patience, Understanding, And Continued Support.

I Look Forward To Getting Healthy And Seeing You All Down The Road. Thank You For The Love And Support.

Much Love,
Ric Flair
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Replying to @GeneticLifehack
Here's where to check your factor V gene if you're a Genetic Lifehacks member: geneticlifehacks.com/factor-v-leide…
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This is cool, although it's important to note that it is in mice...
The glymphatic system runs mostly during deep slow-wave sleep, and it depends on a water channel called aquaporin-4 (AQP4) on astrocytes. In older adults, AQP4 gene variants changed how strongly poor sleep tracked with amyloid buildup.

But until this is tested in people, protecting and promoting deep sleep is still the best glymphatic clearance promoting option
Scientists found a way to flush Alzheimer’s plaque out of the brain in minutes.

Without any surgery and drugs.

Your brain has a waste-clearance network called the glymphatic system. It flushes out toxic proteins and dead cells.

But it only really activates during deep, u don't sleep, the trash piles up. Over time, that buildup leads to cognitive decline and Alzheimer's.

Until today.

Researchers just published a paper proving they can manually trigger this cleaning cycle.

Without you ever going to sleep.

They used 40.68 MHz ultrashort waves (USW) beamed non-invasively into the brain.

Within 10 minutes, the brain's fluid flow rapidly accelerated.

The waves artificially synchronized the neurons into a Delta state, the exact frequency of deep sleep. This forced the brain's water channels to open and start flushing out the system.

They tested it on mice with traumatic brain injuries and Alzheimer's pathology.

The brain swelling dropped. The toxic proteins were cleared out. Cognitive deficits actually improved.

No surgery. No massive chemical interventions. Just a frequency.
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The GIMAP6 part is really interesting in this new discovery on atherosclerosis. It's an immune gene that helps macrophages in the artery wall clear out fat before they turn into foam cells.
So the immune side mattering alongside lipids, which has been known for a while. This just shows more details on why. Even with normal blood fats, the mice without GIMAP6 developed plaque.
NIH researchers have discovered a natural defense mechanism that may help the body prevent plaque from building up inside arteries, opening new possibilities for treating atherosclerotic cardiovascular disease, a leading cause of death in the U.S. x.com/i/article/2113…
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Sending good thoughts to Marshall Faulk. What stood out to me is that he caught it early, from a stiff hand on the golf course. Parkinson's often starts years before the tremor, with things like losing your sense of smell, constipation, or acting out dreams in your sleep.

Genetics plays a part for some people too. Variants in LRRK2 and GBA1 raise risk, but many carriers never develop it, so environment matters a lot. Common variants also affect susceptibility to some of the known environmental risk factors too.
Southern head coach and NFL Hall of Famer Marshall Faulk has been diagnosed with Parkinson’s disease, he announced🙏

on3.com/news/marshall-…
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Replying to @GeneticLifehack
I wrote about the genes and environmental factors here with lots of referenced studies, if you want to dive deeper into the mechanisms and pathways

geneticlifehacks.com/genetic-varian…
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Debbie @ Genetic Lifehacks retweeted
Our work deorphanizing MCT6 as the missing gut Lac-Phe transporter is out today @CellCellPress: local gut lactate metabolism influences gut-brain crosstalk, and also explains metformin’s effects on body weight. Congratulations to @Shuke_Xiao @alanshtung!
cell.com/cell/fulltext/…
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This is a really useful review paper. Small fiber neuropathy gets pictured as burning or tingling pain, but these same nerves help run sweating, blood vessel tone, and heart rate. So someone can have damaged small fibers and show up with dizziness, POTS, or gut issues instead of pain.

How many people never get a skin biopsy because they don't hurt?
🚨 My new paper on small fiber #neuropathy in NONPAINFUL conditions is published. Neuropathy is traditionally defined by neuropathic (tingling, numbness, burning, shooting) pain, but there are neurologic and non-neurologic conditions where objective findings of small fiber revalent despite the pain being absent or minimal. I outline comprehensive treatment options for small fiber neuropathy with both evidence-based and emerging therapies in the Table. 🧠
clinmedres.org/content/24/3/97
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A Harvard analysis tied low seafood omega-3 to about 84k US deaths, slightly more than trans fats.

Interesting that missing omega-3s ranks right up there with trans fats. One piece people rarely hear about is genetics.

Common FADS1 and FADS2 variants change how well you convert plant ALA into EPA and DHA, and some people convert very little. So flax and chia may not cover it for everyone. Fish or algae oil gives you EPA and DHA directly.
Low omega-3 intake has been identified as a leading dietary contributor to preventable death.

It's estimated that low seafood omega-3 intake accounted for 84,000 deaths in one Harvard-led U.S. analysis, compared with 82,000 attributed to trans fats. That’s a substantial omething missing in the diet.

And the intake gap is substantial. Nearly 90% of Americans aren't meeting seafood recommendations.

We pay a lot of attention to ingredients we should avoid, but we should also ask whether we’re getting enough of the nutrients we need.

For omega-3s, that means paying attention to EPA and DHA (the forms found in seafood). Fatty fish like salmon is a direct source. Omega-3 supplementation can also help fill any gap not being met through whole-food sources.
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Replying to @GeneticLifehack
Omega-3s are also the raw material for the molecules that shut inflammation off. The resolution of inflammation is an active process that depends on EPA/DHA.

More on those here and members can check their FADS variants along with SPM variant. geneticlifehacks.com/specialized-pr…
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This is a fascinating study. People with mitochondrial disease burned about 195 more calories a day at rest, but their total energy use over 10 days matched everyone else's. They just moved 26% less.

Higher inflammation and stress costs ate up the energy budget, so the body cut back on activity. The researchers point to GDF15, a stress signal from struggling mitochondria, as a possible way the body tells the brain to slow down.

It makes me wonder about ME/CFS and long Covid, where fatigue looks a lot like the body rationing energy. GDF15, the mitochondrial stress signal they highlight, has come up in that research too.
Adults with mitochondrial disease burned about 195 more calories a day than healthy controls in a metabolic chamber, while moving 26% less. Yet over 10 days of normal life, their total energy expenditure looked the same as everyone else's.

A new study in Cell Press Blue, led by n Picard @MitoPsychoBio at Columbia University, suggests the extra cost is real. It just gets hidden because people with these defects move less.

The study compared 10 adults with mitochondrial disease to 10 healthy controls of similar age, sex, height, and BMI.

Mitochondria carry their own small set of DNA, separate from the DNA in your cell nucleus. All 10 patients had a confirmed mutation in that mitochondrial DNA. Five had a single letter change in the genetic code (the m.3243A>G mutation). Five were missing a large chunk of the DNA entirely (a single large deletion).

Different mutations, same problem. Both damage oxidative phosphorylation, or OxPhos, the final stage of energy production where mitochondria use oxygen to make most of your ATP.

The question was simple. If the cell's energy machinery is damaged, does the whole body burn less energy, more, or the same?

Answering it is harder than it sounds, because a single measurement can mislead. So the researchers measured each person three different ways:

1. Resting energy expenditure for one hour, fasted, lying still.
2. A 23 hour stay in a whole-room calorimeter (an airtight room that measures oxygen use and CO2 output) with fixed meals, fixed lights-out, and hourly blood draws.
3. Ten days of free living, using doubly labeled water (you drink water tagged with two isotopes, and how fast they leave your body reveals total energy burned).

The findings were fairly insightful:

• Resting energy expenditure did not differ between groups (+19 kcal/day, p = 0.989), after adjusting for fat-free mass (everything in the body that isn't fat).
• In the chamber, 24 hour expenditure was higher in mitochondrial disease by 195.5 kcal/day (p = 0.016). The gap held across day and night.
• Wrist acceleration was 26% lower in patients, yet energy spent per unit of movement was 58% higher.
• During sleep, patients burned 116.7% of their resting rate versus 102.3% in controls. Heart rate variability (a marker of how well your nervous system shifts into recovery mode) was 58% lower.
• In free living, total daily expenditure was similar (p = 0.48), but patients moved 39% less.
• Plasma GDF15, a stress hormone made by cells under mitochondrial strain, was about 4.6 times higher in patients (1,840 vs 404 pg/mL). C-reactive protein, an inflammation marker, was 301% higher.

So what's happening here?

Think of a car with a worn engine. It burns more fuel per mile. If the driver cuts back on trips, the monthly gas bill looks normal, but the engine is still inefficient.

Mitochondrial defects seem to be raising the energetic cost of living, and the body appears to balance the budget by lowering voluntary activity.

This fits the constrained energy model, which holds that total daily expenditure stays within a narrow range because activity and other costs trade off against each other.

GDF15 is the candidate messenger. It acts on a receptor called GFRAL, found only in the brainstem, and in other settings it causes malaise, suppresses appetite, and reduces activity. In this study, higher GDF15 tracked with disease severity, fatigue ratings, higher energy cost per unit of movement, higher sleep expenditure, and lower free-living activity.

Some things to take into consideration:

The sample is 10 per group, with two different mutation types pooled together.

Wrist accelerometers capture movement poorly, and the energy measure includes non-movement costs like inflammation, so the study can't say how much of the extra cost is muscle inefficiency.

The chamber was a strange place to sleep, with an IV line and sensors, and both groups burned more than expected at night.

Patients also ate only 95% of their measured expenditure versus 107.5% in controls, so their lower fat burning in the chamber could reflect a calorie deficit and not the mutation.

The GDF15 data are correlations across a case-control gradient. They can't show whether GDF15 causes the inactivity, or whether inactivity, symptoms, and GDF15 all follow from the disease. Proving that would take trials that block the pathway, and the team recommends caution because GDF15 may be a useful energy-sensing signal.

For patients, the findings point to managing the downstream costs: sleep problems, anemia, heart and lung dysfunction, and psychological stress. They also suggest exercise may help partly by lowering the energy cost of everyday movement. That is an interpretation, supported by earlier training studies in this population.

There is a broader question for the rest of us. This was a rare disease, and these patients carried mutations in most of their mitochondrial DNA copies. Healthy aging looks nothing like that. But some of the same pieces show up as we get older, and what follows here is my extrapolation, not something the study tested.

• Mitochondrial DNA damage accumulates with age, though at much lower levels than in disease.
• GDF15 rises steadily with age, and in large cohorts it is one of the strongest blood predictors of mortality and age-related disease.
• Older adults tend to spend more energy per step when walking, and fatigue and falling activity are among the earliest signs of functional decline.

If mitochondrial strain raises the cost of living even modestly, and the body responds by quietly cutting activity through a signal like GDF15, that could be one route by which aging becomes self-reinforcing. Less movement means less muscle and fewer mitochondria, which raises the cost of the next trip. A hidden energy tax would be hard to see in a resting test, and most people would just call it getting older.

Training is the best-supported way to improve mitochondrial function and lower the cost of movement, and the case for staying active gets stronger if the brake is partly biological and not just motivational. Any drug aimed at GDF15 or its receptor is years from clinical use, and blocking an energy-sensing signal could carry risks.

The broader lesson is about measurement. A one hour resting test missed the problem entirely. Only the full day in the chamber exposed it, and only the free-living data showed how behavior hides it. Fatigue may be less a failure of motivation than a response to an energy bill the body can't afford.
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Microglia are the resident immune cells in the brain, and TREM2 tells them when to clean up debris.

The blood brain barrier keeps most immune cells out, so microglia do the housekeeping themselves. TREM2 helps them switch on phagocytosis and autophagy, basically eating and recycling damaged material.

The well studied R47H variant in TREM2 has been linked to about a 2 to 3 fold higher relative risk of Alzheimer's disease. That is not destiny, and it is nowhere near the whole story.

This is cool because most newer Alzheimer's genetics points back to brain immune function, not just plaques. 👇
geneticlifehacks.com/trem2-and-alzh…
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Interesting study, but it's mice with an antibody that switches on T cells all at once, so not celiac or IBD yet. The part I like is that the mice lacking their own gut GLP-1 and GLP-2 got hit much harder. Your body makes these in the gut lining, and that signal varies with genes like TCF7L2 and with diet. Maybe the bigger question is how to keep your own GLP-1 working?
> T cells trigger severe gut lining damage

> GLP agonists directly protect against intestinal destruction

> I'm going to test this on myself
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This fits with the inflammation side of depression. In 440 women, faster epigenetic aging in monocytes (a type of immune cell) tracked with hopelessness and anhedonia, but not with fatigue or appetite changes.

The whole-body aging clock also showed nothing. So looking at the specific immune cells may matter more than overall "biological age." Small study, but interesting.
Scientists Say a Simple Blood Test Could Reveal Depression | New York University, SciTechDaily

Scientists have discovered that aging immune cells may hold a hidden blood-based clue to detecting depression.

Scientists have discovered that the biological aging of certain white an important clue to depression, potentially opening the door to a blood test that could help identify the condition.

The study found that measuring how quickly these immune cells age can help predict emotional and cognitive symptoms of depression, including hopelessness and loss of pleasure. Interestingly, the same biological markers were not associated with physical symptoms such as fatigue or changes in appetite.

Published in The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, the findings could bring scientists closer to developing an objective biological marker for depression, a mental health condition that affects nearly one in five US adults.

Why Depression Is So Difficult to Detect

Doctors currently diagnose depression primarily by evaluating symptoms reported by patients. Although blood tests may help eliminate other possible medical explanations, there is still no established biological test that can reliably identify depression or detect its earliest signs.

Part of the challenge is that depression does not affect everyone in the same way. Some people develop physical (or somatic) symptoms, including exhaustion, reduced appetite, or agitation. Others experience changes in thinking and mood, such as persistent hopelessness or anhedonia, a condition characterized by an inability to experience pleasure or maintain interest in activities that were once enjoyable.

“Depression is not a one-size-fits-all disorder—it can look really different from person to person, which is why it’s so important to consider varied presentations and not just a clinical label,” said study author Nicole Beaulieu Perez, assistant professor at NYU Rory Meyers College of Nursing. “Our study reveals unique biological underpinnings of mental health that are often obscured by broad diagnostic categories.”

Why Researchers Studied Women With HIV

Depression occurs more frequently among people living with certain conditions that affect the immune system, including HIV. Several overlapping factors may contribute to this increased risk, such as ongoing inflammation, social stigma, and socioeconomic challenges.

Women living with HIV face particularly high rates of depression. When depression goes untreated or unrecognized, it can interfere with their ability to participate in medical care and consistently take antiretroviral medications, which are essential for managing HIV.

“For women with HIV who may be experiencing depression, we want to better understand what’s going on and catch it earlier so that it doesn’t harm their whole overall health,” said Perez.

To investigate possible biological connections between depression and HIV, the research team focused on accelerated biological aging. Previous studies have linked this process to both conditions.

Unlike chronological age, which simply counts the years since a person was born, biological age reflects changes occurring within the body over time. Researchers can estimate biological age using tools known as “epigenetic clocks,” which analyze chemical changes to DNA. These modifications can influence how genes function without altering the underlying genetic code.

Blood Samples Reveal a Surprising Depression Link

The researchers examined information from 440 participants in the Women’s Interagency HIV Study, including 261 women living with HIV and 179 women without the infection.

To evaluate depression, they used the Center for Epidemiologic Studies Depression Scale (CES-D), a standardized 20-item questionnaire designed to assess both physical and nonphysical symptoms.

Blood samples were then analyzed using two different epigenetic clocks. One estimated biological aging across multiple types of cells and tissues, while the other focused specifically on monocytes, a type of white blood cell involved in the body’s immune defenses.

Monocytes help the immune system respond to infections and other threats. They are especially important in HIV infection, and previous research has found elevated monocyte levels in people experiencing depression.

The results revealed a notable difference between the two aging measures.

Biological aging in monocytes was associated with nonphysical depression symptoms, particularly anhedonia, hopelessness, and feelings of failure. This relationship appeared in women both with and without HIV.

However, the same aging measure was not associated with physical symptoms of depression.

“This is particularly interesting because people with HIV often have physical symptoms like fatigue that are attributed to their chronic illness rather than a depression diagnosis. But this flips that on its head because we found that these measures are associated with mood and cognitive symptoms, not somatic symptoms,” said Perez.

The broader epigenetic clock, which measured aging across multiple cell and tissue types, showed no association with depression symptoms.

These differences suggest that examining biological aging in specific immune cells may reveal connections to mental health that are missed when researchers measure aging more generally.

Could a Blood Test Transform Depression Diagnosis?

Although the findings are promising, Perez emphasized that additional research is necessary before measurements of immune cell aging can become part of routine depression diagnosis or treatment.

The study identifies a potential biomarker, but it does not establish a clinically validated blood test for depression. Researchers will need to investigate the relationship further and determine how reliably these biological signals can identify depression across different populations.

Eventually, such a test could complement traditional mental health assessments, potentially helping clinicians recognize depression sooner and tailor treatment to individual patients.

One possible application would be using a person’s biological profile to help predict which antidepressant medication is most likely to be effective. This could reduce some of the uncertainty involved in finding appropriate treatment.

“I think about the adage, ‘What gets measured gets managed.’ An aspirational goal in mental health would be to combine subjective experience with objective biological testing,” said Perez. “Our findings bring us a step closer to this goal of precision mental health care, especially for high-risk populations, by providing a biological framework that could guide future diagnosis and treatment.”

Read more:

scitechdaily.com/scientists-say…
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