Topics

Evidence Quality

WHAT THE STUDY ACTUALLY SAYS

In kidney disease, lower blood pressure still protects the heart

Across 27 trials and 88,830 people, each 10-mmHg drop in systolic pressure cut cardiovascular events whether or not the kidneys were impaired — while aggressive lowering nudged up short-term markers of kidney decline.

WHAT THE STUDY ACTUALLY SAYS

Elafibranor held its biochemical gains in PBC across three years

Two-year blinded data and open-label follow-up from the ELATIVE trial show the drug kept improving liver blood tests in primary biliary cholangitis — but the endpoint is still a surrogate, and the trial is industry-run.

Q&A

How much protein do you really need to build muscle?

The muscle-building literature converges on roughly 1.6 grams of protein per kilogram of bodyweight a day, with gains flattening above that — a target well clear of the deficiency floor most official figures quote.

Q&A

Do you have to lift heavy to build muscle?

No. When sets are pushed close to failure, light and heavy weights build muscle about equally. The one thing heavier loads reliably win is maximal strength.

Q&A

Do fat burners actually work?

Barely, and some carry real risk. Caffeine has a small, measurable effect; the other headline 'thermogenic' ingredients mostly don't, and high-dose green tea extract has caused liver injury.

EXPLAINER

What is a normal blood sugar level?

There is no single number. Normal depends on which test is used and whether you have fasted — and the cut-offs that define prediabetes and diabetes are lines drawn on a continuous scale.

WHAT THE STUDY ACTUALLY SAYS

Is frozen produce as good as fresh? What nutrient analyses show

Two controlled studies compared vitamins in fresh and frozen fruit and vegetables. Frozen matched fresh in most cases and sometimes beat it, especially against fresh produce that had spent a few days in the fridge.

WHAT THE STUDY ACTUALLY SAYS

Does bright light therapy help non-seasonal depression?

The best single randomised trial found morning light beat a sham device over eight weeks, but the effect is most reliable when light is added to an antidepressant rather than used alone.

WELL CURVE

Is popcorn healthy? What the evidence shows

Air-popped popcorn is a whole grain, high in fibre and low in fat — a legitimately good snack. What turns it unhealthy is butter, oil, salt and portion size, not the corn itself.

WHAT THE STUDY ACTUALLY SAYS

Should healthy adults get a screening ECG?

US preventive guidance recommends against a resting or exercise ECG in symptom-free adults at low cardiovascular risk, and finds the evidence insufficient at higher risk. The tracing rarely changes treatment.

Q&A

What are the early signs of type 2 diabetes?

The honest answer is that early type 2 diabetes usually has no signs you can feel. The classic symptoms arrive late, and damage can be under way years before the diagnosis is made.

Q&A

Does stress raise blood sugar? What the evidence shows

Yes — the hormones released under stress push glucose up, which is why steroids and severe illness cause hyperglycaemia. Whether everyday stress raises long-term diabetes risk is a smaller, murkier effect.

WHAT THE STUDY ACTUALLY SAYS

Does MSG cause headaches? What controlled studies actually found

A systematic review of human trials found the evidence weak and inconsistent. Where MSG seemed to trigger headaches, it was given in large doses dissolved in water without food, in studies that were not properly blinded.

Q&A

Does a gratitude practice work? Small, real, and oversold

A gratitude habit gives most people a genuine but small lift in wellbeing — a 2025 meta-analysis of nearly 25,000 people put the average effect at a modest 0.19 — and its unique benefits are probably overstated.

Q&A

Should you be screened for type 2 diabetes?

US preventive guidelines back a blood-sugar test for adults 35 to 70 who carry extra weight; the main diabetes body would test every adult from 35. The gap is about how wide a net catches enough real disease.

WHAT THE STUDY ACTUALLY SAYS

Selenium and cancer: how a promising trial was overturned

A small 1990s trial hinted selenium supplements cut cancer, launching a supplement boom. The much larger SELECT trial found no benefit — and signals of harm, including more type 2 diabetes.

WHAT THE STUDY ACTUALLY SAYS

Beta-carotene supplements: the antioxidant that backfired

Diets rich in colourful fruit and vegetables track with less cancer, so supplement makers bottled beta-carotene. Two large trials in smokers found the pills raised lung cancer and death — the opposite of the hope.

EXPLAINER

Childhood eczema: what actually calms the itch

Regular moisturisers and short courses of topical steroids are the mainstays, with modest trial support. Most children improve with age, and popular add-ons like bleach baths are no better than plain water.

EXPLAINER

Why do we get goosebumps?

The reflex that stands body hair on end in the cold or at a stirring piece of music is largely a leftover from furrier ancestors — but new work shows the same wiring quietly keeps hair able to regrow.

WHAT THE STUDY ACTUALLY SAYS

Does shaving make hair grow back thicker or darker? No

The belief that a razor makes hair return coarser, faster or darker is one of medicine's durable myths. Controlled studies going back decades find no change in thickness, colour or growth rate.

WHAT THE STUDY ACTUALLY SAYS

Who should be screened for an abdominal aortic aneurysm?

US guidelines recommend a one-time ultrasound for men aged 65 to 75 who ever smoked, and advise against it for most women. The split turns on who actually benefits from finding a silent bulge in the aorta.

Q&A

Does poor posture cause back pain?

An umbrella review of 41 systematic reviews found sitting, standing and 'bad' posture are at most weakly and inconsistently linked to low back pain — and none of it establishes that posture is the cause.

WHAT THE STUDY ACTUALLY SAYS

Does colchicine, an old gout drug, prevent heart attacks?

Two trials found low-dose colchicine cut cardiovascular events, and the FDA approved it for heart risk in 2023. Then the largest trial found nothing, leaving the question genuinely unsettled.

WHAT THE STUDY ACTUALLY SAYS

Does cardiac rehabilitation after a heart attack work?

Pooled across 85 trials, exercise-based cardiac rehab cut later heart attacks and hospital admissions but barely moved death rates within a year — a real benefit, and a narrower one than the usual pitch.

ANALYSIS

Restless legs: the first-line drugs just changed places

The 2024 AASM guideline now advises against routinely using the dopamine agonists that were once standard, because over time they often make the condition worse — and puts anticonvulsants and iron first.

WHAT THE STUDY ACTUALLY SAYS

Glycaemic index: does choosing low-GI foods actually help?

In a tightly controlled feeding trial, swapping high-GI for low-GI carbohydrate inside a healthy diet did not improve insulin sensitivity, cholesterol or blood pressure. The wider evidence rates the GI case as weak.

EXPLAINER

Childhood constipation: why more fibre is not the fix

Most constipation in children has no underlying disease. Guidelines say the treatment that works is a laxative — clearing the backlog, then a maintenance dose for weeks — not simply adding fibre or fluid.

EXPLAINER

How much protein do you actually need?

The official figure is 0.8 grams per kilogram of bodyweight a day — but that number is a floor to prevent deficiency, not a target for optimal health, and that distinction drives most of the argument.

EXPLAINER

What actually causes a muscle cramp?

The familiar explanation — dehydration and lost salts — is the weakest part of the evidence. The better-supported idea is that cramping is a failure of nerve control, which is why a mouthful of pickle juice can stop one.

WHAT THE STUDY ACTUALLY SAYS

Secukinumab missed its mark in a giant cell arteritis trial

In the phase 3 GCAptAIN trial the interleukin-17A blocker did not significantly beat placebo for sustained remission at one year, leaving the IL-6 inhibitor tocilizumab as the proven steroid-sparing option.

WHAT THE STUDY ACTUALLY SAYS

Prasinezumab missed its main goal in a Parkinson's trial

The anti-alpha-synuclein antibody did not significantly delay motor progression in the phase 2b PADOVA study, though a non-significant trend and secondary signals keep a phase 3 trial alive.

WHAT THE STUDY ACTUALLY SAYS

An siRNA eased myasthenia gravis in the phase 3 NIMBLE trial

Cemdisiran, a gene-silencing drug given under the skin once every three months, cut daily-living scores more than placebo in antibody-positive generalised myasthenia gravis, a rare complement-driven disease.