Telehealth Company Cerebral Agrees to pay $3.7M fine (and found guilty of nothing)

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Telehealth company Cerebral has agreed to pay a fine of more than $3.6 million for allegedly attempting to boost prescriptions of Adderall and other controlled substances, the Department of Justice and Drug Enforcement Administration said Monday. 

Regulators allege Cerebral’s initial visit metric didn’t consider medical literature or whether prescriptions would be clinically appropriate for patients. The company also used financial incentives to spur providers to meet prescribing metrics — and even considered disciplinary measures for those who hadn’t prescribed enough stimulants for ADHD patients, according to a press release.

https://www.healthcaredive.com/news/cerebral-controlled-substance-prescribing-fine-doj-dea/732108/

This company agreed to a fine it was unable to pay so the regulators deferred payment.

Huh?

Would You Pay $700.00 a Month to Live in One of These?

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Large enough to fit a twin mattress!

Sleep on it: the $700 San Francisco ‘pod’ with privacy curtains and charging ports

A company that rents “sleeping pods” in downtown San Francisco for $700 a month has had 300 people apply for its remaining 17 beds, the company’s CEO said. https://www.theguardian.com/society/2024/oct/31/san-francisco-sleeping-pods-affordable-housing-crisis?

Mmm…no.

Mind The Gaps

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The Food and Drug Administration is warning consumers not to use any drugs made by a compounding pharmacy in California after regulators realized the pharmacy was making drugs that need to be sterile—particularly injectable drugs—without using sterile ingredients or any sterilization steps.

The products made by the pharmacy, Fullerton Wellness LLC, in Ontario, California, include semaglutide, which is intended to mimic brand-name weight-loss and diabetes drugs Wegovy and Ozempic. Fullerton also made tirzepatide, which is intended to mimic weight-loss and diabetes drugs Zepbound and Mounjaro. Drugmaker shut down after black schmutz found in injectable weight-loss drug — https://arstechnica.com/health/2024/11/drugmaker-shut-down-after-black-schmutz-found-in-injectable-weight-loss-drug/

I’ve read the FDA advisory. The FDA warns patients and health care professionals not to use compounded drugs from Fullerton Wellness — https://www.fda.gov/drugs/drug-safety-and-availability/fda-warns-patients-and-health-care-professionals-not-use-compounded-drugs-fullerton-wellness

  1. If you’re injecting what you believe is a weight loss medication do you pay any attention to who the manufacturer is?
  2. Do you read any of the FDA drug alerts and statements?
  3. The FDA names the compounding facility but does not name of any clinics or online purveyors who may be selling you tainted and non-sterile drugs.
  4. If you ask your online provider questions will you get honest answers?
  5. Is losing a few pounds worth the risk?
  6. Have you considered the possibility that the side effects you’re having are not just normal side effects from a GLP-1 type compounded drug and may be from an impure product?

Yikes.

Dietary Approaches to Obesity Treatment

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There is no single diet that can universally fit everyone for weight loss benefit.

Parmar RM, Can AS. Dietary Approaches to Obesity Treatment. [Updated 2023 Mar 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK574576/ — https://www.ncbi.nlm.nih.gov/books/NBK574576/

Words of Wisdom from a former 370 pound human.

What worked for me may not work for you.

Keep searching for what works for you.

Find the differences that make a difference.

Good luck.

FDA Announces Recall for Duloxetine

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Nitrosamine impurities have prompted a number of drug recalls in recent years, including oral anticoagulants, metformin, and skeletal muscle relaxants.FDA Announces Recall of More than 7000 Bottles of Duloxetine – Medscape – October 28, 2024. – https://www.medscape.com/viewarticle/fda-announces-recall-more-than-7000-bottles-duloxetine

Depressing. But will be very depressing for people on this medication.

Enjoy Your Cruise (avoid the hot tub)

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Legionnaires disease is a serious pneumonia caused by Legionella bacteria. Hot tubs can be a source of Legionella growth and transmission when they are inadequately maintained and operated. Private hot tubs on cruise ships are not subject to the same maintenance requirements as are public hot tubs in common areas. Lee S, Edens C, Ritter T, et al. Two Outbreaks of Legionnaires Disease Associated with Outdoor Hot Tubs for Private Use — Two Cruise Ships, November 2022–July 2024. MMWR Morb Mortal Wkly Rep 2024;73:950–954. DOI: http://dx.doi.org/10.15585/mmwr.mm7342a3

Would You Pay $850.00 a Month to Live in One of These?

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The image above shows a proposed apartment in Denver, which would cost about $850 – less than half the current median rent in the city of $1,771. Are ‘micro-apartments’ converted from offices the answer to the housing crisis? https://www.usatoday.com/story/money/personalfinance/real-estate/2024/10/22/empty-offices-become-tiny-apartments-housing-crisis/75784459007/

I actually visited some micros in Providence RI.

One of the nation’s most beautiful historic shopping arcades was restored as 48 affordable micro-lofts, rents starting at $550 per month, and 17 small retail spaces in Providence, Rhode Island. The Micro Lofts at the Arcade Providence, completed in 2012, helps keep young professionals and artists downtown and is a major step in revitalizing the city. Micro Lofts at the Arcade Providence – https://www.cnu.org/what-we-do/build-great-places/micro-lofts-arcade-providence

If I were a lot younger, single, had a job in a CBD and not set in my Old Man Ways I would consider micro-living. I might even try a repurposed recycled wind turbine.

wind turbine tiny house

all images courtesy of Vattenfall and Business in Wind

During Dutch Design Week 2024, Superuse and Vattenfall showcase the discarded wind turbine part they’ve transformed into a furnished tiny house powered by solar panels. The design studio and energy company convert a nacelle, which is the top part of a wind turbine or the container of the engine, into a compact and movable furnished home, and visitors to the Dutch event can see it firsthand between October 19th and 27th, 2024, in Eindhoven. discarded wind turbine vessel turns into solar-powered tiny house by superuse and vattenfall — https://www.designboom.com/technology/superuse-vattenfall-discarded-wind-turbine-solar-powered-tiny-house-dutch-design-week-2024-10-24-2024/

I keep telling The Boss all I’m trying to do is to make our retirement income last as long as we last.

Rejected. Again.