“I'm not great at the advice. Can I interest you in a sarcastic comment?”

This is what ‘Friends’ actor Matthew Perry’s character Chandler Bing was known for. He was known for being funny. However, he had his own struggles in his personal life and those struggles were acute depression. He was treating it with ketamine infusion therapy which is legal in the US and the UK.

What is Ketamine infusion therapy?

Ketamine is an anaesthetic used to treat depression, anxiety and pain under supervised and controlled medical settings. However, it does have its side effects, which can lead to distortion of sight, sound and time. It can also produce calming and relaxing effects.

Ketamine increases a person’s heart rate and blood pressure. If overdosed, it can leave users confused and agitated and can cause them to hurt themselves without even realising it. It can also lead to liver damage and bladder problems.

However, when used in moderation and under the supervision of medical doctors, it can treat depression where traditional antidepressants have failed.

Prof Rupert McShane, a University of Oxford psychiatrist who runs an NHS ketamine treatment clinic told BBC that ketamine “probably turns off the area of the brain that is involved in disappointment.”

Can Ketamine Infusion Therapy Kill Someone?

In simple terms, it cannot, be if the dosage is given in a controlled setting and as prescribed. Ketamine infusion therapy uses drugs in small doses than those used for anaesthesia. It acts faster than traditional anti-depressants, but the effects also wear off way quickly. Which is why it is important to monitor patients’ mental state for relapsing back into depression and discouraging them from overdosing on it.

There are ways of giving people ketamine. One of the ways is through “infusing”, which means to use an IV drip. However, injections, nasal sprays and capsules are also methods used to give people ketamine.

Since the dosage of ketamine used in the infusion treatment is small, it being the reason of actor Perry’s death was ruled out. The medical examiner also noted that Perry’s last ketamine infusion therapy session happened more than a week before his death, which means by the time he had died, it must have worn off.

So, What Happened To Perry?

Though Perry’s last session was more than a week before, his post-mortem showed that his blood contained a high concentration of ketamine. He had died of the “acute effects” of ketamine.

If it was not his session, then how did he get ketamine?

Prosecutors alleged that his assistant gave him at least 27 shots of ketamine in four days before his death, reported BBC.

Perry has been open about his personal struggles and this is what the doctors and dealers used against him. Martin Estrada, the US attorney for California’s Central District told the BBC that people took advantage of his condition. They charged him 165 times more than what vials of ketamine cost.

Names that have come up include Dr Salvador Plasencia, drug dealers “Ketamine Queen” aka Jasveen Sangha and Eric Fleming, and Perry’s live-in assistant Kenneth Iwamasa.

Who Are These Names And What Did They Do?

Ketamine Queen or Sangha supplied drugs that led to Perry’s death. Her home was a “drug-selling emporium,” said Estrada. More than 80 vials of ketamine, and thousands of pills including methamphetamine, cocaine and Xanax were allegedly found in her house known as the “Sangha Stash House.”

Sangha is known to deal with high-end celebs and was a “major source of supply for ketamine to others as well as Perry,” said Estrada.

Dr Plasencia called Perry a “moron” while charging him $2,000 for vials that cost only $12. He sold Perry 20 vials of ketamine between September and October 2023, costing $55,000.

He was the one who taught Iwamasa, who had no medical knowledge to inject the drug. This is after he knew that “Perry’s ketamine addiction was spiralling out of control,” as per what the investigators told the BBC.

Another dealer Fleming was told by Sangha to “delete all our messages.” While Fleming pleaded guilty to conspiring to distribute drugs unlawfully, he also allegedly messaged Sangha: “Please call...Got more info and want to bounce ideas off you. I’m 90% sure everyone is protected. I never dealt with [Perry] only his assistant. So the assistant was the enabler.”

The court documents also revealed that he asked Sangha on whether the ketamine stays in your system or “is it immediately flushed out.”

Dr Pepper, Bots, Cans

The people who allegedly exploited Perry used coded language for ketamine and called it “Dr Pepper”, “bots”, or “cans.”

Selling overpriced drugs, taking advantage of Perry’s mental condition and falsifying medical records to make the drugs given to him look legitimate by Dr Plasencia is what took Perry’s life.

Iwamasa is said to have administered more than 20 shots of ketamine and three on the day Perry died. Whereas ketamine is only administered by a physician. Authorities also found that weeks before Perry’s death, Dr Plasencia allegedly bought 10 vials of ketamine and intended to sell to Perry.

He also injected Perry with a large dose, two days later. This caused him to “freeze up” and spiked his blood pressure.

When I Die, I Want Helping Others To Be The First Thing That’s Mentioned

Perry had always been open about his drug addictions, struggles with alcohol and his depression. He said that his openness would help others who are also struggling and wanted to be remembered by his quote which also is on the homepage of the Mattew Perry Foundation that helps others struggling with the disease of addiction: “When I die, I want helping others to be the first thing that’s mentioned.”

Five arrests have been made in the case so far.

Retatrutide, Eli Lilly’s new weight-loss drug, is in the final stages of its clinical trial, and the results seem very promising, the drugmaker said on Thursday. In a news release, they disclosed that the brand-new drug helped people lose up to 30 per cent of their body weight, which is about 85 pounds. The results are on a par with bariatric surgery, which helps people shed approximately 25 to 35 per cent of their total body weight within one to two years. Doctors say that this is the largest weight loss ever witnessed in a medical trial. While Lilly has not yet filed for approval from the Food and Drug Administration, the pharma giant says that it expects to file this year.

What is Retatrutide?

Retatrutide is similar to drugs like Zepbound and Wegovy that mimic the GLP-1 hormone. Retatrutide, however, along with GLP-1, mimics glucagon as well, thereby working like a triple agonist. This is unlike Zepbound, which is a double agonist. Researchers said that they have witnessed the impact of semaglutide and tirzepatide. However, Retatrutide's results went beyond the current weight-loss drugs on the market.

Dr Shauna Levy, medical director of the Tulane Weight Loss Center, explained that the current GLP-1s are not good enough to induce weight loss in people dealing with severe obesity and those who have a BMI of 35. Bariatric surgery can provide the same, but it seems that Retatrutide will be far more effective for people living with a high BMI who are trying to achieve a healthy weight.

Read more: Meet Retatrutide: The Unapproved Cousin Of Ozempic That Supports Weight Loss Differently

Retatrutide's results

Retatrutide was in the third phase of its trials involving 2,300 obese or overweight participants. While the full results have not yet been released in a medical journal, participants who took the highest dose of the drug lost 28 per cent of their body weight, approximately 70 pounds. Furthermore, nearly half of the participants lost over 30 per cent of their body weight. The trial continued for 80 weeks, and a small group of severely obese patients took the drug for 104 weeks and lost about 85 pounds on average. Alternatively, patients who took high doses of Zepbound lost around 21 per cent of their body weight in 72 weeks. Wegovy users lost about 15 per cent of their weight in 68 weeks.

What were the side effects of Retatrutide?

On the downside, there were some side effects too. Retatrutide users experienced the following side effects:

1. Diarrhoea
2. Nausea
3. Constipation
4. Urinary tract infections
5. Uncomfortable skin sensations

These have, however, been seen with GLP-1 drugs.

New weight-loss drug coming soon?

Retatrutide might be the next big weight-loss drug set to hit the market soon. It aims to maximise weight-loss results with fewer side effects for users. If approved, it could be helpful for patients who are struggling to lose weight on the current versions of GLP-1 drugs.

A 24-year-old student from West Bengal has reportedly become the first confirmed heatstroke case of the season in India’s national capital.

According to doctors at Dr Ram Manohar Lohia (RML) Hospital, the young man was admitted in critical condition after developing hyperpyrexia — an extremely high body temperature, and altered mental status while travelling by train to the national capital.

"We received our first heatstroke patient at the RML Hospital on the intervening night of May 20-21. The 24-year-old youth from West Bengal was travelling on a train when his health deteriorated,” said Dr Ajay Chauhan, Director Professor of Medicine, at RML, PTI reported.

“He was brought to the hospital in an unconscious state. We took immediate action and tried to cool down his body,” he said, adding that the boy "is admitted to the medicine ward and is still critical".

As per the doctors, the student had no known pre-existing medical condition, and other possible causes of his symptoms were ruled out before heatstroke was diagnosed.

What Is Heatstroke?

Heatstroke is the most severe form of heat-related illness and is considered a medical emergency. It occurs when the body loses its ability to regulate temperature due to prolonged exposure to extreme heat or dehydration. In most cases, body temperature rises above 104°F (40°C), which can damage the brain, heart, kidneys, and muscles.

“The general features of a patient with heat stroke are: first, his or her body temperature will be very high. It will not be around normal levels like 104, 105, or 106—it will be significantly elevated. Second, the person may be delirious, confused, or even in a state of unconsciousness or coma. The breathing will also be labored,” Dr. Naval Vikram, Professor, Department of Medicine, at the AII India Institute of Medical Sciences (AIIMS), told HealthandMe.

During a heatwave, most patients improve quickly with rest, oral fluids, cooling measures, and moving to a shaded or air-conditioned environment.

"However, if heat exposure continues and the body’s cooling mechanisms begin to fail, the condition can progress to heat stroke, which is a medical emergency. In heat stroke, body temperature often rises above 104°F," Dr. Vaibhav Mishra, Senior Director & Head, CTVS, Max Super Speciality Hospital, told HealthandMe.

What may initially appear as confusion, disorientation, or irrelevant talking can rapidly worsen into:

• altered consciousness,
• seizures,
• coma,
• death.

Heat Stroke: How Can One Prevent?

Also read: Bundibugyo Ebola Cases Rise To 600 As Scientists Investigate Spillover Event

While it may be impossible to avoid rising temperatures, the focus should be on how much you can protect yourself. Experts suggest the following measures:

• Avoiding exposure to extreme heat as much as possible.
• In case of being exposed, make sure to cover yourself—cover your head and upper body, use an umbrella, stay hydrated, and take breaks in between.
• If you have to work in a hot environment for a couple of hours, take a break in a cooler or temperature-controlled environment for at least half an hour before resuming, rather than continuously working in the heat. These steps can help prevent heat-related problems.
• If symptoms do occur, and it is heat exhaustion, take rest and avoid further activity for some time.
• In more severe cases—if someone shows symptoms like loss of consciousness or very high body temperature—they should be taken to a hospital immediately. Do not try to manage such cases at home.

What Does the IMD Say?

The India Meteorological Department (IMD) has warned of severe temperatures across several states.

"Heat wave to severe heat wave conditions likely to continue to prevail over northwest & central India during the week and over East India during the next 5 days," the IMD said, in its latest update on May 20.

It added that severe heat conditions will persist for at least the next 72 hours across Delhi-NCR, Rajasthan, Uttar Pradesh, Punjab, and Haryana. Temperatures in several cities are expected to touch 47°C to 48°C, with Banda currently emerging as the hottest place in the country.

Alzheimer's disease is a progressive neurodegenerative disorder that affects millions of people worldwide, and it has a long preclinical stage. It is mostly diagnosed at an advanced age, but according to doctors, it begins years before the symptoms become evident. New research shows that blood biomarkers, along with self-reported memory concerns, could give an explanation as to how Alzheimer's disease worsens over time. Therefore, the best time to nourish brain health is during your 40s or 50s.

For this study, researchers used data from the Dunedin Study at the University of Otago, which had been following a few participants for over 50 years. Researchers found a protein known as pTau181, which is associated with self-reported problems linked to memory and thinking skills. Participants were 45 years old at the time of assessment. Typically, an Alzheimer's diagnosis happens at or after the age of 65–70.

When it comes to Alzheimer's, the treatments could only slow down disease progression, but they do not fully restore cognitive function, which is usually lost in the advanced stages. Researchers noted that these treatments work best when taken early, which makes it important to identify the early signs of Alzheimer's disease.

Dementia prevention

Researchers noted that different types of dementia can look different at various stages of the disease. However, the course of progression and treatment can vary from patient to patient. In the past, Alzheimer's could only be diagnosed post-mortem or through invasive procedures such as lumbar punctures. However, researchers are now working towards identifying blood biomarkers that could offer minimally invasive ways to identify high-risk patients for Alzheimer's.

Can Alzheimer's be detected early?

Researchers note that Alzheimer's can be detected in the early stages, and this could provide an opportunity for prevention. It may also offer health benefits for ageing and the brain. Some lifestyle changes include supporting people to remain active, continue engaging in social activities, and address factors such as hearing loss or hypertension. Preventive approaches in this case have worked more effectively the sooner they are implemented. Therefore, it is important to study middle-aged populations, as the signs can start appearing long before the disease is finally diagnosed.

Forgetfulness as an early sign

As people get older, they notice that their memory is not as strong as it used to be. Forgetfulness gradually becomes a common issue with advancing age. However, in some cases, these problems indicate a different story altogether. Recent research shows that minor changes in cognition often begin long before diagnosis, and that is the first moment the disease is truly felt.

Screening for biological Alzheimer's markers

When it comes to screening for biological markers, combining them with subjective memory function reports can help distinguish the earliest signs of Alzheimer's from normal ageing. Proteins such as pTau181 are much higher in Alzheimer's patients, but researchers have not yet ascertained when they begin to accumulate. While researchers did not find that pTau181 was linked to MRI scans measuring cognitive test performance at 45, there were two possible explanations for this:

1. pTau181 might increase during the early stages of Alzheimer's, when people start to experience worsening memory, but it does not appear on an MRI.
2. Alternatively, it could be that high pTau181 is not linked to Alzheimer's risk in midlife, but the protein could still be useful for Alzheimer's diagnosis in older adults.