“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.

Alcohol-attributable cancer deaths in the US doubled between 1990 and 2023, according to a study published in The Lancet Regional Health – Americas.

Using more than three decades of Global Burden of Disease data, researchers found that annual alcohol-attributable cancer deaths rose from 11,361 in 1990 to 23,126 in 2023.

Men and adults aged 55 and older experienced the greatest burden, but increases were seen across most cancer types, age groups and regions.

Among older men, liver cancer accounted for the highest alcohol-attributable mortality rates, followed by esophageal and colorectal cancers. Among women, breast cancer represented the leading source of alcohol-attributable cancer mortality.

Colorectal Cancer Leads In Younger Men

The study also identified concerning patterns among younger adults. For men aged 20 to 54, colorectal cancer was the leading alcohol-attributable cause of cancer death. Among women in the same age group, breast cancer ranked first, followed by colorectal cancer.

“Notably, among adults aged 20 to 54, colorectal cancer was the leading cause of alcohol-attributable cancer mortality in men and the second leading cause in women, surpassing liver cancer in both groups,” Jani said.

Alcohol And Cancer Risk

While it is commonly known that alcohol damages the liver, the new study highlights that its impact extends beyond liver cancer, with growing burdens from colorectal, breast, esophageal, pancreatic and other cancers.

Alcohol has long been recognized as a Group 1 carcinogen by the International Agency for Research on Cancer, in the same category as tobacco smoke and asbestos. Scientific evidence links alcohol consumption to cancers of the breast, liver, esophagus, colorectum and several head and neck sites.

“The most surprising finding was the breadth of alcohol’s potential impact across cancer types,” said Chinmay Jani, chief fellow in hematology and oncology at Sylvester Comprehensive Cancer Center, part of the University of Miami Miller School of Medicine.

“Although its relationship with liver cancer is widely recognized, its contribution to cancers such as colorectal, esophageal, breast, pancreatic and prostate cancer is less well understood by the public.”

Alcohol As A Modifiable Risk Factor

Gilberto Lopes, chief of the Division of Medical Oncology at Sylvester, said the findings reinforce the importance of giving people clear information about lifestyle factors that influence cancer risk.

“What this study makes clear is that alcohol-related cancer risk is not limited to one disease or one group of people,” Lopes said. “As physicians and cancer researchers, we have an opportunity to help patients understand that alcohol is a modifiable risk factor and that even small, informed changes can be part of a broader strategy to reduce cancer risk in our community.”

Despite increasing scientific evidence, public awareness of the alcohol-cancer connection remains relatively low compared with awareness of other risk factors such as tobacco use.

“The most important takeaway is greater awareness that alcohol may affect cancer risk beyond the liver,” Jani said.

“These findings highlight alcohol as a potentially modifiable risk factor, and while the lowest safe dose is not yet known, this study suggests that reducing consumption to the lowest amount feasible for each individual may help lessen its impact on cancer risk and overall health.”

While GLP-1 drugs such as Ozempic, Wegovy and Zepbound are helping with weight loss and diabetes management, men already at risk of androgenetic alopecia may face a 7% higher risk of hair loss with higher GLP-1 activity, according to a new study.

Hair thinning has been reported by both men and women using GLP-1 drugs, with researchers largely attributing the shedding to rapid weight loss associated with the medications.

However, researchers at NYU Langone Health have now identified a potential genetic link between GLP-1 activity and androgenetic alopecia, an inherited form of hair loss affecting the top and front of the scalp.

"Our study provides the first genetic link between GLP-1 use and an increased risk of male-pattern hair loss from androgenetic alopecia, an association long suspected but until now not shown scientifically," said Lynn Petukhova, assistant professor in the Department of Dermatology and the Department of Population Health at NYU Grossman School of Medicine.

What Did The Study Find?

Researchers used large, publicly available genetic databases, including:

• eQTLGen: 31,684 mostly white men and women.
• Complex Traits Genetics group: 205,327 mostly white men

The researchers compared GLP1R-related genetic data with markers associated with androgenetic alopecia. They found that genetic variants linked to naturally higher levels of GLP-1 receptor proteins were more common in men with androgenetic alopecia.

The team also adjusted the analysis for hypertension, which may affect blood flow to the scalp and hair follicle growth; and accounted for insulin resistance and lower testosterone levels.

After these adjustments, the 7% higher risk remained.

Published online in the Journal of Investigative Dermatology, the findings suggest that GLP-1 activity and male-pattern hair loss may share a biological link.

Could Screening Help Prevent Hair Loss?

The findings could eventually help identify people who may be more vulnerable to hair loss before they are prescribed GLP-1 medications.

"Our findings suggest that, if future experiments prove successful, some men, and possibly women too, could be screened and benchmarked for their risk of hair loss before being prescribed GLP-1 medications," Petukhova said.

The researchers also suggested that some GLP-1 users could potentially receive combination treatments to prevent hair loss, such as minoxidil or another drug.

However, more research is needed to understand how GLP-1 activity may affect hair follicle growth. Petukhova also plans to investigate whether the genetic link seen in men applies to women.

Hair shedding has been reported among GLP-1 users and has been linked by researchers to rapid weight loss.

In many cases, hair growth resumes several months after weight stabilizes.

The new findings add a potential genetic explanation to these reports, but further research is needed to establish the underlying biological mechanism.

What Is Androgenetic alopecia?

Androgenetic alopecia is a common form of hair loss that becomes more likely with age. It can begin as early as the teenage years and affects both men and women, with hair loss in women most commonly observed after menopause.

Surveys suggest that 12% of Americans have used GLP-1 drugs specifically for weight loss, including one-fifth of women aged 50 to 64. Since Ozempic was approved by the US Food and Drug Administration in 2020, prescriptions for the medication have more than tripled.

Researchers from the Indian Institute of Technology Madras (IIT Madras) and Christian Medical College (CMC), Vellore, have developed three artificial intelligence (AI)-based tools designed to help detect and assess kidney diseases earlier.

The technologies could help doctors identify kidney conditions more quickly, analyse medical images more consistently and assess the extent of kidney tumours in greater detail.

What Did The Researchers Develop?

The team developed three complementary technologies:

A machine learning model that uses clinical and laboratory information to predict a person's risk of chronic kidney disease (CKD).

Together, the tools have been designed to support clinicians in detecting kidney disease and assessing its severity.

How Can The AI Tools Help?

Kidney diseases can remain asymptomatic during their early stages and may go undetected until significant damage has occurred.

The researchers say their AI-based tools could assist physicians by providing rapid and consistent analysis, potentially supporting earlier diagnosis and more informed treatment decisions.

“The team aimed to develop intelligent systems that would help clinicians make quicker and more informed decisions. We used machine learning along with clinical knowledge to develop tools that would assist in the earlier detection of kidney diseases and give more detailed information specific to the patient,” said Prof. G.L. Samuel, Department of Mechanical Engineering, IIT Madras, in a statement.

AI System Trained On More Than 12,000 CT Images

The CT image classifier was trained using more than 12,000 images and can distinguish between healthy kidneys, cysts, stones and tumours.

The researchers also developed a 3D imaging framework using open-source software to measure tumour burden.

According to the team, the approach offers an inexpensive and repeatable way to assess the extent of a tumour, which could provide additional information for treatment planning.

The CKD prediction model was implemented as a user-friendly prototype interface with the aim of facilitating future clinical translation. The team also worked on improving the model's accuracy and interpretability for doctors.

“Early detection is of paramount importance when dealing with kidney diseases; these AI tools can help detect at-risk patients early and plan their treatment more effectively. The patient-specific imaging framework is of significant promise as it goes beyond the standard measurements to give a more comprehensive picture of the extent of the disease,” said Jennifer Delighta, Research Scholar, IIT Madras.

Towards A Kidney Digital Twin

The research could also contribute to the development of a kidney Digital Twin — a technology that combines AI-assisted image analysis with patient-specific 3D anatomical models.

Such virtual models could eventually help researchers and clinicians monitor disease progression, forecast changes and support more personalized treatment planning.

However, the technologies are still being developed. The researchers plan to test the models using additional patient datasets to validate their performance and establish partnerships with healthcare institutions for potential real-world deployment.

The team is also exploring the long-term integration of these AI technologies with minimally invasive wearable sensing systems and Digital Twin platforms for personalised kidney health monitoring.