Metabolism plays a big role in our health, it’s not just about helping your digestive system work smoothly, but the way your body breaks down the food and helps nutrients get absorbed into the body that matters. But often due to one reason or the other, your metabolism can slow down, which then causes issues with people. Many people think that the reason they may be gaining weight could be because of their poor metabolism, so how does one go about fixing this issue and how do you even know that the fault lies with your metabolism.

To understand why your metabolism may be slowing down, we must understand what role it exactly plays. Metabolism is the process your body uses to turn food into energy. It's essential for everything from breathing and digestion to keeping you warm. Several things affect how fast your metabolism works, including your genes, health, and lifestyle. A slow metabolism means your body burns fewer calories, which can lead to tiredness, dry skin, weight gain, and cravings.

Why Does Your Metabolism Slow Down?

There can be many reasons why your metabolism may be slowing down. You inherit some of it, and it tends to slow down as you age, often due to changes in your body and less muscle. Men and women have different metabolisms because of body size, makeup, and hormones. What you eat matters too – not enough healthy food or a very low-calorie or high-fat diet can slow it down. A lazy lifestyle, lack of sleep, and stress can also make your metabolism sluggish. Certain health problems like diabetes or an underactive thyroid, and even environmental factors, may also play a role.

Signs You Need To Improve Your Metabolism

While these are some common signs, it is best to visit a healthcare professional and ask for their opinions before you try a solution. There are many underlying reasons as to why you are experiencing slow metabolism, it can also be a side-effect of some medicine. A healthy lifestyle goes a long way, especially for people who already have digestive issues, kidney or even mental health issues like stress and anxiety.

Constant Fatigue

Feeling tired all the time, even without a good reason, could mean your metabolism is slow. A slow metabolism means your body breaks down food into energy slowly, leaving you with low energy levels. You might feel sluggish or get tired easily throughout the day. Changes in what you eat or your body composition (how much fat and muscle you have) can also make you feel more tired.

Dry Skin

Dry skin is common in winter, but if you have it all the time, it could be a sign of a slow metabolism. Thyroid hormones help control your metabolism and also keep your skin hydrated. If your thyroid isn't working right and your metabolism is slow, your skin might get very dry.

Weight Gain

If you're eating healthy and exercising but still gaining weight, a slow metabolism could be the problem. A slow metabolism doesn't turn food into energy quickly, so you burn fewer calories. Extra calories are stored as fat, making it hard to lose weight.

Feeling Cold

Feeling cold even when it's not cold outside can be a sign of a slow metabolism. Your body generates heat through metabolism. If your metabolism is slow, your body temperature might be lower. Some studies show that people with an underactive thyroid or obesity may have lower body temperatures because of a slow metabolism. This can be because of problems with thyroid hormones, which help your body make heat.

Food Cravings

Craving sugary or fatty foods can be a sign of a slow metabolism. Studies show that cravings are related to metabolic health. This is especially true for people who don't eat enough healthy foods, have bad eating habits, or have low muscle mass and high fat mass. Cravings might also mean your body isn't getting enough energy from the food you eat, so it wants more energy.

Mood Swings

Everyone has mood swings sometimes. But if you have them often, it could be from a slow metabolism. Low energy and hormone problems that come with a slow metabolism can make you irritable and frustrated. Some older research also suggests a link between mental health issues and a slow metabolism.

Digestive Problems

Digestion and metabolism are connected. Digestion breaks down food, and metabolism turns it into energy. If your metabolism changes, like slowing down, it can affect your digestion. A slow metabolism can cause constipation, bloating, or diarrhea.

COVID-19 and influenza are major causes of illness and death worldwide, particularly in countries like the US and UK. Vaccines can prevent infection or reduce the severity of illness, yet many people struggle to stay up to date due to time constraints or lack of motivation. If you are eligible for both vaccines around the same time, combining them in a single visit can save time and effort.

Doctors suggest that receiving both vaccines at the same visit can be a convenient approach, but a common question arises: which arm should you use? Is it safe to administer both vaccines in the same arm, or is it better to use separate arms?

One Arm or Two: Which One To Use For Both Shots?

Getting both shots in one visit sounds efficient, but you still need to decide whether to use one arm or two. Often, it comes down to personal preference, although sometimes the healthcare provider will make the decision. Is there evidence to guide this choice? Should both vaccines go in the same arm or one in each?

Which Arm Works Best for COVID and Flu Vaccines?

Animal studies suggest that administering the COVID and flu vaccines in the same limb may enhance immune responses. The mRNA COVID vaccines include a built-in immune booster called an ionizable lipid, which is a fatty molecule that protects the mRNA inside the vaccine.

Flu vaccines usually lack an adjuvant, but the built-in adjuvant in the COVID shot could potentially boost the flu vaccine’s immune response if both are given in the same arm.

However, giving two shots in one arm can increase the risk of arm soreness, the most common side effect. To explore this in humans, researchers at the University of Melbourne conducted a randomized controlled trial with 56 healthy adults. The study compared giving the Moderna COVID mRNA vaccine and the CSL influenza vaccine in the same arm versus opposite arms.

Participants were randomly assigned to two groups: the “same arm” group received both vaccines in the non-dominant arm (usually the left arm for right-handed people), while the “opposite arm” group had the COVID vaccine in the non-dominant arm and the flu vaccine in the dominant arm. This setup was chosen because the COVID vaccine is more likely to cause a sore arm compared to the flu shot. Researchers collected blood, saliva, and nasal samples, and participants reported on any side effects.

Same Arm vs. Opposite Arm

The trial found no significant differences in key immune responses, such as neutralizing antibodies, whether the vaccines were given in the same arm or separate arms. Secondary analyses suggested a slightly higher immune response to COVID in the opposite arm group.

Nearly all participants reported mild arm soreness. Those in the same-arm group experienced more tenderness in that single arm, while participants in the opposite-arm group had reactions in both arms, particularly in the non-dominant arm that received the COVID vaccine.

What This Means for You

Overall, receiving both vaccines on the same day, whether in one arm or two, provides strong protection against both infections. Choosing opposite arms may slightly improve immune response and reduce soreness in any one arm, but it comes with two mildly sore arms.

For anyone looking to save time, having both vaccines in the same visit is convenient and effective. Most side effects are mild, making the benefits of dual vaccination well worth it.

A new wave of anti-obesity medications is transforming how people experience hunger. Rather than merely suppressing appetite, these drugs work by gently quieting the brain circuits that constantly drive us to eat.

The obesity medication tirzepatide, marketed as Mounjaro or Zepbound, appears to dampen brain activity linked to food cravings, according to a recent study. Researchers tracked the electrical signals in the brain of someone with severe obesity, who had persistent ‘food noise’ soon after starting the medication.

The study is the first to use electrodes to directly observe how blockbuster GLP-1–mimicking obesity drugs affect brain activity in humans, hinting at how they ease intense food cravings. But how exactly do these weight-loss medications work to reduce the ‘food noise’ in your mind?

We spoke with Dr. Nidhi Khandelwal, a leading Robotic & Laparoscopic Bariatric, Hernia & GI Surgeon | Mumbai MS, FIAGES, FALS (Bariatrics), FALS (Robotics), to understand more.

Can Weight Loss Drugs Suppress Food Craving In Your Brain?

Casey Halpern, a neurosurgeon-scientist at the University of Pennsylvania, and his team did not initially set out to study obesity drugs’ effects on the brain. Their goal was to see if deep brain stimulation—a therapy delivering a mild electrical current directly into the brain, could reduce compulsive eating in people with obesity who did not respond to treatments like bariatric surgery.

For the study, participants had electrodes implanted in their nucleus accumbens, a brain region involved in reward. This area also contains GLP-1 receptors, explains Christian Hölscher, a neuroscientist at the Henan Academy of Innovations in Medical Science, Zhengzhou, China, “so we know GLP-1 influences reward circuits.” The electrodes can both record electrical activity and deliver currents as needed and are already used to treat some epilepsy cases.

For the first two participants, intense food-noise episodes coincided with spikes in low-frequency brain activity, suggesting that these signals could indicate compulsive food cravings.

The third participant, a 60-year-old woman, had just started a high dose of tirzepatide—prescribed for type 2 diabetes—when her electrode was implanted. “We took advantage of this chance because of the excitement around these medications,” Halpern says. In the following months, her urges to binge eat disappeared. “It was remarkable to see the absence of food noise in someone with a long history of cravings,” he adds. “Equally striking was the silence in the nucleus accumbens, as seen in the electrical readings from that area.”

How Do Weight Loss Drugs Help With Food Cravings?

Many people struggling with weight describe a constant ‘buzz’ in their minds, preoccupied with thoughts about their next snack, cravings for sweets, or planning meals even when not hungry. This is often called “food noise.” These medications help quiet that constant chatter.

Dr. Khandelwal explains, “They send signals to the brain similar to what naturally happens after a satisfying meal. People feel full faster, stay satiated longer, and don’t experience the same urge to snack constantly. The mind feels clearer, and the emotional pull of comfort foods becomes easier to manage.”

She also noted another benefit: the ability to make better food choices, like selecting a healthier meal or stopping when full. Goals that once felt impossible now feel achievable and more natural. For many, the biggest change is not only weight loss but also the relief of finally having mental peace from constant cravings, which supports healthier habits.

However, Dr. Khandelwal emphasizes that these medications should only be used under the supervision of a specialist in obesity management.

Nearly one in seven couples struggles with infertility, meaning they haven’t been able to conceive despite having regular, unprotected sex for a year or more. In roughly half of these couples, male infertility is at least partially responsible. Causes can range from low sperm production and abnormal sperm function to blockages that prevent sperm delivery.

Illnesses, injuries, chronic conditions, lifestyle factors, and other influences may contribute. Not being able to conceive can be stressful and emotionally challenging, but a variety of treatments exist for male infertility. But are there natural ways to improve male fertility? We spoke with Dr. Ruchi Jain, Fertility Specialist at Nova IVF Fertility, Kolkata, to get her insights.

What Is Male Infertility?

Male infertility refers to a man’s inability to cause pregnancy in a fertile female partner, often due to problems with sperm production, function, or delivery. After a year of trying (or six months if the woman is over 35) without success, doctors usually examine both partners. About 50% of infertility cases involve male factors, with the most common issues being low sperm count (oligospermia), poor motility, abnormal morphology, or the complete absence of sperm in the ejaculate (azoospermia), Dr Jain explained. Some causes are temporary, some treatable, and some may be permanent.

Can Male Infertility Be Treated Naturally?

Many men experience noticeable improvement by focusing on lifestyle changes and addressing reversible medical conditions. Research shows that a nutritious diet (like a Mediterranean-style or “prudent” diet), regular moderate exercise, quitting smoking, reducing alcohol, losing excess weight, and avoiding heat or tight underwear can improve sperm quality.

Dr. Jain noted, “These adjustments don’t guarantee conception, but they often enhance sperm count, motility, and DNA quality enough to support natural conception or assisted reproductive techniques.”

Medical Fixes That Can Restore Fertility

Certain medical conditions that cause infertility can often be reversed. For example, varicoceles, which are enlarged veins in the scrotum—are a common cause; repairing a significant varicocele frequently improves semen parameters and can lead to pregnancy.

Hormonal issues, such as low testosterone or pituitary disorders, may also be treated with medication. Dr. Jain said, “Temporary causes like infections, medications, or recent fevers can lower sperm counts, which often normalize within a few months once the underlying issue is resolved. Professional guidelines highlight that many male-factor infertility cases can respond well to medical or surgical treatment.”

Is Male Infertility Permanent?

Dr Jain told us that some conditions are extremely difficult or impossible to “cure.” Genetic disorders (like Klinefelter syndrome), congenital absence of the vas deferens, severe testicular failure, or damage from chemotherapy or radiation usually prevent normal sperm production.

In these cases, treatment focuses on alternatives: retrieving sperm directly from the testicles, using IVF with ICSI (intracytoplasmic sperm injection), donor sperm, or adoption. Recent studies show that sperm retrieval after certain procedures can improve success rates, but outcomes depend heavily on the underlying condition of the testicles.

What About Supplements, Herbs, and “Natural” Cures?

Interest in antioxidants (vitamins C and E, zinc, L-carnitine), herbal remedies (maca, ginseng), and bioactive compounds (resveratrol, curcumin) is rising. Some research reports modest improvements in sperm quality, while other studies show mixed or minimal effects.

However, experts caution that supplements aren’t a miracle solution, quality varies, and evidence remains limited. Always consult a specialist before trying supplements, as some may interact with medications or cause harm at high doses.

Big-Picture Threats and Prevention

Even with personal lifestyle changes, environmental factors play a major role. Global air pollution, pesticides, plastics, and other endocrine-disrupting chemicals are linked to long-term declines in sperm counts. While an individual cannot control these entirely, reducing exposure (avoiding unnecessary plastics, limiting contact with heat or chemicals, choosing organic or well-washed produce) and advocating for public health measures are practical steps. Recent global reviews have highlighted these environmental threats to male fertility.

How To Reverse Male Infertility?

Male infertility is not always permanent. Many causes, such as obstructions, varicoceles, hormonal imbalances, or infections—can be treated or reversed. Lifestyle changes and certain medical or surgical interventions can improve outcomes for many men.

Conversely, genetic factors, severe testicular damage, and gonadotoxic injuries are usually irreversible, requiring assisted reproductive techniques or other family-building options. A structured diagnostic assessment and an individualized treatment plan—including genetic counseling when needed are essential.