Happiness is influenced by a complex interplay of various chemicals in our brain, particularly four key neurotransmitters, D.O.S.E or Dopamine, Oxytocin, Serotonin, and Endorphins. These chemicals, often referred to as "happiness chemicals," are responsible for creating feelings of joy, motivation, connection, and calm.

However, when there's a deficiency in any of these, it can significantly affect our mood, energy, and overall well-being. Let’s dive into what these four neurotransmitters are, how their deficiency impacts us, and how we can boost their levels naturally.

Dopamine: The Motivation and Reward Chemical

Dopamine is often called the "motivation molecule." It plays a major role in enabling motivation, learning, and the pleasure-reward system in the brain. When we accomplish something — whether it’s finishing a project, completing a workout, or achieving a goal — dopamine gives us that sense of satisfaction and determination to continue.

Deficiency Effects:

When dopamine levels are low, it can lead to procrastination, low self-esteem, lack of focus, and general fatigue. A person might feel anxious, hopeless, or experience mood swings because the brain isn’t getting the reward signals it needs.

Boosting Dopamine:

You can increase dopamine levels by setting and achieving small goals, exercising regularly, eating foods rich in L-Tyrosine (such as almonds, avocados, and eggs), and practicing mindfulness or meditation. Engaging in creative activities like writing or drawing also helps boost dopamine levels.

Oxytocin: The Bonding Chemical

Oxytocin is often referred to as the "love hormone" or "cuddle hormone" because it plays a major role in social bonding and trust. It’s released when we hug, touch, or engage in other forms of physical affection. Oxytocin fosters feelings of connection and emotional intimacy, making it essential for relationships, family bonding, and even team cooperation.

Deficiency Effects:

A lack of oxytocin can lead to feelings of loneliness, stress, anxiety, and difficulties in forming or maintaining relationships. Low oxytocin levels are associated with feelings of isolation and disconnection from others.

Boosting Oxytocin:

You can raise your oxytocin levels through physical touch, socialising, spending quality time with loved ones, and even engaging in activities like massage or listening to soothing music. Acts of kindness, such as helping others or volunteering, also help release oxytocin.

Serotonin: The Mood Stabiliser

Serotonin is responsible for feelings of well-being and contentment. It helps regulate mood, sleep, digestion, and even social behavior. People who have balanced serotonin levels often feel calm, confident, and emotionally stable. Serotonin is crucial in helping people feel valued and significant among their peers.

Deficiency Effects:

Low serotonin levels are linked to depression, low self-esteem, irritability, and mood swings. Individuals may feel overly sensitive to criticism, experience panic attacks, or struggle with social phobias when serotonin is deficient.

Boosting Serotonin:

You can boost serotonin by getting regular exercise, exposing yourself to sunlight, engaging in cold showers or massages, and practicing mindfulness. Simple activities like walking in nature, meditating, or doing yoga are also effective serotonin enhancers.

Endorphins: The Pain Reliever

Endorphins are the body’s natural painkillers. Released in response to stress, pain, or intense physical activity, they help alleviate discomfort and promote a sense of euphoria. Endorphins are what make you feel good after a workout or a hearty laugh, often referred to as the "runner's high."

Deficiency Effects:

Without enough endorphins, people may experience anxiety, depression, chronic pain, and insomnia. A deficiency in endorphins can make daily life feel overwhelming and physically draining.

Boosting Endorphins:

To boost endorphins, engage in laughter, exercise, and stretching activities. Eating spicy foods or dark chocolate can also stimulate endorphin production. Regular massage therapy and meditation are other ways to naturally elevate endorphin levels.

With advancements in medical technology, hip replacement surgery has evolved significantly over the years. One of the most promising innovations in this field is the Direct Anterior Approach (DAA) Total Hip Replacement, a modern technique that offers patients a safer procedure, reduced pain, and faster recovery.

Unlike traditional hip replacement surgeries, the DAA technique allows surgeons to access the hip joint from the front through a small incision. The biggest advantage of this approach is that muscles are not cut during the surgery. Instead, they are gently separated, which helps minimize tissue damage and reduces post-operative pain considerably.

This muscle-sparing approach has transformed patient recovery experiences. Most patients are able to stand and walk on the same day of surgery, and hospital stays are generally shorter. Recovery is smoother, allowing individuals to return to their normal routine within three to four weeks in most cases.

The DAA technique is especially beneficial for patients suffering from chronic hip pain, restricted movement, or severe joint damage. Common conditions that may require hip replacement include osteoarthritis, avascular necrosis (AVN), rheumatoid arthritis, old hip fractures, and long-standing degenerative joint conditions. When medications, physiotherapy, and injections fail to provide lasting relief, hip replacement surgery can significantly improve mobility and quality of life.

Compared to conventional hip replacement procedures, DAA offers several advantages. The surgery involves a smaller incision, less blood loss, minimal muscle damage, and lower post-surgical discomfort. Patients are able to regain movement faster and often experience greater confidence during rehabilitation.

One of the most common concerns among patients is the fear of severe pain after surgery. However, with modern pain management techniques and advanced surgical methods, discomfort after DAA hip replacement is usually minimal and manageable. Patients today recover much more comfortably than they did in the past.

Another important factor is the durability of modern implants. Advances in implant technology have significantly improved their lifespan, with many implants lasting more than 25 years. Maintaining a healthy body weight, staying physically active, and following medical advice can further improve the longevity and effectiveness of the implant.

After successful recovery, patients are generally able to resume a normal and active lifestyle. They can return to work, perform household activities independently, and participate in light exercises such as yoga, swimming, and stationary cycling. The primary goal of hip replacement surgery is not just pain relief, but restoring confidence, mobility, and independence.

Preparation before surgery also plays an important role in achieving better outcomes. Patients are advised to maintain controlled blood sugar levels, blood pressure, and overall heart health. Informing doctors about ongoing medications, performing basic physiotherapy exercises before surgery, and preparing a comfortable recovery environment at home can contribute to a smoother rehabilitation process.

Hip pain should never be ignored, especially when it begins affecting daily life and mobility. Timely treatment and the right surgical approach can make a remarkable difference. The Direct Anterior Approach has made hip replacement surgery simpler, safer, and more patient-friendly, helping individuals return to an active and pain-free life much faster than before.

Dr. Ishwar Bohra is Senior Director and Senior Joint Replacement Surgeon at BLK-Max Super Speciality Hospital, New Delhi.

Climate change is increasingly emerging as a major public health threat, contributing to a growing burden of disease worldwide and creating favorable conditions for the spread of infectious illnesses, according to health experts on World Environment Day 2026.

World Environment Day is observed every year on June 5 to raise awareness about the need for immediate action as heatwaves intensify, air pollution worsens, ecosystems degrade, and climate anxiety grows worldwide, even as the world crosses the UN-mandated 1.5°C limit.

The theme for World Environment Day 2026 is "Inspired by Nature. For Climate. For Our Future". It focuses on climate change and the signals nature is sending such as rising seas, raging wildfires, heatwaves and melting glaciers.

To understand the intersection between climate change and health impacts, HealthandMe spoke to two experts.

Heatwaves, Pollution And Food Insecurity

According to Dr. Sabine Kapasi, UN advisor, the consequences are no longer limited to environmental damage. Rising temperatures, worsening air pollution and shifting weather patterns are already affecting human health across the globe.

“Longer and more intense heatwaves are resulting in more cases of heat-related illness. Air pollution continues to exacerbate respiratory diseases, while changing weather patterns are impacting food security and nutrition in many parts of the world,” she said.

Importantly, in India, children, pregnant women and communities living in flood- and drought-prone regions face some of the greatest risks. Women are often disproportionately affected due to challenges related to water supply and sanitation. While India has reduced malaria cases by nearly 80 per cent since 2015, climate change is creating new health challenges that health systems will need to address in the coming years.

Infectious Disease Outbreaks

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The expert warned that changing climatic conditions are also increasing the risk of infectious disease outbreaks. Dr. Kapasi told HealthandMe that rising temperatures and altered rainfall patterns are allowing mosquitoes to breed more easily and remain active for longer periods.

Floods further compound the problem by contaminating drinking water, damaging sanitation systems and disrupting healthcare services. Displacement caused by disasters can force families into crowded living conditions, increasing the risk of infections such as cholera, leptospirosis and tuberculosis.

“Recent climate-related disasters in South Asia and Africa have shown how quickly an environmental crisis can turn into a public health challenge,” she noted.

The spread of mosquito-borne diseases such as dengue, malaria and chikungunya is also becoming a growing concern. Health authorities around the world are reporting these diseases in areas where they were previously uncommon.

Globally, countries including Italy, France and Spain have also witnessed an increase in locally transmitted dengue and chikungunya cases over the past decade. In the United States, locally acquired malaria cases were recently reported in Florida and Texas, marking the first such transmission in nearly 20 years.

India is also experiencing rising dengue activity. Dengue outbreaks have become a regular occurrence during the monsoon and post-monsoon seasons in many states. Estimates suggest dengue cases could reach around 278,000 in 2025, up from roughly 230,000 the previous year. Experts say warmer temperatures and changing rainfall patterns are helping disease-carrying mosquitoes survive and spread more effectively.

Climate Change And Shifting Disease Patterns

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Dr. Devarsetty Praveen, Program Director at NIHR GHRC for Non-communicable Diseases and Environmental Change, hosted by The George Institute India, in partnership with Imperial College London, said climate change is affecting both communicable and non-communicable diseases.

“Climate change is increasing health risks through rising temperatures, extreme weather events, worsening air quality and changing disease patterns. In India, it is affecting both communicable and non-communicable diseases, with vulnerable populations bearing the greatest burden,” he told HealthandMe.

He noted that research has found that people living with chronic conditions such as hypertension and diabetes are particularly vulnerable to extreme heat, underscoring the growing link between climate change and non-communicable diseases.

Dr. Praveen added that climate change influences disease transmission by altering temperature, humidity and rainfall patterns while also affecting water quality, food systems and interactions between humans, animals and disease vectors.

“These changes can make outbreaks more frequent, more widespread and harder to predict,” he said.

How To Reduce Climate-related Health Risks

To reduce climate-related health risks, the experts recommend staying informed about weather conditions, remaining hydrated, limiting outdoor exposure during extreme heat and taking precautions against mosquito bites.

People with chronic conditions such as hypertension, diabetes, heart disease and kidney disease are advised to maintain adequate medication supplies and consult healthcare providers during periods of extreme heat.

According to the experts, awareness and early action remain critical to protecting public health as climate change continues to reshape disease patterns around the world.

To reduce the risk of mosquito-borne diseases, people should make sure that water does not get collected in buckets, coolers, flower pots or other containers around the home. Additional precautions include the use of mosquito repellents, sleeping under nets when necessary and wearing clothing that covers the arms and legs.

Dr Sabine said food and water safety is particularly important after heavy rain or flooding. Proper food storage, clean drinking water and good hygiene practices can go a long way in preventing many infections. Those with pre-existing medical conditions should also have essential medicines within easy reach during extreme weather.

The United States has been working on reducing smog for more than a decade and has become quite successful in this endeavor, but since 2015, the situation has changed for the worse as a new study reveals that the smog level is once again on the rise, and the main reason behind this is another long-term problem of the nation, wildfire.

The federal regulations tightened on power plants, cars, and diesel engines, which in turn caused a drop in the national smog level by 11% from 2003 to 2015. Since then, cases of wildfire have increased, resulting in the smog level going up by 4%. The study finds that if the current trend continues, it will cause smog to go back up to 2003 levels in 20 years.

The study in the journal Science has also calculated a surge in deaths from ozone attacking lungs by comparing death rates in clean and dirty air. They estimated a surge of 318 American deaths per year since 2013 due to smog.

The co-author of the study, Meng Zhou, a University of Iowa wildfire researcher, said, “For the last 20 years, by regulations, we keep decreasing the emissions." He added, “However, because of wildfires, which are actually from natural hazards, all those kinds of effort were wiped out.”

The study also flagged concerns about the current smog situation and its possible impact on the population. University of Washington public health and climate scientist Kristie Ebi said, “Higher daily ozone concentrations can increase asthma attacks, hospital admissions, and mortality.” She added, “still a very important pollutant, which is why it's regulated.”

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The research finds that the heavy wildfire smoke seasons of 2022, 2023, and 2024, mainly in Canada, created a massive amount of smog, and this then came down south. As a result, about 43 million people got exposed to smog levels that exceeded the current EPA safety standards. The wildfires in Canada have been particularly severe since 2022.

The problem is also with the massive wildfires in the mainland US, as the National Interagency Fire Center's data also shows that the average amount of land in the US that wildfires burn every year has increased by 9% higher than it was from 2003 to 2014.

Also Read: CDC Warns That Tick Bites Are Surging Across The US: What You Need to Know

What Are The Possible Health Impacts?

There are many short-term and long-term impacts on public health from the constant exposure to air pollution. As per IQAir, in the short term, people experience irritation in the eyes, throat, and nose, along with irregular heartbeats, asthma attacks, coughing, chest tightness, and difficulty breathing.

Prolonged exposure also intensifies these risks and leads to long-term effects such as chronic respiratory illnesses like bronchitis, asthma, and emphysema. Pollutants can also damage lung tissue, increasing the likelihood of lung cancer. Air pollution also leads to an increased risk of heart attacks and strokes, and could also be linked to premature death.