Tanya Dutt

Syphilis Cases Rise To Record Highs Across US, CDC Reports Alarming Surge Since 1950s

Syphilis, once a relic of history, is now re-emerging alarmingly in the Americas. According to a recent report by the Centers for Disease Control and Prevention, syphilis cases are at their highest levels since the 1950s in the United States and have significant implications for public health and disease prevention strategies. This resurgence, marked by a nearly 80% increase in cases between 2018 and 2022, underscores the urgent need for targeted interventions and increased awareness. The CDC's data indicates that more than 209,000 cases of syphilis were reported in 2023 alone, a stark contrast to the steady decline observed in the mid-20th century following the widespread availability of antibiotics.

Historically, feared for its debilitating effects, syphilis began to resurge again in the early 2000s with men who have sex with men being disproportionately affected. Current trends indicate a more complicated and diverse picture than ever before, impacting demographics and regions throughout the United States. While the rate of primary and secondary (P&amp;S) syphilis cases—the most infectious stages—declined 10.7% since 2022, cases of unknown duration or late-stage syphilis increased 12.2%. This gain is thought to reflect delayed diagnosis, possibly because of disruptions to healthcare services by the COVID-19 pandemic. 

<h2>Congenital Syphilis Rose by 937% in the Past Decade</h2>

One of the most alarming dimensions of the syphilis epidemic involves the alarming increase in congenital cases, where the infection can be passed from mother to unborn child. In 2023, nearly 4,000 cases of congenital syphilis were recorded, including 279 stillbirths and neonatal deaths. This is a 937% increase over the past decade, making congenital syphilis one of the most urgent public health challenges in the United States.

The CDC attributes this increase to the rising rates of syphilis among women of reproductive age. From 2022 to 2023, syphilis rates among women aged 15–44 years increased by 6.8%, with higher rates found in 39 states and the District of Columbia. This trend underlines the need for enhanced screening and timely treatment during pregnancy to prevent perinatal transmission. 

<h2>What Caused the Syphilis Resurgence</h2>

The resurgence of syphilis is multifaceted, influenced by social, behavioral, and systemic factors: 

Reduced condom use, particularly among high-risk populations, has contributed significantly to the spread of syphilis and other sexually transmitted infections (STIs). 

<h4>2. Inadequate <span rel="noindex">Sexual Health</span> Education</h4>

Gaps in comprehensive sexual health education leave many individuals unaware of preventive measures and the importance of regular testing. 

<h4>3. Disparities in Healthcare Access</h4>

Sexual health care is not accessible to marginalized communities, including racial and ethnic minorities. In 2023, 32.4% of all chlamydia, <a href="https://www.healthandme.com/health-wellness/oral-sex-is-the-leading-risk-for-throat-cancer-article-151067825" data-type="tilCustomLink" target="_blank">gonorrhea</a>, and P&amp;S syphilis cases were reported in non-Hispanic Black or African American individuals, who are only 12.6% of the US population.

<h4>4. Effects of the COVID-19 Pandemic</h4>

The pandemic hit prevention services, testing, and treatment services related to STIs, where delays in diagnosis and infections without treatments may occur in the course of dealing with the pandemic.

Also Read: <a href="https://www.healthandme.com/health-news/these-10-us-states-have-the-highest-sti-cases-article-151075249" data-type="tilCustomLink" target="_blank">These 10 US States Have The Highest STI Cases</a>

The disparities in syphilis rates reflect deeper systemic inequities in healthcare access and education. For instance, the highest rates of P&amp;S syphilis and congenital syphilis were reported in 2023 by American Indian and Alaska Native populations. Inequities like these may not necessarily result from differences in sexual behavior but rather from the characteristics of sexual networks and the prevalence of STIs in certain communities.

For disparities of this nature, there will need to be a comprehensive public health approach that encompasses the following:

There will be enhanced access to testing and treatment: improvement in the number of <a href="https://www.healthandme.com/health-wellness/sti-and-std-are-not-the-same-thing-know-why-article-151102646" data-type="tilCustomLink" target="_blank">STI</a> prevention programs along with access to care for less favored groups.

Community-based interventions are partnering with community organizations toward increasing awareness and promotion of preventive measures.

Targeted education campaigns: sexual health education that is culturally adapted and tailored to the targeted group.

The CDC has rolled out new prevention measures, such as recommending doxycycline as a post-exposure prophylactic for high-risk groups, including gay and bisexual men and transgender women. Together with increased funding from Congress to grow the sexual health workforce, these measures are likely to strengthen prevention efforts.

Additionally, the lessons learned from the 2022 <a href="https://www.healthandme.com/health-news/mpox-outbreak-virus-spreads-in-us-prison-infects-inmates-article-151037062" data-type="tilCustomLink" target="_blank">mpox outbreak</a>, which largely impacted gay and bisexual men, underscore the value of forward thinking in testing and treatment to mitigate STI outbreaks. Public health officials have reported that increased testing and contact tracing have positively affected syphilis trends in 2023.

Public awareness continues to be an integral component in fighting the syphilis epidemic. Public is advised to:

<ul><li>Get Tested Regularly: Routine STI screenings are especially important for those with multiple partners or new sexual relationships. </li><li>Practice Safe Sex: Condoms or dental dams can greatly reduce transmission. </li><li>Seek Timely Treatment: The earlier the diagnosis, the earlier the treatment, so complications and transmission rates decrease.</li></ul>

The findings of the CDC serve as a wake-up call to policymakers and the public. Addressing the root causes of this syphilis resurgence and investing in effective prevention and treatment programs will help reverse these disturbing trends and safeguard the health of future generations. The battle against syphilis is far from over, but with concerted efforts and commitment to health equity, it can be achieved.

Health Conditions A-Z

health

sexual health

syphilis cases rise

congenital syphilis increase

syphilis health crisis

std disparities usa

highest syphilis cases

public health syphilis

syphilis in americas

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Syphilis, once a relic of history, is now re-emerging alarmingly in the Americas. According to a recent report by the Centers for Disease Control and Prevention, syphilis cases are at their highest levels since the 1950s in the United States and have significant implications for public health and disease prevention strategies. This resurgence, marked by a nearly 80% increase in cases between 2018 and 2022, underscores the urgent need for targeted interventions and increased awareness. The CDC's data indicates that more than 209,000 cases of syphilis were reported in 2023 alone, a stark contrast to the steady decline observed in the mid-20th century following the widespread availability of antibiotics.Historically, feared for its debilitating effects, syphilis began to resurge again in the early 2000s with men who have sex with men being disproportionately affected. Current trends indicate a more complicated and diverse picture than ever before, impacting demographics and regions throughout the United States. While the rate of primary and secondary (P&S) syphilis cases—the most infectious stages—declined 10.7% since 2022, cases of unknown duration or late-stage syphilis increased 12.2%. This gain is thought to reflect delayed diagnosis, possibly because of disruptions to healthcare services by the COVID-19 pandemic. Congenital Syphilis Rose by 937% in the Past DecadeOne of the most alarming dimensions of the syphilis epidemic involves the alarming increase in congenital cases, where the infection can be passed from mother to unborn child. In 2023, nearly 4,000 cases of congenital syphilis were recorded, including 279 stillbirths and neonatal deaths. This is a 937% increase over the past decade, making congenital syphilis one of the most urgent public health challenges in the United States.The CDC attributes this increase to the rising rates of syphilis among women of reproductive age. From 2022 to 2023, syphilis rates among women aged 15–44 years increased by 6.8%, with higher rates found in 39 states and the District of Columbia. This trend underlines the need for enhanced screening and timely treatment during pregnancy to prevent perinatal transmission. What Caused the Syphilis ResurgenceThe resurgence of syphilis is multifaceted, influenced by social, behavioral, and systemic factors: 1. Declining Condom UseReduced condom use, particularly among high-risk populations, has contributed significantly to the spread of syphilis and other sexually transmitted infections (STIs). 2. Inadequate Sexual Health EducationGaps in comprehensive sexual health education leave many individuals unaware of preventive measures and the importance of regular testing. 3. Disparities in Healthcare AccessSexual health care is not accessible to marginalized communities, including racial and ethnic minorities. In 2023, 32.4% of all chlamydia, gonorrhea, and P&S syphilis cases were reported in non-Hispanic Black or African American individuals, who are only 12.6% of the US population.4. Effects of the COVID-19 PandemicThe pandemic hit prevention services, testing, and treatment services related to STIs, where delays in diagnosis and infections without treatments may occur in the course of dealing with the pandemic.Also Read: These 10 US States Have The Highest STI CasesWho Is Most Affected?The disparities in syphilis rates reflect deeper systemic inequities in healthcare access and education. For instance, the highest rates of P&S syphilis and congenital syphilis were reported in 2023 by American Indian and Alaska Native populations. Inequities like these may not necessarily result from differences in sexual behavior but rather from the characteristics of sexual networks and the prevalence of STIs in certain communities.For disparities of this nature, there will need to be a comprehensive public health approach that encompasses the following:There will be enhanced access to testing and treatment: improvement in the number of STI prevention programs along with access to care for less favored groups.Community-based interventions are partnering with community organizations toward increasing awareness and promotion of preventive measures.Targeted education campaigns: sexual health education that is culturally adapted and tailored to the targeted group.Prevention and early diagnosisThe CDC has rolled out new prevention measures, such as recommending doxycycline as a post-exposure prophylactic for high-risk groups, including gay and bisexual men and transgender women. Together with increased funding from Congress to grow the sexual health workforce, these measures are likely to strengthen prevention efforts.Additionally, the lessons learned from the 2022 mpox outbreak, which largely impacted gay and bisexual men, underscore the value of forward thinking in testing and treatment to mitigate STI outbreaks. Public health officials have reported that increased testing and contact tracing have positively affected syphilis trends in 2023. Public awareness continues to be an integral component in fighting the syphilis epidemic. Public is advised to:Get Tested Regularly: Routine STI screenings are especially important for those with multiple partners or new sexual relationships. Practice Safe Sex: Condoms or dental dams can greatly reduce transmission. Seek Timely Treatment: The earlier the diagnosis, the earlier the treatment, so complications and transmission rates decrease.The findings of the CDC serve as a wake-up call to policymakers and the public. Addressing the root causes of this syphilis resurgence and investing in effective prevention and treatment programs will help reverse these disturbing trends and safeguard the health of future generations. The battle against syphilis is far from over, but with concerted efforts and commitment to health equity, it can be achieved.

syphilis cases rise to record highs across us, cdc reports alarming surge since 1950s

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Lower Doses Of CBD Could Also Cause Liver Damage

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<span>CBD</span> or <span>cannabidiol</span> is a very popular component, not just in cannabis (<span>marijuana</span>) but it is also an important component in medical marijuana, Harvard Health explains. They further detail how CBD does not make people dependent on it or cause potential substance abuse. However while previous studies like 2024 study published in the Neuropsychopharmacology journal have shown that CBD is unlikely to cause significant harm to daily functioning or workplace performance, researchers have found that liver damage can be a likely outcome of long-term use. 

Even though cannabidiol (CBD) products are everywhere these days—think capsules, gummies, edibles, oils, and lotions—a recent study suggests that even small amounts might not be entirely safe for your liver. 

<h2>FDA Trial Investigates Low-Dose CBD Effects </h2>

Researchers from the Food and Drug Administration’s (FDA) Division of Applied Regulatory Science conducted a randomized, double-blind, placebo-controlled trial last year. The study aimed to assess how low-dose CBD affects liver function in a group of 201 healthy middle-aged men and women. 

For four weeks, 201 volunteers were given either a typical amount of oral CBD (about 350 mg for someone weighing 154 pounds) or a dummy pill. They had weekly check-ups to see how their bodies were reacting. 

<h2>Liver Enzyme Elevations Observed </h2>

The study, published in JAMA Internal Medicine, found that most people were fine. However, 5% showed significantly higher levels of a liver enzyme called aminotransferase. This enzyme is a known sign of liver damage or inflammation. Women seemed to be more affected than men. The good news is that these liver enzyme levels went back to normal within a week or two after people stopped taking CBD. Also, seven participants dropped out of the study because they were showing signs of possible liver injury caused by the CBD. 

Researchers called these findings "important." They said it suggests that CBD itself, even without other drugs, might be a risk to liver health. Many people using over-the-counter CBD might not know about this potential for liver damage, assuming CBD is completely harmless. 

Signs of liver damage include stomach discomfort, yellowing of the skin and eyes (jaundice), and feeling very tired. It's important to know that liver injuries caused by drugs don't always show up right away. In the government study, only one person with high liver enzymes actually felt symptoms within four weeks. This suggests that people might not realize they're hurting their liver. Experts say doctors should ask about regular CBD use during check-ups. 

This isn't the first study to point out possible liver risks with CBD. Concerns came up before when a government agency reviewed data for CBD-based prescription drugs for childhood epilepsy. In those cases, 14% of patients had raised liver enzymes. While those patients were also taking other seizure medications, the new study suggests CBD alone can be a factor. 

Research also shows that certain doses of CBD can affect liver cells in a way similar to acetaminophen (Tylenol). Acetaminophen, when taken too much, is a very common cause of drug-induced liver injury. 

Recent studies show that people who take very high doses of CBD, over 1000 mg per day, are most at risk of liver injury. However, there have been reports of liver injuries even in healthy people taking moderate doses, between 300 mg and 1000 mg per day. 

We don't know much about why some people are more affected than others, but it's thought that genetics might play a role. CBD can also block certain liver enzymes needed to process medications. 

In the new government study, most participants who had serious liver problems also showed signs of an immune condition where the body makes too many white blood cells called eosinophils. 

marijuana

CBD and liver damage

Low Dose CBD Effects

Liver Enzyme and CBD

cannabidiol

CBD or cannabidiol is a very popular component, not just in cannabis (marijuana) but it is also an important component in medical marijuana, Harvard Health explains. They further detail how CBD does not make people dependent on it or cause potential substance abuse. However while previous studies like 2024 study published in the Neuropsychopharmacology journal have shown that CBD is unlikely to cause significant harm to daily functioning or workplace performance, researchers have found that liver damage can be a likely outcome of long-term use. Even though cannabidiol (CBD) products are everywhere these days—think capsules, gummies, edibles, oils, and lotions—a recent study suggests that even small amounts might not be entirely safe for your liver. FDA Trial Investigates Low-Dose CBD Effects Researchers from the Food and Drug Administration’s (FDA) Division of Applied Regulatory Science conducted a randomized, double-blind, placebo-controlled trial last year. The study aimed to assess how low-dose CBD affects liver function in a group of 201 healthy middle-aged men and women. For four weeks, 201 volunteers were given either a typical amount of oral CBD (about 350 mg for someone weighing 154 pounds) or a dummy pill. They had weekly check-ups to see how their bodies were reacting. Liver Enzyme Elevations Observed The study, published in JAMA Internal Medicine, found that most people were fine. However, 5% showed significantly higher levels of a liver enzyme called aminotransferase. This enzyme is a known sign of liver damage or inflammation. Women seemed to be more affected than men. The good news is that these liver enzyme levels went back to normal within a week or two after people stopped taking CBD. Also, seven participants dropped out of the study because they were showing signs of possible liver injury caused by the CBD. Researchers called these findings "important." They said it suggests that CBD itself, even without other drugs, might be a risk to liver health. Many people using over-the-counter CBD might not know about this potential for liver damage, assuming CBD is completely harmless. What Liver Problems Look Like Signs of liver damage include stomach discomfort, yellowing of the skin and eyes (jaundice), and feeling very tired. It's important to know that liver injuries caused by drugs don't always show up right away. In the government study, only one person with high liver enzymes actually felt symptoms within four weeks. This suggests that people might not realize they're hurting their liver. Experts say doctors should ask about regular CBD use during check-ups. This isn't the first study to point out possible liver risks with CBD. Concerns came up before when a government agency reviewed data for CBD-based prescription drugs for childhood epilepsy. In those cases, 14% of patients had raised liver enzymes. While those patients were also taking other seizure medications, the new study suggests CBD alone can be a factor. Research also shows that certain doses of CBD can affect liver cells in a way similar to acetaminophen (Tylenol). Acetaminophen, when taken too much, is a very common cause of drug-induced liver injury. Who Might Be at Higher Risk? Recent studies show that people who take very high doses of CBD, over 1000 mg per day, are most at risk of liver injury. However, there have been reports of liver injuries even in healthy people taking moderate doses, between 300 mg and 1000 mg per day. We don't know much about why some people are more affected than others, but it's thought that genetics might play a role. CBD can also block certain liver enzymes needed to process medications. In the new government study, most participants who had serious liver problems also showed signs of an immune condition where the body makes too many white blood cells called eosinophils. 

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Plastic surgeries, butt lifts, and many more such things done to your body are no longer new, but what many do not know are the risks it usually involves, and often a pungent smell that it leaves. Among the many such surgeries are <span>BBL</span> and the <span>BBL Smell</span>. 

BBL is the <span>Brazilian Butt Lift surgery</span>. This is a cosmetic process to enhance the size and shape of one's buttocks through a transfer of fat. The process is also known as buttock augmentation with fat grafting.

As per the National Health Service, UK, BBL could be a dangerous surgery, and the main concern remains the injected fat, which could cause a blockage in a blood vessel in the lungs and could be in fact fatal. It also includes risks of a serious skin infection and lumpy scars. 

However, there is another effect that people may not talk about, it is the BBL Smell.

Dr Frita McRae Fisher, MD, a triple board-certified medical doctor with certifications in nephrology, hypertension, and diabetes is also an influencer on social media channels. In one of her YouTube videos, Dr Frita explains if BBL smells or not, why does it smell and how old is too old for BBL. 

She explains that BBL can smell if you develop fat necrosis. 

<strong>What happens under this condition?</strong>

This is when the fat tissue that is injected into the buttocks dies. 

Dr Frita explains that when you get a BBL done, the fat tissue is injected in the buttocks below the skin and above the muscle. However, she explains, "sometimes some of these fat cells die and when they do, they can release cellular debris and toxins, which can produce a foul odor." 

A Chicago-based Impressions Face and Body, Dr Eric Anderson told the <em>Daily Mail</em>, "The BBL smell is real."

Not only does the death of the cell cause this smell, but it could also be because the patients are sweating or siting for long periods. Other factors could be unhygienic habits, which can cause BBL smell. 

Dr Anderson explains that if a patient is "overfilled" with fat during the process, the tissue could die in the buttocks. “When there is more fat in an area than the blood supply allows, the fat will die through a smelly process called fat necrosis, which can lead to infections that need antibiotics, hospitalizations, and even sepsis,” he explained. 

<h4>What Are The Other Reasons For A Smelly BBL?</h4>

Dr Frita also seconds with Dr Anderson's opinion that there are a variety of causes that can lead to a smelly BBL.

She goes on to explain the number 2 reason for the same. "If you develop a bacterial infection, your BBL can smell. The BBL surgery takes place right near the area where you make your bowel movements, and so it is very possible for fecal mater to come in contact with the surgical wounds. If this happens, you can develop a bacterial infection, which can produce a foul odor."

Other factors include the surgeon not using proper sterile tools and techniques to perform the surgery, and having poor personal hygiene practices.

Dr Frita explains that right after the BBL surgery, "your buttock region would be larger than before." This is what causes more sweat in between and underneath the buttocks, this is what requires an extra care and hygiene. 

However, she clarifies that most BBL do not smell, if it does, it is best to get it checked by your doctor. She suggests that one must also see a doctor if their BBL is leaking, causing chronic pain or have a high fever after the surgery. 

BBL Smell

health and wellness

BBL smell reasons

BBL smell causes

Brazilian Butt Lift Surgery

Plastic surgeries, butt lifts, and many more such things done to your body are no longer new, but what many do not know are the risks it usually involves, and often a pungent smell that it leaves. Among the many such surgeries are BBL and the BBL Smell. What Is BBL?BBL is the Brazilian Butt Lift surgery. This is a cosmetic process to enhance the size and shape of one's buttocks through a transfer of fat. The process is also known as buttock augmentation with fat grafting.As per the National Health Service, UK, BBL could be a dangerous surgery, and the main concern remains the injected fat, which could cause a blockage in a blood vessel in the lungs and could be in fact fatal. It also includes risks of a serious skin infection and lumpy scars. However, there is another effect that people may not talk about, it is the BBL Smell.Does BBL Smell?Dr Frita McRae Fisher, MD, a triple board-certified medical doctor with certifications in nephrology, hypertension, and diabetes is also an influencer on social media channels. In one of her YouTube videos, Dr Frita explains if BBL smells or not, why does it smell and how old is too old for BBL. She explains that BBL can smell if you develop fat necrosis. What happens under this condition?This is when the fat tissue that is injected into the buttocks dies. Dr Frita explains that when you get a BBL done, the fat tissue is injected in the buttocks below the skin and above the muscle. However, she explains, "sometimes some of these fat cells die and when they do, they can release cellular debris and toxins, which can produce a foul odor." A Chicago-based Impressions Face and Body, Dr Eric Anderson told the Daily Mail, "The BBL smell is real."Not only does the death of the cell cause this smell, but it could also be because the patients are sweating or siting for long periods. Other factors could be unhygienic habits, which can cause BBL smell. Why Do Fat Cells Die?Dr Anderson explains that if a patient is "overfilled" with fat during the process, the tissue could die in the buttocks. “When there is more fat in an area than the blood supply allows, the fat will die through a smelly process called fat necrosis, which can lead to infections that need antibiotics, hospitalizations, and even sepsis,” he explained. What Are The Other Reasons For A Smelly BBL?Dr Frita also seconds with Dr Anderson's opinion that there are a variety of causes that can lead to a smelly BBL.She goes on to explain the number 2 reason for the same. "If you develop a bacterial infection, your BBL can smell. The BBL surgery takes place right near the area where you make your bowel movements, and so it is very possible for fecal mater to come in contact with the surgical wounds. If this happens, you can develop a bacterial infection, which can produce a foul odor."Other factors include the surgeon not using proper sterile tools and techniques to perform the surgery, and having poor personal hygiene practices.Dr Frita explains that right after the BBL surgery, "your buttock region would be larger than before." This is what causes more sweat in between and underneath the buttocks, this is what requires an extra care and hygiene. However, she clarifies that most BBL do not smell, if it does, it is best to get it checked by your doctor. She suggests that one must also see a doctor if their BBL is leaking, causing chronic pain or have a high fever after the surgery. 

why does your bbl smell? doctor explains 4 reasons that could cause it

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For decades, a daily low-dose aspirin was the go-to prescription for heart disease prevention. The tiny pill was considered a low-effort, high-reward approach to keeping heart attacks and strokes at bay. But recent research and evolving guidelines are prompting doctors to pump the brakes, especially when it comes to older adults.

Historically, aspirin’s blood-thinning properties made it a staple for preventing blood clots, which are a major cause of heart attacks and strokes. This practice, known as "primary prevention," targeted people who had not yet experienced a cardiovascular event but were considered at risk due to age or other factors. A typical dose hovered around 81 milligrams per day.

For individuals with a history of cardiovascular disease, aspirin’s benefits still hold. That’s "secondary prevention," and most experts still endorse it. But for older adults with no prior heart issues, new studies are revealing a more complicated risk-benefit balance.

Newer clinical trials and large-scale studies began to challenge the once-universal recommendation. They found that for many older adults, particularly those over 60 or 70 without a history of heart disease, the risk of serious bleeding outweighed the potential cardiovascular benefits.

As a result, leading health organizations have revised their guidelines:

The American College of Cardiology (ACC) and American Heart Association (AHA) advise against daily aspirin for primary prevention in adults over 70.

The U.S. Preventive Services Task Force (USPSTF) recommends against starting low-dose aspirin for primary prevention in adults over 60, and suggests a case-by-case approach for those aged 40-59 who have a 10% or greater 10-year cardiovascular risk.

<h2>What Are The Hidden Risks Of Taking Aspirin?</h2>

Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and prevents platelets from clumping together. But this same mechanism that reduces heart attacks also raises the risk of internal bleeding, particularly in the gastrointestinal (GI) tract and brain.

Older adults are already more vulnerable to GI bleeding and hemorrhagic strokes. When aspirin is added to the mix, the potential for serious, sometimes fatal, complications increases.

According to Dr. Jordan Schaefer, a hematologist at the University of Michigan Medical School, "For some patients without a history of cardiovascular disease, the benefits of taking aspirin may be offset by an increased risk of bleeding, especially as patients get older."

A recent study published in the Journal of the American College of Cardiology surveyed over 2,500 adults between the ages of 50 and 80. It found that:

<ul><li>About 1 in 6 older adults still take daily aspirin for primary prevention.</li><li>Nearly 25% started aspirin use without a physician’s recommendation.</li><li>Only 68% were aware that aspirin increases the risk of bleeding.</li><li>Nearly 30% believed aspirin could reduce the risk of dementia.</li></ul>

Younger respondents (aged 50-69) were twice as likely to use aspirin for primary prevention compared to those aged 70-80. Women and individuals with household incomes over $60,000 were also more likely to take aspirin preventatively.

Dr. Mark Edwards, an internal medicine resident at University of Michigan Health and lead author of the study, pointed out that many patients believe aspirin offers wide-ranging health benefits, not just heart protection. "It appears that older adults taking aspirin may anticipate benefits beyond reducing the risk of cardiovascular disease and may not fully understand the added risk of bleeding," he said.

<h2>Why Many Still Take Aspirin Without Doctor Guidance?</h2>

Old habits die hard. For years, media campaigns and public health messaging endorsed the idea of a daily aspirin. Even today, some doctors haven’t updated their advice, and many patients continue on autopilot.

Adding to the confusion, aspirin is available over-the-counter and has a reputation for being "harmless." Aspirin use is much more of a complex question than it once seemed, which is all the more reason why it is important to consult a health care provider when considering use.

<h2>What Should Patients Over 40 Do?</h2>

If you're over 40, the advice isn't to automatically start or stop aspirin. It's to have a thoughtful conversation with your doctor about your individual risk. Risk assessments often include:

<ul><li>Personal and family history of heart disease</li><li>Blood pressure and cholesterol levels</li><li>Smoking status</li><li>Diabetes or prediabetes</li><li>Other medications that may increase bleeding risk</li></ul>

Based on these factors, your doctor may calculate your 10-year risk of cardiovascular disease and guide your decision.

<h2>What About People Already on Aspirin?</h2>

If you’re over 60 and taking aspirin without a prior cardiovascular event, it’s time to revisit the plan. Do not stop abruptly without consulting your physician, especially if you have a stent, history of stroke, or previous heart attack.

Experts recommend, anyone over 40 should talk to their provider about their risk for cardiovascular disease, with careful consideration of family and health histories.

Aspirin isn’t a one-size-fits-all preventive tool anymore. For many healthy older adults, the risks outweigh the benefits, particularly when it comes to internal bleeding. Still, for those with a documented history of cardiovascular disease, aspirin remains a cornerstone of secondary prevention.

Skip the DIY health decisions, talk to your doctor before starting or stopping any daily aspirin regimen. What once seemed like a harmless habit could be doing more harm than good.

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For decades, a daily low-dose aspirin was the go-to prescription for heart disease prevention. The tiny pill was considered a low-effort, high-reward approach to keeping heart attacks and strokes at bay. But recent research and evolving guidelines are prompting doctors to pump the brakes, especially when it comes to older adults.Historically, aspirin’s blood-thinning properties made it a staple for preventing blood clots, which are a major cause of heart attacks and strokes. This practice, known as "primary prevention," targeted people who had not yet experienced a cardiovascular event but were considered at risk due to age or other factors. A typical dose hovered around 81 milligrams per day.For individuals with a history of cardiovascular disease, aspirin’s benefits still hold. That’s "secondary prevention," and most experts still endorse it. But for older adults with no prior heart issues, new studies are revealing a more complicated risk-benefit balance.Newer clinical trials and large-scale studies began to challenge the once-universal recommendation. They found that for many older adults, particularly those over 60 or 70 without a history of heart disease, the risk of serious bleeding outweighed the potential cardiovascular benefits.As a result, leading health organizations have revised their guidelines:The American College of Cardiology (ACC) and American Heart Association (AHA) advise against daily aspirin for primary prevention in adults over 70.The U.S. Preventive Services Task Force (USPSTF) recommends against starting low-dose aspirin for primary prevention in adults over 60, and suggests a case-by-case approach for those aged 40-59 who have a 10% or greater 10-year cardiovascular risk.What Are The Hidden Risks Of Taking Aspirin?Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and prevents platelets from clumping together. But this same mechanism that reduces heart attacks also raises the risk of internal bleeding, particularly in the gastrointestinal (GI) tract and brain.Older adults are already more vulnerable to GI bleeding and hemorrhagic strokes. When aspirin is added to the mix, the potential for serious, sometimes fatal, complications increases.According to Dr. Jordan Schaefer, a hematologist at the University of Michigan Medical School, "For some patients without a history of cardiovascular disease, the benefits of taking aspirin may be offset by an increased risk of bleeding, especially as patients get older."A recent study published in the Journal of the American College of Cardiology surveyed over 2,500 adults between the ages of 50 and 80. It found that:About 1 in 6 older adults still take daily aspirin for primary prevention.Nearly 25% started aspirin use without a physician’s recommendation.Only 68% were aware that aspirin increases the risk of bleeding.Nearly 30% believed aspirin could reduce the risk of dementia.Younger respondents (aged 50-69) were twice as likely to use aspirin for primary prevention compared to those aged 70-80. Women and individuals with household incomes over $60,000 were also more likely to take aspirin preventatively.Dr. Mark Edwards, an internal medicine resident at University of Michigan Health and lead author of the study, pointed out that many patients believe aspirin offers wide-ranging health benefits, not just heart protection. "It appears that older adults taking aspirin may anticipate benefits beyond reducing the risk of cardiovascular disease and may not fully understand the added risk of bleeding," he said.Why Many Still Take Aspirin Without Doctor Guidance?Old habits die hard. For years, media campaigns and public health messaging endorsed the idea of a daily aspirin. Even today, some doctors haven’t updated their advice, and many patients continue on autopilot.Adding to the confusion, aspirin is available over-the-counter and has a reputation for being "harmless." Aspirin use is much more of a complex question than it once seemed, which is all the more reason why it is important to consult a health care provider when considering use.What Should Patients Over 40 Do?If you're over 40, the advice isn't to automatically start or stop aspirin. It's to have a thoughtful conversation with your doctor about your individual risk. Risk assessments often include:Personal and family history of heart diseaseBlood pressure and cholesterol levelsSmoking statusDiabetes or prediabetesOther medications that may increase bleeding riskBased on these factors, your doctor may calculate your 10-year risk of cardiovascular disease and guide your decision.What About People Already on Aspirin?If you’re over 60 and taking aspirin without a prior cardiovascular event, it’s time to revisit the plan. Do not stop abruptly without consulting your physician, especially if you have a stent, history of stroke, or previous heart attack.Experts recommend, anyone over 40 should talk to their provider about their risk for cardiovascular disease, with careful consideration of family and health histories.Aspirin isn’t a one-size-fits-all preventive tool anymore. For many healthy older adults, the risks outweigh the benefits, particularly when it comes to internal bleeding. Still, for those with a documented history of cardiovascular disease, aspirin remains a cornerstone of secondary prevention.Skip the DIY health decisions, talk to your doctor before starting or stopping any daily aspirin regimen. What once seemed like a harmless habit could be doing more harm than good.

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