To Keratin Or Not To Keratin? Know The Risks Before Making Your Decision

Updated Jul 31, 2024 | 11:50 AM IST

SummaryKeratin treatments promise smooth, shiny hair but come with serious health risks, including formaldehyde exposure and potential kidney damage. It’s essential to research products, consult professionals, and consider safer alternatives to protect your health while achieving beautiful hair.
To Keratin Or Not To Keratin? (Image credit: IMAGO)

As someone who loves exploring the latest beauty trends, I’ve always been intrigued by keratin treatments. The promise of sleek, smooth hair is undeniably tempting but after diving into some research, I found out that this popular hair treatment might come at a seriously high cost (quite literally). Here, I’ll share what I’ve learned about keratin treatments, their potential dangers, and why it’s essential to make an informed decision before trying one at your salon.

What is Keratin Treatment?

Keratin treatments are all the rage in salons worldwide. It is a haircare treatment which promises to transform frizzy, unmanageable hair into smooth, shiny locks for months. However, recent studies and expert opinions suggest that these treatments may not be as safe as they seem.

Keratin treatments, also known as Brazilian blowouts, work by applying a keratin-infused formula to the hair, which is then sealed in with a flat iron. The treatment is designed to smooth the hair cuticle, reducing frizz and adding shine. While the results can be stunning, the process involves using chemicals that may pose significant health risks.

Health Risks Associated with Keratin Treatments

Keratin treatments can enhance hair's appearance, but it's essential to be aware of potential health considerations associated with their use, such as the presence of certain chemicals in the products. Here are some of the most common and known health risks:

1. Formaldehyde Exposure

One of the primary concerns with keratin treatments is the presence of formaldehyde, a known carcinogen. Many keratin products contain formaldehyde or release it when heated during the treatment process. Formaldehyde exposure can pose serious health risks to both clients and salon workers, potentially leading to long-term health issues.

2. Respiratory Issues

Inhaling formaldehyde fumes can cause a range of respiratory problems, from mild irritation to severe asthma attacks. Salon workers and clients exposed to these fumes regularly may experience chronic respiratory issues, including coughing, wheezing, and difficulty breathing.

3. Skin Irritation and Allergic Reactions

Direct contact with formaldehyde can also lead to skin irritation and allergic reactions. Some individuals report experiencing rashes, itching, and burning sensations on their scalp and skin after undergoing a keratin treatment. These side effects can be particularly severe for people with sensitive skin.

4. Potential Kidney Damage

Recent studies suggest a potential link between keratin treatments and kidney problems. The chemicals used in these treatments can lead to kidney damage over time, adding another layer of risk to their use.

According to a recent study published in The New England Journal of Medicine, there is a troubling evidence regarding the use of keratin-based hair straightening products containing glyoxylic acid. These products have been linked to an elevated risk of acute kidney injury (AKI) caused by the formation of oxalate crystals in the kidneys.

A persistent concern surrounding these products is the presence of formaldehyde, a hazardous substance that releases toxic fumes when heated. Inhaling formaldehyde can lead to various adverse effects, including eye and nose irritation, respiratory problems, and an increased risk of certain cancers. Notably, formaldehyde has been banned in several regions, including Brazil, Canada, and the European Union. The United States Food and Drug Administration (FDA) is set to enforce a similar restriction in April 2024.

Experts emphasize that not all keratin treatments are created equal. Some newer formulations claim to be formaldehyde-free, but it's crucial to verify these claims and understand the ingredients used. Dermatologists and trichologists recommend opting for treatments with transparent ingredient lists and avoiding those with potentially harmful chemicals.

Tips to Minimize Risks

Given the potential health risks associated with keratin treatments, it’s vital to weigh the benefits against the dangers. If you’re considering a keratin treatment, here are some steps you can take to minimize risk:

1. Research Products Thoroughly

Look for keratin treatments that are certified formaldehyde-free and check reviews and testimonials to ensure their safety and effectiveness.

2. Consult Professionals

Talk to your dermatologist or a trusted hair care professional about the treatment you’re considering. They can provide insights into safer alternatives and help you make an informed decision.

3. Consider Alternatives

Explore other hair-smoothing options that don't involve harsh chemicals, such as natural hair masks, oils, and serums. Regular trims and proper hair care routines can also help manage frizz and improve hair health.

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Physician Associates Or Assistant Doctors? Government Review Urges Renaming To Avoid Misunderstandings

Updated Jul 16, 2025 | 04:18 PM IST

SummaryAfter multiple reports of people confusing the role of a physician associate and a doctor, the Leng review looked into the issue and what could be some solutions to it.
Physician Associates Or Assistant Doctors?

(Credit-Canva)

A recent independent review suggests that staff who help doctors in hospitals and GP offices, who are called Physician Associates (PAs) and Anaesthesia Associates (AAs), should be renamed "assistants." The review that has been in work since the past year has finally presented its findings and results. The Leng review has been looking into the various aspects of AAs and PAs to understand where there are shortcomings and why must there be changes.

One of the biggest issues that people have with PAs and AAs is confusing them with doctors. The review also recommends that these assistants wear specific uniforms and badges to clearly tell them apart from doctors. Crucially, it states that these assistants should not be the ones to diagnose patients' illnesses.

The UK Department of Health & Social Care called for this review last year due to ongoing debates about the exact roles and duties of these healthcare professionals. When PAs and AAs were first brought into the NHS in the early 2000s, there wasn't a clear plan for how they would fit into existing medical teams. This led to a lot of confusion about what they were supposed to do. Sometimes, when there weren't enough doctors, PAs filled in, even without the extensive training doctors receive, and without proper guidance from supervisors.

The report gives a full picture of the role of Medical Associate Professionals (MAPs) in UK healthcare.

Tragic Cases Highlight Confusion

The review heard from families who lost loved ones after they were treated by PAs, mistakenly believing they were qualified doctors. For example, a young woman died from a blood clot after being seen twice by a Physician Associate who thought her calf pain was just a sprain.

Another family shared how their elderly mother died from an infection after a PA treated her in hospital. While these families do not blame the assistants, they stress the need for much clearer identification and roles. They believe that in stressful hospital situations, patients and families might not fully grasp who is treating them.

Scrutiny And Problems Faced By MAPs

However, the College of Medical Associate Professionals also present the value of MAPs and how the public views them needs to get better. News and social media have sometimes created misunderstandings about what MAPs do and how they fit into healthcare teams. Patients sometimes get confused, thinking a PA is a doctor, even when efforts are made to explain the role. There's a need for clear public education campaigns to help people understand and accept MAPs in the NHS.

The report also highlights that MAPs are facing significant stress and negative feelings because of the current environment, which many call an "anti-MAP campaign." This negativity affects their mental health both at work and at home. They point to media stories, social media attacks, and strict new rules as major causes of distress.

Worryingly, bullying and harassment at work are common. Over a third of qualified MAPs reported being bullied, and many experienced online harassments. A large number of student MAPs also faced bullying during their training. These experiences have led many MAPs to consider leaving their jobs or actually leaving. Women MAPs and those from minority ethnic backgrounds were more affected, making up a larger share of those who left their jobs despite being a smaller group overall in the workforce.

The British Medical Association responds to the review highlighted that the report reveals how NHS England allowed these new roles to grow without properly checking if they were safe. They point to a lack of strong national leadership, no clear accountability, and a failure to listen to concerns raised by doctors, patients, and even coroners (who investigate deaths).

The BMA argues that allowing the roles of doctors and non-doctors to become unclear, even with the help of the General Medical Council (GMC), has been a serious problem. Many doctors, they say, will feel that their earlier warnings were justified.

Key Steps Taken to Improve Medical Assistant Roles

While the proposed name change is a positive step, many in the medical community believe more needs to be done to clearly define what these assistants can and cannot do to ensure safe teamwork in the NHS.

This report makes several important recommendations for Medical Associate Professionals (MAPs), like Physician Associates (PAs) and Anaesthesia Associates (AAs), to make their roles clearer and more effective.

Clearer Rules and More Power

The report strongly suggests creating official rules and standards for MAPs. This will help make sure they are held accountable and that the public trusts them more. Since new rules are already being put in place, this should bring more trust and stability to their roles.

It also recommends giving MAPs the ability to prescribe medicine and order certain X-rays. This change would allow them to do their jobs more efficiently and use their skills better. There should also be national standards for their training after they qualify and for how they can move up in their careers. This will ensure that MAPs across the country receive consistent training and development.

Better Teamwork and Support

The report advises putting more money into planning the healthcare workforce. This will allow for the smart growth of MAP roles, making sure there are enough of them to meet the needs of the NHS. MAPs can actually help improve the training of junior doctors, rather than hindering it.

Better teamwork and strong leadership will help MAPs fit in well, creating a unified healthcare team that benefits both medical staff and patients. The report also suggests doing regular checks using anonymous feedback from patients to keep track of how MAPs are performing and their overall impact.

Supporting MAPs' Well-being

Finally, the report highlights that the well-being of MAPs is a widespread issue within the healthcare system, not just about individual toughness. The rules set by medical groups must be made with the input of MAP leaders and checked carefully to ensure they don't unfairly exclude anyone. Feeling respected and safe at work is extremely important for keeping staff, ensuring patients are safe, and providing good care.

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NHS Warns People To Look Out For These Symptoms - If It Persists For More Than Two Days, Visit Your Doctor

Updated Jul 16, 2025 | 01:00 PM IST

SummaryContagious diseases can spread due to the negligence of just one person, going onto affecting hundreds in their vicinity. One such virus that the NHS has warned against is the norovirus. Here’s why
NHS Warns People To Look Out For These Symptoms - If It Persists For More Than Two Days, Visit Your Doctor

(Credit-Canva)

As summers progress in the UK, people are planning out vacations, and a restful summer evening as the long days give plenty of room to do things you wish to even after you finish your work. However, these plans can very well come to an end if you do not take the correct precautions.

The NHS has sent out an important alert because cases of norovirus, also known as the "winter vomiting bug," are higher than usual. Although norovirus, seasonally, is a bigger issue in winter, the rising number of cases prompted the NHS to warn people. In a social media post on platform X, they explained that this highly contagious illness is causing widespread concern, and the NHS is urging people to be aware of its symptoms. They've noted that while norovirus can spread all year round, current numbers are particularly elevated.

Norovirus: Symptoms and Self-Care

Norovirus typically causes diarrhea and vomiting. While these symptoms are very uncomfortable, they usually get better within a couple of days. The NHS advises that for most people, treating themselves at home is the best approach, emphasizing the importance of drinking plenty of fluids to avoid dehydration. Common symptoms of norovirus include:

  • Sudden nausea (feeling sick)
  • Vomiting
  • Diarrhea
  • Sometimes a fever, headaches, stomach cramps, and aching limbs

Recent Case Numbers

Recent data from the UK shows a significant increase in reported norovirus cases. Between May 26 and June 29 this year, there were over 16,600 cases, which is much higher than the average for the same period over the past five years.

However, the UK Health Security Agency (UKHSA) has also reported that norovirus cases are now starting to decline and are returning to expected levels after a seasonal peak. Even with this decline, the number of reports in recent weeks was still higher than the five-year average for that same time frame, mainly due to a high number of cases reported earlier in the period.

How Norovirus Spreads

Due to the contagious nature of the virus, one must remember to take correct precautions not to spread them. Even a small, seemingly insignificant move could cause you to become a carrier.

  • Don't wash your hands properly after using the toilet.
  • Are in close contact with someone who has the virus.
  • Touch surfaces or objects that have the virus and then touch your mouth.
  • Eat food prepared by someone with norovirus.
  • Consume contaminated water or food.

Preventing the Spread

To help stop norovirus from spreading, the NHS recommends some important steps. Always wash your hands thoroughly with soap and water after using the toilet, changing diapers, or before preparing or eating food. It's also important to remember that alcohol-based hand gels don't kill norovirus, so soap and water are essential.

If your clothes or bedding get soiled with vomit or feces, wash them at 60°C (140°F) and separately from other laundry. One must remember to regularly clean shared surfaces like toilet seats, flush handles, taps, and bathroom door handles. You must also try to avoid contact with others as much as possible if you feel unwell.

When to Stay Home and When to Seek Help

If you or your child start showing symptoms of norovirus, it's really important to stay home. Do not go to school, nursery, or work until you haven't thrown up or had diarrhea for two full days (48 hours). This helps prevent the virus from spreading further. Similarly, avoid visiting people in hospitals or care homes during this time. If you or your child have diarrhea that lasts for more than seven days, or if vomiting continues for more than two days, seek medical help.

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Shubhanshu Shukla Returns From ISS, What All Medical Examinations Are Lined Up

Updated Jul 16, 2025 | 03:14 PM IST

SummaryAfter 18 days in space, Group Captain Shubhanshu Shukla faces a rigorous post-flight rehabilitation process. This includes detailed medical evaluations—ranging from heart, vision, and psychological tests to sleep and balance checks—and structured physical reconditioning. Supervised by NASA and Indian Air Force teams, the goal is to safely restore his pre-flight physical condition.
Shubhanshu Shukla Returns From ISS, What All Medical Examinations Are Lined Up

Shubhanshu Shukla, the Indian Air Force Group Captain is back on Earth after spending 18 days aboard the International Space Station (ISS). What now awaits is a long list of medical examination to ensure that Shukla and the other astronauts from Poland and Hungary are in good health.

What Are The Post-flight Medical Examinations For Astronauts?

The journey back from space marks the start of a whole new phase for astronauts. Just after splashdown, Group Captain Shukla and his fellow crewmates were helped out of the capsule by SpaceX recovery teams. Once aboard the recovery vessel, they underwent initial medical checks to assess their vital signs and general health.

These immediate tests are part of a broader post-flight health monitoring protocol aimed at studying how spaceflight affects the human body. Since astronauts’ health parameters are recorded before launch, comparing them with post-landing data helps scientists understand the impact of microgravity on various body systems.

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As the pilot of the Axiom-4 mission, Shukla will undergo an extensive series of assessments — from cardiovascular and immune system checks to balance, coordination, and psychological evaluations.

Over the coming weeks, both NASA and the Indian Air Force will monitor his physical and mental recovery closely.

Readjusting to Earth’s gravity is not instant. In space, the lack of gravity leads to muscle weakening, bone density loss, and a fluid shift in the body that can affect circulation and organ function. To counter this, astronauts follow a personalized reconditioning plan designed to help their bodies re-adapt. These programmes focus not only on regaining strength but also on retraining the body’s proprioception — the sensory system that allows us to sense our position and movement, which becomes disoriented in space.

Life in Microgravity: What It Feels Like

Speaking from the International Space Station during the mission, Shukla had shared the strange feeling of disorientation he experienced during his initial days in orbit. “It’s the first time for me, so I don’t know what to expect [upon return],” he said. “The only hope is — I did have some symptoms coming up — so I am hoping that I will not have it going down. Unless and until I get the worst of both worlds and I get it both the times.”

Also Read: Veteran Actor Dheeraj Kumar Dies At 79 Due To Acute Pneumonia

Many astronauts deal with “space motion sickness” during the early days of their mission. This occurs when the brain receives mixed signals from the inner ear, which is crucial for balance on Earth. Upon return, the challenge reverses — as the body tries to function under the force of gravity again, simple actions like standing or walking can temporarily become difficult.

According to official reports, Shukla and his team will soon be transported to NASA’s Johnson Space Center in Houston for further recovery and evaluation, either by sea or air.

Post-Flight Rehabilitation

As per Polash Sannigarhi, Chief Instructor, Aeromedical, Training Center, Air Force Station Hindan, Ghaziabad, there are many rounds of medical checks that an astronaut undergoes. Being a flight surgeon himself, he writes in the paper, "Post-flight rehabilitation of an astronaut after long duration mission in space: Through the eyes of a flight surgeon" published in 2023.

Post-flight Medical Evaluation

Medical assessments begin within a day of landing (R+1) and cover a wide range of investigations:

Laboratory Tests: Conducted per NASA’s MEDB guidelines to assess biochemical and physiological parameters.

Physical Examination: Daily systemic check-ups by a flight surgeon to monitor overall health.

Anthropometry: Measurement of height and body mass to assess fluid shift and skeletal changes.

Psychological Assessments: Conducted privately by a mission psychologist on R+1 and R+10.

Sensorimotor and Vestibular Tests: Includes dynamic posturography and mobility assessments to evaluate balance and spatial orientation.

Ophthalmologic and Audiological Tests: Exams such as visual acuity, contrast sensitivity, orbital MRI, and audiometry.

Cardiorespiratory Assessment: ECG post-landing and spiro-ergometry on R+5 to assess VO₂ max.

Nutritional, Radiation, and Sleep Assessments: Involves dietary surveys, urine and blood sampling, dosimeter analysis, and sleep quality tracking.

Radiological Imaging: Targeted MRIs and ultrasounds are performed based on clinical indications.

Post-flight Physical Rehabilitation

This begins as early as the first day post-landing and is tailored to individual needs. A multidisciplinary team — including a Flight Surgeon, Physiotherapist, and Exercise Specialist — oversees it.

Initial Days (R0–R+1): Massage therapy for muscle relaxation.

R+2 to R+7: Structured exercise routines, including warm-ups, back and leg activation exercises, gait training, balance drills, and posture work using equipment like resistance bands.

Hydrotherapy (Following Week): Aquatic activities like aqua jogging and ball games mimic microgravity and help recondition muscles in a low-impact environment.

Core anti-gravity muscles such as the multifidus and transversus abdominis are monitored using ultrasound to track structural recovery. Flexibility and proprioception exercises are gradually reintroduced. Astronauts avoid jumping or high-impact activities until deemed fit by the team.

Each day concludes with team reviews to adapt the next day’s plan based on physical response. The program’s primary goal is to return astronauts to their pre-flight physical condition safely, without overexertion or injury.

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