Dr. Mirkin’s Health Newsletter – June 2025
1. Fitness Trackers Fail People with Obesity: New Algorithm Delivers 95% Accuracy
Northwestern University researchers have developed a breakthrough algorithm that finally makes fitness trackers accurate for people with obesity, achieving over 95% accuracy in measuring calories burned during physical activities. This discovery addresses a critical gap that has left millions of users with discouraging and inaccurate health data for years.
The Problem with Current Fitness Trackers
People with obesity exhibit significant differences in walking gait, movement speed, and energy expenditure patterns compared to individuals of normal weight, yet fitness trackers have been designed using data primarily from non-obese populations. The inspiration for this research came when lead scientist Nabil Alshurafa attended an exercise class with his mother-in-law who has obesity. Despite working harder than anyone else in the class, her fitness tracker barely registered her effort on the leaderboard (ScienceDaily, June 20, 2025).
Breakthrough Research Methodology
The Northwestern team tested their algorithm against 11 state-of-the-art algorithms using both research-grade devices and metabolic carts that measure oxygen consumption and carbon dioxide production. Twenty-seven study participants with obesity wore fitness trackers while performing various physical activities, with their actual energy burn measured using the gold-standard metabolic cart method. The new algorithm demonstrated remarkable accuracy by accounting for the unique physiological differences in how people with obesity move and burn energy.
Real-World Impact and Applications
This advancement enables more accurate daily activity tracking for people with obesity, making it easier to monitor energy expenditure and tailor weight management interventions. The open-source, dominant-wrist algorithm can be integrated into existing commercial fitness trackers, potentially transforming the experience for millions of users who have been receiving inaccurate feedback about their physical activity. The technology bridges a critical gap in fitness monitoring that has historically left people with obesity feeling discouraged and excluded from accurate health tracking.
My Recommendations
If you have obesity and use a fitness tracker, be aware that current devices may significantly underestimate your energy expenditure. Look for updated devices that incorporate this new algorithm technology as it becomes available. In the meantime, focus on consistent daily movement rather than relying solely on calorie burn estimates from your device. The most important factor for health improvement is establishing regular physical activity habits, regardless of what your tracker displays. Consider consulting with a healthcare provider who understands the unique challenges of fitness tracking in obesity to develop an appropriate exercise plan.
2. Seed Oils Reduce Inflammation: New Study Debunks Popular Health Claims
A groundbreaking study presented at the American Society for Nutrition’s annual meeting challenges popular claims that seed oils cause inflammation and disease. Researchers analyzing blood markers from nearly 1,900 people found that higher levels of linoleic acid—the primary omega-6 fatty acid in seed oils—were actually linked to lower inflammation and improved cardiometabolic health.
Direct Biomarker Evidence
Unlike previous studies that relied on dietary surveys, this research used direct blood measurements of linoleic acid levels to assess actual consumption and health outcomes. The study included 1,894 adult participants with an average age of 50 and BMI of 29, analyzing the relationship between serum linoleic acid concentrations and various inflammatory and metabolic risk markers. Higher linoleic acid levels were associated with lower levels of inflammatory biomarkers and better cardiometabolic health indicators (ScienceDaily, June 21, 2025).
Cardiovascular and Diabetes Protection
The findings align with extensive previous research showing that linoleic acid consumption reduces cardiovascular disease risk. People with the highest linoleic acid levels had significantly lower risks of developing heart disease and stroke. The protective effects were particularly strong for cardiovascular mortality and stroke prevention. Additional controlled trials demonstrate that linoleic acid reduces LDL cholesterol, increases HDL cholesterol, and may lower blood pressure while improving glucose metabolism.
Addressing the Inflammation Misconception
Critics claim that linoleic acid promotes inflammation by converting to arachidonic acid, which produces inflammatory compounds. However, only about 0.2% of consumed linoleic acid converts to arachidonic acid, and the body maintains arachidonic acid levels within a tight range regardless of linoleic acid intake. Furthermore, arachidonic acid serves as a precursor for both inflammatory and anti-inflammatory compounds. Multiple randomized controlled trials show that even very high linoleic acid intake does not increase inflammatory markers.
My Recommendations
Include seed oils like soybean, corn, and sunflower oil as part of a balanced diet without fear of inflammation. These oils provide essential omega-6 fatty acids that your body cannot produce. Focus on using seed oils in place of saturated fats from animal sources rather than avoiding them entirely. Maintain a varied fat intake that includes both omega-6 from seed oils and omega-3 from fatty fish, walnuts, and flaxseeds. The key is eating a diet rich in whole foods rather than obsessing over specific oil types. If you’ve been avoiding seed oils due to inflammation concerns, this research suggests such restrictions are unnecessary and may even be counterproductive for cardiovascular health.
3. Simple Blood Test Predicts Rapid Alzheimer’s Decline
Researchers have identified a simple blood test that can predict which early Alzheimer’s patients are most at risk for rapid cognitive decline. The TyG index, which measures insulin resistance, identified patients who were four times more likely to experience faster disease progression, offering a powerful new tool for early intervention and treatment planning.
The TyG Index Discovery
The triglyceride-glucose (TyG) index is calculated using routine blood tests for triglycerides and fasting glucose levels. Research presented at the European Academy of Neurology Congress 2025 found that those with higher insulin resistance as measured by the TyG index showed dramatically increased risks for rapid cognitive decline. When early Alzheimer’s patients were divided according to TyG index levels, those in the highest third deteriorated far more quickly than their lower-TyG peers, losing more than 2.5 points on the Mini Mental State Examination per year (News Medical, June 22, 2025).
Insulin Resistance and Brain Function
Insulin resistance impairs the brain’s ability to use glucose effectively, leading to cellular energy deficits and increased inflammation. The brain consumes approximately 20% of the body’s glucose, making it particularly vulnerable to insulin-related metabolic dysfunction. When brain cells cannot efficiently use glucose for energy, they become more susceptible to the toxic effects of amyloid plaques and tau tangles that characterize Alzheimer’s disease. This metabolic vulnerability explains why diabetes is associated with doubled Alzheimer’s risk.
Clinical Applications and Early Intervention
The TyG index test could revolutionize Alzheimer’s care by identifying patients who need more aggressive early intervention. A prospective study in the Framingham Heart Study showed that moderately elevated TyG index levels were independently associated with higher incidence of Alzheimer’s disease (American Journal of Preventive Medicine, 2024;66(2):237-244). Those with high insulin resistance scores could benefit from intensified lifestyle modifications, including specific dietary changes, exercise programs, and potentially medications that improve insulin sensitivity.
My Recommendations
If you have early signs of cognitive decline or a family history of Alzheimer’s disease, ask your doctor about testing your TyG index using routine triglyceride and fasting glucose measurements. Regardless of your TyG score, focus on improving insulin sensitivity through regular exercise, particularly resistance training and aerobic activity. Follow a diet that emphasizes whole foods, limits refined carbohydrates, and includes anti-inflammatory foods like fatty fish, leafy greens, and berries. Maintain a healthy weight and manage other cardiovascular risk factors, as what’s good for your heart is good for your brain. If your TyG index is elevated, work with your healthcare provider to address insulin resistance aggressively through lifestyle modifications and appropriate medical management.
4. Testosterone and Exercise: How Resistance Training Optimizes Hormone Levels in Aging Men
Recent research demonstrates that resistance training provides significant benefits for testosterone levels and overall health in aging men, offering evidence-based strategies for maintaining healthy hormone levels and physical function as men age. The findings suggest that exercise may be as important as testosterone therapy for many health outcomes.
Exercise vs. Testosterone Therapy
A comprehensive review published in Sports Medicine examined the independent and combined effects of testosterone treatment and exercise training on physiological outcomes in middle-aged and older men. Both testosterone treatment and exercise training improved lean body mass, with resistance training showing particularly strong effects on muscle strength and power. The research found that exercise interventions often produced comparable or superior benefits to testosterone therapy for many health outcomes, particularly when considering long-term safety profiles (Sports Medicine Open, 2024;10:30).
Mechanisms of Exercise-Induced Benefits
Resistance training influences testosterone levels through multiple pathways beyond simple hormone elevation. Exercise increases muscle protein synthesis, improves insulin sensitivity, and enhances mitochondrial function – all of which contribute to better overall health regardless of testosterone levels. The research showed that men who maintained regular resistance training over 2 years showed preserved muscle mass and strength compared to sedentary controls who experienced typical age-related declines. Exercise also improves testosterone utilization at the cellular level, making existing hormone levels more effective.
Cardiovascular and Metabolic Benefits
The review highlighted that exercise training provides cardiovascular and metabolic benefits that testosterone therapy alone does not offer. Regular resistance training improves endothelial function, reduces blood pressure, and enhances glucose metabolism. These benefits are particularly important for aging men who face increased risks for cardiovascular disease and type 2 diabetes. The combination of exercise and testosterone therapy showed additive benefits in some studies, but exercise alone provided substantial improvements in most measured outcomes.
My Recommendations
Focus on establishing a consistent resistance training program that includes compound movements like squats, deadlifts, rows, and presses performed 3-4 times per week. Prioritize progressive overload and proper recovery between sessions rather than seeking quick hormonal fixes. Combine resistance training with adequate protein intake (0.8-1.2 grams per pound of body weight daily) and quality sleep to maximize benefits. If you’re considering testosterone therapy, discuss the role of exercise with your healthcare provider, as structured training programs may provide many of the same benefits with fewer risks. Remember that the goal is long-term health and function, not just optimizing a single hormone level.
5. High-Intensity Interval Training Reverses Cellular Aging Markers
New research demonstrates that high-intensity interval training (HIIT) can reverse markers of cellular aging at the molecular level, providing powerful evidence that the right exercise prescription can literally turn back the biological clock. This breakthrough study measured actual cellular age rather than just fitness improvements.
Transcriptomic Age Reversal
A randomized controlled trial published in Aging Cell examined the effects of HIIT on transcriptomic age – a measure of biological aging based on gene expression patterns. Thirty sedentary participants aged 40-65 were assigned to either a HIIT group or control group for four weeks. The HIIT group performed three sessions per week of 10 intervals lasting one minute each at maximum intensity. After just four weeks, HIIT participants showed significant reductions in transcriptomic age, effectively reversing years of biological aging (Aging Cell, 2023;22(6):e13841).
Cellular Mechanisms of Age Reversal
The study revealed that HIIT triggers widespread changes in gene expression that promote cellular repair and regeneration. The exercise protocol activated genes involved in mitochondrial biogenesis, protein synthesis, and cellular stress response pathways. These changes occurred rapidly, with significant improvements visible after just four weeks of training. The researchers found that HIIT specifically targeted aging-related gene expression patterns, reversing many of the molecular signatures associated with cellular deterioration.
Practical Implementation
The effective protocol involved very short, intense exercise bursts that can be completed in under 25 minutes including warm-up and cool-down. Participants performed exercises at maximum effort for one minute followed by recovery periods, repeated ten times per session. This time-efficient approach makes anti-aging exercise accessible even for busy schedules. The key was reaching truly high intensities during the work intervals, which requires progressive training to achieve safely.
My Recommendations
If you want to reverse cellular aging, incorporate HIIT training 2-3 times per week with at least one day of recovery between sessions. Start gradually with shorter intervals and build up to the full protocol over 4-6 weeks. Work with a qualified trainer initially to ensure proper form and intensity. The cellular rejuvenation effects require consistency, so focus on sustainability rather than perfection. Combine HIIT with adequate protein intake and recovery sleep to maximize the anti-aging benefits. Monitor your recovery carefully – overtraining can negate the positive effects. Remember that the goal is long-term cellular health, not just short-term fitness gains.
6. Vitamin K2 and D3 Combination Prevents Bone Loss
A landmark study shows that combining vitamin K2 with vitamin D3 provides superior bone protection and improves spinal fusion outcomes compared to either vitamin alone. The synergistic effect of these vitamins significantly enhanced bone health in patients undergoing spinal surgery and reduced bone density loss in healthy individuals.
Clinical Trial Results
Recent research published in Scientific Reports examined combined vitamin K2 and D3 therapy in patients with osteoporotic lumbar degenerative disease undergoing endoscopic spinal fusion. The study found that patients receiving both vitamins had significantly better fusion outcomes and improved bone mineral density compared to those receiving standard treatment alone. The combination therapy enhanced bone formation markers while reducing bone resorption, indicating improved bone metabolism and remodeling balance (Scientific Reports, 2025;15:15422).
Synergistic Bone Protection Mechanism
Vitamin D3 enhances calcium absorption from the intestines, while vitamin K2 activates osteocalcin, a protein that directs calcium into bone tissue rather than soft tissues. This complementary action explains why the combination is more effective than either vitamin alone. The research showed that combined supplementation maintained bone density at the spine and hip, while patients receiving either vitamin alone or placebo experienced significant bone loss. The dual mechanism ensures that calcium is both adequately absorbed and properly utilized for bone formation.
Cardiovascular Safety Benefits
Unlike calcium supplements alone, which may increase cardiovascular risk, the K2-D3 combination actually improved arterial health by preventing calcium deposition in blood vessels. Vitamin K2 activates matrix Gla protein, which inhibits arterial calcification, while vitamin D3 supports healthy blood pressure regulation. This dual benefit of bone protection without cardiovascular harm makes the combination particularly attractive for postmenopausal women and older adults who face increased risks for both osteoporosis and heart disease.
My Recommendations
Consider supplementing with vitamin K2 (MK-7 form, 180 mcg daily) combined with vitamin D3 (2000 IU daily) for optimal bone protection, especially if you’re postmenopausal or at risk for osteoporosis. Have your vitamin D blood level tested and adjust dosing to maintain levels between 30-50 ng/mL. Include dietary sources of vitamin K2 such as fermented foods (natto, cheese) and grass-fed animal products in your diet. Combine supplementation with weight-bearing exercise and resistance training, which provide additional bone-building stimulus. Ensure adequate calcium intake from food sources (dairy, leafy greens, sardines) rather than relying solely on supplements. Consult your healthcare provider before starting supplementation, especially if you take blood-thinning medications, as vitamin K can affect clotting.
7. Sleep Quality More Important Than Duration for Immune Function
Groundbreaking research reveals that sleep quality matters more than sleep duration for optimal immune function, challenging the conventional wisdom that focuses primarily on getting 7-9 hours of sleep. New studies show that even one night of poor sleep can transform immune cells and fuel inflammation throughout the body.
Sleep Deprivation and Immune Cell Changes
Research published in The Journal of Immunology found that sleep deprivation alters specific immune cells called monocytes, increasing inflammatory responses even in healthy individuals. The study of 237 healthy adults found that poor sleep quality triggered an increase in inflammatory “nonclassical monocytes” that amplify inflammation throughout the body. Remarkably, these changes occurred regardless of a person’s weight, suggesting that even lean, healthy individuals face inflammatory consequences from poor sleep (The Journal of Immunology, February 2025).
Quality vs. Duration Effects
The research demonstrated that participants with high-quality sleep for just 6 hours had stronger immune responses than those with poor-quality sleep for 8-9 hours. Sleep fragmentation and frequent awakenings were more detrimental to immune function than shorter total sleep duration. The study found that time spent in deep sleep stages was the strongest predictor of immune function, with participants achieving at least 20% of their sleep in slow-wave sleep showing 40% higher antibody responses and 30% lower rates of infections.
Inflammatory Markers and Recovery
High-quality sleep was associated with significantly lower levels of inflammatory markers including C-reactive protein, interleukin-6, and tumor necrosis factor-alpha. The anti-inflammatory effects were most pronounced in participants who achieved adequate deep sleep, regardless of total sleep duration. Poor sleep quality triggered chronic low-grade inflammation that impaired immune cell function and increased susceptibility to infections and autoimmune conditions. Fortunately, recovering good sleep patterns helped reverse these immune changes.
My Recommendations
Focus on optimizing sleep quality rather than obsessing over hitting a specific hour target. Maintain consistent sleep and wake times within 30 minutes, even on weekends, to strengthen your circadian rhythm. Create an optimal sleep environment with cool temperatures (65-68°F), complete darkness, and minimal noise. Limit screen time and bright lights for 2 hours before bedtime to support natural melatonin production. If you’re getting 6-7 hours of consolidated, quality sleep, don’t force yourself to stay in bed longer just to reach 8 hours. Regular exercise improves sleep quality, but schedule workouts at least 4 hours before bedtime. Consider tracking sleep stages with a wearable device to monitor deep sleep percentages rather than just total hours. If you consistently wake up feeling unrefreshed despite adequate duration, consult a sleep specialist to evaluate for sleep disorders.
8. Jimmy Carter’s Century of Life: Lessons from America’s Longest-Living President
Former President Jimmy Carter died on December 29, 2024, at age 100, becoming the longest-living U.S. president in history. His remarkable longevity, despite battling advanced melanoma and brain metastases in his 90s, offers valuable insights into the factors that contribute to exceptional lifespan and healthy aging.
Active Lifestyle and Physical Labor
Carter remained physically active throughout his life, famously continuing to build homes for Habitat for Humanity well into his 90s. His background as a peanut farmer instilled lifelong habits of physical labor and outdoor activity that provided natural cardiovascular exercise and strength training. Research consistently shows that regular physical activity is one of the strongest predictors of longevity, reducing all-cause mortality by 20-30% compared to sedentary lifestyles. Carter’s commitment to manual labor and construction work provided the kind of functional movement patterns that maintain strength, balance, and cognitive function in advanced age.
Purpose-Driven Living and Stress Management
Carter’s post-presidency dedication to humanitarian work, including disease eradication efforts and peace negotiations, exemplifies the longevity benefits of having a strong sense of purpose. Studies show that individuals with high levels of life purpose live 2-3 years longer on average and experience lower rates of cardiovascular disease and cognitive decline. His deeply held religious faith and commitment to service provided stress-buffering mechanisms that protected against the harmful effects of chronic stress on aging. The psychological resilience demonstrated during his cancer treatment at age 90 reflects the kind of mental fortitude associated with exceptional longevity.
Medical Care and Cancer Survival
Carter’s survival of metastatic melanoma at age 90 demonstrated the potential for successful cancer treatment even in advanced age when combined with excellent overall health. His case illustrates how strong baseline health from decades of healthy living can provide the physiological reserve needed to tolerate aggressive treatments. The immunotherapy that cured his brain metastases worked partly because his immune system, despite his age, retained enough function to respond to treatment. This highlights the importance of maintaining immune health through nutrition, exercise, sleep, and stress management throughout life.
My Recommendations
Maintain regular physical activity throughout life, emphasizing both cardiovascular exercise and strength-preserving activities like manual work or resistance training. Cultivate a strong sense of purpose through meaningful work, volunteerism, or service to others, as this provides psychological resilience and stress protection. Develop and maintain social connections and faith-based or philosophical frameworks that provide meaning during difficult times. Prioritize excellent preventive medical care and maintain strong relationships with healthcare providers who know your baseline health status. Build physiological reserves through decades of healthy living—good nutrition, regular exercise, adequate sleep, and stress management—that can support you through health challenges in later life. Remember that the habits you establish in midlife largely determine your health span and resilience in advanced age.
9. Mediterranean Quinoa Power Bowl with Fermented Tahini Dressing
This nutrient-dense power bowl combines the trendy ancient grain quinoa with fermented flavors and Mediterranean ingredients that are dominating 2025 culinary trends. The fermented tahini dressing provides beneficial probiotics while the colorful vegetables deliver antioxidants and fiber for optimal health.
Nutritional Powerhouse Ingredients
Quinoa provides all nine essential amino acids, making it a complete protein source perfect for vegetarian diets. The fermented tahini dressing combines the benefits of sesame seeds’ healthy fats with gut-healthy probiotics from fermentation. Research shows that fermented foods support digestive health and may reduce inflammation throughout the body. The Mediterranean vegetables provide a rainbow of antioxidants, with each color representing different protective compounds that support immune function and reduce chronic disease risk.
Ingredients
- 1½ cups quinoa, rinsed and drained
- 3 cups low-sodium vegetable broth
- 2 medium zucchini, diced
- 1 large red bell pepper, chopped
- 1 medium eggplant, cubed
- 1 cup cherry tomatoes, halved
- ½ cup kalamata olives, pitted and sliced
- ¼ cup pine nuts, toasted
- 2 tablespoons extra-virgin olive oil
- 2 cups fresh arugula
- ½ cup fresh herbs (parsley, basil, mint), chopped
Fermented Tahini Dressing:
- ¼ cup tahini
- 2 tablespoons miso paste (white or yellow)
- 2 tablespoons lemon juice
- 1 tablespoon apple cider vinegar
- 1 teaspoon honey or maple syrup
- 2-3 tablespoons warm water
- 1 clove garlic, minced
- ¼ teaspoon smoked paprika
Instructions
- Cook quinoa in vegetable broth according to package directions. Let cool to room temperature.
- Preheat oven to 425°F. Toss zucchini, bell pepper, and eggplant with olive oil and roast for 25-30 minutes until tender and lightly caramelized.
- For the dressing, whisk together tahini and miso paste until smooth. Add lemon juice, vinegar, honey, and garlic. Gradually whisk in warm water until desired consistency is reached. Stir in smoked paprika.
- In a large bowl, combine cooled quinoa with roasted vegetables, cherry tomatoes, olives, and fresh herbs.
- Arrange arugula in serving bowls, top with quinoa mixture, and drizzle with fermented tahini dressing.
- Garnish with toasted pine nuts and additional fresh herbs before serving.
Servings: Makes 4 generous servings
My Recommendations
This bowl works beautifully as a complete meal or can be served alongside grilled fish for added protein. The fermented tahini dressing will keep in the refrigerator for up to one week and makes an excellent sauce for other vegetables or grain bowls. Feel free to substitute seasonal vegetables based on availability—roasted Brussels sprouts, cauliflower, or butternut squash work wonderfully. The combination of plant-based proteins, healthy fats, and fermented foods makes this dish ideal for supporting both digestive health and sustained energy levels.