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  • Classic psychedelics are being revisited as novel drug candidates. Researchers are investigating the efficacy of psychedelics for disorders such as depression and addiction. Facets of obesity pathophysiology are neurobiologically similar to these conditions, and we propose that obesity could be the next frontier in psychedelic research.

    • Nicole Fadahunsi
    • Gitte Moos Knudsen
    • Christoffer Clemmensen
    Comment
  • Control loop designs are widely present in biology but can undergo errors, which can be fixed using generic strategies. Loop designs in response to organismal stress exhibit distinct features and are under ongoing investigations. Understanding control theory as an organizing principle in biology creates a broader perspective on endocrine and non-endocrine systems.

    • Nikolai P. Jaschke
    Comment
  • Radioactive iodine (RAI) treatment is used in patients with thyroid cancer to treat disease and to eradicate normal thyroid remnants. Routine post-operative administration of RAI is no longer indicated in patients with low risk thyroid cancer and might instead be used selectively in patients with a post-operative high serum level of thyroglobulin.

    • Sophie Leboulleux
    • Isabelle Borget
    • Martin Schlumberger
    Comment
  • From April 2022, as part of the UK government’s new obesity strategy, it is now compulsory for all larger restaurant and cafes in the UK to include calorie labelling on their menus. Is this legislation, however, likely to be effective in reducing our caloric intake, thereby tackling obesity?

    • Giles S. H. Yeo
    Comment
  • The symptoms of long COVID and chronic adrenal insufficiency have striking similarities. Therefore, we aim to raise awareness of assessing adrenal function in patients with long COVID.

    • Waldemar Kanczkowski
    • Felix Beuschlein
    • Stefan R. Bornstein
    Comment
  • It is increasingly clear that pancreatic islet replacement is needed to provide a comprehensive treatment for the growing numbers of patients with type 1 diabetes mellitus. Advances from the past year suggest that this goal might now be within reach.

    • Stefan R. Bornstein
    • Barbara Ludwig
    • Charlotte Steenblock
    Comment
  • A large body of indisputable evidence shows that a certain treatment, commonly advocated by all healthcare professionals for a highly prevalent chronic medical condition, is associated with detrimental effects on health and an increased risk of mortality. This ‘treatment’, which needs eradicating from healthcare settings, is weight stigma.

    • Rachel L. Batterham
    Comment
  • Remission of type 2 diabetes mellitus is highly desirable and potentially reduces risks of complications. Improving the probability of remission requires early detection and substantial weight loss during a 6-year therapeutic window when β-cells remain functional.

    • Michael Bergman
    • Martin Buysschaert
    • Jaakko Tuomilehto
    Comment
  • Exosomes include plasma-transported vesicles that are secreted by human tissues and reflect metabolic status. The profile of exosomes (particularly microRNA content) is altered in metabolic disease. In type 2 diabetes mellitus, exosomes circulating in plasma induce transcriptional changes related to tumour progression and pro-metastatic phenotypes in target cancer cells, potentially linking obesity to cancer progression and metastasis.

    • Naser Jafari
    • Pablo Llevenes
    • Gerald V. Denis
    Comment
  • The maintenance and regulation of body temperature in neonates is critical for survival. However, the mechanisms by which human neonates achieve body temperature control are unclear. Current evidence has demonstrated that infrared thermography is a suitable non-invasive technique that can be safely applied to human babies to investigate brown adipose tissue thermogenesis.

    • Ismael González-García
    • Adela Urisarri
    • Miguel López
    Comment
  • Weight gain indicates a positive energy balance, with calorie intake exceeding expenditure. However, this fact of physics cannot inform causality. Potential pathways to obesity include a positive energy balance that drives weight gain or weight gain that drives the positive energy balance. Here, we propose an integrated model of obesity pathogenesis that incorporates both pathways.

    • David S. Ludwig
    • Thorkild I. A. Sørensen
    Comment