A Baseline Nutritional Assessment Panel

A woman at a dining table sorting through several printed result sheets spread in front of her

The phrase implies a list of tests(baseline nutritional assessment) to request. The evidence points somewhere different, and the correction is worth making before anything else. Routine nutrient screening in average-risk adults is not recommended. What’s recommended instead is narrower, cheaper, and mostly already sitting in a drawer.   The correction first Taking vitamin B12 as … Read more

Post-Menopausal Skin Change

A woman at a bathroom basin patting her face dry with a soft towel in morning light

Post-menopausal skin change is usually filed under ageing. The data suggests a different clock is running. Skin collagen loss correlates with menopausal age rather than chronological age — meaning the relevant number isn’t how old you are, but how long it’s been since menopause.   The number, and what it measures The foundational work here … Read more

Menopause and Dry Eye

A woman at a desk pausing to close her eyes with her chin resting on one hand

Menopause and dry eye are connected, and the obvious explanation — oestrogen falls, eyes get dry, replacing oestrogen should help — turns out to be wrong in an instructive way. A study of more than 25,000 women found hormone therapy associated with more dry eye, not less.   How common Estimates vary considerably, which is … Read more

Ginkgo and Bleeding Risk

A woman placing two unlabelled supplement bottles on a consultation room desk

Ginkgo and bleeding risk is a case where two kinds of evidence point in opposite directions, and neither can be dismissed. Case reports describe serious haemorrhage. Randomised trials measuring coagulation find nothing. Working out what to do with that requires looking at what each kind of study can and cannot detect.   The mechanism is … Read more

Immune Changes After Menopause

A woman by a window holding a warm mug in both hands, looking out at an overcast sky

Immune changes after menopause are usually described as a decline. That word is doing too much work. What the research describes is stranger and more specific: the immune system becomes more inflammatory and less effective at the same time. Both directions, simultaneously.   Why hormones reach immune cells at all The connection isn’t indirect. T … Read more