The Pulse

Peptides are having a moment – but how much do we actually know about them? On this episode, we explore the potential benefits and risks. We investigate the science behind peptides, find out what lagging research and regulation could mean for regular users, and learn about how — and whether – to use peptides in a responsible way. We talk with Stanford pathology professor Katrin Svensson about what exactly peptides are, what led to their explosion in popularity, and the dangers of unregulated use, both for consumers and for the field of peptide research. Reporter Bruce Gil dives into the world of consumer peptides, exploring what's driving their growing popularity, the science behind them, and the thorny regulatory landscape. He also talks with regular users about why they started using peptides, and what effects they’ve had on their health. Many people are interested in peptides, and want access. A growing fleet of clinics and medical providers provide peptide treatments targeting everything from weight loss to muscle growth to cognitive function and mental health. We talk with Evan Miller, the CEO of a chain of clinics called Gameday Men's Health, about how he got into peptides, and what patients should look out for when they’re seeking out peptide treatments. Peptides are also a hot commodity in skincare products. Dermatologist Elizabeth Houshmand breaks down the different categories of peptides in creams and serums, and how consumers can tell if a product has actually been studied or not.

It’s a story that’s unfolding across America, from Texas to Tennessee, Kansas to the Rust Belt — rural hospitals are struggling or closing, leaving residents, towns, and entire regions without access to important healthcare services, from cancer screenings to maternity care. For some people, it can even mean a several-hour drive to the nearest emergency room — and in life-or-death situations, those extra miles can make a big difference. On this episode, we explore the rural healthcare crisis, and emerging solutions aimed at increasing — or at least preserving — access to care. We visit communities in rural Pennsylvania where residents are fighting to save their hospitals. We find out how other systemic pressures, like prior authorization, are squeezing rural healthcare systems. And we hear about potential solutions, ranging from state-funded reimbursement programs, to sophisticated “hospitals on wheels” aimed at bringing healthcare to the people.SHOW NOTES: Reporters Nicole Leonard and Alan Yu take us on a journey to two towns in rural Pennsylvania facing similar pressures — Bradford, a once-booming oil town now in decline, and Honesdale, a former railway hub nestled in the Pocono Mountains. For years, both locales have dealt with shrinking populations and a loss of businesses. We hear about the residents’ efforts and struggles to save their hospitals. Many states, including Pennsylvania, have been working to prevent hospital closures in rural areas through experimental initiatives aimed at shoring up their finances. The Pulse's Alan Yu explains how one such initiative — the Pennsylvania Rural Health Model — aimed to combat these financial pressures by replacing the traditional fee-for-service model with a value-based model, which shifts the focus to preventative care in exchange for fixed, predictable funding. We explore how the five-year experiment played out — and why economists say it didn’t ultimately work for some hospitals. We talk with Miranda Yaver, an assistant professor of health policy at the University of Pittsburgh, about another challenge squeezing rural hospitals — prior authorization. Her new book is “Coverage Denied: How Health Insurers Drive Inequality in the United States.” In some parts of rural America, patients have to travel hours in order to access care — but what if medical care could come to them? That's the idea behind a new, federally funded program called PARADIGM, which deploys AI-enabled mobile health units to patients who don’t have access to healthcare. We talk with PARADIGM’s director, emergency medicine physician Bon Ku, about how these mobile clinics work, and hear from reporter Grant Hill about one of the program's latest creations — MARCUS, a futuristic hospital on wheels that contains an exam room, scanning machines, and even a laboratory.

Cereal was born as a health food — but quickly, sweet, crunchy flavor, bright colors, and fun shapes became more important than the nutritional value. That didn’t stop cereal companies from leaning into health claims, though. From Cheerios to Frosted Flakes and Wheaties, brands made bold promises to lower cholesterol, promote weight loss, boost fiber and even help prevent cancer. These healthy messages were also paired with eye-catching designs and beloved mascots. It was all a powerful marketing formula, one that sold a dream to buyers — that indulging in sugary cereal could also be a healthy choice. But, over the years, the healthy veneer has chipped off the cereal box.On this episode, public health nutritionist Marion Nestle and former Vice President of Nutrition at Kellogg Company Lisa Sutherland discuss their new book, “Sugar Coated: Unboxing the Hidden Forces Shaping America’s Favorite Breakfast Food.”

As summer winds down, some people are celebrating the approach of fall, while others are dreading the shorter, colder days. We know that weather can affect our mood — maybe we're extra irritable when it's hot, or gloomy when it's gray — but it can also influence our overall health. On this episode, a look at how weather affects well-being and health, from its impact on menstrual cycles to chronic conditions like asthma and pain. Can extreme heat affect your menstrual cycle? The internet thinks so. In June, , a strange phenomenon went viral on social media — thousands of women experienced unexpected changes to their periods as temperatures soared. For some, it came early; for others, late. Still others missed it entirely, or reported having a second period shortly after their first. Pulse producer Nichole Currie investigates the potential connection. Writer Alison Espach was taking a dip in the ocean one summer when something strange happened — she emerged covered head-to-toe in hives. She dismissed it as a fluke, but then it happened again when she swam in a lake, and again in a river. We talk with Espach about the bizarre culprit: her sudden allergy to cold. Heat waves don't just make for uncomfortable temperatures — they often lead to poor air quality, which, in many places, has been exacerbated by wildfires. Pulse reporter Alan Yu talks with patients affected by air pollution, why it's dangerous to our health, and the people working to better track air quality. We talk with writer Lorraine Boissoneault about her new book of essays, "Body Weather: Notes on Chronic Illness in the Anthropocene," which explores the ways in which her own chronic illnesses mirror the weather changes wrought by climate change. Psychologist Trevor Harley explains the science of how the weather affects our mental and physical health, the evolutionary roots of our sensitivity to the weather, and how we can use that knowledge to improve how we feel. His new book is “Head in the Clouds: How the Weather Affects Our Minds and Mental Health.”