January 8, 2026
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Morning Rounds Writer and Reporter

Tag yourself in the new, inverted food pyramid from federal health authorities. I'm the stick of butter scaled to be the same size as a potato. 

policy

The new food pyramid finally debuts

The government's new upside down food pyramid. Turkey, broccoli, cheese, steak, and groundbeef are highlighted at the top, among other items. Whole grains are at the bottom.

HHS/USDA

The Trump administration issued its long-awaited revamp of the national dietary guidelines yesterday, urging Americans to eat more protein and less added sugar and, for the first time, discouraging consumption of highly processed foods. The guidelines also discarded the old “MyPlate” visual to return to their pyramid roots. The new pyramid (above) is flipped on its head and prioritizes more meat and dairy products than previous versions.

Reaction from nutrition experts was mixed, as my colleagues reported in an in-depth story on the guidelines. While the American Medical Association applauded the new approach, other nutrition experts were scathing. (Marion Nestle, a leading nutritionist, called the guidelines “muddled, contradictory, ideological, retro.”) 

And in an exclusive follow-up, the same reporters found that nearly half of the panel behind the new guidelines have financial ties to the beef and dairy industries. Read more about the conflicts of interest.


cardiovascular health

People regain weight and lose heart health benefits after stopping obesity drugs 

For the past few years, GLP-1 weight loss medications have been touted as near-miracle drugs, helping people to lose substantial weight and improve their heart health. But what happens when people stop taking the drugs? It’s generally understood that people gain weight back once they stop trying to lose it — and that weight cycling can be quite dangerous. A study published yesterday provides new data on how discontinuing GLP-1s plays out differently than stopping other weight loss methods.

In the study, no matter how much weight participants lost, regain was four times faster for people ending medication use than for those who stopped pursuing diet and activity changes. Stopping medication also reversed the beneficial effects on blood sugar, high cholesterol, and high blood pressure. 

Experts disagreed about how these findings should be taken into account when considering GLP-1s. Read more about it from STAT’s Liz Cooney.  


first opinion

The 30-year itch

Depending on your Instagram algorithm, you might have noticed an increasing amount of hype for hormone therapy’s purported ability to fight wrinkles, lessen brain fog, control weight, ease achy joints, spur hair growth, and prevent heart attacks. And it’s not just online — the FDA recently reversed a decades-old warning on menopause hormone therapy products. In a new First Opinion essay, two pharma experts argue that this isn’t anything new, but rather part of a decades-long cycle. 

“We had the exact same debates about menopause and hormone therapy in the 1970s and 1980s,” they write. In the 1980s and early 1990s, hormone sales soared. As the cycle begins again, they argue that women should be wary. Read more on how history repeats itself.



policy

Vaccine changes raise new liability questions for drugmakers

Health secretary Robert F. Kennedy Jr.’s allies are hopeful that his agency’s move to reduce the number of recommended pediatric vaccines opens the door to stripping vaccine makers of the liability shields afforded to them by a landmark decades-old law. Taking down those defenses has been a longtime goal of vaccine critics like Kennedy, who claim the protections de-incentivize manufacturers from making vaccines safe. 

Such a defeat could force manufacturers out of the market and undermine vaccine access across the country. But it’s definitely an “if,” not a “when.” Legal experts aren’t sure there’s an immediate opening. “This was a big destabilizing and confusing event,” said Anna Kirkland, who wrote a book on federal vaccine court. “But it doesn’t change so much structural stuff.” Read more from STAT’s Chelsea Cirruzzo and Daniel Payne on why people are worried anyway.

And if you’re still looking for a breakdown of the changes, you can watch a video interview with Helen Branswell, STAT’s in-house vaccine expert, here.


more vaccines

More data in favor of this year’s flu shot

And in more vaccine news, here’s a report from Helen on a yet-to-be-published paper:

There’s more evidence that this year’s flu vaccine may offer at least some protection against the influenza strain that is wreaking havoc on respiratory tracts across the nation. A new preprint from scientists at the University of Pennsylvania reports that a portion of people who got a flu shot developed what are considered to be protective levels of antibodies against H3N2 viruses of the subclade K variant, even though the vaccine doesn’t target that version of H3N2.

In a group of 76 people ranging in age from 24 to 81, 11% had antibodies that recognized the new subclade K viruses before they were vaccinated. When blood from the same group was tested a month after vaccination, 39% had antibodies against subclade K at levels that normally signal protection. Not ideal, but it could be worse, said flu virologist Scott Hensley, whose lab did the work. "Going into the experiments, I thought we would see less than 10% seropositive after vaccination," he told STAT. There’s more on subclade K here. — Helen Branswell


research

How safe is that psychedelic retreat?

While Kennedy and many others have trumpeted the therapeutic potential of psychedelics, questions remain about how best to provide the drug in clinical settings. In the meantime, as shrooms (psilocybin) and ayahuasca become more popular, psychedelic retreat groups have cropped up in and around the U.S. A study published yesterday in JAMA Network Open analyzed the safety practices of nearly 50 such organizations.

Researchers found “substantial variability” in the safety measures taken by the retreat groups, which offered psilocybin, ayahuasca, or both. All of the groups collected medical histories, and most excluded people with certain conditions like schizophrenia or psychosis. Most (88%) required or recommended that people stop taking any medications before their trip, but for lengths of time that varied from a single day to six weeks beforehand. About 70% worked with a licensed health care professional or someone with emergency response training, while 65% had one of those folks in attendance at least some of the time. All the groups had some type of trained workers in attendance, but the responsibilities of those workers were often vaguely defined.


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What we're reading

  • CDC staff ‘blindsided’ as child vaccine schedule unilaterally overhauled, Washington Post

  • At-home HPV tests could spare millions from Pap smears, STAT
  • Why a fatal ‘black fungus’ struck India during the COVID-19 pandemic, Science
  • First Opinion: Do Americans expect too much from drugs? STAT