[HN Gopher] Regular blood donations can reduce "forever chemical...
       ___________________________________________________________________
        
       Regular blood donations can reduce "forever chemicals" in the
       bloodstream: study
        
       Author : wirelesspotat
       Score  : 184 points
       Date   : 2022-04-22 16:10 UTC (6 hours ago)
        
 (HTM) web link (theswaddle.com)
 (TXT) w3m dump (theswaddle.com)
        
       | xwdv wrote:
       | What if the blood collectors just find a way to filter out PFAs
       | so they don't get into your donation and they collect a pure
       | sample, and overtime you just keep saturating your blood with
       | PFAs through constant donations? No thanks.
        
         | at_a_remove wrote:
         | That would be more like plasma donation, where it is filtered
         | and sent back to you. Blood donation doesn't work like that. No
         | filtration.
        
       | smm11 wrote:
       | Blood letting, huh?
        
       | M5x7wI3CmbEem10 wrote:
       | why not just get regularly blood tested? blood testing also
       | extracts blood. but on top of it, you get information
        
         | DoingIsLearning wrote:
         | > why not just get regularly blood tested?
         | 
         | Volume.
         | 
         | A blood sample is at a stretch max 20ml. A blood donation is
         | about 300ml.
        
           | M5x7wI3CmbEem10 wrote:
           | ah, thanks!
        
       | neogodless wrote:
       | Donate your perfluoroalkyl and polyfluoroalkyl substances (PFAS)
       | to those in need!
       | 
       | Hmm:
       | 
       | > As to the question of what happens to recipients of this blood:
       | "Perfluoroalkyl and polyfluoroalkyl substances are ubiquitous,
       | and no threshold has been identified that poses an increased risk
       | to recipients of donated blood components."
        
         | skrbjc wrote:
         | My guess is that the person who needs blood cares more about
         | getting the blood or plasma than the small amount of PFAS in
         | it, which they likely have already.
         | 
         | If this causes more people to donate, it's probably a good
         | thing overall, even if the people doing it are doing so in the
         | hopes of cleansing their own system of these chemicals.
        
           | giantg2 wrote:
           | While I generally agree the idea that it's not harmful enough
           | to stop a transfer, I disagree with the basis of the
           | argument.
           | 
           | We could also say that given a choice between death and HIV,
           | the blood recipient would still want the blood.
        
             | PeterisP wrote:
             | With respect to HIV, there is an alternative to get non-
             | contaminated blood.
             | 
             | With respect to PFAS, which is a general
             | societal/environmental issue it's likely that all donated
             | blood has roughly the same PFAS levels, so recipient either
             | gets blood with PFAS or no blood at all; and the "new"
             | blood might have slightly more or less PFAS than the
             | recipients current blood, but the recipient already has a
             | comparable level of PFAS anyway.
        
               | giantg2 wrote:
               | Yes, and that is a better argument than someone simply
               | being desperate enough to accept contaminated blood
               | rather than die.
        
               | JamisonM wrote:
               | I would argue additionally that once the person in need
               | of blood has recovered they can simply donate blood and
               | in so doing enjoy the benefits of reduced PFAS levels and
               | hopefully save someone else's life with that blood!
        
             | tricky777 wrote:
             | if there is no other choice. Yes, reluctantly, I would
             | accept hiv. (i.e. I accept days to years duration of life
             | vs minutes to hours)
             | 
             | The thing is, donated blood is always in short supply. you
             | dont have much choice, when you have a serious blood-loss.
             | 
             | edit: I would be very angry if sombody would have chosen to
             | use hiv blood on me while I was uncounciuos. Similar to how
             | I would be angry if my arm would be amputated, while my
             | conciousness was away.
        
             | JumpCrisscross wrote:
             | > _given a choice between death and HIV, the blood
             | recipient would still want the blood_
             | 
             | ...yes?
        
         | Faint wrote:
         | If donator's blood has same concentration of pfas as
         | recipients, the recipient's concentration does not change!
         | Also, the recipient has probably just lost blood, so total
         | amount of pfas won't change either, and taking into account
         | that people that donate blood do so often with some regularity,
         | the donators blood actually is likely to have less pfas than
         | the recipients original blood.
        
         | CodeWriter23 wrote:
         | They're basically saying: "Sure, you're passing the buck, but
         | there's no evidence that your reduction in PFAS results in an
         | increase of PFAS to the recipient. Because we haven't looked."
         | and then calling that "Science".
        
           | tantalor wrote:
           | No, the phrase "there's no evidence" implies an attempt to
           | find out that resulted in no support for the notion.
        
             | CodeWriter23 wrote:
             | If that were the case, they surely would have cited the
             | studies.
             | 
             | But let do some simple math. Let's say I (and a dozen other
             | donors) have 10ng/mL of PFAS in my system and a recipient
             | has 5ng/mL. Assuming 20 pints of blood in a human for the
             | rest of this word problem. Recipient requires a transfusion
             | of 10 pints which happen to be sourced by those 12 donors,
             | What is their PFAS load after the transfusion?
             | 
             | W/bust.ENG :r@wsu[?]
        
             | thewakalix wrote:
             | There are two kinds of "no evidence"!
             | 
             | https://www.overcomingbias.com/2008/08/doctor-there-ar.html
        
           | satellite2 wrote:
           | On the first donation you're expected to have an average
           | level, and thus not to increase the pfas level of the
           | recipient. On all subsequent donations you're expected to be
           | below average and thus reduce the level of the recipient. So
           | I think them being careful is clearly not hypocrisy here.
        
         | somethoughts wrote:
         | It'd be interesting if the PFAS could be filtered out before
         | being transferred to the next person.
        
         | delecti wrote:
         | By putting "toxic chemicals" in the title along with that
         | sentence in the body, it sure seems like they're trying to have
         | their cake and eat it too with this article. It also lists a
         | bunch of negative things that are associated with PFAS levels.
         | They're toxic, and associated with a bunch of bad things, but
         | don't worry.
         | 
         | > apart from being identified as potentially carcinogenic, PFAS
         | are associated with "low fetal weight, impaired immune
         | response, thyroid function abnormalities, obesity, increased
         | lipid levels, liver function alterations, and, potentially, an
         | increased risk of some malignant neoplasms."
         | 
         | I suppose that most blood recipients are probably better off
         | with increased PFAS than going without the infusion, but the
         | article sure presents the situation clumsily.
        
         | dundarious wrote:
         | Presumably it's even odds as to who has more PFAS: the donor or
         | the recipient. And if you need a blood transfusion (often in an
         | emergency), the PFAS is probably a small negative on a hugely
         | positive treatment. It's like pesticides on plants: it's
         | probably slightly unhealthy to eat the small level of
         | pesticides on most plant food, but it's worse to miss out on
         | all the nutrition in plants.
        
       | tyronehed wrote:
       | This means anybody who gets a blood donation is getting a nice
       | dose of forever chemicals.
        
         | aeternum wrote:
         | I guess instead of donations we could bring back the idea of
         | bloodletting or just swimming with the leeches.
        
         | matthias509 wrote:
         | Also, choking people get bruises to the abdomen when someone
         | performs the Heimlich maneuver on them, and people with cancer
         | get pumped full of chemicals which just about kill them. That
         | treatments also cause harm is pretty normal in medicine.
        
         | QuikAccount wrote:
         | If you are in a position that you need blood donation, getting
         | PFAS in your blood is the least of your concerns
        
         | loaph wrote:
         | If you're getting a blood donation, you've likely lost a lot of
         | blood that is being made up by the donation. So you lost blood
         | and by extension forever chemicals and are replacing blood and
         | by extension forever chemicals. I bet it's a wash as far as +-
         | chemicals.
        
       | kaycebasques wrote:
       | What is the optimal donation interval? Article mentions that some
       | donated every 6 weeks and others every 12 but it doesn't appear
       | to mention how the interval affected the forever chemical levels.
       | Is more frequent donation better because it's more opportunity to
       | remove the forever chemicals?
        
         | amelius wrote:
         | Also, starting from what age is it beneficial?
        
       | jeffwask wrote:
       | Back to leeches; got it
        
         | 1-6 wrote:
         | Leeches make really cool pets.
        
       | superjan wrote:
       | The article mentions the reduction, not beginlevels of the
       | substances. It turns out that the reduction during the test
       | period is about 30% (for at least one of the substance
       | categories). A meaningful reduction for sure, but it should be
       | interesting to test them after a few years of blood donation. On
       | page 6/7 of the JAMA pdf you find the relevant graph.
       | 
       | https://jamanetwork.com/journals/jamanetworkopen/articlepdf/...
        
       | phren0logy wrote:
       | Sharing is caring?
        
       | swayvil wrote:
       | Or letting a dozen leeches have their way with your chestmeat.
       | 
       | Those medieval sawbones knew some stuff.
        
       | wirelesspotat wrote:
       | I don't like how "toxic forever chemicals in the bloodstream" is
       | a normal thing
       | 
       | Veritasium has a great YouTube video about this: "The Man Who
       | Accidentally Killed The Most People In History"[0]
       | 
       | [0] - https://www.youtube.com/watch?v=IV3dnLzthDA
        
         | thunkshift1 wrote:
         | Damn.. that dude caused more mayhem and destruction than
         | genghis khan..
        
       | edmcnulty101 wrote:
       | Are there any blood test as a service sites? Where I can point
       | and click order a blood test panel ?
        
         | wirelesspotat wrote:
         | In the USA, there's Private MD Labs, ULTA Labs, and Synergistic
         | Labs[0]. In the UK, there's Medichecks and Thriva. I expect
         | there are similar options in other countries.
         | 
         | However, these general blood tests won't test for PFAS:
         | https://news.ycombinator.com/item?id=31125559
         | 
         | [0] https://www.reddit.com/r/steroids/wiki/bloodwork/list
        
       | adamredwoods wrote:
       | We should be able to test our blood for PFAS on a regular basis
       | and our doctors should be able to let us know if we need to
       | filter our blood.
       | 
       | But PFAS testing is not the norm?
       | 
       | Per a Tedx talk on this subject:
       | https://www.nrdc.org/experts/anna-reade/pfas-blood-tests-nee...
       | 
       | >> Unfortunately, a PFAS blood test is not a routine lab test
       | that can be processed by your local lab and covered by your
       | health insurance. In fact, there are only a handful of labs
       | certified to test for PFAS in blood and the out of pocket cost
       | for this test is out of reach for most people.
        
         | Exuma wrote:
         | What do they cost?
        
           | droopyEyelids wrote:
           | If you were curious, a quick search gave me results in the
           | range of $300-$400
           | 
           | https://empowerdxlab.com/products/product/pfas-exposure-test
        
           | ComputerGuru wrote:
           | I just called Quest Diagnostics and they charge $679 w/out
           | insurance for the PFAS panel [0].
           | 
           | [0]: https://testdirectory.questdiagnostics.com/test/test-
           | detail/...
        
         | snarf21 wrote:
         | We should all get annual blood tests so we can track variance
         | from out baselines.
        
           | arcticbull wrote:
           | Probably not, honestly. For most tests, the risks associated
           | with a false positive outweigh the benefits of marginally
           | earlier detection.
           | 
           | Humans aren't precise machines, each person has different
           | values and different value ranges for standard measurements -
           | and asymptomatic deviations frequently mean nothing
           | whatsoever. On the other hand investigations can be invasive,
           | painful, risky and expensive.
           | 
           | There's a reason most tests aren't recommended for folks
           | outside certain risk categories (age, family history, etc).
           | And in a litigious society like America, it's not because
           | it's expensive. There's some specific diseases where there's
           | a lot of data backing this thesis - certain cancers for
           | instance.
        
             | sodality2 wrote:
             | > For most tests, the risks associated with a false
             | positive outweigh the benefits of marginally earlier
             | detection.
             | 
             | If these tests aren't run, then I am not sure if it would
             | be "marginally earlier", it might be much later or even
             | never that the problem is discovered.
        
               | plonk wrote:
               | If they are run, the results could be uninformative
               | (https://en.wikipedia.org/wiki/Base_rate_fallacy). Too
               | many false positives could lead to risky treatment and be
               | dangerous. Testing each positive again would still create
               | false positives. I don't know the numbers in this case,
               | but I wouldn't be surprised if accurate mass testing were
               | impractically expensive.
        
               | closedloop129 wrote:
               | This should only be a problem if you don't adjust the
               | models. If you run a huge number of tests, you can create
               | far more detailed models and thus reduce the false
               | positive rate.
               | 
               | Ideally, all chemical processes in the body could be
               | known and we could have an almost "mechanical" model of
               | the body. How else but with more testing can be reach
               | that knowledge?
        
               | plonk wrote:
               | > This should only be a problem if you don't adjust the
               | models. If you run a huge number of tests, you can create
               | far more detailed models and thus reduce the false
               | positive rate.
               | 
               | Can you? The problem is the test's sensitivity and
               | specificity, there's not much statistical work to do
               | after the test on a single case. It's not an advanced
               | model deciding whether you're sick or not.
               | 
               | > Ideally, all chemical processes in the body could be
               | known and we could have an almost "mechanical" model of
               | the body. How else but with more testing can be reach
               | that knowledge?
               | 
               | Yeah, ideally we would. Not a doctor, but as far as I can
               | tell, we're a thousand years away from that.
        
               | wirelesspotat wrote:
               | The video in this comment provides some good examples for
               | why the risks associated with a false positive can be
               | pretty significant:
               | https://news.ycombinator.com/item?id=31126368
        
             | spockz wrote:
             | I think the value in regular blood tests is to get an idea
             | of what normal values are for you specifically. For some
             | diseases/conditions the blood levels have such a big range
             | that it is more useful to know the delta.
             | 
             | We hardly ever measure the "good" or stable cases so when
             | we start testing stuff when we are ill there is very little
             | data on what is normal or even normal for you.
             | 
             | Ive heard of cars where due to family history someone
             | preemptively screened on certain blood values. When those
             | changed they knew something was up, even though the value
             | was still within normal range it was up 100x for them.
        
             | tedunangst wrote:
             | That's the whole point of establishing a baseline.
        
               | [deleted]
        
               | solveit wrote:
               | I don't know why this comment is downvoted. Let me
               | elaborate a little on what I think they meant.
               | 
               | All the risks associated with false positives (other than
               | the side effects of actually drawing blood once a year,
               | which I think is negligible) can be removed by simply not
               | overreacting. Find a cancer? Well, consider not
               | subjecting yourself to chemo just to get rid of it. Some
               | cancers will kill you by winter, some will just stay
               | there until you die of something else. How will we know
               | which is which? By testing lots of people over long
               | periods of time to see what's harmless and what's
               | actually really bad. Or as the previous commenter said:
               | "That's the whole point of establishing a baseline."
        
           | pkaye wrote:
           | Even is the US, a metabolic panel of about 15-20 basic blood
           | tests is only about $40. You an order it online and go to a
           | local lab to get blood drawn.
        
           | wirelesspotat wrote:
           | There's a great video from Medlife Crisis about why this
           | might not be a good idea
           | 
           | "The Problem With Silicon Valley Medicine":
           | https://www.youtube.com/watch?v=rW3DGnHO2iY
        
         | roywiggins wrote:
         | Nobody knows the threshold above which intervening is a good
         | idea or worth the effort, so universal testing seems like
         | jumping the gun a little.
        
           | sdenton4 wrote:
           | People said similar things about lead...
        
             | mrmuagi wrote:
             | The people vested in using lead in fuel said so out of
             | profit motive, but it seems lead was widely known to be
             | harmful for hundreads of years [0] before it was using it
             | fuel.
             | 
             | [0] https://www.youtube.com/watch?v=IV3dnLzthDA
        
             | roywiggins wrote:
             | We don't preemptively test everyone for lead either!
        
               | vorpalhex wrote:
               | Related PSA: If you do a lot of target shooting,
               | especially with indoor ranges, it's worth asking your
               | doctor to occasionally test your lead exposure.
        
               | dibujante wrote:
               | This is true, although I would prefer to still test
               | everyone for plausibly important things to feed data
               | analysts who might eventually discover something useful.
        
               | sorenn111 wrote:
               | I'd love for that to be true, but there's a good chance
               | that in doing broad tests you are incurring costs (both
               | to patient health and cost [whether paid by patient, gov,
               | or insurance company]) without getting anything beyond
               | noisy data without useful signal
        
       | rrauenza wrote:
       | I wonder how less effective double red donations are at this
       | since they return your plasma to you during the donation. Sounds
       | like plasma donations are the biggest bang for the buck, possible
       | followed by single whole blood donations?
        
       | mike00632 wrote:
       | Sucks to be gay in the United States then. FDA prohibits gay men
       | from donating blood based on outdated fears of contamination.
        
       | neallindsay wrote:
       | I would not have guessed that bleeding would come back as a
       | medical treatment in the year 2022.
        
       | buildsjets wrote:
       | So, the solution to pollution REALLY IS dilution.
        
       | Jeff_Brown wrote:
       | This might be great! Or it might be meaningless. The only
       | quantifying passage I see is this one:
       | 
       | > "Plasma donation was the most effective intervention, reducing
       | mean serum perfluorooctane sulfonate levels by 2.9 ng/mL compared
       | with a 1.1-ng/mL reduction with blood donation, a significant
       | difference
       | 
       | But how much perfluorooctane sulfonate did the study's subjects
       | start with? I don't care if one treatment accomplished more than
       | another until I know that at least one of them made a difference
       | worth making.
        
       | nfriedly wrote:
       | I know some people are jumping on the idea that these "forever
       | chemicals" just get passed onto the blood recipient, but that
       | misses the "Regular" part. Sure, the first few donations have the
       | higher concentrations of those chemicals, but subsequent
       | donations have fewer forever chemicals. The more you do it, the
       | better quality it becomes.
        
         | KarlKemp wrote:
         | There are quite a few regular recipients of blood products,
         | however. It's processed quite a bit (read: separated into its
         | constituent parts and reassembled for what is needed, much like
         | orange juice) which may already filter the stuff.
        
       | sanj wrote:
       | I've been waiting for the Giving Plague to become real:
       | 
       | https://www.davidbrin.com/fiction/givingplague.html
        
       | TheRealNGenius wrote:
       | lol this is literally bloodletting. Like what people in the olden
       | days did. Lol, comes back full circle.
        
       | zwieback wrote:
       | Having grown up in Germany I cannot donate blood here in the US
       | (mad cow) so I guess I'll stew in my toxins...
        
         | droopyEyelids wrote:
         | If this was conclusively proven to be a benefit, you could
         | acquire the equipment, drain a pint of your own blood, and then
         | put it in the compost every couple months.
        
         | ipython wrote:
         | I had the same problem but it looks like the rules have
         | changed: https://www.redcrossblood.org/donate-blood/how-to-
         | donate/eli...
        
       | JoeAltmaier wrote:
       | How about donating platelets? Due to my blood type, they want my
       | platelets.
        
         | aesh2Xa1 wrote:
         | If the PFAS get separated into the same category as the
         | platelets, yes, this'll work. I doubt they do.
        
           | JoeAltmaier wrote:
           | Then the sick person gets that stuff? Yay
        
         | dxscorp wrote:
         | They want your platelets anyway, they are almost always in
         | demand. Some types are more useful but anyone should consider!
        
         | [deleted]
        
       | bluSCALE4 wrote:
       | Finally, a reason for me to donate.
        
       | segmondy wrote:
       | Another way to say that Bloodletting can reduce toxic forever
       | chemicals in the bloodstream.
        
         | np_tedious wrote:
         | Brings up an interesting question. Say you couldn't donate due
         | to tattoos, needle use from steroids or IV drugs ("have you
         | ever injected anything not prescribed by a doctor"), gay or
         | paid sex, etc
         | 
         | Are there services for bloodletting?
        
           | colechristensen wrote:
           | It's not bloodletting but some things do come out in sweat, I
           | remember reading a paper that demonstrated heavy metals come
           | out in sweat in significant amounts. Perhaps other things do
           | as well.
        
             | sschueller wrote:
             | That would mean people who workout a lot should have less
             | than sedatary people.
        
               | hypertele-Xii wrote:
               | Or cultures that use the sauna.
        
               | colechristensen wrote:
               | This is quite possible, now go write a grant application
               | for a study :)
        
           | akira2501 wrote:
           | Yes.. "Venesection." People with hemachromatosis utilize it.
        
       | 6d6b73 wrote:
       | It looks like the school blood letting is the way to health. And
       | scientists laughed at people using leeches back in the day.
        
       | KMag wrote:
       | At least about 15 years ago, we really had no idea the long-term
       | effects of donating blood as often as the Red Cross allows over
       | multi-year periods.
       | 
       | I'm negative for cytomegalovirus, which makes my blood suitable
       | for newborns, cancer patients, HIV patents, etc. I used to donate
       | as often as the Red Cross/New York Blood Center would let me
       | (donating plasma in the in-between times when it was too soon to
       | donate whole blood), but at some point that forced me to get off
       | of my red-meat-once-a-week diet because my iron levels were
       | bouncing down around the donation limits.
       | 
       | I didn't realize one check-up with my regular doctor was going to
       | involve a blood screening, so when the nurse drew blood, I told
       | her that I was going to test as anemic since I donated less than
       | a week earlier. I saw the nurse enter my comments into the
       | computer system, but I still got a very concerned call from my
       | doctor a week later about being anemic. The doctor hadn't read
       | the comment on my chart that I had donated recently, but still
       | begged me to eat more red meat and liver and/or cut back on my
       | blood donation frequency. I asked about spinach, broccoli, etc.,
       | and she said it was just very difficult to get enough iron that
       | way if I was donating blood that often.
       | 
       | I called up the New York Blood Center to see if my regular doctor
       | was over-reacting and/or they had any suggestions about keeping
       | my iron high while donating as often as possible and still
       | keeping red meat consumption low. They told me that there weren't
       | any long-term studies on people who donate as often as they're
       | allowed over long periods. Also, they reaffirmed that red meat
       | and liver are really much more dense sources of iron than any
       | plant sources.
       | 
       | Anyway, when you donate whole blood/plasma regularly and you're
       | CMV-negative, they cross-check your blood for leukocyte
       | compatibility with immunocompromised patients. Three times, I was
       | asked to donate leukocytes for kids with cancer. Two times I was
       | able to donate leukocytes, and the third time, my hematocrit was
       | too low. I highly recommend it, if nothing else, you feel like a
       | really decent person for a couple of weeks after donating
       | leukocytes to a kid with cancer. It's a pretty low-effort way to
       | leave the world a little better than you found it.
       | 
       | I moved to Hong Kong for a while, and there, they take 400 mL
       | instead of a 500 mL, and let you donate less often, but the
       | minimum body weight limit for donation is lower. (People there
       | are smaller on average and eat less red meat than the average
       | American.) I was also very involved with dragon boat racing
       | there, and being slightly anemic makes training harder, so I only
       | donated once a year in HK. I really should have donated more in
       | the off season.
       | 
       | Now, I've got a young son who's blood-compatible with me, so even
       | though they'd never run my blood directly into my son, my wife
       | would really prefer that I keep my blood in my veins for
       | emergencies. I'd still prefer to donate blood, but my wife really
       | doesn't ask that much from me, and it's a small thing to give up
       | for a few years.
        
       | croes wrote:
       | So we are back to bloodletting?
        
         | codingdave wrote:
         | Yes, just as that is the standard treatment for
         | hemochromatosis. Just because it is the wrong treatment for
         | most things does not mean it has zero therapeutic value in
         | specific circumstances.
        
       | codyb wrote:
       | As a regular donator, it's really important to watch your iron
       | levels. After donating double red blood cells every time I could
       | for two years my iron levels dropped significantly and had a very
       | negative impact on my quality of life until I figured out what
       | was wrong.
       | 
       | Now I eat more spinach and chicken to give myself a boost but I'm
       | taking a little break to recoup before going back again.
       | 
       | Either way, donating's great, totally should do it, it's super
       | essential and there're always shortages. Just make sure you're
       | supporting yourself if you make it a habit.
        
       | incomingpain wrote:
       | Canadian blood services specifically doesn't allow me to donate
       | blood. Admittedly, I fear needles pretty fiercely anyway so it's
       | not something I'm going to be fighting.
       | 
       | I find it interesting though that the argument to donate blood is
       | that one's blood might be toxic. That giving away your toxic
       | blood might make your own blood less toxic.
        
         | d4mi3n wrote:
         | Is there any reason why one couldn't simply have blood as a
         | kind of treatment?
         | 
         | I'd certainly be happy to have blood drawn if it meant lowering
         | blood toxicity I had no other way of treating.
        
           | toast0 wrote:
           | Therapeutic phlebotomy, basically bloodletting, is a common
           | treatment for hemochromatosis, iron overload. It would make
           | sense as a treatment if you've got too much of a substance in
           | your system, that substance accumulates in your blood, and
           | you're otherwise healthy enough to tolerate the loss of blood
           | periodically. Depending on the substance, there may be other
           | means that are more effective, or less invasive, of course;
           | and if it's an urgent need to reduce the substance,
           | bloodletting would likely be too slow.
        
             | wrycoder wrote:
             | Or you could take small dose aspirin and just bleed
             | internally. Same result, fewer heart attacks.
        
           | slt2021 wrote:
           | religious Muslims have treatment that is exactly that - blood
           | drawing.
           | https://en.wikipedia.org/wiki/Cupping_therapy#Wet_cupping
        
         | jesusofnazarath wrote:
        
         | wirelesspotat wrote:
         | Yeah, the article mentions recipients of the toxic blood. I
         | wonder if there will be more research to identify any risks for
         | recipients
         | 
         | > The logic in removing them is simple: PFAS work by binding to
         | serum proteins in the blood; removing some of this blood,
         | therefore, would lead to the reduction of forever chemicals in
         | the bloodstream. As to the question of what happens to
         | recipients of this blood: "Perfluoroalkyl and polyfluoroalkyl
         | substances are ubiquitous, and no threshold has been identified
         | that poses an increased risk to recipients of donated blood
         | components."
        
         | fredley wrote:
         | I started donating blood specifically because I have a needle
         | phobia. I'm up to 8 donations now and feeling better about it
         | each time.
        
           | shafyy wrote:
           | I also had an "irrational" fear of donating blood and
           | needles, and being encouraged by my girlfriend, also started
           | doing it. Well, I did it once a couple of months ago and
           | almost passed after some minutes (they had to stop).
           | Apparently, this is not uncommon for young skinny males. But
           | maybe my excitement also didn't help. Will try again :D
        
         | DrBoring wrote:
         | That prompts a curious thought: If you dump 1 unit of your
         | toxic blood into the 9 units of blood inside the body of a
         | transfusion recipient, then how toxic does their blood become?
         | 1/10 toxic?
         | 
         | I've also wondered, is it possible for a transfusion recipient
         | to fail a drug screening test because their doner had recently
         | consumed drug prior to their donation.
        
       | mrfusion wrote:
       | So the pfas just mostly hang out in the bloodstream?
       | 
       | That seems kind of strange they never get filtered or end up in
       | organs.
        
       | ouid wrote:
       | I've been wondering about this for a long time.
        
       | s0rce wrote:
       | This is the first example of detoxifying your body might actually
       | be real.
        
         | hereme888 wrote:
         | Detoxification/cleansing has always been real, in the
         | alternative and conventional/allopathic medical worlds. I don't
         | know any school of thought that denies the benefits of
         | cleansing (within reason); only those who disagree on how to go
         | about it.
        
           | google234123 wrote:
           | Most Detoxing your hear about (and all from "alternative"
           | (read: fake) medicine) is a marketing strategy for treating
           | nonexistent conditions.
           | 
           | Body acidity is a myth, cleaning organs like the kidney or
           | liver is a myth, and all the detox treatments peddled have
           | never been shown to actually remove any toxins from a human.
        
           | mrmuagi wrote:
           | The problem is the best thing to detoxify is your bodies
           | organs and healthy function of them should be priority numero
           | uno.
           | 
           | I think fad diets are the terrority where it gets a bit
           | unreasonable (juice cleanses?). Chakra/Qi cleanses?
        
       | elil17 wrote:
       | There's a theory (see slimemoldtimemold.com) that PFAS cause
       | obesity (or, rather, cause increased hunger which in turn causes
       | obesity). This seems like a great way to actually test that
       | hypothesis.
        
       | mensetmanusman wrote:
       | "Forever chemicals" is kind of a scary marketing term that helps
       | sell ad views.
       | 
       | PFAS materials (teflon, high temperature o-rings, refrigeration
       | fluids, fire-fighting foams, anti-cancer drugs and other
       | medicines, etc.) encompass such a broad range of chemistries
       | (anything with the fluorine atom attached to carbon) that have
       | many many orders of magnitude differences in half-life.
       | 
       | It's analogous to labeling anything radioactive (bananas) as a
       | "forever chemical" because some radioactive nuclear waste does
       | have >10k year half-lives.
       | 
       | The nice thing about PFAS compared to nuclear though is that even
       | the 'forever' versions that have really long half-lives can be
       | easily catalyzed to break down using the right
       | materials/temperature/pressure.
       | 
       | People are looking for catalysis processes to get rid of nuclear
       | waste using atto-second lasers: https://bigthink.com/the-
       | present/laser-nuclear-waste/ (Would be amazing if it works)
       | 
       | Also, fluorine incorporation in water is starting to be
       | reconsidered by some in the medical community (greatest volume of
       | human fluorine consumption by far):
       | https://pubmed.ncbi.nlm.nih.gov/8169995/
        
         | krapht wrote:
         | Are you telling me the government is fluoridating my precious
         | bodily fluids?
        
         | specialist wrote:
         | What would you call that category?
        
         | revolvingocelot wrote:
         | Maybe you hail from the Fallout universe, but this strikes me
         | as a totally specious comparison. Nuclear waste is the
         | consequence of highly specialized processes occurring in highly
         | regulated situations. It's easy to detect, straightforward to
         | contain, and the average person need never run into it because,
         | in addition to all this, it's regulated out the ass literally
         | everywhere.
         | 
         | PFAS is already in everyone's bloodstream because we slathered
         | our cookware and dental floss in it, and nobody can stand up to
         | DuPont.
        
       | DoreenMichele wrote:
       | Takeaway: It's possible to reduce them.
       | 
       | That's good. The rest: Eh. It's fairly weak as some kind of
       | _medical recommendation_ if you ask me.
        
       | lizardactivist wrote:
       | And.. pass them on to some other poor bloke?
       | 
       | Anyway it does seem like certain stuff seems to build up in the
       | blood-stream over the years, with the body having no way of
       | removing it, and that bleeding and receiving plasma effectively
       | gets rid of it.
       | 
       | I wonder if this could be considered as a real medical treatment
       | and offered to people.
        
         | matthias509 wrote:
         | So your solution is what? Don't donate blood or plasma? Have
         | only humans who aren't exposed to PFAS done blood or plasma
         | (which don't exist anyway)?
        
       | aidenn0 wrote:
       | There's also been some recent evidence that donating blood can
       | increase lifespan in men, with lowering serum iron levels
       | suggested as the causal link.
        
       | psychlops wrote:
       | Nice try, vampires!
        
         | jandrese wrote:
         | Seems like vampires would end up concentrating these toxic
         | chemicals over time.
         | 
         | Maybe a story prompt about vampires that discover they are
         | dying due to heavy metal buildup in their systems. They go out
         | in search of remote island nations that have populations with
         | little exposure to modern low level contaminants. Have to adopt
         | to slow island life.
        
       | 1024core wrote:
       | Could you just filter your blood externally, dialysis-style, and
       | get rid of these chemicals that way?
        
         | colechristensen wrote:
         | I would much rather lose blood than require my body to try to
         | rebalance what a dialysis machine disrupted.
         | 
         | A filter which excludes all of the things you don't want in
         | your blood and left anything besides plain water would be hard,
         | not worth the trouble.
        
         | Pulcinella wrote:
         | Perhaps these sorts of chemicals re not particularly water
         | soluble? Otherwise you kidneys could just filter them out into
         | your urine.
        
           | munk-a wrote:
           | Even if the body doesn't have the equipment built in to deal
           | with it it's not a stretch to believe that we could build an
           | external machine specialized to the task - whether dialysis
           | machines can do it on their own or not I'm uncertain.
        
       | hereme888 wrote:
       | Sheesh, I can't believe the percent of negative comments! Someone
       | finally figured a way to reduce PFAS. It's a hugely positive
       | finding, especially in light of people being able to keep their
       | red blood cells. Hopefully it can be ruled as a safe long-term
       | solution for now. Looking forward to reading updates on this
       | research.
       | 
       | And btw, donating plasma doesn't mean other people will get your
       | PFAS; many things can be done with plasma besides injecting into
       | other people.
        
         | kurupt213 wrote:
         | Regular plasma donation is probably much worse for your long
         | term health than ppb levels of pfas.
        
           | inspector-g wrote:
           | Citation?
        
           | stjohnswarts wrote:
           | Regular is an extremely vague term here, what are you talking
           | about? a few times a year or weekly? Like the other person
           | said, citations needed.
        
         | mrtksn wrote:
         | I haven't heard of PFAS before but the findings kind of sounds
         | straightforward? If something that can be synthesised by the
         | body gets contaminated by external pollutants, it should get
         | purer by removing part of the contaminated material since it's
         | going to be replaced by newly synthesised supplies and result
         | in dilution of the pollutant.
         | 
         | In other words, dilution is solution of pollution[0]
         | 
         | [0] https://www.youtube.com/watch?v=OvnllquGmgg
        
         | s0rce wrote:
         | Even if someone else would get your PFAS its most likely they
         | have them as well and its certainly better than dying of blood
         | loss or not treating other serious issues that rely on various
         | blood products.
        
           | pessimizer wrote:
           | Anyway it's a problem you can fix yourself by donating more
           | blood than you receive.
        
           | qgin wrote:
           | Absolutely, the point of a blood transfusion is that a body
           | needs blood replenished faster than it can produce it. A
           | blood transfusion now, PFAS or no, gives someone a chance to
           | survive (and who knows, maybe donate blood themselves at some
           | point)
        
           | KarlKemp wrote:
           | There are diseases where you get regular transfusions. For
           | these patients, PFAS would become a problem since they are,
           | by definition, not subject to degradation. Unless, of course,
           | the patients are physically losing blood.
           | 
           | Which makes me wonder if women have a specific advantage on
           | this matter. I do remember reading that regular blood
           | donations show health benefits, and that women get them "for
           | free", so to speak. This may be part of the reason.
        
             | rrrrrrrrrrrryan wrote:
             | Our recent cavemen ancestors probably got injured and bled
             | a bit much more often than we do.
             | 
             | It's not hard to imagine the human body optimizing for
             | those conditions, which would make permanently holding onto
             | all your blood suboptimal.
        
       | giantg2 wrote:
       | So does this imply that women have lower levels than similarly
       | exposed men?
        
         | jandrese wrote:
         | Unless you move away from the source of contamination you'll
         | just replenish it with your blood. Given that these chemicals
         | seem to be omnipresent in our environment you are probably out
         | of luck.
        
           | giantg2 wrote:
           | Doesn't that negate the logic of the article?
        
         | ComputerGuru wrote:
         | I assume you mean due to menstruation? It highly depends on the
         | individual, ethnicity, health, build, etc, but the amount of
         | actual blood (vs mucus and non-blood fluid discharge) released
         | in a cycle isn't as much as you might think. So the answer is
         | probably "somewhat but negligibly so?"
        
           | giantg2 wrote:
           | Well it happens frequently. So maybe the amount is low per
           | occurrence, but the cumulative amount may be larger than a
           | typical man who doesn't donate at all, right?
        
       | mkoubaa wrote:
       | Shouldn't this mean that women have fewer of these chemicals due
       | to losing blood regularly on their cycle?
        
       | MiddleEndian wrote:
       | I shall have my servant bring me my leeches at once!
        
         | treeman79 wrote:
         | You say this in jest. But how would one actually get rid of
         | blood if you can't donate?
        
           | mikeodds wrote:
           | You simply dump it in the street https://www.bbc.com/news/uk-
           | england-berkshire-60493339
        
             | twic wrote:
             | I know life often imitates The Onion, but "passersby were
             | amazed at the unusually large amounts of blood" was not one
             | of the headlines i ever expected to cross the chasm.
        
           | rufus_foreman wrote:
           | Skateboarding.
        
             | 1-6 wrote:
             | Stop jesting.
        
           | MiddleEndian wrote:
           | No clue. I actually can't give blood because I get too dizzy
           | and it would not be cost effective for them to have to
           | babysit me for 30 minutes.
        
           | mkoubaa wrote:
           | Cupping
        
           | mindcrime wrote:
           | Take up mountain biking.
        
           | andymboyle wrote:
           | Some folks on certain medications (or just because) can have
           | an increase in red blood cell production, sometimes called
           | "blood thickening," I believe, and they can sometimes just
           | get a prescription from a doctor to go to a donation
           | facility. Or some facilities will still just allow you to do
           | this if you tell them you need to get rid of excess blood for
           | the reasons above, and then they dispose of it. (Not everyone
           | requires a doctor's prescription for it.)
           | 
           | That's just one use case, obviously, so there is a system for
           | some to get rid of excess blood, at least, in a similar
           | manner as you would donate.
        
             | EvanAnderson wrote:
             | There was some discussion[0] on HN a few weeks ago
             | organizations (like the Red Cross[1]) not accepting
             | donations from patients who require therapeutic phlebotomy
             | (hemochromatosis patients, for example) because their
             | donation provides the donor a benefit (and therefore isn't
             | strictly altruistic). That sent me down an interesting
             | rabbit hole of reading (link in discussion).
             | 
             | [0] https://news.ycombinator.com/item?id=30808856
             | 
             | [1] https://www.redcrossblood.org/donate-blood/blood-
             | donation-pr...
        
               | andymboyle wrote:
               | Very interesting! Thanks for sharing.
        
               | jfengel wrote:
               | I didn't realize that. I was briefly thought to have
               | hemochromatosis, and had been "self-treating" via the Red
               | Cross for years.
               | 
               | It turns out I didn't have hemochromatosis. It was merely
               | a bit high, but knowing that I donated so often (both
               | whole blood and platelets, which you can do more often),
               | there was concern that the "self-treatment" was covering
               | up a real problem.
               | 
               | I had not heard at the time that they wouldn't have
               | wanted my blood. It was over a decade ago, and it's
               | possible that the policy didn't exist then.
        
               | dvdgsng wrote:
               | I have hemochromatosis and here in Germany it's
               | impossible for me to donate blood. It's not actually
               | forbidden, afaik, but no company want's to give
               | 'contaminated' blood to patients, even though it would be
               | perfectly fine.
        
               | jfengel wrote:
               | Do you do phlebotomy some other way? Do you just draw the
               | blood yourself and discard it?
               | 
               | It amused me very much at the time to think that
               | "bloodletting" might, in fact, be medically prescribed.
        
             | deluxeroyale wrote:
             | People on steroids/that have been on need to do this
             | regularly
        
           | [deleted]
        
           | invalidator wrote:
           | I wasn't able to find a reference, but I believe it's
           | possible to go to a blood drive and have blood drawn and
           | discarded. This provides cover for people who are ineligible
           | but don't want their friends/coworkers to know.
           | 
           | Alternatively, it's easy to DIY if you are so inclined. You
           | just need some sterile needles and alcohol swabs.
        
           | sophacles wrote:
           | Just stop by the barber. Mine has a 2-for-1 deal on
           | thursdays: bloodletting and shave for 2 bits.
        
             | brimble wrote:
             | Yeah, my first thought was "holy shit, maybe finally an
             | actual justification for regular bloodletting as a health
             | practice!"
        
               | giantg2 wrote:
               | I believe there are one or two conditions that actually
               | require it in modern medicine, but I forget the names.
        
               | sodality2 wrote:
               | https://web.archive.org/web/20170701150031/http://article
               | s.l...
               | 
               | > Some people, he tells us, absorb too much iron, often
               | as a result of a genetic condition called hereditary
               | hemochromatosis. Over the years, the extra iron builds up
               | slowly in people's bodies, causing damage to organs such
               | as the liver and heart as well as the joints.
               | 
               | > What contains a lot of iron? Red blood cells! That's
               | what. Thus, the therapy for iron overload (as it's also
               | called) is to draw pint after pint of blood from patients
               | until the iron stores drop to an acceptable level, and
               | thereafter draw the occasional unit of blood so those
               | levels don't creep up again.
               | 
               | Sounds very familiar if you replace "iron" with "PFAS".
        
               | HalcyonCowboy wrote:
               | Hemochromatosis is one, I was suspected to have it when I
               | was younger and regular blood donations was an effective
               | way to reduce my blood iron. Turns out I don't actually
               | have the condition (it's genetic and doesn't go away as
               | you age, whereas my extremely high iron resolved on its
               | own), but I'm not mad about it, just a change I've
               | welcomed.
        
           | jleyank wrote:
           | "Give blood. Play rugby."
        
             | [deleted]
        
       | daenz wrote:
       | I used to donate blood regularly. I would donate more regularly
       | if I got a full blood panel with each donation. I've been quoted
       | $600-2500. Surely you can comp that for me if I give you a pint.
        
         | droopyEyelids wrote:
         | According to the Red Cross website, donated blood is tested,
         | too. https://www.redcrossblood.org/donate-blood/blood-donation-
         | pr...
         | 
         | So presumably they could just pass back the results of that
         | test
        
           | valarauko wrote:
           | I think its only tested for infectious diseases and the like,
           | not the sort of things covered in a blood panel like the
           | parent is referring to. I suppose at least the results of the
           | infectious tests could be passed on.
        
           | daenz wrote:
           | It looks like it's just tested for different diseases. I'm
           | more referring to my different blood metrics (cholesterol,
           | CBC, CMP, hormones, etc)
        
         | KMag wrote:
         | ... or run each donated pint through one randomly chosen extra
         | screening. Donate often enough, and you get a full screening.
        
         | areyousure wrote:
         | In case anyone is curious, it appears a pint of blood in the US
         | sells for $150--$300.
        
           | daenz wrote:
           | That seems to answer it on face value, unless the prices
           | quoted for blood panels are very inflated due to insurance.
           | 
           | EDIT>> Maybe a punch card? Donate N pints, get a free blood
           | panel.
        
             | specialist wrote:
             | Worked for Quest Diagnostics in the mid 2000s. My
             | understanding is they basically print money. After capex,
             | most tests are very cheap. A bit like running a silicon
             | fab.
             | 
             | Lab companies absolutely should be included, as a co-equal,
             | in the list of villains.
        
               | refurb wrote:
               | "After capex"
        
         | tibiapejagala wrote:
         | In Poland you can get basic tests once a year if you ask
         | beforehand.
        
       | CommanderData wrote:
       | Blood letting then. Is that the same?
        
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