Scientists warn climate models are missing a key ocean player

Some of the most important players in Earth’s climate system are nearly invisible. Calcifying plankton, microscopic organisms that form hard shells, help regulate the planet’s temperature by capturing carbon and moving it through the ocean. A new review published in Science finds that these organisms are not fully represented in the climate models used to predict Earth’s future. The research was led by an international team from the Institute of Environmental Science and Technology at the Universitat Autònoma de Barcelona (ICTA-UAB) (Spain).

The study focuses on three major groups of calcifying plankton: coccolithophores, foraminifers, and pteropods. According to the authors, climate models often simplify or exclude these organisms, which can lead to an incomplete picture of how the ocean responds to climate change.

How Calcifying Plankton Shape the Carbon Cycle

When climate models leave out calcifying plankton, they may miss key steps in the global carbon cycle. These organisms build tiny shells made of calcium carbonate (CaCO3), a substance that plays a central role in ocean chemistry. As plankton grow and die, they help move carbon from the atmosphere into deeper layers of the ocean.

This process, known as the ocean carbon pump, helps stabilize Earth’s climate over long periods of time. It also affects seawater chemistry and contributes to the formation of sediments that scientists use to study past climates.

“Plankton shells are tiny, but together they shape the chemistry of our oceans and the climate of our planet,” said Patrizia Ziveri, ICREA research professor at ICTA-UAB and lead author of the study. “By leaving them out of climate models, we risk overlooking fundamental processes that determine how the Earth system responds to climate change.”

The Missing Process of Shallow Dissolution

The researchers point out that much of the calcium carbonate produced by plankton does not sink all the way to the ocean floor. Instead, a significant portion dissolves in the upper ocean, a process known as “shallow dissolution.” This breakdown is driven by biological activity, including predation, clumping of particles, and microbial respiration.

Shallow dissolution changes ocean chemistry in important ways, yet it is largely missing from major Earth System Models (e.g. CMIP6) used in global climate assessments. Without accounting for this process, models may misjudge how carbon moves through the ocean and how the system responds to environmental stress.

Different Plankton Face Different Climate Threats

The study also emphasizes that not all calcifying plankton behave the same way. Each group has unique characteristics that influence where it lives, how it functions in marine ecosystems, and how vulnerable it is to climate change.

Coccolithophores are the largest producers of CaCO3, but they are especially sensitive to ocean acidification because they lack specialized mechanisms to remove excess acidity from their cells. Foraminifers and pteropods do have such mechanisms, but they face other risks, including declining oxygen levels and rising ocean temperatures. Together, these organisms determine how carbon is stored and recycled in the ocean, and treating them as a single group can oversimplify the ocean’s response to climate pressures.

Improving Climate Models With Better Ocean Biology

The authors call for urgent efforts to measure how much calcium carbonate each plankton group produces, dissolves, and exports to deeper waters. They argue that incorporating these details into climate models would improve predictions of ocean and atmosphere interactions, long-term carbon storage, and the interpretation of sediment records used to reconstruct Earth’s climate history.

“If we ignore the ocean’s smallest organisms, we might miss important climate dynamics,” says Dr. Ziveri. “Integrating calcifying plankton into climate models could offer sharper predictions and deeper insights into how ecosystems and societies may be affected.”

The researchers conclude that closing these knowledge gaps is essential for building the next generation of climate models, ones that more accurately reflect the biological complexity of the oceans.

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How COVID and H1N1 swept through U.S. cities in just weeks

Public health scientists at the Columbia University Mailman School of Public Health used advanced computer simulations to trace how the 2009 H1N1 flu pandemic and the 2020 COVID-19 pandemic spread across the United States. Their results show how quickly respiratory pandemics can expand and why stopping them early is so challenging. Published in the journal Proceedings of the National Academy of Sciences, the research is the first to directly compare how these two pandemics moved through U.S. metropolitan areas.

Both outbreaks had major consequences in the United States. The 2009 H1N1 flu pandemic led to 274,304 hospitalizations and 12,469 deaths. The COVID-19 pandemic has been even more devastating, with 1.2 million confirmed deaths reported so far.

Modeling the Spread Across Cities

The researchers aimed to understand how these pandemics traveled geographically in order to improve planning for future outbreaks. To do this, they combined detailed information about how each virus spreads with computer models that accounted for air travel, everyday commuting, and the possibility of superspreading events. Their analysis focused on more than three hundred metropolitan areas across the U.S.

Rapid Expansion Before Early Warnings

The simulations revealed that both pandemics were already circulating widely in most metro areas within just a few weeks. This widespread transmission often occurred before early case detection or government response measures were in place. Although H1N1 and COVID-19 followed different routes between locations, both relied on shared transmission hubs, including major metro areas such as New York and Atlanta. Air travel played a much larger role than commuting in driving this rapid spread. At the same time, unpredictable transmission patterns added significant uncertainty, making it difficult to anticipate where outbreaks would emerge in real time.

“The rapid and uncertain spread of the 2009 H1N1 flu and 2020 COVID-19 pandemics underscores the challenges for timely detection and control. Expanding wastewater surveillance coverage coupled with effective infection control could potentially slow the initial spread of future pandemics,” says the study’s senior author, Sen Pei, PhD, assistant professor of environmental health sciences at Columbia Mailman School.

Wastewater Surveillance and Pandemic Preparedness

Previous research has highlighted the value of wastewater surveillance as an early warning tool. This new study adds further support, showing that expanding wastewater monitoring could play an important role in improving pandemic preparedness and slowing early transmission.

Lessons Beyond H1N1 and COVID-19

In addition to reconstructing the spread of the last two pandemics, the researchers developed a flexible framework that can be used to study the early stages of other outbreaks. While human movement, especially air travel, is a major driver of pandemic spread, the team notes that other factors also influence how outbreaks unfold. These include population demographics, school calendars, winter holidays, and weather patterns.

The study’s first author is Renquan Zhang, Dalian University of Technology, Dalian, China. Additional authors include Rui Deng and Sitong Liu from Dalian University of Technology; Qing Yao and Jeffrey Shaman from Columbia University; Bryan T. Grenfell from Princeton; and Cécile Viboud from the National Institutes of Health.

For more than ten years, Jeffrey Shaman and colleagues, including Sen Pei, have worked to improve methods for tracking and simulating the spread of infectious diseases such as influenza and COVID-19. Their real-time forecasting tools estimate how quickly outbreaks grow, where they are likely to spread, and when they may peak, helping guide public health decision-making.

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Menopause linked to grey matter loss in key brain regions

New findings from the University of Cambridge suggest that menopause is associated with changes in brain structure, along with higher levels of anxiety, depression, and sleep difficulties. Researchers found reduced grey matter volume in several important brain regions among women who had gone through menopause.

The study, published in Psychological Medicine, also examined the effects of hormone replacement therapy (HRT). While HRT did not appear to prevent these brain or mental health changes, it was associated with a slower decline in reaction speed.

Understanding Menopause and Its Symptoms

Menopause marks the stage of life when a woman’s menstrual periods permanently stop due to declining hormone levels. It most commonly occurs between ages 45 and 55 and is often accompanied by symptoms such as hot flushes, low mood, and disrupted sleep. Previous research has also linked menopause to changes in cognitive abilities, including memory, attention, and language.

To help manage menopause related symptoms, particularly depression and sleep problems, many women are prescribed HRT. In England, 15% of women were prescribed HRT in 2023. Despite its widespread use, scientists still have limited insight into how menopause and HRT affect the brain, thinking skills, and mental health.

A Large Study Using UK Biobank Data

To better understand these effects, researchers analyzed data from the UK Biobank involving nearly 125,000 women. Participants were divided into three groups: women who had not yet reached menopause, women who were post-menopause and had never used HRT, and women who were post-menopause and had used HRT.

Participants completed questionnaires about menopause symptoms, mental health, sleep patterns, and overall health. Some also completed cognitive tests measuring memory and reaction time. In addition, around 11,000 women underwent magnetic resonance imaging (MRI) scans, which allowed researchers to examine differences in brain structure.

The average age at menopause among participants was about 49.5 years. Women who were prescribed HRT typically began treatment at around age 49.

Anxiety Depression and Sleep After Menopause

Women who had gone through menopause were more likely than those who had not to seek help from a GP or psychiatrist for anxiety, nervousness, or depression. They also scored higher on depression questionnaires and were more likely to have been prescribed antidepressant medications.

Women in the HRT group showed higher levels of anxiety and depression compared with women who did not use HRT. However, further analysis revealed that these differences were already present before menopause began. According to the researchers, this suggests that some GPs may have prescribed HRT in anticipation that menopause could worsen existing symptoms.

Sleep problems were also more common after menopause. Post-menopausal women were more likely to report insomnia, reduced sleep, and ongoing tiredness. Women using HRT reported feeling the most fatigued of all three groups, even though their total sleep duration did not differ from post-menopausal women who were not taking HRT.

The Importance of Lifestyle and Mental Health Support

Dr. Christelle Langley from the Department of Psychiatry said: “Most women will go through menopause, and it can be a life-changing event, whether they take HRT or not. A healthy lifestyle — exercising, keeping active and eating a healthy diet, for example — is particularly important during this period to help mitigate some of its effects.

“We all need to be more sensitive to not only the physical, but also the mental health of women during menopause, however, and recognize when they are struggling. There should be no embarrassment in letting others know what you’re going through and asking for help.”

Reaction Time Slows While Memory Remains Stable

Menopause was also linked to changes in cognitive performance. Women who were post-menopause and not using HRT showed slower reaction times compared with women who had not yet reached menopause and those who were using HRT. Memory performance did not differ significantly among the three groups.

Dr. Katharina Zühlsdorff from the Department of Psychology at the University of Cambridge, said: “As we age, our reaction times tend to get slower — it’s just a part of the natural ageing process and it happens to both women and men. You can imagine being asked a question at a quiz — while you might still arrive at the correct answer as your younger self, younger people would no doubt get there much faster. Menopause seems to accelerate this process, but HRT appears to put the brakes on, slowing the ageing process slightly.”

Grey Matter Loss in Brain Regions Linked to Memory and Emotion

Brain imaging revealed that women who were post-menopause showed significant reductions in grey matter volume, regardless of whether they had used HRT. Grey matter contains nerve cell bodies and plays a key role in processing information, controlling movement, and supporting memory and emotional regulation.

The most affected areas included the hippocampus (responsible for forming and storing memories), the entorhinal cortex (the ‘gateway’ for passing information between the hippocampus and the rest of the brain), and the anterior cingulate cortex (part of the brain that helps you manage emotions, make decisions, and focus your attention).

Possible Clues to Dementia Risk in Women

Professor Barbara Sahakian, the study’s senior author from the Department of Psychiatry, added: “The brain regions where we saw these differences are ones that tend to be affected by Alzheimer’s disease. Menopause could make these women vulnerable further down the line. While not the whole story, it may help explain why we see almost twice as many cases of dementia in women than in men.”

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A century of hair shows how lead exposure collapsed

Before the Environmental Protection Agency was formed in 1970, lead pollution was a routine part of daily life across the United States. It came from factories, lead-based paint, drinking water pipes, and most of all from vehicle exhaust. Lead is a toxic metal that builds up in the body over time and has been linked to learning and developmental problems in children. As environmental rules tightened in the decades that followed, lead in the environment dropped sharply, and human exposure declined with it.

The evidence for that change can still be found today.

It is embedded in human hair.

Hair Samples Trace Lead Exposure Back to 1916

Scientists at the University of Utah analyzed hair samples and discovered steep declines in lead levels going back more than a century. Their results show a clear downward trend beginning after environmental regulations were introduced.

“We were able to show through our hair samples what the lead concentrations are before and after the establishment of regulations by the EPA,” said demographer Ken Smith, a distinguished professor emeritus of family and consumer studies. “We have hair samples spanning about 100 years. And back when the regulations were absent, the lead levels were about 100 times higher than they are after the regulations.”

A Metal That Was Useful and Dangerous

The study, published in PNAS, highlights how environmental protections have shaped public health outcomes. It also points out that some lead regulations are now being weakened by the Trump administration as part of a broader effort to loosen environmental safeguards.

“We should not forget the lessons of history. And the lesson is those regulations have been very important,” said co-author Thure Cerling, a distinguished professor of both geology and biology. “Sometimes they seem onerous and mean that industry can’t do exactly what they’d like to do when they want to do it or as quickly as they want to do it. But it’s had really, really positive effects.”

Lead is the heaviest of the heavy metals and, like mercury and arsenic, it accumulates in living tissue and is harmful even at low concentrations. Despite these risks, it was widely used for decades because of its practical advantages. Lead was commonly used in pipes and added to paint to improve durability, speed drying, and create brighter colors. It was also blended into gasoline to improve engine performance by preventing pistons from “knocking.”

By the 1970s, the health dangers were well established, prompting the EPA to begin removing lead from paint, plumbing materials, gasoline, and other consumer products.

How Family Keepsakes Became Scientific Evidence

To find out whether these policy changes truly reduced lead exposure in people, Smith worked with geologist Diego Fernandez and Cerling. Fernandez and Cerling had developed methods to determine where animals lived and what they ate by analyzing the chemistry of hair and teeth.

The lead study grew out of earlier research funded by the university’s Center on Aging and the National Institutes of Health. That earlier work involved Utah residents who agreed to provide blood samples along with detailed family health information.

For the new research, participants were asked to submit hair samples from adulthood and from earlier in life. Some went a step further, locating hair preserved in family scrapbooks that dated back as much as a century. Altogether, the team collected hair from 48 individuals, creating a valuable record of lead exposure along Utah’s Wasatch Front, an area that once faced heavy industrial pollution.

“The Utah part of this is so interesting because of the way people keep track of their family history. I don’t know that you could do this in New York or Florida,” said Smith, who led the U’s Pedigree and Population Program at the Huntsman Cancer Center while the studies were underway.

Much of this region supported a major smelting industry throughout the 20th century, particularly in Midvale and Murray. Most of Utah’s smelters closed by the 1970s, around the same time the EPA began enforcing stricter limits on lead use.

Why Hair Preserves Lead So Well

The researchers analyzed the samples using mass spectrometry equipment at a facility overseen by Fernandez.

“The surface of the hair is special. We can tell that some elements get concentrated and accumulated in the surface. Lead is one of those. That makes it easier because lead is not lost over time,” said Fernandez, a research professor in the Department of Geology & Geophysics. “Because mass spectrometry is very sensitive, we can do it with one hair strand, though we cannot tell where the lead is in the hair. It’s probably in the surface mostly, but it could be also coming from the blood if that hair was synthesized when there was high lead in the blood.”

While blood tests offer a more precise snapshot of exposure at a specific moment, hair is far easier to collect and preserve. More importantly, it provides insight into past exposure for people who are now older or no longer alive.

“It doesn’t really record that internal blood concentration that your brain is seeing, but it tells you about that overall environmental exposure,” Cerling said. “One of the things that we found is that hair records that original value, but then the longer the hair has been exposed to the environment, the higher the lead concentrations are.”

Leaded Gasoline Left a Clear Chemical Record

The decline in lead found in hair closely mirrors the reduction of lead in gasoline after the EPA was created under President Richard Nixon.

Before 1970, gasoline typically contained about 2 grams of lead per gallon. Although that amount may seem small, the scale of fuel consumption made it significant. With billions of gallons burned each year, this resulted in nearly 2 pounds of lead entering the environment per person annually.

“It’s an enormous amount of lead that’s being put into the environment and quite locally,” Cerling said. “It’s just coming out of the tailpipe, goes up in the air and then it comes down. It’s in the air for a number of days, especially during the inversions that we have and it absorbs into your hair, you breathe it and it goes into your lungs.”

After the 1970s, even as gasoline use continued to rise in the United States, lead levels measured in hair fell sharply. Concentrations dropped from as high as 100 parts per million (ppm) to about 10 ppm by 1990. By 2024, average levels had fallen to less than 1 ppm.

The study, titled “Lead in archived hair documents decline in human lead (Pb) exposure since establishment of the US Environmental Protection Agency,” was published in PNAS, or Proceedings of the National Academy of Sciences. Support came from the Huntsman Cancer Foundation and the National Cancer Institute through a grant to the Utah Population Database and the University of Utah.

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‘Inheritourism’ Explains Why People Travel The Way They Do

Sleepcations.”

Noctourism.”

There’s a seemingly endless array of quippy terms to describe rising travel trends and preferences.

One particularly interesting term is “inheritourism”, which really gets to the heart of why different individuals travel the way that they do and how family plays a role.

Below, travel experts break down the meaning of “inheritourism”, as well as the benefits and drawbacks of this holiday phenomenon.

What is ‘inheritourism’?

“Inheritourism reflects how travel preferences are passed down across generations,” said Jess Petitt, senior vice president or strategy, insights and full service brands at Hilton.

“Many people inherit travel preferences from their parents, with family experiences often shaping how people travel well into adulthood.”

A 2026 travel report from Hilton identified “inheritourism” as a notable trend for the new year – with 66% of travellers surveyed by the hotel brand saying that their parents have influenced their choice of accommodations, 60% saying they guided their choice of loyalty programs and 73% saying they shaped their general travel style.

“I think inheritourism shows up most clearly in how people define what ‘comfortable’ travel looks like,” said travel blogger Esther Susag. “Many travellers inherit not just destinations, but entire travel styles from their parents. For example, I often notice that people who grew up only doing cruises or all-inclusive resorts tend to gravitate back to those formats as adults.”

Travellers accustomed to the ease of having everything in one place might be more hesitant to go off the beaten path with independent accommodations, hidden gem destinations or locations that require more planning or cultural navigation.

“That same pattern extends into how people pay for travel,” Susag said. “I’ve noticed that travellers whose parents used travel credit cards and understood points and miles tend to feel much more comfortable navigating loyalty programs and booking elevated experiences. On the other hand, people who grew up saving for years for one big trip and paying mostly in cash or with a single credit card often carry that same cautious mindset forward and are hesitant to open multiple cards or experiment with points strategies.”

She added that many parents remain deeply involved in their adult children’s travel decisions, often financing trips with their own loyalty points or preferred brands. Multigenerational travel is increasingly popular, thus exposing new generations to the same kinds of choices.

“Over time, that becomes their baseline for what travel ‘should’ look like,” Susag said. “As travel has become more expensive and more intentional, people are less willing to experiment and more likely to stick with what they know works. That often means repeating the travel patterns they grew up with, whether that’s specific destinations, hotel brands or trip formats.”

It’s only natural that people who grew up vacationing in a certain way as children would adopt similar travel behaviors as adults.

Flashpop via Getty Images

It’s only natural that people who grew up vacationing in a certain way as children would adopt similar travel behaviors as adults.

It’s only natural that people who grew up travelling in a certain way as children would adopt similar preferences. Katy Nastro, a spokesperson and travel expert for the flight alert service Going, pointed to the cliché “the apple doesn’t fall far from the tree”.

“I personally grew up going to warm beach destinations to escape the New York winter every February,” Nastro said. “I wholeheartedly believe that the desire for a warmer weather destination during the month of February versus a cold weather trip is not just a preference but is now a personality trait inherited from my family travels as a child.”

She believes the same pattern is evident in the families attracted to “the magic of Disney” with Disney theme parks vacations over multiple generations. Our early memories can inform what we find meaningful and rewarding as we grow up.

“My family chooses the mountains over the beach always, because it’s where I grew up vacationing – and if you ask me, it’s just better,” Petitt said. “Those experiences are also what I’m excited to share with my kids, building on those memories. If we never visit a beach as a family, that would be OK by me.”

Family travel habits strongly influence people’s choices – but is that a good thing?

“Any travel is beneficial in my opinion,” Nastro said. “And in theory, inheritourism can create generational travel because people are inclined to continue the tradition of travel to a certain place, hotel, etc. The only downside may be that this perpetuates a blinder affect where people don’t tend to branch away from what they know, and thus never really explore beyond their comfort zone.”

She added that inheritourism might lead people to miss out on good deals if they can’t look beyond the specific brands or locations they’ve “inherited”.

“Travellers may avoid less popular destinations or more immersive experiences because they feel less predictable or convenient,” Susag said. “That said, awareness is growing, and many people are starting to challenge those habits once they realise there are other ways to travel that still feel safe and rewarding.”

Overall, she sees a mix of downsides and benefits to the influence of inheritourism today.

“On the positive side, inheritourism makes travel more accessible and lowers the barrier to entry for a lot of people,” Susag said. “It also encourages multigenerational travel and shared experiences, which can be incredibly meaningful.”

Inheritourism can serve as “a foundation, rather than a fixed path,” she emphasised. Travellers can carry forward meaningful traditions but also cultivate their own.

“People tend to start by recreating the trips and habits they grew up with, then adapt them as their confidence grows and their priorities shift,” Susag said. “Whether that means exploring less traditional destinations, traveling more independently or becoming more intentional about how they spend on travel, many travellers eventually build on what they inherited rather than abandoning it altogether.”

As in other areas of life, parents tend to set the norms and serve as trusted sources for young adults as they make decisions.

“In a world of digital overwhelm and an abundance of choice, travellers are looking to their inner circle to inform their travel decisions,” Petitt said.

“When seeking an experience beyond what is familiar, inherited preferences and trusted travel habits serve as a starting point for discovering something new. The key is balance – while inheritourism offers comfort and confidence, the greatest benefit comes when those familiar influences open the door to exploration, rather than limit it.”

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Too Many Toots? What Excessive Farting Says About Your Health

Whether it happens on your postprandial fart walk, right in the middle of yoga class or while you’re sleeping, everyone — even the poshest among us — farts.

According to Dr. Satish Rao, professor of Medicine at Augusta University’s Medical College of Georgia, the average person farts seven to 24 times a day.

“It’s a normal physiological phenomenon,” he said, explaining flatulence as the byproduct of fermentation in the colon.

That fermentation creates gas, which is a mixture of nitrogen, oxygen, carbon dioxide, methane, hydrogen and more. One surprisingly smelly fact is that more than 99% of farts are odourless, but a foul smell comes from trace sulphur compounds. Unfortunately, our noses are extremely good at detecting sulphur, even in microscopic amounts.

Once that gas is formed, Rao said there are only two options for it to escape. “Some gas will move from the lining of the colon to the bloodstream, then get exhaled by the breath,” he said. “But the other pathway out is the fart. The gas will find its way out eventually, and if you produce a lot of gas too quickly, it won’t be absorbed, but will automatically push its way out through the anus.”

In general, a few farts a day are nothing to worry about, said Dr. Cait Welsh, postdoctoral researcher from Monash University and the Hudson Institute of Medical Research. “Most of the time, the release of gas is a healthy sign that digestion and gut microbiota are happy and functioning well.”

While you produce gas all day long, you’re more likely to let ’em rip during sleep, when your anal sphincter relaxes and gas escapes more easily.

Which People Are The Gassiest?

It might be hard to think of King Charles or the Pope as real toot machines, but Rao is positive that anyone who eats food, especially carbohydrates, is going to fart at least some time during each day. And some of us are certainly more, um, productive than others, said Dr. Folasade P. May, associate professor of Medicine at University of California Los Angeles.

“People who chew a lot of gum, drink carbonated drinks or eat too quickly may swallow more air, for example, which can cause flatulence,” she said. “Other people have gut bacteria that produce more gas. Diet, how fast you digest, and medications can also change how much gas you make and pass.”

If you’re thinking that President Donald Trump is making you fart more, you might be right. (Fun fact: An old Australian slang word for a fart is a “trump.”) Stress or anxiety, about the current political climate or matters closer to home, can have an impact on how much someone farts, May said.

“Especially in people with irritable bowel syndrome or other functional gut disorders, stress can change how fast we eat and digest, making flatulence seem worse,” May explained.

Stress can increase your flatulence, according to gastro doctors.

krisanapong detraphiphat via Getty Images

Stress can increase your flatulence, according to gastro doctors.

Foods That Can Up Your Fart Count

Dr. Ed Giles, a pediatric gastroenterologist and associate professor of pediatrics at Monash University, noted that the most well-known foods to cause gas are the so-called FODMAP foods, an acronym for Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols.

The key term for these carbohydrates, Giles said, is “fermentable.” That means the foods have an ability to produce gas. “They feed the bacteria in the gut and the bacteria produce the gas, including methane, which smells,” he said.

May outlined some of the worst FODMAP culprits: beans, lentils, onions, garlic, crucifers like broccoli and cabbage, and some whole grains and fruits. “If you’re lactose intolerant, consuming dairy can also increase gas production,” she said.

When To Be Concerned

Gas is concerning when it’s painful, disruptive or different from your normal pattern. If you’re regularly releasing gas more than 23 or 24 times a day and it’s causing problems, it’s worth investigating. However, some people may experience more flatulence than that and it’s still considered normal; it all depends on your diet and your personal health factors.

“The most important thing is that if excessive flatulence is persistent or accompanied by pain, weight loss, diarrhea or blood in the stool, it’s worth consulting a clinician for evaluation,” May said. “If gas is persistent or accompanied by these other warning signs, a clinician can help sort out causes.”

Some of the conditions a health care professional will want to rule out include celiac disease, inflammatory bowel disease, irritable bowel syndrome, lactose or other food intolerances, pancreatic enzyme insufficiency and small intestinal bacterial overgrowth. Connective tissue disorders like Ehlers-Danlos syndrome and other diseases like multiple sclerosis also come with increased flatulence.

You might be asked to keep a food journal and, yes, even count the number of farts you produce each day. Luckily, there are now several apps to help you do this, including Gaslog, FlareCare, Gutly and Vitalis. These apps aren’t medical diagnostic tools, but might help you spot patterns in how your diet and lifestyle contribute to gas symptoms.

And just keep in mind that everyone — every single one of us — has experienced an ill-timed fart, and lived to tell the tale. So unless your gas comes with pain or surprises, you’re probably just doing what everyone else is doing, too.

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A Couple Asked Me To Help End Their Marriage. They Didn’t Expect A 30-Year-Old Secret To Come To Light.

“You made a sex tape?!”

Susannah turned to her husband, Ron, mouth agape. He looked down, his cheeks reddening.

“It was right after college. I was experimenting,” he mumbled, twisting in his seat. “No big deal.”

As a couples therapist, I am always looking for how to mend the frayed edges of a relationship, but Susannah and Ron were different: they had come to my office to end their marriage.

I practice what I call breakup therapy — a short-term treatment I developed for couples who want to end their relationships without bitterness.

The premise is counterintuitive: instead of looking forward toward separate futures, we look backward at the relationship itself. It’s structured to look at the beginning, middle and end of their time together with exercises that focus on both their gratitude as well as their resentment.

The work culminates with the couple crafting a shared narrative about their union and literally writing it down – a story of what worked and ultimately what did not. Then, I ask them to sign it. In this way, they resolve the many unanswered, and often unasked, questions that can trap couples in recriminations and keep them from moving on.

The idea was born from my own bitter divorce. After my split, I was plagued by questions that repeated on an endless loop in my brain: “What was I thinking?”; “Why didn’t I see that red flag?”; “What is wrong with me – I’m a therapist and I should have seen what was happening.”

Then, one day, my therapist asked me a different question: who was I when I decided to marry? Suddenly, my internal feedback loop stopped.

“You’re asking me who I was, not why I married him?” I said, skeptically.

“Yes, I am,” she answered. “Marriages can be as much about identity as they are about a union. What were you trying to solve — or avoid — by marrying him?”

The question unlocked something for me. I’d been full of anger at myself, but I hadn’t really taken responsibility for my own actions. With her help, I crafted a story that I could hold onto about what function the marriage had served for me. Truly owning my choices helped me have more compassion for myself and less anger. The most startling realisation? When I had created a story that hung together, the nagging questions ended for good.

I have seen this same process unfold for many couples. But often, in the course of these sessions, new things surface.

“Susannah?” I said, surprised to hear the hurt in her voice. “This feels like a big deal for you. Why is that?”

Ron and Susannah had not been the most willing subjects for breakup therapy. During our first session, Ron blurted out: “You’re like a medical examiner doing autopsies on dead relationships! Your scalpel hurts. I don’t think you know what it feels like to be humiliated.”

“I wouldn’t be so sure,” I answered softly. “I have a teenager.”

Ron was not mollified.

“This feels stupid,” he said on another occasion. “She’s done, I accept that. What is there to say? This feels like horseshit.”

“See what I’m working with here?” Susannah said, throwing up her hands and shifting away from Ron on the couch. “I knew he wouldn’t take this seriously.”

“No, he’s right,” I said. “If it’s really true that you fully accept and understand her decision, Ron, then this is horseshit. But is that true?”

His silence was all the answer I needed.

Over the next few sessions, we went over how they’d fallen in love (“It just made sense, we fit”); the birth of their three children (“The unit held us together”); the unraveling of their connection (“We were ships in the night for as long as I can remember, but then one day I woke up and just wanted more from life”).

We mapped the patterns their marriage had fallen into over the course of three houses, two cross-country moves and their children’s exodus from home. It was a saga spanning decades.

Then, in our fourth session, Ron mentioned the sex tape.

“Something about this is landing hard on you,” I said to Susannah, her mouth still ajar. “Why?”

“Yeah, why?” Ron echoed.

Susannah paused and looked out the window.

“It’s that you … you tried something that – I don’t know – was out there … bold and different.”

A tear welled in a corner of her eye.

“It’s not you. You’re not brave! Or, at least you haven’t been with me, not in all these years together.”

Then she began to cry. Ron and I looked at one another.

“Susannah?” Instantly, I regretted breaking the silence.

“All this time, I decided you just couldn’t try new things,” she managed after a while. “I gave up.”

Ron put up his palms. “What is happening?” he said, exasperated.

“But if you can do that …” she continued. “What was it? Did I just not ask? Did I build my life around a lie?” She looked lost. “Was it that you never really loved me enough?”

She turned back to Ron and banged her fist on the couch.

“I did ask! I asked you to look at porn together when we stopped having sex, to take classes with me, to go on that whale-watching tour. … You just ignored me!”

This time, I held my tongue.

“Is that a thing?” she went on, turning to me. “That you can reach the end of a relationship and not even have known what was possible?”

“I made that tape 30 years ago,” Ron blurted out. “She’s upset over something I did when I was a totally different person!”

This was the impasse that I had expected, that arrives in most of my breakup therapy work – the moment when two people realise that as well as they think they know each other, there are things they don’t know or have lost track of. It’s my job to help them hold that bitter realisation. Then it’s my job to help them arrive at forgiveness or some kind of reconciliation – if not with each other, then with what happened to them.

“It was 30 years ago, Ron,” I said. “But you aren’t a different person. You’re the same person, and she’s wondering why you couldn’t have been that with her.”

I turned to Susannah and said, “You have a right to be hurt, but were you truly honest with him? Did you give him the space and the safety and the encouragement to be that person? Do you think you both can forgive each other for what you weren’t?”

It was three weeks before they appeared again in my office, having canceled two sessions in between appointments.

“I was stirred and moved by what happened here last time,” Susannah began. “When we left, I thought: Maybe there’s enough left between us?”

Ron’s eyes were downcast.

“But I realised I can’t,” she said. “I just can’t open up that part of me with him anymore. I want … I need this divorce.”

I nodded. “Ron? How do you feel?”

“I can see where we are … I’m not fighting it.” His voice broke. “I’m just really sad.”

Often it requires some kind of shock to break through the built-up layers of anger, resentment and disappointment in a couple in order to illuminate the cracks in their relationship – something true that has been avoided or left unsaid. In this case, it was the surprise of an ancient transgressive act that lay bare how little they knew each other and how misaligned they’d become.

Susannah moved closer to Ron on the couch and laced her fingers with his.

“You guys seem calmer – closer. Tell me what you are feeling,” I said.

I knew something about that calm after the storm. After my own divorce, we had maintained an uneasy truce for years, until one long car ride after dropping our daughter at camp. As we rode in silence, I suddenly remembered my therapist’s question: Who was I when I decided to get married? For the next two hours, we talked over that question and everything else, and together realised how lonely we had been — two Israelis who, instead of understanding why we had both chosen to leave, had clung to each other and to a shared language. Before long, we were laughing as we had not laughed since the early days of our marriage.

“So, where do we go from here?” Ron asked me in their last session.

“Well, in my experience, when a marriage ends, a different relationship can sometimes be created,” I said. “That’s up to you guys. All endings are sad, but not all endings have to leave you broken. There’s an opportunity here to get to know each other in a different way. And …” I leaned forward to make eye contact with each of them “… to know yourselves better.”

After they left, I sat quietly in my chair for a while. I allowed myself to remember that moment in my therapist’s office when I realised that I had been using my marriage to escape a question I had been avoiding and what a relief it had been to finally face it.

When a sex tape from decades ago unlocks two people’s grief, it’s not so much about the end of the road as it is about the roads never taken – the versions of a marriage they never tried. It is a sad moment, but also a generative one.

They’d come to me to bury their marriage. What they found instead was a way to know each other – maybe for the first time in years – even as they said goodbye.

Note: Names and some details have been changed to protect the identities of the individuals appearing in this essay.

Sarah Gundle, Psy.D., is a psychologist in private practice and an assistant professor at the Icahn School of Medicine, Mount Sinai Medical Center. She is currently writing a book about breakups. You can find her on Instagram @dear_dr_sarah.

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