FoundMyFitness · 2020-04-14 · Rhonda Patrick (host)
COVID-19 Q&A #1 with Rhonda Patrick, Ph.D.
88 claims checked against research: 5 contradicted 3 overstated 5 needing context 60 supported 15 unverified
5 Contradicted by research
According to NHANES data, approximately 70% of the US population has vitamin D insufficiency and 28.9% has vitamin D deficiency.
"According to NHANES data, approximately 70% of the US has what is called vitamin D insufficiency, while a further 28.9% has low enough levels to be called deficient." (said at 0:26:20)
The speaker misinterprets the NHANES epidemiological findings. In an analysis of NHANES 2001–2010 data (n = 26,010 US adults) applying Endocrine Society cutoffs, the prevalence of vitamin D deficiency (<50 nmol/L) was 28.9% and the prevalence of vitamin D insufficiency (50 to <75 nmol/L) was 41.4%. Combined, approximately 70.3% of US adults had non-optimal vitamin D status (<75 nmol/L). The speaker conflated the combined total (~70%) with the rate of insufficiency alone, incorrectly asserting that 70% had insufficiency plus 'a further 28.9%' with deficiency.
Sitting in a hot bath submerged from the waist down for one hour increases heat shock protein levels.
"One study found that participants that sat in hot baths from their waist down for 1 hour were able to increase their heat shock protein levels." (said at 0:51:54)
Human trials investigating 1 hour of hot water immersion (at 39°C to 40°C) have failed to demonstrate an increase in heat shock protein (HSP) levels. In a controlled trial evaluating sedentary overweight adults immersed in 39°C water for 1 hour, acute monocyte intracellular HSP72 (iHsp72) expression remained unchanged (P = 0.57), and a 2-week repeated immersion protocol significantly reduced extracellular HSP72 concentrations by 17% compared with controls. Similarly, in individuals with type 2 diabetes undergoing 1-hour hot water immersion sessions at 40°C, repeated passive heating produced no significant change in plasma extracellular HSP70 levels.
- contradicts: Acute and chronic effects of hot water immersion on inflammation and metabolism in sedenta… (Journal of applied physiology (Bethesda, Md. : 1985) 2018) · cited 110x in the literature
"Ten sedentary, overweight men [body mass index (BMI): 31.0 ± 4.2 kg/m 2 , mean ± SD] were immersed in water set at 39°C for 1 h (HWI) or rested for 1 h at ambient temperature (AMB)... whereas iHsp72 expression was unchanged ( P = 0.57). In contrast to resting iHsp72 expression ( P = 0.59), fasting glucose ( P = 0.04; INT: 4.44 ± 0.93 to 3.98 ± 0.98 mmol/l), insulin ( P = 0.04; INT: 68.1 ± 44.6 to 55.0 ± 29.9 pmol/l), and eHsp72 ( P = 0.03; INT: 17 ± 41% reduction) concentrations were lowered after INT compared with CON." (abstract, results)
pubmedfull study (doi) - contradicts: The effect of repeated hot water immersion on insulin sensitivity, heat shock protein 70, … (American journal of physiology. Endocrinology and metabolism 2023) · cited 10x in the literature
"HWI consisted of 1 h in 40°C water (target rectal temperature 38.5°C-39°C) repeated 8-10 times within a 14-day period... but fasting plasma [glucose] ( P = 0.83), [eHSP70] ( P = 0.08), [IL-6] ( P = 0.55), [IL-10] ( P = 0.59), postprandial insulin sensitivity ( P = 0.19), plasma [glucose] ( P = 0.40), and [insulin] ( P = 0.47) were not different." (abstract, results)
pubmedfull study (doi)
Case reports indicate that intravenous vitamin C at doses between 1 to 10 g reduced hemolysis in patients with glucose-6-phosphate dehydrogenase deficiency.
"Other case reports have indicated that when given a dose between 1 to 10 g, intravenous vitamin C actually reduced hemolysis." (said at 1:04:08)
The published medical literature contradicts the claim that intravenous vitamin C at doses between 1 and 10 g reduces hemolysis in glucose-6-phosphate dehydrogenase (G6PD) deficiency. In patients with G6PD deficiency, erythrocytes lack adequate NADPH generation to regenerate reduced glutathione against oxidative stress; intravenous vitamin C acts as a pro-oxidant and is a well-established trigger of acute hemolytic anemia. Systematic reviews of published case reports indicate that vitamin C administration at doses starting as low as 1 g/day induces or exacerbates hemolysis in G6PD-deficient individuals, making G6PD deficiency a known contraindication rather than an indication for vitamin C therapy.
Common clinical features in COVID-19 patients include low albumin levels, low lymphocyte numbers, low neutrophil numbers, and decreased percentages of CD8-positive T cells.
"A common clinical feature in COVID-19 patients is low albumin levels, low lymphocyte numbers, low neutrophil numbers, and decreased percentage of CD8-positive T cells." (said at 1:05:39)
While hypoalbuminemia (low albumin), lymphopenia (low lymphocyte count), and decreased CD8-positive T cell counts are well-documented clinical features in COVID-19 patients, neutrophil counts are typically normal or elevated (neutrophilia), particularly in severe disease. Systematic reviews and meta-analyses demonstrate that severe COVID-19 is characterized by significantly higher neutrophil counts (and an elevated neutrophil-to-lymphocyte ratio), rather than low neutrophil numbers.
- contradicts: Comparative analysis of laboratory indexes of severe and non-severe patients infected with… (Clinica chimica acta; international journal of clinical chemistry 2020) · cited 155x in the literature
"Through the analysis of laboratory examination information of patients with COVID-19 from 35 articles (5912 patients), we demonstrated that severe cases possessed higher levels of leukocyte (1.20-fold), neutrophil (1.33-fold)... as well as lower levels of lymphocytes (1.44-fold)... albumin (1.15-fold)... lower levels of CD4 T cells (2.10-fold) and CD8 T cells (2.00-fold)" (abstract, results, passage verified)
pubmedfull study (doi) - contradicts: Clinical laboratory parameters associated with severe or critical novel coronavirus diseas… (PloS one 2020) · cited 124x in the literature
"Compared to non-severe COVID-19 cases, severe or critical COVID-19 was characterised by higher neutrophil count (MMD: 1.23 [95% CI: 0.58 to 1.88] ×109 cells/L), and lower lymphocyte, CD4 and CD8 T cell counts with MMD (95% CI) of -0.39 (-0.47, -0.31) ×109 cells/L, -204.9 (-302.6, -107.1) cells/μl and -123.6 (-170.6, -76.6) cells/μl, respectively." (abstract, results, passage verified)
pubmedfull study (doi)
SARS-CoV-1 activates the NLRP3 inflammasome, triggering NF-κB and a cytokine storm in the lungs.
"SARS-CoV-1, the virus responsible for the original SARS outbreak, activates the NLRP3 inflammasome, triggering NF-κB and a cytokine storm in the lungs." (said at 1:10:57)
SARS-CoV-1 is known to stimulate NF-κB signaling and activate the NLRP3 inflammasome, contributing to the severe inflammatory cytokine storm observed during infection. However, the speaker describes the molecular sequence backwards: NF-κB activation functions as the upstream priming event (Signal 1) driving the transcription of pro-IL-1β and inflammasome components, which are subsequently processed and released upon NLRP3 inflammasome activation (Signal 2), rather than the NLRP3 inflammasome triggering NF-κB.
Unverified means no publication matching the claim was located; it does not prove the claim false. Spotted an error? See the corrections policy - disputes from the people quoted are prioritized.