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FDA (37)
study critique (270)
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study critique (270)
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37 posts
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AI Superforecasting Should Transform The FDA

Josh Morrison argues that AI superforecasting could transform FDA drug approval by replacing subjective expert judgment with objective, quantitative predictions about drug safety and efficacy.

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Sep 16, 2026 1,541 words 134 likes 183 comments Read Read

Support Your Local Collaborator

Scott argues that Trump supporters and conservative-aligned people who push back on bad administration policies should be supported rather than pressured to publicly denounce Trump, as they're often the only ones who can effectively prevent worse outcomes.

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Mar 18, 2026 1,563 words 473 likes 775 comments Listen · 10 min Read Read

1DaySooner's Trump II Health Policy Proposals

Scott Alexander and 1DaySooner outline potential positive health policy initiatives that could emerge under three key Trump administration health appointees: Jim O'Neill, Marty Makary, and Jay Bhattacharya.

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Feb 7, 2025 1,950 words 234 likes 269 comments Listen · 12 min Read Read

Bureaucracy Isn't Measured In Bureaucrats

Scott explains why firing bureaucrats wouldn't reduce red tape, as bureaucratic delays come from legal requirements and mandates rather than staff numbers, using the FDA and other examples to illustrate his point.

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Jan 9, 2025 2,930 words 532 likes 621 comments Listen · 18 min Read Read

The Compounding Loophole

Scott Alexander examines how compounding pharmacies are producing cheaper versions of GLP-1 agonist drugs, exploring the economics, safety, and future implications of this practice.

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Aug 22, 2024 1,780 words 224 likes 320 comments Listen · 11 min Read Read

Updates on Lumina Probiotic

Scott Alexander updates on Lumina probiotic, discussing FDA trials, effectiveness, potential risks, and his nuanced stance on the product.

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Apr 16, 2024 1,707 words 156 likes 160 comments Listen · 11 min Read Read

Defying Cavity: Lantern Bioworks FAQ

Scott Alexander reviews Lantern Bioworks' Lumina, a genetically modified bacterium designed to prevent tooth decay, discussing its science, safety, and commercialization plans.

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Dec 7, 2023 3,078 words 249 likes 400 comments Listen · 18 min Read Read

Beyond "Abolish The FDA"

Scott Alexander examines the complexities of abolishing the FDA and proposes more practical alternatives to increase medical innovation while maintaining safeguards.

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Dec 6, 2023 2,337 words 203 likes 452 comments Listen · 14 min Read Read

Semaglutidonomics

Scott Alexander analyzes the economic and societal implications of semaglutide, a new effective weight loss drug, and its potential to reshape obesity treatment.

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Nov 24, 2022 4,293 words 221 likes 737 comments Listen · 30 min Read Read

How Trustworthy Are Supplements?

Scott Alexander investigates the reliability of dietary supplements, finding that while issues exist, most are not completely fake as some media reports claim.

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Oct 5, 2022 7,076 words 184 likes 167 comments Listen · 48 min Read Read

Progesterone Megadoses Might Be A Cheap Zulresso Substitute

Scott Alexander proposes using high-dose oral progesterone as a potential low-cost alternative to Zulresso for treating postpartum depression, based on pharmacological research.

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Mar 10, 2022 701 words 53 likes 84 comments Listen · 8 min Read Read

The FDA Has Punted Decisions About Luvox Prescription To The Deepest Recesses Of The Human Soul

Scott Alexander argues that doctors should prescribe fluvoxamine for COVID-19 despite FDA inaction, urging them to overcome discomfort with off-label use when evidence supports it.

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Dec 22, 2021 3,031 words 162 likes 252 comments Listen · 21 min Read Read

Highlights From The Comments On The FDA And Paxlovid

Scott summarizes and responds to comments on his previous article about FDA approval of Paxlovid, acknowledging some valid points while maintaining his criticism of the approval process.

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Nov 23, 2021 1,474 words 62 likes 63 comments Listen · 11 min Read Read

Highlights From The Comments On Aducanumab

Scott Alexander reviews comments on his posts about aducanumab and the FDA, acknowledging some mistakes while defending his overall critique of FDA conservatism.

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Aug 20, 2021 6,181 words 57 likes 224 comments Listen · 39 min Read Read

Contra Drum On The Fish Oil Story

Scott Alexander defends his criticism of the FDA's approval process in the infant fish oil case, arguing that systemic issues cause harmful delays even when the FDA follows its mandate.

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Aug 8, 2021 3,628 words 118 likes 269 comments Listen · 24 min Read Read

Details Of The Infant Fish Oil Story

Scott Alexander corrects and expands on the story of Omegaven, a life-saving infant nutritional fluid, using it to illustrate systemic issues with medical regulation and drug approval.

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Aug 6, 2021 3,615 words 131 likes 275 comments Listen · 25 min Read Read

Adumbrations Of Aducanumab

Scott Alexander argues that the FDA is too strict, not too lax, and proposes unbundling FDA approval to allow for more nuanced drug regulation.

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Aug 5, 2021 5,328 words 273 likes 622 comments Listen · 34 min Read Read

Verses Written On The Occasion Of Getting The COVID Vaccine

Scott Alexander writes a humorous poem about getting the COVID-19 vaccine, set to a Les Misérables tune, exploring lockdown frustrations and the complexities of returning to normalcy.

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Apr 27, 2021 456 words 153 likes 339 comments Read Read

Oh, The Places You'll Go When Trying To Figure Out The Right Dose Of Escitalopram

Scott Alexander investigates the optimal dosage of Lexapro, comparing it to other antidepressants and exploring the reasons behind its effectiveness at lower doses.

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Mar 31, 2021 2,337 words 78 likes 125 comments Listen · 18 min Read Read

Shilling For Big Mitochondria

Scott Alexander explores the history and mechanism of DNP, a dangerous but effective weight-loss drug, and discusses recent developments in safer mitochondrial uncoupling agents.

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Mar 2, 2021 2,469 words 138 likes 286 comments Listen · 18 min Read Read

Coronavirus: Links, Discussion, Open Thread

Scott Alexander analyzes the COVID-19 pandemic's progress, predicts future waves, and speculates on its long-term impact and transition to an endemic disease.

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Feb 16, 2021 3,287 words 154 likes 631 comments Listen · 21 min Read Read

Is There A Case For Skepticism Of Psychedelic Therapy?

Scott Alexander presents a case for skepticism about psychedelic therapy in psychiatry, outlining seven points of concern while still supporting further research.

ssc
May 9, 2019 1,039 words 0 likes 100 comments Listen · 9 min Read Read

What To Make Of New Positive NSI-189 Results?

Scott Alexander examines the rise, fall, and alleged resurrection of the antidepressant NSI-189, expressing skepticism about its efficacy and the broader challenges in developing new antidepressants.

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Dec 8, 2017 2,043 words 0 likes 171 comments Listen · 16 min Read Read

Postmarketing Surveillance Is Good And Normal

Scott Alexander argues that the 33% rate of post-marketing safety events for FDA-approved drugs is not necessarily concerning and explains why post-marketing surveillance is a normal part of drug safety monitoring.

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May 18, 2017 1,738 words 0 likes 74 comments Read Read

Watch New Health Picks

Scott Alexander discusses potential Trump administration health-related appointments, focusing on FDA commissioner candidates Jim O'Neill and Balaji Srinivasan, and their potential to implement beneficial reforms.

ssc
Jan 18, 2017 1,929 words 0 likes 632 comments Read Read
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