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Underlying Conditions

Dr. Céline Gounder

Medicine, public health, and health policy. What the science says, what the system does, and who pays the price.

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PricingOnly free issuesPublishesDaily
Issues406Foundeda year agoLast Issue8 days ago
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Latest Issues

The Non-Denial Denial on Cyclospora

This is an update to “You Can Wash Your Lettuce and Still Eat the Parasite” posted on July 9, 2026.

A July 13th update

On July 11th, I sent HHS a second request for comment, and it was written to be harder to dodge: five questions, e...

8 days ago
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1

The Peptide Craze = Big Pharma With the Guardrails Off

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  • What a peptide actually is.

  • The Ozempic halo effect.

  • Not testing the drug is the business model.

  • The same trade route that ships fentanyl.

  • When the anti-establishme...

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Senator Lindsey Graham Just Died of Aorta Disease. My Husband Did Too.

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  • What can go wrong in the aorta.

  • The aneurysm nobody saw.

  • Why I asked for an autopsy.

  • What the autopsy found in his DNA.

  • Turning a death into prevention.

  • Should...

9 days ago
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Why ACA Premiums Jumped and 3 Million People Dropped Coverage

  • Why three million people dropped coverage.

    • What the 2027 rate requests mean for you.

    • The one state that reversed the trend.

Why three million people dropped coverage.

About three million fewer people are paying for Aff...

13 days ago
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2

You Can Wash Your Lettuce and Still Eat the Parasite

Last updated on July 14, 2026 at 5:21 PM.

  • What the FDA stopped checking in 2025.

  • Nearly 1,000 cases in two weeks.

  • What the chlorine wash misses.

  • Built for bacteria, blind to parasites.

  • Reading the numbers honestly....

13 days ago
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  • Dr. Céline Gounder

    Dr. Céline Gounder a physician, epidemiologist, and medical journalist. Read her newsletter UNDERLYING CONDITIONS at https://www.celinegounder.com.

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