NOTHING SAYS FOREVER LIKE DIAMONDS AND PFAS

What are PFAS? PFAS are a group of manmade chemicals used in a vast number of consumer and industrial products. They’re often referred to as “forever chemicals,” because most don’t break down. PFAS stands for per-and polyfluoroalkyl substances, which contain a strong carbon-fluorine bond that allows them to accumulate over time in the environment and in the bodies of animals and people, posing health risks. PFAS chemicals might also be thought of as “everywhere chemicals,” since they’ve become so common in the products we use every day.

Manufacturing processes and waste storage and treatment sites release PFAS into the air, soil, and water. Among the industrial facilities most likely to produce PFAS are petroleum stations and terminals, chemical manufacturers, commercial printers, plastics and resin manufacturing sites, paint and coating manufacturers, semiconductor manufacturers, makers of metal products and electrical components, and electroplating and polishing. Landfills and waste disposal facilities, along with sewage and waste treatment plants, are other common sources of contamination. Many nearby communities also suffer groundwater and drinking water contamination as a result of their proximity to these facilities. 

These "forever" and "everywhere" chemicals are found in many of our most commonly used products. PFAS have been used around the world since the 1950s in a wide variety of consumer goods. Today, they can be found in products like firefighting foam, non-stick cookware, cosmetics and materials that protect against grease, oil, and water, such as stain-resistant carpeting and fabrics, food packaging, and water-repellent clothing. So whether we’re camping, hiking, hunting, fishing, cooking, putting on makeup, enjoying a takeout meal, or playing with our kids on the living room floor, PFAS have infiltrated everyday life. PFAS, while everywhere, may be highly toxic and harmful to our health. Scientists are finding that tiny concentrations of some forever chemicals can trigger testicular and kidney cancer, birth defects, liver damage, impaired fertility, immune system disorders, high cholesterol and obesity, as well as breast cancer and other diseases. 

Since, for the average consumer, it is virtually impossible to avoid these chemicals, The Warnings Doctor will offer you a few suggestions that may minimize your exposure to them, at least from the foods you eat. These tips include:

1. Reduce consumption of fast food. Fast food companies use grease-resistant packaging that keeps oil and meat juices from spilling on your clothes; these wrappers, used to serve burgers, fries and salads, often contain oil-resistant PFAS. Scientists believe your risk of exposure depends on the amount of time the food has spent inside the plastic bag or paper wrapper. Consumer Reports tested more than 100 food packages and found high levels of PFAS in wraps, trays and bags from Burger King, McDonald's, Chick-fil-A and Cava, among others. The very properties that make PFAS useful compounds for oil-resistant fast-food wrappers are the same properties that allow these chemicals to stay in your bodies. "They actually stick to our blood while they accumulate in our bodies," according to the Environmental Working Group (EWG). The good news is that McDonald's and Burger King have announced they plan to reduce or phase out the use of packaging with forever chemicals. (They key words in their announcements were "plan to" and "reduce".)

2. Skip Microwave Popcorn and Cake Mixes. In general, food packaging is a source of contamination, thus switching to fresh foods from packaged foods will definitely reduce your exposure to PFAS. However, you should be aware that some products, such as cake mixes and microwave popcorn, have some of the highest concentrations of PFAS because the mixes and the corn kernels are often sitting in their packaging for long periods of time. Additionally, if we heat up products in paper linings or plastic containers, some of the PFAS which coat the packaging may turn into a vapor and contaminate what we eat.

3. Avoid Nonstick Cookware. Nonstick pots and pans are often coated in a material with PFAS. If you have such pots and pans, throw them out and treat yourself to ceramic, stainless steel or cast-iron cookware. Remember, he's called the "Iron Chef" NOT the "teflon chef"! It also helps to store leftovers in glass containers, and not plastic, in the refrigerator. It's time to throw out all of our 20-30 year-old Tupperware!

4. Drink Filtered or Bottled Water. Consider adding a water filtration system in your home, especially if you suspect high concentrations of PFAS in your publically available water supply. Carbon filters on faucets or in water pitchers can reduce the levels of PFAS, if the filters are replaced regularly. Reverse osmosis systems installed under sink faucets can typically eliminate the PFAS contamination. These systems typically cost a couple hundred dollars, but the investment may well be worth it. 

5. Check the Source of the Fish You Eat. PFAS have been widely detected in freshwater fish. Last year, the FDA detected PFAS in 74% of the seafood they tested, including in clams, cod, crab, pollock, salmon, shrimp, tilapia and tuna. While their data was limited, the FDA concluded that seafood may be at higher risk for PFAS than other types of foods. Locally caught fish is more likely to have higher PFAS levels than farm-raised fish. While the FDA found PFAS in seafood, it still recommends that people should continue to eat a variety of healthy foods, including seafood, because the levels of PFAS in seafood were not high enough to pose a human health concern. While eating fish, especially farm-raised fish, is healthy, we should still check statewide advisories before eating a recreationally caught fish.

PFAS may well be forever chemicals that, unfortunately, are not yet regulated by the FDA, but as educated consumers, we may be able to reduce our intake of such chemicals and prevent their toxic outcomes.

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TEXAS HILL COUNTRY FLOODS: DID WARNINGS FAIL VICTIMS?

By Dr. Gerald Goldhaber • August 7, 2025
From July 3–4, 2025, Central Texas—especially Kerr County and the Guadalupe River basin—experienced catastrophic flash flooding that claimed over 130 lives, including children and staff at Camp Mystic. As grief and outrage settle, survivors and officials alike are questioning whether enough was done to warn those most at risk.

TEXAS LEADS THE NATION: WARNING LABELS ON ADDITIVES

By Dr. Gerald Goldhaber • July 9, 2025
On June 22, 2025, Governor Greg Abbott signed Senate Bill 25 (SB25), known as the Make Texas Healthy Again Act. Beginning January 1, 2027, Texas will require prominent on-pack warning labels whenever food sold in the state contains any of 44 specific additives—including synthetic colorants like Red 40, Yellow 5, Blue 1, titanium dioxide, bleached flour, and partially hydrogenated oils. The mandated label must declare the following:

WARNING: FDA DELAYS IMPLEMENTATION OF RULE THAT WOULD REQUIRE NEW NUTRITION LABELING

By Dr. Gerald Goldhaber • May 27, 2025
The FDA is delaying implementation of a rule that would require food companies to print nutritional information on the front labels of their products. The proposed rule was developed by President Biden’s Administration, with a comment period scheduled to close on May 16. The rule is designed to help consumers make better choices to avoid chronic health problems. Such problems—and consumer choices about nutrition—are things President Trump’s Secretary of Health and Human Services, Robert F. Kennedy Jr., has repeatedly touted. Even though hundreds of comments have been filed about the proposed rule, Kennedy’s Food and Drug Administration is delaying the close of the comment period by 60 days. Most of the comments filed so far have come from food companies and food industry trade organizations. “ A 60-day comment period extension allows adequate time for interested parties to submit comments while also not significantly delaying rulemaking on the important issues in the proposed rule ,” according to the FDA’s announcement about the delay. 

WARNING: THE GENDER BIAS IN CAR SAFETY TESTING PRESENTS AN ONGOING DANGER

By Dr. Gerald Goldhaber • April 30, 2025
Car accidents are a leading cause of injury and death worldwide, yet the safety measures designed to protect occupants in these life-or-death situations have long ignored a critical reality: women are more likely to be severely injured or killed in crashes than men. This disparity isn't rooted in biology alone—it’s also a result of a troubling oversight in the automotive industry’s safety testing protocols. For decades, crash-test dummies, which serve as proxies for human passengers in simulated collisions, have been modeled after the average male physique, leaving women out of the equation entirely. The Alarming Data Gap The implications of this gender gap in safety testing are both staggering and infuriating. Women, on average, have different body compositions than men—they tend to be shorter, lighter, and have different muscle distributions and bone densities. These physiological differences mean that women’s bodies interact with car safety features—such as seat belts, airbags, and headrests—in distinct ways. When vehicles aren’t tested with dummies that accurately represent female anatomy, crucial data about how to better protect women in crashes is simply ignored. Studies have revealed the dire consequences of this exclusion. Research from the University of Virginia found that women are 47% more likely to sustain serious injuries in car accidents compared to men, even when accounting for variables like seatbelt usage and crash severity. Women are also significantly more likely to suffer whiplash injuries due to the positioning of headrests, which are often designed with men’s neck dimensions in mind. These statistics aren’t just numbers—they represent lives cut short, families broken, and untold suffering that could have been mitigated with equitable safety testing.

WARNING: ARE MUSK, KENNEDY, AND TRUMP IGNORING THE GRAVE CONSEQUENCES OF SLASHING PUBLIC HEALTH FUNDING?

By Dr. Gerald Goldhaber • April 14, 2025
Recent budget cuts at the Health and Safety Science Services (HSSS) have sent shockwaves through the scientific and public health communities, threatening the very infrastructure designed to protect us from disease outbreaks, food contamination, and medical crises. These cuts have affected food inspectors, vaccine scientists, Alzheimer’s researchers, and experts studying bird flu, among others—positions that are essential to ensuring public safety and advancing critical medical research. The consequences of these decisions will be dire, potentially reversing years of progress and exposing society to increased health risks.

WARNING: IS ELON MUSK'S DEPARTMENT OF GOVERNMENT EFFICIENCY JEOPARDIZING AIR SAFETY?

By Dr. Gerald Goldhaber • March 12, 2025
As Elon Musk's Department of Government Efficiency (DGE) pushes for sweeping reforms and cost-cutting across federal agencies, concerns are mounting over the impact on critical public safety roles. Among the most alarming areas affected is the Federal Aviation Administration (FAA), where staff reductions may threaten the lives of millions of air travelers. The DGE, established with a mandate to streamline government operations and reduce bureaucratic waste, has come under fire for its aggressive downsizing tactics. Critics warn that essential safety personnel, including air traffic controllers, are being cut under the guise of efficiency, leaving the nation's airspace dangerously understaffed.

WARNING: WILL TRUMP'S SURGEON GENERAL SUPPORT IMPROVED ALCOHOL WARNING LABELS?

By Dr. Gerald Goldhaber • February 11, 2025
Biden Administration former Surgeon General, Vivek Murthy, on his way out of office, issued a Surgeon General's Advisory calling for new warnings on alcoholic beverages related to the cancer risk from consuming alcoholic beverages. Given that most individuals are unaware of the connection that consumption of alcoholic beverages can increase the risk for at least seven types of cancer, Murthy said in his advisory: "Given the conclusive evidence on the cancer risk from alcohol consumption and the Office of the Surgeon General's responsibility to inform the American public of the best available scientific evidence, the Surgeon General recommends an update to the Surgeon General's warning label for alcohol-containing beverages to include a cancer risk warning."

WARNING: TRUMP'S RE-ELECTION MEANS A DEREGULATORY NIGHTMARE FOR CONSUMERS

By Dr. Gerald Goldhaber • December 2, 2024
In my best-selling book, Murder, Inc.: How Unregulated Industry Kills or Injures Thousands of Americans Every Year...And What You Can Do About It , I propose a safety triad consisting of three components: manufacturers, regulators and consumers. All three must function properly in order to keep us safe. Manufacturers must produce and market safe (or safe as possible) products and warn us about any potential hazards so that we can make informed choices about whether or not to purchase their product and/or how to use it safely. Regulators , by imposing and implementing necessary rules and regulations, should hold manufacturers accountable for the above stated actions and to endure that they engage in "principled disclosure" by warning us about any potential hazards and dangers associated with their products. And, finally, Consumers , especially in the absence of well-meaning manufacturers or competent, well-intentioned regulators, must be highly diligent by researching products and learning about potential hazards prior to buying and/or using them. All three, manufacturers, regulators and consumers, must perform their jobs or the safety triad may fail to protect us and our loved ones. Think of a three-legged stool that distributes the weight of a person sitting on the stool, equally among the three legs. But what would happen if we leaned heavily to one side of the stool, essentially spreading the weight that was once borne by three legs to the two legs remaining braced to the floor. Unfortunately the third leg is no longer contributing to the stability of the stool, which may actually collapse because the two remaining legs may not be able to handle the amount of weight that was intended to be equally distributed among all three legs. 

WARNING: FDA RECOMMENDS REMOVING POPULAR DECONGESTANT FROM MARKET

By Dr. Gerald Goldhaber • November 15, 2024
If you or anyone in your family has used, uses or plans to use such over the counter (OTC) remedies for the flu or common cold as Theraflu, Robitussin, NyQuil, DayQuil, Mucinex, Sudafed or even some versions of Tylenol or Advil, you may want to read this newsletter very carefully.

WARNING: SOCIAL MEDIA IS ASSOCIATED WITH SIGNIFICANT MENTAL HEALTH HARMS FOR ADOLESCENTS

By Gerald Goldhaber • October 2, 2024
In an unprecedented, but, according to many social scientists and parents, a long overdue action, Surgeon General Vivek Murthy, in a June editorial in the New York Times, called for a warning label to be placed on all social media platforms. In the words of the Surgeon General:
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