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Common developmental condition linked to higher risk of Parkinson's-related disorders

Older adults diagnosed with autism face a significantly higher risk of developing Parkinson’s disease-related movement disorders compared to the general population, according to a large new study published in the journal Autism.

Researchers analyzed Medicare and Medicaid claims data covering nearly 57 million Americans aged 45 and older between 2017 and 2019.

Individuals on the spectrum, as well as those with intellectual disabilities, were diagnosed with parkinsonism at much higher rates than those without autism.

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Parkinsonism refers to a range of neurological conditions characterized by certain movement symptoms, including tremors, muscle rigidity, balance difficulties and slowed voluntary movement, according to the Parkinson’s Foundation.

While earlier research suggested an overlap between autism and motor decline later in life, it was unclear whether those problems stemmed from the condition or from antipsychotic medications, which are widely known to trigger Parkinson’s-like symptoms as a secondary side effect.

To determine whether medications explained the link, researchers excluded people who took antipsychotics from the analysis. They still found higher rates of Parkinson’s-related diagnoses in neurodivergent populations.

In the general population control group, the prevalence of parkinsonism was roughly 1.57%. The prevalence rose to 3.83% among adults with autism alone, 4.32% for those with an intellectual disability alone, and 4.86% among individuals diagnosed with both autism and an intellectual disability.

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"A critically important new contribution of this study is increased incidence rates of parkinsonism for autistic people in middle and older adulthood, which suggests that these cases aren’t simply a byproduct of lifelong motor challenges," Greg Wallace, lead author and a professor in the Department of Speech, Language and Hearing Sciences at The George Washington University in Washington, D.C., said in a press release.

The study represents the first time scientists have tracked the incidence rate, or the risk of newly emerging cases over time, among older autistic individuals.

"It is therefore important for clinicians to establish clear baselines of motor skills and challenges during adulthood that can be tracked over time," Wallace added.

Dr. Lee Murray, a neurologist based in Jackson, Tennessee, said this study clarifies previous research that suggested patients with autism are at a higher risk of having Parkinson's.

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"This study takes into account the use of antipsychotic medications that can cause a Parkinson's look (resting tremor, stiffness, shuffled gait, stooped posture, softened voice), which is a different pathology than stereotypical or idiopathic Parkinson's disease," Murray, who was not involved in the study, told Fox News Digital.

"This study showed patients with autism that was associated intellectual disability seem to have the greatest association with concomitant Parkinson's."

The neurologist cautioned that autism encompasses a wide range of symptoms and severity, so the findings don't mean that people with milder cases face a significantly higher risk of Parkinson’s disease.

"It certainly is an interesting correlation, although it does not imply that someone with autism is certain to develop Parkinson's," Murray added.

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"From a clinical perspective, is helpful to review medications with the autistic patient's physicians and, if possible, try to avoid medications that may cause a Parkinson's appearance."

Despite the scope of the data, the authors noted several key limitations of using insurance records.

The investigation relied on billing and diagnostic codes submitted through Medicare and Medicaid, which can contain errors or reflect differences in how clinics and medical providers diagnose conditions.

The reliance on claims data also means researchers could not assess the severity of individual motor symptoms or examine the role of lifestyle factors, genetics and family history, they noted.

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Additionally, the data only captured adults who were enrolled in public insurance programs, potentially leaving out older individuals who rely strictly on private health insurance.

Because people on the autism spectrum may already struggle with coordination, repetitive behaviors or executive functioning challenges, experts say early indicators of Parkinson’s disease can be missed or mistaken, potentially delaying essential care.

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"Patients with autism can have atypical movements that can be misdiagnosed as Parkinson's if the examiner is not accustomed to diagnosing it," Murray confirmed.

The researchers emphasized the need for physicians, long-term care facilities and family caregivers to closely monitor older autistic patients for motor decline so interventions can begin as early as possible.

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Chili's customers suffer chemical burns after dangerous margarita mix-up

Multiple customers at a Chili's Grill & Bar reported experiencing chemical burns Wednesday after consuming margaritas that had been prepared with an industrial cleaning chemical that was mistaken for sugar or salt.

The Foothills Health District said the incident unfolded at a restaurant in Forest City, North Carolina.

Three customers consumed the contaminated margaritas, while two restaurant employees also reportedly experienced symptoms after exposure to the chemical, according to the health district.

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According to preliminary findings, the mix-up began Monday when an employee received an industrial degreaser from a contracted worker and placed it in an unmarked container.

The container was then brought inside the restaurant and left in the bar area.

Two days later, an employee preparing the bar for lunch service discovered the unlabeled container and, believing its contents to be sugar or salt, used the chemical to prepare the margarita station, the health district said.

Shortly after the restaurant opened, three customers consumed the contaminated beverages and "immediately experienced discomfort and chemical burns in and around their mouths."

After the customers alerted staff, two employees also tasted the substance and reported similar symptoms.

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In a statement to Fox News Digital, Chili's said the company took immediate action to support those affected.

"We are aware of an isolated incident at our restaurant in Forest City, North Carolina that resulted in injuries to two of our guests and Team Members. Our team took immediate action to support those affected and avoid any further injuries. We are actively investigating the circumstances related to this incident as the health and wellbeing of our guests and Team Members remain our top priority," the company said.

The company’s account differed from the Foothills Health District’s preliminary findings, which said three customers experienced chemical burns after consuming the margaritas.

After the Foothills Health District launched an investigation, the restaurant's food service permit was immediately suspended.

It was quickly reinstated on Thursday after specialists determined the restaurant met all other food safety standards.

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The health district used the incident to remind all food service establishments in North Carolina that chemicals must be properly labeled and stored away from food-handling areas.

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"This incident highlights the importance of proper chemical labeling, storage, and handling in food service establishments, as required by the North Carolina Food Code, to prevent chemical contamination and protect public health," Jason Masters, the health director of Foothills Health District, said in a statement.

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Daylight saving time is ending: Doctor breaks down 6 ways to protect your sleep and health

Turning the clocks back at the end of daylight saving time has been linked to trouble falling and staying asleep, while ongoing sleep loss can take a toll on health.

While some research has suggested that the fall time change could have some cardiovascular benefits, the abrupt loss of evening sunlight can suppress serotonin and melatonin production, which can lead to a depressed mood, according to Dr. John La Puma, a California physician and expert in nature-based medicine.

The body’s internal clock does not automatically follow the clock on the wall, La Puma noted.

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"When the clocks change, your body clock is still on the old time," he told Fox News Digital, pointing out some common effects people may notice.

"So, for about a week, you wake up an hour early. You get hungry early. You feel sleepy early. It gets dark by five. Afternoon light goes away. You get months of short days. … You need coffee just to feel human. It's not great."

Making small adjustments to your routine after the time change could help ease the transition, the doctor said.

No. 1: Make small schedule shifts

With clocks turning back overnight Saturday, people can begin moving bedtime, meals and wake-up time later in small increments on Friday, according to La Puma.

"So, you move your day later in small steps," he advised. "You move your bedtime and meals the same 15 minutes each time."

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For someone who normally goes to bed at 10 p.m., that could mean 10:15 p.m. Friday and 10:30 p.m. Saturday, before the clocks change. Wake-up times and meals can shift by the same increments as schedules allow.

No. 2: Don't spend the ‘extra hour’ on a late night

Since the time change falls on Halloween, Dr. Saema Tahir, a sleep medicine doctor in New York City, cautioned against staying up late and drinking, operating under the assumption that the extra hour covers it.

"Keep alcohol moderate, finish drinking a few hours before bed and avoid caffeine after early afternoon," she advised.

"Alcohol makes you drowsy at first but breaks up sleep in the second half of the night. Caffeine stays in your system for hours. Together, they can leave you more tired on Sunday than you would be with no time change at all."

No. 3: Get outside at the right time

La Puma also emphasized the importance of being intentional about outdoor exposure.

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"You want to get outside at the right minutes, at the time of day and in the right place if you can," he advised, specifically recommending getting outside each afternoon later in the day.

"Late-day daylight is different than morning daylight. Late-day daylight tells your body the day is running long, and it shifts later," he said.

Once you've adjusted to the time change, Tahir recommends getting outdoor light within an hour of waking every day through the winter.

"Light is the strongest signal the body clock gets," she told Fox News Digital. "Evening light pushes it later, which is the direction you need to go for 'fall back.' Morning light keeps it stable over the darker months and supports mood and daytime alertness."

No. 4: Create a wind-down routine

Choosing a relaxing activity that signals bedtime is approaching can help to promote a consistent sleep schedule.

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La Puma suggests choosing a relaxing bedtime ritual, such as working in a paper workbook, sipping chamomile tea, taking a bath or using aromatherapy, options he outlines in his book, "Indoor Epidemic."

"Very specific things that tell your brain and body, 'I'm winding down so I can go to sleep.'"

No. 5: Avoid caffeine and screens

Other tips include limiting caffeine after noon and stopping screen time at least an hour before bedtime.

La Puma warned that light from the screen can suppress melatonin, the hormone that helps signal it is time to sleep. Even using night mode may not fully prevent that effect.

No. 6: Keep a consistent schedule after the change

Once the clocks change, it’s important to maintain a regular wake-up time, including on weekends, La Puma said.

"Pick one wake-up time and keep it every day, weekdays and weekends."

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La Puma cited an eight-year study of about 60,000 people that linked consistent sleep and wake times to a 19% lower risk of death.

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"So, sleep and wake times have important effects on heart attack, stroke and cardiovascular mortality," he said.

Anyone experiencing persistent trouble falling or staying asleep, frequent daytime fatigue or sleep loss that interferes with daily activities should contact a healthcare provider, according to the National Institutes of Health.

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Deadly disease sparks new CDC rule for US-bound flyers as major airlines seek delay

Major U.S. and international airline groups are pushing back against a new Ebola-related travel requirement that will affect millions of people flying into the United States.

Beginning Nov. 3, all passengers on international flights to the U.S. will have to confirm that they have not been in the Democratic Republic of the Congo (DRC) during the previous 21 days, according to the Centers for Disease Control and Prevention (CDC).

The requirement applies to everyone flying into or connecting through the U.S. — including American citizens, green card holders and airline crew members, the CDC said.

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Travelers will have to complete a paper or digital statement before boarding, even if they have never visited the DRC. 

Airlines must collect the forms and keep them for at least 42 days after the flight arrives in the U.S., according to the CDC.

Airlines for America (A4A), which represents major carriers including American, Delta, Southwest, United and JetBlue, is asking the CDC to reconsider the requirement and give airlines more time to prepare, according to an Oct. 26 letter provided to Fox News Digital.

The group said it supports the CDC's public health goals but argued that the new requirement is too broad and is being introduced too quickly.

A4A asked the government for a "more proportionate and measured U.S. response" focused more closely on affected areas and travelers who have recently been there.

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The group also asked for the Nov. 3 start date to be delayed.

"Changes to check-in systems, digital signatures, station procedures and training cannot readily be completed in the allotted time," A4A wrote.

Dr. Tyler Evans, a California-based infectious disease physician and CEO of Wellness Equity Alliance, told Fox News Digital, "This was a step in the right direction, given the fact that we really do have to take this seriously. We have to ensure that this does not cross borders."

He added, "This is the second-largest outbreak of Ebola in history. So this is very serious."

The International Air Transport Association (IATA), which represents more than 370 airlines around the world, has also asked the CDC to reconsider the requirement, Reuters reported.

"It is unreasonable for the U.S. government to require all airlines serving the U.S. market to modify their procedures to accommodate the collection of attestations from each individual (passenger and crew) flying to the United States in less than two weeks," IATA wrote in a letter, according to Reuters.

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A4A is also asking the CDC to exempt airline crew members, arguing that existing aviation documents already contain information about crews and their travel.

The group has requested an exemption for U.S. military passenger charters as well, saying the military already tracks service members' health, safety and whereabouts.

The CDC said the requirement is intended to reduce the risk of Ebola entering the United States through air travel. 

The 21-day period reflects the maximum amount of time it can take for symptoms to appear after exposure.

Anyone who has been in the DRC during that period, including travelers who only passed through an airport there, will not be allowed to board a U.S.-bound flight unless they have a government exemption, the CDC said.

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"Some of the initial symptoms would just be flu-like symptoms. You'll have a high-grade fever, you'll feel sort of fatigued," the doctor said.

"[For] people that ... are asymptomatic, being able to screen is a very effective modality to reduce, to prevent or mitigate further transmission," Evans said.

Evans worked on the Ebola response twice in the past, both in West Africa and in the DRC, the two largest outbreaks in history.

"The reality is Ebola is one of the most infectious and has one of the highest case fatality rates of infectious diseases," Evans said.

But Americans often don't view Ebola as being relevant to them, he said. "When it comes to infectious diseases ... microbes don't sort of respect boundaries."

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Travelers who knowingly provide false information could face prosecution and fines, according to the CDC.

Fox News Digital reached out to the CDC and IATA for further information and comment.

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FOX News Media teams up with Breast Cancer Research Foundation

FOX News Media teamed up with the Breast Cancer Research Foundation (BCRF) Thursday for a special panel highlighting advances in breast cancer research and treatment while urging women to take an active role in their healthcare. 

The event, held at Fox News headquarters in New York City during Breast Cancer Awareness Month, featured Kat Timpf, the "Gutfeld!" co-host and breast cancer survivor, alongside Dr. Priya Malhotra, director of research impact at BCRF.

Speaking with Fox News Digital after the panel, Timpf emphasized that while breast cancer awareness is widespread, misconceptions about the disease persist and may discourage people from asking important questions about their health.

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"There is also so much that people don’t know. It can happen at any age, without genetic markers. I would know that," Timpf told Fox News Digital. "Talking about it is always helpful because it removes a lot of the stigma, and it makes you feel like you can ask these questions to your doctor."

Timpf was diagnosed with Stage 0 ductal carcinoma in situ (DCIS) in February 2025, just 15 hours before giving birth to her first child. She announced the news on social media days later, writing what she called an "unconventional birth announcement."

"Last week, I welcomed my first child into the world. About fifteen hours before I went into labor, I was diagnosed with breast cancer," Timpf wrote on X at the time.

"Now, before you worry, my doctor says it’s stage 0 and is confident that it almost certainly hasn’t spread. Or, as I’ve explained to the few people I’ve managed to tell about it so far: Don’t freak out. It’s just, like, a LITTLE bit of cancer."

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Throughout her breast cancer experience, Timpf leaned on her signature humor, a coping mechanism she said helped her through some of the most difficult moments of her diagnosis and recovery.

"Humor is how I've gotten through every hard thing that's ever happened to me," Timpf said. "I was making jokes the day I was diagnosed about getting huge replacement [implants] and stuff like that. That's just how I do things because I feel like when you say that you can't joke about a subject, you're giving it even more power over you than it already has.

"For me, making jokes about a subject is a way to instead feel power over the things that are threatening to take you down."

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Timpf's central message to women was to take an active role in their healthcare, stay on top of recommended screenings and speak up when something doesn't feel right.

"Your own health is up to you. So, you have to make sure you pay attention and ask your doctor questions," Timpf said. "Don't think it can't happen to you because I thought that, and I was wrong."

Breast cancer is the most common cancer among women in the U.S. and worldwide, with approximately one in eight U.S. women expected to develop invasive breast cancer during their lifetime, according to the Breast Cancer Research Foundation.

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While breast cancer has historically been more commonly diagnosed in older women, rates are rising among younger women, including those under 40, before routine mammograms are generally recommended for women at average risk.

Dr. Malhotra emphasized that while breast cancer diagnoses in younger women account for a relatively small share of cases, the impact is profound.

"Incidence of breast cancer is rising in younger women," Dr. Malhotra told Fox News Digital.

"Maybe 10% of breast cancers are in younger women," she added. "But still, if you're one of the 10%, it's crushing."

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Dr. Malhotra, who previously served on the faculty at Georgetown University, now works at BCRF to help advance breast cancer research. She highlighted the growing number of targeted treatments developed in recent decades.

"In 1977, we had one targeted treatment for breast cancer. Twenty years later, we had two," Dr. Malhotra explained. "Fast forward to today, we have over 30 targeted treatments, 19 in the last decade alone. So, it’s moving very quickly, and we're proud to say that our investigators are involved in all of those, getting them across the finish line."

She also stressed the importance of recognizing changes in one's body and speaking up during medical appointments.

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"My biggest thing is to know your body because if you feel that something is out of whack — even if you think it's minor — it’s worth it to talk to your doctor about," Dr. Malhotra said.

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Study finds roughly 75% of deceased NFL players had at least some degree of CTE brain disease

A recent study found that roughly 75% of deceased NFL players had at least some case of CTE.

Chronic traumatic encephalopathy (CTE) is a progressive, degenerative brain disease linked to repeated head impacts rather than a single injury, according to the Mayo Clinic.

The study from Boston University researchers consisted of more than 2,300 deceased former players aged 80 or older who died between 2008 and 2023, nearly 400 of whom were donors.

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Out of the 396 who donated their brains to research, 93.5% of them were diagnosed. Researchers estimated that former NFL players with clear cognitive symptoms were roughly five times more likely to donate their brains than those without such symptoms.

Donors also died younger on average - 67 years old compared to almost 75.

CTE can only be diagnosed after death and is identified in four stages, with stage 4 being the worst.

"Many cases may have been early stage at the time of death and possibly symptom free," the study noted.

The study also estimated that 27.2% of the players had a history of all-cause dementia during life, but it did not conclude whether dementia was caused by CTE.

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A study released in August found that at least 1 in 4 people who have played in the NFL might expect to end up with CTE at some point in their lives.

The symptoms found in those with CTE include memory loss, mood swings, erratic behavioral actions and more.

While the disease was first found in boxers, it has become associated with football players in this modern era due to the repeated blows to the head sustained on every snap of the ball. It has, however, also been found in athletes participating in hockey, rugby and other sports.

But its connection to football became public when beloved players like Junior Seau, Mike Webster, Frank Gifford and others were diagnosed with CTE after their deaths. Webster was dubbed "Patient Zero" after Dr. Bennet Omalu examined his brain and became the first to diagnose an NFL player with CTE, jump-starting a concussion crisis within the game.

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There were 168 documented in-game concussions during the 2025 NFL season, which was a 30% increase from the 129 recorded during the 2024 campaign. There were a total of 538 evaluations and 26 medical timeouts as well.

OutKick's Scott Thompson contributed to this report.

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Targeted drug shrinks tumors in 3 out of 4 patients with advanced breast cancer

There may be a promising new treatment on the horizon for advanced breast cancer patients, according to developing research.

Researchers are studying the cancer-killing drug trastuzumab rezetecan for those with ERBB2-low metastatic breast cancer, whose tumors have low levels of HER2, a protein that can help cancer cells grow.

A phase 3 clinical trial called HORIZON-Breast06 sought to determine whether the drug works better than standard chemotherapy for patients with this cancer type.

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The researchers analyzed 551 female patients across 73 hospitals in China who were randomly assigned to receive either the drug intravenously every three weeks, or the physician’s choice of chemotherapy. The study period lasted from June 2023 to August 2025.

The drug significantly delayed cancer progression compared with chemotherapy, giving patients more than a year before their cancer began growing again.

The median time without tumor growth was 16.4 months compared to 6.8 months with chemo.

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Patients who received trastuzumab rezetecan were 73% less likely to have their cancer worsen or die during the study than patients who received chemotherapy.

The drug appeared to delay cancer progression in patients with both hormone receptor-positive and hormone receptor-negative breast cancer.

The results were published in JAMA.

Tumors shrank in 75.5% of patients who received the drug, compared with 41.2% of those who received chemotherapy.

At the 12-month mark, 90.6% of trastuzumab rezetecan patients were alive, compared to 81.4% of chemo patients.

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The authors concluded that trastuzumab rezetecan provided "significant progression-free survival benefit over physician’s choice of chemotherapy in patients with ERBB2-low advanced breast cancer."

Loren Rourke, a Texas-based breast surgical oncologist and author in Texas, called the results "incredibly encouraging."

"When you're talking about women living with advanced breast cancer, those months matter," Rourke, who was not involved in the study, told Fox News Digital. "They represent more time when the cancer is being held in check and potentially more opportunities to enjoy life without the disease getting worse."

What makes these findings especially exciting, according to the oncologist, is that the treatment showed benefits across different types of breast cancer.

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"It's another important step forward, and it gives us genuine reason to be hopeful," she said. "A treatment that can keep cancer from progressing for a longer period has the potential to make an enormous difference in a patient's life."

While the drug may cause fewer serious lung problems than similar treatments, it was linked to other side effects, including anemia and other blood-related problems.

Serious side effects occurred in more than 84% of patients who received the new drug, compared with nearly 68% of those who received chemotherapy.

Rourke emphasized the importance of considering the side effects, "because more time without cancer progression doesn't automatically mean better quality of life."

"We need to better understand the side effects, particularly the significant decreases in blood counts that can lead to fatigue, anemia and increased risk of infection," she said.

The researchers acknowledged that toxicity occurred more frequently and often required dose modification, although they said these effects were "generally manageable."

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The experts agreed that more research is needed.

"As exciting as these findings are, there are still important questions we need to answer," Rourke told Fox News Digital. "We know this treatment delayed cancer progression, but we don't yet know whether it will help patients live longer. That's an important distinction."

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"It's important to celebrate meaningful progress while making sure we're asking the right questions about what comes next."

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Warning signs that your adult child may be quietly cutting you off

Amid a growing trend of parent-child estrangement, experts say recognizing the early warning signs may help families address problems before they escalate into a no-contact situation.

Nearly four in 10 Americans are currently estranged from at least one close family member, according to a 2025 YouGov poll of 4,395 U.S. adults. That includes 24% who reported estrangement from a sibling, 16% from a parent and 10% from a child.

While estrangement can sometimes seem sudden, experts say subtle changes may signal that a family relationship is beginning to unravel.

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The quiet signs

Mary McLaughlin, a licensed couples and family therapist in Vienna, Virginia, said early signs may include an adult child becoming less willing to share details of their life directly with a parent.

"You might find out about the trip, the new relationship or a promotion at work at the same time everyone else does," she told Fox News Digital.

The parent may still be in contact with the adult child, McLaughlin said, but the child no longer chooses to share parts of their life directly.

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Other potential warning signs may include skipping family holidays, birthdays or weddings; leaving texts and calls unanswered; and reducing communication to brief or sporadic exchanges, according to the expert.

The distance may become so noticeable that siblings, grandparents or other relatives comment that they have not seen or heard from the adult child in a long time.

A child who once readily joined family photos but begins stepping out of them may also be signaling that they are starting to see themselves as separate from the family, McLaughlin said.

Blythe Landry, a Pennsylvania-based therapist and founder of Blythe Landry Coaching, said other early signs may include a child becoming involved with a new social group that encourages estrangement over difficult conversations, or "beginning to rewrite history in a way that seems more damaging than what might have happened."

The adult child may also become less willing to let a parent spend time with their grandchildren.

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The most telling sign may be a noticeable shift in the tone of the relationship, Landry said.

"You know your child, and you know when the energy has shifted in a direction that seems dramatically harsher than in previous interactions."

The shift to independence

Laura Wellington, a Connecticut mother who has been estranged from her adult daughter since 2024, said it can be challenging to distinguish early signs of estrangement from typical moves toward independence.

"It’s confusing to the parent because, a lot of times, they look like the general signs of a teenager moving into the young-adult zone — just pulling away and going off and establishing their lives," she told Fox News Digital.

"That’s what I think confuses many parents, because they want to give them the space to start pulling away and showing signs of their own individuality and carving their path."

"They don’t want to fight every battle, because if they fight every battle, then communication breaks down. So they try to pick and choose."

Loss of respect

One warning sign, according to Wellington, is if the child has an "I know everything, you know nothing" mindset.

"What's happening in our society today is … a lot of ‘I know everything, you know nothing’ toward the parent," she said. "There's no respect for what the parents experience. There's no tolerance for them speaking up and saying, ‘No, this is not what you should be doing.’"

In some cases, the child may begin treating the parent as a subordinate, according to Wellington.

Some parents begin to notice a shift when their adult children start treating them with disrespect, pushing back on their opinions and positioning themselves as the authority in the relationship, she said.

"They become the authority; they flip it. Anytime you say something, you’ll see them bark at the parent and push back on the parent. They really have no respect for the parent."

Different worldviews

Wellington also pointed to major differences in political, religious or lifestyle beliefs as a possible source of growing distance between parents and adult children.

She suggested that some young people who become estranged are "more liberal in thinking," while acknowledging that the dynamic can also work in the opposite direction when a parent holds especially strong ideological views.

"There is extremism sometimes where the parent is extremely something, and then the child … goes the other way," she said.

Richard Blake, Ph.D., a Texas-based psychology researcher who focuses on anxiety and family estrangement, said an adult child’s unwillingness to consider differing views may signal trouble.

He suggested that personality may play a role, with more argumentative adult children who are less willing to consider differing views potentially more prone to family estrangement.

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Repeated cutoffs

Another possible warning sign, according to Blake, is if the adult child has begun cutting off other people. He said parents should take note if an adult child has repeatedly stopped speaking to relatives or openly boasts about ending relationships.

"Chances are, they're going to cut off someone else, and it may be the parent," he said. "If you haven’t been cut off yet, you may be in the firing line there."

Communication breakdown

Ongoing communication problems may be an early warning sign, Blake said, particularly when an adult child feels that a parent refuses to listen or acknowledge the child’s point of view.

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"They may say, 'My parents just don’t listen. I cannot get through to them. It’s like talking to a brick wall.'"

Parents who consistently dismiss their children’s concerns should not be surprised when conflict develops, he said.

"If you don’t listen to your child, then don’t be surprised if you have conflict with them."

Blake recommends listening actively, avoiding interruptions, repeating back what the other person has said and asking a simple follow-up question: "First, you say, 'Is there more?'"

No clear warning

While there may be some early signs, Blake emphasized that estrangement can sometimes appear suddenly, with no warning.

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"A lot of parents will say, ‘My child never told me the issue. We were best friends. And then I got a letter saying, never contact me ever again.’"

"That is a big problem. It's like people don't even know why they get cut off."

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Landry noted that recognizing possible warning signs should prompt honest self-reflection, not just concern about the other person’s behavior.

"If there is an imminent estrangement, dig deep," she advised. "Do you have a part? If so, is there a chance of rectifying it before it occurs?"

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