Saúl Cuevas

[Matthew Zirwas, MD @MattZirwas]

I’m a dermatologist. I’m supposed to say there is no amount of safe sun exposure.

But I won’t, because that’s a lie.

The attached shows how much sun is safe in different cities at different times of year.

What do I mean by ‘safe’?

I mean this: UV causes DNA damage and skin cancer.

But, shockingly, your body repairs that damage. As long as the damage doesn’t outpace repair and start accumulating it shouldn't increase your risk of skin cancer.

Data just came out that tells us how much UV you can get without damage accumulating.

They took the people most susceptible to DNA damage from UV and exposed them to UV, then did skin biopsies to measure the damage, then more skin biopsies to measure the repair, and repeated it daily for 4 days.

At 1.6 ‘Standard Erythemal Dose’ (SED) there was no accumulation of damage.

So, the attached charts show how much sun it takes to get 1 SED in different cities at different times of the year at different times of day.

And there are extra safety margins built in. It assumes a perfectly clear day with zero air pollution and that the sun is hitting your skin perpendicularly. Unless you’re laying flat, most sun is hitting you at an angle, which isn’t nearly as intense.

But a bigger question you might be asking is ‘Why would a dermatologist be telling you to get sun in the first place?’

Because getting sun reduces your risk of death.

Mostly by reducing your risk of heart attacks and strokes. That is very well proven.

But it’s also very likely that sun exposure reduces your risk of autoimmune disease, dementia, cancer and depression. It’s just not as well proven as the protection against heart attacks and strokes.

And before you reply and say ‘just take vitamin D!’, know that it has been ROBUSTLY proven that vitamin D has little (if any) benefit for preventing any of the above. Vitamin D is mostly useful as a marker of if you’re getting enough sun.

What do I do myself and what do I tell my patients?

Get as much unprotected sun exposure as you can without getting a burn.

That’s my GUESS as to what has the best risk/benefit ratio. Dying of skin cancer is actually really rare, especially when compared to the risk of heart attacks, strokes, autoimmune disease, dementia and other cancers.

But I’ll admit it’s not for sure best to get as much sun as possible, since sun does increase the risk of skin cancer and it might be the case the benefits plateau at a low level.

So, if you’re really worried about skin cancer stick to the charts.

The best science I can find says that amount won’t cause skin cancer.

The takeaway?

Sun is good for you, just don’t get a burn.

[Sergio Sarmiento @SergioSarmiento]

La SRE ha informado que el consulado en Nueva York ha respondido en tiempo y forma a la solicitud de asistencia del Mayo Zambada. Adrián LeBarón, cuya familia fue masacrada, nos recuerda que él ha mandado ocho cartas de súplica a la Presidencia, que no ha respondido ninguna.
https://t.co/Y25ceALkU1
https://t.co/Gz8r0AA5tK
https://t.co/7RlI142blh

[Saúl Cuevas @scuevasc]

@washingtonpost Ss a sea

[Dr. Oki @DrOscarBottger]

Yo de PAPÁ...😅‼️

[Saúl Cuevas @scuevasc]

@CFE_Contigo @CFEmx Buenas tardes, de su apoyo llevamos 1 hora sin servicio en locales comerciales. No. Reporte: P0301746945.
Gracias, saludos

[Saúl Cuevas @scuevasc]

@CFEmx llevamos una hora sin luz y no nos dan respuesta reporte P031741344

[Saúl Cuevas @scuevasc]

@IENTCoficial Numero de reporte
116263. Su apoyo para que quede lo más pronto posible, la semana pasada fallo y sus técnicos no pudieron hacer el esfuerzo de trabajarlo desde el viernes y tuvimos que esperarnos al lunes y hasta el martes fueron a repararlo

[Saúl Cuevas @scuevasc]

@CFEmx #cfe_contigo #CFE #cfexpress les pedimos atiendan este reporte, llevamos 20 horas sin luz y sin respuesta por favor URGE!!!