Occasional paper: It gets on your nerves

by Doug Muir on September 5, 2025


I do these occasional posts about science papers.  Some are just for fun.  But sometimes — honest! — there’s an underlying connection to the greater Crooked Timber project.

This post is one of that sort, because it’s about the limits of understanding.  Unsurprisingly, it involves biology. 

So we all learned back in high school that our nerves are sheathed in a coating, like insulation on a copper wire. The coating is made of a special substance called myelin.  If your tenth grade biology text mentioned myelin, it probably said something like “myelin allows impulses to flow along the nerves faster and more efficiently”.   Which is true!  It may also do some other things, but “myelin = faster and more efficient transmission” is what we all learned in sophomore biology back when, and it’s basically correct.

The Functions of the Myelin Sheath

Occasionally something goes wrong, and either the myelin sheath doesn’t form right, or the body’s immune system gets confused and attacks it. This can lead to serious problems, conditions like multiple sclerosis and muscular dystrophy. Also, newborn babies haven’t finished forming their myelin sheathing yet.  That’s why newborns are so very weak and uncoordinated. That magic moment, around the three month mark, where the kid suddenly starts holding up their head, looking around, and intentionally reaching for stuff?   That’s when “myelinization” is complete.



Myelin itself isn’t alive.  It’s an “extracellular material” made of a complicated mixture of fats and proteins.  But it’s not a passive, inert coating.  It does stuff, and it’s manufactured and maintained by special cells that hang out around your nerves.  You have hundreds of millions of these cells, and they spend a lot of time, effort and energy creating and maintaining your myelin.  In fact, the whole system is metabolically quite expensive to build and then to maintain.  So, your body conserves resources by putting more myelin on important nerves, and less or none on nerves that are peripheral or only used rarely. This includes some nerves for sensing pain.

You might think this is a bad idea: surely you want to respond to sudden pain quickly? Well, evolution has a hack for that: the “spinal reflex”.  That’s where a subroutine hardwired into your spinal cord will yank your hand away from the hot stove before the pain has time to reach your brain.  This is why, when you stub your toe, there’s the initial sensation of stubbing followed by the “AAHHH” wave of pain half a second later: that particular subsystem includes some unmyelinated nerves.

How to Treat and Recover From a Bad Stubbed Toe Injury
[first he bites, then he grinds]

Myelin plus its network of builder / maintainer cells together make up something like a third of the total mass of your nervous system.  You’re probably carrying around a couple of kilos of the stuff, several pounds, and it’s burning a non-trivial proportion of your body’s energy budget.  But if some Department of Metabolic Efficiency were to magically make your myelin disappear, well… it wouldn’t be great.  You’d probably drop dead on the spot.  Maybe you could survive on a ventilator, but you’d have severe muscular dystrophy forever.  All that metabolic energy is being spent for a reason.

Okay so: For a long time after it was discovered, scientists used to think that myelin was unique to vertebrates.

Animal groups - ilearneasy

Invertebrates have nerves, obviously. But most invertebrates are small. A housefly has much faster reflexes than you, but that’s not because its nerves are fast.  They’re not fast.  Insects don’t have myelin, so the fly’s nervous impulses travel actually travel more slowly than yours do.  Quite a bit more slowly. But the fly’s entire body is just a centimeter long, so those impulses don’t have to travel very far.  So the fly’s reflexes are a lot faster than yours.  The fly may have a slow nervous system, but it can still avoid your slap.

El tiempo de las moscas - Jot Down Cultural Magazine

And the fly doesn’t have to spend scarce metabolic resources on building and maintaining expensive myelin.

There’s some evolutionary history here.  “Primitive” vertebrates like hagfish don’t have myelin.  And here’s a thing:  hagfish are scavengers, rather sluggish, and they don’t grow very big.  So a slow nervous system isn’t a huge handicap for them.

There’s some evidence that early vertebrate fish may have evolved myelin back in the middle Paleozoic, allowing some fishes to suddenly get much bigger, much faster, or both.  You know how there was a page in your childhood paleontology book that was just trilobites and whatnot, with a few small, simple jawless fish derping along in the background? 

Silurian Period | Natural History Museum
[copyright G. Paselik, Humboldt Museum]

and then you turned the page and, wham, there were big damn predatory fish with terrifying bear-trap jaws? 

The Placoderms may have Evolved Internal Fertilisation

Current thinking is that’s the moment when early vertebrates developed myelin.  Because without myelin, it’s really hard for a vertebrate to grow big.  Your nervous impulses move too slowly for your large body to react to threats or prey.  With myelin, though — well, it’s expensive stuff, but it lets vertebrates grow large (dogs, horses, humans) and sometimes ridiculously huge (elephants, dinosaurs, whales).  And it also lets large animals coordinate large bodies and move quickly.

Okay, so vertebrates got myelin so they could grow big.  And for decades this was the paradigm:  vertebrates are large, so they have myelin.  Invertebrates are small, so they don’t.

Bumble bugs and elephants : a big and little book | WorldCat.org


But then, problems arose.

1)  There are large invertebrates.   What about octopuses and lobsters?  Heck, what about the giant squid?  
2)  There are small vertebrates.  Shrews, newts, guppies… lots of little vertebrates are no larger than large insects.
3)  And… it turns out a bunch of invertebrates /do/ have myelin.  And the ones that do, aren’t necessarily large.

In short, it’s a hell of a mess.  Let’s just tick a few points.

Octopi and squids

This one is relatively easy.  If you want to make nerve impulses travel faster, but you don’t have myelin, there is an alternative: you can make the nerve axons longer, and you can make the nerves themselves thicker.  You might remember that electrical resistance in a wire decreases as the cross-section of the wire gets bigger?  It works that way with neurons too. And this is the option that octopi and squids have chosen.  These large cephalopods have some extremely long axons — like, inches to feet long — and also some extremely thick nerves that are very large in cross-section.

Furthermore:  large cephalopods seem to have relatively decentralized nervous systems.  You and I have spinal reflexes.  Well, an octopus takes that to the next level.  Each individual arm has complex nerve ganglia that let it do all kinds of actions and reactions on its own, without the central nervous system getting involved.  Presumably the brain can override when needed.  But much of the time, the octopuses’ arms are autonomous systems.  This dramatically cuts down on the need for long-distance nervous communication, and thus on the need for myelin.

Giant axons pop up in some other invertebrates too, most notably in crayfish — relatively large, fast-moving invertebrates that rely on quick reflexes both for predation and escape.

World Record Crawfish

Okay, so that’s sorted.  But now we jump right off the tracks.

Small vertebrates

We have no goddamn idea.

Seriously.  A small guppy is the same size as a large spider or beetle.  The guppy invests in myelin while the spider and beetle don’t.  Why?  The guppy is only a few centimeters long.  The boost to its reaction time is going to be very modest, and it’s paying a metabolic price for this.  It’s not giving the guppy an obvious advantage.  At this scale, guppies and other small fish are regularly captured and eaten by water spiders, diving beetles, dragonfly larvae, and other predatory invertebrates.   So why does the guppy bother making myelin? 

We don’t know.

Chamba Dont Know - Chamba - Sticker | TeePublic

But then it gets worse.

Some invertebrates have myelin

This post is already running long, so I’ll keep this short:  myelinization has evolved independently at least four times outside of the vertebrates.  But it has evolved in invertebrates that aren’t very large and that don’t seem to have a compelling need for fast reflexes.  The myelinized groups include several species of marine invertebrates, including copepods and tiger shrimp, and also a number of worms and wormlike creatures, including earthworms.

First off, here is the occasional paper.  It dates from 2007, but the field hasn’t really advanced much since then.  If you want a TLDR short version, this page is pretty good.

*Now when I first went down this particular rabbit hole, I hit a point where I stopped for a reality check.  Was this stuff as bizarre as it appeared?  Or was I just missing something obvious?  Eventually this led to an e-mail correspondence with a very pleasant emeritus professor of invertebrate physiology.  This distinguished senior academic took the time to politely explain to me that, yes, this whole thing was every bit as weird and mysterious as it seemed.  It wasn’t an artifact of my poor research skills or limited understanding.  The evolution of myelin is — they cheerfully reassured me — some authentic Deep Science WTF.)

Right, so.  Some invertebrates have myelin, like tiger shrimp.  You know tiger shrimp?  Sure you do.  Remember the last time you had dinner at an Asian fusion place?

Cooked Tiger Prawn

Tiger shrimp are large-ish crustaceans that, by pure evolutionary accident, are delicious with soy sauce.  Morphologically they’re pretty similar to crayfish.  They’re both about the same size, and they’re both predatory clawed aquatic crustaceans.

Prawns Fish

But they’ve independently evolved completely different ways to speed their nerve impulses along.  The crayfish uses giant axons, while the tiger shrimp uses myelin.  Oh, and the tiger shrimp appears to hold the record for fastest nerve impulses in the animal kingdom.  It runs at about 200 meters / second, which is over 400 mph or 600 kph.  That’s several times faster than human nerve impulses.  Since the shrimp is only about 15 cm long, this means a nerve impulse can go from its brain to its tail in a fraction of a millisecond.  Why does the shrimp need literally lightning reflexes?  We don’t know.

Keep in mind here that most crustaceans have neither large axons /nor/ myelin.  Crabs don’t.  Most shrimp don’t.  Lobsters are predatory clawed aquatic crustaceans just like crayfish and tiger shrimp.  But they’re much larger.  A big Maine lobster can get up to almost a meter long and weigh over 8 kilos or 18 lbs.  That’s the size of a large house cat.  You might think an animal that size would invest in speeding up its nervous impulses.  Nope.  Lobsters don’t bother with either big axons nor with myelin either, and they seem to do just fine.

And then there are copepods.  Copepods have separately evolved myelin.  But copepods aren’t large!  They’re tiny.  

Copepod | Marine, Planktonic, Zooplankton | Britannica

They’re nicknamed water fleas.  They range in size from “smallish insect” to “barely visible speck”.  They’re basically plankton.

Copepods might need good reflexes to avoid predators, but at that size scale, having myelin is going to make almost zero difference.  So why are they investing in coating their teeny tiny little nerves with expensive myelin?  There are thousands of species of invertebrate plankton animals that don’t bother with myelin.  Why did copepods go to the trouble of evolving myelin, and why are they keeping it?

And then there are earthworms.  Which… what the hell?  What in god’s name does a blind, nearly brainless worm need with myelin?  Earthworms aren’t large, they aren’t predatory, they don’t have very complex nervous systems.  Yes, earthworms need to avoid predators — 


May be an illustration of puffin and text that says 'V WWNRT PSSHHT! FULL, POWER To THRUSTERS WORK ??? ON'T ????? BE CRAZY 00 FALSEKNEESO2015'
[copyright 2025 False Knees — go check out False Knees, it’s great]

 

— earthworms need to avoid predators, but so do caterpillars and beetles and spiders and a million other kinds of small invertebrate, and they do it without myelin.  Why are earthworms spending precious resources on an expensive tissue that they don’t seem to have any use for?

We don’t know. 

So here’s the mystery: myelin has evolved a bunch of different times, in widely separate lineages all across the animal kingdom.  But since it’s expensive to create and maintain, it must be serving some function.  In the case of large vertebrates, that function is obvious: it lets us be large.  And in the case of a few not-large invertebrates, you can maybe squint and say well… I guess that guy needs especially fast reflexes, because reasons?  But that still leaves a bunch of creatures, several different sorts of invertebrates and small vertebrates, that are investing in myelin and we just don’t know why.  Remember, most of these guys have close relatives or niche colleagues that don’t bother with myelin, nor large axons either.  

Maybe myelin is doing something else, in addition to insulating your nerves?  Biology loves to do that sort of thing.  But what possible Something Else would unite earthworms, tiger shrimp, geckoes, copepods and guppies?

It’s a mystery.  And since this is an area of study that sits awkwardly at the intersection of some unrelated sciences — neuroscience, cladistics, evolutionary biology, invertebrate physiology — it’s not attracting large amounts of research money at the moment.  So it’ll probably remain a mystery for some time to come.

And that’s all.

 

 

 

 

{ 12 comments… read them below or add one }

1

Michael Cain 09.05.25 at 8:13 pm

Evolution is usually considered path dependent. Myelin strikes me as something that once you’ve evolved it, it’s hard to get rid of.

2

KT2 09.06.25 at 5:25 am

Doug, we love a good mystery.

DM; “… and then you turned the page and, wham, there were big damn predatory fish with terrifying bear-trap jaws?”
[1] “squid, octopuses and their kin have evolved much like a fireworks display”
[2] “Taken together, this work places us one step further from treating evolutionary change as a paint bucket, and one step towards a sculpting chisel.” ~ Jordan Douglas et al

[1] “The Sudden Surges That Forge Evolutionary Trees”
By JAKE BUEHLER
August 28, 2025
“An updated evolutionary model shows that living systems evolve in a split-and-hit-the-gas dynamic, where new lineages appear in sudden bursts rather than during a long marathon of gradual changes.

“A sudden acceleration when lineages split, known as saltative branching, may be a fundamental and frequent characteristic of biological and cultural evolution.”

Dave Whyte for Quanta Magazine

Introduction
“Over the last half-billion years, squid, octopuses and their kin have evolved much like a fireworks display, with long, anticipatory pauses interspersed with intense, explosive changes. The many-armed diversity of cephalopods is the result of the evolutionary rubber hitting the road right after lineages split into new species, and precious little of their evolution has been the slow accumulation of gradual change.

“They aren’t alone. Sudden accelerations spring from the crooks of branches in evolutionary trees, across many scales of life — seemingly wherever there’s a branching system of inherited modifications — in a dynamic not examined in traditional evolutionary models.

“That’s the perspective emerging from a new mathematical framework published in Proceedings of the Royal Society B that describes the pace of evolutionary change. The new model, part of a roughly 50-year-long reimagining of evolution’s tempo, is rooted in the concept of punctuated equilibrium, which was introduced by the paleontologists Niles Eldredge and Stephen Jay Gould in 1972.

https://www.quantamagazine.org/the-sudden-surges-that-forge-evolutionary-trees-20250828/

Paper
[2] “Evolution is coupled with branching across many granularities of life”
Jordan Douglas et al
https://royalsocietypublishing.org/doi/10.1098/rspb.2025.0182

We love a good mystery. Such as the “underlying connection to the greater Crooked Timber project.”. If you write an article linking evolution, myelin and the “the limits of understanding” I’d be seriously impressed! Casting the net wide… “Human languages twist and recast themselves at the bifurcations in their own family tree. Cephalopods’ soft bodies sprout arms and bloom with suckers at these same splits.” [1. + language in 2 & 3])

[3]
“Language trees with sampled ancestors support a hybrid model for the origin of Indo-European languages”
https://www.science.org/doi/10.1126/science.abg0818

Thanks DM. Keep ’em coming.

3

Doug Muir 09.06.25 at 8:08 am

“Myelin strikes me as something that once you’ve evolved it, it’s hard to get rid of.”

@1, this doesn’t seem to be the case. It’s hard to be sure, but the scattershot appearance of myelin within certain lineages strongly suggests that some groups have lost it.

And, really, evolution is usually very good at getting rid of expensive stuff that is not longer needed.

Doug M.

4

Peter T 09.06.25 at 10:18 am

On the “big damn predatory fish with terrifying bear-trap jaws”, if you happen to be in Australia, the Museum of Fossil Fishes at Canowindra (a few hours from Sydney by road) is lovely. A mess of those fishes were trapped in a drying pond and their fossils turned up by a road digger. Picture a suit of armour with jaws at one end and a fishtail at the other …

5

P.D. 09.06.25 at 2:07 pm

@1&3

If myelin were easy to get rid of, are there any examples of vertebrates without it? Scattershot appearance is different than scattershot disappearance. Entrenchment might be enough to explain myelin in guppies.

Of course, that doesn’t solve the invertebrate mysteries. But maybe the mysteries don’t all have the same solution.

6

John Q 09.06.25 at 7:10 pm

A more general point on evolution getting rid of formerly necessary adaptations. I’ve long had the idea that this is mostly done with an off-switch. If so, it should be easier to flip that switch, restoring the adaptation in question than to evolve it from scratch. No idea if this is true, or where I should look to fnd out.

7

Mark Reimers 09.06.25 at 10:05 pm

You correctly note that roughly 1/3 of the human brain mass is made up of myelin cells. However, the proportion in smaller vertebrates like mice is less than 10%. It seems for vertebrates that the major selective pressure on myelin is rapid communication across the brain.
There may be different reasons for having insulation in different animals. The two small invertebrates you cite are both water dwellers, where water intercalates their tissues (unlike octopods); channeling electrical current is always a bit dicey in water. Maybe their analog of myelin helps insulate the nerves better.

8

hans 09.06.25 at 10:27 pm

Besides reflexes, the net says myelin has a role in brain function. Even worms have a “cerebral ganglion”. Hard to believe that the brain of a worm is a big energy suck. Is most of the myelin in the long axons or the “brain”?

9

heteromeles 09.06.25 at 11:13 pm

Thanks for something new to look up!

I actually see three sets of questions to ask, to try to come to grips with this interesting puzzle.

One is evo/devo genomics (evolution and development. If you’ve never heard of evo-devo, you can get a quick overview at https://www.youtube.com/watch?v=ydqReeTV_vk). Basically, I’d be interested in how many genes are involved in producing myelin and in producing the cells that produce myelin. This is especially true since it’s evolved at least seven separate times among animals (https://www1.pbrc.hawaii.edu/~danh/MyelinEvolution/evolution.html). Assuming all myelins are the same (edit: turns out they’re not! See wikipedia link below), this could be something that’s easy to evolve by reshuffling existing genes and gene signaling systems. It may also be hard to get rid of, once it has evolved. The reason is that, if the systems that were co-opted to make myelin are also involved in other systems, losing them to mutation doesn’t just get rid of myelin, it gets rid of other systems that are even more necessary, like various kinds of protein and lipid synthesis. Or, it just demyelination just kills an animal adapted to life with myelin. So animals, once they’ve evolved a myelin, tend to keep it, just because it’s simpler that way.

This is why I suspect small vertebrates keep their myelin. Most of them evolved from larger ancestors, and they simply haven’t been around long enough for whatever process causes animals to stop producing myelin (are there any?) to occur. Given the number of human diseases caused by demyelination, I suspect it’s not easy to lose myelin in evolutionary terms.

The second issue is the alternate functions. Per Wikipedia (https://en.wikipedia.org/wiki/Myelin), myelinating cells help sculpt and fuel the neurons they service, so it may be they’re a necessary part of the system in some animals to keep their nerves working. Another big function is that myelinated nerves are easier to regenerate.

One question was why earthworms have myelin. Given how good they are at regenerating, it’s possible that myelin and myelinating cells play an essential role in nerve regeneration when the worm is regrowing its body. This may be important to other organisms too.

A third kind of question to ask is about the environment in which myelinated and non-myelinated animals evolved. One possibility I hit on immediately is that deep sea life tends to need to be hyper-efficient, to deal with cold temperatures and scarce resources. Fast nerve conduction involving large investments of proteins and fats may not be all that useful in the abyss, so I’d expect organisms that evolved in cold water to not independently develop myelination, and I also wonder whether any deep sea fish (or shrimps, or other myelinating clades) have lost myelination (I don’t see any on a quick search). Conversely, shallow water animals have to deal with or deal out rapid predation, so they’d benefit from myelinated nerves. Not all of the animals that could benefit from myelination have developed it, but that’s pretty normal for evolution.

Fun! Thanks!

10

Cheez Whiz 09.06.25 at 11:47 pm

This is dumb, but so am I, so…
The myelin doesn’t help, despite being expensive, but does it hurt? Maybe there are just accidental evolutions, like a spoiler on a cheap sports car. Myelin as a liability should cause that species (sub? said I was dumb) to die off, right? If there is a different sub-species without myelin. Why isn’t there one?

11

KT2 09.07.25 at 12:40 am

John Q @6 “the idea that this is mostly done with an off-switch. If so, it should be easier to flip that switch, restoring the adaptation in question than to evolve it from scratch.”

Think germline and somatic variants. [3]. Or encountering an element unusual for an environment… say copper or nickel excess in biome. Triggers switching, altering genetics rapidly.

I’m no expert, yet I have been delving into a cancer genetics ‘for a friend’, associated with reproductive systems. Genetic testing in Australia is only available to a small subset dependent on family history. This needs to change. 3-5% (min) of radiation and chemo oncology have genetic antagonists we know of, yet we wait until initial treatment fails or biomarkers exceed thresholds after initial treatment before genetics usually are tested and treatment regieme is altered. Several clinical trials re cancer genetics are happening in Australia, yet compared with biotech and AI sequencing and pathology funding in US, we are just data gatherers, not innovators. Sadly.**

“Microsatellite instability (MSI) is the condition of genetic hypermutability (predisposition to mutation) that results from impaired DNA mismatch repair(MMR). The presence of MSI represents phenotypic evidence that MMR is not functioning normally.”
Wikipedia Microsatellite_instability

This caught our eye…
“we characterized 306 germline structural variants and 103 somatic rearrangements to the base-pair level of resolution. The patterns of germline and somatic rearrangement were markedly different.” [1]

Think cancer… and domesticated animals. On-off germline & somatic variants explode inside cancerous growths.

And we select domesticated animals traits in a shortened time compared to natural evolution…. “comparative analysis of pedigree-based mutation rates provides ecological insights on the mutation rate evolution in vertebrates.” [2]
Not exploding, yet selecting germline evolution for our preferences.
###

[3]
Germline structural variants become heritable.
Somatic rearangements are not heritable.

“Constitutional (germline) vs somatic (tumour) variants
“Constitutional (also known as germline) variants are present in all the body’s cells, including the germ cells, and can therefore be passed on to offspring; somatic variants arise during an individual’s lifetime in tissues other than the germ cells and so are not passed on.

Key messages
– “Constitutional (also known as germline) variants are present in all the body’s cells, including the germ cells, and can therefore be passed on to offspring.
– “Somatic variants arise during an individual’s lifetime in tissues other than the germ cells and so are not passed on to offspring.
– “Somatic variants can be present in a large number of cells in the body or just a few, depending on when in a person’s lifetime the new variant occurs.
https://www.genomicseducation.hee.nhs.uk/genotes/knowledge-hub/constitutional-germline-vs-somatic-tumour-variants/

[2]
01 March 2023
“Evolution of the germline mutation rate across vertebrates

“We show that the per-generation mutation rate varies among species by a factor of 40, with mutation rates being higher for males than for females in mammals and birds, but not in reptiles and fishes. The generation time, age at maturity and species-level fecundity are the key life-history traits affecting this variation among species. Furthermore, species with higher long-term effective population sizes tend to have lower mutation rates per generation, providing support for the drift barrier hypothesis
3. The exceptionally high yearly mutation rates of domesticated animals, which have been continually selected on fecundity traits including shorter generation times, further support the importance of generation time in the evolution of mutation rates. Overall, our comparative analysis of pedigree-based mutation rates provides ecological insights on the mutation rate evolution in vertebrates.”
https://www.nature.com/articles/s41586-023-05752-y

[1]
27 April 2008
“Identification of somatically acquired rearrangements in cancer using genome-wide massively parallel paired-end sequencing

“We used massively parallel sequencing to generate sequence reads from both ends of short DNA fragments derived from the genomes of two individuals with lung cancer. By investigating read pairs that did not align correctly with respect to each other on the reference human genome, we characterized 306 germline structural variants and 103 somatic rearrangements to the base-pair level of resolution. The patterns of germline and somatic rearrangement were markedly different. 
https://www.nature.com/articles/ng.128

###

And note, big pharma and the AIs are getting novel myelin “removal” drugs approved. Considering above, we are at the ‘look I have a new hammer’ stage. Not ‘appropriate tool’ stage.
Lives and capital are at risk. So it goes with human knowlwdge. A bit like evolution.
For example, an Australian public database and AI is needed or we are unnecessary to, and will pay for…
“03/25/2024
“Tempus [AI] Announces the Clinical Launch of p-MSI, its MSI-High Predictive Algorithm for Patients with Prostate Cancer” … “This offering aims to identify patients who may be more likely than the average patient with prostate cancer to have a tumor that is microsatellite instability high (MSI-H), and therefore potentially eligible for immunotherapy.”
Forbes Aug 11, 2025
“Tempus AI: Buy or Sell TEM Stock At $65?”
“Tempus Labs is perhaps the largest private AI precision medicine company.”
Published Mar 8, 2023
“In this post, I hope to answer questions such as:

“When the S-1 is released, we will find out whether Tempus has the potential to become a truly transformative healthcare company, or just a Groupon-like fad that slowly fizzles to a whisper. The great enabler of the promise of precision medicine, or a zero interest rate phenomena. What used to be an $8 billion dollar company I think fizzles to half the valuation on public markets. Tempus will always have value, but the utility of the database does begin to erode if not consistently maintained. Roche paid ~$2 billion for Flatiron in more favorable market conditions, and while it does seem like Tempus has more, I am doubtful that it is 4x more. Hard to make money in healthcare.”
https://www.dennisgong.com/blog/tempuslabs/

Finally, please tell your reluctant family & friends to get blood tests as soon as possible. My ‘friend’ didn’t get bloods until 15 years too late. Genes already passed into the gene pool. Some are not so lucky / unlucky.

12

MisterMr 09.07.25 at 6:06 am

Re: copepods: the most likely explanation is some sort of sexual competition: when two male copepods compete for a lady copepods, they fight each other in a ritual but deadly match of rock paper scissors, and the lighting reflexes let winning males change hand position a millisecond before the opponent chooses his one. Cherchez la femme.

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