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  • If you're a fan of our work, you probably value rigor and humility in research, and are willing to change your mind based on new information.

  • You might also appreciate the same principles applied to important questions like, how can my donation make the biggest impact?

  • GiveWell, this video's sponsor, does precisely that.

  • They publish all of their footnoted research, along with their past mistakes, for free.

  • More details, including how to get your donation matched, at the end of this video.

  • An allergy is like finding a spider in your bedroom and exploding a nuclear bomb.

  • Sure, spiders are upsetting and now dead, but so are all of your neighbors and your dog.

  • You can be allergic to an incredibly diverse and weird amount of stuff.

  • Pollen, dust, insect stings, animal hair, any kind of food, latex, and even your own sweat.

  • One of the wildest things about allergies is how fast they are, breaking out suddenly and violently.

  • And, you can develop new allergies.

  • One moment you're enjoying a shellfish you ate thousands of times before, and the next moment you wake up in an ambulance.

  • A shrimp can kill you.

  • How bizarre.

  • But like, what are allergies?

  • Why do our bodies flip the table on harmless stuff?

  • There's a wild and interesting idea we want to share with you.

  • Humans might have created allergies by accident, by getting rid of worms.

  • This is very upsetting and interesting.

  • For your ancestors, being infected by worms was a reality of life.

  • We won't get into the disgusting details, but in a world where drinking water and our poo were close buddies, some species of worms found just the perfect cycle of life.

  • They enter your bodies with the water and make themselves at home, sometimes for decades.

  • And then release their eggs or larvae with your poo, which used to go back to the water we drank.

  • So, until recently, in evolutionary terms, our ancestors had to deal with frequent or permanent worm infections.

  • This caused all kinds of unpleasant health effects.

  • Our immune systems had to find weapons to get rid of them.

  • But how do you do that?

  • From the perspective of a cell, worms are city-scale kaijus, reaching beyond the horizon.

  • Worse, instead of skin, parasitic worms have an elastic protective layer that withstands even stomach acid.

  • You really need to pack some punch to cause damage.

  • It takes an army to kill a worm.

  • We're simplifying, but basically, when a worm enters your body for the first time, intelligent cells notice their presence.

  • They move to your lymph nodes and activate specialized antibody factories called B-cells.

  • We explain them in detail in this video.

  • These B-cells are told that they need to fight parasites, and start producing a special class of weapons, IgE antibodies.

  • Tiny protein craps with two pincers that connect to worms like magnets to metal.

  • IgE floods your entire body and basically begin arming a nuclear bomb.

  • An army of really scary cells called mast cells.

  • Mast cells are huge, bloated fellows filled to the brink with histamine and other nasty chemicals.

  • They pick up the IgE floating around and cover themselves with them like angry hedgehog grenades without their safety pins.

  • And then, they just lie and wait, angrily.

  • So now, you have millions of bombs in your skin, lungs, or gut.

  • Until the day the mast cells meet a worm trying to enter your body.

  • There's not much time to get rid of it, so things escalate rapidly.

  • The mast cells with their IgE spikes grab onto the worm particles and kind of explode.

  • They release all of their dangerous chemicals all at once.

  • A few things now happen in rapid succession.

  • First, some of the mast cell chemicals wound the worms, ripping wounds into them and making them really unhappy.

  • Then, emergency chemicals like histamine cause massive and rapid inflammation, ordering your blood vessels to flood the battlefield with water to flush the worms out.

  • They also order your cells that make mucus to go into overdrive and cover the worms in sticky slime.

  • Other chemicals are like air raid sirens screaming loudly throughout your body for anti-parasite soldiers.

  • Eosinophils.

  • First thousands, then hundreds of thousands hear the alarm and leave your blood vessels to where the mast cells are causing inflammation.

  • Not only do they make the inflammation worse, they carry extremely toxic chemicals that they vomit at the worm, ripping open its defensive layers and causing horrible injuries.

  • Sometimes, this will straight up kill the parasite.

  • Lastly, the anti-worm coordination cell arrives.

  • The basophil.

  • It makes sure that the immune system doesn't slow down, but keeps attacking with violence.

  • It keeps the inflammation going and alerts more and more attack cells to the site of battle.

  • Zooming out, we see that the chemicals from your anti-parasite forces make your smooth muscles contract rapidly, pushing everything that's inside outside.

  • In your intestines, combined with all the water, you notice this as diarrhea, as your body tries to expel the stressed parasite.

  • In your respiratory tract, loads of mucus and water flood outside, trying to take the worm with them.

  • If this happens under your skin, your tissue is red, hot and itchy, as your immune system is trying to commit murder.

  • It takes a fierce army to kill a worm, and your anti-parasite forces have the license to act rapidly and with intense violence.

  • Okay, this is nice and all, but what does all this have to do with killer shrimps?

  • What is an allergy?

  • Parasitic worms don't love being ripped apart by millions of bombs.

  • And, as all living things do, they adapt it to the deadly attacks on them.

  • In a nutshell, worms release a plethora of chemicals to manipulate your immune system.

  • They make it weaker and much less angry, like immune system weed.

  • Which is pretty bad for your survival, because you have to fight off all sorts of intruders everyday.

  • Our ancestors were basically unable to prevent regular worm infections.

  • So, as the worms adapted to us, our bodies had to adapt to them.

  • To balance out any weakening worm chemicals, one adaptation might have been to make our immune system more aggressive, so it could still defend against other invaders.

  • And then a hot second ago, in evolutionary terms, everything changed.

  • We suddenly invented soap and hygiene, but most importantly, the separation of poop and drinking water.

  • This destroyed the life cycles of parasitic worms, and the ones that remained were eradicated by modern medicine.

  • Worms still infect up to 2 billion people, mostly in underdeveloped rural regions or slums with unsanitary conditions and dirty water.

  • The people who escaped these conditions now face an interesting problem.

  • An immune system without a major enemy that had kept it down for millions of years.

  • It could very well be that our immune system still operates, assuming that worms are making it weaker, and that it has to be overly aggressive because of that.

  • And while IgE, mast cells, basophils and eosinophils also have other jobs, a major reason for their existence has now gone away.

  • But they kind of act as if worms are around, only that they now attack other dangerous foes, like shrimps.

  • This is exactly what happens when you have an allergic reaction to a shrimp.

  • Your immune system picks up shrimp proteins and produces IgE antibodies against shrimps.

  • The antibodies then are mast cells, turning them into bombs.

  • So you have millions of bombs in your skin, your lungs or your gut, with a license to choose violence, even when provoked a little bit.

  • Until one day, you eat another shrimp.

  • Your anti-parasite forces flip on like a switch.

  • Only, there is no kaiju to attack.

  • This is what you experience when you have an allergic reaction.

  • Extremely powerful weapons now target your own body.

  • Under your skin, your blood vessels suddenly turn leaky.

  • Fluid streams into your tissue, your skin swells up and turns red, often in itchy hives.

  • You immediately feel hot and unwell.

  • In your digestive system, the mast cells can cause nausea, cramps and sharp pain, as water floods into your intestines and triggers intense diarrhea and vomiting.

  • Your respiratory tract swells up, making breathing hard.

  • Way more dangerously, histamine and other chemicals can cause the smooth muscles in your lungs to tense up.

  • In the best case, you get a stuffy nose.

  • In the worst case, you're suddenly fighting for your life.

  • Mast cells all over your body unload their bombs all at once, causing an anaphylactic shock.

  • Your blood loses so much water that your blood pressure drops to dangerous levels.

  • This alone is life-threatening.

  • In combination with the things going on in your lungs, anaphylaxis is a life-or-death emergency, often with just a small time window to do anything about it.

  • Allergic reactions truly are no joke.

  • Even the deadliest diseases like Ebola need days to kill you, but your immune system can kill you within a few minutes.

  • And this is why a shrimp can kill you.

  • Because on a fundamental level, an ingenious defense system, vital for our species' survival for millions of years, is fighting imaginary kaijus.

  • Yet we still don't know why some people produce a lot of IgE antibodies against certain substances, and others don't.

  • We don't know why some adults develop new allergies later in life, or why some allergies disappear over time.

  • And we're not sure if the lack of worms is the main culprit, only that the cells that evolved to fight them are responsible for the symptoms of allergies.

  • There are other ideas, like less diverse microbiomes, or increased pollution.

  • Maybe it's just a combination of all of them.

  • But what we clearly see is that allergies and their more serious cousin autoimmune diseases have been rising massively in the last 100 years.

  • Wherever humans moved into more sanitary conditions and got rid of some of the horrible parasites hunting us.

  • Hopefully, we'll figure it out and prevent allergies forever, because one thing's for sure, we don't want to get worms back.

  • That would really be like finding a spider and exploding a nuclear bomb.

  • GiveWell wants as many donors as possible to make informed decisions about high-impact giving.

  • They have now spent 17 years researching philanthropic opportunities and direct funding to a few of the highest impact opportunities they've found.

  • Over 125,000 donors have used GiveWell to donate more than $2 billion.

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  • It took us 10 months to create this latest edition of our annual passion project.

  • The fact that we're finally able to share it with you is truly our highlight of this crazy year.

  • It's the 12,025 Human Era Calendar, and it's the best calendar we've ever made.

  • It all started back in January.

  • While we released the first video of the year, we were already brainstorming ideas for the 12,025 calendar.

  • For years, we'd wanted to tell the story of the great journey that took our ancestors from Africa to find new homes across the planet.

  • We dove headfirst into research.

  • We read about curious and unbelievably brave humans who ventured out into the unknown, paving the way for future generations.

  • But all of these incredible stories had to fit on paper, on 12 pages no less.

  • Weeks of sketching and revisions followed in February.

  • What was it like for those early pioneers?

  • Every new terrain they explored must have appeared to them like an alien planet, ruled by unfamiliar climates and filled with foreign creatures.

  • Meanwhile, we released our next videos, and in March were finally able to tell you about Starbirds, the video game we're working on with Tucana Interactive.

  • Then the calendar came to life.

  • We spent many weeks crafting epic illustrations worthy of representing 200,000 years of human history.

  • We had to get it right.

  • The adventures, the hardship, the incredible achievements.

  • We don't know what our ancestors set out to find, but when they settled all across the planet, they laid the foundation for human civilization.

  • Then, in May, Smoking is Awesome became our most successful video this year.

  • It had a huge impact and inspired many of you to quit smoking for good.

  • Nothing could make us happier.

  • Back in the studio, we created the final piece of the calendar, the cover.

  • As always, we wanted to represent the entirety of the human era by adding 10,000 years to the common era system.

  • Adding that one was the final touch, and our calendar was ready to be sent off to the printer.

  • On our YouTube channel, we continue to ask the big questions like, do you have free will?

  • And is AI humanity's final invention?

  • Then, in September, we finally held the first copy of the finished 12,025 calendar in our hands.

  • We are truly happy with the result.

  • It's not just the vibrant illustrations, the high-quality paper, or the shiny cover.

  • It's the fact that it represents such an important part of our shared human history.

  • And, for us, it holds all the memories of an exciting year at Kurzgesagt.

  • We think it's the best product we've ever made.

  • We may be a tiny bit biased, but you birbs seem to love it too.

  • It's absolutely incredible to see all your comments and messages.

  • For so many of you, getting the human era calendar has become a yearly tradition and a daily source of inspiration.

  • Make 12,025 truly special.

  • Get your piece of our shared human history and an essential part of Kurzgesagt.

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If you're a fan of our work, you probably value rigor and humility in research, and are willing to change your mind based on new information.

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The Real Reason Why You Have Allergies

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    VoiceTube posted on 2024/12/21
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