We will see more and more fungi infecting mammals in the coming years.
Mammals and birds evolved higher body temperatures in part to protect from fungal infections.
As most fungi are dying above 37°C. But a high temperature summer is a selection pressure on any mushroom trying to survive, and hence might evolve to survive 40° summers and thus also survive in our bodies.
I really hope cordyceps is one of the last to do this step.
Not sure about that. Outside temperature above 37 were common in many highly populated areas, even before "high temperature summer" (e.g., India, Indonesia, most of Brazil, etc.). If there was an actual selection pressure, we would have seen its results by now.
> there are many fungal infections that occur more frequently in tropical zones or are restricted to certain regions within the tropics [0]
I worry that one of the large variety of fungal species not resistant to high temperature will evolve to be resistant and cause great harm to our society. Similar to the way animal spillover events, like covid-19, are so devastating. A novel pathogen introduced to a naive population.
> “I’m convinced that half of the human cases that come from cats are people who are trying to stuff pills down their cat’s throats to treat the sporotrichosis,”
Do yourself a favor, crush the pill and put it in food. Problem solved. Difficult with multiple cats but I had two and one needed medication so I put this little guys on a window sill he loved to perch on which the other cat didn't care to reach.
This doesn’t necessarily work. Some pills taste bad, and the cat will refuse weird-tasting food.
I recommend everyone who has healthy cats to talk to their vet about administering empty capsules. Just so you and the cat get comfortable with the process before you need it.
Kind of like you need to train them from an early age that clipping their nails is fine.
When your cat gets old, they will need to take oral supplements, at the very least. You’re the person they trust the most to give them.
Maybe mix it with cat nip. My Mom used to have to mix medicine in with the pig's feed. They were very good at eating around the medicine. To get around that she would prepare a concoction of beer and molasses and feed and the medicine. They then ate all of it.
> Do yourself a favor, crush the pill and put it in food.
PROTIP never ever do this. The cat might just decide food is not worth having and develop liver and stomach issues. Bastards won't tell you anything is wrong, then they'll just crawl into a hole, as usual.
Source: I had the same not-good, very very bad idea and almost killed mine once. Had to go for a feeding tube and all. If you must give you cat medicine in pill form, just use one of those silicone pill "siringes" with flexible tips (and give it some Churu or similar to train it to tolerate medicine better). Washable, no fuss, quick and easy.
My wife's family's countryside ex-farm has a barn, and out in the barn we found... a mummified cat. By mummified I mean, desiccated, hairless, but much more than a mere skeleton.
You shouldn't do this, as others have said. Also, some medications must not be crushed at all.
In my experience, the best way to give cats pills is a pill pocket, e.g. from Greenies [1]. The pocket is a hollow, soft cat treat. You put the pill inside the pocket, close it, and feed it to the cat. With some larger pills, you may have to split them up (if the medication allows). Some cats don't love the flavor, but you can use a sauce packet and coat it with some sauce.
Its not always that easy. For example cerenia tastes very bitter for a cat. My cat will start drooling almost uncontrollably if he tastes it. He has a kidney condition and needs it for the rest of his life. I've tried crushing it, but he will then just ignore the food because of the bitter taste of the pill. Putting it in something like easy-pill will work a couple of times. Until he realizes the disgusting taste he is going to experience when eating the easy-pill. At that point you can't trick him anymore with an easy-pill.
So the only way I can give it to him (without drama) is by putting it deep into his mouth so he never tastes it and immediately swallows it.
Can confirm, transdermal maropitant (cerenia) worked very well for my cat who was dealing with both CKD and IBD in her later years (she passed away in December).
I bought it off of Chewy, but there are other places that compound it into a transdermal as well.
> Your last sentence, "[pilling cat] (without drama) is by putting it deep into his mouth" must mean you have a very chill cat [emphasis mine].
I'm not the person you are replying to, but for my cat putting any pills deep into her mouth meant using a piller device. Luckily my cat was totally non-aggressive, so when it came time to take pills she would try to evade, but never attack, but she was pretty good at undulating her tongue to try to swat pills out.
Over her last year or so she was getting multiple medications per day (and subcutaneous fluids 3x a week) so being able to do some of them as transdermals helped lessen the stress of getting everything into her.
> Some drugs are available online / locally through compounding pharmacies as transdermal creams that you apply to the inner surface of the cat's ear.
> Can confirm, transdermal maropitant (cerenia) worked very well for my cat who was dealing with both CKD and IBD in her later years (she passed away in December).
Thank you both for the tip! I'm going to look in to that.
Sorry to hear your cat passed away :(
> Luckily my cat was totally non-aggressive, so when it came time to take pills she would try to evade, but never attack, but she was pretty good at undulating her tongue to try to swat pills out.
Exact same thing here. The cat is totally relaxed, no biting, clawing, etc. Only tries to "go in reverse". Which doesn't help him, since I'm sitting behind him. But he has gotten good at trying to swat pills out of his mouth with his tongue. But with a piller, it is do-able.
She made it to ~18 (just over 16 years with me and she was estimated to be about 2 by the shelter I adopted her from, but they weren't exactly sure) despite the various health issues, so it wasn't a big shock when she passed away but its still awful to lose them. Be good to your guy while you still can.
The one other thing that helped with my cat for some medications is, where possible, stuffing the pill into a gel cap (you can buy bags of like hundreds of caps pretty inexpensively) that's just big enough to fit the pill. This increases the size a bit, of course, but for any particularly bitter medication it at least masks the mouth taste.
They even have some vet-specific gel caps made to taste like chicken, etc. Those never worked any better than non-flavored ones for my cat, though anecdotally I guess they do work for some cats enough that they will voluntarily eat the pill.
When I had to give my cats thyroid pills, I mushed them into soft treats. This generally worked, but sometimes took a couple of tries. But this trick only works if the cat wants the treat more than they don't want the pill. A dog can be tricked into thinking the pill is the treat.
Flavored pill compounding is apparently also an option, but I've never tried it.
A. I have cats that don't go anywhere special that the other cats don't go so that doesn't work unless I supervise.
B. It's difficult to make sure they get the entire dose, again unless you supervise. And good luck getting a cat to finish food they've decided they are done with.
C. I have cats that are picky enough to ignore any food that has a crushed pill in it. They can always tell. Yes even if I use smelly food.
D. Not all medications can be safely crushed. Slowly dissolving in the stomach could be an important aspect of the delivery.
> Slowly dissolving in the stomach could be an important aspect of the delivery.
Depends on the coating - some coatings only dissolve once they are out of the strongly acidic stomach. Slow dissolution is used in retarded medication, which may or may not be coincident with targeting post-stomach delivery.
Yeah I was trying to get the general point of "crushing the pill could interfere with effective delivery of the medicine" without getting too far into the weeds. Honestly it's usually fine and I do think mixing crushed pills with food is an important tool in a pet owners belt. It's just not the universal solution that was being implied.
I may be crazy but I feel like we shouldn't be giving medicine to animals with communicable diseases (unless the medicine reduces the chances of animal->human transmission). We're just reducing the effectiveness of these medicines over time.
We ought to have learned after the Covid “herd immunity” policies that killed hundreds of thousands around the world, that infectious disease control should be grounded on actual research, and not on simplified world models.
They recommend treatment because the mandate is to keep the animals alive, not whether or not it's good long term for humans. Many doctors and vets though are against the mass use of antibiotics in industrial farming (literally as a prophylactic so they get the antibiotics just in case) but it's not having much of an impact it seems.
This is a completely different issue. No one's doing mass prophylactic treatment against this fungus, and even if we treated every single cat in the world, there are 60 times more chickens. Industrial farming is on a completely different scale.
> doctors and vets
Unless they're citing research supporting their opinion, it's as irrelevant as any other non-specialist.
I understand, didn’t mean to imply they were suggesting herd immunity. But then you’ll have people not taking their cats to the vet because they don’t want them to be culled, increasing exposure and limiting our access to reliable data.
My point is, take this uninformed opinion that goes against the researchers’ recommendation for what it is: wrong.
Most people now treat pets as children, expensive surgeries even are commonplace. Good luck convincing them not to medicate their pet when a medicine for the disease exists
> Do yourself a favor, crush the pill and put it in food.
This does not work on compounds sensitive to stomach acids. Some medications (both veterinarian and human) have to be specially coated to survive this environment [1], if you crush the pills the medication gets less effective, completely ineffective or, like ibuprofen, irritate the stomach. Or, worst case, the medication is designed for retarded release in the stomach acid - and now that you've crushed it, the entirety of the compound is dissolved in the stomach at once.
Please always ask your veterinarian/physician, the pharmacy staff and always read the medication's application notes because particularly physicians often are unaware and the same ingredient on the prescription might be fulfilled by a crushable or a non-crushable variant which only the pharmacist knows.
Your conclusion is based on your misunderstanding: perhaps take more care in future, and be especially careful if sharing your misinformation.
After absorption into the bloodstream, ibuprofen indirectly reduces the prostaglandins that normally protect the stomach lining
crushing ibuprofen can make local irritation more intense and quicker, but this is usually not the main driver of ulcers
And sorry if the above is misleading, I'm no expert in this stuff either.
To go further on this tangent, just mentioning it because it's rather useful: Studies show that vitamin C protects the stomach lining from stomach acid - unclear why exactly, but clear that it does. There are pills that combine the two, but you can also just buy some vitamin C and take it it with the pills. Like all water-soluble vitamins, you can't really overdose: the excess is excreted.
OK, so you can overdose and that is important to know - but a few hundred mg fortunately won't do it. The article recommends against daily use of 2,000+ mg.
Please note that this is an extremely rare disease even in Brazil, where it came from. Asked my vet, and two cousins who also are vets, and all of them knew of the disease from scientific literature and government health bulletins, but only one of them had treated two actual cases, when he lived in northeastern region: two strays.
Brasil must have something like between 40 and 50 million cats (including strays). An infectious disease that killed thousands (what the article means? 1000, 2000? 10000?) while not ignorable, it is not exactly highly prevalent.
It is not that rare, the epidemic is just focused on the south region right now.
Porto Alegre metropolitan area is having a huge outbreak. My girlfriend is a vet and has been dealing with new cases multiple times a week.
Many of our friends also got it (it is very hard to not get scratched when handling with cats in pain).
It is a really really shitty, painful and hard to treat disease, requiring multiple months of treatment. It is very painful but usually not letal for humans and cats that are in the earlier stages and get treatment.
However it is absolutely lethal for populations of wild and stray cats, as it is very infectious and 100% lethal unassisted.
The article doesn't address treatment efficacy in humans. How is it treated? How effective is the treatment? Can this develop resistance to the treatment? The spread mechanisms and persistence are concerning, but without info on treatment I'm not sure how much I should freak out about this.
We have very few effective antifungals, and discovering new ones is an order of magnitude harder than discovering new antibiotics due to fungi being more closely related to animals (what's toxic to them is often toxic to us). Resistance is an ongoing problem and will worsen in time; Sporothrix already has strains that are resistant to mainline treatment. I recall reading that at least one developing fungal pathogen of concern is in practice impossible to clear from the body fully once established with existing antifungals.
A further issue still is that some fungi exhibit extreme resistance to sterilization; one of the nosocomial emerging fungal pathogens of concern, for example, can easily survive the peroxide fogging technique often used to clean high-risk hospital rooms even at several times the standard exposure duration and concentrations.
Additional issues include treatment compliance - clearing fungal infections can require taking the drug for months without missing a dose.
We should be very concerned about emerging pathogens in light of anthropogenic climate change, but with proper funding and attention this is not necessarily apocalyptic.
Sporotrichosis affects otherwise healthy individuals, often those working in agriculture or with plants or plant materials, such as packing straw or thatching. It also affects individuals exposed to the fungus during leisure outdoor activities associated with skin abrasions. Contact with domestic or feral cats, particularly among veterinarians and others looking after cats, may also lead to infection in some regions."
Deadly to immunocompromised people. Basically everything could be deadly to them. Cats also rarely attack human proactively. So not really a big concern.
Hypochlorous acid (HOCl) is highly effective at killing Sporothrix fungi, including Sporothrix brasiliensis
HOCl is the best non-toxic broad spectrum human compatible antimicrobial. I have been using it in many household applications since COVID started.
It can be prepared by electrolysis of acidified (e.g. vinegar, but ideally pH 5.5, and inorganic acids make it last way longer at that pH, but they are more dangerous to handle) salt water (high margin of safety) or alternatively prepared by mixing highly diluted bleach with an diluted acid (low margin of safety) to target 20-2000 ppm depending on your delivery method (e.g. one tablespoon of bleach and vinegar into a gallon of water). If you are worried about the safety of this approach, note that far, far less chlorine gas is emitted when made this way than by ordinary bathroom cleaning with a bleach-based bathroom cleaner.
The smell of HOCl is unique and completely different from chlorine gas. The small amount of chlorine gas emitted likes to sit on top of the surface of the water, but if this layer is blown away, the distinct smell of HOCl becomes apparent immediately. It smells like minty bubblegum or something more familiar: a swimming pool.
The good news is when making HOCl for disinfection purposes 20-2000 ppm, only very small quantities of chlorine gas are evolved. They can be reduced further by shaking the closed container used to make it, further dissolving the gas into solution to make more HOCl.
I run this solution in my humidifier at low concentrations to prevent microorganisms from growing in it. I also use the electrolysis method to accurately make very low concentrations for nasal rinses. Typically, 15-30 seconds from a $10 USB electrolyzer in salt water.
"AI Overview" blithely tells me HOCL can be easily made from the electrolysis of salt water.
Looking even a little deeper (Wikipedia) confirms that chlorine chemistry, especially when combined with electrolysis, is very complex, and it's hard to know if you're making the right thing. FWIW every sensible electrolysis-based DIY project has dire warnings about electrolysing solutions of common salt.
You're saying that as long as it proceeds as expected, then all will be ok. In the worst case (eg, at the 2,000ppm you indicate as an upper range, or after some mis-step in the process), what ppm chlorine gas would be created, and what would happen if you got a noseful of that at close quarters?
Reminds me of the TV Series "The Last of us" [0], which: "... is set decades after the collapse of society caused by a mass fungal infection that transforms its hosts into zombie-like creatures". Of course, minus the zombies.
We are lucky that mass epidemics that plagued humans so far didn't affect the brain. Affections like rabies, that require individuals biting each other, and which are the inspirational source of all those zombie fantasies, do not count. That is an attack vector easy to spot and manage. The scary scenario is the one like with this Sporothrix Brasiliensis fungus, which can spread by merely "sneezing out the infectious yeast", and then remain potent (outside a host) for "up to 10 weeks", plus (the cherry on top) -- "developing the disease three years after" the infection event. Any kind of pandemic is scary by the sheer magnitude of its reach, but one that would affect the brain? That would be another level of scary.
Toxoplasma gondii affects animal behavior, I don't think it's a stretch to think it (or something similar) could affect humans in some way we haven't measured yet.
I think this is widely speculated already, right? It is just hard to measure human behavior. I mean one of the proposed effects on Wikipedia is a reduced aversion to cat urine. But obviously there is a correlation/causation question there, haha,
As for your question, I have little to do with USA politics, which includes holding little to no attitude towards POTUS, and I very much hope for situation to stay that way. Prudence compels me to refrain from saying anything more on the subject.
In the opening scene a scientist argues once the ambient temperature of some region is 37°C we'll all get eaten by fungus. It will evolve to live at body temperature.
There are some precedents for this: hibernating bats lower their body temperature to that of a moldy environment, and are getting infected with a fungus which kills 90% of them in some cases [2]. Logic goes that raising the ambient temperature could be the same (with some evolution thrown in) as lowering our body temperature.
Is it credible? No idea, not that kind of scientist.
I guess GP is hinting that referring to TLoS as a TV series is a bit similar to, say, referring to LotR as a movie series (when discussing the basic premise shared by the original and the adaptation).
My cat's got a different kind of fungus, not sporotrichosis, but one that gives her sort of a "clown nose". We've been trying to treat it for years now and it always comes back. Every time the treatment takes 4-6 months with itraconazol.
It includes instructions for the general population and for medical professionals, as well as a couple of technical reports with tons of references to recent studies.
"We report the first three cases of cat-transmitted sporotrichosis caused by Sporothrix brasiliensis outside South America, and the first ever cases of cat-transmitted sporotrichosis *in the United Kingdom*".
Ever since I started riding a motorcycle I've started to believe this to be the case too. I get so many bug splats on my helmet, jacket, and motorcycle that I'd never have if I was driving a car. By the end of most rides out in the country on the highway I'm covered in splats.
i've noted less bugs on the windshield but about the same on the optics and the radiator screen, so i go with the aerodynamics explanation as well. bugs are there because i see the bug swarms around the road too.
There is a ballot measure this Fall in Oregon that would ban pet and livestock ownership in the state. The backers got over 100,000 people to sign the petition.
There are people that either simply do not understand the natural order that the majority of humans want to eat meat and keep pets, or they do not care about other people enough to respect their lifestyle choices.
In the past, though, dogs (domesticated wolves, however you want to look at it) were more akin to 'hunting partners', wouldn't you say? But for you the line is crossed when we start keeping them in kennels/breeding them, I guess?
So a disease that has killed 11,000 people in a country with a population of >200 million over 30 years is a ‘ginormous outbreak’?
This kind of hyper-scary overreaction from the CDC official being quoted and other government agents is a big cause of the current loss of trust in those institutions.
A few years ago monkeypox was gonna kill all of us and our dogs, I get “extreme heat” and “severe weather” warnings for days where the weather is 20* below the annual peak in my home town, and now a fungus is going to kill me and my cats.
I think quoting is fine, but it's surprising coming from a senior adviser at a U.S. Government department.
> “What we have right now is this ginormous ongoing outbreak of Sporothrix brasiliensis in Brazil,” Lockhart, a senior adviser at the U.S. Centers for Disease Control and Prevention
I agree even though I use ginormous in normal conversation. In the right context it is fine, I just don't think this is the right context.
I also find it hard to take an article seriously when its volume comparison employs "Olympic-sized swimming pools". I think the fraction of people who have a clear enough mental idea of the dimensions or volume of an Olympic-sized swimming pool is pretty small relative to the articles readership, which I hope they measure realistically under the assumption that the number of readers will always be close to half the number of eyeballs on the page. Otherwise they would be inflating readership and that would be misleading.
> I think the fraction of people who have a clear enough mental idea of the dimensions or volume of an Olympic-sized swimming pool is pretty small relative to the articles readership
At least in the US, "Olympic sized swimming pool" is as common a unit of measure as a US football field - very commonly used.
I agree. It is common to see those used as area and volume examples. I think it is far less common for the audience to have a clear mental picture of the two terms though. It's easier for a football field to serve as a reference because more people have exposure to football fields. It is more difficult for an Olympic sized swimming pool to serve as a reference because there are fewer people who have seen one in person.
I think it is a bit comical to use swimming pools as a volumetric reference when most people's experience with swimming pools has been in a back yard setting or on visits to community pools, which may be any convenient size.
> I think it is a bit comical to use swimming pools as a volumetric reference when most people's experience with swimming pools has been in a back yard setting or on visits to community pools, which may be any convenient size.
A lot of US high schools and US colleges have Olympic pools.
>A lot of US high schools and US colleges have Olympic pools.
Especially for high schools it's also true that a lot of them don't. In the case of high schools I think an Olympic sized swimming pool is likely in mid to large cities or there may be one available locally. Swim teams at high school level are probably city school features instead of rural school features. I think there are more rural high schools than city high schools.
I don't know though.
Colleges. Hmmm. I suspect that all state colleges have pools. I am not sure about smaller colleges though. That's an interesting question. I'm sure the data is out there though.
It probably does a better job of getting the point across to a general readership than if they'd used overly technical domain-specific jargon about quantity of cases and speed of its spread.
Everything is spreading. We're a large interconnected world, and we'll inherit everyone's problems eventually. There are better alternatives, but it's not something people will seriously consider.
Do you live in the American continent? Look at the skin tone of most people you find in the streets. Go to a library and try to find out what was the average skin tone in your region 600 years ago. Compare both.
Thinks have been spreading for quite a while. Migratory species are older than ourselves. Jet stream can carry spores over oceans. World commerce is older than you think. Wars and migratory movements has always been a part of our civilization.
I'm aware that trade networks long precede recorded history, and potentially precede fully-modern humans. The fact that you can have homsapien admixture (eg: homo sapiens + denisovans) far, far outside of Africa is proof enough for that.
The time scales did use to be different, and speeding things up as much as possible does not seem to be a good thing.
Not the OP, and this is probably not what they were thinking of, but from the point of view of the planet's ecosystem, eliminating the humans that keep introducing species where they don't belong (or at least drastically reducing their population) would be the most effective measure.
Also, what is that babble about "the planet's ecosystem" being better off by eliminating humans? If you really want to see it as a whole - the Gaia hypothesis - then humans are part of it just like flies and ticks and mosquitos and birds and whales. All play a role, some spread diseases to others while they feed yet again others. Removing humans from the equation is just like Mao's decision to get rid of the sparrows which ate some of the harvest in that the balance will shift until a new equilibrium has been reached. In Mao's case it killed tens of millions of humans, removing humans will result in the death of hundreds of millions of other species.
We are in the midst of a great extinction event. It’s the only extinction event caused by one species. We are quite bad for the planet’s ecosystem and things like factory farming of cows and pigs cause great suffering. Having far fewer humans on the planet would be a great benefit to other species and to humanity.
We're not in the midst of a great extinction event and even if we were it would not be the first one caused by a single species. Probably the first one was caused by the appearance of Cyanobacteria some 2.7 billion years ago which started to make use of sunlight through photosynthesis. A few hundred million years later the produced oxygen started seeping into the atmosphere and boom, nearly all anaerobic life on the planet was wiped out.
We are part of the ecosystem no matter how much you try to deny it. The planet will abide, humans most likely as well. If you want to call for fewer humans on the planet - something which seems to be the future anyway since births are rapidly declining almost everywhere - that's fine but realise you're just following others like Malthus who did so before. Malthus was proven wrong many times over, you will be proven wrong as well since if there's one thing humans are good at it is adapting to a changing environment. If it gets colder humans adapt, that's how we made it through the series of glaciations. If it gets warmer humans adapt, that's how we made it through e.g. the Roman and Viking age warm periods.
Ok, it’s the first mass extinction event caused by a single species in the last 1.99 billion years. We are shitting all over the planet. It’s not a matter of warm or cold but of toxifying the entire planet. It’s a matter of what type of environment we want to live in. Merely existing is dehumanizing.
There's no such thing as introducing species where they don't belong. Ecosystem are dynamic, several other animals serve as vectors for transporting species from a place to another.
There's no such thing as a long term static equilibria where godess gaia looks like a Jehova's witnesses book illustration. This is an incredibly cultish and misanthropic position.
This is absurd. Without human intervention, catastrophic boundary crossing by organisms is slow and rare. With humans, it happens at unsustainable scale. We all know what it looks like for an invasive species to dominate an ecosystem and crowd out existing niches, and that's what it means to introduce a species where it doesn't belong. Just because it can also happen without humans around doesn't mean what we're doing is no big deal.
Natural boundary crossing isn't rare; it's the mechanism that built much of the biosphere. Every fucking oceanic island on Earth, Hawaii, the Galápagos, New Zealand, the Mascarenes, was stocked entirely by organisms that crossed open ocean or sky without any help from us.
The entire South American primate and caviomorph rodent lineages (everything from capuchins to capybaras) descend from African ancestors that rafted across the Atlantic on vegetation mats roughly 40 million years ago.
When the Isthmus of Panama closed (~3 million years ago), North American placental mammals poured south and drove a large fraction of South America's endemic fauna—native ungulates, many marsupial lineages—to extinction.
Yeah. Some species get crowded out, maybe we should avoid that in a lot of cases, but is not the capital sin western people have been brainwashed to believe it when they replaced their christianism with new age Gaia worship. Species get extinct, eco-systems change, sometimes it is worth preventing that, in other, who fucking cares?
Rare is relative. Those changes all happened over much longer timescales and with far fewer species involved in a given ecosystem. It's not the same thing as what we're doing. You're making essentially the same argument as "Earth's climate has always been changing, what's the big deal?"
The big deal is that when a species becomes invasive, the effects can cascade. You don't just lose their direct competitors and their prey, you can lose anything they pollinate, nest in, are nested in, etc. You can replace a diverse ecosystem with a near-monoculture.
Of course, if you don't hold the fundamental belief that biodiversity is Good, and is Better than raw biomass increase, I see why this doesn't bother you, but I do hold that position.
A system that prices in cost of negative externalities is better than what we have now. A system that caps how much wealth a person can have is a better system that what we now have. A system that prevents the exportation of pollution is a better system than what we have now.
These are opinions and I understand not everyone has these same beliefs.
What does this add to the conversation? It's hardly a summary, and not to be too judgy but seems like a third-grader's PowerPoint - just showing images that reflect exactly what it's telling me (both in audio and in text).
I really hope cordyceps is one of the last to do this step.