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Ocean technology startup that sold 200,000 carbon credits faces scientists’ doubts

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The startup Gigablue announced with fanfare this year that it reached a historic milestone: selling 200,000 carbon credits to fund what it describes as a groundbreaking technology in the fight against climate change.

Formed three years ago by a group of entrepreneurs in Israel, the company says it has designed particles that when released in the ocean will trap carbon at the bottom of the sea. By “harnessing the power of nature,” Gigablue says, its work will do nothing less than save the planet.

But outside scientists frustrated by the lack of information released by the company say serious questions remain about whether Gigablue’s technology works as the company describes. Their questions showcase tensions in an industry built on little regulation and big promises — and a tantalizing chance to profit.

Jimmy Pallas, an event organizer based in Italy, struck a deal with Gigablue last year. He said he trusts the company does what it has promised him — ensuring the transportation, meals, and electricity of a recent 1,000-person event will be offset by particles in the ocean.

Gigablue’s service is like “an extra trash can” where Pallas can discard his unwanted emissions, he said.

“Same way I use my trash can — I don’t follow where the truck that comes and picks up my trash brings it to,” he said. “I’ll take their word for it.”

‘Hundreds of thousands of carbon credits’

Gigablue has a grand vision for the future of carbon removal. It was originally named “Gigaton” after the one billion metric tons of carbon dioxide most scientists say will be necessary to remove from the atmosphere each year to slow global warming.

The company began trials in the South Pacific Ocean last year, and says it will work with country authorities to create a “sequestration field” — a dedicated part of the ocean where “pulses” of particles will be released on a seasonal basis.

Gigablue says its solution is affordable, too — priced to attract investors.

“Every time we go to the ocean, we generate hundreds of thousands of carbon credits, and this is what we’re going to do continuously over the upcoming years and towards the future, in greater and greater quantities,” co-founder Ori Shaashua said.

Carbon credits, which have grown in popularity over the last decade, are tokens that symbolize the removal of one metric ton of carbon dioxide from the atmosphere. On paper, companies that buy credits achieve a smaller carbon footprint without needing to reduce their own emissions — for instance, by paying another vendor to plant trees or capture carbon dioxide from the air.

Only a few countries have required local industries to purchase carbon credits. Most companies that buy them, including Microsoft and Google, do so voluntarily.

The credits have helped fund a band of startups like Gigablue that are eager to tackle the climate crisis, but they are also unevenly regulated, scientifically complex, and have in some cases been linked to fraud.

Gigablue’s 200,000 credits are pledged to SkiesFifty, a newly formed company investing in greener practices for the aviation industry. It’s the largest sale to date for a climate startup operating in the ocean, according to the tracking site CDR.fyi, making up more than half of all ocean-based carbon credits sold last year.

And it could beckon a rapid acceleration of the company’s work. Gigablue hopes to reach a goal this year of capturing 10 metric tons of carbon dioxide for each ton of particles it deploys, Shaashua said. At that rate, Gigablue would disperse at least 20,000 tons of particles in the ocean.

Gigablue wouldn’t reveal what it earned in the sale, and SkiesFifty’s team declined to be interviewed for this story. Most credits are sold for a few hundred dollars each — but a chart on Gigablue’s website suggests its prices are lower than almost any other form of carbon capture on the market.

A mission to save the world

The startup is the brainchild of four entrepreneurs hailing from the tech industry. According to their LinkedIn profiles, Gigablue’s CEO previously worked for an online grocery startup, while its COO was vice president of SeeTree, a company that raised $60 million to provide farmers with information on their trees.

Shaashua, who often serves as the face of Gigablue, said he specializes in using artificial intelligence to pursue positive outcomes in the world. He co-founded a data mining company that tracked exposure risks during the COVID-19 pandemic, and led an auto startup that brokered data on car mileage and traffic patterns.

“Three years ago, I decided to take the same formula, so to say, to climate,” Shaashua said.

Under his guidance, he said, Gigablue created an AI-driven “digital twin” of the ocean based on dozens of metrics to determine where to release the particles.

Chief technology officer Sapir Markus-Alford earned a bachelor’s degree in earth and environmental sciences from Israel’s Ben-Gurion University in 2021, shortly before founding Gigablue.

Markus-Alford said she began her studies and eventual path to Gigablue after seeing bleached coral reefs and other impacts of warming waters on a series of diving trips around the world.

“I understood that the best thing we could do for the ocean is to be able to remove CO2,” Markus-Alford said.

A spokesperson for Gigablue did not answer whether the other co-founders have graduate degrees in oceanography or environmental science, but said the company’s broader team holds a total of 46 Ph.D.s with expertise in biology, chemistry, oceanography, and environmental science. Markus-Alford said that figure includes outside experts and academics and “everyone that supports us.”

The company’s staffing has expanded from Israel to hubs in New York and New Zealand, Shaashua said.

In social media posts advertising open jobs, Gigablue employees encouraged applicants to “Join Our Mission to Save the World!”

Trapping carbon at the bottom of the ocean

The particles Gigablue has patented are meant to capture carbon in the ocean by floating for a number of days and growing algae, before sinking rapidly to the ocean floor.

“We are an elevator for carbon,” Shaashua said. “We are exporting the carbon from the top to the bottom.”

Algae — sometimes referred to as phytoplankton — has long been attractive to climate scientists because it absorbs carbon dioxide from the surrounding water as it grows. If the algae sinks to the deep sea or ocean floor, Gigablue expects the carbon to be trapped there for hundreds to thousands of years.

The ultimate goal is to lower carbon dioxide levels so drastically that the ocean rebalances with the atmosphere by soaking up more CO2 from the air. It’s a feat that would help slow climate change, but one that is still under active study by climate scientists.

Gigablue’s founders have said the company’s work is inspired by nature and “very, very environmentally safe.” The company’s particles and sinking methods simply recreate what nature has been doing “since forever,” Shaashua said.

Gigablue ran its first trial sinking particles in the Mediterranean in March last year.

Later, on two voyages to the South Pacific, the company released 60 cubic meters — about two shipping containers — of particles off the coast of New Zealand.

Materials kept a mystery

While Gigablue has made several commercial deals, it has not yet revealed what its particles are made of. Partly this is because the company says it will build different particles tailored to different seasons and areas of the ocean.

“It’s proprietary,” Markus-Alford said.

Documents provide a window into the possible ingredients. According to information on the permit, Gigablue’s first New Zealand trial last year involved releasing particles of pure vermiculite, a porous clay often used in potting soil.

In the second New Zealand trial, the company released particles made of vermiculite, ground rock, a plant-based wax, as well as manganese and iron.

A patent published last year hints the particles could also be made of scores of other materials, including cotton, rice husks or jute, as well as synthetic ingredients like polyester fibers or lint. The particles contain a range of possible binding agents, and up to 18 different chemicals and metals, from iron to nickel to vanadium.

Without specifying future designs, Markus-Alford said Gigablue’s particles meet certain requirements: “All the materials we use are materials that are natural, nontoxic, nonhazardous, and can be found in the ocean,” she said. She wouldn’t comment on the possible use of cotton or rice, but said the particles won’t include any kind of plastic.

When asked about vermiculite, which is typically mined on land and heated to expand, Markus-Alford said rivers and erosion transport most materials including vermiculite to the ocean. “Almost everything, basically, that exists on land can be found in the ocean,” she said.

The company said it had commissioned an environmental institute to verify that the particles are safe for thousands of organisms, including mussels and oysters. Any materials in future particles, Gigablue said, will be approved by local authorities.

Shaashua has said the particles are so benign that they have zero impact on the ocean.

“We are not changing the water chemistry or the water biology,” Shaashua said.

Ken Buesseler, a senior scientist with the Woods Hole Oceanographic Institution who has spent decades studying the biological carbon cycle of the ocean, says that while he’s intrigued by Gigablue’s proposal, the idea that the particles don’t alter the ocean is “almost inconceivable.”

“There has to be a relationship between what they’re putting in the ocean and the carbon dioxide that’s dissolved in seawater for this to, quote, work,” Buesseler said.

Buesseler co-leads a nonprofit group of scientists hoping to tap the power of algae in the ocean to capture carbon. The group organizes regular forums on the subject, and Gigablue presented in April.

“I left with more questions than answers,” Buesseler said.

Scientists raise questions

Several scientists not affiliated with Gigablue interviewed by The Associated Press said they were interested in how a company with so little public information about its technology could secure a deal for 200,000 carbon credits.

The success of the company’s method, they said, will depend on how much algae grows on the particles, and the amount that sinks to the deep ocean. So far, Gigablue has not released any studies demonstrating those rates.

Thomas Kiørboe, a professor of ocean ecology at the Technical University of Denmark, and Philip Boyd, an oceanographer at the University of Tasmania who studies the role of algae in the Earth’s carbon cycle, said they were doubtful algae would get enough sunlight to grow inside the particles.

It’s more likely the particles would attract hungry bacteria, Kiørboe said.

“Typical phytoplankton do not grow on surfaces, and they do not colonize particles,” Kiørboe said. “To most phytoplankton ecologists, this would just be, I think, absurd.”

The rates at which Gigablue says its particles sink — up to a hundred meters (yards) per hour — might shear off algae from the particles in the quick descent, Boyd said.

It’s likely that some particles would also be eaten by fish — limiting the carbon capture, and raising the question of how the particles could impact marine life.

Boyd is eager to see field results showing algae growth, and wants to see proof that Gigablue’s particles cause the ocean to absorb more CO2 from the air.

“These are incredibly challenging issues that I don’t think, certainly for the biological part, I don’t think anyone on the planet has got solutions for them,” he said.

James Kerry, a senior marine and climate scientist for the conservation group OceanCare and senior research fellow at Australia’s James Cook University, has closely followed Gigablue’s work.

“What we’ve got is a situation of a company, a startup, upfront selling large quantities of credits for a technology that is unproven,” he said.

In a statement, Gigablue said that bacteria does consume the particles but the effect is minimal, and its measurements will account for any loss of algae or particles as they sink.

The company noted that a major science institute in New Zealand has given Gigablue its stamp of approval. Gigablue hired the National Institute of Water and Atmospheric Research, a government-owned company, to review several drafts of its methodology.

In a recent letter posted to Gigablue’s website, the institute’s chief ocean scientist said his staff had confidence the company’s work is “scientifically sound” and the proposed measurements for carbon sequestration were robust.

Whether Gigablue’s methods are deemed successful, for now, will be determined not by regulators — but by another private company.

A new market

Puro.earth is one of several companies known as registries that serve the carbon credit market.

Amid the lack of regulation and the potential for climate startups to overstate their impact, registries aim to verify how much carbon was really removed.

The Finnish Puro.earth has verified more than a million carbon credits since its founding seven years ago. But most of those credits originated in land-based climate projects. Only recently has it aimed to set standards for the ocean.

In part, that’s because marine carbon credits are some of the newest to be traded. Dozens of ocean startups have entered the industry, with credit sales catapulting from 2,000 in 2021 to more than 340,000, including Gigablue’s deal, last year.

But the ocean remains a hostile and expensive place in which to operate a business or monitor research. Some ocean startups have sold credits only to fold before they could complete their work. Running Tide, a Maine-based startup aimed at removing carbon from the atmosphere by sinking wood chips and seaweed, abruptly shuttered last year despite the backing of $50 million from investors, leaving sales of about 7,000 carbon credits unfulfilled.

In June, Puro.earth published a draft methodology that will be used to verify Gigablue’s work, which it designed in consultation with Gigablue. Once finalized, Gigablue will pay the registry for each metric ton of carbon dioxide that it claims to remove.

Marianne Tikkanen, head of standards at Puro.earth, said that although this methodology was designed with Gigablue, her team expects other startups to adopt the same approach.

“We hope that there will be many who can do it and that it stimulates the market,” she said.

The road ahead

It remains to be seen whether New Zealand officials will grant permission for the expanded “sequestration field” that Gigablue has proposed creating, or if the company will look to other countries.

New Zealand’s environmental authority has so far treated Gigablue’s work as research — a designation that requires no formal review process or consultations with the public. The agency said in a statement that it could not comment on how it would handle a future commercial application from Gigablue.

But like many climate startups, Gigablue was involved in selling carbon credits during its research expeditions — not only inking a major deal, but smaller agreements, too.

Pallas, the Italian businessman, said he ordered 22 carbon credits from Gigablue last year to offset the emissions associated with his event in November. He said Gigablue gave them to him for free — but says he will pay for more in the future.

Pallas sought out carbon credits because he sees the signs of climate change all around him, he says, and expects more requirements in Italy for businesses to decarbonize in coming years. He chose Gigablue because they are one of the largest suppliers: “They’ve got quantity,” he said.

How authorities view Gigablue’s growing commercial activity could matter in the context of an international treaty that has banned certain climate operations in the ocean.

More than a decade ago, dozens of countries including New Zealand agreed they should not allow any commercial climate endeavor that involves releasing iron in the ocean, a technique known as “iron fertilization.” Only research, they said, with no prospect of economic gain should be allowed.

Iron is considered a key ingredient for spurring algae growth and was embedded in the particles that Gigablue dispersed in October in the Pacific Ocean. Several scientific papers have raised concerns that spurring iron-fueled algae blooms on a large scale would deplete important nutrients in the ocean and harm fisheries.

The startup denies any link to iron dumping on the basis that its particles don’t release iron directly into the water and don’t create an uncontrolled algae bloom.

“We are not fertilizing the ocean,” Markus-Alford said.

“In fact, we looked at iron fertilization as an inspiration of something to avoid,” Shaashua said.

But the draft methodology that Puro.earth will use to verify Gigablue’s work notes many of the same concerns that have been raised about iron fertilization, including disruptions to the marine food web.

Other scientists who spoke with AP see a clear link between Gigablue’s work and the controversial practice. “If they’re using iron to stimulate phytoplankton growth,” said Kerry, the OceanCare scientist, “then it is iron fertilization.”

For now, scientific concerns don’t seem to have troubled Gigablue’s buyers. The company has already planned its next research expedition in New Zealand and hopes to release more particles this fall.

“They mean well, and so do I,” said Pallas, of his support for Gigablue. “Sooner or later, I’ll catch a plane, go to New Zealand, and grab a boat to see what they’ve done.”



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Malaysia’s AI darling NationGate sees shares tumble after it got raided in a scrap metal smuggling probe

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Shares of NationGate Holdings, Nvidia’s only manufacturing partner in Southeast Asia, took a beating this week after the company disclosed a raid into one of its subsidiaries by Malaysian authorities.

On Tuesday, Nationgate admitted that the Malaysian Anti-Corruption Commission (MACC) raided the premises of NationGate Solution, a wholly-owned subsidiary, as part of an ongoing investigation into scrap metal smuggling. 

Nationgate’s shares fell 14% on Tuesday to reach 1.45 Malaysian ringgit ($0.34). Shares pared back losses over the rest of the week, but are still down over 10% from Tuesday. 

On Thursday, NationGate stated that the raids did not involve any specific board members or senior management, and that the company didn’t expect a significant hit to its finances or operations. 

The company did not immediately respond to Fortune’s request for comment.

Malaysia’s state news agency Bernama reported on Tuesday that the MACC launched a crackdown on scrap metal smuggling syndicates operating in five states that have resulted in an estimated tax revenue loss of 950 million Malaysian ringgit ($223.9 million). The report added that preliminary investigations revealed these syndicates exported scrap metal to India, China and other countries but reported them as machinery or other metals not subject to the 15% export tax imposed by the government.

NationGate, ranked No. 243 on the Southeast Asia 500, was the fastest-growing company on Fortune’s ranking of the region’s largest companies by revneue. 2024 sales surged 720% to reach 5.3 billion Malaysian ringgit ($1.6 billion), largely thanks to surging growth in its data computing segment.

NationGate is the only company in Southeast Asia that assembles Nvidia’s highly sought-after graphic processing units (GPUs) into AI servers. Nvidia’s GPUs are the most used in high-performance AI applications.

But the AI boom and the link to Nvidia are also a risk for NationGate. In early March, Malaysia and neighboring Singapore faced U.S. allegations of being channels for controlled chips to make their way to China. U.S. officials were reportedly interested in whether DeepSeek, the scrappy Chinese AI startup, got its hands on Nvidia processors it wasn’t supposed to have.

Singapore’s Law and Home Affairs Minister K Shanmugam said in March that servers containing chips subject to U.S. export controls appeared to have been sent to Malaysia. Malaysia’s Trade Minister Tengku Zafrul Abdul Aziz then said officials were investigating and vowed to take necessary action.

Separately, Singapore has also charged three men with fraud for allegedly misrepresenting the end-user of computer servers that may contain Nvidia chips. 

On Monday, Malaysia announced that all exports of high-performance U.S. AI chips will now require permits for exports, and that individuals and companies must notify the government at least 30 days prior to shipping such hardware.

NationGate has distanced itself from the subject and has clarified that it’s not involved in any investigations. Yet investors are still spooked. NationGate’s shares are down over 40% year-to-date.  



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Penny Pennington of Edward Jones: ‘We’re a health and wellbeing company’

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Good morning. The U.S. economy has been surprisingly resilient while the tariff wars rage even though prices may go up as inventories dwindle, consumers are becoming more value conscious, and investors are by turns sanguine and skittish. (Witness their reaction to the specter of President Trump potentially firing U.S. Federal Reserve Chair Jerome Powell, as my colleague Jim Edwards noted in this piece.) 

I had a chance to speak with several business leaders at a roundtable convened by Edward Jones Managing Partner Penny Pennington recently at the Aspen Ideas Festival. Her concern was, “how do we help future generations build wealth in this uncertain economy?” With challenges like high home prices and an uncertain job market, she takes a holistic view of the customer. “We’re a health and wellbeing company.”

The theme of investing took many forms. Bev Anderson, CEO of BECU credit union, focused on creating financial opportunities, while Gallup CEO Jon Clifton talked about the need for better global indicators of how we feel amid a rise in negative emotions. Southern Company CEO Chris Womack is expanding his energy infrastructure amid surging demand at the country’s second-largest utility. Optimism about the power of technology and innovation was mixed with worries about geopolitics and the state of civil society.

In an era of growing complexity and rapid change, face-to-face conversations have become even more important for sharing ideas and building trusted relationships.  That’s why the dinners hosted by CEO Initiative members around the country have been so valuable. It’s why I’m excited by our upcoming Fortune Global Forum on October 26 and 27 in Riyadh.

Among the CEOs who have confirmed their attendance, so far, are Qualcomm CEO Cristiano Amon, Ed Bastian of Delta Air Lines, Tony Elumelu of United Bank for Africa, Jane Fraser of Citigroup, Mahindra & Mahindra Anish Shah, Catherine MacGregor of ENGIE, Honeywell’s Vimal Kapur, Gilberto Tomazoni of JBS, and Jenny Johnson of Franklin Templeton. You can find out more here and click here if you’d like to apply to attend.

Contact CEO Daily via Diane Brady at diane.brady@fortune.com

Top news

Trump reportedly sent Epstein a birthday note

According to a must-read investigation by the WSJ, the note to Jeffrey Epstein featured a cartoon of a naked woman and said, “Happy Birthday — and may every day be another wonderful secret.” The president denied writing the letter. “This is not me. This is a fake thing. It’s a fake Wall Street Journal story,” he said. On social media, he added, “I don’t draw pictures. I told Rupert Murdoch it was a Scam, that he shouldn’t print this Fake Story. But he did, and now I’m going to sue his ass off, and that of his third rate newspaper.” He also asked the attorney general to release “any and all pertinent Grand Jury testimony, subject to Court approval,” on Epstein. Here is a timeline of the relationship between Trump and Epstein.

How Sam Altman became Trump’s best AI buddy

Initially cut out of the president’s circle by Elon Musk, Altman has been quietly cultivating his relationship with the president, the WSJ reports. With Musk out of the way, Altman is now more influential in the White House. The maneuvering required Altman to renounce his former public dislike of Trump. 

Trump vs. corn syrup

President Trump’s announcement Wednesday claiming that Coca-Cola would substitute corn syrup for raw sugar in their products “cost thousands of American food manufacturing jobs … all with no nutritional benefit,” the CEO of the Corn Refiners Association said on Wednesday. The announcement also caused significant dips in the stock prices of some corn syrup manufacturers between Wednesday and Thursday.

Morgan Stanley on tariffs

Morgan Stanley’s head of US policy, Monica Guerra, describes President Trump’s tariffs as a “mosaic” and “idiosyncratic.” Here’s how much she thinks they’ll bring to the U.S. Treasury—and how they could fuel higher inflation

Europe tightens sanctions on Russia

The EU will impose a new set of sanctions on Russia targeting its oil, gas and banking sectors. Twenty more banks will be cut from the SWIFT payments system and there will be new restrictions on Russian oil refined outside of Russia.

Meta poaches more AI talent from Apple

Former Apple employees Mark Lee and Tom Gunter will join Meta’s Superintelligence Labs, according to Bloomberg. They will join Ruoming Pang, the former head of Apple’s large language model unit, who joined Meta a few weeks ago. Pang was reportedly offered $200 million in compensation to make the move.

Deep dive on the growth of private credit

JPMorgan recently dedicated $50 billion to debt financing for clients doing acquisitions and other deals. Apollo, Ares, and KKR are extending credit that they originate independently to lock in borrowers for years. In exchange for tying up that long-term money, borrowers are willing to pay higher interest rates than they would get from banks.

Fortune 500 Power Moves

  • Kenvue (No. 281) appointed Kirk L. Perry as interim CEO, effective July 14, following the sudden resignation of former CEO Thibaut Mongon. Perry most recently served as President and CEO of Circana. 
  • Henry Schein (No. 333) announced that Stanley M. Bergman will retire as CEO at the end of the year. Schein’s departure comes after 45 years at the company and 35 years as CEO. 
  • Old Republic International (No. 463) appointed Alan Pavlic as CEO, effective immediately. Pavlic joined the company in 2005 and has served as President since 2013. 

The markets

S&P 500 futures ticked up 0.14% this morning, premarket. The index closed up 0.54% yesterday. STOXX Europe 600 was up 0.4% in early trading. The UK’s FTSE 100 was up 0.32% this morning, placing it above 9,000, which would be an all-time high if it holds. China’s CSI 300 was up 0.6%. Japan’s Nikkei 225 was down 0.21%. Bitcoin is still above $118K.

From the analysts

ING on the Fed: “Firmer retail sales and subdued jobless claims numbers suggest the Fed will keep rates on hold for now as officials assess the impact of tariffs on inflation,” per James Knightley.

Oxford Economics on jobless claims: “Continued claims continued their march higher in the week July 5, underscoring how unemployed workers are finding it difficult to find new jobs in a labor market where hiring is slow. Claims for benefits by federal employees posted the largest one-week increase since February. We expect these claims will rise further now that Supreme Court has cleared the way to proceed with layoffs of federal workers while legal challenges continue,” Nancy Vanden Houten.

WARC on Reddit’s revenue and user growth: “Reddit has demonstrated remarkable year-on-year growth with global advertising revenue projected to reach $1.8 billion in 2025 (+49.6%) and grow to $2.5 billion by 2026 (+39.0%), positioning itself as a formidable competitor to established Big Tech and digital platforms. … The platform’s advertising reach has grown to 606 million users — representing nearly one in 14 people worldwide, according to Datareportal analysis, surpassing X’s reach (586 million) and approaching Snapchat (709 million).”

Around the watercooler

Amazon Ring’s founder is back as CEO with a hard pivot to AI. How Jamie Siminoff went from ‘Shark Tank’ reject to $1 billion brand by Sydney Lake

The safety net companies put in place for themselves to stave off higher prices induced by tariffs is fraying by Paolo Confino

How much is AI really replacing jobs? Goldman Sachs looks under the hood and has 3 takeaways to defuse the hype by Nick Lichtenberg and Fortune Intelligence

Coinbase’s new super app Base is a game changer—and could become a serious money maker by Jeff John Roberts

CEO Daily is compiled and edited by Joey Abrams and Jim Edwards.

This is the web version of CEO Daily, a newsletter of must-read global insights from CEOs and industry leaders. Sign up to get it delivered free to your inbox.



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Trump has been diagnosed with chronic venous insufficiency. Here’s what that means

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Swollen legs led to President Donald Trump being diagnosed with what’s called chronic venous insufficiency. It’s a fairly common condition among older adults but requires a thorough checkup to rule out more serious causes of swelling in the legs. Here are some things to know.

What is chronic venous insufficiency?

Chronic venous insufficiency, or CVI, happens when veins in the legs can’t properly carry blood back to the heart. That can lead to blood pooling in the lower legs. In addition to swelling, usually around the feet and ankles, symptoms can include legs that are achy, heavy feeling or tingly, and varicose veins. Severe cases could trigger leg sores known as ulcers.

What causes chronic venous insufficiency?

Overcoming gravity to pump blood from the feet all the way up to the heart is a challenge, especially when someone is standing or sitting for long periods. So legs veins are lined with one-way valves that keep blood from sliding backward on that journey. Anything that damages those valves can lead to chronic venous insufficiency. Risk factors can include blood clots, vein inflammation known as phlebitis or being overweight.

How is chronic venous insufficiency diagnosed and treated?

Doctors must rule out serious causes of leg swelling, such as heart problems, kidney disease or blood clots. Ultrasound exams of the leg veins can help confirm chronic venous insufficiency. According to the Cleveland Clinic, treatment can include wearing compression stockings, elevating the legs and achieving a healthy weight. Also exercise, especially walking, is recommended — because strong leg muscles can squeeze veins in a way that helps them pump blood. Medications and medical procedures are available for more advanced cases.

Introducing the 2025 Fortune 500, the definitive ranking of the biggest companies in America. Explore this year’s list.



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