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Tro
@DoctorTro
, 6 tweets, 2 min read Read on Twitter
🚨 THREAD 🚨

GALLSTONES & GALLBLADDER DISEASE

Everything you need to know about gallstones as it relates to diet and dietary composition.

👇🏻👇🏻👇🏻👇🏻👇🏻
In the obese during rapid weight loss from a very low calorie diet, a relatively high fat intake could prevent gallstone formation, probably by maintaining an adequate gallbladder emptying, which could counterbalance lithogenic mechanisms

nature.com/articles/08006…
On the basis of a meta-analysis of randomized controlled trials, during weight loss, UDCA and/or higher dietary fat content appear to prevent formation of gallstones.

sciencedirect.com/science/articl…
Low fat diet increases gallbladder volume and may favor stasis and this gallstone formation

link.springer.com/article/10.100…
These findings suggest that a high intake of carbohydrate, glycaemic load, and glycaemic index increases the risk of symptomatic gall stone disease

gut.bmj.com/content/54/6/8…
BOTTOM LINE:

To prevent stones, getting enough healthy fats and limiting processed carbs & sugar is crucial

If you have stones, you may get increased symptoms as the stones expel if you are having a high fat diet.

Carbs cause stones
Fat prevents stones
Fats expel stones
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Tro
@DoctorTro
THREAD: new data/observation

In my clinic, we remotely monitor blood pressure, heart rate, blood sugar, body weight, fat percentage, water weight through tele-medicine software.

I have seen the following consistent pattern during high stress time periods

1/4
During life stress, the blood sugar and blood pressure rise first often preceding weight gain by 1-2 days. Total weight and Water weight increases thereafter, followed by fat percentage by several days.

The average “stress stall/bloat” is 2-3 weeks.

2/4
The blood pressure & heart rate then normalizes, followed by the glycemia. If the patient’s appetite is reasonably controlled then weight loss will usually resume thereafter and often resumes unimpeded.

3/4
Read 5 tweets
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Tro
@DoctorTro
Have you been told to lose weight you need to produce a “caloric deficit”?

Let’s think about why this information is nearly useless.

🚨 THREAD ALERT 🚨
1) despite the proliferation of calorie tracking apps and nutrition labeling and information on products and restaurants, obesity and diabetes have continued to flourish.

KNOWING ABOUT CALORIES HAS SOLVED NOTHING
2) types of food affect the INPUT side of equation.

Try to eat 1000 calories of chicken breast
Then try to 1000 calories of donuts, cereal, cookies, ice cream, pizza, French fries & chips

the palatability & quality of the food modulates calorie input

Cc: @KevinH_PhD
Read 10 tweets
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Tro
@DoctorTro
This seems to explain the why for LMHR

⁦@DaveKeto⁩ ⁦@ethanjweiss⁩ cambridge.org/core/journals/…
Anorexia does not equal obesity related dyslipidemia. Does this deserve to be looked at further ? I think so. The mechanisms of LDL increase must play a factor in determine what the outcomes are.
Burning down a section of forest to contain a raging fire isn’t the same as running down a forest.

The why is different, the trajectory is different, the outcomes HAVE to be different.
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