TheLiverDoc Profile picture
Aug 14, 2020 3 tweets 6 min read Read on X
1/3
The devil is in the 'detailed' #drug history #clinical
22 yr male, underweight
Teetotaler
Fatigue, appetite loss
Liver test AST 400 ALT 600
Viruses negative
Liver #biopsy 👇Severe #fatty #liver #disease, Mallory Denk++
#livertwitter #pathology #MedTwitter #MedStudentTwitter Image
2/3
The culprit 👇#Ayurveda #medicine
#Ayurvedic jam with butter, honey, milk as base given for premarital #weight gain! 3 months after stopping, liver tests normal
Consider #drug induced fatty liver in #patients. Not everyone is #metabolic #syndrome
#pseudoscience #Nash #nafld Image
3/3
Common drugs causing fatty liver
Steroids, Valproate
Inj Tetracycline
#HIV #AIDS meds NRTIs
Rare - methotrexate, chemodrugs irinotecan, 5FU, tamoxifen
Also important is Amiodarone
Herbals with #Margosa oil too
Remember #alternative meds rich in fats are important causes too.

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More from @theliverdr

Jul 27
We recently published our independent analysis of Homeopathic practitioner commonly prescribed and popular over-the-counter 134 Homeopathy products marketed and sold as "medicine."

The Placebo Project: An observational study and comprehensive analysis of 134 commonly prescribed homeopathic remedies in India uncovers potential for hepatotoxicity: journals.lww.com/md-journal/ful…

Here is our plain language and visual abstract summary of what these Homeopathy products are and what we found in them.

1/3 - Classical (Diluted) Homeopathy ProductsImage
2/3 - Homeopathic Mother Tinctures Image
3/3 - Homeopathic Proprietary Products Image
Read 4 tweets
Jul 19
Ok. Let's properly study Ayurveda.
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Read 16 tweets
Jul 17
Dear friends, the most important update from our Citizens Protein Project 2. Please read and understand. This is on "amino spiking," a fraudulent practice... 1/8 Image
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3/8 Image
Read 8 tweets
Jul 16
1/4: AN UPDATE: The Citizens Protein Project 2 Image
2/4: Image
3/4: Image
Read 4 tweets
Jul 13
Here we go. Results of Citizens Protein Project 2. Please read, share max. We have to bring in change. Thank you for your contributions. Huge thanks to @arifhussaintm who led clinical research division on behalf of Mission for Ethics and Science in Healthcare to do this...1/15Image
2/15 Image
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Read 15 tweets
Jul 10
A new patient who came to me said he was promised a liver detox to 'improve functions' of cirrhosis liver. He spent ~ 200,000 INR (2333 USD) for 20 days of Ayurvedic therapy. And luckily escaped severe complications.

So, here is a...Public Service Announcement
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Read 17 tweets

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