These naive little med students & personal trainer PhDs don’t have to call families of patients who die from diabetic complications like sepsis, MI
They have never seen an amputation
If they had they‘d likely change their tune about their oreo &poptart inclusionism
1/5
These people often med students, dietitians and trainers...
who come on twitter, bombastically call for higher forms of evidence, calling people charlatans
& yet, they never truly observed the system fail. They dont even understand the problem. No experience.
2/5
If you want regurgitated vegan agenda, detox plans, supplements, or a fairy tale approach to macros or some nonsense/koombaya feeling of food inclusionism... you’ve come to the right place... twitter (im looking at you #rdchat ), not that the LC echo chamber is much better
3/5
It’s a wonderful place actually and yet a terrible place.
Its where brilliant minds can be reached within seconds. But also a place of complete ignorance.
4/5
I love twitter, it has taught me more than many CME lectures! But at the same time, particularly as followers increase, it can be a very dark place.
RANT OVER
5/5
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I have a serious problem with the term “pre-diabetes.”
The prefix “pre” is used to describe what comes before something.
In reality, “pre”-diabetes is actually AFTER or “post” 15 years of the high insulin levels & inflammation associated with the modern lifestyle.
Prediabetes is usually diagnosed by checking an a1c level, which is the percentage of hemoglobin that binds to sugar as a percentage of normal hemoglobin.
If you a1c is between 5.7 and 6.4, you are considered to have “pre-diabetes”
To achieve this level of pre-diabetes, you must sustain enough carbohydrate/glycemic excursions & weight gain where your average glucose rises sufficiently above normal levels.
The a1c describes your speed, your are past your speed limit.
Defund the American Academy of Pediatrics.
It’s not a neutral medical body… it’s a corporate mouthpiece. Here’s the proof 🧵
💊 Big Pharma
AAP takes money from pharma giants.
Their guidelines? Push GLP-1 injections and bariatric surgery for kids… but demonize reducing carbs and sugar. Profit over prevention.
🥤 Junk Food Industry
AAP is bankrolled by Coca-Cola, Nestlé, PepsiCo, and formula makers.
The result? Silence on ultra-processed foods… but endless focus on drugs and surgery.
After helping thousands of patients lose weight, here’s my advice for those looking for lifelong, sustainable life changes. These are the “5 MUSTS” anyone trying to lose weight lifelong NEEDS to do.
🧵/Thread
Before you understand my “5 musts”, simply ask yourself -what are the side effects of your prior weight loss attempts- NOT your reasons, NOT what you want to happen, what went wrong, what made you stop?
The 5 Musts: #1 HUNGER
Most people quit diets because they feel low energy, tired & hungry. Your weight loss attempt will need to manage HUNGER. Are food choices making you full, or are they leaving you craving more a couple of hours later? Stick to:: 🐠🥩🍳🍗🍖🍤🫑🥑🥬🥦
1/ 🧵 Can you reverse heart plaque?
Yes—and not just with meds.
Let’s walk through the top human trials showing how exercise, nutrition, and smart supplements can slow or even reverse plaque buildup.
A thread for your arteries… 🫀
2/ 🏃♂️ CENIT Trial (2022)
Supervised HIIT (High-Intensity Interval Training)
📉 PAV shrank −1.2% per year
This isn’t casual walking—this is structured, high-effort cardio.
Result? Plaque regression.
Control group? No change.
3/ 💪 Cardiac Rehab Studies
Regular exercise improves artery function and slows plaque growth.
When combined with other therapies, it can lead to actual regression.
Movement is medicine