DoctorTro Profile picture
Sep 17, 2020 5 tweets 1 min read Read on X
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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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More from @DoctorTro

Aug 21
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.
Read 13 tweets
Aug 21
Obesity doesn’t just “happen” to individuals… it spreads like an infectious disease.

🧵 Let me explain…
A landmark NEJM study tracked 12,000+ people for 32 years. The shocking finding? If your friend became obese, your risk of becoming obese rose by 57%
This effect wasn’t limited to family. It held true for spouses, siblings, and friends… proving that social networks spread obesity.
Read 8 tweets
Aug 20
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.
Read 8 tweets
Aug 19
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:: 🐠🥩🍳🍗🍖🍤🫑🥑🥬🥦
Read 10 tweets
Aug 14
There are 5 types of hunger that ideally should be taught to all patients with obesity

Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against

So Let’s start!
We are going to start with some easy ones…

The Cephalic phase response aka food cues - this is hunger stimulated when in presence of food.

These signals are deeply ingrained and can be conditioned

Think of Pavlov & commercials - these aren’t going away quickly or ever
Second up is appetite triggered by Social cues to eat

our social lives, whether they are business meetings, family dinners or birthdays

Unless you are going monk mode - this cue to eat is also not going away & requires attention to manage
Read 21 tweets
Aug 12
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
Read 16 tweets

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