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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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
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
Having looked at 10,000+ CGMs let me tell you what you will learn...
1/9
Lesson 1: Hidden carbs are everywhere
- you will find hidden sugar & carbs everywhere.
You didnt know you could find carbs/sugar but you will:
hotdogs, sausage, beef jerky, spices, condiments, sauces, soups, broths, basically everywhere you didnt look.
2/9
Lesson 2: consider avoiding seed oils, vegetables oils, especially from restaurants.
Patients who switch to olive oil and avocado oil & hoke cooking seem to have improvement not otherwise explainable on CGMs
3/9
🦎 The Gila monster (Heloderma suspectum), a unique lizard known for its binge-eating behavior, produces the hormone exenatide, the basis for diabetes medications such as Ozempic and Mounjaro.
This reptile stores significant amounts of energy in its fatty, moisture-rich tail, aiding in weight and hydration maintenance. The GLP-1 hormone is exclusively released from its saliva through the act of chewing. When liquified food is injected directly into its stomach, the hormone is not released, highlighting the importance of chewing in this process. GLP-1 is thought to signal satiety and help regulate blood glucose levels during digestion. The Gila monster consumes large quantities of food relative to its body weight, often ingesting whole rodents and digesting them over 1-2 months.
When I entered medicine, it was deeply personal. My family’s struggles with obesity and metabolic disease were my driving force. I watched my brothers reach 400 to 500 pounds, and our family was plagued by diabetes, hypertension, and more. I thought becoming a doctor would give me the tools to help, but what I found was a system that often prioritized profit over patient outcomes.
In the early 2010s, I began noticing issues with the CMS reimbursement structure. The payment model seemed designed to incentivize procedures and chronic disease management rather than prevention. Spending time with patients to address root causes wasn’t valued. Instead, quick fixes like medications were prioritized.
My skepticism grew as I delved into public health issues. Water fluoridation, for example, was accepted without question. Yet, when I examined the data, I found no significant difference in dental outcomes between fluoridated and non-fluoridated countries. This revelation made me question other unquestioned practices, like the push for flu shots without considering individualized risk-benefit analyses.
I marveled at people like @gorskon who claimed that herd immunity was an efficacious endpoint for mandatory mass flu shots… for a product with 10-60% match rate 🤔
To make this simple, it’s the equivalent of making the false claim that we can keep out mosquitoes with a chain link fence.
These people were liars, plain and simple and now post COVID we know this even better than ever.
Just look at the exaggerated claims we had to endure.