DoctorTro Profile picture
Sep 17, 2020 5 tweets 1 min read Read on X
THREAD

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

Jul 16
How statisticians and researchers arrived at the conclusion that the BlueZones are a FRAUD. 🤔

🔑 Thread with key excerpts

1/n
“When these states transition to state-wide birth registration, the number of supercentenarians falls by 80% per year“

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“The US data support the hypothesis that improved vital registration should reduce the number of supercentenarians, and be associated with changing patterns of old-age survival, by reducing age-coding error rates.”

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Jul 9
🚨 Thread on LDL Lowering & low carb🚨

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About my published case-series of 5 patients and clinical experience with thousands of patients …

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As data supporting low carb diets has proliferated for weight loss, diabetes, seizures, mental health and other conditions, patients are now presenting with various issues related to the diet

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For example, while it’s true that consistently a1c, triglycerides, HDL and lpa seem to improve, some patients report some adverse events.

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Jul 2
THREAD: 🧵

CGMs - continuous glucose monitors

Having looked at 10,000+ CGMs let me tell you what you will learn...

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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.

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Lesson 2: consider avoiding seed oils, vegetables oils, especially from restaurants.

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Jun 20
THREAD ALERT 🚨

I love the curious & creative thinkers, the patients who question everything, b/c answering these questions makes me a better educator & confirms my commitment to lifelong learning & shared decision-making

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I don't “kick patients out” for presenting difficult questions… a cruel, yet common, practice among paternalistic/authoritarian doctors... I instead embrace the questions

I use them as an opportunity to dig deeper, understand more and understand better.

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I’ve had many of the same questions that my patients have had, why should I or why would I patronize a patient for thinking logically and asking questions?

In any case, these question have led me to the primary literature...

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We are often advised to exercise, however, if we are severely overweight this can be quite challenging.
I typically advise patients to focus on fixing the diet first and forgo exercise for the first 6-8 weeks of any weight loss plan. if your diet isn’t in order & your appetite isn’t controlled, exercise will increase appetite and likely stall weight loss.
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