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DoctorTro Profile picture
@DoctorTro
Sep 27, 2020 • 8 tweets • 2 min read • Read on X
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Total Sugar Intake and Macro and Micronutrients in Children Aged 6-8 Years: The ANIVA Study. Morales-Suarez-Varela M, Peraita-Costa I, Llopis-Morales A, Picó Y, Bes-Rastrollo M, Llopis-Gonzalez A. Nutrients. 2020;12(2):349. Published 2020 Jan 29. doi:10.3390/nu12020349

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Synergistic effects of fructose and glucose on lipoprotein risk factors for cardiovascular disease in young adults. Hieronimus B, Medici V, Bremer AA, et al. Metabolism. 2020;154356. doi:10.1016/j.metabol.2020.154356
Added sugar intake and cardiovascular diseases mortality among US adults. Yang Q, Zhang Z, Gregg EW, Flanders WD, Merritt R, Hu FB. JAMA Intern Med. 2014;174(4):516-524. doi:10.1001/jamainternmed.2013.13563

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The Effect of Low-Carbohydrate Diet on Macrovascular & Microvascular Endothelial Function is Not Affected by the Provision of Caloric Restriction... A Randomized Study. Hwang CL et al. Nutrients. 2020;12(6):1649. Published 2020 Jun 2. doi:10.3390/nu12061649

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Dietary carbohydrate restriction improves metabolic syndrome independent of weight loss. Hyde PN; et al. Jci Insight. 4(12), 2019 UI: 31217353

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Impact of Glucose Level on Micro- and Macrovascular Disease in the General Population: A Mendelian Randomization Study. Emanuelsson F, Marott S, Tybjærg-Hansen A, Nordestgaard BG, Benn M. Diabetes Care. 2020;43(4):894-902. doi:10.2337/dc19-1850

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Effects of Dietary Fructose Restriction on Liver Fat, De Novo Lipogenesis, and Insulin Kinetics in Children With Obesity. Schwarz JM; et al. Gastroenterology. 153(3):743-752, 2017 UI: 28579536

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Determinants of Weight Gain in the Action to Control Cardiovascular Risk in Diabetes Trial. Diabetes Care Aug 2013, 36 (8) 2162-2168; DOI: 10.2337/dc12-1391

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More from @DoctorTro

DoctorTro Profile picture
Mar 10
🚨 Thread on LDL Lowering & low carb🚨

How I approached high LDL in my patients, and how we observed a DECREASE in LDL of 480mg/dl !!!!

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

(1/20)
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

2/20
For example, while it’s true that consistently a1c, triglycerides, HDL and lpa seem to improve, some patients report some adverse events.

3/20 Image
Read 21 tweets
DoctorTro Profile picture
Mar 5
Many supplements are useless... basically expensive urine...

But a few have randomized trial evidence showing measurable physiologic effects on blood pressure, cognition, wound healing, and cardiovascular risk.

Here are supplements with actual clinical data. 🧵 Image
“Magnesium supplementation resulted in a significant reduction in systolic blood pressure and diastolic blood pressure.”

PMID: 27402922
pubmed.ncbi.nlm.nih.gov/27402922/

“Magnesium supplementation significantly lowered systolic blood pressure by 4.18 mm Hg and diastolic blood pressure by 2.27 mm Hg.”

PMID: 22364157
pubmed.ncbi.nlm.nih.gov/22364157/
Nattokinase

PMID: 18971533
pubmed.ncbi.nlm.nih.gov/18971533/

“Nattokinase supplementation resulted in significant reductions in both systolic and diastolic blood pressure.”

PMID: 26131950
pubmed.ncbi.nlm.nih.gov/26131950/

“Nattokinase administration significantly reduced plasma fibrinogen, factor VII, and factor VIII concentrations.”
Read 10 tweets
DoctorTro Profile picture
Jan 20
🚨 THREAD 🚨

GALLSTONES & GALLBLADDER DISEASE

Everything you need to know about gallstones as it relates to diet and dietary composition.

👇🏻👇🏻👇🏻👇🏻👇🏻
In the obese during rapid weight loss from a very low-calorie diet, a relatively high fat intake could prevent gallstone formation, probably by maintaining an adequate gallbladder emptying, which could counterbalance lithogenic mechanisms

nature.com/articles/08006…
On the basis of a meta-analysis of randomized controlled trials, during weight loss, UDCA and/or higher dietary fat content appear to prevent the formation of gallstones.

sciencedirect.com/science/articl…
Read 5 tweets
DoctorTro Profile picture
Dec 11, 2025
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
DoctorTro Profile picture
Dec 4, 2025
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 17 tweets
DoctorTro Profile picture
Oct 16, 2025
🚨 🚨 I want you to read this - a recent paper from the supposed brightest doctors in cardiology 🚨 🚨

“High LDL was associated with DECREASED RISK of MI, ASCVD, and all-cause mortality”

“- a finding that is difficult to interpret -“

They cannot admit that maybe the LDL hypothesis was just not the whole truth 😑Image
10.1016/j.jacc.2024.03.423

H/t @ApoDudz
@ApoDudz Hey @MaBMortensen can you please advise

To me it seems like you are saying IR and resultant increase in remnants adds additional risk with some BS worldview of ApoB to make the lipidologists happy

What did I miss?
Read 4 tweets

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