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DoctorTro Profile picture
@DoctorTro
Sep 27, 2020 • 8 tweets • 2 min read • Read on X
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
May 2
🚨 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
Mar 16
🔔 10 woke takes from the world of Modern Medicine in 2024 🔔

1) climate change is more important than human nutrition
2) obesity is genetic disease that requires drugs
3) obesity is healthy & should be embraced
4) diets don’t work, carbs are good, meat is bad
5) masking kids prevents death & causes no harm
6) any living thing needs 9-10 COVID shots, especially pregnant women & young children
7) COVID shots prevent long COVID & myocarditis
8) DNA & chromosomes don’t mean much, they are fluid, so is biology
9) the AMA covering the ethics of banning meat & NEJM covering climate change is more important than the diabesity epidemic
9) take drugs for every chronic disease
10) luck charms is healthier than eggs
People wanted context - lie 1

1) “Meat is unhealthy”

Meanwhile it’s associated with improved mental health, improved bone and muscle health and newer studies like that from PURE show that excluding it is bad for mortality Image
Lie 2

“Obesity is racist and it’s actually healthy”

Doctors, in an effort to be “inclusive” are ignoring the health impacts of excess adiposity
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Read 6 tweets
DoctorTro Profile picture
Mar 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
DoctorTro Profile picture
Mar 7
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“

2/n
“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.”

3/n
Read 13 tweets
DoctorTro Profile picture
Feb 29
THREAD: 🧵

CGMs - continuous glucose monitors

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
Read 9 tweets
DoctorTro Profile picture
Feb 15
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

1/10
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.

2/10
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...

3/10
Read 11 tweets

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