#Ayurveda treatment for alcoholic #liver #cirrhosis - case based protocol, described in a case series of 3 patients.
Once again, forget @NetflixIndia comedy shows, this is where all the fun, comedy and jokes are now.

Caution: This limited series will drop your IQs
#MedTwitter
1/
Introduction:
🔅#Ayurveda is a philosophy. Correct. No therapeutic value.
🔅Uncertainty due to uncertainty😳 HUH?
🔅#Ayush guys got 'sanskrit' spelling wrong 😵 whats with that?
🔅Time to combine evidence based medicine with case based medicine. What #herb is the author on?
2/
🌿Alcoholic is not correct. Alcohol related/associated. More compassion toward patient. But what does #Ayurveda know abt compassion right? Need a herb 4 that.
🌿Specifically note the sentence bad mouthing scientific, conventional care. That's hw these #ayush #quacks survive.
3/
🔅Treatment protocol:
Milk diet. No salt. No pungent (🙄)
Patients underwent 'Purgetion'
🔅No #medicines mentioned. No #treatments prescribed. It was play of words.Possibly more bad mouthing of real #doctors
🔅Follow up data missing.Only play of words
4/
#livertwitter
🔅At 6mo patients R well. But that's what authors who can't spell Sanskrit R saying 🔅Albumin inc without INJ Albumin It can increase otherwise also
🔅Platelets increased. No discussion. Mayb wit ayurvedic papayas
🌿FIibroscan 4 advanced cirrhosis, only in Ayurveda practice.
5/
Conclusion:
🙏Authors wit confidence, start treating alcohol-cirrhosis with #Ayurveda. Conclude that it is potentially, maybe, could be, think so, probably, slightly ok, guess not, 4 advanced cirrhosis, pending further grammar corrections.
6/6
@moayush when wil U call it a day?

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More from @drabbyphilips

14 Dec
I was sent these samples from a #hospital in #Chennai after the #physician caring for a patient wit abnormal #liver test found he was on these for #COVID19
#Coronil by #Patanjali Batch A-CNT305
#Liv52 by #Himalaya Batch 72900775
We performed ICP-OES, GCMSMS analyses
Results👇
1/ Image
Heavy metals
1. Lead
Values higher than prescribed @US_FDA➡️ bit.ly/3miSHBM, #India bit.ly/3oV794F
Lead in drugs unheard of in developed countries. #India is developing (currently underdeveloped), hence an excuse. Lead limit in paints 90mg/kg.
2/
#MedTwitter Image
Heavy metals
2. Cadmium
C @US_FDA list beneficial & harmful metals in humans ➡️bit.ly/2LDTEbj
Cadmium prolonged use cause multiple organ toxicity sometime wrongly diagnosed
See bit.ly/37iTVZe
Indian herbs R sources of Cd bit.ly/37ZQTIJ
#livertwitter
3/ Image
Read 4 tweets
4 Dec
1/
Here is something #interesting.
Do U know how long it takes 4 a good liver 2 develop chronic liver disease/cirrhosis? 5-10 yrs. At times more. But here is a patient developing cirrhosis in 6wks. Yes. 6wks. Reason?Excessive #energydrink.Which drink?I cant say, but its a scary 1
2/
Here is the liver biopsy done at the time of liver injury and on follow up at approx. 6 wks. The top panel shows severe fatty liver and liver cell loss, damage/necrosis and the bottom panel, transformation to cirrhosis. Why did this happen?
Ans is a vitamin - Niacin or Vit B3
3/
➡️Niacin, vitamin B3, is a water soluble, essential B vitamin
➡️Niacin is also found in many herbal mixtures and energy drinks, sometimes in super doses
➡️Well known cause of clinically apparent liver injury when given in high doses
More on that: bit.ly/3mHCPK3
Read 4 tweets
1 Dec
Here is something funny&sad
Yes. Its about #hepatitis C and #Ayurveda #Homeopathy #Ayush
A thread

1/
32 yr male. Routine check in 2017, found 2 have hepatitis C virus (HCV) +ve. That is, anti-HCV +ve meaning exposure to the virus & antibodies in blood.
#MedTwitter #livertwitter
2/
To confirm, PCR test 4 RNA has to be done. Which he did. The viral load was 900,000 IU/L. So he goes to a Gastroenterologist, who checks the virus genotype (it was type 2) and puts him on the fantastic direct acting antiviral Sofosbuvir+velpatasvir for 3 months. All good?
No.
3/n
He checks Google. Finds cirrhosis, liver cancer etc...gets alarmed and before completing the treatment, checks HCV at 2 months. Finds - anti HCV still +ve.
[note: anti HCV ELISA test STILL +ve]
Feels modern medicine doctor cheated him with expensive drugs.
Enter the dragon.
Read 11 tweets
4 Oct
1/12
Separating the #men from the #boys
Here is a #PubMed #indexed, #Elsevier published #journal reporting '#exclusive' #treatment of #covid19 through #Ayurveda leading to full recovery in a #patient. Great #news right?! No. The #proof of the #pudding is in the eating! Spoons out
2/12
The #journal. Its legit, 'becoz' its publishd by #Elsevier. Journal ownd by World Ayurveda Foundation & Trans-Disciplinary Univ, #Bengaluru. 4mer, a 4-men 'world foundation'[bit.ly/3is0CdR], latter @TDUFRLHT founded @sampitroda, vettedby likes of @kiranshaw
3/12
The study - 43yr old #newyork #banker develops fever,cough durng peak #COVID season, 'PRESUMED' to be #coronavirus. Self #Quarantine at #home, phone calls #ayurvedic #Doctors at #Chennai, #india, offer☎️ treatmnt until fever break, therby reporting #covid19 cure via Ayurveda
Read 13 tweets
28 Sep
1
Sharing our invited review: Transjugular intrahepatic portosystemic shunt (TIPS) in #cirrhosis/World #Journal of #Gastroenterology. @SRajesh_IR helms 24-page colossus discussing exhaustively recent studies #livertwitter #MedTwitter #irad #GITwitter
Full: bit.ly/3ib7Frp Image
2
Topics we discuss include - variceal bleeding (incl ectopic), #ascites & #hydrothorax (incl chylous), #complications, new techniques, #stent size dilemma & extensive point of care algorithmic approaches in portal hypertension complications, eg: esophageal #variceal bleeding 👇 Image
3
#New techniques such as combined approach for difficult anatomy situation in TIPS in cirrhosis 👇 Image
Read 7 tweets
25 Sep
Here is an example of exactly HOW NOT to design a study and publish.
A grp of #ayurveda vaidyas published:💡Clinical Improvement In #COVID19 #patients With Timely Intervention Of Panchagavya: Preliminary Finding
💵International Journal of Pharmacological Research
1/n
#MedTwitter Image
First, choice of #journal. Choose one indexed in valid scientific databases - eg @Scopus, Medline @NCBI, @embase, @EBSCO, @webofscience. International Journal of Pharmacological Research is indexed👇😶
Just bcoz its on Google doesn't mean its quality. #pseudoscience #fake
2/n Image
There R indexed and impactful journals charging #openaccess fee (eg @JHEP_Reports) if the institute can afford it. Most quality indexed, impactful journals (eg @HEP_Journal) dont have open access fee to publish, but #Subscription fee for persons to read #published study.
3/n Image
Read 14 tweets

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