1
Dear @doctorsoumya, your tweet isn't in best interest of scientific practice. Yoga is an arm of the #pseudoscience & potentially harmful, untested but highly promoted #AYUSH. In fact, many #quacks promote #Yoga with other forms of #quackery.
Plz C absurd bit.ly/2KGOR8B
2
I did not understand why you specifically tweeted on this study? Because there is more you could have tweeted on the same.
Example, simple walking, independent of other forms of physical activity is ALSO associated wit reduction in systemic inflammation. bit.ly/38Az1UZ
3
Which means, people don't have 2 SPEND money on 'YOGA GURUS' or join 'Yoga based' clubs or PAY 4 'YOGA' classes when same effect is noticeable with - yes, money free, hassle free, walking. There is also a systematic review on it bit.ly/3pqUab7. But U did not #tweet it?
4
Let alone walking, simple exercise reduce inflammatory markers much better in patients wit diabetes. Please C this bit.ly/3mUJ7oO from American Diabetes Assoc. @ADA_Journals. Fact is ANY type of physical activity improves inflammation is well known - YOGA or NOT.
5
Coming back to your original tweet and study, bit.ly/38GaPRh, I am not sure if you hav critiqued it be4 it was tweeted, or maybe the Indian #government hinted you to do so, for extra brownie points on promotion of their already run amok #quackery in the form of #ayush
6
The study in question, by Viswanathan et al on Yoga & diabetes is very poorly designed. For starters, they used 'clinically un-utilized' & 'generally unavailable' markers as a primary end point, wit measly 12 weeks follow up. This is unacceptable in chronic metabolic condition.
7
In diabetes study, 1 shud NOT use surrogate/composite end points. This wud lead 2 misinterpretation of results (like UR tweet) & promotion of misleading therapies 4 patients who ACTUALLY require proper evidence based care
Plz C: cutt.ly/ah4hp4L, cutt.ly/Oh4hdrx
8
cutt.ly/Xh4hgMh - this paper specifically mentions when 2 use a surrogate marker 4 Diabetes studies & RCTs. The authors of the Yoga study did not do their homework on methodology well. Also, actual end points: end organ damage, glycemic status - none assessed.
9
Authors dint discuss weaknesses, confounders. RCT doesn't mean quality -as #scientists we must ensure BALANCE in interpretation of results 4 public

Plz C cutt.ly/ih4hJMA - RCT showed videogaming improved outcomes in asthmatic children. Shud V promot gaming as adjuvant?
More on surrogate in diabetes and the great conundrum that harms patient 👇👇👇

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More from @drabbyphilips

29 Dec
1
Ok this is interesting #livertwitter #MedTwitter
26 yr old woman with jaundice+severe itching (a.k.a cholestatic hepatitis). Routine causes - viruses, prescription drugs, autoimmune liver disease blood tests - neg. No #ayurveda or #herbal drug use. Mysterious🤔
Liver biopsy👇 Image
2
#pathology expert says its #drug induced liver injury. But patient denies any drug use. She has #PCOD - polycystic ovarian disease (mayocl.in/34S2LMh) and hence, #overweight.
Deep dive into history again - says she's taking #vitamins for weight loss! Asked to show👇 Image
3
Can you identify the culprit component that caused this woman's severe liver injury? #Pathologist is right! #PathTwitter
Culprit - Chromium picolinate in #health #supplement 4 #diabetes #weigthloss. #Chromium is micronutrient enuf in daily food intake bit.ly/3nYNeBB Image
Read 5 tweets
27 Dec
1
@MetroRailKochi
Sign that country is developing on paper but is actually underdeveloped
Objectionable Advertisement Act prohibit ads 4 purposes, of remedies alleged 2 possess magic qualities
@HaealOnline wer is evidence that this prevents WHAT?
@shailajateacher @IMAIndiaOrg Image
2
#Curcumin, #Ashwaganda combo prevents NOTHING, effects on human health remain UNKNOWN. This public display of #quackery, #pseudoscience is insult to #science, complete disregard to #publichealth This has to be challenged, removed
@RajeevJayadevan @infoclinicindia @Charakan
3
Here is a paper showing multiple toxic curcuminoids & associated toxins in #Turmeric. How is this sourced, what R contaminants @HaealOnline product? pubmed.ncbi.nlm.nih.gov/20667459/
Ashwagandha is probable cause 4 liver injury #livertox from @NLM_NIH cutt.ly/Ah42ylq
@CMOKerala
Read 4 tweets
25 Dec
1/
#India is probably ONLY country where spices are promoted as a '#treatment', '#prevention' of diseases rather than the flavouring foods that they R! This is done by #quackery promoting #government #ayush, #socialmediamarketing #SocialMedia, irresponsible visual, print #media
2/
C this paper, Forsyth et al, 2019.
pubmed.ncbi.nlm.nih.gov/31550596/
#Bangladesh, adding lead chromate (yellow pigment) 2 #turmeric by polishers 2 satisfy wholesale dealers driven by demand 4 turmeric/#curcumin. #India, many #ayurveda companies marketing #turmeric products. Is it pure?
3/
This paper by Cowell et al, 2017
ncbi.nlm.nih.gov/pmc/articles/P…
The authors specify that many spices mix and turmeric contaminated with lead causing toxicity in #USA where from #India.
#Indian culture of daily #haldi #milk use is actually one of the stupidest #health #promotions
Read 6 tweets
24 Dec
Is Aloe vera good for you?
A review of toxicity and adverse effects of Aloe: cutt.ly/sh2exAO
A review of Aloe and liver injury in humans
cutt.ly/Ph2ekrG
1/n
#MedTwitter #livertwitter #SocialMedia
Aloe vera is a potential carcinogen. Meaning its use can cause cancers in long term.
Always consult your physician or doctor (not #ayush) for the correct information regarding what supplements products are safe for you.
2/
Aloe vera can cause toxicity to reproductive organs
It is proven in mutiple animal studies.
Inform your doctor if you are using aloe products
3/
Read 7 tweets
23 Dec
Hello Abdur! Ashwagandhadi lehyam is made out of
1.Aswagandha (Withania somnifera)
2.Masha (Phaseolus mungo)
3.Musli (Curculigo orchiodes)
Ther is more
It is prescribed as per ancient #Ayurveda texts for stamina, muscle building, increased sexual desire/prolonging sexual vigor.
1
BUT, no clinical studies on humans with a good control of another standard drug has been performed on the use of Ashwagandhadi lehyam. Which means, its use in current situations is more or less a gamble with #pseudoscience or #quackery. This gamble cud lead 2 side effects
2
Previously, XTRA MUSLI POWER herbal caps were banned by Kerala Government becoz manufacturer (Kunnath Pharma) used modern medicine (tadalafil) in the herbal product. A lot of the products with pure herbs may not be safe or effective and can B adulterated
cutt.ly/Dh12ioK
3
Read 5 tweets
23 Dec
A person messaged me asking if he could continue taking this following drug for memory boosting.

The drug contains 'Brahmi' from herb Bacopa.

Fact: Depending on #Ayurveda, which itself, #quackery, embodiment of #pseudoscience ➡️#herbal #memory booster is #fraud. #medtwitter
1
People age, som develop cognition disorders - there R identifiable risk factors, treatable&controllable.

Cognition disorders➡️bit.ly/2KnXZ25 - which of these are prevented by Bacopa? Actually none

Let us see 2 large metanalyses/systematic reviews on Bacopa extracts
2
A - pubmed.ncbi.nlm.nih.gov/24252493/
Result: some potential, nothing definite because it is never compared with a standard drug. I dont know Y complementary and alternative medicines R always compared with placebo when there are other better standards 2 compare them with! #livertwitter
3
Read 5 tweets

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