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👇
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👇
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
4
Some #doctors give 4 weight loss, but is actually not #EvidenceBasedMedicine. Better to stay away from unnecessary supplementation.
Chromium picolinate can cause severe liver injury bit.ly/2WSIeme, also cause many toxic effects bit.ly/3pAP9wv
5/5
Final diagnosis:
Drug induced liver injury probably due to excessive use of chromium picolinate due to unwarranted #dietary #supplements
#pseudoscience #diet #medicine
➡️ALWAYS CHECK YOUR SUPPLEMENTS
➡️ALWAYS DISCUSS AND DISCLOSE SUPPLEMENTS WITH YOUR DOCTOR

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More from @drabbyphilips

31 Dec
1
I followed @FitTuber advise and got all these #Ayurveda medicines which he outright claimed are '#safer', ''#effective' than conventional prescription drugs for day to day use. These will be tested for #safety first - will undergo GCMSMS, ICP-OES and FTIR analyses.
#MedTwitter Image
2
I looked at packaging and found interesting (poor regulation, absurdity), #quackery, #pseudoscience based descriptions like this:
Malaria - caused by parasite
Dengue - caused by virus
Typhoid - caused by bacteria.
One tablet to rule them all. Reminds me of lord of the rings. Image
3
This particular #ayurvedic tablet is good for indigestion, hyperacidity and THEN - like a @starwars hyperspace jump 🤯SCABIES🤯. How? Why? What is the mode of action within this very broad range of 'symptoms to disease'. You know this medicine is #fraud.
Also check out 'etc'🙅‍♂️ Image
Read 8 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
27 Dec
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?
Read 13 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

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