WHAT IS THE EVIDENCE THAT BLOOD GLUCOSE VARIABILITY HAS AN IMPACT ON HEALTH OUTCOMES IN PEOPLE WITHOUT DIABETES
My profanity-laced closing thoughts.

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More from @kevinnbass

23 Jan
I think civil discourse is great.

However social media itself encourages outrage culture. Without a concerted effort by social media platforms to discourage this, outrage culture will continue.

Thread

1/n
And responding to outrage and conspiracy theories that garner thousands of shares with calm, patient, evidence-based responses that get a dozen just feels wrong.

So I say that science communicators should take their gloves off and go just as hard as the quacks do.

2/n
They should say the truth: that 99% of diet industry books are grifty, at odds with evidence, cynical, etc.

They should say that quackery is rampant, in fact it is overwhelmingly dominant, in pop health because it sells.

3/n
Read 17 tweets
23 Jan
God you are a moron.

Heart disease has dramatically declined since the advent of the dietary guidelines, in what can only be described as a massive success of public health.

Here is one graph, from the CDC.

cdc.gov/pcd/issues/201…

Thread about @CarnivoreMD
Here is another graph of the same data.
Here is Framingham.
Read 11 tweets
23 Jan
I am going to be moving toward a monetized model of science communication. This means paywalled content, subscriptions, and other monetized ways of delivering health science content.

Here is why.

Thread
The biggest reason is this: what you don't measure you can't manage.
I can always stir up controversy, debunk, show how the infinite procession of Internet health morons and grifters are--despite their credentials, proclaimed intentions, and charisma--in fact morons and grifters.
Read 22 tweets
21 Jan
What if I turned something like this into a book?

Where I systematically go through the science on all major hot topics in a reader-friendly manner?

Where I go through mechanistic studies, RCTs, & popular theories--and explain, shred, recommend?

Would you buy it?
Format

Lots of references, very succinct and simple writing, many many elegant illustrations of pivotal experiments, teaching EBM concepts, and lots of calling everything and everyone a quack and cursing.
We can call it F*ck Health: How To Stop Listening to the Health Industry and Start Listening to Science for a Happier and Healthier Life
Read 4 tweets
21 Jan
A little sad right now. Not very bad but a little damn sad right now
End of a relationship. I never said a harsh word. Ever. Proud of that. We get better. We grow and choose more wisely. But ending always hurts.
I feel over it after 2 days which is super confusing

Someone explain this to me have I lost my heart

Well what a relief

I am very OK with this Image
Read 4 tweets
17 Jan
In a new clinical trial with 145 subjects, subjects were given drinks sweetened with aspartame, glucose, fructose, or high-fructose corn syrup for two weeks.

Some results
HFCS group:
17% higher LDL-C
15% higher apoB
11% higher triglycerides

sciencedirect.com/science/articl…

👇Thread👇
Subjects were given beverages to drink three times per day, containing:

Aspartame, control
Glucose, 25% daily energy requirements
Fructose, 17.5%
Fructose, 25%
High-fructose corn syrup, 17.5%
HFCS, 25%
Sucrose, 25%
Patients were told to refrain from drinking any other sugar-sweetened beverages.

Riboflavin was added to the drinks as a biomarker for adherence and tested in the urine.
Read 36 tweets

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