Tro Profile picture
8 Apr, 4 tweets, 1 min read
The UK is limiting the AZN vaccine in under 30 due to blood clots

THIS IS INLINE w/ other countries such as Germany, Spain, Denmark which have restricted in under 50

All those doctors who said “safe & effective” lied

I warned about the 1976 flu vaccine

history repeats itself
This is what happens when doctors blindly believe they HAVE to promote vaccines

Zostavax was a terrible vaccine
Influenza has a 10-60% efficacy

Prevnar and shingrix are EXCELLENT new vaccines IMVHO.

Your doctor shouldn’t BLINDLY say anything, they should REVIEW THE DATA
If you have reviewed the data for vaccine efficacy, side effects, etc.

Any sensible doctor would have admitted the possibility of side effects for a 2 month vaccine.

And should have cautioned use in those with lowest personal benefit.

But that didn’t happen.
Idiots and lemmings with megaphone even demanded that their children should be vaccinated. Young healthy people with a low probability of morbidity/mortality

That was a fools guess

I am sorry for my profession

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More from @DoctorTro

25 Mar
Is restricting addictive, unhealthy food the cause of the spiral or our thin idealization, fat shaming, unnecessary weight pressures particularly on our young women... ?

Restricting or limiting harmful things is not the problem.

THREAD 🚨
While dieting in general is associated w/ disordered eating, other psychocial factors like thin idealization & body image seem to be more strongly associated

doi:10.1037/abn0000219
Severe dietary restriction does not induce acutely induce binge eating

doi:10.1111/obr.12295
Read 9 tweets
11 Feb
Two new medical students have started rotating in my practice.

I asked them why they got into medicine, and both said they had an overwhelming desire to help people.

I asked them in their two years of clinicals have they ever truly affected anyone in a primary care rotation.
I asked them have they ever taken a patient off of a blood pressure medication or off of the diabetes medication, did they ever make a diagnosis that changed the life of one of their patients for the better...

They said they have not.
Imagine growing up, dreaming about helping people... Only to find out that it was a big scam.

And well I’m not surprised, what does it say about the mentors that our medical students have, what does it say about a profession that her medical students cannot see real medicine.
Read 5 tweets
31 Jan
THREAD ALERT 🚨🚨

Let's play the game where I call out all the dogma in an editorial against meat consumption from a plant-based proponent

I wish I was joking, but "environment/TMAO" both mentioned in the paper 🤔

doi.org/10.1093/ajcn/n…
DOGMA #1

"The absence of RCTs on this topic is explained by insurmountable challenges"

We have plenty of trials with ketogenic diets, rich in red meat that improve glycemia and metabolic syndrome.
DOGMA #2

"The time frame is daunting due to the nature of chronic diseases that develop over decades before they present as incident cases."

Thankfully we can use CGMs & not dogma to demonstrate that glycaemia in DM2 is immediately ameliorated by adding meat & removing carbs
Read 10 tweets
12 Nov 20
THREAD 🚨

tears roll down my face right now

I just saw a patient who had a gastric bypass 10 years ago, who regained all her weight & the surgeon “upgraded” her to a duodenal switch

1/
She has been re-hospitalized several times after the procedure several months prior with multiple complications

2/
I asked her if anyone had ever talked to her about diet and she said yes the nutritionist told her to count calories and review the myplate

I asked her, given her history of diabetes had anybody mentioned low carb dieting, she said no.

3/
Read 11 tweets
29 Sep 20
Let’s talk about LDL and low carb diets.

🚨 THREAD FOR DOCTORS 🚨

Let’s first address the issues, you have no clue what you are looking at on a lipid panel.

Now since that’s out of the way, let’s let the education begin.
The conventional medical knowledge is that LDL is causative for CVD.

Many models have shown this, namely drug trials, Mendelian randomization, gene defect analyses and population association data
This is aggregated data from primary and secondary prevention trials

It appears that in both primary prevention there is a nominal improvement in CVD with LDL lowering whereas in secondary the benefit seems more robust

Nnt 200-500 in 1*
NNT 100-200 in 2* Image
Read 18 tweets
29 Sep 20
THREAD 🚨

Let’s talk about the headlines about time restriction!

Firstly I want to commend @ethanjweiss and all for a well designed study.

I poured through the data and wanted to share my thoughts.

jamanetwork.com/journals/jamai…
Basically the TRE group had more weight loss and fat loss although it wasn’t statistically significant.

Interesting on DXA it appears that there was a statistically significant reduction in lean mass.

Where did this come from?
Do we think that eating 12-16 hours of the standard diet would lead to significantly more lean mass than 8 hours?

It doesn’t seem likely.

So where did it come from?

The answers may be in the supplemental.
Read 7 tweets

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