Tro Profile picture
29 Apr, 5 tweets, 2 min read
Thread
We came under heat for having @biolayne on @LCMDPodcast
We were offered money to NOT give him air time
Colleagues were upset b/c of his childish rants, calling MDs & PhDs cowards/clowns, etc

1/5
What I learned from the interview of him, his health coach and a client success story is that his scope is limited.

All he can do is provide education and psychological support.

2/5
Our practice NOT only provides psychological support and education, we also deal with medical issues, lab work, medications, imaging, testing

We truly provide a holistic apprach. We actually SEE lab work results

These are things dietitans and gurus will never be able to do

3/5
These arent meant as an insult to his approach or his team which seems to help the people choosing to get help from him.

Its just acknowledging that he will never be able to care for patients the way we do, he will never have a relationship with patients the way do

4/5
This to me explains a constant difference in opinion.

4/5

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Tro

Tro Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @DoctorTro

8 Apr
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.
Read 4 tweets
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

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!