A few years ago my mother had a stroke and was in ICU. After discharge she went to a convalescent hospital for a few weeks.

The food there was appalling. Sugar and cheap carbs everywhere. Imagine oatmeal with maple syrup and a glass of OJ for breakfast.
So I requested a meeting with the lead dietitian. I told her that I wanted my mother to get bacon and eggs for breakfast, and none of that sugary stuff. Meat or eggs at every meal.

She looked at me like I was from Mars, but ultimately she complied.
Meanwhile, twice a day I brought my mother a whey protein drink I devised, giving her an extra 30-50 g/d protein, plus some NAC and magnesium and creatine.

My mother is still alive today at 99, and probably would not be if she continued eating hospital style.
It's within your power to change this stuff.

Raise a big stink.

The life of someone you love may depend on it.
When my mother was in ICU in a prestigious, big-city hospital, the doctor in charge of her care called me on the phone.

"What do you want to do if her heart or breathing stops?"

We discussed this.
My mother was in her mid 90s, but had been active and giving music lessons up until the week before. I knew she wasn't ready to leave this earth.

I told him this.

A few days later, another doctor called with the same question, evidently having failed to get the message.
Now I was pissed off. I had the distinct impression that these doctors were more concerned about a "do not resuscitate" order than caring for my mother.

Due to her age, it seemed they were ready to write her off.

I told the doctor, "DO YOUR JOB. DON'T LET HER HEART STOP."
Maybe I was unfair to the doctor, but someone had to say it.

Don't take medical treatment of a loved one for granted.

Don't be reluctant to get involved.

No one cares as much for your family members as you do.

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More from @Mangan150

1 May
Iron depletion by phlebotomy (bloodletting) improves insulin sensitivity in patients with fatty liver.
gastrojournal.org/article/S0016-… Image
Why does that matter? Iron consumption in U.S. diets has increased by ~50% since 1979.

The largest source of iron is grains, because flour is enriched with iron.

fns-prod.azureedge.net/sites/default/…
Metformin may improve insulin sensitivity in part through reduction in body iron stores. eje.bioscientifica.com/view/journals/…
Read 4 tweets
30 Apr
Use of metformin and acarbose is associated with reduced risk of death from Covid-19.

No one using both meds before admission died.

Metformin lowers blood glucose, and acarbose blocks dietary glucose absorption.

Could you get same risk reduction by not eating carbs?
No association with insulin or other meds.

assets.researchsquare.com/files/rs-28730…
Metformin Associated with Decreased Covid Mortality Among Nursing Home Residents

*Relative to those not receiving diabetes medications, residents taking metformin had about half the death rate

Diabetics on metformin at lower risk than non-diabetics sciencedirect.com/science/articl…
Read 5 tweets
26 Apr
Elite athletes have disturbed glucose control.

Excessive exercise training causes mitochondrial functional impairment and decreases glucose tolerance in healthy volunteers
5 hours a week of vigorous exercise is the safe upper limit for long-term health and life expectancy.

mayoclinicproceedings.org/article/S0025-…
Read 5 tweets
26 Apr
Cholesterol, whether in your diet or made by your body, does not cause heart disease.

Yet the idea that it does is the central dogma of modern medicine.

Many things follow from this.
Like dietary guidelines that advise you to avoid meat and eat lots of carbs.

Like widespread prescription of statins. That's like the one thing all doctors want to do: put you on a statin.
When the real causes of coronary heart disease can be traced to the crap food made from sugar, white flour, and seed oils.

Throw in lack of exercise.

In other words, diabesity.
Read 4 tweets
23 Apr
Calorie restriction (CR) has long been known to extend lifespan and healthspan in animals.

But the benefits of CR may be due to one thing: intermittent fasting.
When calorie restricted, lab animals are typically fed once a day, and they're so hungry, they eat all of their food at once, fasting until their next feeding.

That means that the benefits may be due to fasting, not food restriction.
Fasting alone duplicates many of the metabolic effects of CR.

How long would a human need to fast to get these benefits?

Probably a minimum of 16-18 hours, with longer being better.
pubmed.ncbi.nlm.nih.gov/8238506/
Read 7 tweets
13 Apr
Insulin resistance is by far the most important cause of coronary artery disease.

Most other factors involved are related to insulin resistance.

Yet doctors just want to lower your cholesterol.

care.diabetesjournals.org/content/32/2/3…
To flesh this out, insulin resistance is responsible for 42% of heart attacks.

The other factors:

hypertension, 36%
HDL, 31%
BMI, 21%
LDL, 16%
triglycerides, 10%
fasting glucose, 9%

are all related to insulin resistance.

And smoking (9%) causes insulin resistance.
Even the last factor, family history at 9%, is related to insulin resistance.

Yet many people report that when they ask their doctor for a fasting insulin level, the reply is "I wouldn't even know what to do with that."
Read 5 tweets

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