"๐˜›๐˜ฉ๐˜ฆ๐˜บ ๐˜ต๐˜ฐ๐˜ญ๐˜ฅ ๐˜ถ๐˜ด ๐˜ต๐˜ฐ ๐˜จ๐˜ฆ๐˜ต ๐˜ต๐˜ฉ๐˜ฆ 1๐˜ด๐˜ต ๐˜ด๐˜ฉ๐˜ฐ๐˜ต ๐˜ธ๐˜ฆ ๐˜ค๐˜ฐ๐˜ถ๐˜ญ๐˜ฅ. ๐˜ž๐˜ฆ ๐˜ฅ๐˜ช๐˜ฅ. ๐˜•๐˜ฐ๐˜ธ i๐˜ต'๐˜ด ๐˜ฏ๐˜ฐ๐˜ต '๐˜ฑ๐˜ณ๐˜ฆ๐˜ง๐˜ฆ๐˜ณ๐˜ณ๐˜ฆ๐˜ฅ'? ๐˜ž๐˜ฆ ๐˜ฎ๐˜ช๐˜จ๐˜ฉ๐˜ต ๐˜ด๐˜ต๐˜ฐ๐˜ฑ ๐˜ถ๐˜ด๐˜ช๐˜ฏ๐˜จ ๐˜ช๐˜ต?"

Ya. It sounds confusing. But I made the most concise summary I could of why with the help of @MPaiMD Image
And at the risk of sounding like a broken record:

1) No, you didn't "take one for the team" by getting AZ. It's still a very effective vaccine.

2) If you got it within the last month, here the symptoms you can to look for (Thanks @heysciencesam). Odds are still very rare. Image
3) Yes, you'll likely be offered another vaccine for dose #2. 1st study of it comes out this month. We're optimistic

4) Part of the reason COVID has fallen in many areas is because of those that got AZ (#GenXZeneca). You didn't just protect yourself, you protected your community

โ€ข โ€ข โ€ข

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More from @TheAmirImani

5 Apr
1/ The message is consistent: Variants are causing more severe infection in younger people.

Youโ€™ve seen the stories of 30-40 year olds in the ICU, on heart/lung machines, and dying.

So from a rehab hospital, let me tell you about some of the survivors. ๐Ÿงต
2/ We see #COVID19 survivors of all ages. Early 30s to late 90s.
- Severe cases often have some lung injury.
- Many develop heart issues or have existing ones worsen.
- Going from โ€œfrequent hikesโ€ to โ€œneed to catch my breath halfway up a flight of stairsโ€ is a common complaint.
3/ - Some developed nerve injury, especially if they needed long ICU care.
- Same with kidney injury.
- Oh ya, and LOTS of clots. Usually have to continue blood thinners here. 1/5 ppl hospitalized with COVID develop clots.
Read 10 tweets
14 Feb
1/ Plenty of people like @deonandan and @DeNovo_Fatima have made great points on the #VitD buzz. Here's my 2 cents.

Title:
๐‘Šโ„Ž๐‘ฆ ๐‘Ž๐‘Ÿ๐‘’ ๐‘š๐‘œ๐‘ ๐‘ก ๐‘ ๐‘๐‘–๐‘’๐‘›๐‘ก๐‘–๐‘ ๐‘ก๐‘ /๐‘‘๐‘œ๐‘๐‘ก๐‘œ๐‘Ÿ๐‘  ๐‘ ๐‘ข๐‘โ„Ž ๐‘๐‘ข๐‘ง๐‘ง๐‘˜๐‘–๐‘™๐‘™๐‘  ๐‘Ž๐‘๐‘œ๐‘ข๐‘ก ๐‘‰๐‘–๐‘ก ๐ท ๐‘Ÿ๐‘–๐‘”โ„Ž๐‘ก ๐‘›๐‘œ๐‘ค?

Man I suck at titles.
๐Ÿงต
2/ Let's start with 2 summaries. All sources at the end.

๐—ง๐—Ÿ;๐——๐—ฅ #๐Ÿญ - For most people, it's safe to take anywhere from 200 to 4000iu of Vit D/day.

We just don't want ppl to think these pills are an alternative to social distancing,๐Ÿ˜ท, or medical help if you're sick. E.g. โฌ‡๏ธ
3/ ๐—ง๐—Ÿ;๐——๐—ฅ #๐Ÿฎ - There's a TON of uncertainty w/ #VitaminD.

๐‘จ) Weโ€™re not totally sure what Vit D level people need

๐‘ฉ) Weโ€™re not sure if levels behave like a phase reactant

๐‘ช) We're not great at measuring levels

๐‘ซ) Weโ€™re not sure how much supplements help
Read 23 tweets
1 Jan
When pts ask me why I'm skeptical of #supplements by default, I give examples to highlight the lack of regulation+data. I wrote some here.

Title: โ€œSome reasons I'm cautious with supplements and would rather you get the nutrients in your diet"

Rolls off the tongue, I know.๐Ÿงต
1) The largest trials of antioxidant ๐Ÿ’Šshowed they donโ€™t โฌ‡๏ธrisk of cardiovasc events, diabetes, cancer, or cognitive decline.
Some showed โฌ†๏ธhemorrhagic stroke and prostate cancer, but itโ€™s inconsistent.

pubmed.ncbi.nlm.nih.gov/17698683/

pubmed.ncbi.nlm.nih.gov/19066368/

ncbi.nlm.nih.gov/pmc/articles/Pโ€ฆ
2) Vitamin C pills failed to โฌ‡๏ธ the risk of getting a cold in trials of the general population. Starting it AFTER you get a cold doesnโ€™t seem to help.
But if you take it regularly and get a cold, it might be 8% shorter ๐ŸŽ‰

cochranelibrary.com/cdsr/doi/10.10โ€ฆ

Kids might be another story tho
Read 8 tweets

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