Lissa Bauer Profile picture
May 26, 2021 9 tweets 9 min read Read on X
Excited to learn about bariatric and metabolic surgery and newer devices by Drs. Husain and Kothari and moderated by @DrKarlNadolsky #AACE2021
Each bariatric surgery has a different expected total body weight loss with duodenal switch being highest #obesity #AACE2021 #Endotwitter Image
Bariatric surgery can reduce long-term microvascular disease #obesity #AACE2021 #Endotwitter Image
So many cool interventional bariatric procedures that can cause weight loss with many of them also showing metabolic effects like decrease in A1c and changes in hormones (ie ghrelin). #obesity #AACE2021 #Endotwitter ImageImageImageImage
Wow this is a thing...bariatric arterial embolization which trans-arterially embolizes the gastric fundus through the left gastric artery (LGA) and/or gastroepiploic artery (GEA) --- leading to lower ghrelin levels #obesity #AACE2021 #Endotwitter Image
Duodenal mucosal resurfacing promising for diabetes and improving insulin resistance but not as good for weight loss (just over 2kg weight loss) #AACE2021 #obesity #Endotwitter Image
Gastric vest with very promising results that may be close to what you would see with surgery. Clip would mimic a sleeve but it can be removed. AspireAssist is like a peg tube used to remove food already eaten...with effective weight loss #AACE2021 #obesity #Endotwitter Image
Intragastric balloons although effective for weight loss over time can cause a lot of symptoms and discomfort in that first 1-2 weeks after placement. Early removal rate 3-19% #obesity #AACE2021 #Endotwitter ImageImage
Jejunal bypass liner -- food on inside and pancreatic secretions on outside of liner leading to less absorption = weight loss and DM control --- down side is possible AE of hepatic abscess, GI hemorrhage and perforation #AACE2021 #Endotwitter #obesity Image

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More from @lissabauer

May 13, 2022
Excited to hear this talk about Time-Restricted Diets by Dr. Grajower moderated by @theweightmd I'll try to share what I learned #AACE2022 #endotwitter
What are time restricted diets? We are using intermittent fasting incorrectly -- most are actually doing time restricted eating
Read 5 tweets
May 13, 2022
Let's hear The Evidence For and Against Combination #Thyroid Hormone therapy by Dr. Bianco #AACE2022 #Endotwitter. This conversation is controversial here are some of the main slides
Patient's on Lt4 reporting a lot of residual symptoms in energy, cognition
Normal physiology the majority of thyroid hormone production is T4 (16:1 T4:T3) and gets converted peripherally to T3 (5mcg made in thyroid, 25mcg made peripherally)
Read 9 tweets
May 13, 2022
Now to talk about Phosphatonins and #phosphorus metabolism/bone disease by Dr. Kumar moderated by @sfeirjad...I'm ready to learn since admittedly I know little of this #AACE2022 #Endotwitter #bone Image
Why bother about phosphorus? Well it plays many roles in cellular signaling and maintenance of membrane structure of #bone. Low concentrations associated with rhabdo, decreased cardiac function and bone dysfunction (#osteomalacia, #rickets). low and high phos causes bone disease ImageImage
High Phos Concentrations are Associated with CV Disease and Excess Mortality in CRF and decreasing levels reduces CV mortality ImageImage
Read 12 tweets
May 13, 2022
Starting day 2 #AACE2022 with @ArchanaSadhu talking to us about #diabetes technologies in 2022 #endotwitter
Look how far we have come in #diabetes technology and there is still a lot more to go #AACE2022. #CGM technology has been a game changer and the accuracy continues to improve with each generation
So what's new in the pipeline for #diabetes technology? Let me tell you starting with #dexcom G7. It will be smaller with a better MARD, better warm up and ALL-IN-ONE applicator and transmitter! Just pending FDA review #AACE2022 #endotwitter #medtwitter
Read 11 tweets
May 12, 2022
The third lecture of the series of NAFLD by Dr. Cusi - Fatty liver guru -- presenting on Current and future treatments
Pioglitazone decreases visceral fat (liver fat, CV fat, muscle fat) but increases SQ fat. Effective at decreasing NASH and fibrosis
Read 8 tweets
May 12, 2022
Diagnostic tools for diagnosis of #NAFLD and complications by Dr. Lomonaco #AACE2022 #endotwitter
#NAFLD has effects on other conditions including DM, CVD, CKD etc due to increased hyperinsulinemia, insulin resistance, proinflammatory factors etc
How do we screen for #NAFLD and find the ones with fibrosis? A lot will be missed if just checking transaminases. FIB-4 and NFS is a better screening tool
Read 8 tweets

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