Why am I so passionate about convincing armchair scientists that glycemia is mediated by carb intake & not weight loss?

There are HUGE implications for every patient w/diabetes on insulin, pre-surgical patients, & those embarking on lifestyle change who want quick biofeedback
The fact that SO MANY medical organizations are wrong speaks to serious problems with our ability to understand and interpret science on a SYSTEMIC level

The fact that low carb diets were only recently added to the ADA supposed healthy eating patterns is a testament to this
While I take great pride in questioning authority, thinking independently & challenging status quo, my motivation here is to JUST correct what is wrong

B/c of this I have been forced to publish research which I have little desire to actually do & in the face of great criticism
But I cannot sit idly by as idiots & lemming decide what science is while they simultaneously silence and censor others.

More data will come, and it will be painful for them…

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More from @DoctorTro

1 Jul
"DIABETES IS IMPROVED ONLY WITH WEIGHT LOSS"
❌Guyunet:@whsource
❌Guess:@Dr__Guess
❌Layne:@BioLayne
❌Bass:@kevinnbass

ME:
✅YOU ARE WRONG, carb restriction accounts for 80% of excess glycemia, a1c of 12➡️6.7 w/minimal weight loss in our patients
doi.org/10.3389/fnut.2…
Follow along as we go through more:
We took patients interested in both weight loss but there primary goal was management of diabetes.

We counseled them on literally NOT tracking calories, NOT controlling portions and just lowering carbs.

And the results speak for themselves
Look at the massive glycemic changes on CGM
Read 4 tweets
28 Jun
NEW STUDY

The ADA (@AmDiabetesAssn) says to focus on weight loss, lowering calorie intake & to not worry about macronutrients & meal timing

In our study we show that IGNORING their advice results in an a1c drop of:
🚨 5.2 🚨

From a1c 11.9➡️6.7

frontiersin.org/article/10.338…
How did we achieve an a1c reduction of 5.2, WHILE discontinuing metformin, GLP1a, and insulin?

We focused on lowering carbohydrates & intermittent fasting.
Why is this case series important?

Because unfortunately, many scientists, academics, and clinicians falsely believe weight loss is necessary to improve diabetes.

THIS IS FALSE!

You can improve your blood sugar right now in days as you tackle weight loss over months to years
Read 4 tweets
24 Jun
If you look at CGMs in the supplemental, they were eating carbohydrates

She measured non adherence and just forgot to take ketone measurement.

Nowhere in the limitations was it listed, “oh these massive glycemic excursions are likely carb intake”

In fact she says the opposite
But you wouldn’t know this because you are too lazy to read the supplemental and you aren’t qualified to read CGMs.

Sorry not sorry @BioLayne
If you want to come at me bring your A game. This is not your A game
Read 4 tweets
18 Jun
I started my weight loss journey at 350lbs. I focused on diet & since my body was in constant pain all I did was walk on a treadmill or an elliptical, slow pace until my body felt good

It took a year to drop 70lbs

As my body felt better, I ramped up the weights, speed, movement
This was the transition point. About 1.5 years in and my body felt good and I stared moving. I had dropped like 70-80 and started ramping up lifting, sprinting, kickboxing
As my body felt good I gravitated to heavier lifting… but again I went from being fat and hungry to NEVER hungry through dietary insight. That was key
Read 5 tweets
18 May
Idiot interpreting fMRI results showing reward center activation from carby foods:
“They just liked it more”

Actually they have literally done euglycemic/hypoglycemic clamps w/fMRI, showing the same exact thing

LITERALLY the brain “likes more” insulin & glycemic variability
This is why it’s important to actually read papers not hot takes with affiliate codes
Forgot to leave this here @CaloriesProper
Read 4 tweets
1 May
THREAD 🚨 vaccines, medicine & my thoughts

I have such dichotomous thoughts when it comes to what’s happened over the past year in medicine.

First, I marvel at industry’s ability to mobilize & put together a truly novel/brilliant vaccine program in minimal time
... What an amazing feat to have the body create the antigen

This could truly pave the way for years of amazing therapeutics if properly tested.

But on the other hand I see the sketchiness & the malice
Mysterious organization like surgisphere literally propping up and disappearing, journals publishing outright fraud, sketchy trials purposefully over-dosing patients with therapeutics for unclear purposes, PCR thresholds...
Read 8 tweets

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