I saw a recent patient who came to me for weight loss & diabetes remission… he lost a significant amount of weight & his sugars improved but his lipids did not improve, an ensuing CAC showed a score of ~10, the patient was in his 3rd decade… I recommended a statin
I rarely prescribe statins in primary prevention but a confluence of factors leads me to believe this patients underlying dyslipidemia including high TG, low HDL & high LDL will not improve with lifestyle alone
Why do I bring this up?
🗣I believe the pharmaceutical industry is profit driven & wants the widest possible base to sell to
🗣I don’t trust medical organizations & verify guidelines myself including primary data
/contd
I think statins are widely overprescribed much like antibiotics and SSRIs are widely overprescribed because doctors would rather take the prescription pad out than sit and listen & counsel effectively
But in this case I still prescribed it.
Statin denialism isn’t a thing
/end
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I’d like to formally invite @drjkahn and @gorskon to discuss the physician’s role in vaccine uptake on our podcast @LCMDPodcast which is consistently top 10 in medicine for iTunes
I’d be happy to have either guest but preferably both!
🚨Retweet if this sounds fun🚨
We record Fridays in front of a live audience at 10am EST
So @gorskon is on a mission to weed out anti-vaxx sentiment.
Great.
But what about the countless doctors were RECOMMENDING vaccination BEFORE an EUA approval and BEFORE ever seeing FDA briefing docs or a label & then recommended to children BEFORE testing in their age group?
Everyone is after the anti-vaxx people
I think we should be going after THESE lemming parrots of doctors.
The doctors who would mandate EUA vaccination by law, the ones who believe everyone should get an EUA vaccine without outcomes studies
I’m worried about our profession’s ability to think.
Doctors believed they understood the vaccine, and yet we discovered myocarditis & VTE afterwards
Being cautious is quite reasonable for some
While still many others can’t afford to wait & should get vaxxd
Literally we had to eat mayonnaise and pita sandwiches b/c my parents were out working.
To ensure we had food, my family literally bought fast food sandwiches when on sale & froze them so we could eat if they couldn’t cook dinner.
I know my parents did their best for me. They worked tirelessly and they have done the amazing service of being an amazing example of sheer tenacity & hard-work
But this was the food environment that kept me trapped for years to come
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