🚨NEWS ALERT🚨

NYC mayor requires anyone going to a restaurant/bar to be free from obesity or diabetes

He says this “diabesity pass” is to protect personal health & also to prevent overwhelming hospital systems

Critics say these measures are punitive & discriminatory

😂
The “diabesity pass” provides free access to meat & chicken patties as well as salads, at all fast food restaurants.

The diabesity pass also provides free gym memberships and group fitness classs throughout the city.
The diabesity pass comes with a remote step counter & adds $10 to your bank account for every day you walk 10,000 steps
Just kidding…. They don’t give a shit about you they just want to give you a shot, free Krispy Kreme, free Sam Adam’s and lock you in your homes
If this is not clear - this is a joke - it’s my dark humor - in these times I find some comfort in creating eerily dystopian public health measures that are simultaneously interesting and disturbing

Hope you can deal with the sarcasm and dark humor!

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More from @DoctorTro

5 Aug
The problem here is that BAD data & poor assumptions led doctors to wrongly say that the vaccine prevents spread, this endpoint wasn’t properly tested & when breakthrough cases became clear it further eroded trust, which was already minimal given the coercion & virtue signaling
Call for vaccine mandates in the face of consecutive “discoveries” of adverse events clots, myocarditis then GBS… calls for children to be vaccinated w/o proper outcomes studies, & institutions/companies mandating a therapy with limited tested WORSENED it all.
The fact that adverse events were discovered after the approval is reason enough to at least pause and reconsider on an individual basis, the personal risk reward.

The low morbidity/mortality in children should also give pause and careful consideration
Read 6 tweets
2 Aug
Today a colleague said: tro talks against the vaccine daily

the truth is: I RECOMMEND the COVID Vaccine daily…

Typical convo:

🗣“There is a lot we don’t know, but at this point we understand COVID risk of morbidity/mortality, age/comorbidites seem to drive those risks…
/1
🗣“young & healthy could be 0.05% risk of death, >70 w/multiple comorbidites could be a 10-20% risk of death

Treatments include steroids, vit D, in some cases remdesivir, antibodies, blood thinners, aspirin

There are experimental regimens w/ivermectin

There are vaccines”
/2
🗣”The vaccine seem to reduce risk for hospitalization by 50-95%

Each of these has more issues to discuss...

What are your thoughts, what do you want to do, what do you want to hear more about? “

/3
Read 4 tweets
20 Jul
🚨 The AUDIOBOOK is here!

Get it while it lasts

Next 10 people get it free

$0.00
Only 9 left
7 left
Read 6 tweets
15 Jul
There are 5 types of hunger that ideally should be taught to all patients with obesity

Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against

So Let’s start!
We are going to start with some easy ones…

The Cephalic phase response aka food cues - this is hunger stimulated when in presence of food.

These signals are deeply ingrained

Think of Pavlov- these aren’t going away
Second up is appetite triggered by Social cues to eat

our social lives, wether they be business meetings, family dinner or birthdays

Unless you are going monk mode - this cue to eat is also not going away & requires attention to manage
Read 20 tweets
14 Jul
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
Read 4 tweets
13 Jul
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
No response from @gorskon
Read 4 tweets

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