I want to THANK some of my mentors, colleagues and friends/family this thanksgiving

@drericwestman - for being a shining example of a clinical scientist
@davidludwigmd - for being a proponent of science in the face of harsh criticism

/thread 🚨
@bigfatsurprise - for opening my eyes to understanding how poor nutrition policy has effected us all

Dr. Mark Cuccuzella - for showing me that systemic change is possible
@BrianLenzkes - that values and family are more important than material things

@IMWHorvitz - for agreeing to pick up the phone & talk to me about the value of independence in medical practice 5 years ago
I want to thank my wife @rosettesmix for inspiring me investigate lifestyle change with the same passion I did the rest of medicine

Also the worlds best health coaches @AmyDee1001 & @BrianWiley_ who have personally & professionally guided me for 2+ years
I want to thank all my supporters and all my patients for standing by me and allowing me to care for them and their families!

It is truly an honor to be invited to care for someone medically and I will always take that responsibility with sacred purpose

/end

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More from @DoctorTro

23 Nov
What I wish I knew as a 350lb doctor?

❌eat all food in moderation
✅Fuck that, eat satiating real food with no limit and then if hungry eat more 🥩🍖🍗🥚🍳🥦🫑🥑🍓🍤

❌eat 5-7 small meals
✅Fuck that, if you aren’t hungry don’t eat & when you are hungry eat real food

/thread
❌breakfast is the most important meal
✅I haven’t eating breakfast in 7 years & I’ve kept 150lbs off

❌eat whole grains
✅this is just a way to get you to eat Kellogg’s & General Mills processed shit food… if they are advertising “fiber” or “whole grains” you are being conned
❌if you want chocolate or ice cream just have a little
✅either don’t have it OR if you need it find a version without sugar, plenty of low carb alternatives out there, takes some of the addictive qualities of the food out (yes and calories)
Read 5 tweets
19 Nov
THREAD:

Why I personally never took the influenza vaccine, despite recommending it to many of my higher risk patients...
I was told as a first-year, medical intern that my refusal to take the influenza vaccine was a disgrace.

I want to outline why 10 +years ago I refused the flu shot & haven't taken it since...
Around that time the previous recommendations were for the flu shots to be given to the high-risk and elderly.

After all, the shots were changed annually and there were no high-quality studies definitively showing it improved outcomes in the general population
Read 25 tweets
11 Nov
First of all, love @mackinprof work on protein

The love stops there m… THREAD
To equalize diets to some concept of “whatever works” is a lazy approach to obesity. FULL STOP.

Diets work for very specific reasons in certain individuals, not understanding those reasons needs to be states and it wasn’t

What happened instead?
Some koombaya nonsense that the efficacy of diets is based on adherence. Besides that being circular reasoning it again shifts the blame to the disenfranchised people with obesity & not the dumbfucks who portend to be experts
Read 4 tweets
28 Oct
I met a person in the gym who went to a bariatric surgeon, was evaluated by a psychotherapist, psychiatrist and then had bariatric surgery.

She lost some weight but gained it all back several years later. No one reached out to her, nobody followed up.

/thread
When I asked her why she thinks it happened, why she gained weight, she said “it’s my fault”

She said “she ate too much, maybe she was emotionally eating”

And this is basically where I lost my shit (keep reading)
They cut out her stomach, forced her to “eat the size of her palm”… they cleared her for surgery and provided no support, no clear vision of what she is up against… but they did collect fact check$

THEY did this to her, SHE WANTED HELP… and yet she says “it’s my fault”
Read 5 tweets
10 Oct
I have patient who is an 18 year old male who recovered from documented COVID & is being mandated to take 2 (?3🤔) mRNA vaccines

Can we as a profession appreciate our amazing tools & therapies (like vaccines) but still acknowledge the need for an individualized approach?
As a profession we need to be able to have honest and open discussions about the balance between population health and individualized approach.
YOU CAN STILL SUPPORT & APPRECIATE VACCINES & DO ALL OF THESE:
- acknowledge rare side effects
- acknowledge ideal populations/exceptions for a vaccine
- stand up for patient-physician shared decision-making
- not support coercive measures

Vaccines are STILL an amazing tool!
Read 5 tweets
29 Sep
🚨THREAD

Why calories NEVER mattered...

1/n
We have known as far back as 1982 that tracking calories, food logging is inaccurate & doesn’t predict weight loss

10.1093/ajcn/35.4.727.

2/n
Meta-analysis in 2008 by Harnack and French, then follow-up in 2014 from Eblel, Kiszko reviews and assesses the evidence on the effectiveness of calorie labeling at the point of purchase

"Concerns on the effectiveness of calorie labeling policies"

10.1007/s10900-014-9876-0

3/n
Read 15 tweets

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