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Apr 18 • 13 tweets • 7 min read
Received call from Karnataka colleague abt a man with severe liver failure

For weight loss & fatty liver disease, he paid 6000Rs and tuk these #Herbalife products, for 2 months

Now he is critically ill, may need a new liver

Shutting eyes in broad daylight doesnt make it night
More context:
National Institute of Diabetes and Digestive and Kidney Diseases, USA run LiverTox calls Herbalife as a "well established cause of clinically apparent liver injury"
👇
ncbi.nlm.nih.gov/books/NBK54844…
The Latin-American Drug induced Liver Injury Network has identified Herbalife products as one of the commonest causes for severe liver injury
pubmed.ncbi.nlm.nih.gov/33434654/
The Latin-American Drug induced Liver Injury Network has identified Herbalife products as one of the commonest causes for severe liver injury
pubmed.ncbi.nlm.nih.gov/33434654/
Herbalife is well known to "silence" its critics who voice their concerns regarding potential toxicities assoc with their products via @MicrobiomDigest
scienceintegritydigest.com/2020/12/20/pap…
Herbalife related liver toxicities keep getting reported from all over the world, like this one here 👇
pubmed.ncbi.nlm.nih.gov/32595263/
A recent systematic review and metanalysis showed that Herbalife still featured as one of the top agents causing liver injury along with other liver toxic agents.

read.qxmd.com/read/34307603/…
Herbalife products were also found to be associated with mania and other neuropsychiatric disorders in a recent systematic review and metanalysis of multiple studies
read.qxmd.com/read/30034348/…
Herbalife products where also found to be associated with rare but life threatening diseases of liver and it's blood vessels in a recent report concerning couple of patients
read.qxmd.com/read/27740529/…
And finally

Large scale systematic reviews have shown that Herbalife related products always feature as top causes for severe liver injuries world over.
read.qxmd.com/read/27070596/…

Time to wake up and take notice.
Herbalife related liver injury has been very frequently reported from USA even after regulatory policies where strengthened.

Herbal dietary supplements industry walks free becoz they escape proper clinical studies and testing for safety.
This goes for Herbalife too one day.
moneycontrol.com/news/business/…
You can read more on this here from my discussion with the fantastic @Examinecom where a lot of pertinent questions were answered.
examine.com/members/deep-d…

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More from @theliverdr

TheLiverDoc Profile picture
Mar 13
You heard stories of Ayurveda curing Kenyan PM's daughters blindness/saving critically ill Covid patients in ICU

Now hear fascinating story of Ayurvedic treatment for biliary atresia
(disease at birth, absence of bile ducts, cirrhosis)

Modern medicine NO CURE!
Only transplant+
This child had a normal birth, but as days passed by, he started feeding less, being lethargic, his eyes turned yellow and his stools, white

He was diagnosed on imaging and liver biopsy, with biliary atresia, a congenital disease were bile ducts do not form in the liver and+
Bile stagnates, leading to cholestatic liver injury, in the long term, leads to cirrhosis at very young age and progressive liver failure

But early on, there is a way out to prolong natural history of the disease and improve time to cirrhosis.

The Kasai procedure which can+
Read 16 tweets
TheLiverDoc Profile picture
Mar 7
1
Who doesn't love a sound sleep?

Patients wit advanced liver disease hav a major issue - poor sleep quality - either difficulty in falling asleep or, difficultly in maintaining sleep

Sedatives R strict no for these patients

Are ther natural ways to treat insomnia in general?
2
Melatonin
3 (min) to 9mg before bedtime improved
Primary insomnia ncbi.nlm.nih.gov/pmc/articles/P…
Secondary insomnia sciencedirect.com/science/articl…
Melatonin is also safe in cirrhosis, in short term ncbi.nlm.nih.gov/pmc/articles/P…

Recommended ✅
3
Valerian root
Short term use is safe in general
But no conclusive evidence that it can improve sleep, time to sleep or quality of sleep
ncbi.nlm.nih.gov/pmc/articles/P…

Recommended? ❌

Use in liver patients not studied
Valerian was shown to cause liver injury ncbi.nlm.nih.gov/books/NBK54825…
Read 10 tweets
TheLiverDoc Profile picture
Oct 11, 2021
Bitter Gourd (Karela) or Bitter Melon

For Diabetes

Every Ayurveda / Naturopathy video promotes it

Should you take it?
Is it safe?

A 🧵+
Scientific name: Momordica charantia

Used as hypoglycemic agent for lowering blood sugar in diabetes patients in traditional medicine

Evidence for bitter gourd reducing glucose levels is PREDOMINANTLY from cell and animal based studies

ncbi.nlm.nih.gov/pmc/articles/P… +
Validated, replicated & properly powered high quality clinical trials are lacking

meaning,

actual evidence for Karela juice/extracts is not present in medical literature

most of the videos/recommendations r based on flimsy foundational level evidence and appeal to tradition +
Read 14 tweets
TheLiverDoc Profile picture
Jul 8, 2021
Patient has psoriasis vulgaris

Modern med long term treatment

Hears Ayurveda can cure psoriasis - no steroids, no harm, completely safe

Meets Ayurveda person who gives 3 wks treatment

Treatment includes sitting and bathing in a special oil once daily for 1 hr

1/4
First oil bath skin erupts into red boils, blisters, fever

Husband calls Ayurveda guy who tells him during treatment, Kapha-Pitta-Vata gets balanced, disease worsens then improves

Body is getting detoxed, bad stuff out

3rd day patient bed ridden, dehydrated with low urine

2/4
Husband frantically calls Ayurveda guy

He says, in some balance takes longer

'But, my wife is bed ridden and not able to get up
Eating very little'

Call me back, says Ayurveda guy

He calls back, phone switched off

3/4
Read 4 tweets
TheLiverDoc Profile picture
Jun 19, 2021
1/5
 Wow
My mind is blown

Ayurveda's classical teaching from Charaka Samhita mentions
WHEN A DOCTOR MUST NOT TREAT A PATIENT

From Panchakarma, Sidhi Sthana

Sit back, think why this nonsense is still allowed in India

This is causing radicalization
⬇️

#medtwitter #science
2/5
 Ayurveda Physician must not treat a patient who is

Cowardly
Fickle minded
Does not respect authority
Whom authority disrespects

🙏
Real science embraces all, everyone, even the incarcerated and is truly apolitical and is not ideally controlled by authority
3/5
 Ayurveda Physician must not treat

Grieving patients
Patients who DONT BELIEVE IN GOD
Who are dying, end of life

🙏
Ayurveda does not believe in treating persons when they need help the most / doesn't treat atheists! / and has NO PRINCIPLES FOR PALLIATIVE CARE. Shameful
Read 5 tweets
TheLiverDoc Profile picture
Jun 18, 2021
Just finished a fiery @Clubhouse talk on
Is Ayurveda a pseudoscience?

Included Ayurveda vaidyas also

Salient points:

Can Ayurveda diagnosis a disease - No
Ayurveda can only describe symptoms

How does Ayurveda differentiate between viral hepatitis A/B/C
Ans: It cannot😑

1/5
How does Ayurveda identify a cough due to pneumonia versus lung cancer?

Ans: Through pulse method, past history, clinical questioning, energy imbalance types

But how does it confirm it is infection versus cancer?
Ans: It cannot, Ayurveda only treats it as cough😐

2/5
Ayurveda has pathology.
Do not say that it has no pathology.

Ok, how does Ayurveda confirm liver nodule is simple cyst versus liver cancer or a spread from another cancer?

Ans: Pulse method, questioning, energy imbalance types

But how is it confirmed?
Ans: It cannot😶

3/5
Read 5 tweets

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