1. This seems to be true.
A recent extensive review of studies done in geographies with maximum 100+ aged people showed that most of them practiced some form of calories restriction (CR) right from childhood. #fasting#Longevity#MedTwitter
2. Calorie restriction (CR) is defined as consuming fewer (10-30% lower) calories as compared to usual.
This can be achieved by either intermittent fasting, or time-restricted feeding or substantially reducing carbohydrate intake. #nutrition#HealthyEating
3. In ageing, #Insulin increases and insulin sensitivity decreases, which increase the risk of #diabetes, #obesity and #cardiovascular diseases. CR reverses these- reduces insulin levels and increases insulin sensitivity. #Glucose levels also reduce with CR.
4. CR causes a shift from carbohydrate to fat metabolism, leading to fatty acid oxidation and ketogenesis. Iso-caloric #ketogenic diet is known to increase longevity.
5. CR causes lowering of T3, with no changes in T4 and TSH levels. This is associated with longevity. In a study, people with low-normal #thyroid hormone levels lived 3.5 years longer than people with normal-high thyroid hormone levels.
6. CR has anti-inflammatory effects. Several markers of inflammation reduce after CR. Inflammation is the leading cause behind several serious diseases such as heart attack, stroke, cancer, Alzheimer's disease and Parkinson's disease.
7. CR has favorable effects on gut microbiome. CR promotes probiotic species and reduce proinflammatory species in the gut.
8. Summary-
Nutrition plays a major role in increasing lifespan. Calorie restriction is the most important of all.
For maximum benefits, CR should be started right from early childhood (school going age).
9. Caution: CR may not suit all. Those who are already underweight, or suffer from serious diseases, are old, or are at risk of sarcopenia (muscle loss) should be careful while starting CR. Those indulging in high volume exercise should also exercise caution in limiting calories
Examining pulse of a patient with “MOTOR NEURON DISEASE” helped me find a cure
1.Motor neuron disease (MND) or amyotrophic lateral sclerosis (ALS), is a progressive neurological disease causing severe weakness and wasting of muscles. It has no cure and results in death in most.
2. A 50-year old man consulted me 6 months ago for a second opinion. He had complaints of difficulty in swallowing, slurred speech, weakness and wasting of muscles of arms and legs, which had progressed over previous 9 months. #MedTwitter#neurotwitter#ALS#MND
3. He was seen by neurologist and after needle electromyography; diagnosis of ALS was made. In view of grave prognosis, patient wished for second opinion. On examination, he had muscle fasciculation, wasting of tongue, arms and leg muscles. Deep tendon reflexes were exaggerated.
Intermittent #fasting (IF) results in remission (A1C<6.5%) of type 2 #diabetes (T2D)
1. According to a recent trial on IF in people with T2D, 47% achieved remission at 3 months and 44% were still in remission at one year. #MedTwitter doi.org/10.1210/clinem…
2. Group following IF had 5.9 kg #weightloss at 3 months, as compared to only 0.3 kg weight loss in the control group.
3. This study presented a novel type of intermittent fasting. The intervention consisted of 6 cycles (3 months) of 5 fasting days followed by 10 ad libitum days, and then 3 months of follow-up (with no fasting days).
A woman who had a constant urge to move her right leg while sitting or lying down
1. 42-year old woman consulted me last month with complaints of constant urge to move her right leg for past 12 years. Symptoms occurred mostly in evenings and nights. #MedTwitter#neurotwitter
2. She would develop crawling sensation and discomfort in right leg while sitting for long or lying down, which would go away only after she jerked or vigorously shook her leg.
She remained reasonably well during the day.
3. These symptoms occurred on daily basis causing sleep disturbance (she could #sleep only 5 hours at night).
She felt tired during day and found it hard to concentrate.
She was unable to sit for long while travelling or during meetings during daytime.
Sharing a few tips that could enrich doctor-patient relationship 1. I saw my first patient in 1994. During past three decades, I have learnt a lot from my patients while interacting with them. These tips could help younger doctors who have recently started this amazing journey.
2.Listen to patients: The clues to diagnosis often lie in patient’s history. Moreover, if patients are properly heard, they feel satisfied. Occasional chronic patients may have thick files; it is still worthwhile letting them narrate the story, especially if it is the first visit
3. If patient requests for a test, accept it, even if the chance of it being abnormal is low. Patients understand their body well, and you will be surprised to find an abnormality in the test they wanted and you felt it was not needed. #MedTwitter#doctors
When an old woman started speaking in a "foreign" accent all of a sudden 1. About a year back, a 70-year old woman was brought by her son to my OPD. As per him, she had started to speak Telugu in an "American" accent, since waking up that morning. #MedTwitter#NeuroTwitter
2. She was illiterate, had no relatives or friends from USA and had never travelled to USA.
She had been confined to home for several months due to Covid lockdown and her son took her to a #psychiatrist, thinking she had developed this #Speech#abnormality due to stress.
3. Psychiatrist could not find any behavioral disorder and wanted a neurologist opinion.
Clinical examination revealed a problem with her speech. It was slow, and she had difficulty in clearly pronouncing words. It felt as if she was speaking Telugu in an American English accent
1. Endometriosis is a common cause of #pelvic#pain and is known to increase the risk of #coronary artery disease (CAD). A recent study looked at the association of endometriosis and stroke. #MedTwitter#gynecologist
2. Women with laparoscopically confirmed endometriosis had a 34% greater risk of stroke as compared to those without a history of endometriosis.
3. Of the total association of endometriosis
with risk of stroke, the largest proportion was attributed to hysterectomy/oophorectomy (39% mediated) and hormone therapy (16% mediated).