TheLiverDoc Profile picture
Mar 25, 2023 16 tweets 7 min read Read on X
1/
Breaking: Our new peer-reviewed paper is out. It may anger you, make you sad or even numb you.

During the start of the pandemic, various governments published national guidelines on management of #COVID19

Guidelines from India was unique.
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Apart from featuring science-based data, it also featured prevention and treatment options for Covid from The Ministry of Ayush, the apex pseudoscience promoter in the country.

Ayush stands for Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homeopathy.
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None of these "guidelines" were based on empirical evidence, none based on clinical trials & efficacy/safety of traditional practices against a pandemic of extreme proportions remained unknown.

Because it was promoted by major authorities, people fell for it.
4/
People fell for the "natural & safe" ways to combat Covid-hook, line & sinker

But didnt realize is that unscientific ways of health-seeking behavior always come with a price

Which is what we show in our new paper, out in Medicine®, published by Lippincott Williams & Wilkins
5/
Ayush industry used the scientifically-sounding, but rationally deprived and illogical word "immune-boosting" to trick people into believing that herbal and dietary supplements could help people combat Covid.

Patients with chronic disease are always easily tricked into...
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...using short-cuts to "boost" their health, in the presence of growing science-denialism and anti vaccine movements across the country.

In our study, we looked at cirrhosis patients who availed "immune boosting" to prevent Covid and describe their outcomes.
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Close to 10% of STABLE cirrhosis patients who used immunity boosting developed severe and progressive liver failure and associated complications.

Most developed jaundice, fluid in abdomen and developed brain failure.

42% of these patients DIED without a liver transplant.
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The most common used immune-boosting was Ayurvedic, followed by Homeopathy.

Agents causing severe liver injury were:

Giloy
Ashwagandha
Turmeric
Neem
Indian goosberry (Amla)
Holy basil (Tulsi)
Arsenic trioxide

Both traditional and company (Patanjali) made preparations.
9/

We also analyzed products that we retrieved from some patients and found that they contained direct liver toxic plant chemicals such as glycosides, terpenes, coumarans and also insecticides, pesticides and industrial solvents.
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We also performed liver biopsies of patients who consented to the same and found that their already weakened liver had large areas damaged and devoid of liver cells due to severe inflammatory damage from multi-herbal insults on the liver.
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Our paper signifies the importance of scientific communications in public health.

All the patients who died in our study would have been alive if they did not opt for such unscientific practices which were promoted by supposed health regulators and also print & visual media.
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With the Indian Govt's plans to "integrate" pseudoscientific primal practices into modern medicine, we can only expect more of disease burden among the Indian patient and general community in coming years - most of them ending up as data on studies like this. Great tragedy.
13/
There is no role of unscientific promotion of healthcare among the public how much ever it has traditional, cultural or nationalistic values.

Medical science is the method closest to the truth and requires scientific temperament in its promotion, communication & acceptance.
14/

Many thanks to @arifhussaintm and Vaid. Resmi R for their uncompromising work on collating and collecting the data from a large database of patients.

You can read our full paper and all analytical data at this link.

journals.lww.com/md-journal/Ful…

#Medtwitter #LiverTwitter
Post script:

All the Ayurveda and Homeopathy sympathizers and pseudoscience apologists commenting on this thread twisting and misinterpreting facts about Covid vaccines, use of steroids and other scientifically proven methods that saved millions worldwide, including themselves… twitter.com/i/web/status/1…
This is what science-illiteracy and blind-faith nationalism on steroids look like.

Dont be like them.

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More from @theliverdr

Apr 20
Breaking: Our exhaustive paper on liver toxicity of various herbs/ plants used in Ayurveda, Naturopathy, Unani, Siddha and Homeopathy (Ayush) systems of alternative medicine is out now (free to read)
with @arifhussaintm

This paper was initially an invited paper by an Indian journal. The reviewers and Editorial board rejected the "invited" paper because they thought the paper was "too critical" of traditional, cultural and religious [unscientific] aspects of healthcare practice among Indian community and feared backlash from the alternative systems regulatory body (Ayush Ministry) and Ayurveda and Homeopathy practitioners & their organizations of they accepted their own "invited" paper.

The Indian medical science community is now hostage to it's unscientific past due to a deepening lack of scientific temperament among doctors, worrying knee-jerk response style assault from the alternative medicine industry/practitioners/regulators and general apathy towards patients & public health. It's disappointing.

Since they were spineless to publish our factual paper, we sent this to a neutral journal for peer review (which is got through) and paid open access publication fee, so that everyone could read it for free.

Please read and share this important paper which educates physicians on herbal liver toxicity from seemingly benign plant sources which they need to be aware of.

The subsequent posts also highlights infographics summary of various toxic Ayush-based botanicals that are increasingly reported to harm public and patients.

Thanks in advance, and I hope doctors in India start fearlessly respecting science rather than intentionally embracing ignorance & selfishly covering up themselves in a safety bubble, thereby endangering public health in the process.journals.lww.com/md-journal/ful…Image
Continued: Summary on Tinospora cordifolia (Giloy) Image
Continued: Summary on Withania somnifera (Ashwagandha) Image
Read 7 tweets
Apr 13
The classical response from Ayurveda practitioners or Ayurveda sympathizers (and other alternative medicine practitioners) when debating the role of alternative medicine in healthcare is to "go and study Ayurveda or read Ayurveda" to understand it better. This is a logical fallacy, a kind of escapism. Dr. Kanojia here, has not read the Ayurvedic texts, which is why, he keeps fielding for Ayurveda.

India has a 5 year teaching course for students for Bachelors in Ayurvedic Medicine and Surgery called BAMS.

I have the complete syllabus collection of all curriculum approved text books of Ayurveda in my home library. I spent almost two years reading every single book taught in BAMS syllabus.

Classical Ayurvedic teaching material is rich in misogyny, nauseatingly magical thinking, extreme levels of animal cruelty and meat eating, primitive observations, primal herbal and interventional therapies and principles of practice based on obsolete humoral and elemental theories of disease formation and diagnosis.

For example:

For treatment of large tumors, honey was applied over the growth, flies are allowed to lay eggs on the tumor and the maggots are allowed to eat the tumor from within. The residual tumor is then burned off.

For women in obstructive labor, the hips, buttocks are beaten, the lady is made to inhale smoke from burned snake skin and feathers are used for tickling.

For the treatment of tuberculosis (there was no germ theory at the time, but descriptions of emaciation in tuberculosis was observed) the patient is fed herbs and made to drink alcohol (alcohol is in fact one of the risk factors for tuberculosis as we know now) and cure is achieved by massages from "beautiful ladies."

For treatment of seizures in children, demons were considered the cause (they still teach this in the BAMS curriculum) and such demonic possessions were slayed using prayers and chants.

For treatment of diabetes (there was no knowledge of actual diabetes, it was called Premeha and there were different types of Premeha based on diet/ activity, semen quality and based on "doshas". Ayurvedic texts describe some of the causes of "diabetes" to eating meat and drinking milk. There are nearly 20 types of diabetes described in Ayurveda - which of course, is nonsense.

For treatment of sexual disorders, testicles of various types of animals were boiled with herbs and the formulation applied or drank to increase sexual prowess and to "have sex with a 1000 women."

The bottom line is, if you actually read/study the Ayurvedic texts, you'll realize how completely absurd & pseudoscientific the whole system is and you'll never vouch for it again. I am sharing some excerpts from BAMS textbooks in the subsequent post.

Do not send your children to study BAMS and of course, do not read these texts. I did, so that you dont have to. It will take you to a dark place.
Proof 1:


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Proof 2:


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Read 4 tweets
Sep 20, 2023
1 of 45

"There is a place, but it is a long journey
If there is any hope for your jaundiced father, this place holds it"

"Where is it?" - the young man enquires

"A place called Kochi"

A son
A dying father
A terrifying battle
A terrible liver disease

From Telangana to Kerala Image
2 of 45

Few months ago, Deepak, a middle aged man started losing appetite

As days progressed, he felt lethargic and every small work became a chore

Hailing from a small town and with a small family in Telangana, he was taken to a local doctor...
3 of 45

Deepak's wife, a homemaker, looked after their family with love and motherly care

Deepak was the sole bread winner, with 2 children

His daughter started medical school on hefty fees, and the son was about to join an engineering college...
Read 45 tweets
Jun 29, 2023
Number of people dead from small pox from 1900 to 1980 - THREE HUNDRED MILLION.

Number of people dead due to small pox after 1980
- ZERO. https://t.co/AyC2qFAvkp
Diphtheria

Number of deaths in 1920's before introduction of vaccine, reported annually in the United States - 13,000 to 15,000.

Number of deaths reported from 1996 to 2018 in the United States - ONE.
https://t.co/ISKQJuqHeA
Polio
Outbreak in 1916 - 2000 dead
Outbreak in 1952 - 3000 dead
Survivors - disabled for life.

Number of cases after 1994 in Western Hemisphere
- ZERO.
https://t.co/EBLgktBQPO


Read 5 tweets
Jun 6, 2023
1/
Ok some friends sent me private messages that I was harsh on Rachit. They feel that I have to correct Rachit's presumed "Busting" of my tweet content by "Busting" his tweet content on mine. So here goes. Stay for the real science friends. Image
2/
Rachit says creatine is FOR ALL but gives no evidence to back his claims and goes on to copy paste biochemistry of creatine from a Google search.

International Society of Sports Nutrition position specifies creatine use in sports & athletics only...
ncbi.nlm.nih.gov/pmc/articles/P… Image
3/
...and not in others. There is some inconclusive data in patients with muscular dystrophy and aging population, but they are not solid recommendations. In fact all recommendations are in training professionals only and not otherwise.
jissn.biomedcentral.com/articles/10.11…
Read 14 tweets
Jun 6, 2023
This is some real epic sh*t from Ankur Warikoo. So epic, that its worthy of immediate flushing.

➡️Whey protein for special populations - atheletes, sportspersons, bodybuilders, chronic liver and kidney disease ✅️

➡️Omega 3 supplements is only useful in people with high… twitter.com/i/web/status/1… ImageImage
Collateral damage. Local creatine dealer feeling the heat. Image
A Gym-bro tries to debunk the factual details I have provided (he claims "everything busted") in the tweet but instead, lands head-on, in his own epic sh*t.

I cant even understand where these science-illiterates get the brains & guts (I know they have the balls, because their… twitter.com/i/web/status/1… Image
Read 4 tweets

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