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Chris Palmer, MD Profile picture
@ChrisPalmerMD
May 24 • 3 tweets • 2 min read Twitter logo Read on Twitter
What causes auditory hallucinations, persecutory delusions, thought broadcasting, and insomnia?

In this case, it was vitamin B12 deficiency.

How often do we just diagnose it as schizophrenia and call it a day?

#BrainEnergy

psychiatrist.com/pcc/medical/me…
Rates of B12 deficiency were estimated to be 47% in this north Indian population.

How many people diagnosed with schizophrenia in this population actually just had B12 deficiency?

If there was even one, that person's life has likely been ruined.

journals.lww.com/indjem/Fulltex…
ANYONE who has these symptoms has a REAL medical problem.

It's a metabolic problem in their brain that needs to be identified and treated.

It's not rocket science... it's neuroscience! (love this quote from @MasinoSusan)

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More from @ChrisPalmerMD

Chris Palmer, MD Profile picture
Jan 4
When providers talk to people about changing their health behaviors— eating less or exercising more—they often get similar answers: “It’s too hard,” or, “I don’t have enough energy.” 🧵
These answers are almost always met with strong disapproval. They are viewed as excuses for laziness, or signs of not taking the issue seriously enough, or of a lack of discipline.
But is it possible that instead of being excuses, answers like “It’s too hard” and “I don’t have enough energy” are actually clues giving us important information?
Read 6 tweets
Chris Palmer, MD Profile picture
Dec 29, 2022
Defining what "dysfunction" means is difficult and has been a challenge to scientists; it can mean very different things in different research studies. 🧵
The same can be said for cars. If a car is “dysfunctional,” what does that mean? It could mean that the engine sputters when traveling down the highway.
It could mean that a tire is flat, and the car can’t move along the road as easily. It could mean that the lights and the turn signals aren’t working.
Read 8 tweets
Chris Palmer, MD Profile picture
Dec 27, 2022
Let’s talk about #mitochondria and #mentalhealth. Specifically, mitochondrial dysfunction…

Mitochondrial dysfunction is the term most frequently used to describe impairment in mitochondrial function. 🧵
The diseases and illnesses that have been associated with mitochondrial dysfunction are widespread, and the list includes almost all of the psychiatric disorders.
It also includes the metabolic and neurological disorders such as obesity, diabetes, cardiovascular disease, Alzheimer’s disease, epilepsy, many cancers and Parkinson’s disease, and more…
Read 9 tweets
Chris Palmer, MD Profile picture
Dec 26, 2022
A #health lesson 🧵

If a plant isn’t thriving, you should give it more water, right?

Well… yes, sometimes.

Less water?

Well… yes, sometimes.
Maybe try more sunlight?

Well, yes, sometimes.

Less sunlight?

Well, yes, sometimes.
What about fertilizer?
Insects?
Mold?
Etc?

You see… there isn’t a one-size-fits-all solution to plant health.
Read 4 tweets
Chris Palmer, MD Profile picture
Nov 30, 2022
Ready for a quick #science lesson? 🧵

In your body, energy needs to be produced in the right amount, in the right place, at the right time, and it goes through an unimaginably fast recycling process that involves #mitochondria.
The #mitochondria that aren’t moving appear to stay in places where things are always happening—either near factories where proteins are made (ribosomes) or synapses where there is a lot of activity, which is a very important fact relevant to how the #brain functions.
Researchers looking at #braincells under #microscopes have known for decades how to identify where the synapses are—they look for the mitochondria.
Read 7 tweets

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