Physician | Personally lost 150lbs | 60,000lbs! lost in Nationwide Medical Practice | Director @theSMHP | Host @LCMDPodcast | Married @rosettesmix
24 subscribers
Nov 5 • 14 tweets • 3 min read
🚨 THREAD ON WEIGHT LOSS & EXERCISE 🚨
Many patients ask me about exercise for weight loss, and getting toned.
We are often advised to exercise, however, if we are severely overweight this can be quite challenging.
I typically advise patients to focus on fixing the diet first and forgo exercise for the first 6-8 weeks of any weight loss plan. if your diet isn’t in order & your appetite isn’t controlled, exercise will increase appetite and likely stall weight loss.
Sep 17 • 10 tweets • 2 min read
After helping thousands of patients lose weight, here’s my advice for those looking for lifelong, sustainable life changes. These are the “5 MUSTS” anyone trying to lose weight lifelong NEEDS to do.
🧵/Thread
Before you understand my “5 musts”, simply ask yourself -what are the side effects of your prior weight loss attempts- NOT your reasons, NOT what you want to happen, what went wrong, what made you stop?
Aug 20 • 13 tweets • 4 min read
🚨THREAD
Why calories NEVER mattered...
Summary:
Poorly calculated
Don’t quantify hormonal effects on appetite
Labels/Tracking don’t effect intake
Worse outcomes vs. dieting
Follow along with this fully cited thread 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
Aug 6 • 12 tweets • 3 min read
I have a serious problem with the term “pre-diabetes.”
The prefix “pre” is used to describe what comes before something.
In reality, “pre”-diabetes is actually AFTER or “post” 15 years of the high insulin levels & inflammation associated with the modern lifestyle.
Prediabetes is usually diagnosed by checking an a1c level, which is the percentage of hemoglobin that binds to sugar as a percentage of normal hemoglobin.
If you a1c is between 5.7 and 6.4, you are considered to have “pre-diabetes”
Jul 23 • 21 tweets • 4 min read
There are 5 types of hunger that ideally should be taught to all patients with obesity
Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against
So Let’s start!
We are going to start with some easy ones…
The Cephalic phase response aka food cues - this is hunger stimulated when in presence of food.
These signals are deeply ingrained and can be conditioned
Think of Pavlov & commercials - these aren’t going away quickly or ever
Jul 16 • 13 tweets • 2 min read
How statisticians and researchers arrived at the conclusion that the BlueZones are a FRAUD. 🤔
🔑 Thread with key excerpts
1/n
“When these states transition to state-wide birth registration, the number of supercentenarians falls by 80% per year“
2/n
Jul 9 • 21 tweets • 5 min read
🚨 Thread on LDL Lowering & low carb🚨
How I approached high LDL in my patients, and how we observed a DECREASE in LDL of 480mg/dl !!!!
About my published case-series of 5 patients and clinical experience with thousands of patients …
(1/20)
As data supporting low carb diets has proliferated for weight loss, diabetes, seizures, mental health and other conditions, patients are now presenting with various issues related to the diet
2/20
Jul 2 • 10 tweets • 2 min read
THREAD: 🧵
CGMs - continuous glucose monitors
Having looked at 10,000+ CGMs let me tell you what you will learn...
1/9
Lesson 1: Hidden carbs are everywhere
- you will find hidden sugar & carbs everywhere.
You didnt know you could find carbs/sugar but you will:
hotdogs, sausage, beef jerky, spices, condiments, sauces, soups, broths, basically everywhere you didnt look.
2/9
Jun 20 • 11 tweets • 6 min read
THREAD ALERT 🚨
I love the curious & creative thinkers, the patients who question everything, b/c answering these questions makes me a better educator & confirms my commitment to lifelong learning & shared decision-making
1/10
I don't “kick patients out” for presenting difficult questions… a cruel, yet common, practice among paternalistic/authoritarian doctors... I instead embrace the questions
I use them as an opportunity to dig deeper, understand more and understand better.
2/10
Jun 13 • 15 tweets • 3 min read
🚨 THREAD ON WEIGHT LOSS & EXERCISE 🚨
Many patients ask me about exercise for weight loss, and getting toned.
We are often advised to exercise, however, if we are severely overweight this can be quite challenging.
I typically advise patients to focus on fixing the diet first and forgo exercise for the first 6-8 weeks of any weight loss plan. if your diet isn’t in order & your appetite isn’t controlled, exercise will increase appetite and likely stall weight loss.
May 16 • 21 tweets • 5 min read
How to INCREASE your low testosterone?
Thread 🧵
Testosterone is a steroid, anabolic hormone made in the testes and ovaries
May 9 • 10 tweets • 2 min read
After helping thousands of patients lose weight, here’s my advice for those looking for lifelong, sustainable life changes. These are the “5 MUSTS” anyone trying to lose weight lifelong NEEDS to do.
🧵/Thread
Before you understand my “5 musts”, simply ask yourself -what are the side effects of your prior weight loss attempts- NOT your reasons, NOT what you want to happen, what went wrong, what made you stop?
May 2 • 5 tweets • 2 min read
🚨 THREAD 🚨
GALLSTONES & GALLBLADDER DISEASE
Everything you need to know about gallstones as it relates to diet and dietary composition.
👇🏻👇🏻👇🏻👇🏻👇🏻
In the obese during rapid weight loss from a very low-calorie diet, a relatively high fat intake could prevent gallstone formation, probably by maintaining an adequate gallbladder emptying, which could counterbalance lithogenic mechanisms
🔔 10 woke takes from the world of Modern Medicine in 2024 🔔
1) climate change is more important than human nutrition 2) obesity is genetic disease that requires drugs 3) obesity is healthy & should be embraced 4) diets don’t work, carbs are good, meat is bad 5) masking kids prevents death & causes no harm 6) any living thing needs 9-10 COVID shots, especially pregnant women & young children 7) COVID shots prevent long COVID & myocarditis 8) DNA & chromosomes don’t mean much, they are fluid, so is biology 9) the AMA covering the ethics of banning meat & NEJM covering climate change is more important than the diabesity epidemic 9) take drugs for every chronic disease 10) luck charms is healthier than eggs
People wanted context - lie 1
1) “Meat is unhealthy”
Meanwhile it’s associated with improved mental health, improved bone and muscle health and newer studies like that from PURE show that excluding it is bad for mortality
Mar 14 • 21 tweets • 4 min read
There are 5 types of hunger that ideally should be taught to all patients with obesity
Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against
So Let’s start!
We are going to start with some easy ones…
The Cephalic phase response aka food cues - this is hunger stimulated when in presence of food.
These signals are deeply ingrained and can be conditioned
Think of Pavlov & commercials - these aren’t going away quickly or ever
Mar 7 • 13 tweets • 2 min read
How statisticians and researchers arrived at the conclusion that the BlueZones are a FRAUD. 🤔
🔑 Thread with key excerpts
1/n
“When these states transition to state-wide birth registration, the number of supercentenarians falls by 80% per year“
2/n
Feb 29 • 9 tweets • 2 min read
THREAD: 🧵
CGMs - continuous glucose monitors
Having looked at 10,000+ CGMs let me tell you what you will learn...
1/9
Lesson 1: Hidden carbs are everywhere
- you will find hidden sugar & carbs everywhere.
You didnt know you could find carbs/sugar but you will:
hotdogs, sausage, beef jerky, spices, condiments, sauces, soups, broths, basically everywhere you didnt look.
2/9
Feb 15 • 11 tweets • 6 min read
THREAD ALERT 🚨
I love the curious & creative thinkers, the patients who question everything, b/c answering these questions makes me a better educator & confirms my commitment to lifelong learning & shared decision-making
1/10
I don't “kick patients out” for presenting difficult questions… a cruel, yet common, practice among paternalistic/authoritarian doctors... I instead embrace the questions
I use them as an opportunity to dig deeper, understand more and understand better.
2/10
Jan 24 • 8 tweets • 4 min read
🧵 Thread on why low carb diets should be first line for obesity, hypertension, diabetes & metabolic syndrome
✅Diabetes:
In a randomized study he demonstrated that a 🥩 ketogenic diet was superior to a Mediterranean diet 🌱 at lowering the need for diabetes medications 💊
Let me take you through some examples of how medicine has 🛑 STOPPED becoming about getting people healthy & more about 💩 politics
Chronic disease like obesity, metabolic syndrome & diabetes continue to explode
Mental health is a crisis & your doctors care about👇🏻
“Meat is unhealthy”
Meanwhile it’s associated with improved mental health, improved bone and muscle health and newer studies like that from PURE show that excluding it is bad for mortality
Oct 7, 2023 • 21 tweets • 5 min read
How to INCREASE your low testosterone?
Thread 🧵
Testosterone is a steroid, anabolic hormone made in the testes and ovaries
