1/ Chair: [gavel tap] “Good morning. I’m calling the first meeting of the Autism Advisory Board to order. As this is our inaugural session, there are no prior minutes to approve. Welcome, everyone.” 2/ Scene: A long federal board table. On the wall: an oversized portrait of Donald Trump, gazing sternly. Beside it, a slightly smaller photo of Robert F. Kennedy Jr..
A glass pitcher of raw milk. Shot glasses at every seat.

What we know about the newly appointed members — their backgrounds, public positions, and why several selections raise concern from a scientific and public-health consensus perspective.

Thread below. 👇 1/ Sylvia Fogel, MD — psychiatrist working in integrative, PANS-focused care.

⚠️ Caution: immune-driven autism frameworks (PANS/PANDAS) remain controversial and unproven within mainstream autism science.

1/ 🧵Tuskegee is often treated as a closed chapter in medical history.

But as discussed on Beyond the Noise, its real lesson wasn’t about the past — it was about what happens when medicine decides some lives are acceptable collateral damage. 2/ From 1932–1972, Black men with syphilis were deliberately observed but not treated — even after penicillin existed.

Families were harmed. Children were infected.

That was the Tuskegee Study.

1/ Ocean warming isn't just about rising tides; it's a menu change. As waters heat up, consumable fish are "checking out," and jellyfish are checking in. Welcome to the era of the Gelatinous Ocean. Ready for your sea-slime salad? 🌊🪼 #ClimateChange 2/ Why the shift? Jellyfish are the ultimate survivors. While fish suffocate in low-oxygen "dead zones," jellyfish thrive. They grow faster and breed longer in warm water, effectively eating the eggs of their competition. It’s a hostile takeover. 📈

1/ How does a year in space change a human? 🚀 NASA’s "Twins Study" provided a literal 1-to-1 comparison between Scott Kelly (ISS) and Mark Kelly (Earth). This wasn't just a physical exam; it was a deep dive into our biological blueprint. 🧵 #NASA #Science #SpaceHealth 2/ The biggest shock? Telomeres. These are the protective caps on chromosomes that usually shorten as we age. In Scott, they actually lengthened while in space. It was as if his cells were getting "younger"—until he landed. [Ref: Francine Garrett-Bakelman et al., Science, 2019]

Bayesian analysis isn’t anti-science. It can be powerful when used correctly.

But who controls the priors—and how they’re justified—matters more than most people realize. That’s where recent rhetoric deserves scrutiny. 2/ Recent statements by Marty Makary emphasize Bayesian approaches that incorporate “prior evidence,” even when that evidence is weak, to accelerate medical decisions. On its face, that sounds pragmatic.

A child nearly died from tetanus — a disease preventable for decades.

This thread reviews what happened, what medical standards require after such a case, and why the Oregon Medical Board ultimately revoked a physician’s license.

Facts, not ideology. 1/ CONTEXT

A vaccine-preventable disease nearly killed a child.

After recovery, vaccination was still refused — and the physician continued care without ensuring protection.

This is the context behind the claims that followed.

The new U.S. dietary guidelines represent a sharp break from decades of nutrition policy.

This thread examines what changed, what didn’t — and where evidence ends and ideology begins. 🧵 1/ This isn’t a routine update.

The new dietary guidelines represent an ideological reset — not the slow accumulation of new consensus evidence.

A viral claim says a “peer-reviewed reanalysis” shows vaccinated children are sicker across 22 chronic diseases.

This thread examines why that conclusion collapses under basic epidemiology—and what large, well-controlled population data actually show. 2/ Calling something a “study” doesn’t make it one.

The analysis behind this claim does not follow standard epidemiologic design, confounder control, or causal inference methods used in population health research.

1/ A new paper claims childhood vaccines cause autism & chronic disease, citing a “vaccinated vs unvaccinated” cohort from Henry Ford Health.

This thread explains—point by point—why those conclusions collapse under basic epidemiology. 2/ First: this is not original research.
It is a commentary published in a niche journal, reanalyzing unpublished data that has never passed independent peer review. No protocol. No preregistration.

1/ 🧠 Glymphatic Circulation

Your brain has a waste-clearance system — and it works best during sleep.

This thread explains how cerebrospinal fluid clears toxins, why sleep matters, and what happens when clearance fails. 👇 2/ Overview

The brain doesn’t have traditional lymphatic vessels inside its tissue.

Instead, it relies on a specialized system — glymphatic circulation — to clear metabolic waste from brain tissue.

1/ Extraordinary claims deserve careful scrutiny.

This thread critically reviews a Substack article alleging censorship, cyberattacks, and vaccine-cancer claims. 2/ The article claims a scientific journal was DDOS-attacked after publishing vaccine-related papers.

That’s a serious allegation. Let’s examine the evidence.

1/ 🧠 When misinformation starts with an emotional story, facts alone won’t fix it.

The goal isn’t to “win” the argument.
It’s to keep empathy visible—while gently guiding the conversation back to reality.

Here’s a framework that works. 👇 2/ When a claim starts with emotion, responding with correction alone often backfires.

Emotion isn’t the enemy—but it can’t be the guide.

Understanding this distinction is the first step to effective communication.

1/ Some medical technologies sound unfamiliar — until you realize the biology behind them is something your cells already do every day.

mRNA vaccines are one example. 🧵 2/ Cells Already Use mRNA

Every cell relies on mRNA as a temporary set of instructions.

Vaccines don’t introduce a new process — they use the same one biology already trusts.

1/ Why won’t Paul Offit debate vaccine safety—even for $50,000 or $1 million?
Because science isn’t settled by debates. It’s settled by data, peer review, and reproducibility. 2/ If you think vaccines cause harm, the path is simple:
📊 Analyze the data
📄 Publish it
🔁 Let others reproduce it

That—not a stage or a spectacle—is how scientific truth is determined.

1/ For centuries, Indigenous groups across Siberia used a striking red-and-white mushroom in rituals and ceremonies: Amanita muscaria.

Its effects were vivid, immersive — and deeply woven into winter myths, animals, and spirits. 2/ THE MUSHROOM

Amanita muscaria is not a modern psychedelic — but its effects are powerful.

Consumed ritually, it can alter perception, movement, and spatial awareness, producing visions unlike classic hallucinogens.

1/ Roald Dahl, a Lost Child, and Why This Still Matters

Before Roald Dahl became one of the most beloved children’s authors in the world, he was a father who experienced something unbearable: the sudden loss of his child.

This is not a political story.
It’s a human one. 2/ In 1962, Roald Dahl’s daughter Olivia, just 7 years old, fell ill with measles.

At first, it seemed routine.
Then came encephalitis — brain inflammation.

Within days, she was gone.

There was no vaccine available yet.

1/ GLP-1 drugs like Ozempic & Mounjaro are often framed as miracles — or disasters.

Neither is accurate.

They are powerful biological tools that override ancient survival systems.

This thread explains what they do, and what they cost, calmly and biologically. 2/ Obesity is not a moral failure.

It’s an evolutionary success.

Human metabolism evolved to survive famine, not constant abundance.

Modern hunger is biology operating in an unfamiliar environment.

1/ 🚨 RFK Jr. isn’t just “asking questions.”
He’s spent 20+ years actively undermining U.S. public health—from measles resurgences to COVID disinfo to bizarre raw milk campaigns.

Here’s a visual thread of what he’s really done to America’s health. 🧵 2/ RFK Jr. helped lead the vaccine misinformation movement long before COVID.

He called mercury in vaccines a “Holocaust” and misrepresented thimerosal long after it was removed from childhood vaccines in 2001.

1/ RFK Jr.’s choices on vaccines, “natural” foods, and modern health aren’t random.
From a forensic psychiatry lens, they reflect trauma, addiction, identity, and moral worldviews.

Let’s dive into the psychology behind his decisions 🧵 2/ Childhood Trauma

Childhood trauma matters.

RFK Jr. lost his uncle (1963) and father (1968) to assassinations.

Research shows such violent loss breeds control-seeking, distrust, and conspiratorial thinking.

This is the soil his worldview grew from.

Thread: Residual DNA in mRNA COVID vaccines — what the evidence actually shows 1/ A new peer-reviewed study in npj Vaccines (Nature Portfolio, 2025) systematically analyzed residual DNA in COVID-19 mRNA vaccines. Using four independent methods, it found no excessive DNA impurities.