I talk about drugs, diseases, drugs, misinformation, and drugs. Opinions mine and not particularly good.
Dec 28, 2022 • 7 tweets • 2 min read
This is your periodic, completely random recommendation to not let a chiropractor touch your neck.
Bonus comment: (Actual) medicine is a balance of risks and benefits.
If your intervention has no proven benefits, then any risk is unacceptable.
Mar 5, 2022 • 5 tweets • 4 min read
⭐ Transplant immune suppression failure from St John's Wart
⭐ Kidney stones from high dose vitamin C
⭐ Blunted response to platinum-based chemo due to antioxidant supplement
⭐️ Hypercalcemia and falls from high dose Vit D
⭐ Diarrhea from magnesium supplements
⭐ Chronic insomnia from a supplement secretly containing banned stimulants
⭐ Liver failure requiring transplant from a contaminated herbal product
⭐ Antibiotic AND thyroid supplement failure from crazy iron use
May 17, 2021 • 16 tweets • 7 min read
1/ Forget COVID for a sec! Come read about 🌟𝘱𝘭𝘢𝘤𝘦𝘣𝘰𝘴🌟 instead.
Is placebo effect as powerful as some suggest?
Not really.
But it's surprisingly consistent, & that has important implications in medicine.
I dug up an old student presentation on them.
Let’s dive in🧵 2/ The term was 1st used in medicine in the 1800s: Treatment "adapted more to please than to benefit".
Even then, the importance of suggestion/placebos/bedside manner/whatever you call it was known to be tremendously important.
Apr 5, 2021 • 10 tweets • 4 min read
1/ The message is consistent: Variants are causing more severe infection in younger people.
You’ve seen the stories of 30-40 year olds in the ICU, on heart/lung machines, and dying.
So from a rehab hospital, let me tell you about some of the survivors. 🧵
2/ We see #COVID19 survivors of all ages. Early 30s to late 90s.
- Severe cases often have some lung injury.
- Many develop heart issues or have existing ones worsen.
- Going from “frequent hikes” to “need to catch my breath halfway up a flight of stairs” is a common complaint.
Man I suck at titles.
🧵
2/ Let's start with 2 summaries. All sources at the end.
𝗧𝗟;𝗗𝗥 #𝟭 - For most people, it's safe to take anywhere from 200 to 4000iu of Vit D/day.
We just don't want ppl to think these pills are an alternative to social distancing,😷, or medical help if you're sick. E.g. ⬇️
Jan 1, 2021 • 8 tweets • 5 min read
When pts ask me why I'm skeptical of #supplements by default, I give examples to highlight the lack of regulation+data. I wrote some here.
Title: “Some reasons I'm cautious with supplements and would rather you get the nutrients in your diet"
Rolls off the tongue, I know.🧵
1) The largest trials of antioxidant 💊showed they don’t ⬇️risk of cardiovasc events, diabetes, cancer, or cognitive decline.
Some showed ⬆️hemorrhagic stroke and prostate cancer, but it’s inconsistent.
