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 β’ 5 tweets β’ 4 min read
β Transplant immune suppression failure from St John's Wart
β Kidney stones from high dose vitamin C
β Blunted response to platinum-based chemo due to antioxidant supplement
βοΈ Hypercalcemia and falls from high dose Vit D
β Diarrhea from magnesium supplements
β Chronic insomnia from a supplement secretly containing banned stimulants
β Liver failure requiring transplant from a contaminated herbal product
β Antibiotic AND thyroid supplement failure from crazy iron use
May 17, 2021 β’ 16 tweets β’ 7 min read
1/ Forget COVID for a sec! Come read about ππ±ππ’π€π¦π£π°π΄π 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.
Letβs dive in𧡠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 β’ 10 tweets β’ 4 min read
1/ The message is consistent: Variants are causing more severe infection in younger people.
Youβve 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. π§΅
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 βfrequent hikesβ to βneed to catch my breath halfway up a flight of stairsβ is a common complaint.
Man I suck at titles.
π§΅
2/ Let's start with 2 summaries. All sources at the end.
π§π;ππ₯ #π - 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,π·, or medical help if you're sick. E.g. β¬οΈ
Jan 1, 2021 β’ 8 tweets β’ 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: βSome reasons I'm cautious with supplements and would rather you get the nutrients in your diet"
Rolls off the tongue, I know.π§΅
1) The largest trials of antioxidant πshowed they donβt β¬οΈrisk of cardiovasc events, diabetes, cancer, or cognitive decline.
Some showed β¬οΈhemorrhagic stroke and prostate cancer, but itβs inconsistent.
