Board Certified Orthopedic Surgeon. Wholesome protein-centered diet & exercise in order to reverse chronic dz at root cause, incl arthritis pain & osteoporosis
Feb 1, 2023 • 10 tweets • 3 min read
🦴 Osteoporosis 🦴
A reminder that osteoporosis prevention is more than just Calcium and Vitamin D. Even with optimal or near optimal nutrition the body requires stimulus to make bone. This stimulus comes in form of weight-nearing exercises.
I believe most of us don’t get enough vitamin D or perform enough weight-bearing exercises to stimulate adequate bone formation.
Jan 21, 2023 • 14 tweets • 4 min read
Health and Work Travel 🧳 ✈️
For those of you who may struggle with eating healthy in the face of being away from home for work, this thread is for you 🧵
Before your trip, I scout the area where I’ll be going. A simple online search gives me an idea of what hotels and supermarkets are in the area. I do not bother with checking out the local restaurants for planning purposes.
May 15, 2022 • 26 tweets • 6 min read
🗣 Health is not accidental and much of sickness is not accidental, either
The older I get the more I realize more and more that much (actually, almost all) of what we treat at hospitals and clinics is preventable 🧵
First realization of preventable diseases in second year medical school was during microbiology leaning about all kinds of sexually transmitted diseases. This was reinforced during pediatric adolescent medicine in 3rd year where most of what we saw in clinic was related to this
Jan 4, 2022 • 22 tweets • 4 min read
Medications and Bone Health:
A Thread 🦴🧵
Let’s discuss some medications that can have harmful effects on your bone health
(Not medical advice. Consult first with your physician prior to changing your medications)
Let’s start with the common anti-acids … #Osteoporosis
Proton Pump Inhibitors (PPIs)
These are commonly used in patients with gastroesophageal reflux disease (GERD). Examples include omeprazole, esomeprazole, lansoprazole, pantoprazole, etc.
Dec 31, 2020 • 5 tweets • 1 min read
And glycation reduces elasticity of soft tissues, including arterial walls. This, in turn, would lead to decreased vessel compliance and decreased visible superficial pulses, probably long before cardiac CT scans would show CAC.
In ortho, Advance Glycation End-Products (AGEs) is quite possibly the #1 reason why we see so many rotator cuff tears, degenerative meniscal tears, quadriceps tendon ruptures, etc in mid to older adults.
May 25, 2020 • 10 tweets • 3 min read
If you want to avoid an orthopedic surgeon at some point in your life, and don’t want lengthy, complicated advice, I have two simple principles:
1. Employ risk mitigation (this is the obvious one) : Wear seatbelts, dont text and drive, etc. (the other is not so obvious)
2. Change your diet to a #lowcarb diet for life. Why? Simple. It addresses the #rootcause or associations in most chronic diseases (obesity, high blood pressure, type 2 diabetes, coronary artery disease, many cancers, benign prostatic hyperplasia, polycystic ovarian syndrome,...
