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Richard Amerling
Natural born contrarian physician. Father. Nephrologist. Professor. Bassist. Sailor.
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Richard Amerling 3h
How did we get from Jean Paul II to a Marxist Pope?
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Richard Amerling 4h
Can lose up to a gram of sodium/hr via sweat during exercise, more in hot/dry climate. Should take in extra salt to maintain performance and to avoid cramps. Just replacing water can lead to hyponatremia.
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Richard Amerling retweeted
Kurt Lass 7h
Like obesity, HBP is a often a symptom of underlying metsyn: "...a decrease in body weight by 1 kg resulted in a reduction of systolic and diastolic pressure by 1.2 and 1.0 mmHg" "Blood pressure generally decreased before normal weight was achieved..."
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Richard Amerling 5h
Agree. Clinicians should approach HBP based on pathophysiology. Salt restriction/diuretics useful in pts with volume overload; in those with MetSyn; beta-blockers in stress-related HBP; MRAs for primary hyperaldo. Not one-size-fits-all!
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Richard Amerling retweeted
Tᕮᗪ ⚡️ ᑎᗩIᗰᗩᑎ Feb 18
Low carb diet immediately reverses fatty liver (40% of Americans) in almost no time at all, even without weight loss. I am a little bit angry that low carb is not already the standard of care for non-alcoholic fatty liver disease (NAFLD) but I will just add this to the list. 🙄
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Richard Amerling 23h
And of course reversals of junk science, like diet-heart hypothesis, or low-salt-for-all, are essential!
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Richard Amerling Feb 18
Interesting, but I think the answer is more basic science, not less. Much less bias than in clinical studies where so much invested in certain results.
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Richard Amerling retweeted
Georgia Ede MD Feb 17
Plants vs Animals: Bring It On! Today we kick off my (PL)ANTI-NUTRIENT section ;) PHYTATES (grains/legumes/nuts/seeds) OXALATES (spinach/cocoa/beets/sweet potato +more) TANNINS (red wine/cocoa/nuts/legumes/tea/pomegranates/berries + more) Follow me for daily slide share~
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Tim Noakes Feb 17
One can’t argue with these documented adverse biological effects of statins. Mitochondrial effects particularly worrying because, guess what, heart is also a muscle. Altered muscle contractile mechanics suggest statins unlikely beneficial in persons with impaired heart function
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Orchid Feb 17
Another paper - statins and exercise. let's see what the man who "helps cardiology think again" will say...
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AssocAmerPhys&Surg Feb 15
CMS actuaries estimate that Medicaid spending per beneficiary is expected to increase from $8,011 per person in 2017 to $12,247 per person by 2026.
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Richard Amerling retweeted
Tᕮᗪ ⚡️ ᑎᗩIᗰᗩᑎ Feb 16
🍩 DONUTS LEAD TO ‘DONUT’ MITOCHONDRIA 😞 “Mitochondria respond acutely to the metabolic environment by undergoing morphological and functional changes that may influence the cellular aging process.” ⬇︎ ⬆︎
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Richard Amerling retweeted
Tim Noakes Feb 16
Statins amongst the most ineffective drugs yet discovered. Current NNT for primary prevention is between 1 in 1000 (men) and 1 in 5000 (women) Rather disproves the lipid hypothesis in my opinion. Instead coronary artery disease is "diabetes of the heart".
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Richard Amerling retweeted
Tim Noakes Feb 16
Frustrating feature of modern medical education is (industry) capture of young minds during training. Without exposure to uncertainty of science, students conditioned to believe there can only be one truth - opinion of The Anointed. But Anointed are themselves industry groomed
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Dr Verner Wheelock Feb 17
The usual approach to determining dietary recommendations is to assess how much is actually needed for good health. Regrettably this was not done with sodium because of a totally unreasonable obsession with excessive intakes.
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Richard Amerling retweeted
Fat is our Friend Feb 15
are all part of an industrial supply chain where flavour modifiers and texture enhancers etc. help reformulate cheap ingredients like seed oils and processed, acellular carbohydrates to provide a quick taste hit and a very long shelf life,
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Dr Torben Glud Feb 15
I worked as an internist and a consultant in cardiology for 40 years. In the traditional frame work of medical education, practice and science, group think and consensus ruled: eminence based medicine. A look from the outside into this has been much wanted. Thanks
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Richard Amerling retweeted
Georgia Ede MD Feb 15
Simultaneously tragic and hopeful: world's biggest killer is "cardiovascular diseases", which we should start calling Diabetes of the Heart. Insulin resistance is truly public health enemy #1. Learn how to prevent it by reading Eat Rich Live Long! by
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Dr. Jason Fung Feb 15
New Podcast this week.
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Richard Amerling Feb 15
Travesty in the UK with junior doctor convicted of manslaughter in death of a child from sepsis. As ZDogg says, "it's an outrage!"
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