Sarah Bramblette, MSHL

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Sarah Bramblette, MSHL

Sarah Bramblette, MSHL

@Born2lbFat

Patient Advocate Living with Lipedema, Lymphedema & Obesity. Helped pass the @lymphedemaact now working to improve access to care for people living w/ obesity.

Florida, USA Katılım Ocak 2010
2.1K Takip Edilen2.6K Takipçiler
Sarah Bramblette, MSHL retweetledi
OAC
OAC@ObesityAction·
In Minnesota, proposed Medicaid coverage changes for GLP-1 medications prompted advocacy from the OAC and partner organizations. OAC Board Members Debe Gau and Liz Paul provided testimony, and Rep. John Huot shared his perspective as a lawmaker with lived experience. The discussion highlights the importance of patient voice in obesity care policy. Read more here: bit.ly/4v7N6Ss #Minnesota #Minneapolis #AccessToCare #OAC
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Sarah Bramblette, MSHL
Sarah Bramblette, MSHL@Born2lbFat·
@JillFilipovic I often forget to even mention I have allergies because my symptoms are so well managed by a simple daily medication. But I once forgot to put that med in my pill sorter and within 48 hour I was sneezing and itching. Whoops!
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Jill Filipovic
Jill Filipovic@JillFilipovic·
I was going to dunk on this like yeah, duh, if you stop any drug it will stop working, and if you stop eating well and exercising you'll also gain weight, but it is true that humans have an incredible capacity for self-delusion and we often think our chronic conditions are "cured" and can stop doing the things that treated whatever health problems we had.
The Wall Street Journal@WSJ

While nearly 18% of U.S. adults have taken a GLP-1 drug for weight loss or to treat a chronic condition, about half of people will stop taking it within a year. Often, they don’t understand what is likely to come next. 🔗: on.wsj.com/4dCkbia

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Sarah Bramblette, MSHL
Sarah Bramblette, MSHL@Born2lbFat·
@poison666666 @k1nghenryIV @agingroy Like we choose this “lifestyle” because it’s oodles of fun to be stereotyped as lazy and ignorant and to have prove yourself for jobs and healthcare. Also, so much C…their poor lifestyle choices aren’t as visible.
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Becca
Becca@poison666666·
@k1nghenryIV @agingroy Right, because a) every fat person is far for the SAME reason, b) the ability to diet and exercise has NOTHING to do with poverty, geography, able-bodiedness, or mental health, and c) people make shitty choices all the time about their lifestyle why do they not deserve help???
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Avi Roy
Avi Roy@agingroy·
Stop a statin and your LDL cholesterol rises 30% in four days. Nobody writes a WSJ feature about it. Stop certain blood pressure medications and your BP can spike within hours. Nobody calls it a design flaw. Levothyroxine, antidepressants, insulin, metformin, antihistamines. Chronic treatments for chronic conditions, and all of them stop working when you stop taking them. None of them generate think-pieces questioning whether patients should have started. The AMA classified obesity as a disease in 2013. Thirteen years later, it’s still the only chronic condition where “you have to take it forever” is framed as an argument against treatment rather than a description of how medicine works.
The Wall Street Journal@WSJ

While nearly 18% of U.S. adults have taken a GLP-1 drug for weight loss or to treat a chronic condition, about half of people will stop taking it within a year. Often, they don’t understand what is likely to come next. 🔗: on.wsj.com/4dCkbia

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Sarah Bramblette, MSHL retweetledi
OAC
OAC@ObesityAction·
No one should have to navigate obesity care in silence. Weight stigma made Mary feel embarrassed to speak openly about her experiences, even with her doctors. Through support, education and community, she finally found her voice. Obesity is a complex, chronic disease. Everyone deserves care that listens, support that meets them where they are and a community that reminds them their story matters. Read Mary’s story here: bit.ly/4nO9rlO #CareFromTheInsideOut #OAC #StopWeightBias
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Sarah Bramblette, MSHL retweetledi
OAC
OAC@ObesityAction·
Great news! Early Bird pricing for #YWM2026 has been extended for one more month. Join us in Orlando for science-based education, meaningful conversations and a judgment-free space for patients, providers and advocates working to improve obesity care. Secure the lowest price by registering before June 22 at YWMConvention.com. #OAC #ObesityCare #EarlyBirdExtended #LowestPrice
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Sarah Bramblette, MSHL
Sarah Bramblette, MSHL@Born2lbFat·
@tify330 A friend’s daughter called her from new fast food job. Needed to leave $100 in her register at end of shift and didn’t know how to figure it out. Total was $325. Called her from the same phone that has calculator. 🤷🏼‍♀️
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Candidly Tiff
Candidly Tiff@tify330·
I saw a video yesterday where a young woman had no idea what continent we were on. Another person had no clue what body of water is on the east coast. People don’t know basic shit anymore. It’s so damn sad.
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Sarah Bramblette, MSHL retweetledi
Todd Spence
Todd Spence@Todd_Spence·
Paul Rudd and Adam Scott recreated the BOSOM BUDDIES sitcom intro just for fun and the attention to detail is insane 😂
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Sarah Bramblette, MSHL
Sarah Bramblette, MSHL@Born2lbFat·
@MichaelMindrum When I visited Lilly’s campus a couple years ago the employees who heard my story and experience thought I’d do well on Retatrutide and asked if I lived local in hopes I could join a trial. I’m eagerly awaiting availability.
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Aaron Rupar
Aaron Rupar@atrupar·
NEWSMAX: This Cuba thing -- people struggle with how this is America first when gas is $4.55 a gallon COMER: Cuba has always been a security threat NEWSMAX: Really? COMER: If some country went in and loaded Cuba with the same drones Iran had, yes I think it could be a threat NEWSMAX: Sounds like a false flag
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Sarah Bramblette, MSHL retweetledi
OAC
OAC@ObesityAction·
Do you live with more than one health condition, like obesity, diabetes or high blood pressure? We want to know how you prioritize and describe your health. Help us create better educational resources and advocate for care that puts patients first by taking our quick question survey: surveymonkey.com/r/WVDCBV5
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Joselyine Chap❤️
Joselyine Chap❤️@joselyinechap·
A kindergarten teacher is facing criticism after taking her young students on a field trip and tying them together with a rope to prevent them from getting lost. Your comment in this??🤯😁🤗
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Sarah Bramblette, MSHL
Sarah Bramblette, MSHL@Born2lbFat·
@DrDiGiorgio Weren’t you just touting the benefits of Medicaid a few days ago? Or at least how easily people are able to enroll in lt to get the care they need. Quite sure it was you I replied to and of course 🦗
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Anthony DiGiorgio, DO, MHA
Anthony DiGiorgio, DO, MHA@DrDiGiorgio·
More evidence that Medicaid does not guarantee access to care. The neurosurgery Quality Outcomes Database examined access to surgery for cervical mylopathy, a condition where the spinal cord is getting squeezed in the cervical spine. The only treatment is surgical decompression. Without decompression, there is permanent neurologic damage. So with their spinal cords getting destroyed by degenerative disease, Medicaid patients had roughly double the adjusted odds of having symptoms for more than 12 months before surgery compared with privately insured patients. They also showed up worse: higher disability scores and lower quality of life at baseline. That matters because cervical myelopathy is progressive. Delays mean lost function. So when people tout the benefits of Medicaid, remember that coverage is not care. A card in your wallet does not decompress your spinal cord. See our study in @TheJNS below:
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Commander Pinkie
Commander Pinkie@Milkie14133832·
@TweetzRdrugZ @Born2lbFat @WinslowDumaine Did you not read the post and replies? Front desk checked and there was no one inside except children. I’m not going off of assumptions, I’m going off of the facts of the situation Children do not know what to do if another child is choking or has gotten hurt. Need supervision
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Gatorade Should Be Thicker.
Gatorade Should Be Thicker.@WinslowDumaine·
Someone left their kids unattended in the hotel room next to mine all night, presumably so they could go out and party. The kids were screaming until like 3AM. Front desk was helpless. No parents around at all. Also one of the kids had a megaphone and was singing into it lmao
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Sarah Bramblette, MSHL
Sarah Bramblette, MSHL@Born2lbFat·
@pagingdrsank I’ve never given birth but the one thing I make sure I have in the hospital are Q-tips because I once asked for them and was told “I’m not giving you something to shove in your ears!” 🫣
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Sank, MD
Sank, MD@pagingdrsank·
I’m getting my labor&delivery and postpartum bags ready for the hospital and this is what’s on my list! Anything you’d add? Let me know!
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Michael Mindrum, MD
Michael Mindrum, MD@MichaelMindrum·
Interesting read!
오창명@changmyung1981

Obesity is usually framed as a problem of “too much fat.” But a new atlas study argues something deeper: Different fat depots do not respond to weight gain equally. They undergo distinct kinase-level signaling rewiring programs. In other words, obesity may be a disease of regional signaling architecture, not simply lipid accumulation. A new paper in Metabolites mapped kinase responsiveness across anatomical adipose depots during diet-induced adiposity: Lee WH et al. “Anatomical Atlas of Kinase Responsiveness to Weight Gain: Adipose Depot Reprogramming in Diet-Induced Adiposity.” DOI: 10.3390/metabo16050318 The key insight is that adipose tissue is not biologically uniform. Visceral fat, subcutaneous fat, and other depots activate different signaling programs under obesogenic stress. Rather than a synchronized systemic response, the body exhibits compartment-specific kinase adaptation. This matters because kinase signaling controls: adipogenesis insulin responsiveness inflammatory tone mitochondrial adaptation fibrosis immune recruitment stress resilience The study suggests that weight gain induces a spatially organized signaling landscape where each depot acquires a distinct biochemical identity. That framework may explain several longstanding paradoxes: why visceral fat is metabolically toxic while some subcutaneous depots are protective why aging adipose tissue loses plasticity heterogeneously why systemic therapies often show inconsistent metabolic responses why inflammation and fibrosis emerge unevenly across fat depots The implications extend beyond obesity. Aging adipose tissue likely undergoes similar depot-specific kinase drift. This is especially relevant for: senescent SVF remodeling adipose precursor exhaustion mitochondrial dysfunction macrophage polarization fibrosis-linked metabolic decline It also reframes therapeutic development. Future metabolic therapies may need to target: “which depot?” not just: “which pathway?” A drug that improves subcutaneous adipose remodeling may fail entirely in visceral adipose tissue because the kinase-state topology is fundamentally different. This aligns with the emerging idea that adipose tissue behaves less like passive storage and more like a distributed endocrine-organ network with region-specific signaling logic. Obesity biology is becoming spatial biology. And kinase atlases may become foundational infrastructure for the next generation of metabolic therapeutics. Reference: Lee WH et al. Metabolites (2026) “Anatomical Atlas of Kinase Responsiveness to Weight Gain: Adipose Depot Reprogramming in Diet-Induced Adiposity” DOI: 10.3390/metabo16050318

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Sarah Bramblette, MSHL
Sarah Bramblette, MSHL@Born2lbFat·
@MichaelMindrum More and more similarities to Lipedema I keep suggesting obesity researchers take interest in researching lipedema because there’s likely a lot to be learned.
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Sarah Bramblette, MSHL retweetledi
OAC
OAC@ObesityAction·
Laraine Durham sits down with James Zervios, OAC Senior Vice President and Chief Operating Officer, for a conversation about obesity, GLP-1 medications and what it really takes for patients to get care. They talk about the barriers so many people face, from insurance denials to outdated ideas about obesity and why so many still feel alone in this journey. Watch the full discussion on YouTube: bit.ly/4wugWlA #YourWeightMatters #DownSized #NationalConvention #GLP1 #OAC
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Anthony DiGiorgio, DO, MHA
Anthony DiGiorgio, DO, MHA@DrDiGiorgio·
California eliminated the asset cutoff for medicaid eligibility. So a wealthy, old person could stay in their multi million dollar home and sign their family members up as home caregivers to take care of them. The family members get paid, by the state, and gets their inheritance protected. Meanwhile, poor people on medicaid need to wait years for simple procedures because the program doesn’t have enough money to reimburse doctors. It’s literally the rich robbing the poor. And I understand how unseemly it is, politically, to make grandma sell her house and liquidate her savings to pay for her long term care. But that’s what those assets are for! Instead, her family gets to keep all of that while taxpayers pay for her home care.
Ross Marchand@RossAMarchand

The larger issue: it’s perfectly legal for wealthy individuals to go on Medicaid and pay their family members to care for them. wsj.com/articles/SB100…

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bonky
bonky@shesbonky·
- he didn't say specifically if it was the tiddy, the weapons, or standing on a man's neck that was the issue - no, i'm not gunna cause a fuss about the flag in the report. there's like 2 weeks of school left and this teacher's just doing his best in a highly conservative state
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bonky
bonky@shesbonky·
i am deceased 🤣 my 5th grader has to do a presentation in her class on a US state. she chose virginia today her teacher said CAN'T SHARE AN IMAGE OF THE STATE FLAG in class because it's not appropriate for school the flag:
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