DoctorTro

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DoctorTro

DoctorTro

@DoctorTro

Physician | Father | CMO @GoTowardHealth | ❤️‍🩹I help companies ⬇️ healthcare costs |💪🏻I help patients lose weight, improve diabetes | https://t.co/9COUe2aacl

We see patients NATIONWIDE Katılım Aralık 2010
464 Takip Edilen167.6K Takipçiler
Valerie Anne Smith
Valerie Anne Smith@ValerieAnne1970·
@DoctorTro Exactly Dr Tro! For the last decade I have experienced joy & thriving health with full satiation through beef & eggs. No counting calories or portion sizes ever again. Eat until I am full, then enjoy the rest of my day.
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DoctorTro@DoctorTro·
Calories don’t count. Satiety counts. 1.5lb of sirloin 🥩 - 1200 calories 2 cup ice cream 🍦- 1200 calories Which one will leave YOU feeling full? Not what some algorithm OR calorie tracker decided for you. CALORIES DONT COUNT, THE EFFECTS OF THE FOOD ARE WHAT COUNT
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DoctorTro
DoctorTro@DoctorTro·
Stop asking, “What’s my cholesterol?” Start asking, “What’s my insulin?” Our team digs deep. Stop letting your doctors gaslight you. DM me or text 845.397.2873
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DoctorTro@DoctorTro·
In Tell’s critique, she argues that cardiologists rely on a reputation built on patients living longer, while overlooking the underlying incentive structure that rewards volume and pharmacologic management. My model is fundamentally different. Compensation is directly tied to outcomes. No improvement in A1c or weight… no revenue. No sustained patient benefit… no business. This is not theoretical alignment… it is enforced accountability. The dataset being presented is not fringe. It reflects large, real-world populations that challenge entrenched assumptions. The resistance to it is not methodological… it is ideological. The use of terms like “grifter” is not an argument. It is a substitute for one. If the standard is that cardiologists function on reputation, then that standard applies across medicine. The distinction is not specialty… it is whether incentives are aligned with outcomes or with volume. They don’t understand financial structure enough to even understand that grift is collecting payments for visits for refills and not outcomes I would been embarrassed if I was them
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DoctorTro@DoctorTro·
Interesting JAMA study from 2018 showing that in patients with diabetes, lower LDL is associated with WORSE outcomes for nerve health It’s as if the body may use cholesterol to heal nerves? 🤔 jamanetwork.com/journals/jaman…
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DoctorTro@DoctorTro·
The Heart Attack Recovery Secret: How Nutrition Restores Heart Function After an MI
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DoctorTro@DoctorTro·
The “science based lifting” of completely unvaried and stupidly controlled movements is going to end really badly when they find out they can’t lift furniture or put groceries away on the top shelf
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DoctorTro@DoctorTro·
The Saturated Fat Secret… the one your cardiologist didn’t mention…
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Vettesetter
Vettesetter@vettesetter·
@DoctorTro Mine was 0, CTA showed 25% in LAD. Now what? It's all confusing.
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DoctorTro@DoctorTro·
Get a CAC now
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DoctorTro@DoctorTro·
Want to know the first step for weight loss? Here it is: Don’t Focus on Weight Loss!
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DoctorTro@DoctorTro·
Our program was featured on PBS, outlining how our multi-modal approach improves the lives of employees in large corporations, while decreasing obesity, diabetes, and the burdens they impose.
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DoctorTro@DoctorTro·
There are certain ways of eating that are bioLOGICALLY beneficial and natural for humans. Dr. Georgia Ede (@GeorgiaEdeMD) explains why this one particular dietary philosophy is especially bio-ILLOGICAL.
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DoctorTro@DoctorTro·
Atkins was right Get rid of carbs
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DoctorTro@DoctorTro·
@Hypno_gasman Carotid and femoral ultrasound can be done point of care
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Michael Ayling
Michael Ayling@Hypno_gasman·
@DoctorTro CAC looks at calcified plaques. They aren’t the plaques at risk of rupture. CAC misses soft plaques.
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DoctorTro@DoctorTro·
Doctors say they avoid ordering a coronary artery calcium scan because “it won’t change management.” Think about what that means. A test that directly measures atherosclerotic plaque in the coronary arteries is dismissed because it might challenge a treatment algorithm based entirely on risk calculators and cholesterol numbers. The reality is simpler. Many physicians avoid CAC because it creates uncomfortable situations: A 45-year-old with high LDL but CAC = 0 A 60-year-old with “normal labs” but CAC = 400 Now the conversation becomes harder. Guidelines become less convenient. And the doctor actually has to explain risk. CAC doesn’t fit neatly into pharmaceutical pathways… but it tells you something far more important: Do you actually have plaque?
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DoctorTro@DoctorTro·
Your future health isn’t written yet… unless you ignore it. Visit our website to get started: toward.health
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Jeff Lusardo
Jeff Lusardo@Jeff_Lusardo·
@DoctorTro I am assuming if i stay on Crestor my end result will be Type 2. Need to have a discussion with my Cardiologist. Why do I feel I am going to "love" (sarcastic) his reaction to why I need to stay on it?
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DoctorTro
DoctorTro@DoctorTro·
You are incorrect. My approach addresses not only established risk factors, but also the next layer of drivers that most practices have not yet begun to evaluate or manage. When services are offered without accountability, outcomes are not prioritized. When employer-based fees are tied to performance, incentives change. That alignment shifts focus away from dogma and toward measurable results.
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Anish Koka, MD
Anish Koka, MD@anish_koka·
@DoctorTro Only issue with your paradigm is that ppl with zero plaque can still have events — and if you have a lot of risk factors — a lot of events : look at FRS scores > 16 with zero scores ..
Anish Koka, MD tweet mediaAnish Koka, MD tweet media
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