Dr. G 🇯🇴

There are 400 Billion Galaxies in the known Universe and we ended up as tweeting humans on Earth. Life is infinite so we must pursue our wildest dreams

@drkeithsiau @UEGJournal My bad I thought the society guideline published that animation, just realized its your summary. Appreciate your work and efforts to educate 👍🏽👍🏽

@MedHustle @UEGJournal Sorry that was my bad! Hadn’t spotted that!

How to diagnose coeliac disease: highlights from the updated 2025 guidelines in @UEGJournal 🔗: onlinelibrary.wiley.com/doi/full/10.10…

National Society Meetings leach millions of dollars off desperate/broke med students and residents aspiring to pursue a medical subspecialty. It’s a good skill to publish but everyone knows research has become a toxic sport powered by nepotism and completely worthless retrospective chart reviews

@MohammedAlo Another study with trash data relying on self reported dietary questionnaires (recall bias) with significant heterogeneity

Red Meat Effects On Colorectal Cancer 2015 IARC guidelines by classified red meat as a Group 2A carcinogen, new analysis supports it: 1️⃣ Beef Consumption: 30 Increased Risk 2️⃣ Pork Consumption: 17% Increased Risk 3️⃣ Lamb Consumption: 11% Increased Risk Link: link.springer.com/article/10.100… @DrKarlNadolsky @DrNadolsky @MichaelAlbertMD @NutritionMadeS3 @drmatthewnagra

I’m a doctor: Any supplement for an Alzheimer gene outside of a clinical trial is the ULTIMATE scam. The best thing you can do is eat blueberries daily. Also you probably did a panel that detected a harmless bug in your microbiome and got sold a cleanse 🤣 you’d be super sick if you actually had a parasitic infection

One of the most valuable things I’ve done in the last five years: An executive health retreat. I learned a few things: - I have the Alzheimer gene. Got on supplements to help. - I don’t have cancer. I got every organ imaged and did bloodwork. - I had an extreme vit D deficiency. Despite being in the sun all the time. Feel way better now. - I had a gut bacterial parasite that was messing up a ton of stuff. Feel way better now. - My hormones needed a little work. I feel more energized and sleep better now. Not taking testosterone because I want more kids but we did some other work. - much much more. Quarterly bloodwork, stem cells, etc. Overall - it has been a massive quality of life increase and I highly recommend it to any high earner who can afford it.

AI needs to eliminate all front desk workers from the entire healthcare system ASAP Unfortunately when I go to a doctor appointment the front desk person does not provide a friendly greeting, poor eye contact, low energy, and horrible customer service. Sometimes they will even have a personality attitude. Patients deserve full attention and uplifting energy since many are going through major health problems. Disclaimer: yes there are nice front desk workers but they are a minority

It’s crazy how little knowledge (zero) medical students and residents understand about the business of healthcare. Once they graduate they are thrown into the market and get manipulated with horrible contracts and significantly underpaid for the value they provide to the hospital. I wonder if academic institutions do this on purpose to scare anyone from going into private practice

Top underrated Health Hacks with minimal effort: 1) Protect your fertility: Only wear Cotton Underwear. Polyester has non-flammable chemicals that can affect fertility and your endocrine system. 2) Prevent hearing loss: Settings -> Sounds and Haptics -> Headphone Safety -> Limit to 75 decibels 3) Minimize Microplastic exposure. Install Reverse osmosis Water Filter in your home. Avoid plastic bottles at all costs 4) Skin/Hair Health: Install Shower Head filter. Softens and reduces chlorine and chemicals that dry skin and damage hair 5) Minimize Pesticide Exposure: Soak all berries in baking soda/water before eating. Buy organic if you can afford it. 6) Avoid constipation/hemorrhoids/colon cancer. Eat 30 grams fiber daily to nourish your microbiome. Psyllium husk supplement helps meet that target. 7) Avoid Obesity and Diabetes: Avoid every food that contains high-Fructose Corn Syrup 8) Eliminate alcohol intake. Its a poison 9) Cure sadness: Lift weights and Journaling 10) Follow for more health tips

@SharylAttkisson (soda, vaping, alcohol, ultra processed sugar) addiction + pesticides laced on 100% of produce + meat intake from diseased factory animals + poor sleep hygiene + chronic stress

Why do so many people including, young people, have stomach and gut problems?

@leojrr 👋

hey guys, last call vibe coders group is getting pretty big closing it at 400 so we can actually get to know each other if you are interested in joining, say 👋

@DrSiyabMD Thanks for Great perspective - why don’t we adapt PCSK9 inhibitors as first line for early CAD prevention ? Aren’t they extremely specific without side effects?

As an interventional cardiologist, my day job (and night job, on call) is treating heart disease and putting stents for heart attacks and other blockages. I see layers of plaque in people's arteries all day. This is a very important message. Long tweet, so bear with me In modern times we have some mindblowingly incredible technology to treat heart attacks and save lives - trust me, I am in awe of it every day I do this job. But the #1 killer in this country of men and women has remained heart disease for decades, despite all the tech we have now. This is why *prevention* is critical. Heart attacks are very sudden, of course, but for a lot of people the underlying process - heart disease - didn't start overnight. It was brewing, undetected, for 10, 20, 30 years in the form of uncontrolled and undetected high cholesterol, diabetes, high blood pressure, etc. These conditions can exist for decades without symptoms, until you end up in an ER with a heart attack or stroke and that's when you get diagnosed. This is why it is SO important to try to catch these risk factors earlier than later in life. Get screened. Get a lipid panel, BP check, A1c, etc at least once a year. Finding the problem in your 30s means you can probably work to get it under control, ideally without meds, and your future self 40-50 years down the road will thank you. The longer they go on the harder they are to control without meds. LDL cholesterol is *causative* of atherosclerosis and heart disease. Cumulative exposure to LDL over the years increases your risk. Keeping it as low as possible for as long as possible (and controlling other risk factors too) reduces your risk as much as possible. Obviously, life is not perfect and shit can still happen despite all our efforts - life is not fair. You can't outrun bad genetics but you *can* try to control whatever else you can. Cholesterol is the easiest one to control with a BIG benefit over the long term. All you can do is all you can do, and live your life. Statins absolutely save lives. All this hoopla about "they only minimally reduce risk" is about the studies only having a few years of follow up. That's short sighted. As a 35 year old with high cholesterol you don't want to be thinking about yourself at 40. You want to be thinking of yourself living to 70, 80 and beyond, without a heart attack or stroke. That **long-term** is where the real benefit is at. I'm not pushing meds on anyone, just providing them the data and their options. Have an honest conversation with your doc and make an informed decision for yourself. Take meds, don't take meds, it doesn't really affect my life. But make sure you at least have the accurate data, because otherwise it's a disservice to yourself and your family. At a minimum, if this can get people to go get screened, my job is done. I take a statin myself, because I have an elevated Lp(a) - South Asian genetics - and a LDL that was in the 120s. I've stented enough people just a few years older than me with heart attacks to know what's up - you take care of enough of these people and it changes your perspective on life real quick. Influencers fear mongering online, who've never had to do my job have no idea. Before all the anti-statin bros brigade this in the replies: 1. Obviously, no meds is best, but that's why you gotta get screened early in life. Some people will need meds because diet and lifestyle optimization didn't get them controlled. 2. Every medicine has side/adverse effects, of course, but statins are overwhelmingly well tolerated and there are many ways to make it work for you, including non-statin meds. Talk to your doc and make an informed decision. 3. I don't make any money off statins. They cost a few dollars for a 90 day supply. If I really wanted to make money I would let people go years with high cholesterol and then stent them when they come in with a heart attack. That pays way more $$$. 4. Donald Trump takes a statin and has for many years. Do you really think they'd let the PRESIDENT of the USA take a statin for years if they really caused your brain/liver/balls/etc to melt and explode?? Not medical advice

If you still use a manual toothbrush I don’t trust anything you have to say

@DrNeilStone Is the risk greater than zero? If yes (the answer is yes), the scientific community should be able to debate the data which itself is weak and tainted by financial conflict of interests

For any vaccine it boils down to this. Does its benefit outweigh the risk? Sometimes it's easy - MMR vaccine? Definitely. Polio? Diphtheria? Tetanus? Yes yes yes.. COVID 19 vaccine routinely for kids? Less clear

@DrNeilStone Nobody needs to be ingesting fluoride. Thats exactly why they tell kids not to swallow toothpaste. Ingested fluoride lowers IQ and disrupts microbiome. Hydroxyapetitie toothpaste is actually a better and safer alternative

Dosing. Dosing. Why can't people understand this (especially the FDA) Yes fluoride can do all sorts of horrible things AT HIGH DOSES. NOT at doses found in toothpaste or water!! THE RFK Jr influence is making everyone stupid

@adamfeuerstein @VPrasadMDMPH Sounds like you have no idea about his credentials..He understands scientific literature better than 99% of other clinicians. Having a podcast is not the diss you think it is - takes courage and confidence to share scientific views on a public platform

With @VPrasadMDMPH appointed to run CBER, the FDA has entered its "podcast bro" era. Time to reassess — again — our collective feelings about the FDA and biopharma. $XBI

This paper taught me how to overcome every problem in life

@amasad I am a US based Jordanian doctor (from Irbid) building with Replit! It’s one of my favorite products and I hope to leverage the tools I’ve built to improve Jordanian healthcare infrastructure. Thanks for developing this life changing technology! Eating mansaf with you is on my to-do-list 3rasi ya kbeer!

@DrPlantel I bet if you two sat together you would share similar values and intentions to improve patient outcomes. There’s docs with 1000 publications but zero community influence or network effect (aka street cred). Aren’t you also against ultra processed foods?

Casey Means and I are the same age. She dropped out of ENT residency and now calls herself a metabolic health and nutrition expert. I completed my internal medicine training and went on to earn certifications in obesity medicine, clinical lipidology, cardiometabolic medicine, menopause, and culinary medicine and working on more. I actively care for patients every day. I would never claim to be qualified to serve as Surgeon General. But her consideration for such a role is a striking reality of how this administration continues to devalue real expertise in favor of hype, media presence and wellness branding. Credentials matter. Experience matters. Our patients deserve better.

Do you prefer seeing a doctor who has never used AI or a doctor who uses AI frequently? #MedTech #medicine #doctor