Michael Albert, MD

New chapter: I've joined Vineyard as Chief Medical Officer & Staff Physician. @DrNadolsky convinced me to help him build the future of physician-owned care—designed around both patients and physicians. After years in traditional healthcare, I'm not going back. Come work with me ⤵️ 🔗 joinvineyard.com/go/drmichaelal…

Proud to see Vineyard expertise represented at #ACSM2026. Our own @AustinBaraki and @GrantTinsleyPhD are presenting on two topics that matter deeply to modern cardiometabolic care: resistance training and preserving muscle health during GLP-1 therapy.

@Tellit007 Yes

@MichaelAlbertMD Is that a reason not to use large original post with links?

X TIPS: A hero tweet—the opening or index post of a thread—should be published as a standalone post, without external links. You can then reply to that hero tweet with the rest of the thread, including external links if needed, though X will reduce the visibility of posts containing outbound links. If the hero tweet does not contain links, people will still find the thread.

I've A/B tested this like crazy and it's real. X heavily suppresses posts with external links.

@DShaywitz @EvidenceOpen @EricTopol @askdrfatima @KevinH_PhD Yes—while not exclusive to this group, this sentiment is often associated with the “pull yourself up by your bootstraps” crowd: the same people who champion radical individual responsibility while supporting corporate welfare, tax breaks, and subsidies for large corporations.

For the first time in a long time, I heard someone say that obesity reflects a lack of self control. It made me curious as to how common this belief still is. Per @EvidenceOpen - both extremely common & w political valence. @MichaelAlbertMD @EricTopol @askdrfatima @KevinH_PhD

@KayBwt You must be an unserious Prof

@MichaelAlbertMD Not by dicking around with lipids, we wont.

We will obliterate heart disease in my lifetime. 🍿

@ParkLover_JA Ha!

@MichaelAlbertMD Beautiful science. I'll save the popcorn until we can base-edit a prior auth.

@MasalaFry69 Is gravity debated?

@MichaelAlbertMD "This is not debated." is anti-science. "This is not debated." is religious dogma.

@AKoutnik Hunger is not a pathology. I’m not sure what “eliminate hunger” even means, because hunger is a normal physiological response. I assume you’re using hunger as a surrogate for obesity, but even then, obesity is far more complex than simply a disorder of hunger.

@MichaelAlbertMD Michael I can understand this based on what is out there ...but based on what I've seen in emergent agent...I disagree. The pharmacological game to eliminate hunger is going 200mph.

@MasalaFry69 Supraphysiological LDLc is pathological. This is not debated.

@MichaelAlbertMD Not by lowering people's LDL you won't. If you want to obliterate heart disease, then go after the agents that causes it

@AKoutnik Respectfully disagree. ASCVD pathophys is much better understood with far higher quality trials in much more diverse populations.

@MichaelAlbertMD Would be remarkable if so. I am more certain hunger will be destroyed eliminated first

@davykevinp No saving ignorance

@MichaelAlbertMD well…except for the keto folks

@degriffin10 We can. The data exists.

@MichaelAlbertMD I wish we could reverse plaque substantially.

@SomerwilTara Except we have data to support it unlike cancer.

@MichaelAlbertMD This reminds me 1971 and Richard Nixon when he said that by 1976 cancer will be cured. Wishful thinking or just naivety. 🤔 As a CV patient I keep my fingers crossed 🤞 I am remaining cautiously optimistic.

Classic Congressman ignorant take: opines on an outcome of a broken system rather than questioning the root cause that he contributes to every day.

Thank you to all who have sacrificed—and continue to sacrifice—for our freedom, including several members of my family. 🙏🏻

Now out: @timmermanreport w my summer content recs! Books from @DavidEpstein, @Bob_Wachter, @DanielSodickson &c; Blogs from @EricTopol and @MichaelAlbertMD Podcasts on business history, ground truths, happiness, and the future (of everything....) &c. timmermanreport.com/2026/05/summer…

@scserendipity1 @DrHBurstein @GlopesMd @DrSamuelBHume @NeilFlochMD @scottisaacsmd Possibly. It's difficult to disentangle the specific effects. However, it's clear that healthier individuals tend to live longer, regardless of any underlying chronic health condition.

@DrHBurstein @GlopesMd I suspect they will help both. A large story unfolding re inflammation that may well have an anti-cancer effect (to my rudimentary knowledge). @MichaelAlbertMD @DrSamuelBHume @NeilFlochMD @scottisaacsmd

One suspects that the issue here is that GLP1 agonists will help people’s overall survival, regardless, as to whether they have cancer. One is treating obesity, sleep apnea, diabetes, etc which probably make a difference for patients with cancer.

@pranavvk I think cancer reduces when people are healthier. I'm not sure there's a unique drug effect in this regard.

@pranavvk What data?

With retatrutide approaching ~30% weight loss at 2 years—but with what appears to be a meaningfully higher adverse event burden than earlier-generation incretin therapies—expert clinical guidance will matter even more. If you thought the ED visits and poison control calls associated with the first wave of long-acting GLP-1s were concerning, wait until a far more potent therapy reaches broad scale without appropriate oversight. This is exactly why model matters. Vineyard is physician-led, expert obesity and cardiometabolic care. Our physicians are board-certified in obesity medicine, with additional board certifications across relevant specialties. If you’re going to use exceptionally powerful therapies, expertise matters. (Visual is illustrative only. Not an actual retatrutide product image.)