The Neo–Don Dadaist, MSci 🗽

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The Neo–Don Dadaist, MSci 🗽

The Neo–Don Dadaist, MSci 🗽

@RilliTho

Stuyvesant HS/CTY/med nerd. Comedian & Polypharmacy Troubleshooter. @mcsweeneys|@pitchjokes| @funnyordie|@Gomerblog|#bodegahive

Wash Heights, NYC // Philly Katılım Ocak 2012
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Jermaine Watkins
Jermaine Watkins@JermaineWatkins·
Rest in Power, Kiki Shepard. 💐🕊️ Showtime at the Apollo
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Danny Wallace
Danny Wallace@dannywallace·
We’re gonna need a bigger Hague
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CeCe
CeCe@cecegkh·
Are there people who really can’t skip? 😳 I thought everyone knew how to skip. 😂
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Meghan Murphy
Meghan Murphy@MeghanEMurphy·
Joe Rogan is a bigger feminist than any man who calls himself a feminist
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Will Bunch @willbunch.bsky.social
What's more shocking than ICE's plan to cram as many 8,500 humans into massive, soul-crushing warehouses? Seeing the actual DHS floor plan that echoes slavery ships and history's worst gulags with no rec space but a gun range for guards My new column inquirer.com/opinion/ice-de…
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John-Michael Bond
John-Michael Bond@BondJohnBond·
Going through a polyamorous break up is difficult because like what am I supposed to do, have rebound sex with my wife?
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💗
💗@ma1ybe·
"I wanted to show that nature can still beat the machine and that there is still merit in real work from real creatives."
@stfnigg

Love it

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John Saponaro
John Saponaro@johnsaponaro·
“Ok, Kash, the rules of the game are simple… drink if you haven’t arrested anyone in the Epstein Files.”
John Saponaro tweet media
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The Neo–Don Dadaist, MSci 🗽
Job creation during emergencies is a pretty solid move, in line with community
Sage Steele@sagesteele

Let me get this straight: @ZohranKMamdani campaigned (ignorantly) on raising NYC's min wage to $30/hour, but is now begging residents to shovel snow for $19/hour?? AND if you want the job you have to bring 2 PICS, 2 FORMS OF ID *AND* YOUR SOCIAL SECURITY CARD? This..from someone who believes requiring ONE form of ID to vote is racist?? You just can’t make this stuff up. 🤦🏽‍♀️

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The Neo–Don Dadaist, MSci 🗽
I've been with Fitbit for years. @FitbitSupport Today, I was told everything will be lost if I don't connect my account to Google. The lack of health autonomy with respect to one's bodily metrics is extremely disconcerting.
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The Neo–Don Dadaist, MSci 🗽
Patients with diabetes have been told so long that diet & exercise are important to maintain a certain weight. So, in people's minds, that is THE endpoint, and a1c, HDL/LDL, and triglycerides no longer matter to them because they're thinner. Thin people have diabetes, too. 5/
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The Neo–Don Dadaist, MSci 🗽
Now, enter injections. Even harder for patients to comply because most people don't like needles. The doses have been too high in the first place. When you couple the radical impact of GLP-1's with inconsistent treatment, you get these ER visits. 2/
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The Neo–Don Dadaist, MSci 🗽
With all due respect, this is a conceptual take and not one based in actual practice. Your take assumes a higher-than-average medication compliance than exists for this patient population. Patients with diabetes still hover at 50-60% compliance for ORAL medications. 1/
Dr Terry Simpson@drterrysimpson

We’re being told hospitals are “flooded” with GLP-1 complications and that we’re at the “tip of the iceberg.” I’ve been a bariatric surgeon long enough to remember these drugs when they were still in trials. I’ve prescribed them. I’ve monitored patients on them. And when the ER had a question about one of my patients on a GLP-1, they called me. I am not seeing a flood. What I see — every single shift — are the consequences of untreated obesity: heart failure, uncontrolled diabetes, infections, sleep apnea crises, fatty liver disease progressing quietly toward cirrhosis. That is the deluge. Yes, GLP-1 medications have side effects. We know what they are. We counsel patients about them. We stop the drug if needed. That’s called medicine. But the claim that a hidden catastrophe is overwhelming hospitals is not something you prove with adjectives. You prove it with data. And if such a signal were real, it would not remain invisible for long in a healthcare system that tracks admissions, billing codes, adverse events, and outcomes with relentless precision. Obesity is a chronic, relapsing disease with serious downstream consequences. Treating it is not cosmetic vanity, and it is not “forcibly stopping people from eating.” It is modifying disordered physiology — something we do every day with insulin, thyroid hormone, antihypertensives, and chemotherapy. The relevant comparison is not drug risk versus zero. It is drug risk versus the very real morbidity of leaving obesity untreated. If someone believes there is an iceberg, show the sonar. Until then, what I see in the emergency room is not a wave of GLP-1 disasters. I see the far more predictable damage of a disease we’ve under-treated for decades.

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The Neo–Don Dadaist, MSci 🗽
Part of the irony is that GLP-1 was supposed to prevent the kidney damage so often seen with SGLT2 inhibitors. But weight loss this rapid affects your whole body. In a population that already trends toward comorbidities. I'll have to re-read the phase 2 studies for dosing. 4/
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