Abraham Kurien

Good morning @dr_sivaranjani The Public Interest notice put on social media by Kenvue, the makers of Fake ORS™ is a classical case study in "Corporate Health-Washing". Hey @kenvue @JNJNews no one needs your rubbish "hydration products" from a scientific standpoint. So you can go to hell and your products can rot on the shelves for all we care. Stop intimidating physicians and clean up your corporate mess born out of greed. Presenting your products in medical conferences is not scientific evidence, its paid endorsement. So respectfully, F.O. A product that was commercially marketed as ORS for years despite not meeting WHO composition standards, that was formally banned by India's food safety regulator, that had its ban upheld by the Delhi High Court as a "health hazard," and that has now been cosmetically rebranded with a visually similar name, is being presented as a triumph of science-backed innovation. The WHO's own recommendation against the very sweetener used in the reformulated product is dismissed as "unrelated." And the physicians who fought for eight years to protect children from this deception are characterized as "disparaging influencers." Here is a takedown of their sh*tty notice from my side, which you (@dr_sivaranjani) can use in your case against them. 1. "We have shaped the hydration category in India providing consumers with scientifically formulated solutions" This is corporate euphemism for having commercialized a high-sugar beverage that was deceptively branded to resemble WHO-standard ORS for years. The product ORSL was never WHO-compliant ORS. The WHO reduced-osmolarity ORS formula specifies glucose 75 mmol/L (~13.5 g/L), sodium 75 mEq/L, potassium 20 mEq/L, and a total osmolarity of 245 mOsm/L. A product with roughly 8–9 times the glucose concentration of WHO ORS is not a "scientifically formulated solution", it is a sugary beverage that can worsen diarrheal dehydration through osmotic diarrhea. FSSAI found that the labeling and branding of ORSL beverages may mislead consumers into believing the product was a medically approved oral rehydration solution. 2. "In January 2026, we diversified our portfolio into two distinct brands — ORSL (Drug product) and ERZL (Food Product)" This "dual-brand strategy" was not voluntary innovation — it was forced by the FSSAI ban. ORSL has even rebranded to ERZL (the 'e' designed to look similar to 'o' and the 'z' to 's'). The visual similarity between "ERZL" and "ORSL" is not accidental. The product's communication and positioning may create an association with ORS, and references to similarly named products in branding or advertising could reinforce consumer recall and blur the distinction between scientifically approved ORS and commercially marketed electrolyte beverages. A parent who was buying ORSL thinking it was ORS will now see ERZL in the same pharmacy shelf with near-identical packaging and make the same error. This is classic brand continuity engineering designed to circumvent regulatory intent. 3. "Reduced the added sugar content by 87% with 1.4X more electrolytes" — framed as a public health achievement If you reduce sugar by 87% from a baseline of ~110 g/L added sugar, you still have approximately 14 g/L added sugar - and you have now replaced that sugar with sucralose, an artificial sweetener. The framing of "87% reduction" is a mathematical trick: it sounds impressive only because the starting point was absurdly, irresponsibly high. It is like a tobacco company boasting of reducing tar by 87% and expecting public health applause. Furthermore, "1.4X more electrolytes" is vague and scientifically meaningless without specifying which electrolytes, at what concentrations, and whether the resulting osmolarity is appropriate for the claimed indication. An electrolyte drink for "everyday hydration" in a healthy individual is, physiologically speaking, unnecessary - plain water and a normal diet provide adequate electrolytes for non-pathological states. 4. "There is well established scientific and safety assessment of sucralose, which is recognized by Global Health Authorities like Codex, EFSA besides both FSSAI & CDSCO/Indian Pharmacopoeia" This statement cherry-picks regulatory approvals while deliberately ignoring the WHO's own 2023 guideline where especially, this ingredient is not supposed to be part of "healthy hydration." 5. "WHO Guidelines (2023) regarding use of 'non-sugar sweeteners' to reduce the risk of unhealthy weight gain have also been cited out of context and is unrelated to products like WHO ORS and Electrolyte Drinks" This is perhaps the most egregious misrepresentation in the entire notice. The WHO 2023 guideline on NSS is a public health recommendation against the use of non-sugar sweeteners in foods and beverages across the board. This guideline provides evidence-informed guidance on the use of non-sugar sweeteners in adults and children. The guideline explicitly applies to "all synthetic and naturally occurring or modified non-nutritive sweeteners found in manufactured foods and beverages." ERZL is a manufactured beverage containing sucralose. It falls squarely within the scope of this recommendation. Kenvue's argument that this guideline is "unrelated" to electrolyte drinks is scientifically untenable. The WHO did not carve out exceptions for beverages that happen to contain electrolytes. The guideline's scope is defined by the presence of NSS in the product, not by the product's marketing category. 6. "We have been singularly targeted by a few Healthcare Professionals cum influencers in a disparaging and denigrating manner" The healthcare professionals who raised these concerns were exercising their professional duty. Dr. Sivaranjani documented cases over eight years, including a diabetic child from Chennai who was dehydrated despite being given an ORS drink from a tetra pack. It was her advocacy that ultimately led FSSAI to act. Characterizing physician advocacy against misleading health products as "disparagement" is a well-documented corporate strategy (SLAPP: Strategic Lawsuit Against Public Participation) designed to silence public health criticism through legal intimidation. The notice's claim that these professionals are motivated by "commercial benefits" and "increasing followers" is an ad hominem attack that inverts the actual conflict of interest. The commercial benefit accusation is outrageous - the party actually benefitting commercially from the product is the company Kenvue (Johnson & Johnson). 7. "We always recommend our ORSL WHO ORS portfolio to address diarrheal dehydration and ERZL for everyday hydration, respectively" The concept of "everyday hydration" requiring a commercial electrolyte-and-sucralose beverage has no basis in physiology or evidence-based medicine. It is not recommended in any clinical guidelines. Healthy individuals with intact renal function, normal diet, and access to water do not need electrolyte supplementation for everyday activities. "Silent dehydration" - a marketing term promoted by these manufacturers - does not appear in recognized medical literature. This framing medicalizes a normal physiological state to create a market for an unnecessary product. 8. "We had no choice but to take necessary action to safeguard the brand integrity" Sending legal notices to physicians who raise legitimate scientific concerns about a product that was already banned by FSSAI and whose ban was upheld by the Delhi High Court is not "safeguarding brand integrity." It is an attempt to suppress public health advocacy. The timing - sending notices after being forced to rebrand by regulatory action - suggests the motive is to silence documentation of the rebranding's deceptive visual similarity to the original banned product, not to correct misinformation. The science is not on Kenvue's side. The regulatory record is not on Kenvue's side. The public interest is not on Kenvue's side.

Standing up for accurate medical information should never invite intimidation. Absolutely. I applaud Dr. Sivaranjini for her fight against misleading ORS branding, and every doctor who rallied behind her. This is what the medical community should look like. But let me be honest. Painfully honest. The medical community in India develops courage selectively - when the stakes are low and the enemy is convenient. Fighting fake ORS is important. But it is also safe. No ancient tradition protects it. No ministry backs it. No political ideology wraps itself around electrolyte branding. Now try standing up against Ayurveda and Homeopathy causing liver failure, kidney injury, lead poisoning, and death. Try publishing that data. Try saying it out loud on a public platform. I have been doing this for years. What has it earned me? Fifteen-plus legal notices. Criminal cases. FIRs. Defamation suits filed across multiple states. Harassment, bullying, and coordinated attacks from an industry that enjoys state protection and cultural immunity. And where has the medical community been? Largely silent. Comfortably silent. By-and-large, the medical community especially the medical student community, the specialists clinical societies or national and regional level doctors group never come out and fought for the rights of the patients and their safety against Ayush in India in the open - not even endorsing evidence after evidence of harms published. The gastroenterology and hepatology societies in India - my own specialty - do not hold sessions on alternative medicine at their national meetings. They do not publish guidance for patients. They reject manuscripts documenting AYUSH adverse events. Their consensus statements pretend the problem does not exist. They have decided that this particular cancer growing inside Indian public health is someone else's problem. For years, the medical establishment believed that if they ignored AYUSH harms, if they simply didn't talk about it, the problem would disappear. It didn't. It metastasized. And now have infiltrated Institutions of repute. And while it grew, the people who stood by me, who amplified the evidence, who fought alongside me — were not doctors. They were not specialist societies. They were not medical colleges. They were the public. Ordinary citizens who understood that patient safety is not a niche academic concern - it is their lives, their families, their right. And I want them to know, that I appreciate you. You are my sanctuary here. I love what I do. I have no complaints. I will keep doing it as long as I can. But imagine, just imagine, what we could have achieved if the entire medical community had treated AYUSH harms with the same urgency they now show for fake ORS. If every clinical society had said: our patients are being poisoned by unregulated products sold as medicine, and we will not stay quiet. We would have had better regulation. Better research. Better outcomes. Fewer destroyed organs. Fewer dead patients. Fewer transplants. "Death is the sound of distant thunder at a picnic." That is what AYUSH toxicity is to the Indian medical establishment - a distant rumble they can ignore while they enjoy their conferences. Until the storm arrives at their own table. It shouldn't take one doctor being dragged to court for the community to notice. It shouldn't take a patient dying for a society to issue a statement. Stand up for all of patient safety. Not just the parts that don't cost you anything. Dismantle the narrative Ayush is building. This is, the only beast, medical community in India must handle effectively to improve healthcare outcomes and public and patient safety.

STAY WITH ME. A few years ago, a patient was referred to me because he was diagnosed with complicated cirrhosis. He had an infection which led to a condition called hepatic encephalopathy (brain failure due to high ammonia levels). The treatment largely involved ammonia reducing therapies. One drug was central to this - Rifaximin - a non-absorbable antibiotic that reduced ammonia in the body. I prescribed him Rifaximin for 6 weeks and advised him follow-up. He came back to me, not after six weeks, but in 4 weeks, this time, in liver coma (worst stage of brain failure - due to very high ammonia). He spent two days in the ICU and six days in total in the hospital. His hospital bill was close to INR 80,000. He had no insurance and his wife borrowed the money from neighbors and friends to clear hospital dues. Upon questioning, I found that he was not taking the Rifaximin drug I had prescribed. He was only on the other two drugs (one, a syrup called lactulose for improving ammonia clearance in gut). I was furious, because the patient spent a whole week unecessarily in the ICU and wasted so much money that he never had - just because he was "not compliant" to my orders. I decided it was time for me to school him a bit. But I was wrong. He was compliant. He had purchased Rifaximin and was on it. For 15 days. Thereafter, he could not afford it. He was an autorickshaw driver who shuttled school children every morning and evening. He could hardly make ends meet. He had two children of his own. The Rifaximin brand I prescribed him was 42 rupees per tablet. He had to consume two a day - which would mean 2520 rupees a month. He just did not have that money - so he skipped it - to not compromise on other important matters - childrens education and food. He was confused and scared about opting for a cheaper version of Rifaximin because one, he was unsure about the quality of Rifaximin that was not prescribed by me and two, he was "scared" that I would scold him for buying a cheaper Rifaximin and if that got him into trouble. I was confused and scared about prescribing a cheaper version of Rifaximin because one, I was unsure about the quality of Rifaximin that was not "a good promoted brand" and two, I was "scared" that his family would scold me for prescribing a cheaper Rifaximin and if that got him into trouble. It is heartbreaking that many doctors still simply don’t trust generic medicines. Too often, they worry that these cheaper options are lower quality or might cause more problems than the big, famous brands. This fear leads them to prescribe expensive drugs instead, and the real tragedy is that it pushes vital healthcare out of reach for the ordinary people who need it most - like my patient. This narrative, that generic drugs 'are never good' and that only big pharmaceutical marketed drugs are what works has been deeply ingrained into doctors and patients alike - I do not know by whom and since when. Looking back, these strong emotions were based on either opinions, testimonials or second- and third-hand information. Not evidence. Like I said. Stay with me. This is life changing and will disrupt the drug market in India. Here are the results of The Citizens Generic vs. Brand Drugs Quality Project. 1/11

@DeepuSebin @EvidenceOpen Open evidence not available in India

Kids use all shortcuts. Marrow/prep/btr/short videos /osmosis/chatGPT/Gemini (AI will be big)/uptodate. Dn't bother reading journals - jump into @EvidenceOpen & read only if needed. Big books with small fonts are a pain and old. Be efficient and if you have time left - fight against the increase of MBBS seats in India. That will give you a better life. No fat books with small fonts.

Yesterday, my account was hacked for a while and strangely, my most viral tweet was deleted. So here it is, updated for 2025 for science and health-illiterates. To summarize: 1. One whole egg with yolk a day does not increase blood cholesterol 2. Green tea does not help you lose weight 3. Jaggery, honey or sugarcane are not healthier than white sugar 4. There is no "healthy alcohol" 5. Ashwagandha does not reduce stress or help you sleep 6. Shilajit is a resinous piece of rock that does not benefit male sexual health 7. Turmeric in milk does not get beneficially absorbed in body and is lost in stool 8. You can consume fruits anytime during day or night 9. Sugarless black coffee at least 3 cups is good for fatty liver disease 10. Apple cider vinegar is good for only trapping fruit flies 11. Eight glasses of water a day is a myth 12. Pure whey protein supplementation to target recommended higher protein intake is safe for liver and kidneys 13. Magnesium supplements don't help you sleep 14. Anti-ageing is a myth 15. Herbalife products are the most common cause of liver injuries globally in the context of herbal and dietary supplements induced liver damage 16. Just because you lost weight by whatever means does not make you a "health coach." 17. Consumption of dairy along with fruits is perfectly fine 18. Yoga does not help you lose weight 19. Multivitamin a day does not improve health or prevent diseases in general. It can however, increase the risk of multiple cancers 20. Biotin does not help in hair growth or increase length of hair 21. Here are some liver supplements that you are wasting time and money on - Milk thistle, TUDCA and S-adenosyl methionine (SAMe) 22. The liver detoxes you, you don't detox the liver 23. Do not insult the kidneys by drinking yours or others urine, thinking urine therapy is going to help you live longer 24. Your favourite celebrity is always wrong about healthcare. Do not take medical advice from a pretty looking heroine or macho looking hero. 25. Virat Kohli and Cristiano Ronaldo do not drink Herbalife shakes. They just pose with it, for money 26. BluePrint is Bryan Johnson's online supplements scam 27. Covid vaccines ended the pandemic 28. Ayurveda is a pseudoscience. So is Homeopathy, Siddha, Unani, Naturopathy, Reiki, and Acupuncture. 29. Homeopathy is mostly alcohol, sometimes sugar. Other times cockroach parts. 30. You personal experience is not scientific evidence.

Diabetes is a ticking time bomb for India. We have the largest number of people with diabetes in the world. There was a time when people used to call diabetes a rich person's disease. But that's no longer the case. According to a recent study, 21 crore Indians are living with diabetes. The scary part is the rate at which it's affecting young Indians. If you're a 20-year-old woman living in a city today, you have a 64.6% chance of developing diabetes during your lifetime. If you're a young man, your risk is also quite high at 55.5%. But the sad part is there's a lack of awareness among people. About 27.5% of people with diabetes don't even know they have it. Even if they do know, very few people get treatment. What makes this a serious crisis is that less than 20% of Indians have health insurance. Most Indians end up spending out of their pocket, which is a huge burden for poor and low-income households. There's no magic bullet to solve this issue. We need multiple approaches, from public awareness campaigns, insurance coverage for the poor and vulnerable, to introducing early detection programs. Simple lifestyle changes, like adding a few extra minutes of exercise each day or reducing time spent sitting, can make a big difference. Even small changes, such as walking or cycling for an extra five minutes a day, can lower the risk of diabetes. We've been supporting founders and startups that are working on helping Indians become healthier, but this is a systemic challenge that needs all people involved—from individuals to the government—to take action.

@witchdrkochi Price of anything is decided by Demand and Supply curve

DM/MCh fees in many of the reputed private medical colleges have reduced drastically over the last few years. Any reasons why? For eg, in my UG college, 4-5 years ago DM Neuro/Nephro/Cardio costed 20 LPA but now it costs only 6-8 LPA. Is there a reduced demand for SS courses?

Hum Nahi Sudharenge! Come on guys..be reasonable:: #insurancequeries #healthinsurance @heritagehealthinsurancetpa #irdai linkedin.com/posts/drvikasj…

A video of a former cricketer describing his wife's treatment for her breast cancer has been circulating widely on social media. Parts of the video imply that "starving the cancer by not eating dairy products and sugar", consuming haldi (turmeric) and neem helped cure her "incurable" cancer. These statements have no high quality evidence to support them. While research is ongoing for some of these products, there is no clinical data currently to recommend their use as anti-cancer agents. We urge the public to not delay their treatment by following unproven remedies, but rather to consult a doctor, preferably a cancer specialist, if they have any symptoms of cancer. Cancer is curable if detected early, and proven treatments for cancer include surgery, radiation therapy and chemotherapy. Issued in public interest Signed 262 oncologists (present and past, from Tata Memorial Hospital)

Long rant, but worth it, please read & share. A bunch of businessmen, some quite famous, sit around a table discussing the "business of alcohol." So far so good. Alcohol is good business, a business that leech out others life. It rakes in money for governments through taxation & monopoly; and fattens the bank accounts of those behind the industry (like this round table group) and makes barons out of those who sell well. But when these businessmen, start glorifying their business of alcohol by equating it to "good healthcare intervention," it goes definitely into the realm of health misinformation, which is why, I have to keep discussing this absolutely garbage myth that "alcohol in moderation is good for you" and the absolute nonsense disclaimer to support that myth, which they call "drink responsibly." You know, first of all, it is easy for these rich men and women to glorify their alcohol business and discuss their high flying life, because "God" forbid, if they ever land with diseases related to alcohol - from strokes, to cancers to liver disease to mental health disorder - they can afford the best care out there. I treat alcohol use disorder and related acute liver disease, chronic liver failure and acute-on-chronic liver failure (the most devastating of them all with highest death rate without a timely liver transplantation) on a daily basis. I am not even saying "almost on a daily basis" - it is daily. Every single day from Monday to Friday - both in-patients, as well as out-patients. Patients and families struggle to make ends meet for proper healthcare because alcohol use destroyed their life savings. And by the time they find the funds to get things going, the patient is already on the ventilator and in multiple organ failure. They use the money to bury the dead person - killed by alcohol (normalized by round-table discussions like these) and the rest of the money, go toward the fatherless childrens education. Nice going? To claim drinking alcohol in moderation is good, is actually a crime. It is a crime towards humanity, it is not in good-faith --> it is in good-faith to run the business yes, because the many people who use it occassionally, move on to frequently, and then get dependent or "routinize" it. These businessmen have nothing to lose - because they have already put up a stupid disclaimer to get away with it - "drink responsibly." So it becomes the drinkers fault. But then is it really? Drinking alcohol is a choice. But drinking more alcohol becomes "not" a choice anymore. The first drink takes your brain. It reduces brain volume, gives you a dopamine kick, makes you happy. And then onwards, you are alcohol's slave. The drinks increase. Or a routine sticks. The alcohol controls your life. You have to drink to stay happy. And then the serotonin (the actual happiness hormone, not the pleasuring one like dopamine) cease to work inside your brain and the mental health disorder that follows will swallow you whole. You die. Your family is brioken. There is no money left. If you are lucky and rich like these people sitting around this table doing this nonsense of a podcast, then you may be able to afford a lifesaving organ transplant or healthcare intervention. There is no safe level of alcohol that is good for human health and every person who claims drinking in moderation is good for you, is actually an idiot, intellectually depleted and without any regard for fellow humans and lack compassion. No amount of alcohol is safe because it is not just a liver poison, it is systemic poison. It gets to every part of your body. Even single to lowest exposure can wreck your DNA and promote cancer formation. There is scientific evidence to this. ✅️who.int/azerbaijan/new… ✅newsroom.uw.edu/news-releases/… Any amount of alcohol can increase your chances of getting at least 7 types of dreadful cancers. ➡️cancer.org/cancer/risk-pr… & ➡️cancerresearchuk.org/about-cancer/c… It is not just disease causing, but alcohol use is also a societal poison. It drives people into becoming menace to society, takes lives, wrecks havoc in homes and is the real widow-maker. Have you forgotten these so quickly? 🔴The 17-year-old Pune boy, son of a renowned real-estate developer Vishal Agarwal, spent a whooping Rs 48,000 in just 90 minutes in one of the two pubs he visited on Saturday evening where he consumed alcohol with his friends before ramming his Porsche Taycan into a motorcycle, killing two young techies. firstpost.com/india/pune-por… and this one? India’s alcohol deaths are higher than China; per capita consumption is set to rise: WHO deccanherald.com/india/indias-a… And please allow me refresh your memory about this patient of mine. Rich business people can sit around a table and discuss the business of alcohol and the "best alcohol" that they savor and falsely glorify and normalize alcohol use among youth, but end-of-the-line physicians like me have to bear the brunt of their intellectually deficient, a humanism lacking stupid conversations. "The 4th Laddu": Doctor Shares Emotional Post About A Patient Who Touched His Heart x.com/theliverdr/sta… Also banning alcohol has NOT led to economies go into shambles. For example a recent study in the Lancet Regional Health showed that "strict alcohol regulation policies may yield significant population level health benefits for frequent drinkers and many victims of intimate partner violence." thelancet.com/journals/lanse… In fact, "economic savings and health benefits from reduced alcohol consumption may be substantial—particularly in the health sector with reduced alcohol-related disease and injury." ncbi.nlm.nih.gov/pmc/articles/P… So please chuck that idea that "banning/ limiting or reducing alcohol sales" actually desroys economies. In fact it improves it because you get a helathier population. See the Nordic Schema: who.int/azerbaijan/new… “A comprehensive ban on alcohol marketing, enforced at the national and local level, is a best practice for reducing alcohol sales and consumption." - which means, podcasts like these, which glorify alcohol use and market it indirectly must also be burned to the ground and held accountable. There is no healthy or safe alcohol. There is no best alcohol. Alcohol is ethanol, which is a systemic and societal poison. Do not glorify it. And this why there is no "responsible drinking," because you cannot advice people to "drink poison responsibly." Podcast discussions like these are helping no one here. Please, do something that actually helps people out here. Do something good for the society, instead of goofing up like this. No one asked for this absolute bonkers of a podcast topic. Irresponsible. The whole team. For a realistic detailed discussion on alcohol and its effects on the body and why we must avoid it at all costs, please see my deep discussion with Ranveer Allahbadia here: youtube.com/watch?v=mCWZN1… And on that final note, I must confess that the title of podcast series (video below) was perfectly named: WTF.

@vivekortho007 @narendramodi @PMOIndia Many are caused by potholes and poor road construction.

51, including 30 bike riders, killed in Karnataka in 24 hours- No one is bothered, neither the public nor the government! This is data merely from one state; dont know how many died and injured across the nation in last 24 hours? @narendramodi @PMOIndia Sir, what is preventing us from bringing stricter laws and their enforcement to prevent such a tragic loss of lives and their disastrous consequences on society?

With 154M lives saved in 50 years, I'm thrilled to see such strong evidence that vaccines work. To continue progress & protect children everywhere, we must make them accessible to those who need them most. When we work together, immunization for all is #HumanlyPossible

CALL TO ACTION: I need all of your help. There is a black box warning on low dose vaginal estrogen (VE) products. See below. It states, "warning: endometrial cancer, cardiovascular disorders, probable dementia." Low dose VE has NEVER been show to cause any of the above.

«When my husband died, because he was so famous and known for not being a believer, many people would come up to me ― it still sometimes happens ― and ask me if Carl changed at the end and converted to a belief in an afterlife. They also frequently ask me if I think I will see him again. Carl faced his death with unflagging courage and never sought refuge in illusions. The tragedy was that we knew we would never see each other again. I don't ever expect to be reunited with Carl. But, the great thing is that when we were together, for nearly twenty years, we lived with a vivid appreciation of how brief and precious life is. We never trivialized the meaning of death by pretending it was anything other than a final parting. Every single moment that we were alive and we were together was miraculous-not miraculous in the sense of inexplicable or supernatural. We knew we were beneficiaries of chance. That pure chance could be so generous and so kind. That we could find each other, as Carl wrote so beautifully in Cosmos, you know, in the vastness of space and the immensity of time. That we could be together for twenty years. That is something which sustains me and it’s much more meaningful. The way he treated me and the way I treated him, the way we took care of each other and our family, while he lived. That is so much more important than the idea I will see him someday. I don't think I'll ever see Carl again. But I saw him. We saw each other. We found each other in the cosmos, and that was wonderful». ― Ann Druyan

@ArunkumarDr Great work 👍🏽

Open RPLND for post chemo residual mass of 12cm. Always a satisfying surgery

@karthik2k2 Agree completely. We need more smart doctors. We also need a system that utilises their limited hours in the hospital to the fullest. Making the junior doctors work “harder” to compensate a broken system is not the solution.

Many people think the current generation of residents is a bunch of snowflakes, who call anything they don't like as toxicity. The mere increase in the usage of a term doesn't mean that the term isn't warranted. Nor does it mean that they have grotesquely twisted the word out of shape that it no longer means anything. So what has changed ? students aren't willing to tolerate harassment, bullying and arrogance in the name of respect for seniors anymore. They question the indefensible status quo - a culture that asks questions of the victim, but not the bully. They despise a system that is deaf to the whistle, but silences the whistle blower. They deserve to be heard, not dismissed reflexly. Of course, there will be the outlier student who takes advantage of the changing scenario. The vast majority don't. They deserve to be treated with dignity. The bullies need to be reined in. The harassment and intimidation needs to stop. Accountability needs to be the norm , not the exception. Why? Self respect is too high a fee to be paid for education (or anything else).

Kissan Jam or Sugar Jam? Kissan jam has 62.5% sugar!! If you put 20grams jam in 3 slices of bread each, you are having 9 teaspoons of sugar! In comparison, a 300 ml coke has 8 teaspoons of sugar. 𝐘𝐨𝐮 𝐰𝐨𝐮𝐥𝐝𝐧’𝐭 𝐠𝐢𝐯𝐞 𝐲𝐨𝐮𝐫 𝐜𝐡𝐢𝐥𝐝 𝐚 𝐠𝐥𝐚𝐬𝐬 𝐨𝐟 𝐜𝐨𝐤𝐞 𝐟𝐨𝐫 𝐛𝐫𝐞𝐚𝐤𝐟𝐚𝐬𝐭, 𝐭𝐡𝐞𝐧 𝐰𝐡𝐲 𝐰𝐨𝐮𝐥𝐝 𝐲𝐨𝐮 𝐠𝐢𝐯𝐞 𝐭𝐡𝐞𝐦 𝐛𝐫𝐞𝐚𝐝 𝐚𝐧𝐝 𝐣𝐚𝐦 𝐟𝐨𝐫 𝐛𝐫𝐞𝐚𝐤𝐟𝐚𝐬𝐭? Kissan Jam intentionally markets itself as a “breakfast” item to be had everyday, but in my opinion, Kissan Jam is a dessert NOT a breakfast item. They intentionally show a lot of fruits in their advertisement, but Kissan Jam mostly has sugar! If you really want the benefits of fruits, eat the fruits instead of having jam to get the vitamins, minerals, fibre and other benefits! Share to spread awareness!

Today I went to three pharmacies and asked for over the counter Amoxycillin antibiotic. All three pharmacists refused because I did not have a prescription. I told them I am a doctor. They still refused, because I did not have a prescription. I was really happy. This is Operation Amrith by Kerala Government and it's already in full force. The Kerala State Health department plans to completely stop over-the-counter sale of antibiotics without prescriptions by the end of 2024. The State Drugs Control department launched Operation Amrith (Antimicrobial Resistance Intervention for Total Health) to check antibiotics abuse in the State. I wish all the very best for this life saving endeavor.

@sumanthraman @ChennaiRains They follow their passion. They are not in it for anyone’s approval. They are men of science utilising technology and knowledge to predict weather. Truly admire their enthusiasm.

And a big shout out to @ChennaiRains who in my opinion was by far the best in providing updates during #CycloneMichaung . Despite trying circumstances your updates kept coming and were accurate. More than the so called star weather bloggers, this time you were the best by some distance.

(1/2) •COVID19 vaccination didn't increase risk of sudden deaths; it actually reduced the risk. • Past COVID-19 hospitalization, family history of sudden deaths, binge alcohol drinking, intense unaccustomed activity was associated with higher risk of sudden death.