Adam Nessim, MD

Looks fake, but it’s real. This is called a hair splinter, and if it’s not removed properly, it can lead to irritation or infection. Also, weirdly satisfying to watch. #MedicalFacts #Satisfying #PhysicianPerspective #DrAdam #HealthEducation

Health advice gets dangerous when people start making absolute claims. Diet can play a role in overall health, but reducing something as complex as cancer to one eating pattern is not what the evidence supports. That kind of oversimplification helps nobody. #HealthEducation #PhysicianPerspective #DrAdam #EvidenceBased #Wellness

Thought the same thing. I actually couldn’t believe he got the job done. Looked like a clear ACL rupture.

@BrianSuttererMD @arielhelwani Thought the same thing. I actually couldn’t believe he got the job done. Looked like a clear ACL rupture.

If this fight goes beyond the 1st round, Ulberg’s knee quickly starts to fill with blood (hemarthrosis) making it likely impossible to continue fighting. He had the rest of that first round to get the job done before the knee failed him, and he did just that

Looks fake, but it’s real.This is called a hair splinter, and if it’s not removed properly, it can lead to irritation or infection. Also, weirdly satisfying to watch.#MedicalFacts #Satisfying #PhysicianPerspective #DrAdam #HealthEducation

@camfwz @JCMacriNBA For sure

@adam_nessim @JCMacriNBA cels are winning so starters will rest monday

Uh oh. Hope this is precautionary.

This was very necessary. Literally no evidence supporting compounded oral semaglutide. These companies have taken it too far and they will now pay the price.

@noahkaufmanmd im hoping this will be me in exactly one year and 3 months! but whos counting

It’s funny. Now that I’m opening my own clinic, I’ve never wanted to practice medicine more! No more hospital administrator looking over my shoulder. No more dealing with insurance. I get to make all of the decisions, and I’m barely going to have to touch a keyboard or a mouse. I just get to take care of patients which is my fundamental calling. It’s unreal, and I can’t tell you how excited I am to finally practice medicine on my own terms!

OG Anunoby turned his ankle against the raptors tonight. Appeared to be a low grade ankle sprain I suspect he will be fine by the beginning of playoffs but will likely sit out last game.

For decades we were told these oils were fine. Now some of the loudest voices in health are calling them poison. The real answer is more nuanced, and a lot more useful, than either extreme. If you've been confused by the debate, this is the part that actually matters. #Nutrition #HeartHealth #Wellness #PhysicianPerspective #DrAdam #HealthOptimization

The bigger issue isn't one ingredient by itself. It's the overall pattern: packaged food, refined carbs, low fiber, and not enough of the things that actually protect long-term health. When you zoom out, the takeaway becomes much clearer. #Nutrition #WholeFoods #HeartHealth #PhysicianPerspective #DrAdam #HealthOptimization

This is major. Bye bye black market.

@AllenGreenMD1 That’s a reasonable take. I’d love to hear the response to that

Plasma exchange is not done only in the ICU for severely sick people. There are 111 indications that range from outpatient to ICU level care. It does remove antibodies, but they bounce back within 24 to 48 hours and it doesn’t cause an increase infection rate. The same is true for clotting factors, btw. They bounce back in 24 hours and don’t get low enough in the outpatient setting to cause issues. The studies that we do have indicate that toxin levels are reduced. A fair argument is whether or not that leads to improved health. I’d argue that removing carcinogens and endocrine disrupters is probably a good thing, but we don’t have the longitudinal studies to show it yet. Thr biological aging clocks study was small and funded in part by a company that was formed to offer TPE, but There is 20 years of research into the longevity benefits of it. The study he claims is a negative trial is not on plasma exchange. It studied plasma donation. They’re similar but totally different.

Great breakdown

@AllenGreenMD1 What’s he get wrong?

@adam_nessim Except he got far more wrong than he got right.

Not feeling NAD+ supplements? Oral forms can be inefficient since much gets broken down in the gut, and absorption varies. IV NAD+ bypasses digestion, delivers higher concentrations, and may lead to more noticeable effects. While clinical data is still evolving, the pharmacology supports this approach. Have you noticed a difference between methods? #NAD #HealthOptimization #Biohacking #IVTherapy #Longevity

I'd like to say my practice will fall somewhere in the middle of the two. I have a similar training path to Dr. Sutterer. Finishing PM&R; residency now and doing an interventional sports and spine fellowship next year. I think it's awesome to be at the forefront of stem cell therapy but there is a lot of BS in the space and there's definitely anecdotal stories of people thinking something is effective when in reality in a randomized control trial it wouldn't show the results best out a placebo. I do wonder why we do not have the studies. I feel like it doesn't need to be $50 million to produce some of these studies. Wouldn't the goal be to get these stem cell treatments into greater access if that's the case? I agree, of course, professional athletes live in a different world but ironically I've seen professional athletes and celebrities fall for more pseudoscience snake oil than the general public because they always want to get the best of the best even though sometimes that doesn't exist. I'm not saying that's the case here but I think there has to be a balance and at the very least just proper informed consent if you're going to be trying certain modalities where there's not human control trials for. But that said I'd like to be on the forefront of stem cell and peptide therapy myself. Mechanistically it makes sense. You just don't want to be making outlandish claims not saying that's what you're doing. I'm just saying in the unregulated peptide and stem cell space I just see egregious statements being made. Best of luck to both of you guys in your practices.

It’s been going on for years. Brian is traditional, by the book. He’s in traditional medicine and works in what sounds like an underserved area. If something isn’t documented in a ton of studies then he likely doesn’t support it. I entered the world of non-traditional back in 2020. Going full time into PRP, stem cells, peptides etc I have experienced how amazing the outcomes have been and unfortunately there isn’t a $50 million study confirming what I see everyday. My goal is to help patients the best and safest way I can. Just like him. I just choose to do it in a different manner. Traditional medicine uses bandaids (cortisone), sometimes gets a little crazy (PRP) and then usually recommends surgery. I live in a different world. I get patients who don’t want the traditional approach. Most have had it and it failed. Or they don’t want surgery. IMO money should not be a rate-limiting factor for care. You think a professional athlete is going to ‘settle’ for PRP, which they’ve likely had access to for over 10 years when they can have something significantly stronger, less pain, faster recovery and the only difference is something they have a lot of (money). It’s an easy decision. They don’t care ‘what do the studies show?’ They care, does it work? Is it safe? Can I return faster to the field/court without having surgery? They only come to me if they were referred by another pro or their trainer/PT (who has other pros treated by me). They wouldn’t be referred if what I did didn’t work, especially if they spent a ton of money. The fact that they reach out means the person referring them believes in what I do and that it obviously worked. At the end of the day, that seems to be the e difference of opinion between Brian and I.

Source re Reaves? Zero reporting of this being the case.

The omega balance conversation is missing the actual point. Most people think the issue is getting too much omega-6. The bigger issue may be that we're getting nowhere near enough omega-3. That leads to a very different takeaway - and a much more useful one. Small nutrition details can change the whole picture. #Nutrition #HeartHealth #Wellness #PhysicianPerspective #DrAdam #HealthOptimization

I don't think he needs to go to another country to get great care as we can do most everything that has strong evidence behind it here in the US. However, as long as he's not taking any substances that are banned from pro basketball, I see no reason he shouldn't be allowed to come back and play. This is just to speed up recovery from an injury; none of these treatments will give him an advantage.

Likely grade one will be ready in a few weeks good news for Soto!