Suvinay Saxena

On this republic day, we welcome everyone to the most awaited, most exciting Musculoskeletal radiology event of the year in Ahmedabad on 7-9th August. Register soon for the meeting and don't miss the opportunity . ams2026.com for updates!

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.

🇮🇳 3-0 🇵🇰 #BlueColts ate and left no crumbs 🤷 #INDPAK #U20SAFF2026 #IndianFootball ⚽️

Thank you @FAIMA_INDIA_ and all the resident doctors associations for standing by me! Grateful!

Register now for one of the most awaited training courses in Musculoskeletal Radiology! Learn from various National and International experts in the field! #msk #MskRad #radiology #fellowship #training #RadRes

Pharma companies send legal Defamation notice to Hyderabad’s Dr Sivaranjani for Fighting against FAKE ORS !! Dr Sivaranjani led the fight against misleading ORS label on products, resulting in a significant regulatory shift by FSSAI Shame on @fssaiindia ,Who can't Protect India !! #MedTwitter

घुटने के लिगामेंट (ACL) उपचार में एम्स जोधपुर की बड़ी उपलब्धि! डॉ. नितेश गहलोत के शोध से मजबूत ग्राफ्ट विकल्प और बेहतर रिकवरी के नए रास्ते सामने आए हैं, इससे सर्जरी के बेहतर परिणाम, ताकत में सुधार और दोबारा चोट का खतरा कम हो सकता है। अब मरीज अधिक सुरक्षित और बेहतर तरीके से सामान्य जीवन में लौट सकते हैं। #AIIMSJodhpur #ACLInjury #SportsInjury #Healthcare @JPNadda @mpprataprao @AnupriyaSPatel @MoHFW_INDIA

“The Supreme Court banning Prof Michel Danino and others for their NCERT chapter on judicial corruption, is nothing short of judicial dictatorship.” Thank you, @priyankac19, for being the voice of a billion Indians. You have said what the govt and its law minister should have.

Rocket 🚀🔥🔥🔥🔥 MANISHAAAAA!!! #IndianFootball

India loses 750,000+ talented students to foreign universities annually. Why? A NEET topper with 715/720 can't get MBBS while someone with 450 does, not because of poverty, but because of birth. When merit takes a backseat to birth certificates, we don't fight inequality. We institutionalize it. SHAME.

A great learning opportunity for those passionate about MSK imaging! Advanced Certification & Hybrid Imaging Fellowship in MSK Imaging by MSS, India offers: -100+hrs structured online teaching -National + international faculty -3 to 7 days interactive online sessions #msk #MSKRad

Institution par excellence. Glad to be a part of this institution for 4 years.

The U20 #YoungTigresses defeat Älvsjö AIK in their last friendly of the Sweden tour 🇮🇳🇸🇪 #IndianFootball ⚽️

Dear Indians community in Australia 🇦🇺, Let’s turn up in big numbers to support our Women in Blue at the AFC Women's Asian Cup 2026! Group matches in Perth & Sydney 🏟️ Let’s back India in their dream to qualify for the FIFA Women's World Cup! 🇮🇳❤️

@Nagaland_India Unmatched bravery and patriotism.jai hind sir

Meet Major Imliakum Keitzar, the Naga warrior from 📍Nagaland, Northeast India. Remember: We people from the Northeast are as patriotic as the rest of Indians.

@Coffeehudigi Amazing work 👏👏

4 PUO's cracked this month. I can say with confidence, we did much more than Dr. House level investigation! 1. Autoimmune myelofibrosis without systemic autoimmune disease( may progress later need follow up) nearly 4 months without diagnosis. 2. Microphage activation syndrome in adult RA incited probably by a viral. ( scary cytokine storm) 3. Leptospirosis ( ELISA Ig Mpositive only after 2 weeks) clue was travel to sabirimala last month and dip in holy pamba river. 4. DRESS syndrome 1 month after starting sulfasalazine for a suspected RA. Pursuit of diagnosis in PUO needs to be high..if I would write each invidually, it was challenging to get to the bottom of it! It was team work with all necessary specialities. #MedTwitter #Internalmedicine #diagnostician

An IAS officer in Chhattisgarh FIXED a maternal health CRISIS that the government couldn't solve with a recipe older than modern medicine. She did it with a ladoo! Yes, you read that right 🤯 Okay so here’s what happened: Koriya district had one of the worst maternal health records in the state: → High-risk pregnancies → Underweight babies → Mothers going into labour severely anaemic. Simply because pregnant women weren't getting enough nutritious food. So District Collector Chandan Tripathi did something no consultant would pitch. She turned a grandmother’s ragi modak into a structured maternal health system. Here’s what they did differently: → Created iron-rich ragi modak ladoos (dietician approved) → Gave 2 ladoos daily to every pregnant woman → Added iron supplementation from the 5th month → Paired each woman with a “Poshan Sangwari” to ensure she actually consumed them They called it the Koriya Modak Ladoo programme. The most brilliant part about this is that they didn't hire outsiders to make the ladoos. The same women it was meant to help now make the ladoos, earning ₹10,000–12,000 per month. And look at the results now: ✅ 57% reduction in low birth weight cases. ✅ 362/398 underweight mothers gained healthy weight ✅ 3,00,000+ ladoos distributed so far. And all of this was possible not because of a ₹100 crore government tender but because of trust in community knowledge and the will to execute it properly. Sometimes the most powerful solutions aren’t expensive.

Multiple workshops , amalgamation of basic and advanced topics, register soon

🚨 High Alert for Lucknow people 🚨 NEET-PG 2025-26 MD Psychiatry at KGMU Lucknow, India’s top government medical university. General Category : 562/800 marks → AIR ~8644 → Rejected. Dr Ramesh Kumar ( All data available publicly): 45/800 marks → AIR 227,951 → Accepted under quota. Let that sink in. A doctor who barely scraped 5.6% marks is now legally qualified to prescribe antipsychotics, mood stabilizers, ECT, and manage suicidal patients ~ while someone who scored over 70% is thrown out. This isn’t “reservation”. This is state-sponsored medical negligence. When a schizophrenic patient in acute psychosis, a severely depressed mother, or a manic bipolar individual in crisis walks into KGMU OPD ~they don’t get the best doctor merit can produce. They get whoever the quota machine coughed up. 45 marks. That’s not a doctor. That’s a lottery ticket with a stethoscope. If you or your loved one is battling severe mental illness in Lucknow Uttar Pradesh right now: Avoid KGMU Psychiatry like the plague. Your life is worth more than political optics. Go private, go anywhere , Use AI ~ but don’t gamble on a system that rewards catastrophic incompetence. Merit and social justice are not enemies. But when the gap is THIS obscene ~562 vs 45 ~it stops being justice and becomes judicially sanctioned endangerment of public health. Enough is enough. Minimum qualifying competency bar for PG seats in clinical branches ~especially Psychiatry ~ is non-negotiable. No more hiding behind “social justice” while sacrificing patient lives. Mental health deserves better than this barbaric mockery of a selection process. Fix it. Or own the body count.

Case highlight: Ischiofemoral impingement in a 45 year old lady with hip pain Check it out! 👇👇👇 #msk #mskrad #radiology #Foamrad #Radres #ortho #MRI #Hip #pain