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The Surgeon General Debacle: When Wellness Influencers Almost Ran Public Health open.substack.com/pub/tsimpson/p…
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Dr Terry Simpson
34.6K posts
Dr Terry Simpson
@drterrysimpson
Surgeon & Medical Expert | Science Over Hype | Evidence-Based Health & Nutrition | My substack for more in depth discussion https://t.co/HDz2E3Grdt
Ventura, CA Katılım Ocak 2009
330 Takip Edilen16.9K Takipçiler
If this were true, cardiology would be empty and Nobel Prizes would be raining down on steak.
Instead, we’re asked to believe that a self-selected group on the internet—measuring success by vibes and testimonials—has somehow overturned lipid biology.
“No scurvy” is not a triumph. It’s a low bar.
“No immediate heart attacks” is not evidence. Disease takes decades.
LDL does not care about dietary ideology. It rises, it deposits, it drives atherosclerosis—whether the source is a salad or a sirloin.
And the “missing signal”? Nutrition rarely deals in explosions. It deals in slow, cumulative risk—precisely the kind you won’t notice until it’s too late.
This isn’t suppressed science.
It’s wishful thinking, marinated in certainty and served as proof. Just need mushrooms for more psychosis
Ken D Berry MD@KenDBerryMD
If there was even a shred of curiosity or academic integrity in the nutrition research space, researchers would be falling over themselves to study this self-selected group of carnivores! Why don't they develop scurvy? Why isn't there a heart disease spike in Carnivores? Shouldn't they develop Type 2 Diabetes at higher rates? Colon cancer rate hockey-stick? Rampant inflammation (measurable) ? Pounds of meat rotting in their colon? Nothing?? Remember, "they" keep telling us that one extra egg/day increases risk. 2 ounces of red meat increases risk. CARNIVORES EAT 2 POUNDS OF MEAT AND A DOZEN EGGS/DAY! Shouldn't the signal be off the charts??
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Ah yes—the therapeutic philosophy of “my friend liked it, so prescribe it.” A stirring standard, if one’s ambition is to replace medicine with group chat anecdotes.
The comparison collapses instantly. Choosing between SSRIs is like choosing between different aircraft flown by trained pilots—minor differences, same destination, all tested, all airworthy. Prescribing ivermectin for cancer is more akin to strapping on a lawn chair and declaring oneself an aviator because it once floated briefly above a swimming pool.
Medicine is not a concierge service for whims dressed up as preferences. It is a discipline constrained—sometimes inconveniently—by evidence. When that evidence exists, we argue over nuances. When it does not, we do not pretend otherwise simply because the patient is insistent.
To prescribe an unproven treatment in a life-threatening illness is not compassion. It is the performance of compassion—one that risks trading time, trust, and outcomes for the fleeting comfort of “doing something.”
If the standard becomes “give the patient whatever they ask for,” then we have not empowered patients—we have abandoned them, dressed in the white coat of false reassurance.
Jeffrey@approfre
@drterrysimpson Actually, if a cancer patient was following the protocol and was begging for an Ivermectin prescription, a good doctor would prescribe it. Psychiatrists do it all the time. The doctor prefers a certain SSRI, the patient wants another one based on friends' success. Give it to him.
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@approfre All treatments - but some have proven efficacy even with side effects— ivermectin has no efficacy and side effects which means a good doctor wouldn’t prescribe it
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That’s a list of beliefs, not evidence.
Colloidal silver is toxic.
Nebulized hydrogen peroxide can injure lungs.
High-dose vitamin C hasn’t shown consistent benefit.
Ivermectin—once you remove flawed studies—doesn’t improve outcomes.
In medicine, we use what actually reduces death and complications in controlled trials—not what sounds convincing online.
If these worked, every ICU would use them.
Strong claims need strong evidence.
Uncle Andrew- Pastor P@uncle_p70141
@Skandranen @drterrysimpson You could have healed everyone you murdered with colloidal silver and food grade h2o2 nebulizer alongside hi dose vit C infusion and ivermectin the way we did You are satanic order followers who lack discernment and common sense
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@drterrysimpson If I get cancer I'll do conventional therapy. I'll also take Ivermectin. Prescribed a billion times. Zero side effects.
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Remdesivir didn’t “create” respiratory failure—COVID does that through viral injury and the inflammatory response in the lungs.
Remdesivir was studied in randomized trials: it showed modest benefit in shortening recovery time in certain hospitalized patients, and no clear mortality benefit. It’s not a miracle drug—but it’s also not the cause of respiratory failure.
When something causes harm at scale, it shows up clearly in controlled data across multiple studies and health systems. That signal isn’t there.
Blaming treatments for the disease itself doesn’t hold up to evidence.
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@Skandranen @drterrysimpson You created the respiratory failure with remdezivir
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I’ve prescribed vitamin D when someone is deficient.
I’ve never prescribed high-dose IV vitamin C for “acute disease” because it hasn’t been shown to improve meaningful clinical outcomes.
That’s not “shilling.” That’s practicing medicine based on evidence rather than anecdotes and wishful thinking.
High-dose vitamin C has been studied—in sepsis, in cancer, in critical illness. The results? Inconsistent at best, negative in well-controlled trials, and in some cases associated with harm (including kidney injury and oxalate nephropathy).
Vitamin D? Useful when you’re deficient. Not a cure-all. Not a substitute for actual treatment.
Medicine doesn’t work on “I’ve seen it work” or YouTube testimonials. It works on reproducible data, controlled trials, and outcomes that hold up when bias is removed.
If your standard for “healing” is whatever sounds natural or feels intuitive, then sure—science will disappoint you.
If your standard is what actually reduces mortality, complications, and suffering across populations, then evidence-based medicine is the only game in town.
And as for the insults—when someone runs out of data, they usually reach for those.
Uncle Andrew- Pastor P@uncle_p70141
@drterrysimpson @Skandranen How many times have you prescribed vitamin D and hi dose C infusion for acute symptomatic dis-ease, Terry? You pHARMa shills are retards who can't heal anyone
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@Skandranen @uncle_p70141 They don’t know - they don’t deal with people who can’t breathe - people with mild covid improved and those with distress were taken care of well
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@uncle_p70141 @drterrysimpson So, if you don't use a ventilator, how do you manage someone who's in respiratory failure? Thoughts and prayers?
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@JanaHenk @mrsmeerka They won’t - they think they know it all
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@mrsmeerka @drterrysimpson Lies.
I beg you to go back to your elementary-school science textbooks and start there.
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Statins are associated with ~20% lower dementia risk in pooled analyses (PMID: 34871380). Association, not proof — but no harm signal.
Dr. Dennis Walker@drdenwalker
Know this: Your brain is made mostly of cholesterol. When you start taking medication to lower your cholesterol, that's when you end up with dementia, Alzheimer's, Parkinson's, etc. Don’t fall for it. It’s a scam!!! RT and Share
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@Skandranen @uncle_p70141 Those who were not in the hospital are like arm chair quarterbacks- they have no idea
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@uncle_p70141 @drterrysimpson I worked through the pandemic, caring for a lot of very sick people, so tell me more how fake it was.
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@DrNadolsky @drterrysimpson What is your thought on colon cancer risk? To me, it should lower it, no?
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Dr Terry Simpson retweetledi
Rapid fire glp-1 med myth busting
- no difference from placebo in pancreatitis
- medullary thyroid cancer seen in rats not humans (humans don’t have GLP-1 receptors there while rats do)
- muscle loss is same as caloric restriction
- gastric emptying slows initially but goes closer to normal after months. No strong data for permanent issues other than random lawsuits.
- help with weight loss via appetite. They are not metabolism boosters (yet)
- they do have multiple benefits beyond weight loss
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@drterrysimpson Isn't is more from rapid weight loss than obesity itself? If one is losing weight in a controlled fashion possibly averted?
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Let’s add - more danger of gallstones from obesity than a GLP-1
Dr. Spencer Nadolsky@DrNadolsky
Rapid fire glp-1 med myth busting - no difference from placebo in pancreatitis - medullary thyroid cancer seen in rats not humans (humans don’t have GLP-1 receptors there while rats do) - muscle loss is same as caloric restriction - gastric emptying slows initially but goes closer to normal after months. No strong data for permanent issues other than random lawsuits. - help with weight loss via appetite. They are not metabolism boosters (yet) - they do have multiple benefits beyond weight loss
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Does this really happen? The Pitt tackles measles and medicine… here’s a similar story:
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Nope. This is basic pathophysiology, and you’re oversimplifying it.
A myocardial infarction is caused by insufficient blood flow to the myocardium—that part is correct. But claiming plaque rupture isn’t central misses decades of data.
Most MIs (Type 1) are due to atherosclerotic plaque rupture or erosion with superimposed thrombosis. That’s not opinion—that’s what we see in angiography, pathology, and intravascular imaging.
Are there other causes? Yes:
•Coronary vasospasm
•Embolism
•Spontaneous coronary artery dissection (SCAD)
•Supply–demand mismatch (Type 2 MI)
But those are the minority.
And while we’re here: the idea of “spontaneous clotting from spike protein” causing MIs has never been demonstrated in clinical or pathologic studies. Not in cardiology literature, not in large datasets, not in autopsy series.
If you’re going to correct someone, at least get the hierarchy right:
plaque instability → thrombosis → occlusion → infarction.
Medicine isn’t TikTok physiology—it’s evidence.
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@DillonVibez @drterrysimpson Nope. You claim to be an NP, but an MI is cause by obstruction of the blood to an area of the heart. Plaque rupture is not the only cause on this.
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“Pandemic of the unvaccinated” referred to rates, not absolute counts.
If 80–90% of an older population is vaccinated, then some vaccinated people will still be hospitalized. Vaccines reduce risk; they don’t make biology disappear.
The correct comparison is hospitalization per 100,000 people in each group. During the Delta wave, unvaccinated adults in the U.S. had roughly 10–15× higher hospitalization rates than vaccinated adults according to CDC surveillance.
That’s what “pandemic of the unvaccinated” meant: the risk of severe disease was dramatically higher without vaccination.
Confusing population rates with raw hospital counts is the base-rate fallacy — statistics 101.
Steve Kirsch@stkirsch
We were told "pandemic of the unvaccinated." You don't remember that Terry? So now we know they were lying. If the vaccine worked, pretty much no vaccinated person will end up in the hospital. How are the % exactly the same as background? What data are you using to model that Terry?
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@caloriesproper2 Can we call Snickers a protein bar? They at least have some flavor ?
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down to earth
not like the fake PhD takedowns like you're breaking some oath of purity by having a protein bar
CoffeeBlackMD@CoffeeBlackMD
I like protein bars well enough. I’ll grab a David occasionally. It’s fine. Hits the spot when I want one. I’ll even try Paul’s if I ever have the opportunity to do so. Guys. It’s like. Healthiest junk food. Whatever. It’s not that deep. Can you stop ruining the TL? Please?
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