Vissukc

@AdityaDharFilms Why did #Hamza keep 1 fake currency before killing Khanani? #Dhurandhar2‌TheRevenge

CME INDIA – Clinical Pearls Muscle-Strengthening Exercise (MSE) in Older Adults “Strength is the currency of independence in ageing.” 🏋️ 1️⃣ Muscle-strengthening exercise (MSE) is not optional in ageing—it is essential. MSE (resistance/weight training) includes free weights, machines, resistance bands, and body-weight exercises (e.g., push-ups, squats). Regardless of modality, neuromuscular adaptations occur when progressive overload principles are applied. 💪 2️⃣ MSE directly combats sarcopenia—the biological driver of frailty. Age-related loss of muscle mass and strength (sarcopenia) accelerates insulin resistance, falls, disability, and mortality. Resistance training increases muscle protein synthesis, improves motor unit recruitment, and preserves functional capacity. 🧠 3️⃣ Strength training improves more than muscle—it enhances brain and metabolic health. Regular MSE improves: • Insulin sensitivity • Glycemic control • Bone mineral density • Balance and fall prevention • Cognitive function • Mood and depression scores For patients with type 2 diabetes, resistance training improves HbA1c independent of weight loss. 🦴 4️⃣ It is a cornerstone in osteoporosis and fracture prevention. Mechanical loading stimulates osteoblast activity, reduces bone loss, and enhances musculoskeletal stability—reducing hip fracture risk in older adults. 🚶 5️⃣ Functional strength determines independence. Lower limb strength predicts: • Ability to rise from chair • Gait speed • Stair climbing • Reduced fall risk Loss of strength is a stronger predictor of mortality than low muscle mass alone. ⏱️ 6️⃣ Recommended prescription (WHO-aligned guidance): Older adults should perform: • Muscle-strengthening activities ≥2 days/week • Targeting all major muscle groups • Moderate-to-vigorous intensity • 1–3 sets of 8–12 repetitions per exercise Progression is key—gradual overload ensures adaptation and safety. 🏥 7️⃣ Safe even in chronic disease—when supervised. MSE is beneficial in: • Type 2 diabetes • Cardiovascular disease • Chronic kidney disease • Obesity • Osteoarthritis Pre-exercise cardiovascular risk stratification is advisable in high-risk individuals. ⚖️ 8️⃣ Sarcopenic obesity: the hidden epidemic. In Asian Indians, low muscle mass with high visceral fat (thin-fat phenotype) makes resistance training particularly critical. Aerobic exercise alone is insufficient—MSE preserves lean mass during weight reduction. 🛑 9️⃣ Common myths to dispel: ❌ “Older adults should avoid weights.” ❌ “Walking alone is enough.” ❌ “Resistance training is unsafe after 60.” When properly structured, MSE reduces—not increases—injury risk. 🏆 🔟 Clinical take-home: In older adults, muscle strength is a biomarker of survival, metabolic resilience, and functional autonomy. 📌 If we treat glucose but ignore muscle, we miss the foundation of healthy ageing. bjsm.bmj.com/content/59/2/1…

@IndianGems_ Civic sense

What is stopping Indian roads from becoming like this?

@readswithravi E-books disrupt your sleep Physical books induce sleep 😴

Is there anyone else who still favors reading physical books over e-books?

@GU_Hoya2020 @VisionSurge And end up paying higher price!

@VisionSurge Or start downloading ChatGPT and stop paying doctors so much 😆🤣🤣🤦‍♀️🤷‍♀️🥰

I'm on the waitlist for @perplexity_ai's new agentic browser, Comet: perplexity.ai/comet

Aakhirkar, ee saala cup namde sach hua! RCB ka sapna poora hua! 🏏🏆 @imVkohli congratulations #RCB #finally #EeSalaCupNamde #IPLFinals #TATAIPL2025

@MagnusCarlsen @MagnusCarlsen declared himself king, but @DGukesh just reminded everyone that even kings can get checkmated. Absolutely impressive performance by Gukesh! 🌟 His skill, composure, and fearless play against a legend like Carlsen show he’s truly a rising star in the chess world.♟️

A great quote from The Wire

@IPL @rajasthanroyals #vaibhavsuryavanshi got good #VaibS congrats on your #debut Six in #TATAIPL

𝐌𝐀𝐊𝐈𝐍𝐆. 𝐀. 𝐒𝐓𝐀𝐓𝐄𝐌𝐄𝐍𝐓 🫡 Welcome to #TATAIPL, Vaibhav Suryavanshi 🤝 Updates ▶️ bit.ly/TATAIPL-2025-36 #RRvLSG | @rajasthanroyals

@AmazonHelp check d order IDs i sent in DM and do resolve whatever issues u have with seller. i'm tired of ur standard responses & standard template emails dats of no help. where is empathy for customer? where is the efficiency if a customer has to contact you multiple times for same issue?

@vissukc We're sorry to learn that your amount is stuck. We'd like to help you with this. Please reach out to us via DM, and we'll do our best to assist. Further, please don't include any personal or account information. -Hafeez twitter.com/messages/compo…

@amazonIN pathetic #customerserivce hopeless agents ... amount stuck at seller and you are not able to resolve the issue with the seller!!! 15 days and no update yet. @JeffBezos

@DGukesh 👑 you've done it! 🏆 History made! youngest-ever #Chess #WorldChampion! A moment to cherish! Your victory is a testament to hard work and dedication. #Gukesh #IndianPride Inspires next generation of chess champions! A proud moment for #India

@Jaguar Disappointing!

@realmanubhaker Hearty congratulations

I am extremely overwhelmed by the support and wishes that have been coming in. Winning 2 bronze medals is a dream come true. This achievement is not just mine but belongs to everyone who has believed in me and supported me along the way. I couldn't have done it without the unwavering support of my family, Coach Jaspal Rana sir and everyone who stood by me, including the NRAI , TOPS , SAI, OGQ, Performax & especially Haryana government. With all my well-wishers. Competing and performing at the biggest stage for my country is a moment of immense pride and joy. Thank you all for being a part of this incredible journey and for standing by me through every step. Your encouragement means the world to me! A bittersweet end to my campaign in Paris but happy to contribute to #TeamINDIA's success. Jai Hind! 🇮🇳❤️

@therealjpk Wired & grounded 😂

@historyinmemes I thought witches used brooms? 🤔

These are called Witches' Stairs. It is believed that the design was thought to confuse or trap witches, preventing them from easily climbing the stairs due to the staggered pattern. Unlike traditional stairs with a regular series of steps, witches stairs alternate, with each step offset to either the left or right. This design creates a zig-zag pattern, allowing for a steep incline without requiring a large horizontal space. You will occasionally find them in very old New England homes.

The moment #Champions lift the #worldcup #India #T20WorldCup2024

WHAT a Match Edge of the seat Nail biting Heart racing at peak … baithe baithe cardio ho gaya 🤪 Ee sala cup namde was for this cup #T20IWorldCup #Champions #India

@madebygoogle WHY Google WHY? started getting #greenscreen on #pixel8 no physical fall or no damages whatsoever suddenly getting this issue! any resolution @Google

@Media_SAI @ianuragthakur @NisithPramanik @IndiaSports @PIB_India @ddsportschannel @akashvanisports unfair to name 1 person when we had such a brilliant year with so many medals from our athletes and para-athletes. All are my favorite. 😍

The heroes who made 2023 a great year for Indian 🇮🇳 #Sports! 🥳 Which sporting powerhouse has been your absolute favourite this year? 😍 Drop your answers in the comments section👇 #Rewind 2️⃣🅾️2️⃣3️⃣