Biomass Bob

“Vegans are so extreme” 80 billion lands animals + 2.8 trillion fish are killed each year for human consumption. Tell me how THAT isn’t extreme. Make it make sense. 💔🤔

@ChrisVMDHealth @SenseiShao That's interesting. I was feeling some lower back tightness yesterday on my run and attributed it to deadlifts. Was just this morning pondering my leg day and considering removing it for a while to see what happens.

I stopped back squatting almost a year ago and have never felt better. I believed all the dogma about it being the king of all lists, etc. Got up to a 345 max (lol, no couldn't get that 355 to make it plates and quarters...). But my hips and low back were achey, and my IT bands had issues. Now I attack the legs with machines, hack squats, pendulum squats... and a mix of more functional movements like walking lunges, sprints, etc. Never felt better, think my legs have more muscle, and I'm pretty sure I'm stronger too.

The more I think about the back squat, the less real-world value I see in it. I’m never in that position. Great exercise but unsure it's good on my hips and back long term plus I get the work other ways. If I do DL var, plyos, & quad power work, why do I need a back squat?

Much better VP than JD.

@FleshFitnessing @ScottAppliedSci Who cares? Who eats just potatoes? Your points are meaningless.

@SentientBlobBob @ScottAppliedSci Sigh. Potatoes are, and always were, a poverty food. That may or may not have anything to do with their nutritional value. They have 'some' nutrients, like all foods. Literally nobody says they don't. But they are not nutritionally complete. Many say they are. That's all.

Unleash the keto cult comments. It just doesn't die.

@VP We'll always remember the chubby, crossdressing version of you.

Vice President JD Vance Delivers Remarks in Budapest, Hungary twitter.com/i/broadcasts/1…

@KenDBerryMD Stereophonic quacks.

Considering a Carnivore Diet? Got questions? Dr Anthony Chaffee and I answer all of the FAQ's about a healthy Carnivore Diet. [link in comments]

@abbythelibb_ Jesus did not love war crimes, you fucking idiot.

Happy Power Plant and Bridge Day!

@FleshFitnessing @ScottAppliedSci I literally have no idea what you're arguing at this point. Potatoes are nutritious and presenting them as a poverty food is stupidly reductionist.

@SentientBlobBob @ScottAppliedSci Ok. You're obviously either gaslighting or just aren't getting it. I see this a lot from those claiming to be 'science based'. "Poverty food" is not a quantitative claim. Historically, the potato was seen as a last resort food. "Lacking nutrients" is as vague as it is true.

@Pete2Shawn @allenanalysis As a nurse, you're a mandatory reporter. Yet here your are supporting a child rapist. Gross.

@allenanalysis That’s days old rumor nonsense. He just said on camera the other day he was pleased with Tulsi.

🚨JUST IN: Trump is reportedly preparing to remove Howard Lutnick and Tulsi Gabbard from his administration.

@Tellit007 @ifixhearts I remember hearing him years ago in a "debate" with @NutritionMadeS3 and thinking he only possessed the shallowest of information about LDL etc. He was like a walking talking lo-carb meme. Disappointing for a physician frankly.

Age-adjusted ischemic heart disease mortality has fallen 81% since 1970. Heart attack deaths are down 89%. That is the experiment @ifixhearts says has failed. @ifixhearts sells telemedicine, two books, and a meat partnership. His post promoting a podcast episode questioning statin use in teenagers presents the continued high absolute prevalence of heart disease as evidence that lipid-lowering therapy failed. It is not. It is evidence that the burden was enormous to begin with, that the population is aging, and that metabolic disease has grown. Mortality rates are the correct metric. They have fallen dramatically. The "half of heart attack patients have normal LDL" claim conflates LDL-C with ApoB. LDL-C can be within conventional thresholds while ApoB remains elevated. PCSK9 loss-of-function carriers have 88% fewer coronary events across a lifetime. CTT meta-analysis: 170,000 patients, 26 blinded randomized trials, mortality benefit. Insulin resistance and ApoB are not competing explanations. IR accelerates ApoB-driven atherogenesis. Both are real. Only one has 170,000 patients of hard outcome data. @ProfDFrancis has written on why the surrogate-to-hard-outcome distinction matters. The metabolic health framework @ifixhearts promotes has not cleared that bar. Not a single RCT. Nada. A cardiac surgeon questioning statin use in teenagers with no evidence beyond the false claim that mortality rates falling 81% means the treatment failed. Do better.

@davykevinp @Manderville_RD Output. So I set my minimum kcal output as +50 from my average for the prior year. What that's done is ramp it up more like 250, or essentially a long walk. Again, not likely super precise, yet increasing definition at my midline.

@SentientBlobBob @Manderville_RD Up your gains by what metric?

For those who have health trackers, like Oura, Whoop, or apple watch. How do you like it? Have you changed anything in your routine because of the data? Also, am I crazy or are they all interpreting the same data with a different UI?

@FleshFitnessing @ScottAppliedSci

@ScottAppliedSci @SentientBlobBob Don't make people go searching for stuff when you know exactly why. THAT is bad faith.

@robertlufkinmd That's because your knowledge of this is a few inches deep. And you're running some kind of grift.

I respectfully agree. h/t @sugardetox

@ClearedAsFiled @porterguy1 @MidwesternDoc Us clowns? People who track actual data and not just blindly follow memes?

@SentientBlobBob @porterguy1 @MidwesternDoc You clowns said the same thing about the Covid vax. show me where heart disease is no longer the #1 cause of mortality.

With all of the circle-jerking today by the physicians reporting their statin/Zetia doses, here’s a well-researched and written article by the great @MidwesternDoc midwesterndoctor.com/p/the-great-ch…

@FleshFitnessing @DrEenfeldt For sure. But I think most struggle. Even in the Virta trial, year after year you can see slippage. So even with support, it's hard to eschew carbs.

@SentientBlobBob @DrEenfeldt One of my mantras is "we are not all the same".

It’s not just about the carbs. (Protein and fiber is a smarter focus, plus processing/energy desity))

@FleshFitnessing @DrEenfeldt I just mean the nature of reinforcement. I've done super low carb for a long time and found it very difficult. And I'd say I lean toward being very focused and disciplined. For most this is not sustainable.

@SentientBlobBob @DrEenfeldt Not in all cases. Certainly not on mine. Absence of carbs had made the difference where increasing fibre and protein didn't.

@ClearedAsFiled @porterguy1 @MidwesternDoc Evidence? And even if you can show that, I'd rather be alive after NOT experiencing a stroke or heart attack, than the contrary.

@SentientBlobBob @porterguy1 @MidwesternDoc apparently its not making a dent in overall mortality.

@FleshFitnessing @DrEenfeldt A wealth of behavioral science. Positive reinforcement beats punishment long-term.

@SentientBlobBob @DrEenfeldt Says who?

@ClearedAsFiled @porterguy1 @MidwesternDoc You can't possibly eradicate it. You can delay it, but your body will eventually degrade.

@SentientBlobBob @porterguy1 @MidwesternDoc Seems like that if statins were so great, that heart disease would not be the #1 cause of death in the US.