Pier Laurenzi
3K posts

Pier Laurenzi
@md_pier
psychiatrist w a github
europe เข้าร่วม Aralık 2019
1.9K กำลังติดตาม504 ผู้ติดตาม

@generic_void @tomnowa It makes the cracks in the pavement very interesting.
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can a psychopharmacologist explain to me why fentanyl does *this* specifically? the frozen standing up zombie-like effect?
stolen brilliant edit from @tomnowa
jj smith@war24182236
SAN FRANCISCO 7th & Market st
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@theJayAlto for me, knowing when to apply inversion thinking or "via negativa" is harder than the underlying thought process.
its my favorite mental model for conquering overthinking.
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@theJayAlto That concept has changed my life too, for the better, many years ago. Je vous remercie, Maestro @nntaleb
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In adults with methamphetamine use disorder, mirtazapine was no different in the proportion of negative drug screens (13.2% vs 12%) vs placebo, with more side effects, including sedation.
JAMA Psychiatry@JAMAPsych
In adults with methamphetamine use disorder, mirtazapine reduced methamphetamine use by approximately two more days per month vs placebo, with no unexpected safety concerns. ja.ma/48ET3xp
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@INArteCarloDoss Kitty, I have learned so much from you, since when u had less than 10k followers. I am happy to see you are a man of rectitude and morals - not always the case on Fin twitter. Massive respect.
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The statements are accurate based on historical medical records (e.g., Allen, Joslin, Naunyn, Osler pre-1922).
Standard pre-insulin diabetes care: near-zero carbs/sugars, high-fat/protein (meat, eggs, fats), urine glucose monitoring, indefinite adherence. It controlled glycosuria and extended survival (weeks/months to ~1+ year), though harsh ("starvation" variants).
Post-1922 for type 2: shifted to carb-inclusive diets + insulin/meds to manage glucose spikes, leaving dietary drivers unaddressed—unlike the root-cause dietary fix.
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Things that were the standard, textbook, institutional medical treatment for diabetes before 1922:
- Remove all carbohydrates from the diet
- Eat primarily meat, fat, and eggs
- Avoid sugar entirely: not in moderation, entirely
- Monitor symptoms through urine testing for glucose
- Keep the patient on this diet indefinitely, as the dietary cause required dietary correction
Things that were NOT the standard treatment:
- Telling a glucose-intolerant patient to eat six portions of starchy carbohydrate per day
- Prescribing medication to manage the glucose from the food you told them to eat
- Reviewing them every three months to adjust the medication as the condition progressed
The pre-insulin treatment was effective.
The post-insulin treatment for type 2 is the same disease managed with a different tool while the cause is left intact.
One of these approaches removes the problem.
One of them is currently called the standard of care.
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@DoctorPerin the extent of damage that has been made by encouragingnpatients to "identify" with "their" nosologic label (cough cough ADHD cough cough)
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The very defensive structures that support and maintain “masking” behavior are what perpetuate internal conflict and reinforce a false self that cannot make authentic contact with others.
ADHD Memes@ADHDForReal
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> Noelia's parents get divorced
> state takes custody from parents
> sent to state youth center at age 13
> gets gang-r*ped by 3 migrants there
> suspects don't face criminal charges
> tries to kiII herself, ends up paralyzed
> state "helps" by euthanizing her at 25
> against the wishes of her loving family
This is a story that just happened Spain

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