Brian Fradet

1.1K posts

Brian Fradet

Brian Fradet

@Brianf53

Norwalk, Connecticut شامل ہوئے Nisan 2009
386 فالونگ134 فالوورز
hormonemoon
hormonemoon@hormonemoon·
HARVARD hizo un estudio para descubrir qué te hace vivir más tiempo. En el estudio siguieron a 724 hombres durante 80 años. Midieron todo, desde ingresos hasta coeficiente intelectual, e incluso genética. ¿El predictor número 1 de una muerte prematura? No tenía nada que ver con nada de eso... Aquí está lo que encontraron (hilo): El estudio comenzó en 1938 con dos grupos:
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Nick Norwitz MD PhD
Nick Norwitz MD PhD@nicknorwitz·
Ezetimibe cut my LDL by 56%. But that wasn't the point...
Austin Dudzinski, PharmD, BCACP@ApoDudz

☝🏻One of the best and most intriguing videos I’ve seen from @nicknorwitz 👏🏻 👉🏻Ezetimibe tends to be thrown by the wayside for high intensity statin monotherapy, but we combophiles 😉(@JoshJwageman) know what’s up. 👉🏻Ezetimibe might not only be helpful for dramatically lowering LDLc in LMHR or leaner insulin sensitive individuals (@MattCalkinsMD, @richcollins, @DoctorTro, @DominicDAgosti2), providing some possible mechanistic insight into the development of this phenotype (@lipo_fan), but it may also have some brain protective properties. Okokokok 🙂‍↕️ youtu.be/5idzP5ghT7A?si…

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Sam Tsimikas, MD
Sam Tsimikas, MD@Lpa_Doc·
As we are almost to the readout of the Lp(a)HORIZON trial in 2026, lets gauge the mood of the room with a poll: I think the Lp(a)HORIZON trial will show how much relative risk reduction (RRR) compared to placebo:
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Dan Go
Dan Go@CoachDanGo·
I max dosed psyllium husk but did not expect this. For the past 28 days, I've maxed out on psyllium husk, taking two tablespoons 3x a day, and it's quietly changed my life. Here's what it did to my body:
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Ry
Ry@Ryanmariebach78·
What's a common phrase that annoys you? "To be clear"
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Dr Terry Simpson
Dr Terry Simpson@drterrysimpson·
And here we have the failed carb-hunger hypothesis, so lets dispense with their weird root cause. GLP-1 drugs don’t just blunt appetite. They change the physiology you’re claiming stays broken. Insulin secretion becomes appropriate instead of excessive. Glucagon gets suppressed. Hepatic glucose output drops. Fasting insulin falls. HbA1c improves. These changes show up early, before major weight loss. Hyperinsulinemia isn’t some mystical root cause floating untouched. It tracks with energy excess and insulin resistance. Reduce both and insulin levels come down. That’s exactly what happens. Calling it a “chemical crutch” is just moral posturing. We treat disordered physiology with medication all the time. No one accuses ACE inhibitors of creating “dependency” when blood pressure improves. If someone prefers diet and activity alone, fine. But dismissing GLP-1 therapy while it measurably improves insulin dynamics is not a sophisticated take. It’s just wrong. Oh, and lets look at the stats - what gets to the root cause of the issue vs what is the patch? Hmm, check the results
Diet & Nutrition@Diet0Nutrition

Ozempic lowers appetite, not insulin resistance These medications induce a caloric deficit that leads to rapid weight reduction however losing weight is not synonymous with fixing metabolic dysfunction. The core issue hyperinsulinemia and the inability of your cells to properly signal for energy remains largely unaddressed. Without a strategy to restore cellular insulin sensitivity, the body remains in a biochemically fragile state where weight loss is dependent on external chemical intervention rather than a resilient, self-regulating metabolism.

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Brian Fradet
Brian Fradet@Brianf53·
Questioning the marketing of a pharmaceutical product isn’t denial — it’s due diligence. The same rigor I’d apply to any investment claim, I apply to medical claims. Show me the absolute numbers, show me the NNT, show me the all-cause mortality data — and then we can have an adult conversation.”
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Ashwin Sharma
Ashwin Sharma@Ashwinreads·
cumulative exposure to LDL-C increases lifetime risk of mortality and adverse cardiac events, and is why statins are considered healthspan extending drugs.
Ashwin Sharma tweet mediaAshwin Sharma tweet media
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Bryan Johnson
Bryan Johnson@bryan_johnson·
Just had sex with Kate. Goodnight everyone.
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Neurophilia
Neurophilia@bobvarkey·
I’m a Neurologist and I take a statin. That’s the difference between knowledge and action. Literally the first concept that we started learning in pathology in second MBBS from ‘Robbins’ was atherosclerosis. How fatty streaks develop: the earliest visible sign of atherosclerosis, develop in the aorta during early childhood, often by age 3, and are present in nearly all children by age 10. We then forgot all about it for many years . Most of our literature deals with secondary prevention, but I now realise after reading tons of literature on atherosclerosis and Braunwald’s LDL years concept, primary prevention of atherosclerotic cardiovascular disease is the way to go. What’s the point of knowing all this, If you don’t take steps to ‘heal thyself’ The lower you keep your cholesterol on the longer you can manage it, the less likely you are to suffer from the big three (CAD, stroke and Peripheral artery disease) There is some things you can modify and others you can’t. Your cholesterol levels are definitely a modifiable risk factor. If you don’t think so , check out the literature on "SMuRFs" (Standard Modifiable Cardiovascular Risk Factors).
Michael Albert, MD@MichaelAlbertMD

I'm 36. I'm a physician. I take a statin—and ezetimibe—every day. No symptoms. No cardiac history. Just an honest read of the evidence. Here's what I found—and why I stopped waiting for a reason to act.

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Brian Fradet
Brian Fradet@Brianf53·
@bobvarkey Fake science-Always ask: What’s the absolute benefit, who funded it, and was it blinded?
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Brian Fradet
Brian Fradet@Brianf53·
@NutritionMadeS3 Fake science-Always ask: What’s the absolute benefit, who funded it, and was it blinded?
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Brian Fradet
Brian Fradet@Brianf53·
@MohammedAlo Fake science-Always ask: What’s the absolute benefit, who funded it, and was it blinded? Wouldn’t take if free or even paid
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Brian Fradet
Brian Fradet@Brianf53·
@AndrewZywiecMD Fake science-Always ask: What’s the absolute benefit, who funded it, and was it blinded?
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Andrew Zywiec, M.D.
Andrew Zywiec, M.D.@AndrewZywiecMD·
I hope the public was paying attention today, watching thousands of "doctors" post about how they take statins. No symptoms, no signs, no pathology, just because. A bunch of young, healthy, "educated" individuals with medical degrees, shamelessly promoting pharma. Whores. Doctor's are men who prescribe drugs, of which they know little, for illnesses, of which they know less, to humans, of whom they know nothing.
Mauricio Gonzalez MD.@DrMauinforma

I take Rosuvastatin 5 mg + Ezetimibe 10 mg daily. My LDL is consistently below 50 mg/dl. Zero side effects .

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Brian Fradet
Brian Fradet@Brianf53·
@SamaHoole Fake science-Always ask: What’s the absolute benefit, who funded it, and was it blinded?
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Sama Hoole
Sama Hoole@SamaHoole·
Doctor: "The statin is non-negotiable given your family history." Patient: "My father had a heart attack at 58. He ate margarine his entire adult life on medical advice." Doctor: "Dietary fat isn't the issue." Patient: "The margarine?" Doctor: "We now know trans fats were problematic, yes." Patient: "You recommended them." Doctor: "The profession recommended them." Patient: "Based on the same lipid hypothesis you're using to prescribe me a statin." Doctor: "The science has moved on." Patient: "Which bit?" Doctor: "...LDL remains a key marker." Patient: "Right."
Sama Hoole tweet media
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Brian Fradet
Brian Fradet@Brianf53·
@MichaelAlbertMD Fake science-Always ask: What’s the absolute benefit, who funded it, and was it blinded?
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Michael Albert, MD
Michael Albert, MD@MichaelAlbertMD·
I'm 36. I'm a physician. I take a statin—and ezetimibe—every day. No symptoms. No cardiac history. Just an honest read of the evidence. Here's what I found—and why I stopped waiting for a reason to act.
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Brian Fradet
Brian Fradet@Brianf53·
@MichaelAlbertMD Fake science-Always ask: What’s the absolute benefit, who funded it, and was it blinded?
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Michael Albert, MD
Michael Albert, MD@MichaelAlbertMD·
The cholesterol wars are over. LDL won. New guidelines. Four landmark trials. An oral PCSK9 inhibitor that matches injectables. And data proving we should be treating patients we currently aren't. Here's everything clinicians need to know. 🧵
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