Psychiatrist, Engineer, Inventor, Business owner.

For drugs, go to: CostPlusdrugs.com For labs, go to: laboratoryassist.com For imaging use: Radiologyassist.com

All-cause and cause-specific mortality in gambling disorder: Evidence from a nation-wide matched and sibling cohort study in Taiwan buff.ly/lSU8JGN

@elonmusk @LeahLibresco Function is cool

@LeahLibresco Something way cooler than a minivan is coming

MAKE A MINIVAN, ELON.

@CharlesLutzMD Why are there 51 rankings?

New York is the worst!

The largest review of medicinal cannabis for mental health was just published in The Lancet Psychiatry. 54 RCTs testing CBD, THC, and combined formulations. 2,477 participants. 45 years of data. - Anxiety: 6 trials. No significant effect. - PTSD: 3 trials. No significant effect. - Depression: Zero trials. Not tested once. 27% of adults in the US and Canada have used cannabis medically. 50% use it for mental health. thelancet.com/journals/lanps…

Low-dose naltrexone has grown in popularity for depression, but the second randomized trial just turned up negative. Get the full details on this anti-inflammatory set-back: psych-partners.com/low-dose-naltr… #psychiatry #pmhnp #naturopathic #therapy #naturopathicmedicine

Two new reviews reinforce previous conclusions about cannabinoids for mental health: "Given the scarcity of evidence, the routine use of cannabinoids for the treatment of mental disorders and SUDs is currently rarely justified." thelancet.com/journals/lanps… jamanetwork.com/journals/jamai…

Hmm, thats peculiar. $btc down and $kas up. For the first time in a long time. Just a couple of hours, but seemingly not something I can recall happening recently.

The association between sleep disturbance and stimulant use: A cross-lagged examination onlinelibrary.wiley.com/doi/full/10.11…

Dextromethorphan augmented #clozapine in new randomized trial of #schizophrenia with a large effect. With few options in clozapine-resistant cases, even a small trial is a worthy addition. More details: psych-partners.com/clozapine-dext… #psychiatry #pmhnp

Changes over time in hallucinogen-related emergency department visits in Ontario, Canada buff.ly/gFfX73R

First fecal transplant in bipolar depression failed; small-db RCT: pubmed.ncbi.nlm.nih.gov/41785480 Undaunted, authors speculate sham had active benefits But 3 probiotic bipolar RCTs = negative, despite positive in non-bipolar depression using these strains: chrisaikenmd.com/supplements

Old drug, new hope: Acetazolamide, a carbonic anhydrase inhibitor, reverses opioid withdrawal, induces synaptic plasticity in the NAcc & reduces drug-seeking. A repurposable, non-opioid strategy to prevent relapse in OUD / @guptasubhash2 nature.com/articles/s4138…

New consensus on deprescribing features many pearls, like ▪ Taper potent anticholinergics over 2-4 wk ▪ Avoids rebound: Anxiety, insomnia, confusion, sweats, drooling, diarrhea ▪ eg: Clozapine, tricyclics, some sleep meds: acbcalc.com pubmed.ncbi.nlm.nih.gov/41739481

@ManOfFocus_ Who me?

As a man, what is your personal philosophy? (In 3 words or less)

This is why we are in Iran. Brace For Impact. youtu.be/5umJ63d3rzQ?si… via @YouTube

@Vivek4real_ Darn, this guy is usually wrong. I was so hopeful.

TOM LEE JUST SAID LIVE ON CNBC THAT BITCOIN AND CRYPTO IS ABOUT TO GO PARABOLIC IN THE NEXT 20 DAYS HERE WE GO 🚀

@MerlijnTrader The war thing.

BREAKING: 🇺🇸 Insiders are dumping stocks at record pace. Diamondback Energy: $1,132,000,000 sold. Peter Thiel sold $289,000,000 in PLTR. NVDA officer dumped $54,756,038. Only 3 insiders are buying. The rest are running for the exit. What do they know that you don't?