Medical Director Baszucki Group, Host Metabolic Mind podcast. Low Carb Cardiologist. Connecting metabolic, mental, & cardiac health. Views are my own.
San Diego, CA
Joined August 2011
- Tweets5.7K
- Following754
- Followers52.6K
- Likes9.4K
Pinned Tweet
Why do so many people believe a keto diet causes heart disease when there’s actually no evidence for that? I explore that in my latest Metabolic Mind video!
There is NO evidence that a keto diet increases the risk of heart disease.
What there IS emerging evidence for is the potential metabolic & mental health benefits of #TherapeuticNutritionalKetosis. These alone merit future studies on its use as a medical treatment.
Bret Scher, MD retweeted
New resources: Working with leading experts, we released evidence briefs on the role of nutrition and metabolic health in diabetes, obesity, and other chronic diseases. Explore the findings, including research on low-carb and ketogenic dietary approaches:
coalitionformetabolichealth.…
The conclusion from the new STREAM trial in the New England Journal of Medicine says that stopping statins in older adults is "noninferior" to continuing them.
That’s getting lots of attention from supporters and critics. Let's look at what the paper really shows. 🧵
So the big lesson is that whether a trial is “positive” or “negative” doesn't mean anything until you know what they tested, what the outcome definitions were, and how that applies to us as individuals.
Do we care more about small reductions in cardiac events, or improved quality of life? Can they be one and the same? And, of course, are we talking about higher or lower risk individuals, which absolutely should dictate the treatment decisions.
The headlines don’t make the clinical decisions. An individualized discussion does.
Link to the paper nejm.org/doi/full/10.1056/NE…
Bret Scher, MD retweeted
💛 Caregiving through serious mental illness can change a family in ways no one expects.
@bschermd speaks with Janet Ebos and her son Seth about psychosis, recovery, and how their relationship evolved as they learned what support looked like for both of them.
Two patients. Same BMI. One is metabolically healthy. The other has insulin resistance, liver fat, and is on a path toward serious health complications.
A new review in Nature Medicine just detailed this situation and emphasized how treating both of them the same way may not be right. 🧵
For population surveillance, BMI is a useful tool. For the person sitting across from me in the exam room, it tells me almost nothing actionable.
Fasting insulin, HOMA-IR, TGs, ApoB, waist circumference, body composition. These are the markers that show what the metabolism is actually doing.
Weight is a data point. Metabolic health is the diagnosis and the ultimate goal of treatment.
Here’s the link to the review nature.com/articles/s41591-0…
