TheLiverDoc Profile picture
Sep 28, 2020 7 tweets 11 min read Read on X
1
Sharing our invited review: Transjugular intrahepatic portosystemic shunt (TIPS) in #cirrhosis/World #Journal of #Gastroenterology. @SRajesh_IR helms 24-page colossus discussing exhaustively recent studies #livertwitter #MedTwitter #irad #GITwitter
Full: bit.ly/3ib7Frp Image
2
Topics we discuss include - variceal bleeding (incl ectopic), #ascites & #hydrothorax (incl chylous), #complications, new techniques, #stent size dilemma & extensive point of care algorithmic approaches in portal hypertension complications, eg: esophageal #variceal bleeding 👇 Image
3
#New techniques such as combined approach for difficult anatomy situation in TIPS in cirrhosis 👇 Image
4
Algorithm on point of #care management of gastric variceal bleeding in cirrhosis 👇
#medicine #healthcare #health #intervention Image
5
#Algorithm on management of #ectopic variceal #bleeding in cirrhosis 👇 #radiology #MedStudentTwitter #MedStudents Image
6
Finally, reallife difficult cases (eg:👇 TIPS in extensive portomesenteric thrombosis) with striking and interesting follow up #images post TIPS showing the power of #portal #Pressure reduction! Hope y'all have a good #read! @Sandeep11593961
Full paper: bit.ly/3ib7Frp Image

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More from @theliverdr

Jun 3
The most powerful 'treatment' for non-alcohol related fatty liver (and also the best for longevity and even beating recurrence of cancer as per a new NEJM study)

In 10 easy to read slides!

1/10 Image
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Read 10 tweets
Jun 1
1/11
Creatine supplements: All you need to know in 10 slides. Image
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May 31
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Good morning. Here is a weekend breakfast special. This post is for general population/ public, not for highly active athletes, body builders and powerlifters.

How many eggs a day are safe to consume?Image
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Read 13 tweets
Apr 18
1/15
A probiotics company called GoodBug that sells a variety of products containing various strains of bacteria with claims that their products promote weight loss, reduce PCOD symptoms, "cleanse the gut," improve IBS and "balance" hormones. They are lying.

Here is how... Image
2/15
Their products claims are based on "fictional" data, weak science or possible falsification of data. This is classically: "fringe science."

"Ideas that challenge established scientific views, considered unproven or speculative. Encompass theories that deviate significantly from mainstream science, lack empirical evidence, based on flawed premises."Image
3/15
Akin to other nutraceutical companies, the products display terms like "SCIENCE," "EVIDENCE," "SCIENTIFIC," etc... without actually providing any data to back those claims. Some do provide data, but mostly preclinical studies and never solid human studies that are rigorous. Image
Read 15 tweets
Mar 4
1/4
Herbalife.
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Read 4 tweets
Apr 20, 2024
Breaking: Our exhaustive paper on liver toxicity of various herbs/ plants used in Ayurveda, Naturopathy, Unani, Siddha and Homeopathy (Ayush) systems of alternative medicine is out now (free to read)
with @arifhussaintm

This paper was initially an invited paper by an Indian journal. The reviewers and Editorial board rejected the "invited" paper because they thought the paper was "too critical" of traditional, cultural and religious [unscientific] aspects of healthcare practice among Indian community and feared backlash from the alternative systems regulatory body (Ayush Ministry) and Ayurveda and Homeopathy practitioners & their organizations of they accepted their own "invited" paper.

The Indian medical science community is now hostage to it's unscientific past due to a deepening lack of scientific temperament among doctors, worrying knee-jerk response style assault from the alternative medicine industry/practitioners/regulators and general apathy towards patients & public health. It's disappointing.

Since they were spineless to publish our factual paper, we sent this to a neutral journal for peer review (which is got through) and paid open access publication fee, so that everyone could read it for free.

Please read and share this important paper which educates physicians on herbal liver toxicity from seemingly benign plant sources which they need to be aware of.

The subsequent posts also highlights infographics summary of various toxic Ayush-based botanicals that are increasingly reported to harm public and patients.

Thanks in advance, and I hope doctors in India start fearlessly respecting science rather than intentionally embracing ignorance & selfishly covering up themselves in a safety bubble, thereby endangering public health in the process.journals.lww.com/md-journal/ful…Image
Continued: Summary on Tinospora cordifolia (Giloy) Image
Continued: Summary on Withania somnifera (Ashwagandha) Image
Read 7 tweets

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