Dr. Sundar Kanchibhotla

Consultant Cardiac Surgery;
Photographer;
Swimmer

[Radharamn Das राधारमण दास @RadharamnDas]

Another leftist conspiracy exposed! Did you know that Jana Gana Mana was written for Bhagavan Krishna, not George V? Yes! But envious leftists have deliberately spread misinformation about it. Rabindranath Tagore himself clarified that he wrote the song for Krishna, addressing Him as the "eternal charioteer." Listen to Professor Abhishekh Ghosh, who explains this beautifully.

[TheLiverDoc™ @theliverdoc]

Coffee is one of the only drinks with strong evidence that benefits the liver. Here's what decades of research actually says about how to drink it right:

Coffee genuinely lowers liver disease risk.
Meta-analyses show regular drinkers have about 35% lower risk of significant liver fibrosis and nearly 50% lower risk of liver cancer compared with non-drinkers.

Aim for 2–3 cups a day, minimum.
The effect is dose-dependent. The Hepatology socities such as AASLD and EASL says 3 or more cups daily is reasonable for liver benefit, if you tolerate it.

Caffeinated works better than decaf.
But decaf still helps.
Caffeine blocks adenosine receptors that drive liver scarring. Decaf lowers chronic liver disease risk too, just by a smaller margin (UK Biobank, n=494,585).

The target dose: ~300 mg caffeine/day, or 3 cups.
Fibrosis protection kicks in around the 75th percentile of intake, roughly 308 mg caffeine, or 2.25 cup equivalents, per day - the AASLD 2023 advises 3+ cups for liver benefit.

What a "cup" actually means
One standard cup = 240 ml (8 oz), not a 60 ml tiny Indian "cup." A 240 ml filter coffee has ~95–165 mg caffeine. A single espresso shot (30 ml) has only ~60–75 mg.

Coffee-to-water ratio: 1:15 to 1:17.
For filter/drip/pour-over: 15 g of ground coffee to 250 ml water. This is the standard brewing ratio and gives clean extraction of chlorogenic acids and caffeine.

Choose medium roast, not dark.
Medium roast has significantly higher chlorogenic acid (CGAs) content than dark roast. Dark roasting thermally degrades CGAs, the main antioxidant doing liver work.

Arabica beats Robusta.
Arabica beans are richer in CGAs and polyphenols, the antioxidants doing most of the liver-protective work.

A note here:
Arabica for polyphenols, Robusta for caffeine.
Arabica (1.5% caffeine) has more CGAs and polyphenols. Robusta (2.7% caffeine) has more caffeine but a cruder phenolic profile. A 70:30 Arabica-Robusta blend is a reasonable compromise.

Water temperature: 92–96°C.
Just off a rolling boil. Too hot (>96°C) burns the grounds and extracts bitter compounds; too cool (<90°C) under-extracts CGAs and caffeine.

Grind size matters.
Medium grind (table-salt texture) for filter/drip. Coarse for French press. Fine for espresso. Brew time: 3–4 minutes for pour-over, 4 minutes for French press, 25–30 seconds for espresso.

Filtered coffee is the safest daily choice.
Paper filters trap cafestol and kahweol, naturally present plant diterpenes that raise LDL cholesterol if consumed daily in large amounts. Pour-over (V60, Kalita, Melitta) or drip machines with paper filters give you CGAs and caffeine without the cholesterol penalty.

Espresso and French press: fine, but not unlimited.
They retain more polyphenols but also more diterpenes (so more chances of increased lipids). Great occasionally; don't make them your 5-cups-a-day default if you have high cholesterol or heart disease.

South Indian filter coffee: acceptable, with caveats. The metal filter does not remove diterpenes as well as paper, so limit to 1–2 cups/day if you have dyslipidemia. The decoction itself is rich in CGAs. Use less sugar. Skip condensed milk.

BUT ULTIMATE: Drink it black. Or close to it.
Sugar, syrups, flavored creamers and whipped cream cancel the liver benefit, especially if you already have fatty liver, diabetes, or obesity. Skim milk or unsweetened plant milk is fine.

Instant coffee: still works.
UK Biobank (n=494,585) showed instant coffee drinkers had similar reductions in chronic liver disease as ground coffee drinkers. Not as potent, but far better than no coffee.

Cold brew: underrated for the liver.
Medium roast + coarse grind + 6–7 hours at room temperature extracts CGAs and caffeine efficiently with lower bitterness. pH and CGA content are comparable to hot brew.

Timing.
Spread across the day. one at breakfast, one mid-morning, one early afternoon. Stop by 2 pm if you have insomnia.

It helps across almost every major liver disease.
Evidence supports benefit in fatty liver (MASLD), alcohol-related liver disease, hepatitis B and C, cirrhosis, and liver cancer.

The mechanism isn't magic, it's chemistry.
Chlorogenic acid cuts oxidative stress and liver fat. Caffeine inhibits stellate cell activation (that promotes scarring or fibrosis). Melanoidins and polyphenols reduce inflammation.

Who should go easy.
Pregnancy, children, those with uncontrolled heart rate and rhythmn issues (arrhythmias), panic disorder, or insomnia.

And no, coffee does not undo a bad diet or bad choice - such as alcohol, herbal supplement or that Ayurvedic "liver tonic."

Sources: Modi et al., Hepatology 2010; Kennedy et al., BMC Public Health 2021 (UK Biobank); Fuller & Rao, Sci Rep 2017; AASLD MASLD Clinical Care Pathway 2023; EASL 2016 CPG, Frontiers in Nutrition 2026 (Italian coffee cohort).

[Dr.Sivaranjini @dr_sivaranjani]

I am Dr. Sivaranjani, a pediatrician , raising concerns about how ERZL is being marketed and positioned in pharmacies, and the risk it creates for consumers making critical decisions during dehydration.
This issue is not about whether ERZL is safe in isolation.
It is about how it is presented, perceived, and potentially misunderstood in real-world settings.

ERZL is a commercially marketed electrolyte drink. However, its branding and advertising raise serious concerns.
*It should not be using ORSL in its communication.*
Why?
Because:
* ORSL itself is not the original medically recommended ORS
* Referencing ORSL in any form creates brand recall in the minds of consumers
* Instead of reducing confusion, it continues and reinforces it
When ERZL is positioned as a continuation or replacement of ORSL, it keeps that same association alive — especially among parents who may already believe ORSL was equivalent to ORS.
👉 This defeats the very purpose of regulatory action.

In pharmacy settings:
* People are often making quick decisions under stress
* They rely on familiar names and visual cues
* Branding can directly influence what they choose
If ERZL continues to build on ORSL recall, it risks being perceived as a medical solution for dehydration, even when it is not the same as ORS (the medically recommended solution).

There are also concerns around ingredients like sucralose, especially in children and with prolonged use, based on global health guidance.
This makes clear communication even more important.

After raising these concerns, I have received a legal notice from Johnson & Johnson and Kenvue.
This petition is not about conflict.
It is about:
* Clarity in healthcare communication
* Preventing consumer confusion
* Ensuring responsible branding and advertising
* Allowing doctors to raise public health concerns without hesitation

We urge the Food Safety and Standards Authority of India and the Ministry of Health and Family Welfare to:
1 *. Ensure that, since ERZL closely resembles ORSL, Kenvue is directed to rebrand it in a way that does not create recall or association with ORSL.*
2. Prevent misleading positioning that may confuse consumers
3. Strengthen enforcement at the pharmacy level
4. Ensure clear differentiation from medically recommended ORS
5. Protect healthcare professionals raising genuine concerns

In healthcare, even small confusion can have big consequences. Clear choices save lives.

@fssai @JPNadda
@MoHFW_INDIA @narendramodi
Stand for public health. Sign and share this petition to help protect every family from confusion in critical moments.
https://t.co/EzGFbVddDU

[Dr.Sivaranjini @dr_sivaranjani]

Tired, but not giving up! Pls download and share before there is a gag order on me.
Thanks to @IndiaESI (who also impleaded in my PIL against misleading branding of sugary drinks as ORS), @FAIMA_INDIA_ , HRDA Andhrapradesh, HRDA Telangana, MARD Thane, MARD Nagpur, Junior Doctor's Association Ahmedabad, Telangana Junior Doctor's Association, Junior Doctor's Association Ranchi, T-SRDA, GARD, Telangana Doctor's Forum, RDA Aligarh, RDWS UP, IMA Telangana State, IMA Hyderabad Airport, Endocrine Society of Telangana, Indian Doctor's and Dermatologists against quackery, for condemning the notice of Johnson&Johnson and Kenvue in which they accused me of disparaging them for my commercial benefits and views! Thank you for staying by my side! Grateful!

[Dr. Sundar Kanchibhotla @BornToBeLoud]

@SanskritChannel 700

[Ram Gopal Varma @RGVzoomin]

DHURANDHAR is not a film , it is a QUANTUM LEAP in INDIAN CINEMA

I believe that @AdityaDharFilms has completely and single handedly changed the future of Indian cinema , be it north or south ..That’s because Duradhar is not just a film.. it is a quantum leap

What Dhurandhar achieves is not just scale, but a never before experienced vision not just in sight but in the mind . Aditya Dhar doesn’t direct scenes here… he engineers the states of minds of both the characters and us audience
The film doesn’t ask for your attention.. it commands it. From the very first shot , there’s a sense that something irreversible has been set in motion, and the audience is no longer a spectator but an accomplice to the happenings on screen

This is a film that refuses to be polite. The writing cuts with intent, the staging breathes menace, and the silences are as weaponized as the thunderous sound effects . Dhar understands that power in storytelling is not volume… it’s pressure building . Every sequence feels compressed, like a spring being wound never knowing when it will snap . And when it does, the impact is not just brutal but it is also symphonically operatic

The Performances in the film aren’t designed to be liked but they’re designed to linger long after we leave the theatre .. Characters walk in carrying history on their shoulders, and the film trusts the audience enough to read their scars rather than spoon feed their backstories. This confidence which could be easily mistaken for arrogance is precisely what marks Dhurandhar as a turning point for Indian cinema . Dhar assumes that the audience are intelligent which is the highest respect a director can pay to an audience , whereas most film makers believe in dumbing down their films

Technically, the film redraws the grammar of mainstream Indian cinema. The sound design doesn’t decorate scenes, it stalks them. The camera doesn’t observe but it circles it like a predator. Action here isn’t choreography for applause.. it’s perspectively justified and extremely ugly , the way real violence should feel.

But beyond craft, what truly elevates Dhurandhar is its intent. This is not a film chasing trends or validation. It is a solemn declaration, that Indian cinema doesn’t need to dilute itself to become successful and doesn’t need to mindlessly copy Hollywood. Dhar proved that it can be rooted and still be internationally cinematic.

When the final credits roll, you don’t feel just entertained, you feel altered. And that’s the mark of a filmmaker who isn’t just making movies, but he is reshaping the very ground that all us film makers stand on.

[Abhishek AB @ABsay_ek]

In 90s We've witnessed the likes of Waqar, Donald, &amp; Curtly wreaking havoc, supported by their capable teammates...
Amidst it all,One bowler from India who stood tall &amp; carried his team more than any of these legends alone...

Let's talk about JAVAGAL SRINATH

1/n

[Dr. Sundar Kanchibhotla @BornToBeLoud]

#SRHvsLSG @bhogleharsha sir you kept saying David Warner instead of Travis head :) was that intentional? Or a slip of tongue ?
#CricbuzzLive

[Ron Barbosa MD FACS @rbarbosa91]

An older drawing showing why grabbing 'extra' fat and muscle when closing the fascia can lead to separation of the fascia later on.

On the next slide, we'll use simple geometry to understand why suture 'A' is not as good as suture 'B'.
🧵(1/3)

[Ron Barbosa MD FACS @rbarbosa91]

Thanksgiving week 🦃rerun:

Redo of the 'drain experiment'🧵from 18 months ago:
Here I reexamine the ability of different drains to evacuate Italian salad dressing from a mason jar.

Also I've taken bits out of other 🧵to show a few general things about drain sizes.
(1/ )

[Dr. Sundar Kanchibhotla @BornToBeLoud]

Gill is 'breathing' fire
#INDvPAK @DisneyPlusHS

[Dr. Sundar Kanchibhotla @BornToBeLoud]

Also the transactions never go through when I need them the most despite having a 3lakh credit line

[Dr. Sundar Kanchibhotla @BornToBeLoud]

@IOBIndia you have the shittiest credit card in the world. Thanks for nothing.
Your statement don't come on time .
I have been banking with you because my father was in your bank. I shall be never recommend your bank to anyone anymore

[Historic Vids @historyinmemes]

In 1934, photographer A.L. Schafer staged a remarkable protest against censorship through a single, rule-breaking photograph. In an era of increasing restrictions on artistic expression, Schafer's image became an enduring symbol of resistance and the fight for freedom of speech.

Schafer strategically violated multiple rules within the frame of their photograph, pushing artistic boundaries to convey their message. By challenging compositional and technical conventions, Schafer aimed to emphasize the importance of artistic freedom and the rejection of societal norms.

The photograph's visual power transcends time, inspiring viewers to question authority and protect creative autonomy. It serves as a reminder that censorship hampers progress and stifles diverse voices, urging society to safeguard artistic freedom.

Schafer's image is a call to action, reminding us to uphold freedom of expression. In an age where digital media provides greater accessibility, defending the right to artistic self-expression is crucial for fostering a world that embraces diversity and embraces unfettered creativity.

A.L. Schafer's 1934 protest photograph encapsulates the enduring strength of art against censorship. By challenging rules and pushing boundaries, Schafer's defiance remains an inspiration. Let us draw from their courage as we dismantle the chains of censorship, protecting and preserving artistic autonomy in our ever-evolving world.

[TheLiverDoc™ @theliverdoc]

I am in trouble. I debunked one video from the Satvik Couple and I have been getting requests to debunk more of their videos. I took a close look at some of the videos sent to me, specifically on health and medicine and I am worried that the couple are misleading A LOT of people on Instagram regarding healthcare.

Let me tell you at first, that I have nothing against the couple, Subah and Harsh Saraf, because they have to make a living and they do so very passionately, by defrauding others. And they are good at it. It is what they were born to do. But it is a doctor's responsibility to debunk misinformation. So I'm going to debunk their health videos, one by one, as time permits.

Coming to the topic.

Table salt vs Iodized salt vs Himalayan (Rock) salt: The Satvik Movement is the greatest tomfoolery on Indians.

The video briefly explains, by giving false information on various types of salt, why Himalayan salt or "sendha namak" is the best, safest, healthiest salt there is, compared to Table salt and Iodized salt.

Everything the woman goes on about, is false. A million people have seen this video. Its so sad.

Satvik Lady says: Table salt is synthetic and contains anti-caking additives which makes it free flowing and has a lot of refining processes that makes it "chemical" and not natural. Iodized salt contains added synthetic iodine which is not good and can harm the fluid balance in the body. It is heavily marketed by companies and is promotional. Natural iodine can be consumed from green vegetables and lentils. Himalayan salt or Rock salt is natural, unrefined and without chemical additives and hence the best.

Everything is wrong about the above statements. Table salt is sodium chloride. It is REFINED and PROCESSED to remove other unwanted minerals, so that you are consuming only pure sodium chloride.

Approved and safe anti-caking agents are added to prevent it clumping to each other especially in humid regions.

Other additives during Table salt refining are fortification agents that improve nutritive value - for example, flouride for enamel health in countries that do not flouridate water and ferrous fumarate to prevent iron deficiency anemia. All of these additives are safe and approved by respective health regulatory bodies. https://t.co/N36UErR6yt

Iodized salt is refined sodium chloride with added iodine done to prevent iodine deficiency in countries where iodine intake is suboptimal from in natural diet. - an example is vegetarian diet. Contrary to what the lady says - vegetables and lentils ARE VERY POOR SOURCES of iodine. In fact, a predominatly fresh vegetable & fruit diet is considered a "low iodine diet." The lady is pulling off a complete bluff. It is quite worrisome.
https://t.co/uKbLNUlilN

The only vegetarian source of iodine is seaweed and good sources of iodine are mostly fish/seafood and other animal protein sources such as dairy and eggs. If you are not consuming such natural sources of iodine, then please use iodized salt in your diet and not plain table salt or Rock salt. Rock salt is very deficient in iodine and is not good for daily use.
https://t.co/AzXS5bWKLg

In India, the promotion of iodized salt was undertaken by the Government and not "marketed by companies." The Government of India accepted the recommendations of the Working Group and Study Group, and on the advice of the Central Council of Health in 1984 took a historic decision to iodize the entire edible salt in a phased manner by 1992 and included in the Seventh Five Year Plan (1985-1990) of Government of India - this formed part of the National Iodine Deficiency Program of India that took care of iodine-deficiency goiter disease in the population.
https://t.co/ya0JU3rI7u

Sendha namak or Rock salt is unrefined salt. Its overglorified benefits are because it features in the pseudoscientific texts of Ayurveda - a primal collection of brilliant nonsense. It is just the solid mined form of salt which contains a lot of impurities. In fact, if we have to define which of these are actually "more chemical," then it has to be rock salt because it not only contains sodium chloride, but also gypsum (CaSO4) and sylvite (KCl), potassium sulfate and polyhalite (K2Ca2Mg(SO4)4.2H2O)!

In fact a study showed that despite rock salt containing additional "natural" nutrient-minerals, >30 g per day (approximately 6 teaspoons) would be required to make any meaningful contribution to nutrient intake, a level that would provide excessive sodium and potential harmful effects and hence the risk to public health from potentially harmful non-nutritive minerals should be addressed. https://t.co/9FDE7EOpGD

Rock salt is EXPENSIVE. It has NO additonal benefits over Table salt and is INFERIOR to Iodized salt. In fact, a study showed that when it comes to heart health and blood pressure, there was no difference between Rock salt or Table salt and the latter is a cheaper and more affordable option.
https://t.co/NZfpiwKfxh

So the best salt there is, for the Indian community?
Iodized salt it is. But be careful, use it in moderation, because salt is salt. Add a bit to taste only.

The Satvik health videos are absolute clownery and a danger to public health. Who will take care of it?

[Kevin W. @Brink_Thinker]

This beautiful child sees for the first time and the smile melts your heart

[Ron Barbosa MD FACS @rbarbosa91]

🧵 demonstrating a few basic errors that can be made when working with a Bovie.

Note: I won't try to cover all of the science of surgical energy devices, as Twitter threads do have their limits...

(1/ )

[Kaustubh Radkar @KaustubhRadkar]

Dashrath jadhav at 66 yr young has created history by being only indian above 60 to finish Ultraman Florida!
Day 1: 10km swimming + 144 km bike
Day 2: 272 km bike
Day 3: 84.4 kms run
12 hours cut off each day.@narendramodi we hope to meet you for ts achvment. @Dev_Fadnavis

[Massimo @Rainmaker1973]

Sky Pool is a swimming pool in Houston, Texas. Constructed on top of the Market Square Tower apartment complex, it's 150 meter high with a glass floor

[source: https://t.co/ux5gD7FqZD]
https://t.co/lBVkxtFs4r