DanielRyanMD

Christian. Married to Amanda, father of 5. Heritage American. General Physician. IM.

[Benjamin Bikman @BenBikmanPhD]

I’ve been cautious about GLP-1 medications. One of my primary concerns has been the loss of fat free mass (ie, muscle). But I was wrong.

The paper published last week (https://t.co/1IL1tV7dHJ) showed that most of the “fat free mass” that’s lost not only isn’t from muscle, but it’s mostly from shrinking the liver. Ironically, likely partly due to a reduction in liver fat (which gets counted as fat free mass on DXA scans). In fact, muscle strength was completely normal and the muscle:fat ratio was significantly improved.

There is still ample reason to be cautious, but the concerns about muscle loss appear to be overblown.

[DanielRyanMD @DannyRyanMD]

@Alexleaf I think you're talking past him. but low flour/sugar diet does lower insulin levels.

[Ben Sasse @BenSasse]

“Religion withdrew to its own arena, lost the relationship in which it stood with the other sciences, and appointed itself as the great master whose task it was to impede the unwelcome progress that the other sciences were making. All too often it forgot that our beautiful confession says that we know God from two books: the book of Scripture, as well as the book of Nature in which the majesty of the Lord of lords is revealed to us in golden letters.”
— A. Kuyper

[James Engerbretson @engerbretson]

Excited for this one

[DanielRyanMD @DannyRyanMD]

@DrSuneelDhand Specialists are not available for months. AI helps me read UpToDate faster, helps the patient too, together we come up with the correct next step. Primary care deals with the vagueness/error prone human language which is where AI goes wrong.

[DanielRyanMD @DannyRyanMD]

@FarmTo_OR_Table You bet. Hope you are doing g really well.

[DanielRyanMD @DannyRyanMD]

@FarmTo_OR_Table

[David Clarke, MD @daveclarkemd]

I spent 25 years as a gastroenterologist.

I treated over 7,000 patients whose symptoms had no explanation on any test.

Abdominal pain. Nausea. Bloating. Pelvic pain. Bowel malfunction. Fatigue. Later on I diagnosed mystery symptoms from head to foot. Every test is normal.

Here’s what I learned.

[Pastor Mark Driscoll @PastorMark]

Howdy @RealCandaceO, "Pastor" at Trinity Church here. This conversation never happened, and it was never said to anyone at any service, publicly or privately.

I will be preaching today on the 9th Commandment (False Witness). Your demons already know it, but you might find it interesting.

[DanielRyanMD @DannyRyanMD]

@valsamadhavaMD Thank you, Dr. Madhava.

[DanielRyanMD @DannyRyanMD]

@drantbradley I agree. Sorry for being trite.

[DanielRyanMD @DannyRyanMD]

@drantbradley It’s a good company

[Kurt Schlichter @KurtSchlichter]

Speaking as someone who spent years living in Europe while I defended them with millions of other Americans because they were unable to do so on their own, you need to understand something about Europeans.
The existence of America humiliates them, as it should.
It absolutely crushes them to know that America has exceeded them by every metric, yet America doesn’t even bother to hate them. America just doesn’t think about them at all. If we hated them, they could at least imagine that they were worthy of our attention. That we don’t give it to them, that we take them for granted as quaint has-beens with silly customs, but good wine and beautiful churches (that no one alive built), shatters their ego. And ego is all they have left. Their continent and culture are dying. They can’t be bothered to breed, and they’ve imported their conquerors where their greater fathers would have beaten the invaders back.
Every time they look up and see the moon, they know we’ve been there, and they never will.

[DanielRyanMD @DannyRyanMD]

@valsamadhavaMD 77F w/ DM2 on continuous ativan for 10 years, took herself off cold turkey, then came to me w/ disequalibrium and BPs always in 200s/100s. Has been off for a year.
-Should I restart and wean off?
-stay off and wait?

[DanielRyanMD @DannyRyanMD]

@valsamadhavaMD Wow, thank you for responding. Really pleased to discover your website. I’m trying to learn how to taper my patients. Again, thanks.

[DanielRyanMD @DannyRyanMD]

Tapering patients off benzos is a wild ride:
-some feel better right away: better balance, more alert. For them the relief from toxicity is greater than the pain of withdrawal
-some feel worse right away: more jumpiness, bad tinnitus, for them them the withdrawal is worse than the toxicity.

[Kyle Rittenhouse 🇺🇸 @rittenhouse2a]

I stepped out of the public eye back in January — I needed peace, a fresh start, somewhere far from the constant noise and chaos. That decision changed my life… I met & married my best friend, and found more peace and purpose than I ever thought possible.

Then came the unthinkable — the brutal assassination of my friend Charlie Kirk. Watching his life cut short for standing up publicly for what he believed was right shook me to my core.

In that moment I realized something important: this fight for our future, for our freedoms — it can’t wait. It doesn’t pause when you want it to. I couldn’t sit on the sidelines anymore.

My wife looked me in the eye and said, “If you’re going back, I’m with you.”

So I’m back. Not quietly. Not halfway. I’m coming back in a big way.

More to come soon… stay tuned.

[Kevin Sorbo @ksorbs]

Ilhan Omar’s net worth:

2020: -$65K
2021: $65K
2022: $115K
2023: $205K
2024: $30 million

I’ll let you draw your own conclusions.

[DanielRyanMD @DannyRyanMD]

@BarbellFi @dividenddude Have never heard of this company so nbd/no one cares.

[Raymond Ibrahim @RaymondIbrahim5]

My former professor and thesis advisor, Victor Davis Hanson, recently interviewed me on my new book, The Two Swords of Christ. See link below. And here's a rather old picture of us, from, I think, 1998 or 99—that is, 27-28 years ago:
video: https://t.co/acWTDFFCFp

[Devon Eriksen @Devon_Eriksen_]

Simple.

Umbridge does one thing the main villain doesn't do, that none of the other villains do.

She pretends to be on the heroes' side. And prevents them from defending themselves.

This is how the human mind evolved. Foemen, tribal enemies who oppose us on the field of battle, provoke our fear, anger, even hatred. But traitors provoke our contempt and disgust.

We instinctively know that a disloyal friend is worse than an enemy.

Against an enemy, we can defend ourselves, and our tribe will support us. Oppose the traitor, and she will cry that she is an innocent victim, and we are the evil ones.

The traitor not only betrays her own tribe, she turns her tribe against each other.

But it's worse than that. The enmity between this tribe and that, between lion and zebra, between farmer and rat, is dictated by opposing interests, by incompatible needs.

Our cruelty to the foe is forced upon us. It is the indifference of the universe, manifesting its conclusion through us. It's adaptation, not sadism.

The traitor isn't like that. She didn't have to do it. She could have supported the tribe, and everyone, including her, would have been fine.

The traitor didn't have her path forced on her. She chose it out of spite, or for gain.

Traitors are worse. So we hate them more.